Best Bodybuilding Diet Plan Revealed! If you’re serious about adding new slabs of muscle, getting your diet right is absolutely crucial for your success! As strange as it may sound, there is a way of mimicking the effects of anabolic steroids by implementing a few nutritional tactics. ![]() ![]() For anyone looking to pack on some serious muscle mass, one of the top priorities will be to determine what the best bodybuilding workout to follow is. Ok, so you want to get huge?! All you have to do is make it to the gym, crank out reps until you get a sick pump, head home and get on with the rest of your day, right? IllPumpYouUp.com supplies the most effective bodybuilding supplements online to help you build quality lean muscle mass and keep it. I firmly believe that this is THE bodybuilder’s diet. Nothing is going to pack on mass quite like it. You are about to be introduced to a diet that will allow you. Fitness Model Program Jennifer Nicole Lee JNL Oxygen Magazine, At home exercises, Female weight training, Flat abs, Bikini diet. We are Bodybuilding.com. Your transformation is our passion. We are your personal trainer, your nutritionist, your supplement expert, your lifting partner, y.I call this the . No natural diet will replicate the effects of anabolic steroids. However, your results may surpass anything you are currently experiencing. In the next 1. 5- 2. I will introduce you to the nutritional strategy that will revolutionize your bodybuilding life. And there’s more! It’s all lean gains. And those with great genetics can actually find the holy- grail of bodybuilding as they build muscle and lose fat at the same time. NOTE: I have a free Muscle. Hack calculator that will automatically calculate your daily protein & calorie requirements. You can use it and even download it if you prefer. If you would like access to it, just type in your email below. You don’t have to go to your email to click a confirm link; the info you need will appear immediately after you enter your email. Enjoy the calculator. It took me years to find it, implement it correctly and reap the rewards. I had to find out for myself how to build lean muscle mass like never before while keeping fat accumulation at bay. But it was well worth the effort. So if it’s the best anabolic diet in existence, why isn’t it more widely known? The big supplement companies and rag- magazines would go out of business quickly if they couldn’t peddle their snake- oil to you. If the general public were more nutrition- savvy, they’d crap themselves! I doubt very much they’d go out of their way to make the public aware of it. This article lays these secrets bare for you to learn. Implement this process wisely and I promise you will make muscle gains like never before. Please note that this method takes planning and commitment but it is well worth it! Also please make sure your workouts are up to par by implementing . Training.’Credits. Before I go any further I want to credit a few people as sources of great information and inspiration. They are: Dr. Michael Eades. Dr. Robert Atkins. Mauro Di Pasquale. Anthony Colpo. Gary Taubes. Paul Cribb. Why The MANS Diet Is The Best. So how can this nutritional strategy produce bigger an better muscle gains? There is a way to increase anabolic (muscle building) hormones in the body in the same way that steroids do. The only difference is, it’s safe and natural. Here’s how? You will also have controlled and timed insulin spikes which allows the body to have high levels of growth hormone and insulin at the same time! This does not usually happen and you’ll see extremely impressive muscle gains as a result. What Actually Causes Muscle Growth? Ok, apart from the actual exercise itself, what is the driver of muscle hypertrophy? We’ve been told over and over again that it’s excess calories; you must eat more calories than you expend to encourage muscle growth. I’m going to put forward something a little controversial. Calories are also an effect, not just a cause. Think of a growing child. Are we to assume that vertical growth is caused by excess calories? I think the release of Growth Hormone is what makes a child grow. Then this increased growth hormone causes the child to want to eat more. I think we have causality round the wrong way here. The traditional advice from bodybuilding gurus is to eat everything in sight to increase muscle size. And they usually recommend high carb, low- fat diets. But what we want to devise is a nutritional strategy that ignites the release of anabolic hormones (and this means you need to eat fat). In turn then, these hormones will let us know when and how much to eat. The hormones will drive our appetite. How? Simply by making us hungry – just like a growing child. See how causality has been reversed? It’s no longer. Then for 3. The high protein, high fat part of the diet is what sparks the increase in blood serum levels of: Testosterone. Growth Hormone. IGF- 1 (insulin- like growth factor production is stimulated by growth hormone). Fat Adaptation. As you will be keeping your carbohydrate level low for most of the week, your body will become a fat- burning machine. It will undergo a . This can take as little as 2 days and up to 1. However, the vast majority of you will have become fat- adapted by the end of the first 5 and a half days. The advantages of this are: Increased Lipolysis (breakdown of fat)Decreased Lipogenesis (production of fat)Decreased catabolism (muscle protein is spared from breakdown)Insulin Isn’t your Enemy. Regular low- carb dieters want to avoid spikes in insulin levels, but for the bodybuilder a controlled spike will do you a world of good. You’ll use a 3. 2- 3. I use the weekends for this) to deliberately increase insulin levels. Friday 6pm to midnight on Saturday works well for me. Insulin can make you fat, no doubt about it. Insulin has a dramatic effect on decreasing lipolysis i. Having said that, insulin is not the enemy of the bodybuilder. Increasing insulin through a carb- loading period is beneficial because: It helps shuttle amino acids into the muscle cells. Increases Protein Synthesis in skeletal muscle. Glycogen supercompensation (Replenish Muscle Glycogen To Fuel Workouts). Growth Hormone & Insulin. As stated previously you will also reap the anabolic effects of increasing insulin, growth hormone and testosterone at the same time. Usually when insulin levels increase, the others decrease and vise versa. It seems that the body (once fat adapted) sees the intake of high carbs at the weekend as a . Increased Growth hormone is your body’s way of mobilizing energy stores to deal with this stressful situation and so at this time you can get elevated insulin and growth hormone levels simultaneously – welcome to muscle building heaven! Traditional High- Carb Muscle- Building Diets On a high carb diet, (usually recommended for the bulking phase of a bodybuilding lifestyle) insulin levels are chronically elevated. You therefore don’t get the edge of maximum release of testosterone, growth hormone and IGF- 1. Also on the high carb approach, you prevent your body from using body fat for fuel and actually encourage the laying down of new body fat. That’s. Decreased Lipolysis. Increased Lipogenesis. What this anabolic nutritional strategy does is take advantage of the anabolic properties of insulin and, at the same time, restricts the fattening properties of the hormone. This bodybuilding diet will keep insulin levels steady and low most of the time but you will also be creating carefully timed spikes for explosive muscle growth. Your Unique Carbohydrate Threshold Level. The best thing about this bodybuilding diet is that it’s tailor- fitted to your unique metabolic type; it’s not a one- size- fits- all diet. You will find your unique carb threshold level and this will allow you to: Gain muscle without fat. Lose fat without sacrificing lean mass (when cutting)Your carb threshold level can be defined as“The lowest possible daily carbohydrate intake that allows you to function at top level”Since we’re concerned with building muscle, we need to find the lowest amount of carbs you need in a day to not only feel good but hammer out muscle- building workouts that continually improve, week- on- week. I recommend you start out at 3. Don’t make any changes to this for at least a week because you need to make the metabolic switch to burning fat for fuel first. Once this is completed you will be able to tell from your workout performances whether or not you need some more carbs (if so, increase in 5 gram per day increments). I personally average at around 2. Some days I take in 3. Going higher or lower is fine, just check your weekly averages. This low amount of carbohydrate is enough to power me through some amazing workouts; I’ve got bags of energy and feel great. How Much Protein, Carbs, Fat, & Calories To Eat. Ok, so this isn’t very complicated: STEP 1: You already know that you will have around 3. This comes to 1. 20 Calories (3. STEP 2: Use my free calculator here to work out how much protein and calories you need per day. STEP 3: Work out how many calories you will get from protein by multiplying the grams by 4. So 2. 00g = 8. 00 Calories. STEP 4: Subtract the combination of protein and carb calories from the total calories. Example: total cals 2. Calories remaining. STEP 5: 1. 88. 0 Calories will come from dietary fat. To get this in grams, divide the figure by 9 since there are 9 Calories in a gram of fat. STEP 6: On weekdays, MANS is a low- carb, high- fat diet (LCHF). In this example, this guy will eat 2. Post- Workout Nutrition. Some of you may be wondering about post- workout carbs. With this dietary approach, they are not needed and may actually be counter- productive. For a full break down of why this is the case, please read my article . My after- training cocktail consists of some whey protein (4. That’s it. Here are links to the best UK and European source for Protein and Creatine. I remember being advised years ago that I needed around 6. It’s no surprise now, with a little education, that I got fat. Also, remember creating daily insulin spikes will have an adverse effect on growth hormone levels so follow this to the letter. Your Carb- Up Period. This is perfect as you can enjoy your life after being so strict during the week. Have some pizza, Chinese food, whatever you feel like. Take your woman out for a meal, have some beers with the guys and rest assured that you’re actually benefiting from this. I limit the junk meals to 2 and the rest of the time I eat a mostly high- carb, moderate fat, moderate protein diet. It isn’t an excuse to go completely nuts, but do let your hair down a little. Again, there’s no reason to eat passed satiation, let your gut decide how much to eat. There is no real limit on the amount of carbs you can have.
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GOP Data Firm Accidentally Leaks Personal Details of Nearly 2. Million American Voters. Political data gathered on more than 1. Deep Root Analytics, a conservative data firm that identifies audiences for political ads, confirmed ownership of the data to Gizmodo on Friday. EyeEm Selects is only available to Android users, but the company plans to add the feature to iPhone apps in an upcoming update. EyeEm has already created a similar. As Neil Sedaka once harmonized for all the boppin’ kids, breaking up is hard to do. If only he knew about this new study. It suggests you can bounce back fro a. US citizens was exposed this month after a marketing firm contracted by the Republican National Committee stored internal documents on a publicly accessible Amazon server. The data leak contains a wealth of personal information on roughly 6. US population. Along with home addresses, birthdates, and phone numbers, the records include advanced sentiment analyses used by political groups to predict where individual voters fall on hot- button issues such as gun ownership, stem cell research, and the right to abortion, as well as suspected religious affiliation and ethnicity. The data was amassed from a variety of sources—from the banned subreddit r/fatpeoplehate to American Crossroads, the super PAC co- founded by former White House strategist Karl Rove. Deep Root Analytics, a conservative data firm that identifies audiences for political ads, confirmed ownership of the data to Gizmodo on Friday. Up. Guard cyber risk analyst Chris Vickery discovered Deep Root’s data online last week. More than a terabyte was stored on the cloud server without the protection of a password and could be accessed by anyone who found the URL. Many of the files did not originate at Deep Root, but are instead the aggregate of outside data firms and Republican super PACs, shedding light onto the increasingly advanced data ecosystem that helped propel President Donald Trump’s slim margins in key swing states. Although files possessed by Deep Root would be typical in any campaign, Republican or Democratic, experts say its exposure in a single open database raises significant privacy concerns. Data Trust received over $6. RNC during the 2. Open. Secrets. org, and its president, Johnny De. Stefano, now serves as Trump’s director of presidential personnel. The Koch brothers’ political group Americans for Prosperity, which had a data- swapping agreement with Data Trust during the 2. Target. Point, whose co- founder previously served as director of Mitt Romney’s strategy team. Each file offers rich details about political ads—estimated cost, audience demographics, reach, and more—by and about figures and groups spanning the political spectrum. There are files on the Democratic Senatorial Campaign Committee, Planned Parenthood, and the American Civil Liberties Union, as well as files on every 2. Republicans included. What’s more, the Kantar files each contain video links to related political ads stored on Kantar’s servers. Spreadsheets acquired from Target. Point, which partnered with Deep Root and GOP Data Trust during the 2. Cassini’s last hurrah has been so bittersweet: On the one hand, it marks the end of a 20-year-long journey to explore Saturn and its moons. But the Grand Finale has. Target. Point’s data seeks to resolve questions about where individual voters stand on dozens of political issues. For example: Is the voter eco- friendly? Do they favor lowering taxes? Do they believe the Democrats should stand up to Trump? Do they agree with Trump’s “America First” economic stance? Pharmaceutical companies do great damage: Agree or Disagree? The details of voters’ likely preferences for issues like stem cell research and gun control were likely drawn from a variety of sources according to a Democratic strategist who spoke with Gizmodo.“Data like that would be a combination of polling data, real world data from door- knocking and phone- calling and other canvassing activities, coupled with modeling using the data we already have to extrapolate what the voters we don’t know about would think,” the strategist said. Deep Root has retained Stroz Friedberg, a cybersecurity and digital forensics firm, to investigate. He used the same process last month to detect sensitive files tied to a US Defense Department project and exposed by an employee of a top defense contractor. This is not the first leak of voter files uncovered by Vickery, who told Gizmodo that he was alarmed over how the data was apparently being used—some states, for instance, prohibit the commercial use of voter records. Moreover, it was not immediately clear to whom the data belonged. In an email to Gizmodo, Deep Root said that its voter models are used to enhance the understanding of TV viewership for political ad buyers. Deep Root also works primarily with GOP customers (although similar vendors, such as Nation. ![]() Builder, service the Democrats as well). Deep Root is one of three data firms hired by the Republican National Committee in the run- up to the 2. Founded by Lundry, a data scientist on the Jeb Bush and Mitt Romney campaigns, the firm was one of three analytics teams that worked on the Trump campaign following the party’s national convention in the summer of 2. Lundry’s work brought him into Trump’s campaign war room, according to a post- election Ad. Age article that charted the GOP’s 2. Deep Root was hand- picked by the RNC’s then- chief of staff, Katie Walsh, in September of last year and joined two other data shops—Target. Point Consulting and Causeway Solutions—in the effort to win Trump the presidency. Walsh, who now works for the nonprofit America First Policies after a brief stint in the White House, oversaw Trump’s data operation in partnership with Brad Parscale, Trump’s digital director. Attempts to reach Walsh for comment were also unsuccessful.) Walsh and Parscale focused their efforts on three categories of voters, Ad. Age reports: voters who might be predisposed to support Trump, Republican voters who were uncertain about Trump, and voters that were leaning toward Hillary Clinton but could be persuaded by Trump’s message of changing up government- as- usual. To appeal to the three crucial categories, it appears that Trump’s team relied on voter data provided by Data Trust. Complete voter rolls for 2. Florida and Ohio, apparently compiled by Data Trust are contained in the dataset exposed by Deep Root. Data Trust acquires voter rolls from state officials and then standardizes the voter data to create a clean, manageable record of all registered US voters, a source familiar with the firm’s operations told Gizmodo. Voter data itself is public record and therefore not particularly sensitive, the source added, but the tools Data Trust uses to standardize that data are considered proprietary. That data is then provided to political clients, including analytics firms like Deep Root. While Data Trust requires its clients to protect the data, it has to take clients at their word that industry- standard encryption and security protocols are in place. Target. Point and Causeway, the two firms employed by the RNC in addition to Deep Root, apparently layered their own analytics atop the information provided by Data Trust. Target. Point conducted thousands of surveys per week in 2. Ad. Age, gauging voter sentiment on a variety of topics. While Causeway helped manage the data, Deep Root used it to perfect its TV advertising targets—producing voter turnout estimates by county and using that intelligence to target its ad buys. A source with years of experience working on political campaign data operations told Gizmodo that the data exposed by Deep Root appeared to be customized for the RNC and had apparently been used to create models for turnout and voter preferences. Metadata in the files suggested that the database wasn’t Deep Root’s working copy, but rather a post- election version of its data, the source said, adding that it was somewhat surprising the files hadn’t been discarded. Because the data from the 2. Even the 2. 01. 6 data is quickly becoming stale. Many of filenames indicate they potentially contain market research on Democratic candidates and the independent expenditure committees that support them. Divided by state, the files include the voters’ names and addresses, along with a unique RNC identification number assigned to every US citizen registered to vote. Each row indicates where voters likely fall on issues of interest to Exxon. Mobil, the country’s biggest natural gas producer. The data evaluates, for example, whether or not a specific voter believes drilling for fossil fuels is vital to US security. It also predicts if the voter thinks the US should be moving away from fossil- fuel use. The Exxon. Mobil “national score” document alone contains data on 1. Americans spread across 1. Reddit analysis. Some of the data included in Deep Root’s dataset veers into downright bizarre territory. A folder titled simply . Other subreddits that appear to have been scraped by Deep Root or a partner organization focused on more benign topics, like mountain biking and the Spanish language. The Reddit data could’ve been used as training data for an artificial intelligence algorithm focused on natural language processing, or it might have been harvested as part of an effort to match up Reddit users with their voter registration records. During the 2. 01. Barack Obama’s campaign data team relied on information gleaned from Facebook profiles and matched profiles to voter records. During the 2. 01. Reddit played host to a legion of Trump supporters who gathered in subreddits like r/The. Trump himself participated in an “Ask Me Anything” session on r/The. Five. Thirty. Eight found that, when Redditors weren’t commenting in political subreddits, they most often frequented r/fatpeoplehate. It’s possible that Deep Root intended to use data from r/fatpeoplehate to build a more comprehensive profile of Trump voters. However, campaigns have attempted to match voter files with social media profiles in the past. Such an effort by Deep Root wouldn’t be entirely surprising, and would likely yield rich data on the small portion of users it was able to match with their voter profiles, the source explained. Data exposes sensitive voter info. The Deep Root incident represents the largest known leak of Americans’ voter records, outstripping past exposures by several million records. Five voter- file leaks over the past 1. When It Comes to Heartbreak, Placebos Are the Best Medicine. As Neil Sedaka once harmonized for all the boppin’ kids, breaking up is hard to do. If only he knew about this new study. It suggests you can bounce back fro a breakup just by believing you’re doing something to help yourself get over it. Love feels like the greatest thing in the world.. When it does, we stop functioning . Researchers at the University of Colorado Boulder measured the neurological and behavioral impacts the placebo effect had on participants who recently had their hearts broken. Volunteers who recently experienced a breakup were told to bring a photo of their ex and a photo of friend to a brain- imaging lab. While inside a f. MRI machine, they were shown images of their ex, their friend, and also subjected to physical pain. Throughout the test, subjects rated how they felt and the f. MRI machine watched for changes in brain activity. Unsurprisingly, brain activity looked similar when the subjects felt either emotional or physical pain. So that pain you’re feeling right now is real. A breakup can cloud your judgment and disrupt your life, making it difficult to get stuff done. Half were told it was a new medicine that helped with reducing emotional pain, and the other half were told it was just a saline solution. After going through the same tests again, the researchers found that the placebo group felt less physical and emotional pain. Furthermore, subjects in the placebo group showed more activity in the regions of the brain associated with modulating emotions and dealing with pain. Tor Wager, professor of psychology and neuroscience, and senior author of the study, explains: “The current view is that you have positive expectations and they influence activity in your prefrontal cortex, which in turn influences systems in your midbrain to generate neurochemical opioid or dopamine responses..”Basically, you believe you’re doing something that will make you feel better, so the brain responds and produces happy, painkilling brain chemicals. In the past, research has shown similar evidence that placebos can ease pain and other physical ailments, but this study is the first time placebos have been tested on those with emotional pain from “romantic rejection.”It might seem silly to give yourself some “fake medicine”—be it good food, getting lost in a video game or TV show, a pint of ice cream, writing a song, a vacation, shopping, or a night out with friends—but the period after a breakup can be a dangerous one. The researchers warn that social pain like this makes you 2. Do something for you that you know makes you feel better and gives you hope. If you believe it will help you get over the heartbreak, it just might. When I moved out from the apartment I shared with my husband, two dogs, and a cat, it hurt real. HCG Weight Loss Pricing - Look Young Atlanta. 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Prevalensi asma (berdasarkan laporan gejala asma dari kuesioner tertulis) selama 12 bulan dari berbagai.![]() Istilah tradisional tentang hipertensi “ringan” dan “sedang” gagal menjelaskan pengaruh utama tekanan darah tinggi pada penyakit kardiovaskular. Konsekwensi dan keadaan ini adalah timbulnya penyakit yang menggangu tubuh penderita. ![]() Tips mudah kurus dan langsing dengan Premium Beautiful, Harga Premium Beautiful, Testimonial Premium Beautiful, Premium Beautiful Corset, Cyst, Fibroid, Bersalin. Memang belum lama ini UMP 2012 untuk sejumlah kota telah di tetapkan, namun bagaimana besaran gaji berdasarkan posisi yang kita inginkan.
Dalam penyakit hipertensi merupakan masalah kesehatan dan memerlukan penanggulangan dengan baik. Tekanan darah tinggi adalah salah satu resiko untuk stroke, serangan jantung, gagal jantung, dan merupakan penyebab utama gagal jantung kronis. Jantung merupakan organ penting yang memompa darah dan memelihara peredaran melalui saluran tubuh. Disini juga terjadi pertukaran gas dalam cairan ekstra seluler atau intershil. Saluran limfe mengumpulkan, menggiring dan menyalurkan kembali ke dalam limfenya yang dikeluarkan melalui dinaing kapiler halus untuk membersihkan jaringan. Saluran limfe ini juga dapat dianggap menjadi bagian sistem peredaran. Denyut ini mudah diraba ditempat arteri temporalis diatas tulang temporal atau arteri dorsalis pedis di belokan mata kaki. Kecepatan denyut jantung dalam keadaan sehat berbeda- beda, dipengaruhi penghidupan, pekerjaan, makanan, umur dan emosi. Irama dan denyut sesuai dengan siklus jantung jumlah denyut jantung 7. Kecepatan normal denyut nadi per menit : Pada bayi yang baru lahir. Selama tahun pertama. Selama tahun kedua. Pada umur 5 tahun. Pada umur 1. 0 tahun. Pada orang dewasa. Pearce. 2. 00. 9 : h 1. Tekanan Darah Tekanan darah sangat penting dalam sirkulasi darah dan selalu diperlukan untuk daya dorong yang mengalirkan darah didalam arteri, arteriola, kapiler dan sistem vena sehingga darah didalam arteri, arteriola, kapiler dan sistem vena sehingga terbentuk aliran darah yang menetap. Jantung bekerja sebagai pemompa darah dapat memindahkan darah dari pembuluh vena ke pembuluh arteri. Pada sirkulasi tertutup aktivitas pompa jantug berlangsung dengan cara mengadakan kontraksi dan relaksasi sehingga menimbulkan perubahan tekanan darah dan sirkulasi darah. Pada tekanan darah didalam arteri kenaikan arteri pada puncaknya sekitar 1. Hg tekanan ini disebut tekanan stroke. Kenaikan ini menyebabkan aorta mengalami distensi sehingga tekanan didalamnya turun sedikit. Pada saat diastole ventrikel, tekanan aorta cenderung menurun sampai dengan 8. Hg. Tekanan ini dalam pemeriksaan disebut dengan tekanan diastole. Kecepatan Tekanan Kecepatan aliran darah bergantung pada ukuran palung dari pembuluh darah. Darah dalam aorta bergerak cepat, dalam arteri kecepatan berkurang dan sangat lambat pada kapiler, dalam arteri kecepatan berkurang dan sangat lambat pada kapiler. Faktor lain yang membantu aliran darah kejantung maupun gerakan otot kerangka mengeluarkan tekanan diatas vena, gerakkan yang dihasilkan pernafasan dengan naik turunnya diafragma yang bekerja sebagai pemopa, isapan yang dikeluarkan oleh atrium yang kosong sewaktu diastole menarik darah dari vena dan tekanan darah arterial mendorong darah maju. Perubahan tekanan nadi pengaruhi oleh faktor yang mempengaruhi tekanan darah, misalnya pengaruh usia dan penyakit arteriosklerosis. Pada keadaan arteriosklorosis, olasitias pembuluh darah kurang bahkan menghilang sama sekali, sehingga tekanan nadi meningkat. Keadaan dapat terjadi pada darah yang mengatur melalui bagian pembuluh darah yang mengalami sumbatan atau vasokonstriksi. Etiologi Hipertensi merupakan masalah kesehatan global yang memerlukan penanggulangan yang baik. Terdapat beberapa faktor yang mempengaruhi prevalensi hipertensi seperti umur, obesitas, asupan garam yang tinggi adanya riwayat hipertensi dalam keluarga. Berdasarkan penyebabnya hipertensi dibagi menjadi dua golongan, yaitu : 1. Terdapat sekitar 9. Dalam defekekstesi Na peningkatan Na dan Ca intra selular dan faktor- faktor yang meningkatkan resiko seperti obesitas, alkohol, merokok, serta polisitemia. Penyebab spesifiknya diketahui seperti penggunaan esterogen, penyakit ginjal. Hipertensi vascular renal dan hipertensi yang berhubungan dengan kehamilan dan lain- lain. Penyebab hipertensi lainnya adalah feokromositoma, yaitu tumor pada kalenjar adrenal yang menghasilkan hormone edinefrin (adrenalim) atau noredinefrin (noradrenalin) kegemukan (obesitas), gaya hidup yang tidak aktif (malas), stress, alkohol, atau garam dalam makanan bisa memicu terjadinya hipertensi pada orang- orang yang memiliki kenaikan yang diturunkan stress cenderung menyebabkan kenaikan tekanan darah untuk sementara waktu. Jika stress berlalu, maka tekanan darah biasanya akan kembali normal. Pada masa dan volume akhir diastolik ventrikel kiri. Pada stadium selanjutnya, karena penyakit berlanjut terus, hipertrofi menjadi tak teratur dan akhirnya akibat terbatasnya aliran darah koroner menjadi eksentrik, berkurangnya rasio antara masa dan volume jantung akibat peningkatan volume diastolik akhir adalah khas pada jantung dengan hipertrofi eksentrik. Hal ini diperlihatkan sebagai penurunan secara menyeluruh fungsi pompa (penurunan fraksieleksi) penigkatan tegangan dinding ventrikel pada saat sistolik peningkatan konsumsi oksigen ke otot jantung serta penurunan efek- efek mekanik pompa jantung. Diperburuk lagi bila disertai deng. An penyakit dalam jantung koroner. Perubahan hemodinamik sirkulasi koroner pada hipertensi berhubungan erat dengan derajat hipertrofi otot jantung. Ada 2 faktor utama penyebab penurunan cadangan aliran darah koroner yaitu : 1. Kemudian terjadi valensi garam dan air mengakibatkan berkurangnya compliance pembuluh ini dan meningkatnya tahanan perifer. Tanda dan Gejala Pemeriksaan yang paling sederhana adalah palpasi hipertensi karateristik lama, untuk bertambah bila terjadi dibatasi ventrikel kiri iktusikordis bergerak kiri bawah, pada kultasi Pasien dengan hipertensi konsentri dapat ditemukan 5 bila sudah terjadi jantung didapatkan tanda- tanda rusiensi mitra velature. Pada stadium ini hipertensi, tampak tanda- tanda rangsangan sipatis yang diakibatkan peningkatan aktivitas system neohormonal disertai hipertomia pada stadium, selanjutnya mekanisme kopensasi pada otot jantung berupa hiperpeuti. Gambaran klinis seperti sakit kepala adalah serta gejala gangguan fungsi distolik dan peningkatan tekanan pengsien ventrikel walaupun fungsi distolik masih normal, bila berkembang terus terjadi hipertensi eksentri dan akhirnya menjadi dilarasi ventrikel kemudian gejal banyak datang. Stadium ini kadang kala disertai dengan sirkulasi ada cadangan aliran darah ovoner dan makin membentuk kelaianan fungsi mekanik/pompa jantung yang selektif. Hal ini biasanya disebut sebagai suatu pendekatan problem solving yang memerlukan ilmu teknik dan keterampilan interversional dan ditujukan untuk memenuhi kebutuhan klien.(Iyert el, al, 1. Pengkajian Pengkajian adalah langkah pertama dari proses keperawatan melalui kegiatan pengumpulan data atau perolehan data yang akurat dapat pasien guna mengetahui berbagai permasalahan yang ada.(Aziz Alimul. Adapun pengkajian pada pasien hipertensi menurut Doengoes, et al (2. Keluarga dan masyarakat tentang masalah kesehatan aktual atau potensial. Sebagai dasar seleksi intervensi keperawatan untuk mencapai tujuan asuhan keperawatan sesuai dengan kewenangan perawat. Semua diagnosa keperawatan harus didukung oleh data. Dimana menurut Nanda diartikan sebagai defensial arakteristik definisi karakteristik tersebut dinamakan tanda dan gejala suatu yang dapat diobservasi dan gejala sesuai yang dirasakan oleh klien. Terjadi pada saat bangun dan hilang secara spontan setelah beberapa waktu. Intoleran aktivitas b/d kelemahan umum d/d laporan verbal tentang kelebihan atau kelemahan. Nutrisi, perubahan lebih dari kebutuhan tubuh b/d masukan berlebihan dengan kebutuhan merabolik d/d berat badan 1. Koping, individual, infektif b/d krisis situasional/maturasional, perubahan hidup beragam d/d menyatakan ketidak mampuan untuk mengatasi atau meminta bantuan. Kurang pengetahuan (kebutuhan belajar) mengenai kondisi rencana pengobatan b/d kurang pengetahuan / daya ingat d/d menyatakan masalah, meminta informasi. Perencanaan Perencanaan adalah proses penyusunan berbagai intervensi keperawatan yang dibutuhkan untuk mencegah, menghilangkan atau mengurangi masalah pasien.(Aziz Alimul. Perencanaan keperawatan pada pasien dengan hipertensi menurut dongoes et al (2. Diagnosa keperawatan ICurah jantung, penurunan, resiko tinggi terhadap b/d peningkatan afterload, vasokontruksi, iskemia miorkadia, hipertrofi b/d tidak dapat diterapkan adanya tanda- tanda dan gejala yang menetapkan diagnosis actual. Intervensi . Terjadi pada saat bangun dan hilang secara spontan setelah beberapa waktu. Intervensi . 2. 00. Tujuan dari pelaksanaan adalah membantu klien dalam mencapai tujuan yang telah ditetapkan yang mencakup peningkatan kesehatan pencegahan penyakit. Pemulihan kesehatan dan mempasilitas koping perencanaan tindakan keperawatan akan dapat dilaksanakan dengan baik. Jika klien mempunyai keinginan untuk berpatisipasi dalam pelaksanaan tindakan keperawatan selama tahap pelaksanaan perawat terus melakukan pengumpulan data dan memilih tindakan perawatan yang paling sesuai dengan kebutuhan klien tindakan. Adapun implementasi pada pasien hipertensi adalah : Diagnosa keperawatan I . Tujuan evaluasi adalah untuk melihat kemampuan klien dalam mencapai tujuan. Hal ini dapat dilaksanakan dengan mengadakan hubungan dengan klien berdasarkan respon klien terhadap tindakan keperawatan yang diberikan sehingga perawat dapat mengambil keputusan: 1. Kemudian anak ketiga laki- laki adalah pasien yang menderita penyakit hipertensi yang dirawat dirumah sakit umum Dr. Cegah Obesiti Dengan Pemakanan Sihat. ![]() How to Tighten Loose Skin After Weight Loss » i. Fitand. Healthy. com. Loose skin after weight loss and dieting? Don’t fret – the Oxygen magazine answers your burning questions about the post- weight- lose loose skin, including what you can do about it. Anyone who has lost a significant amount of weight knows that the weight loss itself is only half the battle. Long after the weight melts away, the extra skin has a way of sticking around. What causes the skin to sag after a significant weight loss?“There is an inherent elasticity in everyone’s skin, but once you get to a certain size, the elasticity decreases,” explains Jason Spector, M. D., assistant professor of plastic surgery at Weill Medical College of Cornell University. The tissue expands and your body literally makes more skin by producing more skin cells. And those annoying stretch marks? And, unfortunately, both are out of our control. How quickly you’ve gained the weight, as well as how quickly you’ve lost it, may also be a factor. Losing weight over a longer period of time may give you more of a fighting chance. ![]() Violaine LB 2 months ago. I like this one because the weight loss doesn't look as drastic as some other pictures I have seen, which makes me think he is losing weight.However, Spector says, there are no credible studies that show what a person can do to head off the excess skin as they’re losing weight. Plan of Action: Slower weight loss – one to two pounds a week – can help with your skin’s elasticity. Can my diet help me to lose some of the extra skin? ![]() Yes, in small ways. Second, hydration is crucial. That means drinking plenty of water ! Are there specific exercises I can do to tone up my skin?“It isn’t that you’re toning up the skin itself,” says Cedric Bryant, Ph. D., chief science officer for the American Council on Exercise. ![]() ![]() Learn about Xenical (Orlistat 120 mg) may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related medications. Before and After: Brittany Hicks' 110-Pound Weight Loss Transformation Brittany Hicks went from 247 pounds to 137—and today she feels amazing. BEFORE : AFTER (MOST RECENT) Date:January 2009: Date: May 2011: Weight:344.2 pounds: Weight: 205 pounds: Waist: 50 inches: Waist: 34 inches: Shirt size:XXXXL (4xl). You can't help but be motivated by these stories and weight loss tips from real women who lost 30, 50, even 180 pounds! That’s especially important for people who have followed strict calorie restriction plans because they may have lost muscle right along with the fat. You have to build the muscle back up again. Emphasize higher reps with lower weights. Can all this extra skin be healthy?“It’s far better to have extra skin than the alternative – extra weight. Sagging skin puts much less stress on your heart and metabolic system than fat,” Bryant says. There are times, however, when the skin can become yeasty and infected, which is uncomfortable and a medical problem. Ross actually worked with a woman who went from 3. Her insurance actually paid for her to have surgery to remove the skin (which is actually rare, Ross says). Plan of Action: Keep an eye on changes to your skin and if you have any concerns at all, consult your doctor. Surgery seems extreme. At what point is that an option? Certainly, if you have infection problems, surgery – often called “body contouring” – can be necessary. ![]() ![]() But other than that, it’s a personal decision. Spector sees patients seeking surgery every day, most often for the extra skin around the midsection, where a scar can easily be hidden in the bikini line. He’s also performed surgeries to remove excess skin in arms and thighs (it’s much harder to hide these scars. He always recommends that a person wait at least six months after losing weight to ensure that they are at a stable weight. Recovery time for the surgery varies, but usually patients go home from the hospital in a few days and take a few weeks off from work. Surgery is the only solution that gets rid of the skin for good, but that doesn’t mean it’s right for everyone. After all, it involves general anesthesia, suturing, recovery time, and scarring. It’s often expensive and most patients have to pay out of pocket. Find out all you can, plasticsurgery. Posted February 9th, 2. How To .., Weight Loss Tips. ![]() Asian fake LEGO reviewed. Home> Not quite LEGO (Review) Not quite LEGO (Review)Posted by admin on April 1. ![]()
![]() ![]() Gross section of an adenocarcinoma of the pancreas measuring 5 X 6 cm resected from the pancreatic body and tail. Although the tumor was. We all remember LEGO (tm). You know, that toy that used to be made by the same company that now makes the Star Wars themed DIY design kits? I decided recently to import some samples from China, because when the copyrights fell off the design of the amazing brick system of course hundreds of Asian factories came with their own box. In this post I evaluate my personal experience with the kits of the three with a decent collection of boxes and relatively easy to find: If this review leads you to develop an interest in something, do let me know, enough positive reactions might lead me to do a one- off import session of a limited number of different boxes. Disclaimer. In this review it is important to know that I have not bought any boxes of original LEGO (tm) past 2. This is mainly due to the overly designed and complex building blocks used these days, and indeed the last boxes I did buy, that prevent real creativity. This prevents me from commenting on the newest of the new LEGO (tm) series, apart from the NXT systems, with which I have worked for the First (tm) LEGO (tm) League. IMPORTANT: This is a review of one or two boxes of a brand, randomly bought. Chance may have played a part in my conclusions and NO guarantee can be given of the quality until a good number of different boxes of a single brand have been evaluated by two or three level- headed people. Actual Review. First, let's look at the boxes of the kits. They're all basically the late 1. Simple, clear, good looking, just with a lot of Chinese characters I cannot read. Nice, isn't it? Booklets. Well, up next are the booklets, I feel that all of them are a bit too concise for the age advertised on the box. I have my doubts whether the complexity of a single step will be correctly executed by all children. But in a way this was sometimes also true of the genuine article all those years back. Sluban. Sluban did its best to resemble the genuine booklets, with a small block indicating the parts to be used in a step, displayed next to the actual layer of parts to be added in vibrant colours, on top the faded colours of the previous step: KAZI & Enlighten. That said, I did also enjoy the KAZI and the Enlighten booklets. They employ a similar tactic of using the blocks next to each step to show how a portion of that step should be built. Whether it's the wheel of the ship, or just how a few block should be arranged. This breaks a little from the ideology . THE LETTERS OF ST. To Innocent. Not only the first of the letters but probably the earliest extant composition of Jerome (c. Journal of Health Science, 51(2) 233–236 (2005) 233 Improvement in dietary habits and regular exer-cise is considered to be effective in preventing and/or. Because the KAZI and Enlighten use a similar tactic, I choose to save a little space by only showing the marginally better Enlighten booklet: Building. Building the kits turned out to be very easy for a 3. Technical education. No suprise there I suppose. So I decided to keep an eye on the brick finish and quality along the way, as well as test their proper compatibility with the original branded stuff. This last part because I had heard horrible comments about that quality of the knock off boxes. ![]() ![]() KAZII started out with building the KAZI set, of which I bought two because that meant outrageous discount in a trade- spectacular end of March. Both boxes contain the same parts and extras, nothing left to chance there. I had not really expected otherwise. What was fairly obvious when building this set is that there is limited quality control on the molding and printing equipment. Most parts go easily on and stick decently, but some have slight disfigurements that make them hard to apply. Some parts end up being a bit crooked. There are no big problems with building and it can be completed in a fairly straight forward manner, but at some points I had to wonder: . There was a little shaving and cramping on both ends, but visually the elements seemed to match and it wasn't very hard to combine parts in various manners. I would, however, not advise it on account of increased risk of wear and tear on either side. Some results: Enlighten. Next, after the slight disappointment of KAZI's finish I decided to go with Enlighten, because I had seen Sluban in some local shops and I had some faith they had done some research. How right was I? You will find out. The first thing that caught my eye about the set was the great finish of the parts, things looked familiar, smooth and reusable. Not only that, while building I actually got a little bit giddy of the smooth fit of each part onto the next. Clearly these parts had some time put in to make generic parts stack in a neat way. They make me think of the LEGO (tm) Architecture series: Nice imaginative constructions using mostly basic parts in a good colour scheme. Only for kids. I was also amazed to find that all the parts fitted onto real LEGO (tm) parts without causing any direct damage or stress. In fact, if you would give me a bag of 5. LEGO (tm) and 5. 0% These exact parts I doubt if I could easily sort them out without a building manual. There are minor differences, and you can see the real brand has more experience in producing the parts, but even the skeleton with the treasure chest caught my eye, because it actually felt a bit rattly, without falling apart. Also on the figurines the joints feel good, the hands snap in, allowing easy rotation without constantly falling out. The Enlighten kit really lifted my spirits tonight. I had planned on giving away all the end products, having someone in mind for this set as well, but I think I really king of want to keep it! They even threw in some sea- salt glitter in the boat's wooden parts. Some results (The one upside down: The white plate is genuine Denmarkian plastic): Sluban. Well, I picked the fire squad set with my mother in mind, but after writing and reading- back this review, I am actually hesitant about giving it to her. The brick quality was clear immediately, not- quite- alike and not entirely in alignment. What also caught my eye in the first few steps is that the bricks supplied were smaller than would have been efficient and sturdy. So I suspect this brand actually makes the minimum required number of different size bricks to make it's models. This is a valid business strategy, but to the more discerning little builder it might feel bit of a hassle. And it certainly does not add to structural integrity. The colours go more towards the old 1. It is a reasonably nice set, but the end result isn't as impressive as the Enlighten kit. There's some hard corners and unfortunate design edges. This may be because it's a helicopter and not a boat, but on the other hand KAZI had a helicopter and those parts were a much nicer fit. So on the one hand Sluban wins here because of the re- usability of the bricks (all standard), on the other hand I think a few extra parts could have helped the design greatly to reduce some unfavourable edges. All things considered with the nice booklet make- up and easy to stack bricks I would have gladly put Sluban above KAZI for it's versatility. Until suddenly the arms of the figurines started falling out on cross drafts. The parts involved do not snap in like with the Enlighten parts, or press in tightly with the original LEGO (tm) stuff, they're in there, but they might just as likely not be. This sparked a session of close inspection of all things moving and snap- in and it turns out that actually the fit of these kinds of couplings are all a bit iffy. This combined with some unfortunate construction planning unfortunately puts this brand quite a bit behind the KAZI model. I am not so much disappointed in the brand, because it was highly affordable, but I am once again disappointed in . Once again I would not throw them in with the bunch. There was no immediate wear or tear to be detected, but I wasn't quite comfortable with it either. It'd probably be okay, but I'd rather not. Some results: Scoring. Well, here we go then. The scoring: Booklet clarity: KAZI: 8 out of 1. Enlighten: 8 out of 1. Sluban: 7 out of 1. Booklet design: KAZI: 8 out of 1. Enlighten: 8 out of 1. Sluban: 9 out of 1. Component quality: KAZI: 4 out of 1. Enlighten: 9 out of 1. Sluban: 6 out of 1. Component compatibility with the original: KAZI: 5 out of 1. Enlighten: 9 out of 1. Sluban: 7 out of 1. Figurines: KAZI: 7 out of 1. Enlighten: 1. 0 out of 1. Sluban: 3 out of 1. I'm making it a 3, because I could not have done it better, but..)Level of pleasantness of the end result: KAZI: 7 out of 1. Enlighten: 1. 0 out of 1. Sluban: 4 out of 1. Conclusion. Before I make an end- tally of the scoring I would like to point out that on basic enjoyment, versatility of the bricks and looks I would score LEGO (tm) as follows: 1. LEGO: 1. 0 out of 1. LEGO: 8 out of 1. Now then, the average end scores: KAZI: 6. Enlighten: 9 out of 1. Sluban: 6 out of 1. Wait what? Am I saying that I personally find the Enlighten sets more enjoyable as a toy than the current LEGO (tm) products? Yes! Yes I am. The blocks are versatile, they look good, the colours are nice, all the finish and print required for the theme has been put on neatly and the theme is nice and well thought up. I think Enlighten did a great job of recapturing the glory days of . That is not to say that I am at the point of just chucking the Enlighten parts in with the big bunch. After all one should always consider: . So if you want to buy one of these three to throw into the general toy chest with all the other ABS- plastic yay- bricks, I'd certainly advise Enlighten. Copyrights. All content, opinions, views, photo's in this article: (c) 2. Asmyldof. Please feel free to link to, quote from or talk about it, but if you want to reuse, ask first. Prior written consent and all that mumbojumbo. Good manners I call it. The LEGO (tm) brand and any LEGO (tm) Logos a hacker might try to put in here are fully owned by the LEGO (tm) Group. Comments. Posted by. Dec 1. 7th, 2. 01. Thanks very much indeed for that review. Really kind of you to do it. Legos were really expensive, especially in the 9. Cholesterol: Ik wil gezond eten bij mijn hoge cholesterol. Goede voeding zorgt voor genoeg energie en voedingsstoffen voor uw lichaam: eiwitten, vetten, koolhydraten, vitamines, mineralen, vezels en voldoende vocht. Met goede voeding verkleint u uw kans op ziektes, zoals diabetes mellitus, kanker en hart- en vaatziekten, en u voelt zich fitter. Goede voeding wil zeggen: veel groente en fruitveel volkorenproductenwekelijks peulvruchtenelke dag een handvol ongezouten notenenkele porties zuivel per dag, zoals melk of yoghurteen keer per week vis, liefst vette vis, bijvoorbeeld haring, heilbot, zalm of makreelweinig producten gemaakt van wit meel, zoals witbrood, koekjes, biscuits, zoutjesweinig rood of bewerkt vlees, zoals worst of vleeswaar. Rood vlees is al het vlees dat komt van koeien, schapen, geiten en varkens. ![]() Eet volop groenten en fruit. Een ruim gebruik van groenten en fruit (2 stuks per dag) verkleint het risico op bepaalde vormen van kanker en op hart- en vaatziekten. Probeer regelmatig een andere groente of ander fruit. Bent u geen grote eter van groente of fruit, dan kan zelf geperst groente- of fruitsap helpen om dit toch binnen te krijgen. In versgeperst sap zitten wel minder vezels dan in los fruit. Ook geeft het u minder snel een vol gevoel. ![]() Bij het Voedingscentrum vindt u voorbeelden van de hoeveelheid groente en fruit die u nodig heeft. Eet vooral volkorenproducten. Kies voor volkoren brood, volkoren pasta en zilvervliesrijst. Deze voedingsmiddelen zijn rijk aan koolhydraten, voedingsvezel en verschillende vitamines. ![]() ![]() Ook zorgen ze voor een verzadigd gevoel. De bruine kleur van brood betekent niet altijd dat dit brood gezonder is. Soms wordt het brood donkerder gemaakt met moutextract of gekaramelliseerde suiker. Het brood wordt er wel donkerder van, maar er zitten maar weinig extra voedingsstoffen in. Als brood echt volkoren is, staat dit bij verpakt brood op het etiket. Eet weinig producten gemaakt van wit meel, zoals witbrood, koekjes, biscuits en zoutjes. Elke week peulvruchten. ![]() ![]() Eet wekelijks peulvruchten, zoals bruine bonen, sojabonen, linzen of kikkererwten. In peulvruchten zit eiwit, veel voedingsvezel, ijzer en andere nuttige voedingsstoffen. Let op het soort vet. Let niet alleen op de hoeveelheid vet in de voeding, maar vooral op het soort vet. Het gebruik van te veel verzadigd vet en transvet verhoogt de kans op ziekten. Het is van belang om juist producten te nemen waar onverzadigd vet inzit. Kies producten met onverzadigd vet: zachte margarine, plantaardige oli. Het houdt u gezond. De zuivel hoeft ook niet per se halfvol of mager te zijn, u kunt ook volle zuivel kiezen. Wees zuinig met zout. Alle voedingsmiddelen bevatten van nature al een beetje zout. Zout toevoegen is dus overbodig. Kies zo veel mogelijk voor andere smaakmakers, zoals (verse) kruiden en specerijen. Voorbeelden zijn: groene kruiden, zoals basilicum, bieslook, dille, lavas, thijm, oregano, peterselie, rozemarijn; specerijen, zoals kaneel, kerrie, kruidnagel, nootmuskaat, peper en cayennepeper; andere smaakmakers zoals gember, koriander, ui, knoflook, mosterdzaad en citroen; geroosterde zaden en pitten, zoals pijnboompitten, sesamzaad en zonnebloempitten. Tot 6 gram zout per dag is goed. Let op verborgen zout (en vet en suiker) in kant- en- klare maaltijden, sauzen en snacks. Kijk voor de hoeveelheid zout op de verpakking. Als u daar goed naar 'luistert', komt u vanzelf al op ongeveer 1,5 liter per dag. Noteer eens hoeveel u normaal op een dag drinkt. Drinkt u duidelijk minder dan 1,5 liter, begin dan bijvoorbeeld de dag met een extra glas vers geperst fruit of drink 's middags een extra kop thee. Genoeg drinken is onder andere belangrijk voor de werking van uw darmen. Kies voor water, thee en koffie zonder suiker, of voor melk. Kies bij thee voor groene of zwarte thee en drink gefilterde koffie (filterkoffie, koffiepads, oploskoffie). Neem geen of weinig dranken met suikers erin, zoals vruchtensap uit de fabriek, fris of sportdrank met toegevoegd suiker. Drink niet meer dan 1 glas alcohol per dag en drink liever niet elke dag alcohol. Eet niet de hele dag door. ![]() ![]() ![]() Neem daarnaast maximaal 4 keer iets kleins tussendoor, bijvoorbeeld: rauwkost, zoals bloemkoolroosjes, kerstomaatjes, komkommer, radijs, bleekselderij en wortelfruitongezouten noten, zoals walnoten, hazelnoten en amandelen. Noten zijn rijk aan vet, maar wel van de goede soort. Voedingssupplementen zijn niet nodig. Eet u gezond en komt u regelmatig bij daglicht buiten, dan zijn extra voedingssupplementen niet nodig. Alleen voor sommige mensen is het belangrijk dat ze dagelijks extra vitamine D gebruiken. Daarnaast hebben vrouwen die zwanger willen worden extra foliumzuur nodig en veganisten extra vitamine B1. Veilig eten. Was regelmatig uw handen met water en zeep. In elk geval voor het (bereiden van) eten, na aanraking van rauw vlees en als u naar het toilet bent geweest.
Neem elke dag een schone vaatdoek en gebruik steeds schone messen en snijplanken. Bewaar etensresten altijd in de koelkast en niet langer dan 2 dagen. Resten van afhaalmaaltijden kunt u beter niet bewaren. Goede voeding is geen strak keurslijf. Goede voeding helpt mee om lekker in uw vel te zitten en u gezond te voelen. Maar overdrijf niet. Eten is vooral ook een gezellige en ontspannen gelegenheid. Hart- en vaatziekten vormen wereldwijd een ernstig probleem en zijn verantwoordelijk voor 30% van alle jaarlijkse overlijdensgevallen in Nederland. Wetenschappers en. Ken het verschil tussen volledige en onvolledige proteïnen. Om spieren op te bouwen heb je volledige proteïnen nodig; je vindt deze in eieren, vlees, vis, kaas. Foliumzuur wordt ook wel vitamine B1. Het is vooral aanwezig in groenten en volkorenproducten. Foliumzuur speelt een belangrijke rol in het lichaam. Het is bijvoorbeeld nodig voor de aanmaak van de rode bloedcellen en voor de werking van de zenuwen. Bovendien is het zeer belangrijk voor de ontwikkeling van het zenuwstelsel van de ongeboren baby. Ons lichaam kan foliumzuur niet zelf maken. Daarom moeten we het via ons voedsel binnenkrijgen. Foliumzuur verlaat het lichaam in kleine hoeveelheden via de urine. Om gezond te blijven, is daarom telkens een nieuwe hoeveelheid foliumzuur via het voedsel nodig. Het is te gebruiken om aangeboren afwijkingen te voorkomen bij zwangerschap en kinderwens, bij vitaminegebrek, bij bepaalde vormen van bloedarmoede en bij homocystinurie (een stofwisselingsziekte). Bron: Apotheek. nl. Vitamine D (colecalciferol) zorgt voor de opname van kalk en fosfaat uit het voedsel. Kalk en fosfaat zijn nodig voor een goede opbouw van botten en gebit. Het is te gebruiken bij vitaminegebrek en bij botontkalking. Bron: Apotheek. nl. LDL Cholesterol Verlagen - Noodzaak of Fabel? Hart- en vaatziekten vormen wereldwijd een ernstig probleem en zijn verantwoordelijk voor 3. Nederland. Wetenschappers en medici zijn al decennia lang op zoek naar de oorzaken van hart- en vaatziekten en kwamen zo’n tien jaar geleden tot de conclusie dat een te hoog LDL cholesterolgehalte (het . Tot op de dag van vandaag houden gerenommeerde instanties zoals het Voedingscentrum en de Hartstichting en de meeste artsen zich bij dit standpunt, daarom slikken veel mensen cholesterolverlagende medicijnen en kunnen we overal lezen dat we beter niet al te veel cholesterol moeten eten. Echter, steeds meer medische experts komen tot het inzicht dat cholesterolrijke voeding niet verantwoordelijk is voor hoge LDL cholesterolwaarden in het bloed, en dat die op hun beurt helemaal geen hart- en vaatziekten veroorzaken. Cholesterolrijke voeding is veel gezonder dan gedacht. Dat cholesterolrijke voeding (bv. Aan de hand van dit onderzoek is aangetoond dat er geen enkele relatie is tussen cholesterolrijke voeding en hart- en vaatziekten. Onder de inmiddels ruim vijftienduizend onderzochte mannen en vrouwen was het percentage hart- en vaatziekten bij de groep die cholesterolrijk at bijna even hoog als bij de groep die een cholesterolarm voedingspatroon had. Zelfs de wetenschappelijke grondlegger van de mythe rond cholesterolrijke voeding, Ancel Keys, kwam in 1. Een onderzoeksrapport dat onlangs gepubliceerd is in het Amerikaanse tijdschrift Nature Medicine laat zelfs zien dat het eten van cholesterolrijke voeding juist heel goed is en helpt bij de productie van een belangrijke stof in het zenuwstelsel die de zenuwcelfunctie ondersteunt en het risico op hersenaandoeningen zoals de Ziekte van Parkinson en Alzheimer verlaagt. Het onderzoek richtte zich met name op pati. Deze myelineschedes, die uit lipidevetten en eiwitten bestaan, beschermen de zenuwen tegen beschadiging en zorgen ervoor dat de zenuwen kunnen communiceren en de juiste elektrische signalen kunnen uitsturen die nodig zijn om te denken en te bewegen. Cholesterol, dat normaalgesproken wordt afgedaan als schadelijk en iets dat men zoveel mogelijk zou moeten vermijden, ondersteunt de productie en het onderhoud van de myelineschedes. Zonder cholesterol, zo tonen de onderzoeken aan, hebben mensen die aan PMD lijden – en mogelijk iedereen – een grotere kans om cognitieve ziektes en hersenachteruitgang te ontwikkelen. Vooral mensen die PMD hebben zijn bijzonder vatbaar voor zenuwschade als ze een voedingspatroon hebben met weinig cholesterol. Deze conclusie werd bevestigd door onderzoekers van het Max Planck Instituut in Duitsland, die twee groepen muizen met PMD onderzochten. De ene groep kreeg zes weken lang een dieet met veel cholesterol, de andere een dieet met weinig cholesterol. Bij de muizen die veel cholesterol binnenkregen stopte de cognitieve achteruitgang aantoonbaar, terwijl bij de muizen die weinig cholesterol toegediend kregen de achteruitgang alleen maar verder toenam. Alhoewel de onderzoekers zich vooral bezig hielden met cholesterol in relatie tot PMD zijn de conclusies opmerkelijk, omdat het onderzoek opnieuw bevestigt dat cholesterol voor iedereen noodzakelijk is ten behoeve van een gezonde hersen- en zenuwfunctie. Deze visie is al eerder naar voren gekomen in diverse andere onderzoeken, waaronder een uitgebreid onderzoek waarvan het rapport is gepubliceerd in het medisch tijdschrift Journal of American Physicians and Surgeons. De Amerikaanse medicus Shane Ellisonin weet de rol van cholesterol goed uit te leggen in zijn boek Health Myths Exposed: “Cholesterol verbindt de lipidemoleculen met elkaar, die de celmembranen stabiliseren. Cholesterol is daarom een essenti. Het zou absurd zijn een molecuul dat zo belangrijk is voor de gezondheid te willen terugdringen. Je zou het kunnen vergelijken met een houten schuur, dat een metafoor is voor je lichaam, en de spijkers, die cholesterol voorstellen. Ga nu eens alle spijkers uit de schuur halen, wat zou er dan gebeuren? De schuur stort volledig in elkaar. Hetzelfde geldt ook voor het menselijk lichaam.”Een te hoog cholesterolgehalte in het bloed veroorzaakt geen hart- en vaatziekten. Zelfs de meest gerenommeerde medische instanties waarschuwen nog steeds dat een te hoog cholesterol in het bloed het risico op hart- en vaatziekten ernstig vergroot. Toch is ook deze stelling achterhaald, en wordt binnen medische kringen ook wel de . Echter, dit is allemaal niet het geval. Bijvoorbeeld, het percentage hart- en vaatziekten bij mannen van 6. Journal of American Medical Association (Krumholz et al.: “Lack of Association Between Cholesterol and Coronary Heart Disease Mortality and Morbidity and All- Cause Mortality in Persons Older Than 7. Years”) liet zien dat een hoog LDL cholesterolgehalte geen risicofactor is voor hart- en vaatziekten bij mensen ouder dan 7. Met andere woorden, er is geen verband tussen het cholesterolgehalte als risicofactor op oudere leeftijd en hart- en vaatziekten, terwijl mensen op oudere leeftijd w. Cholesterol speelt hier dus geen rol. Een ander voorbeeld is het feit dat vrouwen veel minder vaak lijden aan hart- en vaatziekten, terwijl ze juist vaker een hoger cholesterolgehalte hebben. Tijdens de internationale Conference on Low Blood Cholesterol van 1. Jacobs et al., “Report of the Conference on Low Blood Cholesterol: Mortality Associations”, 1. Ook blijkt dat cholesterol niet overal in de wereld een risicofactor is; er zijn zelfs bevolkingsgroepen die gemiddeld een zeer hoog cholesterolgehalte hebben maar tot de groep van mensen met het laagste percentage hart- en vaatziekten ter wereld behoren. Tenslotte zijn er ook meer dan 4. En wat blijkt? Er overleden in de groep met mensen die cholesterolverlagende medicijnen slikten net zoveel mensen als in de groep die deze medicijnen niet slikten. Het cholesterolgehalte in het bloed is dus niet van invloed op hart- en vaatziekten, en de typering . Bloedvaten raken verstopt door beschadigingen en de ontstekingsreacties die daardoor ontstaan. Als bloedvaten beschadigd raken gaan ze . Deze combinatie van factoren kan leiden tot een hoge bloeddruk en hartaanvallen. Om de beschadigingen in de bloedvaten te herstellen geeft het lichaam een signaal af aan de lever om meer cholesterol te produceren, want hiermee kunnen de beschadigde cellen worden hersteld. Mensen bij wie de aderen doorlopend beschadigd raken hebben last van chronische ontstekingsreacties en deze kunnen zeer levensbedreigend zijn. De gevaren van cholesterolverlagende medicijnen. Cholesterol heeft dus een belangrijke functie in het lichaam. Het is daarom ook bijna waanzin om cholesterolverlagende medicijnen te gebruiken; ze zijn niet alleen volledig nutteloos en geldverspilling maar er kleven ook allerlei gevaren aan, omdat uit het eerdergenoemde onderzoeksrapport van Nature Medicine blijkt dat het zenuwstelsel ernstig kan worden beschadigd als de natuurlijke productie van cholesterol wordt onderdrukt. Ook wordt als het cholesterolgehalte in het lichaam te laag is de aanmaak van vitamine D in het lichaam afgeremd als het wordt blootgesteld aan zonlicht. Onderzoekers aan de Universiteit van Utrecht hebben zelfs ontdekt dat een te laag cholesterolgehalte in het bloed ernstige gezondheidsklachten kan geven en onder andere kan leiden tot depressies, waarschijnlijk omdat cholesterol de stofwisseling van serotonine be. Bovendien hebben cholesterolverlagende medicijnen heel veel bijwerkingen, zoals duizeligheid, geheugenverlies, een verzwakt immuunsysteem, leverproblemen, spierpijn en spierzwakte. Als je een verhoogd cholesterolgehalte hebt is het veel belangrijk na te gaan wat de veroorzaker daarvan is, dat wil zeggen waar en waarom er ontstekingsreacties in je lichaam zijn. Daarnaast kun je het risico op ontstekingen in het lichaam op allerlei natuurlijke manieren verminderen door je immuunsysteem te versterken en toxische stoffen en allergenen zoveel mogelijk te vermijden. Een goed immuunsysteem bouw je op met een gezond en gevarieerd voedingspatroon waar biologische groente en fruit een belangrijk onderdeel van zijn. Tevens is het belangrijk regelmatig te bewegen, goed te slapen en stress zoveel mogelijk te vermijden. Ook zijn er talloze voedingsstoffen en superfoods die specifieke immuunsysteem versterkende en ontstekingsremmende eigenschappen hebben, zoals: knoflookomega- 3 rijke vis (bv. Dan is de DVD- set Gezonde Gewoontes misschien wat voor jou. Aan de hand van deze DVD’s leer je stap voor stap hoe 1. ![]() Weight Loss For Good - resources to lose weight. Weight loss for good is the goal of anyone unhappy with their current size and shape that's want's the resources to help them lose weight. The information advice and tips on this site is aimed at anyone who wants weight loss resources that will really help keep it off.. If you are eating more calories than you are burning off throughout the day the result will be that the calories will be stored as fat. The information on this weight loss site is aimed at helping you make a decision on how best to reduce body fat and get into shape. Keep motivated and focus on your goals - everyone can lose weight and keep it off for good! Weight loss Exercise. ![]() Exercising and fitness is the best way to lose weight. Find out the benefits of regular exercise for weight loss goals. ![]() ![]() Easy to follow exercises to get you started in the home.> > Weight Loss Exercise. Diet. Eating a healthy diet is the best way to keep the weight off. There are a lot of so called exercises to lose love handles out there but the majority of them are hogwash. In this article I’ll break down for you what really. What makes a healthy diet, weight loss diets such as the Atkins and South Beach Diets, and how to count calories? It's all here.> > Dieting. Weight Loss & Exercise Store. Exercise, fitness and health products available to purchase online. We feature items from both US and UK suppliers to guarantee a wide range of choice and great value.> > Weight Loss & Exercise Store. Weight Loss Tools. Weight Loss Tools from Overweight Calculators to target heart rate for measuring your optimum fat loss during exercise. Interested to find out more - use our exercise tools.> > Weight Loss Tools. Calories in Food. Bodyweight workouts The 21 best bodyweight exercises to lose weight and burn fat Fire up your body’s metabolic engine with these flab-shredding, muscle-building moves. ![]() ![]() ![]() Take a look at our food nutrition pages and discover what is in your favorite foods. Use the info provided to ensure you are eating the right kind of foods to help you lose weight.> > Calories in Food. What's New We have built a new directory to enable us to include a better range of weight loss, exercise and fitness products. More departments will be added shortly. Keep an eye out.> > Advice directory. WLFG Items of Interest. The South Beach Diet page has been updated and improved. It now provides links to handy new sections which list the foods that you are allowed during each of the phases of the diet and outlines. The new pages include the Phase 1 Food List, Phase 2 Food List and Phase 3 Information. Online Fitness and Exercise Product Store - We now have fitness and exercise products to help you get into shape. These products can be purchased in both the UK and US. Find out more in the Weight Loss For Good Store. Calories In Beer - A requested item to add calorie information about a wider range of different beers. We have added a few more onto our existing page. Find out more on our Calories in Beer page. The Zone Diet - Another of the most popular diets around (and probably the most difficult and strict to follow. Find out more on our Zone Diet page. Low Carb Diet - One of the most popular diets available at the moment. Find out how it works on the Low Carb Diets page. Weight Loss EBooks - What are Ebooks? We have listed some of the top books currently online. Find out more about weight loss ebooks. Diet Pills - The important question - do they work, and are they the magic answer to obesity problems. We look at the main pills available. Find out more about Diet Pills. Dieting update - We now have some further diet resources for those who have decided on a diet but need more information See the Diet Plan page to find out more. Diet update - We take a look at two of the most popular diets around at the moment. The Atkins Diet and the South Beach Diet. Exercise Tools update - We have added to our exercise section and included more useful information to help you with your exercising. Check out what's new by using the new exercise tools menu links. Glycemic Index - information has now been added. Low Fat Recipes - As an extra to your current weight loss plan why not try out these new Low Fat Recipes. These low fat meals are really tasty and simple to prepare - something that the whole family will enjoy. Reduce your calorie intake through eating tasty low fat meals - it does not get any better! The 1. 0 Best Exercises To Burn Fat And Lose Weight Fast. Posted by Bryan Di. Santo on Nov 8, 2. Burn It UP, Exercise Lists, Exercises, Fitness Lists, Muscle It UP . Exercise To Burn Fat 1 — Barbell Squat. Target Muscle Group(s): Legs. Directions: With your feet firmly planted on the floor shoulder- width apart, rest a racked barbell comfortably on the upper portion of the back — not the neck. Grasp the bar approx. Draw your shoulders back and tighten the core, and slowly squat downwards until your quads are parallel with the ground. Powerfully accelerate upwards to a full standing position, pause for one second, and repeat. Maintain strong posture throughout each squat and do NOT arch your back, as this can cause back injury. Video Demo: 2. Exercise To Burn Fat 2 — Dumbbell Swing. Target Muscle Group(s): Shoulders. ![]() ![]() It’s not your. Lean It UP Get the most out of your workouts with these 10 best exercises for weight loss. See how to lose weight fast, build muscle, get curves and other ways to look better naked at NowLoss.com. Lose Weight With Us in 2016. Lose weight fast with our weight loss tips, diet plans, exercise programs and healthy recipes. Lose Weight With Us will help you to lose. Directions: Stand slightly wider than shoulder- width apart and place a dumbbell on the floor in front of your stance. Squat down, tighten your core, and grab the dumbbell with your palm facing your body. With your back straight, powerfully accelerate your legs upward and swing the dumbbell towards the ceiling, until it’s at eye level. Maintain strong posture and lower the weight back down to the floor in one fluid motion. Complete 1. 2 reps and repeat for the opposite arm. Video Demo: ELLO ELLO I'm Bryan Di. Santo. I'm the Founder & Editor- in- Chief of Lean It UP, a CPT/CSN/Fitness Coach, Chef trained at Le Cordon Bleu – Paris, NYU graduate, ex- fat kid, and all- around fitness junkie. I also contribute to Men's Health Magazine. When I'm not working on my abs (or somebody else’s), whipping up avocado roses and avocado toast, or running a Tough Mudder, I'm probably yelling at a Carolina Panthers game somewhere. Come be friends with me on Instagram (@BRYDISANTO) & Snapchat (BRYDISANTO). Latest posts by Bryan Di. Santo (see all)Pages: 1 2. Diet & Exercise Tips for Endomorph Body Types. So let's review.. Endomorph body types have naturally broader and thicker builds, slower metabolic rates and sensitivities to insulin. Endomorphs tend to carry more fat and tend to be rounder in shape than mesomorphs or ectomorphs. Endomorphs CAN change their body type and become leaner with the right diet, regular aerobic exercise and a strength training program that promotes fat loss and muscle growth. Although they may have a more difficult time losing fat, when they engage in heavy strength training they can easily gain bulk. For many this is not a desired outcome, and thus it is recommended that endomorphs do more intensive cardio to lose fat. Beginners should start with 3. You should change up your training program often and hit abdominals at the start of each workout. Your goal is to increase metabolism while reducing body fat. When a basic 3. 0- minute walk is no longer challenging, add intensity such as more vigorous walking, jogging/running, incline walking or lap swimming. The key is to continue to increase the intensity of your exercise or your body will get used to it and no longer respond to the activity. Your goal is to do long- distance, low- impact exercise to burn off extra fat and slim your hips. Instead, it is recommended that they use moderate weight with a higher number of reps - 1. Do 2- 3 exercises that target all the major muscle groups 3- 4 sets. If this body type sounds familiar. Diet Foods for Endomorphs. What is the best workout for an endomorph? Body Type; View All Calculators;. These trainees need to take extra care in planning their training and diet. Mesomorph and endomorph body types is very simple. The endomorph body type diet should include. Some workout and diet tips from an endomorph. Every time I did diet I gained double of my losing weight. Here are my rules for my endomorph body type. Losing Weight For EndomorphWhen training, they should minimize the. This will keep heart. Additionally, performing more compound exercises such as squats, deadlifts, bench press, pushups & pullups will increase the intensity of the workout and help burn more calories. Eating 2. 5% complex carbohydrates, 3. Endomorphs have the lowest carbohydrate tolerance and should only consume starchy (whole grain) and non- sugary carbohydrates after exercise to optimize fat loss. Starchy carbohydrate sources include sweet potatoes, oatmeal. Non- starchy vegetables are low. Training Tips For The Endomorph Body Type 0. Endomorph Training Tips. What to Eat as an Endomorph (Endomorph Diet Tips) by RachelNgom . Love this write up on body type and then info on what to eat and then samples of. Meso Endomorph Body TypeDiet Recommendations. Endomorphs tend to have. BODY TYPES (Description, Training, Diet). Ectomorph and the Endomorph. However no one is exactly one body type. Free Fat Loss Tips: The Endomorph Body Type Diet By Tom. Metabolic characteristics of the Endomorph. The endomorph body type doesn't necessarily refer only to. ![]() These carbohydrates. Good sources include. Total. carbohydrate intake should be between 2. A balanced healthy diet is very important for the endomorph in order to keep metabolism raised and the appetite controlled. Therefore, eat smaller meals more frequently throughout the day that are high in protein and non- fat foods. In order to help control overeating, eat slowly to allow your hunger mechanism to kick in (which takes about 2. Stop eating after one portion and avoid junk food and late night snacks. When you do require a snack, eat healthy low fat foods such as fruits, vegetables, non- fat yogurt, etc. You should also drink a lot of water which helps to maintain a high metabolism, increase calorie consumption and flush toxins from the body. The problem typically is, it's not fat but carbohydrates that are the main. Meat is rich in protein & low in calories, with only four calories per gram, and it also has a. As an endomorph, you have a naturally large. There are advantages and disadvantages to all three body types. Calorie Diabetic Diet Plan with Serving Sizes. Eat Healthy! If you're a diabetic and need to lose weight, chances are your doctor recommended an 1. Eating healthy and maintaining a properly balanced diet can be confusing if you're unsure what serving size or portions of foods are allowed. A good diet approved by the American Diabetes Association suggests the following servings. Keep these tips in mind: Grains, beans and starchy vegetables have 8. Vegetables have 2. Fruits have 6. 0 calories per serving Proteins and dairy contain 2. Keeping it Balanced In your diet plan, remember to keep it balanced and drink up to eight cups of water per day. Start an exercise routine of thirty minutes per day by walking, stepping in place or joining a gym and asking a personal trainer to help you with exercises geared towards losing weight and muscle toning. Succeed in your diet by choosing foods you enjoy. If you don't like apples, eat pears. If red meat isn't your choice for protein, try pork or fish. Eat a three- quarter cup of yogurt instead of drinking one cup of low- fat milk. Fill up with raw vegetables like carrots, green peppers, mushrooms, and celery. Learn how to read food labels because a food that may be low in calories doesn't mean it's not high in starches, fats or proteins. Case Studies. See how some of America's biggest brands have used Radio to build brand and drive sales in this select collection of case studies. The 1800 calorie diabetic diet plan is one of several popular diabetes diets. Who is it for? What is a sample example of the menu? NCS: Net Control Station (ITS) NCS: Natural Color System: NCS: National Comorbidity Survey: NCS: National Cartoonists Society: NCS: National Clandestine Service (US. Dietitian, Juliette Kellow reveals the most common diet sins facing those trying to lose weight and gives her tips to deal with bad dieting habits and negative thoughts. SQA 2018 Exam Timetable - Download/print timetable by date/subject. IHSS Training Academy 1 Types of Therapeutic Diets. A therapeutic diet is a meal plan that controls the intake of certain foods or nutrients. When a renal diet is ordered, just what does this mean? In long term care, the restrictions are liberalized. The diet may be interpreted as general (or regular), no. Diet For Renal Patient Fluid & Fluid Control. Kidneys help control the amount of fluid that leaves your body. If your kidney disease progresses, your kidneys may be. Stick with foods that are low in carbohydrates and trans fat to ensure your blood glucose levels are balanced. Above all, try to eat three healthy meals a day and at least one snack. Here are some tips to assist you in achieving your weight loss goals. Keep a snack with you whether at home, work or play. A cup of raw vegetables, plain popcorn, or pretzels will keep you from eating a large meal or snack. Try to space your snacks and meals two to three hours apart. Never go more than four or five hours without eating. If you do, you'll be tempted to eat the wrong foods. Skipping meals or snacks is never good. Remember that the recommended foods and their serving sizes keep your glucose level on track. Skipping a meal could cause your blood sugar to decrease. Eat a variety of foods to keep you on pace. Choose sweets and drinks that have artificial sweeteners instead of sugar. Foods high in fiber such as whole wheat grain breads or cereals with oats or bran. Foods that are high in fiber will make you feel full. Cut down on the salt and use a salt substitute or non- salt seasonings. Skip processed foods like hot dogs, cured meats, fast food items or pre- packaged frozen meals. Remember that fresh is best. Mix and match recommended foods in the right serving size. Choose a healthy variety of foods and use this chart as an example of good food choices. Allowed Foods and Servings. Foods. Serving Sizes Whole Wheat Breads two slices Broth Soups one cup Oatmeal one cup Soda Crackers four to six crackers Pasta and rice one- third cup Potato one small or one- half cup mashed Cooked vegetables one- half cup Raw vegetables one cup Juice one- half cup Canned Fruit one- half cup Fresh Fruits one small fruit or one cup Low Fat Milk one cup Plain yogurt three- fourths cup Eggs, plain one small egg Fish one ounce Poultry one ounce Meats, red meat or pork one ounce Cheeses one ounce Seek Help Ask your physician to recommend a nutritionist to help you design a good 1. Many communities also offer free nutrition planning at public libraries or hospitals. Whether you've just been diagnosed with diabetes or have been a diabetic all your life, maintaining a balanced diet will help you lose weight and keep you healthy. Reach your goal weight by eating right, mixing foods so that your palate doesn't get tired, drinking lots of water, and exercising. Finally, remember that having a slice of birthday cake or holiday pie won't hurt you as long as you don't overdo. Cervicogenic Dizziness . The influence of head position on equilibrium has been known since the mid- 1. However, a clinical syndrome relating neck pain and/or injury to dizziness and disequilibrium was not discussed until the 1. Ryan and Cope. 2 described a syndrome of disequilibrium and disorientation in patients with many different diagnoses of neck pathology including cervical spondylosis, cervical trauma, and cervical arthritis. They introduced the syndrome as cervical vertigo. As true spinning vertigo is rarely associated with this syndrome, cervicogenic dizziness is a more correct name for this syndrome and will be used here. Cervicogenic dizziness. Cervicogenic dizziness tends to be a controversial diagnosis because there are no diagnostic tests to confirm that it is the cause of the dizziness. Cervicogenic dizziness is a diagnosis that is provided to people who have neck injury or pain as well as dizziness and in whom other causes of dizziness have been ruled out. People with cervicogenic dizziness tend to complain of dizziness (a sensation of movement of the self or the environment) that is worse during head movements or after maintaining one head position for a long time. The dizziness usually occurs after the neck pain and may be accompanied by a headache. Often the dizziness will decrease if the neck pain decreases. The symptoms of dizziness usually last minutes to hours. People with cervicogenic dizziness may also complain of general imbalance that may increase with head movements and with movement in the environment. Although no formal studies have been completed, true cervicogenic dizziness is thought to be rare. An evaluation for cervicogenic dizziness involves a thorough medical evaluation because the symptoms are similar to other causes of dizziness. Testing of inner ear function is usually requested to ensure that the peripheral or central vestibular system is intact. A health care practitioner may perform a maneuver in which the body is turned while the head is held fixed to see if it causes nystagmus (eye movements) or dizziness to confirm the suspected diagnosis. The results of this test need to be correlated with subjective symptoms and the clinical findings because the test can also be positive in healthy individuals. Cervicogenic dizziness often occurs as a result of whiplash or head injury and is often seen in conjunction with brain injury or injury to the inner ear. It is often difficult to distinguish between cervicogenic dizziness and other medical problems. Cervicogenic dizziness that occurs in conjunction with brain injury or another form of dizziness will be more difficult to diagnose and treat. It is important to be patient while health care professionals sort through the problems and treat them in the most logical order. The majority of patients with cervicogenic dizziness improve with only treatment of the neck problem. Several studies have reported that approximately 7. For other patients, improvement involves treatment of the neck problem in addition to vestibular therapy. Vestibular rehabilitation is directed at what problems are found on evaluation and may include eye exercises, balance exercises, walking, and graded exposure to environments that make you dizzy. Summary. Cervicogenic dizziness is a syndrome of neck pain accompanied by an illusory sense of motion and disequilibrium; it is a diagnosis provided to people once all other causes of dizziness are ruled out. Cervicogenic dizziness will usually resolve with treatment of the neck problem but may require vestibular rehabilitation for complete resolution of symptoms. In general, the prognosis for patients with cervicogenic dizziness is good, with 7. Author: Diane M. Wrisley, Ph. D, PT, NCSReferences. Brown JJ. Cervical contributions to balance: cervical vertigo. In: Berthoz A, Vidal PP, Graf W, editors. The Head Neck Sensory Motor System. Oxford University Press. Ryan MS, Cope S. Cervical vertigo. Lancet 1. 95. 5; 2: 1. Furman JM, Cass SP. Balance Disorders: A Case- Study Approach. Philadelphia: F. A. Davis, 1. 99. 6. Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther 2. Norre ME. Cervical vertigo. Diagnostic and semiological problem with special emphasis upon . Acta Otorhinolaryngol Belg 1. Calseyde P, Ampe W, Depondt M. ENG and the cervical syndrome. Adv Otorhinolaryngol 1. Barnsley L, Lord S, Bogduk N. Whiplash injury. Pain 1. Galm R, Rittmeister M, Schmitt E. Vertigo in patients with cervical spine dysfunction. Eur Spine J 1. 99. Karlberg M, Magnusson M, Malmstrom EM, Melander A, Moritz U. Postural and symptomatic improvement after physiotherapy in patients with dizziness of suspected cervical origin. Arch Phys Med Rehabil 1. Wing LW, Hargrave- Wilson W. Cervical vertigo. Aust N Z J Surg 1. Click here to download the. |
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