Colon Cleaning and Prostate Health القاهرة

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Other News Mahmoud Badawy
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AIR EMBOLUS


HISTORY


¤ Most common during operative procedures involving major veins or cardiopulmonary bypass.


¤ Penetrating trauma to chest

(air from lung)


¤ Insertion or removal of large bore venous lines Carbon dioxide embolus from laparoscopic insufflation.


¤ Can occur with right to left shunt

(VSD, etc.)


¤ Source of air usually massive.

SIGNS & SYMPTOMS


¤ Cardiovascular collapse


¤ Failure to respond to usual resuscitation

TESTS


SPECIFIC TESTS


¤ EKG may show ischemic changes with coronary air embolus.


¤ If intraoperative TEE is in use, intracardiac air will be seen differential diagnosis.


¤ Pulmonary embolism


° Usually in ward patient with DVT


° Rarely occurs intraoperatively


¤ Stroke


° Intraoperative embolic stroke rarely causes cardiovascular collapse


¤ Myocardial Infarction


° Severe ischemia seen on EKG


¤ Traumatic cardiac tamponade


° Echocardiogram or surgical exploration


¤ Tension pneumothorax


° Hyper-resonant breath sounds


° Diagnose + treat with needle thoracostomy.

MANAGEMENT


FIRST TO DO


¤ Position patient head down, left side down


° Keeps air in apex of right ventricle where slow reabsorption occurs


¤ Cardiorespiratory support


° Intubation + mechanical ventilation


° 100% FiO2 to help reabsorption

(creates nitrogen gradient)


° Volume + pressors as needed


¤ Find and correct source of air embolism


° Close hole in vein


° Flush all lines


° Check bypass machine and connections.

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ELECTROMYOGRAPHY AND NERVE

CONDUCTION STUDIES

KEY POINTS


1. Nerve conduction studies (NCS) and needle electromyography (EMG) are the most useful diagnostic tests in determining the presence, type, severity, and chronicity of a suspected neuromuscular disorder.


2. Although the information collected during NCS and needle EMG testing is more objective and quantitative than that obtained by a standard clinical examination, there are many important technical factors that contribute to the collection of accurate data. Selection of a reputable or accredited laboratory and experienced electrodiagnostic consultant will help ensure the most accurate data and reliable interpretation.


3. Sensory NCS are the most useful way to distinguish preganglionic (radiculopathy) from postganglionic (peripheral neuropathy or plexopathy) processes that cause numbness.


4. NCS can help distinguish between demyelinating and axonal neuropathies. Demyelinating neuropathies have moderate to severe slowing of the nerve conduction velocities with relatively preserved compound muscle action potential (CMAP)/sensory nerve action potential (SNAP) amplitudes. On the other hand, axonal neuropathies have reduced CMAP/SNAP amplitudes with relatively preserved conduction velocities.


5. On EMG, the motor unit action potentials (MUAPs) in neurogenic disorders have characteristic large amplitudes with long durations and reduced recruitment. The MUAPs in myopathic disorders have small amplitudes with short durations and early recruitment.


¤ What is an EMG ?


It is a term used in two ways:


• As a general description of the combination of NCS and needle EMG testing.


• More specifically, to describe the needle electrode recording performed to assess the function of motor units.


¤ What is an NCS ?


NCS may be performed on either sensory or motor nerves. From the skin surface, a brief electrical stimulus is applied to the nerve of interest, and the evoked electrical signal is recorded distally from another point in the nerve in the case of a sensory nerve or from the innervated muscle in the case of a motor nerve; the evoked responses are known as SNAP or CMAP, respectively. Characteristics of the evoked action potentials such as amplitude, onset and/or peak latency, and conduction velocity provide information about axon and myelin components of the tested nerve.


¤ Some other types of electrodiagnostic tests :


• Repetitive stimulation studies are utilized for the evaluation of the neuromuscular junction (e.g., in myasthenia gravis).


• Somatosensory evoked potentials are used to evaluate conduction within the spinal cord and brain.


• Other less frequently used tests include single-fiber EMG, motor-evoked potentials, and nerve root stimulation.


¤ What is a motor unit ?


A motor unit includes the motor neuron found within the anterior horn of the spinal cord, its axon, the neuromuscular junction, and the associated muscle fibers supplied by the axon. The electrodiagnostic physician can utilize a combination of needle EMG, NCS, repetitive stimulation, and other electrophysiologic tests to assess

the individual components of the motor unit.


¤ What are the clinical indications for ordering an EMG ?


An EMG should be ordered to determine the localization and severity of a suspected neuromuscular disorder. The

NCS and needle EMG are almost always performed together in reputable laboratories. Testing can distinguish

between neurogenic (nerve or neuron-related), myopathic (muscle-related), and neuromuscular junction disorders.


In neurogenic conditions, testing can often distinguish between disorders primarily affecting myelin (i.e., demyelinating neuropathies) and axonal or neuronal disorders. An EMG is generally not useful in the assessment

of brain or spinal cord disease. In order to get the most useful information from the test, the requesting physician should indicate his or her clinical question or concern as specifically as possible. It is not usually necessary to request particular procedures (e.g., NCS, repetitive stimulation, needle EMG) as a qualified electrodiagnostic consultant can decide what is needed to answer the clinical question.


¤ What are some common disorders of nerve ?


Functionally, the peripheral nervous system starts in the vicinity of the spinal neural foramen where the sensory and motor fibers join. At its most proximal level, peripheral nervous system injury in the form of radiculopathy is caused by

an injury to a nerve root due to structural disease (e.g., herniated disc or trauma), inflammation, or other causes.


Plexus involvement by disease or injury may occur in the upper (brachial plexus) or lower extremity (lumbar or lumbosacral plexopathy).


Peripheral nerve conditions can be acquired or genetically mediated. Examples of genetic conditions

include the hereditary sensory and motor neuropathies (e.g., Charcot-Marie-Tooth disease). Acquired peripheral neuropathies can stem from conditions such as diabetes, toxins (medications or other exogenous substances), inflammatory disorders, or metabolic disturbances.


Focal neural entrapment can be seen in carpal tunnel syndrome (CTS), cubital tunnel syndrome, or tarsal tunnel syndrome, and few others.


¤ What are the three main types of nerve injury ?


Nerves sustain a gradient of injury, which was originally defined by Seddon:

1. Neurapraxia is the functional loss of conduction without anatomic change of the axon, usually due to focal demyelination. With remyelination, conduction returns to normal.


2. In axonotmesis, the axonal continuity is lost. With its loss, Wallerian degeneration occurs in the distal segment. Recovery, which is frequently incomplete, occurs as a result of axonal regrowth at a rate of 1- 3 mm/day in otherwise healthy individuals.


3. Neurotmesis results from separation of the entire nerve, including its supporting connective tissue. Regeneration frequently does not occur. Nerves with this degree of trauma may need surgical attention for recovery to

occur.


¤ Do these types of nerve injuries occur together ?


Neurapraxia and axonotmesis commonly occur as a result of the same injury. When compression is relieved from the involved segment of the nerve, two periods of healing typically occur. One is relatively immediate, from hours to weeks, as the neurapraxia resolves. A second period of healing, from weeks to months, may occur as a result of axonal regrowth.


¤ What is an innervation ratio ?


For each motor axon, there are a variable number of associated muscle fibers. Depending on the specific requirement of control, the ratio may be quite low or extremely high. The innervation ratio of the extraocular muscles is typically 1: 3, owing to the fine control required for binocular vision. Conversely, the innervation ratio of the gastrocnemius can be as high as 1: 2000 since most movements involving the plantar flexors of the ankle are relatively large motions requiring more force than accuracy.


¤ What are some common disorders of muscle ?


Muscle disease can be acquired or genetically mediated. Acquired muscle diseases such as inflammatory myopathies are most often proximal and symmetrical in distribution. A notable exception is inclusion body myositis, which has a predilection for the quadriceps and finger flexors and may be quite asymmetrical. Genetic myopathies or muscular dystrophies may also demonstrate specific patterns of muscle group involvement that may aid in diagnosis. In general, the degree of clinical weakness in a particular muscle correlates well with the severity of the findings on needle EMG examination.


¤ What are the components of a needle EMG evaluation ?


Insertional/spontaneous activity: An EMG needle inserted into a normal muscle should evoke brief electrical discharges of muscle fibers. Increased or prolonged electrical activity may indicate abnormalities of the muscle fibers or the nerves supplying them. Fibrillations, positive sharp waves, and complex repetitive discharges are electrical signals that represent abnormal spontaneous firing of muscle fibers due to nerve or muscle damage.


There should be no spontaneous activity in a healthy relaxed muscle. Motor unit analysis: When a patient slightly contracts a muscle, MUAPs can be recorded. The parameters of interest include the amplitude, duration, number of phases, and firing pattern of the MUAPs. Assessment of these parameters occurs in real time and is generally subjective. The quality of the interpretation depends on the skill and experience of the electromyographer, technical recording conditions, and patient cooperation.


Recruitment: When a patient contracts a muscle more forcefully, a large number of MUAPs can be recorded. How “full” this pattern of MUAPs is reflects the underlying health of the motor units and the ability of the patient to “recruit”

available motor units. In myopathic conditions, recruitment may be “early” because myopathic motor units generate less force than healthy ones. In neurogenic conditions, recruitment may be reduced as a result of axon or neuron loss.


¤ How do fasciculations, fibrillations, and positive sharp waves differ on needle EMG recording ?


A fasciculation potential is an involuntary firing of an entire motor unit, that is, single motor neuron and all its innervated muscle fibers. This is seen as a large electrical spike on needle EMG recording of a relaxed muscle. It is sometimes clinically visible in the patient as a brief, irregular twitch of the muscle. This can often be seen in normal individuals; however, if in excess, it may be a sign of a motor nerve or motor neuron disorder.


A fibrillation potential is an involuntary contraction of a single muscle fiber that usually indicates denervation or muscle damage. Unlike a fasciculation, a fibrillation usually does not cause clinically visible muscle movement.


Positive sharp wave potentials are similar to fibrillation potentials in that they represent abnormal muscle fiber firing from nerve or muscle damage. They are identified by their initial positive deflection from the baseline as opposed to the initial negative deflection of a fibrillation potential.


¤ How do normal EMG findings compare with the findings seen in a denervated muscle (neurogenic disorder) ?


Note that fibrillations and positive sharp waves are not seen in acutely denervated muscles until 7 to 14 days after the onset of axonal degeneration. Full reinnervation of denervated muscle, resulting in large, polyphasic MUAPs may take 3 to 4 months or more. In patients with reinnervation after nerve injury, muscles may be clinically strong and yet be very abnormal on needle EMG testing.


¤ How do normal EMG findings compare with the findings seen in a myopathic disorder ?


The weaker a patient with myopathy is, the more likely the needle EMG findings will be abnormal. In patients with very mild weakness or those with steroid myopathy, the needle EMG recording may appear normal.


¤ Is nerve conduction velocity the same throughout the length of a nerve ?


Nerve conduction velocities vary among nerves and along their lengths. Normally, proximal nerve conduction is faster than distal nerve conduction because of the increased temperature and larger diameter of the proximal nerve segments. For example, median nerve conduction velocity from wrist to palm should be faster than from palm to finger.


¤ Why is temperature recorded during the course of an electrodiagnostic examination ?


Nerve conduction velocities drop by 1.5 to 2.5 m/s per °C reduction in both sensory and motor nerves. These changes can be significant. Failure to warm the limb to a standard temperature, usually 30°C for the leg and 32°C for the arm, can result in false-positive studies, leading to a misdiagnosis.


¤ What is the F-wave? How is it clinically useful ?


The F-wave is a delayed motor potential recorded by stimulating a motor nerve in the distal extremity. As the electrical impulse travels backward along the nerve to the spinal cord, a small population of anterior horn cells is stimulated, resulting in small motor action potentials that can be recorded from the associated muscle. Abnormal F-waves can indicate proximal nerve disease such as radiculopathy or plexopathy. Absent F-waves are also early

findings in Guillain–Barré syndrome.


¤ How is the sensory portion of the peripheral nervous system tested ?


Sensory NCS are the primary means to test the integrity of the sensory nerves. The amplitude of SNAP, its point of onset, and its peak can be compared with standardized normal values and with those from the opposite extremity.

Sensory NCS are only abnormal in lesions distal to the dorsal root ganglia where sensory neurons reside.


Abnormal SNAPs can be an important way of distinguishing between peripheral neuropathies or plexopathies and radiculopathies. In the latter, SNAPs are usually normal even when a patient complains of numbness. Using the

complementary information obtained from needle EMG examination, an electromyographer can further localize the lesion to a particular spinal nerve root, portion of the plexus, or a particular peripheral nerve.


¤ How can a demyelinating peripheral neuropathy and an axonal peripheral neuropathy be differentiated by NCS and needle EMG?


Axonal loss and demyelination rarely occur in strict isolation, but some electrodiagnostic features may indicate

relatively more damage to myelin versus axons. The features of demyelinating neuropathies include moderate to severe slowing of conduction velocity, temporal dispersion of evoked sensory or motor action potentials, conduction block, and prolonged distal latencies. Axonal neuropathies show milder slowing of nerve conduction, with generally low sensory and motor amplitudes on NCS. The needle EMG shows denervation abnormalities early in axonal neuropathies and only later in demyelinating neuropathies when axons are secondarily affected.


¤ Which systemic diseases cause predominantly a demyelinating peripheral neuropathy ?


In most rheumatologic conditions where in neuropathy is present, the axons are primarily affected, though myelin is rarely completely normal. Demyelination may predominate in a few disorders, such as acute inflammatory demyelinating polyneuropathy (Guillain–Barré syndrome), chronic inflammatory demyelinating polyneuropathy, multifocal motor neuropathy, anti-myelin-associated glycoprotein antibody syndrome, and other paraproteinemias, and some hereditary neuropathies, such as Charcot–Marie–Tooth disease type 1A.


¤ How is EMG/NCS used in diagnosing CTS? Ulnar nerve entrapment at the elbow (cubital tunnel syndrome)


CTS or compressive median neuropathy at the wrist is the most common entrapment neuropathy, affecting 1%

of the population. CTS may show segmental nerve conduction slowing across the wrist. SNAP latencies of the

median nerve are delayed most often, but with increasing severity, motor latencies can be affected. Denervation of the thenar muscles seen on needle EMG indicates moderate to severe CTS. Clinical correlation is recommended for mild CTS as sometimes NCS/EMG studies are normal despite classic symptoms of hand pain/numbness in a median nerve distribution.


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Oxygen and Free Radicals

Antioxidants


one of the most important issues regarding aging is oxygen. Too much of it, or too little, and we age very fast. Most people are aware of oxygen’s benefits, but many people don’t realize its potential harm: the conversion of the stable O2 molecule to its very unstable and destructive cousin, the superoxide or free radical. When this occurs inside the body, it can lead to serious health problems.


Scientists now associate excess oxygen free radicals, also called oxidative stress, with every major chronic disease, including heart disease and cancer. Free radicals also play a major role in the aging process. Aging is the result of continuous reactions of the body’s cells with free radicals. It is important to become aware of these potentially harmful substances, what increases their production and how to control them, in order to reduce the devastating effects of disease and control the process of aging.


Normally, the body produces free radicals to protect against harmful bacteria, viruses, chemical pollutants and even toxic substances produced within the body. However, in this chemical-saturated world, it is possible to produce too many free radicals. When this occurs, free radicals can react with and damage any cell in the body.


The most vulnerable part of the cell is the part containing unstable polyunsaturated fats, as these fats are easily destroyed by free radicals. This destruction is called lipid peroxidation and it’s associated with chronic inflammation. Together, this is the first step in the disease process. For example, before LDL cholesterol can be stored in the coronary arteries, damage from lipid peroxidation must first take place. Lipid peroxidation can produce toxins capable of traveling throughout the body, creating damage anywhere. These toxins are known to be carcinogenic and even have the potential to cause genetic mutations.


The damage from free radicals, oxidative stress, results in what we know as aging. The more of this damage, the more physiologically older we become. Fortunately, the body has an effective way to combat this problem. The antioxidant system controls free radicals by chemically changing them to harmless compounds. This system requires raw materials to function nutritional antioxidants from food and key places in the body to perform this task the aerobic muscle fibers. Too much free-radical activity, too little antioxidant activity, or both, speeds the aging process, sometimes significantly.


Antioxidants to the Rescue:


The importance of antioxidants(sometimes called free-radical scavengers). there are two key groups of them. The most common group of antioxidants includes vitamins A, C and E, beta-carotene, selenium, the bioflavanoids, and phytonutrients such as phenols. As powerful as these are, there’s a more potent antioxidant: glutathione.


Glutathione is not found in food and can’t be taken in a pill (it’s broken down in the stomach), although now intravenous and transdermal forms are being used. The best way to get enough glutathione is to give the body what it needs to make it certain other antioxidants. The most potent of these include the amino acid cysteine, found in animal protein (especially whey).


the phytonutrient sulphoraphan, high in cruciferous vegetables such as broccoli but very high in broccoli sprouts (before their leaves turn green); lipoic acid found in many dark vegetables and even beef (lipoic acid can also be produced in a healthy body); and both gamma-tocopherol and alpha-tocotrienol, parts of the vitamin E complex (however, too much alpha tocopherol, such as the typical 400 IU dose, can reduce levels of these other nutrients in the vitamin E complex).


The following is a list of the most potent antioxidants in order of their effectiveness the most powerful being those that help the body make glutathione. As you can see, some of the most popular nutrients, such as vitamins C and E, and especially the over-hyped quercetin and Co-Q10, are not the most potent. And, these are food sources of nutrients, not synthetic vitamins or unnatural doses and forms of nutrients that may not work as well.


- Sulforaphan Lipoic acid


- Cysteine Alpha-tocotrienol


- Gamma-tocopherol Alpha-


- tocopherol


- Vitamin C Lycopene


- Beta-tocopherol Beta-carotene


- Zeaxanthin Delta-tocopherol


- Lutein Canthaxanthin


- Astaxanthin Quercetin


- Co-Q10


It’s not necessary to remember the names of these antioxidants, but you do need to remember to eat as many antioxidant-rich foods as possible. Vegetables and fruits, berries, raw sesame seeds and almonds, extra-virgin olive oil, green and black tea, and red wine are excellent sources of antioxidants. Meats, especially grass-fed beef, contain significant amounts of certain antioxidants, as does whey. Of course there are now hundreds of antioxidant products available in pill, liquid, powder and other forms. If needed, be sure to take only supplements made from real, raw foods.


Signs and symptoms of a need for more antioxidants may include immune problems such as lingering cold or flu, frequent illness, sensitivity to chlorine or other chemicals, and chronic inflammation.


Exercise and Free-Radical Activity


A well-developed aerobic system is a key to making the antioxidant system work best. Even if you obtain all the best antioxidants, the body needs a place to put them to work. Improved circulation that accompanies aerobic fitness helps antioxidant activity. And, free-radical breakdown occurs in the mitochondria contained within aerobic muscle fibers. Therefore, people in better aerobic shape, those who have more aerobic muscle fibers and mitochondria, are more capable of controlling free radicals compared to those who are out of shape.


exercise itself produces free radicals :


Different levels of exercise intensity can produce varying amounts of free radicals. Easy aerobic exercise, especially at a moderate heart rate produces little or insignificant amounts of free radicals, and this smaller amount is most likely well controlled through the body’s natural defense system, especially if enough antioxidants are present. However, exercising at higher intensities or lifting weights any anaerobic exercise can have the opposite effect. Anaerobic activity can produce more oxidative stress some studies show a 120 percent increase over resting levels. This is the result of physical damage to muscles, lactic-acid production and higher oxygen uptake, which may increase tenfold during the activity.


Higher injury rates are also associated with increased free-radical production. In addition, the development of more anaerobic muscle fibers means less aerobic mitochondria for free-radical elimination.


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Other News Cairo
https://avalanches.com/eg/cairo_denis_james_known_professionally_by_his_stage_name_lordboy_cmt_is_a4747788_09_10_2022


Denis James, known professionally by his stage name Lordboy Cmt, is a South Sudanese singer and EDM producer who currently resides in Cairo, Egypt. He has been associated with music since his school time. He was just a kick start to his career at the age of 15 Year's old.


He realized his bite; Capabilities; Decided to learn "MUSIC" and is now able to establish himself as a professional music producer. Learning new skills is not only an option, but a habit.


They can produce top genres like progressive EDM, trap, trance, hip-hop, rap and more. Undoubtedly, Lordboy Cmt is a golden genius from Central Equatorial state. He believes in reaching greater heights as he sees himself roaming all over the world and makes everyone dance to his tunes.


Lordboy Cmt created a YouTube channel YouTube in 2021, uploading the song that was the first remix song on that channel. But after some time, he made trap beats , the audience liked that music very much.


Now, if you search for him on YouTube, you will see that his channel is verified as a music artist. Now you might wonder why did YouTube verify its channel as a music artist or give it a music note verification badge?


Originally, Lordboy Cmt released its first soundtrack on Reverbnation in 2020, but after some time it officially released that track on Google Play Music, Hungama, Apple Music, YouTube Music, Spotify, JioSaavn, Napster, Deezer, Tidal , Released on music streaming platforms such as Resso, Boomplay, Amazon Music, Musixmatch, and many more.

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What causes Vitamin D deficiency ?


Vitamin D2 and Vitamin D3:

Vitamin D is not a single nutrient, but rather a group of related nutrients. Vitamins D2 and D3 are the most popular dietary forms.The two types of vitamin D differ in their food sources and also in structure and function.Vitamin D3 is only available in animal-sourced meals, whereas D2 is mostly found in plant-based foods and fortified foods.

D3 is found in fatty animal-sourced foods like fish oil and egg yolk. It is also produced by your skin in response to sunshine or UV radiation.Surprisingly, vitamin D3 appears to be more effective at increasing vitamin D levels in the blood.


What Does Vitamin D do ?

Vitamin D received from sunlight, meals, and supplements is physiologically inactive and require two hydroxylations in the body to be activated.

The first hydroxylation takes place in the liver and transforms vitamin D to 25-hydroxyvitamin D [25(OH)D], also known as "calcidiol."

The second hydroxylation takes place largely in the kidney and results in the physiologically active 1,25-dihydroxy vitamin D [1,25(OH)2D], also known as "calcitriol"

  • The first hydroxylation takes place in the liver and transforms vitamin D to 25-hydroxyvitamin D [25(OH)D], also known as "calcidiol."
  • The second hydroxylation takes place largely in the kidney and results in the physiologically active 1,25-dihydroxy vitamin D [1,25(OH)2D], also known as "calcitriol"

Importance of Vitamin D:

Low vitamin D levels have been shown in studies to increase your risk for several diseases. A lack of vitamin D may also lead to poor bone health. Much recent contradictory research now demonstrates a link between vitamin D insufficiency and cancer, cardiovascular disease, diabetes, autoimmune illnesses, and depression.

There are many health benefits associated with getting enough vitamin D each day including:

  • Helping manage weight effectively
  • Lowering blood pressure
  • Reducing inflammation
  • Protecting against infections like influenza
  • Preventing cancer
  • Reducing inflammation
  • Protecting against infections like influenza
  • Reducing the risk for heart disease and stroke
  • Improving insulin sensitivity
  • Promoting healthy pregnancy outcomes
  • Absorb calcium and phosphorus, which are crucial for bone
  • health and strong teeth.

Recommended Vitamin-D Intakes:

RDAs (Recommended Dietary Allowance) for vitamin D were developed by an FNB (Food and Nutrition Board) committee to identify daily vitamin D doses that are sufficient to preserve bone health and appropriate calcium metabolism in healthy persons.

Is vitamin-D needed daily ?

If you’re following the latest recommendations, you might be falling short.


According to the National Institutes of Health, adults should get at least 600 international units (IU) of vitamin D per day to maintain bone and muscle health, boost immune function, and reduce the incidence of a variety of cancers Unfortunately, many people.....


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Posture and Metabolism


There are twelve of body systems: skeletal, muscular, nervous, integumentary (skin), circulatory, respiratory, reproductive, digestive, urinary, lymphatic, endocrine (hormones), and immune. Each of them is subject to stimulation-reaction-response.


Musculoskeletal dysfunction triggers (stimulates) a reaction and response in each of the eleven other systems. When the tape broadcasts the news that something is happening, it's not a warning as such-stimulus is initially regarded as neither good nor bad. But the news that important major muscle groups are not engaging needs to be known by all systems because, for starters, it's going to affect the metabolic process.


Does Posture affect metabolism?


One of the body's most complex biochemical operations, metabolism is the way the body provides fuel to its cells. Muscles play an important role in at least three ways. First, by creating heat from the friction of contracting and relaxing. The heat helps to essentially cook the food, oxygen, and water that we consume until they break down and recombine into substances that can be converted by the cells into usable energy. The more work the muscles do, the more fuel is available to the cells. And the reverse is true: the less work the muscles do, the less fuel for the cells.

The second metabolic role for the muscles is that of being a major metabolic consumer. Large, active muscles have many muscle cells to fuel. This appetite serves to create an expanded metabolic capacity in order to meet muscular demand. But the metabolic supply isn't exclusively used by the muscles, though. When we rest or sleep, our muscles are relatively (and temporarily) inactive, and the fuel that's not needed by the muscles is diverted to other tissue and organs.


That's why poor posture-slumping, misaligned dysfunctional posture-indicates a metabolic dysfunction. Notice that I didn't call it a symptom. Poor posture is actually a cause of metabolic dysfunction. Once the deep muscles-the ones closest to the bones and joints-disengage, the metabolism backs off because the body's monitoring system tells it there are fewer cellular mouths to feed and reduced means to do the feeding. The other eleven organ systems immediately lose.

The benefit of a revved up, efficient, fully functional metabolism. The energy they need to carry out basic functions is no longer as abundant. It puts a strain on every organ in the body and the roughly 75 trillion metabolically dependent individual cells.


Will My Posture Improve If I Lose Weight?


The third important metabolic role played by the muscles is this: reduced muscular engagement means reduced oxygen intake and distribution. Oxygen is the combustion agent that the metabolic process uses to refine the fuel (primarily glucose, amino acids, and enzymes) needed for the operation of the body's cells. Disengaged and dysfunctional major muscle groups mean that the primary vehicle for getting oxygen into and around the body isn't in optimal condition. But suppose circumstances require optimal metabolism. A sudden demand for physical exertion, the effects of stress, or severe illness all call for extra energy to support extra work from the body's organ systems. They depend on the support of a fully functional metabolic process. Since muscular action is involved with drawing oxygen into the lungs and assisting the heart and circulatory system in moving oxygenated blood throughout the body, the disengagement of major posture muscles hinders this work. As a result, fuel production is compromised, as is cell function.


Conceivably, the body could cope with the problem simply by doing less work with less metabolism. After all, our environment is not as rough-and-tumble as it once was. But one system in particular is working as hard as ever-maybe harder.


The immune system is like a network of fire stations scattered strategically throughout the body. The T-cells and various anti-bodies are the fire fighters, ready to deploy, when the alarm sounds, to battle invading viruses, toxins, and other conflagrations. An immune system undermined by an inefficient metabolism cannot respond as quickly or effectively. It just doesn't have enough available energy for aggressive fire fighting, as if many of the fire trucks are out of gas and their crews understaffed.


That's why we're seeing the rise of the new "epidemics" -diabetes, asthma, allergies, virulent but heretofore unknown strains of TB, some types of cancer, and the like. This alarming trend coincides with another epidemic-chronic back pain, headaches, bad hips, knee injuries, hurting wrists, and other musculoskeletal disorders.


I believe the link between this epidemic and the others is visible all around us. If millions of people do not have the strength to stand up straight, to hold their shoulders square and their heads high and level, and to move smoothly without stiffness or pain, how do we expect them to have the strength to fight off disease?


Without adequate musculoskeletal support for the metabolic process, they simply cannot. Around us, the very embodiment of health is crumbling.


I'm painting this gloomy picture not to spread pessimism but to inspire faith. We need to regain our faith in the strength of the human body. After all, it got us through two or three million years of BS-Before Suburbia. Rediscovering it can yield a cure for these epidemics.


By recognizing our strength and its source in muscle and bone, we can escape from the modern delusion that health comes only from experts and technology that soon will be crushingly expensive and beyond the reach of all but a few. Down that road lies misery and future epidemics, the horror of which we can't even begin to imagine.


All of us can afford the price of a genuine miracle cure. We were born with potentially strong, aligned bodies. We were therefore born rich... posture and metabolism.


Healthretrival.blogspot.com

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Other News Egypt
https://avalanches.com/eg/cairo_the_injury_causes_forced_extension_of_the_dip_joint_during_active_fl4296062_16_09_2022
https://avalanches.com/eg/cairo_the_injury_causes_forced_extension_of_the_dip_joint_during_active_fl4296062_16_09_2022
https://avalanches.com/eg/cairo_the_injury_causes_forced_extension_of_the_dip_joint_during_active_fl4296062_16_09_2022
https://avalanches.com/eg/cairo_the_injury_causes_forced_extension_of_the_dip_joint_during_active_fl4296062_16_09_2022
https://avalanches.com/eg/cairo_the_injury_causes_forced_extension_of_the_dip_joint_during_active_fl4296062_16_09_2022

Jersey/Rugby Finger Syndrome


DEFINITION

• Rupture or avulsion of the flexor digitorum profundus (FDP).

• Classification is based on how far the tendon retracts,which in turn will affect the success of surgical repair.

 A type I injury retracts all the way to the palm.The vincula brevis and longus are ruptured and blood supply is interrupted. Extensive scarring can develop within the tendinous sheath,therefore surgical repair is indicated within 7 to 10 days.

Type II retracts to the PIP joint.The long vinculum may still be intact, and a small chip of bone may be avulsed with the tendon.The avulsed end may become entrapped at the flexor digitorum superficialis (FDS) chiasma, causing a flexion contracture.

Type III occurs when a bony fragment is avulsed and remains attached to the tendon,which isthen unable to retract through the pulley.The tendon remains in the synovial sheath.


SYNONYMS

• FDP avulsion

• Rugby finger


ETIOLOGY

• Rupture or avulsion of the FDP tendon can occur during activities that require sustained digital flexion against forceful or unexpected resistance, resulting in hyperextension of the DIP joint and rupture of the FDP tendon.

• Rupture of the FDP tendon commonly occurs when an athlete’s finger catches on another player’s clothing in sports such as football.


EPIDEMIOLOGY AND

DEMOGRAPHICS

Ring finger (fourth digit) is the most common involvement. It is the weakest and accounts for 75% of all cases.


MECHANISM OF INJURY

• Forceful passive extension of the digit while the FDP is in maximal contraction.

• The injury causes forced extension of the DIP joint during active flexion...


Read more:


Healthretrival.blogspot.com

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https://avalanches.com/eg/cairo_finger_dislocation_4086119_06_09_2022
https://avalanches.com/eg/cairo_finger_dislocation_4086119_06_09_2022
https://avalanches.com/eg/cairo_finger_dislocation_4086119_06_09_2022
https://avalanches.com/eg/cairo_finger_dislocation_4086119_06_09_2022

Finger Dislocation


https://healthretrival.blogspot.com/2022/09/finger-dislocations.html

HealthRetrival.blogspot.com

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https://avalanches.com/eg/cairo_let_the_sun_shine_4072949_05_09_2022
https://avalanches.com/eg/cairo_let_the_sun_shine_4072949_05_09_2022
https://avalanches.com/eg/cairo_let_the_sun_shine_4072949_05_09_2022
https://avalanches.com/eg/cairo_let_the_sun_shine_4072949_05_09_2022
https://avalanches.com/eg/cairo_let_the_sun_shine_4072949_05_09_2022

Let The Sun Shine


Sun & Vitamin-D Story


https://healthretrival.blogspot.com/let-sun-shine.html

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Other world news
https://avalanches.com/pk/karachi_dil_karbala_main_reh_gaya_6301278_29_01_2023
https://avalanches.com/pk/karachi_dil_karbala_main_reh_gaya_6301278_29_01_2023

Dil karbala main reh gaya main Aa gaya yahan

Halaat apny doston k sy karon bayan.

Qaisar Abbas Qaisar

Writer / Poet

Written these lines in 2017

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PREFACE

“‘Be thankful’ (Colossians 3:15) is a recurring exhortation in the letters of the apostle Paul. No other New Testament writer gives such a sustained emphasis on thanksgiving―and yet, major modern studies of Paul fail to wrestle with it. Dr. Paul Allieu Kamara aims to rehabilitate this theme in this comprehensive and accessible study, a New Studies in Biblical Theology volume. He shows how, for Paul, thanksgiving is grounded in the covenantal traditions of salvation history. To offer thanks to God is to live a life of worship and to anticipate the future acts of God, all in submission to the lordship of Christ. Ingratitude to God is idolatry. Thanksgiving functions as a link between theology, including eschatology, and ethics. Here Dr. Paul Allieu Kamara provides clear insights into the passion of an apostle who never fails to insist on the significance of both the gospel message and the response this message demands. Addressing key issues in biblical theology, the works comprising New Studies in Biblical Theology are creative attempts to help Christians better understanding their Bibles. The NSBT series is edited by D. A. Carson, aiming to simultaneously instruct and to edify, to interact with current scholarship and to point the way ahead.”


“What Christians believe about God is visible in how they exhibit thankfulness for all he has done on their behalf. Dr. Paul Allieu Kamara offers a practical resource to encourage believers to express glad-hearted thankfulness for God’s unending provision. This book provides insight into daily practices that exemplify thankfulness, such as speaking a word of thanks to a neighbor, serving others in a practical way, or thanking God for his many gifts.

By living each day with gratitude in mind, Christians are doing more than saying a word of thanks or lending a helping hand – they are recognizing the absolute and total lordship of God, his sovereignty over all things, and his kindness in using his almighty power to work all things for good.”

“The apostle Paul instructed the Philippians to be anxious in nothing and thankful in everything. And when he said everything – he meant everything. We can all agree that this is easier said than done. Disappointments and discontent may cause you to slip into dissatisfaction, and grumbling becomes a state of mind – gratitude seems impossible to find. However, what if this is the precise reason you lack the joy of a God-filled life? Instead of a reaction to when things are going well, what if gratitude is actually necessary to knowing the hope of our gracious God?

This is exactly what Dr. Paul Allieu Kamara identifies in The Thanksgiving a price paid for life and living. Dr. Kamara examines the biblical foundations of thankfulness and traces how it can reshape every-day Christian living. When we express gratitude in all things, we not only praise our Creator, we also get to know Him better. With This Book, you’ll learn how to practice thanksgiving in both simple and extraordinary ways, even when you’re tempted to dwell on the negative. You’ll find your outlook on life realigned to see the hand of God in everything, strengthening your trust in Him. And in doing so, you’ll find greater, more joy-filled reasons to continue expressing thanks to our good and generous God.” I recommend this Book to be read and as you do God bless you.

BY Prof. Rudolph Q. Kwanue Sir

Founder, Chancellor and International Director

Rudolph Kwanue University College

INTRODUCTION

Gratitude is a choice. If we fail to choose it, by default we choose ingratitude. And once allowed into the heart, ingratitude does not come by itself, but with other seedy companions that only succeed in stealing joy.

Derived from a popular Revive Our Hearts story, choosing the need for Gratitude the Journey to Joy challenges and equips the reader to live a life of intention, a life based on thankfulness for the freedom Christ has provided and for the blessings of others.

By intentionally thanking God and others, bitterness and entitlement are replaced with joy and the humble realization of just how undeserving we really are.

To not choose gratitude is more costly than we usually realize. When we do choose a lifestyle of heartfelt, humble gratitude, we are mindful of the benefits received from our gracious Savior and those He has placed around us, and our joy becomes full.”

“How to grow as thankful Person of God.

We are often encouraged to ‘count our blessings’. But truly biblical gratitude is much more than this.

Dr. Paul Allieu Kamara unpacks Scripture to help us grow in gracious gratitude—thanking God for who he is, as well as natural gratitude— thanking him for his blessings. She also helps women to identify and deal with some of the things that hinder them so that they can rediscover the joy of a thankful heart.

This thoroughly Bible-centered unpacking of the reasons for gratitude builds on Dr. Paul Allieu Kamara 14 years’ experience in mentoring, Pastoring and Teaching at The Word of Faith Bible Institute and Rudolph Kwanue University College and Grace International Bible University.

Discussion questions at the end of each chapter make this book ideal for group use as well as for individuals.”

The reason for this Book

1. I gave a lecture on the life of Thanksgiving at a graduation Ceremony in 2021, which was held at Lofa County, in the Republic of Liberia.

2. I gave another lecture at Winners Chapel International New London Bo, on Friday 16th May 2019 and its topic was ‘ The Power of thanksgiving and always give thanks for all things ‘ (Eph. 5:20)

3. Also, a third lecture - on our Word of Faith Bible Institute Program, on 15th October 2020 mainly on the Life of Thanksgiving, and a part on the Life of Submission and Hope.

GOD gave me time during my trip to Liberia last year so I combined the three lectures, with many additions in one book on the ‘thanksgiving is a price to paid for life and living’ which is now on your hands published as book with contemplations on the prayer of Thanksgiving which was given by the word of God in the Bible. Which will be printed for church leaders and followers? I hope - God’s willing – will reach you in good health in Jesus Mighty Name!

Pastor Dr. Paul Allieu Kamara

Resident Pastor

Winners Chapel International Waterloo

MAXRIST OF LIFE

WHY MUST WE GIVE GOD THANKS

1. Every Thing that has breath should praise The Lord- Ps. 150:6

2. It is a good thing to give thanks to the Lord-Ps. 92:1

I discovered that the most expensive thing to managed in Man is life

Why

1. We have life= we call it breath Ps. 150:6, in scriptures we called it breath and with God is free for 24 hours 30 days and 365 days per year

2. We have life = in science we called it Oxygen= for Medical Science is costly

· Oxygen per day cost = 1,200,000

· Oxygen per Month = 36,000,000

· Oxygen per year = 432,000,000

· Now if you are five years = 2,160,000,000

· Now if you are Ten years = 4,320,000,000

· Now if you are Twenty years =8,640,000,000

· Now if you are Thirty Nine years =1,044,000,000

· Now if you are Thirty years =12,960,000,000

· Now if you are forty years =17,280,000,000

· Now if you are fifty years = 21,600,000,000

· Now if you are sixty years =25,920,000,000

· Now if you are seventy years=30,240,000,000

· We all owe God according to our ages

Do you see why we must give God Thanks?

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