However, sometimes no triggers are external factors, but the causes of suffering back or neck pain may be in poor self-column structure in people with scoliosis, who have a deformed vertebra osteoporosis important, example, or osteoarthritis, or a weak muscle.

But curiously, from the Spanish Society of Rheumatology highlights that in most cases the origin of the cervical or lumbar pain lies in a sustained muscle tension, often linked to stress or emotional stress.

Finally, as less frequent causes, but perhaps more consistent with the appearance of this type of pain, you can highlight one hand injuries, such as turns or abrupt shock, and other inflammatory diseases of the spine, such as spondylitis, arthritis or other.

It can be modified by variations in blood volume or viscosity (thickness) of blood, heart rate (beats per minute) and the elasticity of blood vessels. The hormonal and nerve signals that regulate the resistance blood are influenced by personal and environmental.

What is it?

Hypertension is blood pressure above 140/90 mmHg (millimeters of mercury) in adults over 18 years, measured at rest for fifteen minutes and confirmed on three consecutive occasions and in several visits.

Occasional elevations of pressure can occur with physical exercise, nervousness, worry, drugs, food, tobacco, alcohol and coffee.

Care to measure blood pressure

Care should be taken when there is blood pressure:

• rest 15 minutes in a calm and pleasant
• the bladder should be empty (urinate before)
• after exercise, alcohol, coffee or smoke, wait 30 minutes to measure
• the cuff pressure device should be stable and well adjusted to the arm and have a width of 40% of arm circumference, and this should be kept at heart
• not speak during the procedure
• wait 1 to 2 minutes between measurements
• cuff especially for obese children and should be used
• a sitting or lying position is recommended in routine measures it is far lower value obtained

For those in which LDL cholesterol is the problem, the therapy of choice are statins. “These drugs regulate LDL receptors, stimulating their uptake by the liver,” explained Dr. Lozada. “Its effects are very rare,” added Dr. Ugarte, may cause an increase in liver enzymes or muscle, can cause liver inflammation or muscle. ”

That’s why when indicated statin treatment doctors usually monitor the behavior of these enzymes. Still, both experts agree, these are drugs with decades of human use that guarantee their safety.

When what is out of control are triglycerides are used fibrates. “These drugs act on the molecules that carry triglycerides, reducing its presence in the blood,” said Ugarte. “Its most common side effect is gallstone formation,” Lozada completed.

Sometimes, high levels of LDL cholesterol and triglyceride levels may coexist in one person. “In that case, first shown statins in high doses it reduces not only LDL but also a bit lower triglycerides. When this is not combine statins and fibrates, but with much vigilance, as the combination enhances the risk of adverse effects of both drugs, “said Ugarte.

By Sebastian A. Rivers of the editors of La Nacion

But if the change in dietary patterns and the adoption of the measures just mentioned fails to arm-twist the dreaded cholesterol. Only then drug treatments are used to lower blood levels.

It is not easy for a person with high cholesterol respecting the letter directed by your doctor. A usual doubts and fears of patients before any treatment which in theory should be for life, was added a year and half ago the specter of Lipobay.

“Half of people with high cholesterol could benefit simply by changing your lifestyle: modifying the diet, losing weight and exercising would solve many of the cases of hypercholesterolemia,” said Dr. Alejandro Ugarte, head Section Nutrition and Diabetes Education Center and Research Medical Clinics (Cemic). Beyond reducing caloric intake, and replacing animal fat by vegetable, there are certain foods that are very good allies of all who seek to control their cholesterol levels.

“There are margarines, milks and yoghurts enriched with phytosterols, which are a natural product of plants that can reduce cholesterol” said Dr. Alfredo Lozada, chief of the Center for Lipid and Prevention, Cardiovascular Institute Buenos Aires (ICBA) -. For Moreover, cold-water fish contain omega 3, a substance that helps to reduce triglyceride levels. ”

Adopt a routine of physical exercise-especially aerobic and smoking cessation are two other changes in habit that collaborate in the fight against high cholesterol.

By Sebastian A. Rivers of the editors of La Nacion

Well, that depends on which of the different types of cholesterol are talking about. As cholesterol is a fat molecule, and therefore is not soluble in water to circulate in the blood should always be associated with another molecule that is the one which gives, say, personality.

“The various forms that the cholesterol is labeled according to the density of the molecules to which they are united,” said Dr. Ugarte. Perhaps the best known and most feared-is-low-density lipoprotein or LDL (by Low Density Lipoprotein), whom doctors nicknamed him “bad” cholesterol. This is the molecule responsible for transporting the cholesterol that is produced in the liver in its journey to various parts of the body.

Unfortunately, sometimes the LDL molecules do not reach their destination, and there begins the story of atherosclerosis. Of these it appears that not only desirable that total cholesterol is within acceptable levels, but is also a healthy sign a generous HDL cholesterol.

What levels are acceptable or desirable in terms of cholesterol? “When one speaks of total cholesterol, you want to be less than 200 milligrams per deciliter (mg / dl),” replies the doctor Ugarte. The limit values are entered 200 and 239 mg / dl, high cholesterol and talked about when it goes beyond the 240 mg / dl. ”

Finer spinning, when reading the analysis of blood cholesterol should be remembered that it is preferable that LDL levels are below 160 mg / dl for premenopausal women, and less than 130 mg / dl for males and women who have undergone menopause. “To those people who have been found evidence of arterial injury or who have diabetes are asked to be their LDL levels below 100 mg / dL,” says Ugarte.

As for HDL, complete this medical nutritionist, “is desirable (for both men and women) is to be above 40 mg / dl, and is actually beneficial from the 60 mg / dl. In these cases, their presence is considered a cardiovascular protective factor. Finally, it remains to mention another type of lipids: triglycerides. These are transported by a third molecule, the very low density lipoprotein, or VLDL (Very Low Density Lipoprotein by).

“Although individually not a risk factor, if its presence in blood is high-that is above 200 mg/dl- while HDL values are low, the latter loses its protective function.”

To keep cholesterol under control, the first thing is to have a status of this potential enemy. In healthy adults, the recommendation is to get tested for blood cholesterol and, if the values are normal, repeated five years later.

How to combat it?
Now, if the levels appear to be outside what is considered healthy, the control must be repeated annually.

By Sebastian A. Rivers of the editors of La Nacion

• It is a molecule essential for human life, which causes uncontrolled deleterious effects
• You have to balance the levels of HDL and LDL
• It is also essential to control triglycerides
• Food habits are fundamental

There is no doubt that cholesterol is bad press, and no wonder. The massive presence of this substance in the blood, which scientists call situation hypercholesterolemia is a major cardiovascular risk factors and stroke.

It is to be precise the starting point of atherosclerosis, which over the years leads to heart attack or stroke. But what few know is that humans could not live another minute without a proper share of cholesterol in our veins.

“This type of fat molecule is essential for life,” says Dr. Alejandro Ugarte, head of the Diabetes and Nutrition Section of the Center for Medical Education and Clinical Investigation (Cemic) and coauthor of “Cholesterol: What it is and how to control” — . Part of cell membranes, the basic structure of many hormones and bile salts are involved in digestion. ”

The problem, as we anticipated, is its excess: “When there are excessive levels of blood cholesterol, and this is not its normal, which are the cells that require it to operate, the surplus tends to deposit in the inner layer of the arteries or arterial endothelium, “explains Dr. Ugarte.

There, hidden, cholesterol molecules generate an inflammatory process that brings together other elements that circulate in the blood, resulting in the formation of atheroma that are gradually closing the light of the arteries, account specialist.

Everything goes silent until a hypertensive crisis or stress, for example, break the wall of the atheroma and dumps its contents into the bloodstream.

When this happens, the body attempts to repair the damage of the plate, but the attempt is futile and only allows lead to ending a thrombus obstructing the artery. When this occurs in a coronary artery, we face a heart attack, if it occurs within the brain to a stroke or stroke.

Credit to: Sebastian A. Rivers of the editors of La Nacion

Vitamin C is water soluble and has a limited ability to penetrate the skin. It is also recommended that this vitamin is obtained in a formulation that contains a system for transfer to the skin as liposomes.

Panthenol
Belongs to the group of vitamin B. In the skin is converted to acid Pantene, which is part of every cell and is essential for cell metabolism. It helps the body use other vitamins and improves the body’s resistance to stress. Creams containing Panthenol provide calm and help heal skin for damage. Panthenol helps speed keratizacion the dermis and increases the level of moisture in the skin leaving skin feeling soft and supple. This is very important when resurfaces skin after exfoliating or laser treatments. It also improves cell regeneration and anti-inflammatory properties. Creams for hands and nails with panthenol to help strengthen them and feed them.

Credit to: Ruth Schierenbeck

Looking for cellulite cure?

Vitamin A (beta carotene)
The body produces vitamin A, therefore we must get in our diet. Vitamin A increases the activity of enzymes and stimulates skin cell division (regeneration of the skin), improving skin condition. Cosmetic products containing vitamin A improves skin elasticity and regenerate prematurely aged skin, contributes to a more youthful skin looking smooth and even.

Vitamin A normalizes the skin keratizacion (cell renewal), this is the process that works against dry skin. This makes it very effective to improve conditions such as psoriasis, eczema and acne Vulgarities. It also improves collagen production and thus contributes to a firmer skin.

Vitamin E (tocopherol)
Vitamin E is a key component in the structure of the body’s cells and helps improve the immune system which prevents cell degeneration. Vitamin E in cosmetic creams increases microcirculation of the skin (the blood flowed) ensuring better nutrition to improve tissue elasticity of the skin and reducing wrinkles.

The external application of vitamin E help to inhibit inflammation and to heal the scars. These anti-inflammatory properties help the skin to its natural regenerative process. It is especially useful to reduce scarring after surgery or in cases of acne. This also provides a natural protection against ultra violet rays and their negative effects.

Credit to:  Ruth Schierenbeck

But before hiring a policy or insurance you must know what they are and what types of insurance and services are covered. Also, you should know and consider the service that might interest you most and the type of policy you think you can fit more to your profile.  Each company offers different types of insurance and each covers different needs, so you must know what each one and what needs covered.

There is a certain type of medical chart, which is full insurance where the insured chooses in the list of clinics arranged by the company, the type of insurance is more complete and effective.

Another type of insurance, also very common is mixed, which is that the insured engaged a number of minimum requirements and exceeds everything there, must be paid. This service is especially useful if the user knows the services to be used more. These are just some of the two models of health insurance market, although there are many more policies and insurance as that will make your life easier.

The main advice we can give when you go to choose a health insurance is that you believe in the choice you’ve made and trust services for your insurance company.
Credit to: Babilon in Health

Venous thrombosis is favored by three factors that were identified by Virchow in the last century:

1. venous stasis: produced by congestive heart failure, venous insufficiency, limb immobilization, bed rest, obesity, pregnancy;
2. intimal damage from trauma, burns, local surgery, infections;
3. increased coagulability: postpartum period, major surgery, cancer, contraceptive use, polycythemia vera, hypercoagulability syndromes (deficiency of protein C and S, and antithrombin III, resistance to activated protein C, antiphospholipid syndrome and hyperhomocysteinemia).

Pathophysiology
The effects of pulmonary embolism are primarily respiratory and hemodynamic.
Respiratory effects. The main consequences of acute respiratory embolism are fourfold increase in alveolar dead space, bronchoconstriction, tachypnea and hypoxemia. More lately may have regional loss of surfactant and pulmonary infarction.

The immediate consequence of arterial occlusion is an increase in alveolar dead space as continuously ventilated alveoli without perfusion. If the occlusion is not complete, there will be insufficient perfusion for the degree of ventilation, creating an area in which the relationship V / Q is high. Neither alterations cause hypoxemia. Another constant is change very tachypnea, with a slight increase in tidal volume, probably due to stimulation of J receptors altered land, producing hyperventilation, with mild or moderate fall in PaCO2.

It is common but not constant, the presence of hypoxia, which is attributed to several mechanisms:

1. excess alveolar perfusion territories unaffected by shunting of blood from occluded areas. This mechanism determines the appearance of areas with V / Q low and becomes more significant if the lung was not damaged by the stroke has damaged;
2. reduced cardiac output due to right heart failure, which increases peripheral oxygen extraction decreases the O2 content of venous blood returning to the lung and magnifies the effect of areas with V / Q low;
3. intra-or extrapulmonary shunt frequently observed and due to edema, alveolar collapse or opening of the foramen ovale, by increased right atrial pressure, with anatomic shunt from right to left. This latter phenomenon is only active when there is high pulmonary hypertension.

Hemodynamic effects. The mechanical reduction of mild to moderate vascular bed does not significantly modify the resistance of the pulmonary circuit, but when it exceeds 50% there is a sudden increase in resistance and pressure. When mechanical plunger factor plus vasoconstrictor effect of amines released by the platelet thrombus. If the blockage exceeds 60 to 75% of the pulmonary circulation, pulmonary heart elicits a sharp, sudden decrease in cardiac output. In this case the pulmonary circuit pressure longer reflects the magnitude of the embolic event, because the fall in cardiac output is accompanied by a reduction in pulmonary artery pressure. The increased afterload of the right ventricle increases its requirement of O2, which is critically dependent on coronary perfusion. Therefore, if spending is reduced systemic right ventricular ischemia may occur, the greater drop in spending and arrhythmias.