Thursday, October 28, 2010

Multiple choice question help please

Multiple choice question help please?
A patient with type 2 diabetes mellitus, hypertension and gastroesophageal reflux disease is more at risk for drug reactions because of? A. multiple drug intake B. increased gastrointestinal peristalsis C. consumption of too much water D. hypertension, which effects nutrient absorption
Medicine - 3 Answers
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A
2 :
to the what now?
3 :
A.-right answer B-wat does that have to do with drug reactions C-look at it and tell its wrong D-Could be right because the hypertension could affect the way the drugs have on the body






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Sunday, October 24, 2010

Green Tea, Coffee, and Wine

Green Tea, Coffee, and Wine?
Is too much of these for long periods of time beneficial? Green Tea Benefits: Lower Cancer Risk: breast, lung, colon, prostate, cervical, ovarian, mesothelioma, esophageal, stomach. Prevent Heart Disease: lowers cholesterol, prevents artery blockages, lowers blood pressure. Speed Up Weight Loss: fat blocker, boost metabolism, increase endurance, anti-fatigue. Protect Brain Function: memory, stroke, Alzheimer's, Parkinsons. Defend Immune System: flu, salmonella, common cold, HIV-AIDS. More Health Conditions Improved: including anti-aging, acne, allergies, body odor, sleep apnea, osteoporosis. Coffee Benefits: Coffee appears to reduce the risk of Alzheimer's disease, Parkinson's disease, heart disease, diabetes mellitus type 2, cirrhosis of the liver, and gout. Wine Benefits: According Researcher Serge Renaud and his colleagues from the University of Bordeaux, moderate wine consumption reduces death rate because of all causes by 30%. Heart related death rates can decrease by 35%. Cancer related deaths can be reduced by 18-24% by wine. Researchers at the University Hospital of Zurich, Switzerland have found out how wine reduces the risks of strokes. According to researchers Dr. Wilhelm Vetter and his colleagues, alcohol present in the wine is beneficial when taken during meal time. It reduces the growth of pathways to the heart called arteries by 20%. Growth in the size of these pathways can cause heart attacks and strokes. A similar study on the same topic by Israeli researcher Fuhrman and his colleagues found that drinking red wine along with meal reduces a harmful substance called LDL cholesterol by 20%. Rise in this substance indicate higher fat levels in the body. A Dutch study reports that the same practice of drinking red wine along with meals stops clotting of blood in the pathways to the heart. Researcher Gary Curhan and his colleagues from Harvard University conducted a study on 81,000 nurses. They wanted to know the impact of different beverages like tea, coffee, fruit juices, wine, water etc on their health. Out of the 17 beverages included in the study, wine was found to reduce the risk of kidney stone formation by 50%. This finding was again confirmed by researcher Curhan and colleagues in 1996 when they found that wine consumption reduces the risks of kidney stone formation by 39%. A 16 years of research study by Dutch researcher Dr. Thomas Truelsen of Copen-hagen University Hospital, reports that moderate consumption of wine reduces the risks of strokes. Research study on wine in Italy concluded that light to moderate wine consumption do not allow the build up of fats in the pathways of heart. A team of researchers from the University of Illinois has found that a compound called resveratrol can stop the growth of cancer cells in humans. Would having all three of these daily for a long period of time be triple beneficial or would the combination not mix well and be worse for you?
Other - Food & Drink - 5 Answers
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could be
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Too much coffee is not good in my opinion, green tea is much better. Coffee dosn't have that many benefits anyway. Too much wine is not too good either, but one cup a day might be okay.
3 :
Taken in moderation there is no reason why these three substances cannot be of benefit in providing health benefits to many people.They might prove especially beneficial to people who already know that there is a family proclivity for certain medical conditions. They are counter-indicated in some conditions, however, and their side effects must be considered. Green tea (black tea as well since it is just an older version of the same tea leaf) can be beneficial.not only for the antioxidant benefit but also for its effect on ROS (reactive oxygen species) and nitric oxide. Remember, however, that caffeine is also present so in effect you will be getting the "coffee" benefits as well as the polyphenol benefits. http://parkinsonsfocustoday.blogspot.com/2009/08/is-it-true-what-they-say-about-black.html The Hawaii study has already demonstrated the long term benefits of moderate caffeine intake in men to at least delay onset of Parkinson's disease and possibly act as a preventative. http://parkinsonsfocustoday.blogspot.com/2010/10/glutamate-caffeine-gene-and-world.html Keep in mind that overindulgence may work in opposition to the protection offered by caffeine especially women/ http://parkinsonsfocustoday.blogspot.com/2008/11/coffeetea-or-me-parkinsons-patient.html It is important to understand that the benefits of reservatrol may be offset by the fact that it is a blood thinner as well as a polyphenol; therefore existing medical conditions must be considered. Muscadine grape seed has high levels of reservatrol which is one of compounds in red wine which is believed to reduce the risk of abnormal cell growth. While there is an overlap in some of the neuroprotection offered by green tea, caffeine and red wine, there is enough difference to suggest that judicious inclusion of all three is a regular diet can be beneficial. The interesting thing is that the benefits may never be seen. By observing one individual - in many cases yourself - It is difficult to see what does not present itself. That is why studies are so important. In a large study there will be the expectation that a certain percent of the participants will develop a medical condition. If the percentages do not correlate at the end of the study, there seems to be an indication that there has been an influencing effect. Again, in moderation, there could be significant benefit. Caffeine is not found in just coffee or tea. It would be wise to avoid soda/pop carbonated drinks which can contain caffeine but a reasonable amount of dark chocolate might be a fine substitute. What this does not suggest is that you can increase your consumption of foods which are known to contain excess amounts of harmful fats. http://www.americanheart.org/downloadable/heart/1232489114784Fats%20%20beneficial%20vs%20harmful.pdf
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Chronic Kidney Disease The kidneys also produce hormones responsible for controlling blood pressure and the production and release of red blood cells by the bone marrow, which prevents anemia. The blood reaches the kidneys via the renal arteries that within the kidney are divided into smaller and smaller vessels until they form meandering of fine vases which are the glomeruli.
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Based on much research available on the www and on >50 links to university, health and government, including the USDA, all put together on res-juventa. com, I think the answer to your question is Yes, it must be beneficial and the combination of them should not be harmful. Moreover, based on the cited research a good natural, (Spanish) grape based resveratrol product, made from the pulp, the seeds, the skin and the stem of the (Spanish) grapes - which contain trans- and cis-resveratrol, catechin, gallic acid, quercetin, pterostilbene, malvidin, peonidin, petunidin, delhpinidin and cyanidin - such as res-juventa and others, may actually, in single product, address all areas of concern mentioned by you. Some of the research is still in a relatively early stage and I would therefore not (yet) recommend synthetic, high dose (1000mg and more) products. But as long as you stay with a natural, FDA monitored product (look for a FDA registration number on the label; not the product is tested, as FDA does not directly test dietary supplements, but the import and the labeling are monitored) in a range of 350 - 500 mg, it seems to be o.k. This provides all the benefits of a bottle of wine or two a day, without any of the potentially negative effects of alcohol.






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Wednesday, October 20, 2010

A little help for my Biology final review? (10th grade)

A little help for my Biology final review? (10th grade)?
the review has 100 questions but i just can't manage to find these few! any help, even if it's just one question would be greatly appreciated. if you're not 100% sure please don't put it, and the shorter the better! haha thanks so much :) 1.)if the original DNA strand is CGTAGC, what is the new strand after replication? 2.) How can medical conditions (diabetes mellitus type I, heart attack, hemophilia) be treated through genetic engineering? 3.) what is required to keep natural selection in order? 4.)what does natural selection act upon genotypes or phenotypes? 5.) what influenced beak shape in finches on the galapagos? 6.) identify the biomes by characteristic plants and animals and climate 7.) name at least three examples of evidence for evolution 8) what has sped up the extinction of species? thanks so much! :)
Primary & Secondary Education - 1 Answers
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1. gcatcg




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Saturday, October 16, 2010

How to overcome low blood sugar

How to overcome low blood sugar?
I am Avinash Sutar, 45 (height 5’5”, weight 72 kg), suffering from Diabetes Type 2 Mellitus since 5 years. Lately, daily I’ve been suffering from low blood sugar (Hypoglycemia) in the evening at about 7-8am. I take Glimer 1mg half in the morning, Glucobay 25mg during lunch/dinner and Glyciphage 500mg during lunch/dinner. I also take Losar 50 which is prescribed by doctors for maintaining blood pressure, which is between 90/160. What is the reason for this low blood sugar? I feel symptoms of it such as dizziness, headache. What should I do to overcome this?
Diabetes - 3 Answers
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it mean u are not eating right u have to eat 3 meals a day + fruits and if u are having lows u need to get in touch with ur doctor to cut back on ur tables also take some thing with sugar in it to bring u back up i also take glucophage 1000 twice a day with other tables and some time they make me low so low i some time go to sleep other time i feel so drunk i can nt walk also get pain in head or get very cold over my back when low ,or if low when a sleep if feel if im falling off a hight rock
2 :
One thing is your Blood pressure is way High. Start on a low glcemic index diet. Too many carbs can send you high then you may crash to low glucose levels. Heres what I would do. Start to exercise daily. It will lower glucose level, lower Blood Pressure and also Cholesterol. A great Glycemic Index diet is :http://www.mendosa.com/gilists.htm This table includes the glycemic index and glycemic load of more than 2,480 individual food items. Not all of them, however, are available in the United States. They represent a true international effort of testing around the world. The glycemic index (GI) is a numerical system of measuring how much of a rise in circulating blood sugar a carbohydrate triggers–the higher the number, the greater the blood sugar response. So a low GI food will cause a small rise, while a high GI food will trigger a dramatic spike. A list of carbohydrates with their glycemic values is shown below. A GI is 70 or more is high, a GI of 56 to 69 inclusive is medium, and a GI of 55 or less is low. The glycemic load (GL) is a relatively new way to assess the impact of carbohydrate consumption that takes the glycemic index into account, but gives a fuller picture than does glycemic index alone. A GI value tells you only how rapidly a particular carbohydrate turns into sugar. It doesn't tell you how much of that carbohydrate is in a serving of a particular food. You need to know both things to understand a food's effect on blood sugar. That is where glycemic load comes in. The carbohydrate in watermelon, for example, has a high GI. But there isn't a lot of it, so watermelon's glycemic load is relatively low. A GL of 20 or more is high, a GL of 11 to 19 inclusive is medium, and a GL of 10 or less is low. Foods that have a low GL almost always have a low GI. Foods with an intermediate or high GL range from very low to very high GI. Both GI and GL are listed here. The GI is of foods based on the glucose index–where glucose is set to equal 100. The other is the glycemic load, which is the glycemic index divided by 100 multiplied by its available carbohydrate content (i.e. carbohydrates minus fiber) in grams. (The "Serve size (g)" column is the serving size in grams for calculating the glycemic load; for simplicity of presentation I have left out an intermediate column that shows the available carbohydrates in the stated serving sizes.) Take, watermelon as an example of calculating glycemic load. Its glycemic index is pretty high, about 72. According to the calculations by the people at the University of Sydney's Human Nutrition Unit, in a serving of 120 grams it has 6 grams of available carbohydrate per serving, so its glycemic load is pretty low, 72/100*6=4.32, rounded to 4. Also try 5 or 6 very small meals a day. Good luck Tin
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Your Body Mass Index of 26.5 kg/M2 is higher than ideal for your ethnicity. You are taking glimiperide 1 mg 1/2 tablet each morning, and metformin hydrochloride (Glucophage) 500 mg with lunch and dinner. You are taking losartan potassium for hypertension. I am not familiar with 'glucobay' and it would be helpful if you would send me the generic or chemical name. If you are experiencing hypoglycemic episodes (which may include the symptoms of dizziness and headache) then the dosage of your diabetes medications must be reduced. Since you are on such a low dosage of glimiperide that may be the place to start. It is my believe that oral sulfonylureics such as glimiperide are self-defeating. These drugs lead to an increased apoptosis (cell death) of the beta (insulin producing) cells of the pancreas and in theory lead to premature pancreatic beta cell failure committing a person to insulin. Your blood pressure reading is not at all clear. It sounds as if you are stating that your blood pressure varies from 90 to 160 mm Hg. I must assume that this is your systolic blood pressure. A 70 mm Hg variation during the course of a day or across several days would not be theoretically possible. The largest swings in blood pressure reported in more than 200 published trials of 24 hour monitoring of blood pressure has been a variance of 50 mm Hg. You may wish to clarify your blood pressure readings with both the systolic and diastolic numbers and if you send them to me I will be happy to respond. If I may be of further assistance please let me know. I wish you the very best of health and in all things may God bless. JR






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Tuesday, October 12, 2010

What is the reason for the volatility of blood sugar

What is the reason for the volatility of blood sugar?
I am Avinash Sutar, 45 (height 5’5�, weight 72 kg), suffering from Diabetes Type 2 Mellitus since 5 years. Last month, I was taking medicines Glucobay 50mg during lunch/dinner and Glyciphage 500mg during lunch/dinner. At that time, when I checked, I found out that my blood sugar was 258 at fasting and 375 after meals. Then I consulted a doctor who advised me to take Glimer 1mg in the morning. Suddenly after 15 days, my blood sugar was found to be 56 at fasting and 158 after meals. Then I consulted the same endocrinologist who then advised me to take half Glimer tablet that is 0.5mg. My blood pressure was also high (91-170), so I was also advised to take Losar 50 and Glucobay 25mg instead of 50mg during lunch/dinner and also to take Glyciphage 500mg after lunch/dinner. After a week, I checked my blood sugar and it was found to be 145 at fasting and 162 at meals. But I was feeling the symptoms of low blood sugar (Hypoglycaemia) at that same day so I decided to check blood sugar at about 10PM and it was found to be 48. What is the reason for this volatility of blood sugar?
Diabetes - 3 Answers
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How active / inactive are you? Your metabolic rate can effect how the glucose is either stored or used in your system.
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You have two sides to the blood sugar situation. The liver, which contains a large store of glucose and the pancreas which secretes insulin so the muscles can use the glucose. If the insulin side of the equation is not working correctly you can end up with wild swings. If the body has become insulin resistant or the pancreas just is not working well anymore there can be a problem. The muscles start screaming they need more sugar and the liver obliges them by dumping glucose. Since there is not enough insulin to move the sugar to the muscles the sugar stays in the blood. The muscles say they need more sugar. Once again the live obliges ... the sugar in the blood goes higher. If because of medication or exercise all of a sudden the there is more insulin available or it is easy for the body to use, then the sugar can drop quickly.
3 :
You really need to consult with a diabetes dietitian to help you with your food intake and help with carb control. It wouldn't hurt to get a second opinion either. This is just too extreme to try and discuss in here.





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Friday, October 8, 2010

Help with ICD 9 codes

Help with ICD 9 codes?
I am trying to find the ICD 9 codes for these questions. Could anyone please help? 1. Malignant hypertension with cardiovascular renal disease and congestive heart failure 2. Malignant hypertension with cerebrovascular disease with occlusion of the cerebral arteries 3. Pregnant patient with diabetes mellitus, Type 1, out of control and in comma, undelivered
Homework Help - 3 Answers
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Quick go get your ICD Code book because I forgot to memorize mine.
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hang on and i'll look up exact codes for u look up disease..then u will go to 404... it will be 404.01...because of the heart failure..... you do the same with the rest.
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You may be able to find the answers here: http://icd9cm.chrisendres.com/






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Monday, October 4, 2010

How is diabetes mellitus a risk factor for developing atheroma

How is diabetes mellitus a risk factor for developing atheroma?
I can understand that badly controlled blood glucose levels may lead to damage to walls of blood vessels, hence making them more susceptible to developing atheroma, but is simply having Type 1 and Type 2 a risk factor to atheroma when blood sugar levels are near perfectly controlled?
Heart Diseases - 0 Answers
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visit http://cme.medscape.com/viewarticle/419012







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Friday, October 1, 2010

What is the healing power of roselle flower tea

What is the healing power of roselle flower tea?
Is it true that roselle flower tea can cure diabetes mellitus type 2
Alternative Medicine - 2 Answers
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I've actually never heard of roselle flower tea, but I can tell you with 100% certainty that it doesn't cure DM2. The reason I can say this is because if it did, I would have heard of it, every doctor in the world would be using it, and we would have an exciting and important weapon in the fight against the scourge of DM2, which is nearly epidemic in some countries and ethnic groups. It's not that it isn't plausible. It is possible that there is a "natural" chemical in some plant somewhere in the world that is a cure for DM2. It's just that there is no reason to think that roselle tea is that plant. DM2 however, can be well controlled with diet and lifestyle modification enough to consider it "cured". Now, if you adopt drinking a "special" tea that has been recommended by a good friend, (or more bizarrely by internet strangers) as part of a general wellness program I can see how someone could incorrectly attribute the power to a magic tea, if you are inclined to believe those sorts of claims. EDIT Tony I An apparent believer of Altie myth #3, "herbal products can't be patented, drug companies suppress them because theres' no money to be made and MD's are in the business of keeping people sick" Except..somebody sells it to make money already and if it actually worked there is a fortune to be made by Big Herba. They could crush "Big Pharma" You didn't provide any evidence that roselle flower tea, by that name or any other, "cures" diabetes. You mentioned several other things that may help...that's great. In fact, here's a more recent reference supporting chromium in DM as yours is a decade old. http://www.ncbi.nlm.nih.gov/pubmed/17109600 Nobody is denying that there may be "natural" things that work as well or better than standard care. Re-read my first paragraph. The evidence is not as great for most of them as you seem to think it is however. Your last paragraph negated any credibility you think you have.
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I seriously doubt that roselle flower tea can cure type 2 diabetes, and I am not sure that anything can completely cure it. However, I do not doubt that roselle flower tea might be beneficial as it has been used as a traditional medicine for ages. I am surprise that SkepDoc has not heard of it. Roselle Flower Tree (Hibiscus sabdariffa) is a species of Hibiscus also commonly known as Florida cranberry, Indian sorre and Jamaican sorrel. It's berries are similar to cranberries, but not quite as tart and it has a long history of being used as a traditional medicine. This history would appear to be backed up by at least one PubMed study (http://www.ncbi.nlm.nih.gov/pubmed/16858935). Skepdoc is quite correct in saying that lifestyle and dietary changes can help control type 2 diabetes. So can many other natural items. The following is excerpted from an article I wrote a few week ago for Diabetes month: Natural Remedies for Diabetes: In addition to sensible dieting and physical activities, the following have all shown the ability to help with diabetes: * Iodine - Iodine is a key element in fighting diabetes because it helps regulate the thyroid and is essential for a healthy liver, gallbladder, pancreas, spleens and more. • GTF Chromium (Glucose Transport Factor Chromium) - Glucose transport is the primary role of insulin and chromium's main function is increasing insulin's efficiency in regulating blood sugar levels. In one study of 180 men and women with Type II diabetes, researchers divided the subjects into three groups, each receiving twice daily doses of either 200 mcg or 500 mcg of chromium or a placebo. The patients were allowed to continue with their usual diet and medications. At the end of two months, those who took 1,000 mcg of chromium daily showed significant improvement in insulin response, the number if insulin receptors, and levels of blood lipids (fats and cholesterol)0. It took four months the group taking 400 mcg chromium daily to improve as much as the higher dosage group. However, all the patients taking chromium showed measurable improvement in their diabetes-related symptoms Source: "Chromium in the Prevention and Control of Diabetes" by Richard A. Anderson, PhD, Journal of the American College of Nutrition, 1998 • Pycnogenol - Pycnogenol is a powerful antioxidant derived from French maritime pine tree bark and the subject of more than 180 studies over 35 years which has been shown to reduce high blood pressure, LDL cholesterol and blood glucose without affecting insulin levels. Of particular note is its ability to reduce leakage into the retina by repairing capillaries in the eyes. While still largely unknown to American doctors, Pycnogenol is the leading prescription for diabetic retinopathy in France. • "Oleander Extract" - A carefully prepared aqueous extract of the oleander plant made according to the directions in the book "Cancer's Natural Enemy" by Tony M. Isaacs or available in essentially the same form as Sutherlandia OPC (which also contains 20% Sutherlandia frutescens, the famed "South Africa Cancer Bush") online at http://www.sutherlandia.opc . Diabetics who have used this remedy report being able to either reduce or eliminate medications altogether, often being able to control their diabetes with diet alone. Note: Oleander is highly toxic in raw form, but safe when boiled and strained according to the directions in the book. • Bitter Guord - Make a watery juice of a small Bitter Guord (remove seeds) and drink every morning. Bitter Guord also helps to clear pimples and maintain a good skin, and is good for de-worming the intestines. • Cayenne Pepper - Cayenne Pepper is hypo-glycemic, which means it lowers blood sugar levels. It also relieves diabetic complications like nerve damage and heart disease • Gymnema Sylvestre - Is a plant that grows in the tropical forests of central and southern India and in parts of Africa. Herbalists in India have used the leaves of this long, slender plant as a treatment for diabetes for more than 2,000 years. The Hindu word "gumar," which means "sugar destroyer," describes the primary use of the herb in traditional Indian medicine. So strong is this herb that powered gymnema root has also been used to treat snake bites, constipation, stomach complaints, water retention, and liver disease. Doctors in India note that Gymnema Sylvestre is used in the treatment of diabetes mellitus and in food additives against obesity and caries. • Prickly Pear Cactus (Nopal) - Prickly pear could reduce blood sugar rises after a meal by up to 50 per cent according to a recent study. Prickly pear cactus is widely used to control blood sugar and diabetes and the cactus pads are consumed regularly in Mexico,. • Blackseed Oil (Nigella Sativa) - Also called black cumin seed (be sure that it is Nigella sativa regardless of what it is referred to as). Blackseed oil is legendary for its medi As a final note: I have to laugh when I hear a mainstreamer say that if something were a cure or were even greatly effective that mainstream medicine would be all over it. Mainstream medicine is ONLY all over something it can patent, and a natural plant does not qualify. I ask, what exactly has mainstream medicine cured for the past half century? A patient cured is a patient lost, thus it is far more profitable to manage symptoms with unnatural drugs that have side effects that lead to other conditions requiring still more drugs in a never ending cycle - and that is exactly what we have from mainstream medicine.






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