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Male infertility : An overview of the causesWhy men shy away from infertility tests? However, it is ideal for both the man and woman of a relationship to get infertility tests done. This would not only avoid unnecessary tests and expenditure later and could also result in prompt medical treatment of the problem. Following an appointment with a urologist/andrologist, the patient is instructed to provide a semen sample for analysis of the quantity and quality of the sperms in the semen. An additional semen test might be recommended for confirmation of the initial results. The semen analysis is an effective method of knowing what is going wrong in the reproductive system : No-sperm count (azoospermia) - Absence of production of sperms or the non-appearance of sperms in the semen. Sperm Morphology Issues - Issues related to the structure and form of the sperm. Low-Semen Production (oligospermia) - Production of low amount of sperms. Sperm Motility Problems - Abnormal movement of sperms resulting in incapacity to fertilize egg. Did you know that use of laptops placed on your thighs can result in increase of scrotal temperature? This could lead to abnormality with sperm production. Thus, using laptops is best when they are located on table or desks, away from constant contact with your genital region. There could also be a primary medical condition, the symptom of which could be manifested reproductively. The physician will suggest blood and urine tests, among others, for the same. There can be 10 major causes of male infertility : Semen : Semen refers to the ejaculated fluid containing sperms during sexual intercourse. There could be low or no count of sperm. It is also possible that the mobility of sperm is restricted. Sterilization : The cutting and sealing off the vas deferens (the tubes which carry the sperms from testicles to the semen) ensuring that your semen does not contain sperms is known as vasectomy. Though this process can be reversed, they are mostly not fruitful. Lack of sperms : Even though the testicles are producing quality sperms, it is possible that they do not reach the semen. The lack of sperms in the semen is medically known as obstructive azoospermia. Such a condition could be caused due to the blocking in one of the constitutive tubes of the reproductive system. This could be further resulting from an infection or a previous surgery. Ejaculation issues : Some men might find it challenging to ejaculate normally due to retrograde (ejaculation of semen into bladder) or premature (ejaculation in very short period of sexual activity) ejaculation. Medicine and drugs : Certain medications have been found to catalyze the onset of infertility. These include sulfasalazine, chemotherapy, anabolic steroids, and herbal remedies (for instance, the consumption of root derivates of Tripterygium wilfordii). The quality of semen can also be negatively affected by illegal drugs like cocaine and marijuana. Testicles : The function of production and storage of the semen lies with the testicles. In case of injury to them, the quality of the semen could be negatively affected. Causes of injury to testicles include a congenital defect, testicular infection, physical trauma, testicular surgery or cancer and undescended testicles (case where one or both of the testicles do not descend into the scrotum). Hypogonadism : This refers to the presence of a very low level of testosterone (male sexual hormone) which plays a major role in production of sperms. This could be due to tumors, Klinefelter's syndrome, or consumption of illegal drugs. Sexually transmitted diseases (STDs) : A series of sexually transmitted illnesses can result in male infertility, for example, chlamydia. Alcohol and weight : Consumption of over 3 to 4 units of alcohol per day can result in infertility in men. Both men and women are affected adversely due to obesity. Occupational factors and stress : Contact with certain types of pesticides, solvents, and metals can result in deterioration of sperm quality. Stress has also been associated with the loss of sexual drive resulting in lesser instances of sexual intercourse. Moreover, in case of severe stress, sperm production can be unfavorably affected.
Preparing for fatherhoodFrom the time you decide to go for a baby, all the attention is concentrated on the mother-to-be. And this is not without reason, since she is the one that's going to bear the child for the next nine months. But that doesn't mean that the man's role is any less important. It is important for the father-to-be to ready himself for the next phase of his life. Following a healthy lifestyle Fertility is a growing problem. As per statistics more than 45% of infertility issues are related to men. Therefore, eating healthy food, exercising and living the healthy way will boost your chances of getting over these problems. Nutrition has an impact on the sperm production. So scrap the junk food for a while and get on to a healthy lifestyle. Men need to get at least 12 to 15 mg of zinc each day. Even short-term zinc deficiencies can reduce semen volume and testosterone levels, much needed for healthy sperms. Good sources of zinc include baked beans (a one-cup serving has 3.55 mg), nuts, cereals, seafood, and chicken meat (2.38 mg per three ounces). Regular intake of vitamins and calcium is a must to improve male fertility and prevent sperm defects. Natural sources of calcium such as fat-free milk and curd can be consumed. Get atleast 90mg of vitamin C daily. This boosts immunity. More will be needed if you smoke. Folic acid is a fuel for healthy sperms. Dads need 400 micrograms of it and green leafy vegetables are good sources of this nutrient. Dads-to-be can take the liberty to grab the extra cup of mocha. Caffeine may help men by stimulating sperm motility. Quit smoking and drinking The party's over for your partner once you start trying for a baby, but what about you? Same goes for men. Now is the time to stop smoking, and to stop any excessive consumption of alcohol. A man who smokes has a lower sperm count and a misshapen sperm, incapable of creating a child. Heavy or binge drinking can seriously affect ability to produce quality sperm. Exercise Add exercise session to your daily routine if you aren't doing them already. Exercise improves general health, stamina, and sperm quality. Start with walking for 15 minutes and increase it gradually if you have never exercised before. If you are trying for a baby, avoid exercising in tight-fitting briefs. It causes damage to sperms. Frequent sessions in a sauna or hot tub, long bicycle rides, or any such activity that could cause the testicles to become overheated can compromise the health of sperm and should be avoided. Medical examinations It is a good idea for the father-to-be to have a complete check-up to assess if there are any issues that need to be addressed before trying for a baby. Some conditions to watch out for include: Varicocele, a condition of varicose veins on the scrotum, the sac of skin that contains the testicles. It can lead to infertility. The condition is entirely treatable, so talk to your doctor about the options. Conditions like erectile dysfunction, diabetes, and prostatitis can cause infertility. Sexually transmitted infections, which may cause male infertility. Your doctor can help you get tested and treated. Your doctor can refer you to urologist or a male fertility specialist if you need additional testing or treatments. Remember to discuss possible hereditary birth defects with your doctor. Share with her the medical history of yours and your wife's family. Get finances organized Plan a baby budget. You surely want to give the best to your child. Start planning now. Consider expenses like baby food, diapers, toys, doctor visits, clothes, and day care. This will help you in the future. And this is the perfect time as you are just in the planning phase of baby making. Take advantage of this time before the baby arrives to get things in order concerning your job, insurance and budget plan. If you and your spouse discuss and agree on expectations, goals and strategies now, you can avoid arguments on money later. After all, you don't want baby to pick up on any tension. Dump your stress Chilling out can increase your potency. So the 'go for a holiday' advice actually works. Practise regular meditation or any exercise that will help bring down your stress levels. Try reading books on fatherhood or parenting and learn tips and advices well in advance. So gear up and start preparing for the change from being the coolest dude to the coolest dad.It is your responsibility to help your partner in all possible ways and make her feel that you are equally excited and keen for having a baby.
Perfect partners in crime - Midlife crisis and dementiaThe responses we have to common stressful events in our daily lives have a lasting impact on our brain structure. The effects of a stressful event last a very long time, though apparently we seem to have recovered from it. Researchers say that the stress hormones keep circulating in our body long after the stress has passed. According to a recent Swedish research study, our response to common life events may trigger long-lasting physiological changes in the brain. These interestingly shocking findings come from the Prospective Population Study of Women in Gothenburg, a long term study on 800 women that lasted for almost forty years. The women who were a part of this study were all born before 1930, and underwent regular neuropsychiatric tests. The study started in 1968 assessed women for any baseline stressors like workplace problems, widowhood, alcoholism and illness in the family. Women who had serious issues at the start of the study had a 21% higher risk of developing Alzheimer's Disease and 15% higher risk of developing dementia later on in life. Interestingly, having to take care of a mentally ill family member like a sibling or mother, was found to be a major cause for development of dementia later on in life. The findings of this study show that accumulated stress from common life events has severe physiological and psychological consequences. These physiological consequences include adverse effects on the central nervous, cardiovascular and endocrine and immune systems. There have been several studies that state that the effects of stressful events like earthquakes, cyclones and floods can have a lasting impact on life and often shape the person's personality. What makes this study interesting is its finding that daily stressors accumulated over a period of time and often left unresolved, have a lasting impact that shows up in later stages of life!
Pamper the newborn without forgetting yourselfIf you are a new mom, chances are you are busy 24/7. The baby's complete dependence on you helps you bond with him/her and makes you aware of the responsibility that is now on you. But, your own health is an equally important responsibility. So, you need to give yourself permission to take care, or even pamper yourself from time to time. Here are simple ways for you to look out for yourself. Eat your favorite breakfast: As your day starts, you need fuel to keep your energy levels high. So, grab your hands on healthy and tasty breakfast options like whole grain cereal, skim milk and sliced strawberries or a banana. The combination of lean protein, whole-grain foods, and nutrient-rich fruit allows the brain to form more feel-good chemicals. Don't let stress come near you: We know that a lot of changes in your life have transpired, due to the entry of a baby in your world. The difficulty to cope with the changes may cause stress and depression. Try to avoid stress by asking for your husband's and relatives' support. Take a walk with your baby: Walking with your baby in nearby parks will give you fresh air and it is an excellent form of exercise. Don't be sleep deprived: Having a baby doesn't mean that you have to always sacrifice your sleep. Never miss an opportunity to sleep or take rest. This will keep your energy levels high for the day. Sleep when your baby sleeps. Delegate baby care: Parenting is not your sole responsibility. Ask your husband to lend a hand in taking care of the baby for some time. Not just the husband, if you live in a joint family, you can ask other relatives for help as well. Don't be a multi-tasking person: We know a woman has so many roles to play. But, it doesn't always have to be that way. Being a new mom, you must focus on one activity at a time. You can prioritize your tasks, if you have a lot of things to do. Exercise regularly: Add exercise to your daily routine. Choose the exercise which you love and enjoy, like walking, cycling, yoga, swimming or aerobic dance. Consult a doctor before starting any exercise program.    
Pediatric diet formula food vs traditional foodAccording to the World Health Organisation, it is unnecessary to give your baby rice cereals at the age of four months as breast milk can provide all the nourishment a baby needs in the first year. No other solid food is required. Breast milk has all the nutrients like fats, protein, cholesterol, carbohydrates, vitamins and minerals which are required in the first year of life. According to most studies,formula foods are not the healthiest option to begin solid foods on. Doctors prefer that babies be given boiled vegetables and mashed fruits like bananas and not formula cereals that contain simple carbohydrates. It is not a good idea to give babies processed and refined foods that are found in all formula foods. Formula foods do have nutrients, but they are not as easy to absorb as nutrients from foods prepared at home. You can also ensure quality in food that is prepared at home. Formula foods cannot imitate the natural taste of foods. Babies like to choose foods according to taste just like the adults and you can give them a wide variety of choices like offering them different fruits and vegetables rather than the similar tasting formula. You will be surprised to know that mother's milk has the taste of the foods she eats and so babies develop taste for a variety and may like the insipid taste of formula. Another reason why formula foods may not work that well is that they contain cereals. However, the enzymes that are required to digest carbohydrates are not fully developed in babies until they are more almost three years old. Cereals and breads are very difficult for babies to digest. Undigested grains can throw off the balance of bacteria in the gut and this is the reason for a lot of digestive issues once they are grown up. Solids should not be introduced until six months of age, as studies now reveal that if solid foods are given early on then it increases the likelihood of allergies, especially of those foods introduced. Babies produce only few enzymes and digestive juices that are mainly required to digest protein and fats. This is because mother's milk has 50 to 60% healthy fat which is a must for the babies' mental and physical growth. Most baby infant nutritionists feel that formula feed is not a complete food. Babies will get deficiency,such as iron, as it is difficult to absorb them from formula foods. The debate continues as many feel that the marketing gimmicks are what selling these foods and not the nutritional value they provide to babies. A note of caution, excessive amount of juices are harmful for babies as these can lead to obesity.
Get the couch potato out to playKids in the modern day are increasingly getting lazier and unfit. Watching TV, playing games on consoles and smartphones, and spending time on social networks is eating into time which would otherwise be spent playing outdoors.The lack of exercise comes with a host of problems, which can affect kids in childhood or later on in life. Therefore, parents must encourage kids to exercise by being an example. However, do keep in mind that there is nothing that will bore a kid than treadmills or lifting weights. Playing sports is often the better way to go. Give aerobics a try Aerobic exercises can help kids to stay fit and also can be fun at the same time. The common perception is that aerobics involve dancing a set pattern. However, aerobics is any exercise that increases your oxygen intake. Outdoor activities can include basketball, cycling, soccer, swimming, tennis, walking or running Along with aerobics, children should also do stretching exercises, which help in improving flexibility, allowing muscles and joints to bend and move easily through their full range of motion. Getting your kids excited It is important, however, to communicate with your child the need to exercise. You could encourage them to take part in outdoor games at school as well as in the locality where you stay. You should regulate the number of hours your kid can spend in front of the TV or PC. This way she will look for means to play outside the house. You can also play with them yourself. It will be fun for the both of you, as well as helps you bond with your child. Exercising for at least an hour a day is ideal, and it broken down into chunks of 15 minutes at a time.  
Algophobia: The fear of painAlgophobia is the fear of pain:  an abnormal and consistent feeling that is far beyond what would be considered normal. The term is derived from the Greek words, Algos meaning pain and Phobos meaning fear. Our bodies are designed in a way that when there is a painful stimulus it reacts. How the body reacts to the pain is an individualistic phenomenon. Some people have a very low threshold for pain, and even the slightest pain evokes a huge response in them. Where as others can withstand a good amount of physical pain before their bodies give in. Some people dread even the tiniest amount of pain. They foresee situations that will cause pain in them. The way they react to even the smallest amount of pain is far more than the normal level of acceptance. Such people are said to be suffering from Algophobia. Algophobia is a learned behaviour, say behavioral psychologists. For example you may have heard from several people how hitting your shin on the furniture in the dark is the worst possible pain ever. So you tend to keep a watch and if it is dark, you move around extra-carefully to avoid bumping into the furniture and getting hurt. This would be considered normal, cautious behaviour. But if the same thought keeps buzzing in your head continuously and you go to extreme lengths to avoid that pain, you could be algophobic. Old people are the ones who have excessive fear. The age factor along with fear of death plays a vital role in old people developing this fear. For example an old lady may hear about all the ailments and pains that afflict old age people and may become apprehensive about it. She may develop irrational fears that more often than not, are also imaginary. She may start experiencing the pains even before anything actually happens to her. It may seem unrealistic to a normal person, but for algophobics pain can be a severely dreaded thing. Therefore they will go to great lengths to avoid pain at all levels, including day-to-day activities. They will not go into the dark, handle tools, avoid lifting heavy objects or even avoid playing any type of contact sports. If a task has a scope for injury and pain, they will avoid it! Frequently a pathological complaint of Hyperalgesia occurs along with algophobia. Hyperalgesia is a condition of increased sensitivity to pain due to damage to the peripheral nerves and pain receptors. Pain in such cases may be directly in the damaged tissues or in the surrounding areas. An interesting fact is that hyperalgesia can occur due to long term use of painkillers especially strong ones like opium and its derivatives. Algophobia is treated with behavioural therapy, psychotherapy and anti-anxiety medications. Hypnotherapy also has shown beneficial effects.  
Anxious about anxiety?Anxiety disorder is a term that almost everyone has heard and experienced in some form or the other. It is a generic term used to describe different forms of a mental disorder wherein those afflicted show typical characteristics of great apprehension, fear and trepidation. The symptoms, of course, vary depending on the severity of the affliction. So you can have 'anxious moments' when you narrowly escape an accident while driving - that's temporary and natural, while some others might have chronic anxiety which might need medical aid. Types of anxiety disorders Generalized anxiety disorder: There is no specific reason for the symptoms of anxiety i.e. restlessness, apprehension, worry, and panic. Thus the term general anxiety disorder (GAD) is any irrational worry which is disproportionate to the source of anxiety. GAD is a state of perpetual irrational and persistent fear which absorbs a person's time or can disrupt his normal functioning. The symptoms of GAD are light headedness, sweating, difficulty breathing, nausea, and numbness. Phobias: Phobias are an irrational morbid fear for certain things or objects. The list of phobias is exhausting as it is anything that a human being is capable of being afraid of. Thus you have arachnophobia which is the fear of spiders, homophobia, which is the fear of homosexual people orxenophobia,the fear of foreigners. Phobias can completely paralyze and terrorize a person and is a form of anxiety disorder. Obsessive compulsive disorder: This is the classic loop where a person is afraid of certain situations arising constantly and thus takes precautionary measures to ensure that it won't. Only thing is that this turns in to a compulsive ritual which can throw her in a loop. Thus a person can be said to have OCD if she persistently checks to see if the gas valve is off as she has a fear that she will set fire to her home. It is a particularly distressful anxiety disorder. Post-traumatic stress disorder: This is anxiety arising out of a traumatic incident which the person undergoes. It could be a horrific accident or an extremely brutal incident which the person has witnessed. The trauma is revisited again and again in the mind and manifests as anxiety. This disorder is based on real events that the person has experienced or undergone and can take a long time to heal. Panic disorder: This is characterized by panic attacks or episodes where great terror or discomfort is experienced. It is a very unsettling experience as the patient feels he is about to go unhinged or something dangerous or embarrassing is going to happen to him. Thus the sensation or feelings of panic build up and reach a crescendo resulting in a panic attack. Sometimes in a panic attack, the patient's reality and perceptions are distorted and blurred and can thus put him in danger. According to the National Institute of Mental Health there could be a number of reasons for anxiety disorders. They vary from early childhood environment to lifestyle causes, heredity and even environment.    
10 Makeup myths bustedMyth 1: You do not need Primers if you have evenly applied foundation and moisturized your skin well. Fact: Primers are basically used to fill your fine lines, reduce the visibility of your pores and keep your foundation looking fresh and radiant, for longer. With age, your skin develops its natural flaws and the use of primers becomes mandatory. For best results, use your primer after moisturizing your facial skin and before applying your foundation. Myth 2: Red Lipstick does not look good on everyone. Fact: Generally, red can look good on everyone. The trick is to find the right shade of red that suits  your particular skin tone. However, to play it safe you may start using red lip colors with blue undertones, as they look good almost on everyone. But remember, learning to apply lipstick the right way, is just as important for the right effect. With just a little patience and practice, you can surely achieve those red hot lips, you've always dreamt of. Myth 3: Foundation should match your cheek, hand, neck or forehead. Fact: Getting the perfect shade of foundation is one of the toughest tasks, while choosing your makeup products. Your facial skin is much lighter than your hands; yet at the same time, it's a tad bit darker on the sides and forehead. Hence, the best way to select a foundation is to check the stripes on your jawline. But, always remember to step out into the natural light while making this crucial decision. Myth 4: You can change the lip-size using lip plumper. Fact: Ok Ladies, a lip plumper will definitely not change the size of your lips. The way they work is that they give your lips a swollen appearance, by stimulating the blood flow and irritating the lips. The main ingredients in a lip plumper are hot pepper, menthol, caffeine and cinnamon which results in the temporary pronounced pout, which soon wears off. Myth 5: Pumping the Mascara eliminates Clumps. Fact: If you pump your mascara tube, you're actually pumping in more air, due to which the mascara solution dries out quickly and allows germs to breed in your mascara. The best way to eliminate clumps is to rotate the brush inside the mascara tube and then wipe it down with a tissue, before application. Myth 6: Never wear an eye shadow matching the color of your eyes. Fact: It is true that if you use contrasting colors, your eyes will pop and look bolder. However, this does not mean that if you have brown eyes, you avoid your favorite brown eye shadow. Myth 7: Choose a concealer that is lighter than the foundation. Fact: Every woman has a different skin tone and depending upon your skin tone, you might need more or less, foundation coverage. So, it is always better to choose a concealer that comes closest to the shade of your foundation. Myth 8: Always choose a foundation that is lighter in color compared to your skin tone. Fact: If you choose a shade of foundation lighter than your skin tone, after a while your face will start showing two different skin shades. Always, test the foundation on your jaw line and if it blends in seamlessly with your skin tone, that's definitely the right shade for you. Myth 9:  Makeup leads to acne. Fact: No research, until date, has conclusively proved that makeup causes acne. Poor hygiene, sleeping with your makeup on, not cleaning your makeup brushes regularly, and using the products beyond their date of expiry is what leads to breakouts on the skin. New products may also cause skin irritation; which is why, it is better to test them on your elbow, before using them directly on your facial skin. Myth 10: Tingling makeup products are perfectly fine. Fact: Makeup products that make your skin tingle are sure to damage your skin and cause injury. It may also lead to bacterial infections and pimples, so you should certainly avoid such products. You should never compromise on the quality of makeup products, or else your skin may have to suffer the side effects.
How to say 'Bye' to split ends? Check out these 10 tips!One of the main reasons for split ends is the use of curling irons and other heat-induced styling treatments. When you go for hair products like hair colors or perms, the shield over your hair's shaft that protects it can get stripped off, thus making your hair liable to split ends. You could also be mechanically stressing your hair by pulling them too much while combing or combing repeatedly. Remember that rubbing your hair up towards the direction of the scalp does not lead to split ends. While there is no remedy to treat split ends, there are ways in which you can keep them away. Did you know that a medical research showed that the only way to keep split ends away is to put a stop on the excessive use of chemical on it? Hairdresser, Holly Kensen, says that split ends are the results of pushing out the natural process and pulling in too many chemicals. It is best to stay away from the styling products and embrace your natural hair! TIP 1 : Get hold of a piece of rosemary (fresh ones are the best!) and immerse them in a cup of hot water for 30 minutes. Once the temperature of the water is back to normal, whisk an egg into it. Mix this blend onto your hair. Rinse after 15 minutes using a light shampoo. TIP 2 : Bring home a ripe papaya and cut it into halves. Choose the part which you believe will be sufficient for your hair. Take off the skin and seeds. Mash it until it becomes a paste. Then, drop a cup of yogurt and stir them into a smooth paste. Apply it on your hair and let it hold for about 30 minutes. Use cold water to rinse it off. TIP 3 : Condition your hair with castor oil. Mix equal amounts of castor, almond, and olive oil and apply it on your hair generously. Wrap your hair in a towel and let it stay for 30 minutes. Then, shampoo your hair. TIP 4 : After you have shampooed your hair, apply a mix of cream and milk on them for about 20 minutes. Focus especially on the ends. Rinse your hair with cold water. TIP 5 :If you decide to trim your hair on your own, then don't use the paper scissors! They are called 'paper' scissors for a reason. Get hold of hair shears which will not leave your ends damaged. TIP 6 : Trim your hair every six to eight weeks at least up to ¼ to 1 inch. Due to our environment, it is natural for the hair to get damaged in a few weeks. It is important to remove the split ends and let them grow healthy. TIP 7 : Do not trust products which say that they can 'cure' your split ends. Split ends are not curable. They are preventable. The only thing that these products do is to seal up the splits which only makes your hair unhealthy. TIP 8 : Try to stay away from chemicals as much as you can. Chemicals only tamper with your natural hair and ruin their texture. If you really have to use it then make sure you condition them regularly. TIP 9 : Use coconut oil to fix your split ends. Buy an extra-virgin and organic coconut oil. Before washing your hair, apply about 2 spoons of the oil on your dry hair. Emphasize on the hair ends. If you want, you can steam your hair for some time (about 20 minutes). Then, wash your hair with a light shampoo and condition them. TIP 10 :This is one of the best ways to help your split ends stay away: Get hold of chamomile tea and brew it on a pot. Then pre-rinse your hair with it. After you have rinsed them, wash and condition your hair normally.
How to communicate with a patient who has a strokeThe first and the most important thing to communicate with the patient, is to give undivided attention. Give attention to his activities, gestures, his facial expressions through which he may try to communicate so his feelings could be understood. Eye contact is also important but the patient having stroke may look at you square in the eyes but he may not respond to your conversation. While communicating with the patient you should always stand in front and tune out all the other sights and sounds in the room. Maintain full silence around the patient in the room, turn down the volume of the television, radio and ask other people in the room to be silent. You may communicate with the patient by making contact by touching the hand, chin, cheek or areas which are not affected by stroke. As the side which is affected by stroke, does not have any sensations. You may communicate with the patient through his family member by telling the family member to communicate with patient by saying, "Look at my face"; through this we can gain the patient's concentration. You should always speak clearly with the patient in a normal soft volume. Express your ideas in simple terms, form simple sentences, do not use complex words. You may repeat the sentences or an important term again. For example to ask if the patient wants tea, repeat the word 'tea'. More complex thoughts can also be similarly conveyed and repeated. You may also use hand gestures with clarification like doing Hello by waving your hand or through your hand action, you may ask questions like, How are you? Are you ok? What do you want? Through this both caregiver and stroke patient can benefit. You may ask your patient to point out whatever he wants or if he needs anything. And gradually he will develop the habit of pointing the daily items like television, newspaper, remote, eyeglasses radio, drapes an uncomfortable foot, the patient can indicate any pain or headache. Through this communication we can make the patient learn, use mechanical lifts to get in and out of the bed, and with the help of the attendant by demonstrating the patient how to use it. Sometimes when the communication does not work, take a break, give it time and try again, do not get frustrated and reassure the patient that yes, he or she can do it. Good communication with the patient is very important as they cannot speak their basic wants and needs clearly. The patients suffered a stroke also have slurred speech. There is a deviation of the angle of mouth. They are mostly bed ridden and could not carry out the routine activities.
Adrenaline rush - Feel it inside!Imagine yourself at a great height, either scaling a dangerous cliff-hanger of a rock face or on a bungee jumping platform. Some of us who have had the pleasure of doing high adventure sports like racing or indulging in perilous activities like giving out an acceptance speech for the first time are well aware of that strange feeling in the solar plexus, the clammy hands and intensely thudding heart, and the rush of blood to the head just as you are about to take the plunge! The heart beats faster than ever, breathing goes rampant, the senses seem to become supercharged, and the fear, the joy, and the excitement meddles with the mind. That’s adrenaline rush! So what do you want to do? Fight? Or flight? Either ways, adrenaline does it for you. Speaking medically, the two small adrenal glands on top of the pair of kidneys release a magic chemical that gives the animals way towards the fight-or-flight response to counter certain high-intensity situations, called adrenaline or epinephrine. The chemical entity is a hormone, a neurotransmitter as well as a medicine and is too complex to explain its behavior. However, when it works the heart pumps out the blood to the excited muscles and all the juices surge up inside the body. There is more to this topic than just the physiological mumbo-jumbo. The hormone acts every day in the normal course of life, but not regularly to the extent when it produces side effects such as shakiness, palpitation, high anxiety, and profuse sweating! Thats kept for special situations like physical threat, excitement, bright lights, noise, and really high temperature – in good or bad ways. Let us surf through some of the rewarding and a few of the nasty situations where the jolting juice takes charge of our body! The Good ones: Countering Stress: In extreme stress conditions like accidents or fracture, the body needs to react fast and is at its highest awareness. Adrenaline keeps the muscles up and kicking to help the victim fight with the stress. High Energy Requirement: In majority of sports, more specifically in contact sports like Rugby, Boxing, Mixed Martial Arts, etc., the player needs to be in his full sense and topmost concentration level. The adrenaline rush runs in the background to keep them at their extreme self. The Push Mode: Often the daily chores aren enough to excite us and we tend to search for some adventure. In such pursuit of excitement, there are times when the road is a dead end or there is only one way forward – the impossible or most difficult one! The hormone pumps the brain both ways with fear and with the push to conquer the fear and proceed. Adventure Sports often sounds fun, but at times when running ahead of a raging bull, or hanging off a cliff, or rafting down the rough waters of a cascade – feels like the heart shall come out and scream!! It is the rush of adrenaline that keeps one ahead of the fear and explore the high-energy fun of winning over it. Life Saving Moments: In cases of life-threatening emergencies such as drug overdose, cardiac arrest, or pulmonary failure, where the heart and lungs suddenly cease to function and the body gets into a shock –– the epinephrine shots are considered as a life-saving medication to bring the patients back to life (only to be used judiciously by a qualified medical practitioner). The important medical use of adrenaline is in treatment of acute anaphylaxis and allergies under medical supervision. The Bad Ones: Disorders of the Adrenal: Tumors and cancers of the adrenal gland can cause hyperactivity of this high-performance hormone affecting the normal functioning of the heart and the blood vessels by increasing heart rate and creating anarchy in the body systems. Over-Stressed Adrenaline Rush: The demand-supply mismatch in the present world scenario requires one to perform at his/her epitome of mental and physical strengths. In that constant urge of performance, the brain and the body is stressed out so intensely that the adrenaline surge symptoms are experienced by the individual even in the absence of threatening situations. Sudden sweating of palms, shortness of breath, pounding heartbeats, or chest pains without a justifiable reason can be a result of constant stress.
Sex after 40Sexual changes in normal aging after 40: Erection takes longer time Require manual stimulation, particularly by partner Erection may subside during foreplay or coitus Decreased frequency of nocturnal erection Pre-ejaculatory fluid decrease or absent Ejaculation less forceful Seminal fluid volume decreases or absent Frequency of desire for sexual release decreases with age. Aged couples learn to cope with their own sexuality. Some are happy with foreplay and self masturbation, others insist on more usually it is the male. Frequency of sexual intercourse between 20-95 years : Sexual intercourse decreases with age as the study shows. Decreased during 5year interval after 34 years Weekly frequency: 30 - 34 years 2.2%; 60 - 64 years 0.7%; 65  - 74 years 0.4%; 75 - 79 years 0.3% Do we need to change this pattern with Viagra? I would say yes - sex can be  joyful till the last days. Nobody needs to be impotent now. Home devices like rubber bands, ribbons are also used to hold the blood back in the penis when the erection is not adequate. Vacuum pump to draw blood into penis with an application of a ring after erection is also found suitable by some. Active intervention by drugs (both allopathy, ayurvedic and unani) have been successfully developed. They may be applied topically (minidoxil), inhaled (amyl nitrate) inserted into the urethral passage, injected into the corpus cavernosa or taken orally (Sildenafil, Tadalafil, etc.). Finally if all fails silastic rods can be implanted in the penis to give permanent erection. The joy of living lasts a life time.
Importance of sex educationOur society is beset with a lot of myths about Human Sexuality and hence the family relationships are affected adversely. A man is considered (mistakenly) as a man only when he performs effectively in bed. In other words a man hangs his self-esteem on his male organ. Hence whenever there is a problem in performing sex, he becomes frustrated and depressed. In order to cover up his inadequacy he may blame his wife for his problems. This attitude will adversely affect the martial relationship, leading to unhappiness in nonsexual aspects of marriage. He may become violent when the wife retaliates. Marital break down, even if not ending in legal separation will be a very messy affair. Sexual behavior is determined by information or knowledge one has on hand and the parameters of comfort zone. Unfortunately we are dealing with a behavior that is besmirched with myths and misconceptions, and a breeding ground for stigmas and taboos, which leads to unhealthy sex life. These barriers have to be broken; otherwise healthy sexual and family life cannot be achieved. It is guesstimated that one in every three couples have some sexual problem or other and they do not know how and where to seek help. The media gives them anonymity and guides them in proper direction. The three main enemies of sexual satisfaction are guilt, anxiety and fear. All these stem from ignorance. Due to the stigmatization sex education is not available. Hence the streets have become not only the libraries for knowledge on sex but also the laboratories. When one of the dimensions (recreation) becomes problematic it impacts the health of the other two dimensions (procreation and relation). Magazine columns endeavor to dispel sexual ignorance and empower people with scientific knowledge. The aim is twofold: First, to inform in simple language, the scientific aspects of sexual problems and clarify myths surrounding sexuality; Second, to help people become comfortable with their own sexual life and elaborate on various treatment options available. People will thus be empowered to take responsibility for their own health and happiness. Have an open mind. All dimensions of human life are important. To consider one as unimportant and attach a stigma will hamper the development of the full potential of an individual. Understanding sexuality will enrich our lives and relationships.
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