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Tips to make you feel handsomeYou must have heard that looking good takes a lot of money and hard work. But trust me, it's not true at all. You just need to stay confident, and follow few simple and easy tips to get that perfect look. Let us start off by trying to understand what exactly does handsome mean. Well, a simple definition could be -"being handsome means being confident and having loads of style and poise". It's not dependent on somebody's face, or body specifically. So, what makes a person handsome? Will his attitude count? Do we need a lot of money to get that look?  Let's answer all such questions in the article. Personal care: The first for getting a perfect look is to look after yourself well. This shall include: Hygiene: Personal hygiene is most important. Dental hygiene, managing body odor, cutting your nails on time, removing hair in the underarms, nose, and taking care of overall body hygiene is of utmost importance. Skin care: Like women, men need to take care of their skin as well. Applying moisturizers or lotions is necessary. Hair care: Try and wash and shampoo your hair at least twice in a week. You could use natural or artificial conditioners in the hair to make it soft.  Get a trim every month, or else they can become too long and unmanageable. The suave and debonair look: Along with everything else, one needs to take care of one's facial hair also. Try and avoid the rough and rugged look, and get a good shave for yourself. You can either keep clean shaved look, or maintain a beard which is well trimmed. This will give you an urbane and classy look. Clothes cabana: One needs to understand that there are some clothes which shall look good on them and others not. Try and determine which shades look good on you. After this, you need to choose your formal and casual wears as well. Take risks, as you cannot guess what will look good on you every single time. The must have checklist is given below:  A pair of good dark blue jeans A white shirt A colored T-shirt Jacket and waist coat Dinner jacket or tuxedo (whichever suits you) Pair of black trousers Sweatshirts A Full pastel shade sweater Accessorize your look- You need to pair good clothes with cool embellishments like- Shoes: Get two different pairs-one leather and the other sports- for formal and informal occasions. The shoes should be buffed with shoe wax regularly, and you can wash off the dirt on your sports shoes once a month, at least. Belts and Tie: A good and well fitting tie, and a sober choice in belts always adds to the look of the "complete man". Watches: A good analog watch is a "must have" on every guy's wrist. Work out regimens: Now, work out does not only mean joining a gym, or keeping a personal trainer. You need to just keep your body fit, and that can be done by jogging, yoga, or even daily walks. You can even pick up a sport, for that matter. Eat healthy: Try to follow a diet regimen which, nowhere, means you need to have nightmarish boiled vegetables only. You just need to avoid eating outside . This shall not only help you look good, but will let you remain  young and fit for many years.  Once in a week, though, you can easily dig into your favorite foods. Say no to cigarettes and alcohol: Working out, or eating healthy will never help you get in good shape till you say no to all the bad . Try and quit smoking and drinking, as they affect your health and stamina adversely. Along with that, they also have a very bad effect on your mental health. Million dollar smile: Try to wear a good and sweet smile, as a straight face might end up making you look unapproachable and arrogant. So, remember, smiling always helps to complete your attire, and style. Good stance: Wearing all the best outfits  might go all in vain if you have a bad body posture. Try to walk and sit straight. Having an erect stance always makes you look more confident, attractive, and masculine. Wear your confidence and attitude: Lastly, be comfortable and confident with whatever you wear, and however you look. Being confident makes you win half the battle always. So, what are you waiting for? Start off your preparations, as being handsome does not really require an occasion.
Fashion tips for tall menRead on for the few tips which shall help you strike that perfect look always! No more tears for the "trousers" Trousers for tall men that you get in the market are too ill-fitting. They end up making you look "Too big for your pants", or "Too thin for your pants". The easy solution would be to choose a brand for your trousers, after proper research, and stick to it. Your quick checkpoints in this case can be: Your large thigh areas always make you look humongous. Hence, try to get a good and appropriate fit for your thighs. A small amount of flare in your lower legs can give you a good look, but that should go well with the texture and look of the trouser. Last but not the least, avoid loose fitting, or baggy pants. They will just make you look too thin, and tall always. Scare away the " shirt" hassles Have you picked up a T-shirt which lets your waistline be visible, the moment you move your hand a bit? That's a usual problem every tall guy faces. Try a few of these solutions, and see the results: If you are a tall and bulky person, then pick up a long double XL T-shirt, fitting you well. If you are a thin and tall person, then pick up a T-shirt which is long enough for your height, and then get it tailored for the perfect fit. Polo neck T-shirts can make you look too skinny. Try to get a formal shirt which fits you well, and is long enough to be worn tucked in. For tall people, tucking in the shirt helps them flaunt their height pretty well. You can also try and get the formal shirt fitted by a tailor, if you find it too big for your size. Forget the "Jacket" jeopardy Jackets and waist coats are the biggest gifts for all the tall guys out there. But how, and what to wear is the major turning point here as well. Complete your formal look with a waist coat. This shall make you look well built, and compliment your height as well. Blazers can be an option, for both the formal and informal look. Pick up a blazer which fits your broad shoulders well. A jeans, a t-shirt, and a jacket can be a killer combination. Go for earthy colors, as they give you a more masculine look compared to other colors. Tipping the "Tie"& Bolting the "Belts" Try to match the right clothes with the right accessories. Let's start off with the tie. Now, for tall men, getting a tie will be a pain. Always try the tie you are buying, and see if it comes till your waistline. You should also try to pick up a bit broader ties, as they make your chest look broader. When it comes to belts, try to pick up the big, horizontal buckles. Choose simple, horizontal buckles for the formal wear. For the informal look, however, you can experiment with other big buckles available. Watches Tall men with long hands and fingers should try to wear a big dial watch. This gives your fingers and arms a bulky look. Choose colors like gray, and black most of the time, as it makes you look more masculine. So, a few simple steps can make you flaunt your height. As the saying goes: "Wear your style; do not search for it in the stores. Your attitude is what matters the most to complete your look."
Yoga to strengthen women's lifeEveryone expects from a women for all their necessities. The husband needs to go to office and she has to prepare for this, the son or daughter needs to go to school, tiffin needs to be packed, and the in-laws need her attention for the morning tea and breakfast. Along with this she has to rush to office on time. Then while returning, she has buy vegetables and other things for household, then go home and cook, and sleep late after all the chores are done. For such a multi-tasking working-women, the time available is very less to replenish the energy she uses to do such work. Multitasking leads to stress and tension and causes headaches, stiff neck, tight shoulders, poor posture, shortness of breath, clenched teeth and fatigue. What is the solution for this? The only solution is YOGA.  We all know that yoga has many positive effects on ones well-being; it brings about both physiological and psychological benefits. It is beneficial for body, mind, and spirit. It needs only 10 minutes. Yoga helps to relieve your stress and tension. Yoga in Sanskrit means 'YOG' that is to join or unite. It is the union of mind, body, spirit, and breath with our surroundings and our universe. One should start yoga gradually with a comfortable speed and limits. Breathing exercises are excellent way to reduce stress and tension. It can be done along with asanas. For this you have to sit comfortably with relaxed shoulders and with your chin level at the floor. Inhale through the nose expanding your abdomen, rib cage, then expand your chest, then begin to exhale by contracting your abdomen, ribs and then lastly relax your chest. Now continue to breath in this fashion, this improves the quality and quantity of oxygen that enters our body and helps to relieve the shortness of breath and relieves the tension. The yoga mudra is helpful to relieve the stress, for this sit down crossed legged on the mat and keep the back straight, then take the arms behind your back and hold the left wrist with the right hand. Then by exhaling, bend forward to touch your left knee, while doing this focus on the feeling of surrendering to God, which protects you all the time, then while inhaling come back to the normal position and repeat this on the right side. Then finally, complete this pose by touching the forehead to the ground in front in the centre, while doing this exhale, then when you feel like inhaling come back to the normal position. This posture increases the energy and stimulates your respiration, improves your digestion calms your nerves. But this should be avoided by pregnant women, hernia patients, and patients with retinal disorder. The shavasana also helps you to relax your body before you get to work. In this you have to lie down on your back on the mat. Keep your arms a foot away from your body and your feet separated two feet apart.  Then close your eyes and focus on your breathing and feel free of thoughts and tension. Breathe normally and focus on your body parts, toes, legs, abdomen, head and finally the scalp and try to relax each muscle group. It improves your breathing, concentration, gives inner peace. You should avoid this if you are suffering from low blood pressure.  
Smell like roses, without the thornsYou bathe regularly and use the best possible deodorants, underarm anti-perspirants, panty perfume but the bad odour just doesn't go away. Pat yourself dry Very often you have a leisurely bath with scented bubbles and what not but when it comes to drying your body thoroughly, well you just pat yourself quickly, for you are in a hurry. The moisture on your body then attracts bacteria with fungi and they cause that embarrassing mouldy kind of stench on your body. So make sure you dab yourself thoroughly dry all over your body. Especially in places like the lower back where it is difficult to reach without some really flexible shoulder joints. Use the archer's swipe (The towel extended between the right hand over the head with  the left hand extended back to form the bottom grip, which looks like an archer reaching for a bow from the quiver). In case you are endowed with love handles and folds of fat then be generous with the patting, as those are the parts most susceptible to host bacteria. Change clothes often If you wear the same set of clothes and lingerie then you are surely going to have an odour which is lingering. So for those ladies who occasionly wear the same set of clothes without washing, the sweat is going to accumulate in there and raise a stink. Remember the Celine Dion song? It's a new day, a new start! Menstruation + Stress = Bad smell There is nothing that you can really do about your periods. Instead, try and be a little more extra careful during those 4 days. You can have an extra jab at the deo bottle or perfume lotion. However stress, nervousness and fear also leave chemical traces which come out along with the sweat. This adds to the bad odour. Humble pie for dessert? What you eat also affects the way you smell. Go easy on the garlic, onion rings and fish for they can make you smell slightly worse than an open sewer. Always rinse your mouth after eating and use a good minty mouthwash if at all you choose to pepper your meal with onion and garlic to ward offthe evil eye. You can add conditions like diabetes to cause a fruity kind of odour. Well in that case make sure you exercise regularly so that the skin sweats out the toxins. In case you are the extra-sweaty types then use medicated soaps or ensure you use steam baths regularly to keep your skin pores open.
Exercise to fight off depression in school kidsBefore concluding on the effects of different forms of exercise on children, it is important to note the distinction between fitness and exercise. Fitness encompasses most importantly a healthy lifestyle of which exercise forms a part. For this reason, when researchers examined the impact of fitness on emotional being of a child, most of them covered three main determining factors, namely the body mass index, the child's feeling about fitness, and a shuttle-run test. Depression is characterized by recurrent feelings of despair and hopelessness. The main symptoms of depression include sensations of unworthiness, dysfunctional thinking, lack of concentration, low level of sleep, anger, social isolation, crying, physical grievances like headaches which do not react to treatments, reduced interest in social activities, and thoughts on suicide. It is not necessary that every child will undergo all the symptoms. If most of the symptoms recur continuously, then it is a warning sign. The propensity towards chronic depression is higher in those who suffer from depression during childhood. A healthy lifestyle is accompanied by a range of psychological benefits. When you exercise, your body produces endorphins which stimulate positive sensations about the self. Produced by the brain, they also reduce the sensation of pain. A healthy lifestyle boosts the sleep cycle and helps in coping better with tough situations. A medical study conducted by University of Texas revealed the positive effects of physical activity on middle-school graders. It was found that there is a robust link between depression and fitness in girls. Even though boys show association, it is not explicit.  Conclusively, it was pronounced that exercise helps in reducing the chances of depression in school-going children. The best way to help your child is by introducing activities that she or he finds interesting. Initially, you might face resistance. The most important task is to communicate with your child. In the face of such resistance, you can attempt to find a hybrid therapy to reach out to your child. Apart from scheduling appointment with a child psychologist, you can also meet up with a physical health advisor. Emphasize on activities which will also help your child to meet new people. According to the Center for Disease Control and Prevention, one of the main benefits of physical activity is betterment of academic achievement and conduct in children.
Bonding with the babyIt is an immense pleasure to hold a baby in your arms, isn't it? The bonding between amotherand her baby starts within the womb itself. When the baby is born, a few parents bond with the baby within minutes. But for others this may take some time. If the baby is taking time to respond to your affections, don't worry, here are some tips to help you with the bonding. Babies respond to the mother by making sounds, grasping, smiling, or crying. Touching, holding, kissing, cuddling, talking and singing help build a bond with your child. Infants prefer a human face to any other stimuli. So face your child as much as possible. The attention span of a new born baby is quite short. Hang a colorful object on top of the pram, cradle,or cot. Your baby already likes toys of different shapes. Various reflexes develop by the fourth week after birth. These include sucking, grasping, searching for the nipple and blinking. Baby may gaze at you some time. Respond by nodding, smiling, and talking to the baby. Babies are sensitive to their surroundings. They respond to music or the phone ringing by staring at it quietly. They observe toys keenly, spot colours and become happy at times. These are heart warming moments for the parents. Father's care usually builds a protective and secured feeling in a child which he carries for life and prevents building of any unreal fears in him in later life. So dads should care for and make their babies feel secure. You love to touch your bundle of joy, right? Babies love, enjoy, and need it as well. Skin-to-skin touch helps growth and development of the child. Mom's touch soothes the baby when he is irritated. Start reading to your child. It is never too early. It helps the development of reading skills and language. Babies enjoy pictures in the book. Even if baby can't understand words, they love to hear the parents' voices. During the first few months, they understand little of it, but they are thrilled by listening to you. Have a short reading session with your child daily.Dads can try this trick to make the baby sleep. Carry her around while patting her very gently on back.
Accepting your flawsThere are basically two kinds of 'flaws,' one that is physical and the other that is in your personality. A physical 'flaw' like being too short, fat, or darkis never a person's fault. Thus accepting what you are can only boost your self-esteem and confidence. Despite these 'shortcomings,' it is your character and your achievements that stand out in the long run and not the way you look. The first step in creating a better life is accepting if you are wrong! Personality traits and habits are mostly visible to others but not to you. These are those faults that can cause bitterness in relationships or cause problems at work or in our social interactions. Some people lose their temper easily, some are lazy, and some are rude, while some are either introverts or extroverts. If you have flaws that can cause problems for others then the best thing you can do is to change those negative traits in yourself. Character flaws might be natural, but they can affect others negatively. The first thing in making improvements is to analyze yourself. What are you so angry about ? Is it really some other person's fault or that you have had a bad day at the office? Give it a thought and once you find the answers, you will feel relieved. Accept your physical flaws and love yourself for what you are, as this is the key to lasting happiness. Major flaws like alcoholism, splurging money, borrowing money, or addictions are what one should be willing to overcome. If you accept you have any of these major flaws and need help to overcome them, then you need to seek help. There are professionals who can help out, provided you are a willing party to the process. Improvement will come only if you are willing to change. Remember that flaws are easy to acknowledge and to change;the only thing required is the desire within you to do so.
Faking illnesses - An illness in itself?In 2008, a 28 years old woman in the US shared some shocking news with her friends. She had been detected with cancer. She posted updates on social networking sites and wrote blogs on her illness. Sympathy poured in from all corners. Some even sent in monetary help to cover her expenses. The saddest part of the incident though was not her cancer; it was the fact that she had faked it! Police investigations revealed her little trick when no evidences or records were found at the hospitals! Apparently, this isn't a unique case;  faking illnesses or malingering is a very common occurrence. All of us have done it at some point in our lives. While we may have done it to escape a school punishment or to take undue advantage of the office 'sick leaves' for personal purposes, it is usually done on a harmless level. But faking illness can be a chronic disorder too and  medical professionals even have a name for it-; Munchausen's Syndrome. People suffering from this syndrome fake illnesses that they don't actually have, to gain sympathy or simply to be the center of attention. Usually gaining sympathy is the main reason why people fake illnesses. It gives them a chance to be in the spotlight. Everyone calls and visits, expresses concern and fusses over them. Lots of love is showered upon them. Another common reason for faking illnesses, is money and at times, the monetary benefits are higher than the emotional ones. No one hesitates to fulfill the last wish of a dying person, however expensive it may be. Often there are mixed motivations and the person faking an illness has many reasons to keep up the pretense of being sick, for as long as possible. Some people really do have a disease — a mental illness known as a factitious disorder. People with this disorder pretend to have an illness, which is usually a terminal one and often go to great lengths to maintain their hoax. Munchausen syndrome by proxy, is another form of faking illness. People with this disorder, fake illnesses of people under their care; and they usually do this, for monetary benefits. Children are the most common victims in this disease. When you tell someone that your child has cancer, you will receive a great amount of sympathy and all the money you want, no questions asked! People with these disorders are extremely cunning. They go to great extents to maintain their lies. They will build grand stories, complain of fake pains and aches, get admitted to hospitals and undergo a battery of tests, numerous times. Interestingly, they never allow and frequently discourage medical professionals, from talking to any of their family members. Since they know they are faking the illness, they will refuse to undergo treatment, for obvious reasons. . If you think a loved one may be exaggerating or faking their health issues, attempt a gentle conversation, voicing your concerns. Avoid anger, judgment or confrontation, while offering support and care and if possible, help them in finding a treatment. Treatment includes empathy, helping in identifying feelings and issues that led to the development of the disorder and finding  alternative healthy ways to deal with those feelings and issues.
Fruit diet can be dangerousFruits are healthy and provide lots of nutrition, vitamins, antioxidants, carbohydrates, fibre and bioflavanoids to the body.These things together protect your body from different health conditions and heart disease. However if you only eat fruit, you miss many other essential nutrients such as fats and protein. This can upset your stomach and lead to indigestion. Hence it is very important to take a well-balanced diet to remain healthy. Check out why you should not rely solely on fruits for living. Fruits do not provide protein Protein is highly important for your growth and development. By eating only fruits, you are restricting your intake of proteins that can stop your overall development process. Your body requires calories and energy on a regular basis. Each cell of your body contains protein. To keep your body cells in top working condition it is important that you include protein-rich foods such as lentils, soy products,  nuts and beans in your regular diet. You can also consume low-fat dairy, lean meat, fish and skinless poultry to provide required amount of protein to your body. Fruits do not provide fat Although excess of fat is not good for health, it is essential that your body requires on daily basis to ensure smooth functioning of your immune system and also to help your body absorb various minerals and vitamins provided by other foods like fruit. If you continue being a fruitarian for long duration, the chances of stroke due to brain haemorrhage increases. According to health experts, you should get around 20 to 35 percent of your daily calories from fat. To provide your body with good fats you should include soybean, sunflower, olive or canola oil in your diet. Fish and poultry also provide good amount of healthy fats to the body. Too much of fruits can lead to digestive problems Fruits provide fibres to the body in large amounts. Although your body needs fibre as it is one of the essential nutrients, getting too much of fibre can lead to side effects. Fibre works as broom to clear of your abdomen and aid in the digestion process. However, too much of fibre leads to stomach problems and cause symptoms such as gas, cramps and bloating. Sometimes it may also lead to chronic diarrhoea, dehydration and loose stools. On a regular basis, a woman requires only 22 to 28 gm of fiber per day and a man needs 34 to 38 gm. Apart from fruits, seeds, vegetables and whole grains also provide fibre to the body. Other considerations If you limit your intake to fruits, you may not get enough calories required for producing the required amount of energy. Consuming calories less than 1100 per day can lead to lot of side-effects such as intolerance to cold, gallstones, hair loss and fatigue. So although fruits taste wonderful and are very tempting, being a fruitarian is not the best thing for your health. Your body needs all the nutrients for carrying out its different activities and hence you should include variety of foods in your diet.  
10 best and worst appetizersWhen you are munching on appetizers before your meal, the idea is to eat something that can trigger off the production of your digestive juices in the intestine, so that what you eat next, the food is easily digested. However sometimes, the appetizers are much more complex and heavier on your tummy and can actually reduce the metabolic activity and imbalance the digestion process. Here are some of the best and worst appetizers that are commonly served: Best Appetizers Vegetable Kababs: These highly nutritious and low calorie appetizers are a good alternative to fried items. Grilled vegetables or kababs are prepared by skewering red and green bell peppers, onions, tomatoes, mushrooms and zucchinis. To add to the taste, you may brush over some low-fat herbs and even garlic marinade. Two delicious vegetable kababs, will get you only 75 calories. Crab Cakes: Seafood offers you high nutrition and the best way to include the properties of seafood in your diet, is by choosing crab cakes as appetizers since these offer only 20gms of fat and 300 calories, while providing you with a high level of sodium (960mg). Spinach Salad: The best thing about good appetizers is that they are low calorie foods and provide great flavor and satisfaction while eating. One such fulfilling appetizer, is spinach salad. You can also use other green leafy vegetables to add more nutrition to the recipe. If you eat this appetizer before your meal, chances are, you will eat 10 to 15 percent less of the main course, which is certainly a great way to cut down on the calories. A cupful of fresh salad gives you only 80 calories. Beef Skewers: If you are in the mood to pamper your taste buds, but still want to stick to eating healthy, then beef skewers is the right option for you, in the appetizers section. These are usually served with peanut sauce in restaurants. You can opt for lean beef along with soy, garlic, hoisin, onions and barbeque sauce to make this dish yourself. Quarter to the pound is the recommended serving, which consists of 5 gms of fat, 130 calories and a high sodium content of 803 mg. Stuffed Mushrooms: Potato skins are a common appetizer people go in for, but these add more calories. Instead, you should opt for stuffed mushrooms that are way more delicious. The caps of mushrooms are stuffed with breadcrumbs and the cheese of your choice; and they provide only 50 calories per cup. This means that even if you eat six stuffed mushrooms, you are still within the limit of 300 calories. The worst appetizers are deceptive yet tempting in their looks and taste. But you should always keep a check on the ingredients before gorging on them, for your own benefit. Worst Appetizers Onion Blossom: Fried onions are certainly bad for your waistline. It is always better to eat a starter stuffed with more vegetables, instead of fried things. A restaurant preparation of onion blossom consists of 161 gms of fat, 1,049 calories and around 4100 mg sodium, which is more than double the limit required by an adult, making this appetizer a completely unhealthy choice. Cheese Fries: Cheese fries are one of the worst appetizers; these can be even more overwhelming than your meal itself, which is why health experts advise not to include this appetizer in any type of menu. Sometimes cheese fries actually come with more melted cheese on top, which is obviously worse. Spinach Artichoke Dip: Although this starter starts with the word 'Spinach', it is in no way a healthy appetizer. One dip of spinach contains loads of calories-1600, fat-100 g and 2500 mg sodium. It is certainly not the spinach but the cream base that is rich in saturated fat. Potato Skins: Potato skins have all the high calorie foods such as meats, sour cream and cheese. When you take one pop of these, you will be adding 150 calories, which is quite a big number. Moreover, these appetizers are not filling. A plateful of potato skins adds 1,340 calories, 1,850 mg sodium and 94 gm fat and yet leaves you hungy. Cheeseburger Skins: Although these appetizers look small, there are loads of calories packed in them. One order of Cheeseburger skins can total up to 1270 calories, with an added 2310 mg sodium and 82 gm of fat.
Advantage of the average - Automated continuous blood pressure monitoring technologyAlthough mercury sphygmomanometers (though a deadline is set for them to be phased out due to environmental concerns) are still considered the gold standards, the Aneroid and Digital counterparts represent the future of blood pressure monitoring. The need of long-term blood pressure monitoring arises with disorders and health conditions that demand more attention from the medical teams. Experts say that the fluctuations in BP in conditions like cardiovascular diseases, pregnancy, etc., if tracked at regular intervals, can reduce 22% of risks due to delay and no treatment. This necessity pushed the invention of invasive arterial blood pressure to be used during surgical procedures and further a continuous noninvasive arterial pressure measurement (CNAP) system. There have been multiple researches to overcome some of the roadblocks in measuring the arterial blood pressure in the noninvasive and external approach. Among these developments, the need for measurement of mean blood pressure was felt and the 24-hour BP variation in the patient was taken into account. The 24-hour model eliminates the errors in readings taken during clinic visits due to factors such as fluctuations as a result of white coat fear or after-effects of some stress or exertion. Trendsetting New-age Technology : In 2004, the medical world received the BpTRU non-invasive automatic blood pressure monitoring device. BpTRU devices proved to be a superior and more precise alternative when compared to other manual BP assessment techniques and even other 24-hour ABPM alternatives. The automated oscillometric devices precision and accuracy of assessed BP and heart rate is earmarked with a unique automatic technique - the device records 6 consecutive BP readings of the patient, discards the earliest, and the rest of the five values are put to average function and instantly the resultant mean BP reading flashes on the screen. Compatible with guidelines of American National Standard/Association for the Advancement of Medical Instrumentation (ANSI/AAMI EC13:2002) this is a time-saving, portable, and user-friendly device. A compact and automatic wrist cuff BP monitor, the smart blood pressure monitor that can be synchronized with with Apple’s iOS devices and a Bluetooth connectable and Android compatible blood pressure monitor marks the revolution of CNAP in modern times.
Bile block - Understanding gallbladder problemsRavi was a young intern working the night shifts in a government hospital when he was asked to examine a patient who had just been brought in. The patient was a 45-year-old, a fat man, who was complaining of pain in the right side of the abdomen along with nausea and vomiting. On inquiry it was revealed that he had eaten a very heavy fat-laden dinner. Remembering what his surgery professor had taught him about cholelithiaisis, Ravi immediately guessed what the diagnosis could be. He, however, sent the patient for a blood test and an abdominal scan. The reports confirmed Ravi’s suspicions- cholelithiasis, gallstones. The gallbladder is a tiny pear shaped organ that lies just below the liver. It is responsible for storing the bile that is produced by the liver for digesting food. It ensures the smooth outflow of the bile from the bile ducts. When the bile components aggregate in the gallbladder, they build up to form gallstones, similar to kidney stones. The gallstones are usually small enough to pass on to the intestines and be eliminated without causing too much trouble. At times, these stones may be big enough to block the outflow of the bile and give rise to a variety of symptoms depending on the size of the stone and severity of the block. The symptoms include -  Intermittent colic. A bloated sensation with constant nausea. Inability to tolerate fats. Vomiting.  Fever with chills if the stone becomes infected. Gall stones though found in both sexes, is more common in females. The risk factors for developing gallstones include - Diabetes. Organ transplant. Diseases like hemolytic anemia, sickle cell anemia. Liver cirrhosis. Failure of the gallbladder to empty properly, e.g., during pregnancy. Rapid weight and nutrition loss due to any reason. Gallstones are confirmed by a blood test to check the liver function and by an abdominal scan. Medications to dissolve the stones, and surgery in case of large stones that do not dissolve with medications, are the treatment options.
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.
What, how, and why of the sex muscle answeredWhat the Penis is made up of? The penis is made up of several parts. The head: This is also called as the 'glans'. The glans is coated with soft pinkish tissue called the mucosa. The protective covering of the glans is called the foreskin. The foreskin is retractable. In circumcised men, it is the foreskin that is removed. The shaft: The shaft or the body of the penis has two surfaces. The dorsal part i.e. the upper part of an erect penis and the ventral part i.e. the lower part that faces backwards in a flaccid penis. The root: This is the attached part of the penis. Corpus cavernosum: This is the tissue that lines the shaft on two sides on the dorsal side. During sexual excitement, this corpus cavernosum fills with blood that results in the stiff erect penis. Corpus spongiosum: This is the tissue layer running in between the two layers of corpus cavernosum on the ventral side of the shaft. The urethra: This is a narrow tube that runs through the corpus spongiosum. The urethra's main function is to excrete the urine out of the body. How the Penis does what it is supposed to do? Urination: The process of expelling urine is a coordinated act involving the bladder muscles, the central and the somatic nervous systems. The urethra present in the penis serves as a tube for the urine to pass out. Erection: A erect penis is required for the successful insertion into the vagina. During the height of sexual excitement, there occurs dilatation or enlargement of the blood vessels in the corpus cavernosum causing a rush of blood into it. This elongates the penis and makes it hard and stiff. Erection angles: The way a normal penis points when erect is called the erection angle. The penis is either pointing straight to the front or it may be facing up or down to the feet. An upward angle is most common. A study published in 'Journal of Sex and Marital Therapy', shows the erectile angles in standing males from 20 to 69 age groups in the following table In the table, zero degrees is pointing straight up against the abdomen, 90 degrees is horizontal and pointing straight forward, while 180 degrees would be pointing straight down to the feet. Angles from vertically upwards: 0-3 - 5% of male 30-60 - 30% of males 60-85 - 31% of males 85-95 - 10% of males 95-125 - 20% of males 120-180 - 5% of males Ejaculation: Ejaculation is when the semen is pushed out of the penis. During the sexual act, the process of ejaculation forms the culmination with the male achieving an orgasm immediately after. At times, there is ejaculation of semen spontaneously during sleep, called Wet Dreams. Normal Variations- When you have what others don't (and it is completely normal to have them)! Curvatures: While most penises are straight, it is not abnormal to have a curved penis. Curvatures up to 30 degrees are considered normal and no medical attention is advised. Over 45 degrees may need you to get yourself checked for certain diseases, though. Phimosis: This is the inability to retract the fore-skin fully. It is harmless and occurs in about 8% of boys. The British Medical Association suggests that no medical treatment may be required till 19years of age. Pearly Penile Papules: These are small pale bumps that are found around the tip of the penis. They are very common in men aged 20 to 40 years and may be mistaken for warts. Unlike warts though, they are completely harmless and require no treatment. The human penis has one of the most advanced designs through eons of natural selection for high sperm competition. Disorders of the Penis: When you have what others don't (and it is not normal to have them)! Paraphimosis: This is the inability to retract the foreskin. It may be extremely painful when retracted. This condition occurs when there is leftover fluid accumulated n the foreskin due to some previous surgery. Peyronie's Disease: This is a condition where the penis is extremely curved. It is caused due to a scar tissue running through the shaft of the penis. There is an option of surgical correction. Herpetic Eruptions: This can happen when there is unprotected intercourse with an infected partner. It shows as painful ulcers and eruptions on the head and shaft of the penis. Absence of sensations and erection: This is a condition where one is not able to feel any kind of sensation in the penis and a total lack of erection. This occurs secondary to diabetes mellitus and also as an after-effect of past falls on the back or injuries to the groin area. Erectile Dysfunction: This is a condition that happens due to psychological stress, performance anxiety, natural ageing and diabetes mellitus. It is expressed as an inability to get aroused or inability to maintain the erection for a time enough for proper sexual activity. Priapism: This is a serious condition requiring immediate medical attention. Here the erect penis fails to return to its flaccid state and as a result may lead to potentially serious conditions like a thrombosis or gangrenous state. Severe cases may require amputation too. The causative mechanisms are not well-known but involve complex neurological and vascular factors. The condition is associated with drugs like sildenafil, commonly known as Viagra. Pudendal Nerve Entrapment: Too tight pants and underwear, arrow hard bicycle seats, accidents can lead to this condition. The symptoms include loss of sensation and ability to achieve orgasm along with pain in the penis during sitting. Infections: Common infections of the penis include balanitis, urethritis, syphilis and gonorrhea. Theya re characterized by burning, itching and foul discharge. Lasting longer in bed is every man's desire. How do you go about it is very important. Follow the right diet and exercises along with lifestyle changes to achieve the desired effect in bed. Stay away from medications that claim to make you last long. Ref: Sparling J (1997). "Penile erections: shape, angle, and length". Journal of Sex & Marital Therapy 23 (3): 195-207
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