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Vegetative state: a minimally conscious state often passes unnoticed

About 40% of people with a diagnosis of vegetative state are actually in a minimally conscious state, according to a recent study published in the journal BMC Neurology.

In a vegetative state, reflexes are intact and the person can breathe unaided, but there is no conscience. The minimally conscious state is a gray area, recognized recently in which people can feel some physical pain, experiencing certain emotions and connect to a certain extent. But, because consciousness is intermittent, it can be very difficult to differentiate the two states.

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In 2002, Joseph Giacino of the JFK Rehabilitation Institute (New Jersey, USA) and colleagues have developed the first diagnostic criteria for minimally conscious state. In 2004, Giacino published the revised scale of the Coma Recovery (CRS-R) which consists of a series of behavioral tests based on diagnostic criteria used to distinguish the two states.

To check whether the new scale improved diagnostics, and Caroline Giacino Schnakers the Coma Science Group at the University of Liege (Belgium) spent two years in use to diagnose people who have suffered head injuries resulting in disruption of consciousness.

Of the 44 people who had previously been diagnosed as being in a vegetative state by clinicians, 18 (41%) were diagnosed as being in a conscientious mininale with the new scale.

“We may have become too comfortable about our ability to detect consciousness”, says DR. Giacino. “I think it is appropriate that there be some level of concern about that.”

However he concedes that, because there is no objective way to measure consciousness, the possibility that the scale-diagnoses the minimally conscious state can not be excluded.

But Dr. Schnakers argues that the scale should be more accurate than other diagnostic tools used because it specifies how often each test should be repeated and how many responses are required to give an indication of consciousness. This, she says, prevents to miss someone of consciousness in which the latter is not constant, or be mistaken in taking a reflex response to a response based on consciousness. It also helps control the preconceived idea of the evaluator.

The difference between a vegetative state or minimally conscious state can make a huge difference to the individual and the family. Drug treatments, including painkillers, physical therapies designed to stimulate the brain and techniques to encourage communication are more likely to be offered to someone who is in a minimally conscious state. In some jurisdictions, the withdrawal or absence of food may depend on the diagnosis. “It is very important to be sure of the diagnosis,” said Schnakers.

The quantities of salt

In some countries food large multinational brands contain two times more salt than elsewhere, according to a study group World Action on Salt and Health (WASH) was released July 13.

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WASH researchers analyzed the level of salt content in 260 food products available worldwide KFC, McDonalds, Kellogg’s, Nestle, Burger King and Subway. None of these products contained the same amount of salt in the world and the differences from one country to another were sometimes enormous.

Among many examples:

Kellogg’s All Bran contain 2.15g of salt per 100g 0.65g only in Canada but the United States. In the UK, they contain 1.13g.

In terms of Kellogg’s Cornflakes, the Middle East receives the product as salty or 2.8g per 100g. Spain is entitled to less salt with 1.75g.

A double cheeseburger with bacon Burger King bought in Brazil contains 3.2g salt 2.1g cons in the United Kingdom. Subway Club sandwich contains 3.7g of salt in the UK and Finland 2.0g.

“Eating too much salt raises blood pressure, a major risk factor for diseases cardiovasuclaires,” said Graham MacGregor, chairman of WASH. “It brings millions of people to suffer and die needlessly from heart attacks, heart failure and stroke. Reduce salt a few grams per day, significantly reduces the risk.”

“The food manufacturers must absolutely reduce the amount of salt added to foods around the world,” said Katharine Jenner, co-ordinator at WASH and nutritionist. “If Kellogg Cornflake can provide a low salt level in Spain, why consumers in the world, can they not have them too? Reduce consumption of salt in the world literally save millions of lives, but major global brands still seem reluctant to provide the healthiest products to everybody. ”

It is of paramount importance that the products made available by industry contain reasonable amounts of salt because the largest proportion of consumption comes from them (80% of Canadians according to Statistics Canada, for example).

While consumption in France would be 8g to 12g per day, WHO (World Health Organization) recommends reducing it to less than 5g per day. According to the AFSSA (French Agency for Food Safety), 4g are sufficient to meet the daily needs of an adult. The Academy of Medicine estimated that these needs do not exceed 3g per day.

Salt is an acquired taste. About 3 weeks would be needed when we decrease consumption, to get used to the taste of natural foods.

Unhealthy ways to lose weight, ways to lose weight to avoid

The unhealthy ways of losing weight are not only dangerous but also against-productive. If you reuse lose weight using unhealthy means, you will regain weight more quickly when you stop (using this method).

Lose Weight Natural

Losing weight is often a difficult process. It takes a good amount of time and hard work (eg physical exercise in support), implementation (eg the method you follow the diet) to lose unnecessary weight that took weeks or years to get up in your body.

List some unhealthy ways to lose weight, which are ways to lose weight to avoid:

1) Use the constant hunger for weight loss
Starving is not fast. Fasting can be healthy controlled and used for purposes such as cleaning and detoxification of the body and is done when a body is physically inactive. A controlled fasting lasts a specific time and limited, after which a person takes his eating habits. During a controlled fasting person does not exercise and must strictly follow the structured protocol of fasting.

Use hunger always implies a restriction of foods to long term. The body does not get enough calories or nutrients to function properly. When you let your body starve trying to lose weight, you will lose weight in all body compartments, including water, fat, muscles and even bones! Losing muscle and bone is obviously very unhealthy when you want to lose weight. Because normally you do not lose if you make a consistent diet (instead of using hunger for weight loss).

Why lose weight using the constant hunger is unhealthy?
The eating disorder “anorexia nervosa is characterized by constant hunger self-inflicted by its victims.

The use of food to lose weight the body is risking malnutrition, so he gets enough calories to function properly. The body will also suffer from malnutrition because it is deficient in essential nutrients to function properly.

People using the constant hunger to lose weight, regain all the weight invariably even more when they return to their eating habits.

Lack of energy is the least serious of the consequences of constant hunger. It can cause various diseases and a weakened immune system, bone weakness, reduced mental capacity and even the shutdown of the body (death) in the long term.

2) Use the weight loss drugs for weight loss
Some medicines for weight loss, slimming pills have been used harmful to lose weight for many years. In general, unless they are prescribed by a doctor credible (so they are on the market legally), weight loss drugs are generally unhealthy for people who take them.

Other illicit drugs such as methamphetamine (speed), crack and cocaine have also been used in the past to lose weight.

Many celebrities use drugs sold by prescription only to lose weight. These stars often have to lose weight quickly before shooting a movie, promotion, release an album, etc.. So often the wrong reasons for losing weight too quickly.

Why use weight loss drugs is a way to lose weight to avoid?
All drugs that were used in the goal to lose weight so unhealthy cause different effects in the body. A weight loss that accompanies the taking of illegal drugs is a side effect that comes with other negative effects of the drug in question.

What is common between all the drugs is that when you stop taking them, the body does not receive the drug’s effects. The effect of stop taking drugs for weight loss, slimming pills can cause withdrawal symptoms and more likely a revival of the lost weight.

Eating with Conscience: 3 tips for eating consciously

Eating with consciousness is something often seen as difficult to achieve during a working life or hyperactive like that we tend to lead today. Eat consciously every bite and contemplate your food, take time to enjoy better analyze the tastes, flavors, fragrances, textures, etc.. of each food does not seem compatible with a schedule of increasingly overburdened for many people.

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> Eating with conscience: for what benefits?
Eat your food with knowledge provides the main advantages:
* Reduce over-consumption: eating consciously much less likely you overeat during your meal, will not have a belly swollen and distended,
* Increase the pleasure provided by food: eating with awareness, you will meet more food and take more pleasure in every meal,
* Improve digestion: digestion begins in the mouth with the action of saliva. If food is not chewed properly (what happens when you do not eat with consciousness), your digestive system will be more work,
* Being satisfied with less food: in relation to a lesser excess consumption, the real benefit is being able to trust yourself to feel satisfied after one or two squares of chocolate so there is no temptation to finish the shelf. You will not need to deny you all the little differences that will make your relationship with food more healthy.

Council for eating consciously No. 1) Start slowly
Like any new habit, it is best to set realistic expectations. Choose a dish or snack every day and commit to eating with consciousness at the time.

Council to eat consciously No. 2) Stop the multitasking food times
It’s really hard to concentrate on eating if you’re doing other things. Give yourself time to eat with consciousness without undergoing distractions and doing nothing.

Council to eat consciously No. 3) Eat only at the table
Another way to minimize the risk of unknowingly eating is to get used to eating only when seated and able to provide the food your full attention. Do not eat snacks or nibble off the table.

How to better manage stress?

Stress is often defined as a rating agency’s response to different stimuli in our environment. There is a buoyant and positive stress that mobilizes resources and gives energy to cope with events. There exists another engulfing and wasting resources and capabilities and can even cause disease in varying degrees.

stress

Key things to know to master or learn to manage stress.

1 – In a state of stress, the first thing to do is a mini relaxation

For this, nothing could be simpler, just close your eyes and breathe through the stomach while imagining a relaxing and beautiful pictures (lake, sea, sky, landscape, …).

Little Instructions:

1. Begin by blowing the stomach for 5-7 seconds (the time to count to 10)
2. Then hold your breath for 1-2 sec
3. Then inspiration for 4-5 sec
4. Then again hold your breath for 1-2 sec

Repeat this exercise about 4-5 times

2 – Identify the source of your stress

Find out if your stress comes from a specific thing and therefore would be linked to fear or if it is diffuse and therefore more general and related to anxiety.

3 – If your stress is related to fear of an element

It may be the fear of an exam, fear of riding, find out exactly and precisely what causes the stress. In other words, what should it exist in your life that you are stressed?

- For example, rather than saying my boss is stressing me, being able to say precisely is her voice that stresses me is to work alongside this one or even this pernicious are the questions that I will ask;
- Another example is the stability of the airplane at takeoff is stressing me.

4 – You can then pinpoint the source of your fear

Is it related to:

- A real danger the stability of the aircraft;
- An imaginary danger: the issues that I may be asked.

5 – Next, determine the necessary environment to the danger real or imaginary

What must exist so that you are stressed? You can use it for the grid-CQQ COQP:

- How? (How are your stress triggers there? How is it spread there and what are its effects on me?)
- What? (What’s the trigger?)
- Who? (Who says that stress is he?)
- How? (How many people? After how long I feel stress? After how long it goes)
- Where? (Which is where stress is said?)
- When? (When? When? Day? Night? At lunch? Wake up?)
- Why? (What is this? The reason?). If you are unable to answer this question, it is likely that your stress is more related to general anxiety and not a specific fear.

6 – Write all these elements

The act of writing will help you visualize what you will stress and also the distance between what you have in your head and what you read on paper.

7 – The game of distancing

If the reason for your stress is a specific person, made this game of distancing: imagine the person in question to the bathroom or in a ridiculous position (as in drawers or grandfather Tutu Dance). You see, it works!

7a – You can try a more serious variant of distance

Imagine this person before you, then take two steps backward in space. Then once it works, try the operation mentally, eyes closed.

8 – You have resources

Once having identified many components of your stress, find out what resources you have: These resources can be internal (breathing, relaxation, visualization) or external (anti-stress course organized by the airlines, videos of speeches a person who causes fear, fetish objects).

Whatever it is, this resource should help you to tame your stress.

9 – Confront yourself slowly to the topic of stress

Experiment with short duration and only from the beginning of what scares eg

- Walk around with the person;
- Appointments more often in an airport or an airplane.

Do it on a short time, take your time.

10 – Imagine yourself being successful

Closing his eyes and breathing through the belly, visualize yourself doing the face (you see the plane taking off, face the person next to the horse …) and imagine yourself passing the obstacle your stress, while being reassured, smiling and praise you that.

11 – Repeat

The more you do this exercise in confronting you about your stress, the more successful you manage your stress in your head.

12 – A preparation for D

The day of the actual confrontation, take your time, prepare yourself physically (shake your joints, breathing slowly through the stomach about 5 minutes, move the whole body by making sounds with your mouth) to unwind at the most.

13 – Keep in touch with reality

All these details will help measure the reduction of your fear.

Coping with sores Baby

soresbabyBumps, cuts, insect bites: how to react when a baby has small scrapes? Here are some tips and some home remedies to relieve baby. Attention all these tips are valid only for superficial wounds. See end of article for signs that you need to visit a doctor urgently.

Baby bump

Baby has hit a bump and a bruise appears or without the skin is open, however. To prevent the hematoma from spreading, use a small piece of ice. If you go for a walk, you can take with you a pocket cooling cryotherapy. This comes in the form of a bag containing the gel heat. Leave the freezer a few days before leaving. The principle is the same as a piece of ice.

Another solution is to put him in the vanilla, which should stop the hematoma.

Baby has been bitten by an insect

Mosquito, horsefly, bee, if baby is not allergic, do not panic! There are of course the solution “medicine cabinet”: soak the bite of a soothing or antiseptic product. More rustic, apply a bit of vinegar on the area stung. You can also wrap in lemon juice or a slice of onion. Et Finally, remember that the stone alum is also effective to soothe the irritation.

Bebe was injured with a thorn

Above all, avoid breaking the thorn on the surface of the skin. Then, using tweezers sterilized in alcohol at 60 ° if possible, enter the overlap and pull the axis where it sank. Clean the wound, sanitize, apply a bandage and watch for a few days.

Baby pinched finger

Whether in a door or using an object, finches sores are common among toddlers. There is not much to do against the pocket of blood that forms beneath the nail or the skin. However, you can ease the pain of putting her baby sparrow in cold water a few minutes.

Baby has cut

First Wash the wound with water to clean. Then disinfect with an antiseptic pad before putting a bandage. Later, to remove the dressing, rub it with some vaseline, it will detach itself. If the wound is a little deeper, stop the bleeding by compressing 3 minutes with a compress. Then consult a doctor quickly.

Note: Never use cotton, which unravel in the gall. To disinfect, use an antiseptic such Biseptine and not alcohol at 90 °.

Baby has singed

Place the burn 10 minutes in cold water and cover with ointment “special Burn” and a bandage.

When calling for help?

First, remember that prevention is better than cure. So do not particularly ashamed to call for help, even to take baby to the emergency room for anything.

The warning signs that should alert:

- Excessive sleepiness;
- Vomiting
- Headache;
- Impaired vision (watch especially if the eyes move symmetrically);
- Mobility problems;
- Incoherent (if already speaks);
- Convulsions.

How to improve sleep?

Your nights do not turn into a nightmare awake, our specialists offer five keys that allow you to naturally and easily improve the quality of your sleep.

sleep

Key No. 1: the psychological dimension

The concerns and change are two enemies of sleep. Do not let your troubles with you under the duvet. All means are good to abandon the bedside reading, herbal tea, meditation. Whatever solution you choose, you spare a moment of relaxation at least thirty minutes to calm your mind and your body.

Key # 2: Food

At night, banish stimulants such as coffee, tea, cola and alcohol if you have a light sleeper. Eat light, do not lie down immediately after eating. Attention skip dinner can also cause sleep problems. Vary your diet to avoid suffering from vitamin B, calcium and magnesium, which can cause sleep disorders.

Eat yogurt: dairy products contain tryptophan effect. It is the substance from which to manufacture serotonin, also called sleep hormone.

Key # 3: healthy living

Quitting smoking is an effective solution. The link between smoking and sleep disorders has recently been established. Physical activity during the day also improves the quality of your nights. Walking or yoga also work.

Key # 4: A room ideal for sleeping

Make your bedroom a place for sleep:

- Avoid noise and light;
- Keep the temperature between 18 and 19 ° C;
- Ventilate well;
- Remove allergens (cat dander, dust, pollen, dust mites, etc..).

Your bed should be tailored to your size and your weight. The mattress should be firm but not too hard and in good condition.

Key # 5: schedules and sleep cycles

Try to meet your schedule and your habits in order not to upset your biological clock. Sleep is routine and any change could have negative effects.

Sleep is divided into cycles of 90 minutes. Try going to sleep when you need it: it is at this point that your cycle begins. Finally, if you suffer from insomnia, do not nap because you may shift the sleep of the night.

The coffee helps prevent diabetes

Coffee consumption is associated with a reduced risk of type 2 diabetes, new study confirms a Franco-Brazilian published in the American Journal of Clinical Nutrition.

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Sartorelli Daniela S Guy Fagherazzi and colleagues studied the long-term effect of coffee, tea and chicory on the risk of type 2 diabetes by analyzing data from a study involving 69.532 French aged 41-72 from which follow-up was made 11 years later on average.

Diabetes risk was reduced by a quarter among participants who were taking three or more cups of coffee per day compared to those who did not. When the consumption of 1 cup per day or more was compared to no consumption, only the consumption accompanying lunch was related to reduced risk of developing the disease. This link was present for the regular and decaffeinated coffees as well as for filtered coffee (not instant) and black.

These results suggest that when the coffee is consumed plays a distinct role in the metabolism of glucose, the researchers conclude. They also suggest that the beneficial effect is due to a substance other than caffeine.

Neither tea nor chicory were associated with a reduced risk of diabetes in this study.

Rheumatoid arthritis: alcohol slow progression

Moderate consumption of alcohol may slow rheumatoid arthritis, according to a study published in the journal Arthritis & Rheumatism. Rheumatoid arthritis is an autoimmune disease characterized by chronic inflammation of joints, which evolves in spurts over dozens of years. The risk factor is smoking better established.

Axel Finckh and colleagues from Geneva University Hospitals have followed 2908 people with the disease for four years during which their X-rays of joints were taken regularly.

rheumatoid_arthritis

The disease progressed more slowly in people who consume occasionally or daily alcohol consumption than those that do. But this protective effect was not present among heavy drinkers and their condition was deteriorating even faster.

Slowing the progression of the disease among non-drinkers and moderate drinkers was not significant enough to be evident in everyday life in terms of symptoms or disability, the researchers say. But, if the progression is slowed over decades, the gap may become important. The benefits were most marked among men, which could be explained by the fact that 27% of men said drink daily compared to 14% of women.

These results confirm those of previous studies and work done on mice. The researchers suggest that moderate consumption of alcohol may reduce inflammation (by decreasing the activity of the immune system) while a higher consumption may encourage it.

The authors would not encourage people with the disease who do not consume alcohol to do so because of the potential risks of such use. But those who already drink moderately should not be encouraged to stop, do they.

Hot flashes of menopause: the antidepressant Celexa (citalopram) tested

menopauseThe frequency and severity of hot flashes of menopause could be reduced with the antidepressant Celexa (citalopram) according to a study published in the Journal of Clinical Oncology. Previous studies have yielded conflicting results on the effectiveness of this drug against hot flashes.

Debra L. Barton of the Mayo Clinic in Rochester and his colleagues conducted the study with 254 women with frequent hot flashes (at least 14 per week for one month). They were randomly assigned to take 10 mg, 20 mg or 30 mg of citalopram or placebo (inactive product).

After six weeks of treatment, the dose of 10 mg brought about a 46% reduction in hot flashes compared to 23% in the placebo group. Higher doses did not increase significantly the benefits.

Studies have already shown the efficacy of antidepressants in the class of inhibitors selective serotonin reuptake inhibitors (SSRIs), which Deroxat or Paxil (paroxetine), Prozac (fluoxetine) and Effexor (venlafaxine), for reduce hot flashes. (Another antidepressant in the same class, sertraline (Zoloft), proved ineffective.)

Citalopram has the advantage, however, in contrast to paroxetine, and fluoxetine can be taken with tamoxifen in the case of premature menopause caused by treatment of breast cancer, say the authors. (See: The antidepressant paroxetine (Deroxat, Paxil) reduces the effectiveness of tamoxifen.)

Other psychotropic drugs used against hot flashes are the anticonvulsant drugs (AEDs) Neurontin (gabapentin) and Lyrica (pregabalin). Celexa (citalopram) is more easily tolerate these drugs, say the authors.

A limitation of the study, the authors note, is its limited duration. The long-term control of hot flashes and the occurrence of side effects with citalopram and can not be determined.

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