Positive Thoughts

 

Believe in your heart that something
wonderful is about to happen.
Love your life.

Believe in your own power,
and in your own potential,
and your own innate goodness. 
  
Wake every morning with the awe
of just being alive.
Discover each day the magnificent,
awesome beauty in the world.

Explore and embrace life
in yourself and in everyone
you see each day. 
  
Reach within to find your own specialness.
Amaze yourself and rouse those
around you to the potential
of each new day. 
  
Don't be afraid to admit
you're less than perfect;
this is the essence of our humanity. 
  
Let those who love you help you;
Trust enough to be able to take.

Look with hope to the horizon of today,
for today is all we truly have. 
  
Live this day well.
Let a little sun out as well as in.
Create your own rainbows.

Be open to all your possibilities,
and all miracles.
Always believe in miracles.

It's not how much you that makes

people look up to you,

it's "WHO" you are.

      

Your appreciation  is our inspiration

 

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RAMNATH

HYPERTENSION =HEALTH-AWARENESS=

HYPERTENSION                    

Introduction

Hypertension is an intermittent or persistent elevation of the blood pressure (systolic blood pressure above 140 mm Hg or diastolic blood pressure above 90 mm Hg) or (a systolic and diastolic pressure of 20 mm Hg above the normal baseline pressure). Hypertension has recently increased in incidence throughout the world. It is thought that the stresses of everyday life with a change in the dietary habits and lack of exercise has led to the increasing incidence of hypertension. Previously hypertension was predominant only in industrialized and developed countries. However, of late there has been a sudden increase in the number of cases in developing countries.

 

 

 

Cause and Pathogenesis

The cause of primary (essential) hypertension is not known. It is thought to be due to multiple risk factors. Known risk factors include a familial history of the disease, race, obesity, tobacco smoking, stress, and a high-fat or high-sodium diet in genetically susceptible individuals. 
Extremely nervous and highly emotional people also tend to develop hypertension more readily. Secondary hypertension is related to an underlying disease process such as renal parenchymal disorders (kidney failure which is both a cause and an effect of hypertension), renal artery disease, endocrine and metabolic disorders, central nervous system disorders, and narrowing of the aorta (coarctation). It is estimated that millions of people throughout the world suffer from hypertension, that is a major causative factor in strokes, cardiac and renal disease.

 

 

 

Symptoms and Signs

Hypertension often remains asymptomatic until complications develop. It is usually discovered on blood pressure measurement during routine examination. Sometimes the patient may suffer from severe headaches, fainting attacks, dizziness, nausea and vomiting for which they seek medical attention . The chief risk of untreated hypertension is the development of complications like heart disease and strokes. Hypertensives have a much higher risk of developing strokes, heart attacks, kidney failure. They also have the risk of going blind due to damage to the eyes. Complications include atherosclerotic heart disease, cerebro vascular insufficiency with or without strokes, retinal haemorrhage in the eyes and renal failure. When the pathologic process is accelerated, malignant hypertension may result and the blood pressure becomes extremely high and nephrosclerosis, encephalopathy, and cardiac failure rapidly ensue.

 

 

 

Investigations and Diagnosis 

For a diagnosis of hypertension, elevated blood pressures (systolic above 140mm HG or diastolic above 90 mm HG) on at least two occasions from measurements taken on three separate days are required. Secondary causes are then ruled out to make a determination of primary hypertension. Tests to rule out renal causes like a renal angiogram, blood renin levels, an ultrasound of the kidneys, and renal function tests etc. are often done especially in younger hypertensives. Hormonal tests to detect the presence of certain substances called catecholamines may be done as also tests to elicit the presence of other endocrine diseases. The aim in investigating a hypertensive is to rule out the presence of a secondary cause for the disease. E.C.G (Echocardiograms) are essential to form a baseline assessment of the patient and for follow up.

 

 

 

Treatment and Prognosis

Drug therapy of hypertension is most often effective. Diuretics, beta-adrenergic blocking agents, or other types of antihypertensives like Angiotensin converting enzyme inhibitors or Calcium Channel Blockers are used to reduce blood pressure and are effective in producing good control of blood pressure. Treatment of underlying disease in secondary hypertension, exercise, restriction of dietary salt intake, decreased alcohol intake, avoidance of smoking, stress reduction, and weight reduction in obese individuals need to be attended to. Blood pressure must be monitored regularly and counselling regarding the importance of taking medications consistently should be given. Warning of the potential long-term complications of the disease is also necessary. Medications for hypertension often have to be taken life long. It has been proven that the better the control of blood pressure, the lesser the risk of complications.

 

 

 

Prevention

As the precise cause of essential hypertension is still to be established, avoiding the known, risk factors is extremely important . Ensuring a low salt diet, avoiding high-cholesterol and fatty foods, adequate regular exercise, reduction of stress and anxiety by counselling, avoiding smoking and reducing the consumption of alcohol are the ways by which the risk factors can be avoid

 

REGULAR CHEK-UP WITH FAMILY DOCTOR WILL KEEP  YOU HEALTHY

HEALTH IS WEALTH

-- 

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Tomorrow can be too late

Tomorrow can be too late

If you’re angry with someone and nobody’s there to fix the situation… fix it yourself. Maybe today, that person still wants to be your friend. And if u don’t, tomorrow can be too late.

If you’re in love with somebody, but that person doesn’t know…

tell her/him. Maybe today, that person is also in love with you. And if you don’t say it, tomorrow can be too late.

If you still love a person that you think has forgotten you…

tell her/him. Maybe that person has always loved you. And if you don’t tell her/him today, tomorrow can be too late.

If you need a hug of a friend… ask her/him for it. 

Maybe they need it more than you do. And if you don’t ask for it today, tomorrow can be too late.

If you have friends whom you really appreciate… tell them. Maybe they appreciate you as well. they may leave or go far away today, tomorrow can be too late.

If you love your parents, and never had the chance to show them… do it. Maybe today you have them to show them how you feel. if you don’t and they leave today, then tomorrow can be too late.

    

      

Your appreciation  is our inspiration

 

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RAMNATH

25 AWESOME TIPS FOR BEAUTIFUL LIFE!!!

25 AWESOME TIPS FOR

 BEAUTIFUL LIFE!!!

1. Take a 10-30 minute walk every day. & while you walk, SMILE.It is the ultimate antidepressant.

2. Sit in silence for at least 10 minutes each day.

3. When you wake up in the morning, Pray to ask God’s
guidance for your purpose, today.

4. Eat more foods that grow on trees and plants and eat less food that is manufactured in plants.

5. Drink green tea and plenty of water. Eat blueberries, broccoli, and almonds.

6. Try to make at least three people smile each day.

7. Don’t waste your precious energy on gossip, energy vampires, issues of the past,negative thoughts or things you cannot control.Instead invest your energy in the positive present moment.

8. Eat breakfast like a king, lunch like a prince and dinner like a college kid with a maxed out charge card.

9. Life isn’t fair, but it’s still good.

10. Life is too short to waste time hating anyone. Forgive them for everything !

11. Don’t take yourself so seriously. No one else does.

12. You don’t have to win every argument. Agree to disagree.

13. Make peace with your past so it won’t spoil the present.

14. Don’t compare your life to others. You have no idea what
their journey is all about.

15. No one is in charge of your happiness except you.

16. Frame every so-called disaster with these words: ‘In five years,will this matter?’

17. Help the needy, Be generous ! Be a ‘Giver’ not a ‘Taker’

18. What other people think of you is none of your business.

19. Time heals everything.

20. However good or bad a situation is, it will change.

21. Your job won’t take care of you when you are sick. Your
friends will. Stay in touch.

22. Envy is a waste of time. You already have all you need.

23. Each night before you go to bed ,Pray to God and Be thankful for what you’ll accomplish, today !

24. Remember that you are too blessed to be stressed.

25.Share this to everyone on your list to help them lead a happier life…!!!!

 

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Obesity=HEALTH=

Obesity

What is obesity? Obesity is defined as a condition of excess bodyweight and fat. The size and number of fat cells increase in obese people. A person is said to be obese when the body weight is 20% or more above ideal body weight, which can be calculated by comparing his height and sex. What are the causes? Dietary and life style practices are directly related to obesity. The most important cause is the imbalance between the energy intake and output. Energy is obtained from the food one eats and is required to carry out the daily activities, and the body functions, which are going on even when one is sleeping. The extra energy which is not used by the body is stored as fat. Eating more than one need causes obesity because the excess energy supplied to the body gets converted into fat. On the expenditure side, if a person is physically less active then less energy is utilised and more is converted to fat. Home, work and school are barriers to opportunities for active lifestyle. Children of obese parents are 10 times likely to be obese than those of non-obese parents. This is mostly environmental since the children and parents share the same dietary habits. Genes influence how the body burns calories or stores fat. In some rare cases, hormonal imbalance, such as overactivity of the adrenal glands or underactivity of the thyroid gland, can also cause obesity. Injury or inflammation of the hypothalamus can interfere with the appetite centre and thereby cause obesity. What are the symptoms? The signs of obesity include body fat and weight more than the ideal body weight. What are the risks of obesity? Obesity is a serious condition as it increases the risk of heart diseases, diabetes, joint pains, high blood pressure and some types of cancers such as colon, breast and uterine cancers. Obese people are also more prone to diseases and problems such as stroke, gall bladder disease, breathing problems (sleep apnoea syndrome), low back pain, swelling of the feet and ankles, imbalances and accidents. Obese people have a low self-esteem and they avoid company, which makes them insular and insecure. How is it diagnosed? Obesity is determined by measuring body weight and fat. There are different ways of calculating body fat. Body mass index (BMI) is one of the best methods used to measure body fat. BMI is calculated as the ratio of the weight in Kg and height in square metre. Guidelines define overweight as a BMI between 25 and 29.9 kg/square meter and obesity as a BMI greater than 30. The doctor may also suggest blood test for sugar, cholesterol, and triglycerides. In case insufficient thyroid functioning (hypothyroidism) is suspected, the doctor will ask for a thyroid stimulating hormone test. What is the treatment? The simplest and the most basic principle is to reduce food intake, especially the fat content, and increasing physical activity. Increasing physical activity alone is not an easy way to lose weight unless one combines it with a reduction of fat intake. Physical activity includes walking, jogging, swimming, cycling, aerobics or any other household activity such as cleaning, washing, climbing stairs etc. The sense of well-being and weight loss motivates an individual to make changes in his or her diet as well. The best way of keeping a good control on ones dietary intake is to keep a daily diary, and writing down whatever one eats as one eats. Avoid high oil content in the curries and do not use butter on chappatis, which may be tasty without the fat. The doctor or health care provider evaluates the daily diet and plans a diet providing calories enough to maintain the weight below the ideal body weight. Increase your physical; activity and reduce the intake of food. Your initial goal of weight loss therapy should be to reduce the bodyweight by 10% from baseline. With success, further weight loss can be attempted.Weight loss should be 1-2 kg for 6 months. Reducing dietary fat alone without reducing calories is not sufficient for weight loss. Reducing dietary fat along with dietary carbohydrates can help reduce calories.Weight maintenance program should be priory after 6 months. In order to maintain one's weight, calories consumed should be equal to calories used. Energy balance is like a scale. When calories consumed are more than calories used, it results in weight gain. Let physical activity tip the scale in your favour. You can perform aerobic exercises 30 minutes a day thrice week. Avoid a sedentary lifestyle. Certain medicines are also available for weight reduction. There are two main types of weight reducing drugs: one class decreases appetite while the other prevents dietary fat from being absorbed by the body. These drugs should be taken only with doctor”s advice, as there are a lot of side effects related with their use. Surgery to cure obesity should be undertaken as the last resort for people who are very obese, have tried all the other options available and have medical problems. The main surgical option is to have your stomach banded or stapled so that it cannot accommodate more food. Why not eat less voluntarily?

Few tips to bring about weight loss as well as ensuring good health: Eat plenty of vegetables, fruits, and grain products like wheat. Increase the consumption of complex carbohydrates like whole wheat, millet (jowar) and barley (bajra) Restrict refined products such as flour (maida) and its products such as bread, noodles, macaronis and pastas in regular diet Restrict fat and cholesterol rich foods. Only non-vegetarian foods (like eggs and dairy products) are good sources of cholesterol, however saturated fatty acids present in butter, ghee, vanaspati and coconut get metabolised to cholesterol in our body Reduce the amount of sugars consumed Consume raw fruits and vegetables in form of salads and raitas in every meal.These provide adequate vitamins, minerals and fibre. Fibre is essential as it aids in digestion, has an effective role in managing obesity and cardiovascular problems Limit salt intake Have small portions of food at a time Do not skip meals Have regular meal timings Do not eat while cooking and watching television Drink plenty of water (6-8 glasses) in a day Exercise regularly. Do brisk walking at least for 20-40 minutes in a day The best exercises that are sustainable and safe to loose weight are aerobic exercises. Aerobic exercises usually involve vigorous exercises sustained over a period of several minutes and their effect is to increase the efficiency of the lungs, heart and blood circulation,which are collectively known as the aerobic system. Short and sharp bursts of activity which rely on the body”s reserves of oxygen do not produce a similar improvement. Exercises should increase strength and mobility and also aid relaxation. You can choose walking, swimming,bicycling as per your fitness level and increase gradually. You should plan on 20-minute sessions at least 3 times per week. Gradual changes in eating habits will help encourage a permanent lifestyle change. A slow weight loss of 1 or 2 pounds a week, until the desirable body weight is reached, is best.   Follow the above mentioned tips to lead a healthy and a happy life. ALWAYS LISTEN TO YOUR FAMILY DOCTOR

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