20th World Diabetes Day in Germany alone about 8 million people are likely to be contracted on November 14, 2010 mellitus one of the two forms of diabetes. Although the emergence of disease in both forms is very different, the disease affects it: the body cells lack insulin, the glucose in the blood into energy is converted. Otherwise energy to reach, using the body fat reserves. This waste are made, however, which can be removed only bad and lead to acidification of the body. If then, the water loss is not compensated or treated with insulin, this condition may lead to a diabetic coma and even death. Therefore, blood sugar levels should be measured regularly. Are there two different types of diabetes? Something like the disease itself expires, the reasons for the two types of diabetes are so different. In principle, the center of the problem is the pancreas.
Here, the hormone insulin is produced in the mammals cells. In type 1 diabetic patients destroy the relevant cells in the pancreas due to a disease of the immune system. This insulin most definitely from outside must be fed. Because the hormone would be destroyed by stomach acids, which can happen not orally in the form of tablets, but must be injected under the skin in the subcutaneous fat tissue. Also, the recording must be coordinated by carbohydrates with the insulin dose. (Not to be confused with PCRM!). It is so far unclear why exactly the immune system destroys cells in the pancreas. Notes that certain genetic characteristics caused by viral infections, certain foods or stress accumulating. This form of the disease affects only the minority of diabetics. “White because as Kerstin Thierfelder of the EU shipping pharmacy: about eighty to ninety per cent suffer from type 2 diabetes.” Thereby, the insulin-producing cells in the pancreas are not destroyed by the immune system. Rather, the gland is so strained by a years of overuse, that after some time Adjusts the insulin production.
You got another thing Comin’? Hold the cut under cool running water, clean the wound and provide them with a band-aid or bandage. More information on cuts: cuts usually quickly much blood flow. Smaller cuts, or superficial injuries, you can yourself quickly provide assistance. Gaping wounds or deeper injuries should the wound first feed and then go to the doctor. The supply of smaller and less deep cuts can be carried out as follows: wash your hands thoroughly and apply sterile gloves if necessary.
Clean the wound by removing any particles may be in it. Under certain circumstances, it is sufficient to keep the injury under cool running water. Should however items as glass, stones or similar in the wound, cover the wound carefully and go to the doctor. You may perform the removing of those things myself, definitely not! Polka dots The wound with a sterile, fluff-free cloth off, give appropriate disinfectant for wounds on it, and then set a LTO cleaning tape or a sterile dressing. The plaster and the Federation daily regularly remove and replace until the wound has closed. Changed the wound is red, hot and swells, burns the violation or throbs, consult a doctor to make a possible infection to clarify. Sometimes, very small foreign objects are in the wound, which are not visible with the naked eye.
No matter what body part the gaping, bleeding heavily, or deep cuts is located. Try to pull it as tight as possible so that the blood loss is kept as low as possible. Call an ambulance or go immediately to the emergency room! Abrasion which help immediately, you have an abrasion? Hold the wound under running, cool, but not too hot or too cold water. Then all foreign objects should be removed from the wound. A sterile pad may be used. In the ideal case, then rinse the wound with sterile saline solution and disinfect the wound with an appropriate disinfectant. Now, cover the wound with a patch or sterile dressing. Further information about scrapes: a violation is called abrasion, where is mined from the surface of the skin. Nettles often these wounds or bleed easily. While the size of a wound can vary extensively from very small to larger. The difference is, to deep wounds and an abrasion that the leather skin, so skin layer, is not injured including. The wound wet usually strong to very strong, and even severe pain may occur. Who stretches to an abrasion by a fall, will find most polluted in the wound. Abrasions can but heal without scarring, as the injury on the skin surface is. So can the wound clean and take further measures: the wound bleeds more a wound healing ointment is recommended, which is then covered with a sterile gauze compress. It not too hard work, otherwise the wound could stick with the compress. Also a spray Association is sufficient the wound bleeds hardly or not at all. Generally, associations should be renewed daily. Should the WundeDruck be sensitive, hot and swollen, you should consult a physician.
German summary onkoserv and HEXAL Oncology 5 years has the ASCO – the world’s largest scientific society of Oncology – at the end of the year, the most significant advances of the previous year together – also for 2009 (ASCO: clinical cancer advances 2009: J Clin Oncol 27 (2009) 6052-6069). In the areas of treatment, prevention and screening Congress lectures and publications are presented, which significantly changed the understanding of a particular tumor or but a major contribution to patient care. Also the largest European society of Oncology, ESMO (European society of medical oncology) has summarized the most important from their perspective events and progress of the last year for the first time this year (ESMO’s round-up of leading reports and analyses from 2009). onkoserv – the independent, daily, German-language information service for Clinical Oncology, announced the results of these two important publications – as usual briefly and succinctly summarized in german -, complemented by links and comments. On the page, subscription to registered subscribers / members requesting German summary as a PDF file.
The registration / membership is absolutely free for doctors in clinic or practice, the registration is done online in a few steps. the only daily independent, German-language information service for Clinical Oncology is onkoserv, the newsletter and database in one. Daily 3 current clinical studies phase II in concise, tabular summary are presented – of course in German language. The tabular representation allows a rapid admission of the presented data, the database easy to use a find again at any time. Since 2002, nearly 6000 studies with German tabular summaries are now alone in the literature database to research. Other features of onkoserv are a newsletter with messages from authorities (FDA, EMEA, RKI, etc.), Associations, research institutions and the industry as well as an always up-to-date database of Congress.
Scientific article by Prof. Dr. Dr. Edmund Clemens Rose obstructive sleep respiratory disorders in adults and children can be treated due to orthodontic measures in circumscribed indications. The displacement of the mandible by means of a Protrusionsschiene or the extension of extrathoracic airway by means of orthodontic therapy for the treatment of obstructive sleep-related breathing disorders are becoming recognized procedures in sleep medicine and of pneumology. An extension of the treatment spectrum arises for the sleep-medically interested orthodontists. Obstructive sleep breathing disorders in children should be treated separately. There are special diagnostic criteria and therapeutic approaches.
Polygraphisch proven sleep breathing disturbances in children with Cranio facial anomalies, orthodontic measures can be displayed. The orthodontic treatment concept is to adjust the sequence of the underlying disease. The present two review articles include the current scientific As of this form of therapy concerning the effectiveness, patient cooperation, and the dental side effects together. Introduction to the international classification of sleep disorders (ICSD-2) of the American Academy of sleep medicine (AASM) lists three sleeping troubles for the orthodontist. (These are the obstructive sleep apnea syndrome (II) in a) adults and b) children and sleep-related movement disorders (VI). The sleep bruxism is counted among the latter.
Unterkieferprotrusionsschienen have become as circumscribed indicated as a possible method of treatment of the obstructive Schlafapnoesyndroms (OSAS). Essentially, a movement of the mandible in the sleep prevents falling along the respiratory tract in the different phases of sleep, by is stretched the pharynx and so the airway resistance is reduced. Less turbulence occur at the inspiration, which reduces the frequency of snoring and snoring frequency; at the same time, the respiratory way obstructions are removed.
Psychological sleep tips for adult sleep has become a problem for many professionals. Many wake up at night and can not go back to sleep from sheer brooding thoughts. The Verhaltenstherpaie and the sleep psychology provide good tips for peaceful nights. Can sleep at night and for recovery ability the get – for many adults a pipe dream now. The job stress makes people no longer sleep. According to health insurance reports is: each r third wakes up at night and can no longer fall asleep.
For many, thoughts then revolve around the work. But there are tips and tricks that are sometimes quite simple and yet Act. However, they do require a little usage, in particular preparation. The following tips to turn off in the overview are chronologically and divided. Prepare the shutdown properly. Ask yourself in the Office: what have I done today? What am I proud? What’s important for tomorrow? What is my plan? It is best if Write down the answers to these questions. Everything you write down on a sheet, is out of the head and can not bother you after work.
Establish a sleep ritual, E.g. a regular cup of coffee when he comes home. Prepare the sleep properly. Go not just in bed, but also develop a ritualized order. For example, by regularly with the dog going down the fresh air (will do well also your thoughts), then in the kitchen and look in the children from the right hand, then drink a delicious Cup of tea or the classic hot milk with honey, and disappear in the bathroom and change – everything day always same order. Indicated body and psyche: now he / she go right to bed. Prepare the sleep properly. Sleep with full head and twisted thoughts want – it may not work. Therefore: sit down one hour before going to bed outside (!) of the bedroom and write what moves you. As concrete. And then cut the piece of paper, or throw him in the fire. And then work up to going to sleep with pleasant things (no horror thrillers). Don’t worry about that you will be stirred up this – this phase (where you might even temporarily worse sleep) experience has shown that only 10 days. Then sleep you easier and better by. For more information and concrete offers to the switching off learning by Dr. Anne Katrin Matyssek, see. Recovery ability to train that is the only way to maintain mental health, very important and often (depending on the older we become, the more) If on the stress in the workplace (why always) nothing can change. Athletes know that: training stimuli make only stronger, if followed by a period of regeneration (relaxation) after a period of tension. The same is true for the ‘ normal service providers “. Only who really well at night can charge its battery is fit on the next day.
Routine check-ups by means of magnetic resonance imaging after breast augmentation with silicone breast implants no longer recommended by the FDA. So far check-ups with magnetic resonance imaging were recommended by the American Ministry of health after breast augmentation with silicone gel implants (FDA) years after 3,5,7,9. End of August now again include this recommendation in the American Ministry of health were discussed. There was consensus that kernspintomografische no longer routinely checks patients with breast implants should be recommended after years of 3,5,7,9 now. After the implantation of silicone gel breast implants require regular follow-up of patients. Checkups of the breast are useful: on cancer screening (as in women without implants) to evaluate the implant changes such as such as ruptures.
Which study options are available now for a control examination of the breast after augmentation available? Of course first of all the keys off Chest: The value of this investigation method (performed regularly by women themselves or within the framework of the preventive medical examinations by the doctor) should not be underestimated: women with breast implants have Yes, typically a small breast. This means that node formations are often early palpable (due to tumor or rupture of breast implant) and can thus be detected. The investigation can be performed even regularly by palpation of the patient, it is free and not burdensome (not painful, no radiation). Also ultrasound examinations of the mammary gland can provide valuable information concerning the mammary gland, as well as with regard to breast implant with implant wearers. Mammography finds virtually no application in contrast with breast implant wearers. Sure, the magnetic resonance imaging (MRI) today represents the widest and most precise investigation of the breast in women with breast implants. Also known as “silent ruptures” enables you to which the patient not even noticed, be detected.
For this reason the American Ministry of health (FDA) recommends a kernspintomografische control of silicone gel implants 3, 5, 7 routinely, 9 years after the breast augmentation. See also: patient information-breast augmentation late August 2011 now held a discussion about silicone gel implants in the United States Department of health. The Chief Scientist of the FDA, Dr. Wiliam Maisel then among other things said in a statement: “Silicone breast implants are safe”. This news was not surprising. It was much more interesting, though, that the Committee agreed that no longer should be recommended patients, three years after a breast augmentation and then after each two years routinely a magnetic resonance imaging to get. The kernspintomografische study (just as a routine measure) is expensive. In Germany, a magnetic resonance imaging of the breast will cost several hundred dollars. These costs are payable by the implant wearer himself. In addition sure to right noted that this very differentiated procedures (MRT) will occasionally over-interpreted and false positives are described. That’s why was consensus that regular, no longer should be recommended routine testing by MRI in women with breast implants made of silicone gel from the FDA. Finally is but again pointed out: regular check-ups after breast augmentation surgery are generally required. Breast implants do not last a lifetime. It is to be expected, that they must be replaced someday or removed. The magnetic resonance imaging remains the gold standard for the study of “silent implant ruptures”. Justified suspicion of a rupture of breast implant an MRI should be made still. Prof. Dr. med. Peter Graf medical specialist for plastic and aesthetic surgery