9/24/15

Coronary Artery Disease

Coronary Artery Disease


Legend: Artery Wall: arterial wall;  Normal blood flow: normal blood flow;  Artery Cross secton: Cross section of artery;  Normal Artery: artery Normal;  Normal artery with normal blood flow
Legend: Artery Wall: arterial wall; Normal blood flow: normal blood flow; Artery Cross secton: Cross section of artery; Normal Artery: artery Normal;Normal artery with normal blood flow

Scenery   
The Coronary Artery Disease (CAD) is a condition in which plaque builds up inside the coronary arteries that supply oxygen-rich blood to the heart. The narrow plate arteries and reduces blood flow to the heart. This also makes it more likely the formation of blood clots in the arteries.
The board is composed of fat, cholesterol, calcium and other substances in the blood. When plaque builds up inside the arteries, this condition is called coronary artery disease.
Over time, CHD can weaken your heart and lead to heart failure and arrhythmia. Heart failure is a condition in which the heart can not pump enough blood throughout the body. Arrhythmia is related to the irregularity of the speed or rhythm of the heartbeat.
Legend: Plaque: Stove;  Abnormal blood flow: abnormal blood flow;  Narowed artery: artery narrowed;  Narrowing of Artery: narrowing of the artery.
Legend: Plaque: Stove; Abnormal blood flow: abnormal blood flow; Narowed artery: artery narrowed; Narrowing of Artery: narrowing of the artery.
The Coronary Artery Disease (CAD) is caused by the following factors:
  • Smoking;
  • Large amounts of some fats and cholesterol in the blood;
  • Hypertension;
  • Large quantities of blood glucose due to insulin resistance or diabetes.
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9/21/15

Coronary Artery Disease

Coronary Artery Disease


Coronary artery disease is characterized by the obstruction of blood vessels supplying the heart.Irrigation of the heart is performed by two arteries, the right coronary and left and the respective branches.With the accumulation of atheromatous plaques (fat) within these arteries, the blood is more difficult to pass.When this plate is broken inside the vessel, there is a cascade of inflammatory actions that eventually result in vessel obstruction. Depending on the extent of the obstruction to blood flow can be angina pectoris, acute myocardial infarction and even sudden death.

Symptoms of coronary disease

The symptoms of coronary heart disease can be:
  • Pain sensation in the chest, in the form of clamping or crushing of the heart;
  • Feeling short of breath;
  • Tiredness;

Causes of coronary heart disease

The causes of heart disease are related to the accumulation of fat plaques inside the arteries. Individuals with high cholesterol, smoking, diabetes and sedentary are at increased risk of developing coronary heart disease. 

Diagnosis of coronary artery disease

The diagnosis of coronary heart disease can be done through tests such as:
  • Angiography of the coronary arteries;
  • Electrocardiogram;
  • Computed tomography of the heart;
  • Test of physical effort.

Treatment for coronary disease

For the prevention of coronary heart disease, including new episodes, it indicates to eliminate the risk factors of the disease, regular physical exercise and maintain good nutrition. When diagnosed coronary heart disease, the individual is driven by his cardiologist, using specific medications, and medicines to control cholesterol, hypertension and diabetes. These drugs should be used as directed and for life. The cardiac catheterization may be required and, if necessary, the treatment can be done by angioplasty and stent placement within the vessel, or even a revascularization surgery for placement of mammary and saphenous bridges.
Note: The fact that the patient has performed angioplasty or heart surgery does not mean that the individual is cured! It has high risk of new heart attacks and therefore need to use the medication prescribed by the doctor regularly, and for life, and physical activity under the guidance, quit smoking and eat healthily.

Prevention of coronary disease

Prevention of coronary heart disease can be made through good lifestyle habits like quitting smoking, eat properly, do physical activity and lower cholesterol levels. Suitable cholesterol levels are:
  • HDL: above 60 mg / dl and
  • LDL: below 130 mg / dl; and below 100 for patients who have infarct or at high risk of infartarem (diabetes, hypertension, smoking)
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9/19/15

Diabetes and Your Child: Preventing Diabetic ketoacidosis (DKA)

Diabetes and Your Child: Preventing Diabetic ketoacidosis (DKA)

The diabetic ketoacidosis (DKA)  is a rare but serious condition that can occur if your child's diabetes is not well controlled. If left untreated, CAD can induce a diabetic coma in his son and in some cases, even death. However, you can take steps to prevent your child from you CAD. 

The origin of the ketones

The body's cells need to burn glucose for energy. If glucose does not enter cells, the body is forced to burn fat.However, burning fat generates waste products called ketones  that can accumulate to dangerous levels in the blood and urine. The body of your child can not tolerate large amounts of ketones.

What are the causes of CAD?

The accumulation of large amounts of ketones in the blood can cause diabetic ketoacidosis and destabilize the chemical balance of the blood. The CAD may be more common in children with type 1 diabetes than in those with diabetes type 2. The most frequent causes of CAD are:
  • Lack of needed insulin in the blood of his son (this can happen if the child does not get his insulin injections)
  • Illness (flu, cold or infection)
  • Breakage or failure of an insulin pump
  • Use of insulin that is expired or that is not saved in the correct conditions

What are the symptoms of CAD?

In many cases, symptoms of CAD may resemble the flu. Contact your health care provider for your child or seek emergency care immediately if you notice any of these symptoms in your child:
  • Ketones in the urine or blood (see the "How to analyze ketones" below)
  • Sickness
  • Vomit
  • Breath that smells fruity
  • Colic
  • Very dark urine or no urine in the last 6 hours
  • Rapid, deep breathing
  • Very dry mouth or thirst
  • Drowsiness or unresponsiveness

When to make an analysis of ketones

Always do an analysis of ketones if your child has any of the above symptoms or:
  • A sugar level in blood over 240.
  • Diarrhea or vomiting.
  • Fever of 100.4 ° F (38 ° C) oral or 101.4 ° F (38.5 ° C) rectally or higher, or as directed by your health care provider of the child.

Making an analysis of ketones

Ask your health care provider for your child to teach you to do an analysis of ketones at home. Ketones analyzes are usually carried out with reactive strips urine. In the case of a baby or toddler, you can place a cotton diaper the child to absorb the urine; then put the wet cotton on a test strip to check for ketones. For older children, follow the instructions on the box of test strips. Some blood glucose meters also have the ability to detect blood ketone. Call your health care provider for your child to learn more. If there is a moderate level of ketones (average) or higher in the blood or urine of the child, immediately call health care provider for your child 

Preventing CAD

Woman gives a cup of water to a girl who is lying in bed.  The kit of diabetes is on the bed.
The CAD can be prevented. The best way to prevent this condition is to give your child insulin as directed. Be sure to follow the treatment plan for your child as what the health care provider directed. When your child has a high level of blood sugar, give treatment immediately. Remember that blood sugar your child may be more difficult to control when the child is ill. To be safe when your child is sick, measure the level of blood sugar every 4 hours. Ask your health care provider for a recommendation for sick days; This includes learning how to adjust the insulin dose the child safely. And for sick days, always have on hand a box containing:
  • Test strips for ketones
  • Thermometer
  • Canned soup
  • Pretzels
  • Juice boxes
  • Gelatin flavors like Jell-O, with and without sugar (which can be stored in the refrigerator)
  • Frozen juice bars or sugar (which can be stored separately in the freezer)
  • Suppository drugs that stop nausea and vomiting, if necessary
Once a month, be sure to check the expiration dates of all items you have in the box for sick days. Replace items as needed.

Immediately call your health care provider for your child if the child has:

  • Vomiting or diarrhea
  • 100.4 ° F (38 ° C) oral or 101.4 ° F (38.5 ° C) rectally or higher, or as directed by your health care provider Child fever
  • Levels of blood sugar of 240 or higher that does not go down after the child receives insulin
  • Levels of blood sugar below 70
  • Ketones in the blood or urine

resources

For more information about diabetes, visit these websites:
  • American Diabetes Association  www.diabetes.org
  • Children with Diabetes  www.childrenwithdiabetes.com
  • Juvenile Diabetes Research Foundation  www.jdrf.org
  • American Association of Diabetes Educators  www.aadenet.org
  • American Association of Clinical Endocrinologists  www.aace.com
  • National Diabetes Information Clearinghouse  www.diabetes.niddk.nih.gov
NOTE:  This sheet does not contain all the information you need to care for your child with diabetes. Call your health care provider for your child to learn more.

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On federal student loans

On federal student loans

 


Most college students rely on student loans to pay for their college tuition. As a perspective student, however, the information may be confusing. It is important to know the types of federal loans available to you, how to apply for them and when the repayment is expected. 
Types
There are three types of federal student loans. The two most common are the subsidized loans and subsidized loans. Interest on a subsidized loan is paid by the government while the student is in school or within the grace period. Interest on a subsidized loan is constructed while the student is or attend school or during the grace period and then is due by the student. The third type of loan is the PLUS loan. This loan is actually carried out by the parents of a university student, and repayment begins six months after the loan money is received. Benefits

Federal student loans are easy to apply and be approved. They are low-interest loans and repayment does not begin for 6-9 months out of college. If you are unemployed, immediately after school, you can also apply for an extension of your grace period. This will give you an additional 6-9 months to get a refund. Monthly payments are generally low and the loan can be paid in the course of 10 years. Facts

To apply for a federal student loan, you must complete the Free Application for Federal Student Aid (FAFSA). The application can be completed and submitted online. The deadline for application is June 30 of each year. If you are still a dependent, your parents will have to provide your tax information. If you are an independent student living on your own or go back to school, you can provide your tax information. As grants, federal student loans are based on income. Only low-income students are eligible for subsidized loans. Considerations

There is a limited how much a student can ask for subsidized loans. It is possible that a student can receive maximum value and then to complete with a subsidized loan in order to pay the full amount of the course. 
Warning
Do not pay a student loan from the federal government has enormous consequences, including the potential of having your wages garnished and withheld their tax returns. You also run the risk of being sued. Federal student loans are also not eligible to be inclusive in a bankruptcy.
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9/4/15

Performance evaluation: an important learning tool

 Performance evaluation: an important learning tool

Gap - English word translated into Portuguese means gap. In the organizational field, this term has been widely used by managers of people, because of gaps - are signaled the "gaps" that need to be filled by professionals, with respect to the skills needed to carry out work activities. But how do you identify these "empty spaces" presented by employees? The answer comes when they undergo a performance evaluation process, since this feature evaluates and scores which should be developed and improved in every person.
Although the word assessment does not sound pleasant to many people, it is through this process that the professional understands better what the company expects of him and, in turn, the organization can trace along with the professional an Individual Development Plan. This will prevent that after a certain period, the employee continues showing a lower than expected performance and to shut down the company, not knowing what really led the company to make that decision.
This has is, without doubt, the main reason is that many companies adopt a performance evaluation of its shares in Talent Management. This is the case of Entire TP - company adopted two years ago - this tool in order to develop their employees. Founded in 2000, the Entire Technology Partners operates in the electronic commerce solutions segment for the corporate market B2B - Business to Business.
According to José Ricardo Ferreira, commercial director and founder of the company, performance evaluation takes place annually through the application of a questionnaire, and after compilation of the data, the necessary actions to each professional are carried out either with respect to remuneration, training specific, promotions, among other initiatives. "We come to adopt the evaluation of performance, because we needed to have an individual analysis for us to have a real idea of ​​how were our talents and what we could expect from each of them," recalls Ferreira.
According to director of Entire TP the target audience of this process are all employees working in the organization, but he confesses that there is special attention aimed at technical professionals, since they are considered the "raw material". The whole process, it is noteworthy, in addition to the coordination of the Human Resources, also has the support of the company's product management, notably through the effective participation of the leaders.
The beginning - As the company had no experience with performance evaluation tools, the most viable alternative at the time was joining the FLOOR (Software Industrial Polo), which enabled the participation in a number of activities including the analysis of performance of professionals.
The performance evaluation Entire TP has a simple logistics and comprises the following steps: 
- Weekly meetings between leaders and managers. At that time are evaluated questions such as:. Assiduity, punctuality, commitment, quality of services, collaboration and performance of employees 
- six-monthly application of a questionnaire to the leaders and product managers of the company with objective and issues related to the performance of internal talent. 
- Follow-up Meeting of leaders and managers with the area Human Resources, responsible for providing necessary support to the process. 
- Meeting to determine the actions, from the information generated by the HR department, the leaders and project managers.
After all these steps, the employees are invited to have a feedback of their respective reviews and what are the actions that can be taken to improve the performance of each. It is important to emphasize that in addition to the opportunity to develop and refine new techniques and behavioral skills, the employee may express a desire to change industry and give a new direction to his career in the company. All possibilities are relevant at that time.
When asked if the company noted that the gaps identified in the performance evaluation were not filled after a certain period, what is the attitude adopted by the organization, José Ricardo Ferreira is emphatic and states: "The main function of the evaluation is whether the professional She is satisfied and has the potential to grow and needs training, whether it is accepted or, even if but doing some activity that does not please you. We still have the concern to identify whether the professional is part of the company standards. In short, Company shutdown is our last option. We always try to find out if other factors directly influence the performance of each talent, "he summarizes.
Evaluation criteria - Among the criteria that make up the Entire TP performance evaluation include: attendance; timeliness; commitment to the development and documentation standards; commitment to the project deadlines; quality of services delivered; availability and commitment to the company's public image.
When asked about the benefits generated by performance evaluation, José Ricardo Ferreira highlights the anticipation of problems. That is, when applying the company tool realizes the degree of possible dissatisfaction of collaboration and already corrects the issue with better posture, a fairer remuneration, in short, everything that the employee does not come to ask, but the company can offer because its leaders are always attentive. Finally, the commercial director and founder of the Entire TP is satisfied with the periodic application of performance evaluation. "I believe that our talent show themselves receptive, because through this tool to anticipate the possible problems and this makes them feel recognized, valued for delivering leading the organization," he concludes.

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9/1/15

An Overview of Garden Resources

An Overview of Garden Resources

 




Do you want to do some planting in your garden? If so, the first method you need to do is garden device selecting.



With the development of financial, the existence regular is getting better. Materials every day life is only some of the pursue, more and more people begin to pursue another new pattern of life. Then garden has become ever more popular. Having a backyard before house may be the most joyful thing in some people's eyes. Because its proprietor might grow numbers of plants if they like. Nicely, whenever we possess a garden and also the seed products associated with vegetation happen to be ready, the next thing is growing as well as proper caring.



In order to take care of plants we plant, garden tools are quite in demand. We are able to find selection types of backyard tools in the shop, and some even we'd never witnessed before. Individuals resources mistake our minds and as the normal individual, we don't know which is essential as well as which is not. Here the article might expose 5 popular as well as regular backyard tools that home gardeners generally make use of to taking care of the actual plants.



One. Folding shovel: spade is a type of specific garden tool. It usually offers Twenty-eight to 48 inches lengthy having a slim going edge and attached with an extended metal base. The edge of the folding shovel is perfect to work in between plants as well as near the borders. If we want to keep your garden in neatness, after that spade could become your own assistant. We are able to use it because searching, planting, and cultivating.



Two. Trowel: trowel is a type of device in many construction activities, and we understand how to utilize it. However the trowel all of us use in your garden is something various. There's two parts of it as being the curved blade and a hold wood manage. As well as smooth and curved tend to be its two shapes. To do some planting, soil leveling, potting, and dirt planning, with out questioning, come and choose the actual trowel that will help you.



Three. Weeder: for individuals who has large square backyard, getting rid of weeds manually is a very effort, then weeder is the very first option. Garden weeder usually having a long manage and a attached sharp blade. With the help of weeder, the work such as getting rid of weeds could be a simple work, the ergonomic desk design of the actual device help to make user do the task with out extreme physical effort.



4. " rake ": the shape of the tool just like a broom when individuals view it first time. It is a long handled device with a mind attached to one of it's finishes, getting protruded teeth.The capabilities of this backyard device consist of scarifying, removing fallen simply leaves, bringing gravel, and dirt progressing as well as preparation.



In conclusion, by using backyard resources, growing a few green plants within the garden can be a pleasant job. Wishing everyone might have good mood by it.

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