Questions and Answers what you know ?

In this paper, an important health problem for men of advanced age, the prostate cancer has been tried to give information about the illuminant. However, as with any disease in these diseases by specialist doctors about diagnosis and treatment, according to data of the scientific research should be planned and implemented. We give an overview of the findings related to early warning and in particular we hope will be useful.

How prostate is an organ, are the functions?

What is prostate cancer?

What are the risk factors for prostate cancer?

What are the symptoms of prostate cancer?

Early diagnosis possible?

How are laid diagnosis?

Stages of the disease

What are the treatment modalities?

What are the treatment options according to the stage?

IMPORTANT WARNINGS

How prostate is an organ, are the functions?

The prostate gland is one of the male genital organ sac just below the bladder, rectum (last part of intestinal tract) is located in the front. Carrying out of the bladder urine channel (urethra) passes through the middle of the prostate gland. And assistant men’s bodies and secreted from the testicles of sperm in the fluid (semen) discharge of urine passing through the channel to the channel of the prostate (üretraya) opens. Cells that make up the prostate secretion, which contains sperm creates a portion of semen. PSA is a protein called prostate cells as they secrete this protein is excreted together with sperm. Blood normal value <4ng/ml ‘dir. Prostate diseases belong to the canal system in prostate PSA’nın keeps cellular systems by disturbing the blood levels of these substances can cause the increase. This article is also an increase in prostate cancer.

Males can grow prostate gland and surrounding age has increased, the urethra, which can block the urinary sac outlets. This situation manifests itself with difficulty in urinating. This disease is called benign prostatic hyperplasia. Although this is in fact cancer, prostate cancer can cause the same complaints show that must be cancer.

What is prostate cancer?

Prostate cancer prostate cells forming an uncontrolled way, in case replication is not required. The most common cancer in men in the world of men türüdür.Yaşlı is a disease.

What are the risk factors for prostate cancer?

The strongest risk factors is to be advanced age and black race. Age increases, risk increases. Family, especially those first-degree relatives with prostate cancer is prostate cancer rates than are non. Hereditary prostate cancer is extremely rare in the real sense and is often seen in men under 55 years of age. Some studies of dietary fat increases the risk of prostate cancer suggests that they have not yet fully de unproven.

What are the symptoms of prostate cancer?

The early stages of prostate cancer symptoms may not be. When any of the following number of complaints it is necessary to always consult a doctor.

* Frequently urination (especially at night)

* Urinate strain

* Thin and intermittent urination

* Pain or pain when urinating hearing

* See blood in urine

* Back, hip and back pain

Early diagnosis possible?

Every man to 50 years, starting from a doctor every year from the rectum (the rectum) should do the finger and blood examination should look at the PSA. In this way, yet did not give symptoms, the patient does not cause complaints in the early stages of prostate cancer can be caught. If a suspicious findings found in doctors ‘offices or PSA value 4ng/ml’ If further tests will be asked over

How are laid diagnosis?

Patients admitted with complaints of the above-mentioned doctor wearing gloves with fingers from the rectum is examined. This is called a digital rectal examination. This examination, immediately in front of the rectum with the doctor feeling the prostate gland about the size and consistency becomes the owner. In addition, the ultrasound examination through the rectum (transrectal ultrasound) and also an idea about the prostate can be obtained. If your doctor wants his examination and tests (PSA and transrectal ultrasonography in the blood), if found suspicious, taking part with a needle from the prostate (biopsy) may request to be examined under a microscope. This process is called fine needle aspiration biopsy. Does not require anesthesia. Side effects of this process as one in every 200 patients with 1 biopsy after prostate infection may develop. Blood in the urine on the toilet and large continue to be seen 2-3 days after the operation. In the first 2-3 weeks after the operation sperm may be bloody. If the biopsy is negative income patients from 6 to 12 months in this examination and PSA test are monitored.

If you are diagnosed with prostate cancer at biopsy, a urologist or medical oncologist taking into consideration many factors will determine the treatment plan. This may also help in planning onkologlarının radiation. Treatment planning, consider how much the most important elements of the disease is advanced stage and that is the patient’s general condition.

Stages of the disease

After diagnosing the disease in the body, spread to other places outside the prostate to see if additional tests are scheduled. Thus, stage of disease would be determined. Doctors this purpose, a chest X-ray, bone scan and blood tests may require.

The development of cancer outside the body is called metastasis, and to spread to other regions. Prostate cancer sac neighborhood via semen (seminal vesicle), lymph circulation and lymph glands and blood circulation and can spread to the bone. Most of the backbone and rib bones of the head, but the costs may jump. More rarely in the liver and can spread to the lungs.

Stage 1 disease, and cancer patients examined in the complaint does not identify. After the surgery for other reasons usually diagnosed incidentally placed. Prostate cancer cells did not go off.

Stage 2 disease, the diagnosis is usually either in the blood PSA level is elevated in the prostate or rectum during the examination, found to be greater because the fine needle aspiration biopsy is placed. Disease outside the prostate gland has not.

Stage 3 disease, prostate cancer cells outside the capsule surrounding the nearby tissues and spread of the prostate.

Stage 4 disease outside the prostate cancer cells to lymph nodes or bone, has spread to organs such as liver and lung.

Recurrent disease: after the treatment (or prostate or other organs in one again) is the disease coming back.

PSA CURRENT APPROACH

Routine annual PSA in control ’s rise and limit the meaning to be on the border below the previous year, according to a comparison control olupta annual growth rates is also important and when it needs to be assessed on. Annual 0.75 ng / ml in the above increase is significant. Bilininen specific experience, there are specific PSA values, which between 40-50 years, 50-60 years of age should be a PSA value, and if these values are üzerindeysede risk is increasing, in this case should not be ignored.

How is prostate cancer diagnosed?

In prostate cancer, rectal examination and blood PSA (Prostate Specific Antigen) called the most important diagnostic tools to measure the level of matter are. Early diagnosis of prostate cancer usually after the age of 45 healthy men each year with periodic examinations and PSA evaluation is recommended. But today 10 percent of prostate cancer has been shown in the inherited risk is the importance of these controls is increasing and the age of 40 after DAHADA evaluation should be performed.

Examination of the prostate to grow and not grow outside of the prostate to issue Do you have any hardness is defined. Rectal examination, but have reached a certain size audience can identify. Therefore, the measurement of PSA levels is important for early diagnosis. In recent years, we call this enzyme PSA for early diagnosis of prostate cancer, we use a marker.

What is PSA?

       PSA test in the diagnosis of prostate cancer with the Research Market Research has opened a new era. This test does not give a very early stage of cancer, yet even in the findings can be defined.

      Only in men with PSA found in prostate epithelial cells, in the structure of liquid semen is a substance in the glycoprotein structure. These molecules normally very low levels in the blood of all adult men are.

Normal value, 4 ng / ml is below. PSA 4-10 ng / ml about 30% of prostate cancer among those who are being identified, 10 ng / ml, the rate on a 50% pass. 5-10% of prostate cancer in the PSA and therefore may not increase rectal examination and PSA play a complementary role in diagnosis.

We live by bilininen specific, there are specific PSA values, ie between 40-50 years, 50-60 years of age are required to have values. If the PSA is above these values at risk increase. PSA is a problem with the prostate, but blood is mixed in more money, is notable rise in blood PSA levels. PSA elevation is not the only cause of prostate cancer. Non-cancer cases so benign prostate growth and prostate infections, urinary tract catheter application (insert in probe) also raises PSA’yı levels but these small and transient increase. If you do not have such a reason and PSA ’s living in consecutively evaluated according to the measurements, we doubt if we go higher is strengthened. A rectal examination in the hardness of the prostate found, this suspicion is gaining more strength and then you are no longer necessary to implement the prostate biopsy.

Routine annual PSA in control ’s rise and limit the meaning to be on the border below the previous year, according to a comparison control olupta annual growth rates is also important and when it needs to be assessed on. Annual 0.75 ng / ml in the above increase is significant. Bilininen specific experience, there are specific PSA values, which between 40-50 years, 50-60 years of age should be a PSA value, and if these values are üzerindeysede risk is increasing, in this case should not be ignored.

      Prostate biopsy (sampling of the prostate), transrectal ultrasound of the prostate accompanied by first examining and identifying suspicious areas with the region after a match with a special needle from the appropriate number of prostate tissue samples and by pathology assessment is done with .. Biopsy has been applied, the tumor, but PSA is not defined ’sI high with regards to the patients that frequently come across this really is a state, the second time and again to take a biopsy negative for cancer is out, sometimes the third, fourth, the implementation of biopsy and diagnosis are compared with the case.

Pathology diagnosed with cancer in check, the degree of cancer progression with Gleason Score are phases. This assessment of the disease course, treatment, and will inform us about how it was spread. 10 is the highest stage of the disease indicates that bad. PSA level can provide insight about the stage of disease in height. Usually 6 and higher Gleason scoru and 20-30 ng / ml PSA level of prostate cancer has spread dışınada shows.

Growth and risk of prostate cancer

         Benign growth of the prostate (BPH: Benign prostatic hyperplasia), especially 30 years starting 45 years such a process, but symptoms begin to emerge. Especially with the age progression, despite the lack of increase in hormone Erkekli of androgen receptor in prostate tissue increased sensitivity to androgens and some growth factors to the participation of the event still benign growths can occur.

Who and How applicable Required For Detox?

Everyone at regular intervals to clean the body and the body needs to rest. In fact, our bodies every day, especially at night and early morning, is programmed to clean itself. 

 Author Daniel Reid is described as follows our needs detox ‘the body of toxins in the eclipse has two basic reasons. First of food, air and water do not naturally occur because of our overexposure to environmental toxins, metabolic toxins, well above the natural level loading. The other unhealthy personal habits, fatigue and hyperactive nervous system is weakened because of modern lifestyle does not operate normally due process advances. ”

Everyone needs their own lifestyle and needs of different amounts and ways detoksa. Line with this subject in the book Reid’in very clearly and in detail is located. However, in the light of information gathered from this book, you outlined should not be done, and to those who can learn.

Signs that You Need Detox Demonstrating
Headache, back pain, frequent colds to get caught up, fatigue, joint pains, nasal itching, nervousness, skin rashes, coughing, drowsiness, skin rash, breast murmur, eyes irritation, insomnia, nausea, sore throat, in your defense system slowdown, dizziness, indigestion, stiff neck, mental structure variables, anorexia, blockage of the sinus, anxiety, bad breath, circulatory disorders, fever, depression, constipation.

1. First, the air we breathe must be clean. You must know how to do it correctly respiration, you must learn how to use our diaphragm.

2. The amount of oxygen in our blood that should not be low. Otherwise we can not detox because the existing oxygen is the most effective antioxidant. At a rate of 38 percent oxygen in the atmosphere 200 years ago while today only 19 percent oxygen available. All the toxins from the body before you walk the plank should combine with oxygen, therefore oxygen, ozone and oxygen treatments to get reinforcements to implement important.

3. And you should not be toxic in Edible. The quality of water you drink is very important. Even in an ideal diet is applied with the water ph level can disrupt your body’s acid balance. Water, as the ideal values should be between 7.60 and 7:35 ph. The value of the water you drink does not know or do not trust stated, any laboratory can find out by going to the values at very low rates.

4. ‘AsiditeDetoks’ author of a healthy body by Daniel Reid’e many of the blood and other body fluids, sea water is similar to mild alkaline. Alkaline and oxygen, being healthy and strong immune systems are the terms of the bacterial, viral and fungal infections originated fed enough oxygen and can not thrive in alkaline tissue. Almost all of microbes in this environment would be a pain.
5. This means that while detox our objective, our rate of acid to try to keep ph and oxygen at a rate of 7 to increase our rate should be. To achieve these results on a regular basis whether feeding, must also change our way of life.

Detox Programs

Detox, just can not be provided with nutrition. Our bodies are going to do with diet changes to include new toxins, but can be restricted to the toxins from the body at exercise we need to sweat. In addition, through urine and feces at the poisoning of our.

Our country in a wide range of spa and hotel, supported by specialists from the applied treatments available. But at home once a week, three or seven days or you can apply the longest 15 days curing. Specialists in control non-home treatment suggest a more cautious.

Detox at home
A wide range of nutritional options Detoks’un foot and programs concerned. Keep the change, only a few small apples Detoks’ta renewed, fruit juices and even diet consumed only water in a wide range extending up to the fasting subject. Or application before any radical diets should consult a doctor. Water fasting, juice diet, or one type of food made with carefully consider before applying excessive programs. Because this type of diet may be more harm than good.

Outside the Diet to Reduce Toxins Purchase What should we do?

COOKING METHODS: The food consumed is as important as the other elements of the cooking method. Do not fry oil should take care not to over-heating. Boiled or steamed procedures should be preferred. In addition, cooking vessels made of stainless steel, glass or porcelain should be sure.

SOAPS AND DETERGENTS: If we use dishwashing soap in the bathroom while washing of both, should be sure of herbal extracts. Chemical additives should avoid the product.

THE MIRACLE OF SEA WATER: If you live in a place close to the sea and you are sure the water cleaning every day, a few drops of sea water into drinking water by drop to drink for your body acidic balance will be extremely useful. The therapeutic properties of swimming in the sea there and a day at regular intervals to enter the water very useful.

SEA AND MOUNTAIN AIR: This ionization and the quality of air in places like is different, ‘to get some mountain air,’ or ’sea air to breathe’ is not superstition. Regulatory effects of oxygen on health-enhancing and balance there.

PROVIDE for the detox tea: green tea in particular to many herbal tea detox effects is high. Chamomile, ginseng, GINKO biloba, Echinacea, red beet, ginger, liquorice is also an important source of toxins are purifying properties.

SHOWER AND BATH: The benefits of massage with hot water and water-large. In addition, our dead skin cleansing toxins from the pores more easily get rid of if we can open our. Dry brush massage to the skin by accelerating blood circulation, increases the amount of oxygen in the skin. We are very beneficial to our skin and internal organs. Fill bathtub with water, you want to make at home detox skin irritant soaps that contain harmful chemicals, instead of chamomile, rosemary, eucalyptus, and should prefer to use natural oils such as sage. In addition to your bath for half a glass of soda drinking and / or sea salt can also be added.

ODOR Games: Fragrance us from our estimates much more important. Various diseases threatening mankind throughout the ages, while the least affected by viruses and bacteria or any group of people unaffected, flowers, flowers, water and oil was dealing with the people. Do not fall into this category odors and harmful chemicals are also present.

VITAMINS: During detox, nutrition program and others to support your treatment should be the ideal antioxidant vitamins: zinc, calcium, B vitamins (especially B3), vitamin C, selenium, vitamin A, vitamin E is an abstract.

Purification Program with spices and tea

In addition to a good nutrition program:

Wake up, he said: a glass of warm water a tablespoon lemon juice or a tablespoon of apple cider vinegar for adding.
Meals: Eat parsley and garlic (preferably raw), and red pepper and ginger (can be consumed by participating in soup) should also be consumed.
Lunch Break in: chamomile, ginger, lime, liquorice, such as purifying tea to consume.
Evening: Chamomile tea is ideal for relaxing and sleeping.

Ideal Nutrition

* 1 time per week need to purify our body. For example, a natural fruit juice throughout the day is just at home bored, and by drinking water consumed raw fruits and vegetables, we are recommended.

* To remove them from your table or try to eat very rarely. Meat, deli meat, offal, refined foods, canned foods, sugar, salt, saturated fats, coffee, alcoholic beverages and nicotine.

* Wherever possible, try to consume organic food.

* Only filtered, minerals, and ph level of 7 or above appropriate drinking water consumed in name.

* Eggs, wheat, milk and eat their products during certain periods in the order. Try not to consume them all in the same period.

* Seasonal fruits and vegetables to encourage you to consume.

  * The products most commonly found in your dining room: fruit, vegetables, herbs, grains, legumes, low fat rate milk / yogurt / cheese, organic meats and fresh fish should be white.

* Lemon Although thought of as acidic, our bodies, and every day is one of the most ideal material acidity regulator to consume an amount of heat is recommended.

  * Nature’s antibiotic, the garlic, man-made side effects such as antibiotics are not great is an antioxidant. At regular intervals is recommended to make garlic cure.

* A link to the boiling water at the parsley, and under the water off, and the water is warm during the day to consume, both in terms of chlorophyll as well as other vitamins will be the ideal detoxification agent. (Cosmopolitan)

“A thousand pound of flesh will cap a shame” approach, we all know the date remains. But happiness by giving a dirham dirhams to have a body not very difficult. With 50 different changes to lose weight in the form one step closer to the body can can enjoy being healthy and weak.

That’s easy to apply, try to enjoy the game turned into the little tips:

1- forget completely
Often you eat, choose foods high in fat and completely forget about it for 40 days. After this period, it will be deleted from your mouth the taste of food.

2 – give the same taste at all times lower than among those who believe that calories select
Example: Orange juice (l cup 110 calories) instead of tomato juice (l cup 45 calories) for. Half a cup of cherry juice mixed with half a glass of soda when 50 percent of calories decreases.

3-Drink Water
You should start drinking more water. By drinking at least 8 glasses of water a day can get started. If you do not have such a habit of a small water bottle Do not take your side, every time you see this bottle to drink will come to mind.

4-Forget Sauce
To add a little flavor to your salad sauces you pour your cause weight gain. Therefore, instead of dressing a little spice and a teaspoon olive oil can add to your salad.

5-Meals Do not enter into bed after Meals
Not to gain weight immediately after dinner, sleep habits, especially avoid, if possible, after the six week Do not eat the fruit outside. Get rid of me of the night snack.

6-Frequently Eat
One of those who want to lose weight have fallen very common mistake of eating to lose weight, but this is the believe is wrong. Because five or six hours in an empty stomach to work fast because your metabolism will not. Therefore should eat less and often less.

 7-Drink Milk
Three or four times a day with milk and consume dairy products like yogurt or cheese women, who do not consume 70 percent more fat than they burn. Because calcium metabolism to burn more fat to the body accelerates giving commands. Of these products can increase your speed of light attenuation with ones.

8-A good sleep
According to research people who sleep less than four hours at night more sleep than those who gain weight. Because a tired body can not be burned to a normal day and burned energy metabolism slows. For this, you must be careful to take every day regularly, your sleep.

9-stress Defeat
A stressful life is stressful because you are among the causes of weight gain during periods of stress hormones your body and abdominal fat depot hormanlar ensure that the growth of the cells causes. To overcome the stress must be found in social activities, you must relax.

10-Forget ready meals
To do that you get fast food and quick-frozen foods or ready meals contain additives nediyle they will lose weight regardless. Therefore, should you choose to cook fresh vegetables.

11-fiber foods to eat
High-fiber foods makes you feel like you are fed and will prevent you hungry quickly. Instead of white bread to whole wheat, brown instead of white rice to eat. High percentage of fibers lentils, dry beans, chickpeas, such as giving food to the önelik. Of course, do not forget the vegetables.

12 – Snack Stop
Do you snack içinda of the car? While talking on the phone Do you eat something? Disclaimer here …

13 – Make a raid your refrigerator
This dominant as usual, is to get something to snack. Remained on the edge of the refrigerator in the corner with a high calorie foods in your cabinets atın.Mutfak fat chips, corn flakes and nuts and throw. All food is bad for you in your kitchen the next 30 days, maybe forever to prohibit.

14 – more water and soda
Alcohol to drink soda instead of water and sure. Will see the loss of fat particles in your body.
.
15 – Chocolate eating your request, press
If you are premenstrual period, absolutely prevents your request can not eat chocolate, or sugar taken from a small mini bar, hot cocoa, use fat-free pudding.

16 – Be Workaholik
Next month , decided not to enter the dining hall of the company. Coffee and tea to drink or eat out of sandwich you brought … Birthday party in the company and that you remove the glass in the soda get cheers.

17 – Cream the final
A movie star, in the cream with the word did not say no to anything. Cream pie, such as cream soup. Because he knows it means cream of saying fat. The only exception is oil-free cream cheese.

18 – Reduce Calories
Reducing calories into your game. Calculate the amount of calories to eat to those today, tomorrow it think 50 calories. Think 50 calories a day than the other. Be careful not to fall below 1200 calories a day.

19 – Breakfast from
Do not ever skip breakfast. Banana slices into the fat-free yogurt. Baked oatmeal raisin put into try to eat.

20 – Dance,
Listen to music at home. Moving to dance accompanied by music preferences, and do not neglect.

21 – Do not get in the elevator
Coming to your front as an opportunity to exercise her ladder Consider the desired weight to ride the elevator until you know do not bring to mind.

22 – Diet drinks
You should stay away from diet drinks. This type of artificial sweetener in beverages includes interior. Instead they orange, apple juice for healthy you should drink. In terms of both weight and health in terms of many experts recommend not to drink diet drinks.

23 -  Eat Slowly
Overweight, fast ones eat. When you eat with your friends or your family eat dinner Be the person who most recently finished.

24 – Hang the clothes, try
Every morning you get up first thing on your pants or shorts to try to get the narrow. This attention to your food, you will motivate all day.

25 – to boxing dreams
When you want to lose weight you plan to do everything to remind you all photos, ads, articles, and a box cut into the bay. When you want something to snack or open the box if you are not willing to do gymnastics pages.

26 – bed room off food
If you like many bedrooms, including many of you, you’re home all the snacks, I think once again. The more you give yourself permission to eat on the floor, it would mean so much to eat. For a period of hours for meals, dining room to eat in places other than your own to prohibit.

27 – Reward yourself
Most have a list of 5 Things you want to do. L When you lose weight and keep it for a week each when you buy something on the list yourself.

28 – Make Savings
When you need something not really want to eat you, you give him the money to throw into a jar. A few weeks after the majority of the money to you and to remind how much you do not eat your own with this money you can receive a gift.

29 – Love to live there and hold your feelings
Passion, weight melts. Two of you can start to go into restaurants without fear. Because the food lover who might think that when?

30 – Do not eat junk food
2-3 pounds will be given on the one hand, will add pounds to your weight and you are so far in the other side junk cuburlar never starve them or not, somehow not able to stay away. Plan what you will do all day. Go to the movies, walk yourself into a novel buried and make candy. What do you do, as long as they stay away from the refrigerator.

31 – Wear Your Swimsuit
No matter what season of the year, especially these days we approach the summer a few times each day length mirror opposite the switch to wearing your jersey. This is to do more exercise and gives impetus to the destination for you you were locked.

32 – Exercise Log
Time to exercise to lose weight even though it is difficult to separate you need to mutkaka act should not forget that. You can not do anything in the house walls can get help. Very hard for 5-10 minutes without a strike to the wall with your hips. This is easy and simple method of exercise. Television or from a CD while you’re exercising at home can watch sports programs will help you to make. Thus, what, you know how to do.

33-Domestic
How much you will be busy with housework, the sooner you will lose weight. Laundry, dishes, food, children to great lengths as you can see the hand. Thus, you are constantly on the move.

34 – reduce your Portion
To finish all the food on your plate about a bad habit to get rid of it, your work should start by eating food in small plates. In large bowl with this eye-trickery than you eat less and eat from your plate back also allow you to stop crying. If you put less food on your plate also how much do so little space.

35 – Do not skip breakfast
Breakfast is the most important meal of the day because when you sleep your metabolism to slow down again until you eat something not revert. Day begins with breakfast a lot more calories than those who do not have breakfast they burned. Breakfast runs and working muscles because muscles burn calories provides.

36 – Eat Fruit
After eating one or two hours later you’re hungry you can eat fruit for snacks. Fruit until the next meal will make you feel satiated.

37 – Read the Label
Habit of reading labels must win. Which products in which the material useful and user has ignored what weight, if you read the details of which you will be eating healthier.

38 – Give up Cola and acidic drinks such as soda .
Instead, try to get freshly squeezed fruit juice and drink. Stay away from red meat.

39-Too much to eat red meat so it prevents you from weight loss chicken, fish, make sure to eat white meat such as turkeys.

40-fried instead of boiled
Instead of the food by frying boiled, grilled or baked foods you should eat.

41 – Fast food
Adopted as the modern era food hamburger, fast food style food such as fried potatoes should not eat. ‘ll Lose weight easier if you stay away from them.

42 – Get to know your body
Which foods that cause damage to your metabolism which can accelerate weight loss is easier if you know.

 43-Since Food
You begin with soup or salad for a meal to suppress your hunger provides. Thus, the main meals are less space. Especially vegetable soups (tomato, broccoli, etc..) Allows you to feel satiated.

44-After dinner
After your meal by eating fresh fruit in front of your eating habits can be also reduced so that your request will have to eat dessert.

45-Eye to give importance to taste
If you do not like to eat salad for yourself and received an elegant salad bowl of salad in the bowl eat. As well as your eyes and taste will be more useful for weight.

46-Forget Sugar
Sugary foods quickly increase blood tab or causes to fall. Therefore the need to eat a sweet dessert after eating again we hear. In the body than sugar is stored as fat should be consumed as little as possible.

47-Salt certain
Salt causes water retention and bloating sensation in the body creates. Salt is also a feature of appetizers on the table not to use salt and cooked food should not be to add extra salt.

48-Do not eat out
In restaurants or meals outside the home renovation user can ignore weight. Therefore, having dinner outside at times you eat salads or grilled dishes.

49-Do not lose yourself in Shopping
Be careful not to be hungry when you go shopping market because when you are hungry you can get everything you want and when you come home your cabinets filled with harmful foods that you see. Such a cabinet is to confront difficult. Therefore, a full stomach and a list to take to make healthy food and be careful not to get out of that list.

50-Sitting on the table
Sitting on the dining table because it certainly timely in the face of standing or television when you eat a lot of saturation and do not understand.

OTHER RECOMMENDATIONS

Make greed
One can not give any weight you like a dress too small a body to a place you can see the forehead and hang. Get yourself into that dress you’re going to your promises.

Organize your kitchen
To stop working on the kitchen counter for almamaka weight you’re used to eliminate junk food. On these foods will not come unless you can think too much.

Brush your teeth
To brush your teeth after eating habit of remaining in your mouth if you do not want to eat for a while with a feeling of spaciousness.

Eat slowly
Fast food is food that causes weight gain regardless of the bite Take care to chew thoroughly. When you eat quickly you may not understand saturation.

Find ways to forget
When you feel hunger to make you something to busy to deal with. Find hobbies, or give yourself to work. Thus, your mind does not eat.

Open your home to children
Your neighbor or a close call the children in your care of him at the time whether your guests to your home, play games. This is the more calories you burn, as well as staying in shape will help you emotionally.

WHAT IS BREAST CANCER RISK FACTORS?

Increase breast cancer risk factors can be considered briefly in the following way;
Age: Advanced age is an important risk factor. New breast cancer diagnosed 70% of women, is over 50 years. In other words, age over 50 years the prevalence of breast cancer in women, who are under age the age of 50 is 4 times more than women. Therefore, every woman over age 50, certainly once a year per physician and mammography at the breast should be examined by shooting the film should take.

Definite or possible A (H1N1) swine influenza Patient Medical Care During the Infection Prevention and Control Guide
  A (H1N1) swine flu epidemic in different regions of the world the situation in many countries are affected

Epidemiological data from human to human transition of the disease in question and that the community-level outbreak of the virus that is capable to lead. This information, in the light of the transition from human to human is likely to continue. Health workers, certain or possible A (H1N1) swine influenza to patients during medical care is very important to take appropriate infection control measures. Diseases of the health care employees, other patients and visitors to prevent infection and prevent general infection control measures in addition to this guide to the rules should be followed.

A (H1N1) swine influenza from person to person is mainly transmitted through droplets. Therefore, to prevent transmitted via droplets should be given priority.
Basic elements of infection prevention strategies

1. Implementation of Standard and Droplet Precautions;

• avoid making the crowd of media,
• Vulnerable patients as more than 1 meter in close proximity to the absence,
• Patient triage,
• Patient deposit and reporting,
• rational use of protective equipment,
• Patients necessary arrangements for the prevention of the infection,
• Infection control infrastructure strengthening.

2. Basic infrastructure of health care facilities, adequate ventilation, proper patient placement and adequate environmental cleaning helps in reducing the spread of some respiratory pathogens.

3. Existing personal protective equipment (KKE) rational use of

4. Appropriate hand hygiene.

CRITICAL MEASURES:

Patients as a crowd gathered Do not allow the patient a certain distance between beds (about 2m) Protect
Close your mouth and nose mask will form here
Please comply with hand hygiene rules

Probable or definitive A (H1N1) swine influenza to patients, providing medical care services for the staff:

Probable or definitive A (H1N1) had been diagnosed with swine flu in direct contact with patients while working in Standard Precautions and Droplet Precautions should be strengthened.

Main elements:

• Surgical masks should be used.
• Hand hygiene should be strictly adhered to

If there is a risk of droplet spread (eg, respiratory aspiration, intubation, resuscitation, bronchoscopy, autopsy, etc..)

• Use protective eyewear must also FFP3 mask,
• clean, wear long-sleeved gowns and gloves.
• Personal Protective Equipment to hand hygiene after removing the note.
• Protective equipment is being removed;

i. Gloves are removed first, then apron.
ii. Wash hands with disinfectant or alcohol-based hand rub is
iii. Glasses are removed,
iv. Mask is removed,
v. Re-or alcohol-based hand wash hands with disinfectant scrub.

• Personal protective equipment should be located in the doorway of patient rooms, patient rooms without leaving used equipment should be removed and the room for them in the appropriate box should be taken into waste.

HEALTH CARE FOR OTHER IMPORTANT MATTERS

1. Basic infection control recommendations for all health institutions;
Given to patients with acute feverish respiratory droplets during maintenance standards and measures should be taken.

2. Respiratory hygiene / cough measures
Patients, relatives and health workers in the mouth and nose when coughing and with disposable wipes off and wash your hands after coughing should.

3. Probable or definitive A (H1N1) swine influenza infection control measures for infection
A room with adequate ventilation to the patient insert. If there is no possibility of single rooms, certain cases may be placed in the same room. Possible cases should be credited to a single room if possible. It is not possible for at least 2 m distance between them have invested in the same room to be provided. To increase the effectiveness of isolation measures should be kept closed doors, possible and definite cases are equipped with bath and toilet rooms available to be ventilated and must be deposited. Isolation room for everyone entering and Droplet Precautions Standard Precautions should be implemented.

4. Possible A (H1N1) cases of swine flu triage, early recognition and reporting
Before symptoms start within 7 days of swine flu identified were located in one of the region or were located in these regions with one theme in a person with acute, fever, respiratory disease, swine flu, if you consider the possibility.

5. Nosocomial A (H1N1) swine influenza virus from infecting additional measures to reduce
A (H1N1) swine flu, which health workers contact with patients / family members / visitors Reduce the number of.

6. Sampling and transfusion in health care facilities
Standard Precautions and Droplet Precautions in taking the sample, the sample was transported Apply Standard Precautions. Fully observe the rules of laboratory biosafety.

7. Accompanying measures and visitors
The patient’s next visit should be limited to the attendant and the patient should not be taken. Regarding patient care must be circumstances accompanying note. They also applied infection control measures to comply with health workers should be provided.

8. Health institutions in transplant patients
Possible or definite A (H1N1) had been diagnosed with swine flu patients should wear surgical masks.

9. Care outside hospital
Measures to be applied potential and the final A (H1N1) swine influenza patients in hospital care practices are the same.

10. Protection and monitoring of health workers
A (H1N1) swine influenza patients, health workers in contact with the health status should be monitored closely. Where necessary antiviral prophylaxis should be initiated. Symptoms of sudden health report employees should be given rest and resting at home should be provided.

11. Control of medical waste
A (H1N1) swine influenza virus in the contaminated waste every kind, and this type of infection should be treated as medical waste collection and transport of waste in the mask and gloves should be used.

12. Dishes / eating utensils
Routine and general practices (washing with detergent and water) is sufficient. Patients do not need to wash the dishes separate containers. Rubber gloves should be worn during this process.

13. Bed sheets and clothes
Washing with water and detergent is sufficient. Of patients with bed sheets and washing does not need to be washed separate. Washing should not be whipped before. Rubber gloves should be worn during this process.

14. Environmental cleaning and disinfection
Door handle, chair, desk, remote control, telephone, etc.. touching contaminated surfaces are often at least twice a day and visible pollution is clean with disinfectants.

15. Of patient care equipment
A (H1N1) swine flu patients and used equipment (degree, intubation kit, oxygen mask, blood pressure instruments, etc.) please reserve. This is not possible for patients using other suitable methods before you clean and disinfect.

16. A (H1N1) swine influenza infection control measures duration
These measures should be continued as long as symptoms persist.

17. Patients to be discharged
A (H1N1) swine flu patient discharged from symptoms improved, the family members at home to apply appropriate infection control measures should be informed about the verbal and in writing.

18. Mortuary care
Mortuary staff and washing team should apply the standard measures. Appropriate hand hygiene measures should be taken and gloves, plastic aprons, masks and goggles should be used.

19. Administrative services in health institutions
All personnel working in health care facilities must be made to the education and information, and will do this job and training materials should be assigned adequate staff must be prepared. Relevant personnel contact information should be updated.

20. Home health care
Should be reduced in patients with contact persons and visits should be limited. Close contact with patients is inevitable and hands droplet precautions should be taken should be washed frequently.

Medical care at home after operation
   
After a successful surgery, to complete your recovery at home depends on your care.

First, get past. Means that a successful surgery and have come to a position to go home. Now, let’s look briefly at home what you can encounter.
 
To notify the doctor
Before you go home your doctor, after surgery to tell what to do and to answer your questions about your care at home.
 
You do this with your doctor during these negotiations, the benefits have become one of the best on your side. Thus, issues that may come at home against, and you’ll be prepared, as well as they can help you better.
 
You may have pain!
You may have some pain after the surgical procedure ·. Painkillers yourself to feel better and allow you to reach your health more quickly.
Do not use random drug · painkillers, follow your doctor’s advice.
Do not take alcohol with painkillers · drugs.
Some drugs can make sleepiness · car, do not use electrical appliances and machinery.
Postoperative pain killers because you get · bowel movements may be slowed. To run fiber foods and your intestines are plenty of water.
 
About other medications you take painkillers with your doctor or nurse will give you the necessary information.
 
The following situations are concerned to always tell your surgeon:
· After one hour I have some painkillers, pain still persists (may not be strong enough medicine),
· Do not feel good about yourself,
· Nausea, vomiting or skin rashes if (rash, itching or swelling, etc.).
 
The operation of the care cuts
Dressings on surgical wounds still can be found. In addition, the tubes and drains have been placed in operation as yet may not be removed. Regarding drainage tube and follow your doctor’s advice.
 
Infection following note!
Unfortunately, sometimes, despite all prevention, surgical site infections can be caught. Therefore, especially note the following:
 
Operation in and around · redness, swelling and pain if your body temperature 38 º C. If you pass, please call your doctor. These findings may be infected.
To make the follow-up · infection, fever ölçün twice.
· Your sewing, if not blind stitch, surgery, depending on your area and your specific situation are taken 4-15 days.
· Surgery cut-site, in your dressing becomes wet or if you accidentally remove your resistance Do not stir it, call your doctor immediately. Tube and the necessary information about the resistance, will be given by your doctor in detail.
Do not take a bath until your doctor allows ·. You do not have the surgery over the drain, 24-48 hours after surgery can take a bath. When enabling the bathroom, your doctor and nurse will give you the necessary information.
 
How should a diet?
In fact, today, except for some special operation is a special diet. But I still need to pay attention to your nutrition format.
 
· Stomach, digestive system, such as bowel surgery is applied in a special diet. This diet, consists of soft and juicy food.
Stay away from heavy and greasy food ·.
· Bol fluid intake.
· Your food in dribs and drabs, often try to eat.
· Nausea, vomiting and diarrhea if you have to tell your doctor.
Postoperative patients often gain weight · starts. Remember, you can be very difficult to give weight to be taken. Therefore, do not neglect a healthy and balanced nutrition.
 
What you should do to heal as soon as possible?
In our country, patients who undergo surgery · will visitors too. Please note that the number of visitors, you will not tire the limit. In addition to the do not kiss, hug, do not approach those who do not let the flu and infection.
Your daily activities regarding · doctor or nurse will give you the necessary information. Do deep breathing exercises. Deep breathing and coughing exercises, lungs secretion (sputum) at and makes it work better.
Eve sent by respiratory exercise device ·, beware, do not neglect to use.
· Definitely do not smoke. If you continue to smoke after surgery, you may experience serious health problems.
· To walk, allow yourself to feel better and will speed up the healing process.
· Do not get up suddenly from bed. Your blood pressure may drop, therefore the development gradually confirmed.
· Assessment for you that your surgeon, you must have check-ups. When the first control to make an appointment to go and you need to ask some searching.
· Employees, you have to return to work, your profession and your operation depends on the size. Your business, from small operations a few days, the 30-45 days after major surgery can then go back. You have already reported this period will be given by the envelope.

The baby in the mother’s stomach cancer to the “spread-turn” as possible whether the scientists had their minds occupied a century.

 . In theory, cancer cells, even though they managed to cross the placenta, the baby’s immune system was thought to prevent the spread of the disease.  However, the mother and baby to the same cancer (usually leukemia, and melanoma) are the cases that they have.  Proceedings of the National Academy of Sciences new research published in the journal, both on the child with leukemia who was a Japanese woman.  28-year-old woman shortly after birth than are diagnosed with leukemia, cancer of the baby was 11 months after the same has been agreed. Baby’s blood cells in the genetic testing, cancer cells were found to come naturally.  Researchers, the source of leukemia cells in the baby’s mother to determine whether a genetic fingerprinting technique to advanced.  As a result, both the patient’s leukemia cells, they carry the mutated genes were identified as cancer.

  Besides this, children have inherited this gene from the mother did not receive, so this kind of leukemia, without any external factors can not be captured were identified.  After that scientists, the baby’s immune system of cancer cells could be investigated how they were neutralized. Scientists, cancer cells, themselves, given their key role in specific molecular identity of the DNA to determine that they are not. Without this molecular signal, the baby’s immune system does not detect cancer cells as foreign cells and were found not to act to repel them. 

 President of  Cancer Research Center, who is Professor. Mel Greaves said that,  “This is a long time to have solved the puzzle the puzzle are very pleased. We would like to emphasize however that pass from mother to baby are very rare cancer,” 

Background: Medical Home is an evolving concept of patient-centered care yet little information is available on its effect on health care expenditures for children.

Objectives: To quantify differences in patterns of care and costs to the North Carolina (NC) Medicaid program for children with asthma across 3 programs: fee-for-service (FFS), primary care case management (PCCM), and Medical Homes.

Research Design: NC Medicaid claims from 1998-2001 for children with asthma were used to examine monthly expenditures and patterns of health care use, including emergency department and hospital use. Children in the FFS program served as controls for trends in asthma care over the study period. Tests examined the potential for selection by program and fixed-effect 2-part model regressions were used to control for differences in program enrollees.

Subjects: Children under age 21 with asthma.

Measures: Monthly Medicaid expenditures and measures of health service use.

Results: We found considerable evidence of quality improvement in patterns of care for children enrolled in both the PCCM and Medical Homes models in NC. After controlling for selection into these programs, use of maintenance as well as rescue medications increased, use of services increased, and emergency department and hospital use went down. Total spending (asthma and nonasthma related) on children in the Medical Homes program was $148 greater than spending for FFS children (95% bootstrapped confidence interval: $140-$158) per child per month and no difference in spending between Medical Homes and PCCM was detected.

Conclusions: Our results indicate that enhancement of PCCM programs is one way for Medicaid programs to improve care, but may require substantial investments by states.