Respiratory impairment and obesity

April 10, 2017

Respiratory impairment and obesity are very common especially when one is not active and does not live a healthy lifestyle

Respiratory impairment and obesity: The inclination of obesity with other diseases

Obesity is a worldwide public health problem, and it is even a bigger concern in the US with more than half of adults in the United States are believed to be overweight or obese. Like I have indicated earlier obesity is inclined with numerous medical diseases, including diabetes mellitus, hypertension, respiratory impairment, cardiovascular disease, stroke, dyslipidemia, osteoarthritis, cancer, obstructive sleep apnea, and gallbladder disease. It is also associated with several abnormalities of respiratory function. Obesity is characterized by altered respiratory system mechanics, resulting in decreased lung volumes. This is related to decreased chest wall compliance from an elastic load on the chest and abdomen as well as decreased lung compliance resulting from the closure of dependent airways.

Because of these abnormalities, a greater negative pleural pressure is needed to initiate airflow. Obese patients may also have reduced respiratory muscle strength. Respiratory system resistance is increased as a result of smaller airway caliber associated with decreased lung volumes. The resistance in the larger airways is typically normal. Some people with obesity may be hypoxemic, resulting from ventilation–perfusion mismatching, especially in the poorly expanded lung bases.

Obesity is a major cause of dyspnea, exercise intolerance, functional limitation, disability, and impaired quality of life. The following physiological conditions impair exercise tolerance:

Pulmonary function and gas exchange derangements
Increased metabolic rate relative to lean body mass
High metabolic (oxygen) cost to perform modest exercise
Exaggerated cardiorespiratory response to exercise
Circulatory impairment (claudication, microvascular disease, or both)
Cardiac impairment as a result of myocardial ischemia; pulmonary or systemic hypertension
Reduced respiratory muscle strength
Anxiety
Mechanical inefficiency
Musculoskeletal disturbances

Regular exercise is a crucial component of weight loss intervention programs. Exercise training, more so when put together with calorie restriction, can lead to decreased body weight and fat, increased fat-free mass, improved strength and endurance, and improved aerobic fitness. However, traditional weight loss programs are generally not configured to meet the needs of morbidly obese people or obese patients with gas exchange impairments or respiratory failure. Comprehensive pulmonary rehabilitation is better suited to meet these complex needs, utilizing its components of exercise training (including recommendations for long-term adherence), collaborative self-management education, nutrition counseling, and psychological support for anxiety and depression while closely monitoring the patient’s respiratory status. Pulmonary rehabilitation can lead to lower body weight and improved functional status and health status in obese patients.

Respiratory diseases and being obese: Pulmonary rehabilitation

Goals of pulmonary rehabilitation for obese people with respiratory impairment include the following:

Increased exercise tolerance
Weight loss
Increased self-efficacy
Decreased disability and return to ADLs, hobbies, and work
Acclimatization to or optimization of use of CPAP or BiPAP
Optimal utilization of assistive equipment (related to mobility, self-care, and hygiene), home care services, and outpatient resources

Additional special considerations apply to the rehabilitation of people with morbid obesity and people with severe obesity with concomitant lower-extremity musculoskeletal disturbances. In general, such rehabilitation requires special equipment that can accommodate people of extreme weight. Morbidly obese people may not be able to use standard exercise equipment such as cycle ergometers and treadmills. Staff members must be familiar with the weight limits of the equipment in their programs. Walking, low-impact aerobics and water-based activities are suitable forms of aerobic exercise for these patients. Experts’ at AWAREmed health and wellness resource center are highly trained to help get your health back if only you can schedule an appointment with doctor Dalal Akoury today.

Respiratory diseases and being obese: The inclination of obesity with other diseases

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Brain natural balance

April 7, 2017

Brain natural balance is important if the brain is to function optimally

Brain natural balance: Drug addiction and homeostasis

Homeostasis is the scientific noun of the act of the brain natural balance. This is often altered by indulgence into alcohol and drug abuse. The human body is a biological system or process known as homeostasis that drug addiction interferes with and makes vulnerable. All biological systems attempt to maintain a “normal” balance, known as homeostasis. And according to the experts at AWAREmed health and wellness resource center under the leadership of doctor Dalal Akoury MD, the brain functions as the administrator of this balance by making various adjustments were necessary to maintain a balanced, well-functioning, biological system. Each person’s “normal” balance is individually determined. Drugs of abuse and activity addictions lead to changes in this normal balance.

Brain natural balance: Brains over-stimulation

Chronic over-stimulation of the brain interferes with the maintenance of this natural balance homeostasis. When the brain has difficulty maintaining homeostatic balance, the wonderfully adaptive brain makes adjustments. It does this by creating a new balanced set-point. The creation of a new balance is called allostasis. To illustrate this, take for instance if you add more weight to 20 units, you will try fitting into your clothing’s despite the discomfort. But with time this will not be bearable and so you will have to adapt to the new body size by buying new clothes to fit well. Once this is done you will be more comfortable and at this point, you will get used to the fact that your clothes are now the large size and not medium or small sizes as it used to be.

That is how the process your natural balance homeostasis changes from medium to large. And with this adjustment, you become comfortable again. Nonetheless, the reverse can also take place in the future where the added 20 units may be lost to keep healthy and when that happens you will be compelled to make further readjustment to your clothing size by buying smaller sizes. Therefore even though at this moment you will be healthy due to the loss, you will still need to make an unpleasant and costly adjustment by buying smaller clothes. This is very similar to the unpleasant adjustment the brain must go through when people try to give up their addiction. Although this is a positive change, we will be uncomfortable while the brain makes readjustments to suits the present circumstances.

Brain natural balance: Brains coping strategies

Nonetheless, even with the brain’s wonderful ability to make the readjustments, these changes are still causing significant changes to the brain’s functioning. And in fact, it is these changes that account for many behaviors associated with addiction such as:

The powerful and lustful need to obtain drugs or continue with the indulgence of harmful activities despite the harm to self or loved ones
The difficulty of quitting an addictive drug or activity, and
The obsessive, all-consuming nature of addictions such that little else in life matters

This happens because addiction caused the brain’s balance to change to accommodate the addiction. Once changed, the brain requires the addictive substance or activity to maintain this new homeostatic balance. Finally, we all have a duty to keep healthy and the brain is playing a key role in ensuring this dream is realized. Anything that makes the brain to function improperly must be eliminated. Meaning if you or anyone you know is struggling with an addiction, you can schedule an appointment with doctor Dalal Akoury today for the commencement of your healing recovery program.

Brain natural balance: Drug addiction and homeostasis

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Limiting stress effects by treating addiction

April 6, 2017

Limiting stress effects by treating addiction to have freedom in life without any stress

Limiting stress effects by treating addiction: The search for solution begins with addiction treatment

Must as we’re surrounded with stress triggers, I am possible to live a stress-free life. The sentiment “stress is part of life” is misleading and the time of making the correction is now. If you’re using any drug, that could explain your stressful life. It, therefore, means that you have a duty of quitting that drug use for you to succeed in limiting stress effects attached. In view of this point, doctor Dalal Akoury MD President and founder of AWAREmed Health and Wellness Resource Center is reiterating that drug addiction is one of the biggest contributors to stress. What that communicates is that ending stress simply means finding lasting solutions to addiction problems.

Succeeding in this will not only benefits the direct victim but also to their loved ones. It may not matter the depth of stress in one’s life, the most important thing to do is to ensure that, any form of stress in your life doesn’t cause danger to your health. This can be very difficult owing to the fact that many people are not able to manage their stressful situations and that is why the effects of stress are causing harm to people’s mental and physical well-being. The inability of people to contain stress is the greatest challenge because many people have chosen the wrong ways in dealing with stress like misuse of alcohol and drug abuse.

Any attempt of self-medication offers a misleading temporary relief. Because of this, many have turned to alcohol and other illicit substances which are self-defeating. The understanding of that point is that an individual while under the influence of drugs may feel better, but as soon as they become sober, they pick up the pieces and become even more stressful than they were before. Currently, we have several ways of managing stress which we’re going to be discussing in our subsequent articles. We want therefore to request you to stay on the link and be the first to know, in the meantime, let us understand the definition of stress clearly.

Limiting stress effects by treating addiction: Understanding what stress really is?

In simple understanding stress actually, the extent through which the human body attend and address life prevailing circumstances and demands. It does this by releasing different chemicals in the body so that it is prepared to take action. Because of what stress is, we can state with confidence some two significant elements that are bad reputation which is essential for survival too. Why is this so? Presume that people were not reactive to the external events, they would certainly be in danger. On the other hand, stress can be some benefits take for example when one is preparing to sit an examination, there is always some pressures that come with ensuring that the student sits and pass the exam. It is stress that will cause the student to remains focus lets they fail to meet their objectives of doing well in the exams. Finally, in ending stress, you can talk to doctor Akoury on any concern you may be having and it will be addressed professionally.

Limiting stress effects by treating addiction: The search for solution begins with addiction treatment

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Sexual affection and addiction effects

April 6, 2017

Sexual affection and addiction effects can not be put together if relationship is to remain mutual

Sexual affection and addiction effects: Why drug addiction is the enemy?

The escalation of drug addiction is getting rooted into the society daily and its effect is manifested in many areas of life including relationships. When we talk of relationships and addiction, a lot can be derived from this and so, for the purpose of this article, we want to focus our discussion on sexual affection and drug addiction effects on intimacy and sexual relationships. Speaking to doctor Dalal Akoury MD who is an addiction expert of several decades, it’s evident that for those who constantly abuse alcohol and drugs, are constantly facing serious problems in their sexual life something that can have serious complications in their relationship and sexual affection.

With alcohol and drug abuse in the picture under this circumstance, one of the most immediate casualties from substance abuse will be sexual intimacy. Because the substance of abuse is effective in mind alteration, it may not be possible for users of such drugs to maintain healthy relationships while under the influence of the same. And as the addiction takes tall in them, it will completely take over their life leaving no room for any other meaningful activity.

Therefore before any corrective measure is taken, the victim falls into illusion and self-absorption causing them to remain that way until they are treated and delivered from the scourge of addiction. According to the experts at AWAREmed Health and Wellness Resource Center, total recovery from addiction will automatically cause recovering patients to regain their ability to be active in their sexual intimacy and enjoy healthy sexual relationships.

Sexual affection and addiction effects: What is sexual intimacy or affection?

As we progress into this discussion, lets us understand what sexual intimacy really is. Broadly the word intimacy is a Latin word meaning inner. We can, therefore, say that it is the closeness or interpersonal relationships involving both physical and emotional intimacy.

Emotional intimacy can vary in degree and it refers to the closeness that people feel for one another while physical intimacy mostly refers to sexual and romantic contact. Progressively an intimate relationship is understood to include a number of elements like:

Trust
Where partners in a relationship will have widespread knowledge about each other.
Partners in an intimate relationship will feel warmth, affection and care for each other.
The expectation of the relationship will be long term.
Persons in an intimate relationship may mean that those involved think in terms of us rather than me.
Those involved in such a relationship will be committed to each other.
There is an expectation that the other partner will treat them fairly.
They share and agree mutually on many beliefs, experiences, and opinions.

Finally, doctor Akoury acknowledges that sexual intimacy is a special gift that one cannot afford to lose. That is why together with her team of experts when you reach out for help at this facility, your problems will not only be addressed professional but also with confidence. If this description suits your condition, we are very much ready and willing to help you have your health back and live it to the fullest.

Sexual affection and addiction effects: Why drug addiction is the enemy?

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Cancer transplantation

April 4, 2017

Cancer transplantation. The disease cancer is a scare and those who have been there will tell you that better prevention than cure

Cancer transplantation: Eliminating substance abuse

In case of malignancies, we are using patented methods of treatment with stem cells. These methods have proved their efficacy, and have been approved by the Ministry of Health on April 20, 1999 and have been recommended for use in clinical practice. And according to the experts at AWAREmed health and wellness resource center under doctor Dalal Akoury MD Cancer transplantation of fetal stem cells is possible at all stages of oncological diseases like for instance:

If surgery (tumor removal) cannot be started due to such complications as anemia, weakness, wasting, thrombocytopenia, depression, etc., transplantation of fetal stem cells prior to the tumor removal operation provides for the best preparation of the patient to surgery and best tolerability of the latter; it also accelerates the postoperative wound healing process, minimizes consequences and complications of anesthesia, and reduces the duration of the post-surgery rehabilitation period that allows for more rapid continuation of comprehensive treatment. In patients treated with the method of fetal stem cell transplantation prior to the operation, best tolerability of chemotherapy courses had been observed. Probability of metastatic process development diminishes as a result of increased anti-tumor immunity.

During the course of chemotherapy and radiotherapy (irradiation)

In case of such complications as leukopenia, agranulocytosis, thrombocytopenia, anemia, hepatitis, enteropathy, wasting, depression, alopecia, etc., transplantation of fetal stem cells promotes rapid (5 to 7 days) restoration of peripheral blood parameters after chemotherapy, improvement of the overall condition, and helps prevent complications. Transplantation of fetal stem cells provides an opportunity for carrying out more large-scale and intensive chemotherapy with a minimum risk without violating its timeframe.

Cancer transplantation: After chemotherapy and radiotherapy (irradiation)

Transplantation of fetal stem cells is instrumental in restoring anti-tumor immunity and haemopoesis; it contributes to improvement of patient’s overall condition, decrease in weakness, as well as to improvement of their psycho-emotional status and quality of life.

Cancer transplantation: Post-transplantation effects

Solid experience in cancer treatment allowed us to distinguish two stages in post-transplantation period that are different in time of development and clinical manifestations.

The first stage lasts for about one month and is characterized by emergence of early clinical symptoms that develop within a few hours after transplantation of fetal stem cells. We have described the early post-transplantation improvement syndrome: improvement in overall condition and appetite, decline in body temperature, diminishing weakness and sweating, restoration of self-care ability and increase in performance. This syndrome mostly occurs in patients with symptoms of severe intoxication and is often observed in patients with severe clinical course of the disease.

Also, a syndrome of psycho-functional changes is observed: reduction of somatic depression, improvement of emotional status, cognitive abilities, memory, and conative component.

The second stage of cell effect begins within one to two months after transplantation. It is related to reduced clinical manifestations of the disease and is characterized by stabilization of haemopoesis, improvement of the immunological profile, reduction of inflammatory effects, elevation of Karnovsky index, and improved quality of life.

Finally, doctor Akoury reiterates that stem cell therapy contributes to formation of anti-tumor immunity; that can be used for preventing oncological diseases, as well as avoiding relapse and metastatic process. But even before we get there, most of the cancerous complications are as a result of substance abuse. This means that if we were to deal the prevention of substance abuse, cancer complications will be reduced greatly. Therefore as you consider taking the above treatment course, we also want to encourage you to talk to us about the major cause of cancer (drug addiction) so that we can fight the problem from all angles.

Cancer transplantation: Eliminating substance abuse

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