Controlling blood pressure

March 15, 2017

Controlling blood pressure effectively will involve being physically active

Controlling blood pressure: Eating healthy diet

If you want to succeed in controlling blood pressure, you need to be mindful of what you’re eating. Experts at AWAREmed health and wellness resource center under the leadership of doctor Dalal Akoury MD agrees that foods rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can be very helpful in lowering your blood pressure by up to 14 mm Hg. We appreciate that it isn’t easy to change your eating habits all over sudden; the following suggestions can help you cope:

Keep a food diary – having a record of what you eat is very important, it can shed surprising light on your true eating habits. Keenly observe what you eat, to what quantity, when you eat and why.

Consider boosting potassium – Potassium can lessen the effects of sodium on blood pressure. The best source of potassium is food, like fruits and vegetables, rather than supplements. This is one area where doctor Akoury will advise about the potassium level that’s best for you.

Be a smart shopper – Make a shopping list before heading to the supermarket to avoid picking up junk food. Read food labels when you shop and stick to your healthy-eating plan when you’re dining out, too.

Controlling blood pressure: Reducing sodium in your diet

Sodium can be very unhealthy in this line and its reduction is important. Take note that even a small reduction of sodium in your diet can reduce blood pressure significantly (by 2 to 8 mm Hg). The recommendations for reducing sodium are:

Limit sodium to 2,300 milligrams (mg) a day or less.
A lower sodium level 1,500 mg a day or less — is appropriate for people 51 years of age or older, and individuals of any age who are African-American or who have high blood pressure, diabetes or chronic kidney disease.

The following guide lines will be helpful in decreasing sodium in your diet:

Track how much salt is in your diet – Keep a food diary to estimate how much sodium is in what you eat and drink each day.

Read food labels – If possible, choose low-sodium alternatives of the foods and beverages you normally buy.

Eat fewer processed foods – Potato chips, frozen dinners, bacon and processed lunch meats are high in sodium.

Don’t add salt – Just 1 level teaspoon of salt has 2,300 mg of sodium. Use herbs or spices, rather than salt, to add more flavor to your foods.

Ease into it – If you don’t feel like you can drastically reduce the sodium in your diet suddenly, cut back gradually. Your palate will adjust over time.

Controlling blood pressure: Limit your alcohol consumption

Finally, alcohol can be both good and bad for your health. In small amounts, it can potentially lower your blood pressure by 2 to 4 mm Hg. Nonetheless, that protective effect will be lost if you drink too much alcohol. Because of the addictiveness of alcohol, one shouldn’t start drinking as a way to lower your blood pressure if you’ve not been drinking. There’s more potential harm than benefit to drinking alcohol. Finally, the key of unlocking the problem of blood pressure rest in losing weight. This is what the experts at AWAREmed Health and Wellness Resource Center does best. All you need to start the journey of recovery is to schedule an appointment with doctor Akoury today.

Controlling blood pressure: Eating healthy diet

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Strong central nervous system stimulant

September 7, 2016

Strong central nervous system stimulant that can destroy the brain system and the well-being of the body

Strong central nervous system stimulant: Crack cocaine

Without missing the words, cocaine is a strong central nervous system stimulant that raises the levels of dopamine. Doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center explains that this is a brain chemical which is associated with pleasure and movement, in the brain’s reward circuit. And since dopamine facilitates communication in some brain cell commonly known as neurons, which are released by neurons to respond to signals like the smell or taste of good food and then it is recycled back into the cell that releases it which in return will shut off the signal between neurons.

Cocaine acts by preventing the dopamine from being recycled, causing excessive amounts of dopamine to build up, amplifying the message, and ultimately disrupting normal communication. It is this excess of dopamine that is responsible for cocaine’s euphoric effects. With repeated use, cocaine can cause long-term changes in the brain’s reward system and in other brain systems as well, which may eventually lead to addiction.

Strong central nervous system stimulant: Health consequences

There is no doubt that cocaine abuse impact on health negatively in very many ways. Doctor Akoury explains that among many other consequences, the following are outstanding:

Blood pressure
Cocaine compresses blood vessels
Dilates eye pupils
Heart rate
Increases body temperature

Being a strong central nervous system stimulant, it can also cause headaches and gastrointestinal complications such as abdominal pain and nausea. Alongside that, it is worth noting that since cocaine tends to decrease appetite, chronic users can become malnourished as well.

Strong central nervous system stimulant: Effects associated with mode of administration

Even though the dangers remain the same, it will interest you to note that these modes of administration of cocaine (smoking, snorting, injestion and injection) can produce different adverse effects including the following:

Regularly snorting cocaine, can lead to loss of the sense of smell, nose bleeding, problems with swallowing, hoarseness and a chronically runny nose.
Ingesting cocaine can cause severe bowel gangrene as a result of reduced blood flow.
Injecting cocaine can bring about severe allergic reactions and increased risk for contracting HIV and other blood-borne diseases.
Binge patterns of use may lead to irritability, restlessness, anxiety, and paranoia.
Cocaine abusers can suffer a temporary state of full-blown paranoid psychosis, in which they lose touch with reality and experience auditory hallucinations.

In conclusion doctor Akoury is making emphasis that it doesn’t matter how it is administered or the frequency of cocaine use, in all these users can experience acute cardiovascular or cerebrovascular emergencies, such as a heart attack or stroke, which may cause sudden death. Remember that most cocaine-related deaths are often as result of cardiac arrest or seizure followed by respiratory arrest. All these can be brought to manageable levels if we all pool together and begin doing the right things. You may not know conclusively what to do and that is why doctor Akoury founded this health facility to help you stay healthy. You can schedule for an appointment with doctor Dalal Akoury and together with her team of experts they will professionally offer lasting solution to your individual conditions.

Strong central nervous system stimulant: Crack cocaine

Exploring integrative medicine benefits

August 1, 2016

Exploring integrative medicine benefits that delinvers timely healing and restoration

Exploring integrative medicine benefits: What you get with good training

It is becoming increasingly evident that nearly everything happening around us in one way or the other affects our health. This has further been confirmed by various research showing that how we live, the way we think and our feelings affect our health. In agreement to this fact doctor Dalal Akoury in an illustration says that, aggression, depression and isolation or loneliness contribute to heart disease. Stress can worsen infections and asthma. High-fat diets can lead to coronary disease and cancer. Obesity is a major factor in the development of type 2 diabetes and hypertension. Does that communicate anything to you? Are you beginning to see how your health is at risk by nearly everything around you? In all these we have good news for you, that exploring integrative medicine benefits are a perfect solution to all these. With good training of nurses from our training facility (AWAREmed integrative addiction institute) we can collectively participate in the reversal of all the consequences of unhealthy lifestyles, prevent illness and reduce symptoms resulting in more health benefits including:

Pain reduction
Improved bowel function
Improved comfort and health sleep
Less anxiety and depression related to illness
Lowered blood pressure, cholesterol and glucose levels

Exploring integrative medicine benefits: What to expect
With good training in Integrative medicine nurses will be equipped with new treatment techniques that support the body’s natural ability to heal itself. You will agree that a stress free body is healthy in away and therefore integrative medicine benefits include reducing stress which then will promote peace of mind and relaxation thereby leading to better health. We (AWAREmed integrative addiction institute) believe together we can achieve optimal health by the engagement of our own healing power and feel empowered to make lifestyle changes. The following are some of the practices and techniques that may our experienced trainers will take you through to be ready for the task ahead of you:

Acupuncture
Chiropractic services
Meaningful dietary changes
Administration of herbals or supplements
Hypnotherapy
Massage
Mind/body training (relaxation practices)

Exploring integrative medicine benefits: Who Can Benefit?
An integrative approach has become very popular not just in the United States, but across the globe with many people opting for the use of some form of complementary medicine. Therefore anyone who has or is struggling with any chronic illness qualifies for the integrative medicine benefits. With this you will reduce significantly the cruelty or incidences of disease experiences and live a much enjoyable, better quality of life.

Finally it is one thing to have these new treatment innovations and completely a different thing to have them implemented in daily practice. A good innovation will remain just good if we do not have qualified personnel to administer it. That is why doctor Dalal Akoury and her team of experts are offering quality trainings at AWAREmed integrative addiction institute for all nurses globally. You too can become part of this noble course by calling us on telephone number 843 213 1480 for any further inquiry and we will be glad to help you understand all your concerns.

Exploring integrative medicine benefits: What you get with good training

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Celebrities are vulnerable of drug addiction

November 30, 2015

Celebrities are vulnerable of drug addiction: Alcohol programs and celebrities?

Celebrities are vulnerable of drug addiction this concern is closely associated with the demands of their lives and the pressure on them to deliver and keep to the top

The demands of life are increasingly becoming overwhelming to everyone. People of all races are waking up early and retiring very late in the night all to make ends meet. Target set by employers is even making life even more stressful and if this is to be compounded by drugs, life can become even more unbearable. All this is happening to people in equal measure and the sooner something is done, the better to everyone. Looking at different personalities across the globe, one group is always quite common with substance abuse reports almost every day. We are talking about the celebrities and their lifestyle. From the information we get in different media channels one will not be wrong to wonder why celebrities are vulnerable of drug addiction? I am almost certain that you have come across this question somewhere and so that now forms the basis of our discussion even as we develop this to understand why this is becoming the norm. It is no longer a secret that life is full of stress and pressures and especially in this day and age where people gauge everything they do in terms of success that comes from their products. To be precise and to the point success has become one of the prime importance giving rise to extreme competitiveness. With the strength with which drug addiction is making inroads to our societies, every one including celebrities must have a very strong mind in order to survive in this world intoxicated with substances.

Doctor Dalal Akoury MD, President and also the founder of AWAREmed Health and Wellness Resource Center, is reiterating that it is important to note that even individuals with strong commitment and will, can still often break down due to the increasing pressures, and look for alternatives that would help them seek temporary relief. In many instances people often make adverse mistakes of turning to misuse of alcohol and drugs in order to deal with their stress which is not productive by all standards. While they are hoping to get better on account of these substances, unfortunately, they don’t always realize the dangers that are associated with turning to alcohol and drugs. And that introduces us to our next question that why do celebrities get addicted to alcohol and other substances?

Celebrities are vulnerable of drug addiction: Why do celebrities get addicted to alcohol?

There is no doubt that celebrities often live a very stressful and busy life, they are normally at the center of attention to their supporters and to the societies and with very little time for themselves in quiet and solitude. In the nature of their live, attending parties can be a frequent occurrence and drinking is in most cases the rule rather than an exception. Surprisingly and without knowing the pressures and stress these people bear with them every day many people may envy celebrities for their lifestyles that appear flashy and attractive from the outside. However, these people live very difficult and tough lives to the little knowledge of many. The truth is that celebs are under constant pressure including the competitiveness of the glamorous world is enormous, and it is always extremely difficult to survive unless one knows how to get things done and done right. Sometimes if not most of the times, celebs often turn to alcohol and drugs to cope and to get relief from constant stress and pressure. Doctor Akoury expresses the most unfortunate situations in the lives of most celebs is that quite often drinking and drug use get out of hand and becomes a major problem impacting on both of their personal lives, career and social life in the public. Hence, many celebs end up having to get enrolled to different rehabilitation centers for drug addiction treatment.

Celebrities are vulnerable of drug addiction: Do celebrities get treated specially during alcohol programs?

At AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury, all persons are passionately treated equally with dignity, respect, reverence and care. We take this as a condition in life that needs to be attended to medically and professionally as opposed to seeing it as a moral failing. Keen interest must be taken to note that alcohol addiction is a disorder and curing it is a process which is uniform for people from all walks of life. Therefore AWAREmed Health and Wellness Resource Center is a great place with qualified and highly trained professionals not just for celebrities in need of treatment but also applicable to all people across the globe that are struggling with any kind of drug addiction. Up on scheduling for an appointment with doctor Dalal Akoury, special consideration will be taken on all individual client including, celebs and high profile people who will be expectant to receive, strict confidentiality throughout the treatment and even after the treatment period.

Celebrities are vulnerable of drug addiction: Challenges faced by celebrities during their stay at treatment programs?

When attending to clients at AWAREmed Health and Wellness Resource Center, we are always keen on tailoring the treatment to suit the individual client’s needs and specifications. We understand the different needs of our clients and that is why when celebs visit our facility we take keen interest in their individual lifestyle while considering that generally time, concentration and dedication to the program are the key factors that pose challenges to the celebrities in their pursuit of freedom from addiction and dependence. We understand that celebrities may not want to spend an extended period in a rehab; they are often worried about what will happen to their career when the rehabilitation takes long. We look at all these and give to our client treatment that will be most desirable to their needs even as we advise then on the consequences of certain decision they may choose to take owing to the fact that addiction treatment is a process and not just a note time treatment agenda. Therefore as we come to the conclusion of this discussion, if you are struggling with any kind of addiction, you may want to consider scheduling for an appointment with doctor Dalal Akoury today for a one on one treatment and advice for the situation you have found yourself in.

Celebrities are vulnerable of drug addiction: Alcohol programs and celebrities?

Clinical Trials For Heart Failure

June 6, 2015

What’s Heart Failure?

Heart failure is an intricate clinical condition of symptoms and signs that suggest malfunction of the heart. This is often caused by structural and or functional defects of the heart. A good number of patients have heart failures as a result of left ventricular systolic dysfunction (LVSD).

“More often than not, LVSD is associated with reduced left ventricular blood ejection fraction. Some patients have heart failure as a result of a preserved ejection fraction (HFPEF). Whereas the most popular cause of heart failure in the United States (US) is coronary artery disease, many patients have had a myocardial infarction,” Owan TE, Hodge D.O., Herges R.M, et al. (2006).

Heart failure and or related diseases often increase steadily with age, a typical age at first diagnosis being at 76 years. Prevalence of heart failure is even expected to rise in the near future as a result of an increased ageing population. Improved survival of people with heart disease and more effective treatments of the same are more reasons for such increased prevalence.

“Heart failure has a poor prognosis: 30–40% of persons diagnosed with the condition die within a year, after which the mortality rate is less than 10% for every succeeding year. However, there has been better prognosis in the past 10 years. The 6-month mortality rate further decreased from 26% in 1995 to 14% in 2005 and even further now,” Petersen S, Rayner M, and Wolstenholme J. (2002).

“Heart failure accounts for over a million inpatient bed-days 2% of all NHS inpatient bed-days in the US and 5% of all emergency medical admissions to hospital. The admissions because of the heart condition are even projected to rise by 50% over the next two decades, largely as a result of the ageing population,” Hobbs FD, Roalfe AK, and Davis R.C., et al. (2007).

This article provides acceptable and standard practices on adults with heart failures, especially those with chronic heart failures. Such trials entail diagnosis, treatment, and rehabilitation.

Clinical Trials For Heart Failure

Clinical trials as well as therapeutic care should take into account the patients’ needs and preferences. A patient with acute heart failure for instance should be able to make or rather should be given an opportunity to make an informed decision about his/her therapeutic care together with the healthcare professionals.

If the patient does not have the ability to make reliable decision about his/her the trials and or therapeutic care, the healthcare professional should follow established guidelines set by the Department of Health on consent and the professional code of practice as set out in the Mental Capacity Act.

Also important is good communication between the patient and the professional. These may be in different forms but a recommended practice involves a written document that suits the patient’s unique clinic diagnosis and can also act as evidence. Clinical trials and therapeutic care given and information communicated to the patients should be appropriate to the latter’s medical history and culture.

Such information should be accessible to people with special needs such as physical, sensory, learning disabilities, and or to those who neither speak nor read English. Family members, guardians and or care-takers should also have an opportunity to contribute in the decisions about the trials and care.

“During clinical examinations, it is important to refer patients with supposed heart failures and or previous myocardial infarction (MI) urgently to have transthoracic Doppler 2D echocardiography and specialist assessment within 2 weeks,” Owan TE, Hodge D.O., Herges R.M, et al. (2006).

“Clinical trials on treatment should measure serum natriuretic peptides (B-type natriuretic peptide [BNP] or N-terminal pro-B type natriuretic peptide [NTproBNP]) in patients with suspected heart failure without previous MI. Because very high levels of serum natriuretic peptides carry a poor prognosis, refer patients with suspected heart failure and a BNP level above 400 pg/ml (116 pmol/litre) or an NTproBNP level above 2000 pg/ml (236 pmol/litre) urgently, to have the 2D echocardiography and assessment within 2 weeks,” Owan TE, Hodge D.O., Herges R.M, et al. (2006).

Trials on treatment involve offering both angiotensin-converting enzyme (ACE) inhibitors and beta-blockers licensed for heart failure to all patients with heart failure due to left ventricular systolic dysfunction. It is also advisable to use clinical judgments when deciding which drug to use first.

Offer only beta-blockers licensed for heart failure to all patients with the heart condition due to left ventricular systolic dysfunction, including: adults and those patients with other vascular diseases, erectile dysfunction, diabetes mellitus, interstitial pulmonary disease, and or chronic obstructive pulmonary disease (COPD) without reversibility.

Professionals are also advised to seek specialist guidance to offer one of the following alternatives if the patient fails to respond to treatment despite optimum therapy with an ACE inhibitor and a beta-blocker. They may include: an aldosterone antagonist licensed to handle heart failure patients and an angiotensin II receptor antagonist (ARB) licensed for heart failure.

Clinical trials about rehabilitation should involve a supervised exercise-based rehabilitation program designed for patients with heart failure in groups. While at it, it is advisable to ensure the patient is stable and does not have a condition or device that would immaturely conclude the rehabilitation program.

During the program, you could also include a psychological and or educational component. The program may be incorporated within an existing exercise-based or other cardiac rehabilitation program.

“It should be noted patients with chronic heart failure require monitoring. This monitoring should include; a clinical assessment of functional capacity, fluid status, cardiac rhythm, nutritional status, cognitive status and a review of medication; including need for changes and possible side effects, serum urea, electrolytes, and creatinine. Also, when a patient is admitted to hospital because of heart failure, the professional should seek advice on their management plan from a specialist in heart failure,” Petersen S, Rayner M, and Wolstenholme J. (2002).

Lastly, patients with this kind of heart condition should generally be discharged from hospital only when their clinical condition is stable and the management plan is optimized. The timing should take into account patient and career wishes, and the level of community care and support.

Dr. Dalal Akoury, M.D., M.P.H. is a family physician with a wealth of knowledge and years of experience in integrative medicine. She will highly be of assistance.

Also, don’t miss an opportunity to learn and interact with professionals during this year’s Integrative Addiction Conference 2015. For more information, visit http://www.integrativeaddiction2015.com. The conference will also deliver unique approaches to telling symptoms of addiction and how to assist patients of addiction.

Clinical Trials For Heart Failure

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