Fight Cancer, Donate Your Unused Car Now

Cancer is set to overtake cardiovascular disease to become the leading cause of death worldwide by 2010, according to a new report from the International Agency for Research on Cancer (IARC), a division of the World Health Organization (WHO).Cancer also remains the number one disease killer for children. On the average, 12,500 children and adolescents in the U.S. are diagnosed with cancer each year. On the average, 1 in every 4 elementary school has a child with cancer. The average high school has two students who are a current or former cancer patient.

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Your car might be useless for you but useful for us. By donating your car, you have saved ones life and that maybe your relatives. Donate car now and join the fight, and help us find a cure for cancer today.


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"Breast engorgement", Advantages and Disadvantages

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Abundant milk production was the hope of many breastfeeding mothers. But mothers know that the abundant milk production must be balanced with the habit of feeding the baby more often. If the mother does not work then it is not a problem, but what if the mother is an employee or a worker who must return to work after the expiry of maternity leave? This is what mothers need to know.

Breast engorgement is a condition in which postpartum breast feels very full by the ASI, tense and painful. The cause is an imbalance between milk supply and baby's needs. This condition generally occurs when the mother suddenly stopped giving her milk before their time.

Engorgement can occur:
• When you first ran in breast milk, during the first few days after birth.
• When mothers breastfeeding normal and routine, but it can not pump their milk according to milk production.
• When the mother and the baby suddenly stopped breast-feeding and breast milk consumption.
• When babies begin to reduce the breast, usually occurs when babies start eating solid food enhancement, or when the baby's illness is marked by decreasing the desire / passion to feed.

Begins producing breast milk after two to five days after giving birth. At that time your breasts will feel warm and heavy. Some mothers feel the swelling and discomfort because of it.

Breast milk is filled with excessive swelling and pain will be felt, it can stimulate the occurrence of acute engorgement, it is usually because:
• Waiting too long to nurse a newborn baby (without early initiation).
• Mother does not want to breastfeed, although the production of enough milk.
• Breastfeeding a bit so as not to evacuate and drain the breast of milk.

This acute engorgement will cause the baby to suck hard on mothers and suckle properly, so that:
• Babies do not consume enough milk.
• Breast is not quite empty and depleted.
• Putting the pain will be felt because of the broken. This is because the baby tries to suck the breast that is fully charged. If you then reduce breast-feeding mothers, the lessons will be re-inflamed and engorgement will deteriorate.

Symptom

This occurs when engorgement breast milk when breastfeeding or pumping out is not as much production is going so full of breast milk. Mothers who experience this will feel:
• Breast feels enlarged, tense and sore. When acute engorgement, the breasts will be swollen, hard, look shiny, warm and supple to the touch.
• Mom will feel the lessons were flattened, and the area around the nipple will seem darker, called the areola and very hard.
• Babies will be difficult to find the nipple, and when I found the baby will be working hard to suck the breast so the nipple can be injured due to the baby business.
• Low maternal fever (body temperature around 37.8 degrees Celsius). If body temperature continues to rise immediately to a doctor.
• Lymph nodes around the armpit to swell the mother and the sick.

Complications and consequences

Without treatment, acute engorgement will cause blockage of channels in the breast milk and cause infection of the breast known as mastitis (breast inflammation).

Care and Treatment

Swelling of the breast is no need to worry excessively and mother can treat and conduct their own treatment at home unless a symptom of infection or mastitis, which may require the mother to consume antibiotics.

These steps can be taken to treat their own mothers to reduce swelling include:
• If the nursing mother, treatment is focused on improving the flow of breast milk with more frequent feeding. Make sure baby is nursing properly and fairly. Usually with this step within 12 to 24 hours later the discomfort is felt will disappear.
• If the mothers do not breastfeed, breast enlargement will cause the breasts to stop producing milk. This discomfort usually disappears after the first variable to 5 days.

Prevention

If the mother plans to breastfeed the baby, then:
• Begin feeding the baby as soon as possible after birth and continue onwards with more often, every 1 to 2 hours while the mother was awake.
• Breastfeeding every one to two hours on the first few days this will reduce the likelihood of engorgemen.
• Make sure the breast soft enough so the baby can breastfeed correctly. If the production of extra milk, so breastfeeding mothers should be pumping out up to breast feels empty after each feeding.
• Try to breastfeed your baby no less than 15 minutes each time breastfeeding, although this may change over time of infant growth.
When the baby is already full or reduced desire to feed, then:
• If the milk production remains high, wipe or guyur breasts with warm water with a shower. Let the warm water flowed across the surface of the breast that would accelerate softening the nipple and breast milk will come out with its own excess.
• If milk flow does not feel perfect, a towel soaked in warm water can be used to mebungkus breasts before breast-feeding mothers. Stimulation of warm milk will help the flow is maintained.
• If the mother works and the difficulty to breastfeeding mothers on a regular basis so make sure to regularly manually pumping breast milk at least every three to four hours.
If engorgement had occurred and the mother still wants to breastfeed, then:
• soften the nipple and areola before breast-feeding to prevent luga start of the nipple.
• If the milk exiting the overflow by itself, it first compresses the breast with warm water before feeding.
• Breast Pump in soft tissues and membranes that contained in the breast does not hurt. Make sure the breasts sucked and drained after each feeding and the mother can save them in the refrigerator.
• To prevent swelling, tense, hard and pain caused by the mother can do:

• Taking anti-inflammatory drugs non-steroidal such as ibuproven, certainly with a doctor's prescription.
• cold compresses every 15 minutes to prevent tissue damage in the breast. Cold compresses should not put ice directly on the breast that would be harmful to tissue in the breast.
• The mother may try to use sheets to cover the breast cabbage in her bra and replace every two hours. This mode can be quite helpful, only this way could allow the production of breast milk decreases.
• Wear loose-fitting bra that does not reduce breast. Bras that are too tight can push the breast which in turn will reduce the flow of breast milk that can lead to blockage in the flow of breast milk.

If mothers do not breastfeed and experience engorgement, then the mother can do one or more of the following steps to reduce the discomfort:
• If the engorgement has happened, do not pump all the milk directly. This would likely spur increased milk production and makes engorgement worse. Breast pump to taste until the mother felt comfortable enough alone.
• Ibuproven for additional medication.
• Cold Compress
• Bra that suit their needs and not pressing.
How the choice of breastfeeding or not to remain in the mother. Remember, the quality of breast milk is not replaceable by any milk production. Then what are mothers waiting for?
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Baby Burping

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Breastfeeding is a new experience for every mother who gave birth. Exciting and always interesting because of ignorance of what is to be faced after feeding. An important note is worth a try and burp the baby.

Burp your baby helps remove swallowed air tends during lactation. If the air does not come out and tend to be much ingested when feeding can cause infant vomiting after feeding. Suspected infant colic and discomfort during sleep, among others, also caused by the accumulation of this gas.

Burping the baby, among others, can be cultivated in a way

• Sit up straight and put the baby on your chest. Put your chin on your shoulder baby (baby facing backwards) when you carry her with one hand while the other one hand patting your baby's back gently. With the help of a little wobble can also be done so that baby can be finished feeding burp.
• baby lap (in the upper thigh) with a sitting position facing forward, hold the baby in the chest like hanging with one hand while your other hand gently patted his back to help baby burp.
• Lay the baby on your lap with the prone position. Make sure the baby's head propped up by strong and its position is slightly higher than his chest. Do this while gently patting the baby's back.

Burping techniques can be performed and selected in accordance with the developing baby. When your baby is getting bigger, you need not worry if your child does not burp during or after each meal. That means that your baby has learned to eat without swallowing excess air.

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Circumcision, is it necessary?

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At birth the boy has a skin covering the tip of the penis is commonly called the foreskin. Circumcision or circumcision, or also called circumcision (circumcision) is a mild surgery and surgery to open and remove part or all of the preputium (prepuce, foreskin, foreskin, the skin surrounding the glans penis/penis head).

Circumcision has a long history, even before BC was found in Egypt practice notes. This practice continued until now, but a hot topic of controversy since some 20 of the year. Is it true that circumcision useful or even useless?

Circumcision or no circumcision should be performed when the baby but it can be done later when the child begins to grow up and usually different growth rates associated with emotional and mental development of each child. Indications circumcision performed during the early years/infant/neonatal generally is due to phimosis, where preputium/foreskin can not be pulled back to open all parts of the head of the penis. Preputium layers inherent part of the glans penis, so that when preputium withdrawn, the glans penis can not fully open. As long as there is not interference in the urinary or signs of inflammation and can still be observed. Expected, the attachment will gradually disappear as the development of the age.

Please note that at birth only 4% of infants could preputiumnya fully withdrawn so that the head of the penis looks intact. Furthermore attachment was gradually reduced. Until the age of 1 year, still 50% who can not fully withdrawn. Respectively 30% at age 2 years, 10% at age 4-5 years, 5% at the age of 10 years, and there is still 1% that lasted up to 16-17 years. Of this last group, there are few who survived to adulthood persistent if not treated.

Phimosis can occur innate, can also occur later. Common causes are infection of the area and preputium glans penis (balanitis), which left scar tissue. Next preputium attached to the glans penis in the scar tissue.

In addition to having a special meaning recara spiritual and religious reasons, scientifically and medically, circumcision has many benefits, including:
• Medical Benefits
o Directly to reduce the risk of children exposed to UTIs (Urinary Tract Infection / urinary tract infection). According to the American Academy of Pediatrics, if in the first year infants circumcised only 1 will have the possibility to 1,000 urinary tract infections than circumcised not the 1 in 100.
o Reduce the risk of penile cancer, although it happened very rarely.
o The risk is lower sexually transmitted diseases, including HIV (adults of course).
o Preventing the foreskin infections.
o Preventing fimosis.
o For the purpose of genital health of children and as adults later.
• social reasons. Often children who are not circumcised will feel different from other friends as adults and that children do not feel inferior because of these differences.
• Religious reasons. Although not required for a particular religion (compulsory in Islam and Judaism), but has become a general agreement that circumcision is closely related to one's religion.

Age when undergoing circumcision or circumcision is, in fact there is no certain rules. Now even many of neonatal circumcision performed 1-2 days of age. The reason, earlier is better to prevent UTIs at an early age. Once, at the age of the patients are also more cooperative.

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Zenni Optical Fashioneyeglass

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Cholelitiasis Information

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Cholelitiasis a.k.a. gall stones are crystalline deposits that occur in the gall bladder. If gallstones are found in the bile ducts called choledocolitiasis.

"Early detection of Cholelitiasis disorders is very important in order not to interfere with quality of life of patients, and this can be done through the liver function tests, ultrasound and CT scans. Even with a more sophisticated device, the most accurate diagnosis for gallbladder inflammation (acute cholecystitis) may be obtained from the examination skintigrafi hepatobilier, which gives a picture of the liver, bile duct, gall bladder and the upper small intestine ", expressed by Dr. Tjahyono Sigit, who is also as Chief of Medical Committee, Puri Indah Hospital, Jakarta.

Generally there are 3 kinds of rocks that may occur, namely:
1. Cholesterol stones, which occurs when bile contains large amounts of cholesterol that usually remains as a liquid. When bile becomes saturated cholesterol, the cholesterol becomes insoluble and forms deposits. This case reaches 80 percent of cases of gallstone disease.
2. Bilirubin stone, occurs when unconjugated bilirubin consentration increased. Bilirubin has a tendency to bind with calcium, forming insoluble precipitates. With increasing concentration of bilirubin, calcium bilirubinate can crystallize and form stones. Over time, various types of oxidation that occurs resulting precipitate bilirubin. Because of its color, this stone is known as a black stone.
3. Mix Stone, a mixture of both types of stone above tesebut.

To be aware of this disease can be used benchmark 4F:
• Women (Female) although men also was not susceptible to this disorder, because the pattern of unhealthy eating can also be a cholelitiasis trigger factor.
• Age 40 years (Forty)
• High-fat diet (Fatty)
• Still active in the reproductive (Fertile)

Basically, this disease does not need to worry and unnecessary medical treatment for does not cause pain or discomfort such as a particular pain. But to know the early symptoms of deterioration are usually cholelitiasis will feel the symptoms:
• Pain in the upper right abdomen, sometimes like being blackmailed and intermittent, spread to the back right shoulder. May occur several minutes to several hours.
• Fever
• Nausea
• Vomiting
• Yellow (ikterik)

To determine whether a person has to be done cholelitiasis medical examination, because sometimes patients feel just like ulcer symptoms alone. Supporting examination to detect gallstones done by inspection:
1. Heart function tests
2. In gallbladder stones, generally Gamma GT and Alkaline Phosphatase increased.
3. USG Abdomen
4. Visible image of the gall-bladder stones, and sometimes can be seen in the bile ducts.
5. Other tests such as CT scans if the Abdomen ultrasound can not describe it clearly.

If you have entered a stage of acute (Acute cholecystitis) there will be inflammation of the gallbladder wall, usually the result of gallstones in cystic duct, which causes sudden attacks of great pain.

Approximately 95% of those with acute gallbladder inflammation, have gallstones. Sometimes, the inflammation that occurs is caused by bacterial infection. Before you feel the incredible pain in the upper abdomen of a sudden, the patient usually does not show signs of gallbladder disease.

While acute cholecystitis without stones (5%) is a serious illness and tends to occur after the occurrence:
• Injuries resulting from a hematoma, etc..
• Infections caused by burns
• Sepsis (infection that spreads throughout the body)

The influence of infection from diseases severe (especially people who receive food intravenously in a long time). Acute gallstone symptoms include:
• Pain in upper right abdomen, intensified when the patient take a deep breath and often spread to the right shoulder.
• Nausea
• Vomiting
• Low-grade fever, the longer it tends to rise.
• Usually less pain attacks within 2-3 days and then disappeared within 1 week.

In the event of complications, it will happen
• High fever, chills, increased number of leukocytes and the cessation of bowel movements (ileus) may indicate the occurrence of abscesses, gangrenous or perforated gallbladder.
• The attack is accompanied by jaundice (yellow fever), or backflow of bile into the liver suggests that bile duct has been blocked in part by gallstones or by inflammation.
• If blood tests show elevated levels of amylase enzyme, may have occurred inflammation of the pancreas (pancreatitis) caused by gallstone obstruction of pancreatic duct (pancreatic duct)

For the treatment of the patient will be required to be hospitalized and given intravenous fluids and electrolytes and is not allowed to eat or drink.
Likely the doctor will put the pipe to keep nasogastric remained empty stomach so that the stimulation of the gall bladder can be reduced. If suspected acute cholecystitis, the patient will be given antibiotics as soon as possible.

If the diagnosis is certain and the stakes are small, usually surgery to remove the gall bladder will be done on the first day or two since the patients treated. If patients suffering from other diseases that can increase the risk of surgery, the surgery will be postponed until the treatment of these illnesses are going well. If the attack subsided, gall bladder can be removed at least 6 weeks later. But if there are complications (eg abscesses, gangrene or perforation of the gall bladder), surgery should be done immediately.

If not found symptoms, it usually does not require treatment, only require dietary changes. But when gallstones are causing recurrent pain attacks despite a diet is set up properly, patients are encouraged to undergo gall bladder removal (cholesystektomi).

Cholesistektomi can be done in a conventional or laparoscopic. Since laparoscopic dipekenalkan in 1990, then laparoscopic cholecystectomy began much done and now about 90% done in laparoscopic cholecystectomy.

Laparoscopic cholecystectomy is raised gallbladder surgery through the tube inserted through a small incision in the abdominal wall. This type of surgery has the following advantages:
• reduces discomfort after surgery
• shorten the period of hospitalization.

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