Categories
Ailmemts & Remedies

Kidney dialysis

Introduction:
In order for blood to perform its essential functions of bringing nutrients and oxygen to the cells of the body, and carrying waste materials away from those cells, the chemical composition of the blood must be carefully controlled. Blood contains particles of many different sizes and types, including cells, proteins, dissolved ions, and organic waste products. Some of these particles, such as proteins like hemoglobin, are essential for the body. Others, such as urea (a waste product from protein metabolism), must be removed from the blood or they will accumulate and interfere with normal metabolic processes. Still other particles, including many of the simple ions dissolved in the blood, are required by the body in certain concentrations that must be tightly regulated, especially when the intake of these chemicals varies. The body has many different means of controlling the chemical composition of the blood. For instance, you learned in the “Iron Use and Storage in the Body: Ferritin and Molecular Representations” tutorial that the ferritin protein can help to control the amount of free iron in the blood. As you will discover in the tutorial entitled, “Blood, Sweat, and Buffers: pH Regulation During Exercise”, buffers dissolved in the blood can help regulate the blood’s pH. But the largest responsibility for maintaining the chemistry of the blood falls to the kidneys, a pair of organs located just behind the lining of the abdominal cavity. It is the job of the kidneys to remove the harmful particles from the blood and to regulate the blood’s ionic concentrations, while keeping the essential particles in the blood

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Healthy kidneys clean the blood by removing excess fluid, salt and wastes. When they fail, harmful wastes build up, blood pressure may rise, and the body may retain excess fluid. When this happens, treatment – dialysis or a kidney transplant – is needed to replace the work of the failed kidneys, which is known as end-stage renal failure (ESRF).

There are three primary and two secondary types of dialysis: hemodialysis (primary), peritoneal dialysis (primary), hemofiltration (primary), hemodiafiltration (secondary), and intestinal dialysis (secondary).

Hemodialysis:
Haemodialysis (HD) is the most common method used to treat ESRF and has been available since the 1960s. Despite some advances in dialysis machines in recent years, HD is still a complicated and inconvenient therapy requiring a coordinated effort from a large healthcare team, including:

•GP
•Nephrologist (kidney doctor)
•Dialysis nurse
•Dialysis technician
•Dietitian
•Social worker
One important step before starting HD is a small operation to prepare a site on the body. One of the arteries in your arm is re-routed to join a vein, forming a fistula. Blood is removed from the fistula, cleaned and returned to it, allowing dialysis process to take place.

Needles are inserted into a fistula (the point of access to the bloodstream) at the start of HD. You may find this one of the hardest parts, although most people report getting used to them after a few sessions. If it’s painful, an anesthetic cream or spray can be applied to the skin.

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In HD, blood is allowed to flow, a small amount at a time, through a special filter (the ‘dialyser’ or ‘artificial kidney’) that removes wastes and extra fluids. The clean blood is then returned to your body via the fistula. This helps to keep the correct amount of water in the body, control blood pressure – and keep the proper balance of chemicals such as potassium, sodium and acid.

Most people have HD three times a week for three to five hours, with a morning, afternoon or evening ‘slot’; depending on availability and capacity at a dialysis unit, usually in a large hospital. Some receive it at a smaller satellite unit nearer home, and a few have HD in their own homes.

By learning about the treatment, and working with your healthcare team, it’s possible to have a full, active life

Peritoneal dialysis:
Peritoneal dialysis (PD) became an alternative to HD in the 1980s, with many preferring the independence it brings them.

It means you don’t have to have dialysis sessions at a unit, but can give treatments at home, at work or on holiday. Like HD, by learning about the treatment, and working with the medical team, it’s possible to have a full and active life.

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In PD, a soft tube called a catheter is used to fill the abdomen with a cleansing liquid called dialysis solution. The abdominal cavity is lined with a layer called the peritoneum. Waste products and extra fluid (and salt) then pass through the peritoneum from the blood into the dialysis solution. They then leave the body when the dialysis solution is drained. This used solution is then thrown away.

The process of draining and filling is called an ‘exchange’ and takes about 30 to 40 minutes. The period the dialysis solution is in the abdomen is called the ‘dwell time’. A typical schedule is four exchanges a day, each with a dwell time of four to eight hours.

There are many forms of PD. One doesn’t even require a machine and it’s possible to walk around with the dialysis solution in your abdomen. Talk to your specialist about what’s best for your particular situation.

Whatever form is chosen, an operation is needed to have the soft catheter placed in the abdomen, which will carry the dialysis solution in and out of the abdomen. It’s usually inserted two weeks before dialysis proceeds, to allow scar tissue to build up that will hold it in place.

Hemofiltration:
Hemofiltration is a similar treatment to hemodialysis, but it makes use of a different principle. The blood is pumped through a dialyzer or “hemofilter” as in dialysis, but no dialysate is used. A pressure gradient is applied; as a result, water moves across the very permeable membrane rapidly, “dragging” along with it many dissolved substances, importantly ones with large molecular weights, which are cleared less well by hemodialysis. Salts and water lost from the blood during this process are replaced with a “substitution fluid” that is infused into the extracorporeal circuit during the treatment. Hemodiafiltration is a term used to describe several methods of combining hemodialysis and hemofiltration in one process.

Hemodiafiltration:
Hemodialfiltration is a combination of hemodialysis and hemofiltration. In theory, this technique offers the advantages of both hemodialysis and hemofiltration.

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Intestinal dialysis:
In intestinal dialysis, the diet is supplemented with soluble fibres such as acacia fibre, which is digested by bacteria in the colon. This bacterial growth increases the amount of nitrogen that is eliminated in fecal waste.  An alternative approach utilizes the ingestion of 1 to 1.5 liters of non-absorbable solutions of polyethylene glycol or mannitol every fourth hour.

Which is better?
Neither technique ‘cures’ ESRF, as they only provide about five per cent of normal kidney function. In other words, they control kidney failure to an extent. It’s hard to state which technique is ‘better’ for which patient, as both have pros and cons. Many patients will have both in their continuing treatment.

Living with dialysis
Adjusting to the effects of ESRF and the time spent on dialysis can be difficult. Aside from the ‘lost time’ (dialysis can take six to eight hours a day) most patients feel they have less energy. Many need to make changes in their work or home life, and can feel depressed when starting the process, or after several months of treatment. It’s good to talk with a social worker, nurse or doctor as this is a common problem that can often be treated effectively.

If you’re feeling well, your kidney specialist should measure the effectiveness of the dialysis with blood tests at least once a month in HD, and once every three months in PD.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose
Resources:
http://www.bbc.co.uk/health/physical_health/conditions/in_depth/kidneys/kidneys_dialysis.shtml
http://en.wikipedia.org/wiki/Dialysis
http://www.chemistry.wustl.edu/~edudev/LabTutorials/Dialysis/Kidneys.html

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Herbs & Plants

Blue Camas

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Botanical Name : Camassia quamash
Family: Asparagaceae
Subfamily: Agavoideae
Genus: Camassia
Species: C. quamash
Kingdom: Plantae
clade: Angiosperms
clade: Monocots
Order: Asparagales

Synonyms : C. esculenta. Lindl.

Common Name: Quamash, Small camas, Utah small camas, Walpole’s small camas, Blue Camas

Habitat :Blue Camas is native to western North America in large areas of southern Canada and the northwestern United States, from British Columbia and Alberta to California and east from Washington state to Montana and Wyoming. It grows in  the coastal mountain forests and wet meadows inland. Marshy meadows in coniferous forest, to 2300 metres

Description:
Small Camas, is a perennial herb. It is one species of the genus Camassia.
The pale blue to deep blue flowers grow in a raceme at the end of the stem. Each of the radially symmetrical, star-shaped flowers have 6 petals. The stems have a length between 30 cm and 90 cm. The leaves are basal and have a grass-like appearance.
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The name Quamash is from Nez Perce qém’es, a term for the plant’s bulb, which was gathered and used as a food source by tribes in the Pacific Northwest. The bulbs were harvested and pit-roasted or boiled by women of the Nez Perce, Cree, and Blackfoot tribes. It also provided a valuable food source for the members of the Lewis and Clark expedition (1804–1806).

Quamash is not just an edible plant, it is also grown as an ornamental plant. Even in the wild, large numbers of quamash can color an entire meadow blue-violet.

While quamash is edible and nutritious, it may occasionally grow with Zygadenus species which are extremely poisonous and which have very similar bulbs.

There are eight subspecies:

Camassia quamash subsp. azurea – Small Camas
Camassia quamash subsp. breviflora – Small Camas
Camassia quamash subsp. intermedia – Small Camas
Camassia quamash subsp. linearis – Small Camas
Camassia quamash subsp. maxima – Small Camas
Camassia quamash subsp. quamash – Small Camas
Camassia quamash subsp. utahensis – Utah Small Camas
Camassia quamash subsp. walpolei – Walpole’s Small Camas

Cultivation:
Succeeds in almost any soil. Grows well in heavy clay soils. Prefers a rather heavy loam that has plenty of moisture in spring but does not remain wet over the winter. Dislikes dry soils. Prefers full sun but tolerates partial shade . The dormant bulbs are very hardy and will withstand soil temperatures down to at least -10°c. Quamash is a very pretty flowering bulb that has quite a large potential as an edible ornamental plant . It grows very well in the flower border but can also be naturalised in damp grass. We are intending to grow it in a grassed-down orchard in our Cornish trial ground. The bulbs flower in late spring and early summer and have completely died down by early July so they do not interfere with harvesting the apple crop. The grass in the orchard will be cut in early spring before the quamash comes into growth, but will not be cut again until July. The bulbs will be harvested at any time from July to December and, since it is impossible to find all the bulbs, it is hoped that those remaining will be able to increase and supply bulbs for future years. A polymorphic and very ornamental plant, there are some named varieties. The subspecies C. quamash maxima has larger bulbs than the type, up to 65mm in diameter. A good bee plant. This species can be confused with certain poisonous bulbs in the genus Zigadenus. Plant the bulbs 7 – 10cm deep in early autumn and then leave undisturbed.

Propagation :
Seed – best sown as soon as it is ripe in a cold frame. The seed can also be sown in a cold frame in spring . It usually germinates in 1 – 6 months at 15°c, but it can be erratic. Sow the seed thinly so that it does not need to be thinned and allow the seedlings to grow on undisturbed for their first year. Give an occasional liquid feed to ensure that the plants do not become nutrient deficient. When the plants are dormant in late summer, pot up the small bulbs putting 2 – 3 bulbs in each pot. Grow them on for another one or two years in a cold frame before planting them out when dormant in late summer. Offsets in late summer. The bulb has to be scored in order to produce offsets.

Ornamental uses:
This bulbflower naturalizes well in gardens. The bulb grows best in well-drained soil high in humus. It will grow in lightly shaded forest areas and on rocky outcrops as well as in open meadows or prairies. Additionally it is found growing alongside streams and rivers. The plants may be divided in autumn after the leaves have withered. Additionally the plant spreads by seed rather than by runners.

Food Uses:
The Quamash has been a food source for many native peoples in the western United States and Canada. After being harvested in the autumn, once the flowers have withered, the bulbs are pit-roasted or boiled. A pit-cooked camas bulb looks and tastes something like baked sweet potato, but sweeter, and with more crystalline fibers due to the presence of inulin in the bulbs. People have also dried the bulbs to then be pounded into flour. Native American tribes who ate camas include the Nez Perce, Cree, Coast Salish, Lummi, and Blackfoot tribes, among many others. Camas bulbs contributed to the survival of members of the expedition of Lewis and Clark (1804–1806).

Though the once-immense spreads of camas lands have diminished because of modern developments and agriculture, numerous Camas prairies and marshes may still be seen today. In the Great Basin, expanded settlement by whites accompanied by turning cattle and hogs onto camas prairies greatly diminished food available to native tribes and increased tension between Native Americans and settlers and travelers. Both the Bannock and Nez Perce Wars began after Nez Perce became incensed at the failure of the US government to uphold treaties, and at settlers who plowed up their camas prairies, which they depended on for subsistence.

While Camassia species are edible and nutritious, the white-flowered Meadow death-camas species (which are not the genus Camassia, but part of the genus Zigadenus) that grow in the same areas are toxic, and the bulbs are quite similar

Bulb – raw or cooked. The bulb, which can be up to 5cm in diameter, has a mild, starchy flavour when eaten raw, but a gummy texture that reduces the enjoyment of it somewhat. When cooked, however, it develops a delicious sweet flavour somewhat like sweet chestnuts, and is a highly nutritious food. Excellent when slow baked, it can also be dried and made into a powder which can be used as a thickener in stews or mixed with cereal flours when making bread, cakes etc. The bulbs can be boiled down to make a molasses, this was used on festival occasions by various Indian tribes. The bulbs can be harvested at any time of the year, but are probably best in early summer when the seeds are ripe. One report says that the bulbs contain inulin (a starch that cannot be digested by humans) but that this breaks down when the bulb is cooked slowly to form the sugar fructose which is sweet and easily digested. Quamash bulbs were a staple food of the N. American Indians. The tribes would move to the Quamash fields in the early autumn and, whilst some people harvested the bulbs, others would dig a pit, line it with boulders then fill it with wood and set fire to it. The fire would heat the boulders and the harvested bulbs would then be placed in the pit and the whole thing covered with earth and the bulbs left to cook slowly for 2 days. The pit would then be opened and the Indians would feast on the bulbs until they could no longer fit any more in their stomachs. Whatever was left would be dried and stored for winter use.

Medicinal Uses:
A decoction of the roots has been used to induce labor. An infusion of the leaves has been used to treat vaginal bleeding after birth and to help expel the placenta.

Disclaimer:
The information presented herein is intended for educational purposes only. Individual results may vary, and before using any supplements, it is always advisable to consult with your own health care provider.

Resource:
http://www.pfaf.org/user/Plant.aspx?LatinName=Camassia%20quamash
http://plants.usda.gov/java/profile?symbol=CAQU2&photoID=caqu2_006_ahp.tif
http://en.wikipedia.org/wiki/Camassia_quamash
http://www.herbnet.com/Herb%20Uses_AB.htm

http://www.pfaf.org/user/Plant.aspx?LatinName=Camassia+quamash

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News on Health & Science

Which Sunscreens are the Safest?

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The Environmental Working Group‘s 2011 sunscreen guide can help you determine which sunscreens are unsafe. The group recommends just 20 percent of the 600-plus sport sunscreens it evaluated.

For a product to score high marks, it needed to be free of potentially harmful chemicals. Not surprisingly, their list of products to avoid list contains some popular brands.

According to Yahoo News, companies with sunscreens that scored poorly include Aveeno, Banana Boat, CVS, and Neutrogena. For more information, and to see which products EWG approved, you can click on the Yahoo link below.

Time Magazine also recounts some of the Environmental Working Group‘s advice:
“Avoid oxybenzone and retinyl palmitate. Many effective products contain one or both compounds — oxybenzone and retinyl palmitate — that the EWG specifically suggests avoiding. Oxybenzone is an endocrine disrupter, the EWG says, and retinyl palmitate is a form of topical vitamin A that some animal studies suggest may be linked to an increased risk of skin cancer.”

Resources:
Yahoo Shine May 24, 2011

Time Magazine May 24, 2011

Environmental Working Group 2011 Sunscreen Guide

Posted By Dr. Mercola | June 06 2011

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Herbs & Plants

Blue-Eyed Grass

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Botanical Name :Sisyrinchium bellum
Family: Iridaceae
Subfamily: Iridoideae
Tribe: Sisyrinchieae
Genus: Sisyrinchium
Species: S. bellum
Kingdom: Plantae
Order: Asparagales

Common Names :Blue-Eyed Grass, Western Blue-eyed Grass, Californian Blue-eyed Grass

Habitat :Blue-Eyed Grass  is  common in  California and Oregon in and west of the Sierra Nevada, its range extending south into Baja California. In parts of its range, Western Blue-eyed Grass has previously been classified as Sisyrinchium eastwoodiae, S. greenei and S. hesperium, but these names are now considered synonyms.

Sisyrinchium bellum grows as a perennial plant in open places where there is some moisture, particularly grassy areas, though it can also be found in woodlands and at altitudes up to 2,400 metres (7,900 ft). Like other species of blue-eyed grasses that are locally dominant, it is generally known simply as “Blue-eyed Grass” within its natural range.

Description:
Blue-eyed Grass. Sisyrinchium bellum is a 1 foot tall perennial with 1 inch blue flowers in Jan.-June. It has small, iris-like leaves. It is widely distributed in California on open, grassy slopes. It likes full sun and garden water. It also can become very drought tolerant. It grows in sand to clay, coastal bluffs to interior grasslands. There is one spot east of here that gets 8 inches of rainfall each year and blue-eyed grass is doing fine. Cold tolerant to at least 0 as it will go winter dormant in bad years. Big Sky Nursery in Frazier Park says this one did great up there even in the -18 degree weather. We planted these in reflected sun in Taft with once per week or so water and they grew to 2 feet tall with 20 or so flowers at a time covering them for months.

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The stems of Sisyrinchium bellum can grow as long as 60 centimetres (24 in), though they are often shorter. Its leaves are grassy and tufted. The flowers are 1–2 centimetres (0.39–0.79 in) in diameter and purplish-blue, varying somewhat in color from a true blue to a definite purple; occasional white-flowering plants are found. It flowers from March to July. Dried in air, its seeds weigh between 1 and 4 mg. After flowering, it dies to the ground and is dormant over the summer.

Cultivation:
Sisyrinchium bellum prefers some moisture and good drainage, but will tolerate summer dryness. It can be propagated by seed, and it self-sows. It can also be propagated by division of its rhizomes, and the flower stems can be rooted. It is moderately hardy and will tolerate temperatures down to 20 degrees F; -12 degrees Celsius.

Medicinal Uses:
The Ohlone used an infusion of the roots and leaves as a cure for indigestion and stomach pain, and similar uses are recorded from other Native American peoples.

The Coast Miwok have used tea made from blue-eyed grass to treat stomach-aches. Coastanoans and Hispanic Californians  have used the tea to reduce fever.  The Ohlone used an infusion of the roots and leaves as a cure for indigestion and stomach pain, and similar uses are recorded from other Native American peoples. The roots were used as a purgative.

Disclaimer:
The information presented herein is intended for educational purposes only. Individual results may vary, and before using any supplements, it is always advisable to consult with your own health care provider.

Resources:
http://www.herbnet.com/Herb%20Uses_AB.htm
http://www.laspilitas.com/nature-of-california/plants/sisyrinchium-bellum
http://en.wikipedia.org/wiki/Sisyrinchium_bellum

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Health Problems & Solutions

Some Health Quaries & Answers

Walking Shoes:

Q: I bought a new sports shoe, even though it was a little tight. The salesperson told me that it would loosen with use. Now I have a pain in the second toe and the nail has become black in colour.

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A: The shoe salesman reinforced a common misconception that a tight shoe will eventually become loose. By the time that occurs though, you may have corns and calluses on your feet. If the shoe is tight, there may not be enough space for the second toe. After wearing the shoe, press down with your finger and see. If the toe is jammed up against the front of the shoe, the nail may be damaged during exercise.

Always buy shoes in the evening as your feet are then slightly swollen from the day’s activity. The shoes should be comfortable the minute you try to walk.

Hepatitis attack

Q: I had jaundice last month. I am worried since my wife is pregnant. Do I need to take any precautions?

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A: Jaundice is a generic term, which means that the yellow pigment (bilirubin) in your blood has increased and is probably being excreted in your urine, discolouring that too. From your letter I think you meant that you had infective viral hepatitis. This too is of several types A, B, E etc. Hepatitis E is dangerous for pregnant women while hepatitis B can be passed on to the baby. You can prevent hepatitis A and B with immunisation. Consult your physician and your wife’s obstetrician so that steps can be taken to safeguard her health and that of your baby.

In mom mode

Q: I delivered a baby three months ago and have not had my periods as yet. When can I expect to start menstruating again?

A: Menstruation can start one and a half months after delivery or be delayed for a year. Mothers who breastfeed their children tend to start menstruation later. However, ovulation can occur even without it. If you do not wish to become pregnant, use contraception regularly even if you are feeding the baby and have not yet had your periods.

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Sugar swings

Q: I have diabetes and am on medication. Sometimes my blood sugar is very low and on other days it is very high. Is there a way to control this?

A: Once you have been diagnosed with diabetes and started medication, it is important that you make a few lifestyle changes. You should not abandon your prescribed diet. You need to avoid fasting even on auspicious days. The tablets will work provided your food intake is regular and according to the diet chart provided by your doctor. You need to exercise for 40 minutes a day to increase your body’s efficiency in reducing blood sugar.

Chew   tobacco?

Q: Is it safer to chew tobacco instead of smoking it?

A: The harmful chemicals in tobacco are released into the mouth when you chew it. In fact, the risk increases when tobacco combines with the acidic lime in paan. It causes cancer of the throat, mouth, esophagus and stomach. Tobacco in any form — chewed, smoked or as snuff — is harmful.

Source: The Telegraph ( Kolkata, India)

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