Similar brain changes are observed in individuals with obesity and those with Alzheimer's disease, according to a recent analysis. The study, published on January 31, 2023, in the Journal of Alzheimer's Disease, involved a review of brain scans from over 1,300 participants. Among them were 341 individuals with Alzheimer's, 341 individuals with obesity, and 682 individuals without either condition. The scans revealed comparable thinning in brain regions associated with learning, memory, and judgment in both the Alzheimer's and obesity groups. While cognitive tests taken by obese participants, defined as having a body mass index of 30 or higher, did not show evident mental deficits, the researchers acknowledged that these tests might not capture subtle changes in thinking abilities related to brain alterations.
According to scientific evidence, drinking apple cider vinegar does not have a significant impact on curbing appetite or aiding in weight loss. It is important to consider that making a single change in our routine, such as consuming apple cider vinegar, is not as effective in shedding excess pounds as making broader efforts like modifying our overall diet and increasing physical activity.
Additionally, apple cider vinegar's high acidity level makes it less suitable for consumption before bedtime. Individuals who are prone to heartburn or gastroesophageal reflux disease (GERD) should avoid consuming anything acidic at least 30 to 60 minutes before sleep to minimize the chances of experiencing uncomfortable chest burning. Moreover, drinking undiluted vinegar over time can potentially damage tooth enamel.
For those who still wish to consume apple cider vinegar, it is safer and more comfortable to mix a small amount with a large glass of water or incorporate it into salad dressings along with other ingredients.
This research is still being watched.
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The focus of this speciality is on comfort and quality of life, and it is gradually expanding into cardiac care. What does heart failure palliative care entail?
Many individuals assume that palliative care is only for those with terminal cancer when they first hear the word. Or they think hospice care and palliative care are interchangeable. Both are untrue. Palliative care is beneficial for those who have heart failure, a condition in which a weak heart is unable to pump enough blood to meet the body's needs.
Palliative care is a method of treating people with life-threatening illnesses that puts their quality of life first. Palliative care aims to keep patients free of pain and other uncomfortable symptoms like nausea and dyspnea. Additionally, it involves discussing the person's values and personal objectives with them and their family to help guide any additional treatments or interventions they could have (see "Advanced Care Planning").
Hospice is a care arrangement that includes palliative care for people who are expected to live for six months or fewer. However, palliative care itself can start as soon as a serious illness, particularly one that isn't likely to be treated, first manifests itself.
Planned care in advance
A document that would direct their medical care if they were unable to convey their preferences is absent from about two-thirds of American people. Filling out a health decision worksheet is a smart place to start because it will force you to think about and elaborate on your healthcare objectives. It asks you about the things in your life that are most important to you, your concerns over your prognosis, and specifics like whether you want to be put on a breathing machine or get tube-fed. You can use it as a benchmark for the following stage, which entails selecting a medical decision-maker (health care proxy) to represent your interests in the event of your incapacitation.
Visit /ADforms to download a free copy of a health decision worksheet and a health care proxy form. Advance Care Planning: A Handbook to Advance Directives, Living Wills, and Other Ways for Conveying Health Care Choices, published by Harvard Health Publishing, is available for purchase at /lw.
Review these documents every few years, or sooner if you receive a new diagnosis or experience other significant changes in your life, as your wishes and priorities will probably change as you age.
Palliative care is a method of treating people with life-threatening illnesses that puts their quality of life first. Palliative care aims to keep patients free of pain and other uncomfortable symptoms like nausea and dyspnea. Additionally, it involves discussing the person's values and personal objectives with them and their family to help guide any additional treatments or interventions they could have (see "Advanced Care Planning").
Hospice is a care arrangement that includes palliative care for people who are expected to live for six months or fewer. However, palliative care itself can start as soon as a serious illness, particularly one that isn't likely to be treated, first manifests itself.
Planned care in advance
A document that would direct their medical care if they were unable to convey their preferences is absent from about two-thirds of American people. Filling out a health decision worksheet is a smart place to start because it will force you to think about and elaborate on your healthcare objectives. It asks you about the things in your life that are most important to you, your concerns over your prognosis, and specifics like whether you want to be put on a breathing machine or get tube-fed. You can use it as a benchmark for the following stage, which entails selecting a medical decision-maker (health care proxy) to represent your interests in the event of your incapacitation.
Visit /ADforms to download a free copy of a health decision worksheet and a health care proxy form. Advance Care Planning: A Handbook to Advance Directives, Living Wills, and Other Ways for Conveying Health Care Choices, published by Harvard Health Publishing, is available for purchase at /lw.
Review these documents every few years, or sooner if you receive a new diagnosis or experience other significant changes in your life, as your wishes and priorities will probably change as you age.
Knowing how to accurately measure your blood pressure at home can be beneficial for your doctor to diagnose and treat high blood pressure, a condition that can have negative effects on the heart, kidneys, and brain.
Regularly having your blood pressure checked is important for adults and should be done at least once a year.
If your blood pressure reading at the doctor's office is higher than the healthy range, it is recommended to repeat the measurement outside of a clinic setting before starting treatment, according to guidelines from the US Preventive Services Task Force. However, there are other reasons why your doctor may advise you to regularly monitor your blood pressure at home.
Home monitoring is useful in the following situations:
- To determine if your blood pressure is truly higher than normal, as some people may experience elevated blood pressure only at the doctor's office, known as white-coat hypertension.
- If your doctor asks you to track your readings to help decide if medication is necessary to lower your blood pressure.
- If you have been diagnosed with high blood pressure and need to adjust your medications to reach your blood pressure target.
- If you are pregnant or have recently given birth, and your healthcare team is concerned about preeclampsia, a severe form of high blood pressure that can cause harm to vital organs.
When choosing a home blood pressure monitor, it is important to select a validated device that has been independently reviewed for accuracy. Avoid using monitors with wrist or fingertip cuffs, as they are not as accurate as upper-arm cuffs. Additionally, ensure that you choose the right size cuff for your upper arm, as using a cuff that is too small or too loose can result in incorrect readings.
While basic models can cost as little as $25, more expensive models ranging from $50 to $100 may offer added convenience, such as storing multiple readings and sending data to your computer or smartphone, or directly to your doctor's office patient portal.
Here are three key points to remember about blood pressure readings:
1. Blood pressure fluctuates throughout the day, so one isolated reading is not sufficient for an accurate assessment.
2. Checking your blood pressure when you are upset or stressed can lead to higher readings. Taking multiple readings consistently provides a more reliable assessment.
3. Consult with your doctor about how often and at what time of day you should take your blood pressure. The gold standard for home monitoring is to take 28 separate measurements over seven consecutive days and average them. However, even 12 measurements over three days, including a weekend day, can be reasonable.
To obtain an accurate blood pressure reading, it is important to avoid common mistakes. Wait at least 30 minutes after smoking, consuming caffeine or alcohol, or exercising before measuring your blood pressure. These activities can affect your heart rate and blood vessels, potentially leading to inaccurate readings. Additionally, empty your bladder before measuring your blood pressure, as a full bladder can put pressure on your kidneys and raise blood pressure.
When measuring your blood pressure, sit comfortably with your arm supported near heart height. Avoid crossing your legs, as this can temporarily raise blood pressure. Sit quietly and undistracted for a few minutes before taking a reading. Make sure to wrap the cuff around your bare arm, about an inch above the crook of your elbow, and start the machine to measure your blood pressure.
Diagnosing and treating high blood pressure is crucial, as nearly half of all adults have this condition, and many are unaware of it. High blood pressure can lead to serious health problems such as heart attacks, strokes, kidney disease, and cognitive decline. It is often referred to as the silent killer because its effects are not felt or experienced until it is too late.
Remember to consult with your healthcare provider for personalized advice on monitoring your blood pressure at home and managing your overall health.
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Creating magical moments and cherishing blessings
Hey everyone! I hope you all had an amazing weekend. First things first, I want to give a thanks to God Almighty for blessing us with a fantastic weekend.
So, guess what? My partner's birthday was on Saturday, and I had a super cool surprise planned for him. I ordered this awesome package from Temu, and I was a little worried that it wouldn't arrive in time. But, being the proactive person I am, I ordered it well in advance and even reached out to
Temu to see if they could speed up the delivery. And you know what? They totally came through! They assured me that my package would be treated as a top priority, and that made me really happy.
A big shoutout to the amazing team at Temu for coming through and delivering my parcel early, just in time for his birthday. Seriously, they saved the day! By the way, if you haven't checked out my Temu Babie finds on YouTube, you totally should. They have some awesome stuff that might come in handy for you too.
So, two days before the big day, I went to the card factory and grabbed two happy birthday balloons, filled with helium because, well, who doesn't love those floating balloons? I also picked up a card and a cute decorative bow to attach to the cake table knife to jazz up the presentation and make it look extra special.
I've gotta admit, I was pretty excited because it was my first time planning a surprise birthday. I really didn't want to mess it up, you know? I wanted to make sure everything was just right. About 5 hours before he was due to come back from work, I rushed out to get him some gifts. I was a bit confused about what to get, but I also made a quick pit stop at my favorite karaoke bar and booked a table for two.
Let me tell you about the whole decoration situation. I thought it would take me like an hour, but oh boy was I wrong! It ended up taking me over three hours. Turns out that decorating and pulling off a surprise like this is no joke. Shoutout to all those talented and brilliant people who offer decorative services. I have a newfound respect for them!
I had ordered an electric balloon pump to make things easier, but guess what? It totally failed me. The first balloon I tried to blow up with the pump just burst. The same thing happened with the second one because I wasn't doing it right or it wasn't the right type of balloon. So, I said, forget it and decided to blow them all up with my own mouth. Surprisingly, it was faster and more efficient. I was on a mission to finish everything before he got home, and I somehow managed to pull it off.
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