Monday 9 September 2019

[www.keralites.net] Now, kidney transplants from any donor possible

 




    
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Very good news for those who are undergoing dialysis for their kidney failures.

Now, kidney transplants from any donor possible :- Gina Kolata, March 21, 2016, International New York Times
Desensitisation alters patients' immune systems to allow them to accept kidneys from incompatible donors.

In the anguishing wait for a new kidney, tens of thousands of patients on waiting lists may never find a match because their immune systems will reject almost any transplanted organ. Now, in a large national study that experts are calling revolutionary, researchers have found a way to get them the desperately needed procedure.

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In the new study, published in The New England Journal of Medicine, doctors successfully altered patients' immune systems to allow them to accept kidneys from incompatible donors. Significantly, more of those patients were still alive after 8 years than patients who had remained on waiting lists or received a kidney transplanted from a deceased donor.

The method, known as desensitisation, "has the potential to save many lives," said Dr Jeffery Berns, a kidney specialist at the University of Pennsylvania's Perelman School of Medicine and the president of the National Kidney Foundation.

It could slash the wait times for thousands of people and for some, like Clint Smith, a 56-year-old lawyer in New Orleans, mean the difference between receiving a transplant and spending the rest of their lives on dialysis. The procedure, Smith said, "changed my life."

Full article in the link below

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[www.keralites.net] 8 Exercises for a Better Sitting Posture

 




    
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8 Exercises for a Better Sitting Posture

Most of us spend a big part of our day sitting down, and often when we go home we forgo physical exercise for an evening in front of the TV or computer. Consequently, all of these extended sitting sessions lead to slouching in our chairs. Even if we start by sitting upright, eventually our muscles become fatigued, and we slouch automatically , letting our bones take the brunt of the weight instead of our muscles. Over time, our bad sitting posture becomes our "regular" posture, and slouching can cause a host of problems: pain in the shoulders, joints, neck, lower back, knees, and even headaches. The following exercises will train the muscles in charge of supporting your spine, which will help you maintain the proper sitting position. Better Posture

 
1. Strengthen your back with "Warrior" pose
The "warrior" pose is an exercise that strengthens your thighs and stretches your arms significantly – both areas are important in reducing strain on your spine.
Better Posture

 
To perform this exercise, start by standing with your legs straight together, and your arms stretched up. Step forward with your right leg until your knee is at a 90° angle, plant your foot firmly on the ground. Next, stretch your left leg back. Hold the position for 5-10 seconds, and then stand back up. Repeat with the opposite leg.
 
2. Chest stretches
This exercise simulates pushups while in a standing position. It is designed to stretch your chest muscles and ease spinal pain.
Better Posture

 
Stand in an open doorway, place your hands at shoulder height outside the door frame. Bend your elbows and lean forward on your toes while keeping your chest straight, and then push forward, straightening your elbows. Repeat this action 5-10 times. The more you perform this exercise, the more you'll notice that it gets easier to bend your elbows and resume your initial stance. Your goal is to be able to do 10-25 repetitions with ease.
 
3. Strengthen your gluts
Hip and lower back pains are often the results of weakened glut muscles that are having problems carrying the weight of your spine. When our sitting posture is incorrect, it takes the pressure off of our gluts, which ends up weakening them more. By performing the following exercise regularly, you can relieve much of the pain caused by inactive glut muscles, and prevent new pain from occurring.
Better Posture

 
To perform this exercise, lay a mat on the floor and lie down on your back, with your knees bent at a 45° angle, and your legs held tightly together. Now push your buttocks up, until your knees are bent at a 90° angle. Keep your chest down, clench your buttocks while focusing on pushing your legs down to the floor. Maintain this position for a few seconds and release.
Better Posture

 
If the exercise feels too easy, try raising one leg up while pushing your buttocks up.
 

 
 
4. Shoulder-strengthening pushups
In addition to regular pushups, you can perform this variation that trains and strengthens your shoulders, which provides better support during prolonged periods of sitting.
Better Posture

 
Begin in the pushup position, with your body leaning on your straightened-out arms, palms facing down, your back straight, and your legs stretched back. Next, instead of bending your elbows, keep your arms straight and allow your shoulders to move (as seen in the animation above). Repeat this exercise until you can easily perform 3 sets of 10 repetitions.
 
5. Stretching your Trapezoids
This simple stretch improves your shoulder region's flexibility where it connects to the spine. This will help your neck be more limber and prevent future pain in the area.
Better Posture

 
Begin by standing or sitting on a chair without a back. Keep your back straight, your arms loose at the sides of your body and your legs straight and touching the floor. With one hand, reach up to touch the opposite side of your head, gently pulling it towards the shoulder. Avoid exerting force to avoid injuring the region. Remember that your hand is there to aid a deeper stretch in the neck. Keep your head in this position for 30 seconds, release, and then repeat for the other side. Perform this stretch twice per side.
 
6. Chest expansion
The next exercise is meant to expand your chest in order to relieve pain in the spine and help you resume an upright sitting position. You will need a counterweight, such as a spongy roll, or a rolled-up yoga mat.
Better Posture  
Lean your back on the roll while maintaining a natural arch in your lower back and keep your chest elevated. Put your hands behind your head, placing your palms on the back of your neck, and lean down, and then straighten back up. Be sure to keep your chin up to prevent unnecessary stretching of the neck. When leaning back, focus on expanding your ribcage. During this exercise, your lower back should remain static.
 
7. Strengthen the shoulder blades
The goal of this exercise is to move the bones that connect your collar bone and your arm, in order to stretch and train your back muscles and help them provide full support for your spine.
Better Posture  
Stand up straight with your shoulders loose. Move your shoulder blades towards each other until they meet, and remain in this position for 5 seconds. Release and repeat 5 times.
 
8. Thigh muscles stretch
The hip muscles provide support for our backs, but most of us never associate back pains with weak thigh muscles.
Better Posture

Begin by getting down on one knee, keeping it bent at a 90° angle, with your other leg pulled back, keeping your knee above your ankle.
It's important to remember that performing these exercises once or twice a day will not counter 8 hours of sitting down, so make sure you're aware of your posture when sitting and make an effort to take small breaks and perform mild physical exercise. However, following this routine will make it easier to resume a correct sitting position that won't tire out your back.

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[www.keralites.net] Here is All You Need to Know About Rheumatology....

 




    
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A Guide to Rheumatology!

A rheumatologist is a medical doctor that specializes in diseases of the joints, in other words, they specialize in arthritic problems. Rheumatology is noted for its diagnosis and treatment of systemic, autoimmune and inflammatory forms of arthritis. Rheumatologists treat joint diseases in a similar way to orthopedists, but they don't actually perform surgery.

Some 54.4 million are affected by rheumatic diseases in the United States, according to the Centers for Disease Control and Prevention. It strikes people of both genders and occurs in people of all races and ages. Some 300,000 children in the United States are afflicted by a rheumatic disease.

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Although it isn't every rheumatic disease that affects the spine, the ones that do can be extremely difficult to live with. The most common is osteoarthritis, which occurs when both the cartilage and bone begin to deteriorate.

Another group of rheumatic conditions that affect the spine includes spondyloarthropathies. It includes inflammatory conditions such as ankylosing spondylitis and axial spondylitis. Some types of spondyloarthropathies also affect the joints.

Ankylosing spondylitis, for example, affects the lower back most, but it can also affect hips, shoulders, and knees. Psoriatic arthritis can affect the spine, but it doesn't in certain instances. With that being said, it always tends to affect the ends of fingers and toes. These are just two types of spondyloarthropathy that exist which are capable of damaging the spine as well as other areas of the body.

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You should see a rheumatologist when your joints hurt, or if there are signs of inflammation such as redness, swelling, pain, stiffness, and loss of joint function that lasts for two days or more. You'll likely need to see your primary care doctor before seeing a rheumatologist for a referral. Keep in mind that the earlier you see your primary care doctor, the sooner your ailment can be treated.

The American College of Rheumatology warns that autoimmune disorders and rheumatic diseases actually run in families. If your family members, regardless of whether they are immediate family member or not, have or had an autoimmune disorder or rheumatic disease, then you should definitely see a rheumatologist sooner rather than later.

Note that medications given to you by your primary care doctor will temporarily improve things, but that doesn't mean that your symptoms won't return. If this occurs, then you also need to see a rheumatologist.







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