Saturday, 29 April 2017

The reason behind this is that the Western population is more exposed to stress, obesity and poor health in general.

Many pharmacological anti-inflammatory drugs offer reduction of inflammation, however, long-term medication have potentially lethal side effects. So what is your safest option if you have inflammation? Research on alternative medicines revealed that certain dietary supplements can help reduce levels of pro-inflammatory factors, with significantly lower side effects. One of these dietary supplements is the essential fatty acids or EFAs. Essential fatty acids are necessary for various aspects of normal physiology like: mediating immune response, regulating bodily secretions and their viscosity, dilating and constricting blood vessels, regulating collateral circulation, directing endocrine hormones to their target cells, regulating smooth muscles and autonomic reflexes, being primary constituents of cell membranes, regulating the rate of cell division, maintaining the fluidity and rigidity of cellular membranes, regulating the flow of substances into and out from cells, transporting oxygen from red blood cells to the tissues, maintaining proper kidney function and fluid balance, keeping saturated fats mobile in the bloodstream, preventing blood clots, mediating the release of inflammatory eicosanoids that may trigger allergic Element X conditions, and regulating nerve transmission and communication. 















(Source: Fish Oil: The Natural Anti-inflammatory by Joseph C.  Maroon and Jeffrey Bost, 2006, page 39). For this reason, it is very important for over-all health to have a regular intake of foods rich in omega-6 or omega-3 EFAs. The omega-3 pathway, activated by trauma, injury, or chemical stimulus, is the process of converting the omega-3 EFAs found in the cell membranes to various eicosanoids. If the omega-3 EFA components of the cell membranes become dominant, an anti-inflammatory state can result, with preventive health benefits. Fish is the best source of the omega-3 essential fatty acids. But why fish oil, you might ask? 

















The needed nutrients can also be found in green plants; algae (phytoplankton); leaves and seeds of the perilla plants; and linseed oil but fish oil is considered the most important dietary source of omega-3 EFAs because it contains concentrated amounts of the ALA derivatives with APA and DHA. The two mentioned nutrients can almost exclusively found in seafood. Fish contains high amount of EPA and DHA because they are at the top of food chain based on algae, a single-marine organism that manufactures huge amount of EPA and DHA. Surprising Benefits Of Using Fish Oil: The known benefits of fish oil are not just limited to the more common conditions. Of course, many people have already known how using fish oil may help improve skin health and reduce the risk of heart disease. But there are also surprising benefits that it seem to offer to those who regularly consume them. Here are just some of them. Depression And Anxiety People may not be aware of it, but fish seems to help put people in a good mood. 















In fact, many studies have shown that fish oil may be beneficial in trying to help treat depression and anxiety in people. Thanks to the omega 3 fatty acids contained in fish, it seems a good means to relieve anxiety, depression, stress and sadness in people. Fish seems to have good mood stabilizing properties that make them quite interesting as a treatment for depression and other related conditions. Evidence suggests that countries where oily fish such as salmon is regularly eaten also seem to have low incidence of depression. Similar studies involving prisoners have also shown that having them on a diet rich in omega 3 fatty acids resulted in a significant drop in homicide rates. Although more studies may be needed in order for such findings to be conclusive, it already shows some good evidences of the other surprising benefits of fish oil. Cancer Fighter It may seem quite surprising enough that fish oil may also benefit patients with certain forms of cancer. Preliminary studies have shown that fish oil may be useful in trying to delay the weight loss in people suffering from pancreatic cancer. Still further research may be needed to solidify this claim as well as how oily fish may affect certain types of cancers. 















Type II Diabetes Some studies also have shown positive findings on the effect of fish oil in Type II diabetes. Since people suffering from this form of diabetes are also prone to developing diseases such as coronary heart disease, atherosclerosis and stroke, medical experts believe that taking fish oil supplements may also help in trying to reduce such risks in diabetics. Some studies have already shown that fish oil may also be effective in lowering triglyceride levels in people with diabetes. Pregnancy Fish oil might also be able to help women bear healthier children. Taking the oil supplements may help pregnant women ensure the healthy development of their child while still in the womb. The DHA found in fish oil is known to help babies undergo healthy eye and brain development. Pregnant women who are also taking the oil supplements run fewer risks of having premature births, miscarriage or delivering babies with low birth weights. As an added benefit, pregnant women who regularly take fish oil supplements run lesser risks of getting into depression following the baby's delivery. 














Fertility Fish oil supplements may also help in improving fertility. In a study done on male boars, those who were fed with a diet rich in fish oils were able to show better sperm quality. After ejaculation, the sperm from the boars fed with fish oil seem to resist the effects of lipid peroxidative attacks in the female boar genital tract, giving the sperm higher chances of conception.

Tuesday, 25 April 2017

The patient is asked to touch each finger to their thumb, or to pat the palm of one hand on the back of the other, and then flip that hand over and alternate back-and-forth.

To test similar function in the lower extremities, the patient touches their heel to their shin near the knee and slides it down toward the ankle, and then back again, repetitively. Rapid, alternating movements are part of speech as well. A patient is asked to repeat the nonsense consonants “lah-kah-pah” to alternate movements of the tongue, lips, and palate. All of these rapid alternations require planning from the cerebrocerebellum to coordinate movement commands that control the coordination. Posture and Gait Gait can either be considered a separate part of the neurological exam or a subtest of the coordination exam that addresses walking and balance. Testing posture and gait addresses functions of the spinocerebellum and the vestibulocerebellum because both are part of these activities. A subtest called station begins with the patient standing in a normal position to check for the placement of the feet and balance. The patient is asked to hop on one foot to assess the ability to maintain balance and posture during movement. 

















Though the station subtest appears to be similar to Focused In the Romberg test, the difference is that the patient’s eyes are open during station. The Romberg test has the patient stand still with the eyes closed. Any changes in posture would be the result of proprioceptive deficits, and the patient is able to recover when they open their eyes. Subtests of walking begin with having the patient walk normally for a distance away from the examiner, and then turn and return to the starting position. The examiner watches for abnormal placement of the feet and the movement of the arms relative to the movement. The patient is then asked to walk with a few different variations. Tandem gait is when the patient places the heel of one foot against the toe of the other foot and walks in a straight line in that manner. Walking only on the heels or only on the toes will test additional aspects of balance. Ataxia A movement disorder of the cerebellum is referred to as ataxia. It presents as a loss of coordination in voluntary movements. Ataxia can also refer to sensory deficits that cause balance problems, primarily in proprioception and equilibrium. When the problem is observed in movement, it is ascribed to cerebellar damage. Sensory and vestibular ataxia would likely also present with problems in gait and station. Ataxia is often the result of exposure to exogenous substances, focal lesions, or a genetic disorder. 















Focal lesions include strokes affecting the cerebellar arteries, tumors that may impinge on the cerebellum, trauma to the back of the head and neck, or MS. Alcohol intoxication or drugs such as ketamine cause ataxia, but it is often reversible. Mercury in fish can cause ataxia as well. Hereditary conditions can lead to degeneration of the cerebellum or spinal cord, as well as malformation of the brain, or the abnormal accumulation of copper seen in Wilson’s disease. The examiner would look for issues with balance, which coordinates proprioceptive, vestibular, and visual information in the cerebellum. To test the ability of a subject to maintain balance, asking them to stand or hop on one foot can be more demanding. The examiner may also push the subject to see if they can maintain balance. An abnormal finding in the test of station is if the feet are placed far apart. Why would a wide stance suggest problems with cerebellar function? The Field Sobriety Test The neurological exam has been described as a clinical tool throughout this chapter. It is also useful in other ways. A variation of the coordination exam is the Field Sobriety Test (FST) used to assess whether drivers are under the influence of alcohol. The cerebellum is crucial for coordinated movements such as keeping balance while walking, or moving appendicular musculature on the basis of proprioceptive feedback. 















The cerebellum is also very sensitive to ethanol, the particular type of alcohol found in beer, wine, and liquor. Walking in a straight line involves comparing the motor command from the primary motor cortex to the proprioceptive and vestibular sensory feedback, as well as following the visual guide of the white line on the side of the road. When the cerebellum is compromised by alcohol, the cerebellum cannot coordinate these movements effectively, and maintaining balance becomes difficult. Another common aspect of the FST is to have the driver extend their arms out wide and touch their fingertip to their nose, usually with their eyes closed. The point of this is to remove the visual feedback for the movement and force the driver to rely just on proprioceptive information about the movement and position of their fingertip relative to their nose. With eyes open, the corrections to the movement of the arm might be so small as to be hard to see, but proprioceptive feedback is not as immediate and broader movements of the arm will probably be needed, particularly if the cerebellum is affected by alcohol. Reciting the alphabet backwards is not always a component of the FST, but its relationship to neurological function is interesting. There is a cognitive aspect to remembering how the alphabet goes and how to recite it backwards. That is actually a variation of the mental status subtest of repeating the months backwards. However, the cerebellum is important because speech production is a coordinated activity. 

















The speech rapid alternating movement subtest is specifically using the consonant changes of “lah-kah-pah” to assess coordinated movements of the lips, tongue, pharynx, and palate. But the entire alphabet, especially in the nonrehearsed backwards order, pushes this type of coordinated movement quite far. It is related to the reason that speech becomes slurred when a person is intoxicated. The cerebellum is an important part of motor function in the nervous system. It apparently plays a role in procedural learning, which would include motor skills such as riding a bike or throwing a football. The basis for these roles is likely to be tied into the role the cerebellum plays as a comparator for voluntary movement. The motor commands from the cerebral hemispheres travel along the corticospinal pathway, which passes through the pons. Collateral branches of these fibers synapse on neurons in the pons, which then project into the cerebellar cortex through the middle cerebellar peduncles. Ascending sensory feedback, entering through the inferior cerebellar peduncles, provides information about motor performance. The cerebellar cortex compares the command to the actual performance and can adjust the descending input to compensate for any mismatch. The output from deep cerebellar nuclei projects through the superior cerebellar peduncles to initiate descending signals from the red nucleus to the spinal cord. 
















The primary role of the cerebellum in relation to the spinal cord is through the spinocerebellum; it controls posture and gait with significant input from the vestibular system. Deficits in cerebellar function result in ataxias, or a specific kind of movement disorder. The root cause of the ataxia may be the sensory input—either the proprioceptive input from the spinal cord or the equilibrium input from the vestibular system, or direct damage to the cerebellum by stroke, trauma, hereditary factors, or toxins. Communication is a process in which a sender transmits signals to one or more receivers to control and coordinate actions. In the human body, two major organ systems participate in relatively “long distance” communication: the nervous system and the endocrine system. Together, these two systems are primarily responsible for maintaining homeostasis in the body. The nervous system uses two types of intercellular communication—electrical and chemical signaling—either by the direct action of an electrical potential, or in the latter case, through the action of chemical neurotransmitters such as serotonin or norepinephrine. Neurotransmitters act locally and rapidly. When an electrical signal in the form of an action potential arrives at the synaptic terminal, they diffuse across the synaptic cleft (the gap between a sending neuron and a receiving neuron or muscle cell). 
















Once the neurotransmitters interact (bind) with receptors on the receiving (post-synaptic) cell, the receptor stimulation is transduced into a response such as continued electrical signaling or modification of cellular response. The target cell responds within milliseconds of receiving the chemical “message”; this response then ceases very quickly once the neural signaling ends. In this way, neural communication enables body functions that involve quick, brief actions, such as movement, sensation, and cognition.In contrast, the endocrine system uses just one method of communication: chemical signaling. These signals are sent by the endocrine organs, which secrete chemicals—the hormone—into the extracellular fluid. Hormones are transported primarily via the bloodstream throughout the body, where they bind to receptors on target cells, inducing a characteristic response. As a result, endocrine signaling requires more time than neural signaling to prompt a response in target cells, though the precise amount of time varies with different hormones. For example, the hormones released when you are confronted with a dangerous or frightening situation, called the fight-or-flight response, occur by the release of adrenal hormones—epinephrine and norepinephrine—within seconds. In contrast, it may take up to 48 hours for target cells to respond to certain reproductive hormones. In addition, endocrine signaling is typically less specific than neural signaling.