Medical Advisor Journals

Wednesday, March 16, 2016

Most Common Diseases of elder: Respiratory Pleural disease: Pneumothorax Treatment In conventional medicine perspective

Kyle J. Norton(Scholar and Master of Nutrients, all right reserved)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Respiratory Disease

Respiratory Disease is defined as medical conditions, affecting the breathing organ and tissues including Inflammatory lung disease, Obstructive lung diseases, Restrictive lung diseases, Respiratory tract infections, trachea, bronchi, bronchioles, alveoli, the nerves and muscles breathing , etc,.

Pleural disease: Pneumothorax

The pleura is a thin tissue covered by a layer of cells (mesothelial cells) that surrounds the lungs and lines the inside of the chest wall.
Pneumothorax is a condition of collection of air within the pleural cavity, from either the outside or from the lung of which affect the lung breathing.

Treatment

In conventional medicine perspective
A. Nonsurgical treatments
1. Obsercation
In most case, if the only a small portion of your lung is collapsed, the disease may be monitored with a series of X ray. Treatments only are necessary if the disease get worse. According to the study of St. Joseph’s Hospital & Medical Center of Sixteen trauma centers identified 588 OPTXs in 569 blunt trauma patients. One hundred twenty-one patients (21%) underwent immediate tube thoracostomy and 448 (79%), most blunt trauma patients with OPTX can be carefully monitored without tube thoracostomy; however, OPTX progression and respiratory distress are independently associated with observation failure(50).
2. Chest drain
In some cases, chest draining may be necessary, but adequate training for the insertion of chest drains in a trauma setting reduces the occurrence of procedure-related complications.According to the study by the Isala klinieken, locatie Sophia, afd. Heelkunde, Zwolle, for drainage of a traumatic pneumo- or haemothorax a large drain (28-36 French) is advised. The preferential insertion site is the 5th intercostal space in the midaxillary line. Drainage systems consist of a collection bottle, water seal and a suction control. Suction applied at 15-20 cm H2O is recommended for adequate drainage. Conversion to thoracotomy is determined by the drain production. Occult air leaks before removal of the drain can be detected by a temporary water seal or by clamping the drain followed by a chest X-ray(51).
3. Manual aspiration
In the study of 56 patients with baseline characteristics were similar, found that immediate success rates were 68.0% for Manual aspiration (MA) versus 80.6% for tube thoracostomy (TT) (p = 0.28). Two week success rates were 100% in both groups. There was a significant difference in hospital stay in favour of MA: 2.4 ± 2.6 versus 4.4 ± 3.3 days (p = 0.02). One year recurrence rates in MA were lower than in TT, although not statistically significant (4.0% and 12.9% p = 0.37). Predictors of immediate success were traumatic PTX and female sex. One patient died during follow-up due to heart failure. The study concluded that MA is simple, safe, cheap, minimal invasive in uncomplicated PSP/traumatic PTX with similar success and recurrence rates and a shorter hospital stay in comparison to TT and therefore the treatment of choice(52).
B. Surgery
1. Sealant
Pulmonary air leaks are common complications of lung resection and result in prolonged hospital stays and increased costs. In the study to investigate whether, compared with standard care, the use of a synthetic polyethylene glycol matrix (CoSeal®) could reduce air leaks detected by means of a digital chest drain system (DigiVent™), in patients undergoing lung resection (sutures and/or staples alone), showed that The use of CoSeal® may decrease the occurrence and severity of postoperative air leaks after lung resection and is associated with shorter hospital stay(53).
2. Thoracoscopy
In the study to review our experience of video-assisted thoracoscopic apical pleurectomy and to evaluate whether suction or water seal is superior in the postoperative treatment of primary spontaneous pneumothorax, indicated that Video-assisted thoracoscopic apical pleurectomy is effective and safe for treating primary spontaneous pneumothorax. Placing chest tubes on water seal after a brief period of suction shortens the duration of chest tube placement and hence the hospital stay(54)
2. Pleurodesis
is a surgical procedure in removing the entire pleural space and attaches the lung to the chest wall, permanently. In the study to compare the efficacy and safety between apical pleurectomy and pleural abrasion with minocycline in primary spontaneous pneumothorax (PSP) with high recurrence risk, showed that Pleural abrasion with minocycline pleurodesis is as effective as apical pleurectomy and either technique is appropriate for treating PSP patients with high recurrence risk. This trial was registered at http://www.clinicaltrials.gov (ID: NCT00270751)(55).

All Forms of Arthritis are Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Back to General health http://kylejnorton.blogspot.ca/p/general-health.html

Sources
(50) http://www.ncbi.nlm.nih.gov/pubmed/21610419
(51) http://www.ncbi.nlm.nih.gov/pubmed/19818184
(52) http://www.ncbi.nlm.nih.gov/pubmed/22925840
(53) http://www.ncbi.nlm.nih.gov/pubmed/23043755
(54) http://www.ncbi.nlm.nih.gov/pubmed/12735584
(55) http://www.ncbi.nlm.nih.gov/pubmed/22323011

The 50 plus Women Smoothie of Green Tea, Sweet Potato and Flax Seed for Reduced Risk and Treatment of Atrophic Vaginitis

1 cup green tea drink (Make from 4 grams of green tea, a slice of ginger and a cup of hot water lipped for 5 minutes, and let cool to room temperature)
1. Place all ingredients in a blender and puree about 1 minute
2. Blend on high speed about 1 minute or until the mixture is thick and the ice is well crushed.
3. Serve immediately

Atrophic Vaginitis is an inflammation of the vagina and the outer urinary tract due to decreased production of estrogen induced thinning and shrinking of the tissues, and decreased lubricationas a result of aging in women..

The finding of a natural source for reduced risk and treatment of Atrophic Vaginitis to replace the oral hormone replacement therapy (HRT), has been running into many obstacles, many ingredients showed initially with promising result in animal studies have not produced same potentials in either large sample size and mutli centers human trials.

Strong evidences of number of renowned institutions suggested that natural sources, including a gel, containing hyaluronic acid(1)(8), liposomes,phytoestrogens from Humulus lupulus extract, and Vitamin E, may be effective for treatment of Atrophic Vaginitis applied topically (1).

Dr.Sobenin IA and researcher at the Russian Cardiology Research and Production Complex, said, "Phytoestrogens are often considered as a possible alternative to hormone replacement therapy, since they are believed to alleviate some symptoms of menopause, such as, therosclerosis and atherosclerosis-related diseases through multiple mechanisms"(2).
In Fact, Phytoestrogens can play an important role in symptoms of menopause including fatigue, vigina dryness, insomnia, problems with concentrations and depression symptoms and on women organism during menopausal period(3).

Levels of serotonin found abundantly in flax seed, is associated to reduced risk, frequency and severity of vasomotor symptoms in menopausal women(4). According to the Massachusetts General Hospital, serotonin-norepinephrine reuptake inhibitor duloxetine significant improve depression, vasomotor symptoms, sleep, anxiety, and pain after 8 weeks(5).

Dr. Joffe H and the research team at the joint study lead Harvard Medical School, low-dose oral estradiol and venlafaxine(serotonin-norepinephrine reuptake inhibitor are effective treatments for VMS in women during midlife(6).

Another selective serotonin reuptake inhibitor, escitalopram, also alleviated the frequency, severity, and bother of menopausal hot flashes in the study of 205 women (95 African American; 102 white; 8 other) between July 2009 and June 2010.(7).
Green tea contains more amount of antioxidants than any drinks or food with the same volume, and is the leaves of Camellia sinensis, undergone minimal oxidation during processing, originated from China. According to the joint study led by the Seton Hall University, theaflavin digallate isolated from green expressed anti viral activity against inflammation in stable at vaginal pH, and inhibited HSV-1 viral particles(9).

Its epigallocatechin gallate (EGCg) also enhanced the antifungal effect of amphotericin B or fluconazole against antimycotic-susceptible and -resistant C. albicans(10).

The effectiveness of Green Tea, Sweet Potato and Flax Seed may serve as cornerstones of pharmaceutical target for further studies in production of a potential medication for for Reduced Risk of Consequences of Atrophic Vaginitis with little or no adverse effects.

Intake of Smoothie of Pineapple, Banana and Asian ginseng (Panax ginseng) Herbal Tea may Reduced Risk and treatment of Atrophic Vaginitis due to aging
Life style and dietary patter change are recommended.

All Forms of Arthritis are Curable

You Can Eliminate Osteoarthritis

By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination

Holistic System In Existence That Will Show You How To

Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Super foods Library, Eat Yourself Healthy With The Best of the Best Nature Has to Offer

References
(1) Open, non-controlled clinical studies to assess the efficacy and safety of a medical device in form of gel topically and intravaginally used in postmenopausal women with genital atrophy by Morali G1, Polatti F, Metelitsa EN, Mascarucci P, Magnani P, Marrè GB.(PubMed)
(2) Phytoestrogen-Rich Dietary Supplements in Anti-Atherosclerotic Therapy in Postmenopausal Women by Sobenin IA1, Myasoedova VA, Orekhov AN.(PubMed)
(3) [Phytoestrogens--whether can they be an alternative to hormone replacement therapy for women during menopause period?].[Article in Polish] by Dittfeld A, Koszowska A, Brończyk AP, Nowak J, Gwizdek K, Zubelewicz-Szkodzińska B.(PubMed)
(4) Methods for the design of vasomotor symptom trials: the menopausal strategies: finding lasting answers to symptoms and health network by Newton KM1, Carpenter JS, Guthrie KA, Anderson GL, Caan B, Cohen LS, Ensrud KE, Freeman EW, Joffe H, Sternfeld B, Reed SD,Sherman S, Sammel MD, Kroenke K, Larson JC, Lacroix AZ.(PubMed)
(5) Treatment of depression and menopause-related symptoms with the serotonin-norepinephrine reuptake inhibitor duloxetine. by Joffe H1, Soares CN, Petrillo LF, Viguera AC, Somley BL, Koch JK, Cohen LS.(PubMed)
(6) Low-dose estradiol and the serotonin-norepinephrine reuptake inhibitor venlafaxine forvasomotor symptoms: a randomized clinical trial by Joffe H1, Guthrie KA2, LaCroix AZ2, Reed SD3, Ensrud KE4, Manson JE5, Newton KM6, Freeman EW7, Anderson GL2, Larson JC2, Hunt J2,Shifren J8, Rexrode KM5, Caan B9, Sternfeld B9, Carpenter JS10, Cohen L8(PubMed)
(7) Efficacy of escitalopram for hot flashes in healthy menopausal women: a randomized controlled trial. by Freeman EW1, Guthrie KA, Caan B, Sternfeld B, Cohen LS, Joffe H, Carpenter JS, Anderson GL, Larson JC, Ensrud KE, Reed SD, Newton KM, Sherman S, Sammel MD, LaCroix AZ.(PubMed)

(8) The effect of vaginally administered genistein in comparison with hyaluronic acid on atrophic epithelium in postmenopause by Le Donne M1, Caruso C, Mancuso A, Costa G, Iemmo R, Pizzimenti G, Cavallari V.(PubMed)

(9) Antiviral activity of theaflavin digallate against herpes simplex virus type 1 by de Oliveira A1, Prince D1, Lo CY2, Lee LH3, Chu TC4.(PubMed)
(10) Multiple effects of green tea catechin on the antifungal activity of antimycotics against Candida albicans by Hirasawa M1, Takada K.(PubMed)

Most Common Diseases of elder: Respiratory Pleural disease: Pneumothorax - The Antioxidants

The Antioxidants

According to the study by the Trakya University, patients with Pneumothorax are associated with oxidate stress as erythrocyte superoxide dismutase activity was found to be significantly lower and the plasma malondialdehyde levels were significantly high in patients with primary spontaneous pneumothorax (PSP)(47).
Other study indicated that the clinical manifestations in all forms of this pathology had poor symptoms. Complex therapy proved to be highly effective. It included use of corticosteroids, antioxidants and immunomodulators; massive exudative pleurisy was managed by pleural puncture and removal of exudate, .in the study of a total of 2775 respiratory sarcoidosis patients who were examined over the last ten years 278 (10%) had pleural affections: thickening of interlobular pleura and pleural deposits (98.2%), exudative pleurisy (1.1%) and spontaneous pneumothorax (0.7%)(48).
2. N-acetyl-L-cysteine (NAC)
Reactive free oxygen radicals are known to play an important role in the pathogenesis of various lung diseases. According to the study by the University Hospital Bergmannsheil, Ruhr-University, in the study to investigate of N-acetyl-L-cysteine (NAC) and ambroxol, its SH group, NAC scavenges H2O2 (hydrogen peroxide), .OH (hydroxol radical), and HOCl (hypochlorous acid). Furthermore, NAC can easily be deacetylated to cysteine, an important precursor of cellular glutathione synthesis, and thus stimulate the cellular glutathione system. This is most evident in pulmonary diseases characterized by low glutathione levels and high oxidant production by inflammatory cells (e.g. in IPF and ARDS). NAC is an effective drug in the treatment of paracetamol intoxication and may even be protective against side-effects of mutagenic agents. In addition NAC reduces cellular production of pro-inflammatory mediators (e.g. TNF-alpha, IL-1). Also, ambroxol [trans-4-(2-amino-3,5-dibromobenzylamino)-cyclohexane hydrochloride] scavenges oxidants (e.g. .OH, HOCl)(49)

Sources
(47) http://www.ncbi.nlm.nih.gov/pubmed/15223614
(48) http://www.ncbi.nlm.nih.gov/pubmed/1488432
(49) http://www.ncbi.nlm.nih.gov/pubmed/9659525

Tuesday, March 15, 2016

The Workable Green Tea, Orange and Turmeric for Prevention and Treatment of Cirrhosis

The smoothie for prevention and treatment of Cirrhosis
Yield: 2 servings (about 8 ounces each)
1 1/2 cups orange
1 tsp curcumin
1 cup green tea drink (Make from 4 grams of green tea and a cup of hot water lipped for 5 minutes, and let cool to room temperature)

1. Place all ingredients in a blender and puree about 1 minute
2. Blend on high speed about 1 minute or until the mixture is thick and the ice is well crushed.
3. Serve immediately

The finding of a natural source for treatment of Cirrhosis has been running into many obstacles, many ingredients showed initially with promising result in animal studies have not produced same potentials in large sample size and mutli centers human trials.

Cirrhosis is defined as a condition of irreversible scarring liver as a result of liver tissue by fibrosis due to final phase of chronic liver diseases of that can lead to poor function of the liver and liver failure.
Recent studies back by well known institutions proposed, Green Tea, Vitamin E, and Resveratrol and Silymarin isolated from Tomato, Sweet Potato and Peanut respectively may be the next generation of natural ingredients for prevention and treatment of Cirrhosis.

Green tea has been a precious drink in traditional Chinese culture and used exceptional in socialization for more than 4000 thousand years. Due to its commercial values and health effects, green tea now has been cultivated all over the world in suitable climate. According to the Fudan University, intake of green tea extracts (GTE) can protect against CCl(4)-induced liver damage and cirrhosis in animal model(1).

Dr.Yin X and colleagues at the joint study lead by the Zhujiang Hospital of Southern Medical University, regular intake of green tea intake is associated to reduce risk of liver disease, including liver cirrhosis(2).

In the study of the effect of Green Tea Extract (GTE) encapsulated into Chitosan Nanoparticles (CS-NPs), researchers showed that the combination are effective in removing all the extracellular collagen caused by CCl4 in the hepatic fibrosis rat liver(3).

Hesperetin, found abundantly in Citrus fruits, including orange also expressed hepatoprotective effect
against liver fibrosis through targeting the Wnt/β-catenin signaling pathway in diseases contribution(4). According to the Renmin Hospital of Wuhan University, orange flavonoid hesperetin also protected against cardiac remodelling induced by pressure overload via inhibiting cardiac hypertrophy, fibrosis, oxidative stress and myocytes apoptosis(5).

Curcumin, a spice derived from Tuermic not only attenuated hepatic damage in several animal models of liver injury but also inhibited the development liver cirrhosis through its anti-inflammatory activities(6).

According to the Sección Externa de Farmacología, Cinvestav-IPN, Curcumin was effective in preventing and reversing cirrhosis, probably through reducing TGF-beta expression in regulation of proliferation, cellular differentiation, and other functions in most cells(7).

Furthermore, curcumin also exerted liver protective effect against liver damage induced chronic liver diseases, including cirrhosis(8).

Taking altogether, the combination of Orange, Turmeric and Green Tea may process the activities in reduced risk and treatment of patient with Cirrhosis

People who are at increased risk of Cirrhosis due to family history, .... should drink 1 serving daily and people with Cirrhosis should drink as much as they can, depending to digestive toleration.
Life style and diet pattern changed are recommended

All Forms of Arthritis are Curable
You Can Eliminate Osteoarthritis
By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Super foods Library, Eat Yourself Healthy With The Best of the Best Nature Has to Offer

References

(1) [Green tea extracts protected against carbon tetrachloride-induced chronic liver damage and cirrhosis].[Article in Chinese] by Xiao J1, Lu R, Shen X, Wu M.(PubMed)

(2) The effect of green tea intake on risk of liver disease: a meta analysis by Yin X1, Yang J2, Li T3, Song L4, Han T5, Yang M1, Liao H1, He J1, Zhong X1.(PubMed)

(3) Effect of Green Tea Extract Encapsulated Into Chitosan Nanoparticles on Hepatic Fibrosis Collagen Fibers Assessed by Atomic Force Microscopy in Rat Hepatic Fibrosis Model by Safer AM, Hanafy NA, Bharali DJ, Cui H, Mousa SA.(PubMed)

(4) Hesperetin derivative-7 inhibits PDGF-BB-induced hepatic stellate cell activation and proliferation by targeting Wnt/β-catenin pathway by Lin X1, Kong LN1, Huang C1, Ma TT1, Meng XM1, He Y1, Wang QQ1, Li J2.(PubMed)

(5) Hesperetin protects against cardiac remodelling induced by pressure overload in mice. by Deng W1, Jiang D, Fang Y, Zhou H, Cheng Z, Lin Y, Zhang R, Zhang J, Pu P, Liu Y, Bian Z, Tang Q.(PubMed)

(6) Prevention of liver cirrhosis in rats by curcumin. by Bruck R1, Ashkenazi M, Weiss S, Goldiner I, Shapiro H, Aeed H, Genina O, Helpern Z, Pines M.(PubMed)

Most Common Diseases of elder: Respiratory Pleural disease: Pneumothorax - The Diagnosis

The Diagnosis

If you are experience some symptoms above, after recording the family history and the complete physical examination, the tests which you doctor orders include
1. X ray
In most case, pneumothorax can be detected by X ray as the image of pneumothorax as thoracic cavity is partly filled with air occupying the pleural space. If the X-ray does not show a pneumothorax but your doctoe strong suspicion of one, lateral X-rays (with beams projecting from the side) may be performed. There is a report of Two medicolegal cases involvin chest X-ray with left-and-right side confusion due to lack of radio-opaque side markers(43).
2. Ultrasound
Ultrasound (US) is a sensitive diagnostic tool for detecting pneumothorax (PTX). According to the study by Norwegian Air Ambulance Foundation, in the study to define the distribution of air using the reference imaging standard computed tomography (CT), to see if pleural insufflation of air into a live anaesthetized pig truly imitates a PTX in an injured patient, indicated that the distribution of the intrathoracic air to be similar between a porcine model and that to be expected in human trauma patients, all having predominantly anterior PTX topographies. In a training facility, the model is easy to set up and can be scanned by the participants multiple times. To acquire the necessary skills to perform thoracic US examinations for PTX, the porcine models could be useful(44).
3. CT scan
There is a reprot of 3 cases which serve for better understanding of the entity of occult pneumothorax. The first case is an example of a true occult pneumothorax where an initial AP chest X-ray revealed no evidence of pneumothorax and a CT chest immediately performed revealed evidence of pneumothorax. The second case represents an example of a missed rather than a truly occult pneumothorax where the initial chest radiograph revealed clues suggesting the presence of pneumothorax which were missed by the reading radiologist. The third case emphasizes the fact that “occult pneumothorax is predictable(45).
Other study in the aetiological diagnosis and subsequent management of patients with primary spontaneous pneumothorax, found that in 75% of these cases, CT revealed underlying lung pathology as a cause for primary spontaneous pneumothorax(46).

Sources
(43) http://www.ncbi.nlm.nih.gov/pubmed/11960251
(44) http://www.ncbi.nlm.nih.gov/pubmed/22594363
(45) http://www.ncbi.nlm.nih.gov/pubmed/21951659
(46) http://www.ncbi.nlm.nih.gov/pubmed/12866634

The Tasty Smoothie of Sweet Potato, Carrot and Low Fat Milk for Prevention and Treatment of Hepatitis B

Kyle J. Norton(Scholar, Master of Nutrients), all right reserved.
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

The smoothie for prevention and treatment of Hepatitis B
Yield: 2 servings (about 8 ounces each)
1 1/4 cups sweet potato
1/4 cup carrot
1 cup of low fat milk

1. Place all ingredients in a blender and puree about 1 minute
2. Blend on high speed about 1 minute or until the mixture is thick and the ice is well crushed.
3. Serve immediately
The finding of a natural source for treatment of hepatitis C has been running into many obstacles, many ingredients showed initially with promising result in animal studies have not produced same potentials in large sample size and mutli centers human trials.

Hepatitis B is a liver inflammatory disease caused by the hepatitis B virus (HBV). Some people infected by the virus without showing any symptoms and become the viral carrier. Others may experience chronic infection induced liver scaring, cirrhosis,,....

Recent studies back by well known institutions proposed, Vitamin E Broccoli, Artichoke and and Brazil nut may be the next generation of natural ingredients for prevention and treatment of hepatitis B.

Vitamin E, a fat soluble vitamin found abundantly in sweet potato may be an potential natural ingredient for prevention and treatment of Hepatitis B as serum of vitamin E is lower with patients with acute or chronic viral hepatitis(1). According to results of a randomized controlled pilot trial, vitamin E supplementation might be effective in the treatment of chronic hepatitis B, through increased the host immune response against the invasion of the virus(2).Dr. Fan XP and professors at the Qilu Hospital of Shandong University, intake of vitamin E supplement attenuated the progression of liver inflammation and promoted HBeAg seroconversion(4) in the patients with chronic hepatitis B(3).

Lower serum of vitamin D concentration found abundantly through sun exposure and intake of milk is also found to associate to patients with hepatitis B(5). According to the joint study led by the Sichuan University, increased levels of vitamin D in chronic hepatitis B (CHB) may be necessary for long term treatment of patients with hepatitis B.(6).

Vitamin A, a fat soluble vitamin found abundantly in tomato and carrot may also be used for prevention and treatment of Hepatitis B(7).

According to the Centers for Disease Control and Prevention in Laiwu City, "vitamin A in serum maybe has certain relationship with maintaining effective protection level of anti - HBs antibody and measles IgG antibody"(7). In support to the effectiveness of vitamin A, the ClinicalTrials.gov: NCT01583972. study suggested, Connecting different aspects of immunological data in early infancy, including maintaining the right levels of vitamin A will help elucidate immune competence for protecting infection(8).

The effectiveness of Sweet Potato, Carrot and Low Fat Milk may serve as cornerstones of pharmaceutical target for further studies in production of a potential medication for reduced risk treatment of Hepatitis B with little or no adverse effects.

People who are at high risk of Hepatitis B due to weaken immune system,.environment factor.... should drink at least one serving daily and people with Hepatitis B should drink the smoothie as much as they can, depending to digestive toleration.
Life style and dietary patter change are recommended.

All Forms of Arthritis are Curable

You Can Eliminate Osteoarthritis

By addressing the Underlying Causes through Clinical Trials and Studies

Ovarian Cysts And PCOS Elimination

Holistic System In Existence That Will Show You How To

Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

Super foods Library, Eat Yourself Healthy With The Best of the Best Nature Has to Offer

References

(1) Diminished plasma levels of vitamin E in patients with severe viral hepatitis by von Herbay A1, Stahl W, Niederau C, von Laar J, Strohmeyer G, Sies H.(PubMed)

(2) Vitamin E as treatment for chronic hepatitis B: results of a randomized controlled pilot trial by Andreone P1, Fiorino S, Cursaro C, Gramenzi A, Margotti M, Di Giammarino L, Biselli M, Miniero R, Gasbarrini G, Bernardi M.(PubMed)

(3) [Study on the relationship of serum vitamin E and liver pathological features in the patients with chronic hepatitis B].[Article in Chinese] by Fan XP1, Wang K, Wang GW, Fan YC.(PubMed)

(4) Vitamin E treatment for children with chronic hepatitis B: a randomized placebo controlled trial by Gerner P1, Posselt HG, Krahl A, Ballauff A, Innerhofer A, Binder C, Wenzl TG, Zense M, Hector A, Dockter G, Adam R, Neubert J, Classen M, van Gemmern R,Wirth S.(PubMed)

(5) Low vitamin D serum concentration is associated with high levels of hepatitis B virus replication in chronically infected patients by Farnik H1, Bojunga J, Berger A, Allwinn R, Waidmann O, Kronenberger B, Keppler OT, Zeuzem S, Sarrazin C, Lange CM.(PubMed)

(6) Sustained suppression of viral replication in improving vitamin D serum concentrations in patients with chronichepatitis B by Chen EQ1,2, Bai L1,2, Zhou TY1,2, Fe M1,2, Zhang DM1,2, Tang H1,2.(PubMed)

(7) The research for the relationship between nutritional status of vitamin A in infant's body and immunization effect of hepatitis B and measles vaccine by Ni S1, Wei L1, Liu Y1, Tang J1.(PubMed)

(8) The effect of newborn vitamin A supplementation on infant immune functions: trial design, interventions, and baseline data by Ahmad SM1, Raqib R2, Qadri F3, Stephensen CB4.(PubMed)

Most Common Diseases of elder: Respiratory Pleural disease: Pneumothorax - The Misdiagnosis

The Misdiagnosis

According to the study by Medical Intensive Care Unit, Fitzsimons Army Medical Center, in the evaluation to identify risk factors predisposing to the misdiagnosis of pneumothorax in the ICU, showed that Nineteen (67.9%) patients with pneumothorax were diagnosed correctly on initial presentation of their pneumothorax. The remaining nine (32.1%) patients’ pneumothoraces were misdiagnosed at initial presentation. Certain medical ICU patients appear to be at higher risk for the initial misdiagnosis of pneumothorax. Familiarity with factors predisposing to this problem should allow for a higher index of suspicion for the diagnosis of pneumothorax in critically ill patients and possibly improve the early detection of pneumothorax(42).
1. Anaphylactic reaction of ruptured pulmonary hydatid cyst
There is a report of a 22-year-old male came to our emergency department in shock with symptoms of shortness of breath and altered mental status from the previous day. Radiograph showed a thin-walled circular translucent area in the right upper lung field, which was misdiagnosed as pneumothorax, and an intercostal chest tube was inserted. Anaphylactic reaction due to rupture of a hydatid cyst is rare, but hydatid disease should be suspected in patients from areas where Echinococcus is endemic, according to the Aligarh Muslim University(37).
2. MacLeod syndrome (Swyer-James syndrome)
There is a report of a 26-year-old man who had had a first left pneumothorax at the age of 21. He smokes tobacco. When he was 1-year-old he had experienced repeated episodes of acute bronchiolitis. At age 26, he suffered from a second left pneumothorax which was wrongly diagnosed as a recurrent drain-resistant pneumothorax. According to the study by Service de chirurgie infantile, hôpital Mère-Enfant, MacLeod syndrome is rare. It can be associated with pneumothorax which can be a source of misdiagnosis and error in the management of these patients(38).
3. Bronchogenic cysts
There is a report of a giant bronchogenic cyst in a 19-year-old woman presenting with pain and shortness of breath was mistaken for tension pneumothorax and initially treated with tube thoracostomy, according to Bursa Yuksek Ihtisas Hospital, Bursa(39).
4. Laparoscopic Nissen fundoplication
There is a report of a 13-year-old boy who, after exercise, had respiratory distress and left upper quadrant abdominal pain. Initially, a mistaken diagnosis of pneumothorax. And a nasogastric tube was then visualized on chest x-ray in the left hemithorax. He underwent a laparotomy and had herniation of spleen, stomach, and large and small bowel in the left pleural space passing through a traumatic defect in the hemidiaphragm but later felt to be conrtibuted by laparoscopic Nissen fundoplication 3 years prior(40).
5. Congenital diaphragmatic hernia
There is a report of two cases in which the initial diagnosis was tension pneumothorax and chest drains were inserted, but in both cases, the diagnosis turned out to be congenital diaphragmatic hernia(41).

Sources
(37) http://www.ncbi.nlm.nih.gov/pubmed/21333077
(38) http://www.ncbi.nlm.nih.gov/pubmed/23200584
(39) http://www.ncbi.nlm.nih.gov/pubmed/20947603
(40) http://www.ncbi.nlm.nih.gov/pubmed/15793743
(41) http://www.ncbi.nlm.nih.gov/pubmed/9292904
(42) http://www.ncbi.nlm.nih.gov/pubmed/2055079