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      PFP Team Members   07/27/2017

      Writers, thank you for all you do here...we appreciate you!

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  1. Past hour
  2. Got peypal once more. Lower compensation and fine price, £3894 for B coin; of course suggest www.x-crypto.com website
  3. Yesterday
  4. Help Required

    Hi guys, I am new here and want to earn but I don't know how to work here. Can you please help me out about the same? Regards, Hassan
  5. What is your favorite holiday?

    Halloween! Pretty girls walking around in costumes, the dark and spooky atmosphere, horror-themed drinks and snacks. I can't wait for this year, especially now that I'm living in a bigger city.
  6. Last week
  7. Facebook

    Rephrase... I'm guessing that English isn't your native language, right? Facebook is a waste of time. You need some sort of social media presence these days for finding work (looking "reputable"), but people who just sit there ALL DAY and broadcast their narcissism or personal issues or pictures of their dinner bother me to no end.
  8. Veganism

    Are any of you guys vegan? My girlfriend is trying to convert me and she showed me a documentary last night that sort of bothered me. It was a little "propaganda-y" in tone for my tastes at first (vegans are annoying), but I learned a lot that I didn't know about animal products being linked to more than a few health conditions that I've always been worried about since they run in my family. Cancer was a big one; I knew that red meat was carcinogenic, but I had no idea about the link between milk and prostate cancer (rBGH, or recombinant Bovine Growth Hormones raises IGF-I levels in the cow's milk, which remains in it after pasteurization, and then ingested in a bioactive form which causes cell divison). There were also links to diabetes, Alzheimers, etc., etc. The worst part was, the guy in the video contacts representatives of different health organizations and asks them why their websites recommend eating the very things linked to said diseases, and they either have no answers or get very shady. Then they're all funded by the companies that sell these exact same foods. The American Diet Association who comes up with things like the food pyramid, is apparently all just a board of agriculture lobbyists as well. It's like multi-level collusion between the pharmaceutical, agricultural, and health care industries to keep people consuming, getting sick, needing surgeries and medication. Thoughts?
  9. The question that everybody on this forum wants answers to. Short of starting a business out of your home, I'm not sure (I repair guitars and give lessons). You'll need some entrepreneurial drive though.
  10. How do you relax?

    If I'm stressed out, I like to go for a long walk to clear my head. If I just need to wind down after a long day, I'll play guitar, read, or watch a funny show.
  11. World War 3!

    This is what I believe. Canada has 20% of the earth's freshwater supply, 7% of the world's renewable water. I feel like a lot of countries are probably sizing us up for grabs immediately after some failure of the United States to be able to defend their half-annexed neighbors. If we were able to hold onto our water, or monetize it properly, Canada could be the wealthiest country on the planet in the near future. Instead we're allowing foreign interests to move all of our natural resources outside of the country. Did you know that Nestle pays ten cents on every hundred MILLION litres that they pull out of the ground in Canada?
  12. You may hear people say they are feeling anxious or depressed quite often, and it might not even concern you. Perhaps you do not take them seriously, or maybe it is that you do not know what you can say to help them feel better. More often than not, those who suffer with anxiety and/or depression live a completely normal (even happy) life. Externally they seem to have it all together, but in reality they may be drowning in a sea of loneliness and fear. As someone who was recently diagnosed with anxiety and mild depression, I can relate to the drowning scenario. I internalize many of my feelings and I am also a perfectionist, so opening up about it is not easy for me. I have opened up to my doctor and she has found a medication combination that works well for me, but at times when everything seems to go wrong (ie- a hurricane, financial difficulties, life changes, etc.) I begin to feel the same sinking feeling. That is the best way I can describe it, to be honest. Some might even call them "panic attacks", but I am not sure. I do not want to over-medicate, but I don't know how else to calm down when these scenarios happen. Can anyone give me any pointers on how to effectively deal with my anxiety when the medication is not enough? I am new to this and would appreciate any and all advice.
  13. Post Workout Nutrition

    After strenuous workouts of 45 minutes or more, it is important to refuel as your glycogen stores have been depleted and your muscles have broken down. Whatever nutrient replenishment you choose, look for a 2:1 carb to protein ratio. Chocolate milk meets this condition and is full of B-vitamins to convert food to energy, calcium to keep your bones healthy and strong, protein to rebuild muscles, and carbohydrates to replenish depleted glycogen stores. Some pros of drinking chocolate milk is many people like the taste, it is inexpensive, and you do not have to go to a nutrition supplement store to find it. On the other hand, lactose, the carbohydrate in milk, is an allergen to some people and is slow to break down as is casein, the protein found in milk. Whey protein can be broken down in as little as 20-30 minutes. If you do not like the taste of chocolate milk and cannot stomach whole food after working out and you have a blender, try making a smoothie with fresh fruit and ice or frozen fruit. Use milk and whey protein together to get the quick and slow carbs and protein. I drink post workout smoothies with fresh seasonal fruit, spinach, almond milk, and half an avocado when it is in season. Whether you choose fast or slow protein or a combination of the two, be sure to include sufficient carbohydrates and refuel within thirty minutes of working out.
  14. Barefoot Running

    Barefoot running has been done for thousands of years. It is the way humans evolved. While not as common in western countries such as America, barefoot running is still common practice in countries such as Kenya. Doctors recommend against diabetics running barefoot as they have less sensitivity in their feet and may not feel an injury. However, if you are healthy, barefoot running may be for you. When you ditch your shoes, you may find you discover your natural stride. I found my groin, knee, and ankle pain went away when I started running barefoot. My feet were already conditioned from walking barefoot in the 100 degree summers growing up so it was an easy transition to barefoot beach and trail running. After my first summer of running barefoot, I also noticed my lower abs were significantly more defined with no change to my diet or exercise routine. If you find yourself with injuries after expensive insoles put in expensive running shoes, try minimalist shoes to condition the muscles in your feet and if you like the way that feels, try running barefoot! In my opinion, there is nothing better than the feeling of my bare feet hitting the ground, be it loose sand, compact dirt, or roots. Give it a try!
  15. Cross-training for any sport is important to avoid injury from overuse of muscles in the same motion. Rowing is a fall and spring sport so it is important to cross-train during the seasons and off-season for weight and fitness management. Personally, during the summer I train for and compete in triathlons. Running is excellent cross training as it does not include any additional equipment and is an excellent leg and cardiovascular workout. It is, however, a high impact workout so be careful if you have weak joints and stop before you injure yourself. Biking is another great leg workout that also strengthens your core. If you are speed or hill training be sure to sufficiently stretch your hamstrings and drink milk if you are not lactose intolerant. Bikers often pull their hamstrings and the magnesium in milk helps ensure your muscles do not overly tense. If you are racing, be wary of getting into an accident too close to the start of rowing season as you may get into an accident and be out for a couple of months. While bicycling is a low impact activity, it does require a bicycle but if you are not racing, any bike will do. Also, be sure to wear a high visibility vest and have sufficient lights on your bike if you are riding in the morning before the sun comes up and keep a spare tube on your person in case you ride over a nail. My favorite cross-training for rowing is swimming. Pools are warm and well-lit year-round, membership is inexpensive, and it is a no impact activity. It is the best way to increase your VO2 max besides indoor rowing. It is an excellent trunk and shoulder workout. Be sure to properly hydrate after swimming as you may not notice how much you sweat in the water and if you can, do some indoor rowing to keep your calluses. During the winter, I prefer swimming and indoor rowing and skiing. Like swimming, indoor rowing is a full-body cardiovascular workout and the motions are similar to rowing on the water. It is an excellent lat conditioning workout because it can be performed for hours at a time. Weight lifting is always optimum for strength training. Other cross-training includes crossfit, yoga, and plyometrics. Be sure to experiment to find the best cross-training methods for you and properly refuel after all your workouts.
  16. Indoor rowing technique

    While indoor rowing is a great winter sport to keep you in shape between fall and spring season, it is important to understand proper form so you do not injure yourself. If you are new to rowing, strap your feet into the stirrups and be sure to wear socks and shoes. You will start at the catch with your shins perpendicular to the floor. Your shoulders should be just in front of your hips. The next step is called the drive. Maintain a straight back and tight core so all the initial power is being created by your legs. When your legs are nearly fully extended, keep your back straight and core tight and hinge your hips back until your back is perpendicular to the floor. As you reach this point, bend your elbows and pull your arms to your chest. Once your hands are nearly to your rib cage, you are at the catch. On the water, you would push the oar or oars down to clear the water but this is not applicable on an ergometer because this will reduce tension on the cable and you will lose power. The final step, the recovery, requires you to begin to straighten your arms. When they are almost fully extended, hinge your hips forward. Once the handle is clear of your knees, begin to roll your knees forward. Remember to keep your back straight and core tight so you do not lose power and allow your momentum to help you during the recovery.
  17. A Plea for Tourists

    It is unfortunate that a lot of people don't care about keeping the environment safe and clean but they'll still expect to enjoy their holidays. It is said that nature has a way of revenging the misdeeds done to it. I wish that most of the establishments around the beaches would have stricter conditions for tourists and penalties for anyone littering the environment. Is this achievable?
  18. Creativity

    Everyone need take right work . Young Life is a very powerful life.i Everyone have creativity mind. But we can't use creativity word.
  19. Hit My 7th

    I already hit my 7th post and I am very excited to work together with you guys. This venture of collecting information from each member opinion will strengthen to hit our target which is to satisfy our clients. I hope we could start sharing ideas with common interest for our goal in the following days. thank you very much.
  20. Facebook

    Facebook is very useful commonitio all world ma's.
  21. Hit My 7th

    I've hit my seventh post, Dear Admin. I look forward to your review of my content. Thanks!
  22. Mental Disorder-Scho

    Schizophrenia: A mental disorder characterized by abnormalities in the perception or expression of reality. • It most commonly manifests as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking with significant social or occupational dysfunction. Fundamental Symptoms • Onset of symptoms typically occurs in young adulthood, with around 0.4–0.6% of the population affected. • Depending on the individual, a person diagnosed with schizophrenia may experience • Hallucinations (most commonly hearing voices), • Delusions (often bizarre or persecutory in nature), and • Disorganized thinking and speech (ranging from loss of train of thought, to sentences only loosely connected in meaning, to incoherence known as word salad in severe cases. • There is often an observable pattern of emotional difficulty, for example lack of responsiveness or motivation. • Impairment in social cognition • Symptoms of paranoia, and • Social isolation
  23. • Risk of developing recurrent chest infection caused by encapsulated organisms such as Streptococcus pneumoniae and Haemophilus influenzae. • Avascular necrosis (aseptic bone necrosis) of the hip may occur as a result of ischemia. • Priapism and infarction of the penis. • Osteomyelitis (bacterial bone infection) in individuals with sickle-cell disease is most frequently caused by Salmonella, whereas Staphylococcus is the most common causative organism in the general population. • Autosplenectomy, because of its narrow vessels and function in clearing defective red blood cells, the spleen is frequently affected. • It is usually infracted before the end of childhood in individuals suffering from sicklecell anaemia. • The severity of anaemia may induce high output failure, cardiomegaly, and flow murmurs. • Retinopathy, secondary to sequestration of blood in the conjunctival vessels, is marked by dilated and tortuous retinal vessels, microaneurysms, and retinal haemorrhage. • Cholelithiasis, particularly in patients older than 6 years, can occur due to chronic haemolysis. • Irreversible renal damage may progress to renal failure requiring transplantation. • Haematuria due to sickling in the vas recta or renal papillary necrosis is common. Patient Education • Patient's families should have genetic counselling and education regarding clinical manifestations associated with the disorder and its complications. • Reinforcement should occur incrementally during the course of ongoing care. • Families should be educated on the importance of hydration, diet, outpatient medications, and immunization protocol. • Patients should be instructed on proper splenic palpation and observation of pallor, jaundice, and fever. Ask any question..
  24. Clinical Features of Sickle Cell Disease • Symptoms of sickle cell disease vary and range from mild to severe, and symptoms may be less severe or different in children who have inherited a sickle cell gene from one parent and a different abnormal haemoglobin gene from the other. • Most kids with sickle cell disease have some degree of anaemia and might develop one or more of the following conditions and symptoms as part of the disorder. o Acute Chest Syndrome Inflammation or trapped red blood cells in the lungs cause this syndrome. Features include chest pain, coughing, difficulty breathing and fever o Hand-Foot Syndrome (also called Dactylitis) This painful swelling of the hands and feet, plus fever, may be the first sign of sickle cell anaemia in some infants. o Aplastic Crisis This is when the bone marrow temporarily slows its production of RBCs due to infection or another cause, resulting in a severe drop in the red cell count and severe anaemia Signs include paleness, fatigue, and rapid pulse. Haemolytic crises are acute accelerated drop in haemoglobin level. The red blood cells break down at a faster rate. o Painful Crises These may occur in any part of the body and may be brought on by cold or dehydration. The pain may last a few hours or up to 2 weeks or even longer, and may be so severe that a child needs to be hospitalized. o Splenic Sequestration Crises The spleen becomes enlarged by trapping (or ‘sequestering’) the abnormal RBCs. This leads to fewer cells in the general circulation. Early signs include paleness, weakness, an enlarged spleen, and pain in the abdomen. o Stroke Poor blood flow in the brain can occur when the sickle-shaped cells block small blood vessels. This may lead to a stroke. Signs can include headache, seizures, weakness of the arms and legs, speech problems, a facial droop, and loss of consciousness.
  25. 1.NSAIDs-Induced Disease NSAIDs represent one of the most commonly used medications The spectrum of NSAID-induced morbidity ranges from nausea and dyspepsia to a serious gastrointestinal complication such as frank peptic ulceration complicated by bleeding or perforation. Unfortunately, dyspeptic symptoms do not correlate with NSAID-induced pathology. Over 80% of patients with serious NSAID-related complications do not have preceding dyspepsia. In view of the lack of warning signs, it is important to identify patients who are at increased risk for morbidity and mortality related to NSAID usage. 2.Cigarette Smoking Not only have smokers been found to have ulcers more frequently than do nonsmokers, but smoking appears to decrease healing rates, impair response to therapy and increase ulcer-related complications such as perforation.The mechanism responsible for increased ulcer diathesis in smokers is unknown. 3.Genetic Predisposition First-degree relatives of DU patients are three times as likely to develop an ulcer. However, the potential role of H. pylori infection in contacts is a major consideration. Increased frequency in people with blood group O. However, H. pylori preferentially bind to group O antigens. Therefore, the role of genetic predisposition in common PUD has not been established 4.Psychological Stress ,But studies examining the role of psychological factors in its pathogenesis have generated conflicting results. Although PUD is associated with certain personality traits (neuroticism), these same traits are also present in individuals with non-ulcer dyspepsia (NUD) and other functional and organic disorders. • Although more work in this area is needed, no typical PUD personality has been found. 5.Diet Certain foods can cause dyspepsia, but no convincing studies indicate an association between ulcer formation and a specific diet. This is also true for beverages containing alcohol and caffeine Conclusion Multiple factors play a role in the pathogenesis of PUD The two predominant causes are H. pylori infection and NSAID ingestion , Independent of the inciting or injurious agent, peptic ulcers develop as a result of an imbalance between mucosal protection/repair and aggressive factors , Gastric acid plays an essential role in mucosal injury

    Leukaemia: Is a cancer of the blood or bone marrow and is characterized by an abnormal proliferation (production by multiplication) of blood cells, usually white blood cells (leukocytes). Leukaemia is clinically and pathologically subdivided into several large groups. The first division is between its •Acute leukaemia • Chronic leukaemia Acute Leukaemia Acute leukaemia is characterized by the rapid increase of immature blood cells or blasts in the bone marrow This crowding makes the bone marrow unable to produce healthy blood cells Immediate treatment is required in acute leukaemia due to the rapid progression and accumulation of the malignant cells, which may then spill over into the bloodstream and spread to other organs of the body. Death usually occurs within 6 months in most patients, Acute forms of leukaemia are the most common forms of leukaemia in children. Chronic Leukaemia Chronic leukaemia is distinguished by the excessive build up of relatively mature, but still abnormal, white blood cells. Typically taking months or years to progress, the cells are produced at a much higher rate than normal cells, resulting in many abnormal white blood cells in the blood. Compared to acute leukaemia which must be treated immediately, chronic forms are sometimes monitored for some time before treatment to ensure maximum effectiveness of therapy. Chronic leukaemia mostly occurs in older people, but can theoretically occur in any age group. Risk Factors In majority of patients the causes of leukaemia is unknown Several factors are however associated with the development of leukaemia and these include •Ionizing radiation • Cytotoxic drugs •Exposure to benzene in industry •Retroviruses- human T-lymphocytic virus • Genetic • Immunological causes . Clinical Features of Acute Leukaemia. Patients are usually ill looking Symptoms and signs develop over days or couple of weeks. The presentation may include the following •Pallor • Fever • Various infections •Abnormal bleeding •Painful & tender bones •Hepatosplenomegally (enlargement of liver and spleen) o Enlargement of lymph nodes in ALL is not uncommon • Meningeal infiltration (mostly in ALL) leads to Headache Nausea Vomiting Visual disturbance Clinical Features of Chronic Leukaemia. Patients with chronic myeloid leukaemia (CML) may have the following features • Tiredness • Weight loss •Breathlessness • Abdominal pain & discomfort in about 90% of patients •Lethargy • Anorexia •Night sweating •Abdominal fullness • Bruising, low grade fever, & palpitation . The principal clinical finding is splenomegaly in 90%, and about 10% have massive spleenomegaly o Hepatomegally in about 50% of patients o About 25% of patients are asymptomatic at diagnosis ° Note: Lymphadenopathy is unusual If experienced sign and symptoms above, attend to the Hospitals Immediately for further management.
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