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Early Signs of Liver Problems. The liver is a vital organ that is essential to human vitality and health. Hepatitis C is an infection caused by the hepatitis C virus (HCV) that attacks the liver and leads to inflammation. The World Health Organization (WHO) estimates that. Contact us; Jobs; Terms and conditions; Privacy; Modern Slavery Statement; Cookies; Accessibility; Sitemap; Cancer Research UK is a registered charity in England and. Bilirubin is a waste product of the normal breakdown of red blood cells in the liver. Normal bilirubin levels vary from lab to lab, and range from around 0.2 to 1.2. It helps to digest food, rid toxic substances and absorb vital nutrients that the body needs for survival. Some people are born with liver problems while others damage their liver by being exposed to harmful chemicals, alcoholism or the after effects of a virus. Early signs of liver problems should not be ignored and medical help should be sought to assure proper treatment. One of the earlier signs of possible liver problems include sudden skin changes. This could be a discoloring in the skin that holds a yellowish hue. This could also mean that the fingernails or the tips of the fingers could turn yellow. The reason for this is the liver is not releasing the toxins properly out of the body and bilirubin is beginning to accumulate under the skin. Early signs of liver problems may occur within the skin. This could mean an itchy skin area that progressively gets worse over time. Having skin that is sensitive to the touch or becomes inflamed easily after itching could also be a sign of liver problems. Keeping the skin moisturized will help alleviate any discomfort. Some people whose liver is not functioning properly may notice some changes when they go to the bathroom. This could be in their urine. In some cases, urine can become dark in color. Some people may associate this with dehydration but if they are drinking the proper amount of fluids, their urine should be mostly clear. Some patients with early liver problems report that changes in their stools that may be pale, bloody or tar colored. Changes in the abdominal area may provide early indication of liver trouble. This could start off as having a cramping or pain in the lower abdomen. It can quickly turn into a gassy sensation that accompanies pressure. As the liver problem gets worse, ascites can develop. This is a buildup of fluid within the abdominal wall. It can become so great that it can also apply pressure to the lungs making it difficult to breathe.
A paracentesis may have to be preformed to remove the fluid from the abdomen. If you experience changes, such as feelings of extreme weakness, tiredness or chronic fatigue, this could also be an early sign of a problem liver. The body is working harder at survival and one of the first responses is to get more rest. If weakness and overall tiredness occurs with other related symptoms, prompt medical attention is recommended. Gallbladder - Wikipedia. In vertebrates the gallbladder (also gall bladder, biliary vesicle or cholecyst) is a small organ where bile (a fluid produced by the liver) is stored and concentrated before it is released into the small intestine. Humans can live without a gallbladder. The surgical removal of the gallbladder is called a cholecystectomy. Structure. Anatomically, the gallbladder is divided into three sections: the fundus, body, and neck. The gallbladder fossa, against which the fundus and body of the gallbladder lie, is found beneath the junction of hepatic segments IVB and V. At the junction of the neck of the gallbladder and the cystic duct, there is an out- pouching of the gallbladder wall forming a mucosal fold known as Hartmann's pouch, where gallstones commonly get stuck. The angle of the gallbladder is located between the costal margin and the lateral margin of the rectus abdominis muscle. The fundus is at the same level as the transpyloric plane. Histology. The gallbladder wall's innermost surface is lined by a single layer of columnar cells with an apical brush border of microvilli, very similar to intestinal absorptive cells. Unlike elsewhere in the intestinal tract, the gallbladder does not have a muscularis mucosae, and the muscular fibres are not arranged in distinct layers. Underneath the epithelium is a lamina propria; together, these two layers are known as the mucosa. A distinctive feature of the gallbladder is the presence of Rokitansky–Aschoff sinuses, deep outpouchings of the mucosa that can extend through the muscular layer. The interspersed muscle fibres lie in longitudinal, oblique and transverse directions, and are not arranged in separate layers. The muscle fibres here contract to expel bile from the gallbladder. The perimuscular (. The serosa contains blood vessels and lymphatics. Development. During the second week of embryogenesis, as the embryo grows, it begins to surround and envelop portions of this sac. The enveloped portions form the basis for the adult gastrointestinal tract. Sections of this foregut begin to differentiate into the organs of the gastrointestinal tract, such as the oesophagus, stomach, and intestines. The stomach, originally lying in the midline of the embryo, rotates so that its body is on the left. This rotation also affects the part of the gastrointestinal tube immediately below the stomach, which will go on to become the duodenum. By the end of the fourth week, the developing duodenum begins to spout a small outpouching on its right side, the hepatic diverticulum, which will go on to become the biliary tree. Just below this is a second outpouching, known as the cystic diverticulum, that will eventually develop into the gallbladder. Occasionally two or even three gallbladders may coexist, either as separate bladders draining into the cystic duct, or sharing a common branch that drains into the cystic duct. Additionally, the gallbladder may fail to form at all. Gallbladders with two lobes separated by a septum may also exist. These abnormalities are not likely to affect function and are generally asymptomatic. Such variants are very rare: from 1. Bile ducts: 2. Intrahepatic bile ducts, 3. Left and right hepatic ducts, 4. Common hepatic duct, 5. Cystic duct, 6. Common bile duct, 7. Ampulla of Vater, 8. Major duodenal papilla. Gallbladder, 1. 0–1. Right and left lobes of liver. Pancreas: 1. 6: Accessory pancreatic duct, 1. Pancreatic duct. Small intestine: 1. Duodenum, 2. 0. Jejunum. Right and left kidneys (silhouette). Gallbladder with Longitudinal section, pancreas and duodenum with frontal one. Intrahepatic ducts and stomach in transparency. The main purpose of the gallbladder is to store bile, also called gall, needed for the digestion of food. The gallbladder is part of the biliary system and serves as a reservoir for bile, which is produced by the liver. The liver produces the bile, which then flows through the hepatic ducts into the gallbladder. At any one time, 3. US fl oz) of bile is stored within the gallbladder. In response to cholecystokinin, the gallbladder rhythmically contracts and releases its contents into the common bile duct, eventually draining into the duodenum. The bile emulsifies fats in partly digested food, thereby assisting their absorption. Read medical definition of Spleen. Spleen: An organ that is located in the upper-left part of the abdomen, not far from the stomach, that produces lymphocytes. What is cholecystitis? Cholecystitis is inflammation of the gallbladder, a small organ near the liver that plays a part in digesting food. Normally, fluid called bile. Bile consists primarily of water and bile salts, and also acts as a means of eliminating bilirubin, a product of hemoglobin metabolism, from the body. During gallbladder storage of bile, it is concentrated by removal of some water and electrolytes. This is through the active transport of sodium ions across the epithelia of the gallbladder, which creates an osmotic pressure that also causes water and other electrolytes such as chloride to be reabsorbed. Only a minority of gallstones cause symptoms; most stones are passed along the biliary system. When symptoms occur, severe pain in the upper right part of the abdomen is felt. If the stone blocks the gallbladder, inflammation as cholecystitis may result. If the stone lodges in the biliary system, jaundice may occur; and if the stone blocks the pancreatic duct, then pancreatitis may occur. Gallstones are often managed by waiting for them to be naturally passed. In people with recurrent gallstones, surgery to remove the gallbladder may be considered. Some medication, such as ursodeoxycholic acid, may be used; and lithotripsy, a procedure used to break down the stones, may also be used. Inflammation is commonly caused by obstruction of the duct with gallstones, which is known as cholelithiasis. Blocked bile accumulates, and pressure on the gallbladder wall may lead to the release of substances that cause inflammation, such as phospholipase. There is also the risk of bacterial infection. An inflamed gallbladder is likely to cause pain and fever, and tenderness in the upper, right corner of the abdomen, and may have a positive Murphy's sign. Cholecystitis is often managed with rest and antibiotics, particularly cephalosporins and, in severe cases, metronidazole. It may be removed because of recurrent gallstones, and is considered an elective procedure. A cholecystectomy may be an open procedure, or one conducted by laparoscopy. In the surgery, the gallbladder is removed from the neck to the fundus. About 3. 0 percent of patients may experience some degree of indigestion following the procedure, although severe complications are much rarer. Other imaging options include MRCP (magnetic resonance cholangiopancreatography), ERCP and percutaneous or intraoperative cholangiography. A cholescintigraphy scan is a nuclear imaging procedure used to assess the condition of the gallbladder. Society and culture. To have 'gall' is associated with bold behaviour, whereas to have 'bile' is associated with bitterness. In many species, for example, there are several separate ducts running to the intestine, rather than the single common bile duct found in humans. Several species of mammals (including horses, deer, rats, and laminoids). Traditionally bile bears are hunted for their gallbladder, but with the adoption of factory farming methods bile bears are kept alive in captivity while their bile is painfully extracted, in an industry characterized by animal cruelty. See also. In Thomas M. Nosek, Ph. D. Gastrointestinal Physiology. Essentials of Human Physiology. Augusta, Georgia, United State: Medical College of Georgia. Retrieved June 2. February 2. 8, 2. Retrieved August 1. Meilstrup (1. 99. Imaging Atlas of the Normal Gallbladder and Its Variants. Boca Raton: CRC Press. ISBN 0- 8. 49. 3- 4. Wheater's functional histology: a text and colour atlas (5th ed.). ISBN 9. 78- 0- 4. Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone. ISBN 9. 78- 0- 8. Retrieved April 1. Histology: A Text and Atlas (6th ed.). Lippincott Williams & Wilkins. ISBN 9. 78- 0- 7. Schoenwolf; et al. Larsen's human embryology (Thoroughly rev. Philadelphia: Churchill Livingstone/Elsevier. ISBN 9. 78- 0- 4. Surgical Endoscopy. PMID 7. 48. 22. 21. A case report. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva. PMID 2. 56. 59. 40. Archived from the original on March 4, 2. Abdominal Imaging. PMID 9. 43. 70. 66. AJR Am J Roentgenol. PMID 1. 95. 08. 67. Guyton, John E. Textbook of medical physiology (1. Philadelphia: W. B. ISBN 9. 78- 0- 7. What Is the Gallbladder? Everyday Health, Retrieved March 2. Britton, the editors Nicki R. Colledge, Brian R. Walker, Stuart H. Ralston ; illustrated by Robert (2. Davidson's principles and practice of medicine. Edinburgh: Churchill Livingstone/Elsevier. ISBN 9. 78- 0- 7. Retrieved March 1. JSLS: Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons. PMC 3. 01. 57. 19 . PMID 1. 77. 61. 08. Simpson (1. 98. 9). The Oxford English dictionary (2nd ed.). Oxford: Clarendon Press. ISBN 9. 78- 0- 1. Metaphor and Symbol. Michael Hogan. Guanaco: Lama guanicoe, Global. Twitcher. com, ed. The Anatomical Record. PMID 2. 65. 59. 38. The Vertebrate Body. Philadelphia, PA: Holt- Saunders International. ISBN 0- 0. 3- 9. 10. X. External links. As in the 1998 smash he made with Jermaine Dupri, Jay Z proves once again that money ain't a thang. He and wife Beyoncé recently purchased a historic 1925 mansion in. Lose weight in your face -- and your whole body -- by trimming your calorie intake and by making the best. Some people just naturally have a reddish face. Of course, if you work in the open air, you may acquire a weathered, red, jolly-farmer face, especially if. What Is Propylene Glycol And Why You Should Avoid It. 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Above is a list of this year’s most “popular” diets, according to Consumer Reports. Popularity, of course, was determined by a number of factors, including compliance with current government recommendations (sorry Atkins), number of people who have tried the diet, and reported success on the diets. So it’s actually quite misleading when the report says it’s reporting on the “most effective diets.”Keep in mind the average American (i. NHANES to USDA will give slightly different numbers for this, but this range is about correct), of which about 4. You can argue that those who are overweight probably consume an even greater amount of carbohydrates. But for the purpose of simplicity, let’s assume even the folks who go on these diets are consuming the national average of approximately 4. Take a look again at the figure below, which shows you how many calories folks are consuming on each diet and, more importantly, where those calories come from. In other words, these numbers could actually be wrong, but it’s what we’ve got for now. Information about Atkins, low carb diets and low carb diet safety. Low carb, low glycemic index and high protein diets and healthy eating. The link between. Even the Ornish diet, which is the most restrictive diet with respect to fat and most liberal with respect to carbohydrates, still reduces carbohydrate intake by about 4. The reason, I believe, most of these diets have some efficacy – at least in the short- term – is that they all reduce sugar and highly refined carbohydrate intake, either explicitly or implicitly. No one on the Ornish Diet or Jenny Craig Diet is eating candy bars and potato chips, at least not if they are adhering to it. Hence, these diet plans do “clean up” the eating habits of most folks. Someone made a great point in response to my post on why fruits and vegetables are not actually necessary for good health. The point was, essentially, that telling people to eat 5- 6 servings per day of fruits and vegetables can hopefully drive a beneficial substitution effect. If you tell someone who eats Twinkies, potato chips, and candy bars all day to eat more fruit (and they do), you’ve almost guaranteed an improvement in their health if they eat bananas and apples instead of the aforementioned junk food. That doesn’t mean bananas and apples are “good for you” – it just means they are less “bad for you.” Here’s the kicker, though. We’re led to believe that the reason such folks get leaner and more healthy is because they are eating more fruits or more vegetables or more grains or more . I have no intention of engaging in a battle with proponents of plant- based eating or no- saturated- fat diets. I’m reasonably confident that the proponents of these diets are good people who really want to help others and have nothing but the best intentions. But that doesn’t mean we can or should overlook the errors being made in drawing their conclusions. Many people do very well on plant- based (e. But why are they doing well? That is the single most important question we should be asking ourselves. Why did the people in the China Study who ate more plants do better than those who ate more animals (assuming they did)? Parenthetically, if you actually want the answer to this question, beyond my peripheral address, below, please read Denise Minger’s categorically brilliant analysis of the study. I know a lot of people who eat this way and, I’ve got to say, these folks do not eat a lot of sugar or a lot of highly refined carbohydrates. In fact, many are so conscientious of their health that they actually have far better carb- habits than most (e. While I do plan to write an entire post on this topic of what one can and cannot conclude from an experiment, I do want to at least make the point here: The biggest single problem with nutrition “science” is that cause and effect are rarely linked correctly. Stated another way, it’s one thing to observe an outcome, but it’s quite another to conclude the actual cause of that outcome. Let me digress for a moment to provide an important example of this phenomenon. One of the most prominent figures in the diet/nutrition space is Dr. Dean Ornish. I don’t know Dr. Ornish personally, and I can only assume that he is a profoundly caring physician who has dedicated his life to helping people live better lives. He is nationally, and internationally, regarded for his efforts. Learn more about best low carb (Atkins) diet plans for fast weight loss, such as paleo, mediterranean, pescaterian, raw, vegan, as well as top 3 worst diets. The Low Carb diet plan is an ever popular option that aims for a low carbohydrate intake. Have a look at the delicious menu from our Low Carb Diet Plan. Low-Carb Pork Main Dish Recipes Looking for low-carb pork main dish recipes? Allrecipes has more than 370 trusted low-carb pork main dish recipes complete with. One of the reasons for his prominence, I believe, is the work he did in the early 1. In particular, Dr. Ornish was the principle investigator on a trial published in the journal The Lancet in 1. An abstract of the paper can be found here. But as always, I STRONGLY encourage folks with access (or folks who are willing to purchase it) to read the paper in its entirety. For people who don’t want to read the study completely, or who may not have much experience reading clinical papers, I want to devote some time to digging into this paper. Well, for starters, reading abstracts, hearing CNN headlines, or reading about studies in the NY Times doesn’t actually give you enough information to really understand if the results are applicable to you. Beyond this reason, and let me be uncharacteristically blunt, just because a study is published in a medical journal it does not imply that is worth the paper it is printed on. My mentor at the NIH, Dr. Steve Rosenberg, once told me that a great number of published studies are never again cited (I forget the exact number, but it was staggering, over 5. Translation: whatever they published was of such little value that no one ever made reference to it again. I am, to be clear, not implying this is the case for this trial, but I want you to understand why it’s important to read papers fully. This trial, The Lifestyle Heart Trial, prospectively randomized a group of not- so- healthy patients into two treatment groups: the control group and the experimental group (or what we’d call the “treatment” or “intervention” group). The experimental group (2. Change their diet to a low- fat vegetarian diet (1. Smoking cessation. Exercise regimen (minimum of 3 hours per week, at minimum of 3. Stress management (e. Join social supportgroups for help with adherence (twice weekly)The control group (1. One aspect of this trial that made the results particularly interesting was the use of angiography to actually measure and document the coronary artery lesions (i. The study was not powered to measure “hard” outcomes (e. In other words, there were not enough subjects in the study to determine a difference in these “hard” outcomes, so we can’t make a conclusion about such events, only the changes in “soft” outcomes. I’m not discounting soft outcomes, only pointing out the distinction for folks not familiar with them. So what happened after a year of intervention versus no intervention? First off, and perhaps most importantly from the standpoint of drawing conclusions, compliance was reported to be excellent and the differences between the groups were statistically significant on every metric, except total average caloric intake. In other words, for every intended difference between the groups a difference existed, except that on average they ate the same number of calories (though obviously from very different sources), which was not intended to be different as both groups were permitted to eat ad libitum – meaning as much as they wanted. Who was “healthier” at the end of a year? The table below shows the changes in both groups. If you want a quick primer on p- values, this is as good a time as any to get one. These tables (i. e., results tables) are a bit cumbersome if you’re not used to looking at them, so let me walk you through one row in detail. Let’s look at HDL cholesterol concentration. In the experimental group, HDL- C fell slightly from 1. M (3. 9 +/- 1. 0 mg/dl for Yankees like me) to 0. M (3. 8 +/- 1. 5 mg/dl), while it slightly fell from 1. M (5. 2 +/- 2. 0 mg/dl) to 1. M (5. 1 +/- 1. 5 mg/dl) for the control (i. It’s hard to tell if this change was statistically significant by inspection, so you glance at the p- value which tells you it was not. That is, how did the actual measured lesions in the subjects’ coronary arteries change? But that’s it. Can I conclude that a low- fat vegetarian diet is the “best” diet for reducing the risk of heart disease? Unfortunately, we do not know. SLIGHT DIGRESSION: Tragically, all of U. S. Maybe their conclusions are correct. The other group gets randomized to a cocktail of 1. Ornish’s study? I argue that each of these diets does some good, especially with respect to eliminating the worst offending agents along the insulin- fat- metabolic derangement axes. And, the majority of the benefit folks receive comes from the reduction of sugars and highly refined carbohydrates. But now I’m repeating myself, aren’t I? French Franc. Money Management . Between 1. 36. 0 and 1. It was reintroduced (in decimal form) in 1. It was revalued in 1. NF) being worth 1. The NF designation was continued for a few years before the currency returned to being simply the franc; the French continued to reference and value items in terms of the old franc (equivalent to the new centime) until the introduction of the euro in 1. The French franc was a commonly held international reserve currency in the 1. By this time, inflows of gold and silver from Spanish America had caused inflation throughout the world economy and the kings of France, who weren’t getting much of this wealth, only made things worse by manipulating the values assigned to their coins. The States General which met at Blois in 1. Henry III agreed to do this and he revived the franc, now as a silver coin valued at one livre tournois. This coin and its fractions circulated until 1. Two people on the links at the Myakka Pines Golf Course in. In finance, a foreign exchange option (commonly shortened to just FX option or currency option) is a derivative financial instrument that gives the right but not the. The franc also commonly distinguished as the French franc (FF), was a currency of France. Between 13, it was the name of coins worth 1 livre tournois and. Account Options. Sign in; Search settings; Web History. Louis XIII of France replaced it with the silver ? Nevertheless, the name . The common currency was based on the franc germinal, with the name franc already being used in Switzerland and Belgium, whilst other countries used their own names for the currency. In 1. 87. 3, the LMU went over to a purely gold standard of 1 franc = 0. It also finds that Jade. FX and Omukwe violated the CEA and Commission regulations by failing to register as RFEDs and that Omukwe violated the CEA and Commission regulations by failing to register as an associated person of an RFED. Returning the country to its former status as West Africa’s regional economic and financial powerhouse has been the guiding principle of President Ouattara’s initial policy objectives. In 2. 01. 2, these efforts began to bear fruit, with estimated GDP growth of 8. Significant legislative steps were also taken to improve business conditions and encourage foreign private investment. Successful efforts to implement reform in the public finance, energy, cocoa, and coffee sectors helped the country to attain the Heavily Indebted Poor Countries (HIPC) completion point in June, and thus receive significant debt relief. There have been sizeable private and public infrastructure investments in the road, transport and energy sectors, as well as growth in manufacturing, services, mining and petroleum and gas production. This general improvement in the investment climate was reinforced by passage of the 2. Investment Code, which is designed to attract private sector capital and reinforce confidence in the market. Government and IMF forecasts for continued strong GDP growth in 2. The French Franc was the national currency of France until the introduction of the Euro in 1. The French franc was the former currency of France until the euro was adopted in 1. Learn more about money, currency, banknotes, coins, history, as well as current and past exchange rates. 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Editor’s Note: Today’s Chiropractic LifeStyle reader and San Diego County resident, Dr. Steven Wachs submitted the following personal account of the 2007 wildfires. According to a study published this month in The Lancet, alcohol and tobacco rank among the ten most dangerous substances used by humans. Both alcohol and tobacco. Attention Deficit Hyperactivity Disorder (ADHD) Treatment & Management: Medical Care, Diet, Activity. Moffitt TE, Houts R, Asherson P, Belsky DW, Corcoran DL, Hammerle M, et al. Is Adult ADHD a Childhood- Onset Neurodevelopmental Disorder? Evidence From a Four- Decade Longitudinal Cohort Study. Am J Psychiatry. 2. May 2. 2. PET Scans Reveal Action of Methylphenidate in Brain. Psychiatric News. Sept 2. 1, 2. 00. Kooistra L, van der Meere JJ, Edwards JD, Kaplan BJ, Crawford S, Goodyear BG. Preliminary f. MRI findings on the effects of event rate in adults with ADHD. J Neural Transm. 2. Feb 1. 6. Cherkasova MV, Hechtman L. Neuroimaging in attention- deficit hyperactivity disorder: beyond the frontostriatal circuitry. Can J Psychiatry. Yang P, Wu MT, Dung SS, Ko CW. Short- TE proton magnetic resonance spectroscopy investigation in adolescents with attention- deficit hyperactivity disorder. Psychiatry Res. 2. Feb 1. 0. Sobel LJ, Bansal R, Maia TV, Sanchez J, Mazzone L, Durkin K, et al. Basal Ganglia surface morphology and the effects of stimulant medications in youth with attention deficit hyperactivity disorder. Am J Psychiatry. 1. Shaw P, Gilliam M, Liverpool M, et al. The Attention Deficit. In media, the symptoms of attention deficit disorders tend to be exaggerated to the. INSIDE ATTENTION DEFICIT DISORDER (No, you're NOT stupid, lazy or crazy!) By Shari Schreiber, M.A. Treatment can help your child with ADHD in school, social situations, and at home. The right plan can help with all three of the major components of ADHD: inattention. From the nearly 100,000 spect scans in the Amen Clinics Database, we have identified 7 types of ADD. Attention deficit/hyperactivity disorder (ADHD) impacts both children and adults. Learn about the symptoms and ADHD treatment from Strattera. Cortical development in typically developing children with symptoms of hyperactivity and impulsivity: support for a dimensional view of attention deficit hyperactivity disorder. Am J Psychiatry. 1. Volkow ND, Wang GJ, Newcorn J, Telang F, Solanto MV, Fowler JS, et al. Depressed dopamine activity in caudate and preliminary evidence of limbic involvement in adults with attention- deficit/hyperactivity disorder. Arch Gen Psychiatry. Morein- Zamir S, Hommersen P, Johnston C, Kingstone A. Novel Measures of Response Performance and Inhibition in Children with ADHD. J Abnorm Child Psychol. Visser SN, Danielson ML, Bitsko RH, Holbrook JR, Kogan MD, Ghandour RM, et al. Trends in the parent- report of health care provider- diagnosed and medicated attention- deficit/hyperactivity disorder: United States, 2. J Am Acad Child Adolesc Psychiatry. Akinbami LJ, Liu X, Pastor PN, Reuben CA. Attention deficit hyperactivity disorder among children aged 5- 1. United States, 1. NCHS Data Brief. Goodman DW, Thase ME. Recognizing ADHD in adults with comorbid mood disorders: implications for identification and management. Postgrad Med. 1. 21(5): 2. Cuffe SP, Visser SN, Holbrook JR, Danielson ML, Geryk LL, Wolraich ML, et al. Attention deficit hyperactivity disorder (ADHD) causes the following symptoms in children: excessive activity, problems concentrating, and difficulty controlling. ADHD and Psychiatric Comorbidity: Functional Outcomes in a School- Based Sample of Children. J Atten Disord. 2. Nov 2. 5. Semiz UB, Basoglu C, Oner O, Munir KM, Ates A, Algul A, et al. Effects of diagnostic comorbidity and dimensional symptoms of attention- deficit- hyperactivity disorder in men with antisocial personality disorder. Aust N Z J Psychiatry. Upadhyaya HP, Carpenter MJ. Is attention deficit hyperactivity disorder (ADHD) symptom severity associated with tobacco use? Am J Addict. 2. 00. May- Jun. 1. 7(3): 1. Reiersen AM, Todd RD. Co- occurrence of ADHD and autism spectrum disorders: phenomenology and treatment. Expert Rev Neurother. Halmoy A, Halleland H, Dramsdahl M, Bergsholm P, Fasmer OB, Haavik J. Bipolar symptoms in adult attention- deficit/hyperactivity disorder: a cross- sectional study of 5. J Clin Psychiatry. Arcos- Burgos M, Jain M, Acosta MT, Shively S, Stanescu H, Wallis D, et al. A common variant of the latrophilin 3 gene, LPHN3, confers susceptibility to ADHD and predicts effectiveness of stimulant medication. Mol Psychiatry. 2. Feb 1. 6. Some ADHD polymorphisms (in genes DAT1, DRD2, DRD3, DBH, 5- HTT) in case- control study of 1. Neuro Endocrinol Lett. Faraone SV, Mick E. Molecular Genetics of Attention Deficit Hyperactivity Disorder. Psychiatr Clin North Am. Genetics of cognitive deficits in ADHD: clues for novel treatment methods. Expert Rev Neurother. Exposure to secondhand smoke in the home and mental health in children: a population- based study. Tob Control. 2. 01. Mar 2. 5. Martel MM, Nikolas M, Jernigan K, Friderici K, Nigg JT. Personality Mediation of Genetic Effects on Attention- Deficit/Hyperactivity Disorder. J Abnorm Child Psychol. Feb 1. 0. Hoogman M, Bralten J, Hibar DP, Mennes M, Zwiers MP, et al. Subcortical brain volume differences in participants with attention deficit hyperactivity disorder in children and adults: a cross- sectional mega- analysis. Attention deficit hyperactivity disorder (ADHD) is a mental disorder of the neurodevelopmental type. It is characterized by problems paying attention, excessive. Never before in the history have we labeled so many children with a mental disorder. Just this month the CDC announced that 1 in 5 U.S. Research Methylphenidate for attention-deficit/hyperactivity disorder in children and adolescents: Cochrane systematic review with meta-analyses and trial sequential. Lancet Psychiatry. Feb 1. 6. Ustun B, Adler LA, Rudin C, Faraone SV, Spencer TJ, Berglund P, et al. The World Health Organization Adult Attention- Deficit/Hyperactivity Disorder Self- Report Screening Scale for DSM- 5. JAMA Psychiatry. Tcheremissine OV, Salazar JO. Pharmacotherapy of adult attention deficit/hyperactivity disorder: review of evidence- based practices and future directions. Expert Opin Pharmacother. Volkow ND, Swanson JM. Does childhood treatment of ADHD with stimulant medication affect substance abuse in adulthood? Am J Psychiatry. 1. Mannuzza S, Klein RG, Truong NL, Moulton JL 3rd, Roizen ER, Howell KH, et al. Age of methylphenidate treatment initiation in children with ADHD and later substance abuse: prospective follow- up into adulthood. Am J Psychiatry. 1. Semrud- Clikeman M, Pliszka S, Liotti M. Executive functioning in children with attention- deficit/hyperactivity disorder: Combined type with and without a stimulant medication history. Neuropsychology. 2. Blader JC, Schooler NR, Jensen PS, Pliszka SR, Kafantaris V. Adjunctive divalproex versus placebo for children with ADHD and aggression refractory to stimulant monotherapy. Am J Psychiatry. 1. Solanto MV, Marks DJ, Wasserstein J, Mitchell K, Abikoff H, Alvir JM, et al. Efficacy of Meta- Cognitive Therapy for Adult ADHD. Am J Psychiatry. 1. Pelham WE Jr, Fabiano GA. Evidence- based psychosocial treatments for attention- deficit/hyperactivity disorder. J Clin Child Adolesc Psychol. Young S, Myanthi Amarasinghe J. Practitioner Review: Non- pharmacological treatments for ADHD: A lifespan approach. J Child Psychol Psychiatry. Sonuga- Barke EJ, Brandeis D, Cortese S, et al. Nonpharmacological Interventions for ADHD: Systematic Review and Meta- Analyses of Randomized Controlled Trials of Dietary and Psychological Treatments. Am J Psychiatry. 1. Silva AP, Prado SO, Scardovelli TA, Boschi SR, Campos LC, Fr. Measurement of the effect of physical exercise on the concentration of individuals with ADHD. Mar 2. 4. 1. 0 (3): e. Adler LD, Nierenberg AA. Review of medication adherence in children and adults with ADHD. Postgrad Med. 1. 22(1): 1. Hosenbocus S, Chahal R. A review of long- acting medications for ADHD in Canada. J Can Acad Child Adolesc Psychiatry. Treating attention- deficit/hyperactivity disorder beyond symptom control alone in children and adolescents: a review of the potential benefits of long- acting stimulants. Eur Child Adolesc Psychiatry. Oct 1. 3. FDA Okays Once- Daily Dyanavel XR for ADHD in Children. Medscape Medical News. Available at http: //www. October 2. 1, 2. 01. Accessed: October 2. Pfizer. Pfizer Receives U. S. FDA Approval of New Quilli. Chew ER. December 7, 2. Available at http: //www. Serious Transport Accidents in Adults With Attention- Deficit/Hyperactivity Disorder and the Effect of Medication: A Population- Based Study. JAMA Psychiatry. 2. Jan 2. 9. Habel LA, Cooper WO, Sox CM, et al. ADHD medications and risk of serious cardiovascular events in young and middle- aged adults. Dec 2. 8. 3. 06(2. FDA warns of rare risk of long- lasting erections in males taking methylphenidate ADHD medications and has approved label changes. US Food and Drug Administration. Available at http: //www. Drugs/Drug. Safety/ucm. Accessed: January 1. Webb JR, Valasek MA, North CS. Prevalence of stimulant use in a sample of US medical students. Ann Clin Psychiatry. Lichtenstein P, Halldner L, Zetterqvist J, et al. Medication for attention deficit- hyperactivity disorder and criminality. N Engl J Med. 2. 01. Nov 2. 2. 3. 67(2. Clinical and Functional Outcome of Childhood Attention- Deficit/Hyperactivity Disorder 3. Years Later. Arch Gen Psychiatry. Oct 1. 5. Chronis- Tuscano A, Molina BS, Pelham WE, Applegate B, Dahlke A, Overmyer M, et al. Very early predictors of adolescent depression and suicide attempts in children with attention- deficit/hyperactivity disorder. Arch Gen Psychiatry. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM- IV- TR). Washington, DC: American Psychiatric Association; 2. Faraone SV, Perlis RH, Doyle AE, et al. Molecular genetics of attention- deficit/hyperactivity disorder. Biol Psychiatry. 5. Faraone SV, Sergeant J, Gillberg C, Biederman J. The worldwide prevalence of ADHD: is it an American condition? World Psychiatry. Kaplan HI, Sadock BJ, Grebb JA. Kaplan and Sadock's Synposis of Psychiatry. Baltimore, Md: Williams & Wilkins; 1. Rugino TA, Samsock TC. Modafinil in children with attention- deficit hyperactivity disorder. Pediatr Neurol. 2. Shillington AM, Reed MB, Lange JE, Clapp JD, Henry S. College undergraduate Ritalin abusers in Southwestern California: Protective and Risk Factors. Spencer T, Biederman J, Wilens T. Nonstimulant treatment of adult attention- deficit/hyperactivity disorder. Psychiatr Clin North Am. White BP, Becker- Blease KA, Grace- Bishop K. Stimulant medication use, misuse, and abuse in an undergraduate and graduate student sample. J Am Coll Health. Mar- Apr. 5. 4(5): 2. INSIDE ATTENTION DEFICIT DISORDER (No, you're NOT stupid, lazy or crazy!)INSIDE. ATTENTION DEFICIT DISORDER(No, you're NOT stupid, lazy or crazy!)By. Shari Schreiber, M. A. www. Gettin. Better. I've. written this for folks like me, who've struggled with shame and frustration. Because. I've lived with these challenges, I intimately understand yours. I've. surmounted a lot of my own ADD obstacles, and my hope is to help you. Attention. Deficit Disorder or ADD, is a very common neurological issue that. These cycles impact your. Aside. from various challenges you may face with ADD, I assure you, there. This. self- diagnostic material is intended to help you discern the degree. ADD/ADHD. If you've struggled with some of the. Imagine. breaking free of the shame that's a by- product of this disorder. If. you have an i. Phone, i. Pad or i. Pod this app will let you hear. THE. MOST TYPICAL HALLMARKS OF THIS CONDITION ARE: *Chronic. Reluctance. to commit~ You. Check out my piece on Bipolar. Disorder, and discern the difference for yourself.*Feeling. Once. you're at the laundromat you do okay, and. Just start, and you'll be fine!*You. Your. accomplishments are usually within areas of innate talent. Loss of interest, motivation, enthusiasm for an activity or. I've. coined this, The Gym Membership Syndrome).*You. Novelty Junkie~ you'll. You keep buying stuff on infomercial's, and. You may have solid plans to turn these. Great intentions fizzle- out. You. work best under pressure~ in the . More on this. under . You're drawn to environments that are highly. Any kind of job requiring your attention. In other words. . Pain is grounding, and makes us feel alive. There. are many symptomsassociated with ADD and these. Not all of the above may apply to you, but if you. Please. note! If you want to share this article with someone. Example; www. Gettin. Better. com/ADD. html. This is an extremely common. ADD'ers, because your rhythm or pacing is different. You may get various tasks accomplished. There. are times you! It's been my opinion for years. Attention Deficit Disorder shouldbe. Attention Inconsistency Disorder, as this seems a. ADD affects literally hundreds. While. it's true that you have this learning disability, it doesn't mean. ADD'ers are typically more visually. You might say that your brain's . Visual. stimulation can inhibit your ability to process auditory. Have you ever noticed. This happens because your. Lowering or closing your eyes as you listen. By the. way, foreign or subtitled films, or movies where much of the storyline. ADD'ers for the same reason. In essence, we're. Some. ways of learning are linear. People with ADD/ADHD have a non- linear. The creative ADD brain is capable of making abstractions. Developmentally. arrested people whose emotional growth was stunted early in life due. A. bright mind finds ways to process new information by applying. This requires. analytical ability! The ADD'er automatically looks for ways to make. He presumes that. Someone stuck in a concrete. Their mental process. Problems. can arise between adult children and their parents, if one is stuck. Often, the child has surpassed the. It may feel to the adult child like he/she is trying to. A gifted therapist can. HOW. (ANDWHY) DOES THIS DISORDER EXIST? You work best under pressure. This chemical. functions like high- octane fuel for your brain, so that it can go. The. worst part of living with attention deficit issues, is you've carried. In children and adults it's generally characterized. ADD'ers are generally attracted to anything. We. humans do our best to self- medicate and balance our brain chemistry. Please know I don't condone the use of these substances. I'm merely including it here, for your own edification. Achieving. scholastic or professional success might be easier for ADHD'ers; their. Depressive episodes and inertia are not quite as common. ADHD, but the ability to focus or slow down enough to complete. ADHD'ers often feel flooded. When. overwhelm occurs, it's like an electricaloverload that 'short. OK. HERE'S THE GOOD NEWS . It is believed that many of our. ADD, which. allowed them to harness acute, sustained focus for extraordinary periods. Their ability to 'hyper- focus' when motivation (or pressure). ADD/ADHD'ers. are not stupid. In fact, they're often way. It's also important. ADD! As mentioned under. Hyper- focus. is an ADD blessing. Quite often, I'll get fired- up and inspired about. That's passion for ya! Passion. is housed in the second chakra of the body, or your abdomen/lower. It's sitting right there with sexuality, reproductivity. It's virtually impossible to be creative on demand. It's not gonna happen (well, not unless you're in the porn. Working. on an artistic, creative project is a lot like giving birth. At times. you'll feel depleted and a little sad after you finish it. This could. be compared to mild, postpartum depression. You'll need to recharge. It needs considerable 'down time' to do. Try to trust these little. The. structure and stimulation of a work environment can actually allow. For example, they might set up an entire. Remember, ADD'ers like taking/creating. The pressure. and responsibilities they face while working, can help order. For many, being able to switchfocusis essential, because it provides relief from boredom, and allows. Starting. a new project can produce feelings of euphoria~ returning. Unfortunately. self- judgment about not having found a specific 'niche' during one's. Very young, we're programmed. The truth. is, ADD'ers are generally capable of being several. Think. of your talents this way; imagine that you're asked to draw a picture. Crayolas- -but you're only allowed to use one. How would you feel about that? Of course not! Well. It stifles us, and leads. Discover your strengths, and follow your passions. LITTLE. TIPS AND TRICKSIt's. ADD'ers put too high a. Lower the damned bar for yourself. If you're beginning. Take the attitude, . I. often 'back into' things I wanna do, and I've found this strategy. Professionally, I've often done the things I've done. I legitimized 'em with schooling, training, etc. They. were innate talents or abilities, that came naturally and easily to. Years. ago, my well- meaning friends said, . No way could I even consider writing. Truth. is, I've been writing for decades, and while the . My web materials. Gettin. Better. com were my way to stop getting rejection letters. What a relief! Now, I just had to please myself. By. the way, a good number of my lengthier articles have turned out to. I have at last, felt ready to get them published. Do what you wanna do. IMPORTANT. FACTS YOU SHOULD KNOW: Attention. Deficit Disorder is fairly easy to treat and manage, using a variety. Plus, within areas of ability. What's. crucial, is that you stopbeating. Living with untreated. ADD, can be like trying to reach an island in a small boat that has. As you keep trying to row out. You must begin to accept. JUST. THE FACTS, MANMost. Still, these people suffer terribly from psychological. Tremendous. feelings of shame, guilt and remorse over not living up to one. Sadly, if this condition remains undetected. Children. can very easily acquire ADD around the age of 3 years. While they've become fairly adept at walking, their. Climbing stairs isn't. Unfortunately. many parents think their toddler is able to independently. It. is a grave mistake to not maintain solid hold of your child's. Walking down. beside or just aheadof your child, is notan adequate preventive measure to keep him or her from tumbling. Attention Deficit or even. Bipolar Disorders! Basically, any sort of event that 'startles'. Along. these same lines, inability to. It's important to note, that energy expenditure. Depressive episodes. This is generally why actors(and other creative types) may lack the confidence. Gum. chewing can help us focus. For some reason, the very act. I've heard of studies done with school- aged children, which. It. seems ADD/ADHD'ers may compulsively. Eating can help us 'change. The simple mechanics of chewing might engage. If you're routinely. What have you got to lose, besides a few extra pounds? Too. much . They thrive. Free. time or time- off from work, can easily be frittered away or spent. For. some, a sort of emotional autism (stemming from infancy) kicks in. While these periods may. ADD'ers. actually need to balance stimulation and contact with quiet/restorative. Due to the cyclical nature. ADD'ers cannot predict how they'll. Nicotine. is often the drug of choice for ADD/ADHD'ers. Smoking calms us and. ADD/ADHD'ers. might have a hard time giving up cigarettes. Set aside a couple of. After two minutes of this before you light up. Many. ADD'ers can be . What I often hear from people in their forties through sixties. In the absence of a return. ADD'er typically scans his or her internal landscape. In short, they personalize your lack. Folks. with ADHD tend to have monologues, not dialogues. They'll ask you. a question, and then presume to know your answer. In short, they're. They only like hearing themselves talk. ADD/ADHD'ers. can go off on tangents about anything under the sun, and you're left. Some. of these folks are what I call, Verbal Exhibitionists. Verbal exhibitionism. A. DIFFERENTIAL DIAGNOSIS~ IS IT ONLY ADD?? I. hear from a lot of folks who've read this article, and want to blame. ADD/ADHD. This neurological. To cogitate means you're giving consideration. This. could be something you've thought about off and on for years, but. You're not wanting to just forge. I'm a huge. cogitator. For instance; I may want to start writing an article I've. This helps me determine the best way. A finished piece take could. I've come to trust that cogitation. Sometimes, we can kick- start. Procrastination. is more about delaying an unpleasant task that makes us put it. This could involve anything, from organizing your yearly receipts. Anything we feel a. HOW. IS THIS DISORDER TREATED, AND WHAT CAN HELP?*Diet. Stay away. from SOY products, as these can impair cognitive. ADD/ADHD issues (for more about the dangers. Dr. Kaayla Daniel at: www. Sugary, starchy, high- carbohydrate. Getting Started - The Kaufmann Diet. Welcome to the Know the Cause website! On this site, you will find a wealth of information covering the science of fungi, molds and yeasts and their effect on human health. Whether you are a long time fan of our television show, Know the Cause, or you are new to the entire fungal philosophy, this site will become a valuable health resource for you. The Fungus Link to Disease Philosophy. Phase One and Two of The Kaufmann Diet were designed with an idea in mind: Fungi and yeasts can become parasitic organisms on and inside our body, causing health problems that can be difficult to diagnose. Often and unknowingly, we feed these parasites via our diet. Fungi crave sugar, and if you have a fungal infection, their cravings often become your cravings. Sugar does not simply come in the form of candy, soda and other obvious “junk foods”; the carbohydrates from grains, potatoes, corn and corn products, certain fruits, breads, pasta, alcohol and other staples of the standard American diet are just as effective at feeding a parasitic fungal organism. For many, the Kaufmann Diet begins as a test: Do your symptoms subside or cease after following the diet for 3. Does your brain fog clear? Does the chronic pain, fatigue or general malaise dissipate? Does the weight fall off? If so, you may have discovered that fungi and yeasts may be a root cause of the health problems you have been experiencing.
4 EYE TWITCH. According to Dr. Gary Heiting, an eye care provider and the senior editor of All About Vision, drinking alcohol is one of the eight major causes of mini. The researchers were surprised that the higher oxalate vegetarian diet resulted in less oxalate absorbed and excreted through the urine than the low-oxalate. Crash Diet Cocaine Cowboys TorrentNorfolk commissioner's son guilty of causing road death. Henry Bett (Huntingdon Crown Court at a previous hearing), 2. Rebecca Brown, 4. The farmer son of a former Norfolk Police and Crime Commissioner has been found guilty for a second time of causing the death by dangerous driving of a mother of four. Henry Bett, 2. 8, was originally convicted of causing the death by dangerous driving of Rebecca Brown, 4. Peterborough Crown Court and was jailed for three and a half years. He spent 1. 3 months behind bars before being released after a successful appeal at which a re- trial was ordered. Now though, although Bett, pleaded guilty at Cambridge Crown Court to a lesser charge of causing the death by careless driving of Mrs Brown, he has been convicted by a majority verdict of the more serious offence of causing her death by dangerous driving. Now he must wait to hear his fate. Judge Sean Enright has adjourned sentencing until later and allowed Bett, who is a director of the family faming business, Thornham Farms Ltd to remain free on bail until then. The accident happened when a tractor driven by Bett hit a Fiat people carrier driven by Mrs Brown whose 1. Bett's father, Stephen Bett, is a former Conservative chairman of Norfolk Police Authority who was also elected the county's first ever police and crime commissioner. His son denied he had been driving too fast at the time of the accident on 4 December 2. West Acre Road, Castle Acre, Norfolk. The jury, when the re- trial took place last week, was not told of the previous trial, conviction or appeal. The fatal accident happened when a tractor driven by Bett hit a Fiat people carrier driven by Mrs Brown (pictured) whose 1. When the Appeal Court ordered the fresh trial it imposed an order prohibiting publicity about the reason for the conviction being overturned. It was revealed at the start of this hearing, in the absence of the jury, that the conviction was quashed on the ground that evidence had been wrongly admitted that Bett had taken cocaine several days before the collision. The earlier trial heard he might have been suffering the effects of 'a come down' from taking the drug. Mrs Brown, of Castle Acre, a dinner lady at the local primary school, had pulled into the verge and slowed to 1. German made Fendt 9. The court was told that there was room for both vehicles to pass each safely but in a near head- on collision, the front offside wheel of the tractor climbed up the bonnet of the people carrier and crushed the driver's side. Celebrity Automobile Accidents Famous people who have died in car crashes. This page features celebrities (actors, sports heroes, musicians, etc. Remember P.K. Subban and Sidney Crosby chirping in Game 3, which led to Subban claiming (joking) Crosby said his breath stank? Here’s what was actually said, as. Bett told the jury he had pleaded guilty to causing Mrs Brown's death by careless driving 'because I caused the accident by being across the road' but denied his driving was dangerous. Bett's father, Stephen Bett (pictured), is a former Conservative chairman of Norfolk Police Authority who was also elected the county's first ever police and crime commissioner. After the verdict, the family of Rebecca Brown talked of the 'heaviness' of waiting for justice for three and a half years and said Bett had initially blamed Mrs Brown for what happened and accused him of never apologising for what had happened. The court was told after Bett's conviction that he had three previous convictions and nine penalty points for speeding in cars, all in 2. They were for driving at 9. Bett is still subject to an interim driving ban, despite his conviction being overturned last summer. Crash Diet Cocaine Cowboys TrailerWatch breaking news videos, viral videos and original video clips on CNN.com. The Texarkana Gazette is the premier source for local news and sports in Texarkana and the surrounding Arklatex areas. Lucas Pouille, who at one point projected to be a great tennis player but may end up just a good one, saved a match point against Jan-Lennard Struff today with some. Miami Marlins pitcher Jose Fernandez took cocaine and had drunk more than twice the legal alcohol limit before he died in boat crash, autopsy reveals. The most talked-about summer diet in sports has finally been revealed. At the unveiling of his "LeBron 12" in Oregon this month, LeBron Jame. HPD: Mom charged after boy ejected from crash on Highway 290. Police Commissioner's farmer son is found guilty for a second time of killing mother-of-four dinner lady in head-on crash when he drove his tractor after taking cocaine. Get the latest international news and world events from Asia, Europe, the Middle East, and more. See world news photos and videos at ABCNews.com. |