16 Aralık 2012 Pazar

Women Helth


Due to regular statistical data taken in 1995, 15 800 cervical cancer in the United States, because this type of cancer death in 4800, 600,000 abnormal Pap test, which detects the disease has been reported 50,000 new cancer precursor. According to data from the same country of the cervix (cervical) cancer spends $ 4 billion per year is calculated. As can be seen from these figures to detect cancer before the emergence of a more humane, more economical and more successful.

The occurrence of cancers in women in various countries as a result of the finding of research is emphasized as possible. In fact, this research is based on his work since 1886, Sir John Williams. Positive developments in the identification and diagnosis of cancer precursor lesions in görülmüştür.1924 Hinsellman Kolposkop'u launched in 1928 after the development of methods Babes and George Papanicolaou cervical cancer currently taking swabs development (average 10-15 years) before the leading diseases that have the potential to turn into cancer showed tanınabileceğini. Thus, as set out in their Pap Test Papanicolaou cytology as a screening method acceptance and widespread all over the world. State policies in each country, depending on the method has been the main screening test. In the United States since 1970, 20 years 90% reduction in the death rate of cervical cancer Pap test screening is connected. Cancer precursor diseases are the most aged 25-35 years. However, a method of screening test is applied to all women. The scan does not show the presence of the disease is accurate detection of abnormal cells. In this case, in order to diagnose the disease pathological examination of biopsy tissue should be taking. Take a biopsy (take a piece of tissue) was poured for the detection of abnormal cells exactly where required.

The most accurate place (get tissue) biopsy for the external genitalia (female sex) organs under the microscope magnified visual inspection of the generally accepted method. This process requires special training and tools to colposcopy outside the so-called pain-free, easy, rapid results are obtained with a trusted application. Today, all over the world in order to make a definitive diagnosis with the help of colposcopy examination and colposcopy biopsy is considered the gold standard. Pap test and colposcopy with biopsy is possible to put the correct diagnosis in 99.5%.

The cancer is the main cancer screening, without the necessary follow-up or treatment is to capture the period of pre-cancerous diseases. Here, the definition of early diagnosis is not correct. Because the goal is to identify precursors of cancer is not cancer. However, a gain of cancer at an early stage may be used to capture the possible with this program.

Today, the world is not discussed cytological screening. Discussed whom, when, how often, how many, and which until the age of cytological (Pap smear, thin prep, etc.) will be made screening method. Taşıyamamak scientific platforms, social platforms, such as the subject of this debate in our country is a serious educational, socio-economic problem. Many women standard screening, risk group, screening, screening forms are not knowledgeable about. Thus, the confusion arising gynecologist, liability, liability insurance system of the patient and determined. In developed countries, is seen as a necessity for the doctor to make pap test, it also encourages insurance companies. Based on applications in the world to implement the following protocol may be rational, our clinical experience and practices in this direction. Screening for cervical cancer risk groups should be determined before the protocol



source : http://www.your-health-information.net/women-health.html

13 Aralık 2012 Perşembe

Home Health


What is Home Care?

Home Care skilled nursing care and treatment of an illness or injury that you receive in your home for some of the other health service. This page explains the Medicare basic home health care and where to go for more information and assistance, provides information about.

Elderly Home Health including the borders of their state of health, will help you to live independently for as long as possible. It covers a wide range of services and often delay the need for households to long-term care for older people.

In particular, home care, physical and occupational therapy, speech therapy, and even skilled nursing may contain. This sauce, eat, can help older people in their daily activities, such as swimming. Or help with meals, cleaning, cleaning up other jobs, and prescription drugs and OTC may include monitoring your daily routine.

Currently the house is important to understand the difference between health care and services at home. They (and home health care may include some home-based services), may seem more home health care oriented. Home care is usually routine and cleaning services, home health, but usually involves helping seniors recover from an illness or injury. Generally, people who provide home care nurse, physician assistant or home health reason under license. Agencies home health, hospitals, health departments and authorized by the state during most of the work.

How I can make sure the Quality Health Care Home Care?

As with any major purchase, always in community health agencies at home for seniors to learn more about friends, neighbors and the local area is a good idea to talk to the agency. Looking for a home health care agency, the following questions can be used to help your search:

The agency provides services to this community?
The printed brochures describing the services provided by the agency, and the amount you received the goods? If so, one.
Agency approved Medicare provider?
Quality of care, such as the Joint Commission on Accreditation of Healthcare Organizations accredited by the national accreditation body, right?
(State where you live, if necessary) Do you have a valid license to use an agency?
As proposed by the Agency for eldercare and the lead agency and defines the rights and responsibilities of a "Charter of Patients' Rights", right?
Agency (patient record to the doctor and family), to write a treatment plan for the patient, and if necessary an update of the plan?
Closing managers oversee care to ensure quality?
Time agency employees are available seven days a week, if necessary,
The agency is willing to provide assistance on call 24 hours a day Does Maintenance Supervisor?
The agency ensures patient confidentiality?
As an agency caregivers hired and trained?


Solve problems that may arise, and that I can call with questions or complaints about the procedure?
Do you have a sliding scale fee based on ability to pay and financial assistance to pay for services?
The Agency may provide references for teachers?
Who said the care home health social worker can not come when scheduled?
What selection of employees do?
Individual provider (instead of through an agency) When purchasing home health care directly, even more important to screen the person thoroughly. This is to ensure that you are qualified for the job should include an interview with the home health guardian. You must ask for referrals. Also, make a list of special needs may be at a high level to prepare for the challenge. For example, if a patient needs help getting to the elderly or would like to speak to a wheelchair. If so, the health care provider at home should be able to provide this assistance.

If you set the home health care through an agency or a home health aide independent individual attention in order to get to work, spend some time preparing for the person who is going to do to help . Ideally, before starting work officially to discuss what will be included in your daily life, you can spend a day with her. At least, there are things you need to know about the first level (oral and written) in the house, tell your doctor:

Illness / injury and symptoms of an emergency medical condition
Likes and dislikes
Drugs, how and when
Dentures, eyeglasses, canes, walkers, etc. necessary
Possible behavior problems and how best to deal with them
The problems (in a wheelchair inside or outside, for example, or trouble walking), move
Special diets or nutritional needs
Therapeutic exercises.


Health agencies in most states, criminal background checks for workers and careful selection of candidates to fill these checkpoints, the actual position will vary depending on where you live. Therefore, before applying to the agency home health, public health to learn what laws apply in your state on aging or department may call the local agency

Home health care costs vary between states and within states. In addition, slight variations depending on the value of health worker is not required. Home care services are paid directly to the patient and family, or can be done through a variety of public and private sources. The sources of housing finance Medicare, Medicaid, Older Americans Act, veterans and private insurance are included

home health 

source : http://www.your-health-information.net/home-health.html

9 Aralık 2012 Pazar

Irregular menstruation and drawbacks


Each woman's menstrual disorders spend every month for a period of at least 1 week. During this time, irregularities, pain, etc.. sorunmlar as occur.




Greater than the amount of bleeding or menstruation, bleeding more than a week, it is recommended that you go to a gynecologist.

In addition to the layer and the thickness of the ultrasonic device Rahic Jinekologta likely. Controls for a tumor

Increase thickening uterine bleeding can be prevented with the help of ultrasound.

However presence is less than the amount of blood flow, but not more than there is a disease, which is switched on.

If spiral judged and removed. If a suitable method for treatment of the infection is treated.

3 Aralık 2012 Pazartesi

Refreshing wipes spruce


Since free. Customers in places like restaurant and hotel wet wipes, small shampoo, creams, toothpaste, cosmetics, as fir come MoH is preparing regulation of these unhealthy products "under the stairs" before production cross



Ministry of Health, "Cosmetic Guide Service Sunumumunda LocationArea products" ready.

"Prof'lara special inspection fees"

Guided restaurants, hotels and transport vehicles, customers and refreshing towels Free shampoo passengers of a small cream, soap, toothpaste, cosmetics, as the must-have properties were determined.

Production allowed under the stairs

Provide information on how to Ercan Turkey Pharmaceuticals and Medical Devices Agency Vice Lightning "under the stairs", which is known to prevent the use of products manufactured to change harmful to human health.

Many commercial companies offer their customers free of charge, subject to the legislation of cosmetic products in small packages must explain that this flash starts ", the supervision and control of the market for these products. Companies have to be careful with customers. since this company is directly responsible, "he said.

You decide uncheck the health campus in Bursa Zoning

"The package should have all the information"

All information about the products, packaging, manufacturing and intonation, requires the existence of lightning passed, the following information: "This information can be read and detail contains ingredients of cosmetic products on the market, such as the expiration date and instructions. in the package will be all that is in them. Our inspections found that almost never a product with these criteria. does not match the criteria we are looking for production sites. Such products will be made through the Ministry of Health production areas of cosmetics production license are controlled. How are you plants GMP (Good Manufacturing Practices), called the "Good Manufacturing Practices" certificate ".

"Stairs six" in a hygienic environment for production is not possible, and substances in products harmful to human health terms used Simsek, "Ministry, registered, sold in the market cleansing wipes baby is six and has 15 companies. Such companies are under our control. When production of the products in the need for this regulation is put in the audit, "he said.

2 Aralık 2012 Pazar

Surgical Treatment of Gastric Cancer


Surgical treatment of gastric cancer

The only curative treatment is surgical resection of gastric cancer. Other treatments consist of surgical resection followed by adjuvant therapy and palliative treatment with chemotherapy, radiotherapy and immunotherapy followed. Today, with the development of diagnostic tools for staging work and staging accuracy of 80% - to reach 85%. R0 resection, if surgical treatment is to target. Curative resection in patients without distant metastases, peritoneal dialysis and lymph node metastases in pathological by all and clear surgical margins by eliminating extravagance stomach. Radical gastrectomy or distal subtotal gastrectomy can be achieved if surgical margins were clean as yours. If the upper limit should tumor, the greater curvature side of the intersection with the left and right gastroepiploic artery, from below the line of curvature at the lower side of the cardia and gastrectomy be 5cm.
Complications Surgery Stomach Cancer
Gastric cancer resection with different complications can develop in approximately 20% of patients. Careful preoperative preparation, surgery is a good post-operative care and maintenance of the technical underpinnings of the stomach and reducing complications after surgery is possible. Complications after surgery for stomach cancer as surgical complications and general complications are classified.
Major postoperative complications and surgical bleeding, duodenal stump leak and anastomotic leaks. Duodenal stump leakage is a major complication of morbidity and mortality in the postoperative period.


How is my body in gastric cancer

How is it spread to the body of stomach cancer

Howell through dissemination of gastric cancer since the publication in 1932, Cornett and is defined as follows:
1.Direk Propagation mucosa submucosa invasion of cancer that starts in the first, then a muscle involvement and subserosa. Esophagus and duodenum is the direction of propagation of this mode. Run through the muscle layer of the duodenum, and subserosal lymphatics. Run through all layers of the esophagus is usually olabilmekle through the submucosal lymphatics.

2.Peritoneal propagation: along the stomach wall can transmit peritoneal serous tumors reach. Diffuse peritoneal cancer, colon tip and is more common than you.
Propagation 3.Hematojen: organ metastases develop in this way. Hematogenous spread is the most common liver. Very often diffuse intestinal type adenocarcinomas type tend to spread hematogenously.

Propagation 4.Lenfatik: Stomach cancer, lymphatic invasion begins early. If the lymph node resection rate of 50%. Reported 1241 study examined patients with all stages of lymph node positivity as 76.5% Kennedy. Particularly in the lymphatic invasion 4cm'den submucosal invasion is an increased risk of large, poorly differentiated tumors. Obana et al lymph nodes morphologically divided into two subgroups. The presence of tumor emboli in the style of lymph nodes and paths exist or embolic types of cancer cells have a lymphoid tumor cell interstitial areas adipose tissue around the tumor and lymph nodes is defined herein as a kind of infiltration. Embolic metastasis from intestinal-type gastric cancer, metastatic infiltrating type is more common in diffuse gastric cancer.

Microscopic characteristics of stomach cancer


Microscopic characteristics of gastric carcinoma

A significant portion of the gastric mucosa, intestinal metaplasia in the cellular basis of the diversity and the development of tumors, these tumors have a variety of causes morphological. Stomach Adenokarsinomlarını WHO recognizes four histological types. Further, the size and depth of invasion of gastric cancer increases with increasing histologic diversity. According to the WHO classification of the pathological diagnosis of gastric cancer according to the predominant histological characteristics is performed. However, the predominant histologic feature of gastric cancer is not the true nature of mixed histologic pattern. Another approach to test the histologic classification of gastric dysplasia. WHO in 2000 was for all GIS concept of dysplasia and not as "intraepithelial neoplasia" more appropriate to use the concept does not explain and define intraepithelial neoplasia lesions and stromal invasion.
According to the WHO classification of tumors, when the diagnosis of invasive adenocarcinoma If infiltration of the lamina propria and submucosa. The literature shows the progress of high-quality diagnosis of prostatic intraepithelial neoplasia invasive adenocarcinoma of the stomach in relation to studies with a follow up of the patients examined, it was found that most studies of invasive carcinoma within a few months. What is known is the molecular point of view different from the genetically very high grade intraepithelial neoplasia invasive carcinoma.