Weight loss always be All this advice requires some fundamental discipline strict with your diet. Stay away from salt If unable to do this has met with 99% of the work. In fact, sometime a few weeks to maintain this exercise and will not want to run these things because they will always that made him feel good extreme weight loss.
Eating of complex carbohydrates, protein and some fat, that will prepare your lose weight fast metabolism for the time of the day, in addition to providing fuel and material for rebuilding muscle mass. The proteins are the provide things for the synthesis of diet, and carbohydrates and fats are the enemy. Dinner is the easiest to prepare food in a balanced way: cereals and whole lot of fluid. If not eat properly at breakfast, your body will use water as an energy source, and this will own a deficit in the synthesis of muscle fiber.
Something that can ensure good functioning of your metabolism is to take a vitamin and mineral complex each morning with a sip of vegetable oil. This will make your body work more efficiently.
fruit. You see, no bread. It's time to discover the usefulness of the lose weight fast Tupperware.
Remember if you want to weight loss should eat less. If you are fitness with load to increase muscle mass, you must eat more. If you want to lose weight should exercise. There is no magic, just control eating.
It is preferable to increase the proportion of protein in their diet. Promotes the synthesis of muscle fibers. If you are vegetarian you will need to be particularly careful at this condition, few plants that provide us with healthy food.
Bites between meals is non-candy. The meals can be nutritious vegetables.
Simple carbohydrates like soda we provide a quick source of energy, but as soon as they coming soon. What makes an extreme of sugar in the blood is insulin trigger generator on our metabolism and this leads to fatigue and gain weight. In addition to lose weight and a possible onset of diabetes.
Enough protein and carbohydrates they are efficient, easy to digest and not expensive. In addition, there are natural products such as ecdysterone and incorporation into muscle.
After workout, you must provide your body with proteins that help to lose weight fast synthesize the fibers damaged during exercise. Forty-five minutes after training.
The most important ingredient of all is water. The quality and quantity of water to drink.
Thursday, April 21, 2011
Tuesday, April 19, 2011
Employee motivation news
Employee motivation project report when it comes to motivation theory, there are many definitions for it but ultimately motivation is the same as it involves some kind of driving force within us. So how do you motivate employees Is not you that person? Does employee motivation the owner or manager employee motivation news of the company? When employees working, they are naturally motivated What ever wondered why you are and how you can do to motivate employees, more proactive and take their job seriously?
Why not give more vacation days or pay higher wages. Or why not offer other assistance as a truck or cash incentives for doing a good job? how do you motivate employees But the reality is that these are benefits that help retain good employees. In fact, many companies offer these benefits to attract and retain the best professionals and employees, but will not do much to keep them motivated.
Not because they forced to because this job is the only source of employees income While these benefits maintain high morale of the employees in the dairy, will not motivate employees to excel. Definitely will make people be more comfortable working for your company and help to make greater effort to do a good job and get the incentives, but do not motivate employees.
So if these are not the factors that motivate your employees, what other things can be done for the employer to get it done the best work consistently.
The reality is that generally all employees are naturally motivated. The idea is to make the employees compete for reducing company costs It's normal to want to improve at work, or have a desire for power, or desire to please his boss. But there are two very important steps for you as the leader of a group of employees must do to take advantage of the natural motivation of the people.
Convincing examples are
for employer it is more important to stimulate a highly motivated working place among the employees
instead of giving encouragement or constructive criticism and teaching while working
but only, only if the employer also give the employees incentive or bonus for achieving the higher target that the method would work When tolerate employees who do not work well or have poor work attitude. Employee motivation - how to motivate employees a concise definition of performance management is the best starting point but base your employee motivation program on the things that really matter to employees.
Why not give more vacation days or pay higher wages. Or why not offer other assistance as a truck or cash incentives for doing a good job? how do you motivate employees But the reality is that these are benefits that help retain good employees. In fact, many companies offer these benefits to attract and retain the best professionals and employees, but will not do much to keep them motivated.
Not because they forced to because this job is the only source of employees income While these benefits maintain high morale of the employees in the dairy, will not motivate employees to excel. Definitely will make people be more comfortable working for your company and help to make greater effort to do a good job and get the incentives, but do not motivate employees.
So if these are not the factors that motivate your employees, what other things can be done for the employer to get it done the best work consistently.
The reality is that generally all employees are naturally motivated. The idea is to make the employees compete for reducing company costs It's normal to want to improve at work, or have a desire for power, or desire to please his boss. But there are two very important steps for you as the leader of a group of employees must do to take advantage of the natural motivation of the people.
Convincing examples are
for employer it is more important to stimulate a highly motivated working place among the employees
instead of giving encouragement or constructive criticism and teaching while working
but only, only if the employer also give the employees incentive or bonus for achieving the higher target that the method would work When tolerate employees who do not work well or have poor work attitude. Employee motivation - how to motivate employees a concise definition of performance management is the best starting point but base your employee motivation program on the things that really matter to employees.
Wednesday, February 9, 2011
Adenomyosis
Adenomyosis is condition characterized by the presence of ectopic endometrial tissue within the myometrium..
The condition is typically found in women between the ages of 35 and 50..
The disease coexist with uterine fibromyoma and endomdtrial carcinoma.
Grossly :
Uterus appears symmetricaly enlarged to not more than 14 weeks size.
Cut section :
It shows only localized nodular enlargement. The affected areas reveals peculiar diffuse. Striated and non capsulated involvement of myometrium with tiny dark haemorrhagic areas interspersed in between .
Histological examination :
Reveals island of endomdtrial gland surrounded by stroma
Clinical examination :
Symmetrical enlargement of uterus he the adenomyosis gigs diffuse and the uterus is tender.
Painful symmetrical enlargement of uterus should suggest the correct diagnosis.
Treatment:
NSAIDS & hormonal suppression for symptomatic relief, with hysterectomythe only permanent cure option.
The condition is typically found in women between the ages of 35 and 50..
The disease coexist with uterine fibromyoma and endomdtrial carcinoma.
Grossly :
Uterus appears symmetricaly enlarged to not more than 14 weeks size.
Cut section :
It shows only localized nodular enlargement. The affected areas reveals peculiar diffuse. Striated and non capsulated involvement of myometrium with tiny dark haemorrhagic areas interspersed in between .
Histological examination :
Reveals island of endomdtrial gland surrounded by stroma
Clinical examination :
Symmetrical enlargement of uterus he the adenomyosis gigs diffuse and the uterus is tender.
Painful symmetrical enlargement of uterus should suggest the correct diagnosis.
Treatment:
NSAIDS & hormonal suppression for symptomatic relief, with hysterectomythe only permanent cure option.
Monday, December 27, 2010
Vitamin A defintake of 1
Vit A def
intake of <180mcg retinol.
Causes:
1.Diarrhea
2worms
3increased metabolic demand in measles,RTI.
C/f:
1subclinical
rt,ut,intenst.Epith.affected
2early feat
defective dark adaptation
3xerophthalmia
who class
x1a-conjuctival xerosis
x1b-bitots spots
x2-corneal xerosis
x3a--"--- ulceration
x3b--"--"-->1/3cornea
XN Night blindness
XE Fundal changes
xs corneal scaring
Rx
50000,1lac,2lacIU in children <6mnth,6-12mont,>1yr
prevention
1lac unit vit a at 9months
TOXICITY
ACUTE
headache,vomiting,dizines
s/o raised ICT-PSUEDOTUMOR CEREBRI
CHRONIC
anorexia,itchy skin,wt loss
teratogenic
intake of <180mcg retinol.
Causes:
1.Diarrhea
2worms
3increased metabolic demand in measles,RTI.
C/f:
1subclinical
rt,ut,intenst.Epith.affected
2early feat
defective dark adaptation
3xerophthalmia
who class
x1a-conjuctival xerosis
x1b-bitots spots
x2-corneal xerosis
x3a--"--- ulceration
x3b--"--"-->1/3cornea
XN Night blindness
XE Fundal changes
xs corneal scaring
Rx
50000,1lac,2lacIU in children <6mnth,6-12mont,>1yr
prevention
1lac unit vit a at 9months
TOXICITY
ACUTE
headache,vomiting,dizines
s/o raised ICT-PSUEDOTUMOR CEREBRI
CHRONIC
anorexia,itchy skin,wt loss
teratogenic
Buying Individual Health Insurance Tips
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Sunday, December 26, 2010
NEPHROTIC SYNDROME
I.. Minimal change nephrotic syndrome
II. Nephrotic syndrome with significant lesion -
I.. Minimal change nephrotic syndrome
80 % of neph syndromes
- Clinical features
edema around eye, pitting, graduallly generalised, sustained elevation of BP
LAB findings-
heavy proteinuria, gross hematuria, hyaline casts, blodd level of igg low , igm high, protein selectivity low ratio
MANAGEMENT
- high protein diet
- no extra salts
rapid fliud losss should nt be attempted
- furosemide 1-4 mg / kg
- prednosolone 2mg/kg
management of relapse
- prednisolne 2mg/kg 2 wks
- treatment of frequent relapses
* Alternate day prednisolone 0.3- 0.7 mg/kg 10 mnths
COMPLICATIONS
1. Edema
2. infection
3. thrombotic complication
4. steroid toxicty
5. Acute renal failure
. II. Nephrotic syndrome with significant lesion -
Significant glomerular abnormalities
1. Mesangial proliferative GN
2. Focal segmental glomerulosclerosis
3. Membranoproliferative GN
Supportive care of resistent nephrotic syndrome
i.v. albumin
ACE inhibitors
II. Nephrotic syndrome with significant lesion -
I.. Minimal change nephrotic syndrome
80 % of neph syndromes
- Clinical features
edema around eye, pitting, graduallly generalised, sustained elevation of BP
LAB findings-
heavy proteinuria, gross hematuria, hyaline casts, blodd level of igg low , igm high, protein selectivity low ratio
MANAGEMENT
- high protein diet
- no extra salts
rapid fliud losss should nt be attempted
- furosemide 1-4 mg / kg
- prednosolone 2mg/kg
management of relapse
- prednisolne 2mg/kg 2 wks
- treatment of frequent relapses
* Alternate day prednisolone 0.3- 0.7 mg/kg 10 mnths
COMPLICATIONS
1. Edema
2. infection
3. thrombotic complication
4. steroid toxicty
5. Acute renal failure
. II. Nephrotic syndrome with significant lesion -
Significant glomerular abnormalities
1. Mesangial proliferative GN
2. Focal segmental glomerulosclerosis
3. Membranoproliferative GN
Supportive care of resistent nephrotic syndrome
i.v. albumin
ACE inhibitors
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