Anxiety related Desaturation

Ginkgo biloba has many health benefits. It’s often used to treat mental health conditions, Alzheimer’s disease , and fatigue . It’s been used in traditional Chinese medicine for about 1,000 years. It came on the Western culture scene a few centuries ago, but has enjoyed a surge of popularity over the last few decades. ADVERTISEMENT USES Uses of ginkgo biloba Ginkgo is used as an herbal remedy to treat many conditions. It may be best known as a treatment for dementia , Alzheimer’s disease, and fatigue. Other conditions it’s used to treat are: • anxiety and depression • schizophrenia • insufficient blood flow to the brain • blood pressure problems • altitude sickness • erectile dysfunction • asthma • neuropathy • cancer • premenstrual syndrome • attention deficit hyperactivity disorder (ADHD) • macular degeneration Like many natural remedies, ginkgo isn’t well-studied for many of the conditions it’s used for. HEALTH BENEFITS Health benefits of ginkgo biloba Ginkgo’s health benefits are thought to come from its high antioxidant and anti-inflammatory properties. It may also increase blood flow and play a role in how neurotransmitters in the brain operate. Some studies support the effectiveness of ginkgo. Other research is mixed or inconclusive. In 2008, results of the Ginkgo Evaluation of Memory (GEM) study were released. The study sought to find out if ginkgo would reduce the occurrence of all types of dementia, including Alzheimer’s disease. It also looked at ginkgo’s impact on: • overall cognitive decline • blood pressure • incidence of cardiovascular disease and stroke • overall mortality • functional disability The GEM study, the largest of its kind to date, followed 3,069 people age 75 or older for 6 to 7 years. Researchers found no effect for preventing dementia and Alzheimer’s disease in study participants who either took ginkgo or a placebo. And a 2012 meta-analysis found ginkgo had no positive effects on cognitive function in healthy people. Still, a 2014 study showed ginkgo supplementation may benefit people who already have Alzheimer’s and take cholinesterase inhibitors, common medications used to treat the condition. The GEM study also found ginkgo didn’t reduce high blood pressure . There was also no evidence ginkgo decreases the risk of heart attack or stroke. It may, however, reduce the risk of peripheral artery disease caused by poor blood circulation. According to a 2013 systematic review , ginkgo can be considered an adjuvant therapy for schizophrenia. Researchers found ginkgo seemed “to exert a beneficial effect on positive psychotic symptoms” in people with chronic schizophrenia who take antipsychotic medication. Researchers in that study also found positive study results for ADHD, autism, and generalized anxiety disorder, but indicated more research is needed. According to an older review of evidence study, ginkgo may improve erectile dysfunction caused by antidepressant medications. Researchers believe ginkgo increases the availability of nitric oxide gas which plays a role in increasing blood flow to the penis. Ginkgo may help relieve premenstrual syndrome (PMS) symptoms, according to a 2009 study . During the study, participants taking either ginkgo or a placebo experienced a reduction in symptoms. Those taking ginkgo had significantly more relief. ADVERTISEMENT RISKS Ginkgo biloba risks Ginkgo is generally safe for healthy people to use in moderation for up to six months. Severe side effects are rare. Still, the Food and Drug Administration (FDA) doesn’t regulate ginkgo and other over-the-counter herbal supplements as strictly as other drugs. This means it’s hard to know exactly what’s in the ginkgo you buy. Only buy a brand of supplement you trust. Ginkgo may cause an allergic reaction in some people. Your risk may be higher if you’re allergic to urushiols, an oily resin found in poison ivy, sumac, poison oak, and mango rind. Ginkgo may increase bleeding. Don’t use ginkgo if you have a bleeding disorder or take medications or use other herbs that may increase your risk of bleeding. To limit your bleeding risk, stop taking ginkgo at least two weeks before undergoing a surgical procedure. Don’t take ginkgo if you’re on any medications that alter clotting. Don’t take it if you’re taking NSAIDS like ibuprofen, too. Ginkgo can have serious side effects. If you’re on any medication, let your doctor know the dose you plan on taking. Ginkgo may lower blood sugar. Use with caution if you have diabetes or hypoglycemia or if you take other medications or herbs that also lower blood sugar. Don’t eat ginkgo seeds or unprocessed ginkgo leaves; they’re toxic. Due to the potential bleeding risk, don’t use ginkgo if you’re pregnant. Ginkgo hasn’t been studied for use in pregnant women, breastfeeding women, or children. Other potential side effects of ginkgo are: • headache • vomiting • diarrhea • nausea • heart palpitations • dizziness • rash TAKEAWAY Takeaway There was a time ginkgo seemed like a magic bullet for preventing age-related memory loss and other health conditions. But research to date doesn’t support much of the enthusiasm. Most evidence for ginkgo is anecdotal or decades old. Still, research has shown ginkgo may slow the progression of Alzheimer’s disease, help treat some common mental health conditions, improve sexual function, and improve blood flow to the peripheral arteries. Don’t replace a current medication with ginkgo or start taking ginkgo to treat a serious condition without consulting you

CASE Name: Mr. Ernesto Age/gender: 50/Male M-status: Married Date & Time: 4/29/20 & 8:00pm Chief complaint: Chest pain History of present illness: Patient is known to have hypertension since 10years. 2months PTC, patient experienced the chest pain, while climbing 1-2 steps of stair, which was relieved by rest, which sought consult, were ECG was done and result found normal, but his blood pressure was elevated. He was prescribed with Enalapril. 2days PTC, again patient experienced chest pain lasting for 45mins, which was squeezing in nature and feel like heaviness associated with difficulty of breathing and get fatigue easily. At rest, pain disappear. No medicine was taken no consult was done. 1hour PTC, patient started having severe chest pain, which was persistent and was 8/10 on scale of pain with excessive sweating, hence this prompted patient to consult at ER for further evaluation and management . Review of system: (-)Fever, (-) blurring of vision, (-) hearing problem (-) cough, (+)Shortness of breathing Past medical history: • Hypertenion for the past 10years • (-) Diabtes mellitus • (-) Asthma • (-)Tb • (-)MI • (-) Allergies • Past surgery : none Current medication: Enalapril Personal and social history: • Occupation: Retired, before use to work as seaman. • (+) Smoking: 10 cigarettes/day • (+) Alcohol drinking occasionally • (+) Caffeine beverages occasionally Family history: - Father died because of heart attack. Physical examination: - Conscious, coherent, oriented to time, place and person - BP 100/60 HR: 59/min RR: 26 cycles/min Temp 36.5 C; O2sat 98% at room air - Pink conjunctiva, anicteric sclera - No neck vein engorgement, no cervical lymphadenopathy, no neck mass or goiter - Symmetrical chest expansion, no retractions, vesicular breath sounds, no crackles - Adynamic precordium, regular rhythm, apex beat at the 6th left intercostal space anterior axillary line, no heaves, no thrills, no murmurs - Flabby abdomen, normoactive bowel sounds, soft, non-tender - No edema, no cyanosis on all extremities - Full and equal pulses - Neurologic examination: unremarkable Give the working diagnosis interprete the ECG and other labs and management in details.

Soft Drink Dangers: 8 Ways Soda Negatively Affects Your Health Soda is one of the most consumed beverages in the world,second only to the water. what’s happening inside the bodies of soda consumers with each sip? As soon as soda's swallowed, the pancreas is notified and rapidly begins to create insulin in response to the sugar. Insulin is a hormone the body uses to move sugar from food or drink into the bloodstream, where cells are then able to use sugar for energy. Within just 20 minutes, blood sugar levels spike and the liver responds to the insulin by turning sugar into fat for storage. Within 45 minutes of gulping down a single 20-ounce glass of soda, caffeine from the drink is fully absorbed, and as a result your pupils dilate and blood pressure rises. The body produces more dopamine, which stimulates the pleasure centers of the brain — just like a low-grade line of cocaine. When the hour chimes, the body begins to experience a blood sugar crash, which is around the same time a person reaches for their second soda, or for another sweet and sugar snack to suffice. Soda’s connection to the obesity epidemic is so intertwined, Harvard researchers have calculated each additional soda consumed increases the risk of obesity 1.6 times. In addition to the threat of reaching obese levels, researchers also found after following 40,000 men for two decades, those who drank a sugary beverage each day had a 20 percent increased risk of having a heart attack. The high fructose corn syrup — a cheap replacement for cane sugar — has been associated with increased risk of metabolic syndrome, which leads to diabetes and heart disease,little children have an 80 percent increased risk of developing type 2 diabetes if they become regular soda drinkers. Their future will be one full of kidney problems, reproductive issues, osteoporosis, asthma, and bad teeth with dissolved tooth enamel.

YOUNG HEALTHY LADY NOTICED RED COLOURED SWELLING ON HER TONGUE SUDDENLY WHEN SHE WAKES UP EARLY MORNING PLEASE EXPLAIN THANKS

Good evening everyone..... Identity the plant & it's uses.