It is a therapeutic vaccine, ie applicable to the disease already produced, tested in a pilot study among 171 patients from 17 centers in Canada and the UK, suffering from lung cancer in stages IIIb and IV, with large tumors (inoperable). The first stage has a better prognosis than the latter, which has metastasized.

The results obtained by Dr. Charles Butts, the Cross Cancer Institute in Edmonton, Canada, indicate that the group receiving the vaccine had a median survival of 4.4 months longer than those who did not receive 17.4 to 13.

“It is an encouraging result, although very preliminary, a small number of patients, the investigator said cautiously. But as the results were especially good among patients in stage IIIb, next year will test the vaccine in a large trial worldwide. Involved several thousand lung cancer patients, and Butts said the game will surely be of Argentine patients “because they have very good level of cancer in your country,” he told La Nacion.

The scientific and measuring more than eight feet “when he was young,” recalls, “was a very good basketball player – he said that patients in the 171 cases had received chemotherapy and / or radiation therapy (no surgery, because the their cancers at diagnosis were advanced, as occurs in 60% of cases, and therefore unresectable) and showed a steady response.

“It would have been of interest to apply the vaccine in poor responders at this stage of the disease because it indicates that there are few prospects for survival,” the doctor said.
A promise

“First,” said Butts, tested safety and tolerability, and then applied in more patients, divided into two groups. Half received clinical support (control symptoms and chemotherapy if the disease progressed) and the other half the same, but also immunization. ”

The vaccine in question, whose name is now L-BLP25 is a synthetic version of a glycoprotein called MUC-1 is present on the surface of many cells in the body, but altering their genetic structure when expressed in tumor cells.

“The vaccine is a lipopeptide, or a small lipoprotein, which incorporates 25 amino acids of the sequence of the MUC-1, composed in a form called liposome transport pharmacist who to ‘wrap’ in turn with a lipid layer that the system facilitates immune recognition of cancer antigen and start working, “said the scientist. arguably serves as the” awakening “the immune system T cells act against its target, MUC-1 glycoprotein in cancer cells.”

Among the study population, survival at two years was 43.2% of those treated with the vaccine, while 28.9% reached in the untreated group. Quality of life was assessed through the overall fitness and the presence or absence of symptoms such as pain. “Those who received the vaccine quality of life remained stable for 31 weeks, the other group experienced a decline in their general condition from the beginning, but, especially after the 19th week,” added the scientist.

According to the investigator, the adverse reactions were minimal: swelling at the site of injection (subcutaneous), some lines of a case of fever and pain. The vaccine was applied once a week for two months followed by maintenance doses every six weeks. The survival time than recorded in the same patient was 3.5 years: received immunization for 43 months.

The vaccine achieved better results in those suffering from lung cancer in stage IIIb, ie when the disease is still contained in the level of the lungs: 60% had reached 24 months of survival (overall average was 17, 4 months). “So I will convene in patients with lung cancer in stage IIIa and IIIb for the next study, to be much higher,” said Butts-How much will the vaccine? We have no idea. We’re investigating. ”

The scientist added that candidates for the large clinical trial “are an important group, 30 or 35% of patients with lung cancer. But we are realistic: sadly, the therapeutic alternatives available so far, 85% of these patients will die from the disease. Our goal is to prolong their lives with the best quality possible.

- Food rich in phytoestrogens.
Because soybeans and soybean products (miso, tofu, etc.). The Soy also is rich in calcium and high protein.

- Vegetables and fresh fruits.
Essential for good health for contain vitamins, minerals and fiber. They are especially recommended citrus, strawberries, melon and tomato for their contribution of vitamin C. Green vegetables such as broccoli, peas and crucifers are recommended for their contribution calcium. And yellow fruits and vegetables (especially squash, carrots and peaches) are rich in vitamin A which help keep good mucosal and prevent cancer.

- Food rich in omega 3 fatty acids.
Especially the blue fish and oils made with them as well as evening primrose, rapeseed, soybean and wheat germ, some vegetables (spinach, cabbage, lettuce and broccoli) and nuts (especially nuts).

- Food rich in calcium: sesame seeds nuts, turnips, broccoli, milk and milk. That yes, takes the milk semi-skimmed or skimmed. Just a glass of milk skim, two low-fat yogurt or 35-40 grams of cheese a day.

- Protein foods.
The fish-especially the blue-, meat lean meat and chicken are foods of choice as a source of necessary proteins. The Meat should be lean and should be removed skin the chicken. Of course, most cured meats and smoked foods should be avoided not only for its fat content but because the process of preparation increases its overall risks.

- Cereals.
Besides a major source of nutrients are rich in fiber and should therefore be a fundamental part of any diet and more during menopause.

Lipoprotein high density (HDL) cholesterol is a class that actually has a role protective for cardiovascular disease (also called good cholesterol)

Lipoprotein low density (LDL) cholesterol is deposited on the walls of the arteries, and thus increases the risk of cardiovascular disease (bad cholesterol)

Fats Monounsaturated is a type of unsaturated fat that lowers cholesterol blood. It is found in olive oil and peanut

Fats Polyunsaturated, this is called a type of vegetable fat that lowers cholesterol blood. One is in the cotton seed, soya beans, sunflower oil.

Fats; they are saturated animal fats that raise blood cholesterol. These are found in hydrogenated vegetable fats, coconut oil, cocoa butter, fat meat, whole milk, cream, and fatty cheeses.

Triglycerides Are blood fats that can increase the risk of disease cardiovascular.

But before you despair, in need to ask what you did in the past times to control their weight and to avoid adding kilos in your body:

- Have you lost my level of activity physics?
- My job is sedentary?, Have I stopped going to him no longer walk or climb stairs?
- Do I exercise or diet?
- Have I changed my eating habits?

Any of these changes, no matter how small they are, probably is related to weight gain.

However, these changes are not only cause weight gain, other factors that contribute to it.

Median age

Women who are approaching age 50 naturally increase their weight, especially at the waist. The main reason is a decrease in metabolism.

This decline begins around age 20, by a gradual loss of muscle tissue. This goes hand with reduced physical activity. The loss of muscle mass means that the body needs fewer calories to maintain weight.

Therefore, the excess calories are stored as fat in the body. If we add a lack of physical activity, these fats can increase.

The optimal calorie burning occurs when the body has a large muscle mass. It’s simple, if a lack of muscle mass is added decreased physical activity, the body will definitely gain weight.

Around age 50, the body has lost muscle mass sufficient for the daily calorie requirements are reduced significantly. When the daily calorie intake is not reduced, and naturally low level of muscle mass, it is inevitable weight gain.

When your metabolism works efficiently, burn calories and fat to give the body the energy it needs. As we age, our metabolism requires less energy to work efficiently, partly by reducing muscle mass.

The only way to prevent improper metabolism is to preserve and rebuild muscle tissue, and this is achieved through training. The more muscle mass in the body will burn more fat and more calories you can consume without gaining weight.

Working weight with exercise helps the body to strengthen the muscle. A regular aerobic activity like walking, jogging or biking, also helps build muscle tissue, but is more beneficial for maintaining good cardiovascular health and for burning calories in the short term.

The true weight loss will happen when you make your exercise routine and begin to form muscle tissue, with a regular aerobic activity.

Active metabolism

To lose weight, here are some suggestions:

- Establish a balanced diet of 1,600 calories per day.
- Take a multivitamin daily.
- Perform aerobic exercise daily for 30 minutes.
- Make a fitness routine at least two days of training per week.

It’s also good not paying much attention to their weight and look more measures your waist and hip. If you start a training program can not seem to be losing weight but find that your clothes fit better or need smaller sizes.

Muscle mass weighs more than fat, so after two months of work even though you probably the same but have a more toned body, full of fiber and no fat.

Before any routine, ask your doctor. If attends a gym, ask the teacher a consistent routine to you, and mention your goal of losing weight.

Burning those extra calories

You must have a critical and honest about how and what to eat. The quality Foods can affect the way your body burns calories. If you eat processed foods, high in fat and sugar, should reduce or eliminate them completely from your diet.

Try to eat smaller portions. It is best to add lots of fruits and vegetables, lean meats and fish. This will keep your weight down and give you energy.

If changes in food habits and exercise do not give a result should have a physical exam, including the thyroid gland function. Hypothyroidism can be easily detected with a blood test and a medication is solved.

Above all, do not get frustrated. No matter how much you want to get off, eat healthy and exercise and preventing chronic diseases such as cardiovascular, cancer and osteoporosis.

* Carbohydrates These foods include bread, potatoes, rice, biscuits, sugar, fruits, vegetables and pasta. When digested, carbohydrates provide energy.
* Protein these foods include meat, poultry, fish, eggs, cheese, beans (beans) nuts and other legumes. When digested, proteins are used for body repair processes. Some proteins can also be used for energy production.
* Fats These foods include butter, margarine, oil, cream, bacon and walnuts. When digested, fat is deposited in fat cells, or are used later, if necessary, to produce energy.

His diet plan should contain foods from these three groups, in amounts that promote a good control of their diabetes, as well as provide adequate energy and material with which to repair and maintain the body.
Calories

A calorie is a unit of heat used to express the ability to produce energy of a foodstuff. Your dietitian will calculate how many calories you need every day, and what food group should be obtained. This is done by taking in terms of weight, height, physical activity level, needs for growth (if age is still growing), metabolism, and lifestyle in general. For example, a young and active person who has a normal weight need more calories a person late in life, having inactive or overweight. Remember that if you eat more calories than you need to produce energy, those calories will be stored by the body as fat.
Obesity

If the fact is that you have excess weight, your goal should be to lower it. You can lose weight if you eat fewer calories than you spend to the level normal activity and also increase the amount of exercise you do. Means kilo of fat equals 3500 calories. To lose half a kilo per week, shall Eating 500 calories less per day than you spend (500 calories 7 days = half kilo). If you think this diet is too much for so little weight loss, remember that half a kilo per week will make in a year, you lose 26 kilos. But it must be done continuously. To achieve a healthy weight, need to develop healthy eating habits and to maintain the weight achieved, continue these habits.

See realistic. Make a radical change in life takes time. Record your weight in daily, so you realize when you are making progress and when not. Do not worry if it sometimes takes a step back. Do not blame yourself if you eat more than a day, or if you win a kilo that you thought had gone forever. Try to identify the reason why he lost control, and start again.

The ideal diet is a balanced diet that meets their needs, tastes, level physical activity and lifestyle. The times, types and quantity of food will be planned and adjusted especially for you. It is convenient to deal learn a little about nutrition principles, and will probably need make some adjustments in their eating habits. The better you understand your diet and the principles underlying, the greater the flexibility you can enjoy. The dietitian is the best person to help you begin the path to a Proper nutrition and good health. This (or is) she may also help to modify your favorite recipes to fit your plan. Remember the needs you have regarding your diet are not like the entire world. That’s why the help of the dietitian is so important. Once understand their nutritional needs, you yourself will be able to design their own menus and to make important decisions about your diet.

It is worth remembering that vitamins and minerals have no caloric value. The fat loss is the result of reduced caloric intake and increase energy expenditure by increased physical activity.

Therefore for efficient weight loss must be associated with diet and exercise. Diets have been considered the most obvious way to reduce body fat. Many of the approximately 30 billion spent annually in the U.S. in weight loss refers to the sale of programs, books and food products designed to reduce the caloric intake of overweight people.

Radical caloric restriction as practiced in spas and those found in the famous fad diets can be a quick method for promoting initial weight loss but usually not effective to maintain their weight. These diets usually promote a substantial loss of water and muscle mass (in the absence of a given increase muscle activity). Some people tolerate these diets for several weeks or months, but most of the leaves, and returns to its normal feed and retrieve the lost weight.

Food Reeducation – Palabras – a key to success

For the maintenance of weight reduction achieved is essential that a change of eating habits that can be obtained through a re-education aimed Food intake adequate understanding of the various food groups to generate a nutritional balance.

The moderate speed weight loss is more effective and safe, despite the understandable desire of people for quick weight loss. In general, it is rapidly lost weight (more than 500 g to 1000 g per week) is quickly regained.

The balance of the Pyramid

As an illustration we have here the food pyramid consists of all food groups with the aim to demonstrate the recommended servings of each order of priority of consumption. We can then look at the base of the pyramid, foods rich in carbohydrates, followed by eating fruits and vegetables, major sources of vitamins and minerals, have top food sources of animal protein (whole) and lastly the fats and sugars, which should have a rather restricted intake.

The Food Guide Pyramid.

Important Facts

- The secret to achieving weight loss is linked to the amount of food consumed, plus the type of food, therefore we must seek to reduce the portion size eaten.

- Replacement of high-fat foods for their nutritional equivalent low level of fat is extremely effective for a low calorie diet or calories, such as skim milk and not eat whole fat meat substitute for lean meats like poultry and fish, changing the consumption of sweets (fat + carbohydrate) for fruits that have a low caloric value and are rich in vitamins.

- Spread it is also interesting meals decrease hunger at lunch and dinner, you can eat food between meals such as fruit, yogurt or other foods low in calories.

- Food consumption lights helps a lot in diets for weight loss usually have less fat and calories than traditional accordingly, but without exaggeration.

- A diet low in calories does not mean they should be poor in nutrients, by contrast, the daily diet should be diverse enough to meet the need of all the nutrients needed by the body.

Weight loss diets should be individualized and developed by practitioners so that they can be analyzing all aspects of this individual would eventually lead to obesity or overweight, including psychological aspects.

The senators of the United States voted to reform health insurance. A compromise between Democrats and heated debates with the Republicans, The text aims to provide health insurance to 31 of the 36 million Americans who do not. The senators approved the text by 60 votes against 39, or without any voice of Republican opposition.

The bill is historic since President Theodore Roosevelt (1901-1909), several generations of politicians have tried unsuccessfully to reform the health system of the United States.

“Very enthusiastic”

In an interview with The Washington Post Tuesday, December 22, Barack Obama said “not supporting the bill (only) the lip. I am very enthusiastic about what we have achieved.” He assured that the essence of the reform has not been altered; the Senate has made “95%” of what he had promised.

“Are these pieces of legislation containing exactly what I want? Of course not. But they include the necessary measures to reduce costs (of health) for businesses, families and the state,” he pleaded.

The text of the Senate, unlike the previously voted in the House of Representatives last November 7, does not create an insurance fund run by the state in competition with private insurers. Barack Obama has acknowledged that the famous “public option” had “become a source of contention between the left and right.”

Democratic Majority

The right wing of the Democratic Party has long battled and finally got satisfaction to exclude the device from the final bill.

An initial vote to close the debate has already occurred on the night of 20 to 21 December last. The Democratic majority has proved on this occasion she was receiving 60 votes now out of 100 for the adoption of the draft. It may thus prevent an obstruction of the Republicans in approving the text: neither of them has also voted to close the debate.

U.S. opposition to any attempt to block the reform that they believe it will worsen the deficit and will raise the price of insurance policies.

Republican Opposition

The Republican leader Mitch McConnell said Tuesday, December 22 that the “final vote in the Senate is not the final vote. The discussions will continue in effect in January between the House of Representatives and Senators to merge the two versions of the text.

In this final stage of the bill, the Democratic leader, Harry Reid, told the press: “We are focused on the adoption of this bill in the Senate. We’ll take care of things to come later.

And discussions between the two chambers should be strained, including the public option or the issue of using government funds for abortion.

Developing information systems, as the minimum basic set of hospital discharge data, which know the product enable the attention of health systems is an indispensable basis. At the same time is required development of accounting systems that will allow an approach to efficiency. Currently available tools, even with its limitations are useful for systematizing medical practice, measurement of the results of care processes and to share the risk of decisions between managers and clinicians. We identified three areas of clinical management:

The determination of effective clinical practices, developed based on based medicine evidence and used as instruments development of clinical protocols. Process management, which rearranges the attention focused on the internal customers (staff) and external and the continuum of care. The organization and management services that facilitate definition of responsibility centers are involving to clinical management of their services through the clinical budgeting. Since the beginning of the process which must lead to autonomous management of an establishment health is introduces training of managers and professionals principles and techniques of clinical management and whether furthermore, the organization is plotted targets for improvements in clinical practice and customer service, the possibilities success and consolidation of reform will increase considerably.

Recommendations for improved management should combined measures to improve system management the establishments and the process of care that are consistent and mutually reinforcing. Management measures should be accompanied by the appropriate changes in regulation of the system, deregulating of strengthening operational and monitoring results.

In a well developed regulatory framework, the actions of a pilot or experiences limited in the macro and micro are most useful for universal measures because latter block initiatives the suppliers, new experiences and adapting to environment. It is not possible to accurately predict the success of a management innovation, and consequently will be needed experiences and go out rectified in accordance with results will be obtained. This requires a high capacity for evaluation and a culture of transparency and communication of the results only possible in an environment of consensus and negotiation.

Conclusions

System Reforms health develop in a given environment that conditions and, generally, as part of the reform. This is a first-order condition must be known and analyzed by those who prepare proposals and decision makers. Reforms often focus exclusively the care services to individuals and, therefore, only can produce results that can be achieved with changes in themselves. The integration of public financing is a policy that promotes equity and efficiency. If the integration into a single fund to provide universal coverage is not feasible, should be sought integration formulas that get double coverage and avoid cross-subsidization between public funds or between public funds and private. Charged directly for services should be regulated and must be applied cautiously because of its implications on equity and the difficulty of their control. Reform policies should include determination of benefits that the State guarantees the population and how to access them. The processes decentralization may be useful to bring services to the population, share risks and democratize decision whether they are carried out through an orderly process of distribution functions, taking into account ability of management receiving powers and protecting equity and integrated care for people.

Measures strengthening management capacity must reach everyone levels system, from the regulator to the care professionals and must be consistent with objectives system and serve to promote them.
The management establishments and clinical management will develop best in a decentralized, respecting and supporting initiatives the providers as well as professional groups, and evaluating experiments carried out. Gradual negotiation and consensus must be present in everyone times of reform.

* The daily multivitamins are very useful, as they provide, including zinc, very appropriate for the health of hair.
* Do not brush your hair too much, because it can damage. Scrub only if needed for a particular hairstyle, not the usual way.
* Use a good quality brush or comb without sharp plastic or metal teeth, as these cuts off the ends.
* Get used to refer to the products offered in the classrooms. They are high quality and, especially, are used with advice from the hairdresser, who is best known what you need.
* Do not use too many buckles, aprons, etc.., that squeeze the hair fibers. The hair free is better.