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Sunday, July 31, 2022

Shiva Video Status. Shravan Month Special App

 

Shiva Video Status. Shravan Month Special App



Mahadev Video Status app provides a variety of short shiva Videos, Shiv Tandav Video Status, Lyrical Full Screen Mahakal Video Status, Shiva Strotra Video Status, Shravan Wishes, Shomvar Status, Adi yogi Status, Shiv Parvati status. This application helps to direct put video status on social media. you can easily download and share videos on social apps. one of the best apps for Mahadev Video Status (Lyrical Videos)





સમગ્ર શિક્ષા અંતર્ગત કરાર આધારિત કર્મચારીઓની જિલ્લાફેર બદલી બાબત લેટર

Mahadev Video Status app provides a variety of short shiva Videos, Shiv Tandav Video Status, Lyrical Full Screen Mahakal Video Status, Shiva Strotra Video Status, Shravan Wishes, Shomvar Status, Adi yogi Status, Shiv Parvati status. This application helps to direct put video status on social media. you can easily download and share videos on social apps. one of the best apps for Mahadev Video Status (Lyrical Videos).

Would you like to download a free Mahadev status in Hindi, English, Sanskrit, Gujarati and share your feelings on Social Media Apps? Try Mahadev Mahakal Video Status - Shravan Video Status App! The collection of free downloading trending status videos for your Status!

A large collection of the best Shankar Bhagwan videos to share on your social media apps. Here you get access to the Full-screen mantra and strotra status which is being loved by everyone. Mahadev Status Video is available in a short size with the best quality.

In this Application, you will find video status and image status for the festival of Maha Shivratri, It is an annual festival dedicated to the Hindu god Shiva and is particularly important in the Shaivism tradition of Hinduism. Unlike most Hindu festivals which are celebrated during the day, the Shivaratri is celebrated at night. unlike most Hindu festivals which include the expression of cultural revelry, It's a solemn event notable for its introspective focus, fasting, a meditation on Shiva, self-study, social harmony, and an all-night vigil at Shiva temples.

Trending Video: We currently offer video running in the market. So you can put a trending video on your social profile.
Quick Share: Expeditiously share short Mahadev video Status on popular social networks.
Smart Search: Shiva Video App will help you to get search results from various videos.
Status Downloader: Mahadev status application helps you download photo images, Video status.

Shravan Wishes: You will get a unique Style of Shravan Status On Every Somvar or Monday.

If you guys like this app then don’t forget to give it a review.

If you have any feedback, questions, or concerns, please email us at moral.pathway@gmail.com
Would you like to download a free Mahadev status in Hindi, English, Sanskrit, Gujarati and share your feelings on Social Media Apps? Try Mahadev Mahakal Video Status - Shravan Video Status App! The collection of free downloading trending status video for your Status!

A large collection of best Shankar bhagwan videos to share on your social media apps. Here you get access to the Full screen mantra and strotra status which is being loved by everyone. Mahadeb Status Video is available in short size with the best quality.

Mahadev Videos App Features :
🔸Small Size: small size status video download, so save your internet data and save your mobile memory.
🔸Trending Video: We currently offer video running in the market. So you can put a trending video on your social profile.
🔸Quick Share: Expeditiously share short Mahadev video Status on popular social networks.
🔸Smart Search: Mahadev Video App will help you to get search results from the various video.
🔸Status Downloader: helps you download photo images, GIF, Video download.

Shravan Wishes: You will get a unique Style of Shravan Status On Every Somvar or Monday.

If you guys like this app then don’t forget to give a review.

If you have any feedback, questions or concerns, please email us at moral.pathway@gmail.com


Important link⤵️

એપ 1 ડાઉનલોડ  ||  એપ 2 ડાઉનલોડ

Brando App Festival, Greetings, Quotes Posters

 

Brando App Festival, Greetings, Quotes Posters

A fast and easy-to-use app to make your social media page interesting,
Brando app will ease your job for creating & editing social media Post with ready-to-use poster design.

Current events:

Keep your social media updated with posts of current events going on.

Make posts for your products with your own branding and details. uniquely designed creatives will transform your regular product posts to professionally designed posts.

Greetings:

  • An image speaks a thousand words! It will be a great way to Sharing greeting and wishes through images to your clients, family, and friends.

Festivals & Days:

  • We have included creatives for almost all major festivals and days. You’ll get multiple options to match your social media theme and taste.

Quotes:

  • Quotes about Motivational, Inspirational, Success, Life, Good morning, Daily Status, etc..

Important Link :

Download App: Click Here


more. 


Take web development courses or computer science courses like CS50 from Harvard. 

અહીંથી જુઓ માછલીઘર નો વીડીયો

 




• Tasks- produce, manage, and

features:

  • For posters and greetings choose images from your gallery or camera, and make your post.
  • the placing of the logo and basic information like phone e-mail and website are movable and resizable,
  • there are multiple font support and we keep updating the fonts so that you never run out of options.
  • change font colors and opacity to make your posts look the best.


There are many major festivals like Happy New Year, Durga Puja, Vijayadashami, Independence Day, Gandhi Jayanti, Janmashtami, Holi, Navratri, Ganesh Chaturthi, Maha Shivratri, Diwali, Dussehra, Guru Nanak Jayanti, Onam, Christmas etc.

If you notice that any content in our app violates copyrights than please inform us so that we remove that content.

Don’t forget to share your valuable feedback for this poster-making app.

Aajnu ukhanu juo

 The puzzle game contains a number of lovely  images of various difficulty levels ranging from easy to hard. The difficulty of the game is predicted on the amount of puzzle pieces, which should be put together.





If you are excited to solve real jigsaw puzzles, you will definitely like our app too!
The jigsaw puzzle on your device is as challenging as the real one! In addition the Jigs app is portable, does not result in any of its pieces being lost and includes a good range of puzzle games. These features jigs app the actual jigsaw app. Makes puzzles as exciting.
Being a stress  and comfortable sport, daily jigsaw puzzles for adults will help you stick to the need of the occasion and the daily routine.
ree Plenty of beautiful beautiful, high quality pictures. Choose between the spread of classes such as colors, flowers, nature, animals, art, landmarks, hard puzzles and others.

 Daily  puzzle. Get a day change  puzzle and check it out
Ys mystery puzzles. Challenge yourself to reveal what is hidden during a picture
Daily update gallery. You will never be able to play  puzzles in our jigsaw puzzles
Ful helpful hints. Use the hint to match the subsequent part with the puzzle if you get stuck
99 to 400 puzzle pieces. The more pieces, the harder your puzzle game becomes
Ot rotation mode. Activate the rotation, make the game more difficult!


આખો દિવસ ઊંધ્યા કરું,
રાત પડે ને રડ્યા કરું,
જેટલું રડું એટલું ગુમાવું ?
તો બોલો મિત્રો કોણ?

જવાબ – મિણબત્તી



Custom backgrounds. Choose your favorite look to unlock  puzzle games with more fun.
Jigsaw Puzzle Puzzle of the Day gives you a simple puzzle experience out of your pocket. Discover the gorgeous world of jigsaw puzzles, relax your mind and clear your mind of the stress of the day. Solve many beautiful HD jigsaw puzzles on the go for . Jigsaw puzzles help you improve your memory and detection skills.
With the puzzle of the day you will experience the most beautiful places of the planet, nature, amazing food, interesting people, art, dogs, cats and many more beautiful animal puzzles in high-definition. Each puzzle game is unique!

Post office franchise schemelePost office franchise scheme

Post office franchise schemele

Post Office Franchise Bussines: Regarding postal franchise scheme, Assistant Postmaster Rajesh Sharma said that post office can be our source of income. This requires neither extra capital nor a degree-diploma. An eighth grader can also set up a post office as a source of income. According to an estimate a person can earn 50 thousand per month with Post Office Franchise.


Post Office Franchise Bussines Scheme
Any Indian citizen above 18 years of age can avail the franchise of Post Office. Educational Qualification Must be at least 8th pass. Here you can sell Registered Articles, Speed ​​Post Booking, Money Order, Registry, Stamps, Postal Stationery and Money Order Forms.

Under this you sell registered post, post booking, money order, registry, stamp, postal stationery and money order form. On which the post office pays commission ranging from 15% to 20%. PO Interest calculator Post Office Interest Calculator app has historical interest rates. Application users do not have to remember about the interest percentage. Just change the date when your scheme has started, It will take the interest rate automatically. 

How To Apply For Post Office Franchise Bussines ?

The post office offers two types of franchises. One is an outlet franchise and the other is a postal agent franchise. The applicant can take any franchise. Postal delivery of postage stamps and stationery agents in urban and rural areas is known as postal agent franchise. Post office franchisees can click on the official link of India Post website to apply.

Official PDF

Information In Gujarati

Aajnu ukhanu.

 The puzzle game contains a number of lovely  images of various difficulty levels ranging from easy to hard. The difficulty of the game is predicted on the amount of puzzle pieces, which should be put together.





If you are excited to solve real jigsaw puzzles, you will definitely like our app too!
The jigsaw puzzle on your device is as challenging as the real one! In addition the Jigs app is portable, does not result in any of its pieces being lost and includes a good range of puzzle games. These features jigs app the actual jigsaw app. Makes puzzles as exciting.
Being a stress  and comfortable sport, daily jigsaw puzzles for adults will help you stick to the need of the occasion and the daily routine.
ree Plenty of beautiful beautiful, high quality pictures. Choose between the spread of classes such as colors, flowers, nature, animals, art, landmarks, hard puzzles and others.

 Daily  puzzle. Get a day change  puzzle and check it out
Ys mystery puzzles. Challenge yourself to reveal what is hidden during a picture
Daily update gallery. You will never be able to play  puzzles in our jigsaw puzzles
Ful helpful hints. Use the hint to match the subsequent part with the puzzle if you get stuck
99 to 400 puzzle pieces. The more pieces, the harder your puzzle game becomes
Ot rotation mode. Activate the rotation, make the game more difficult!


એવી કઈ અટક છે જે ગુજરાતીમાં લખીએ તો 2 અક્ષર થાય પરંતુ અંગ્રેજીમાં લખીએ તો 9 અક્ષર થાય?

જવાબ : છુંછા


Custom backgrounds. Choose your favorite look to unlock  puzzle games with more fun.
Jigsaw Puzzle Puzzle of the Day gives you a simple puzzle experience out of your pocket. Discover the gorgeous world of jigsaw puzzles, relax your mind and clear your mind of the stress of the day. Solve many beautiful HD jigsaw puzzles on the go for . Jigsaw puzzles help you improve your memory and detection skills.
With the puzzle of the day you will experience the most beautiful places of the planet, nature, amazing food, interesting people, art, dogs, cats and many more beautiful animal puzzles in high-definition. Each puzzle game is unique!

Gujarat Industrial Security Force Society (GISFS) Recruitment 2022

 Gujarat Industrial Security Force Society (GISFS) Recruitment 2022

Gujarat Industrial Security Force Society (GISFS) Recruitment 2022: The Gujarat Industrial Security Force Society (GISFS) has released an employment notification inviting candidates to apply for the positions of Security Guard Posts. This is a great chance for interested candidates who are looking for GISFS Jobs 2022.

It is a good opportunity for all the interested candidates who are looking jobs in GISFS. Before applying for the post, candidates should ensure that he/ she fulfills the eligibility criteria and other conditions mentioned in this advertisement. The last day for registration is 15 September 2021. Candidates are advised to carefully read the full advertisement for details of educational qualification and other eligibility criteria before submission of application. more detailed information regarding educational qualification, age limit,selection procedure, how to apply ,last date for Gujarat Industrial Security Force Society (GISFS) Recruitment 2021 are mentioned below.

Gujarat Industrial Security Force Society (GISFS) Recruitment 2021




Gujarat Industrial Security Force Society (GISFS) Security Guard Recruitment 2022 @ojas.gujarat.gov.in

Posts Name: Security Guard – Ex-servicemen

Educational Qualification, Age Limit, Fee & Other Details: Please Read Official Notification.

How to Apply: Interested and Eligible Candidates may Apply Online Through official Website- https://ojas.gujarat.gov.in

Important Dates:
• Starting Date for Submission of Online Application: 01-08-2022
• Last Date for Submission of Online Application: 15-08-2022

Advertisement: Click Here

Notification: Click Here

Apply Online: Click Here


Saturday, July 30, 2022

Everything You Need to Know About Hair Loss

 

Everything You Need to Know About Hair Loss

Hair loss (alopecia) is a fairly common occurrence. While it’s more prevalent in older adults, anyone can experience it, including children.


It’s typical to lose between 50 and 100 hairs a day, according to the American Academy of Dermatology (AAD). With about 100,000 hairs on your head, that small loss isn’t noticeable. New hair normally replaces the lost hair, but this doesn't always happen.

Everything You Need to Know About Hair Loss


Hair loss can develop gradually over years or happen abruptly. Depending on the underlying cause, it may be temporary or permanent.

Trying to tell if you’re actually losing hair or just experiencing some normal shedding? Unsure if it’s time to see a doctor? Read on for more information about hair loss and how to manage it.

The main symptom of alopecia is losing more hair than usual, but this can be harder to identify than you might think.

The following symptoms can provide some clues:

  • Widening part. If you part your hair, you might start to notice your part getting wider, which can be a sign of thinning hair.
  • Receding hairline. Similarly, if you notice your hairline looking higher than usual, it may be a sign of thinning hair.
  • Loose hair. Check your brush or comb after using it. Is it collecting more hair than usual? If so, this may be a sign of hair loss.
  • Bald patches. These can range in size and can grow over time.
  • Clogged drains. You might find that your sink or shower drains are clogged with hair.
  • Pain or itching. If you have an underlying skin condition causing your hair loss, you might also feel pain or experience itching on your scalp.

There are a few main types of hair loss, each with different underlying causes.

Androgenic alopecia

Androgenic alopecia refers to hereditary hair loss, like male pattern baldness or female pattern baldness. It’s the most common cause of hair loss, affecting up to 50 percent of peopleTrusted Source.

Hair loss related to androgenic alopecia tends to happen gradually. While some people might experience hair loss as early as puberty, others might not notice symptoms until their middle ages, which is between 6 and 11 years old.

Female pattern baldness often results in thinning all over the scalp. It might also look like widening or thinning around the part. Male pattern baldness typically involves progressive hair loss above the temples and thinning at the crown of the head, creating an “M” shape.

Alopecia areata

Alopecia areata is an autoimmune condition that causes your immune system to attack hair follicles, resulting in bald patches that can range from small to large. In some cases, it might lead to total hair loss.

In addition to losing hair on the scalp, some people with alopecia areata lose hair from their eyebrows, eyelashes, or other parts of the body.

Anagen effluvium

Anagen effluvium involves a rapid loss of hair. This usually happens because of radiation treatment or chemotherapy.

Hair will usually regrow after the treatment stops.

Telogen effluvium

Telogen effluvium is a type of sudden hair loss that results from emotional or physical shock, like a traumatic event, period of extreme stress, or a serious illness.

It can also happen because of hormonal changes, like those that happen in:

  • pregnancy
  • childbirth
  • menopause

Other potential causes of telogen effluvium include:

  • malnutrition
  • certain endocrine disorders
  • starting or stopping hormonal birth control

Several types of medications can also cause it, including:

  • anticoagulants
  • anticonvulsants
  • oral retinoids
  • beta-blockers
  • thyroid medications

This type of hair loss typically resolves on its own once the underlying cause is addressed.


ડર્મેટોલોજિસ્ટ ગીતિકા મિત્તલની વાળ ખરતા અટકાવવા માટેની ટિપ્સ વાંચવા માટે અહીં ક્લિક કરો

Tinea capitis

Traction alopecia results from too much pressure and tension on the hair, often from wearing it in tight styles, like braids, ponytails, or buns.

Other causes

Diseases that cause scarring, such as lichen planus and some types of lupus, can result in permanent hair loss due to the scarring.

Because so many things can cause hair loss, it’s best to schedule an appointment with a medical professional if you notice any changes in your hair.

They’ll likely use a combination of your health history and a physical exam to help narrow down the causes.

If they suspect an autoimmune or skin condition, they might take a biopsy of the skin on your scalp. This involves carefully removing a small section of skin for laboratory testing. It’s important to keep in mind that hair growth is a complex process.

They may also order blood tests to check for any nutrient deficiencies or signs of an underlying condition.

There’s a range of treatment options for hair loss, but the best option for you will depend on what’s causing your hair loss.

Medications will likely be the first course of treatment.

Over-the-counter (OTC) medications generally consist of topical creams, gels, solutions, or foams that you apply directly to the scalp. The most common products contain an ingredient called minoxidil.

Prescription medications, like finasteride (Propecia), may help, especially for male pattern baldness. You take this medication daily to slow hair loss, though some experience new hair growth when taking finasteride.

Your clinician might prescribe anti-inflammatory medications, like corticosteroids, if hair loss seems related to an autoimmune condition.

Medical procedures

If medication does not help, your healthcare professional might recommend one of the following procedures.

Hair transplant surgery

Hair transplant surgery involves moving small plugs of skin, each with a few hairs, to bald parts of your scalp.

This works well for people with inherited baldness since they typically lose hair on the top of the head. Because some hair loss can be progressive, you may need multiple procedures over time.

Scalp reduction

In a scalp reduction, a surgeon removes part of your scalp that lacks hair and closes the area with a piece of your scalp that has hair. Another option is a flap, in which your surgeon folds scalp that has hair over a bald patch.

Tissue expansion can also cover bald spots, but this requires two procedures. In the first surgery, a surgeon places a tissue expander under a part of your scalp that has hair and is next to the bald spot. After several weeks, the expander stretches out the part of your scalp that has hair.

In the second surgery, your surgeon removes the expander and pulls the expanded area of scalp with hair over the bald spot.

There are a few things you can do to minimize hair loss:

  • Keep hairstyles loose. If you regularly style your hair into braids, buns, or ponytails, try to keep them loose so they don’t put too much pressure on your hair.
  • Avoid touching your hair. As much as possible, try not to pull, twist, or rub your hair.
  • Pat hair dry. After washing, use a towel to gently pat your hair dry. Avoid rubbing your hair with the towel or twisting it within the towel.
  • Aim for a nutrient-rich balanced diet. Try to incorporate plenty of iron and protein into snacks and meals.

Styling products and tools are also common culprits in hair loss. Examples of products or tools that can affect hair loss include:

  • blow dryers
  • heated combs
  • hair straighteners
  • coloring products
  • bleaching agents
  • perms
  • relaxers

If you decide to style your hair with heated tools, only do so when your hair is dry and use the lowest settings possible.

If you’re currently losing hair, use a gentle baby shampoo to wash your hair. Unless you have extremely oily hair, consider washing your hair only every other day or less.

It’s best to see a healthcare professional for any unexplained hair loss so they can determine the underlying cause and best course of treatment.

During your appointment, be sure to mention any other unusual symptoms you’ve noticed, including:

  • fatigue
  • unexplained weight loss
  • limb swelling
  • fever
  • changes in bowel movements
  • rashes or other skin changes on your scalp or body

Any information you can provide about how quickly the hair loss occurred, along with any family history of baldness, will also be helpful.

Blood pressure and your brain

 

Blood pressure and your brain

Hypertension is a circulatory disease. All parts of the body depend on the circulation, and many organs suffer from the impact of untreated hypertension. One of the organs at greatest risk is the brain.

Blood Pressure and Your Brain

What is blood pressure?

Blood pressure is the vital force that propels oxygen-rich blood to all parts of your body. Your heart is the pump that generates the force, and your arteries are the channels that transport and distribute the blood.

The height of your blood pressure is determined by how forcefully your heart's main pumping chamber, the left ventricle, contracts, and by the diameter and stiffness of your arteries. In turn, your heart and arteries are influenced by a large number of genetic, hormonal, metabolic, neurological, psychological, and lifestyle factors that determine your blood pressure. Because these influences are so numerous and complex, your blood pressure can vary from minute to minute and hour to hour during the course of the day, to say nothing of the slower shifts that occur over the course of a lifetime.


Protect yourself from the damage of chronic inflammation.

Science has proven that chronic, low-grade inflammation can turn into a silent killer that contributes to cardiovas­cular disease, cancer, type 2 diabetes and other conditions. Get simple tips to fight inflammation and stay healthy -- from Harvard Medical School experts.

Blood pressure has two components. Your systolic blood pressure is the higher number, recorded while your heart is pumping blood into your arteries; your diastolic blood pressure is the lower number, recorded when your heart is relaxing and refilling with blood between beats. Both numbers are calibrated in millimeters of mercury (mm Hg), a vestige of the mercury column used in the first pressure manometers more than 100 years ago. By convention, the higher number is recorded first; a systolic pressure of 110 mm Hg and diastolic pressure of 70 mm Hg would be written as 110/70 and pronounced "110 over 70."

In adults, normal blood pressure means you have readings below 120/80. According to the newest guidelines, a systolic blood pressure between 120 and 129 is known as elevated blood pressure.

Stage 1 high blood pressure (a diagnosis of hypertension) is now between 130 and 139 systolic or between 80 and 89 diastolic (the bottom number). Stage 2 high blood pressure is now equal to or higher than 140 systolic or 90 diastolic.


Hypertension is also enormously consequential; in fact, it contributes to one of every six deaths in American adults. Because it involves the heart and blood vessels, hypertension is classified as a cardiovascular disease. But since arteries are vital to the health of all our organs, hypertension is actually a multisystem disease. In many cases, hypertension's most damaging impact does not fall on the heart but on the eyes, the kidneys, and especially the brain.

Stroke

There are two major types of strokes, ischemic and hemorrhagic (see illustration). Hemorrhagic strokes are less common but often cause the most dramatic symptoms. They occur when a blood vessel in the brain bursts, spilling blood into the brain or the fluid that surrounds it.


Introducing the First-Ever Harvard Health Annual

Tap the expertise of top Harvard doctors in every area of medicine…all in one place. Cutting-edge health research, breakthroughs, insights—even answers to your most pressing questions inside.

Ischemic strokes, which account for about 87% of all strokes, result when an artery that supplies blood to the brain becomes blocked by a clot. This can happen in either of two ways. In a thrombotic stroke, the clot forms in a diseased artery within the brain itself. In an embolic stroke, the clot forms outside the brain, then breaks away and is carried by the blood to the brain, where it lodges in a previously normal artery. Most emboli originate on atherosclerotic plaques in the carotid artery or aorta, or in the heart itself.


Each of these major types of strokes has a milder counterpart. Although major hemorrhagic strokes are impossible to overlook, MRI studies show that small microbleeds are much more common. Similarly, many people have tiny ischemic strokes, which are classified as lacunar strokes because of their small size. Although a simple microbleed or lacunar stroke is not likely to produce symptoms, a series of these events can produce major problems, including memory loss, or cognitive dysfunction (see below). These "silent" strokes are particularly common in people over 60, especially if they have hypertension.

Types of stroke

illustration of what happens in the brain during two types of stroke

Hemorrhagic stroke

    Subarachnoid hemorrhage

      Intracerebral hemorrhage

        Ischemic stroke

          Embolic stroke

          Thrombotic stroke

          High pressure, high risk

          High blood pressure is the leading cause of strokes, both symptomatic and silent. Both systolic and diastolic hypertension contribute to risk; the

           higher your pressure, the higher your risk. According to one Harvard study, hypertension increases a man's risk of stroke by 220%; according to another, each 10 mm Hg rise in systolic pressure boosts the risk of ischemic stroke by 28% and of hemorrhagic stroke by 38%.

          That's the bad news. The good news is that treating hypertension is extremely protective; in round figures, if you reduce your systolic blood pressure by 10 mm Hg, you should cut your risk of stroke by a whopping 44%.

          Losing it

          Mental decline is one of the most feared consequences of aging.


          But although many senior citizens experience some changes in memory as they grow older, most men who remain healthy continue to function at high levels. They learn to compensate for minor changes in the speed of recall and to use the wisdom that has accumulated over the years to maintain the ability to reason and think creatively.

          Unfortunately, many men don't stay healthy, and many develop cognitive dysfunction. A variety of illnesses and medications can contribute to cognitive dysfunction — and as research continues to come in, it's increasingly clear that hypertension takes a toll on the aging brain.

          અહીંથી વાંચો સંપુર્ણ ગુજરાતી માહિતી રીપોર્ટ

          વજન માપમાં રાખવું હોય તો સવાર-સવારમાં ચા જોડે ના ખાશો આટલી વસ્તુઓ, થોડા જ દિવસમાં અસર દેખાશે સમાચાર વાંચવા માટે અહીં ક્લિક કરો

          There is no such thing as a small stroke…

          Strokes are the fifth leading cause of death in the United States and a significant cause of disability. Learn from Harvard Medical School experts how to understand your odds for having a stroke, evidence-based steps that can lower your risk, how to recognize the early signs of a stroke, and what to do to get rapid, brain-saving treatment.

          Mild cognitive impairment can be a problem, but it's usually quite manageable. But severe memory loss is a disaster; you may think of it by its old name, senility, but doctors now use the term dementia to characterize these severe disturbances of memory, reasoning, and judgment. Although dozens of neurological diseases can cause dementia, just two account for the lion's share, multi-infarct or vascular dementia and Alzheimer's disease.

          Multi-infarct dementia occurs when small vessels in the brain become diseased or blocked, depriving brain cells of the oxygen and glucose they need. If enough nerve cells are damaged or killed by the process, memory can't be restored.

          Alzheimer's disease is different. The condition is associated with the accumulation of tau protein and beta-amyloid that form neurofibrillary tangles and plaques in the brain. In many cases, the part of the brain that is responsible for memory (the hippocampus) is hit the hardest.

          One size does not fit all

          Patients with hypertension often have additional medical problems that influence the choice of a blood pressure medication. Here are some conditions that may benefit from a specific class of medication; in every case, a physician should choose the medication that's best for that particular patient.

          Compelling indicators for blood pressure drugs

          Condition

          Useful medications

          Diabetes

          ACEI, ARB

          Previous heart attack

          BB, ACEI, ARB

          Previous stroke

          Diuretic, ACEI, ARB

          Kidney disease

          ACEI, ARB

          High risk of coronary artery disease

          Diuretic, BB, CCB, ACEI, ARB

          ACEI = angiotensin-converting–enzyme inhibitor

          BB = beta blocker

          ARB = angiotensin-receptor blocker

          CCB = calcium-channel blocker

          High pressure, short memory

          Since hypertension damages blood vessels, it's easy to see how it contributes to vascular dementia. Although the link to Alzheimer's disease is less obvious, research suggests that vascular damage and tissue inflammation accelerate injury.

          The details vary from study to study, but the weight of evidence now suggests that high blood pressure increases the risk of mild cognitive impairment, vascular dementia, and even Alzheimer's disease. Both systolic and diastolic hypertension take a toll; in general, the higher the pressure and the longer it persists without treatment, the greater the risk.

          Most investigations focus on older adults. For example, a study of 2,505 men between the ages of 71 and 93 found that men with systolic pressures of 140 mm Hg or higher were 77% more likely to develop dementia than men with systolic pressures below 120 mm Hg.

          Doctors may be able to help ease the burden of dementia, but the damage and disability cannot be reversed. That makes prevention doubly important. Can treating hypertension help prevent dementia?

          Yes. European scientists reported that long-term antihypertensive therapy reduced the risk of dementia by 55%. Several American studies are only slightly less optimistic. One linked therapy to a 38% lower risk. Another reported that each year of therapy was associated with a 6% decline in the risk of dementia; in particular, men treated for 12 years or more enjoyed a 65% lower risk of Alzheimer's disease than men with untreated hypertension.

          Never too late

          It's good to know that blood pressure control can reduce the risk of cognitive dysfunction. But what about men who already have mild memory loss? Can treating hypertension help stave off further damage?

          Perhaps. Italian scientists studied 80 patients with mild cognitive dysfunction. Over a two-year period, patients who were given antihypertensive medications were 80% less likely to progress to full-blown Alzheimer's than untreated patients. It's only one study, and a small one at that.

          Getting control

          For your head as well as your heart, get your blood pressure down. And even if you forget that hypertension is bad for your brain, remember that men with normal blood pressures live about five years longer than hypertensive men.

          The first step is to know your blood pressure. The next step is to know your goal. Third, live right. Lifestyle modification can lower your blood pressure. It's an essential part of prevention and treatment of high blood pressure. Here are five steps that can help:

          1. Diet. Reduce your sodium intake to less than 2,300 mg a day; 1,500 mg is the new, though stringent, goal for people with hypertension and for totally healthy folks who are middle-aged and older. Reduce your intake of animal fat and processed foods, but chow down lots of fruits, vegetables, whole grains, and fish. A good diet can lower systolic blood pressure by 10 to 22 mm Hg.

          2. Exercise. Moderate exercise is excellent, even outperforming intense exercise in some studies. Walking for 30 minutes a day is one way to lower your systolic pressure by 4 to 9 mm Hg or more.

          4. Limit alcohol use. Light to moderate drinking to the tune of no more than one drink a day won't raise your blood pressure, but heavy drinking will.

          5. Use nonsteroidal anti-inflammatory drugs (NSAIDs) judiciously. Long-term use of NSAIDs (ibuprofen, naproxen, others) can raise blood pressure, particularly in older people.

          6. Stress control. It's easier said than done in today's hectic world, but winding down can help you keep your pressure down.

          When medication is needed, doctors most often start with a thiazide diuretic, ACE inhibitor, angiotensin-receptor blocker, or calcium-channel blocker. An alternative is to prescribe a combination pill that contains two blood pressure lowering drugs, both at low doses. 

          Cooperate with your family to improve your lifestyle, and work with your doctor to find the medication that will bring you to your target blood pressure safely. It will take patience and persistence, but it's the brainy thing to do.

          Feature post.

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