Friday, 21 July 2017

The first thing that you need to do when setting out to grow a mustache is to decide the shape and style of the mustache that you want. Style Correctly Start shaving around that area and style the mustache correctly.

It is the area between your nose and your upper lip where your mustache will grow, so you obviously cannot continue shaving that spot. Apply some moisturizer and lotion to that area, and make sure it gets some sunlight as well! If you are using some facial products, try not to scrub the area of the mustache too hard. Groom Appropriately Lastly, you need to take into consideration the grooming of the mustache. A wild unkempt mustache looks really unpleasant, so take some efforts to groom the mustache properly. Have a look at it each morning as required, snip off some uneven portion of it. By doing so, you will ensure that it looks groomed and sophisticated. How to Grow a Thicker Mustache Use Testosterone Supplements You could try a testosterone booster supplement to grow a thicker mustache, although it isn't recommended, and definitely not without consulting a doctor. Testosterone is a male hormone, and is primarily responsible for the rate of hair growth. If you supplement some testosterone booster in your diet, you can increase the rate of growth of your mustache to a certain degree. This might not work for everyone, but it could certainly boost the rate of hair growth a little bit at least. 
































Increase Testosterone Mandro RX Naturally ~ Biotin (sources: liver, leafy greens, raw egg yolk, peanuts, etc.) ~ Vitamin A (sources: eggs, carrots, spinach, pumpkin, broccoli, milk, mangoes, cheddar cheese, etc.) ~ Vitamin B3 (sources: beef, fish, eggs, dates, tomatoes, carrots, sweet potatoes, nuts, tofu, etc.) ~ Vitamin B5 (sources: meats, whole grains, broccoli, yeasts, etc.) ~ Vitamin B6 (sources: meats, whole grains, nuts, vegetables, bananas, etc.) ~ Vitamin B12 (sources: meats, fish, eggs, poultry products, soy products, energy products, etc.) ~ Vitamin C (sources: range of plant, animal and food sources) ~ Vitamin E (sources: avocados, sunflower oil, pumpkin, Kiwi fruit, broccoli, mangoes, tomatoes, papayas, etc.) Apart from these inclusions in your diet, it is also necessary to get enough sleep, and also to avoid stress as much as possible. Lack of sleep and an excess amount of stress can greatly hamper the growth rate of a mustache. The exact reason for this correlation is yet unknown, but the roots of it can be found in the fact that the growth of a mustache is a natural human process, and if the body of an individual is healthy and fit, the rate of growth will be faster. Here are 3 tips that supposedly work, depending on the body type and the lifestyle habits of a particular individual: ~ Eating beef helps, as it contains a lot of hormones that aid in the process of hair growth. The primary hormone for mustache growth, testosterone, is also contained in large quantities in beef. ~ Some say that even drinking more milk can aid in mustache growth. Milk contains calcium which makes the bones larger. The density of the bones is directly related to the rate of growth of a mustache, according to tests done. ~ Massaging the area where you want facial hair can also help you grow a mustache faster. This stimulates the hair follicles in that area, which is helpful in mustache growth.































 Again, you might want to take these tips with a pinch of salt, as this is not based on any scientific or proven data. You must remember that growing a mustache is a task that can only be done once the hair growth is flourishing. mustaches that are made out of fuzzy growth look quite silly, and it is therefore better to wait for some time before growing one. In the meanwhile, you could always grab hold of a pen and draw that perfect mustache for yourself. The finger mustache seems to have really caught on! Testosterone is an anabolic steroid/hormone. Any variation in its normal level can lead to cancer symptoms in dogs. As far as a dog's health is concerned, this procedure becomes necessary only in certain cases. It is usually done by a surgical method (removal of testicles) or injection of Neutersol to reduce the testosterone production. Following are a few serious forms of dog illness caused by altered levels of testosterone, in which case neutering becomes necessary. Some of the major prostate problems in dogs are caused due the influence of testosterone. Prostatic hypertrophy (enlarged prostate in dogs), prostatic carcinoma (a metastatic cancerous affliction), prostatic abscess (a bacterium caused infection in prostate gland), and prostatitis (chronic inflammation of the prostate gland) are the most common prostate ailments. Altered testosterone levels can lead to cases of scrotal hernia, inguinal hernia, and perineal hernia in dogs. Surgical correction is the only remedy for it. Canine cancer is often associated with testosterone levels. Sertoli cell tumors, perianal adenocarcinoma, seminomas, intestinal cell tumors, and Leydig cell tumors in dogs are often caused by altered levels. Surgery/chemotherapy is recommended by vets for such ailments. 





























Chronic infections like brucellosis and balanoposthitis can cause severe pain in dogs. In the latter case, the dog suffers from pus secretions from the opening of its prepuce. Other infections like paraphimosis (inability to resolve penile erection) and rectal fistulas (rectal bleeding) are also caused due to changed testosterone levels. It is in case of these ailments that neutering may be recommended by the vet. Pros of Neutering Controlled aggression: Neutered male dogs are believed to be less aggressive towards other animals (especially males) and people. Marking by urinating: Neutered dogs are less likely to mark their surroundings by urinating to make their presence known. Dogs can mark both inside the house as well as outside. Decreased mounting: Dogs that are neutered are less likely to mount other animals, objects, and even people. When the behavior is sexual and not playful, there is a strong chance of it decreasing after neutering of the dog. No tumors: Neutering reduces the possibility of testicular tumors (both malignant and benign). Usually in canines, certain tumors (like perianal tumors) are stimulated by testosterone hormones. These malignant tumors occur in dogs which are at least 7 years old. Neutering procedures have aided in eliminating many cancer symptoms in dogs. Fewer hernia cases: Hernia is a painful condition in which there is a protrusion in the organs (like colons, prostate glands, or urinary bladder). If these conditions are left untreated, the organs can get damaged completely. Neutering stalls such agonizing conditions. Less prostate problems: Research has shown that about 80% of dogs which are not neutered are more susceptible to prostate diseases. 































Most of the diseases involve cysts and benign enlargement of prostate glands. Neutering aids in eliminating such symptoms. Improving genetic traits: In many cases, harmful genetic traits (like epilepsy) are aggravated by rising testosterone levels. Neutering prevents continuation of these diseases to the next generation. Side Effects Change in behavior: The behavior of dogs after neutering definitely shows a noticeable change that deviates from their normal demeanor. Their temperament drastically calms down, which is quite unlike the playful, naughty, and lively pets they were before neutering. Excessive weight gain: After neutering, many dogs have the tendency to put on weight. This is because their metabolic rate is said to go down. Hence, neutered dogs are recommended to be fed lesser than they were being fed before the procedure (at least 25 to 30% lesser calorie intake) as they otherwise run the risk of becoming obese. Loss of valuable traits: Along with harmful traits, even the possibility of passing on of valuable traits and good qualities to future generations is eliminated. Health risks: Neutered male dogs are at a slight risk of developing hypothyroidism, hip dysplasia (if done before 1 year of age), and marginally increased chances of osteosarcoma and hemangiosarcoma. Recovery Phase Once a dog is neutered, he takes about 18-24 hours post surgery to recuperate. Some major symptoms that follow are grogginess, lethargy, lack of balance, loss of appetite, nausea, and vomiting. So when a neutered male dog arrives home, lot of care needs to be taken for a fast recovery. Some tips for care are as follows. 





























Bring the dog to his bed. Allow him to sleep as the rest is very much required. Keep other pets (if any) away from your dog as he will be in a disoriented state. Take the dog out frequently for relieving his bladder. Due to a lot of IV fluids injected into his body, pet owners must take extra care tending to his bathroom needs. Due to surgery and general anesthesia, dogs tend to lose appetite and eat little food. Feed him homemade food containing bland-tasting skinless chicken or boiled hamburger with rice, which will go easy on his stomach. Also confirm the appropriate food to be given to him with your vet. For a faster recovery, limit the activity of your dog. This is because the incision after surgery takes time to heal. Pet owners can take dogs for small walks 10-14 days post surgery. Clean the incision on a regular basis using a bit of betadine to disinfect the area. Make sure that the dog doesn't lick the wound, which might lead to chances of infection. Putting an Elizabethan collar around your dog is a good idea. A fortnight after neutering, monitor the dog's incision to check for any signs of infection. If any, seek immediate medical attention. Costs vary from USD 50 - USD 300 depending on the breed, weight, and build of the dog, and the clinic from where you get it done. Neutering is a very serious procedure. Hence, it is usually best recommended only if health problems are recurring and persistent in the dog. Thyroid gland disorder is not only prevalent among women, but is quite common in men as well. Decrease in levels of this hormone is also known as hypothyroidism wherein there is a rapid fall in the level of the hormone thyroxine. This is an endocrine disorder, giving rise to serious consequences if not diagnosed early.

Wednesday, 19 July 2017

If the examiner moves the tongue depressor to contact the lateral wall of the fauces, this should elicit the gag reflex. Stimulation of either side of the fauces should elicit an equivalent response.

The motor response, through contraction of the muscles of the pharynx, is mediated through the vagus nerve. Normally, the vagus nerve is considered autonomic in nature. The vagus nerve directly stimulates the contraction of skeletal muscles in the pharynx and larynx to contribute to the swallowing and speech functions. Further testing of vagus motor function has the patient repeating consonant sounds that require movement of the muscles around the fauces. The patient is asked to say “lah-kah-pah” or a similar set of alternating sounds while the examiner observes the movements of the soft palate and arches between the palate and tongue. The facial and glossopharyngeal nerves are also responsible for the initiation of salivation. Neurons in the salivary nuclei of the medulla project through these two nerves as preganglionic fibers, and synapse in ganglia located in the head. The parasympathetic fibers of the facial nerve synapse in the pterygopalatine ganglion, which projects to the submandibular gland and sublingual gland. The parasympathetic fibers of the glossopharyngeal nerve synapse in the otic ganglion, which projects to the parotid gland. Salivation in response to food in the oral cavity is based on a visceral reflex arc within the facial or glossopharyngeal nerves. Other stimuli that stimulate salivation are coordinated through the hypothalamus, such as the smell and sight of food. The hypoglossal nerve is the motor nerve that controls the muscles of the tongue, except for the palatoglossus muscle, which is controlled by the vagus nerve. There are two sets of muscles of the tongue. 


























The extrinsic muscles of Nooflex the tongue are connected to other structures, whereas the intrinsic muscles of the tongue are completely contained within the lingual tissues. While examining the oral cavity, movement of the tongue will indicate whether hypoglossal function is impaired. The test for hypoglossal function is the “stick out your tongue” part of the exam. The genioglossus muscle is responsible for protrusion of the tongue. If the hypoglossal nerves on both sides are working properly, then the tongue will stick straight out. If the nerve on one side has a deficit, the tongue will stick out to that side—pointing to the side with damage. Loss of function of the tongue can interfere with speech and swallowing. Additionally, because the location of the hypoglossal nerve and nucleus is near the cardiovascular center, inspiratory and expiratory areas for respiration, and the vagus nuclei that regulate digestive functions, a tongue that protrudes incorrectly can suggest damage in adjacent structures that have nothing to do with controlling the tongue. The accessory nerve, also referred to as the spinal accessory nerve, innervates the sternocleidomastoid and trapezius muscles ([link]). When both the sternocleidomastoids contract, the head flexes forward; individually, they cause rotation to the opposite side. The trapezius can act as an antagonist, causing extension and hyperextension of the neck. These two superficial muscles are important for changing the position of the head. Both muscles also receive input from cervical spinal nerves. Along with the spinal accessory nerve, these nerves contribute to elevating the scapula and clavicle through the trapezius, which is tested by asking the patient to shrug both shoulders, and watching for asymmetry. 



























For the sternocleidomastoid, those spinal nerves are primarily sensory projections, whereas the trapezius also has lateral insertions to the clavicle and scapula, and receives motor input from the spinal cord. Calling the nerve the spinal accessory nerve suggests that it is aiding the spinal nerves. Though that is not precisely how the name originated, it does help make the association between the function of this nerve in controlling these muscles and the role these muscles play in movements of the trunk or shoulders. This figure shows the side view of a person’s neck with the different muscles labeled. The accessory nerve innervates the sternocleidomastoid and trapezius muscles, both of which attach to the head and to the trunk and shoulders. They can act as antagonists in head flexion and extension, and as synergists in lateral flexion toward the shoulder. To test these muscles, the patient is asked to flex and extend the neck or shrug the shoulders against resistance, testing the strength of the muscles. Lateral flexion of the neck toward the shoulder tests both at the same time. Any difference on one side versus the other would suggest damage on the weaker side. These strength tests are common for the skeletal muscles controlled by spinal nerves and are a significant component of the motor exam. Deficits associated with the accessory nerve may have an effect on orienting the head, as described with the VOR. The Pupillary Light Response The autonomic control of pupillary size in response to a bright light involves the sensory input of the optic nerve and the parasympathetic motor output of the oculomotor nerve. When light hits the retina, specialized photosensitive ganglion cells send a signal along the optic nerve to the pretectal nucleus in the superior midbrain. 

























A neuron from this nucleus projects to the Eddinger–Westphal nuclei in the oculomotor complex in both sides of the midbrain. Neurons in this nucleus give rise to the preganglionic parasympathetic fibers that project through the oculomotor nerve to the ciliary ganglion in the posterior orbit. The postganglionic parasympathetic fibers from the ganglion project to the iris, where they release acetylcholine onto circular fibers that constrict the pupil to reduce the amount of light hitting the retina. The sympathetic nervous system is responsible for dilating the pupil when light levels are low. Shining light in one eye will elicit constriction of both pupils. The efferent limb of the pupillary light reflex is bilateral. Light shined in one eye causes a constriction of that pupil, as well as constriction of the contralateral pupil. Shining a penlight in the eye of a patient is a very artificial situation, as both eyes are normally exposed to the same light sources. Testing this reflex can illustrate whether the optic nerve or the oculomotor nerve is damaged. If shining the light in one eye results in no changes in pupillary size but shining light in the opposite eye elicits a normal, bilateral response, the damage is associated with the optic nerve on the nonresponsive side. If light in either eye elicits a response in only one eye, the problem is with the oculomotor system. If light in the right eye only causes the left pupil to constrict, the direct reflex is lost and the consensual reflex is intact, which means that the right oculomotor nerve (or Eddinger–Westphal nucleus) is damaged. Damage to the right oculomotor connections will be evident when light is shined in the left eye. 


























In that case, the direct reflex is intact but the consensual reflex is lost, meaning that the left pupil will constrict while the right does not. The cranial nerves can be separated into four major groups associated with the subtests of the cranial nerve exam. First are the sensory nerves, then the nerves that control eye movement, the nerves of the oral cavity and superior pharynx, and the nerve that controls movements of the neck. The olfactory, optic, and vestibulocochlear nerves are strictly sensory nerves for smell, sight, and balance and hearing, whereas the trigeminal, facial, and glossopharyngeal nerves carry somatosensation of the face, and taste—separated between the anterior two-thirds of the tongue and the posterior one-third. Special senses are tested by presenting the particular stimuli to each receptive organ. General senses can be tested through sensory discrimination of touch versus painful stimuli. The oculomotor, trochlear, and abducens nerves control the extraocular muscles and are connected by the medial longitudinal fasciculus to coordinate gaze. Testing conjugate gaze is as simple as having the patient follow a visual target, like a pen tip, through the visual field ending with an approach toward the face to test convergence and accommodation. Along with the vestibular functions of the eighth nerve, the vestibulo-ocular reflex stabilizes gaze during head movements by coordinating equilibrium sensations with the eye movement systems. The trigeminal nerve controls the muscles of chewing, which are tested for stretch reflexes. Motor functions of the facial nerve are usually obvious if facial expressions are compromised, but can be tested by having the patient raise their eyebrows, smile, and frown. 

























Movements of the tongue, soft palate, or superior pharynx can be observed directly while the patient swallows, while the gag reflex is elicited, or while the patient says repetitive consonant sounds. The motor control of the gag reflex is largely controlled by fibers in the vagus nerve and constitutes a test of that nerve because the parasympathetic functions of that nerve are involved in visceral regulation, such as regulating the heartbeat and digestion. Movement of the head and neck using the sternocleidomastoid and trapezius muscles is controlled by the accessory nerve. Flexing of the neck and strength testing of those muscles reviews the function of that nerve. also available. The patient is asked to indicate whether one or two stimuli are present while keeping their eyes closed. The examiner will switch between using the two points and a single point as the stimulus. Failure to recognize two points may be an indication of a dorsal column pathway deficit. Similar to two-point discrimination, but assessing laterality of perception, is double simultaneous stimulation. Two stimuli, such as the cotton tips of two applicators, are touched to the same position on both sides of the body. 





























If one side is not perceived, this may indicate damage to the contralateral posterior parietal lobe. Because there is one of each pathway on either side of the spinal cord, they are not likely to interact. If none of the other subtests suggest particular deficits with the pathways, the deficit is likely to be in the cortex where conscious perception is based. The mental status exam contains subtests that assess other functions that are primarily localized to the parietal cortex, such as stereognosis and graphesthesia.