health, medicine

Herbal and Natural Cure for Frigidity in Women

Frigidity occurring in women due to psychological or physical reason is quite curable by natural ways of treatment. Vaginal dryness, low interest in libido and pain during sex drive are some of the symptoms by which you can identify frigidity. Some medicines, especially intake of hormones create many negative impacts in female patients. Natural remedial measures help in preventing frigidity with no side effects. Let’s look vivid natural cure for frigidity in women. Consumption of Viagra of Amazon or Muira Pauma for a few weeks is an herbal cure for frigidity in women.

Herbalists some times suggest to intake wild yam for curing frigidity. It is a natural aphrodisiac given among female patients with frigidity. Ginseng mixed with caffeine is yet another natural cure for frigidity in women. Insomnia and irritability are two disadvantages caused due to excessive consumption of Ginseng. Kava Kava, known herbal medicine for curing frigidity is other option available for as a natural cure for frigidity in female patients. Studies say that, Kava Kava is forbidden for pregnant women and lactating mothers.

Consumption of Damiana extract is one among the natural cures for frigidity in women. Proper functioning of sex organs and improved libido are the some of the benefits in taking Damiana extract. Intake of asparagus helps in curing frigidity and promoting sex desire. Today various medicinal asparagus or Shatavari capsules are commonly available in the market. Chive consumption is another natural way by which controlling of frigidity can be done. Minerals present in chives stimulate the functioning of sex organs there by preventing frigidity.

Pumpkin seeds, fresh eggs, chocolates, alfalfa and sprouts are some natural food items used for curing frigidity in women. Oil is a best solution natural cure for frigidity in women. Make a controlled diet with adequate amount of oil in food. Olive oil is considered as a number one medicine for improving vaginal lubrication there by promoting libido. Soy oil and sesame oil are other natural cures for frigidity in women.

Maintaining a balanced diet with proper medication will do well in controlling frigidity. Always get the guidance of your health practitioner before taking these remedial measures. Certain medicines will create an adverse effect on patients. Kamni and fantasy are some of the commonly available herbal capsules which cure frigidity in women. Fantasy herbal capsule is a composition of Swarnapatra, Jawadi Kasturi, Jaiphal, Akarkara, Bang Bhasma, Kesar, Talmakhana, Salam mishri, Javitri, Lauha bhasma, Shilajit, Abhrak bhasma, Shudh kuchla, Musli safed, Ashwagandha, Kavach beej and Shatavari. Intake of fantasy capsules which is an herbal aphrodisiac helps in increasing libido and sexual sensations.

Capsules promote proper functioning of reproductive organs and interest in sex. Promoting multiple orgasms and excitement level are some other advantages in taking fantasy capsules. Dosage level can be adjusted as per the prescription made by physician. Usually capsule is taken along with milk for two to three months so as to give better result. These natural medicines take a bit time to be effective but last for long. …

fitness

Where by to Locate Affordable Treadmills

This machine has only one treadbelt (like a treadmill) and presents elevations of at minimum thirty percent. Whilst incline trainers are fantastic for burning calories, the downside is you are heading to spend for them.

Selling prices begin at roughly $1600 for conventional treadmills. Due to this, these devices are utilised typically in commercial configurations like gyms or workplace fitness services. On average you will burn a lot more calories when strolling on an incline. You can burn up up to twice or three times the calories by walking on an incline vs not. And if you are wanting to make intervals into your work out, walking on an incline for fifty percent a moment to two mins could be a superior way to interval train and increase your post exercise calorie burn up. So typically an elevation on a treadmill is a wonderful gadget to have.

It will aid you get in form and burn fat much quicker than basically strolling on a flat surface area. Based on which treadmill you come to a decision on , just recall to wear high high quality running footwear and delight in gaining suit! The greatest house treadmills will make it possible for you to do this.

Searching for the very best encouraged treadmill? However there are now so numerous treadmills on the market place these days it can get puzzling making an attempt to type by way of them all.

Industry experts like Client Reviews, Prevention Magazine, Runner’s Earth and other people propose treadmills yearly that they believe supply the greatest in worth. There are also other evaluations and ratings assets as properly.

This guide will notify you which treadmill ratings to glimpse at when shopping for, how they function and what you really should know about every single of them.

There are are two distinctive sorts of treadmill critiques – shopper and pro ratings.

1) Buyer treadmill opinions are written by anyone who has obtained the treadmill and then created a assessment of the treadmill on the internet. Many websites supply these varieties of shopper evaluations such as epinions and amazon.

These can be beneficial in providing you an all round image of a precise treadmill – specifically if there are lots of opinions.

The drawback of these evaluations is that – mainly because men and women are a lot more probable to depart a bad critique than a constructive 1 – the numbers are generally biased to give you a falsely adverse impression of that specific product.

For example, if you read through 3 bad assessments of design A then you’re probably to assume design A is a poor machine. On the other hand, it is really very possible that there are 3000 other really satisfied design A buyers that have just not left reviews – that’s a .one% dissatisfaction price, which is essentially really superior.

Also purchaser ratings can also be effortlessly rigged. Due to the fact rating websites allow in essence any individual submit a evaluate, this …

fitness, health

Best Weight Gain Supplements For Women, Muscle Mass Gainer Pills

Women are mostly worried about weight gain but those who are underweight; gaining some weight is like a blessing for them. Slim body is attractive but not the anorexic. Slim body can be achieved by those who are too thin and lean by taking proper measures. There can be two reasons for underweight condition, either person is not consuming proper diet or body is unable to digest or utilize the nutrients from the food. Although these are the most common reason which seems to be very less for a problem which affects large number of women worldwide. There can be factors which do not allow body to digest or utilize food properly and prevent body from gaining weight. Muscle mass gainer pills can be of immense help for those women who need to add some healthy weight to their body in a short time.

Muscle mass gainer pills are not just muscle enhancer pills which just boost-up muscle mass in males, these pills are best weight gain supplements for women too as these enhance and improve body’s mechanism of digesting, circulating and utilizing nutrients obtained from food. In case, woman is suffering with deficiencies of nutrients then these pills also supplement all the nutrients in bio-available form to replenish lost source of energy and to rejuvenate her entire body’s mechanism. Herbal muscle mass gainer pills can accomplish this task safely and in a short duration that is why these are recommended as the best weight gain supplements for women.

Amongst all the available weight gain supplements FitOFat capsules are reckoned as the best weight gain supplements for women. There are quite a few reasons of FitOFat capsule’s popularity. Firstly, of all these are purely herbal hence do not cast any side effects and are safe for women of all ages. Secondly, these increase weight purely by natural effects, these do not cause any addiction or dependency and their results are permanent in nature if woman follows a healthy dietary and exercising regimen later. And lastly, these supplements promote blood purification and cleansing of vital organs, enhance immunity and improve functioning of female reproductive system to allow a woman to stay healthy and free from health troubles.

FitOFat capsules come loaded with potent herbs which are highly effective in promoting healthy weight gain and enhancement in muscle mass. The ingredients of FitOFat capsules are Barahikhand, Safed Musli, Ashwagandha, Vidarikhand, Kavach Beej, Kesar, Long, Jaiphal, Bhringraj, Sonth, Sarpankha, Swarna Bhasma, Punarnava, Malkanganj, Arlu, Makoy, Talmakhana, Jarool, Chilkamakoy, Amla, Nagkesar, Shatavari, Pipal, Arnadkakadi and Chitrak. These herbs collectively cast many positive effects, like these increase appetite and reestablish healthy hunger pattern. Some of the herbs used in these capsules improve digestion and ensure breaking down complex substances which possess vital nutrients necessary for the body. Proper diet intake and improved digestion promote healthy weight gain and makes fat available for energy production.

There are many other benefits which FitOFat muscle mass gainer pills provide to enhance healthy weight gain. These improve circulatory system …

medicine

What is Sphincter of Oddi Dysfunction?

The Sphincter of Oddi, named after Ruggero Oddi, an Italian anatomist who described this structure in 1887, is the muscle valve that regulates the flow of bile and pancreatic juice into the duodenum (beginning of the small intestine).

Regulation of the Sphincter of Oddi is accomplished through the nervous system and the blood by special messengers– digestive hormones. If there is no food in the intestine, the Sphincter of Oddi valve remains closed. Bile is retained in the gallbladder and pancreatic juice is retained in the pancreas. Spasms or blockage of this valve may cause bile and pancreatic juice to back up. If a tiny amount of bile gets into the pancreatic duct, serious trouble can ensue. Bile can activate digestive enzymes inside the pancreas and these enzymes start to digest their own pancreatic cells, causing pain, congestion, inflammation and even the death of pancreatic tissue. This is referred to as pancreatitis.

The blockages of the Sphincter of Oddi by tumors, large gallbladder stones, or scars after inflammation, certainly need surgery. The number of individuals with these problems is relatively small, but millions of Americans suffer from occasional transient spasms of the Sphincter of Oddi with pain, nausea and bloating. In most situations, their tests are normal and these individuals get labeled with acid reflux disease, Irritable Bowel Syndrome (IBS), stomach flu, food poisoning or other diseases. Many of those patients have type III Sphincter of Oddi Dysfunction. A lack of proper treatment of Sphincter of Oddi Dysfunction can later cause serious complications like pancreatitis and gallbladder inflammation.

Sphincter of Oddi Dysfunction can affect children, adults after age 40, women, overweight individuals and people after abdominal surgeries. For example, statistics show that almost 20% of individuals after gallbladder removal have the Sphincter of Oddi Dysfunction.

Why does the Sphincter of Oddi become spasmodic? The answer depends on many reasons if we put into account the very complicated regulation of this sphincter by the nervous system and special blood messengers – digestive hormones. Here are some examples of what can make the Sphincter of Oddi spasm:

  • Stress, depression and anxiety
  • Poor eating habits such as “eating on the go”, eating while watching television, irregular diets, dieting, fasting and wrong combinations of foods such as mixing fatty foods with starches and sugars
  • Drugs, some medication, alcohol and nicotine
  • Harsh, intensive and repetitive “liver cleansing”
  • Hormonal imbalance such as lower thyroid function or menopause
  • “Aggressive” acidic bile with sand, sludge, gallbladder stones and more

Usually we can see combinations of these factors in predisposed individuals with overweight issues, sedentary lifestyles and stress for long periods of time. The Standard American Diet, which is full of processed and acidic foods (meat, sugars, alcohol, animal fats, white flour, etc.), causes acidity in the whole body. The Standard American Diet leads to acidic conditions in the bile and pancreatic juice as well. The bile becomes acidic and the amount of bile acids in the bile increases as well. Bile acids are very aggressive substances; they irritate …

health, medicine

The Dangers Of Expired Medications

Expired medications are commonplace and inertia notwithstanding, many of us tend to rely on an intuitive sense of their value in continuing to store and use them. Such drugs can be harmful to health in several ways; they can be unpredictable in effectiveness, simply ineffective, or even toxic.

The formal way of classifying a medication as having expired is through it’s labeled expiry date. This date is often set based on a combination of the common properties of the dosage form as well as the stability and expiration studies of the product that have been conducted by the manufacturer. Importantly, this expiry date is contingent on specific storage conditions of the product. Although a medication may pass it’s labeled expiry date, it may not necessarily be any less effective or dangerous to consume depending on the product itself, the storage conditions and the circumstances leading up to expiry.

When most medications pass their expiry date under appropriate storage conditions, they are generally taken to have become so variable in effectiveness as to have become unsuitable for use. This often comes about as a result of the degradation of the active ingredients of the medication with exposure to physical, chemical or microbiological variables like temperature, pressure, humidity, light, bacteria as well as other components of the product known as excipients.

Creams may “crack” once their expiry date is passed, leading to a separation of the components and hence provide a non-uniform delivery of active ingredients. This can lead to the poor control of conditions like eczema or acne. Tablet medications can mechanically “powder” off, change in consistency with exposure to water vapor or even experience the contained drug itself becoming ineffective on prolonged exposure to air as occurs with glyceryl trinitrate, an emergency medicine that can easily become ineffective in relieving acute symptoms of chest pain. With common injections, should the acidity change to fall outside a fairly narrow range, significant pain and tissue damage can result from use. With most eye drops, an expiry date of one month after opening is accepted to minimize the potential for dangerous bacterial contamination.

With any medication, once a specific threshold of remaining active ingredient is passed, the medication can no longer be relied upon to deliver accurate doses. This loss of reliability is often exacerbated by the fact that the active ingredients can degrade into various combinations of active, inactive or toxic breakdown products. The common aspirin is for instance, known to react with moisture to breakdown into salicylic acid, which is active, and acetic acid, which is inactive and can lead to toxicity in excess.

While the expiry date provides a useful gauge of when to stop using a medication, there are also many other factors that can informally accelerate the expiry of a medication and make it dangerous to use, chief among which is how the medication is stored. It is oftentimes not just the medication that is affected by storage conditions but also the storage container. Under inappropriate storage conditions, …

fitness

How To Prepare Your Body For Horse Riding Session?

Horseback riding is a pleasurable experience for those who understand and imbibe all the ins and outs of this art to the fullest. Beginners, however, may have their hesitations, fears and a lack of preparedness to tackle as they intend to master this art. This article aims to discuss some important tips to help beginners prepare their bodies for horse riding sessions.

To start learning any new sport, it is but obvious for anyone to be in the right physical shape, which could reflect a positive frame of mind. Since every new sport intends to provide more strength to specific muscle groups, and allows you to stretch some areas of your body, you definitely need to undertake different exercises to acquire the desired shape. Horseback riding also follows the same principle.

If you wish to excel in horseback riding, the first thing you need to do is improve your fitness and athletic side of youself. In order to prepare your body for horse riding session, you need to do several exercises that can help you strengthen, tone, and stretch your back, abdominal muscles, shoulders, triceps/biceps, back of the calf, and inner and outer thighs. Trainers at summer camp Maryland recommend doing ample exercise before a horse riding session.

Stair stretch exercises

Stair stretch exercises work miraculously on your inner and outer thighs. You can utilize a stepladder or a stair stepper to walk up and down; nevertheless, a proper staircase is more beneficial than either of the two mentioned before. You can hold onto the railing and balance your entire bodyweight on the balls of your feet. If you want to stretch your calf muscles, what you simply need to do is lower your heels to a position that causes enough stretch in your calves.

Hold this position for 10 seconds and keep increasing this duration. If you find this exercise (http://www.ehow.com/how_10761_learn-ride-horse.html) too easy for you, you can let go of the railing. Again, you can increase the duration after practicing it regularly.

Wall exercises

How do you like the idea of doing the stretch exercises against or facing a wall? Try to put your foot up against any wall in your house, while imagining that your foot is in a stirrup. You can hold this position for three seconds and then release it back. Initially, you can do it five times; however, after regular practice, you can increase the duration.

Beach Ball Exercises

Beach ball exercises are beneficial for not only beach sports lovers, but also for horseback riding enthusiasts. You can start practicing using any plastic or rubber ball with one-foot diameter. While doing beach ball exercises, ensure that you use a hard chair that helps your knees to stay parallel to the floor. You thighs should not touch the seat as you hold the beach ball using your knees. Try to squeeze the ball with all your strength between your knees. Hold this position for 10 seconds and then release it slowly. Know more here about horse …

medicine

Want to cure psoriasis? Go for Ayurvedic Medicines

Psoriasis cures when a combination of diet with stress free lifestyle can be adopted successfully. Here are some major treatment options for psoriasis.

Pharmaceutical drugs: Several oral medication e.g. retinoids, methotrexate, cyclosporine hydroxyurea and injections e.g. alefacept (Amevive), etanercept (Enbrel), infliximab (Remicade) and ustekinumab (Stelara) are approved for the disease. But these should be used in severe cases when recovery of the disease is more important consideration than the possible side effects.

Another one is by doing exercise:Let me just tell you the truth, generally, exercise is very good for everybody even those who are not the victim of diabetes. At the same time it is a good support to loss weight. Exercise as part of your diabetes treatment will also keep your body in good shape and will be more able to withstand or avoid any complications that might arise from being overweight and would help you to stay healthy and strong.

When you hit puberty and you attempt to become familiar with your body from the sexual point of view, no one tells you that masturbation, if practiced excessively, can be harmful. This is why many men are not aware of the effects that over masturbation can have. One of them, and the most frightening one, is erectile dysfunction. It might seem unbelievable, but what begins as a guilty pleasure might end up making you incapable of having sex with a woman. There are indeed natural ways of dealing with erectile dysfunction from over masturbation and they are the most efficient ones because they don’t have any side effects. A natural approach is always better, but in order for it to have the desired effects you must also put an end to the cause of your problem.

If dandruff is caused due to some food allergy, then stopping the consumption of that food will directly eliminate the dandruff. Even if no particular allergy is identified, it is found that a healthy diet can keep the scalp healthy and thus reduce the chances of dandruff.

Gradually increasing cold, running nose, sneezing, fever, sore throat, loss of appetite and cough are the main symptoms of whooping cough. The coughs become louder (whooping) after a week of infection.

Anything that enters to our body can put forth three possible effects- it can act as food that nourish the organism or can act as a medicine which can bring balance in the organism or thirdly it can act as poison that disturbs the organism. Therefore, it is important to know that what is good to your body and what is not good to your body. Ayurveda covers all these. It is not the way of curing some diseases but in fact is a way of life one can follow.

Obesity is described as ‘Medoroga’ in Ayurveda. According to Ayurveda, people with a Kapha constitution are more likely to gain weight through excess fat than a Pitta or Vata person. The obese have a shortened life, difficulty in movement and sexual intercourse, tiredness, …

health

Diagnosis and Treatment of Ovarian Cysts and Pelvic Masses

The ovaries are organs of the female reproductive system producing the female hormones (estrogen and progesterone) necessary for a woman’s menstrual cycle, pregnancy and overall health. Ovaries release an egg every month during a woman’s reproductive years and before the egg is released it forms a small sac called a follicle – if the follicle doesn’t break to release the fluid inside of it, a follicular ovarian cyst may develop. If there is bleeding inside the follicle, it may result in a hemorrhagic ovarian cyst.

Ovarian tumors are cysts that are not part of the menstrual cycle and they can be either solid or filled with fluid, or both. This type of tumors usually require surgical removal. Some of the most common ovarian cysts and tumors are: Endometrioma (filled with thick endometriotic fluid), Fibroma (solid ovarian tumor resembling a fibroid), Dermoid Tumor (with cystic + solid components), Mucinous Cystadenoma (contains mucous material), Serous Cystadenoma (with yellow fluid).

PCOS (polycystic ovarian syndrome) is a condition usually present because of hormonal imbalance and it causes development of small, benign cysts on the ovaries, leading to an irregular menstrual cycle and elevated levels of male hormone.

A pelvic mass is a general term referring to any growth or tumor on the ovary or in the pelvis and it can be cystic (cystadenoma), solid (fibroma), or both (dermoid). It can also be benign or malignant.

Ovarian cysts are usually harmless and do not produce symptoms. If they get larger, if they twist or burst, they may cause problems and that is when immediate treatment is needed. Common symptoms in these case are abnormal bleeding, ache in lower back or thighs, pelvic pain with intercourse, heaviness in abdomen and nausea or vomiting, pressure on bowel and difficulty emptying the bladder completely etc.

Ovarian cysts are examined via ultrasound to determine the shape, size and composition and establish the correct diagnosis and management of the condition. While fluid-filled cysts are less likely to be cancerous and usually require observation only, cysts that are solid or mixed may need to be further examined to determine if cancer is present and most often require surgical treatment. MRIs are usually performed for solid tumors while blood tests are reserved for pregnancy tests and to determine hormone levels.

cf94b651d099be7dc11e4fbf6b7816a7_DrMackoDr. Paul J. MacKoul, MD at The Center for Innovative GYN Care provides innovative, minimally invasive options for the surgical removal of ovarian cysts and pelvic masses. Laparoscopic procedures are very effective for masses and ovarian cysts, with many benefits. They allow the patient to avoid large incisions and have a very quick recovery. Non-cancerous cysts of the ovary can usually be removed with preservation of the ovary, while very large masses or endometriomas may require removal of the entire ovary and fallopian tube.

Learn more about Dr. Paul MacKoul at CIGC and the least invasive options for gyn surgery provided in the world today.…

fitness

How to Get Moving, Stay Fit and Motivated

When it comes to staying or getting into good shape, motivation may be hard to come by. As the seasons change so do our motivation to stay in shape. Holiday schedules, cold winter days, and all those convient gadgets that keep us from drudging up the motivation to get in shape or maintain a daily routine of exercise are definite culprits. But we should be totally aware of the effects that inactivity has on the body.

Heart disease, stroke or diabetes is just some of the unhealthy affects of inactivity in the body. The good news is that studies show without discrepancy that these affects can be prevented or reversed; meaning that switching from a sedentary lifestyle to an active one can be extremely beneficial over time. Exercise alone, without change in diet, can greatly reduce the risks for these diseases even in small amounts. Doing what ever you can to increase your motivation to exercise is the first step to overcoming the lack of motivation to actually do it. Any of the arrays of methods to motivate you will be of great importance. Listening to music while running, simply finding out the exercises that you truly enjoy, setting particular times when exercise is the main focus of the day, all help you to stay motivated to stay in motion. Developing a habit or pattern for exercising is the best way to stay motivated; your body will become accustomed to working out heavy at a certain time each and every time. Your mind posses the ability to create positive ideas that leads to positive actions allowing you to live a strong and healthy life. Positive self talk can do wonders for motivation as well as just viewing the results of previous attempts (i.e. thinner waistline, six pack, etc). Self encouragement is the ultimate motivation. You’ll have no one to thank but yourself.

Fitness motivation is the essential part of changing your body, so creating a fitness motivation plan maybe the answer for you. For men, setting goals and providing adequate challenges work best. Changing scenery from indoors to outdoors may be the answer. If you just don’t feel like exercising or giving up on an established routine, constantly reminding yourself that the pay off is great will help. Psychological benefits like increased confidence, self-esteem, and relief from anxiety, stress and depression and better sexual performance can be all the motivation that’s needed. Remaining realistic about your goals will also aid in the fight to stay motivated to exercise. Setting a goal that is extremely difficult to obtain is depleting and counterproductive. Achieving a challenging appropriate goal boosts pride, satisfaction and will create more motivation.

Making the exercise routine fun by adding variety in routines, exercises, or persons that you exercise with is a likely way to stick to any exercise routine.

If you are not particularly knowledgeable when it comes to fitness issues, you should consider hiring a professional trainer to help you out with your routine. This can take …

health, medicine

Why To Seek The Best Homeopathy Florida Health Care Center

One of the most well-known branches of alternative medicines is Homeopathy. It is considered as the contemporary study of treatment that heals from inside. The word homeopathy is coined from the ancient Greek language the word means “Homios” that implies ‘alike’ and “pathos” means suffering. Being the most established option types of medication, it has originated in the country of Germany, just about 207 years ago.
 
A portion of the medicines of homeopathy that have been made with plant extracts are quinine, Belladonna etc. Homeopathy medicines are extremely successful result wise and guarantee so far as the most secure method for option pharmaceuticals. It is proven that manufactured or allopathic drugs have side-effects, but with homeopathy the risk is lost. This is a because of the fact that the key ingredients in homeopathy are used as a part of little extents that reduces the possibility of any reactions. There are various homeopathy Florida heath care centers that provide treatment for all sorts of diseases through their team of practitioners.
 
They understand that homeopathy is effective in case of recurring diseases of all sorts that include auto-immune disease, joint problem, skin diseases, etc. It is also very popular for the treating acute diseases such as throat and lung infection, colds and flues, aches, pains, and injuries, diarrhea, dysentery, etc. If you are suffering from diseases such as severe infections, including tuberculosis, pneumonia, malaria, heart or kidney failures, etc., then homeopathy in Florida have the right medical help that can cure all types of these health problems. The foremost role of a homeopath practitioner is to analyze the complete case of the patient, along with examining as well as understanding medical history and details of the symptoms. After this the expert works towards selecting a proper treatment program for the patient that would suit in the best way. Here are some benefits of homeopathy that are discussed below:

Effective:

Homeopathy is successful for the curing long time chronic diseases and for those diseases that recur after every some time duration be it days, months or years. The outcome of homeopathy in recurring diseases such as allergies, migraine, arthritis, acne, autism, asthma, rheumatism, psoriasis, etc. is better than any other medication.  

Offers lasting result:

Even the conventional medicine is effective, but homeopathy provides relief for chronic diseases for lasting time duration. This lasting relief is achieved because homeopathy treats the root of the diseases rather than offering temporary treatment. The approach of homeopathy is to address the patient’s physical, emotional, and genetic factors and treat the traits of a disease just than treating diseases superficial. It also depends on the nature of a disease and its cause, so all these factors affects the treatment of patients.

Safe and Secure

Homeopathy is a form of medication that is safe and free from any adverse effects. The medicine is free of any toxic substance, so they are absolutely harmless and have no side-effect. Homeopathy is even safe for newborn babies, pregnant women, and elderly patients …