Diabetic retinopathy is a common eye disease in diabetics. Those who suffer from diabetes are also at high risk for other eye diseases such as glaucoma and cataracts. All of these eye diseases can cause severe vision loss to blindness.
Diabetic retinopathy disease process caused by the changes that occur in blood vessels of the retina, which is a thin membrane is formed by nerve cells that line the rear two thirds eyeball. Nerve cells in the retina receives light and sends signals to the brain about what is seen by the eye.
Diabetic retinopathy consists of two stages, namely:
Nonproliferatif retinopathy. An early stage of this disease process. During diabetes, this condition causes the small blood vessel walls in the eye weakens. Arising from a small bulge on the blood vessels (mikroaneurisma) that can be broken so that the leaking fluid and protein into the retina. Reduced blood flow to the retina causes the formation of patches of the form "cotton woolen" gray or white. Fat deposition in white yellow protein (hard exudates) was also formed on the retina. This change may not affect vision unless fluid and protein from the damaged blood vessels causing swelling in the central retina (macula). This condition is called macular edema, which can aggravate a person of vision centers.
Proliferative retinopathy. Nonproliferatif retinopathy can progress to proliferative retinopathy is more severe stage of diabetic retinopathy disease. The main forms of proliferative retinopathy is the growth (proliferation) of fragile blood vessels on the surface of the retina. These abnormal blood vessels easily rupture, bleeding occurs in the middle of the eyeball so that impede vision. Will also form scar tissue that can pull the retina so that the retina regardless of the place. If untreated, proliferative retinopathy can permanently damage the retina and a portion of another portion of the eye, causing severe vision loss or blindness.
Diabetic Retinopathy usually develops into a number of levels in most patients with type 1 diabetes and some types of diabetes 2. Strict Supervisor of blood sugar levels can prevent the risk of developing severe retinopathy and vision loss. In case of retinopathy, the early detection and appropriate treatment (most often with lasers) can help prevent, obstruct or change the loss of sight.
Those who suffer from diabetes, his eyes should be checked at an eye doctor (oftalmologis) every year, even if they have no complaints even though the eye diseases. Dibetes Association of America suggests checking once a year (starting in three to five years after being diagnosed with diabetes type 1 and soon after being diagnosed with diabetes tipe2) with the following reasons:
Someone who developed diabetic retinopathy unknowingly because the disease does not always cause symptoms until the damage to the retina it worse.
Treatment will be more effective if done before the symptoms and complications developed retinopathy.
With regular eye examination, an eye doctor can find out and cure before continuing signs of retinopathy.
Unfortunately, many diabetics who did not check his eyes once a year to find out whether it has experienced retinopathy (or other eye diseases caused by diabetes). Consequently, they did not know that they have suffered from retinopathy until significant vision loss. Diabetic retinopathy is the leading cause of new blindness in people between the ages of 20 to 74 years. The experts believe many cases of vision loss and blindness may be preventable by taking annual eye examinations in diabetics
Showing posts with label tips. Show all posts
Showing posts with label tips. Show all posts
dental health smoking mouth
Smoking is already a common thing that we find everywhere in the world. This custom is so widely performed in both environments are highly educated and less educated. Smoking has become a complex problem involving psychological and social phenomena.
Much of the research done and even disturbing to realize that smoking is a healthy body. But to stop this activity very difficult.
Especially smoking may lead to cardiovascular disease and cancer, both cancerous lung, esophagus, laryng and oral cavity.
Cancer in the oral cavity usually begins with an irritation of the products are burned and smoked cigarettes. This irritation causes white lesions that are not sick.
Also smoking can also cause abnormalities in the oral cavity such as tongue, gums, oral mucosa, teeth and palate in the form of stomatitis nikotina and fungal infections.
Cigarette smoke components and substances that are harmful to the body. Number of components depending on the type of tobacco, combustion temperature, the length of the cigarette, the porosity of paper wrappers, spices, and whether there is a filter cigarette. Whereas dangerous substances such as gases and particles. We suck on the cigarette smoke contains 90% of various gases such as N2, O2, CO2, 10%, the rest contain certain particles such as tar, nicotine and others. Particles in cigarette smoke can cause cancer (carcinogenic) is the tar.
EFFECT OF SMOKING ON ALOE
In heavy smokers, smoking causes stimulation to the papilafiliformis (bulge / hanging on the tongue at the top) so that becomes longer (hypertrophy). Here the result of burning cigarettes easily deposited brownish black, so the smoker is difficult to feel a sense of bitter, salty, and sweet, because damage to the tip of the tentacle sensory (tastebuds).
EFFECT OF SMOKING ON gums
Number of tartar in smokers are more prone than non-smokers. Tartar are not cleaned can cause a variety of complaints such as gingivitis or bleeding gums. Besides, from burning cigarettes may cause circulation of blood circulation to the gums so easy to contract the disease.
Mucosal thickening AKOBAT SMOKING
Smoking is a risk factor for leukoplakia is a white patches or plaques on oral mucosa that can not be deleted. This can be found at the age of 30-70 years the majority of sufferers are smokers, especially men. According to a study of all cases of leukoplakia Silverman 95% were smokers.
Constant irritation from tobacco combustion products cause thickening of the oral mucosal tissue. Before clinical symptoms appear, irritation from tobacco smoke was attacked mucosal epithelial cells, thus increasing its activity. These symptoms only visible when cellular activity increases and becomes a thick epithelium, especially looking at the buccal mucosa (mucosa facing the cheek) and on the floor of the mouth. Oral mucosal changes seen as white patches. White spots are probably caused by a thick epithelium saturated with saliva (spit). Experts said that leukoplakia is a pre-malignant lesions in the mouth. Leukoplakia becomes malignant changes 3-6%.
Noda BECAUSE TOBACCO OR STAIN
Teeth can be discolored by tobacco. At first it stains caused by nicotine is considered, but in fact is the result of burning tobacco in the form of tar. Nicotine itself is colorless and soluble. Shafer and his colleagues say that the brown color occurs in regular smokers, while the black color occurs in smokers who use the pipe. The stains are easy to clean because there is only on the plains outside the tooth. But in people who smoked during their lives, these stains can be entered into the superficial layer of tooth enamel and difficult to remove.
Smoking habits affect oral health, especially changes in the mucosa (mucous membranes). Most, cancers of the mouth begins with mucosal changes. These changes do not cause pain (pre-malignant lesions), so no attention until the situation becomes advanced. Therefore, if there are white patches, as early as possible to come to the dentist.
Make a habit of checking your teeth once every six months, although no respiratory symptoms. And most important is a strong will to eliminate smoking habits, if necessary in consultation with your doctor
Much of the research done and even disturbing to realize that smoking is a healthy body. But to stop this activity very difficult.
Especially smoking may lead to cardiovascular disease and cancer, both cancerous lung, esophagus, laryng and oral cavity.
Cancer in the oral cavity usually begins with an irritation of the products are burned and smoked cigarettes. This irritation causes white lesions that are not sick.
Also smoking can also cause abnormalities in the oral cavity such as tongue, gums, oral mucosa, teeth and palate in the form of stomatitis nikotina and fungal infections.
Cigarette smoke components and substances that are harmful to the body. Number of components depending on the type of tobacco, combustion temperature, the length of the cigarette, the porosity of paper wrappers, spices, and whether there is a filter cigarette. Whereas dangerous substances such as gases and particles. We suck on the cigarette smoke contains 90% of various gases such as N2, O2, CO2, 10%, the rest contain certain particles such as tar, nicotine and others. Particles in cigarette smoke can cause cancer (carcinogenic) is the tar.
EFFECT OF SMOKING ON ALOE
In heavy smokers, smoking causes stimulation to the papilafiliformis (bulge / hanging on the tongue at the top) so that becomes longer (hypertrophy). Here the result of burning cigarettes easily deposited brownish black, so the smoker is difficult to feel a sense of bitter, salty, and sweet, because damage to the tip of the tentacle sensory (tastebuds).
EFFECT OF SMOKING ON gums
Number of tartar in smokers are more prone than non-smokers. Tartar are not cleaned can cause a variety of complaints such as gingivitis or bleeding gums. Besides, from burning cigarettes may cause circulation of blood circulation to the gums so easy to contract the disease.
Mucosal thickening AKOBAT SMOKING
Smoking is a risk factor for leukoplakia is a white patches or plaques on oral mucosa that can not be deleted. This can be found at the age of 30-70 years the majority of sufferers are smokers, especially men. According to a study of all cases of leukoplakia Silverman 95% were smokers.
Constant irritation from tobacco combustion products cause thickening of the oral mucosal tissue. Before clinical symptoms appear, irritation from tobacco smoke was attacked mucosal epithelial cells, thus increasing its activity. These symptoms only visible when cellular activity increases and becomes a thick epithelium, especially looking at the buccal mucosa (mucosa facing the cheek) and on the floor of the mouth. Oral mucosal changes seen as white patches. White spots are probably caused by a thick epithelium saturated with saliva (spit). Experts said that leukoplakia is a pre-malignant lesions in the mouth. Leukoplakia becomes malignant changes 3-6%.
Noda BECAUSE TOBACCO OR STAIN
Teeth can be discolored by tobacco. At first it stains caused by nicotine is considered, but in fact is the result of burning tobacco in the form of tar. Nicotine itself is colorless and soluble. Shafer and his colleagues say that the brown color occurs in regular smokers, while the black color occurs in smokers who use the pipe. The stains are easy to clean because there is only on the plains outside the tooth. But in people who smoked during their lives, these stains can be entered into the superficial layer of tooth enamel and difficult to remove.
Smoking habits affect oral health, especially changes in the mucosa (mucous membranes). Most, cancers of the mouth begins with mucosal changes. These changes do not cause pain (pre-malignant lesions), so no attention until the situation becomes advanced. Therefore, if there are white patches, as early as possible to come to the dentist.
Make a habit of checking your teeth once every six months, although no respiratory symptoms. And most important is a strong will to eliminate smoking habits, if necessary in consultation with your doctor
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dental health,
health,
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healthy heart,
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tea and fat
RITUAL sip tea has been known since 3000 years BC in China, namely when the government ruling emperor Shen Nung. This ritual is then developed in Japan since 1192. As a result, do not be surprised if people in two countries, it makes the tea as a ritual
Originally, this ritual as it is running. Residents in China do not know exactly which properties of real tea. They simply believe that tea can neutralize fat content in blood, urine launched, and inhibit diarrhea.
The Japanese people believe, the tea can be refreshing the body was missing while doing meditation for hours and hours.
Along with the development of food science, some countries also consume tea. No wonder tea consumption continues to increase.
Eg British Society of tea consumed 2.5 kg per capita annually. Irish citizens consumption even higher, which reaches 3.5 kg per capita. Pakistani and Indian tea each year to spend as much as 1 kg per capita and 0.6 kg per capita. As in Indonesia, a new tea consumption level per capita of just 0.2 kg.
Originally, this ritual as it is running. Residents in China do not know exactly which properties of real tea. They simply believe that tea can neutralize fat content in blood, urine launched, and inhibit diarrhea.
The Japanese people believe, the tea can be refreshing the body was missing while doing meditation for hours and hours.
Along with the development of food science, some countries also consume tea. No wonder tea consumption continues to increase.
Eg British Society of tea consumed 2.5 kg per capita annually. Irish citizens consumption even higher, which reaches 3.5 kg per capita. Pakistani and Indian tea each year to spend as much as 1 kg per capita and 0.6 kg per capita. As in Indonesia, a new tea consumption level per capita of just 0.2 kg.
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rosella tes hibiscus sabdariffa linn
Rosella (Hibiscus sabdariffa Linn.) Is a plant of the hibiscus family type. Plant this shrub can reach 3-5 feet high. If you've grown up, this plant will mengelurakan red flowers. Flower parts and seeds is beneficial for health.
Take 5-7 dried calyx of roselle leaf, brewed with hot water 1 cup (250 cc), add sugar if it was too sour. Usefulness of Rosella interest including the following:
* Contains multivitamins, including vit.C and Beta carotene.
* Neutralize toxins in the blood.
* Lowers blood pressure.
* Lowers blood sugar levels for diabetics.
* Inhibits the growth of cancer cells.
* Increase stamina and endurance.
* Lowers cholesterol in the blood.
* Reduce heat and difficulty in bowel movements.
* Reducing the clumping of fat in the liver.
* Reduces headaches / migraine.
* Can help recover from drug addiction.
This plant can grow anywhere, including in the yard of the house. Happy planting!
Take 5-7 dried calyx of roselle leaf, brewed with hot water 1 cup (250 cc), add sugar if it was too sour. Usefulness of Rosella interest including the following:
* Contains multivitamins, including vit.C and Beta carotene.
* Neutralize toxins in the blood.
* Lowers blood pressure.
* Lowers blood sugar levels for diabetics.
* Inhibits the growth of cancer cells.
* Increase stamina and endurance.
* Lowers cholesterol in the blood.
* Reduce heat and difficulty in bowel movements.
* Reducing the clumping of fat in the liver.
* Reduces headaches / migraine.
* Can help recover from drug addiction.
This plant can grow anywhere, including in the yard of the house. Happy planting!
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health,
health care,
tips
easy and healthy slim
Often we hear someone eat a little, but her weight kept going up. While there are people who eat a lot, but weight is always controlled. That's because the basal metabolic rate (BMR) is low so the body burns calories by slow and easy to store fat.
Want to increase the BMR? Try this way:
1. Eat early
Remember, always breakfast to supply energy needs. Focus on the food menu is low fat, high fiber, protein, and complex carbohydrates. A diet like this will not quickly make the hungry. In contrast, fatty food is not enough to satisfy the tongue and stomach because the body look fat as an energy source that is used only during an emergency.
2. Do not make yourself hungry
Do not just cut calories needs. Because, the body will think it was too drastic reduction in calories as a harbinger of the coming of the famine. BMR was decreased. As a result, despite eating less, weight never dropped.
3. Add protein
The amount of energy to digest protein produced higher compared with the energy to digest carbohydrates. Still eat carbs, but try adding meat, tofu, and soybeans to burn ekstraenergi.
4. Select sport aerobic
Aerobic exercise can include exercise, walking, bicycling, or swimming. The benefit is to increase the BMR can be felt immediately. Weight training also has a calorie burning effect that could be felt several hours after exercise.
5th. Do not forget weight training
Train the muscle with weight training two to three times a week. Half a kilogram of muscle burns nine times more calories than a pound of fat. Regular weight training in a cool spot to raise the body temperature can also raise your metabolic rate at rest up to 9 percent. Not bad, right? You just sit back while burning calories.
6. Sports prior to menstruation
Create the women, regular exercise two weeks before menstruation can burn about 30 percent fat. Why? Sports tend to be better performance at the final menstrual period, when ovarian hormone secreted high.
7. Many drinking
Dehydration causes the body's metabolism is inefficient. Lack of water causes the body temperature down so that your metabolism down and your body will store fat to increase the temperature.
8. Vitamin B Supplements
Vitamin B helps the body use energy, supports the adrenal and thyroid systems, and to encourage energy production inside and outside the cell. Maybe you need to supplement vitamin B if MRL too low.
9. Nutrition for thyroid
Important for the metabolism of the thyroid. Do not forget mengasup iodine-rich foods, such as salmon, tuna and seaweed. Also, vitamin B, C, E, niacin, and zinc contained in brown rice, avocado, and orange.
10. Spicy food
The content of capsaicin in chili peppers can temporarily increase your metabolism. Capsaicin This will force the body to spend more adrenaline accelerate the fat burning process.
Want to increase the BMR? Try this way:
1. Eat early
Remember, always breakfast to supply energy needs. Focus on the food menu is low fat, high fiber, protein, and complex carbohydrates. A diet like this will not quickly make the hungry. In contrast, fatty food is not enough to satisfy the tongue and stomach because the body look fat as an energy source that is used only during an emergency.
2. Do not make yourself hungry
Do not just cut calories needs. Because, the body will think it was too drastic reduction in calories as a harbinger of the coming of the famine. BMR was decreased. As a result, despite eating less, weight never dropped.
3. Add protein
The amount of energy to digest protein produced higher compared with the energy to digest carbohydrates. Still eat carbs, but try adding meat, tofu, and soybeans to burn ekstraenergi.
4. Select sport aerobic
Aerobic exercise can include exercise, walking, bicycling, or swimming. The benefit is to increase the BMR can be felt immediately. Weight training also has a calorie burning effect that could be felt several hours after exercise.
5th. Do not forget weight training
Train the muscle with weight training two to three times a week. Half a kilogram of muscle burns nine times more calories than a pound of fat. Regular weight training in a cool spot to raise the body temperature can also raise your metabolic rate at rest up to 9 percent. Not bad, right? You just sit back while burning calories.
6. Sports prior to menstruation
Create the women, regular exercise two weeks before menstruation can burn about 30 percent fat. Why? Sports tend to be better performance at the final menstrual period, when ovarian hormone secreted high.
7. Many drinking
Dehydration causes the body's metabolism is inefficient. Lack of water causes the body temperature down so that your metabolism down and your body will store fat to increase the temperature.
8. Vitamin B Supplements
Vitamin B helps the body use energy, supports the adrenal and thyroid systems, and to encourage energy production inside and outside the cell. Maybe you need to supplement vitamin B if MRL too low.
9. Nutrition for thyroid
Important for the metabolism of the thyroid. Do not forget mengasup iodine-rich foods, such as salmon, tuna and seaweed. Also, vitamin B, C, E, niacin, and zinc contained in brown rice, avocado, and orange.
10. Spicy food
The content of capsaicin in chili peppers can temporarily increase your metabolism. Capsaicin This will force the body to spend more adrenaline accelerate the fat burning process.
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health,
health care,
slim,
tips
4 tips and tricks to get slim body
Maybe you wonder, not too slim body is set right when the food goes into the mouth. Really?
What about the drinks that go into your stomach? Soda, syrup, or sweet tea contain sugar that can make you fat, you know. Healthy beverage is actually a secret weapon for the success of your diet.
1. Water before eating
In some studies, Barbara Rolls, Ph.D., from Pennsylvania State University and author of The Volumetrics Weight Control Plan reveals, drink a glass of water 15 to 20 minutes before a meal can reduce the number of calories that we will asup. The reason is still unknown, but the Rolls said that the thickness of drinks and beverages calorie density also serves to reduce your calorie intake.
2. Green tea
A study published in the Journal of the American Physiological Society found that green tea extract to improve the endurance of up to 24 percent in addition to increasing fat burning. Researchers from Japan to monitor the time it takes rats to swim till exhaustion.
Mice that were given green tea extract swim tirelessly for more than 10 weeks and have a higher fat oxidation. Takatoshi Murasi, one of the researchers believe that drinking a glass of green tea before exercise also had the same effect in humans.
3. Fat-free chocolate milk
This is the perfect drink after a workout kickboxing or yoga. "If you do not have allergies, milk is the perfect recovery drink after exercise because it has carbs and protein needed by the body," said Roberta Anding, hospitals, sports nutritionist from Rice University and a team of nutrition for the NFL's Houston Texas.
4. Ice water
A German study found that drinking ice water burn calories instead. Two glasses of ice water to no more than 20 degrees Celsius can burn approximately 24 calories. Approximately 40 percent of the combustion is used to treat drinking water temperature equivalent to body temperature.
What about the drinks that go into your stomach? Soda, syrup, or sweet tea contain sugar that can make you fat, you know. Healthy beverage is actually a secret weapon for the success of your diet.
1. Water before eating
In some studies, Barbara Rolls, Ph.D., from Pennsylvania State University and author of The Volumetrics Weight Control Plan reveals, drink a glass of water 15 to 20 minutes before a meal can reduce the number of calories that we will asup. The reason is still unknown, but the Rolls said that the thickness of drinks and beverages calorie density also serves to reduce your calorie intake.
2. Green tea
A study published in the Journal of the American Physiological Society found that green tea extract to improve the endurance of up to 24 percent in addition to increasing fat burning. Researchers from Japan to monitor the time it takes rats to swim till exhaustion.
Mice that were given green tea extract swim tirelessly for more than 10 weeks and have a higher fat oxidation. Takatoshi Murasi, one of the researchers believe that drinking a glass of green tea before exercise also had the same effect in humans.
3. Fat-free chocolate milk
This is the perfect drink after a workout kickboxing or yoga. "If you do not have allergies, milk is the perfect recovery drink after exercise because it has carbs and protein needed by the body," said Roberta Anding, hospitals, sports nutritionist from Rice University and a team of nutrition for the NFL's Houston Texas.
4. Ice water
A German study found that drinking ice water burn calories instead. Two glasses of ice water to no more than 20 degrees Celsius can burn approximately 24 calories. Approximately 40 percent of the combustion is used to treat drinking water temperature equivalent to body temperature.
Label:
health,
health care,
slim,
tips
coronary hearth desease attact
Symptoms are often taken for granted, but if the contract is, lives are at stake. That's what makes a dangerous coronary heart disease. Moreover with the notion that the threat of disease because of high cholesterol is only valid for those who are elderly or whose weight is excessive.
In fact, now more and more people in productive age (from 20s) may experience disruption of blood vessels and heart attack, due to excessive cholesterol in the blood. Even from the data published by the World Health Organization (WHO), currently 25% of world population has high cholesterol. Why did this happen?
Increasing number of patients with coronary heart disease can not be separated from the shift in lifestyle, especially diet community. If people in developed countries have started to realize the importance of reducing cholesterol and fat in their diet; in developing countries, diet high in fat, cholesterol and salt instead increased, along with the number of junk food and snacks that use saturated oils. Obviously the risk increases if there are innate factors, in addition to environmental factors, such as stress and the increasing number of free radicals are formed due to high pollution levels, as well as lack of movement or exercise due to the demands of intensive activity.
In fact, now more and more people in productive age (from 20s) may experience disruption of blood vessels and heart attack, due to excessive cholesterol in the blood. Even from the data published by the World Health Organization (WHO), currently 25% of world population has high cholesterol. Why did this happen?
Increasing number of patients with coronary heart disease can not be separated from the shift in lifestyle, especially diet community. If people in developed countries have started to realize the importance of reducing cholesterol and fat in their diet; in developing countries, diet high in fat, cholesterol and salt instead increased, along with the number of junk food and snacks that use saturated oils. Obviously the risk increases if there are innate factors, in addition to environmental factors, such as stress and the increasing number of free radicals are formed due to high pollution levels, as well as lack of movement or exercise due to the demands of intensive activity.
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health care,
healthy heart,
heart,
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7 tips to prevent hearth attack coronary
Coronary heart disease is one of the degenerative disease, meaning that the disease process takes place in a long time, even up to a dozen or a dozen years. Without us knowing it, since we were kids we've started to 'accumulate' cholesterol in our veins. After years, of course, deposition of fat and cholesterol in blood vessel walls become gradually narrows blood vessels and no longer elastic. Consequently, when the blood clot is formed (clot), blood flow will be obstructed, and blood vessels burst / blocked. When this occurs in blood vessels to the brain, that's what we are familiar with the stroke, while in case of the blood vessels to the heart, this is what we all know by heart attacks.
So, who knows the condition of the blood vessels of our current pattern of life which we live today? And, if the cholesterol accumulation was clearly a pioneer of coronary heart disease, how this dangerous substance that can be stacked in our veins? Research shows that cholesterol and fat can attach to and accumulate in the blood vessel wall if the inner wall of blood vessels (endothelium) is damaged and no longer flat due to exposure to free radicals. Free radicals is of course not only damaging our blood vessel walls, but all our other organs were involved were affected.
Prevention to do as early as possible
1. Exercise regularly to help keep the fat burning and keep the circulatory current.
2. Reduce consumption of fatty foods / high cholesterol and increasing consumption of foods high in fiber, like vegetables and fruits.
3. Maintain ideal body weight.
4. Adequate rest and reduce stress, so that the amount of free radicals formed in the body is not too much.
5th. Avoid cigarettes, coffee, and alcoholic beverages.
6. Conduct laboratory examinations regularly to monitor the levels of cholesterol in the blood.
7. Keeping the environment clean.
So, who knows the condition of the blood vessels of our current pattern of life which we live today? And, if the cholesterol accumulation was clearly a pioneer of coronary heart disease, how this dangerous substance that can be stacked in our veins? Research shows that cholesterol and fat can attach to and accumulate in the blood vessel wall if the inner wall of blood vessels (endothelium) is damaged and no longer flat due to exposure to free radicals. Free radicals is of course not only damaging our blood vessel walls, but all our other organs were involved were affected.
Prevention to do as early as possible
1. Exercise regularly to help keep the fat burning and keep the circulatory current.
2. Reduce consumption of fatty foods / high cholesterol and increasing consumption of foods high in fiber, like vegetables and fruits.
3. Maintain ideal body weight.
4. Adequate rest and reduce stress, so that the amount of free radicals formed in the body is not too much.
5th. Avoid cigarettes, coffee, and alcoholic beverages.
6. Conduct laboratory examinations regularly to monitor the levels of cholesterol in the blood.
7. Keeping the environment clean.
Label:
health,
health care,
healthy heart,
heart,
tips
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