” According to the American Liver Foundation, there are more than 100 different liver diseases one being NAFLD.  Pediatric non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in children, with its prevalence rising in parallel with the increased rates of overweight and obesity. NAFLD is a multisystem disease also affecting extrahepatic organs, and it has a long-term impact on health which extends into adulthood and causes significant morbidity and mortality.  NAFLD is the most common liver disease in children in the U. S., affecting 5 to 8 million children and adolescents.   It is October Awareness Month on the Liver! ”

U.S. National Library of Medicine National Institutes of Health (NCBI)

human lungs

The respiratory system consists of the lungs, throat, diaphragm, nose and mouth. Working together, these organs convert the air that is breathed into oxygen for the blood.

The process begins when a person breathes in air. Once taken into the body, the air travels through the throat into the chest cavity where it is processed by the bronchial tubes into the alveoli of the lungs. There, unneeded air such as carbon dioxide is removed and prepared to exit the body.

If one of these components of the respiratory system fails, oxygen intake is compromised, and the result can be serious if not fatal.

The major organ used in respirations is our lungs.  Your lungs are organs in your chest that allow your body to take in oxygen from the air. They also help remove carbon dioxide (a waste gas that can be toxic) from your body. The lungs‘ intake of oxygen and removal of carbon dioxide is called gas exchange. Gas exchange is part of breathing.

To make this more simplistic in understanding how vital this organ is let us look at the car.  It operates mainly with the engine but also works with a transmission without either the car would fail in operation, including the oil system.  Let’s look at the body; remember both the car and the human body operate on systems, not one unit.  Our body’s engine is the heart with our transmission is the lungs; one completely without the other would die in about less 7 minutes.  The renal system (kidneys) is our oil system that filters our blood taking toxics out via the kidneys dumping into our urinary bladder to void out our system (the toxics are the yellow in our urine).  Get the idea of how our body is similar to the car.

Without losing our topic here lets now continue with anatomy of lungs.  The lungs are pyramid-shaped, paired organs that are connected to the trachea by the right and left bronchi; on the inferior surface, the lungs are bordered by the diaphragm. The diaphragm is the flat, dome-shaped muscle located at the base of the lungs and thoracic cavity. The lungs are enclosed by the pleurae, which are attached to the mediastinum. The right lung is shorter and wider than the left lung, and the left lung occupies a smaller volume than the right. The cardiac notch is an indentation on the surface of the left lung, and it allows space for the heart.  The right lung has 3 lobes whereas the left has 2.  How does this deal with pneumonia well let us know get into this diagnosis.

What is pneumonia?

Pneumonia is a lung infection that can make you very sick. You may cough, run a fever, and have a hard time breathing. For most people, pneumonia can be treated at home. It often clears up in 2 to 3 weeks. But older adults, babies, and people with other diseases can become very ill. They may need to be in the hospital.

You can get pneumonia in your daily life, such as at school or work. This is called community-associated pneumonia. You can also get it when you are in a hospital or nursing home. This is called healthcare-associated pneumonia. It may be more severe because you already are ill. This topic focuses on pneumonia you get in your daily life.

What causes pneumonia?

Germs called bacteria or viruses usually cause pneumonia.

Pneumonia usually starts when you breathe the germs into your lungs. You may be more likely to get the disease after having a cold or the flu. These illnesses make it hard for your lungs to fight infection, so it is easier to get pneumonia. Having a long-term, or chronic, disease like asthma, heart disease, cancer, or diabetes also makes you more likely to get pneumonia.

What are the symptoms?

Symptoms of pneumonia caused by bacteria usually come on quickly. They may include:

• Cough. You will likely cough up mucus (sputum) from your lungs. Mucus may be rusty or green or tinged with blood.
• Fever.
• Fast breathing and feeling short of breath.
• Shaking and “teeth-chattering” chills.
• Chest pain that often feels worse when you cough or breathe in.
• Fast heartbeat.
• Feeling very tired or very weak.
• Nausea and vomiting.
• Diarrhea.

When you have mild symptoms, your doctor may call this “walking pneumonia.”

Older adults may have different, fewer, or milder symptoms. They may not have a fever. Or they may have a cough but not bring up mucus. The main sign of pneumonia in older adults may be a change in how well they think. Confusion or delirium is common. Or, if they already have a lung disease, that disease may get worse.

Symptoms caused by viruses are the same as those caused by bacteria. But they may come on slowly and often are not as obvious or as bad.

How is it treated?

If pneumonia is caused by bacteria, your doctor will give you antibiotics. These almost always cure pneumonia caused by bacteria. Be sure to take the antibiotics exactly as instructed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

Pneumonia can make you feel very sick. But after you take antibiotics, you should start to feel much better. Call your doctor if you do not start to feel better after 2 to 3 days of antibiotics. Call your doctor right away if you feel worse.

There are things you can do to feel better during your treatment. Get plenty of rest and sleep, and drink lots of liquids. Do not smoke. If your cough keeps you awake at night, talk to your doctor about using cough medicine.

You may need to go to the hospital if you have bad symptoms, a weak immune system, or another serious illness.

Pneumonia caused by a virus usually is not treated with antibiotics. Sometimes, antibiotics may be used to prevent complications. But home treatment, such as rest and taking care of your cough, usually is all that is done.

How can you prevent pneumonia?

Experts recommend immunization for children and adults. Children get the pneumococcal vaccine as part of their routine shots. Two different types of pneumococcal vaccines are recommended for people ages 65 and older. If you smoke, or you have a long-term health problem, it’s a good idea to get a pneumococcal vaccine. It may not keep you from getting pneumonia. But if you do get pneumonia, you probably won’t be as sick. You can also get an influenza vaccine to prevent the flu, because sometimes people get pneumonia after having the flu.

You can also lower your chances of getting pneumonia by staying away from people who have a cold, measles, or chickenpox. You may get pneumonia after you have one of these illnesses. Wash your hands often. This helps prevent the spread of viruses and bacteria that may cause pneumonia.

You are more likely to get pneumonia if you:

• Smoke. Cigarette smoking is the strongest risk factor for pneumonia in healthy young people.
• Have another medical condition, especially lung diseases such as chronic obstructive pulmonary disease (COPD) or asthma.
• Are younger than 1 year of age or older than 65.
• Have an impaired immune system.
• Take medicine called a proton pump inhibitor (such as Prilosec or Protonix) that reduces the amount of stomach acid.
• Drink excessive amounts of alcohol.
• Recently had a cold or the flu.

“Even so, the risk of SIDS can be greatly reduced. Most important: babies younger than 1 year old should be placed on their backs to sleep — never facedown on their stomachs or on their sides. Sleeping on the stomach or side increases the risk for SIDS.  When considering which babies could be most at risk, no single thing is likely to cause a SIDS death. Rather, several risk factors might combine to cause an at-risk infant to die of SIDS.”

Kids Health (kidshealth.org)

Sudden infant death syndrome (SIDS)

This condition is the unexplained death, usually during sleep, of a seemingly healthy baby less than a year old. SIDS is sometimes known as crib death because the infants often die in their cribs.

Although the cause is unknown, it appears that SIDS might be associated with defects in the portion of an infant’s brain that controls breathing and arousal from sleep.

Researchers have discovered some factors that might put babies at extra risk. They’ve also identified measures you can take to help protect your child from SIDS. Perhaps the most important is placing your baby on his or her back to sleep.

Causes

A combination of physical and sleep environmental factors can make an infant more vulnerable to SIDS. These factors vary from child to child.

Physical factors

Physical factors associated with SIDS include:

• Brain defects. Some infants are born with problems that make them more likely to die of SIDS. In many of these babies, the portion of the brain that controls breathing and arousal from sleep hasn’t matured enough to work properly.
• Low birth weight. Premature birth or being part of a multiple birth increases the likelihood that a baby’s brain hasn’t matured completely, so he or she has less control over such automatic processes as breathing and heart rate.
• Respiratory infection. Many infants who died of SIDS had recently had a cold, which might contribute to breathing problems.

Sleep environmental factors

The items in a baby’s crib and his or her sleeping position can combine with a baby’s physical problems to increase the risk of SIDS. Examples include:

• Sleeping on the stomach or side. Babies placed in these positions to sleep might have more difficulty breathing than those placed on their backs.
• Sleeping on a soft surface. Lying face down on a fluffy comforter, a soft mattress or a waterbed can block an infant’s airway.
• Sharing a bed. While the risk of SIDS is lowered if an infant sleeps in the same room as his or her parents, the risk increases if the baby sleeps in the same bed with parents, siblings or pets.
• Overheating. Being too warm while sleeping can increase a baby’s risk of SIDS.

Risk factors

Although sudden infant death syndrome can strike any infant, researchers have identified several factors that might increase a baby’s risk. They include:

• Sex. Boys are slightly more likely to die of SIDS.
• Age. Infants are most vulnerable between the second and fourth months of life.
• Race. For reasons that aren’t well-understood, nonwhite infants are more likely to develop SIDS.
• Family history. Babies who’ve had siblings or cousins die of SIDS are at higher risk of SIDS.
• Secondhand smoke. Babies who live with smokers have a higher risk of SIDS.
• Being premature. Both being born early and having a low birth weight increase your baby’s chances of SIDS.

Maternal risk factors

During pregnancy, the mother also affects her baby’s risk of SIDS, especially if she:

• Is younger than 20
• Smokes cigarettes
• Uses drugs or alcohol
• Has inadequate prenatal care

“I started running four years ago to quit smoking. Now, I run to show my son, Fritz, that you can do anything you set your mind to, so long as you are willing to keep putting one foot in front of the other. Team NDSS has been a great way for me to help NDSS continue their important work for our kiddos and family members. Wearing NDSS gear at local races here in Arkansas has given me a chance to talk to other runners, dispel myths about Down syndrome and promote the work of NDSS.”— Chris Attig

National Down Syndrome Society (ndss)

“Physiologically, kindness can positively change your brain. Being kind boosts serotonin and dopamine, which are neurotransmitters in the brain that give you feelings of satisfaction and well-being, and cause the pleasure/reward centers in your brain to light up. Endorphins, which are your body’s natural pain killer, also can be released.  It is not just how you treat other people — it is how you extend those same behaviors and intentions to yourself as well.”

MAYO CLINIC

“Kindness has been shown to increase self-esteem, empathy and compassion, and improve mood. It can decrease blood pressure and cortisol, a stress hormone, which directly impacts stress levels. People who give of themselves in a balanced way also tend to be healthier and live longer. Kindness can increase your sense of connectivity with others, which can directly impact loneliness, improve low mood and enhance relationships in general. It also can be contagious. Looking for ways to show kindness can give you a focus activity, especially if you tend to be anxious or stressed in some social situations.”

MAYO CLINIC
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“Your liver is a large and complex organ. It is responsible for breaking down and eliminating naturally occurring toxins as well as many types of medications. It also acts as a chemical factory, producing bile (necessary for digestion), clotting factors, other proteins in the blood, as well as cholesterol and various forms of fats. The other major function of the liver is to store and release carbohydrates.  Since chronic liver disease cannot be cured, prevention is key. “.

Beth Israel Lahey Health Winchester Hospital

“Norovirus is a very contagious virus that causes vomiting and diarrhea. Anyone can get infected and sick with norovirus. Norovirus is also known as the winter vomiting bug. It is the commonest cause of gastroenteritis. The virus is usually transmitted via the fecal-oral route . You can get norovirus from: