Hi !
Ruth is 44 years old. At her medical checkup, her doctor notices that Ruth's lymph nodes are enlarged. After some blood tests and a CT scan, Ruth's doctor diagnoses her with lymphoma , a cancer that typically starts in the lymphocytes and can spread to the bone marrow.
Ruth was diagnosed with Lymphoma, a form of cancer that originates in Lymphocytes.
What is Lymphoma?
Lymphoma is cancer that begins in infection-fighting cells of the immune system, called lymphocytes. Lymphoma is a malignant type of cancer as lymphatics are present all over the body through which it can spread.In Lymphoma, lymphocytes change and grow out of control.There are 2 types of Lymphoma; 1) Non-Hodgkin 2) HodgkinSymptoms of lymphoma include enlarged lymph nodes, fatigue, and weight loss.It is a curable disease and is treated based on the type of lymphoma.
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A 73-year-old man presents with worsening shortness of breath with activity over the last few months. He is not able to complete as many physical activities during the day as he could manage 3 months ago. Physical examination reveals hypotension, tachycardia, extremities that are cool to the touch, expiratory wheezing, and rhonchi auscultated during the pulmonary exam; there is also a diminished first heart sound with an S3 gallop heard during the cardiac exam. Question What medication should you begin in this patient to help alleviate his symptoms?
Hi !
What medication should you begin in this patient to help alleviate his symptoms?
- betablocking, diuretic
The patient above is displaying multiple key signs and symptoms suggestive of heart failure.
Two hours after taking a regular morning dose of Insulin Regular (Humulin R®), a client presents to a clinic with diaphoresis, tremors, palpitations, and tachycardia. Which nursing action is most appropriate for this client?
a. Check pulse oximetry and administer oxygen at 2L per nasal cannula
b. Administer a baby aspirin, one sublingual nitroglycerin tablet, and obtain an electrocardiogram (ECG)
c. Check blood glucose level and provide carbohydrates if less than 70mg/dL (3.8mmol/L)
d. Check vital signs and administer cortisol (Tenormin®) 25mg orally is heart rate is >120 beats per minute
Hi !
Which nursing action is most appropriate for this client?
c. Check blood glucose level and provide carbohydrates if less than 70mg/dL (3.8mmol/L)
To what does the term 2-second rule refer
Answer:
life
Explanation:
The 2-second rule is a driving guideline for maintaining safe following distances, while the SI unit for time, the second, is defined in terms of cesium atom vibrations for precise measurement.
Explanation:The term 2-second rule is commonly used in driving to refer to the safe following distance. While a person doing work may exert energy at a rate of 200 watts, or 200 joules per second, the 2-second rule advises that a driver should stay at least two seconds behind any vehicle that is directly in front of the driver's vehicle. It is a simple and effective way to gauge distance and ensure there is sufficient time to react if the vehicle in front suddenly slows down or comes to a stop.
As for the SI unit for time, the second, it has evolved over the years to ensure greater accuracy. While it was once defined as 1/86,400 of a mean solar day, it is now defined in terms of vibrations of cesium atoms, with one second being equal to 9,192,631,770 vibrations. This modern definition provides a constant physical phenomenon to accurately measure time.
Which of the following is an example of moving properly for a push-up?
a.Raising and lowering the body to a 90-degree angle at the elbow with a flat back
b.Raising and lowering the body to greater than a 90-degree angle at the elbow with a flat back
c.Raising and lowering the body to less than a 90-degree angle at the elbow with a flat back
d.Raising and lowering the body with the elbows locked out in the up position and a flat back
Answer: A- Raising and lowering the body to a 90° angle at the elbow with a flat back.
Explanation:
A push up is a exercise in which the hands are pressed at the floor and shoulders are kept wider and the entire pressure is kept over the pectoral muscles of the body. In this practice the entire weight of the body is over the biceps and triceps. There should be a ninety degree angle between the forearm and upper arm and also there should be a ninety degree angle between the back and elbow. The back should be kept horizontal to the ground and it should be kept straight without any curvature.
A 71-year-old female is complaining of the sudden onset of shortness of breath and rapid breathing. She also states that she is experiencing some chest pain that seems to worsen when she takes a deep breath. The primary assessment shows her to be alert and oriented with a patent airway and rapid breathing that is adequate. Her pulse rate is 92 per minute and her blood pressure is 116/68 mmHg. When obtaining a history, which statement made by the patient should raise your suspicion that the patient may be experiencing a pulmonary embolism?
Hi !
When will a history, which statement made by the patient should raise your suspicion that the patient may be experiencing pulmonary embolism?
A recent operation
A 51-year-old female visits her health care provider for vaginal bleeding and low back pain. Her health history includes anxiety disorder, type 2 diabetes, and hypertension. She is 5’2” tall and weighs 224 lbs. She smoked cigarettes for 25 years but quit 8 years ago. She is post-menopausal for over a year. What is the reason for vaginal bleeding and low back pain?
What is the appropriate food measurement for men? 3 palm portions of protein, 2 cupped handfuls of carb dense foods, 1. 5 entire thumbs of vegetables, and 1 palm of fat dense foods 2 palm portions of protein, 2 fists of vegetables, 2 cupped handfuls of carb dense foods, and 2 entire thumbs of fat dense foods 1 palm of protein, 2 cupped handfuls of vegetables, 3 thumbs of fat dense foods, and 2 fists of carb dense foods One half of a palm of protein, 1 cupped handfuls of vegetables, 3 thumbs of fat dense foods, and 1 fists of carb dense foods none of these
Among the given options, the appropriate food measurement for men is 2 palm portions of protein, 2 fists of vegetables, 2 cupped handfuls of carb dense foods, and 2 entire thumbs of fat dense foods. Option 2 is correct.
This measurement provides a balanced distribution of macronutrients and portion sizes that can support nutritional needs for energy, muscle maintenance, and overall health. The specific breakdown includes:
2 palm portions of protein: This ensures an adequate intake of protein, which is important for muscle building, repair, and overall bodily functions.
2 fists of vegetables: Including 2 fists of vegetables contributes to a sufficient intake of vitamins, minerals, and dietary fiber, promoting overall health, digestion, and gut health.
2 cupped handfuls of carb dense foods: Carbohydrates are a primary energy source, and having 2 cupped handfuls of carb dense foods provides energy for daily activities and exercise.
2 entire thumbs of fat dense foods: Including healthy fats in the diet is essential for various bodily functions, and having 2 entire thumbs of fat dense foods helps maintain a balance of essential fatty acids.
This combination provides a well-rounded and balanced nutritional intake, encompassing the major macronutrients—protein, carbohydrates, and fats—along with a variety of essential vitamins and minerals from vegetables.
It's important to note that individual nutritional needs can vary based on factors such as activity level, metabolism, and specific health goals. However, option 2 aligns more closely with general dietary guidelines that emphasize a diverse intake of nutrients from different food sources, making it an appropriate choice for men looking to maintain a balanced diet.
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Which statement is false? a. An extinction burst is the complete cessation of the target behavior after the extinction procedure has started. b. Extinction procedures should not be used with behaviors that cause serious injury to the subject. c. If the behavior analyst does not have the ability to control the subject's access to reinforcement, an extinction procedure should not be implemented. d. Spontaneous recovery of the target behavior will be short-lived, as long as the extinction procedure remains in effect
Answer:
A is false :)
Answer:
a. An extinction burst is the complete cessation of the target behavior after the extinction procedure has started is the correct answer.
Explanation:
An extinction burst is one's reaction to a stimulus that has already produced positive reinforcements but that don't exist anymore, meaning that if a person is rewarded for his response after the stimulus, the person will continue doing it even if the reward stops. Due to this, letter A is the correct answer.
A surgical nurse works 1 1/4 hours in preoperative car, 2 1/2 hours in te operating room and 3 3/4 hours in the recovery room. What is the totall number of hours worked?
Answer:
7 1/2 hours
Explanation:
You respond to a 22-year-old male patient who fell while exiting the local bar. Bystanders state he drank at least 10 beers and could not keep his balance. Physical exam reveals that the patient is alert to verbal stimuli only. He has a Glasgow Coma Scale of 3, 4, 6; slurred speech; and an obvious scalp laceration to the back of his head. He is refusing treatment and transport and wants his friends to drive him home. The nearest hospital is 5 minutes away, a Level II Trauma Center is 10 minutes away, and a Level I Full Service Trauma Center is 30 minutes away. Which of these is the most appropriate facility for the patient?
Answer:
the hospital
Explanation:
its much closer and he can take his friends then go home after
When she goes to the grocery store, Mykaeya leaves her shopping list at home. She is able to remember the first few things on her list and the last few things on her list, but she can’t remember the items in the middle of her list. Her memory for the start of her list demonstrates the __________ effect, while remembering things at the end of the list is an example of the __________ effect.
Hi !
Her memory for the start of her list demonstrates the "primacy" effect, while remembering things at the end of the list is an example of the "recency" effect.
Mr. Franzen is a high school physics teacher. He supports the development of his students' problem-solving skills by providing consistent, encouraging feedback on their assignments. In Bandura's terms, Mr. Franzen is trying to develop his pupils' self-:
(A) expetancy
(B) esteem
(C) efficancy
(D) Concept
Answer:
C: efficacy
Explanation:
Mr. Franzen is trying to develop his pupils´self-efficacy. In psychology, self-efficacy is a person's belief that they can be successful when carrying out a particular task . The teacher let them know this by his feedback on the assignments. This belief in one capacity contributes to their self-steem and motivation.
Given the following syllogism: Some uncontaminated salads are healthy meals, for some appetizing foods are contaminated salads, and all unhealthy meals are unappetizing foods. For Syllogism 2A, the major premise is: a. Some appetizing foods are contaminated salads. b. No unhealthy meals are appetizing foods. c. All appetizing foods are healthy meals. d. Some appetizing foods are not contaminated salads. e. Some healthy meals are not contaminated salads.
What are the types of health care systems
Answer:
- Beverage model
- Bismarck model
- National health insurance model
- Out-of-pocket model
Explanation:
There are four basic types of health care systems in the world, all of which have their own unique way of working. The four basic types are the Beverage model, Bismarck model, National health insurance model, and out-of-pocket model.
In the Beverage model, everything is paid through the government through taxes, and the government is the one that regulates how much can be charged for the health care services.
In the Bismarck model, everyone has health care, and the people are medically insured through insurance companies, with the payment being done through the employers who deduct certain amount of money from the employees.
In the National health care model, the people have health care insurance through paying higher taxes to the government. Everyone has health care insurance, the costs are low, and everyone is free to chose the hospital and doctors they wish.
In the Out-of-pocket model, the people are covered by the companies, by a private policy, or have no coverage at all. This model is probably the worst one, being the most expensive, with lot of people not being able to afford proper medical treatment.
Health care systems vary globally, with the U.S. leaning towards a private model known for quality and innovation but also high costs and limited access. Other countries may offer lower costs and better access but lag in quick service delivery and advanced treatments. Finding the right balance between quality, access, and cost is essential for an effective healthcare system.
Explanation:Types of Health Care Systems
The question pertains to the different types of health care systems. In the United States, health care coverage is broadly divided into public healthcare which is government-funded, and private healthcare, which is privately funded. The U.S. system, known for its high quality of care and medical innovations, faces challenges in controlling costs and providing universal access to basic medical services. In contrast, other countries may have systems with lower costs and broader access but may struggle to provide rapid care and the latest medical treatments. Furthermore, healthcare systems can vary significantly between core and peripheral nations, with core countries focusing predominantly on modern medicine, supplemented by traditional methods. The key to an efficient healthcare system is finding the right balance between quality, access, and cost.
Comparatively, healthcare models also differ in terms of their structure, for instance, fee-for-service systems versus health maintenance organizations (HMOs), which influence the administration and delivery of healthcare services. Additionally, the advancement of healthcare administration has led to a variety of efficiency measures, such as the consolidation of hospitals, the advent of telemedicine, involvement of new types of healthcare professionals, and the implementation of insurance mandates and artificial intelligence.
Consuming low doses of alcohol is likely to cause
altered emotions
difficulty breathing
alcohol poisoning
reduced coordination
Answer:
its reduced coordination
Explanation:
Alcohol is a drink containing ethanol that acts drug. Low doses and consumption of alcohol cause reduced coordination. Thus, D is the correct option.
What are the effects of alcohol?Alcohol is a substance that is considered a drug and affects the brain, liver, kidneys, etc. The low consumption doses of alcohol cause impaired reaction time and reduced coordination, as the motor skills of the person start getting affected.
This low level of alcohol in the body causes a person to feel intoxicated and they show clumsy behavior and slurred speech. The high-level doses alter the emotions, cause breathing problems, and can also lead to alcohol poisoning by affecting the working of the liver.
Therefore, option D. the low-level alcohol reduces coordination.
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At what temperature does the human body experience a heatstroke?
Answer:
-At or greater than 104.0 °F.
Explanation:
Heat stroke or sun stroke can be defined as a severe heat illness, when internal body temperature reaches to (or above than) 104.0 °F. Symptoms include confusion, headache, dry or red skin, and dizziness.
The main cause for heat stroke is overwhelming of thermoregulation due to excessive environmental heat, excessive exertion (heat production due to metabolic activity), or insufficient heat loss.
Thus, the correct answer is '104.0 °F.'
The ideal cholesterol ratio for an individual would include
Answer:
The ideal ratio would include High HDL and Low LDL .
Explanation:
For an individual , a ideal ratio of cholesterol would be high HDL ( which is know as high density lipoprotein ) and low LDL ( which is know as low density lipoprotein ). The HDL is know to be good cholesterol , as it reduces the plaque which is usually gets built on the inside of a persons cartoid arteries, in heart and other blood vessels and LDL is know as bad cholesterol that helps in building this plaque.
Final answer:
The ideal cholesterol ratio includes lower levels of LDL (< 100 mg/dL) and higher levels of HDL (> 40 mg/dL for men and > 50 mg/dL for women), with a total cholesterol level under 200 mg/dL. Lifestyle changes like a balanced diet rich in unsaturated fats and regular exercise can aid in maintaining healthy cholesterol levels.
Explanation:
Ideal Cholesterol Ratio
The ideal cholesterol ratio for an individual includes a lower amount of low-density lipoproteins (LDL), often known as 'bad cholesterol', and a higher amount of high-density lipoproteins (HDL), commonly referred to as 'good cholesterol'. A healthy total blood cholesterol level is under 200 mg/dL. For LDL, an ideal level is less than 100 mg/dL, while for HDL, a level below 40 mg/dL for men and 50 mg/dL for women is a risk factor for heart disease. A balanced diet, with emphasis on unsaturated fats over saturated fats and avoidance of trans fats, alongside regular physical activity, can contribute to improved cholesterol health and reduction in heart disease risk.
Laura is a 48-year-old woman who recently appeared at the clinic complaining of RUQ pain that worsens after eating. From her records, you see that Laura has been in poor health for some time. She is obese and leads a sedentary lifestyle. Past medical history shows prolonged alcohol abuse, although Laura reports she has been attending Alcoholics Anonymous meetings "on and off" for the past 2 years. She states that when she stops attending AA meetings, she has "at most" two to three alcoholic drinks, two to three times per week.You want to evaluate Laura's report of pain further. Upon palpation of the right abdomen, Laura cringes as you press down while asking Laura to take a deep inhalation. You consider this to be positive for _______________.Cullen sign Grey Turner sign Murphy's sign Chvostek's sign Trousseau sign
Answer:
heart attack or stroke
When is the BEST time to be treated for an STI? A. Only after the symptoms of the STI begin to subside should a person seek treatment. B. When a person starts treatment makes not difference for most STIs. C. Only after first noticing a symptom of the STI should a person seek treatment. D. A person should seek treatment the first moment he or she suspects having an STI. Please select the best answer from the choices provided. A B C D
The person seeks treatment the first moment he or she suspects that he or she has STI. Option D is correct.
STI:It's an infection that is transmitted by intimate physical contact. This can include bacteria, viruses, or fungus that can later affect the body.STI can be curable such as fugle or bacterial infection. Some time STIs are non-curable such as HIV-AIDS.Therefore, the person seeks treatment the first moment he or she suspects that he or she has STI.
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The correct option is Option D. The best time to seek treatment for an STI is as soon as you suspect you have one. Early treatment prevents complications and helps manage symptoms effectively.
The best time to be treated for an STI is the first moment a person suspects having an STI. Untreated STIs can have severe negative health effects, including progression to AIDS in the case of HIV. Immediate treatment is crucial to manage symptoms, prevent complications, and avoid spreading the infection to others.Treatment for STIs often involves antibiotics, which must be taken as prescribed to ensure complete eradication of the infection.Early treatment can improve health outcomes and decrease the chances of long-term health issues associated with undiagnosed and untreated STIs.
Suspect an STI early for better health outcomes.Treatment can often be free and straightforward.Untreated STIs can have serious, even fatal, consequences.Antony is an adolescent who is primarily responsible for taking care of his younger sibling while his parents work. In addition, Antony’s household includes not only his parents and siblings but also his grandparents, uncles, aunts, and cousins as well. Based on this description, Antony is most likely __________.
Answer:
an adolescent who lives in a traditional culture.
Explanation:
Antony is an adolescent who primarily do household works including taking care of his younger siblings, grandparents, uncles, aunts and cousins. From the description, it is clear that Antony used to do this work in his adolescent age. Although at this age, he must be studying, playing and must have big dreams.
It can be stated from the description that Antony lives in a traditional cultured family where Antony is only helping his family in household works.
The classification of addictive substance use is best described as ______. The use of substances during social activities with one or more friends a person who has become dependent on regular use of the substance to feel good physically or psychologically when a substance is used to relieve an unpleasant emotional state such as sadness, anxiety, stress, or loneliness trying a substance once or perhaps a few times out of curiosity and then not using it again
Answer:
a person who has become dependent on regular use of the substance to feel good physically or psychologically
Explanation:
An additive substance is any chemical substance which, when consumed, it modifies the body's functioning, behavior, thoughts and feelings. These changes have the ability to change the mood and cause a sense of well being in the user, which makes them addictive. For example, alcohol or nicotine.
Which part of the brain when impaired by alcohol affects memory
Answer: Hippocampus
Explanation: The Hippocampus is the part of the brain that stores memory. Even a small amount of alcohol can disrupt ones memory.
The hippocampus is the part of the brain that is impaired by alcohol and affects memory.
Explanation:The part of the brain impaired by alcohol that affects memory is the hippocampus.
Alcohol consumption can result in a loss of memory for events that occurred during a period of intoxication. This is due to the effects of alcohol on the hippocampus, which is responsible for memory formation and consolidation.
When alcohol is consumed, it interferes with the normal functioning of the hippocampus, leading to impaired memory. This can manifest as difficulty remembering recent events, trouble with learning new information, and a general decline in cognitive abilities related to memory.
The physician was notified to go to the hospital floor for medical management of a 56 year-old patient admitted one day ago for aspiration pneumonia and COPD. An expanded problem focused history was documented indicating no chest pain at present, but still SOB and some swelling in his lower extremities. Was tachypenic yesterday. Problem focused exam with the lungs revealing course crackles in both bases, right worse than left. MDM was moderate with the continuation of intravenous antibiotic treatment and respiratory support, reviewed chest X-ray and labs. Patient is improving and a pulmonary consultation has been requested. What CPT® code should be reported
Hi !
What CPT® code should be reported ?
Answer:
- 99231
Commercially prepared liquid supplement formulas are used to increase the calorie intake of clients actively at risk for malnutrition. How many calories do the standard commercially prepared routine liquid supplement formulas generally provide?
Answer: 250 cal/8 oz
Explanation:
Commercially prepared formulas are used to increase the calorie intake of individual. This is required in the case where calorie intake of individual is not fulfilled by the food it takes.
In this case the liquid supplements is given to the people suffering by malnutrition. The average calorie which is provided by liquid supplements is 250 calorie/ 8 oz.
This is the amount of calorie which is required by the body through food to meet the requirements of the body.
Andria Treat is a 68-year-old woman in reasonably good health, although overweight. She takes a daily multivitamin supplement and almost daily over-the-counter antacids for heartburn. She says she eats mainly lean meat, chicken, fish, and seasonal fruit and fresh vegetables from her garden. She now reports having severe heartburn. Also, over the past two days, she has had painful stomach cramps and diarrhea. She reports that she attended a family reunion picnic two days earlier.
Based on her history, what is a likely explanation for Mrs. Treat's sudden onset diarrhea?
Hi !
Question :
Treat's sudden onset diarrhea?
Answer:
foodborne illness
Mrs. Treat's symptoms of severe heartburn, diarrhea, and stomach cramps are likely due to a foodborne illness contracted at a family reunion picnic or a gastrointestinal infection potentially related to her regular use of antacids.
Based on the history provided, a likely explanation for Mrs. Treat's sudden onset diarrhea, severe heartburn, and stomach cramps is that she could have contracted a foodborne illness at the family reunion picnic she attended. These symptoms could be indicative of gastrointestinal infection caused by bacteria, viruses, or parasites that can be present in contaminated food or water. It is also possible that the high usage of antacids might have altered her stomach's acidity, making her more susceptible to infections. Another consideration could be that if Mrs. Treat has been regularly using over-the-counter antacids, they could contribute to an imbalance in the normal bacteria within her gut, potentially leading to symptoms of a gastrointestinal infection such as C. difficile.
Which approach is a negative way to deal with conflicts?
• A. resorting to submission
B. confronting the issue
c. analyzing what you could do differently
OD. evaluating the situation from all perspectives
E. finding ways to avoid the conflict in the first place
E. Finding ways to avoid the conflict in the first place.
they are inevitable-AKA Thanos.
What comes together at a joint? A. an arc of movement B. flexible tissue C. two bones D. skin and hair
Answer:
c
Explanation:
Two bones come together to form a joint in the body of organisms which makes option C the most appropriate choice.
What is a Joint?This is a point where two bones meet in order to aid the movement of parts of the body.
They are usually covered with cartilage which helps to reduce friction and prevent wear and tear of the bones.
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Norm is interested in whether pet owners are more likely than those who do not own pets to have healthier lifestyles (e.g., exercise regularly, drink moderately, and refrain from nicotine use). By comparing the numbers he gathers on both groups, Norm will most likely be using what type of research method?
Answer: Quantitative
Explanation:
Quantitative method can be defined as method which can be used in the social science, natural science. In this method systematic models , graphs and charts are used to demonstrate the experiment.
Here, the experiment is done to prove that the population having pets have healthier lifestyles as compared to the population having no pets.
So, here quantitative method is used for this experiment.
Mrs. Batista has come to her doctor to get help for a headache in the back of her head and neck that presents every morning when she wakes and subsides during the day. She says she is waking up more often in the middle of the night to go to the bathroom, and she reports that sometimes during the day, she has visual disturbances. In your physical examination of Mrs. Batista, you find that her blood pressure is elevated. Which of the following conditions is Mrs. Batista most likely to have....
A.Primary hypertensionB.Secondary hypertensionC.PheochromocytomaD.Hypertensive crisis
hI §
Answer:
A.Primary hypertension
The headache in the back of her head and neck that is present upon waking is a strong indication of primary hypertension.
Using the Internet, search for the government recommendations for daily physical activity. Write a 100-word paragraph in which you compare your current activity with the government recommendations. Develop a plan that includes daily goals for how you will meet the recommendations. If you already meet them, describe in detail how you meet them and how you will continue to do so. The plan should include a description of the activity, type of activity (aerobic, muscle-strengthening, or bone-strengthening), intensity level, and how much time you will exercise each day. You might want to create a chart to organize your plan.
Answer: In addition to consuming a healthy eating pattern, regular physical activity is one of the most important things Americans can do to improve their health. The Physical Activity Guidelines for Americans, released by the U.S. Department of Health and Human Services, provides a comprehensive set of recommendations for Americans on the amounts and types of physical activity needed each day. Adults need at least 150 minutes of moderate-intensity physical activity and should perform muscle-strengthening exercises on 2 or more days each week. Youth ages 6 to 17 years need at least 60 minutes of physical activity per day, including aerobic, muscle-strengthening, and bone-strengthening activities. Just as individuals can achieve a healthy eating pattern in a variety of ways that meet their personal and cultural preferences, they can engage in regular physical activity in a variety of ways throughout the day and by choosing activities they enjoy. These can be used to help motivate consumer audiences to make healthy physical activity choices.
Explanation:
It can help you get exercise and to keep you healthy. Hope this helps :)
PLZ give me a thanks if you like, by pressing the heart. Thanks
Answer:
The practice of physical exercise is one of the usual recommendations, not only to keep fit and at the right weight, but also in the treatment of diseases, since it has very favorable effects on health in general. Any type of physical activity allows you to obtain health benefits. It is enough to incorporate recommended recommendations into the daily routine, such as fast walking, running, swimming or cycling. The most important thing in any case is regularity
Explanation:
A good plan is the muscular advancement by means of the daily cycling route, both in the morning, type 5 or 6 in the morning, and in the afternoons, starting at 6 in the afternoon. The idea with this is to increase the intensity of the routes, starting with a soft and short one in the morning and in the afternoon increase the distance traveled. Rest a day or two of this routine would be a good start. This routine should be accompanied by healthy juices and a balanced breakfast.