tmj – Temporomandibular Joint and Muscle Disorders

tmj - Temporomandibular Joint and Muscle Disorders
tmj – Temporomandibular Joint and Muscle Disorders

tmj or Temporomandibular joint disorder (temporomandibular joint syndrome) dysfunction of the Temporomandibular joint, marked by a clicking or grinding sensation in the joint and often by pain in or about the ears, tinnitus, tiredness and slight soreness of the jaw muscles upon waking, and stiffness of the jaw or actual trismus. Numerous causes have been proposed, such as mandibular overclosure, stress, and lesions of the joint. Called also TMJ disorder or syndrome.

tmj-Temporomandibular joint disorder

There are two joints to Temporomandibular. One on each side of the jaw.Some of the causes of Temporomandibular Syndrome can be excessive physical stress on the joint. Some of the pain can be caused by some of the structures of the Temporomandibular or connections to. Like teeth, cartilage at the joints and muscles around the jaw or face and neck. Also, nearby ligament, vessels, and nerves.
The cause of Temporomandibular Syndrome has not been proven. Some of the causes that have been blamed are possible stress or the grinding of teeth (many people that do grind their teeth do not have Temporomandibular Syndrome). In addition,  a bad bite or orthodontic braces are also believed to be a cause. Other causes can be poor posture. Equally, lack of sleep and improper diets. Furthermore, fractures, dislocation, and possible birth defects can also be the cause.

Symptoms of Temporomandibular Syndrome

Some of the symptoms that are associated with Temporomandibular Syndrome are earaches and facial pain. Also, clicking, popping, or loud sounds when opening or closing your mouth. In addition, biting or chewing discomfort. Headaches, Jaw Pain or jaw tenderness. Also, a decrease in the ability to open or close one’s mouth.

Exams and Test for Temporomandibular Syndrome

To find the true cause of Temporomandibular issues might not be easy. You would have to go to a medical professional like your primary care doctor. And possibly the doctor, depending on your symptoms would send you to a specialist like a dentist or an ear, nose, and throat (ENT) doctor.
Some of the possible exams or tests may be a dental exam to check bite alignment or possibly feeling the joint and connecting muscles or around the head for any tenderness. Having you slide tour teeth from side to side. Seeing how your jaw opens or closes and to have X-rays done to see if there are any abnormalities.
The doctor would also check for infections, in the gum, ears or headaches. Also, he would check for neuralgias and any kind of nerve-related problems.

Temporomandibular Syndrome Treatments

You should get opinions of several doctors. Speak to them about medications that might relieve the discomfort (short-term usage) like Tylenol or ibuprofen (acetaminophen), Aleve or Naprosyn (naproxen), or any anti-inflammatory or preferably non-steroidal drug. Any kind of muscle relaxant medicine or even antidepressants. They occasionally, but rarely use steroids to alleviate the symptoms. Also, using cold or hot packs on your face might help.

Before you do anything it is important that you get the advice of a medical professional like your primary care physician.

For more in-depth information about Temporomandibular Syndromes go to the links I have listed below

 

WebMD

Dx line info

MayoClinic

credits

Michael Friedman, DDS “Temporomandibular Joint Disorders (TMD, TMJ)” 12.28.2016 http://www.webmd.com/oral-health/guide/ temporomandibular-disorders-tmd#1

“TMJ Disorder” 12/28/2016 http://dxline.info/diseases/tmj-disorders

http://medical-dictionary.thefreedictionary.com/temporomandibular+joint+syndrome

“Do You Suffer From Any of The Following”-http://dxline.info/diseases/tmj-disorders-photo

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Galatoboureko (γαλακτομπούρεκο) – Custard Pie

Galatoboureko (γαλακτομπούρεκο) - Custard Pie
Galatoboureko (γαλακτομπούρεκο) – Custard Pie

Galatoboureko, a Custard Pie is absolutely delicious. This classic dessert requires a little work but it is well worth your time, your family and guests will rave about your culinary skills. This sweet custard-like delight melts in your mouth and will disappear from your kitchen.

Galatoboureko Filling

4 cups milk
1/2 cup sugar
3/4 cup farina or fine semolina
1/4 cup butter
5 eggs, beaten
1 t vanilla
2 t orange rind (optional)
1/2 pound filo pastry
3/4 cup melted butter.

In a large saucepan, heat the milk and sugar. When warm and add farina slowly. Stir constantly with a wooden spoon until it thickens and is smooth. (Be sure to stir constantly so the Farina will not form into lumps.)
Blend butter into mixture with the spoon. Then remove from heat and blend in the vanilla and orange rind.
When the mixture has cooled, blend in eggs.
Butter a 13 x 9 x 2-inch baking pan. Place half (about 6 – 10 sheets) of pastry leaves in the pan, one at a time. Equally important is making sure to brush each sheet with melted butter.
Pour the custard mixture. Top with the remaining filo sheets and again brushing each with butter.
Brush top filo with remaining butter.
With a sharp knife, cut the top three layers of pastry leaves into a 3-inch diamonds or squares.
Bake at 350 degrees for 45 minutes to one hour, until golden brown.
Remove from oven, Immediately pour the cool syrup over the pan. It will thus saturate the filo and custard. Allow cooling before serving.

Galatoboureko Syrup

1 cup of water
1 1/2 cup of sugar
5 whole cloves
1 t vanilla
1 cinnamon stick
2 t orange peel

Bring to boil water, sugar, cloves, cinnamon stick and orange peel. Simmer for 15 minutes. Add vanilla, and remove from heat. Allow cooling.

Two excellent Greek cookbooks that this recipe can be found through Amazon is

Greek Cooking For Everyone by Theoni Pappas & Elvira Monroe

Helenic Cuisine, A Collection Of Greek Recipes by St. Helen’s Philoptochos Society of Sts. Constantine and Helen Greek Orthodox Church

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Chronic obstructive pulmonary disease (COPD)

 

 

Chronic obstructive pulmonary disease (COPD)
Chronic obstructive pulmonary disease (COPD)

Chronic obstructive pulmonary disease,  more commonly called COPD. It is a lung disease that  intensifies over time. American Lung Association mission is:

The American Lung Association is the leading organization working to save lives by improving lung health and preventing lung disease, through research, education, and advocacy. Our work is focused on five strategic imperatives: to defeat lung cancer and to improve the air we breathe. To reduce the burden of lung disease on individuals and their families. Also, to eliminate tobacco use and tobacco-related diseases, and to accelerate fundraising and enhance organizational effectiveness to support the urgency of our mission.

Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term used to describe progressive lung diseases. Which includes emphysema, chronic bronchitis, and refractory (non-reversible) asthma. And some forms of bronchiectasis. Also, this disease is characterized by increasing breathlessness.

Symptoms: Chronic obstructive pulmonary disease

Some of the more common symptoms of COPD is a chronic cough, shortness of breath, also a seemingly never-ending cold. Furthermore, you will note wheezing when exhaling, an increase in the amount of mucus production (also called phlegm or sputum) and increasing fatigue. Equally important, if any of these symptoms are recognized than you need to see your doctor immediately. The best treatment is early detection. People with COPD are at increased risk of developing heart disease, lung cancer and also a variety of other conditions.

Causes

Probably the most common cause is cigarette smoking. Also, your environment such as where you live or work. Long-term exposure to any kind of air pollution, secondhand smoke, and dust (which are occasionally work-related), fumes and chemicals of all types (which most often are work-related) can cause chronic obstructive pulmonary disease. Two of the most common conditions that you might have that usually leads to COPD is emphysema and bronchitis.

Genetic Factors

Even though you may you have never smoked, been exposed to the second-hand smoke of any long duration or exposed to any pollutants. You can still develop chronic obstructive pulmonary disease through a deficiency of the Alpha-1 Antitrypsin protein in the bloodstream. This condition is called Alpha-1 Antitrypsin Deficiency (AATD). This protein deficiency will cause damage to your lungs and eventually, your lungs will slowly deteriorate.

The World Health Organization and the American Thoracic Society recommends that every individual diagnosed with the COPD be tested for Alpha-1

Important! The World Health Organization and the American Thoracic Society recommends that every individual diagnosed with COPD be tested for Alpha-1. 

 

Preventing COPD

  1. Don’t smoke
  2. Avoid exposure to pollutants
  3. Prevent infections (number one prevention from disease and infection is hand washing with soap or that alcohol based gel) and protect your lungs.
  4. Get all necessary vaccines
  5. Get regular Doctor exams
  6. What everyone doesn’t do enough of, is exercise.

 

This post is a very brief write up on COPD and it is recommended that you get more in depth information from the following links

COPD Foundation: Chronic Obstructive Pulmonary Disease

The American Lung Association: Chronic Obstructive Pulmonary Disease

Mayo Clinic: Chronic Obstructive Pulmonary DiseaseCredits

“What is Chronic Obstructive Pulmonary Disease?”Dec.15,2016 <http://www.copdfoundation.org/What-is-COPD/Understanding-COPD/What-is-COPD.aspx>

 “Our Mission”Dec.15,2016 <http://www.lung.org/about-us/mission-impact-and-history/our-mission.html>

“Overview” Ed. Mayo Clinic Staff. Dec.15,2016<http://www.mayoclinic.org/diseases-conditions/copd/home/ovc-20204882>

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Baklava, A Light Tasty Honey Pastry To Crave For

Baklava, a light tasty honey pastry to crave for.
The Greek Pastry Baklava has been a favorite Greek pastry and it seems forever. This pastry, a light tasty and flaky and is also loved by the Greek people. The Baklava recipe in some form has been made by countries throughout the Mediterranean area.
This recipe not to mention follows is found in my favorite Greek cooking book by Teoni Pappas and Elvira Monroe. Use this link  Greek Cooking for Everyone or go to my sidebar.

Baklava, A Light Tasty Honey Pastry To Crave For
Baklava, A Light Tasty Honey Pastry To Crave For

Baklava, a light tasty honey pastry to crave for

1 lb of melted butter
1 lb of filo (pastry leaves)
2 lbs of walnuts, shelled or 1 lb of walnuts or 1 lb of almonds shelled (I prefer just walnuts)
2/3 cup sugar and
2 T cinnamon also
3 dozen cloves

Baklava, A Light Tasty Honey Pastry To Crave For
Baklava, A Light Tasty Honey Pastry To Crave For

Grind nuts very finely and then mix with cinnamon and sugar. Rub a 9 x 13 x 2 pan with butter. Then lay a leaf of filo on the bottom and then brush with butter. Cover with another leaf of filo and then brush with butter again. Repeat until you have 6 leaves of filo. Spread a thin layer of nut mixture on top of filo leaves and then cover with a leaf of filo. Brush again with butter. Repeat layers until all nut mixture is used. Last, cover with the remaining filo leaves and finally, brushing each with butter.

Baklava, A Light Tasty Honey Pastry To Crave For
Baklava, A Light Tasty Honey Pastry To Crave For

Mark off the top filo leaves into diamond shapes (I usually do squares) and then place a clove in the center of each diamond. Bake at 350 degree

Baklava, A Light Tasty Honey Pastry To Crave For
Baklava, A Light Tasty Honey Pastry To Crave For

or 1 1/2 hours  or until brown. Remove from oven and top with syrup. Allow syrup to soak in. Equally important to remember serve cool.

Baklava Syrup

Baklava, A Light Tasty Honey Pastry To Crave For
Baklava, A Light Tasty Honey Pastry To Crave For

2 cups honey and
2 cups water also
2 cups sugar in addition
2 cinnamon sticks

as well as these ingredients.
1 t grated orange peel
1 t grated lemon peel
1 t vanilla extract

Except, I personally do not include these ingredients.

 

Combine all ingredients and bring to boil. Then simmer for 10 minutes. Strain and cool.

Baklava, A Light Tasty Honey Pastry To Crave For
Baklava, A Light Tasty Honey Pastry To Crave For

click on this link for the Cook Book

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Breakfast with Santa Claus at Lakewood Ranch

Breakfast with Santa Claus at Lakewood Ranch
Breakfast with Santa Claus at Lakewood Ranch

Breakfast with Santa Claus at Lakewood Ranch is a beautiful annual event. Actually, Main Street is closed down to accommodate the festive crowds. At the Scottish restaurant MacCallister, they actually open early so that Santa Claus can have this special breakfast with Santa Claus at Lakewood Ranch event with the children of the area.
This little beauty is my sweet grand-daughter Kirie.  She is the love of my life. We had decided that it would be a great idea to bring her to meet old Saint Nick.

Kirie’s breakfast with Santa Claus at Lakewood Ranch

Furthermore, the place was crowded. We would have found ourselves in a pickle with absolutely no room to seat. Thank God that we had decided to make reservations ahead of time
We could hardly hear ourselves talk with the room filled with screaming excited children. In the meantime, in the background  Christmas carolers dressed in period costumes looking like that they had just stepped out of the pages of a Dicken’s novel. Santa Claus went from table to table talking to the children. Letting the parents take as many portraits as they wanted.

Then he was at our table with Kirie

Suddenly, he was at our table with Kirie. For this reason, my wife had our camera focused on Kirie’s face. Surprisingly, she showed no knowledge that Santa was even in the room. She continued to concentrate on her picture as she crayoned her first Van Gogh.

Then my granddaughter noticed that this old man in a red suit with a long white beard was touching her arm and talking to her. She stared at Santa surprisingly, not on a verge of tears from fear but with a look of curiosity of who was this old man.

Despite Santa expected a smile from Kirie, none was coming. A look of suspicion was all that came. Santa Claus just smiled as he patted her on the head, got up and moved on to the next group of children.

Kirie watched the old man very carefully as he walked away. Satisfied that he wasn’t coming back my beautiful granddaughter continued her efforts to finish her first Van Gogh work.

This would be Kirie’s first experience of breakfast with Santa Claus at Lakewood Ranch.

 

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