Friday, 10 July 2009

stressssss

bodoh sangt ker aku nie.. huaaaaaa... sedihnyer... dah tak tau nk buat apa lagi... huuhuhu.. pdn ngn muka aku...

Monday, 6 July 2009

denggi

mmm... demam denggi.. masih byk angka kejadian yg berlaku.. seperti yg terjg kat kwn2 qis.. 3 org kwn qis masuk hospital gara2 nyamuk pembawa virus denggi nie.. kesian qis tgk kwn qis.. dah tak sanggup menanggup kos pengubatan.. agak mahal.. w/pun kami2 ini bakal dokter.. tapi apakan daya.. belajar pun blum abis lagi.. ilmu di dada belum cukup mbokk... jd tak leh nk merawat diri sendiri kalu sakit dah teruk sgt... huhuhu.

qis sendiri sbnarnya pun demam jugak.. tapi takde sape pun peduli.. qis heran ngn kwn2 qis.. tak ada perhatian langsung kat qis.. kdg2 tue terasa gaks.. samapaikan terasa taknak jg diorg masa masuk hospital nie.. qis tau qis demam tak teruk sgt.. tak masuk hospital... tapi bagi qis.. masuk hospital hnya satu pembaziran sbb kalu qis rasa kuat.. qis akan teruskan berjuang smpai qis sembuh.. sbb seboleh2nya qis tk nak masuk hopsital kat sini... tak sanggup tanggung kos.. lagipun qis tk amik insyuran.. sbb dulu amik tak sakit plak.. wat rugi jer beli insyuran... iskh3... qis lebih rela masuk hospital kat m'sia.. lbih dkt ngn kluarga.. hehehe... qis akui qis manja sgt ngn kluarga.. tak ble jauh2 bila sakit... qis nk ada org yg qis syg masa qis sakit.. biar cpt sembuh... bak kata lec qis kat sini.. penyembuhan penyakit bukan hnya pd penyakitnya tp emosinya atau spiritualnya.. sbb ia ada peranan yg penting dlm penyembuhan penyakit.. ini disebbkan kerja2 hormon alami dalam tubuh kita yg berespon terhdp emosi kita... huahahaha.. pandainya qis berhujah... rasa cam malu plak.. qis bukannya pndai sgt. tp tk pelahh.. kdg2...

berbalik pada crite kwn2 qis... sumer yg sakit 3 org.. yg masuk hospital laa... yg tak masuk hospital tp sakit jgk.. sumer org.. iaitu lima2 org penghuni wisma istana sakit jugak.. tapi ttp digagahkan.. menunggu sang kwn yg sdg sakit.. huhuu... skrg nie pun qis ada kat hospital.. online pakai kwn qis punya lptop.. dia yg bw tapi qis yg guna... sory ek jihad.. qis guna lama2.. ok.. jasamu akan qis kng sampai bila2... bosan sgt.. qis tak ble tido.. hehehe.. jd qis online laa.. kompakkan kwn2 qis nie.. sakit serentak.. mana taknya... nyamuk banyak sungguh yg membiak di kwsn rumah qis.. apatah lagi sungguh enak darah kami yg tk diragui kemanisannya ... almaklumlah kami2 sumer nie manis2 orgnya.. mana taknya nyamuk tue tergila-gilakan kami.. terkejar-kejarkan kami... gigit kami dgn manjanya.. hahaha.. smpaikan kami tak sanggup menahannya hingga lemah tk bermaya... terdampar di kasur nan keras nie bersertakan infus yg sgt indah menghiasi lgn2 kami bagaikan gelang emas yg cuanttikkk... hahah.. k lah.. dh byk sgt qis merapu dlm nie.. bdn qis dh tk larat lagi... skarng pun dah pukul 4 15 pagi... tak tido lg nih.. k lah.. qis nk lelapkan mata... lgpun td azan dh berkumandang... semoga cpt sembuh yaaa.. teman2

Wednesday, 20 May 2009

axis


mmm... simkad baru... line yg sangat clear bila tepon.. terutama tpn mlaysia laaa.... hahaha.... hangin skin ngan xl... skit2 line tak clear... kadang2 ada.. kdg2 ilang.... duk dlm gua skit jer.. mesti signal kosong... huhuhu.... bila nak hantar sms jer mesti kena angkat2 tpn..cari line... payoh sungguh laaa... lagi geram bila mesej pending... hahaa... kredit ttp jatuh... wt perabih duit aku jaa... aku rekemenkan kat korg2 pakailaa axis.. ok.. muahahahaha....

Thursday, 14 May 2009

pic masa pi gunung bromo


pic nie dah lama masa tahun lepas... first time pergi tmpat gunung berapi... kata org2 stmpat.. gunung nie aktif lagi... huhuhuhu...

sbnrya suka waktu2 camni.. kebersamaan bersama kawan2... terasa menghangatkan hati yg redup... tapi aku merugika satu saat yg indah.. masa keliling kawah tue... aku betul2 tak berani.. ditambah pulak dgn kegayatan aku.. hahaha... rugi...rugi.. patutnya buat berani jer... hahha..

tmpat tersangat sejuk hingga kena pakai baju 3 hingga 4 lapis kalu tak alamtnya frost bite laa korg.. tapi kalu jns yg thn sejuk tak taulaa.... aku masa tu pakai sweater 2 lapis.. t-shirt 2 lapis gak... sluar pun 2 lapis gak.. hahaha gler punya tbl... tapi awl2 pagi laa. masa kitorg pergi tgk matahari terbit... dalam pukul 3 pagi kat sana... bila matahari muncul sejuk tue kurang laa... panasssss... smpai nk bukak sumer baju yg ada kat badan...

sory gmbr masa tgh panas takde... tapi ni pic masa nk cari port nk tangkap gambar... laluan yg jarang dilalui umum... ramai org tak tau tmpat nie.. sbb agak curam skit jalan dia... tapi kejadian nie sepertinya mengeratkan hub. antar teman2 se negara... hahaha.. sumer nie kwn2 kelas aku... takut? mmg aku takut masa nie.. yg aku tk thn tue smpat jer bbdk nie snap gambar... keseimbangan mengawal bdn kurang tuh ... tgk jelaa bdn mcm mana... huahahaha... aku bagitau kat korg nilaa pglaman yg best yg pnh aku alami... ingat lps nie nk pergi gunung berapi lain plak... hahahaha....

Sunday, 10 May 2009

slamat hari ibu...


buat mak yg tersayang... slamat hari ibu... love u so much... walaupun jarang2 ble call... semoga mak sihat selalu dan selalu berada dibawah lindungan ALLAH swt..

muahh for u... xoxo

bosan babe

huaaaaaa.... tak tau knapa ble sebosan nie... aku dh tak sanggup idup cam nie... mcm tkde life jer... tolong aku.... aku perlukan ssorg yg ble dgr crite dr aku... aku nk seorg pendengar.. aku dh bosannn.. asik ckp sorg2 jer... takut nanti ada org kata aku giler plak... susah tul...

Thursday, 7 May 2009

Best and Worst Brain Foods

FOR SHORT-TERM MEMORY
Drink This!: COFFEE

Fresh-brewed joe is the ultimate brain fuel. Caffeine has been shown to retard the aging process and enhance short-term memory performance. In one study, British researchers found that just one cup of coffee helps improve attention and problem-solving skills.

Not That!: ENERGY DRINKS/TOO MUCH COFFEE

Ever heard of the concept “too much of a good thing”? If you OD on caffeine—too many cups, a jolt of caf from the late afternoon onward, a Red Bull cocktail—it can mess with your shuteye schedule. Sleep is reboot time for your mental computer, and you don’t want to mess with it.

FOR LONG-TERM MEMORY
Eat This!: BLUEBERRIES

Antioxidants in blueberries help protect the brain from free-radical damage and cut your risk of Alzheimer’s and Parkinson’s diseases. They can also improve cognitive processing (translation: thinking). Wild blueberries, if you can find them, have even more brain-boosting antioxidants than the cultivated variety, so book that vacation in Maine now. The berries will ripen in July.

Not That!: THE UNRIPE AND UNREADY

Here’s a cool tip: if your favorite berries are out of season, buy them frozen. The freezer locks in peak flavor and nutrients, so the berries’ antioxidant capacity is maxed out. Those pale, tough, and expensive off-season berries usually ripen on a truck, rather than on the bush, so they’re nutritional imposters compared to the real thing.

For more smart shopping tips, point your grocery cart to THIS story and learn how to pick the most delicious and nutritious while controlling your waistline!

TO THINK FASTER
Eat This!: SALMON OR MACKEREL

If the Internal Revenue Service picks you for some up-close-and-personal auditing, you’ll want to be on your toes when they vet your deductions list. So put salmon or mackerel on the grocery list. The omega-3 fatty acids found in fatty fishes are a primary building block of brain tissue, so they’ll amp up your thinking power. Salmon is also rich in niacin, which can help ward off Alzheimer’s disease and slow the rate of cognitive decline.

Not That!: FULL-FAT ICE CREAM

Not all fats are created equal: Beware foods high in saturated fats, which can clog blood vessels and prevent the flow of nutrients and blood to the brain. Ice cream is not a brain-health food.

TO ENERGIZE:
Eat This!: HIGH-PROTEIN SALAD WITH VINAIGRETTE

The oil in the dressing will help slow down digestion of protein and carbs in the salad, stabilizing blood-sugar levels and keeping energy levels high. Build your salad on a bed of romaine and spinach for an added boost in riboflavin, and add chicken and a hard-boiled egg for more energizing protein.

For other tips on how to build the perfect salad, check out the Eat This, Not That! ultimate salad selector.

Not That!: PANCAKES OR BAGELS

MIT researchers analyzed blood samples from a group of people who had eaten either a high-protein or a high-carbohydrate breakfast. Two hours after eating, the carb eaters had tryptophan levels four times higher than those of the people who had eaten protein. The tryptophan in turkey is one of the reasons you crawl off for an afternoon nap after Thanksgiving dinner. So watch what you gobble.

TO CALM DOWN
Eat This!: LOW-FAT YOGURT OR MIXED NUTS

Scientists in Slovakia gave people 3 grams each of two amino acids—lysine and arginine—or a placebo, and asked them to deliver a speech. Blood measurements of stress hormones revealed that the amino acid-fortified guys were half as anxious during and after the speech as those who took the placebo. Yogurt is one of the best food sources of lysine; nuts pack loads of arginine.

Not That!: SODA

A study from the American Journal of Public Health found that people who drink 2½ cans of soda daily are three times more likely to be depressed and anxious, compared with those who drink fewer. So Mountain Dew is a Mental Don’t.

TO CONCENTRATE
Eat This!: PEPPERMINT TEA

The scent of peppermint helps you focus and boosts performance, according to researchers. Need to reach Chicago before nightfall, and you’re stuck in traffic around Cleveland? One study found that peppermint makes drivers more alert and less anxious.

Not That!: CANDY

Sugary foods incite sudden surges of glucose that, in the long term, cause sugar highs and lows, leading to a fuzzy state of mind. So you’ll need to avoid all the attention-busting sugar bombs on this list of the 20 most sugar-packed foods in America.

FOR GOOD MOODS AND GRINS
Eat This! ARUGULA OR SPINACH SALAD

Leafy greens—arugula, chard, spinach—are rich sources of B vitamins, which are key components on the assembly line that manufactures feel-good hormones such as serotonin, dopamine, and norepinephrine. According to a study published in the Journal of Neuroscience Nursing, a lack of B6 can cause nervousness, irritability, and even depression.

Not That!: WHITE CHOCOLATE

White chocolate isn’t chocolate at all, since it contains no cocoa solids. So it won’t stimulate the euphoria-inducing mood boosters like serotonin, as real chocolate does. Grab the real thing, the darker the better. More cacao means more happy chemicals and less sugar, which will eventually pull you down.

FOR SHARPER SENSES
Eat This!: 1 TBSP OF GROUND FLAXSEED DAILY

Flax is the best source of alphalinoleic, or ALA—a healthy fat that improves the workings of the cerebral cortex, the area of the brain that processes sensory information, including that of pleasure. To meet your quota, sprinkle it on salads or mix it into a smoothie or shake.

Not That!: ALCOHOL

This one’s obvious, but worth mentioning anyway. A drink or two can increase arousal signals, but more than that will actually depress your nervous system. This makes you sloppy, not sharp.

By David Zinczenko, with Matt Goulding

http://health.yahoo.com/experts/eatthis/31477/best-and-worst-brain-foods/

Sunday, 8 February 2009

Going Up! 7 Pointers to Lift a Bad Mood

Tidak ada yang bisa hidup yang panjang dan hidup sehat tanpa akan pergi pada; mood swings terkadang dapat membuat kita merasa bahwa hidup ini terlalu banyak bagi kami.

A bad mood tidak hanya memberikan pandangan yang suram, tetapi juga menurunkan fungsi kekebalan Anda, memimpin ke arah penyakit. Berikut adalah beberapa saran untuk mengangkat mood Anda, semangat Anda, dan kesehatan.

1. J Laughing Matter
"Laugh Therapy," memelopori oleh Norman Cousins, telah ternyata mempunyai substansi. Penelitian telah menemukan bahwa tawa dan kegembiraan meningkatkan fungsi kekebalan, khususnya produksi dari sel-sel pembunuh alami yang dapat membantu mempertahankan tubuh dari penyakit dan kanker.

Tawa juga meningkatkan rilis endorphins - compounds yang memberikan pemahaman terhadap kesejahteraan - dalam otak. Tanpa ragu, gembira hati orang lagi dan hidup sehat. Jadi favorit Anda membaca komik, menonton comedies favorit Anda, dan tertawa it up!

2. Asam amino pemikiran untuk Pulih
Ketika sebuah ketidakseimbangan atau kekurangan adalah menciptakan suasana hati yang buruk, Eropa yang menggunakan suplemen alami yang ditemukan di kompleks sel manusia untuk mengatur suasana hati dan mengembalikan pemikiran yang sehat. Sama (S-adenosyl-L-methionine) dihasilkan dari methionine, sebuah asam amino yang memainkan peranan dalam produksi uplifting neurotransmitters seperti serotonin dan dopamine.

Satu studi menunjukkan yang sama bekerja pada pasien yang telah gagal dengan hasil konvensional antidepressants. Untuk mendapatkan dorongan dari sama, mengambil suplemen menggabungkan dengan vitamin B12 dan B6.

3. Hands-On Healing
Sentuhan manusia meningkatkan produksi endorphins, hormon pertumbuhan, dan DHEA, semua yang hidup Anda dipanjangkan span dan menurunkan dampak negatif dari stres. Penelitian telah menemukan bahwa pasien yang secara teratur disentuh sembuh lebih cepat daripada mereka yang tidak disentuh. Sehingga memberikan seseorang yang memeluk dan merasa baik meningkatkan mood Anda.

4. Meningkatkan Anda "Pemuda hormon"
Anda tidak perlu pil banjir ke tubuh Anda dengan banjir rejuvenating pertumbuhan hormon. Penelitian telah menemukan bahwa melakukan squats dan kaki menekan akan sangat meningkatkan produksi dari alam "hormon muda". Peningkatan pertumbuhan hormon menterjemahkan ke ditinggikan moods, antara lain manfaat fisik. Keep it up dengan berat pelatihan, knee bends, push-up, dan dayung.

5. Mengambil Nafas yg menguatkan
Bernapas dengan benar adalah penting untuk dispelling the toxins dan limbah dari tubuh Anda, dalam kenyataannya, diperkirakan memecat kami hanya sekitar 30 persen dari toxins dalam tubuh melalui usus dan kandung kemih-sisanya semua pernafasan. Breathing juga cara tepat untuk membersihkan pikiran, meningkatkan energi Anda, dan meningkatkan mood. Praktek dalam, lambat, berirama, bernapas sehari-hari dengan pikiran-tubuh disiplin seperti tai chi, yoga, qigong, dan meditasi.

6. Bau yang Joy
Penelitian telah menunjukkan bahwa bau pasti memiliki dampak pada tubuh dan pikiran. Ketika Anda mendorong pencium saraf dalam hidung Anda, Anda mengaktifkan sistem limbic otak Anda, yang dikaitkan dengan mood dan memori. Konsep ini untuk aromaterapi instrumental, sebuah tradisi kesehatan alami yang membuat penyembuhan menggunakan kekuasaan tanaman dengan kuat scents.

Aromaterapi merekomendasikan memperlakukan depresi dengan jasmine, Eucalyptus untuk riangnya, dan jeruk untuk meningkatkan kewaspadaan dan gembira. Hanya menempatkan colek dari minyak esensial dari tanaman di kuil, belakang leher, atau acupressure poin. Pilihan lain? Didihkan dengan ramuan air dan menghirup uap yang melalui hidung.

7. Merasa Baik dengan Bunga
Ada alasan bahwa bunga adalah cara tradisional baik sikap. Warna bunga memiliki pengaruh kuat pada mood, mereka dapat mengangkat seorang pasien mood dan bahkan memerangi stres. Satu studi menemukan bahwa selama lima menit mengetik tugas, orang-orang yang duduk di samping karangan bunga berbunga lebih santai daripada orang-orang yang dekat Sabtu dedaunan hanya tanaman.

Saya harap tips-tips yang baik membantu perasaan arus! Saya mengundang Anda untuk mengunjungi dan seringkali berbagi pribadi tips kesehatan dan usia lanjut dengan saya.

Mei Anda tinggal lama, tinggal kuat, dan hidup bahagia!

-Dr. Mao-

Dr. Mao's Secrets of Longevity
by Dr. Maoshing Ni a Yahoo! Health Expert for Alternative Medicine

Sunday, 1 February 2009

my mom



ni adalah mak aku... sedang sibuk kira duit tuk bayar utang org... hahaha... byk gak tuh...

Wednesday, 26 November 2008

[url=http://img208.imageshack.us/my.php?image=colorbarkanjani2nannandoc6.jpg][img=http://img208.imageshack.us/img208/9880/colorbarkanjani2nannandoc6.th.jpg][/url]

Tuesday, 25 November 2008

bosannn

arini aku bosan..
tak tau nk buat apa...
boringggggggggg...
k lah aku nk balik umah dulu...
tak guna aku duduk kat sini lagi

Friday, 21 November 2008

hari yang bosan....

hari nie seharian aku duk cari info pasal TA aku... dah muak duduk dpn laptop nie...
muakkk glerr...

Tuesday, 18 November 2008

kisah anehku....


dua hari lepas adalah pengalaman aku paling buruk dalam tahun nie.... bila dipikir2 ia sungguh menakutkan jiwa dan ragaku....

pagi jam 1.30
aku terbangun, kamarku tiba2 gelap..
kerna sudah menjadi kebiasaan aku untuk tidak menutup lampu waktu tido..
aku cemas dan lalu pergi mencari lilin tuk menerangi ruang tidur, aku ambil lilin lalu menyalakannya dan terus meletakkan diatas kotak bekas broochesku yg cuantik...
tanpa segan2 aku meletakkannya diatas meja kayu mini.... lalu aku lena diulit mimpi...

jam 4.30

aku terkejut dari tidurku yg indah, terasa sesak dan penuh di dada... dibalik rasa yg tidak enak itu aku terdengar golekkan tayar beg travel dari luar kamar... aku biarkannya...
aku membuka mataku yg masih mengantuk pelan2... aku lihat kamarku kabur seperti ada asap yg masuk... dimukaku terasa seperti ada yg menempel.... aku gosok mukaku tuk menghilangkan rasa itu.... aku lihat kipas yg memutar di hadapan ku... tanpa curiga aku melihatnya walaupun waktu itu aku lihat warnanya sangat hitam.... 3minit kemudian... aku mulai berfikir dengan keadaan realitas kamarku... baru perasan kipas itu tidak seperti itu sebelum aku tidur...

aku masih terasa malas tuk bangun... tapi ku gagahkan juga.... aku lihat tangan dan lenganku... terlihat kotor sekali seperti baru terkena asap yg hitam legam.... aku rasa keanehan... lalu aku melihat kipasku... juga hitam... cadarku, selimutku, bantal kesayanganku semuanya ada habuk2 hitam... aku berfikir bahawa kipasku terbakar... aku tutup kipas yg masih berputar.... aku pergi ke depan cermin mukaku yang besar tergantung disudut ruang kamarku... aku lihat mukaku.... hitam... lubang hidungku.. astarfirullah... teramat hitam bagai corong2 pembakar di kilang2.... aku lihat seluruh tubuhku... semua kotor...

aku pergi mencari punca penyebab kejadian yg telah menimpa aku... dengan pantasnya aku teringat akan lilin yg kupasang tadi malam.... sekali lagi aku terkejut... bekas brooches aku hilang... yang tinggal disitu hanyalah seketul benda yang terbakar hangus.... dan mengatakan mengatakan dalam hatiku... Ya Allah.... syukur alhamdullilah... api yang terbakar itu tidak banyak... aku selamat.... wlaupun dalam hatiku terkuis rasa penyesalan yang teramat sangat atas perlakuanku semalam....

nak dijadikan cerita... macam mana badan aku dan seluruh bilik aku hitam semua.....
disebabkan aku meletakkan lilin itu berdekatan dengan kipas... setelah listrik kembali ada... dia telah memadamkan api yang membakar bekas brooch aku... lalu dengan senang hatinya... telah menebarkan abu2 bekas pembakaran tadi ke seluruh kamarku.... dan terjadilah semua perkara diatas...

MORAL OF THE STORY...

jangan membiarkan lilin anda yang menyala diletakkan diatas benda atu bekas yang mudah terbakar.... sekian...

Friday, 14 November 2008


waaaaaaaaaaaaaaaaa..... cantiknyer..... sungguh mendamaikan jiwa....

Friday, 7 November 2008

exam

ari nie baru abis exam tengah sem... susah jugak walaupun ada soalan past year kluar...
lepas exam still ada kerja nk kena buat... tugas akhir sedang menunggu.. tak tau nk mula dari mana sbb bahan yg aku kaji agak susah.. padan muka aku sape suruh pilih tajuk tue...

Practical Ways to Help a Family Facing Alzheimer's Disease


Photo © MicrosoftNovember is National Alzheimer's Disease Awareness Month, which is a great opportunity to learn more about the disease and advocate for more Alzheimer's research and services. But it's also a great time to think about the families you know who are facing Alzheimer's and offer them some practical help.

It may be hard to imagine, but sometimes caregiving can be so time consuming that there's little time (or energy) left for basic chores like cooking, cleaning, and yard work. Here are some ways to help a family near you. If you are that family, then here are some suggestions for how to respond when a neighbor says, "Anything I can do to help?"

  • Bring over a home-cooked meal, preferably one that can be frozen if there are leftovers.
  • If you're handy around the house, offer to fix a leaky pipe, install a grab bar in the bathroom, or even change a lightbulb, if the caregiver has a hard time completing these kinds of tasks.
  • Offer to spend some time with the person who has Alzheimer's so the caregiver(s) can take a little break.
  • If you're handy outdoors, offer to rake leaves, put up holiday decorations and lights, or anything else that's needed around the yard.
  • Run errands for the family.
  • Give the house a deep cleaning -- or even a minor cleaning, if that's what's needed and desired.

Of course, it's always good to start by asking the family what they really need. Oftentimes, though, caregivers are so overwhelmed that it's hard for them to think of anything concrete. If they have trouble coming up with ideas, offer the ones above.

When you're providing help, it's also a chance to interact more with the person who has Alzheimer's disease. People with Alzheimer's have much to teach us, which means that your generosity will be a gift to yourself as well.


vascular dementia

Vascular dementia results from impaired blood flow to the brain. After Alzheimer's disease, it's one of the second most common types of dementia, along with Lewy body dementia. It was formerly called multi-infarct dementia because it was thought to only be caused by small strokes. However, the name was changed to vascular dementia to reflect the array of conditions that can impair the blood's ability to circulate to the brain. Vascular dementia often occurs alongside Alzheimer's disease, resulting in mixed dementia. Between 1% to 4% of people over the age of 65 have vascular dementia, and the risk of developing it increases dramatically with age.

Causes of Vascular Dementia

Vascular dementia can occur either by a narrowing or a complete blockage of blood vessels in the brain, which deprives brain cells from nutrients and oxygen they need to function properly. Vascular dementia often results from several small strokes that occur over time. It can also occur after a single major stroke, which is sometimes referred to as post-stroke dementia. Not all strokes lead to dementia, but up to one-third of those who have a stroke will develop dementia within six months. Conditions like high blood pressure and diabetes that don't block blood vessels, but simply narrow them, can also lead to vascular dementia.

Risk Factors for Vascular Dementia

People who develop vascular dementia often have a history of one or more of the following: heart attack, stroke, high blood pressure, diabetes, or high cholesterol. In particular, if an individual has a history of multiple strokes, the risk of developing vascular dementia increases with the number of strokes experienced over time.

Symptoms of Vascular Dementia

People with vascular dementia often display multiple cognitive problems, including memory impairment and possibly aphasia, apraxia, agnosia, or problems with executive functioning.

In most cases, symptoms make it difficult to hold a job, carry out household responsibilities, or maintain social relationships. People with vascular dementia also experience neurological symptoms such as exaggerated reflexes, problems with walking and balance, and/or weakness in the limbs, hands, and feet. Depending on the individual and on the cause of the dementia, delusions, confusion, agitation, urinary problems, and/or depression can also accompany vascular dementia.

Interestingly, memory loss usually occurs later in the disease compared to when it appears in Alzheimer's. In vascular dementia, the first symptoms are often the neurological ones, such as problems with reflexes, walking, and muscle weakness. On the other hand, memory problems and behavioral symptoms are commonly the first issues noticed in Alzheimer's. Additionally, vascular dementia often progresses in a step-wise fashion. For example, the person will seem stable for a period of time, then suddenly get much worse, then continue to alternate between stable periods and sudden drops in functioning. On the other hand, Alzheimer's disease progresses in a more gradual, downward fashion.

Diagnosis of Vascular Dementia

As with Alzheimer's disease, a complete diagnostic workup should be performed in order to rule out other possible causes of the person's symptoms. Vascular dementia is usually identified through imaging procedures, which can reveal strokes and narrowed or blocked arteries. Neuropsychological tests might also be conducted to determine the nature and extent of cognitive impairment.

Treatment of Vascular Dementia

No drugs have been approved by the FDA specifically to treat vascular dementia, but medications approved to treat Alzheimer's sometimes help. Doctors often prescribe both a cholinesterase inhibitor (Aricept, Exelon, or Razadyne) and Namenda to treat vascular dementia.

Managing cardiovascular problems through medication and/or lifestyle changes may help slow the worsening of vascular dementia symptoms. It's critical to monitor blood pressure, pulse, cholesterol, blood sugar, and weight, all of which impact brain health and the ease of blood flow to the brain.

Behavior management strategies are also useful for handling the challenging behaviors that sometimes accompany vascular dementia.

Prognosis for Vascular Dementia

Currently, there is no cure for vascular dementia. If the dementia was caused by multiple strokes, the person may get worse in a step-wise progression, where stable periods are interrupted by sudden downward episodes. Life expectancy for someone with vascular dementia is highly individual and depends on the nature of the cardiovascular problems that are causing the dementia, along with the person's age and other medical conditions.

http://alzheimers.about.com/od/whatisalzheimer1/a/vascular.htm