Happiness is derived from your self, but that does not mean that happiness is genetically inherited. There are several factors that can improve people’s lives to become more comfortable and happy. Consider the following signs,  are you already happy?

Smiles A lot
A study showed, students who have the widest smile in their yearbook, have smaller number in getting divorce with their partner. People who smiles a lot will affect the others around them.

Have a sister
Those who have a sister tend to have a better social life, more optimistic and have a better adaptability.

Lots of activities
People who are happy spend less time in front of the television, according to data made by experts from the University of Maryland who analyzed the data of more than 45,000 Americans. Instead of watching TV, they prefer to spend the time to socialize, read or engage in social activities.

Keeping Souvenirs
People who use souvenirs, photos or keepsakes to remind them of happy times that have passed are usually happier and appreciates life. “Beautiful memories will remind us how happy we are and makes us optimistic to experience it again,” said Sonja Lyubomirsky, PhD, professor of psychology at the University of California.

Routine exercise
People who often exercises are less stressed and more satisfied with life. When compared with people who do not exercise much, they have 70 percent lower risk to get stress, according to a research by experts in Denmark.

Close relationship with partner
Physical intimacy with a spouse also contributes to a person’s happiness. People who married is reported to be happier than single people. This is partly because of basic human need for touch and togetherness with their loved ones are met.

Make friends with happy people
Spending time with cheerful people  will increase the feeling of happiness in ourselves, according to recent studies. How often do you interact with others is very influential. Therefore, do not reject a friend’s invitation to spend time together this week end!

Have two best friends
Among 654 adults who are married, those who say they have at least two best friends tend to have the satisfaction and comfort in life.

Have ever you felt the pain in the feet or hands in the morning? If you have, then you must be alert and immediately find ways to overcome them. It may be that you suffer from rheumatoid arthritis. This disease can cause permanent disability and even premature death.

Rheumatoid arthritis is an autoimmune disease that attacks the joint tissue. It is possibly also attack other organs. If it is not treated immediately, there will be joint damage and disability, and even premature death. Rheumatoid arthritis is not an independent disease, but rather a group of diseases. But the cause is still unknown.

The disease is caused by many factors. Can be genetic, could also be due to an unhealthy lifestyle. If any family members who suffer from rheumatoid arthritis, chances are the child or offspring suffer the same disease. Unhealthy lifestyles such as smoking may like to increase the risk of rheumatoid arthritis.

It is a general think that all of rheumatic diseases are caused by uric acid. Whereas rheumatic disease because of uric acid (gout arthritis) is only approximately 7 percent of the rheumatic diseases. This disease can attack all people, both children and adults. But the most frequently attacked are young adults to the elderly.

Rheumatoid arthritis is a disease that is widespread and involves all racial and ethnic groups in the world.  It usually starts in children before the age of 16 years. Generally, this disease attacks the joints of the fingers, wrists, shoulders, knees, and feet. At an advanced stage, patients will not be able to perform daily activities and quality of life decreases.

Factors Causes and Symptoms

Autoimmune disease occurs because of interference with the normal functioning of the immune system, so that the immune system attack the body’s own tissue. It could also be due to the failure of antibodies to recognize his own body cells and considered a foreign body so destructive.

Rheumatoid arthritis attacks the joints wrapped in a layer commonly called sinovium and cause inflammation of the joints wrappers. Result sinovitis (inflammation of the sinovium) that chronic damage to joint cartilage, bone, tendons and ligaments in the joints. Inflammation causes sinovium out some substances that undermined cartilage cells, causing damage to bone and may result in the disappearance of the joint surface that would interfere with joint motion. If it is not immediately treated, can occur permanent disability.

Rheumatoid arthritis usually causes problems in several joints in the same time.

In the early stages, this disease usually attacks the small joints such as wrists, hands, ankles, and feet. Next it will attack shoulder joint,  elbows, knees, hips, jaw, and neck. Generally, this disease attacks the joints of the fingers, wrists, shoulders, knees, and feet.  This situation will occur in the morning and will disappear in the afternoon.

Other symptoms include fever, decreased appetite, weight loss, weakness, and less blood. Sometimes the patient does not feel the symptoms.

Diagnosis and Treatment

Diagnosis is usually established from the patient history. Diagnosis of rheumatoid arthritis can be said positively when the patient is experiencing as described above for 6 weeks.They will also be carried out laboratory and radiology tests to determine the condition of the patient’s joints.

It can also be carried out joint fluid analysis. The doctor will take joint fluid with a sterile needle, and joint fluid will be analyzed whether there are elevated levels of leukocytes or not.

The goal of treatment is to reduce joint inflammation and prevent or slow joint damage that can cause permanent disability. Besides treatment is also intended to prevent muscle weakness. Early treatment is to improve the comfort and maintain the independence of patients in order not to depend on others.

Previously, the treatment of rheumatoid arthritis symptoms start to eliminate the pain such as reducing swelling dab pain. Now, treatment is intended to stop the disease in order not to continue, to prevent loss of joint function, and prevent disability, thus preventing premature death. In the future, treatments directed to reduce the disease despite treatment is stopped.

Treatment of this disease is divided into two, namely treatment with drugs and therapies such as physiotherapy, psychological, and surgery. Lack of drug consuming could occur side effects, the use of fairly complex procedures, slow effects, and the failure rate is quite large.

If the various treatments have been carried out and did not succeed and there is a strong enough reason, it is recommended for surgery. Surgery is an option if the provision of drugs failed to prevent and slow down joint damage. Surgery can restore function to damaged joints.

Having a tattoo could cause various risks. One should consider carefully before deciding to get a tattoo. Nowadays tattoo had become some kind of a trend amongst teenagers.

Tattoo is one form of art  which is  permanent, until today there has been no single technique  which can completely remove tattoos.

Actually there haven’t been any cases of tattoo causing serious illness, the worst effect that could happen is probably an irritation. While the risk of infection can occur when creating a tattoo with a non-sterile needles or ink that contains dangerous substances.

As quoted from Hubpages, Wednesday (3/3/2010), there are some advantages and disadvantages of having a permanent tattoo, namely:

Disadvantages have a permanent tattoo

1. The pain we feel when making a tattoo.
2. The high cost of making a tattoo.
3. Tattoo is permanent and can not be removed easily, if you want to erase it, it does not always work 100 percent and the price is very expensive.
4. After years, the color can fade or appear fault lines of the drawing.
5. Fashion and trends always changes, you could have a trendy tattoo now, and be quite ancient the next few years.
6. Maybe the tattoo will look attractive at the age of 20, but it would be a strange thing after the age of 50.
7. There is risk of infection from each tattoo, such as from non-sterile needles or ink that contain dangerous substances.

Benefits have permanent tattoos

1. Tattoos can express personal, artistic or meaningful messages for the owner of the body.
2. There are certain satisfaction if you have something different to anyone else.
3. Tattoos can be a characteristic of a person.

Dr. Roy Geronemus, director of the Laser & Skin Surgery Center of New York tells us there are several ways you can do to remove the tattoo on the body such as the use of laser light, rubbing cream into the existing body tattoo, excision techniques (tattoos and remove all the skin layers underneath to leave a prominent scar) and dermabrasion (remove the skin layer by means such as sanding, but may damage the skin).

Until now laser technique is more effective than other methods, but the skin color can also be a critical success factor. Because the laser works by distinguishing between skin color and the color of the tattoo, if there is no much difference it is difficult to remove tattoos.

“There is a risk scars or loss of natural skin pigment when using laser techniques, especially for people who have dark skin. The average treatment takes a few times to remove it,” Geronemus said.

If  running with bare feet are healthier, then is there any better surface to walk on? Best-selling author of “Born To Run” Christopher McDougall says, for him to run on the paved road surface is better. Therefore, more refined asphalt surface than other surfaces and more secure, thereby reducing the risk of injury to the soles of the feet. But, Christopher suggests that runners adopt this principle and try to run on different surfaces, which made him feel comfortable.

Kimberley Jackson’s, another runner prefers to run on the grass surface. 23-year-old woman from Indianapolis makes running as a hobby since 10 years ago. New at the end of last year she dared to take off her shoes and ran to the foot plain. “No problem running on any kind of  surfaces but for sure you must stay away from flying glass and debris,” said Kimberley.

Barefoot running is good. However, not recommended for diabetics, or people who suffer from vascular disease. Also for those who have immune system disorders, namely people living with HIV or people with arthritis. Running this way, should not be adopted for those who have a high risk of infection.

For new beginner, Christopher suggested to try to run the short distance ahead on the first few weeks. Then the following week, mileage can be added according to the capacity of runners. For example, in the second week, add a few meters. If you’ve used to it then you could add the mileage on your running.

Christopher added, you could run by using the a very thin shoe base. He himself was wearing thin footwear every run. In fact, it also recommended a bone doctor. They suggested to replace running shoes with a minimalist shoe or barefoot. However, Christopher prefer to start running barefoot. You should also learn techniques that make you comfortable in running with this technique. It is not a problem, if you decide to wear a minimalist shoe then.

If it is still hesitant to start running this way, some problems that might block you up could be blistered feet or injury. It can not be denied that foot injury has a big chance to happen. However, if you have done it for several times, then you will get used to do this. Please consult with chiropractors to get the further information about this.

Consumption of chocolate, cheese, or MSG may trigger excessive migraine headache. If menstruation is the trigger of a migraine it is called menstrual migraine.

As experienced by Ms. W. (18 years old) who came to a doctor with a headache. She had an episodic headache, which she gets approximately 2 times a week. The headache sometimes only felt at one side of her head, but sometimes also on the both sides.

The headache is very severe accompanied by nausea and vomiting. Stimulation of light or sound will aggravate headache. At the time before, during, or after menstruation, then the frequency and intensity of headache will be felt more heavily.

The case which is experienced by Ms. W is a form of migraine headache. Migraine headache occurs episodic, not continuous. At the time of the attack, the pain is felt pretty bad and often requires the patient to rest completely.

Mild physical activity will spur even an greater headache. Stimulation of light or sound will aggravate headache attacks,  patients would generally prefer to shut himself in the room.

Well, some form of a migraine headache is exacerbated by menstruation.  This form of headache is called a menstrual migraine.

The estrogen hormone has a very large role in migraine headache. Approximately 60% of women suffering migraine will experience a headache attack just before or during menstruation.

In most cases, the attacks will appear 1 or 2 days before the start of menstruation until the third day of menstruation. Another critical period is the emergence of migraine attacks during ovulation.

The estrogen hormone  has a major impact on one’s pain. The estrogen hormone which decrease associated with an increased intensity of pain.

Pill consumption would spur a sudden drop in estrogen at the beginning of the menstrual cycle. This is what explains why the use of birth control pills can worsen migraine attacks. Most migraine sufferers will experience improvement in symptoms at menopause.

How do I know menstrual migraine?

One important step in the treatment of migraine headache is identifying what triggers an attack. In many cases certain foods will boost migraine attacks. Consumption of chocolate, cheese,  MSG is said to be a cause of migraine headache attacks.

In the case of menstrual migraine, it is menstruation which triggers migraine attacks. In 2008 a measuring instrument is developed in the form of a short questionnaire to determine a menstrual migraine which is called MMAT (Menstrual Migraine Assessment Tools).

This questionnaire consists of the following 3 questions:
1. Does your headache associated with your menstrual occurred 2 days before menstruation until the third day of menstruation?
2. During menstruation, does your headache became more severe?
3. Is light more disturbing during menstruation?

The  on 250 women showed that this simple measure can detect menstrual migraine accurately. Answer yes to questions 1 and the other has a sensitivity up to 94%.

What should I do if I suffer menstrual migraine?

One important step in the treatment of migraine is to recognize and avoid what triggers migraine attacks. In the case of menstrual migraine, it is very difficult to do. Menstrual period could not be avoided, unless in the state of pregnancy or menopause.

There are several important steps that can be done to reduce the frequency and intensity of menstrual migraine attacks carried out before the period:

1. Eat a balanced regularly.
Avoid an empty stomach, low blood glucose levels will spur headache attacks. Also avoid eating carbs in significant amounts.

Consumption of sweet foods in a large number will lead to rapid reduction of blood sugar.  Decrease in blood sugar will also spur migraines.

2. Drink enough.
Dehydration will spur migraine attacks.

3. Get Enough sleep. Lack of sleep or too much sleep will accelerate migraine attacks.

4. Avoid foods or beverages that can trigger migraine attacks.
Food is preserved, too salty or too sweet can race migraine attacks. Alcoholic beverages and soft drinks can also spur a migraine attack.

5. Mild exercise can help prevent migraine attacks.
Some relaxation techniques can also help prevent migraine attacks.

When attacks occur frequently, you can take migraine attacks preventive medicine  (eg: amitriptilin, flunarizin). Individual therapy. Discuss the most appropriate therapy for you with your physician.