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admin | Best Abs Workout For Women | 06.06.2016
Some bodybuilders and athletes who have achieved a high level of physical fitness worry about how their strength will be affected by aging. Not only does the number of muscle fibers and total muscle mass decrease with age, the ratio of fat and connective tissue relative to muscle increases.
Dietary measures also help to reduce loss of muscle strength and muscle mass in older people. One study showed that seniors who took omega-3 fatty acid supplements synthesized more muscle proteins than those who took a corn oil supplement. Muscle strength and mass decline with age starting after the age of 30, but a regular strength training program helps to offset this. The good news is this decline in muscle strength and mass can be partially prevented and even reversed through regular strength training. So eating fatty fish that are rich in omega-3s such as wild salmon is one way to help reduce loss of muscle mass with age.
In addition, getting adequate amounts of protein, omega-3 fatty acids and vitamin D may help to maintain strong muscles with age. Simple tasks such as opening a jar become more difficult due to this reduction in strength and muscle mass. The fast-twitch muscle fibers that generate greater amounts of force seem to be more affected by the aging process than slow-twitch ones that are recruited for aerobic and endurance exercise.
In a study carried out at the University of Pennsylvania, researchers found that older men lost 20% of the grip strength in their hands over a 7-year period. In one study, researchers found that elderly men were able to make significant gains in muscle cross-sectional area and strength after just 3 months of strength training.
This loss of strength and muscle mass contributes to problems related to aging such as falls and makes it harder for older people to do the activities they enjoy.


Strength training is important at any age, but it may be even more important for older people. A hydatic cyst led to an initial diagnosis and the gallbladder was removed by means of simple cholecystectomy.
The abnormal macroscopic aspect of the sample prompted intraoperative biopsy which revealed a benign gallbladder angiomyoma. El aspecto macroscA?pico anormal motivA? una biopsia intraoperatoria que fue informada como angiomioma vesicular benigno.
In the personal history of the patient, we remark the use of oral contraceptives for a period of 3 years. Abdominal echography shows the formation of biliary mud and a heterogeneous, hyperechoic mass of 45 mm adjacent to the gallbladder compatible with a diagnosis of hydatic cyst. Although the patient cohabits with dogs in an endemic area of hydatosis as is Spain (1,2), and the initial diagnosis leads to such condition, serology for hydatosis is negative. 1) shows hepatomegaly and partially calcified SOL (Space Ocuppying Lesion) of 50 mm in segment 5 of rounded morphology, lobulated borders and smaller rounded masses in the periphery. The image is compatible with a hydatic cyst but we do not discard a differential diagnosis with partially calcified hemangioma.
The CT scan also reveals a hemangioma of 31 mm in segment 4 as well as cortical cysts in both kidneys. The gallbladder presents with an intravesicular tumor of petreous consistency which does not infiltrate the hepatic parenchyma (Fig.
Intraoperative biopsy of the mass yields a diagnosis of benign gallbladder angiomyoma recommending simple cholecystectomy to remove the mass. Whenever leiomyomas occur as an isolated lesion, the prognosis is excellent, especially if complete exeresis of the tumor is achieved (3).


In these cases, gallbladder involvement was multifocal and other organs were also affected. As regards the previous intake of oral contraceptives, a WHO study has concluded that there is no relationship between the use of oral contraceptives and the development of gallbladder cancer (9). Among the histological types of benign gallbladder tumors so far described we find paragangliomas, neurofibromas, polyps, GIST (gastrointestinal stromal tumor) and other lesions, all of them rare (10).
The differential diagnosis of gallbladder leiomyoma includes leiomyosarcoma, extra-gastrointestinal stromal tumor and other mesenchymal tumors (12-15). A biopsy of the affected tissue is necessary (usually following cholecystectomy) to establish a definite diagnosis and rule out the possibility of leiomyosarcoma and other type of sarcomas.
The strong immunoexpression of smooth muscle cell actin and the lack of CD-117 immunoexpression confirm the leiomyomatous nature of the lesion instead of extrahepatic bile duct GIST. Unlike the case here reported, these tumors are related to immunodeficiency, are multifocal and affect several organs.
Gallbladder cancer (GBC): 10-year experience at Memorial Sloan-Kettering Cancer Centre (MSKCC). Primary gallbladder sarcoma: a clinicopathologic study of 15 cases, heterogenous sarcomas with poor outcome, except pediatric botryoid rhabdomyosarcoma.
Stromal tumor of the gallbladder with phenotype of interstitial cells of Cajal: a previously unrecognized neoplasm.



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