Healthy cosmetics from healthy ingredients

Cosmetics certainly are a section of everyday routine both for men and women. A lot of people want to look really good and feel good, and so they employ makeup to achieve this. Environmentally friendly Functioning Class (EWG), any nonprofit organization specialized in instructing customers on the content regarding cosmetics, states that women work with an typical regarding A dozen private care products every day, and adult men use about 50 % of that will.

Because of the prevalence of cosmetics in society, it’s important to be an informed and educated consumer. Find out what’s throughout makeup products and the way that they have an effect on anyone with a surroundings.
Your Food, labeling, and beauty merchandise basic safety

Many people seek out beauty items which are developed through healthful, nontoxic elements. Unfortunately, this isn’t so simple with regard to customers to understand which usually manufacturers are in fact healthy for them as well as the setting. Labeling which claim goods are “green,” “natural,” as well as “organic” are difficult to rely on. There isn’t any authorities organization in charge of determining as well as controlling the production of makeup products.

The actual Oughout.Utes. Food and Drug Management (Food and drug administration) doesn’t contain the capacity to check makeup while tightly as it can food and drugs. Your FDA has a number of authorized specialist over makeup products. However, cosmetic products and their ingredients (with the exception of color additives) are not subject to FDA premarket approval.

If a product that claims to be “100 percent organic” is actually 100 percent organic, in other words, the FDA doesn’t check to see. In addition, your Fda standards can’t call to mind harmful cosmetic products.

It’s essential that you, the individual, are generally advised and get goods that are usually healthy and safe for you personally as well as the environment. Remember that a few chemicals using cosmetic products could possibly be toxic.
Knowing the “makeup” of makeup products

That will help you make advised choices, listed here are a number of crucial kinds of damaging components found in makeup as well as maintenance systems:

Surfactants are found in products used for washing, according to the Royal Society of Chemistry. They breakup slimy chemicals made by skin color to allow them to be rinsed absent with drinking water. Surfactants are coupled with ingredients such asdyes and perfumes, as well as salt throughout goods like foundation, bath carbamide peroxide gel, shampoo or conditioner, and the body cream. That they become thick goods, allowing them to distribute equally along with cleanse and memory foam.
Conditioning polymers

These kind of preserve moisture on skin or even in hair. Glycerin, an all-natural component of vegetable skin oils along with pet fats, is produced unnaturally within the cosmetics business. It’s the actualcheapest and oldest, and most popular fitness plastic.

Conditioning polymers are employed inside hair products to attract normal water along with soften locks even though puffiness the head of hair shaft. They will keep products from becoming dry as well as strengthen scents to hold the aromas coming from seeping by means of plastic bottles or even hoses. In addition they help make products like waxing cream really feel smooth and slick, and they prevent these people from sticking to your hands.
Preservative chemicals

Preservatives are usually additives in which particularly issue shoppers. They’re employed to slow microbial expansion along with lengthen any product’s life expectancy. This can keep a merchandise coming from creating infections of the skin or even eyes. The particular makeup products marketplace is experimenting with so-called self-preserving makeup, involving plant oils or ingredients to do something while natural preservatives. These can irritate the skin or cause allergic reactions, however. A lot of have a very solid scent which can be annoying.

Perfume is most likely the most hazardous portion of an elegance merchandise. Aroma often consists of chemicals that induce a hypersensitivity. You may want to take into account avoiding just about any product which contains the word “fragrance” rolling around in its set of ingredients.
Prohibited elements

According to the FDA, the following ingredients are legally prohibited in cosmetics:

chlorofluorocarbon propellants
halogenated salicylanilides, di-, tritetrachlorosalicylanilide, – and metabromsalan
methylene chloride
soft chloride
zirconium-containing things
banned livestock resources

Restricted components

Your Fda standards furthermore listings these elements, which might be utilized but are legally limited:

mercury ingredients
sunscreens used in makeup

Various other restrictions

The actual EWG also suggests a lot more elements in order to avoid, which include:

benzalkonium chloride
BHA (butylated hydroxyanisole)
fossil fuel tar residue hair inorganic dyes and other coal tar residue components, including aminophenol, diaminobenzene, and also phenylenediamine
DMDM bronopol and hydantoin
components listed since “fragrance”
methylchloroisothiazolinone and methylisothiazolinone
butyl, parabens, propyl and isopropyl and also isobutylparabens
PEG/ceteareth/polyethylene compounds
petrol distillates
retinyl retinol and palmitate (vitamin-a)
triclosan and triclocarban

Cosmetic presentation considerations

Choosing wholesome cosmetics also means picking packaging that’s safe and sound to suit your needs as well as wholesome for your world. Cisterns using available mouths may become polluted together with microorganisms. Airless product packaging, which usually doesn’t permit microorganisms to breed, is actually chosen. Pumps with one-way valves will keep air flow via getting into the opened up deal, creating toxic contamination more challenging. Cautious making techniques keep the item sterile and clean since it enters the package or even bottle.

Makeup are a section of living for most people, as well as their advertising and marketing may be misleading. If you use cosmetics or personal care productsproducts, be informed as to what exactly is in them. By reading the labels and doing some research you can make educatededucated, healthy decisions when purchasing and using cosmetic products.

So there are many different ways to make healthy cosmetics (καλλυντικα) like for example semi permanent varnishes (ημιμονιμα βερνικια) or nail gels (gel νυχιων).

Redesigning your residence in a healthier way

Remodeling-or developing a property completely from scratch, if you are up for this-is a significant undertaking. You’ll be wrangling contractors, budgeting fees, even taking part in developer occasionally (when you’re not, you realize, doing regular job). But one point you will possibly not have offered significantly considered to which should actually be important may be the sourcing of substantial-quality, healthful materials. Indeed, wholesome. “We produce unwell-constructing issue whenever we use certain supplies,” affirms Marilee Nelson, a certified creating biologist and cofounder of normal cleansing line Division Essentials. When she is not assisting customers detox their current homes, Marilee consults around the best eco-warm and friendly components to use for home design tasks. Indeed, this can include a little to your previously complete plate-as an example, Marilee advocates owning your service provider hop on the telephone with all the creator of any substance they have not utilized just before, only to completely grasp the best app. But the significant upside is that you get a nontoxic, breathable house.

Functioning from your external in, listed below are 5 eco-friendly building resources Marilee highly advocates above their more prevalent-and substance-filled-brethren.

As opposed to classic sheathing . . .

ExtremeGreen Table

Breathability is a large factor in having wholesome walls, Marilee explains-that’s what aids in preventing mold. “When an average frame residence is built-in the United states, we certainly have what is named sheathing, as well as the standard substance for that is outside-level plywood or driven strand board (OSB), and those the two contain formaldehyde,” Marilee clarifies. Instead, Marilee suggests using a product named ExtremeGreen Board, which is made of magnesium oxide. “It has no formaldehyde, will not likely mold, should not be eaten by pesky insects, and is fireproof,” she describes.

As opposed to standard insulation . . .

American citizen RockWool

“Finding best heat retaining material is tough because in today’s eco-friendly developing business, foam is among the most widely used components-and regrettably its content has toxic flame retardants,” Marilee explains. Alternatively, she advocates American RockWool, which happens to be by natural means fire proof, will not mold, isn’t foods for unwanted pests (evidently this can be a issue with classic insulations!), does not aroma, does not degrade, and will not problems your lung area like fiberglass.

As opposed to classic drywall . . .


Manufactured from the mineral magnesium oxide-a similar vitamin right behind ExtremeGreen Board, you might remember-Foreverboard will not get moldy or mildewed, and it’s fireproof and does not scent. “The companies enjoy it, due to the fact it can be cut and employed exactly like drywall,” Marilee affirms. Plaster is likewise properly suitable (“a great choice,” Marilee affirms), but if you insist upon utilizing drywall, she openly asks that you simply at the very least search for one with no additional biocides, a dangerous fabric usually included for mildew avoidance, and achieving it very carefully mounted in a way that inhibits moisture content.

Rather than conventional joints ingredients . . .

Murco M100 and Murco HA100

You could be asking yourself what worldwide a joints substance is-don’t worry, we didn’t know possibly! Apparently it is a substance required for drywall installment. Those usually employed by contractors are full of SVOCs, which Marilee thinks about “insidious chemical”” because you can’t odor them plus they ride on dust particles dust to spread during an area. “Wonderful joint materials that happen to be nontoxic and may go from a textural walls to a total, degree-5 sleek wall structure are Murco’s M100 and HA 100,” she claims, and also the manufacturer also provides a fantastic primer. For this particular phase, she suggests referring your contractor to Murco’s chemist-his name is Lonny!-to obtain some pointers on simple program.

*As opposed to standard paints . . . *

ECOS or Envirosafe

If you’re searching for non-harmful artificial painting, Marilee very recommends ECOS, along with EnviroSafe, developed by the chemists that will make color for NASA. “It’s intriguing mainly because they use purified water and resources from The european union,” she clarifies. One more substitute is to use an oil-dependent color and enable the scent fully obvious prior to moving in. “One that is mineral-centered with no biocides is undoubtedly an American citizen color: RomaBio,” she affirms.


These 6 Deluxe Tree Residences Will Offer Your Childhood a grownup Up grade


*Instead of classic ceramic tile mortar . . . *

Kerabond or Versabond

Sure, even your tiling resources should be deemed if you would like the create a nontoxic home! “One of your troubles with the natural constructing movements is the fact we now have this infatuation with mildew,” Marilee describes. “So many of these firms are pouring biocides, antifungals, and antimicrobials into items that for several years I considered nontoxic . . . the installation of ceramic tile was once my easiest thing! The good news is the thinsets and grouts are packed with biocides.” Two very good biocide-free of charge alternatives she advocates are Kerabond, an unmodified thinset without having damaging chemical substances, biocides, and latex, and Versabond by Custom made Creating Goods, containing a mild latex but has no biocides.

*As an alternative to traditional grout . . . *

Biocide-Cost-free C-Cure AR Grout and Polyblend

Marilee recommends C-Heal AR Grout, that has no latex or biocides, and Polyblend by Custom made Building Products, that has no biocides as well as a mild, speedy-healing latex. (The latex determination is up to you!)

Instead of conventional caulk . . .

Non-Poisonous Titebond Weathermaster Sealant

“Once a service provider uses Titebond Weather Expert sealant, I become a call because they enjoy it a great deal,” Marilee affirms. Not only does it barely smell but it can also be used indoors or out and may fill up spaces approximately an ” in size-and you will color correct above it instantly, as an alternative to holding out twenty four hours because of it to dried out. Installers also love it to use in crawl spaces, due to the fact conventional caulk could get really harmful in shut quarters like all those. Lesson learned: Develop green and anyone, even your staff, are less dangerous.

So as we argued above there are ways to make renovations ( ανακαινιση ) and building renovations ( ανακαινιση σπιτιου ) with health materials

Professional retail equipment in a health and safety perspective

When individuals go shopping, they likely are not concerned about acquiring injured or turning into sick at their local food market, huge-container electronics store or redesigning center. Clients count on these locations to obtain free of moisture flooring, crystal clear pathways, effectively-supplied shelves, and vehicle parking places clear by carts and without any shattered pavement and icy surfaces.

Even so, the retail store market staff who offer that welcoming setting skilled a mixed injury and health issues level (3.3 for each 100 full time workers) beyond the development business in 2016, according to a Bureau of Effort Statics statement.

Relocating goods from shipping and delivery vehicles to storage space regions then to racks, in addition to checking and bagging products, is hazardous job. Musculoskeletal conditions are the most typical damage skilled – 36.5 for every ten thousand full time staff documented an MSD in 2014. Slides, trips and tumbles will be the 3rd-most mentioned cause of damage between store staff – after overexertion and contact with items and devices – and increased to 17.3 per 10,000 workers in 2014 from 12.1 in 2009.

So, how could companies assist in improving basic safety?


Mike Wahl, director of safety and health at XPS Logistics and previous safety exec at Playthings R Us and Walmart, stated management must make security important. Wahl mentioned not enough determination at the top can lead to an surroundings that ideals inventory above security.

“(Company) strategy needs to be focused on program security education, which include at orientation and annual refresher education,” he said. “Routines should also include a monthly thorough evaluation of your retail store, along with daily examination of great frequency/higher severity areas.”

Wahl suggests businesses carry out once-a-year refresher practicing for part- and full-time workers that stresses move, journey and slip avoidance; harmless utilization of ladders; parking lot cart-collection methods; extending; manual fabric managing; and housekeeping.

John Leyenberger is really a basic safety advisor having put in over twenty years like a home-based and international safety executive at Walmart. Since materials dealing with may be the top rated source of damage in store, Leyenberger explained, operations needs to be efficient, and gear and picking up methods has to be ergonomic.

“There’s absolutely no way about it,” he was quoted saying. “There’s a lot of guidebook picking up in retail.”

A great way to restrict risks connected with this kind of labour is usually to lessen the volume of times personnel feel this product, he extra.

He mentioned one example from Walmart illustrating how safety can mesh with many other divisions to the very good of: the purchasing of popcorn tins, that happen to be well-liked during the winter vacations.

“We checked out sales by day, and rather than one large press to 3,500 retailers, we received them steadily, using data from past years, with a number of deliveries much nearer to peak times,” Leyenberger mentioned. “We dealt with merchandisers and the logistics class. It was actually incredible how much they reduced the effort fees, lessened supply ranges and had much more room for other goods. The back personal injuries and material-coping with injuries have been lowered during the optimum period if you want your ‘A’ group within forever customer service.

“It lessened the reduce in size, it lessened the details, it lessened the inventory degree to ensure we experienced a lot more products changes for every retail store, and that’s a dimension most stores use for functionality of your retailer.”


Leyenberger stated a different way teamwork can boost safety factors are products style. Cashiers, for example, participate in hrs of repetitive action, so Walmart engineers dealt with an devices dealer to help make the take a look at place as ergonomic as possible. A very lazy Susan for bagging contributed to a lot less weightlifting, as clients moved full bags from your lazy Susan to their carts.

Just as much as the spinning travelling bag stations help lessen picking up by cashiers – Leyenberger estimates they can raise 2,000 weight for every 8-hour transfer – other design and style features could reduce the chance of carpal tunnel syndrome. He was quoted saying the outcome of a set of questions shipped to 500 shops really helped the sequence adjust conveyors to proper heights and counsel cashiers to operate whenever you can in natural positions as well as to decrease reaching. Delicate corners within the take a look at area help reduce make contact with accidents, at the same time.

In 2004, OSHA released “Guidelines for Store Supermarkets: Ergonomics for the Prevention of Musculoskeletal Conditions,” and also in 2014, NIOSH launched “Ergonomic Options for Retailers: Protection against Fabric Managing Injuries in the Grocery Sector.” The author in the latter is Vern Putz Anderson, a NIOSH public overall health consultant and program coordinator for NIOSH’s Wholesale and Store Buy and sell system.

Anderson stated that whatever the labor-preserving machinery open to the retail industry sector, people are the main consider basic safety.

Read through “Guidelines for Retail store Grocery Stores: Ergonomics for the Prevention of Musculoskeletal Disorders” on

“Technology can be a solution in lessening the repeating character of product packaging as well as the heavy work needs related to purchase deciding on,” Anderson stated. “Yet, handbook substance-managing tasks are nonetheless a vital component in retail, regardless of automation. Because of this manual labor remains to be in high demand. Retail store sales remains an rigorous labour profession, necessitating staff members with strong social skills.”

So your store products ( επαγγελματικος εξοπλισμος ) and the guidelines of how it is actually used must advertise the Health and safety of the personnel along with the clients. Extra care should be utilized from the coping with of expert refrigerators ( επαγγελματικα ψυγεια ) and freezers and when you have expert bakery products certain safety and health guidelines should be provided to the information to be sure the safe coping with of bakery specialist equipment ( ειδη ζαχαροπλαστικης ) .

In what ways can artificial intelligence help chronic pain sufferers

About 20% of adults within the U.S. experience constant pain. Regrettably, for anyone lots of people, doctors and researchers are understanding that painkillers – from highly effective opioids to over the counter prescription drugs like aspirin or ibuprofen – might not exactly in fact minimize some types of persistent pain or improve standard of living. Some pain relievers, specially opioids, can also be extremely obsessive.

Some treatments for chronic pain begin by dealing with the patient’s mental condition – their thinking about ache and how individuals morals impact their actions. Technologies, such as some operated by artificial knowledge, may also help make therapy for constant soreness more effective, accessible and reasonably priced. As being the leader and Chief executive officer of a firm that provides telehealth to individuals with soreness and product use troubles, allow me to share five a few things i think AI and tech tools is capable of doing for constant pain affected individuals.

  1. Path Signs As They Come about

At normal sessions using a medical professional or therapist, a chronic soreness patient have to reconstruct how they’ve been sensation over the past number of days or even weeks. Keeping track of signs through cellular mobile app is convenient for individuals and may be more accurate than conventional guide methods. The Symple Mobile app can be a wide-structured tool to monitor bodily signs or symptoms as well as rest and energy ranges then graph the ensuing styles.

Tracking signs and daily activities in a systematic way aids individuals along with their physicians to obtain a much better snapshot with their pain and initiate to recognize styles. As an example, patients could overextend themselves on excellent times and then get three or four days to recuperate. Daily symptom tracking can help people comprehend these patterns and figure out how to rate themselves much better. AI-fueled indicator trackers can flag much less-evident styles that may be exacerbating discomfort.

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  1. Recognize Environment Aspects That Affect Ache Levels

Many software I’ve observed created for long-term discomfort sufferers also keep track of diet regime, conditions, exercising, intellectual wellness, existence occasions, medication consumption, rest and other elements that could have an effect on discomfort amounts. Symple makes it possible for these kinds of complex symptom keeping track of. Like a instrument customized to discomfort sufferers particularly, PainScale tracks and tracks soreness triggers helping individuals and health care providers likewise to determine which coping methods are improving the most. Picture seeking to bear in mind all you consumed in the last fourteen days although being placed in a doctor’s place of work. It can be hard for people to reconstruct these types of sophisticated habits in retrospect. In-the-time tracking will help sufferers and their physicians select which environmental aspects effect soreness levels to enable them to intercede properly.

  1. Find Very early Indicators Of Depressive disorders And Nervousness

Research suggests that the patient’s emotional condition in addition to their actual physical soreness levels are deeply intertwined. A client who believes they’ll never ever get better could be significantly less motivated to keep active, even if increased physical exercise might minimize their pain. Individuals who tend to “catastrophize” may experience late rehabilitation. In yet another record, research workers discovered that lowered catastrophizing in individuals with lumbar pain could boost effects.

New AI-turned on resources might help counselors monitor patients’ psychological health insurance and area signals more critical conditions. For example, Lucid Lane therapists work with an AI-centered device named Ellipsis (provided to our crews free of charge as being a pilot program) that prompts patients to reply to questions regarding emotionally charged wellness symptoms like depression and anxiety. The resource records a quick sound example, plus an algorithm criteria analyzes the patient’s sound for warning signs of depressive disorders or anxiousness. This resource aids our counselors keep track of sufferers day-to-day, prompts them to reach out when sufferers have been in trouble and produces more details details for therapists to talk about with patients while in meetings. Even though a scheduled visit slips on the excellent day time, a counselor equipped with info from an application such as this can say, “It appears to be you were having difficulties on Tuesday. What do you think was taking place?”

  1. Walk People Through Option Therapies

Numerous soreness drugs may be inadequate for the treatment of some kinds of long-term pain and might be positively harmful if people grow to be dependent on medication. Right now, 1 treatment for constant discomfort is cognitive-behavioral therapy (CBT), an involvement wherein a counselor works together with the patient to help change unhelpful imagined patterns and build dealing techniques. Some scientists will work to build up AI-structured CBT that may serve as a supplement or perhaps substitute for classic CBT to make this treatment more reachable and price-effective.

On this page and today, several apps manual sufferers by way of other substitute therapies, such as mindfulness, yoga and fitness, music treatment method and even acupressure. For instance, the CBT-i Trainer application from the us Division of Veterans Matters utilizes CBT to handle sleeplessness and sleep difficulties. It blends a sleep at night monitor with carefully guided techniques focused on methods such as making new sleep at night practices, winding lower and protecting against insomnia down the road. Software such as these will help users manage anxiety, which studies advise may be a key element of sleep problems, by means of imagined replacing and cognitive restructuring, as well as led images, body tests, mindfulness, intensifying muscle relaxing and respiration equipment.

  1. Link Sufferers To Friends Who Is Able To Supply Assistance

Counselors can not be on call 24/7, but other persistent pain individuals can. Long-term ache sufferers can connect to friends by means of peer-help programs like ChatSpace, TalkLife, Unmasked (for college students) and Therapeer. (Total disclosure: I am a trader in ChatSpace, as is Lucid Lane’s chief health-related counselor.) When a affected person is struggling with soreness, depressive disorders or stress and anxiety at 3 a.m., a peer may be able to link and give in-the-time help. Systems such as these can bridge the crucial spaces involving meetings.

Most typical chronic discomfort

Chronic discomfort might be a overwelming and daily life-altering dilemma. New technology, which includes AI-allowed tools, can help people navigate the labyrinth of chronic discomfort, road map out their signs, recognize and fix styles, accessibility alternative treatments and acquire the support they have to increase their standard of living.

There are numerous sorts and sub-kinds of head aches. Chronic every day headaches, which arise 15 days and nights or higher per month, are one sub-kind. Pressure-sort head aches and migraines may also be popular sub-kinds of migraines. They are able to each be long-term, although they aren’t constantly. Other sorts of chronic everyday severe headaches consist of:

Hemicrania continua, a one-sided head ache that may feel like a migraine

Primary stabbing headaches, which previous for a couple seconds and will arise repeatedly during the day

Principal exertional head aches, a result of exercise

Long-term paroxysmal hemicranias, well-defined, 1-sided severe headaches that can cause tearing or possibly a overloaded nasal area

Medicine excessively use migraines, which happen from overusing discomfort medicines for headaches ( κεφαλαλγια ) for at least ninety days. These headaches take place a minimum of 15 days and nights from the calendar month.

Low back pain ( οσφυαλγια ) is very popular, specially in men and women between 30 and 50, in accordance with the National Institute of Neurological Problems and Stroke (NINDS). Irritation inside the lumbar region can be constant or ongoing. It may also be intense and simple situation generally known as severe discomfort.

Factors behind low back pain involve:

muscle mass pulls and spasms

neural tenderness

spinal abnormalities, like a slipped disc or spinal stenosis

Treatments for back pain range broadly in accordance with the source of the disorder. How is sciatica handled?

The purpose of therapy is to decrease your soreness and enhance your freedom. according to the cause, a lot of situations of sciatica vanish entirely after a while with a bit of easy self-care treatment options.

Sciatica: Control and Remedy

Personal-attention treatment options involve:

Appling an ice pack or very hot features: Initial, use ice packages to reduce pain and irritation. Implement ice-cubes packs or case of frosty vegetables covered with a cloth on the affected area. Submit an application for twenty or so minutes, many times per day. Move to a very hot load or possibly a warming pad right after the initially several days. Make an application for twenty minutes at a time. If you’re nonetheless in ache, swap among cold and hot packages – no matter what best alleviates your pain.

Using over the counter drugs: Take medications to lower discomfort, irritation and swelling. The countless common over the counter medications within this classification, called non-steroidal anti–inflamed medicines (NSAIDs), incorporate aspirin, ibuprofen (Advil®, Motrin®) and naproxen (Naprosyn®, Aleve®). Be watchful if you choose to get aspirin. Aspirin could cause ulcers and hemorrhage in a few men and women. If you are unable to take NSAIDS, acetaminophen (Tylenol®) might be used alternatively.

Carrying out gentle expands: Discover suitable stretches from an trainer with exposure to low back pain. Function as much as other general conditioning, primary muscles building up and cardio workout routines.
Your doctor will diagnose trigeminal neuralgia mainly based on your description of the pain, including:

Type. Pain related to trigeminal neuralgia is sudden, shock-like and brief.
Location. The parts of your face that are affected by pain will tell your doctor if the trigeminal nerve ( νευραλγια ) is involved.
Triggers. Trigeminal neuralgia-related pain usually is brought on by light stimulation of your cheeks, such as from eating, talking or even encountering a cool breeze.

Your medical professional may possibly carry out numerous assessments to diagnose trigeminal neuralgia and figure out root brings about to your condition, including:

A neurological exam. Pressing and examining areas of your skin might help your doctor determine exactly where the discomfort is taking place and – if you appear to have trigeminal neuralgia – which branches from the trigeminal nerve might be influenced. Reflex exams may also aid your personal doctor determine whether your signs are generated by a compressed neurological or any other condition.

Magnet resonance imaging (MRI). your medical professional may get an MRI scan of your respective head over to determine if numerous sclerosis or a tumor is bringing about trigeminal neuralgia. Sometimes, your doctor may possibly inject a dye into a blood vessel to see the arteries and blood vessels and highlight the flow of blood (magnet resonance angiogram).