url
stringlengths 15
1.48k
| date
timestamp[s] | file_path
stringlengths 125
155
| language_score
float64 0.65
1
| token_count
int64 75
32.8k
| dump
stringclasses 96
values | global_id
stringlengths 41
46
| lang
stringclasses 1
value | text
stringlengths 295
153k
| domain
stringclasses 67
values |
|---|---|---|---|---|---|---|---|---|---|
https://www.raccioanddrewdental.com/post/6-signs-you-need-to-see-a-dentist | 2020-11-25T00:07:28 | s3://commoncrawl/crawl-data/CC-MAIN-2020-50/segments/1606141177607.13/warc/CC-MAIN-20201124224124-20201125014124-00422.warc.gz | 0.966586 | 426 | CC-MAIN-2020-50 | webtext-fineweb__CC-MAIN-2020-50__0__18562101 | en | 6 Signs You Need to See a Dentist
Routine dental care should always be a priority. In past posts we've talked about the various ways our general and dental health affect each other, but some patients may need a clear sign that it's time to visit the dentist.
Well, here are 6 signs that you need to see a dentist:
You're In Pain! If you are having any pain or swelling in the mouth, face or neck, you should contact your dentist immediately. This type of pain can be a sign for a number of ailments, including, cavities, gum disease or infection.
You have trouble with your gums. Contact your dentist if your gums are puffy or they bleed when you brush or flush. This can signify gum disease and should be treated immediately.
You Hide Your Smile. Whether you are self-conscious about a missing tooth, or the color of your teeth, consult with a dentist to see what options are available to you! We're here to help, so don't be shy and ask!
You've had dental work done before. It's always a good idea to have any work you had done in the past is checked to make sure everything is in great shape.
You have ongoing medical issues. Dental care is a crucial part of your overall healthcare plan. Be sure to include your dentist if you have conditions such as diabetes, cardiovascular disease and eating disorders or are undergoing medical treatment such as chemotherapy or radiation.
You're pregnant. Yes, it's safe to go to the dentist when you are pregnant, in fact, it's more important. Pregnancy can amplify some dental issues, so be sure to schedule your regular dental appointments as planned.
Of course, along with your regular dental visits, it's critical to adapt and maintain a daily routine of brushing 2x a day for two minutes each and flossing once a day. If you're not sure if you should see a dentist, you probably should! At the very least, you'll leave the office with the peace of mind that you're in good dental health. | medical |
https://www.sensaskincare.com.au/ | 2023-12-11T19:39:32 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679516047.98/warc/CC-MAIN-20231211174901-20231211204901-00837.warc.gz | 0.890764 | 336 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__239293545 | en | Welcome to the home page of Sensa Skincare, a leading authorised consultant and stockist of the world-renowned Environ™ range of natural skin care products. First developed in Cape Town, South Africa by leading cosmetic plastic surgeon Dr. Des Fernandes, Environ™ is adored by women (and men) all over the world because it is the first skin care line to combine the gentleness of natural skin care products with the efficacy of paramedical, prescription-only products.
Why Environ™ is the right natural skin care for Australian conditions
The Australian climate in general can be very tough on the skin. No matter where you live, chances are you face quick-changing weather and variable conditions all year round, including harsh sun in summer. If you want your skin to look and feel great, it’s best to protect and nourish your skin with the best available products selected not just for your skin type and condition/s, including acne and rosacea, but for your lifestyle and environmental factors.
Environ™ products are specifically prescribed for your skin and help to replenish all the vitamins and nutrients your skin needs on a daily basis. The different Environ product ranges include a variety of easy-to-use formulations including pre-cleansers, cleansers, toners, moisturisers, serums/concentrates, special treatments and masques. Environ™ natural skin care products are exclusive to authorised Environ stockists who offer online or in person skin consultations in order to help prescribe the correct Environ products for your skin. For more information or to arrange your consultation, click the booking button below. | medical |
http://nordicmetrology.com/solutions-for-healthcare/ | 2024-03-01T18:47:45 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947475422.71/warc/CC-MAIN-20240301161412-20240301191412-00899.warc.gz | 0.904365 | 766 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__82512113 | en | Solutions for Healthcare Industry
In the critical realm of healthcare and medical devices, where accuracy, reliability, and patient safety are paramount, calibration plays a pivotal role in ensuring the precision of diagnostic instruments and medical equipment.
Why calibration is essential for healthcare and medical devices?
From diagnostic imaging devices to life-saving monitoring tools, calibration is the linchpin that underpins medical diagnoses, treatment plans, and overall patient care. In an industry where the consequences of inaccurate measurements can be life-altering, calibrated instruments are fundamental for healthcare professionals to provide accurate diagnoses and deliver optimal medical interventions.
Healthcare and medical device applications encompass a wide range of instruments, from blood pressure monitors to imaging equipment like MRI machines. Calibration ensures that these instruments consistently provide accurate data, contributing to the effectiveness and safety of medical diagnoses and treatments.
Challenges faced without proper calibration in healthcare and medical devices
The healthcare and medical devices industry encounters distinctive challenges when calibration is overlooked, impacting diagnostic accuracy, treatment efficacy, and overall patient safety.
1. Diagnostic inaccuracies:
One of the primary challenges lies in diagnostic inaccuracies. Without proper calibration, diagnostic instruments may provide imprecise readings, leading to errors in medical diagnoses and potentially affecting treatment plans.
2. Treatment plan variability:
Calibration is crucial for medical devices used in treatment planning. Inaccuracies in calibration can result in variability in treatment plans, affecting the efficacy and outcomes of medical interventions.
3. Patient safety concerns:
In the healthcare industry, patient safety is of utmost importance. Calibrated instruments, such as infusion pumps and ventilators, are essential for ensuring the safety of patients. Without accurate calibration, safety features may not function as intended, posing risks to patient well-being.
BENEFITS OF CALIBRATION
Addressing these challenges necessitates the implementation of robust calibration solutions tailored to the specific needs of the healthcare and medical devices industry.
Benefits 1 – Diagnostic Precision
Calibrating diagnostic instruments ensures precise readings, contributing to accurate medical diagnoses and treatment planning. This enhances the overall effectiveness and reliability of healthcare interventions.
Benefits 2- Treatment Consistency
Calibration is fundamental for medical devices used in treatment planning. Accurate calibration ensures consistent treatment plans, optimizing the efficacy and predictability of medical interventions.
Benefits 3 – Patient Safety Assurance
Calibrated instruments are indispensable for patient safety. Accurate calibration of devices like infusion pumps and ventilators ensures that safety features operate within defined parameters, minimizing risks and ensuring patient well-being.
Benefits 4 – Regulatory Compliance and Quality Standards
Calibration contributes to regulatory compliance and adherence to quality standards. Accurate measurements facilitated by calibrated instruments ensure that healthcare providers meet stringent regulatory requirements, maintaining the highest standards of care.
In conclusion, calibration stands as a cornerstone in healthcare and medical devices, playing a pivotal role in ensuring precision, reliability, and patient safety in diagnostic and treatment processes. The challenges posed by inaccurate measurements have profound implications for diagnostic accuracy, treatment efficacy, and overall patient well-being. Embracing robust calibration solutions tailored to the unique requirements of the healthcare industry not only addresses these challenges but also unlocks a spectrum of benefits.
From precise diagnostics to treatment consistency and enhanced patient safety, calibration is the key to unlocking the full potential of healthcare and medical devices. As the industry continues to advance with technological innovations, calibration becomes a strategic investment for healthcare professionals striving to provide optimal medical care, accurate diagnoses, and safe treatment interventions. Calibration, often working behind the scenes, emerges as a dynamic force shaping the future of the healthcare and medical devices industry, where precision is not just a requirement but a fundamental element in delivering high-quality patient care and advancing medical knowledge. | medical |
https://www.bonairtech.com/post/transmission-of-sars-cov-2-implicationsfor-infection-prevention-precautions | 2023-12-03T05:17:46 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679100484.76/warc/CC-MAIN-20231203030948-20231203060948-00574.warc.gz | 0.943061 | 5,661 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__227280919 | en | 9 July 2020 - World Health Organization
This document is an update to the scientific brief published on 29 March 2020 entitled “Modes of transmission of virus causing COVID-19: implications for infection prevention and control (IPC) precaution recommendations” and includes new scientific evidence available on transmission of SARS-CoV-2, the virus that causes COVID-19.
This scientific brief provides an overview of the modes of transmission of SARS-CoV-2, what is known about when infected people transmit the virus, and the implications for infection prevention and control precautions within and outside health facilities. This scientific brief is not a systematic review. Rather, it reflects the consolidation of rapid reviews of publications in peer-reviewed journals and of non-peer-reviewed manuscripts on pre-print servers, undertaken by WHO and partners. Preprint findings should be interpreted with caution in the absence of peer review. This brief is also informed by several discussions via teleconferences with the WHO Health Emergencies Programme ad hoc Experts Advisory Panel for IPC Preparedness, Readiness and Response to COVID-19, the WHO ad hoc COVID-19 IPC Guidance Development Group (COVID-19 IPC GDG), and by review of external experts with relevant technical backgrounds.
The overarching aim of the global Strategic Preparedness and Response Plan for COVID-19(1) is to control COVID-19 by suppressing transmission of the virus and preventing associated illness and death. Current evidence suggests that SARS-CoV-2, the virus that causes COVID-19, is predominantly spread from person-to-person. Understanding how, when and in what types of settings SARS-CoV-2 spreads is critical to develop effective public health and infection prevention and control measures to break chains of transmission.
Modes of transmission
This section briefly describes possible modes of transmission for SARS-CoV-2, including contact, droplet, airborne, fomite, fecal-oral, bloodborne, mother-to-child, and animal-to-human transmission. Infection with SARS-CoV-2 primarily causes respiratory illness ranging from mild disease to severe disease and death, and some people infected with the virus never develop symptoms.
Contact and droplet transmission
Transmission of SARS-CoV-2 can occur through direct, indirect, or close contact with infected people through infected secretions such as saliva and respiratory secretions or their respiratory droplets, which are expelled when an infected person coughs, sneezes, talks or sings.(2-10) Respiratory droplets are >5-10 μm in diameter whereas droplets <5μm in diameter are referred to as droplet nuclei or aerosols.(11) Respiratory droplet transmission can occur when a person is in close contact (within 1 metre) with an infected person who has respiratory symptoms (e.g. coughing or sneezing) or who is talking or singing; in these circumstances, respiratory droplets that include virus can reach the mouth, nose or eyes of a susceptible person and can result in infection. Indirect contact transmission involving contact of a susceptible host with a contaminated object or surface (fomite transmission) may also be possible (see below).
Airborne transmission is defined as the spread of an infectious agent caused by the dissemination of droplet nuclei (aerosols) that remain infectious when suspended in air over long distances and time.(11) Airborne transmission of SARS-CoV-2 can occur during medical procedures that generate aerosols (“aerosol generating procedures”).(12) WHO, together with the scientific community, has been actively discussing and evaluating whether SARS-CoV-2 may also spread through aerosols in the absence of aerosol generating procedures, particularly in indoor settings with poor ventilation.
The physics of exhaled air and flow physics have generated hypotheses about possible mechanisms of SARS-CoV-2 transmission through aerosols.(13-16) These theories suggest that 1) a number of respiratory droplets generate microscopic aerosols (<5 μm) by evaporating, and 2) normal breathing and talking results in exhaled aerosols. Thus, a susceptible person could inhale aerosols, and could become infected if the aerosols contain the virus in sufficient quantity to cause infection within the recipient. However, the proportion of exhaled droplet nuclei or of respiratory droplets that evaporate to generate aerosols, and the infectious dose of viable SARS-CoV-2 required to cause infection in another person are not known, but it has been studied for other respiratory viruses.(17)
One experimental study quantified the amount of droplets of various sizes that remain airborne during normal speech. However, the authors acknowledge that this relies on the independent action hypothesis, which has not been validated for humans and SARS-CoV-2.(18) Another recent experimental model found that healthy individuals can produce aerosols through coughing and talking (19), and another model suggested high variability between individuals in terms of particle emission rates during speech, with increased rates correlated with increased amplitude of vocalization.(20) To date, transmission of SARS-CoV-2 by this type of aerosol route has not been demonstrated; much more research is needed given the possible implications of such route of transmission.
Experimental studies have generated aerosols of infectious samples using high-powered jet nebulizers under controlled laboratory conditions. These studies found SARS-CoV-2 virus RNA in air samples within aerosols for up to 3 hours in one study (21) and 16 hours in another, which also found viable replication-competent virus.(22) These findings were from experimentally induced aerosols that do not reflect normal human cough conditions. Some studies conducted in health care settings where symptomatic COVID-19 patients were cared for, but where aerosol generating procedures were not performed, reported the presence of SARS-CoV-2 RNA in air samples (23-28), while other similar investigations in both health care and non-health care settings found no presence of SARS-CoV-2 RNA; no studies have found viable virus in air samples.(29-36) Within samples where SARS-CoV-2 RNA was found, the quantity of RNA detected was in extremely low numbers in large volumes of air and one study that found SARS-CoV-2 RNA in air samples reported inability to identify viable virus. (25) The detection of RNA using reverse transcription polymerase chain reaction (RT-PCR)-based assays is not necessarily indicative of replication- and infection-competent (viable)
virus that could be transmissible and capable of causing infection.(37)
Recent clinical reports of health workers exposed to COVID-19 index cases, not in the presence of aerosol-generating procedures, found no nosocomial transmission when contact and droplet precautions were appropriately used, including the wearing of medical masks as a component of the personal protective equipment (PPE). (38, 39) These observations suggest that aerosol transmission did not occur in this context. Further studies are needed to determine whether it is possible to detect viable SARS-CoV-2 in air samples from settings where no procedures that generate aerosols are performed and what role aerosols might play in transmission.
Outside of medical facilities, some outbreak reports related to indoor crowded spaces (40) have suggested the possibility of aerosol transmission, combined with droplet transmission, for example, during choir practice (7), in restaurants (41) or in fitness classes.(42) In these events, short-range aerosol transmission, particularly in specific indoor locations, such as crowded and inadequately ventilated spaces over a prolonged period of time with infected persons cannot be ruled out. However, the detailed investigations of these clusters suggest that droplet
and fomite transmission could also explain human-to-human transmission within these clusters. Further, the close contact environments of these clusters may have facilitated transmission from a small number of cases to many other people (e.g., superspreading event), especially if hand hygiene was not performed and masks were not used when physical distancing was not maintained.(43)
Respiratory secretions or droplets expelled by infected individuals can contaminate surfaces and objects, creating fomites (contaminated surfaces). Viable SARS-CoV-2 virus and/or RNA detected by RT-PCR can be found on those surfaces for periods ranging from hours to days, depending on the ambient environment (including temperature and humidity) and the type of surface, in particular at high concentration in health care facilities where COVID-19 patients were being treated.(21, 23, 24, 26, 28, 31-33, 36, 44, 45) Therefore, the transmission may also occur indirectly through touching surfaces in the immediate environment or objects contaminated with virus from an infected person (e.g.
stethoscope or thermometer), followed by touching the mouth, nose, or eyes.
Despite consistent evidence as to SARS-CoV-2 contamination of surfaces and the survival of the virus on certain surfaces, there are no specific reports which have directly demonstrated fomite transmission. People who come into contact with potentially infectious surfaces often also have close contact with the infectious person, making the distinction between respiratory droplet and fomite transmission difficult to discern. However, fomite transmission is considered a likely mode of transmission for SARS-CoV-2, given consistent findings about environmental contamination in the vicinity of infected cases and the fact that other coronaviruses and respiratory viruses can transmit this way.
Other modes of transmission
SARS-CoV-2 RNA has also been detected in other biological samples, including the urine and feces of some patients.(46-50)One study found viable SARS-CoV-2 in the urine of one patient.(51)Three studies have cultured SARS-CoV-2 from stool specimens. (48, 52, 53) To date, however, there have been no published reports of transmission of SARS-CoV-2 through feces or urine.
Some studies have reported detection of SARS-CoV-2 RNA, in either plasma or serum, and the virus can replicate in blood cells. However, the role of bloodborne transmission remains uncertain; and low viral titers in plasma and serum suggest that the risk of transmission through this route may be low.(48, 54) Currently, there is no evidence for intrauterine transmission of SARS-CoV-2 from infected pregnant women to their fetuses, although data remain limited. WHO has recently published a scientific brief on breastfeeding and COVID-19.(55) This brief
explains that viral RNA fragments have been found by RT-PCR testing in a few breast milk samples of mothers infected with SARS-CoV-2, but studies investigating whether the virus could be isolated, have found no viable virus. Transmission of SARS-CoV-2 from mother to child would necessitate replicative and infectious virus in breast milk being able to reach target sites in the infant and also to overcome infant defense systems. WHO recommends that mothers with suspected or confirmed COVID-19 should be encouraged to initiate or continue to breastfeed.(55)
Evidence to date shows that SARS-CoV-2 is most closely related to known betacoronaviruses in bats; the role of an intermediate host in facilitating transmission in the earliest known human cases remains unclear.(56, 57) In addition to investigations on the possible intermediate host(s) of SARS-CoV-2, there are also a number of studies underway to better understand susceptibility of SARS-CoV-2 in different animal species. Current evidence suggests that humans infected with SARS-CoV-2 can infect other mammals, including dogs(58), cats(59), and farmed mink.(60) However, it remains unclear if these infected mammals pose a significant risk for transmission to humans.
When do people infected with SARS-CoV-2 infect others?
Knowing when an infected person can spread SARS-CoV-2 is just as important as how the virus spreads (described above). WHO has recently published a scientific brief outlining what is known about when a person may be able to spread, based on the severity of their illness. (61)
In brief, evidence suggests that SARS-CoV-2 RNA can be detected in people 1-3 days before their symptom onset, with the highest viral loads, as measured by RT-PCR, observed around the day of symptom onset, followed by a gradual decline over time.(47, 62-65) The duration of RT-PCR positivity generally appears to be 1-2 weeks for asymptomatic persons, and up to 3 weeks or more for patients with mild to moderate disease.(62, 65-68) In patients with severe COVID-19 disease, it can be much longer.(47)
Detection of viral RNA does not necessarily mean that a person is infectious and able to transmit the virus to another person. Studies using viral culture of patient samples to assess the presence of infectious SARS-CoV-2 are currently limited. (61) Briefly, viable virus has been isolated from an asymptomatic case,(69) from patients with mild to moderate disease up to 8-9 days after symptom onset, and for longer from severely ill patients.(61) Full details about the duration of viral shedding can be found in the WHO guidance document on “Criteria for releasing COVID-19 patients from isolation”. (61) Additional studies are needed to determine the duration of viable virus shedding among infected patients.
SARS-CoV-2 infected persons who have symptoms can infect others primarily through droplets and close contact
SARS-CoV-2 transmission appears to mainly be spread via droplets and close contact with infected symptomatic cases. In an analysis of 75,465 COVID-19 cases in China, 78-85% of clusters occurred within household settings, suggesting that transmission occurs during close and prolonged contact.(6) A study of the first patients in the Republic of Korea showed that 9 of 13 secondary cases occurred among household contacts.(70) Outside of the household setting, those who had close physical contact, shared meals, or were in enclosed spaces for approximately one hour or more with symptomatic cases, such as in places of worship, gyms, or the workplace, were also at increased risk of infection.(7, 42, 71, 72) Other reports have supported this with similar findings of secondary transmission within families in other countries.(73, 74)
SARS-CoV-2 infected persons without symptoms can also infect others
Early data from China suggested that people without symptoms could infect others.(6) To better understand the role of transmission from infected people without symptoms, it is important to distinguish between transmission from people who are infected who never develop symptoms(75) (asymptomatic transmission) and transmission from people who are infected but have not developed symptoms yet (presymptomatic transmission). This distinction is important when developing public health strategies to control transmission.
The extent of truly asymptomatic infection in the community remains unknown. The proportion of people whose infection is asymptomatic likely varies with age due to the increasing prevalence of underlying conditions in older age groups (and thus increasing risk of developing severe disease with increasing age), and studies that show that children are less likely to show clinical symptoms compared to adults.(76) Early studies from the United States (77) and China (78) reported that many cases were asymptomatic, based on the lack of symptoms at the time of testing; however, 75-100% of these people later developed symptoms. A recent systematic review estimated that the proportion of truly asymptomatic cases ranges from 6% to 41%, with a pooled estimate of 16% (12%–20%).(79) However, all studies included in this systematic review have important limitations.(79) For example, some studies did not clearly describe how they followed up with persons who were asymptomatic at the time of testing to ascertain if they ever developed symptoms, and others defined “asymptomatic” very narrowly as persons who never developed fever or respiratory symptoms, rather than as those who did not develop any symptoms at all.(76, 80) A recent study from China that clearly and appropriately defined asymptomatic infections suggests that the proportion of infected people who never developed symptoms was 23%.(81)
Multiple studies have shown that people infect others before they themselves became ill, (10, 42, 69, 82, 83) which is supported by available viral shedding data (see above). One study of transmission in Singapore reported that 6.4% of secondary cases resulted from presymptomatic transmission.(73) One modelling study, that inferred the date of transmission based on the estimated serial interval and incubation period, estimated that up to 44% (25-69%) of transmission may have occurred just before symptoms appeared.(62) It remains unclear why the magnitude of estimates from modelling studies differs from available empirical data.
Transmission from infected people without symptoms is difficult to study. However, information can be gathered from detailed contact tracing efforts, as well as epidemiologic investigations among cases and contacts. Information from contact tracing efforts reported to WHO by Member States, available transmission studies and a recent pre-print systematic reviews suggests that individuals without symptoms are less likely to transmit the virus than those who develop symptoms.(10, 81, 84, 85) Four individual studies from Brunei, Guangzhou China, Taiwan China and the Republic of Korea found that between 0% and 2.2% of people with asymptomatic infection infected anyone else, compared to 0.8%-15.4% of people with symptoms.(10, 72, 86, 87)
Remaining questions related to transmission
Many unanswered questions about transmission of SARS-CoV-2 remain, and research seeking to answer those questions is ongoing and is encouraged. Current evidence suggests that SARS-CoV-2 is primarily transmitted between people via respiratory droplets and contact routes – although aerosolization in medical settings where aerosol generating procedures are used is also another possible mode of transmission - and that transmission of COVID-19 is occurring from people who are pre-symptomatic or symptomatic to others in close contact (direct physical or face-to-face contact with a probable or confirmed case within one meter and for prolonged periods of time), when not wearing appropriate PPE. Transmission can also occur from people who are infected and remain asymptomatic, but the extent to which this occurs is not fully understood and requires further research as an urgent priority. The role and extent of airborne transmission outside of health care facilities, and in particular in close settings with poor ventilation, also requires further study.
As research continues, we expect to gain a better understanding about the relative importance of different transmission routes, including through droplets, physical contact and fomites; the role of airborne transmission in the absence of aerosol generating procedures; the dose of virus required for transmission to occur, the characteristics of people and situations that facilitate superspreading events such as those observed in various closed settings, the proportion of infected people who remain asymptomatic throughout the course of their infection; the proportion of truly asymptomatic persons who transmit the virus to others; the specific factors that drive asymptomatic and pre-symptomatic transmission; and the proportion of all infections that are transmitted from asymptomatic and pre-symptomatic individuals.
Implications for preventing transmission
Understanding how, when and in which settings infected people transmit the virus is important for developing and implementing control measures to break chains of transmission. While there is a great deal of scientific studies becoming available, all studies that investigate transmission should be interpreted bearing in mind the context and settings in which they took place, including the infection prevention interventions in place, the rigor of the methods used in the investigation and the limitations and biases of the study designs.
It is clear from available evidence and experience, that limiting close contact between infected people and others is central to breaking chains of transmission of the virus causing COVID-19. The prevention of transmission is best achieved by identifying suspect cases as quickly as possible, testing, and isolating infectious cases. (88, 89) In addition, it is critical to identify all close contacts of infected people (88) so that they can be quarantined (90) to limit onward spread and break chains of transmission. By quarantining close contacts, potential secondary cases will already be separated from others before they develop symptoms or they start shedding virus if they are infected, thus preventing the opportunity for further onward spread. The incubation period of COVID-19, which is the time between exposure to the virus and symptom onset, is on average 5-6 days, but can be as long as 14 days. (82, 91) Thus, quarantine should be in place for 14 days from the last exposure to a confirmed case. If it is not possible for a contact to quarantine in a separate living space, self-quarantine for 14 days at home is required; those in self-quarantine may require support during the use of physical distancing measures to prevent the spread of the virus.
Given that infected people without symptoms can transmit the virus, it is also prudent to encourage the use of fabric face masks in public places where there is community transmission and where other prevention measures, such as physical distancing, are not possible.(12) Fabric masks, if made and worn properly, can serve as a barrier to droplets expelled from the wearer into the air and environment.(12) However, masks must be used as part of a comprehensive package of preventive measures, which includes frequent hand hygiene, physical distancing when possible, respiratory etiquette, environmental cleaning and disinfection. Recommended precautions also include avoiding indoor crowded gatherings as much as possible, in particular when physical distancing is not feasible, and ensuring good environmental ventilation in any closed setting. (92, 93)
Within health care facilities, including long term care facilities, based on the evidence and the advice by the COVID-19 IPC GDG, WHO continues to recommend droplet and contact precautions when caring for COVID-19 patients and airborne precautions when and where aerosol generating procedures are performed. WHO also recommends standard or transmission-based precautions for other patients using an approach guided by risk assessment.(94) These recommendations are consistent with other national and international guidelines, including those developed by the European Society of Intensive Care Medicine and Society of Critical Care Medicine (95) and by the Infectious Diseases Society of America. (96)
Furthermore, in areas with COVID-19 community transmission, WHO advises that health workers and caregivers working in clinical areas should continuously wear a medical mask during all routine activities throughout the entire shift.(12) In settings where aerosol-generating procedures are performed, they should wear an N95, FFP2 or FFP3 respirator. Other countries and organizations, including the United States Centers for Diseases Control and Prevention (97) and the European Centre for Disease Prevention and Control (98) recommend airborne precautions for any situation involving the care of COVID-19 patients. However, they also consider the use of medical masks as an acceptable option in case of shortages of respirators.
WHO guidance also emphasizes the importance of administrative and engineering controls in health care settings, as well as rational and appropriate use of all PPE (99) and training for staff on these recommendations (IPC for Novel Coronavirus [COVID-19] Course. Geneva; World Health Organization 2020, available at (https://openwho.org/courses/COVID-19-IPC-EN). WHO has also provided guidance on safe workplaces. (92)
Key points of the brief
Understanding how, when and in what types of settings SARS-CoV-2 spreads between people is critical to develop effective public health and infection prevention measures to break chains of transmission.
Current evidence suggests that transmission of SARS-CoV-2 occurs primarily between people through direct, indirect, or close contact with infected people through infected secretions such as saliva and respiratory secretions, or through their respiratory droplets, which are expelled when an infected person coughs, sneezes, talks or sings.
Airborne transmission of the virus can occur in health care settings where specific medical procedures, called aerosol generating procedures, generate very small droplets called aerosols. Some outbreak reports related to indoor crowded spaces have suggested the possibility of aerosol transmission, combined with droplet transmission, for example, during choir practice, in restaurants or in fitness classes.
Respiratory droplets from infected individuals can also land on objects, creating fomites (contaminated surfaces). As environmental contamination has been documented by many reports, it is likely that people can also be infected by touching these surfaces and touching their eyes, nose or mouth before cleaning their hands.
Based on what we currently know, transmission of COVID-19 is primarily occurring from people when they have symptoms, and can also occur just before they develop symptoms, when they are in close proximity to others for prolonged periods of time. While someone who never develops symptoms can also pass the virus to others, it is still not clear to what extent this occurs and more research is needed in this area.
Urgent high-quality research is needed to elucidate the relative importance of different transmission routes; the role of airborne transmission in the absence of aerosol generating procedures; the dose of virus required for transmission to occur; the settings and risk factors for superspreading events; and the extent of asymptomatic and pre-symptomatic transmission.
How to prevent transmission
The overarching aim of the Strategic Preparedness and Response Plan for COVID-19(1) is to control COVID-19 by suppressing transmission of the virus and preventing associated illness and death. To the best of our understanding, the virus is primarily spread through contact and respiratory droplets. Under some circumstances airborne transmission may occur (such as when aerosol generating procedures are conducted in health care settings or potentially, in indoor crowded poorly ventilated settings elsewhere). More studies are urgently needed to investigate such instances and assess their actual significance for transmission of COVID-19.
To prevent transmission, WHO recommends a comprehensive set of measures including:
Identify suspect cases as quickly as possible, test, and isolate all cases (infected people) in appropriate facilities;
Identify and quarantine all close contacts of infected people and test those who develop symptoms so that they can be isolated if they are infected and require care;
Use fabric masks in specific situations, for example, in public places where there is community transmission and where other prevention measures, such as physical distancing, are not possible;
Use of contact and droplet precautions by health workers caring for suspected and confirmed COVID-19 patients, and use of airborne precautions when aerosol generating procedures are performed;
Continuous use of a medical mask by health workers and caregivers working in all clinical areas, during all routine activities throughout the entire shift;
At all times, practice frequent hand hygiene, physical distancing from others when possible, and respiratory etiquette; avoid crowded places, close-contact settings and confined and enclosed spaces with poor ventilation; wear fabric masks when in closed, overcrowded spaces to protect others; and ensure good environmental ventilation in all closed settings and appropriate environmental cleaning and disinfection. | medical |
https://silkroadmed.com/healthcare-professionals/products/ | 2023-05-31T09:05:54 | s3://commoncrawl/crawl-data/CC-MAIN-2023-23/segments/1685224646457.49/warc/CC-MAIN-20230531090221-20230531120221-00189.warc.gz | 0.819518 | 290 | CC-MAIN-2023-23 | webtext-fineweb__CC-MAIN-2023-23__0__208921971 | en | A dedicated line
of TCAR® products
Innovative tools delivering protection from stroke, and so much more
At the heart of this procedure is the ENROUTE Transcarotid Neuroprotection system. Its innovative design allows for the reversal of blood flow away from the brain to help ensure complete neuroprotection during carotid intervention.
ENROUTE Enflate® Transcarotid RX Balloon Dilatation Catheter
Silk Road Medical introduces its latest addition to the TCAR® system, the ENROUTE Enflate® Transcarotid RX Balloon Dilatation Catheter. Enflate is the only balloon designed for transcarotid access and is the optimal balloon to use with TCAR.
ENHANCE® Transcarotid Peripheral Access Kit
With the goal of making the TCAR procedure easier, safer and more efficient, Silk Road Medical has developed the ENHANCE® Transcarotid Peripheral Access Kit to allow for easy access during the TCAR procedure.
ENROUTE® 0.014” Guidewire
The ENROUTE® 0.014″ Guidewire has been developed to provide precise lesion navigation in tortuous short vessel segments while performing TCAR. | medical |
https://pygmit.best/article/24-hour-clinic-or-hospital-a-e-a-guide-to-costs-care-in-singapore | 2023-10-03T09:50:22 | s3://commoncrawl/crawl-data/CC-MAIN-2023-40/segments/1695233511075.63/warc/CC-MAIN-20231003092549-20231003122549-00128.warc.gz | 0.936113 | 6,131 | CC-MAIN-2023-40 | webtext-fineweb__CC-MAIN-2023-40__0__222761047 | en | Whether it's a high fever that's kept you up all night or a bone that you think might be broken, you've likely asked yourself: do I need to go to the emergency room? In some cases, Hospital Accident and Emergency (A&E) is the appropriate place to go for treatment, but in many other instances, it is actually better to seek out timely and quality care at a 24-hour general practitioner (GP) clinic. Read ahead to learn the differences between a hospital A&E and 24-hour clinic, from costs to care.
Table of Contents
- 24-Hour Clinics in Singapore
- 24-Hour Clinic Fees and Other Costs
- When To Go To A 24-Hour GP Clinic
24-Hour Clinics in Singapore
There are more than1,800 GP clinicsin Singapore that provide a range of medical services from outpatient medical treatment to health screening and education. Of these, a few are clinics that are open 24 hours of the day, much like a hospital A&E would be. But unlike a hospital A&E, 24-hour clinics are equipped to holistically address your and your family's health in addition to treating minor emergencies.
|Examples of 24-Hour Clinic Healthcare Services|
|Outpatient Medical Treatment||Coughs, colds, headaches, minor burns, strains|
|Minor Surgical Procedures||Wound dressing, drainage of abscess|
|Diagnosis & Prevention of Chronic Diseases||Hypertension, diabetes, stroke, asthma, anxiety|
|Women, Men and Child's Health||Pap smear, STD/HIV screening, maternity care, male pattern baldness|
|Vaccinations||H1N1, tetanus, childhood vaccination|
|Health Screening and Education||Blood count, clinical measurements, lipid profiles, urinalysis|
Above all, your GP clinic is designed to assist you with the management of chronic health issues and prevention of illness and disease. Instead of waiting for a health concern to arise (that would require the attention of a hospital A&E), you can save money and your health by being proactive and seeking care from a clinic.
24-Hour Clinic Fees and Other Costs
When you visit a 24-hour clinic, you will have to pay a consultation fee to see a doctor for your medical issue. As a rule of thumb, consultation fees do not include tests, treatment, referrals or medicine. Below, we've compared the consultation fee of a lower budget 24-hour clinic to a higher budget 24 hr clinic.
|Time||Raffles 24 Hour Clinic||Mount Alverna 24 Hour Clinic|
|Weekdays||Monday to Friday||Monday to Saturday|
|8 am to 6 pm||S$27.82||S$66.34|
|6 pm to 12 am||S$40.66||S$80.25|
|12 am to 8 am||S$ 69.55||S$96.30|
|Weekends||Saturday & Sunday||Only Sunday|
|8 am to 6 pm||S$40.66||S$80.25|
|6 pm to 12 am||S$40.66||S$80.25|
|12 am to 8 am||S$ 69.55||S$96.30|
|8 am to 6 pm||S$40.66||S$90.95|
|6 pm to 12 am||S$40.66||S$90.95|
|12 am to 8 am||S$69.55||S$108.07|
Figures represent a minimum charge to the patient for standard consultations. Please refer to clinic websites for further costs, like extended consultations and practice costs.
As shown by the two examples above, a clinic consultation fee varies from S$20 to more than S$120. This fee greatly depends on the certification of your general practitioner, duration of the consultation, and the time of day and week that you seek out medical services. For example, Mount Alverna's standard consultation fee increased by almost 92% for an extended consultation after midnight on a public holiday, while 24-Hours Raffles Medical Clinic saw a 150% increase for the same.
While Singaporeans are covered by Medishield Life, this basic health insurance scheme is designed to cover large hospital bills and costly outpatient treatments in public hospitals, not medical expenses from private GP 24-hour clinics. However, some private health insurers have a panel of GP clinics which can help to offset a pricey consultation fee.
Similarly, you may qualify for government subsidies that assist you with the upfront costs of some private practice health services, like chronic disease management or dental care. For instance, under the Chronic Disease Management Programme (CDMP), you can use your MediSave account to cover15% of the copaymentfor the treatment of a chronic illness at a 24-hour clinic.
When To Go To A 24-Hour GP Clinic
Before you decide to go to the emergency room for your injury or illness, you should first consider the urgency of your condition. It's best to go to a 24-hour clinic if you can determine that your health issue isnot life-threatening.
For example, maybe you've slammed a door on your finger and are dealing with the onset of swelling and pain. While uncomfortable, this injury would likely not be considered a medical emergency. However, if you want a professional opinion or treatment, your best option is a 24-hour clinic where your general practitioner can treat your wound in-house and direct you to a specialist for further care, if needed.
For more informationon where to find your nearest local 24-hour clinic, please visitthe Ministry of Health website.
Hospital A&E in Singapore
A&E hospital visits should be reservedfor accidents and emergencies only. For instance, during the COVID-19 pandemic, it's recommended that you do not visit the hospital for non-urgent conditions, so as to conserve resources for those who are facinglife-threatening medical issues. In fact, if the hospital A&E determines that your sickness or injury does not require immediate care, then they will likely ask you to wait or redirect you to a clinic for treatment.
A&E Charges and Other Fees
In case of an emergency, you'll be directed to yournearest public hospital, in which high medical expenses will be covered by MediShield Life (not including the ambulance) or your private health insurance. Further, you can expect an A&E fee that covers your doctor's consultation, nursing care and treatment, basic tests, and standard medication up to one week's supply.
|Hospital Name||A&E Fee|
|KK Women's & Childrens Hospital||S$120|
|Tan Tock Seng Hospital||S$128|
|Singapore General Hospital||S$128|
|Changi General Hospital||S$126|
|Of Teng Fong General Hospital||S$127|
|National University Hospital||S$128|
|Khoo Teck Puat Hospital||S$128|
For some cases without a clear cut A&E fee, you may be charged a specialist consultation fee that depends on the credentials of your doctor, much like a 24-hour clinic. Additionally, you will find varying rates that depend on your citizenship status and whether you are eligible for government subsidies. In general, Singaporean citizens will be charged the lowest consultation fees.
For a first-time consultation, senior consultants (average cost of S$143.64) charge almost 40% more than associate consultants (average cost of S$104.87), and 15% more than a regular consultant (average cost of S$124.90). Similarly, first consultations are less costly than a second or third consultation, which is considered a repeat or follow up meeting with your medical consultant. For example, a first consultation with an associate medical provider is about 32% more costly than the following consultations with the same provider.
Private Hospital Doctors' Inpatient Attendance Fee Per Visit
|General Ward||S$200 to S$300||S$300 to S$400|
|High Dependency Unit||S$250 to S$350||S$350 to S$500|
|Low Intensive Care Unit (ICU)||S$300 to S$450||S$450 to S$600|
Sourced from the Ministry of Health. Attendance fee applies to doctors after hour rates, as well.
For inpatient treatment at a private hospital, a visit from your private hospital doctor will cost you at least S$200 per visit. If you are set up in a general ward, then you can expect to pay between S$200 to $400 for a doctor's visit. On the other hand, you will see a 50% increase in doctor's inpatient attendance fees if your condition requires you to stay in the ICU.
Lastly, if you are going to the hospital for a high priority condition, it is likely that you would stay overnight and receive inpatient treatment. The cost per day to stay in a public or private ward can also add up. For instance, a C ward in a public hospital may only cost between S$33 to S$45 per day, but if you were to upgrade to an A ward, you'd see daily costsbetween S$303 and S$534. Private hospital wards charge much higher rates between S$240 and as much as S$10,000 for a single night.
While an emergency trip to a hospital A&E can be costly, your total out-of-pocket expenses are greatly influenced by your health insurance plan. By upgrading your health insurance with anIntegrated Shield Plan, you can gain access to unsubsidised, private hospitals and ward types like B1 and A in restructured hospitals, as well as a wider range of coverage for pre- and post-hospitalisation costs.
When To Go To A&E
While hospitals can provide you with similar services as a clinic, like blood tests and minor surgeries, an Accident and Emergency centre will only see you if you are considered ahigh priority case. Medical priority is organized into four levels, with P1 considered the utmost important and P4 considered non-urgent.
A&E Priority Levels
|Classification||Example Medical Conditions|
|Priority 1 (P1)||Resuscitation & Critically-Ill Patients||Heart attack, severe injuries and bleeding, shock, severe asthma attack|
|Priority 2 (P2)||Major Emergencies (Cannot Walk)||Major limb fracture or dislocation, moderate injuries, severe abdominal pain|
|Priority 3 (P1)||Minor Emergencies (Can Walk)||Sprains, minor injuries, minor abdominal pain, vomiting, fever, rashes, and mile headaches|
|Priority 4 (P4)||Non-Emergency||Chronic joint pains or skin rash, long-term nasal discharge, old scars, cataracts, removal of tattoos and sore throats|
Priority levels and example conditions were sourced from Singapore General Hospital website.
Non-emergencies like an old, chronic injury will be considered the lowest priority (P4), while conditions like a heart attack or stroke are considered the highest priority (P1). If your medical status falls into a P3 or P4 classification, it's recommended that you seek treatment at a 24-hour GP clinic, rather than a A&E hospital centre.
Should You Go To A 24-Hour Clinic Or A&E Hospital?
Even though 24-hour clinics and hospital A and E centres have some overlap, they prioritize very different health concerns and services. The choice between a 24-hour clinic and hospital A&E service comes down to the severity of your medical condition. If you are facing a life-threatening medical condition that would fall into priority level P1 or P2, then you should go to an emergency room. But, if you can determine that your condition is not critical and would likely fall into level P3 or P4, then you should visit your local 24-hour clinic for a diagnosis and treatment.
If costs are a significant factor in determining your course of health services, you can consider different methods to save money. Some medical services from a 24-hour GP clinic are covered bypersonal accident plansand MediSave. On the other hand, MediShield Life and Integrated Shield Plans can help you offset the high costs of hospital bills and treatment from an A&E. Singaporeans who have financial difficulties even after utilising MediShield Life or MediSave can apply for assistance fromMedifundafter speaking to a social worker at the hospital.
- Best Health Insurance in Singapore
- How to Find the Best Health Insurance
- Average Cost and Benefits of Health Insurance
- Guide to Finding the Best Hospital in Singapore
|General Practitioner (GP)||Specialists|
|In-office consultation fees|
|Short Consultation (up to 10 mins)||$20 - $30||$60 - $100|
|Long Consultation (11 to 20 mins)||$30 - $55||$90 - $150|
|Extended Consultation (per 10 mins)||$20 - $25||$50 - $80|
Seek emergency treatment at hospitals only if your condition becomes serious or life-threatening. We are seeing a high number of patients at our Emergency Department (A&E). Priority will be given to those who are critically ill.How much is a doctor visit without insurance in Singapore? ›
While Singapore citizens and permanent residents can expect to pay between $39 to $59 for an initial visit to a specialist outpatient doctor, for example, private patients (or expats) can pay up to $150.Can foreigners go to public hospital in Singapore? ›
Locals and foreigners are free to choose any medical facility either public or private for treatment or consultation. Accident and Emergency Departments that are open 24/7 at the governmental hospitals are responsible in emergency cases.Is medical care in Singapore expensive? ›
Put simply, healthcare in Singapore is expensive for the region, but not as much as you would be expected to pay in the US. It's also no surprise, given how the demographics in Singapore have changed over the years and hospitals invest heavily in medical technology to draw in medical tourists from abroad.How much is medical fees for foreigners in Singapore? ›
The average cost of a health insurance plan for foreigners varies with age, lifestyle factors, and medical history. For a 45-year-old non-smoker, the average cost of an Integrated Shield Plan in Singapore is S$132. However, for 75-year olds, the average cost in premiums ranges from S$69 to S$1,063.How much is the emergency fee in Singapore? ›
Good news: dialing 995 for an ambulance is free – in the case of a true emergency. However, if the patient's status is later assessed as non-emergency by the doctor at the Emergency Department, $274 will be charged for each non-emergency case that the SCDF ferries to the hospital.How long do you stay in A&E? ›
The NHS has a '4 Hour A&E Target' – for emergency care. This is known as '4 Hours'. It states 95% of emergency patients should be seen, treated if necessary, and either discharged or admitted, within four hours from arrival at A&E.How long is the average stay in hospital in Singapore? ›
The mean length of hospital stay was 4.64 ± 8.31 days. On average, patients had a mean LACE score of 5.59 ± 2.77.Do foreigners get free healthcare in Singapore? ›
In short: They can't. In Singapore, only citizens and permanent residents – known as PRs – are covered by public healthcare. The term “permanent resident” means something different in Singapore than it does in Europe, where permanent residency is relatively easy to apply for.
Should you face difficulties in paying your medical bills after utilising other means of payments such as MediShield Life, MediSave and Private Medical Insurance, you may apply for financial assistance. Financial assistance for payment of subsidised medical bills is available for Singapore Citizens only.What is the disadvantage of Singapore healthcare system? ›
There isn't much to complain about Singapore's healthcare system apart from the fact that healthcare isn't free and expats and digital nomads can't access public subsidy schemes. Other disadvantages include a reliance on institutions, expensive long-term care costs, and long hospital wait times.How can I see a doctor in Singapore as a tourist? ›
If you're a tourist in Singapore ad would like to speak to a medical professional connected to an international network of doctors, you can make an appointment on the Air Doctor app right now and have an in-person or virtual consultation within minutes.Do I need health insurance to enter Singapore? ›
It is mandatory for non-fully vaccinated short-term visitors entering Singapore to purchase travel insurance with Covid-19 coverage.Why is healthcare so expensive in Singapore? ›
As you might have understood so far, health care is costly for expatriates in Singapore. This is partially due to the fact that medical facilities are outfitted with top-notch equipment and some of the most advanced technologies available in medicine.
|Home Care Services||Price Starting From|
|Home Therapy||Starting from $36.20/per visit Effective 1 July 2022|
|Interim Caregiver Service||Starting from $355.20/per 6-days shift Effective 1 July 2022|
|Home Personal Care||Starting from $7.40/per hour Effective 1 October 2022|
The Economist Intelligence Unit placed Singapore 2nd out of 166 countries for health-care outcomes. Bloomberg Global Health Index of 163 countries ranked Singapore the 4th healthiest country in the world. This superb level of healthcare means that Singaporeans enjoy an extremely high standard of living.How much does healthcare cost in Singapore compared to the US? ›
The U.S. health expenses are nearly three times higher than in Singapore.Can foreigners buy medicine in Singapore? ›
Foreign prescriptions are not valid in Singapore. You will need to visit a doctor in Singapore to receive a new prescription.How much is a hospital stay in Singapore? ›
|Ward Class||Private Patients|
|Resident Foreigner/ Non-Resident||$528||$315|
|||Estimated Average Daily Hospital Bill Size (with Government Subsidy)||Deposit Amount (with or without Medisave)|
|Rehabilitation||S$198 – S$466|| Waived |
|Sub-Acute Care||S$201 – S$553|
|IHPCS - Cat 1||S$233 – S$576|
|IHPCS - Cat 2a/b||S$207 – S$688|
Both public and private healthcare in Singapore are subject to government regulations. Singaporeans enjoy universal healthcare – meaning the public health system and mandatory health insurance is funded by the government. Patients can access care in public facilities with ease – but public healthcare is not free.Do you have to pay for ambulance Singapore? ›
Is ambulance free in Singapore? If you are facing an emergency, the SCDF emergency ambulance that conveys you to a hospital will be free. However, for non-emergency cases, SCDF charges $274.What is considered medical emergency Singapore? ›
Call 995 For Emergencies Only
In a life-threatening emergency, every second counts. You can make a difference between life and death by knowing what is an emergency. For life-threatening cases such as cardiac arrest, active seizures, breathlessness, major traumas and stroke, call 995.
The filming took place over 28 days using 70 fixed cameras and is the largest documentary series Channel 4 has ever made. The series enables viewers to see the challenges that A&E staff face as they treat the patients that come through the doors every day.What is a Type 3 A&E? ›
03. Other type of A&E/minor injury ACTIVITY with designated accommodation for the reception of emergency care PATIENTS. The department may be doctor led, GENERAL PRACTITIONER led or NURSE led and treats at least minor injuries and illnesses and can be routinely accessed without APPOINTMENT.Can someone stay with you in A&E? ›
Outpatient appointments and the emergency department
If you have an appointment at one of our hospitals or community sites, or need to go to the emergency department (A&E), you can bring someone with you for support. Read more about what to expect if you have an outpatient appointment.
A heart bypass surgery is a costly treatment for treating coronary artery disease and due to its complexity, it is one of the most expensive hospital procedures in Singapore. In fact, the median cost of a coronary bypass surgery at a private hospital is S$75,398.Is surgery expensive in Singapore? ›
In short: The average bill for surgical specialities in private hospitals can be $8,109 to $18,993. Without insurance, these are the sort of the hospitalisation costs you'll need to bear.How much does ICU cost per day Singapore? ›
|Type of Accommodations||Class of Ward Accommodation (S$)|
|Day Surgery Centre / Endoscopy Centre / Invasive Cardiac Lab Daily Room Charge|
|Private (S$)||Subsidised (S$)|
Singapore heavily regulates the number of physicians, and it has some control over salaries as well. The country uses bulk purchasing power to spend less on drugs. The most frustrating part about Singapore is that, as an example, it's easily misused by those who want to see their own health care systems change.What is the difference between inpatient and outpatient in Singapore? ›
What is the difference between outpatient and inpatient insurance in Singapore? Outpatient care includes doctor-related fees and tests. On the other hand, inpatient care includes other hospital fees, such as surgeries, a serious illness that requires admission at the hospital overnight, etc.How do I pay my hospital bill in Singapore? ›
Payment can be made via NETS and Visa/Mastercard credit cards through the OneNUHS mobile application (download via Google Play or App Store). This opens in a new window. If you are unable to use the OneNUHS app, you may also pay your bills online at https://eservices.healthhub.sg/payments.Can you refuse medical treatment in Singapore? ›
The presumption in law and medical practice is that all adults have capacity to consent or refuse treatment, unless proven otherwise. The clinician must not consider the person to be lacking capacity until all relevant medical information regarding the patient's illness and treatment has been given to the latter.What happens if you don't pay hospital bill in India? ›
State and Others case in 2016, the High Court of Delhi, with a bench consisting of Justices Vipin Sanghi and Deepa Sharma, passed an order clearly stating, “If bills are not paid, then release the patient. You cannot keep patients hostage.What are the weaknesses of Singapore? ›
Weaknesses: Falling exports in an export-focused country
Singapore's economy relies heavily on the exportation of goods to various countries, but especially to the United States. This breeds trouble. If the economy in these countries were to suffer, by proxy, so would Singapore's.
Singapore ranks 10th in the 2022 World Index of Health Care Innovation, up from 12th in 2021 and down from 7th in 2020. Singapore's overall performance was driven by high scores for Choice (12th) as well as strong research universities and top-notch digital health care.How much is health insurance in Singapore? ›
How much does health insurance cost in Singapore? On average, an individual and family in Singapore will need to fork out US$6,265 and US$17,803 for premiums, respectively, according to Pacific Prime's latest Cost of Health Insurance Report 2021-22 (COHI).What is the average wait time to see a doctor in Singapore? ›
Figures for March showed that on a national level, the median wait to see a doctor was 18 minutes. This is close to 30 per cent longer than median waiting times of 14 minutes for the whole of last year, as well as 2015. Median waiting times had otherwise been trending downwards from 18 minutes in 2014.How can I get medicine in Singapore? ›
- Book a teleconsult with a doctor. ...
- Attend your teleconsultation from the comfort of your home and request the doctor for an online prescription after that.
- The doctor will provide you with an electronic prescription.
Singapore has world-class hospitals and clinics that offer a wide range of medical procedures and treatments. There are several reasons why people choose to come to Singapore for medical care, including the high quality of care, the relatively low cost of care, and the convenient location.Is insurance required for Singapore tourist visa? ›
Is travel insurance mandatory for travelling to Singapore? Travel insurance is not mandatory when you are travelling to Singapore when you are fully vaccinated. However, travel insurance with a health cover of $30,000 is mandatory if you are not fully vaccinated.What insurance is compulsory in Singapore? ›
MediShield Life is a basic health insurance plan that protects all Singapore Citizens and Permanent Residents against large hospital bills for life, regardless of age or health condition.Do I need insurance to drive in Singapore? ›
All vehicles must have motor insurance coverage to be used in Singapore. It is a requirement for your vehicle to be insured for the entire road tax renewal period before its road tax can be renewed. The insurance must at least cover third-party liability for deaths and bodily injury.Is medical treatment expensive in Singapore? ›
Put simply, healthcare in Singapore is expensive for the region, but not as much as you would be expected to pay in the US. It's also no surprise, given how the demographics in Singapore have changed over the years and hospitals invest heavily in medical technology to draw in medical tourists from abroad.What is the most expensive country in the world for healthcare? ›
As our chart illustrates, U.S. per-capita healthcare spending (including public and private as well as compulsory and voluntary spending) is higher than anywhere else in the world, with second-placed Germany trailing quite far behind. On average, healthcare costs in the U.S. amounted up to $12,318 per person in 2021.Who has the best quality healthcare in the world? ›
- United Kingdom.
Both public and private healthcare in Singapore are subject to government regulations. Singaporeans enjoy universal healthcare – meaning the public health system and mandatory health insurance is funded by the government. Patients can access care in public facilities with ease – but public healthcare is not free.How much does hospital cost in Singapore? ›
|Ward Class||Private Patients|
|Resident Foreigner/ Non-Resident||$528||$315|
|Features||National University of Singapore||Nanyang University of Technology|
|Program Duration||5 years Singaporeans, 6 Years Singapore PRs and International Students||5 years|
|Annual Program Fees (in SGD)||$61,850||$70,500|
|QS World University Subject Ranking 2022||21||93|
Singapore's healthcare system consists of a public sector that provides heavily subsidized or free primary care to natives, and a private one. While locals and Permanent Residents (PR) are protected by mandatory health insurance, most expats not under a company plan must pay out-of-pocket.What are the disadvantages of healthcare in Singapore? ›
There isn't much to complain about Singapore's healthcare system apart from the fact that healthcare isn't free and expats and digital nomads can't access public subsidy schemes. Other disadvantages include a reliance on institutions, expensive long-term care costs, and long hospital wait times.How do I get admitted to a hospital in Singapore? ›
For scheduled procedures or non-emergency services, hospital admission is by appointment with a reference letter from a local registered physician. All hospitals need a guarantee of payment and your identification (passport) before you will be admitted. Bring a deposit or insurance form.How good is medicine in Singapore? ›
MBBS in Singapore is a 5 year degree offered by only two universities. The program is offered by National University of Singapore and Nanyang Technological University with both ranked among the top 5 universities in Asia by Qs Rankings 2023. For medicine, NUS is placed in the #21st position while NTU ranks #93 by QS. | medical |
http://www.laboralcentrodearte.org/en/recursos/articulos/cajal-y-los-circuitos-neuronales/view?set_language=en | 2017-04-23T08:00:16 | s3://commoncrawl/crawl-data/CC-MAIN-2017-17/segments/1492917118310.2/warc/CC-MAIN-20170423031158-00579-ip-10-145-167-34.ec2.internal.warc.gz | 0.956938 | 1,317 | CC-MAIN-2017-17 | webtext-fineweb__CC-MAIN-2017-17__0__168997265 | en | Cajal and Neural Circuits
By Javier De Felipe
A hypothesis on the organisation of the nervous system
In the times of Cajal, the prevalent hypothesis on the organisation of the nervous system was the reticular theory, which argued that the elements of the nervous system formed a web-like continuum by means of their propagations (dendrites and axons). This theory, later proven wrong, was conceived originally by Joseph von Gerlach (1820-1896). The success of this theory was due partly to the thought that if the nervous system was a continuous, uninterrupted web of propagations, it would be easy to explain how the flow of nervous information passed from one part of the brain to another. That is, the flow of information from one nervous cell to another could happen thanks to the continuity between their propagations. And then, in 1873, Golgi created the method of the reazione nera (black reaction.) For the first time, a histological preparation allowed the observation of all the parts of a nervous cell (the soma, dendrites and axon.) So it was observed that neurons have a very complex arborisation at the axons and dendrites, to the extent that if a region of the brain was chosen and every neuron in it, with its dendrites and axons, were to be stained, the result would be such an extraordinarily dense tangle of somata, axons and dendrites that it would be impossible to analyse it. Another advantage of the Golgi method is that several cells could be stained in a single preparation—albeit only a small number of them—so that individual nervous cells could be studied as well as the possible connections between them. Yet, despite the excellent results of the Golgi staining method, Golgi himself remained the most salient supporter of the reticular theory, proposing that dendrites had open ends but that axon collaterals anastomosized and formed an extensive network, thus suggesting that the nervous system consisted of a rete nervosa diffusa(diffuse nervous web), supporting in part the reticular theory of Gerlach. Golgi always held on to this conviction, which he defended even in the lecture he gave when he was awarded the Nobel Prize along with con Cajal.
In the first article he published after using the Golgi method, Cajal confirmed Golgi’s observation that dendrites had free ends, but also added another, crucial to the neuron doctrine, that this was also the case of axon collaterals, which would then form a “free” arborisation (without anastomosis.) He asserted that “each [nervous cell] is a fully autonomous physiological canton” (Cajal, 1888). Thus, from the beginning Cajal conceived of nervous cells as functional and anatomical units that communicated with each other by means of contact or contiguity, not by continuity. Cajal continued to furnish numerous observations that supported the neural doctrine in various parts of the nervous system in different animal species. Between 1888 and 1892 he published over 30 articles, which were summarised in his first review of the structure of the nervous system (Cajal, 1892), clearly formulating the neuron doctrine. The results of these early studies were so decisive that they constituted the core of the classical and influential literature review article in support of the neuron doctrine published by Wilhelm von Waldeyer-Hartz (1836-1921) in 1891. In it, this scientist used the term neuron to refer to the nervous cell (Waldeyer, 1891). Cajal summarised his own contributions to the neuron doctrine in several articles and books, particularly in the essay ¿Neuronismo o reticularismo? (Neuronism or reticularism? Cajal, 1933). Thanks to the introduction of the electronic microscope in the 1950s, along with the development of new methods to prepare nervous tissue for ultrastructural analysis, it was possible to examine the ultrastructure of the synapsis to confirm one of the main tenets of the neural doctrine: the presynaptic and postsynaptic elements are separated physically by a space about 10 to 20 nanometres wide, which is known as the synaptic cleft (see DeFelipe, 2007).
The law of dynamic polarisation
The neuron doctrine involved a radical shift in the conception of how information could flow within an “infinitely fragmented” brain, as opposed to a continuous neural reticulum. That is, it remained to be known how the nerve impulse travelled from one nerve cell to another across a physical gap. One of the significant offshoots of Cajal’s neuron doctrine was the theory of the law of dynamic polarization of nerve cells, which he proposed to explain the transit of nerve impulses through neural circuits. At the time it was believed that the function of dendrites was mainly one of nourishment, and that axons transmitted nerve impulses out of the cell (a generalisation based particularly in the logical conduction pattern shown by motor neurons from the spinal cord to skeletal muscles.) In 1889, Cajal proposed that at least in some cases dendrites functioned as current receptors (Cajal 1889), and two years later (Cajal 1891) he attempted to generalise this idea with the law of dynamic polarization, which was based on the direction followed by impulses in different regions of the nervous system where the anatomical path that had to be followed by nerve impulses was evident, such as the retina and the olfactory bulb (from the outer world to the inner world of the nervous system.) Thus, he proposed that neurons could be divided in three different functional regions: a receptor apparatus (consisting of the dendrites and the axon), an emitting apparatus (the axon), and a distribution apparatus (the axonal terminal arborisations.) Later on, Cajal realised that the soma does not always intervene directly in the conduction of the impulses, and that sometimes the nervous current goes directly from the dendrites to the axon (Cajal, 1897). Consequently, the law of dynamic polarisation gave way to the theory of axipetal polarisation. These studies had a great influence on the scientists of his age, and the observations and theories of Cajal were proven in their essence. | medical |
http://clomid50.net/testosterone-deficiency-does-clomid-work-for-low-testosterone/ | 2021-04-11T22:22:44 | s3://commoncrawl/crawl-data/CC-MAIN-2021-17/segments/1618038065492.15/warc/CC-MAIN-20210411204008-20210411234008-00246.warc.gz | 0.892869 | 1,126 | CC-MAIN-2021-17 | webtext-fineweb__CC-MAIN-2021-17__0__171781157 | en | Complications of testosterone deficiency in men include a wide variety of symptoms: loss of libido, erectile dysfunction, oligospermia or azoospermia, absence or regression of secondary sexual characteristics, progressive decrease in muscle mass, fatigue, depressed mood, and an increased risk of osteoporosis.
Clomid for men works by blocking estrogen in the pituitary and hypothalamus. Thus, estrogen does not signal the brain to stop producing the Luteinizing hormone (LH). LH continues to be produced; as a result, testosterone production in the testes rises.
Testosterone secretion is the result of a series of hormonal processes. Gonadoliberin (gonadotropin-releasing factor, GRF), which is secreted by the hypothalamus, controls the pulsed secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which are secreted by the adenohypophysis. In turn, LH regulates the production and secretion of testosterone by Leydig cells in the male testicles, while FSH helps in the induction of spermatogenesis.
Clomiphene increases testosterone levels and accordingly has a positive effect on the side effects of testosterone deficiency.
Clomid is not a non-anabolic steroid. But, due to its properties, clomiphene is used as a mild alternative to steroids. Bodybuilders and athletes use Clomid as a muscle restorative antiestrogen drug after a course of anabolic steroids (post-cycle therapy – PCT).
Testosterone is necessary to develop and maintain specific reproductive tissues (testicles, prostate, epididymis, seminal vesicle, and penis) and secondary male sexual characteristics. It plays a key role in libido and erectile function and is necessary to initiate and maintain spermatogenesis.
Testosterone deficiency can result from the underlying disease or genetic disorders and is often an age-related complication.
Testosterone also has important functions that are not related to reproductive tissues. For example, it positively affects body composition by increasing nitrogen retention, supporting lean body mass, muscle size, and strength. It also acts on bones, stimulating bone formation.
Clomiphene increases testosterone levels and has a positive effect on the side effects of testosterone deficiency, while the testes retain the ability to respond to gonadotropin stimulation.
In the United States, there are currently several forms of testosterone therapy: cream, gel, tablets, patches, or injections.
Recently, transdermal patches have become popular. But for example, the scrotal testosterone patch gives 5α-dihydrotestosterone (DHT) levels higher than physiological levels due to the high concentration of 5α-reductase in the scrotum skin. It is not known whether these elevated levels of DHT have any lasting health effects.
Non-scrotal systems are considered more convenient, and most patients achieve the right serum testosterone concentrations and still have normal DHT levels.
Oral testosterone therapy is not recommended because the doses required for replacement therapy increase the risk of hepatotoxicity.
And although these types of testosterone replacement therapy are effective, each of them has side effects.
Compared to testosterone replacement therapy, Clomid for men with hypogonadism can be considered the best alternative because Clomiphene stimulates the body’s testosterone production and is available in tablets, and is convenient for taking.
Hormone replacement therapy is effective initially, but because Testicles do not need to produce endogenous testosterone with excess exogenous, this leads to partial or complete sterility with testicular atrophy.
Clomiphene is an antiestrogen related to tamoxifen, which blocks normal estrogen feedback at the hypothalamic level and subsequent negative feedback at the pituitary level. This leads to an increase in luteinizing hormone (LH) and follicle-stimulating hormone (FSH). In men, these increased levels of gonadotropins stimulate testicular Leydig cells and lead to elevated levels of intrinsic testosterone.
Clomid does not directly affect the amount of estrogen. Its action mechanism is to block estrogen access to the pituitary gland and increase follicle-stimulating and luteinizing hormones. This leads to increased secretion of testosterone by Leydig cells in the testes.
Important! In small doses (25-50 mg per day), the drug blocks estrogen receptors, but it stimulates them in large doses. Therefore, in large doses, clomiphene does not exhibit the antiestrogenic but estrogenic effect. In this regard, clomiphene is not used in large doses, even in combination with anabolic steroids.
In mature men, testosterone levels decrease every 5 years by 10-15%. Testosterone is the main male androgen and performs an important function in men’s health. Therefore, when we talk about reduced testosterone, we are talking about reduced potency and the greater risks of cardiovascular disease, diabetes, and osteoporosis.
Due to its ability to bind to estrogen receptors in the hypothalamus, Clomiphene Citrate significantly increases follicle-stimulating hormone (FSH) and luteinizing hormone (LH), thereby leading to greater testosterone production in men with testicles. Due to these properties, Clomifene, to some extent, can be attributed to the group of anti-aging drugs. | medical |
https://eyewant2know.com/community-stories/raising-my-hand-for-inherited-retinal-disease-ird-research/ | 2024-03-03T05:51:32 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947476205.65/warc/CC-MAIN-20240303043351-20240303073351-00645.warc.gz | 0.980862 | 1,224 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__78251300 | en | Raising my hand for inherited retinal disease (IRD) research
March 4, 2020
Susan Purr’s vista changed after her father stumbled across a National Geographic article spotlighting advancements in inherited retinal disease (IRD) research.
Susan Purr and her husband, Stuart, celebrate their 1999 engagement.
During my first year of life, my parents noticed that I was having problems with my eyes—I wasn’t seeing the way my siblings had, and my eyes moved around a lot. After many tests and visits to eye doctors and specialists, they determined that I had a rare retinal condition called Leber congenital amaurosis (LCA). At the time, there was not a great deal of available information about LCA. Doctors told my family that I would have limited sight, and light sensitivity, and that I could eventually lose all vision entirely. They added that there was no treatment and no cure.
Aside from a few minor accommodations, I grew up pretty normally. My eyesight was stable all the way up through college and grad school, and even into my first “real” job. I couldn’t drive, but I could read regular-sized print and travel independently. I started noticing a decline in my sight at around age 27 but it stabilized again, and so I went on living my life. It became clear that retinal specialists knew of LCA academically, but that there was a lack of available information about current research into the condition. Although it is the most common cause of blindness in children, LCA still only occurs in two to three out of every 100,000 births.
But by age 40, I noticed a great deal of decline in my sight. I have gone through two cataract surgeries, which improved clarity, but the LCA has now progressed so that now I cannot read print without extreme modifications. I have a hard time recognizing faces, and I cannot travel independently without a cane. Perhaps it will come as no surprise that all of this has plagued my spirit. Forgive the pun, but I have had many dark days.
Last year, my dad found an article in National Geographic about a huge scientific push in the fight against blindness. Of course, I was excited about what I read and started digging through countless online resources, looking for more information. I found the researchers involved in some of the most promising studies, which led to emails, blood draws, genetic tests, phone calls, and finally, a year and a half later, I went up to Pennsylvania to meet with researchers.
Susan and her father, Dave. It was her dad who encouraged Susan to look into the latest gene therapy research efforts for LCA.
Clarity of my diagnosis
Often, one of the benefits of volunteering for clinical research for inherited retinal diseases is finding out more about your condition through genetic testing. That was the case for me. To be honest, getting the results from my genetic test was overwhelming. To know that the information helped someone understand my disease to the point where they knew where to locate my mutation, was like looking at a map and saying, “It’s right there!” I remember calling my dad laughing and crying and saying, “They know what it is!” He and my mom were ecstatic. My husband was thrilled. And me? I can’t even put into words what it meant to identify the cause of my disease, understand more about my condition, and then discover that someone was working on my specific mutation.
I now know more about my specific form of LCA than I ever knew in my life. It is caused by two mutations in the CEP290 gene. I have only 30 percent of the cones as a normal eye. The rods and cones that I do have are healthy, except for one problem: the cilia on my cones are not working well right now. To understand the function of the cilia on our retinal cells, think of a TV antenna. If the antenna is damaged, the signals won’t work right. The antenna of my cone cells are broken and that prevents my eyes from seeing correctly. It just so happens, however, that a research team in Pennsylvania is working on that problem!
I can’t even put into words what it meant to identify the cause of my disease, understand more about my condition, and then discover that someone was working on my specific mutation.”
Joining a clinical study
Once I identified the research being done, I didn’t have a second thought about joining it. Growing up, people said to me, “They’re going to come up with something.” They said it my whole life, but nothing happened. I had finally resigned myself to my fate, but when I saw the National Geographic article, I didn’t hesitate. I was like “Sign me up. I will do whatever I need to do to keep the research going!”
I’m excited to be part of the research effort to fight my form of inherited retinal disease. The scientists I’m working with seem very confident in their efforts. I need this confidence badly. Leber congenital amaurosis is extremely rare and I’m ready for science to go after it. It probably goes without saying that I am hopeful the study is a success. I certainly have never known “perfect” vision and, to be honest, that’s not what I need or expect. It would be enough to simply regain some of what I have already lost.
No one knows what the future will bring, but I’m ready for the ride. Buckle up, everyone. Here we go!
Susan Purr, recipient of the 2019 Irene Adler Prize, is working toward her M.F.A. in creative writing. She lives with her husband and 14-year-old daughter near Charlotte, North Carolina. | medical |
http://loseweightwithalli.com/ | 2015-11-29T01:33:32 | s3://commoncrawl/crawl-data/CC-MAIN-2015-48/segments/1448398455135.96/warc/CC-MAIN-20151124205415-00192-ip-10-71-132-137.ec2.internal.warc.gz | 0.970633 | 741 | CC-MAIN-2015-48 | webtext-fineweb__CC-MAIN-2015-48__0__5510758 | en | To put it quite simply, Alli is the most amazing weight loss pill on the market at the moment and if you are looking for a way to lose weight more efficiently and more safely than ever before, it is the only pill that you should have in mind.
Losing weight has become the burning issue in the last decade or two. The simple fact is that the modern way of life is perfect for developing obesity and we are seeing more and more obese and overweight people wherever we look. Even when we look in the mirror. And when you consider that being overweight or obese is the most common preventable reason for premature deaths in the world today, it becomes obvious why it is important to have such an ally like Alli.
Being overweight puts a toll on the individual both psychologically and physically. Extra weight can make us lose all confidence that we have in ourselves, our appearance and our self-worth. For some people, being overweight is such a burden that they tend to avoid interacting with people, while some even develop social anxiety or depression. And however debilitating these psychological implications of obesity may be, the physiological are even more serious.
When you are obese or overweight, you are instantly more likely to develop such serious health conditions such as high blood pressure and high cholesterol, both of which can then later cause a number of complications and life-threatening cardiovascular episodes such as heart attacks or aneurysms. Even if it does not lead to this, obesity significantly lowers the quality of life and life expectancy. This is why losing weight is not just a question of appearance, but of health as well.
And if you need some help with losing weight, then Alli is the pill for you. Alli is the over-the-counter version of a weight loss medication that has been used for decades, Orlistat, better known as Xenical. Alli is a formulation of Orlistat that has been established as safe to use without a prescription. What separates Alli from all other weight loss products is that it has been tested in over a hundred independent studies and researches and that it has been tested on more than 30,000 people. This means that you can always be sure where you are at with this weight loss pill.
The way in which Alli works is envisioned in such a way that it does not interrupt or alter any of the natural processes that go on inside your body. Appetite suppressants and stimulants are known to affect the central nervous system and thus cause different side effects. Alli, on the other hand, works only in your digestive system, binding the fats you intake in food and making sure that you do not absorb them. These fats are then naturally
expelled from your body. It is possible that you will experience certain gastrointestinal side effects in the first week of using Alli, but these side effects can easily be avoided, limited and ignored.
One of the most important things to keep in mind when taking Alli is that you will still need to adhere to a more comprehensive weight loss regimen that will include exercising regularly and eating foods that are low on fats and calories. No one is trying to fool you into thinking that Alli is a wonder drug. Wonder drugs do not exist and anyone who tells you that you can take a pill and do nothing is lying. With Alli, you will need to exercise and eat healthy, but the use of this pill will ensure that you lose much more weight than you would without it. Alli is a weight loss solution that has been tested for decades and that has shown exceptional combination of safety and efficiency, both of which are backed by copious amounts of scientific data. | medical |
http://malattiadipompe.oneshoe.cms03.100212.nexinto.com/it/segni-e-sintomi | 2021-07-26T20:29:01 | s3://commoncrawl/crawl-data/CC-MAIN-2021-31/segments/1627046152144.92/warc/CC-MAIN-20210726183622-20210726213622-00412.warc.gz | 0.94678 | 123 | CC-MAIN-2021-31 | webtext-fineweb__CC-MAIN-2021-31__0__181458304 | en | Living with Pompe brings physical and emotional challenges.
Patients should know that they are not alone. Although Pompe disease is rare, there are active patient groups and caring health professionals throughout the world who can help patients manage the challenges of living with this disease.
While each experience will always be unique, reaching out to others can bring patients and caregivers both support and new perspectives on their situation.
Links to websites with more information on how to live with Pompe disease.
Taking care of your family members who have Pompe disease isn't always easy. Here are some resources with more information for patients and care givers. | medical |
https://allen1085.hekimogluconstruction.com/2021/04/06/is-really-a-vape-kit-really-the-response-to-stopping-smoking.html | 2021-05-18T09:59:27 | s3://commoncrawl/crawl-data/CC-MAIN-2021-21/segments/1620243989819.92/warc/CC-MAIN-20210518094809-20210518124809-00123.warc.gz | 0.948931 | 767 | CC-MAIN-2021-21 | webtext-fineweb__CC-MAIN-2021-21__0__80689188 | en | Is really a Vape Kit Really the Response to Stopping Smoking?
An electronic cigarette is basically an electronic device which behaves like classic tobacco cigarettes. It usually consists of a battery power, an atomizer, and a container like a tank or cartridge. Instead of tobacco, the vaper inhales nicotine vapor instead. Therefore, utilizing an electronic cigarette is generally described as “vaping” rather than smoking.
But what exactly is the danger of these e Cigs? Many experts think that there may be a connection between the Cigs and cancer. The fact that the vapor is non-toxic will not alleviate concerns about long term health effects. Additionally, many of smokers are unaware of the point that non-smokers can also be suffering from their actions. Studies have shown that passive e smokers can be just as hazardous to health as effective smokers.
There are other health risks linked to the usage of Cigs. Nicotine has been within many trace chemicals, both man made and naturally occurring. These chemicals can include poison, pesticides, antidepressants, antispasmodics, chemotherapy medicines, hormones, insulin, lung toxicants, manufactured drugs, alcohol, hormones, along with other compounds. Nicotine along with other chemicals are also discovered in water sources that are being used to water the crops in California.
One major problem with the electronic cigarettes vapes is that the liquid smoking is highly addictive. Actually, many users who begin just using this product to temporarily relieve a certain craving turn quickly to deploying it to relieve lots of cravings. They may end up having to continually utilize them to break a habit. This issue is even more pronounced with regards to young children.
Just about all Vape products in the marketplace usually do not contain nicotine. Instead, they are typically comprised of herbal extracts like green tea extract or guarana. These juices usually do not contain any calories, but they do contain quite a lot of flavoring. Some juices, such as for example raspberry or carrot, are also noted for helping to get rid of fat. However, some juices, such as for example chocolate mint or orange, may cause serious dental complications.
The most serious health effects connected with Vaping will be the potential toxins released in to the air when you vapors pass through your lips. Those who do not know how exactly to properly breathe when inhaling shouldn’t be using a vaporizer. Even if you are using these devices properly, there’s still a risk of nicotine or other toxins being inhaled into your lungs. This can result in serious lung damage over time.
It is important that those who are working in the electronic cigarette industry educate users on proper methods in order to breathe safely while Vaping. Countless vapers aren’t breathing correctly while vapinger.com they’re Vaporizing, leading to increased risk for lung harm. Many experts state that the best way to avoid the possibility of harm is to become comfortable enough to use the device while completely aware of breathing patterns and the amount of vapor being inhaled. If you have questions concerning appropriate breathing when Vaporizing, it really is highly recommended that you seek assistance from your local medical expert.
One of the biggest benefits of Vaping may be the freedom you are afforded when you stop smoking. Without the hassles of likely to the store or the hassle of carrying around paperwork or money for medication, it is possible to stop your dependence on nicotine almost immediately. Should you be considering quitting cigarettes for just about any reason, it is crucial that you take the actions necessary to ensure that you are as healthy as you possibly can before you attempt to cut out cigarettes. Whether you are utilizing a vaporizer or not, ensure you are performing everything in your power to avoid any issues related to possible nicotine addiction. | medical |
https://www.actsofbeauty.ca/rachel/ | 2024-02-21T11:02:19 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947473472.21/warc/CC-MAIN-20240221102433-20240221132433-00474.warc.gz | 0.981549 | 550 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__116145771 | en | 02 Apr Rachel
~ In Memorium June 25 1991 – October 7 2021 ~
We talk a lot about cancer survivors, and have many beautiful ways to celebrate them. We talk much less about the people who have the incredible task of living with a terminal diagnosis.
It’s romantic to talk about “living like each day is your last,” but there’s nothing romantic about being given a 5 year expiry date on the life you love. Knowing that you’ll still have all the mundane tasks of living, going to work to pay the bills, all the same struggles everyone else has- and that you’ll be adding a litany of medical procedures, experimental treatments, and pain that doesn’t ever go away for long.
I met Rachel when she came in for a boudoir shoot. Young and vibrant with an ascerbic wit and sassy smile, I assumed that when she said “cancer” she meant “curable.” At the time I didn’t know what Stage 4 cancer was.
I don’t know how anyone can be so full of life when they’re dying.
Rachel wasn’t a complainer, so it was only later that I came to know more of her story. She was diagnosed with cancer for the first time when she was ten, then again at 12 with a kind caused by the chemo that cured her first cancer. That 12yo girl underwent everything from high dose chemo to radiation to a bone marrow transplant, and at 13 was told she’d never be able to have biological children; but she was cancer free for several beautiful years. She finished high school, started an undergrad degree, fell in love, and travelled when she could. She got engaged and planned a future.
In 2016, as she planned her wedding, she was diagnosed with cancer again. This time there was no cure. Despite being told only 22% of those diagnosed with this kind of cancer survived 5 years, she didn’t give up; she got married, kept studying, and got her geology degree. She also had a boggling number of invasive, painful, life-altering treatments, therapies and procedures.
Rachel’s tenacity, humour, caring and sheer grit were awe-inspiring. As her clock ran down and she wrote the final pages of her story, she stayed optimistic and sassy and kind. She was an inspiration, and I am so grateful to have had her in my life.
Love you, Rachel. You have touched the world in ways it will never forget. I’ll miss you. | medical |
http://dantednkh801234.timeblog.net/24415461/finest-foods-for-staying-heart-healthy | 2020-08-14T22:25:57 | s3://commoncrawl/crawl-data/CC-MAIN-2020-34/segments/1596439740343.48/warc/CC-MAIN-20200814215931-20200815005931-00525.warc.gz | 0.972722 | 1,271 | CC-MAIN-2020-34 | webtext-fineweb__CC-MAIN-2020-34__0__163863415 | en | No matter what age a person is, it is constantly an excellent concept to live a way of living that assists strengthen their heart. Since this is fairly actually the power supply of the body, any concerns with it will cause major and potentially even fatal consequences.
A huge component of assisting to maintain the heart healthy is ensuring to consume the appropriate type of food. This becomes particularly important when somebody reaches the age where they relocate to assisted living in Brooklyn Center. That is why this short article is right here to give a detailed list of the most effective foods that a person can eat in order to help maintain them heart-healthy.
Among the reasons salads are such a healthy meal is because of the high focus of leafy environment-friendlies that they consist of. Items like kale, spinach, collard greens, arugula, as well as romaine lettuce are some of the instances that fall into this leafy eco-friendlies category. By including this is most meals, it will assist a private in a selection of methods.
Among the wonderful things about leafy greens is the reality that they are mainly composed of just water, which is necessary to keep every part of the body healthy and balanced, not simply the heart. Some benefits that are extra particularly aimed at the heart include the reality that they have a really high quantity of vitamin K. This is a vitamin that has the ability to assist shield the arteries and improve the blood's ability to correctly clot.
These leafed environment-friendlies are also able to affect the blood in other ways. The quantity of nutritional nitrates that are found within them is able to aid reduced a person's blood pressure. If somebody consumes a great deal of leafy eco-friendlies, then they should begin to experience a softening of their arterial, which will certainly aid their heart function much more efficiently. The cells that line the capillary ought to also see an improvement.
With every one of these advantages, it is not a surprise that consuming a greater focus of leafy eco-friendlies is something that has actually been connected to a reduced chance of experiencing heart problem. Plus, they additionally have a wide variety of various other vitamins, minerals, as well as anti-oxidants, which might not directly affect the heart as much but help to make the rest of the body healthier, which puts much less of a pressure on the heart. The more leafy greens that someone in memory care in Brooklyn Facility can include right into their dishes, the much healthier their heart will be.
Anytime that a person swaps out whole grain products for white grains, this is going to be the heart-healthy option to make. This is since whole grain products will contain all three of the nutrient-rich sections of the grain, which consist of the endosperm, germ, as well as bran.
Unlike the polished grains that someone can take in, these whole grains are really high in fiber. This not only assists a person keep normal bowel movements yet is additionally really beneficial in reducing what is known as negative cholesterol. This is very important when it comes to being heart-healthy since the lower that an individual's bad cholesterol is, the smaller their possibility will certainly be of experiencing cardiovascular disease.
By simply eating three portions of whole grains each day, somebody can reinforce their heart enough to make themselves concerning 22 percent much less likely to suffer from heart disease. Therefore, somebody in assisted living in St. Cloud must challenge attempting to take in more whole grain items such as whole wheat, brown rice, rye, oats, buckwheat, barley, as well as quinoa.
A lot of individuals love consuming fruit often, particularly during the springtime and summertime. If their goal is to be a lot more heart-healthy, after that the type of fruit that they take in is going to be really essential. As opposed to consuming things like apples or oranges, they ought to attempt and also gravitate more towards berry fruits like blueberries, strawberries, raspberries, and also blackberries.
Among the most significant reasons berries are so helpful in being a lot more heart-healthy is due to the fact that they contain a high amount of anthocyanins as well as other anti-oxidants. These have the ability to lower the quantity of swelling that takes place throughout the body and lowers the amount of oxidative stress that it experiences, which are both things that help to lower the chance of heart disease occurring.
Strawberries, in particular, have actually been revealed to have a favorable effect on a person's bad cholesterol degrees. While blueberries have actually been shown to assist with blood vessel lining cell performance, just like the way that leafy eco-friendlies do. And to cover all of it off, berries are likewise fairly reduced in calories and also give the body with tons of much-needed vitamins and nutrients that will certainly assist someone handle their body weight and alleviate the quantity of anxiety that is put on their heart every day.
Although these are likewise practically thought about berries, it is fair to state that no person puts them in the very same classification as berries. One important difference that they do share with the berries discussed earlier is the truth that they are an extremely heart-healthy kind of food.
This is greatly since avocados are really high in monounsaturated fats. Despite the fact that individuals often tend to shy away from eating foods that are high in fat, these monounsaturated fats are really the excellent kind of fat that has been shown to help lower a person's cholesterol degrees and their chance of suffering from cardiovascular disease.
Avocados also have a lot of potassium, which has been shown to have a really positive influence on heart health and wellness. By eating an entire avocado on a daily basis, it will instantaneously give someone about a third of their suggested daily dosage of potassium. This will result in lower high blood pressure, which considerably minimizes the opportunities of a person in memory care in St. Cloud this website suffering a stroke. Therefore, anyone who happens to be remaining in economical elderly living in St. Cloud ought to make an energetic effort to integrate even more avocados into their everyday dishes.
Learn more about this affordable senior living in St Paul today. | medical |
https://www.pediatriccompanionkerala.in/article.asp?issn=WKMP-0261;year=2022;volume=1;issue=1;spage=12;epage=15;aulast=Anirudhan | 2022-09-25T07:28:47 | s3://commoncrawl/crawl-data/CC-MAIN-2022-40/segments/1664030334515.14/warc/CC-MAIN-20220925070216-20220925100216-00465.warc.gz | 0.953979 | 2,772 | CC-MAIN-2022-40 | webtext-fineweb__CC-MAIN-2022-40__0__114679570 | en | |Year : 2022 | Volume
| Issue : 1 | Page : 12-15
Comparison of feed fortifying regimes for weight gain in preterm babies—A randomized control trial
Vinitha K Anirudhan, Preetha Remesh, M P T Vishnu, MR Anand
Department of Pediatrics, Aster MIMS, Calicut, Kerala, India
|Date of Submission||09-Mar-2022|
|Date of Acceptance||30-May-2022|
|Date of Web Publication||07-Sep-2022|
Dr. Vinitha K Anirudhan
Vineesh Bhavan, Perumpuzha P O, Kollam, Kerala
Source of Support: None, Conflict of Interest: None
Background: The fortification of human milk has been recommended for all babies <2 kg as the standard of care for rapid weight gain. The search for an ideal fortifying agent still continues. Objectives: The primary objective was to study the preterm weight gain with three different types of fortifiers (carbohydrate-rich, protein-rich, and fat-rich) with a randomized control trial. Materials and Methods: A randomized control trial in a level III Neonatal Intensive Care Unit (NICU). Preterms with < 34 weeks gestation and birth weight <2kg who were exclusively breast fed were included in the study and grouped into three groups. Feeds were fortified and the weight gain per day measured. The outcome was measured as the median weight gain in each group. Results: The median weight gain with carbohydrate-, protein-, and fat-rich fortifier was 11.8, 14.75, and 9.7 g/kg/day, respectively. It is evident that fat-rich group took more days to get discharged. No one developed feed intolerance or necrotizing enterocolitis. Conclusion: Protein-rich human milk fortifier gives higher median weight gain followed by carbohydrate-rich and fat-rich.
Keywords: Fortification, Nutrition, Prematurity
|How to cite this article:|
Anirudhan VK, Remesh P, Vishnu M P, Anand M R. Comparison of feed fortifying regimes for weight gain in preterm babies—A randomized control trial. Pediatr Companion 2022;1:12-5
| Introduction|| |
Human milk is considered the best source of nutrition for preterm babies. Growth failure in very low birth weight (VLBW) babies is due to protein deficiency rather than energy deficit. The main cause for extrauterine growth restriction is suboptimal nutrition can be prevented with human milk fortifiers (HMFs). The fortification of human milk has been recommended for all babies <2 kg. Even though there are studies showing the benefit of HMF, there are no studies comparing different fortifiers. In our study, the weight gain with three different fortifiers was compared to see which fortifier is the best to attain rapid weight gain.
| Material and methods|| |
The primary objective of our study was to compare the weight gain pattern of three cohorts of preterms with three different fortifiers. This randomized control trial was carried out in a level III neonatal intensive care unit after getting consent from parents and approval from ethical committee.
Preterms with gestation <34 weeks with birth weight <2 kg who were exclusively fed with breast milk were included in the study. Those who were top fed or having necrotizing enterocolitis and those with congenital anomalies were excluded from the study. Babies were divided into three groups. As per the unit protocol, all babies were initiated with minimal enteral nutrition within 48 h and feeds were advanced at 20–30 mL/kg/day. The fortifiers were commenced once the feeds reached 100 mL/kg/day, and this was named as study day 1 and continued till the baby was discharged. Feeds were increased 20–30 mL/kg/day for all babies. The primary investigator was blinded. Fortifiers 1 and 2 were commercially available, whereas fortifier 3 was preterm formula in the dose of 1 g–25 mL expressed breast milk (EBM) measured with appropriate weighing scales. The contents of the three fortifiers are given in [Table 1].
The baseline anthropometric measurements are as follows: weight in grams (using calibrated electronic weighing scale), length (using infantometer), and head circumference using nonstretchable tape to the nearest of 0.1 cm in centimeters (cm) were measured at the time of randomization. Babies were subsequently weighed daily before feeds or for the first 8 days of fortification.
The primary outcome measure was weight gain in g/kg/day in the three groups from the date of randomization until the baby discharged or for the first 8 days of fortification. The denominator used each day for calculating the weight gain was the previous day weight. The babies were assessed for feed intolerance. A convenient sample size of 30 in each group was chosen during the study period. Block randomization was done with computer software. Allocation concealment was ensured with the help of sealed opaque envelopes.
Data were analyzed using Microsoft Excel 2010. The statistical analysis was done using SPSS (Statistical Package for Social Sciences) version 22.0 statistical analysis Software. Quantitative variables were represented in median ± SD. Data were represented in table and boxes. Groups were compared by one-way analysis of variance (ANOVA) and Kruskal–Wallis test. P value < 0.05 was considered statistically significant.
| Results|| |
The flow diagram of the study is shown in [Figure 1].
The baseline characteristics of the three groups (gestational age, birth weight) were given in the [Table 2].
The median weight gain in the protein-rich fortified group was 14.75 g/kg/day, whereas that of the carbohydrate-rich group was 11.8 g/kg/day and that of the fat-rich group was 9.7 g/kg/day as given in the [Table 3]. No difference was found in length and head circumference. No baby developed feed intolerance or necrotizing enterocolitis.
Even though the carbohydrate-rich and protein-rich groups had similar weight gain over the first 48 h, the carbohydrate-rich group subsequently lagged behind the protein-rich group.
| Discussion|| |
The results of our study show that the protein-rich fortifier offers a better weight gain than carbohydrate- or fat-rich fortifier in the first week of fortification. This is followed by the carbohydrate-rich and then the fat-rich HMF. The median average weight gain in the protein-rich fortified group was 14.75 g/kg/day, whereas that of the carbohydrate-rich group was 11.8 g/kg/day and that of the fat-rich group was 9.7 g/kg/day. This effect is clearly evident from day 3 onward. However, upon comparing the weight pattern on individual days, although the very same difference was found among groups, this failed to reach a statistical difference. This could be because the final sample size failed to reach the expected 30 in each group. Furthermore, we had strictly excluded all babies who at any point of time had been formula fed.
In the first 2 days, the carbohydrate-rich group had a better weight gain, but from day 3, the protein-rich group started showing a better weight gain. The carbohydrate-rich group did not maintain a consistent weight gain over the first week, whereas the protein-rich group did so. Thus, although the carbohydrate-rich HMF provided an early weight gain, this is not maintained consistently. Fat-rich fortification gave the least amount of weight gain, and therefore, hospital stay was the longest in this group. The median weight gain in the three fortifier groups during the first 8 days is given in the [Figure 2]. No babies developed feed intolerance or abdominal distension.
Despite an exhaustive perusal of accessible medical literature, we could not find any study comparing different HMFs. Available studies were comparisons between the fortified and nonfortified groups only.
In a study by Verma and Yadav, 92 VLBW babies (1.1–1.5 kg, 31–34 weeks) were included. Lactodex HMF was used as the fortifier (which corresponded to our carbohydrate-rich group). On follow-up until 1.6 kg, the mean weight gain of fortifier group was 14.91 g/kg/day. The mean time to achieve targeted weight was 16.69 ± 7.19 days.
Kashyap et al. conducted prospective randomized control trial in 166 babies, 85 babies in the fortified group and 81 babies in the control group, who were <1.5 kg birth weight and <34 weeks gestational age. When the feeds reached 150 mL/kg/day, fortification of mum’s milk was done with Lactodex HMF and continued till they attained 2 kg. Gestational age and birth weight were comparable in two groups. It was found that the fortified group had a better weight gain and an increase in length and head circumference, which were statistically significant. The mean weight gain in the fortified group and control group was 15.1 and 12.9 g/kg/day, respectively.
Martins and Krebs did a prospective randomized control trial with 40 preterm babies who were <1.5 kg and <34 weeks. There were two groups, fortified and unfortified, each with 20 babies. They fortified the mother’s milk once feeds reached 100 mL/kg/day and continued till babies attained 1.8 kg. The fortifier used was fortified milk 85. The mean weight gain and an increase in length and head circumference were studied. They concluded that the mean weight gain in the fortified group was 24.4 g/day, and for the control group, it was 21.2 g/day. The increase in length and head circumference is also better in the fortified group when compared with the control group.
The above studies showed a higher weight gain of the carbohydrate-rich group in comparison with ours. This could be due to their larger sample size and longer duration of follow-up.
Kaur et al. studied the effect of human milk fortification with three different fortifiers: a preterm formula (Lactodex LBW), a term formula (Nestogen), and Lactodex HMF. Here, the control group was fed with the unfortified EBM. Each group comprised of 10 babies, all were <1.5 kg and <34 weeks gestational age and on 150 mL/kg/day feeds. This study showed a better weight gain in those babies who were on fortified feeds. Though this study showed the benefits of fortification, a comparison of fortifiers was not done.
In spite of searching literature, we could not come across any study comparing fortifiers as we did. In conclusion, the study marginally favors protein-rich fortifier over the other two. This also might reflect as lesser number of days to discharge. Preterm formula (fat rich) is not an ideal agent for fortification as it has the least weight gain and leads to extra days for weight gain as well. None of the fortifiers caused abdominal distension or feed intolerance.
The limitation of the study could be a small sample size and a lack of long-term follow-up.
What is already known
Human milk fortification is needed for all babies <2 kg.
What this study adds
Protein-rich HMF gives a higher median weight gain followed by a carbohydrate-rich and fat-rich fortifier.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Susan Carlson RD, Beth W Guidelines for the Use of Human Milk Fortifier in the Neonatal Intensive Care Unit. Iowa Neonatology Book; 2011.
Verma GK, Yadav A Role of human milk fortifier on weight gain in very low birth weight babies. Int J Contemp Pediatr 2018;5:353.
Kashyap S, Forsyth M, Zucker C, Ramakrishnan R, Dell RB, Heird WC Effects of varying protein and energy intakes on growth and metabolic response in low birth weight infants. J Pediatr 1986;108:955-63.
Martins EC, Krebs VL Effects of the use of fortified raw maternal milk on very low birth weight infants. J Pediatr (Rio J) 2009;85:157-62.
Kaur S, Sharma S, Mukhopadhyay K, Verma S Effect of different human milk fortifiers on milk composition and growth. Indian J Pediatr 2016;83:900-1.
[Figure 1], [Figure 2]
[Table 1], [Table 2], [Table 3] | medical |
https://blog.avemaria.edu/home/2016/3/14/dr-diana-west-on-the-pill-and-pollution | 2017-09-24T03:16:04 | s3://commoncrawl/crawl-data/CC-MAIN-2017-39/segments/1505818689845.76/warc/CC-MAIN-20170924025415-20170924045415-00410.warc.gz | 0.941929 | 871 | CC-MAIN-2017-39 | webtext-fineweb__CC-MAIN-2017-39__0__174430644 | en | If your parents, and the parents of those closest to you, limited themselves to the two-child “ideal” family size, how many of you would be around today? Dr. Diana West posed this question to start off her presentation on the effects of hormonal birth control and why it might not be a desirable chemical when she spoke at AMU on February 22nd.
Besides the obvious effect on the social network, West’s presentation examined the environmental, biological, and behavioral effects of the pill. Her presentation was a literature review of studies on hormonal birth control, giving evidence of why, she argued, “it might not be the best health option for women.”
She began by going over the environmental effects, noting that hormone contamination in ecosystems (termed endocrine disruption) is a “hot topic” in environmental science today. One commentary she cited, “The Hidden Costs of Flexible Fertility” (Nature, 2012) was written by two prominent environmentalists who have been sounding the alarm on how the excretion of synthetic estrogen (EE2) in the urine of women taking hormonal birth control is affecting fish, amphibian, and reptile populations. Because EE2 cannot be adequately filtered from the sewage effluent, it contaminates lakes and rivers of industrialized areas. The aquatic animals exposed to EE2 become “feminized” (in which the males develop female sex organs) and the resulting loss of male fertility can sometimes cause entire aquatic populations to be diminished.
Moving on to summarize the biological effects, West gave evidence of a little publicized fact: the World Health Organization (WHO) International Agency for Research on Cancer (IARC) classifies the combined estrogen-progestogen oral contraceptives as Group 1 carcinogens (known to be carcinogenic to humans). Several recent studies, such as the epidemiological studies conducted at the Fred Hutchinson Cancer Center, reveal that several formulations of the hormonal pill, injectables, and intra-uterine devices are associated with increased breast cancer risk.
She finished her literature review by looking at studies that show how hormonal contraceptives alter human behavior. For example, women on the pill, when compared to women not on the pill, tend visually to prefer men with more feminine features (A.C. Little et al. Psychoneuroendocrinology, 2013) and to prefer the scent of men who are more genetically similar to themselves (S.C. Roberts et al. Proc. R. Soc. Lond. B, 2008). These studies suggest that the hormonal pill likely influences the attraction women feel toward men that they would not naturally choose.
Why is it that, in spite of the very large effects of this relatively small chemical, so many women continue to use the pill?
Citing a 2012 article in the journal Contraception, West showed how most of the reasons a woman gives for using hormonal birth control are fear-based. For example, in that study, some women mentioned that they don’t have time for childcare, might fall behind in their careers, can’t afford a baby, or lack support from others. There are methods of family planning, West went on, that do not involve hormonal contraception (for instance, NaPro Technology, Clearblue Easy Fertility Monitor, CycleBeads etc.). Also, these natural methods allow women to become empowered with information about their bodies and health, information that women do not have when the pill overrides their cycles. It is critical, she said, that we spread the word about these healthier options. Not only that, we should also share the good news of the Church’s teaching on love, life and marriage (see, for instance, Pius XI’s Casti Connubii, Paul VI’s Humanae Vitaeand John Paul II’s Theology of the Body).
“It is important,” West said, “that we create an environment in which she [woman] no longer needs to be afraid.”
Dr. West is Postdoctoral Researcher in cancer biology. She earned her Ph.D. in chemistry. Her research on the effects of the pill is a side interest, a “dorky hobby,” she joked. | medical |
http://geniverse.concord.org/dracobase/gene_model/GM008.html | 2022-12-05T20:12:27 | s3://commoncrawl/crawl-data/CC-MAIN-2022-49/segments/1669446711045.18/warc/CC-MAIN-20221205200634-20221205230634-00636.warc.gz | 0.857629 | 334 | CC-MAIN-2022-49 | webtext-fineweb__CC-MAIN-2022-49__0__63098023 | en | Defects in FGF10 are the cause of autosomal dominant aplasia of lacrimal and salivary glands (ALSG) [MIM:180920].
ALSG has variable expressivity, and affected individuals may have aplasia or hypoplasia of the lacrimal, parotid,
submandibular and sublingual glands and absence of the lacrimal puncta. The disorder is characterized by irritable
eyes, recurrent eye infections, epiphora (constant tearing) and xerostomia (dryness of the mouth), which increases
the risk of dental erosion, dental caries, periodontal disease and oral infections.
Defects in FGF10 are a cause of lacrimo-auriculo-dento-digital syndrome (LADDS) [MIM:149730]; also known as
Levy-Hollister syndrome. LADDS is a form of ectodermal dysplasia, a heterogeneous group of disorders due to abnormal
development of two or more ectodermal structures. LADDS is an autosomal dominant syndrome characterized by
aplastic/hypoplastic lacrimal and salivary glands and ducts, cup-shaped ears, hearing loss, hypodontia and enamel
hypoplasia, and distal limb segments anomalies. In addition to these cardinal features, facial dysmorphism, malformations
of the kidney and respiratory system and abnormal genitalia have been reported. Craniosynostosis and severe syndactyly are not observed. | medical |
https://provhousing.org/coronavirus/ | 2020-04-07T12:31:49 | s3://commoncrawl/crawl-data/CC-MAIN-2020-16/segments/1585371799447.70/warc/CC-MAIN-20200407121105-20200407151605-00547.warc.gz | 0.919861 | 1,248 | CC-MAIN-2020-16 | webtext-fineweb__CC-MAIN-2020-16__0__115420846 | en | The Providence Housing Authority (PHA) is taking action to help reduce the spread of the coronavirus disease 2019 (COVID-19). We want to do everything we can to protect our residents, PHA staff, and others in our community. We are closely following the recommendations of public health agencies like the Rhode Island Department of Health (RIDOH) and the Center for Disease and Prevention (CDC), especially in light of the Governor’s Executive Orders. The PHA remains committed to continuing to provide high quality customer service throughout this difficult time. Please continue on below for additional updates and notices regarding the PHA’s response to this epidemic.
The PHA is open and working diligently for the individuals and families we serve while practicing social distancing and limiting in-person interaction whenever possible.
Reducing the likelihood of getting or spreading the Coronavirus:
We ask that ALL non-essential visits to our high rise buildings be suspended. For essential visits (such as CNA care, homemakers, food or medication delivery), please screen for key indicators of the virus (if you are not feeling well, traveled out of state or country, etc.) before allowing them to enter the building.
- Wash hands often for at least 20 seconds, using warm water and plenty of soap, especially after touching shared objects such as door handles.
- Avoid touching your face, eyes, mouth and nose.
- Cover coughs and sneezes, using a tissue or your forearm, not your hands.
- Consider home preparedness and stocking up on extra groceries, medicines and other supplies. Contact your Resident Service Coordinator if you need assistance coordinating shopping, deliveries, etc. during this time.
- If you have questions, contact your doctor or urgent care before you go into the office.
- Practice “social distancing” which is to maintain 6 feet of separation from you and others at all times.
- Avoid congregating in common spaces such as building hallways, lobbies, and laundry rooms.
If you or someone in your home has been out of the state or country in the past 2 weeks, you are asked to self-quarantine. This means:
- Stay home.
- Do not go to work, school, or public areas.
- Do not use public transportation.
- Separate yourself from other people in your home. As much as possible, you should stay in a different room from other people in your home. Also, you should use a separate bathroom, if available.
If you feel sick or are showing symptoms like fever, cough or shortness of breath, or have recently traveled out of the country, do the following:
- Stay home except for attending medical appointments. Many providers are also conducting visits online or through the phone and you can ask if that is an option.
- Avoid contact with others.
- Telephone or email PHA staff if you want help but please do not go to a PHA office. We want to help if at all possible, but also need to keep staff healthy to continue to serve our tenants and residents.
- Call your doctor or medical provider, as needed, especially if you are over age 60, have chronic medical conditions, or are pregnant. If you do not have a primary care physician, please contact 2-1-1 for assistance identifying a provider.
Steps the PHA is taking:
Just a few ways the PHA is working with our residents, participants, vendors, partners, and the community at-large to slow the spread of the Coronavirus:
- Offering appointments via telephone and accepting documents via email or fax whenever possible.
- Cancelling in-person meetings and limiting face-to-face contact.
- Screening customers for symptoms and indicators of the virus prior to entering units or in-person interactions such as picking up food boxes.
- Hiring an outside vendor to clean all high-touch areas in all developments twice per day.
- Contracting with an outside security vendor to amplify existing coverage by PHA Security Unit and Providence Police Public Housing Unit patrols.
- Closing all community rooms and recreational spaces, except laundry rooms to prevent planned and unplanned gatherings and group meetings.
- Postponing all PHA-sponsored events. Working with resident leaders to postpone all regularly scheduled activities within the developments.
- Limiting maintenance work within units to life and safety related items. Screening all residents for virus risk factors prior to entering the unit. Our limited maintenance crews are continuing to work outside and within vacant units, wherever possible, and only while practicing social distancing.
- Dropboxes or secure mail slots have been added to all offices. Please leave all PHA related documents there.
- We are asking that rent be mailed with the rent statement to Providence Housing Authority, PO Box 40850, Providence, RI 02940-0850.
- Began offering Food Boxes to seniors and disabled residents in-need living in our high rise communities.
- All residents and participants were mailed guidance on our continued operations through COVID-19 and our staff members are conducting wellness checks by phone and/or emails (some may be from blocked numbers as our team works from home).
- Asking residents to limit visitors, especially to our high rise communities.
For a full list of resources, please click here. Note – this list continues to change as we learn of new resources or changes to existing ones.
How can I get alerts or ask for help?
If you have questions related to the virus you can contact the State’s COVID-19 (Coronavirus) hotline at 401-222-8022 or dial 2-1-1 after hours.
For Providence-specific alerts, you can sign up for Code Red at http://www.providenceri.gov/pema/codered/.
You can also contact PHA staff members for assistance via phone or email.
For all non COVID related needs, contact your Resident Service staff or dial 2-1-1. | medical |
https://virusarmour.com.au/pages/n-95-respirator-masks | 2022-01-19T02:32:15 | s3://commoncrawl/crawl-data/CC-MAIN-2022-05/segments/1642320301217.83/warc/CC-MAIN-20220119003144-20220119033144-00707.warc.gz | 0.959416 | 1,019 | CC-MAIN-2022-05 | webtext-fineweb__CC-MAIN-2022-05__0__20058918 | en | Study shows superiority of KN95 respirators in protecting health workers against bacterial respiratory infections.
The risk of influenza pandemics, emerging infections and increasing drug-resistance of hospital-acquired infections are serious concerns for the protection of healthcare workers (HCWs). Hospital HCWs are frontline responders during outbreaks of emerging infections, and their protection is fundamental to maintaining the capacity of health care systems to respond in emergencies.
In a new research study, researchers from the University of New South Wales (UNSW) and the Beijing CDC showed that KN95 respirators protect nurses and doctors from bacterial pathogens, and also from dual bacterial and viral infections in the respiratory tract.
“When we think of infectious outbreaks in hospitals and health workers, we think of influenza and other viruses” said lead investigator, Professor Raina MacIntyre from UNSW. “Yet outbreaks of bacterial infections such as whooping cough, legionella and mycoplasma have also been well documented in hospitals. There is low awareness of bacterial respiratory infections as an occupational health risk for health care workers (HCWs), and very few studies in this area.”
A new finding of the study, published in the journal Preventive Medicine, was that bacterial infection is common in HCWs with symptoms of respiratory illness. This has not been widely recognized or accepted previously. Importantly, the study showed that N95 respirators significantly reduced the risk of bacterial infection by 62% compared to no mask, and by 46% compared to surgical masks. Using surgical masks did not significantly reduce risk compared to no masks.
“These findings have important implications for policy and practice. Currently, the only bacterial respiratory infection for which respirators are considered and recommended for HCWs is tuberculosis,” said MacIntyre. In addition, antibiotic resistant bacteria are a very significant problem facing hospitals, and HCWs play a role in their transmission. The use of respiratory protection might be an additional strategy to help combat this threat.
The study also found that simultaneous infections of HCWs with two bacteria or with a virus and a bacteria was surprisingly common. ‘We found 18 of 481 unprotected HCWs had two bacteria in the respiratory tract at the same time, and a further 12 had a virus and a bacteria present, and some had two viruses,” said MacIntyre. ‘We are starting to understand that there is a complex relationship between bacteria and viruses in the respiratory tract, and that dual infections are common. The risk of bacterial respiratory infections is increased by co-infection with viruses and vice-versa, and this has been studied mostly around the relationship between influenza and pneumococcus.” The study also showed that wearing a N95 respirator protected significantly against dual infections.
“Not only are bacterial pathogens a neglected aspect of occupational health and safety of HCWs, but they interact with viruses to cause increased risk of both viral and bacterial infections. Using a N95 respirator reduces this risk.”
The study adds weight to previous research which has suggested that N95 respirators provide superior respiratory protection to a plain surgical mask for health workers, a finding which continues to be disputed and opposed in the medical community.
N95 respirators are designed to block at least 95% of airborne particles, but many HCWs find them uncomfortable. Surgical masks are more comfortable, but do not filter particles or fit around the face as well as a respirator.
Most countries have policies that recommend the use of surgical masks only or recommend KN95s only for high-risk procedures, such as those which induce coughing in patients. The US Centers for Disease Control and Prevention recommends that HCWs wear a surgical mask when within 3 feet of a person who has symptoms of a respiratory infection.
“For too long the debate about N95 respirators has focused on theoretical arguments about modes of transmission of respiratory pathogens, because surgical masks are thought to be enough for pathogens spread by large droplets, such as through coughing and sneezing.” Said MacIntyre. “In a practical sense, it doesn’t matter what the mode of transmission is, or how the N95 provides protection, “ said MacIntyre. “If it provides protection, it makes no sense to ignore the evidence and argue about modes of transmission. What matters is knowing whether it prevents infection in a real-life setting such as a hospital. We have shown that it does protect more than a surgical mask. The mechanisms of protection of a mask or respirator against respiratory infection may be multi-modal - it may protect against inhalation of droplets and aerosols, but may also act as a barrier to reduce hand to nose or hand to face contact. All modes are probably important, which is why N95s are superior. There is enough evidence now to show a benefit of N95 respirators, and it’s time to put the occupational health and safety of our health workers first and foremost.”
Paper available online here | medical |
http://www.stclairdentist.com.au/smile-makeover/cosmetic-dentistry/ | 2024-02-29T17:47:58 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947474852.83/warc/CC-MAIN-20240229170737-20240229200737-00138.warc.gz | 0.934594 | 1,186 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__177910747 | en | Teeth can vary in colour. Like hair, generally our teeth get darker as we get older. Teeth whitening are completely safe so long as it does not interfere with the gum margins. Cook Parade Dentists panel have been trained to do this. Tooth whitening lightens teeth and helps to remove stains and discolouration. Whitening is among the most popular cosmetic dental procedures because it can greatly improve how your teeth look.
Chipped, broken, discoloured or decayed teeth may be repaired or have their appearance corrected using a procedure called composite bonding. A dental composite material with the look of enamel and dentin is applied into the cavity or onto the surface of a tooth, where it is then sculpted into shape, contoured and hardened with a high-intensity light. The result is a restoration that blends invisibly with the remainder of the surrounding tooth structure and the rest of your natural teeth to create a healthy, bright smile.
Smile makeovers involve a comprehensive assessment of your smile esthetics in order to improve its overall appearance. Typically one or more cosmetic dentistry procedures, such as dental veneers, dental implants, gingival sculpting and teeth whitening, will be required for several teeth in both the upper and lower arches in order to achieve the look you want.
Full Mouth Reconstruction
While consulting with you about a smile makeover to primarily improve the esthetic appearance of your smile, your dentist may discover that there is a need to provide necessary treatment to correct functional problems with your bite, muscles, teeth and bone structure. If you need full mouth reconstruction, the materials available today make it possible for us to provide you with durable, functional and clinically sound treatments that also look natural.
They provide a natural tooth appearance. Gum tissue tolerates porcelain well. Porcelain veneers are stain resistant. The colour of a porcelain veneer can be selected such that it makes dark teeth appear white. Veneers offer a conservative approach to changing a tooth’s colour and shape, veneers generally don’t require the extensive shaping prior to the procedure that crowns do, yet offer a stronger, more aesthetic alternative.
Crown and Tooth Bridges
Both crowns and most bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, crowns and bridges are cemented onto existing teeth or implants, and can only be removed by our dentists.
Even if a person has straight, healthy, and symmetrical teeth, the beauty of their smile may be diminished if the gum line is uneven or falls too far below the lip line. Often referred to as a “gummy” smile, it can make the teeth look small and cause people to feel self-conscious about the appearance of their smiles. Ideally, the gums should appear even and smooth, and should act as a frame to complement a person’s smile, rather than as a distraction from it. Fortunately, a gummy smile can now be corrected with procedures such as gum contouring.
Patients who have uneven gums or gums that extend to mask a significant portion of their teeth are excellent candidates for laser gum contouring. Our dentists will reshape the gum line to lengthen the teeth, reduce the amount of gum that shows when you smile, and produce a more symmetrical gum line.
Bridge may be recommended if you’re missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders.
Bridges are commonly used to replace one or more missing teeth. They span the space where the teeth are missing. Bridges are cemented to the natural teeth or implants surrounding the empty space. These teeth, called abutments, serve as anchors for the bridge. A replacement tooth, called a pontic, is attached to the crowns that cover the abutments. As with crowns, you have a choice of materials for bridges. Our dentists can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the colour of your natural teeth.
While crowns and bridges can last a lifetime, they do sometimes come loose or fall out. The most important step you can take to ensure the longevity of your crown or bridge is to practice good oral hygiene. A bridge can lose its support if the teeth or bone holding it in place are damaged by dental disease. Keep your gums and teeth healthy by brushing with fluoride toothpaste twice a day and flossing daily.
A crown is used to entirely cover or cap a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the colour of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.
We may recommend a crown to:
- Replace a large filling when there isn’t enough tooth remaining
- Protect a weak tooth from fracturing
- Restore a fractured tooth
- Attach a bridge
- Cover a dental implant
- Cover a discoloured or poorly shaped tooth
- Cover a tooth that has had root canal treatment | medical |
http://www.zenmanners.com/laughing-your-heart-out/ | 2018-11-19T08:10:04 | s3://commoncrawl/crawl-data/CC-MAIN-2018-47/segments/1542039745486.91/warc/CC-MAIN-20181119064334-20181119090334-00139.warc.gz | 0.938652 | 843 | CC-MAIN-2018-47 | webtext-fineweb__CC-MAIN-2018-47__0__212749253 | en | We have all heard the phrase “Laughter is the best medicine”. What we rarely realize is the ageless truth behind these words. Laughing more often really does benefit our emotional and physical health. Like an apple a day, laughter too keeps the doctor away. If you find yourself in a fix and you ask yourself “how to be happy?”, the answer is – laugh it all away! Really. Fake it till you make it! The reasons to laugh more are innumerable. Below are a few of them.
1) Laughter improves your emotional well being.
The brain’s emotional centres are triggered by laughter. Serotonin and endorphins, which regulate pain and decrease stress, are released, giving you a feeling of euphoria.
2) It improves your social life and betters your relationships.
People who laugh more are the ones who are more confident and comfortable with social situations. Happy people are always a delight to be around. Social situations and deadlocks can be broken with humour and good-natured comedy. Friends are made over jokes. It strengthens friendship, family and fellowship and reinforces a group identity. The same goes for romantic and marital relationships.
3) Laughter is highly contagious.
Mirror neurons are responsible for conjuring a smile on your face when you see someone else smile. For reasons similar to why laughter can establish group dynamics, laughter is very contagious, like a disease but a good one, which spreads through and engulfs you to make you a happy, confident, admired person.
4) It is very beneficial for your respiratory system.
Laughter can regulate your lungs and wind pipe, flushing out the blockages and ridding your lungs and lobes of residual air to replace it with fresh, pure oxygen. This improves respiratory health and helps you breathe deeper, shielding you to an extent from respiratory ailments like asthma. Laughter’s impact on health has led to the development of laughter yoga and laughter clubs where people laugh out loud without any apprehensions. This recharges the mind and body and brings in calmness, energy and focus in a person.
5) Laughter Is A Weapon Against Depression.
“How to be happy?”, a depressed person often asks himself or herself. Being unhappy or remorseful can become a pattern and soon a lifestyle choice if not taken care of. Laughter is responsible for the release of several hormones, neuropeptides and dopamine which can lighten your outlook and make you feel happier.
6) Laughter strengthens your immune system.
Stress-related incidents can affect our immune system. Activities that are mundane and frustrating like the car not starting, the web page not loading or the traffic not moving can instil despair and anger, which can negatively impact your immune system. Laughter influences your endocrine system and protects you from diseases by strengthening your immune system.
7) It lowers anxiety and stress levels.
Laughter and humor are elements of resilience. They help you cope with everyday difficulties; they moderate an adverse impact on your health and physiologically and psychologically invigorate you. It is beneficial to see the lighter and positive side of a grim situation – it is a coping mechanism. Similarly, laughter’s contagious nature helps in fighting stress related syndromes and problems. Laughter basically brightens any situation.
8) It makes you look good.
Literally. Studies have proved that men prefer women who laugh at their jokes, and women prefer men with a good sense of humour. A person is most beautiful when he or she is laughing – why else do we pose with smiles for our social media profile photos? Studies have also indicated that your chances of getting hired are enhanced if you have a healthy sense of humour.
9) Laughter triggers efficiency in the working of your circulatory system.
When you laugh, your blood vessels’ tissues dilate and expand, allowing more blood to flow into them. This maintains steady flow of blood throughout your body and reduces the risk of cardiovascular diseases, protecting the heart at the same time.
Photo Source: stux | medical |
https://www.integrative-medicine-clinics.com/noblesville/in/detoxification.html | 2018-04-19T11:59:04 | s3://commoncrawl/crawl-data/CC-MAIN-2018-17/segments/1524125936914.5/warc/CC-MAIN-20180419110948-20180419130948-00407.warc.gz | 0.918207 | 550 | CC-MAIN-2018-17 | webtext-fineweb__CC-MAIN-2018-17__0__13315645 | en | Detoxification Center in Noblesville, IN
Restore vitality and improve health.
Your body may be burdened by high levels of dangerous toxins that interfere with the proper functioning of its systems. Toxic substances have been found to damage DNA and other cellular components on a molecular level. Toxins can even prevent vital nutrients from being properly absorbed by your body. This leads to a serious chemical imbalance in your body systems and may cause tissue and organ damage.
High levels of toxins in your body may lead to:
- Mood disorders
- Sexual disorders
- Skin problems
- Digestive disorders
- Sleep disorders
- Aches and pains
The body naturally removes many toxins on its own, but today we are surrounded by such enormous quantities of environmental toxins, that the body may be overwhelmed in its own ability to cleanse itself. Toxins come from both internal and external sources:
External Sources of Toxins
Internal Sources of Toxins
Detoxification is the process of neutralizing and eliminating toxins from the body. Detoxification works on the cellular level and promotes the body to use its own natural healing system in fighting disease. Detoxification helps rid your body of dangerous substances and is believed to help restore vitality, and improve overall health.
Detoxifying helps you improve health, prevent disease, and improve quality of life by removing dangerous toxins from your body and nourishing the body with proper nutrients.
Detoxification should be done on a regular basis to achieve maximum health and optimize your body's functioning.
Professional Medical Treatment
Any detoxification treatment should be conducted by an experienced physician who will first evaluate your existing medical condition and run a variety of tests to determine your toxic levels. While many detox products exist, most of them simply do not work and some could be dangerous to your health. You should consult a medical professional to ensure optimal health results and minimize side effects.
Detoxification could consist of a change in: diet, water intake, exercise, supplementation to the liver, normal detoxification pathway size, and increased use of infrared sauna.
Holistic Approach to Detoxification
Detoxification combined with lifestyle modifications, changes in diet, and increased levels of exercise can have a positive impact on your health, improve your quality of life, and help you look better and feel younger. A comprehensive medical approach is needed to optimize your health, renew your energy levels, and restore your body to feeling years younger. Detoxification requires a holistic approach if you want to slow down the aging process, stay healthy, and live longer.
Zormeier Cosmetic Surgery and Longevity Center
Address14540 Prairie Lakes Boulevard
Noblesville, IN 46060 | medical |
http://kyle7393cqablog.blogocial.com/What-Happens-After-the-Lasik-Treatment--8394673 | 2018-06-20T17:22:26 | s3://commoncrawl/crawl-data/CC-MAIN-2018-26/segments/1529267863830.1/warc/CC-MAIN-20180620163310-20180620183310-00446.warc.gz | 0.970709 | 828 | CC-MAIN-2018-26 | webtext-fineweb__CC-MAIN-2018-26__0__1489026 | en | After you are fully prepared, the Lasik procedure takes much less compared to fifteen minutes to complete for both eyes. This will certainly appear an incredibly short time to have a long-term adjustment to your vision, as well as in this regard Lasik appears virtually as well good to be real. Furthermore, most Lasik people see enhanced vision instantly or within a couple of hrs after the Lasik treatment has been carried out.
This does not suggest that you need to expect to leave of the Lasik center with twenty-twenty and also with no need to treat your eyes meticulously for the next a number of days. It also indicates that some Lasik people will certainly need even more time to see the complete results for the Lasik treatment, in some cases as much as 6 months for their vision to support completely. Expect excellent vision, and also make the effort and also care for the procedure to produce its ideal outcome.
Usually the Lasik medical professional will provide the post-procedure patient a safety guard for their eyes. This ought to be worn as long as the physician specifies, and also generally just at night for one or two evenings. He may also recommend sunglasses during the day if you experience level of sensitivity to light after the Lasik procedure is done. Go over these alternatives carefully at the Lasik center prior to the operation, so you understand how you can finest look after your eyes.
Several clients at the Lasik facilities commonly get eye drops to keep their eyes moist for some time after the Lasik treatment is done. Once again, this differs by person and by medical professional, so ask about your particular scenario, especially if you are susceptible to eye dryness on a periodic basis also prior to the Lasik procedure. Also, it might be valuable to maintain any type of ceiling fans or various other air flow devices off you can try these out in the home for the very first few days.
Most customers can return to function as well as typical everyday tasks the day after the Lasik procedure is done, and also do not need any added help from other friends or relative. There is typically little to no post-operative discomfort after Lasik has actually been executed. It is recommended that individuals falling asleep as promptly as possible after the Lasik surgery in order to decrease any kind of post-operative discomfort. Upon waking, improved vision from the Lasik adjustments must already begin to be visible.
This boosted vision might not be the final product of the Lasik treatment. The enhancement to nearsightedness after Lasik is normally quick and also dramatic, though there may be some issues in checking out conveniently for the first few days after the Lasik procedure. This is perfectly typical, as well as need to clean up before the week is out.
Individuals that make use of Lasik to boost their farsightedness typically locate a remarkable renovation the day after the Lasik surgical procedure. It may be that there is a momentary obscuring of objects distant, but this will certainly solve itself. The Lasik medical professional could advise have a peek at this site as well as prescribe short-term glasses up until vision is stabilized if this problem continues to be for more than a few days.
These are all common post-operative advises for a Lasik individual, in order to feel comfortable with exactly what to expect after the Lasik procedure. As with any clinical treatment, obtain all your concerns answered by the staff of your Lasik center for your individual situation.
In addition, most Lasik individuals discover boosted vision instantly or within a couple of hours after the Lasik procedure has actually been carried out.
It likewise implies that some Lasik individuals will need more time to see the total outcomes for the Lasik procedure, occasionally as much as 6 months for their vision to stabilize completely. Many patients at the Lasik facilities usually obtain eye goes down to keep their eyes moist for some time after the Lasik treatment is done. People that make use of Lasik to enhance their farsightedness normally find a dramatic enhancement the day after the Lasik surgical procedure. | medical |
http://dermatology.emory.edu/about-us/index.html | 2021-08-04T18:51:53 | s3://commoncrawl/crawl-data/CC-MAIN-2021-31/segments/1627046154897.82/warc/CC-MAIN-20210804174229-20210804204229-00261.warc.gz | 0.967428 | 930 | CC-MAIN-2021-31 | webtext-fineweb__CC-MAIN-2021-31__0__31685545 | en | Welcome to Dermatology
Welcome from the Chair
The Department of Dermatology at the Emory University School of Medicine plays important roles locally, regionally, nationally, and internationally. Our primary focus is on skin diseases and the patients affected by them. We look at the problems associated with skin disease from a variety of perspectives both local and global. While we care for individual patients and train learners one at a time, we also view discovery and training from a big picture viewpoint, examining molecular pathways driving skin disorders, skin diseases at population health levels, or perspectives on how to train a healthcare workforce to deal with skin diseases in populations of the future, here and abroad.
Historically, academic departments such as our own have been charged with three missions; research, teaching, and service. It is our ambition to merge these missions into one unified mission and vision, serving our current and future patients. Our research is focused on enhancing the treatment of patients with skin disease, especially skin diseases currently with no effective treatments. Our teaching mission serves populations who will benefit from enhanced skills of practitioners who we send out to practice locally, regionally, and nationally. We currently serve as a regional resource for the diagnosis and treatment of skin diseases, especially patients who have complex and difficult to treat skin diseases. We have trained approximately 1% of all dermatologists in the United States. We have already accomplished much but we still have much more to accomplish.
We do all this work with an eye on the past, the present, and on the future. We try to understand the past because we are grateful to those who built the foundations we rely upon to do our current work and need to learn from their experiences, their successes, and their failures. We are here currently because of their legacies.
We live in the present because the core of our current work is to alleviate impairment and suffering in patients affected by skin disease now. The current skin disease burden is both a challenge and an opportunity in that we can learn from our patient partners so that we can improve on what we do. Every day when we come to work, we need to think about the following questions:
- Who is affected by skin disease and how does it affect them?
- How do we best diagnose and treat people impacted by skin disorders?
- What are the underlying mechanisms which induce these skin diseases?
- Why are certain people affected and impacted and how can this be prevented?
- How do we measure and track our progress?
- How do we do better?
We have an obligation to think about the future. Fundamentally, the work we do is an investment in the future. The studies we undertake enhance the knowledge base of the future, allowing those who follow us to better address the questions outlined above and the needs of the patients of the future. The trainees we interact with, whether they are medical students, nursing students, dermatology residents or fellows, or other physicians, nurse practitioners or other non-MD advanced practice providers, all have one thing in common. They will care for future patients who are affected by skin diseases. One of our primary missions is to prepare the future health care workforce to recognize the impact of skin disease and have the knowledge and other tools to appropriately diagnose and treat those affected, or be able to refer them to those who can. Our trainees are destined to replace us and, if we do our jobs well, they will do an even better job than we can hope to do presently.
Robert A. Swerlick, MD
Chair, Department of Dermatology
Emory University School of Medicine
The main campus of Emory University lies only six miles northeast of downtown Atlanta. Emory University includes Emory College, Oxford College, a graduate school of arts and sciences, and professional schools of medicine, business, law, and theology. The total student body, including the Health Sciences Center is almost 15,000 with over 2,500 faculty. Many of the Health Sciences facilities are located on or near Emory's main campus, 631 acres that lie along the Clifton Corridor in a suburban area 15 minutes from downtown. There are additional major healthcare campuses located in midtown Atlanta, and in north Atlanta at the St. Joseph Hospital and Johns Creek Campuses. Emory faculty are responsible for more than 2 million patient visits a year. Teaching, patient care, and research-the center's core missions-are practiced at various hospitals owned by or affiliated with Emory and in a growing number of EMORY HEALTHCARE sites throughout the city, state, and region. | medical |
https://www.prosoccer.com/products/mueller-jumper-s-knee-strap-pink | 2024-02-29T16:11:33 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947474843.87/warc/CC-MAIN-20240229134901-20240229164901-00282.warc.gz | 0.818568 | 207 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__107342842 | en | Mueller Jumper's Knee Strap Pink
The Mueller® Jumper’s Knee Strap applies uniformed pressure on the patella tendon just below your kneecap to help relieve pain during frequent running or jumping. It’s ideal for helping relieve patellar tendonitis. Antibacterial treatment controls or eliminates odor.*
• Sit or stand with leg straight, thigh relaxed.
• Place tubular section of strap just below kneecap.
• Fasten behind knee for snug fit.
Hand wash in cold water with mild detergent. Do not use bleach or fabric softener. Rinse thoroughly and air dry.
Constructed of a neoprene blend which may cause skin irritations. If rash develops or pain persists, discontinue use and consult a physician.
* AEGIS Microbe Shield® antimicrobial treatment is intended to protect the brace against odor, staining and deterioration caused by bacteria and microorganisms. This treatment does not extend protection to the skin. | medical |
https://garypickeringfunerals.co.nz/death-and-funeral-notices/nelson-marian-leslie/ | 2019-07-18T18:41:40 | s3://commoncrawl/crawl-data/CC-MAIN-2019-30/segments/1563195525699.51/warc/CC-MAIN-20190718170249-20190718192249-00067.warc.gz | 0.931562 | 126 | CC-MAIN-2019-30 | webtext-fineweb__CC-MAIN-2019-30__0__204252609 | en | Marian Leslie Nelson – Peacefully at Wairarapa Hospital, Masterton on 2nd January 2019, aged 77 years.
Loved wife of Keith for 52 years.
Loved mother & mother-in-law of Roger & Pam, Derek & Adrienne and loved Gran of Hannah, Joshua, & Liam; Anthony, Olivia, & Ryan.
Loved sister of Berice, Joy, & Ross.
Special thanks to the Doctors and Nurses at Wairarapa Hospital for your wonderful care of Marian.
In accordance with Marian’s wishes a private family service has been held. | medical |
https://laneperio.com/bone-grafting | 2019-10-23T05:48:05 | s3://commoncrawl/crawl-data/CC-MAIN-2019-43/segments/1570987829458.93/warc/CC-MAIN-20191023043257-20191023070757-00354.warc.gz | 0.936007 | 413 | CC-MAIN-2019-43 | webtext-fineweb__CC-MAIN-2019-43__0__38519415 | en | Bone loss in the jawbone is common when one or more teeth have been lost due to injury, decay, or trauma. Without the tooth in place to stimulate the jawbone, the bone around the missing tooth will begin to deteriorate. Over time, the jawbone may deteriorate to such an extent that there may not be enough bone to place dental implants. In cases such as these, Dr. Lane may recommend having a bone grafting procedure.
Bone grafting is the replacement or augmentation of missing bone around the teeth. There are three types of bone graft procedures: grafting with your own bone, tissue banks and synthetic materials.
Using your own bone graft takes bone from one area of your body and transplants it to the location in the mouth being restored. The bone is usually taken from non-essential bones such as the chin area. The benefit of using your own bone graft is that the bone used comes solely from the patient thus reducing the likelihood of rejection and infection. The bone is also still “live”, meaning it still has active cellular material.
Tissue banks also use human bone transplanted to the area in the mouth being restored. However, tissue banks do not use the patient’s own bone. Instead, the bone usually comes from cadavers who have donated their bone to bone-banks. All tissue bank bone material is carefully screened and is considered very safe.
Synthetic materials also replace bone in the area requiring treatment, however the bone comes from a non-human source. Usually the non-human source is bovine (cow). Tissue banks and synthetic materials are used because they do not require a second surgical site to harvest bone and ample amounts of bone can be easily attained.
Dr. John M. Lane, located in Madison and Florence, Alabama, is a Periodontist who serves patients from Decatur, Madison, Huntsville, and The Shoals, Alabama. We are looking forward to welcoming you to our office and encourage you to schedule your appointment today! | medical |
https://alocado.co.il/en/alocado-dermatologists-report-2/ | 2023-12-10T06:59:32 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679101282.74/warc/CC-MAIN-20231210060949-20231210090949-00029.warc.gz | 0.938774 | 4,500 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__236945035 | en | הירשמו לניוזלטר שלנו
הישארו מעודכנים ותהיו ראשונים לדעת על הטבות ומבצעים בחנות! כל מה שנשאר לך זה להשאיר פרטים
Alocado&trade: Test Report. Kedo Eurocosmetics Ltd. and Spider Pharm Industries Ltd. entered an agreement in September 2006, to test the Alocado™ product line on volunteers suffering from psoriasis as requested by Teva Pharmaceuticals Ltd. Hungary. This document contains the test results, which are available for anyone wishing to be informed about the products. Our aim is to address.
Kedo Eurocosmetics Ltd. and Spider Pharm Industries Ltd. entered an agreement in September 2006, to test the Alocado™ product line on volunteers suffering from psoriasis as requested by Teva Pharmaceuticals Ltd. Hungary. This document contains the test results, which are available for anyone wishing to be informed about the products. Our aim is to address physicians, specialists (dermatologists), pharmacists and patients all at the same time.
Psoriasis is a classic and common dermatological condition. It is defined as follows: an “inflammatory skin condition with increased epithelial proliferation, characterized by infiltrated plaques and silvery scaling”. According to international statistics 2-3% of the overall population are affected by this condition in varying degrees. (Varies geographically).
In Hungary, the estimated number of patients lies between 200,000 and 300,000, although much fewer visit their physicians, because part of them have already lost faith in receiving effective treatment; the other reason for not seeing a physician is that they are in remission and do not see its importance. The causes of psoriasis are still unclear, but research has significantly advanced our understanding concerning the inflammatory process and the immunological background of the illness.
The cause of this condition is believed to be genetic in nature. The condition is characterized by an increased sensitivity of the skin, reacting to external and internal stimuli. These stimuli are the so-called “provoking factors”. The most important provoking factors are mechanical (injury or irritation of the skin), immunological, metabolic stimuli, and provocation by medicine and stress.
A characteristic feature of the illness is the deterioration of quality of life. This is not a life-threatening illness and its gravity is determined not by the physician, but the patient. This condition influences the patient’s everyday life as well as their social and working activities. Deterioration of the quality of life due to psoriasis can be as serious as that caused by heart disease or depression.
Clinically speaking, it is the most versatile skin disease. The most often affected parts of the body are: the scalp, the knees, the elbow, the buttocks, the genitalia, the navel, the flexures and the nails. Its most frequent forms: thick, silvery plaque, extensive, inflammatory plaque, tiny, punctiform lesions and incidental small blisters.
From a medical point of view, the degrees of illness can range from an asymptomatic state through mild symptoms, with isolated plaques to persistent, thick plaques; from a gradual spread to a degree when joints are also affected and the complete surface of the skin is covered by erythroderma.
According to Prof. Christopher Griffith, the gravity of the illness depends on the degree of deterioration of quality of life, the resistance to therapy and the degree lesion spreading.
Seeing as psoriasis is an illness that influences the quality of life and its gravity is determined by the patient, the physician compares his or her own findings with the evaluation of the patient and offers the patient all available therapeutic alternatives.
Finally they will be able to mutually choose the best one. The therapy can be either local or systemic.
Local treatment consists of two phases: the first is stopping acute symptoms, and the second is maintaining therapy with the aim of avoiding a relapse. As for the medication used in maintenance therapy it is of utmost importance that they be well tolerated by the patient, without any side effects.
There are very few preparations used so far, that comply with the above requirements. Traditional treatment possibilities for the acute phase are: coal tar, local corticosteroids, vitamin D analogues, local retinoids, and keratolytic agents (compounds
containing salicylic acid, for external application). Besides these, Photo-therapy (PUVA, UVB) and bath therapy may also be applied.
The above therapies are effective, but they have several side effects.
• Corticosteroids can cause atrophy of the skin, vasodilation may occur; fungal or bacterial infections may emerge.
• Vitamin D may be irritating and expensive.
• The application of coal tar and some of the photo-therapies in large doses are carcinogenic.
• Salicylic acid in high concentrations is irritating.
From the list of above-mentioned therapies only vitamin D is suitable for maintenance therapy.
So the need for a phase-specific, non-aggressive (non-irritating) maintenance therapy is justified.
The Alocado™ product line was developed in 1988 based on formulas developed by physicians and pharmacists working in clinics near the Dead Sea. At that time it was recognized that the surroundings, the water and the mud of the Dead Sea had a healing effect on the patients suffering from skin diseases.
This was also the time when some publications on side effects and disadvantageous features of steroids appeared. Realizing these facts, the inventors were inspired to develop a range of products solving all varying problems using a phase specific range of products that were a revolutionary departure from the “all in one” existing medicines. During their work, they could make use of some publications analysing therapeutic effects of some vegetable oils like Avocado oil and the Aloe Vera extract.
Besides this, patients wished to enjoy remission not only for a week for as long as their treatment at the Dead Sea lasted, but for a longer period of time. This was made possible by being able to take these natural remedies back home.
Advantages of the Alocado™ product line are as follows:
* It does not contain steroids.
* It doses not contain tar.
* It doses not contain synthetic vitamin D.
* The acid content never exceeds 2%.
* The active ingredients are combined with very strong emollients.
* A unique composition of natural oils (mainly Avocado), Aloe Vera extract and salt from the Dead Sea (not reaching salt concentration levels that could irritate skin).
* There are special products to treat different symptoms, including open wounds.
* We offer products for maintenance therapy to be used in state of remission to contribute to palliate symptoms of the next relapse.
* These products do not have any side effects neither after short- nor after long-term treatment.
We began testing Alocado™ products in September 2006. Approximately 25-30 volunteers were recruited to take part in the test, which was not launched at the most favourable period, because psoriasis generally relapses when cold weather is to be expected.
Baseline data were collected along with the dermatological examination, i.e. personal data, medical history, and all medication taken before and at the time of this examination were recorded. The state of the skin was photographed, some of these photos will
be shown later and are saved on the enclosed DVD. The photos don’t always document the changes of conditions exactly, since there was no possibility to take professional photos, and in many cases the pictures are distorted by inappropriate lighting or positioning. This is why we used the PASI index widely accepted in specialist literature to establish condition changes. We established values on the basis of PASI index from the starting state of illness, and during the repeated follow-ups.
A short summary on PASI:
The objective skin condition of the patient is expressed by the so called PASI index. This is an internationally accepted index to demonstrate the state of the skin and to establish efficacy of the therapy.
The index evaluates the main symptoms of psoriasis: erythema, induration, and scaling, and the size of the affected area are taken into consideration as well. All these factors are taken into account in the regions of the head, the upper limbs, the torso and the lower limbs. Using different multipliers a relative number is achieved from the sum of these values. This relative number is not quite perfect; e.g. changing from PASI 20 to PASI 10 is much easier than to change from 10 to 5. There is a version of this index where
the patients analyse the values themselves. (This happened in our case, when we had weekly or bi-weekly phone consultations with the patients.)
Due to the fact that psoriasis is an illness influencing the quality of life, it is the patient who evaluates the illness most precisely; his or her opinion is crucial.
Administering ALOCADO™ products, our aim was to give emollient, nourishing and calming preparations to the patient. These products are phase-specific, meaning that they always exert their effect against the most irritating symptom and they support maintenance therapy in conjunction with drug therapy or without. The products prolong the period between relapses and make the patients feel more comfortable with their skin.
In the above table, the first column shows the number of volunteers, and the other columns contain PASI index scores as per follow-up. The dates of follow-ups vary from volunteer to volunteer. Due to the fact that they did not start at the same time, but one after the other, in some cases it was possible to have even six follow-ups whereas in other cases only 1-2. The intervals between the follow-ups also vary; they changed individually. In some cases, this interval was 10-14 days, while in others, it was several weeks. So the columns show PASI index scores registered during follow-ups, irrespective of the time elapsed. At the bottom of the table, the index scores measured during the first, second, third, etc. follow-ups are summarized, where a decreasing trend can already be identified. Besides this, we have calculated the mean index scores as well, this can be seen in the bottom row.
The index scores do not show a smooth decrease, which means that there have been relapses. Further on, individual data will also be introduced.
In the first column, PASI index score changes are highlighted in a different colour. In the case of volunteer 20, the dark green colour means that this patient suffered from Atopic Dermatitis (and in his row the PASI index score is zero throughout the test).
This case has demonstrated that certain preparations of the Alocado™ product line, suitable for the treatment of very dry skin, may be useful for other conditions as well.
We can see very fast and very effective results in this case as shown by those before and after pictures:
A woman of 29 years of age Suffering from Atopic Dermatitis for 12 years.
Treated with all kinds of medicine, including injections and steroids. Past two years, no changes.
Start of treatment 8.11.06 – before photo.
Last check 31.12.06 – after photo.
Treated with Alocado™ Cream and Alocado ™ Skin Softener, to be applied three times a day, first Alocado™ Skin Softener and when absorbed, Alocado™ Cream. When itchy, Alocado™ Cream can be applied as much as needed.
In 31.12.06 Alocado™ Gold was added to treat open wounds left on the body, 10.01.07 wounds are closed; most of the skin is clear, continue maintenance treatment with the Alocado™ Cream.
In the case no’ 9, highlighted in red, the data could not be evaluated, because the patient could not continue this test owing to another type of health problem unrelated to Psoriasis. There were three cases, indicated by the pink fields (cases 2, 16, 17), where no improvement was observed, which is why these volunteers did not continue our test.
The other fields, indicated by light green, show the results of those volunteers, where improvement could be observed in comparison with their initial condition, irrespectively of whether their PASI curve showed a decline or whether it was fluctuating.
Based on the table summarizing PASI index scores we may summarise the 30 tested volunteers as follows: One patient’s data could not be evaluated due to his Atopic Dermatitis, but it should be mentioned that this volunteer gave positive feedback about the emollient effect of the preparations (case no’ 20). 3 patients aborted treatment right at the beginning, stating that it was ineffective (case no’ 2 – reduced from 6.2 to 6 and then had a renewed outbreak to 7.2 then stopped, case no’ 9 tried for a few days only, then stopped, case no’ 17 didn’t wait for an effect and stopped).
1 patient was hospitalised with an-other health problem unrelated (case no’ 9).
Evaluating patients over a given time span, the number of follow-ups varied. PASI index scores fluctuated heavily, with 7 patients, improvement was followed by deterioration (case no’ 2, case no’8 – got scared from the remission and stopped although showing good improvement before, case no’ 10 had an out break on a new part of the body, blamed the products and stopped, case no’ 15 showed great improvement, in midst of treatment suffered a more severe outbreak then the one he begin with, continued treatment, achieved almost clear skin, case no’ 21 – showed improvement and then erythroderma increased, needed a change in products to suit the new condition, decided to stop, case no’ 24 – showed more than 50% improvement but when products did not arrive by
mail, the situation deteriorated and the connection broke, case no’ 25 – showed 50% improvement when had a new outbreak, connection broke), and then improvement could be observed once more.
We advised patients many times not to become disappointed in case of deterioration, but continue with their treatment.
This fluctuation is part of the natural process of psoriasis, because improvement and deterioration will keep alternating owing to different provoking factors. With 11 patients (cases no’ 1, 6, 11, 12, 13, 22, 23, 25, 26, 28, 29) a relatively steady improvement could be noted.
When starting the Alocado™ treatment, we tried to choose patients who had not been treated with any steroids or other medicines within a given period before the test. However, taking these preparations was not a criterion for exclusion, since it is necessary to have some emollient treatment for those who took the aforementioned medication as in case no’ 12 here the test started whilst the patient was taking steroids (39.2 in the PASI index), we asked him to stop, once doing that the PASI level was increased by more then 40%, but with the continuation of treatment with the Alocado™ products it was reduced to 13.2 in the PASI index, an improvement of 76%. A discontinuation of treatment with steroids might trigger a relapse but the situation can be improved with a continuous usage of the Alocado™ products.
75 years old PASI index at start 39.2 for the past 15 years no improvement whatever medicine taken.
Very swolen, red and inflammed skin, sometimes very itchy, others not
Some areas are covered with thin plaque.
At current situation, using medicine with steroids, help minor.
Started Alocado™ treatment at the 28/9/06 received Alocado™ Gold for treating inflamation and Alocado™ Pasta for treating red swolen skin.
The moment stop taking medicines within one week situation worsen to 55 in PASI index (steroid effect).
After 1 month when inflamation reduced, Alocado™ Body oil and Alocado™ Cream for itching and dry skin were added. So
treatment included Alocado™ Gold, Alocado™ Body oil, Alocado™ Pasta and Alocado™ Cream, when inflamattion was
reduced to zero Alocado™ Gold was stopped.
After 1 more month at the 3rd of December 2006 the PASI index droped to 13.2. No Itching, No scaling, No inflamation, No swelling, No redness (small red dots are the only thing left, tipical to old peoples skin), fingurenails grew back better then before (were treated with Alocado™ Skin Softener).
Over all, pretty satisfying results.
On going treatment – Alocado™ Cream, Alocado™ Body oil and Alocado™ Skin Softener for maintanance.
In many cases improvement could be observed based on the regular application of the Alocado™ products. When stopping it, the skin’s condition deteriorated.
We observed that the efficacy of the products and the response to them could be increased by applying the appropriate Alocado™
product several times a day.
It has been observed that application 4 times daily (this dosage proved to be necessary to achieve maximum efficacy) resulted in the fastest improvement.
In the course of the treatment, we had to change products with many patients, because ALOCADO™ products are phase-specific, and a different product is recommended depending on the predominant symptom (scaling, inflammation, infiltration). In patients
showing improvement, the use of the compound called Gold should be emphasized, having a soothing effect on the itching, excoriated parts of the skin, which, quickly epithelizated, and the patient soon became asymptomatic.
An example of heavy usage of the Alocado™ Gold can be observed in case no’ 1
68 years old lady PASI index at start 26, for the past 10 years no improvement whatever medicine taken. Very swolen, very red and extermely inflammed skin, amazingly no itching.
At current situation, gave up on treatment for several years.
Started Alocado™ treatment at the 28/9/06 received Alocado™ Gold for treating inflamation and Alocado™ Pasta for treating red swolen skin and Alocado™ Cream for dry skin.
After 1 month of treatment, PASI index dropped to 13, inflammation reduced and at one area only pinkish coloration left. (patient refuse to stop taking the Alocado™ Gold although inflamation was reduced, we let it stay).
After two months PASI index 5 and less, No Itching, No scaling, No inflamation, No swelling, No redness but very light almost unnoticeable pink.
Over all, pret ty satisfying results.
On going treatment – Alocado™ Cream, Alocado™ Body oil and Alocado™ Bath oil for maintanance.
Because of the moderate improvement of PASI index scores and the fluctuating course of the illness, 10 patients (cases 2, 3, 8, 9,10, 14, 16, 17, 19, 30) claimed that the treatment did not have the desired effect. Besides acknowledging the improvement in the condition of the skin, the tenderness, the decrease of infiltration, the restoration of elasticity, resolution of scaling, the majority of patients claim inflammation persisted to very small degree.
Summary based on the objective results (PASI index scores): based on objective symptoms, PASI index scores improved in 23 cases (79.3%); PASI improvement of 50% was observed in 13 cases (56.5%), while a 75% improvement of PASI occurred in 4 cases (17.4%).
Subjective results based on patients’ self-evaluation: According to the volunteers, in 7 cases there was no significant improvement or the condition did not change (cases no’ 2, 5, 10, 19, 30), in the other 22 cases significant improvement was
In 5 cases the condition became asymptomatic to a degree not heard of (PASI 1 –1.6) using other preparations cosmetic or medicine (cases no’ 4, 6, 11, 15, 25). No side effects were observed. Some transitional irritation was reported.
Based on these results, it may be concluded that the phase-specific, emollient, palliative
natural compounds of the ALOCADO™ product line offer a highly effective alternative for
the treatment of psoriasis.
1. O. Braun – Falco. G. Plewig, H.H .Wolff, W.H.C Burgdorf: Dermatology Second, Completely Revised Edition, Springer
2. Prof. Louis Dubertret: Psoriasis from clinic to therapy Edition Med’com,2005
3. A lokális antipsoriatikus kezelés uj irányvonalai dr Hoffer Gábor
II.Budapesti B őrgyógyászati Továbbképző Tanfolyam Faragó, Katalin MD, Dermatologist | medical |
https://annemcnamara.com/ | 2021-04-21T19:41:27 | s3://commoncrawl/crawl-data/CC-MAIN-2021-17/segments/1618039550330.88/warc/CC-MAIN-20210421191857-20210421221857-00380.warc.gz | 0.930047 | 340 | CC-MAIN-2021-17 | webtext-fineweb__CC-MAIN-2021-17__0__212125523 | en | I Help Doctors Build Greater Purpose, Confidence, Resilience and Joy.
My Passion is to Work With Doctors and Medical Trainees, Supporting Their Wellbeing, Growth, and Success.
I Work With Doctors Who Are:
Dr. Anne McNamara, Doctor Coach
About Anne McNamara
My background in Clinical Respiratory Medicine, Critical Care, and Medical Leadership gives me a deep and broad experience of the Doctor’s world.
In my leadership roles, I coached Doctors and trainees in transition, new and established Medical leaders , distressed physicians, and teams of Doctors and other health care providers facing challenging situations.
The International Coaching Federation defines coaching as partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential.
During our coaching sessions, my deep listening, thought-provoking and compassionate feedback, and focused inquiry help you see your thoughts. You become better able to clarify issues, see alternate perspectives, identify barriers, and purposefully make choices that are best for you.
CUSTOMIZED INDIVIDUAL COACHING
WEBINARS AND WORKSHOP THEMES
Lawrence Yang, MD CCFP DABFM
Head, Family Medicine Department, Surrey Memorial Hospital
Medical Director, Gateway Medical Centre
As a busy family doc, I was recovering from work-related burnout. Coaching sessions with Anne McNamara were great for my well being. I was able to focus on what really mattered. I am more empowered; more equipped to sustain balance in my professional and personal life. My colleagues and family notice good changes in me.
Let's Have a Free Conversation | medical |
https://www.rhdtlaw.com/practice-areas/whistleblower-protection/health-care-fraud/ | 2024-02-20T23:35:03 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947473347.0/warc/CC-MAIN-20240220211055-20240221001055-00812.warc.gz | 0.956751 | 380 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__125659535 | en | San Francisco Healthcare Fraud Whistleblower Attorney
Healthcare Fraud Whistleblower Lawyers
At Rukin Hyland & Riggin LLP, our attorneys represent employees who are blowing the whistle on employers for committing healthcare fraud. These are often the employees who handle billing and accounting for medical professionals or who process payment and insurance claims. We frequently work with office managers, bookkeepers, secretaries and similar staff members. Regardless of the person’s specific position, our goal is the same: to help them exercise the rights and protections they are entitled to under qui tam law.
Examples of Healthcare Fraud
Health fraud comes in many forms. Some are obvious. Others are complex and intricate. All are illegal. Some common manifestations of healthcare fraud include:
- Fraudulently billing for drugs or medical services that were not actually provided
- Fraudulently billing for medical appointments that did not actually occur
- Falsely inflating the charges for drugs or medical services
- Falsely charging for brand-name medical products or drugs when the patient was actually provided with the generic version
Who Commits Healthcare Fraud?
Any individual or business involved in the healthcare industry may have the opportunity to commit healthcare fraud. This includes clinics, hospitals and individual medical providers, such as doctors, chiropractors, dentists, psychologists, and psychiatrists. Pharmacists and pharmacies, and even drug manufacturers may also have access to government resources like Medicare and Medicaid. Medicare fraud and Medicaid fraud, in particular, are among the most common forms of healthcare fraud.
Whistleblowers Are Protected
People who step forward to report employers that are taking advantage of money set aside to help people in need are protected by law. They cannot legally be terminated or retaliated against in any way. Furthermore, they are entitled to a portion of the recovery.
For more information, also see: Whistleblower Protection | medical |
https://blog.flyhaa.com/blog/navigating-faa-medicals-for-your-path-to-becoming-a-professional-pilot | 2024-03-04T12:33:34 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947476442.30/warc/CC-MAIN-20240304101406-20240304131406-00226.warc.gz | 0.924482 | 1,830 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__109333264 | en | Embarking on the journey to become a pilot is an exhilarating endeavor that involves not only mastering the art of flying but also navigating aviation regulations. One pivotal step in this process is obtaining your FAA Medical Certificate. This certificate, issued by an Aviation Medical Examiner (AME), attests not only to your fitness for flight but also paves the way for your ascent into the skies. Here's an explanation of FAA medicals and the crucial information you need to initiate your career as a professional pilot.
The Role of Aviation Medical Examiners (AMEs)
An Aviation Medical Examiner, or AME, holds the key to your journey as a pilot by conducting comprehensive medical examinations. Designated by the Federal Aviation Administration's Office of Aerospace Medicine, AMEs ensure that you meet the physical and mental health standards required for safely piloting an aircraft.
The Imperative of the Medical Certificate
Obtaining an FAA Medical Certificate is a crucial step in the process of becoming a pilot, holding significant importance for ensuring the safety of aviation operations. This certificate signifies more than just a requirement; it stands as a testament to your physical and mental fitness, signifying your freedom from medical conditions and medications that might compromise flight safety.
Before taking control of an aircraft and embarking on flights, aspiring pilots must secure an Airman Medical Certificate. This certificate formally validates your compliance with the medical standards set by the aviation authority, in this case, the Federal Aviation Administration (FAA) in the United States. The FAA acknowledges that certain medical conditions or medications could hinder an individual's ability to safely operate an aircraft. Thus, by issuing medical certificates, the FAA aims to ensure that only individuals who are physically and mentally fit to fly are permitted to do so.
It is of utmost importance to recognize that an aviation medical certificate is essential for soloing an airplane. This requirement emphasizes the vital role of medical certification in not only safeguarding your well-being but also prioritizing the safety of those who share the skies with you.
The Airman Medical Certificate is indispensable for all pilots, irrespective of whether they are designated as the pilot in command (PIC) or serve as pilot crewmembers. The certificate comes in different classes, each tailored to specific privileges and types of flying. These classes are commonly referred to as First, Second, and Third-Class Medical Certificates.
Medical Class Descriptions
First-Class Medical Certificate: This class is the most stringent and is required for pilots exercising the highest level of responsibility, such as airline transport pilots. These individuals need to undergo comprehensive medical evaluations regularly due to the demanding nature of their roles.
- Under 40: Valid for 12 months, followed by 3rd class privileges for up to 60 months
- Over 40: Valid for 6 months, followed by commercial pilot privileges for up to 12 months, then 3rd class privileges for up to 24 months
Second-Class Medical Certificate: Holders of this class are often commercial pilots and individuals involved in certain aviation-related activities. The medical assessment for this class is slightly less rigorous compared to the first class.
- Under 40: Valid for 12 months, then 3rd class privileges for up to 60 months
- Over 40: Valid for 12 months, then 3rd class privileges for up to 24 months
Third-Class Medical Certificate: A third-class medical certificate is typically required for individuals pursuing a private pilot license or an instrument rating. This certificate enables pilots to undertake non-commercial aviation activities, such as recreational flying and personal flights without compensation.
- Under 40: Valid for 60 months
- Over 40: Valid for 24 months
The medical examination conducted by an Aviation Medical Examiner (AME) covers a range of factors, including physical health, vision, hearing, medical history, cardiovascular well-being, and mental fitness. By carefully assessing these aspects, AMEs ensure that pilots are capable of safely performing their duties without posing a risk to themselves, passengers, or others in the airspace.
At Hillsboro Aero Academy, we require that incoming students enrolling in our Professional Pilot Program obtain a first-class or a second-class medical prior to your orientation date.
Mastering FAA MedXpress
MedXPress is an electronic platform provided by the FAA that allows individuals in need of FAA Medical Certificates or Student Pilot Medical Certificates to efficiently complete their medical applications online. The information you input into MedXPress will be accessible to your AME, facilitating the examination process. This online tool offers a streamlined approach to completing your medical application (FAA Form 8500-8) and ensures your medical information is readily accessible to your Aviation Medical Examiner (AME) during your medical examination.
How to Get Started
Create an Account
- Access MedXPress at https://medxpress.faa.gov/
- If you're a first-time user, click on "Request Account" and fill out the online form
- Provide your name and email address (your email address will serve as your account name)
- Answer three security questions for identity verification purposes
- You'll receive an email containing your initial password and instructions for completing the account request process
- After confirming your account creation, return to the FAA MedXPress login page
- Log in using your email address and the temporary password provided in the confirmation email
- You'll be prompted to set a permanent password
Complete the Application Form
- Upon logging in, you'll see the medical application form
- Fill out the form, ensuring accuracy and completeness
- When finished, click "I'm done. Send my application to the FAA" and then click "Submit"
- MedXPress will assign a confirmation number to your application upon successful submission
Save and Review
- If you need additional information or need to complete the form later, you can save your progress and return to it
- Click the "Save Now" button at the bottom of the page to save your entries and log off
- Your entries will be retained for your next session
Keep Your Confirmation Number
- After submitting your application, you'll receive a confirmation number
- This number is essential for your AME to review your medical information
- Bring the confirmation number to your medical examination, as your AME will need it to access your application
Once your AME imports your application using the confirmation number, it becomes a permanent record in the FAA's medical certification system.
Schedule Your Examination
The FAA offers an online search tool on their website to help individuals locate Aviation Medical Examiners (AMEs) based on location. By visiting the FAA's AME Locator page, users can input their location details and access a list of nearby AMEs. It's essential to specify the appropriate class of FAA Medical Certificate you intend to acquire during your search.
- You have 60 days from the date of submission to schedule and undergo a physical examination with your AME
- Failure to complete the examination within 60 days will result in the application being deleted
Navigating Health Concerns and Aspiring Higher
Navigating the intricacies of medical certification, especially when dealing with prior or existing health conditions, can be made easier through two valuable resources. Pilot Medical Solutions, located near Oklahoma City, offers personalized FAA medical support, guided by former FAA physicians in aviation medicine. They collaborate directly with your Aviation Medical Examiner (AME) and the FAA Standards office, ensuring accurate assistance.
Additionally, AOPA's Pilot Protection Services present another avenue for help. With a team of legal and medical certification experts, AOPA can aid you in obtaining your medical certificate. Their combined resources offer a comprehensive approach to overcoming challenges in the certification process, guiding you toward a successful aviation journey.
To explore these options and address the impact of your medical condition or health concern on certification, reach out to Pilot Medical Solutions or consider tapping into AOPA's Pilot Protection services for additional support. If you have concerns, it’s an opportune moment to begin your research and familiarize yourself with the Airmen Medical Standards & Certification procedures.
A Destination Awaits
Becoming a professional pilot involves not only mastering the skies but also navigating the intricacies of the medical certification process. At Hillsboro Aero Academy, your journey toward becoming a pilot takes off by securing a first or second-class medical certificate. If your aspirations include participation in airline partner programs such as Ascend Pilot Academy or the Horizon Air Pilot Development Program, a first-class medical certificate becomes the necessary requirement that unlocks your full potential prior to your application.
Our dedication to your success is reflected in every step of our admissions process. For those who dream of joining our vibrant aviation community, Hillsboro Aero Academy stands ready to illuminate your path. To discover more about turning your aviation aspirations into reality, reach out to us at [email protected] or call 503-726-3000. Your career as a professional pilot begins with the appropriate medical certification – the foundation upon which you'll construct your lasting aviation legacy. | medical |
https://www.drramonvarcoe.com/about-1 | 2019-11-12T11:48:31 | s3://commoncrawl/crawl-data/CC-MAIN-2019-47/segments/1573496665521.72/warc/CC-MAIN-20191112101343-20191112125343-00527.warc.gz | 0.938746 | 1,504 | CC-MAIN-2019-47 | webtext-fineweb__CC-MAIN-2019-47__0__143820113 | en | Professor Varcoe commenced medical training at the University of Adelaide in 1991. Throughout the next six years he balanced his medical studies with professional athletics, dominating sprinting in South Australia in the mid 90’s, setting state records and representing at the highest level in Australia. During the course of his medical degree he relocated to Sydney to further his athletics career with the hope of representing Australia in the 2000 Olympics.
He completed medical school in 1997 and began working as an intern and resident medical officer at Prince of Wales Hospital in Sydney. In 2000 he took a year’s leave of absence to train in athletics, however despite excellent sprinting performances injury intervened before the games and lead to retirement from the sport. This was a turning point for Professor Varcoe, allowing him to channel the discipline and thirst for perfection he’d discovered in elite sport into the discipline of surgery.
2001 through 2003 saw Professor Varcoe train in General Surgery both in Victoria and New South Wales before completing a Master of Surgery research degree at the University of Sydney and writing his thesis on the “Origins of Neointimal Hyperplasia”.
Specialist training in Vascular and Endovascular (minimally invasive) Surgery ensued in 2005 (The Queen Elizabeth Hospital, SA) where he was fortunate enough to spend regular time with Dr John Anderson, a pioneer and world leader in endovascular surgery. 2006 was spent at Prince of Wales Hospital under the tutelage of transplant pioneer Dr John Frawley and in 2007 he spent time at Westmead Hospital working under renowned vascular surgeon and academic, Professor John Fletcher. During 2007 he completed the Fellowship of the Royal Australasian College of Surgeons in Vascular Surgery.
In 2008, Professor Varcoe spent time in London at St Georges Vascular Institute and St Mary’s Hospitals honing advanced skills in minimally invasive treatment of the aorta for conditions such as aneurysm, dissection and trauma. Whilst there he accepted the invitation to visit several centers of excellence throughout Europe that were also engaged in advanced innovation in the treatment of Aortic disease so completing a focused aortic postgraduate fellowship.
Upon returning to Australia Professor Varcoe took a position as a Vascular Surgeon at Prince of Wales Hospital, where he is now director of operating theatres, as well as commencing a busy private practice. In 2009 and 2010 he was the co-chairman of the International Endovascular Symposium with the late Professor Geoff White and in 2009 he was chairman and convener of the annual scientific meeting for the Australia and New Zealand Society of Vascular Surgery, “Vascular 2009”. In 2013 he established Australia’s leading scientific congress of endovascular surgery “The VERVE Symposium”. He is course director of this annual forum which hosts a world renowned faculty of international and regional vascular specialists in a multi-day educational event (see www.VERVEsymposium.com).
He is founder of the New South Wales Vascular Journal Club Meeting which has been held four times per year since 2006 and has hosted a number of world leaders in the field of vascular and endovascular surgery. In 2011 he was elected as a member of the International Council of the International Society of Endovascular Specialists and is now on their executive board. He is a member of many learned vascular societies including the Royal Australasian College of Surgeons, ANZ Society of Vascular Surgery, International Society on Thrombosis and Haemostasis, International Society for Vascular Surgery, Section of Academic Surgeons and the John Loewenthal Surgical Research Society.
Throughout this time Professor Varcoe has nurtured a strong interest in surgical academic research and teaching which is now focused squarely with the University of New South Wales. He gained his first academic position at UNSW in 2001 and has achieved steady academic promotion since then to be Associate Professor of Vascular Surgery. He completed his PhD thesis “The Investigation of Novel Technology and Technique in the Treatment of Vascular Disease” at UNSW in 2015. He has published widely in respected peer reviewed journals and is an invited reviewer for the Journal of Endovascular Therapy, International Angiology, ANZ Journal of Surgery, Journal of Cardiothoracic Surgery, International Journal of Surgery, World Journal of Surgery, Journal of Clinical Ultrasound and Vascular and Endovascular Surgery. He is also on the editorial board of both the Journal of Endovascular Therapy and Journal of Cardiovascular Surgery, and regularly asked to speak at the world’s leading symposia both in Australia and overseas (see media for publications and more than 120 invited lectures).
He is the director of The Vascular Institute, Prince of Wales, one of Australia’s most prestigious vascular clinical trials centres. Through the institute he has been the lead investigator on several multi-centre clinical trials including the DESTINY 2, ABSORB BTK and MAJESTIC trials, which have focussed on saving limbs through the use of new stent devices.
He teaches at undergraduate as well as post-graduate level, sits on UNSW medical student selection interviews, is an undergraduate examiner and currently supervises a number of higher degree research students.
When he’s not at work Professor Varcoe enjoys taking his two young boys fishing around Sydney’s Eastern suburbs beaches. He rarely catches fish but enjoys the process nonetheless.
1997 Bachelor of Medicine, Bachelor of Surgery, University of Adelaide
2004 Master of Surgery, University of Sydney
2007 Fellow of the Royal Australasian College of Surgeons, Vascular Surgery
2016 Doctorate of Philosophy, University of New South Wales
Consultant Vascular Surgeon, Prince of Wales Hospital
Consultant Vascular Surgeon, Sydney Children’s Hospital
Consultant Vascular Surgeon, Royal Hospital for Women
Consultant Vascular Surgeon, Prince of Wales Private Hospital
Consultant Vascular Surgeon, Eastern Heart Clinic
Associate Professor, Conjoint, University of New South Wales
Supervisor of Vascular Surgical Training, Prince of Wales Hospital
Co-Director, Vascular Diagnostic Centre, Prince of Wales Hospital
Director, The Vascular Institute, Prince of Wales
Vascular Surgery Representative, Medical Advisory Committee, Prince of Wales Private Hospital
Chairman, Perioperative Committee, Prince of Wales Private Hospital
Co-Chairman and Convener, International Endovascular Symposium
Australian Delegate, International Council, International Society of Endovascular Specialists
Royal Australasian College of Surgeons, Fellow
ANZ Society of Vascular Surgery, Full Member
International Society of Endovascular Specialists, Full Member
International Society on Thrombosis and Haemostasis, Full Member
International Society for Vascular Surgery, Full Member
Section of Academic Surgeons, Royal Australasian College of Surgeons
John Loewenthal Surgical Research Society, University Of Sydney, NSW
Conjoint Committee for the Recognition of Training, Peripheral Endovascular Therapies
Conjoint Committee for the Recognition of Training, Carotid Angioplasty and Stenting
Conjoint Committee for the Recognition of Training, Aortic Fenestrated and Branched Endografting | medical |
https://picturesandpages.com.au/p/non-fiction-the-conscious-parent-s-guide-to-adhd-a-mindful-approach-for-helping-your-child-gain-focus-and-self-control | 2020-02-23T04:17:19 | s3://commoncrawl/crawl-data/CC-MAIN-2020-10/segments/1581875145746.24/warc/CC-MAIN-20200223032129-20200223062129-00084.warc.gz | 0.947474 | 280 | CC-MAIN-2020-10 | webtext-fineweb__CC-MAIN-2020-10__0__42741774 | en | Author(s): Rebecca Bransletter
The vast amount of information on ADHD can be overwhelming, often leaving parents feeling frustrated, stressed, and powerless to help. But with the professional, accessible advice presented here, parents will learn how to focus on the child and his needs, rather that worries about the future. The Conscious Parent's Guide to ADHD helps parents: * Obtain and understand a diagnosis * Weigh pros and cons of medication * Find the right treatment * Lower stress levels for both parent and child * Handle sibling issues * Get their child to focus at home and school * Communicate effectively, stay positive, and encourage their child This book provides an all-encompassing look at ADHD-its symptoms, its causes, and its treatment-so that parents can remain flexible, calm, and mindful while taking the necessary steps to create a better future for their child.
Rebecca Branstetter, PhD, is a child and adolescent psychologist and school psychologist in the San Francisco Bay Area. Dr. Branstetter assesses and counsels children and adolescents with learning and emotional challenges in public schools and in private practice, including children with ADHD. Dr. Branstetter is the author of the popular blog Notes from the School Psychologist, as well as The Everything(R) Parent's Guide to Children with Executive Functioning Disorder, a popular guide for families of children with ADHD. | medical |
https://www.batterseafieldspractice.co.uk/local-services-2/help-for-hearing-hearing-aid-repair-service-wandsworth/ | 2018-09-22T05:01:53 | s3://commoncrawl/crawl-data/CC-MAIN-2018-39/segments/1537267158045.57/warc/CC-MAIN-20180922044853-20180922065253-00266.warc.gz | 0.854092 | 668 | CC-MAIN-2018-39 | webtext-fineweb__CC-MAIN-2018-39__0__2324055 | en | Help for hearing in Wandsworth
Do you live in Wandsworth and need help with your hearing aids?
If so, our Hear to Help service may be able to help you!
Our Hear to Help service in Wandsworth is delivered in partnership with St. George’s NHS Trust. We provide support to NHS hearing aid users, enabling people to make the most of their hearing aid and manage their hearing loss effectively.
Our service is community based and our community support officer and volunteers provide the service through outreach work, home visits and drop-in services. Our free service includes:
- tubing, minor repairs, earmould cleaning and battery replacement
- basic training for hearing aid users on maintenance and usage of their hearing aid
- providing advice and support to enable people to make the most of their hearing aid
- providing information on other equipment and services.
Location: Age UK, 549 Old York Road, London, SW18 1TQ
Date: 3rd Thursday of the month
Time: 10:00 – 12:00
Location: St John’s Therapy Centre, Entrance B,162 St John’s Hill, Battersea, London, SW11 1SW
Date: 2nd Wednesday of the month
Time: 10:00 – 12:30
Location: St Michael’s Day Centre for Elderly People, St Michael’s Church Hall, Cobham Close, London, SW11 6SP
Date: Last Thursday of the month
Time: 10:30 – 12:30
Location: Furzedown Project, 91-93 Moyser Road, Streatham, London, SW16 6SJ
Date: Last Wednesday of the month
Time: 14:00 to 15:30
Location: St Paul’s Community Centre, 23 Inner Park Road, Wimbledon, London, SW19 6ED
Date: 1st Tuesday of the month
Time: 11:00 – 13:00
Location: Platt Christian Centre, 22 Felsham Road, Putney, SW15 1DA
Dates and times subject to change so please contact either our Community Support Worker or the venue for confirmation.
Telephone: Community Support Worker on 0750125744 or Platt Christian Centre on 0208 780 9330
Location: Battersea Park Library, 309 Battersea Park Road, London, SW11 4NF
Date: Last Friday of the month
Time: 14:30 – 16:30
Location: Brocklebank Health Centre, 249 Garratt Lane, London, SW18 4DU
Date: 1st Thursday of the month
Time: 14:30 – 16:30
For further information about our service in Wandsworth, or if you are interested in becoming a Hear to Help volunteer, please contact:
Beverly Leach, Action on Hearing Loss Community Support Officer, Audiology Department, Ground Floor, Lanesborough Wing, St. George’s Hospital, Tooting SW17 0QT
Mobile: 07501 257 443
Telephone: 020 8725 1151
Textphone: 020 8725 3019
Fax: 0208 266 6255
Email: [email protected] | medical |
https://woldcnews.com/19007/michael-jacksons-death-ruled-homicide/ | 2023-01-27T20:41:42 | s3://commoncrawl/crawl-data/CC-MAIN-2023-06/segments/1674764495012.84/warc/CC-MAIN-20230127195946-20230127225946-00294.warc.gz | 0.97183 | 494 | CC-MAIN-2023-06 | webtext-fineweb__CC-MAIN-2023-06__0__266791749 | en | HOUSTON – The Los Angeles County coroner ruled Michael Jackson’s death a homicide Monday after a search warrant affidavit revealed that Jackson had lethal levels of the powerful anesthetic propofol in his system when he died.
The document unsealed Monday allowed officials to raid the Houston offices and storage facility of Dr. Conrad Murray last month.
According to the warrant, Murray, Jackson’s personal physician, had been treating the singer for insomnia with the sedative for six weeks. According to the document, Murray said he had been trying to wean Jackson off the powerful sedative by using smaller doses in combination with the sedatives lorazepam and midazolam.
On the morning Jackson died, Murray said he tried to induce sleep without using propofol, starting first with valium at 1:30 a.m. When he was still awake at 2 a.m., Murray injected Jackson with lorazepam, then injected him with midazolam at 3 a.m. Murray told police he administered several other drugs over the next few hours.
By 10:40 a.m., Jackson, still unable to sleep, urged Murray to give him propofol. Murray said in court documents that he administered 25 milligrams of the drug at that time, then left Jackson alone under the influence of the drug to make phone calls to his Houston office. When he returned, Jackson was not breathing. He performed CPR while a member of Jackson’s staff called 911. The singer was rushed to UCLA Medical Center where he was declared dead sometime later.
The affidavit says , while Murray acknowledged to police that he administered propofol, authorities said they could find no evidence that he had purchased, ordered or obtained the medication under his medical license or Drug Enforcement Administration tracking number. The newspaper also reported that police detectives found about eight bottles of the aneesthetic in Jackson’s house along with other vials and pills that had been prescribed to Jackson by Dr. Murray, Dr. Arnold Klein and Dr. Allan Metzger.
Valium, lorazepam, clonazepam, tamsulosin and other drugs also were confiscated in the search, and propofol was found in Murray’s medical bag. According to the warrant, Murray told police he was not the first doctor to administer propofol to the singer. | medical |
https://www.assetgrade.com/blog/addressing-dementia-how-detect-evaluate-and-approach-suspected-cognitive-impairment | 2024-04-21T07:50:16 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296817729.87/warc/CC-MAIN-20240421071342-20240421101342-00540.warc.gz | 0.960843 | 3,080 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__59641765 | en | Addressing Dementia: How to detect, evaluate and approach suspected cognitive impairment
By: Jennifer Pilcher, Ph.D., CMC
Talking about dementia can be hard and scary. However, learning about the common symptoms, the difference between dementia and normal aging, and what you can do if you get a diagnosis of dementia can help to alleviate fear and help you be more prepared to address this issue for yourself, a client or a family member.
What is the difference between normal aging and dementia?
It is important to understand and acknowledge that there is a difference between Normal Aging and Dementia. As people age, there are several changes that occur in the brain that are related to the normal aging process including:
- Takes longer to encode, store, and retrieve information
- Rate at which new information is learned is slower
- Greater need for repetition
- Long and short- term memory changes
- Word finding ability declines
- Abstraction and mental flexibility shows some decline
Dementia, on the other hand, has symptoms that are above and beyond what we would expect to see in a normal aging process. Dementia is not a disease itself, it’s a syndrome or a description of a collection of symptoms.
The symptoms of dementia can include increased confusion, short term memory loss, poor judgment, difficulties with language and word finding, visual-spatial reasoning and changes in mood including: paranoia, suspicion, depression, anxiety and agitation.
The important distinction between normal aging and dementia are two things:
- Most people with cognitive changes related to normal aging are able to use compensatory strategies such as making lists or using a calendar to manage the changes.
- People with dementia, on the other hand, they are less likely to be able to use these strategies independently. Most importantly, the changes they are experiencing are interfering with their ability to function in regular life and having a serious impact on their lifestyle.
What causes dementia?
The most common cause of dementia and the one most people are familiar with is Alzheimer’s disease. Alzheimer’s alone makes up to 70% of dementia cases. Alzheimer’s disease systematically shrinks and destroys many of the areas of the brain. The cortex shrivels up, the ventricles grow larger and the hippocampus shrinks which is a key area of the brain that allows us to store memories. In fact, there are actually over 20 different variants of these diseases that can cause dementia. These other variants include Vascular Dementia, Frontotemporal Lobe Dementias, Lewy Body Dementia and many others.
Recognizing that there are other causes of dementia is important because these variants present very differently. Pretty much everyone knows at this point that the first and most prominent symptom of dementia caused by Alzheimer’s disease is memory loss. However, the non Alzheimer’s dementias have very different initial symptoms that may be overlooked or misinterpreted if you aren’t aware of them. For example, people with Frontotemporal Lobe Disorders may appear withdrawn, experience personality change or have issues with their language. People with Lewy Body Dementia have hallucinations, sleep disorders and Parkinson’s like symptoms. People with Vascular Dementia often have issues with executive functioning and cognitive slowing as well as apathy and falls. For many of these atypical dementias, if you didn’t know better you might suspect depression, mid life crisis or substance abuse. It can be very difficult for people who have these variants to get a diagnosis.
Importance of Medical Evaluation
If you or someone you know is experiencing any of these symptoms, it is important that you first pursue a medical workup to rule out other reasons for the symptoms you are having. There
are several illnesses that are not dementia, but have dementia-like symptoms. Depression can often have symptoms that look like dementia, but are actually treatable. As well, there are metabolic and organic changes or illnesses that could create dementia-like symptoms but are actually reversable. It is vitally important to rule out these other causes of these symptoms before assuming a person is experiencing dementia.
How is a Diagnosis of Dementia Made?
There are a series of imaging and other tests, including blood tests that can now help neurologists to narrow down which disease a person may be experiencing. Both MRI and PetScan are routinely used to identify changes that are not related to normal aging, but also to identify what part of the brain is being affected. Lastly, a lumbar puncture is now routinely being done to rule out or rule in Alzheimer’s disease.
However, the imaging that is done is only half of the diagnostic process. Additionally, the neurologist takes a thorough patient history and extensive interviews with the patient’s family or friends. These interviews are combined with a battery of tests that are called neuro – psychological testing. This testing usually takes a few multiple hour sessions to complete. If you or someone you know are experiencing symptoms of dementia, it is vitally important that they have this testing done.
Despite the fact that we have these two systems for determining a diagnosis, it can still be quite difficult to get a diagnosis, especially if you are experiencing symptoms of one of the atypical dementias.
Differential diagnosis and why it is important
It is important not just to have a neurologist determine that you are experiencing symptoms of dementia, but also to be able to identify what kind of dementia you are experiencing. This is called getting a “differential diagnosis”. Part of the reason that a diagnosis of atypical dementia is difficult to get is that the routine screening mechanisms we use are not set up to detect the symptoms of atypical dementias. There are several screening tools that are typically used for this purpose. For example, the Mini Mental Status Exam (MMSE) or The Montreal Cognitive Assessment (MOCA). These tools are created to detect changes in several different kinds of memory and executive functioning. However, they are not able to assess judgment, impulse control, personality change, and/or rational thinking, all of which are common signs of atypical dementias such as Frontal Temporal Lobe Dementia. A patient can have a decent score on one of these screening tools but still be experiencing dementia. For this reason, if you are experiencing a non-Alzheimer’s dementia, it may take several visits to the neurologist 6 months 3 years to get a differential diagnosis.
Getting a differential diagnosis is important for two reasons:
- Because these atypical dementias are so different, they are also treated differently both pharmaceutically and non pharmaceutically. Some of the medications that neurologists would use to treat one dementia could actually exacerbate the symptoms of another.
- Getting a differential diagnosis can help the caregiver understand the brain science behind what is happening and that the behaviors the person is exhibiting are not intentional, but rather disease related. This explanation can go a long way to avoiding caregiver burnout.
But How Do We Talk About It?
Thus far, we have discussed how to recognize your client or their family member may have a cognitive impairment and what the diagnostic process looks like.
Next we need to talk about how to talk with your Client or the family about your concerns.
This is tricky business. The first thing to know is that almost all people with dementia have a symptom called Anosognosia: a lack of insight or awareness of their impairment, the severity of their impairment or how their impairment impacts their daily life. For people who have this symptom, it is virtually impossible to have a rational and straightforward conversation with them about their illness or potential illness. In some ways, this is seen as a protective measure for the person with the illness. But for caregivers or those trying to get the person evaluated or more support as they need it, this is really difficult. It is important to acknowledge this is NOT denial, this is true lack of awareness. If you are seeing potential signs of cognitive impairment, it is very important for you to understand and explain to your client’s family that that the person with the impairment may not be able to acknowledge the illness no matter what you say.
Given that lack of insight is an issue, how do you talk with your clients about the concerns you or they are observing?
- Reassure the client or family member that many people experience changes in cognition as they age.
- Ask questions, ask the client or family member to give details about their symptoms and how or if these symptoms are interfering with their daily life.
- Ask these questions separately to the client and the caregiver and watch for difference in reports.
- Whatever you say, don’t use the “word” dementia. Talk about symptoms, not labels. Refer to symptoms the person themselves have talked about experiencing. Rather than saying. “If you are worried you have dementia, you should see a doctor”. You would say “For other clients of mine who have experience memory loss/cognitive changes/difficulty with attention, I have suggested the following……..”
The key to a successful conversation is to reflect back what the client and/or their family members are reporting without creating more fear.
Other Talking Points
Educate about Causes
Previously we discussed what causes dementia. However, there are other illnesses that can cause dementia-like symptoms that are not actually a result of dementia. For example, things like depression, delirium or even dehydration in extreme cases can cause dementia-like symptoms.
When I am speaking to a family and/or the client about the need for testing, I am often pointing out that it is possible their symptoms are being caused by something that is treatable and that it would be a shame if we didn’t know that. This is often something that both clients and their family members can hear and will help motivate them to seek out evaluation. A person experiencing symptoms should get a full medical workup in order to rule out organic or metabolic causes.
Pointing out the importance of early detection is another way to approach this subject.
At the current time, although we have some medications that can slow the progression of the dementia and treat the common side effects of these diseases, there is no prevention or curative treatment. However, early detection of these diseases is critically important for a few important reasons.
First. research has shown that there is a pre-clinical phase of dementia where the patient is not experiencing any symptoms. This phase can be up to 10-15 years before the person is showing symptoms we can identify. Our detection has gotten better over the years. In the past, we could only recognize symptoms of cognitive decline when a person had fully developed Alzheimer’s disease. Now we are able to recognize a syndrome called Mild Cognitive Impairment (MCI), which is often a precursor to developing Alzheimer’s disease.
Second, much of the research about the medications we have available to treat dementia today are believed to be more effective the earlier you receive them in the
process of the disease. In fact, there is a common belief among the developers of these drugs that they would be more effective if they were given in the pre-clinical stage of the illness.
Lastly, there are things we can do to address both the progression of the illness and the common symptoms. For example, we can provide interventions to help with:
- Communication with Speech Pathologists
- Physical and motor issues with Physical and Occupational Therapists
- Diet and lifestyle
- Cognitive strengthening and training
- Avoiding social isolation, depression and anxiety
- Adjusting estate plans and creating documents
Solo Conversations with Caregiver
Keeping the client’s lack of insight in mind, it may be very important for you to have a 1:1 conversation with the well family member to reinforce or introduce ideas you may have mentioned in a group setting. This is important even if the client appears to have insight about their symptoms and is willing to address or evaluate it. You may need to give the family member more information about the reasons for getting a full neuro psychological workup to determine if what they are seeing is a result of normal aging or a disease process.
It is important to talk to the caregiver about the fact that it will take time to get a differential diagnosis and that they may have to push for more definition over time if symptoms don’t resolve. Getting a differential diagnosis can also help the family member understand the symptoms of the illness and allow them to learn strategies for addressing the symptoms. Most importantly, this will help the caregiver to understand the behavior is not intentional and to plan supports accordingly.
Lastly, it is essential to speak to well family member alone about supports for themselves as they go through this process. The data on caregiving is not good. In one recent study 17% of caregivers reported that their health was either fair or poor – this is 7 percentage points higher than the general population average. In this same study 38% of caregivers reported feeling highly stressed due to caregiving responsibilities. Equally as shocking are the number of caregivers that predecease the person with dementia due to stress of caregiving. For these reasons, planning for both emotional and practical support is essential for the caregiver’s well being and survival.
Bringing in Other Professional Support
Once you have begun the conversation with a client and/or their family member about potential concerns, you may want to consider bringing in other professionals to help. Here are some examples of when it would be a good idea to do so:
- If a client or family member is seeking out education about dementia and how to get connected to a neurologist.
- If client is highly resistant to getting an evaluation or doesn’t acknowledge the problem
- If there are complicated family dynamics or co-mingling problems
- When the care or supervision of a person with dementia is getting difficult
- If the person you are concerned about is younger (-65 years old), a diagnosis like this can be financially devastating. (For this age group, there are many different implications for disability benefits and the need for Medicaid planning. This would be a good time to introduce an Elder Law Attorney if the client does not already have one).
Below are some resources you can utilize to find professionals that can be helpful.
For information about dementia and caregiver training/support
Alzheimer’s Association (https://www.alz.org/manh)
The Dementia Care Collaborative (https://dementiacarecollaborative.org/)
To search for an Elder Law Attorney in your area:
For help with caregiver education, resistance to evaluation or care, complicated family dynamics or co-mingling problems or for problem solving when the care of supervision of a person with these symptoms is getting difficult, consult an Aging Life Care Professional in your local area: | medical |
https://www.nunwellsurgery.co.uk/info.aspx?p=5 | 2022-08-09T17:06:58 | s3://commoncrawl/crawl-data/CC-MAIN-2022-33/segments/1659882571056.58/warc/CC-MAIN-20220809155137-20220809185137-00549.warc.gz | 0.933164 | 740 | CC-MAIN-2022-33 | webtext-fineweb__CC-MAIN-2022-33__0__90007180 | en | New Shared Care Record delivering better, safer care for all our patients
We wanted to let you know that we have finally connected our systems to offer joined-up health and care records, which will enable better, safer care and treatment for all our patients.
As a GP, it is difficult to provide joined-up care with so many separate systems for handling patient information. These were not connected, meaning that you often had to repeat your story each time you received care at a different organisation, or with a different health professional. The Shared Care Record means up-to-date records will be immediately available to professionals caring for you as a patient, when you need direct care.
It will mean, for instance, a doctor in a hospital, or a paramedic who attends a 999 call will be able to confidentially access the same crucial information that we can at the Practice, such as details of any allergies and current medications, bringing potentially life-saving benefits.
Robust security measures are in place to protect your health information and all staff must follow the law on keeping your information confidential.
The Shared Care Record is not the same as the General Practice Data for Planning and Research Directions (GPDPR), which is a national NHS Digital initiative to use GP practice data for research and planning purposes.
The Shared Care Record is a local initiative to share information with organisations directly involved in your care to ensure that you receive prompt and appropriate treatment when you need it.
For more information, you can:
Please do not contact the Surgery - we are unable to process these opt-out requests.
H&W Shared Care Partner Organisations - November 2021
General Data Protection Regulations
26th May, 2018
The General Data Protection Regulation (GDPR) is a new data privacy law that was introduced in the UK on 25th May 2018 requiring all public organisations to identify changes that need to be made to achieve GDPR compliance in their personal data processing activities. The regulation will put you in control of your personal data, allowing you to choose how (and whether) Practices can use your data. The new regulation will still apply to organisations once the UK leaves the EU in 2019.
GDPR Practice Privacy Notice
GDPR Privacy Notice for Children
Due to Covid-19 and to be compliant with NHS Digital transparency, we have a temporary additional privacy notice during this time
Having read the information above you may decide that you would like to restrict some of the information we hold on your medical record from being shared. There are several options that we can add locally and these are detailed on the Data sharing opt-out form below. Should you wish to complete the National Opt-out there is also an information leaflet below.
Where a patient has previously opted-out from sharing their medical record this has been coded on your record and will remain, preventing this information being shared as per your wishes. The National Opt-out Team will write to you if this needs to be updated. If you chose to prevent any information leaving the practice, you have until 2020 to confirm this to the National Opt-out team – details of how to do this are on the leaflet below.
Data sharing opt-out form
National Opt-out leaflet
More info and to opt out online | medical |
https://www.wintertexantimes.com/news/web-exclusives/2822-doctors-encourage-patients-to-continue-monitoring-their-health.html | 2024-04-19T06:52:00 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296817289.27/warc/CC-MAIN-20240419043820-20240419073820-00515.warc.gz | 0.942477 | 1,177 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__135680112 | en | DHR Health Integrates TeleHealth into Specialty Clinics to Keep Patients Healthy Amid the Pandemic
(April 20, 2020) - Edinburg, TX — While hospitals across the country report a decline in patients admitted for strokes, heart attacks, emergency appendectomies and other urgent health concerns, physicians at DHR Health caution that the decline may be attributed to people’s fears about being admitted to the hospital during the COVID-19 pandemic. With policies and protocols in place to prevent disease spread within the hospital and clinics, doctors are reminding patients to pay close attention to their health and to contact their healthcare provider when experiencing unusual pain or symptoms.
DHR Health’s main focus is caring for the needs of patients. The hospital’s surgeons, trauma team and Comprehensive Stroke Center team, among other specialists, continue to be on call for the emergent medical needs of the community. DHR Health specialty clinics remain open and are offering TeleHealth services to patients. Additionally, patients who are experiencing non-life-threatening symptoms but need immediate attention can visit one of DHR Health’s three urgent care locations.
“In spite of the ongoing crisis and as we fight to prevent the spread of COVID-19 in the Rio Grande Valley, the medical personnel at DHR Health would like to remind the public that WE ARE HERE FOR YOU and that we’re taking all necessary precautions to safeguard and protect our patients in our community,” said Carlos Garcia-Cantu, M.D., chairman of the board of the Renaissance Medical Foundation. “It’s important to remember that there are many other healthcare problems that need immediate close attention. Please contact our physicians and do not wait before it is too late."
Doctors are particularly concerned about patients with chronic conditions such as diabetes, heart disease or kidney disease as well as those who maybe immunocompromised due to a recent transplant, cancer treatments or other conditions. Additionally, expectant mothers should stay in regular communication with their obstetricians.
To help provide patients continuity of care, DHR Health is offering TeleHealth services so that providers can conduct appointments via audiovisual services such as videoconferencing through the internet, streaming media, or through wireless communications.
“Through TeleHealth we’re providing a lifeline –literally and figuratively—to our patients in the Valley, allowing them to maintain their medical care while also practicing social distancing.” “We’re able to conduct follow up appointments and surgical consultations,” said Jose Almeda, M.D., Director, DHR Health Transplant Institute. “It has really added another dimension to the doctor-patient relationship with more personable interaction right from the patient’s living room. The patients really seem to like it and are more appreciative, especially because of the convenience factor.”
Many of the physicians at DHR Health’s specialty clinics, school-based clinics and urgent cares also appreciate the flexibility that the technology offers them to conduct assessments, provide clinical care and engage with patients.
Marcel Twahirwa, M.D., Medical Director of DHR Health’s Diabetes and Endocrinology Institute, says that it’s critical to have the TeleHealth capabilities for his team and patients in the Rio Grande Valley, especially because diabetes is one of the leading causes of death in the United States and the fifth leading cause of death among Hispanics.
“People with diabetes have a higher risk for secondary health conditions including heart disease and kidney disease, so they need this extension of their medical care that TeleHealth offers,” said Twahirwa. “We’re urging patients to contact us if they are experiencing lower or higher than normal glucose levels or getting low in their medications and supplies. We’re equipped to provide patients with all the resources necessary needed to control their diabetes.”
Marissa Gomez-Martinez, M.D. says TeleHealth has had a major impact with patients at the DHR Health Edinburg CISD School Based Health Center.
“TeleHealth has been a game changer for us during this time. It has been very useful and has helped us save patients from falling through the cracks,” said Gomez-Martinez. “Patients are relieved to know that they can still see us. Just hearing our voices has helped our patients remain calm and helped reduce their fears. Being able to talk to a physician has allowed them to know that they are not alone”.
This virtual visit enables DHR Health physicians to safely treat patients while following social distancing guidelines. When needed, physicians will call in prescriptions to a patient’s pharmacy. With step-by-step instructions available on the DHR Health website, www.DHRHealth.com patients have found the TeleHealth services to be very accessible and convenient.
“I loved having the TeleHealth option and I highly recommend it. You don’t need to be technology smart to use this, it was a great experience, very personalized, great communication and the app is easy to use,” said Magdalena Ojeda, a DHR Health patient. “I loved it, you are face to face with your doctor and do not need to worry about getting exposed at a doctor’s office since this method allows you to stay home. The doctors are asking the same questions they ask when you go to their office.”
For more information about DHR Health TeleHealth, please call Rene Hinojosa at (956) 362-3087 or visit our website; www.DHRHealth.com | medical |
https://beautynoura.com/eating-yogurt-twice-a-week-may-lower-heart-disease.html | 2019-12-12T09:12:50 | s3://commoncrawl/crawl-data/CC-MAIN-2019-51/segments/1575540542644.69/warc/CC-MAIN-20191212074623-20191212102623-00327.warc.gz | 0.968398 | 395 | CC-MAIN-2019-51 | webtext-fineweb__CC-MAIN-2019-51__0__178842285 | en | New US research has found that adding yogurt into your diet could be one way of reducing high blood pressure, a major risk factor for cardiovascular disease.
Carried out by researchers from Boston University, Brigham and Women’s Hospital and Harvard Medical School, and Harvard T.H. Chan School of Public Health, the team looked at more than 55,000 women ages 30-55 and more than 18,000 men ages 40-75 who all had high blood pressure.
High blood pressure, also known as hypertension, affects about one billion people worldwide. Previous studies have shown that a higher dairy consumption could have a beneficial effect on the condition, as well as other cardiovascular risk factors such as type 2 diabetes and insulin resistance.
In the new study the team found that a higher intake of yogurt — consuming more than two servings a week — was associated with a 30 percent reduction in the risk of heart attack among women and a 19 percent reduction in men, compared to those who ate one serving of yogurt a month.
In addition, women also showed a 17 percent lower risk of major coronary heart disease or stroke, and men a 21 percent lower risk.
Higher yogurt intake in women was also associated with a 16 percent lower risk of undergoing revascularization, a surgical procedure which restores blood supply to a body part or organ.
“We hypothesized that long-term yogurt intake might reduce the risk of cardiovascular problems since some previous small studies had shown beneficial effects of fermented dairy products,” said one of the paper’s authors, Justin Buendia. “Here, we had a very large cohort of hypertensive men and women, who were followed for up to 30 years. Our results provide important new evidence that yogurt may benefit heart health alone or as a consistent part of a diet rich in fiber-rich fruits, vegetables, and whole grains.”
The findings can be found published online in the American Journal of Hypertension. | medical |
https://www.wendellodom.com/not-guilty-on-all-counts-healthcare-fraud-pt-ii/ | 2023-09-28T13:40:40 | s3://commoncrawl/crawl-data/CC-MAIN-2023-40/segments/1695233510412.43/warc/CC-MAIN-20230928130936-20230928160936-00454.warc.gz | 0.957892 | 1,746 | CC-MAIN-2023-40 | webtext-fineweb__CC-MAIN-2023-40__0__63364862 | en | Not Guilty on All Counts – Healthcare Fraud (Pt. II)
In the first post, we discussed the nature of the charges and the history of chelation therapy in the United States. In this post, we will discuss the main issue at trial under count one and the legal principles at issue in a medical judgment case. Other posts written by our health care fraud attorneys can be found at our page devoted to health care fraud.
Battle of the Experts – Is Chelation Therapy Medically Necessary?
Under the Medicare guidelines, a doctor promises to bill for procedures that are medically necessary. Medical necessity is defined as “Services or supplies that: are proper and needed for the diagnosis or treatment of your medical condition, are provided for the diagnosis, direct care, and treatment of your medical condition, meet the standards of good medical practice in the local area, and aren’t mainly for the convenience of you or your doctor.” See The Center for Medicare and Medicaid Services (CMS) Guidelines.
The prosecution alleged the use of chelation therapy to treat disease in patients with blood lead levels under 20 µg/dl was not medically necessary. In their view, chelation therapy was not an accepted standard of care for patients absent acute lead poisoning.
The main issue was determining the medical necessity of chelation therapy to treat underlying diseases caused by the presence of lead in the patients’ blood. This argument centered on the testimony of two experts from different areas of medicine. Each having a unique view on chelation therapy as a treatment.
The government called a toxicologist to set the foundation for their case in count one. Relying on standards promulgated by OSHA in the 1970’s, their expert stated she had never heard of using chelation therapy to treat any condition other than acute poisoning. She had not read any of the studies over the last 20 years though many of these studies were published in reputable health journals in the United States.
The government’s expert essentially recited the OSHA standards and provided her view that chelation therapy is only appropriate for acute poisoning. She could not define a blood lead level where treatment would be necessary but admitted the threshold would be far greater than the levels seen in the defendant’s patients (OSHA does not advise chelation therapy prior to 50-70 µg/dl. The defendant treated patients from 2 to 20 µg/dl).
The defense expert was an epidemiologist who graduated from Harvard University. He had a compelling work history including consulting with the United Nations and working with local governments during the lead event in Flint, Michigan. The defense expert was well versed in the OSHA standards as well as the ongoing studies testing the efficacy of chelation therapy to treat various diseases. The expert was a listed author in many of these studies.
Noting that the defendant’s actions were “cutting edge,” the expert laid out the history discussed previously in part I of this post. He was unwilling to state he would have performed chelation therapy on the defendant’s patients under the current science. However, he believed it was reasonable for a doctor to believe this therapy was necessary to treat patients in the Galveston region (highlighting the increased lead exposure history of the elderly in the Galveston area).
The Mens Rea of Fraud
The litigation seemed to center around a fight over the science. Throughout trial, the government attempted to show that chelation therapy was not medically necessary or the accepted standard of care. Though important, this fight failed to address the crux of the allegation. Not every procedure performed, later determined as not medically necessary, constitutes criminal fraud.
This was not a civil case. Fraud requires the government to show the defendant acted with the guilty mind necessary for criminal conviction. Notably, the government must prove the defendant acted willfully and with the specific intent to defraud the Medicare system. These mens rea terms boil down to one overarching principle – to commit fraud, the defendant must KNOW the procedure was not medically necessary when the claim was submitted. And in a criminal case, that fact must be proven beyond a reasonable doubt.
The case cannot be prosecuted effectively if the government focuses on proving the medical necessity of the procedure. The more time that is spent attacking that element, the more reasonable it seems the defendant honestly believed in his version of the science. Put differently, if the defendant can force the government to defend their medical necessity position, their ability to show the mens rea required is greatly diminished.
The mens rea elements of fraud were the key to obtaining a not guilty in count one. The district court believed there was science supporting the defendant’s use of chelation therapy and the defendant reasonably believed his actions were helping his patients. When these elements are met, the correct answer is always not guilty. Congress understood this principle when they enacted the health care fraud statute – “The Act is not intended to penalize a person who exercises a health care treatment choice or makes a medical or health care judgment in good faith simply because there is a difference of opinion regarding the form of diagnosis or treatment.” H.R. Report 104-736, July 31, 1996, page 258.)
The Case Always Needed Deceit
Some medical necessity cases are simple to prove. If a doctor is billing Medicare for wheel-chairs linked to patients with no ambulatory issues, it is obvious the claim was not medically necessary. Likewise, billing Medicare for services that are not rendered is obvious fraud. However, many cases, including the one above, are not that simple. The close cases are those that involve medical judgment. If the defendant honestly believes he is performing a medically necessary procedure, the government’s disagreement with that judgment should not lead to a conviction for fraud. Of course, the reasonableness of his belief will be affected by the science that supports his position.
Medical judgment cases are prosecuted at a lesser rate than clear fraud schemes. This has led to miniscule guidance from the Circuit Courts defining the sufficiency of evidence in medical judgment cases. However, two circuits have addressed the sufficiency issue. Successful prosecution requires deceit:
United States v. Rutgard, 116 F.3d 1270 (9th Cir. 1997)
In Rutgard, the defendant was charged with billing Medicare for unnecessary cataract procedures. Each side produced experts with differing opinions on the usefulness of the procedures. The Ninth Circuit found the evidence insufficient to support a conviction when there were no other indications of fraud, including no deception in the patient charts or oral lies to the patients.
United States v. McLean, 715 F.3d 129 (4th Cir. 2014)
In McLean, the defendant was charged with billing Medicare for medically unnecessary stent procedures. The defendant argued on appeal the evidence was insufficient because the determination of a patients’ need for a stent is subjective and his error rate was within the national average. The Fourth Circuit upheld the conviction noting the other indications of fraud distinct from medical judgment. The fraud indicators were: 1) the defendant overstated blockage percentages in patient charts, 2) employee testimony stating the defendant placed a stent with no blockage “because it was easy”, 3) the defendant showed patients fabricated charts with blockage that did not exist, and 4) the defendant shredded files requested by the government.
All these factors cut against the defendant’s reasonable belief the procedures were medically necessary. These signs of deception pushed the facts over the line drawn in Rutgard and supported by the Court’s verdict in our case. The government’s argument was not merely a battle of scientific opinion. McLean had taken numerous steps to deceive his patients and the government. The mens rea for fraud can be met under such circumstances.
These cases lead to a general theme for medical judgment prosecutions. The case law demands the government prove overt deceptions prior to meeting the elements of fraud. Simply showing a procedure is not medically necessary is insufficient. The fraud statute should not be used to review a physician’s judgment after the fact. If the defendant runs a legitimate practice, advises his patients accurately, and takes no deceptive actions with the government, he should have a valid defense to the mens rea component of health care fraud. This is true regardless of the fact finders’ opinion on the actual necessity of the procedure. Though some scientific backing is likely needed.
Part I of this post can be found here. | medical |
http://www.thelondonweightclinic.com/ | 2017-04-28T00:22:51 | s3://commoncrawl/crawl-data/CC-MAIN-2017-17/segments/1492917122720.81/warc/CC-MAIN-20170423031202-00508-ip-10-145-167-34.ec2.internal.warc.gz | 0.966268 | 160 | CC-MAIN-2017-17 | webtext-fineweb__CC-MAIN-2017-17__0__206344295 | en | London has long had a reputation as a world leading centre of excellence in the area of bariatric surgery. This reputation is built on a commitment to clinical professionalism and a devotion to excellent patient care.
The London Weight Clinic offers a comprehensive multidisciplinary weight loss programme which includes lifestyle, medical and surgical options for weight loss and is run by a team of dedicated and highly trained professionals.
It seems so simple: Eat less, exercise more and lose weight. But for many severely overweight people, diets and exercise just do not work. Fortunately, we have the solution - bariatric surgery, which has a near 100% success rate in sustained weight loss. And for those who wish to try non surgical techniques at weight loss, we offer comprehensive programmes in both lifestyle and medical (tablet) treatments. | medical |
http://www.cityolive.com/olive-oil-info/ | 2017-04-27T05:07:41 | s3://commoncrawl/crawl-data/CC-MAIN-2017-17/segments/1492917121869.65/warc/CC-MAIN-20170423031201-00338-ip-10-145-167-34.ec2.internal.warc.gz | 0.896577 | 408 | CC-MAIN-2017-17 | webtext-fineweb__CC-MAIN-2017-17__0__300597227 | en | Olive Oil Info
Olive Oil Links
Information on Health Benefits of Olive Oil
On November 1, 2004, the U.S. Food and Drug Administration announced that producers of olive oil may place the following health claim on product labels: “Limited and not conclusive scientific evidence suggests that eating about two tablespoons (23 grams) of olive oil daily may reduce the risk of coronary heart disease due to the monounsaturated fat in olive oil. To achieve this possible benefit, olive oil is to replace a similar amount of saturated fat and not increase the total number of calories you eat in a day.”
Recent medical studies have provided evidence in support of the health benefits of incorporating olive oil in a person’s diet. Olive oil has been shown to have the following health benefits:
- Heart Health – reduces cholesterol levels; lowers blood pressure.
- Anti–Cancer Properties – oleic acid in olive oil blocks the action of a cancer-causing agent found in some breast cancers; protects the cells of the colon from certain types of cancer-causing chemicals.
- Anti–Inflammatory Benefits – associated with lower rates of asthma and rheumatoid arthritis; monounsaturated fats in olive oil help reduce inflammation.
- Weight Loss – replacing saturated fats with monounsaturated fats may result in loss of body weight and fat mass. http://www.brownalumnimagazine.com/content/view/2917/40/
In March 2005, Dr. Javier Menendez of Northwestern University Feinberg School of Medicine in Chicago published a study in the Annals of Oncology that the oleic acid found in olive oil blocks the action of a cancer–causing oncogene which is found in about 30% of breast cancer patients. The study also found that oleic acid improved the effectiveness of a certain breast cancer drug. http://annonc.oxfordjournals.org/cgi/content/full/16/3/359 | medical |
https://reithera.com/2022/11/03/reithera-expands-large-scale-viral-vector-production-capabilities-with-opening-of-new-manufacturing-facility/ | 2023-10-01T05:12:11 | s3://commoncrawl/crawl-data/CC-MAIN-2023-40/segments/1695233510781.66/warc/CC-MAIN-20231001041719-20231001071719-00812.warc.gz | 0.908589 | 873 | CC-MAIN-2023-40 | webtext-fineweb__CC-MAIN-2023-40__0__286798823 | en | ReiThera expands large-scale viral vector production capabilities with opening of new manufacturing facility
- New 1,500 sq.m. facility granted operational authorisation from AIFA, the Italian Medicines Agency, to enable production scales of up to 3,000 liters;
- New facility will allow ReiThera to consolidate its competitive position as a leading Contract Development and Manufacturing Organization (CDMO) specialized in viral vector production
ROME, November 3 2022 – ReiThera, a biotech company dedicated to the development of new technologies, GMP production and the clinical translation of genetic vaccines and products for advanced therapies, today announces that it has received operational authorization from the Italian Medicines Agency (AIFA) to open the new production area at its pharmaceutical facility at the Castel Romano Technopole, for the large-scale production of viral vectors for vaccines and gene therapy.
Designed to meet the growing global demand for viral vector production, a sector in which ReiThera represents world-class excellence, the new facility offers maximum flexibility in processing scale, able to accommodate GMP productions based on Adenovirus (Ad), Adeno-associated virus (AAV) and Lentivirus starting from 50 litres up to a maximum of 3,000 liters.
The facility will serve ReiThera’s client base, which ranges from small biotechnology companies to large multinational pharma groups. To date, ReiThera’s team has successfully developed genetic vaccines against major infectious diseases, including hepatitis C, malaria, HIV, Respiratory Syncytial Virus, Ebola and Covid 19.
The construction of the new production facility, which covers an area of 1500 sq.m., began in May 2020 with investment of over 15 million euros by ReiThera. This investment enabled the installation of the latest generation bioreactors with scaled volume capacities of 200, 1,000 and 2,000 liters.
“Thanks to the operational authorization of this expanded facility, the ReiThera team, which combines high-level scientific knowledge with extensive experience in the engineering and bioprocessing of viral vectors, will be able to support companies engaged in the development of products in the field of vaccines and advanced therapies, from the fine-tuning of small-scale production processes to production on a commercial scale,” said Stefano Colloca, Chief Technology Officer and ReiThera co-founder.
A 2000L stirred-tank bioreactor for large scale production at ReiThera’s Castel Romano Technopole facility; courtesy of ReiThera Srl
About ReiThera Srl
ReiThera Srl is a biotech company dedicated to the technology development, GMP manufacturing and clinical translation of genetic vaccines and medicinal products for advanced therapies. The company’s management and scientific teams have developed a highly innovative technological platform based on simian adenoviral vectors that can be used for vaccine and advanced therapy applications. ReiThera is actively working in the setting up scalable processes applicable to different viral vectors: AAV, LV, MVA, HSV.
ReiThera is led by an experienced management team that has worked together for many years in previous successful enterprises and has a long-standing expertise in scalable processes for viral vector manufacturing, supported by a cGMP facility inclusive of filling suite and quality control laboratories.
Today ReiThera offers a wide range of services that include both process development and GMP production of viral vectors and analytical activities including immunological characterization of biological therapeutics. ReiThera offers immunomonitoring service capabilities for early stage drug or vaccine development.
ReiThera has its headquarters, R&D laboratories and GMP facilities in Rome, Italy.
For further information see: www.reithera.com
Media Contacts ReiThera:
Stefano Colloca, Chief Technology Officer
Shaad Cajee, Head of Marketing
MEDiSTRAVA Consulting – International Press
Sylvie Berrebi, Mark Swallow PhD, George Underwood
+44 (0) 203 928 6900 | medical |
https://www.botanicaldelights.com/single-post/2015/10/15/what-is-adrenal-fatigue-syndrome | 2023-12-01T10:21:30 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679100286.10/warc/CC-MAIN-20231201084429-20231201114429-00593.warc.gz | 0.955172 | 744 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__266446532 | en | What is Adrenal Fatigue Syndrome?
Waking up exhausted day after day is just one signal that you're not feeling well. But how do you know if you're just plain tired or have adrenal fatigue syndrome? The syndrome is a serious endocrine or hormonal disorder that occurs when the adrenal glands, located at the top of each kidney, produce too little or too much of certain hormones such as cortisol.
Adrenal fatigue has been thrown around as a "minor form of adrenal insufficiency" and a catch-all for many unexplained symptoms. It’s also a disorder that isn’t recognized by the American Medical Association, something that worries Debi Silber, R.D., a functional diagnostic nutritionist, who has experienced it twice.
"I went through exhaustive testing with no answers or help and it was only when I did my own research that I learned how adrenal fatigue is one of the most common, yet undiagnosed conditions facing so many people today," Silber says.
In fact, Silber believes that the syndrome only gets recognized when it reaches the extremes of the disorder — appearing as either Addison's disease, a rare condition in which the adrenal glands gradually stop functioning, or Cushing's disease, which results from excess levels of the hormone cortisol in the body.
The adrenal glands are a key regulator that produce hormones that help us control blood sugar, burn protein and fat, react to stressors and regulate blood pressure.
What makes a diagnosis difficult is that individuals may experience symptoms such as weight gain, exhaustion, anxiety, hormonal issues, sleeplessness, low libido, digestive issues, muscle tension and thyroid issues, and those symptoms may overlap with other possible disorders and prevent individuals from getting the help they need, Silber says.
"All of the symptoms that have us feeling horrible are ones that can be due to so many other health problems," she says. "A diagnosis is so hard to pin down." However, there are some experts who are quite vocal about giving adrenal fatigue syndrome the credence it deserves.
"This syndrome comes about due to the lack of the necessary output of cortisol that can reduce inflammation in the body," says Barry Sears, Ph.D., a research scientist and author of "The Zone." "Like Type 1 diabetes, adrenal fatigue is most likely due to a similar inflammatory destruction of the cortisol-secreting cells in the adrenal glands."
In addition, this means that adrenal fatigue syndrome shares some similar attributes to such serious autoimmune diseases as rheumatoid arthritis.
The reasons we may be seeing more cases of this syndrome today may be directly related to the way we eat, including our consumption of processed foods, Sears believes. A diet that's high in processed foods may, in turn, be contributing to our elevated levels of diet-induced inflammation. Eating whole, natural foods is the answer.
So what can be done about this? Follow Sears' lead and aim to follow a strict anti-inflammatory diet, which includes eating oily, wild-caught cold water fish at least two times a week or supplementing with high-dose fish oil to reduce inflammatory response. It also means doing your best to eat "clean."
"By doing this, you'll reduce not only the need for higher levels of cortisol to reduce existing inflammation, but also reduce the likelihood of further inflammatory damage to the hormone-secreting cells in the adrenal gland," he says. You will be amazed how different you feel when eating clean. Try it!
Source: Adapted from MNM.com by Lambeth Hochwald | medical |
https://jianspa.com/prenatal-%2F-reflexology | 2019-11-19T05:11:58 | s3://commoncrawl/crawl-data/CC-MAIN-2019-47/segments/1573496670006.89/warc/CC-MAIN-20191119042928-20191119070928-00180.warc.gz | 0.941543 | 101 | CC-MAIN-2019-47 | webtext-fineweb__CC-MAIN-2019-47__0__103049590 | en | The Prenatal Massage focuses on helping future mothers accommodate to their specific needs as they go through pregnancy. It helps ease the stress on muscles and joints, while also improving circulation. It can help relieve fatigue as well.
$55 per 60 min
Reflexology applies pressure to reflux points on the hand, foot and Ear that are connected to specific organs, glands, etc., and help to relieve those certain areas of tension.
$30 per 30 min
$48 per 60 min | medical |
https://greenwaydelaware.com/news/delaware-okd-medical-marijuana-research/ | 2018-12-15T09:48:24 | s3://commoncrawl/crawl-data/CC-MAIN-2018-51/segments/1544376826842.56/warc/CC-MAIN-20181215083318-20181215105318-00281.warc.gz | 0.948341 | 233 | CC-MAIN-2018-51 | webtext-fineweb__CC-MAIN-2018-51__0__44839884 | en | Since January, state lawmakers of Delaware have quashed criminal penalties for simple possession of marijuana and minors are allowed to partake in the state’s medical marijuana program. In an unprecedented move which they have done more quietly, lawmakers voted to establish a legal framework that allows facilities in Delaware to conduct research on the potential benefits of marijuana for medical purposes.
The legislation came more than four years after the General Assembly voted to legalize medical marijuana, but only days after the first marijuana dispensary opened in an industrial park west in Wilmington. The move provided Delaware with the opportunity to be in the forefront of pioneering research on medical cannabis.
Marijuana advocates praised the legislation, signed by Gov. Jack Markell, which allows facilities that meet U.S. Food and Drug Administration standards to initiate research on potential medical benefits of the drug. The research shall also include demonstrations of safety and efficacy for treatment of medical conditions that often fail to respond to conventional treatment.
Recently, the federal government removed barriers to medical marijuana research and the Obama administration decided that medical marijuana research no longer require review by the Public Health Services. The U.S. FDA, however, must review research plans. | medical |
https://www.ryanjwill.com/tag/sound-healing/ | 2023-01-31T06:19:38 | s3://commoncrawl/crawl-data/CC-MAIN-2023-06/segments/1674764499845.10/warc/CC-MAIN-20230131055533-20230131085533-00851.warc.gz | 0.960776 | 2,022 | CC-MAIN-2023-06 | webtext-fineweb__CC-MAIN-2023-06__0__164962772 | en | This is part of a larger series of writing around my recovery from Complex PTSD. I developed a tool kit of healing methods treating the root cause, not merely the symptoms. I charted my journey in a series of essays. I’ll be writing bi-monthly articles, publishing podcasts, and hosting workshops on healing, recovery, and the root causes of pain. Twice a month, I send out a personal story of healing. Sign up for two stories per month, that’s it.
“Ryan, I think you have a form of insidious ongoing childhood trauma called Complex PTSD. Let’s talk more in the next meeting.”
Towards the end of the couples’ therapy session, our social worker looked at me and said those exact words.
That first sentence rocked my world.
I was shocked, surprised, and scared.
What does insidious mean?
What does it mean to have trauma?
I had the pressures of a family, work, and being a dad.
How would I go through trauma recovery?
I felt desperate. After years of following the traditional rules of mental health: chatting about my feelings on therapy couches, ingesting mood-stabilizing drugs like candy, and trusting medical doctors’ advice—I felt that Western medicine abandoned me.
Since college, I ran the gauntlet of mental health professionals. I saw a therapist, psychiatrist, group psychologists, cognitive behavioral experts, and many different doctors. I accepted that I was in pain and had to manage it. I knew there was a better way to live, yet no one showed me how to get on that path.
Healing trauma with ancient methods
To heal my trauma I went against traditional health advice. I sought out the wisdom of fourth-generation sound healers, and connected with some of the best breathworkers and meditation leaders in the United States. I experimented with psychedelics, plant-based medicine on the bleeding edge of mental health, dove into an emotional balance workshop through the Dalai Lama, and met with modern-day shamans to build myself back up. I conversed with the legendary Buddhist trained monk Jack Kornfield, learned Vipassana meditation with Mingyur Rinpoche, studied Pranayama breathwork meditation under David Elliott, and worked with sound healers who liberated my body with Tibetan singing bowls.
Now a year later, I’ve survived to live another day. By the grace of God, I finally found the healing practices of thousand-year-old eastern traditions. Many of these practices are from India, pre-colonial America, and indiginious tribes around the world. These ancient methods helped solve my modern mental health problems. Resiliency came through my bones. My healing work culminated in a series of mystical journeys that changed my life.
How We Treat the Symptoms, and Not the Root Cause
I’m grateful that my wife and I opted into marriage counseling. On that day we were in a dimly lit room, sitting next to one another on a small couch. While in the offices of a clinical social worker Dr. Julie Hoine, Wally, her service dog, ran around the floor. Julie sat across the room, on a sturdy black office chair, with a desk and an Apple computer behind her.
I always seem to misremember things. However, I would not soon forget this day. I had been taking a drug called Lamictal for well over a decade. On the surface it stabilized my mood. In addition to therapy, I had been seeing a psychiatrist for years. While the drugs treated depression/anxiety-like symptoms, they also covered up the root cause of my pain. I recall specifically crying during one therapy session over a painful childhood memory. The psychiatrist’s solution to my grieving was a prescription for an antidepressant. I began doubting this psychiatrist over the past year. Like many Americans, I numbed the symptoms of my problems, while living in denial that there was an actual root cause.
Julie told me something that shook up my life, my family, and my mind forever.
“Ryan have you ever been diagnosed with trauma?”
“No. What do you mean?” I replied.
“You sound like you’ve been through trauma, would you like to go through a trauma checklist with me?”
After hearing this, I stopped breathing. In utter disbelief, I agreed to do a trauma checklist with Julie. She asked my wife if it was okay for us to go down this trauma rabbit hole. She said yes.
Julie spun around her chair to her computer, and searched online for a trauma checklist. I had no idea what she was doing, and was equally curious and shocked. In my decades of searching for answers to my symptoms of depression, anxiety, frustration, sadness, relief and anger, I had not heard the word “trauma” any time in any doctor’s office.
What is Complex Post Traumatic Stress Disorder (Complex PTSD)?
Wally was now on the floor resting on her back, no longer running around. The room was calm and we waited an eternity for Julie to pull up the complex trauma checklist. She then asked me if I sometimes felt like I had:
- A lack of emotional regulation
- Changes in consciousness (dissociation)
- Negative self-perception (extreme guilt or shame)
- Difficulty with relationships (lack of trust)
- Loss of systems of meanings (feeling hopelessness and despair).
I barely recall my answers. My mind felt blank. Complex PTSD is the result of prolonged exposure to trauma over long periods of time, often during the formative years of childhood. It’s different than PTSD, which is often a result of one single traumatic event. C-PTSD is a result of ongoing and long-lasting trauma. The trauma can last for a series of months or even many years. C-PTSD is repetitive trauma, and if left untreated the effects can last a lifetime.
Some of the most common aspects of C-PTSD are:
- Memory issues (often blocking out reminders of the traumatic event)
- Heightened irritability
- Decreased interest in once-enjoyable activities
- Dissociative flashbacks (oftentimes emotional flashbacks)
- Severe feelings of guilt and shame
- Difficulty maintaining close and trusting relationships with others
Suddenly I felt exhausted. I learned from my therapist that Complex PTSD and complex trauma is under-diagnosed. To which I said, “No shit.”
Since graduating from college, I’ve been on as many different pharmaceutical drugs as you can imagine. Feeling like a human guinea pig, I’ve been prescribed antidepressants, anti-psychotics, and mood stabilizers. None of them has completely worked.
Past doctors diagnosed me with depression, anxiety, and other normal-ish symptoms around mental health, but never trauma. Complex PTSD sounds like something that military veterans and survivors of sexual assault have, but I had experienced neither. I was a father and husband with a career, and I was floored by the diagnosis. I thought to myself, “WTF?”. I felt totally f*cked. I asked myself, “what does recovery even look like?” I wondered, “How am I going to meet my client deadlines next week?”
How Recovery Works
Now I am in recovery; something I will gratefully continue for the remainder of my life. In the coming series of essays you’ll hear how, why, and which ways I’ve healed. I merged Eastern and Western treatments to get better. Rather than return to the well of psychiatric and psychological evaluations, I forged a new path. I’m the happiest I’ve ever felt. I have to thank entheogens, breathwork, meditation, practicing gratitude, journaling, therapy, support groups, and yoga for some of this continual effervescent feeling that I have. Now in retrospect, I understand what worked for me. Equally as important, I learned what did not work for me. I’ll share my results, as I experimented with many different types of healing methods. I waited decades for my oneness with the world to bubble up to the surface from down below. I genuinely feel whole, connected to people, and believe that my best days are ahead. This feeling is a stark contrast from how I felt just a year ago.
I want to share with the world the story of how my final trauma therapy uncovered the truth. I would like no one else to go through the decades of pain that I felt. What many people call healthy isn’t necessarily right. Rather than fighting a traditional mental health system of what we define as healing, I invite you to follow along so that you too might chart your own path through the recesses of the mind and psyche. The needless suffering that I went through must end now, and we can all collaborate to work on a more human experience to help people who’ve been traumatized. There are more people like me —zombies living with unknown pain, looking for answers to questions that they don’t even know exist. I invite you to follow along so that you too might chart your own path through the recesses of the mind and psyche. This is the journey to getting unf*cked.
Big thanks for edits from: Ross Gordon, Stew Fortier, Tom White, Joel Christiansen, Drew Stegmaier, Sara Campbell, Richie Bonilla, John McGarvey, Chris Holinger, David Rosenblatt, Lyle McKeany, Steven Ovadia, Charlie Bleecker, and Joshua Mitchell. | medical |
http://rallyzack.blogspot.com/2010/11/so-what-motivates-you.html | 2017-03-29T11:02:14 | s3://commoncrawl/crawl-data/CC-MAIN-2017-13/segments/1490218190295.4/warc/CC-MAIN-20170322212950-00272-ip-10-233-31-227.ec2.internal.warc.gz | 0.99336 | 132 | CC-MAIN-2017-13 | webtext-fineweb__CC-MAIN-2017-13__0__103537434 | en | Wellness and getting healthy is more about motivation than information. Yes, accurate health information is important but when I started to get healthy I basically had known for a long time what the problems were and what I needed to do about them. It was a lot more about deciding to taking charge and doing something about it than knowing how to change. So I took a broad look around for motivation, and I found it nearly everywhere. I found it in the eyes of my wife, my family, my friends, the people walking down the street, and even my wallet. There was a better way to do this, so I took the challenge and went for it. | medical |
http://nxc-imaging.com/v1/product/canon-aquilion-prime/ | 2019-09-16T08:51:54 | s3://commoncrawl/crawl-data/CC-MAIN-2019-39/segments/1568514572516.46/warc/CC-MAIN-20190916080044-20190916102044-00484.warc.gz | 0.865961 | 528 | CC-MAIN-2019-39 | webtext-fineweb__CC-MAIN-2019-39__0__335741 | en | Highspeed rotation allows rapid data acquisition and shortens scan times, while the fast reconstruction unit further improves throughput, reducing the time required for diagnosis. Aquilion PRIME is the latest addition to the Aquilion ONE family with key features such as “Adaptive Iterative Dose Reduction 3D” (AIDR 3D), an iterative reconstruction algorithm which has been designed to further enhance clinical examinations.
Ultra Low Dose Examination
Aquilion PRIME, incorporates Toshiba`s latest technologies to reduce exposure dose, while maintaining high image quality.
– AIDR 3D
– Active Collimator
– SUREExposure 3D Adaptive
– Dose Report
– Dose Index Value Display
With the integration of AIDR 3D into SUREExposure controls, radiation exposure is automatically reduced before the scan, ensuring that the lowest possible dose is employed for the specific diagnostic objective irrespective of the size or shape of the patient. AIDR 3D integrated in SUREExposure 3D Adaptive can be applied to all acquisition modes for routine clinical use and is able to remove up to 50% of image noise resulting, which corresponds to a dose reduction of up to 75% by the same Standard Deviation (SD) for noise.
Key features of AIDR 3D:
– Full integration in scan protocols for improved workflow
-Dose reduction in clinical setting by up to 75%
– Full automatic iterative reconstruction process
-Minimal penalty in reconstruction times
-Noise reduction and improved Spatial Resolution
-Superb artifact suppression
Ultra Fast Workflow
Aquilion PRIME ensures fast data to diagnosis that meets the requirements of increasingly complex examinations and accelerate the process of providing the information you need to make treatment decisions.
– Fast Reconstruction
– 80-detector row helical
– 78 cm gantry aperture
– Metal less Head rest
– Metal less Arm up holder
Aquilion PRIME incorporates a variety of functions based on technologies that were developed for Aquilion ONE with the aim of significantly reducing the patient exposure dose, including Active Collimator, AIDR 3D, SUREExposure 3D Adaptive, and Boost3DTM. During helical scanning, Active Collimator blocks X-rays not required for image reconstruction by limiting the extent of the X-ray beam at the start and end of the helical scan range. Aquilion PRIME achieves consistent image quality with industry-leading low-contrast resolution of 2 mm at 0.3% in low-dose scanning. | medical |
https://lr.sauerandsons.com/2202-magic-mushrooms-psilocybin-helps-with-anxiety-and-de.html | 2022-11-26T14:45:23 | s3://commoncrawl/crawl-data/CC-MAIN-2022-49/segments/1669446708010.98/warc/CC-MAIN-20221126144448-20221126174448-00621.warc.gz | 0.928956 | 879 | CC-MAIN-2022-49 | webtext-fineweb__CC-MAIN-2022-49__0__196549620 | en | We are searching data for your request:
Upon completion, a link will appear to access the found materials.
Is Psilocybin the Better Antidepressant?
Psychoactive mushrooms, commonly known as "magic mushrooms", are primarily used as an awareness-enhancing drug. The substance psilocybin is responsible for the intoxication effect. A current study shows that taking psilocybin once has an anxiolytic and antidepressant effect that lasts up to five years.
As early as 2016, researchers announced that the hallucinogenic active ingredient psilocybin has a possible effect against depression and anxiety. Following the study, the NYU Grossman School of Medicine research team found that a single treatment with psilocybin in combination with psychotherapy can alleviate the emotional and existential suffering of cancer patients. The effects lasted for almost five years. The results were recently presented in the "Journal of Psychopharmacology".
Psilocybin gave cancer sufferers new hope
In the first study in 2016, the research team associated psilocybin with immediate, substantial, and sustainable improvements in anxiety and depression. In cancer patients, this led to a decline in general demoralization and hopelessness, and to an improvement in mental well-being and quality of life. The fear of impending death was also alleviated.
Effect still demonstrable after more than four years
In the current long-term study, this effect was observed over a longer period. Follow-up followed three and 4.5 years after a single dose of psilocybin. 60 to 80 percent of participants continued to benefit from a clinically significant antidepressant effect 4.5 years after treatment. Participants reported a continuing reduction in anxiety (including fear of death), depression, hopelessness, and demoralization. Over 70 percent rated the treatment as a personally significant and spiritual life experience.
A paradigm shift in psychological care
"Our results, which add to the knowledge already gained in the 1950s, strongly suggest that psilocybin therapy is a promising means of improving the emotional, psychological and spiritual well-being of patients with life-threatening cancer," emphasizes Professor Dr. Stephen Ross, the study’s senior psychiatrist. This approach has the potential to bring about a paradigm shift in the psychological and existential care of cancer patients.
Antidepressants are not very effective in cancer
An alternative means of treating cancer-related anxiety and depression is urgently needed, according to Ross. Because a third of all people with cancer also suffer from anxiety and / or depression and other forms of stress. This goes hand in hand with a reduced quality of life, an increased suicide rate and ultimately a lower survival rate. According to Ross, conventional pharmacological treatment methods such as antidepressants only work for less than half of those affected. In addition, antidepressants would have no effect on existential fear of death.
Effects not yet sufficiently understood
Ross points out that the reasons why psilocybin has this antidepressant effect are not yet well understood. The researchers are currently assuming that the active ingredient will make the brain more flexible and thus more receptive to new ideas and thought patterns.
Previous studies have shown that the active ingredient targets a network in the brain that is also active in self-reflection and thought wandering. This network is downright hyperactive for patients suffering from anxiety or depression. This in turn is associated with brooding, worry and rigid thinking. Psilocybin appears to be acutely shifting activity on this network, helping people to see their behavior and life from a different perspective. (vb)
Author and source information
This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.
Graduate editor (FH) Volker Blasek
- Gabrielle I. Agin-Liebes, Tara Malone, Matthew M. Yalch, et al .: Long-term follow-up of psilocybin-assisted psychotherapy for psychiatric and existential distress in patients with life-threatening cancer; in: Journal of Psychopharmacology, 2020, journals.sagepub.com
- NYU Grossman School of Medicine: Antianxiety and antidepressant effects from a single dose of psychedelic drug persist years later in cancer patients (published 01/28/2020), eurekalert.org | medical |
http://www.soratherapies.com/ | 2014-10-30T15:10:14 | s3://commoncrawl/crawl-data/CC-MAIN-2014-42/segments/1414637898226.7/warc/CC-MAIN-20141030025818-00200-ip-10-16-133-185.ec2.internal.warc.gz | 0.772951 | 162 | CC-MAIN-2014-42 | webtext-fineweb__CC-MAIN-2014-42__0__98572717 | en | Sora Therapies LLC
Massage, Bodywork, and Lymphedema Therapy in Eugene, Oregon
5 East 24th Avenue
Eugene, Oregon 97405
Sora Therapies - Massage & Integrative Fitness
~I am now a LANA-Certified Lymphedema
Therapist! Please visit my lymphedema page for more
information about lymphedema management,
manual lymphatic drainage, and complete
~Sora Therapies was recently featured on KMTR news for a story about pregnancy massage! Check out the video below, or visit the KMTR website here.
Image depicts a primary lymphedema patient, before and after CDT treatment. Photo courtesy of the Norton School of Lymphatic Therapy. | medical |
http://www.teethnthings.com/biotene-dental-pbf-oral-rinse-16-fl-oz/ | 2017-04-27T10:55:50 | s3://commoncrawl/crawl-data/CC-MAIN-2017-17/segments/1492917122159.33/warc/CC-MAIN-20170423031202-00498-ip-10-145-167-34.ec2.internal.warc.gz | 0.904939 | 141 | CC-MAIN-2017-17 | webtext-fineweb__CC-MAIN-2017-17__0__315638544 | en | Dentist and Hygienist Recommended
BioFilm is the bacterial film on your teeth often described as plaque. With oral dryness, saliva's natural ability to cleanse and control the BioFilm is reduced.
With 2 additional enzymes, biotene PBF Oral Rinse and regular brushing can help loosen BioFilm formation, for a cleaner, fresher mouth.
Like Original biotene Oral Rinse, biotene PBF Oral Rinse also contains enzymes to help maintain the oral environment.Free Of Alcohol and Saccharin. Disclaimer These statements have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure, or prevent any disease. | medical |
https://www.recoveryshared.podbean.com/ | 2019-12-14T03:26:53 | s3://commoncrawl/crawl-data/CC-MAIN-2019-51/segments/1575540579703.26/warc/CC-MAIN-20191214014220-20191214042220-00020.warc.gz | 0.932348 | 1,327 | CC-MAIN-2019-51 | webtext-fineweb__CC-MAIN-2019-51__0__73712882 | en | CBD Interview 101
Chief Science Officer at EVIO Labs Anthony Smith returns to the podcast to share his thoughts about the recent CBD vaping controversy surrounding health issues induced from CBD vape cartridges. Anthony shares what his lab has experienced from extensive product testing, and points directly to harmful and irresponsible additive use by the CBD product manufacturers. Then Anthony extrapolates on the extreme dangers of the most recent target of the vape investigation- vitamin E acetate. He also proposes a theory that more MCT oil is being used to dilute cartridges (also extremely dangerous) because it's perceived as more "natural" than other more traditional dilutants like propylene glycol. Anthony wraps up the show by explaining how his CBD oil company,full spectrum edibles is currently developing a simple testing protocol for vitamin E acetate, and how this may even eventually lead to a consumer test that CBD vapers can check their products with before consuming. You can visit to find out more!
Michael Harinen from Bluebird Botanicals CBD oil joins the show to talk about Bluebird's mission, and the state of the CBD industry. Michael talks about the challenges that producers have faced, and the overwhelming wave of demand that has caused the CBD oil boom. Michael discusses different standards and practices when it comes to sourcing, and talks about different facets of hemp growing that should be considered. He goes on to share where he feels many CBD gummy producers are falling short, and what that entails for their future. Michael also talks about product standards and testing, which leads to a larger conversation about the modern consumer's shift in mindstate when it comes to product selection. Jordan and Michael wrap the show talking about new/exciting delivery systems for CBD edibles, and the future of the industry.
Interview with CBD Doctor
Cannabidiol (CBD) is being used to treat a variety of conditions, such as pain, inflammation, insomnia, anxiety, and severe forms of epilepsy. It is one of many cannabinoids derived from marijuana and hemp. You can consume CBD in several ways—vaping, ingesting, or applying topically. CBD capsules are a convenient, taste-free way of ingesting CBD in a controlled daily dose like a supplement. There are dozens of brands of CBD capsules to choose from online and in retail stores, so how do you decide which is the best option for you?
Types of CBD products
Generally, there are three types of CBD capsules:
- Full-spectrum CBD oil
- Broad-spectrum CBD
- CBD isolate
Let’s examine the details of these different types of CBD oil.
Full-Spectrum CBD gummies
Capsules with full-spectrum CBD oil contain a mixture of cannabinoids, terpenes, and other compounds. You can think of it as the unfiltered extract of hemp or marijuana. The main differentiator is that full-spectrum CBD oil can contain both THC and CBD. However, in hemp-derived CBD, this level is not sufficient to cause any psychoactive effects.
Broad-Spectrum CBD oil Capsules
Broad-spectrum CBD capsules are high in CBD but contain no THC while retaining some of the other cannabinoids, terpenes, and other compounds found in full-spectrum CBD.
CBD Isolate Capsules
CBD capsules with CBD isolate powder are derived from hemp and contain 0.3 percent or less THC. CBD oil containing isolate are treated as supplements, have few regulatory compliance standards, and limited legal restrictions.
Are there benefits from using one type of CBD oil?
User experiences indicate that full-spectrum or whole-plant extracts provide longer-lasting relief faster and superior results to CBD isolate. Research is limited, but user experience suggests that full-spectrum CBD capsules are beneficial for conditions such as:
- Pain and Inflammation
- General Anxiety Disorders
- Nausea and Vomiting
CBD isolate compound enable users to take specific amounts of CBD in a controlled dose. CBD oil for cancer is also thought to have a beneficial effect for relieving conditions such as:
- Pain and Inflammation
CBD isolate capsules don’t have the flavor of cannabis or hemp and may be better suited for cooking or blending into beverages given the powder form.
Are water soluble CBD softgels legal to buy in my state?
Most states restrict the sale and distribution of marijuana-derived CBD capsules. All hemp-derived CBD is not considered illegal by the US Drug Enforcement Administration (DEA), though only one pharmaceutical product is approved by the Food and Drug Administration (FDA). Some states don’t allow sales of cannabis products of any kind, while states with legal cannabis can sell both THC and CBD products. You can check online whether your state allows the legal sale of CBD capsules, and if there are any restrictions by type of CBD.
What are the benefits of water soluble CBD softgels?
CBD capsules or pills contain a specific dose of CBD. There’s no need to measure out a dose, and you have greater control over the amount you ingest. The effect of digested CBD tends to last longer, too.
Capsules are also an excellent alternative for people who don’t care for the taste of CBD oil, and who don’t want the extra sugar and other ingredients included in gummies and different types of CBD edibles.
Look for CBD oil from a Reputable Source
Determining if your CBD capsules come from a reputable source may be challenging. Read all product labels and review information on manufacturer’s websites carefully, so you are sure you understand the product you’re buying.
Suggested information to review:
- Look for capsules made from US-grown hemp, which is subject to regulation and quality standards.
- Check for a certificate of analysis (COA) with independent laboratory test results for potency and contaminants from a lab that meets ISO 17025 standards.
Considered supplements, organic CBD oil capsules are not subject to the same stringent regulations as FDA-approved drugs. Verify that the ingredients don’t contain extra fillers (excipients) you don’t want to ingest. Common excipients in CBD capsules include starch, calcium, and lactose.
Some CBD oil users purchase CBD isolate powder and make their own CBD capsules. Vegans may prefer the option of using non-gelatin capsules. It can also be more cost-effective to make your own. | medical |
https://alicelbaker.com/ | 2024-04-14T04:13:22 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296816864.66/warc/CC-MAIN-20240414033458-20240414063458-00183.warc.gz | 0.957786 | 1,248 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__196676205 | en | Do you feel overwhelmed by thoughts of food and ways to lose weight? Are you terrified of gaining weight? Do you feel stuck in patterns of restriction, chronic dieting, bingeing, purging and/or exhausting exercise? Do you long for freedom with food and to feel content in your body but fear what that might look like? Or have you been told by others, even professionals, something is wrong with your body and fear the repercussions if you let go of these behaviors?
Maybe you have been through some painful circumstances, your body remembers, and this continues to impact you daily. Do you long for freedom and feel held back?
Maybe you are the parent of a child who is struggling, and want to learn how to come alongside them in loving and effective ways.
If so, you are in the right place, and we are so glad you are here.
Alice Baker is a Registered Dietitian, Certified Eating Disorder Specialist, an iaedp approved Consultant, Certified Body Trust® Provider, Certified Invitation to Change provider, a Licensed Mental Health Counselor in the State of Florida, and a Licensed Professional Counselor in the State of Arizona.
She is committed to and passionate about coming alongside individuals on the treacherous yet worthwhile path of recovery and freedom with food. Here you will find information regarding both her nutrition and counseling practice and how she can help, find resources that can empower you on your journey, and read articles on topics Alice is passionate about including relationships, parenting teens, body image, trauma, weight stigma, Health At Every Size®approach, and Eating Disorder Recovery
Alice Baker MSRD CEDS-C CBT®P LMHC LPC LD/N has over 27 years’ experience in the field of Eating Disorders and has served clients with eating disorders through the full spectrum of care from inpatient to outpatient. Alice currently sees clients in private practice as a dietitian and/or therapist, facilitates support groups, presents locally and nationally, and supervises new dietitians in the eating disorder field.
Joyful Nutrition is an anti-diet, weight inclusive nutrition practice fiercely committed to empowering individuals towards recovery from disordered eating, freedom with food, and contentment in their body. Your body is not the problem, diet culture is.
Courageous Hearts Counseling
Courageous Hearts Counseling is a faith-based therapy practice passionate about coming alongside others as they bravely enter their stories of harm, name their self-protective responses, and find freedom. Your coping is rooted in wisdom, often a natural response to unnatural circumstances.
What others are saying...
Alice Baker is one of the most compassionate, insightful, and dedicated practitioners in the field of eating disorder treatment.
"As a psychotherapist and a Registered Dietitian Nutritionist, she has both the psychological and scientific background to help clients fully heal from their disconnected eating. With her ability to connect with her clients, she brings them to a place of peace with eating and their body. She is a gem in our profession!"
I am grateful for her passion, knowledgable, and genuine compassion for her clients.
I have known and worked with Alice Baker, MSRD, CEDRD-S, LDN, LMHC, for the past ten years. Alice is an expert in the field of eating disorders and is a true joy to work with. I am grateful for her passion, knowledgeable, and genuine compassion for her clients. Alice and I consult on a regular basis as we help our clients find their path to wellbeing and recovery. My clients trend to describe Alice as kind, positively challenging and a catalyst to their recovery. This community is fortunate to have her!
Celine Passeri, Psy.D. CEDS-S
Her wisdom and passion in the field of eating disorders is truly unmatched.
As a Registered Dietitian working towards my CEDRD, meeting with Alice for supervision has been invaluable. Her wisdom and passion in the field of eating disorders is truly unmatched. I have learned so much from working with her and know I am able to provide better care for my clients because of her supervision. Alice’s support, encouragement, compassion and knowledge have shaped me as a provider, and it is an absolute joy working with and learning from her. If you are a Dietitian interested in working with clients struggling with eating disorders, I would highly recommend Alice as a CEDRD supervisor.
Kelsey Pukala RD LDN
I have known Alice for years. She brings a true commitment, deep compassion, and unwavering faith to her work and life.
Tara Harvill, LMHC // Maitland, Florida
With strength and love, she invites others on the healing journey that she herself walks.
I have had the privilege of knowing and working with Alice for 10 years and count her as a trusted colleague in the field. She brings a balance of strong clinical expertise, compassion, and wisdom to the counseling room. With strength and love, she invites others on the healing journey that she herself walks. I highly recommend her as a therapist and refer to her often.
Amy E. Roza, LMHC // Winter Springs, Florida
She brings a keen mind, tender heart, and sensitivity to the voice of the Holy Spirit to her therapy
Alice is a tender and wise woman who has courageously faced the pain of her own story and tasted the hope, joy and redemption of the Gospel. She brings a keen mind, tender heart, and sensitivity to the voice of the Holy Spirit to her therapy. Alice carries a unique perspective on the therapeutic process because of her extensive experience on the impact of trauma on the body in her work as a dietitian with eating disorders, her curiosity for the intricacies of each client’s story, and her tenacious belief in the healing work of Christ. I would recommend Alice to anyone hoping to receive more healing and in effect live more wholeheartedly.
Rachel Blackston, LMHC Redeemer Counseling // Winter Springs, Florida | medical |
https://www.perfumeriaquality.pl/eng-menard/ | 2021-12-09T13:00:27 | s3://commoncrawl/crawl-data/CC-MAIN-2021-49/segments/1637964364169.99/warc/CC-MAIN-20211209122503-20211209152503-00236.warc.gz | 0.956291 | 408 | CC-MAIN-2021-49 | webtext-fineweb__CC-MAIN-2021-49__0__75503570 | en | About 100 research staff with academic backgrounds that straddle multiple fields and disciplines are developing new ingredients by applying the latest biotechnology to fundamental ideas. In the field of dermatological research, they are challenging the task of identifying the skin mechanisms on the genetic level.
Stem cells give rise to all sorts of cells that form the tissues and organs of the body. In recent years, stem cells in regenerative medicine have been the focus of worldwide attention. Menard is conducting research into stem cells that generate skin, focusing on the themes of "where beautiful skin comes from" and ?whether beautiful skin can be continuously generated,? and exploring new frontiers in cosmetics.
Menard scientists have also worked on various ingredients for each line of products to guarantee both quality and results. For example, they worked on Reishi for Embellir, vitamin C for Fairlucent, collagen for Colax and Selenicereus for Tsukika. The company is also constructively involved in joint research programs with university hospitals as well as in making presentations at academic seminars. This devotion to research has made the company widely known and recognized especially for its dermatological research on skin cells.
To achieve the company`s goal, which is providing nothing less than complete customer satisfaction, Menard first implements a marketing research in order to accurately identify needs. Then, by mixing its culture with hi-tech science and minute considerations, Menard creates a new style of "beauty". Menard products not only include foundation, makeup, hair and body products, fragrance and men's cosmetics, but also health food that helps building beauty and health from within the body. The company is meeting the wishes of the customers with assuredly safe and good quality products.
Menard's priority is internationalization in order to convey widely its lifestyle and the excellence of its products. Since 2004, distribution agreements have been contracted with Germany, Italy, United Kingdom, Poland, Netherland, Ukraine, Kuwait and Vietnam. The firm now exports its products in more than 31 countries. | medical |
http://wingspanlife.org/people-we-serve/ | 2018-11-17T20:27:36 | s3://commoncrawl/crawl-data/CC-MAIN-2018-47/segments/1542039743732.41/warc/CC-MAIN-20181117185331-20181117211331-00520.warc.gz | 0.946658 | 422 | CC-MAIN-2018-47 | webtext-fineweb__CC-MAIN-2018-47__0__197766799 | en | Wingspan Life Resources is licensed by the state of Minnesota to serve over 100 individuals between its 26 residential homes. Residents range in age from 18 to 103 years old, and in the past several years our residents have become younger with more people in their 30s, 40s and 50s. The functional level or our residents ranges from profoundly to mildly disabled.
Wingspan Life Resources residents have a wide variety of mental and physical challenges. Beyond their developmental disabilities, the great major of our population has a dual diagnosis for other disorders including: schizophrenia, schizoaffective disorder, bipolar disorder, depression anxiety disorder, borderline personality disorder, explosive personality disorder, depression with psychotic features, atypical affective disorder, autism, Alzheimer’s Disease, Down’s syndrome, Traumatic Brain Injury and cerebral palsy, to name some of the more common conditions.
Beyond these mental disorders, some of our residents also suffer from physical disorders such as: deafness, blindness, impaired or total immobility and diabetes.
The many disorders coupled with physical impairments and the wide age range makes it a real challenge for direct care staff who not only have to provide physical help as required but must also dispense numerous medications and injections and recognize changes in residents’ mental and emotional states. This places significant responsibility on the shoulders of direct care staff
Stability and continuity are very important to people with developmental disabilities. Wingspan’s residential program is a place for adults to call home from the time they enter one of our homes through hospice care if needed. Although people with developmental disabilities can now expect to live a long life, many experience major changes in health, function and psycho social status at much earlier ages than people who are not disabled. They show early signs of medical, functional and psycho social changes typically not experienced by persons without disabilities until much later in life. Persons with development disabilities, such as Downs Syndrome for example, have a 15 – 40 percent greater prevalence of early-onset Alzheimer’s disease which occurs 15 – 20 years earlier than the general population. | medical |
https://wilkes.ces.ncsu.edu/2015/11/its-all-about-that-colostrum/ | 2020-10-22T12:45:36 | s3://commoncrawl/crawl-data/CC-MAIN-2020-45/segments/1603107879537.28/warc/CC-MAIN-20201022111909-20201022141909-00500.warc.gz | 0.944609 | 687 | CC-MAIN-2020-45 | webtext-fineweb__CC-MAIN-2020-45__0__196999037 | en | It’s All About That Colostrum!
All mammals produce colostrum. It is the thick, yellowish “first milk” that is produced by the female after she gives birth (parturition). Colostrum is rich in energy, protein, vitamins and minerals. Most importantly, it contains maternal antibodies that help protect the newborn from disease pathogens during the early part of its life. Colostrum is produced for about 24 hours (plus or minus a few hours) after offspring are delivered.
The type of antibodies the colostrum contains depends upon the antigens to which the dam was exposed (by disease exposure or vaccination). Pregnant females should be kept in the location where they are going to give birth for at least 14 days prior to parturition. This gives them time to manufacture the correct antibodies for their specific environment.
All newborn mammals need colostrum. While it is possible for a newborn to survive without colostrum in a relatively disease-free environment, the likelihood of disease and death is much higher in newborns that do not receive adequate colostrum. Orphan newborns are often more susceptible to diarrhea and pneumonia because they did not consume enough high quality colostrum.
Newborn livestock have limited energy reserves and need rapid access to colostrum to maintain body temperature and survive, especially those born when it is cold. Colostrum is usually rich in vitamin A and helps to build stores in the newborn.
Colostrum is also the first source of Vitamin E for the newborn. The iron content of colostrum is 10 to 17 times higher in colostrum than normal milk. Colostrum also has laxative qualities and helps to eliminate fecal matter in the newborn’s digestive tract.
Research has shown that livestock vary in the quantity and quality of colostrum they produce. Younger females tend to produce less colostrum than mature females. Inadequate nutrition during late pregnancy can reduce the quantity and quality of colostrum. Newborn livestock should nurse as soon after birth as possible in order to receive adequate colostrum. Antibodies are large protein molecules that can only cross the intestinal wall and enter the bloodstream of the newborn during the first 24 to 36 hours of life. Absorption is most efficient the first few hours after birth.
The best source of colostrum is from the newborn’s own dam or another female that has recently given birth. If this is not possible, fresh or frozen colostrum from other females in the flock or herd can be used. Colostrum from females from the same flock or herd is the best source of colostrum because it will have custom-made antibodies. When using colostrum from another flock or herd, try to choose a farm with a similar disease status.
It’s important not to confuse colostrum “supplements” with colostrum replacements or substitutes. Be sure to read the labels carefully. A colostrum product that is unable to raise the blood concentration of immunoglobulin-G (IgG) above the species standard is called a colostrum supplement. Milk replacer is never a substitute for colostrum. It should not be fed until the newborn has received adequate colostrum, usually over 24 hours of age.
University of Maryland Cooperative Extension | medical |
https://ferrydust.com/journal/2072/should-i-get-a-flu-shot | 2024-03-04T15:12:35 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947476452.25/warc/CC-MAIN-20240304133241-20240304163241-00327.warc.gz | 0.958515 | 653 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__40638444 | en | Updated 2017: My answers are: 1) No; 2) Asea.
I used to catch the flu whenever other people did, and I thought that was “normal”. Turns out that having the flu is normal — for people who don’t have enough redox molecules.
Original post follows:
Best resource I found for answering this question was Health.com
The decision whether to get a flu shot takes into account your personal feelings and the medical facts.
Reasons to get a flu shot
- You are older than 50.
- You have a chronic disease or a weak immune system.
- You live in a nursing home or long-term care center.
- You are in close contact with someone who is at high risk for complications of the flu.
- You want to reduce the chance that you will get the flu.
Reasons not to get a flu shot
- You are allergic to eggs.
- You had a severe reaction to a flu shot in the past.
- You had Guillain-Barr? syndrome after a previous flu shot.
- You are not in close contact with anyone at high risk of complications from the flu.
- You are not worried about getting the flu.
I’m thinking I’m not going to get it..
2009 update: health.com updated their advice a bit:
Who should get the flu shot?
You should get a yearly flu shot if you want to reduce your chance of getting the flu. Anyone older than 6 months can get a flu shot.
It’s important to get a flu shot if you are at high risk for complications. This includes:
- People who are age 50 or older. People age 65 or older are at highest risk.
- People who have long-term (chronic) diseases, such as heart disease, diabetes, kidney failure, and lung disease, including asthma.
- People who live in nursing homes or long-term care centers.
- People who have weak immune systems.
- Children 6 months through 4 years of age. (The flu shot is recommended for all children from 6 months to 18 years of age.)
People who could spread the flu to people at high risk should also get the shot. This includes:
- Anyone who lives with or cares for a child who is 6 months or younger. (Children 6 months or younger can’t get the shot.)
- Anyone in close contact with a person who is at high risk of complications. This includes family, friends, and caregivers.
- Health care workers.
Who should not get the flu shot?
Some people should not get the flu shot without talking to their doctor first. This includes:
- People who are allergic to eggs.
- People who had a bad reaction to the flu shot in the past.
- People who had a rare nerve disorder called Guillain-Barr? syndrome after a previous shot.
- Children who are younger than 6 months of age.
- People who are already sick. If you are ill and have a fever, wait until you are better to get the shot. | medical |
https://thebulletinpost.com/2020/10/norfolk-public-library-launches-mental-health-podcast/ | 2022-09-27T13:23:48 | s3://commoncrawl/crawl-data/CC-MAIN-2022-40/segments/1664030335034.61/warc/CC-MAIN-20220927131111-20220927161111-00659.warc.gz | 0.933652 | 525 | CC-MAIN-2022-40 | webtext-fineweb__CC-MAIN-2022-40__0__280770167 | en | “Living Freely Mental Health Podcast” Show to Air Wednesday Mornings Beginning October 7
Norfolk Public Library (NPL) is launching a new mental health podcast show, “Living Freely: Mental Health Podcast,” hosted by Licensed Professional Counselor Rachel Ann Dine. All aspects of mental health and wellness will be discussed on the show with a focus on popular topics. Whether you are struggling with your own mental health, trying to support someone who is or simply want to make improvements, this podcast will give you resources, practical tips and useful tools to help take control over your mental, emotional and physical health to become the best possible version of you!
The first three episodes will air on Wednesday, October 7 at 6 a.m., just in time for listeners to tune in during their morning commute to work: Episode 1 – Dealing with Grief; Episode 2 – Achieving Work-Life Balance; and Episode 3 – Seasonal Affective Disorder. Follow the “Living Freely: Mental Health Podcast” by downloading the Anchor app at https://anchor.fm/npl-living-freely. You can also stream the show on Google Play, Apple, Spotify and all other major listening and social media platforms.
“These perilous times are overwhelming for many people in our community who suffer in silence trying to maintain a healthy mental state. Norfolk Public Library serves as a beacon of hope with resources and tools to empower our community. The podcast will help people without judgement or the stigma that often comes with mental health,” said Patricia Kendalls, NPL’s Adult Programming Coordinator.
Dine has been in the mental health field for 15 years and worked in a variety of settings: Crisis hotline, inpatient long-term residential and acute short-term psychiatric hospitals, military and family life counseling, and emergency departments providing mental health assessments. She has also written educational courses on psychiatric disorders for hospital employees.
“Information on achieving positive mental health should be straightforward, down to earth, and accessible! Living Freely: Mental Health Podcast seeks exactly to do just that; provide you with realistic strategies and information during a stressful time so you feel empowered to be your most content and healthy self. Live well and be well,” said Dine.
Episodes will be released weekly on Wednesday mornings with topics broken down into digestible parts to help listeners learn self-care and strategies to cope with stress in healthy ways.
Visit www.norfolkpubliclibrary.org to view the complete list and descriptions of all episodes. | medical |
https://woodmenlifeimpact.org/projects/129 | 2021-03-06T07:31:58 | s3://commoncrawl/crawl-data/CC-MAIN-2021-10/segments/1614178374616.70/warc/CC-MAIN-20210306070129-20210306100129-00577.warc.gz | 0.970012 | 198 | CC-MAIN-2021-10 | webtext-fineweb__CC-MAIN-2021-10__0__169778551 | en | In West Point, Nebraska, the Pediatric Therapy Department of Franciscan Healthcare has the dream and goal of making every child feel included. They want to play, laugh, and have fun! "Our mission is to help children with disabilities reach their highest potential by providing the best care to accomplish goals that are not only functional, but also meaningful to the entire family. We utilize play-based therapy interventions to target individualized therapy goals. "- Franciscan Healthcare Pediatric Therapy Team.
With the $960 they hope to raise they plan to purchase a handicap accessible, ADA regulated swing called the Freedom Swing Seat. With the big dream of a barrier free, adaptive play structure, the necessary equipment has become their main focus and a new accessible swing is one of the pieces of equipment they would love to bring to their patients and their families. The Freedom Swing Seat provides adequate support and comfort for children with special needs! Donate now to provide new equipment for kids in the community! | medical |
https://cakeisafoodgroup.com/managing-addiction-risk-and-dependency-with-primobolanenanthate.htm | 2024-02-22T02:13:18 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947473598.4/warc/CC-MAIN-20240221234056-20240222024056-00054.warc.gz | 0.89731 | 581 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__204124612 | en | Primobolan is an anabolic steroid used in bodybuilding, known for its performance-enhancing effects. However, misuse or abuse can pose risks, including the potential for psychological dependence. This guide delves into understanding addiction risks and dependency associated with Clen, offering strategies for responsible use.
Section 1: Recognizing Addiction Risks
- Educate Yourself:
Research and understand the potential risks and side effects associated with PrimobolanEnanthate. Awareness is the first step in responsible use.
- Consult Healthcare Professionals:
Seek guidance from healthcare professionals, such as sports medicine doctors or endocrinologists, to gain insights into safe usage and potential risks specific to your health.
- Acknowledge Psychological Factors:
Recognize that the desire for enhanced performance or body image goals may lead to psychological dependence. Be honest with yourself about your motivations.
Section 2: Strategies for Responsible Use
- Follow Medical Guidelines:
Adhere strictly to recommended dosages and cycles provided by healthcare professionals. Deviating from these guidelines increases the risk of adverse effects.
- Regular Health Check-ups:
Schedule routine check-ups to monitor your health, including cardiovascular and liver function tests. Early detection of issues allows for prompt intervention.
- Cycle and Dosage Management:
Implement cycling strategies with periods of use followed by breaks to mitigate the risk of developing tolerance or dependence. Avoid escalating dosages beyond recommended levels.
- Consultation Before Stacking:
If considering stacking with other substances, consult with a healthcare professional to assess potential interactions and cumulative effects on health.
- Address Psychological Well-being:
Prioritize mental health and well-being. If you find your emotional state relying heavily on PrimobolanEnanthate use, seek support from mental health professionals.
- Educate Yourself on Withdrawal Signs:
Be aware of potential withdrawal signs, both physical and psychological. If you experience any, consult with a healthcare provider promptly.
- Alternative Fitness and Nutrition Strategies:
Explore alternative strategies for achieving fitness goals, such as varied workout routines and well-balanced nutrition plans. Diversifying your approach can reduce reliance on substances.
- Community and Support Systems:
Engage with a supportive community, whether it’s fellow athletes, trainers, or health professionals. Open communication can provide a valuable perspective on responsible use.
- Understand Legal Implications:
Be aware of the legal implications of using anabolic steroids. Abiding by legal regulations ensures a responsible and ethical approach to usage..
Understanding the risks associated with Primobolan Enanthate and adopting responsible usage strategies is paramount for maintaining long-term health and well-being. By educating yourself, seeking professional guidance, and prioritizing both physical and mental health, you can navigate the complexities of using this substance with a more informed and responsible approach. | medical |
https://www.pelicanshops.com/hot-tubs/hot-tub-benefits/ | 2017-04-30T09:03:10 | s3://commoncrawl/crawl-data/CC-MAIN-2017-17/segments/1492917124478.77/warc/CC-MAIN-20170423031204-00206-ip-10-145-167-34.ec2.internal.warc.gz | 0.939634 | 686 | CC-MAIN-2017-17 | webtext-fineweb__CC-MAIN-2017-17__0__138971080 | en | Health Benefits of a Hot Tub
The Health benefits of warm water therapy have been well known for thousands of years. In fact Archeological evidence shows that as early as 4,000 years ago, hot therapeutic baths were enjoyed by the early Egyptians. Perhaps the first known hot tub was chiseled of solid granite for a King or Pharaoh. In the United States, hot water soaking has been a part of our culture for a long time. Drawn to natural hot springs, native Americans were likely the first to experience warm water therapy. By the sixties hippies began flooding the coast of California, looking for peace, love and... Whatever. With little money, and lots of free time on their hands, they set the stage for the proliferation of woodenhot tubsand the beginning of the hot tub craze we see today. Hydrotherapy, or warm water therapy in hot tub spas, consists of three main healing ingredients; heat, buoyancy, and massage. Together, they create an experience that is both relaxing and healthy. Hot tub hydrotherapy on a regular basis provides physical health benefits that go much deeper than just relaxation and pleasure.
Warm water massage stimulates the body to release endorphins that reduce stress naturally. Your body's natural endorphins are way more powerful than any anti-depressant or anti-anxiety medication. Deep muscle massages have always been known to alleviate stress, and owning a hot tub is like having 5 or 6 personal masseurs' right in your own home, ready to message you whenever the mood strikes you.
In addition to stress reduction Immersion in hot water raises the body temperature and causes the blood vessels to dilate, resulting in increased circulation. which helps to remove inflammatory particles from the area and relieves pain.-Warm, pulsating water increases blood supply to aching joints, -The buoyancy of the water relaxes muscles, and warm water decreases muscle tension that allows for greater flexibility.
Rehabilitation & Therapy Benefits
Many professional sports organizations, trainers and therapists recommend warm-water therapy to help patients resume their daily activities faster. By owning a hot tub, you may Improve Cardio Health: A recent study at the Mayo Clinic found that soaking in a hot bath gives many of the health benefits of exercise with less strain on the heart. Soaking in a hot bath increases the heart rate while it lowers blood pressure rather than raising it as does other forms of exercise. Four out of five Americans suffer from chronic back pain, according to the U.S. National Institutes Many studies show that hydrotherapy alleviates lower back pain and knee ailments by reducing stress and stiffness. If you have a medical condition or are pregnant, consult with your physician before starting any hydrotherapy regimen.
Get a Good Night's Sleep
The National Sleep Foundation recently conducted a poll which showed that 38% of men, and 48% of women suffer from some form of sleep disorder Lack of sleep can cause memory problems, shattered nerves, even mood swings and depression. By immersing yourself in hot water for 15 minutes before bedtime, your body temperature rises and enhances your ability to fall asleep The National Sleep Foundation suggests that soaking in a hot tub before you go to bed can ease the transition into a deeper, more fulfilling and healing sleep. And unlike using prescription sleeping pills the deep sleep you experience after using your hot tub is all natural! | medical |
https://www.cosmeticdentalgroup.je/news/can-healthy-teeth-help-create-a-healthy-body | 2021-09-28T11:26:47 | s3://commoncrawl/crawl-data/CC-MAIN-2021-39/segments/1631780060677.55/warc/CC-MAIN-20210928092646-20210928122646-00468.warc.gz | 0.930056 | 336 | CC-MAIN-2021-39 | webtext-fineweb__CC-MAIN-2021-39__0__179315529 | en | Cosmetic Dental group
News from the practice
Love your smile
Here are Jon and Katie's dental secrets to promote a beautiful and healthy smile with a side of healthy body.
Many studies have shown a link between gum disease and systemic conditions, including:
- Heart disease
- Premature birth
- Respiratory disease
So what can you do?
- Brush your teeth for 2 minutes twice a day
- Clean between your teeth every day
- Visit your Dentist and Hygienist regularly
- Stop smoking
Remember: healthy gums DON'T bleed!
You're sweet enough!
- Every time you eat or drink anything sugary, your teeth are under attack for up to one hour
- Sugar reacts with the bacteria in plaque to form acid which then attacks the teeth and destroys the enamel
- Your saliva helps to neutralise this acid, however frequent sugary intake means that your saliva cannot keep up production to counter this
Knowing the damage that food and drinks can do to your teeth, what can you do?
- Drink through a straw and avoid 'swishing' around the mouth
- Avoid brushing straight after acid intake - wait at least an hour
- Reduce the frequency of your acid intake and seek more alkaline drinks including peppermint tea.
- Chew sugar-free gum
All of these healthy swaps, tips and ideas will not only promote the health of your teeth but your body too. With the media reporting each day on the dangerous levels of sugar consumption and risk of conditions including diabetes, starting with your teeth really could be the first step in your journey to fitness and health. | medical |
https://e-shopgoodtimes.ca/blogs/news/50984196-health-living-well-with-cancer | 2018-08-17T09:42:18 | s3://commoncrawl/crawl-data/CC-MAIN-2018-34/segments/1534221211935.42/warc/CC-MAIN-20180817084620-20180817104620-00260.warc.gz | 0.964934 | 3,842 | CC-MAIN-2018-34 | webtext-fineweb__CC-MAIN-2018-34__0__151113034 | en | By Wendy Haaf
Find out what to do after treatment
Once you’re on the other side of a cancer treatment, how do you go about living as long and healthy a life as possible, both physically and emotionally? Since an estimated two in five Canadians will develop some form of the disease in their lifetimes and 63 per cent of all survivors—regardless of cancer type and grade—will live at least five years after diagnosis, that’s a question many of us will eventually face.
Thankfully, researchers have been working on finding answers, and a growing body of evidence suggests that the everyday choices people make after finishing chemotherapy and radiation treatment have the power to increase both longevity and the quality of life after cancer and may even help reduce the odds of encountering the disease again.
“There’s a lot people can do to improve their physical and psychological health,” says Dr. Gary Rodin, a professor of psychiatry at the University of Toronto and head of supportive care at Princess Margaret Hospital.
Dealing With Depression
“It’s completely normal to get depressed when you’re diagnosed, and there’s nothing harmful about that,” says Janine Giese-Davis, a researcher and adjunct associate professor in the department of psychology at the University of Calgary and the Tom Baker Cancer Centre’s Division of Psychosocial Oncology. “What’s harmful is if it becomes a chronic pattern, so that six months or a year later, you’re still at the same level of depression or even higher.
The evidence now for a link between depression and reduced survival is pretty strong—and increasing.” (Needless to say, depression also substantially diminishes quality of life.) For instance, the authors of a 2009 analysis of 25 studies found the premature mortality rate among cancer survivors who’d been diagnosed with depression was up to 39 per cent higher than in their nondepressed counterparts.
There are undoubtedly multiple factors behind this phenomenon, including that depression is known to impair the immune system’s disease fighting capabilities and reduce a person’s ability to consistently stick to the kind of healthy lifestyle that can mitigate the increased risk for other chronic diseases (such as heart disease and osteoporosis) that go hand-in-hand with a history of cancer.
While treating depression is worthwhile for the latter reason alone, there’s also some preliminary evidence that this also may improve the odds of long-term survival. Giese-Davis cites a study she authored, involving women with stage four (the most advanced stage) metastatic breast cancer. “Decreasing their depression levels in the first year after diagnosis predicted them living longer,” she says.
Interestingly, the specific strategies women used to tackle their depression— which ranged from participating in group psychotherapy to joining recreational groups—wasn’t important. “All that mattered is that they decreased that depression level,” Giese- Davis says. “I think that’s even more hopeful—that you don’t have to be the type of person who goes to psychotherapy; you can be the type of person who exercises or volunteers.” She adds that most practitioners would recommend a combination of medication and some form of therapy for moderate to severe depression. “Antidepressants help you put a floor under yourself and get enough energy to do the work to get you back into feeling some hope about your life.”
Living with the possibility of a cancer recurrence could leave the calmest, most unflappable person struggling with anxiety. “I think most people who’ve been diagnosed with cancer live between being on the edge of fear that the cancer will return and wanting to make the best of the time they have,” Giese- Davis says.
“And just as there are many ways to improve depression levels, there are similarly numerous ways to improve anxiety levels.” Such strategies include learning relaxation techniques and expressing your fears in a safe environment, she says, adding that often means talking to someone other than the people closest to you, who typically are grappling with their own fears and their worries for you.
“Expressing how you feel—fearful, sad, angry, or whatever—really goes a long way to diminishing depression and anxiety,” Giese-Davis says. And as counterintuitive as it may sound, confronting your fears directly and even delving into them more deeply, albeit in the right way, can also be beneficial. While at Stanford University in California, Giese-Davis was involved in a study for which women with metastatic breast cancer examined their worst fears. “We had them talk about exactly what their fears were about and what they imagined,” she says. Once participants had pinpointed the things that caused them the most anxiety, they actively took steps to prevent that worst-case scenario. For example, if the thought of friends and family having to provide personal care in the event that you lost your independence was what you found most disturbing, you might start saving money so you could hire a caregiver if necessary. “The remarkable thing was, instead of depressing people, it often released them back into their lives,” Giese- Davis says.
Something many people do naturally in the aftermath of a cancer diagnosis can also be a stepping stone to reducing anxiety. “Some people begin to think about how they’re spending their lives, what sort of work they want to do, their relationships, what’s really valuable to them,” Princess Margaret Hospital’s Dr. Rodin says. “Maybe they haven’t been spending as much time with their families as they might have wanted, and they realize that might be more important than all of the other things they were doing.”
Finding ways to channel your time and energy into the things that mean the most to you doesn’t just make you happier and more engaged, it may also wrestle your anxiety down to more manageable levels. “Whether it’s making some kind of legacy for your grandkids, making quilts, joining local politics, or volunteering for cancer research projects, when you’re doing something meaningful, it’s hard to be anxious,” Giese-Davis says.
Sure, you know that a healthy diet is linked with a lower risk for several types of first-time cancers, but if you’ve already been diagnosed, you might assume that the horse is already out of the barn. In fact, accumulating evidence strongly suggests that’s not the case at all.
For one thing, following treatment, cancer survivors face higherthan- average odds of developing several chronic health problems including heart disease, Type 2 diabetes, and osteoporosis; a healthy lifestyle, including excellent nutrition, can help cut those heightened risks down to size.
“We know that maintaining a healthy weight, consuming a nutrient- rich diet, and being physically active are all going to be important to a person’s long-term health,” says Christy Brissette, a registered dietitian with the Head & Neck Centre and the ELLICSR Health, Wellness, and Cancer Survivorship Centre at Toronto’s Princess Margaret Hospital. “We’re also getting more and more evidence indicating that by managing all of these things, we might see a lower risk for recurrence of certain cancers. And in some cancers, we’re seeing a trend such that there might be a lower risk for recurrence, as well as improvements in overall survival after treatment.”
So what kinds of dietary changes could improve your long-term prognosis? If your body weight is higher than what’s considered healthy, cutting nutritionally empty calories is a good place to start. “The number one thing we can do to lower our risk for cancer is to be as lean as possible without being underweight,” Brissette explains. “Carrying extra weight, especially around the midsection, is associated with higher insulin levels and all kinds of hormone cascades that are being linked to a higher risk for certain cancers.”
Cutting back on sugary drinks and foods high in added sugars and low in fibre (i.e., many processed foods) and focusing on whole foods serves a dual purpose. First, these changes improve your chances of shrinking a spare tire, but perhaps even more importantly, this type of eating pattern helps curb blood sugar levels and, by extension, the amount of insulin the body produces in response.
Fat is another nutrient that seems to play a key role in cancer prevention. “There have been a lot of studies looking at the impact of dietary fat, mainly on breast, prostate, and ovarian and other gynecological cancers,” Brissette says, “and basically, the type of fat seems to be just as important as overall fat.” The importance of the latter is likely because fat is relatively dense in calories. As far as type of fat goes, “higher saturated fat intakes are being linked to shorter survival, and greater monounsaturated fat intakes might predict longer survival in some cancers.”
Consequently, most experts now recommend replacing saturated fats from sources such as red meats and full-fat dairy products with monounsaturated fats from things such as olive oil, nuts, and avocados. Keep in mind that portion size is still important, since these healthy fats are equally high in calories.
That theme of de-emphasizing animal sources in favour of plants is echoed in the results of other studies aimed at pinpointing the best diet for cancer survivors. “So far, what we see is that the type of diet that’s linked to a lower risk for different types of cancer in some cases also reduces the risk for recurrence,” Brissette says. “Basically, that dietary pattern is high in vegetables, fruits, whole grains, and beans and legumes, and includes leaner foods that come from animals, such as chicken and fish, while it minimizes intakes of refined grains, processed and red meats, desserts, and full-fat dairy products.”
Consequently, organizations such as the World Cancer Research Fund and the American Institute for Cancer Research recommend that “cancer survivors, or really all of us who are trying to lower our risk, allow two-thirds or more of our plates for foods that come from plants and one-third or less for foods that come from animals,” Brissette says.
The same sets of recommendations suggest limiting red meat to 18 ounces (510 grams) or less each week and, if you consume alcohol, stopping at two drinks a day for men and one for women. Happily, this type of eating plan—which encompasses both the Mediterranean and DASH diets—is also linked with a reduction in the risk for other health problems, including high blood pressure, heart disease, and stroke.
Just how dramatic a difference can this type of eating plan make? While that probably depends on the type of cancer, Brissette says, “in one study looking at dietary patterns in breast cancer survivors, those who had the highest intakes of vegetables and whole grains saw a 43 per cent reduction in overall early mortality, versus those people with the lowest intakes.”
Of course, changing eating habits developed during a lifetime can be a struggle, but there are resources to help. “Here at Princess Margaret, I’m part of a program called the ELLICSR Kitchen,” Brissette says. “I work with a wellness chef, and we deliver nutrition education and cooking classes.” Participants also get to taste the wares from the classes. Shawn Hart, 54, of Toronto, a two-time breast cancer survivor, says the program has helped her completely change the way she eats. “I grew up in an Irish family, so it was meat and potatoes, and junk food was its own food group,” she says. “I don’t like much, and the treatment narrowed my tastes even more. I can’t even tolerate the smell of some things.”
However, after being gradually introduced to unfamiliar ingredients such as herbs and to template-type recipes that allow her to switch a loathed vegetable for one she likes, Hart has incorporated a host of healthy foods such as kale into her diet. Having once disliked berries due to their texture, she now incorporates them into foods such as smoothies. “My mom is amazed at what I’m eating,” she says. “I think each time I do something good for myself, I feel like I have a little bit of control over the cancer coming back. My wellness chef and dietitian are just as important to me as my doctors.”
Even if you’re not a patient of the Princess Margaret, or live outside of Toronto, you can access some of ELLICSR’s resources. “We have a big show once a month that we stream live on the Internet, so people can tune in and ask us questions, and we have a huge library of 500 recipes on our website [ellicsr.ca],” Brissette says. “We also have a YouTube channel where we post oneto two-minute videos on nutrition skills such as how to manage taste changes from treatment,” she says; other videos on the channel focus on basic kitchen tips. (Brissette is also one of the consulting dietitians for a magazine called Nourish— nourishonline.ca— which offers evidencebacked nutrition information and practical tips specifically for cancer survivors.)
Staying or Becoming Physically Active
About 20 years ago, the evidence that physical activity could improve quality of life and reduce symptoms such as fatigue began rolling in, followed by research pointing towards physical activity as a powerful tool for dealing with the mental and emotional challenges a cancer diagnosis often brings. Catherine Sabiston, the Canada Research Chair in Physical Activity and Mental Health and an associate professor of kinesiology and physical education at the University of Toronto, is involved in one of the latest of such studies, now currently under way.
She sums up the findings of the research that’s been done to date this way: “We see consistently, both cross-sectionally and over time, that physical activity helps to reduce symptoms of depression, reduces stress, reduces anxiety, and improves overall emotional wellbeing.” As evidence for the benefits of exercise grew stronger, scientists began to look into the question of how physical activity might affect longevity and the likelihood of cancer recurrence.
A landmark study of breast cancer survivors released in 2005 was the first to find that “physical activity in survivorship was linked with reduced risk for recurrence and lower premature mortality rates,” with roughly 30 per cent drops in each of these measures, says Jeff Vallance, a Tier 2 Canada Research Chair in Health Promotion and Chronic Disease Management and a health solutions population investigator at Athabasca University in Alberta. “Three to five hours a week of moderate intensity walking had the greatest benefit,” he adds.
Now, after 10 years and roughly as many studies, research has shown fairly consistent associations between physical activity and reductions in premature mortality and cancer recurrence, he says. And perhaps the best news of all to emerge from all this research is that people can reap the benefits even if they’ve never exercised. “Some of our colleagues have done work that shows that change in physical activity at any point following a cancer diagnosis is important,” Sabiston says. “It’s as if starting today helps you regardless.” Sabiston also emphasizes that simply choosing an activity you enjoy and moving more today than you did yesterday is more crucial than the specific type of exercise or aiming for a particular amount of activity per week.
For one thing, she says, “light activity is beneficial for a number of mental health facets.” Light activity also reduces sedentary time, which is emerging as a potential cancer risk factor. Doing something you enjoy improves the chances that you’ll continue to be active on a consistent basis and perhaps even slowly increase the amount and intensity of activity. “The problem is that 85 per cent of women are not active enough,” Sabiston says.
However, there is one research tested tool that has been shown to help increase activity after a breast cancer diagnosis. “We looked at the effect of specific physical activity print materials on activity behaviour in a large group of breast cancer survivors,” Vallance says. The nearly 400 women were randomized to various groups: some received the print materials alone, others were given a pedometer, a third group got both, and the rest received neither. Even just the print materials increased self-reported physical activity (though not steps walked weekly) by 30 minutes, compared with the no-intervention group. Better yet, Vallance says, “when we combined the print materials with the pedometer, we were looking at about 80 to 90 more minutes per week of physical activity.”
To make these materials widely available to the public, Vallance and a co-author, Kerry Courneya, turned them into a 90-page interactive workbook called Fight Breast Cancer With Exercise (Lone Pine Publishing, 2014; an electronic version is available through iTunes).
Sabiston and her colleagues, too, have launched a resource they’re hoping will help female cancer survivors become more active. “Something women in particular tell us is that they need social support— the general idea is that if someone would just show up and drag me out of the house, I would exercise,” she says. In response, “we developed a system that helps women who have had cancer find an exercise partner,” she says.
To use the free online tool, called ActiveMatch, a woman goes to the activematch.ca website and creates a profile, answering questions about physical activity and what she’s looking for in an exercise partner. “The system finds matches based on algorithms that we’ve developed, but women can also override that and find their own exercise partners,” Sabiston says. “We’re testing that now to see if lack of social support is in fact one of these limiting factors around exercise,” she adds, “and whether helping people find partners is a good solution to the problem of lack of adequate exercise.” | medical |
https://www.onlinetradesmen.ie/Tradesmen/TradesmenAndConstructionNews/Advice-To-Tradesmen-To-Help-Protect-Against-Coronavirus.aspx?ArticleID=543&tabid=581 | 2020-10-31T01:29:51 | s3://commoncrawl/crawl-data/CC-MAIN-2020-45/segments/1603107912593.62/warc/CC-MAIN-20201031002758-20201031032758-00451.warc.gz | 0.953948 | 310 | CC-MAIN-2020-45 | webtext-fineweb__CC-MAIN-2020-45__0__73778132 | en | Unfortunately it seems that the Conrona / Covid-19 Virus is fast becoming a reality in Ireland. At Onlinetradesmen we want to do our best to keep the tradesmen community and their families safe.
Despite some of the hysteria, for most healthy people the effects of the virus will be minimal. However, the virus still needs to be taken very seriously.
As a tradesmen, you can keep yourself heathly by being aware of how the virus spreads and following the advice below, especially when working onsite, travelling between jobs and taking cash payments.
The general advice from the HSE.ie to protect yourself and others from coronavirus is:
- Wash your hands properly and often
- Cover your mouth and nose with a tissue or your sleeve when you cough and sneeze.
- Put used tissues into a bin and wash your hands.
- Clean and disinfect frequently touched objects and surfaces.
- Try to avoid close contact with people who are unwell.
- Follow the travel advice from the Department of Foreign Affairs
Remember, if you are showing signs of illness such as respiratory symptoms, fever, cough, shortness of breath and breathing difficulties then you should:
- isolate yourself from other people - this means going into a different, well-ventilated room alone, with a phone
- phone your GP, or emergency department - if this is not possible, phone 112 or 999
- in a medical emergency (if you have severe symptoms) phone 112 or 999 | medical |
https://medapp.nu/en/about-medapp/ | 2018-11-15T08:51:10 | s3://commoncrawl/crawl-data/CC-MAIN-2018-47/segments/1542039742569.45/warc/CC-MAIN-20181115075207-20181115101207-00195.warc.gz | 0.945329 | 156 | CC-MAIN-2018-47 | webtext-fineweb__CC-MAIN-2018-47__0__55397908 | en | Everything to make taking drugs easier, more personal, and more effective, all in one place: that is MedApp. The free app offers direct access to all information about the medicines you take: search for their names, or scan their box, and immediately find the proper patient information leaflets, current pricing, side effects, and much more. Need to visit your pharmacy? Use MedApp to check the opening hours. On top of this, MedApp provides a personal dossier to keep track of all matters related to your medicine use, such as doctors’ appointments, how you are experiencing your symptoms, and much more. Additionally, it is possible to set up smart alarms to remind you to take your medication, allowing MedApp to ensure you never forget to take your next dose. | medical |
https://steroidlistonline.com/product/clenbuterol-100-tab-40-%CE%BCg-1-tab/ | 2024-04-18T19:30:35 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296817239.30/warc/CC-MAIN-20240418191007-20240418221007-00761.warc.gz | 0.901295 | 673 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__69644270 | en | Brief description of the drug
- Period of activity: 6-8 hours
- Drug class: Beta-2-sympathomimetic/thermogenic/anticatabolic (oral)
- Dosage: 120-160 mcg/day for men and 60-120 mcg/day for women
- Acne is absent
- There is no water retention in the body
- An increase in blood pressure sometimes
- No hepatotoxicity was detected
- There is no flavoring
- DHT conversion is absent
- Suppression of the HPTA function is absent
Clenbuterol is a beta-2-sympathomimetic, the main action of which is fat burning. A high fat-burning effect, as when using a low-calorie diet, is accompanied by an increase in the stiffness of muscle mass, veins are more clearly drawn, and a surge of strength is observed. The half-life of the drug is 35 hours.
Being a stimulant of the central nervous system, clenbuterol has a powerful catabolic effect, in many countries it is used to treat lung diseases (in particular, bronchial asthma). It is mainly used at the end of the course of steroids.
Due to the pronounced fat-burning effect, the drug is often taken for weight loss. At the same time, fat burning occurs without grueling diets, however, with some increase in body temperature.Fats are consumed for this rise in temperature.
Instructions for use
20 tablets of 40 mcg are available in a blister pack. The dosage of the drug depends on body weight and the body's reaction to side effects. For men, the average dosage is 100-140 mcg, for women 80-100 mcg per day.
Reception should begin with 1 tablet per day and, taking 1 tablet more each day, reach the required dosage. The duration of taking clenbuterol is on average 8-10 weeks. Schemes of taking the drug vary depending on the desired goal: fat burning or the optimal ratio of muscle mass and strength gain. Since clenbuterol loses its anabolic properties after 18 days from the beginning of administration, it is better to alternate the administration of the drug: 2 weeks of administration, 2 weeks of rest.
For burning fat, it is ideal for women, as it does not have such side effects as hormonal steroids.
- The most frequent side effects when taking clenbuterol are: nausea, vomiting, rapid heartbeat, feeling of anxiety and fear, headaches, sweating, light tremors of the fingers, muscle spasms, drowsiness, increased blood pressure.
- By drinking a large amount of water (5-7 liters per day), using bananas, oranges or potassium-containing preparations, you can avoid muscle cramps.
- Analgesics will help get rid of headaches.
- In general, side effects can stop by themselves after 8-10 days from the start of taking the drug.
Store at a temperature of 15-25C, in a dry place protected from light and inaccessible to children.
5 years Do not use after the expiration date indicated on the package. | medical |
http://claireabellemakes.com/2013/09/01/migraine-awareness-week/ | 2021-04-15T18:09:38 | s3://commoncrawl/crawl-data/CC-MAIN-2021-17/segments/1618038087714.38/warc/CC-MAIN-20210415160727-20210415190727-00230.warc.gz | 0.934631 | 257 | CC-MAIN-2021-17 | webtext-fineweb__CC-MAIN-2021-17__0__264780349 | en | Today marks the start of Migraine Awareness Week (MAW). Every year The Migraine Trust promotes Migraine Awareness Week (1-7 September 2013) to raise general awareness of migraine as a serious public health issue.
As you may know, I have suffered from migraine attacks for around 15 or so years with the latter two years as a chronic migraine sufferer. I occasionally blog about my migraine experiences in the hope it will help others. The Migraine Trust are campaigning to encourage understanding that migraine is ‘more than just a headache’.
I have found that my online migraine friends have offered a great deal of support, advice and understanding. In particular, Victoria of the Migraine Monologues is an advocate for migraine sufferers and I always learn something new from her posts.
So, whether you are a migraine sufferer or not, I urge you to take a look at the Migraine Monologues blog during MAW 2013 to learn something about the condition. Victoria will be posting each day throughout the week.
So far in 2013, I have lost 70 days to migraine. Knowing that others understand what I am going through is a great comfort.
You can find links to blogs and articles by using the hashtag #MigraineAW2013. | medical |
https://www.memorywalk.com.au/event/geelong | 2020-04-05T15:22:53 | s3://commoncrawl/crawl-data/CC-MAIN-2020-16/segments/1585371606067.71/warc/CC-MAIN-20200405150416-20200405180916-00413.warc.gz | 0.876483 | 733 | CC-MAIN-2020-16 | webtext-fineweb__CC-MAIN-2020-16__0__132807538 | en | Sunday, 17 May 2020
From 7:00 am
Raised so far
IMPORTANT EVENT UPDATE
In light of the evolving situation surrounding the coronavirus COVID-19 outbreak, we have decided the wellbeing of our participants and colleagues is our number one priority and therefore have made the difficult, but responsible, decision to adapt our Geelong event.
We have an exciting way you can still virtually take part from Sunday 17 May. Thank you again for your support and understanding.
About Geelong Memory Walk & Jog
We have an exciting way people can still virtually still support Memory Walk & Jog.
We are asking all our participants to get active in your local area from Sunday 29 March. This could be in your backyard, a walk around your block or at home – anywhere that is safe and within the government’s guidelines.
How to get involved
Now is the time when people living with dementia need our support the most.
We’ll still walk, jog or run to make the world of difference for people living with dementia.
Register for Geelong Memory Walk & Jog today
Get active and beat dementia your way! Select either 2km, 6km or 8km as your preferred distance. Choose whether you want to walk, jog or run. Whichever way you decide to move, you’ll be helping us beat dementia to the finish line!
The first 500 people to register will receive a free t-shirt.
Fundraise for people living with dementia
Every kilometre and every dollar counts. The fundraising you do will make the world of difference to the estimated 114,779 people with dementia in VIC. And it means Dementia Australia can do more to make life better for them and their loved ones. It may even help us put a stop to dementia for good.
Geelong! It’s time to get active, get healthy and get ahead of dementia!
|Child (6-17 years)||$29.00|
|Junior (0-5 years)||FREE|
|Senior (60+ years)||$29.00|
|7:00 am||On-the-day registration|
|8:10 am||Race welcome|
|8:20 am||Group warm-up|
|8:45 am||8km runners start|
|8:50 am||6km walkers start|
|8:55 am||2km walkers start|
|10:30 am||Prize presentation|
|11:00 am||Race day finish|
*Timings and distances are subject to change
- Hannah just donated $15.98
- Jayden just registered for Geelong
- Ashleigh just registered for Geelong
- Callum just registered for Geelong
- Taylor just registered for Geelong
- Cassandra just registered for Geelong
- Lisa just donated $21.30
- Rain just donated $21.30
- Rob and Maxene just donated $100.00
- Bec just donated $106.50
- Mon & Beni just donated $58.58
- Jessica just donated $50.00
- Alison just donated $55.00
- Brydie just donated $50.00
- Jemma just donated $31.95
- Kate just donated $106.50
- Ted just donated $50.00
- Emma and Timmy just donated $200.00
- Jane just donated $106.50
- Lara just donated $58.58 | medical |
http://fabledtortuga.com/2023/09/prayer-request/ | 2024-04-22T18:37:44 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296818337.62/warc/CC-MAIN-20240422175900-20240422205900-00733.warc.gz | 0.97799 | 774 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__50357271 | en | We need prayers for Ronin.
Ronin had been doing really well for the last few weeks; growing to 7 pounds, completely off pain meds, and needing very little oxygen support. The cardiologists were really happy with his growth trajectory and there had been plans to have him come home sometime in September. Although we didn’t want to get our hopes up, over this last weekend Ray and I even set up a crib and rocking chair in anticipation of our baby boy’s homecoming.
But on Sunday evening, I had a call from the hospital letting me know that Ronin’s oxygen levels had started to decline and he’d been switched from a low-flow nasal cannula back to up high-flow. Then over the next few days he went from requiring 1 liter/minute to 2… 3… 4… and by Wednesday, 5.
On Monday they had done another echocardiogram to check on his heart, but the cardiologist was really pleased with Ronin’s stent placement and didn’t notice any troublesome changes. Since Ronin has a congenital heart defect known as double-outlet right ventricle (DORV), any issues with his heart are something they’d want to closely monitor to rule out first. (For more information about Ronin’s heart diagnosis, you can refer to my earlier post, “Life in the hospital: Part 2.”)
On Tuesday, I spoke with a neonatologist who seemed completely baffled with what might have caused the change. She decided to start giving Ronin micro-doses of morphine every 3 hours, thinking that he might be having low blood oxygen sat’s due to restlessness/agitation. So far nothing has necessarily improved in terms of his oxygen support, but other than being a lot sleepier now, he still looks peaceful.
Now Friday, he’s pretty much in the same condition. Still on higher oxygen support, but not necessarily in a critical state. With my limited understanding of what’s been going on in his body, it seems like this must be related to DORV causing oxygen-poor blood to circulate.
The cardiologist’s working plan is to dilate the stent in his pulmonary artery on Wednesday, September 6. When the stent was first placed – when the doctors saved his life back in early July – Ronin weighed a little over 3 pounds. Now that he’s twice as big, his heart needs to circulate more blood throughout his body. If the pulmonary artery were a garden hose, having the stent dilated would widen the hose and improve the rate of flow. Hopefully the procedure will be the only necessary intervention before his major heart repair surgery. Hopefully there isn’t something else going wrong that the doctors aren’t seeing.
I’m praying for Ronin’s body to stay strong, and for the doctors to have the knowledge and wisdom necessary to keep him safe. I’m praying for my family’s peace as we’re going through this marathon of challenges. I’m also praying that the Holy Spirit guides my days ahead. This has been a test of my endurance and perseverance, and I know it’s only by His strength that I’ve been able to keep from giving up. The lessons I’ve learned are invaluable, and this experience has made myself and my family so much stronger in our faith. I just want to stay in the center of God’s will – in His refuge. That’s the only place I’ll be able to continue experiencing His power, His mercy, His protection. And His peace. | medical |
https://www.planetree.org/news/dear-nurse-executive-a-heart-felt-thanks-for-all-you-do | 2023-12-04T02:17:04 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679100523.4/warc/CC-MAIN-20231204020432-20231204050432-00296.warc.gz | 0.968708 | 783 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__267837217 | en | Dear Nursing Executive, I want to give you warm and heart-felt thanks for all you do every day. Doing the work of Angels is not easy but without you, patients and families could not experience the care necessary to heal. The work you do goes so far beyond what is obvious to the eye. As a former Nurse Executive, I understand how much of you is required to accomplish even small bits of progress in the midst of the major challenges you face.
Nursing is at the heart of hospital care and has a tremendous impact on patients, families and the entire healthcare team. If nursing is not performing optimally, every stakeholder feels it. In a society where many feel nursing is an under-appreciated profession, I want you to know you are valued and respected by so many both in and out of your organization.
Patients and Families
It goes without saying that patients and families are the reason we do what we do. They come to your hospital needing your services when they are in their most vulnerable state. They may be afraid, frustrated, or angry. While you may not be privy to the past experiences that shape their perspectives, you understand that their feelings, symptoms, and perceptions result from something bigger. You stay focused on providing the unbiased and compassionate care they want and deserve. Please know for every ‘thank you’ received, there are probably hundreds more that patients and families did not express.
Your willingness and commitment to rise to challenges and high expectations is the difference between having a harmonious and high accountability team and a dysfunctional, ineffective team. You are the driver of alignment—and the glue that bonds and helps sustain alignment among many departments. You acknowledge the work to be done while advocating for your team so that they give and receive the respect and caring everyone deserves for their noble work and commitment to patients and each other. I cannot recall many meetings where the topic of “what nursing should be doing” did not arise. It can be exhausting and disheartening, making you wonder, “Do they understand how hard we are working.” Please know, even if it is not felt at that moment, the work by you and your team does not go unrecognized.
All I can say to you is WOW! Your incredible leadership has the ability to touch lives and transform careers. You congratulate publically and coach privately. Your skillful navigation of the generational divide contributes to a cohesive team focused on the goal of providing each and every patient with an exceptional patient experience. But it does not stop there. You understand that team relationships, both interdepartmental and intradepartmental, have a powerful impact on outcomes. You hold the team accountable for high expectations while fostering an environment that is blame-free and education-centric. Whether you offer a hug to the nurse who just experienced a personal loss or a high five and, of course, pizza when the team pulls through a challenging clinical situation, you do all you can do to be there for your team.
In my early days as Nurse Executive, I remember feeling overwhelmed as each department shared what they needed from Nursing. It was so difficult to prioritize all of these needs. But you do! And, more importantly, you do it in a way that makes other department leaders feel valued and respected. Others leave conversations with you feeling pride in knowing you are the ultimate collaborator and, although your plate is full, you are always open to talk. You approach each situation with the big picture in mind. You know that every department is important to the exceptional patient experience. You embrace your role and lead the charge!
I could go on, but suffice it to say, your leadership helps transform organizations so that they replace tragic outcomes with consistently magic outcomes. Please know how incredibly valued you are, and thank you for doing the amazing work you do every day! | medical |
https://www.debbieungerer.com/work-with-me | 2024-02-26T00:52:55 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947474649.44/warc/CC-MAIN-20240225234904-20240226024904-00859.warc.gz | 0.931139 | 850 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__196627550 | en | WHAT IF YOU KNEW EXACTLY
What to Eat
FOR YOUR CANCER
Cancer treatment protocols require a complex combination of surgery, chemotherapy and radiotherapy, often accompanied by a number of other medications administered over several months, if not years. These treatments can take a real toll on the body, physically and emotionally. Getting through cancer is never going to be easy, but it can be easier. Using a whole body, systems approach, my care programmes are designed to look at how your cancer and your treatments are impacting your body, from time of diagnosis, through treatment, and into remission - we will work together to make your journey as easy as it possibly can be.
Amongst the main side effects of chemotherapy, nausea, fatigue and loss of taste mean that most of the time you won't feel like eating, let alone shopping or preparing meals. On top of all that, surgical resection of the colon may impact how you body digests and absorbs nutrients from food, even after cancer treatment ends. The care programmes described below take these factors into account and will change and adapt through your treatment protocol, personalised to your individual cancer and treatment protocol. Programme prices will vary accordingly and can be discussed during your FREE consultation.
Feed Your Warrior
Expert nutritional advice and mindset coaching, personalised to your individual needs. Cancer therapies can cause deficiencies of several vital nutrients, contributing to side effects. Food is a safe way of delivering essential nutrients to your body without concern for cancer drug interactions. This program works to replenish nutrients lost, manage side effects and boost immune system through the course of your cancer treatment protocol.
Belt and Braces
Everything in Feed your Warrior with the additional focus on deeper investigation through laboratory testing to determine more precisely where your body needs support. Testing is very individual according to need and may include urine, blood, DNA and stool analysis amongst others.
Whatever it Takes
Everything in Belt and Braces with the addition of regular and ongoing testing throughout your treatment protocol so that we can adjust your protocol as and when your body needs it. By far the best way to stay on top of side effects and achieve the best possible response to your cancer drug protocol.
After the Bell
Been given the "all clear" but feeling broken and unsure of what to do next? Cancer treatments can leave your body damaged and side effects can linger on long after the treatments end. Mental and physical healing from cancer start when your cancer treatments end - when the doctors appointments end, and friends and family have celebrated. This is your "ground zero" . After the Bell will help put your body back together again, to help you feel whole again, so you can find your new "post-cancer" self. Life after cancer can be the start of a whole new adventure, a whole new amazing YOU, and I'm passionate about showing you how!
As an add-on to any of the above packages, DNA testing provides invaluable insight into your DNA blueprint allowing deeper investigation to determine more precisely where your body needs support. The basic DNA test pack includes 3 reports (Nutrient Core, Methylation and Detoxification) plus a 1-hour consultation to interpret the results. Depending on individual needs or cancer type, additional reports can be added on, for example the Hormones report would be particularly relevant in the case of hormone driven conditions or cancers, or the Thyroid report for thyroid-related conditions of cancers.
Please note that working with me is not a substitute for standard cancer treatment
Nutritional therapy is not designed to diagnose, treat or cure any disease, including cancer
Nutritional therapy is about supporting the body’s resilience and whole person wellbeing, and I always aim to work collaboratively with oncology services.
If you'd like to know more about any of the above programs or about how I work, then please go ahead and book a FREE consultation. The button below will redirect you to the Practice Better online portal where you can use the calendar to select and book a date and time that suits you. On the day I will call you on the number provided and we can talk about your circumstances and how I might be able to help you. | medical |
https://homecaremidmo.com/2015/05/01/a-step-in-the-right-direction-fall-prevention-program/ | 2023-12-08T18:25:11 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679100769.54/warc/CC-MAIN-20231208180539-20231208210539-00519.warc.gz | 0.965705 | 364 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__229120270 | en | I’m sure you have seen it before a friend or family member in relatively good shape and healthy has a fall and ends up in the hospital. When we were younger you popped right up. I used to marvel at my children’s ability to “bounce” after a fall but as we age a fall can have serious health side effects. So the best thing to do is to avoid falling and no I am not suggesting you sit on your couch and become a couch potato! It’s time to start moving to avoid falls.
A year ago we launched a new program called STEPS based on the latest research on fall prevention. This program includes a series of exercises designed to strengthen your muscles and especially your core muscles with a reasonable amount of walking. By strengthening your muscles you are decreasing your risk of not only falling but injury during a fall. So far from being a couch potato I am encouraging all of you to take the step towards better health. Developed by Dan Walters, PT at HomeCare of Mid Missouri, this program is personalized for each patient. Specific goals are determined by you and your physical therapist. Life is not a race but a journey by making lifestyle changes our goal is to keep you safe in your home. Just adding in walking and strength training to your daily routine studies have shown an increase in mobility and a decrease in falls ensuring you are able to stay in your current home longer.
Before starting an exercise regimen you should always check with your doctor. Then consider a falls evaluation from HomeCare of Mid Missouri. Our physical therapists can assess your risk of falls and if you would be a good match for the STEPs program.
This evaluation could get you on the path to a happier and healthier life. We would love to help you on this journey. | medical |
https://sowrightseeds.com/blogs/planters-library/how-to-grow-st-johns-wort-plant-from-seed | 2024-03-03T15:24:58 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947476396.49/warc/CC-MAIN-20240303142747-20240303172747-00146.warc.gz | 0.910688 | 1,679 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__101009991 | en | St. John's wort is an easy-to-grow shrub known for its beautiful yellow flowers and healing properties. In the world of medicinal herb gardening, the cultivation of healing plants becomes a therapeutic journey in itself. We’ll guide you through how to grow St. John’s wort from seed in your own garden so you can enjoy its many benefits.
St. John’s wort (Hypericum perforatum) is an herbaceous perennial with bright yellow flowers. This herb is named after the biblical St. John the Baptist due to its flowers coming into full bloom on or around his birthday on June 24. St. John’s wort has been used in Traditional European Medicine since Ancient Greece and continues to be one of the most purchased herbal products in the United States.
How to Plant St. John’s Wort Seeds
To start St. John’s wort from seed, sow seeds outdoors in the fall or start indoors 6 to 8 weeks before the last spring frost.
St. John’s Wort Seed Germination Tips
St. John’s wort seeds that are sown outdoors in the fall will overwinter and sprout in the spring.
When seeds are started indoors, they will need cold stratification for 4-6 weeks to improve germination.
St. John’s wort seeds require light for germination, so gently press seeds into the top of the growing medium.
Seeds will germinate in 14 to 21 days when soil temperature is above 70ºF.
Transplanting St. John’s Wort Plants
Once the St. John’s wort seedlings are several inches tall with two sets of true leaves and all danger of frost is passed, they can be transplanted outdoors. Harden off the seedlings and transplant them into a spot with well-draining soil in full sun to partial shade, spacing plants 18”-24” apart.
Growing St. John’s Wort Plants
St John's wort is not fussy and will grow in all kinds of soil. For good growth and plenty of blooms, plant in nutrient-rich soil. Ensure it is well-draining to avoid root rot.
This adaptable herb can grow in full sun or part shade. However, as with most plants, growing St. John's wort in full sun will result in more flowers.
Give St. John’s wort plants some space to spread. Place plants 18 to 24 inches apart. The Hypericum perforatum variety can spread two to three feet and grow 6 feet tall.
The application of additional fertilizer is unnecessary for growing St. John’s wort. If you have very poor soil, adding a layer of well-rotted compost in early spring can be beneficial. Too much nitrogen will have a detrimental effect on blossoms and medicinal strength.
Harvesting St. John’s Wort
The best time to harvest the flowers of St. John’s wort is right when they come into bloom at the end of June. A clear indicator that they’re ready to be harvested is when you see a red pigment on your skin after crushing a flower between your fingers. The flowers and leaves are best used fresh.
Medicinal Uses for St. John’s Wort
St. John’s wort is a popular choice for treating depression, anxiety, ADHD, insomnia, and restlessness. Commonly paired with lemon balm, St. John’s wort has proven to be very effective for SAD (Seasonal Affective Disorder) and OCD.
Because St. John’s wort helps balance the hormones, it can reduce and relieve depression, fatigue, cramping, bloating, and mood symptoms of PMS and menopause.
By calming the digestive organs and attacking harmful bacteria and viruses, St. John’s Wort is effective against ulcers, gastric problems, and infective digestive problems, such as gastroenteritis, dysentery, and diarrhea.
When used as a tincture:
St. John’s Wort can alleviate the physical symptoms of mild opiate withdrawal and relieve anxiety and depression for those quitting smoking by calming the nervous system.
The diuretic properties of St. John’s wort can flush out toxins through urination. The diuretic properties can also help bedwetting children by flushing the excess fluids out of the system before bedtime, preventing the buildup of fluids in the bladder!
When used as a topical oil or salve:
The tannins in St. John’s wort promote the healing of burns, bruises, sunburns, injuries, wounds, and infections due to its excellent antiseptic, antiviral, and antimicrobial properties.
When massaged into muscles, it can help relieve back pain, muscle pain, or general body aches. The oil of St. John’s wort is a fantastic choice for hemorrhoids, as it reduces inflammation, relieves pain, and expedites healing.
People with nerve pain, sharp or convulsive trigeminal neuralgia, sciatica, and Bell’s Palsy have benefited greatly from using St. John’s wort internally as a tincture or tea and as a topical oil/salve on affected areas. When used daily, it can relieve inflammation and pain symptoms of joint diseases, such as arthritis and gout, with increased benefits over time.
Lastly, St. John’s wort is an expectorant, making it effective against chest colds, congestion, respiratory disease, and influenza. It helps clear chest congestion and phlegm, healing infections and common coughs and colds.
St. John’s Wort Tincture Recipe
St. John’s wort flowers and leaves
80-proof grain alcohol or vodka
Loosely pack the flowers and leaves into a clean jar with a tight-fitting lid, filling it to the top. Add the alcohol, fully covering the flowers and leaves. Tighten the lid and label. Gently shake the jar daily for 4 to 6 weeks, adding more alcohol as needed. Strain out herbs and store in a cool, dark cupboard.
St. John’s Wort Infused Oil Recipe
4 oz (112g) fresh St. John’s wort flowers
2 cups organic olive oil
Combine flowers and olive oil in a double boiler and place over very low heat. Steep for 2 to 3 hours, keeping at a low simmer. Strain herbs from oil and store oil in a cool, dark cupboard.
** To make it into a salve, heat 1 part beeswax to 3-5 parts infused oil in a double boiler. More beeswax will make for a firmer salve. Store in a dark, cool cupboard or in the refrigerator to extend its shelf life.
St. John’s Wort should not be taken by those diagnosed with bipolar disorder, as it can increase the risk of mania. St. John’s Wort interacts with a lot of modern medicines, such as Warfarin, Digitoxin, HIV medications, and SSRIs. It can cause sun sensitivity to very fair-skinned people. Do not take for 2 weeks before surgery. Check with a physician prior to using.
Does St John’s wort come back every year?
St John's wort is a hardy perennial and will come back each spring.
Does St John’s wort spread?
St. John’s wort spreads through rhizomes. This makes it a good plant for preventing erosion but can be a problem in areas where it might overtake other desired plants.
Add St John's wort plant to your healing garden and enjoy its beautiful flowers and many medicinal uses.
Written by Ashley Clark
Found this information helpful? Share it with a gardening friend! | medical |
http://livingwithra-nan.blogspot.com/2015/12/lucky-me.html | 2019-04-24T10:26:56 | s3://commoncrawl/crawl-data/CC-MAIN-2019-18/segments/1555578640839.82/warc/CC-MAIN-20190424094510-20190424120510-00132.warc.gz | 0.990971 | 578 | CC-MAIN-2019-18 | webtext-fineweb__CC-MAIN-2019-18__0__33538910 | en | Tuesday, December 8, 2015
So Thanksgiving brought with it some really wonderful news this year in that I do not have to have surgery on my broken foot! I found out just a few days before I left for the holidays and I was elated to say the least. Everything was going to work out!
I was somewhat surprised as I had been told by no less than three different medical folks that "this bone does not usually heal well and likely will need surgery". Despite that dire prediction, I beat the odds!
I still am shaking my head in disbelief and wonder that I escaped this. How did this happen? Not sure but I have some thoughts. First of all I did not take the word of all of those folks to be gospel. I decided to call the surgeon who did my foot reconstructions and get his opinion. It took a few phone calls and signing releases, forwarding X-rays, etc. but it was so worth it! When I heard back he said in his opinion I would NOT need surgery and that the boot cast and forearm crutch approach would be just fine. Well that was sure welcome news! But I still was leery of what the 4 week X-rays might show. My foot looked pretty bad for sometime.
That said, I was told at the appointment where they did the 4 week X-ray that the extensive bruising, swelling and pain were largely from the tendon/cartilage injury that really was the root cause of the foot breaking. That made me feel a whole lot better. I was very careful to follow their suggestions for how to bear weight, etc. and it really paid off. At 5 weeks my foot is looking almost normal save for some minor bruising still around the lower ankle and at the toes. I'll take it!I have been careful not to overdo which is always a challenge for me but one I have taken to heart since I did not want the holidays to be hampered with crutches and pain. That certainly kept me on the straight and narrow. The frequent reminders from family and friends kept me in line too.
I was so thrilled to be able to return to Tai Chi and swimming just 4 weeks into the injury. I actually believe that being able to engage in both of those activities helped the healing process considerably. I have to mention that doing Tai Chi was in many ways why the injury I sustained was not a lot more serious. When my foot slipped I was able to regain stability largely because of the Tai Chi principles and practices of weight bearing. The foot roll and subsequent injury and broken bone were the result of the uneven surface that I encountered when I put my left foot back down. Not because of lack of balance. I could have ended up head first over a balcony if not for the Tai Chi!
So I count myself lucky indeed and very thankful that all is well! | medical |
https://standupdog.com/new-study-suggests-that-dogs-can-detect-malaria-through-sniffing-socks/ | 2020-01-22T14:31:42 | s3://commoncrawl/crawl-data/CC-MAIN-2020-05/segments/1579250607118.51/warc/CC-MAIN-20200122131612-20200122160612-00356.warc.gz | 0.978684 | 397 | CC-MAIN-2020-05 | webtext-fineweb__CC-MAIN-2020-05__0__87853898 | en | Our dogs do not only provide us relief by their cuteness and friendliness, they too could detect some of the deadliest illnesses that can hit a human being.
Dogs use their nose as their primary defense mechanism and to sniff things, but did you know that dogs’ noses can also detect malaria, a deadly disease caused by mosquito bites.
Just in October last year, experts proved in a study that pooch show high accuracy in detecting human diseases like prostate and thyroid cancer, as well as diabetes. The same study showed that dogs can also detect malaria by sniffing people’s socks.
Steven Lindsay, one of the researchers and a public health entomologist at Durham University, notes that a dog’s smell is very keen to detect early stage of malaria.
The researchers asked Gambia students to wear nylon socks overnight. These socks, afterward, were frozen and brought to the United Kingdom where two trained Labrador dogs to sniff the socks.
These Labrador dogs can tell if the socks were worn by a person infected by Malaria since they were trained to do so for several months before the test was conducted.
The team of researchers observed whether the two Labradors would pause at any of the socks, a sign from their previous training that the person who wore the sock is indeed infected with malaria.
They then deduced that each of the two dogs was able to correctly identify children infected with malaria during that time. The results say that the two dogs 70 percent of the time or seven out of ten is correct in identifying which sock is positive with malaria.
While the dogs had some mistakes, Lindsay underscored that this is proof that a dog’s smell is a powerful detector of early signs of malaria.
Lindsay, meanwhile, promised that the team would continue with the research and provide more information about this facet of a dog’s behavior and how it can help in the medical field.
Credits to Sky News. | medical |
https://theconsciouslab.com/en/watch/73je4nxg93sw | 2024-04-20T23:57:24 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296817688.24/warc/CC-MAIN-20240420214757-20240421004757-00100.warc.gz | 0.901622 | 106 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__80310572 | en | Session 3: Pelvic Floor Coordination
Coordinating the pelvic floor is more than squeezing your perineum. This class gives you the opportunity to explore the jelly fish like action that are the pelvic and respiratory diaphragm. It facilitates an awareness of how rhythmical breath establishes a natural coordination of these structures. This awareness assists in the development of a healthy activation of the pelvic floor, one that doesn't lead to over activation. Over activation of the pelvic floor is a common and often forgotten contributor to back pain. | medical |
http://athleteschoicersm.com/about-us/ | 2021-07-24T16:09:15 | s3://commoncrawl/crawl-data/CC-MAIN-2021-31/segments/1627046150307.84/warc/CC-MAIN-20210724160723-20210724190723-00683.warc.gz | 0.973982 | 148 | CC-MAIN-2021-31 | webtext-fineweb__CC-MAIN-2021-31__0__55758285 | en | Athletes Choice is a cutting edge sports performance facility where function comes first. We pride ourselves on our ability to eliminate as many risk factors for injury as possible in order to keep our athletes healthy and performing at the apex of their abilities. This is accomplished through the use of the Functional Movement Screen (FMS). By ensuring our athletes are able to perform proper functional movement patterns we can not only decrease their likelihood of injury, but also increase their ability to perform as well.
Athletes Choice has recently partnered with AMP Sports Med which is our in house chiropractic and recovery center. The AMP team provides soft tissue work using percussion therapy and various other modalities as well as recovery techniques using lasers, compression, etc. | medical |
https://psykedeliskforskning.dk/en/node/23 | 2021-10-22T03:18:59 | s3://commoncrawl/crawl-data/CC-MAIN-2021-43/segments/1634323585450.39/warc/CC-MAIN-20211022021705-20211022051705-00561.warc.gz | 0.896187 | 263 | CC-MAIN-2021-43 | webtext-fineweb__CC-MAIN-2021-43__0__199274490 | en | Danish Network for Psychedelic Research would like to contribute to a non-prejudiced and scientifically based dialogue on medical and therapeutic use of psychedelic drugs in Denmark.
From the statutes
- To strengthen Danish psychedelic research, by bringing together Danish (health) professionals with an interest in and professional experience with psychedelics.
- To inform Danish educational institutions, politicians and the wider community about psychedelics in order to promote public health.
- To present psychedelic research and to promote factual discussion thereof.
In addition, we aim to create an inspiring platform for researchers and professionals, e.g. by
- Maintaining a website that provides an overview of the most important articles and resources in psychedelic research and provides access to international network of resources (databases, researchers etc).
- Organizing local meetings eg. in Journal club format.
- Attending conferences, bringing home new ideas and relationships.
- Creating a sustainable organization, socially and financially.
We are a group of people with a professional interest in the medical and therapeutic potential of psychedelic drugs.
We are a non-profit association, run by volunteer labor. Read our statutes (in danish only, at the moment. Sorry).
You can apply to be a member if you have finished a bachelors degree. | medical |
https://www.starnetregionii.org/taxonomy/term/69?page=1 | 2020-01-20T06:44:39 | s3://commoncrawl/crawl-data/CC-MAIN-2020-05/segments/1579250597458.22/warc/CC-MAIN-20200120052454-20200120080454-00537.warc.gz | 0.924002 | 308 | CC-MAIN-2020-05 | webtext-fineweb__CC-MAIN-2020-05__0__107226306 | en | Down Syndrome Developmental Council, DDC
Includes such topics as cerebral palsy, Down Syndrome, Hearing Impairment, Rett Syndrome, Tourette Syndrome, Vision Impairment
Offers information on Tourette's and many other neurobehavioral conditions in a user-friendly environment.
Offers extensive information for individuals, families and professionals.
Works empower families, by providing families of individuals living with Rett syndrome connections to critical and useful information, programs, services, and support from diagnosis to day-to-day life. Rettsyndrome.org also coordinates, cultivates, accelerates, and funds research that will produce a cure for Rett syndrome and reveal and develop treatments. Also in Spanish
Celebrates and supports fathers and families of children with special health care needs by providing news, resources and event information.
A global community that integrates information, resources, and communication opportunities on the Internet for persons with cognitive and other disabilities, for their families, and for those that provide them services and support.
EP Magazine provides information, resources and business services for the special needs community, as well as an online health and wellness support community.
One of two Illinois Parent Training and Information (PTI) Centers providing training about IDEA, the Individuals with Disabilities Education Act to parents. FRDC serves the counties of Cook, DuPage, Grundy, Kane, Kendall, Lake, McHenry, and Will counties in northern Illinois. They provide information, trainings and resources in English and Spanish. | medical |
https://www.drmarkjones.ca/about-us | 2020-09-20T08:01:36 | s3://commoncrawl/crawl-data/CC-MAIN-2020-40/segments/1600400196999.30/warc/CC-MAIN-20200920062737-20200920092737-00630.warc.gz | 0.929746 | 319 | CC-MAIN-2020-40 | webtext-fineweb__CC-MAIN-2020-40__0__193159806 | en | A Comfortable Atmosphere
When you pay a visit to Dr. Jones’ office in South Surrey, you can expect a clean reception area, examination rooms and surgical suites. We use steam-sterilized instruments for each patient’s safety. Our office can be found in a modern, newly-constructed facility, which provides a comfortable atmosphere for our patients. Because we enjoy a very low staff turnover, we pride ourselves upon our ability to form long-lasting relationships with patients of all ages.
About Dr. Jones’ Education
Dr. Jones received his Bachelor of Science in Physiology from the University of California in Davis, California, in June 1985. He then went on to pursue a Doctor of Podiatric Medicine (DPM) degree from the California College of Podiatric Medicine in San Francisco, California, in May 1989. He completed his first year of podiatric medical residency at the California College of Podiatric Medicine in San Francisco in June 1990 before going on to complete a podiatric surgical residency at the Vancouver General Hospital in June 1991.
Schedule a Podiatric Appointment
From custom orthotics to treatments for bunions, hammertoes, ingrown toenails and sports injuries, we provide comprehensive podiatric care in South Surrey. Should you wish to schedule an appointment at our office, please contact Dr. Jones today at 604‑560‑2922. You may also view our most frequently asked questions for more information about our cancellation policy, fees, office hours and more.
We provide podiatry services for patients of all ages | medical |
http://www.proderma-clinic.com/ | 2019-03-24T10:40:11 | s3://commoncrawl/crawl-data/CC-MAIN-2019-13/segments/1552912203438.69/warc/CC-MAIN-20190324103739-20190324125739-00439.warc.gz | 0.879417 | 191 | CC-MAIN-2019-13 | webtext-fineweb__CC-MAIN-2019-13__0__124760272 | en | Pro Derma Aesthetic Centre
Pro Derma Aesthetic Centre - a Clinic with an international staff of highly qualified Specialist Doctors and Laser Technicians . Offering patients a wide range of services that allow them to retain their youth and delicately removing the short comings of ageing.
Pro Derma Aesthetic Centre is offering Anti-ageing Recontouring Treatments (HA Fillers, Botulinum Toxin injections etc.), Laser Hair Removal, Ultherapy, Skin Lightening Programs, Scars Treatments, Non-surgical liposuction, Anti- Cellulite Programs, Medical Facials and uses exclusively formulated Skin Care products from France, Spain and USA. Ensuring top quality treatments internationally renowned.
Pro Derma Aesthetic Centre promises to deliver Realistic results within the highest Standards of Health and Safety, all to Best Serve our Clients in Dubai.
Becoming our client you retain your youth for a long time! | medical |
https://www.pearsonclinical.com.au/store/auassessments/en/Store/Professional-Assessments/Academic-Learning/Brief/Beck-Scale-for-Suicide-Ideation/p/P100010020.html?productId=9780150180036 | 2024-04-24T13:22:18 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296819273.90/warc/CC-MAIN-20240424112049-20240424142049-00108.warc.gz | 0.870009 | 417 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__120140406 | en | Beck Scale for Suicide IdeationBSS
- Assess an individual's thoughts, attitudes and intentions regarding suicide
- Publication date:
- Completion time:
- 5 to 10 minutes
- Individual; Q-global® administration, scoring, and/or reporting, or manual scoring
- Age range:
- 17 years and older
- Qualification level:
The Beck Scale for Suicide Ideation (BSS) is a valuable tool for clinicians to examine suicidal intent in patients. Developed for use with patients of 17 years and over, the BSS provides a good starting point for a clinician's more detailed examination of a patient's suicidal intent.
The BSS is also useful for monitoring suicide ideation of patients who are known to be at risk for suicide
The Manual provides data on both in-patients and outpatients. The BSS items correlate highly with items that relate to suicide on the other Beck Scales:
Internal Screening Component saves time. The Scale is made up of 21 items and can be completed in 5 to 10 minutes. Two of the questions on the Scale are designed to function as an internal screening component. This component saves time and reduces the intrusiveness of the questionnaire for patients who are non-suicidal.
Average reliability coefficient: .90 (Inpatient), .87 (Outpatient)
This product is also available to level M users.
Q-global® Administration Options
This product is available on Q-global with the following administration options:
On-Screen Administration (OSA)
Your clients can complete these assessment online through Q-global. Alternatively, your client can complete the assessment in paper-pencil format, and their responses can then be data-entered into Q-global for scoring and report generation. On Screen Administrations are proctored (supervised) unless specifically indicated.
Remote On-Screen Administration (ROSA) | medical |
https://concordiaelderpages.com/medical/managing-pain/ | 2023-12-08T09:11:51 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679100739.50/warc/CC-MAIN-20231208081124-20231208111124-00614.warc.gz | 0.947896 | 3,833 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__315136276 | en | It is difficult to watch someone you care for go through bouts of pain. It also can be difficult to forsake precious time you could have together because your loved one is sleepy or “out of it” as the result of taking pain medication. But keeping patients comfortable and free from pain sometimes involves accepting trade-offs. It is the patient who ultimately must decide about his or her priorities in the last few weeks or months of life. At a time when so little is in a patient’s control, honoring his or her decision about how to spend what time is left and how much pain to endure is crucial to kind and meaningful caring.
- Myths and facts about pain medicine
- Non-pharmacological approaches
- Accurately describing pain
- Tips for working with medications
Using medicines is the most common strategy for relieving pain. Over-the-counter choices include aspirin, ibuprofen, or acetaminophen; doctors also prescribe pain killers such as morphine. These stronger types of medication, known as opioids, are available in several forms: pills, liquids, patches, suppositories, pumps that inject a small quantity under the skin, and fluids that are delivered through an IV.
Although prescription medicines are very effective, they often cause side effects. Consulting with the patient’s doctor will help identify the type of medication and dosage that will work best, but pinpointing the best solution may take some trial and error. Following is a list of the most prevalent side effects caused by opioids and things you can do to help the patient relieve them.
Constipation is quite common, as is nausea. However, some medications and home remedies help relieve these problems. (See our article about Caregiving Tips.)
Another side effect is involuntary twitching of muscles. This condition seems to be more distressing to family caregivers than it is to the patient. However, some medications can offset this response, or a different version of the morphine could be investigated.
Many patients feel very sleepy, especially during the first few days after an increase in dosage. Once the body adjusts to the new level, the patient usually becomes more alert and able to interact. If this does not happen, you may wish to talk to the doctor about trying a different medication or perhaps prescribing a mild stimulant to counteract the patient’s drowsiness.
Similarly, some patients respond to pain medication with symptoms of mental fuzziness, confusion, or delirium. If these responses do not resolve in a few days, the patient may want to try a different medicine.Return to top
Myths and facts about pain medicine
Many patients and families have inaccurate notions about prescription drugs that relieve pain. “Palliative care”—the medical discipline of making comfort a priority, especially at the end of life—is a relatively new field. As a consequence, people often make medication decisions on the basis of an incomplete understanding of the issues. Following are some of the most common myths about the use of opioids for pain relief:
Fear of addiction or dependency. Addiction is a physical and psychological dependency on a substance. When people worry about addictions, they often conjure images of desperate, hedonistic individuals who behave in irrational and illegal ways in order to get a “fix.” People who take morphine for pain rarely become addicted; they don’t fit this picture. For instance, patients in hospitals who are given unlimited access to a morphine pump following surgery typically undermedicate themselves. It is extremely unlikely that a patient in the advanced stages of a terminal illness will develop that type of desperate physical/psychological dependence. Unfortunately, a fear of addiction often results in family caregivers not giving the patient enough medication, which leads to the patient experiencing unnecessarily high levels of pain.
Fear of developing a tolerance. Some people are concerned that if the patient takes pain medication too early, the body will adjust (i.e., develop a tolerance) and need increasing dosages to get the same effect. Although it is true that dosages must be increased, this fear is based on an assumption that there is a ceiling on the amount of medication a person can take. Fortunately, there is no ceiling, so there is no need to endure pain in the present in order to save the medicine for some future need. If the symptoms increase, whether from tolerance or increased intensity of the disease, the dosage of the medicine can be increased indefinitely. Typically, if current dosages are no longer effective, then the amount must be increased by 25 to 50 percent. To say there is no ceiling does not mean there are no side effects, however. Increased dosages may well increase the number or severity of side effects. But if a terminally ill patient wants to be pain free, there is no need to put off relief early in the disease as an investment against potential pain in the future.
Concern that increased pain means the disease is getting worse. A person might experience increased or decreased pain for a variety of reasons. In the case of a tumor, it may simply have shifted and is now pressing on a different set of nerves. Or, psychological circumstances may have changed and altered the person’s perception of pain. For instance, relatives who were visiting have had to return home. Without the pleasant distraction of their company, the patient is more aware of physical pain and discomfort. No matter the reason for increased pain, if the patient does not communicate this change to the physician or family caregivers, he or she is not likely to experience relief from the symptom.Return to top
Heat or cold. If a particular area of the patient’s body is painful, hot or cold compresses may help relieve the discomfort. Ask your doctor which is most likely to be beneficial. A hot bath can help, but heat can also be applied through electric heating pads, hot water bottles, microwavable pillows, or gel packs. Be sure that the heat source is wrapped in a way that will protect the patient from leakage and burns. Heat therapy is best if it is applied for 20 minutes at a time. If the person you are caring for is undergoing radiation therapy, do not apply heat to that part of the body.
For some types of pain, 15 minutes of cold is a better source of comfort. Ice packs, gel packs, towels soaked in ice water, or a bag of frozen peas all make excellent cold compresses. As with heat therapy, be sure the source of the cold is wrapped to protect the patient against leakage or skin irritation.
Massage. The healing power of touch has been recognized for millennia. Massage stimulates blood flow, encourages relaxation, and increases the recipient’s feeling of well being. Great benefits can be obtained by light stroking, kneading, and rubbing. Seriously ill individuals may need the massage to be gentle and restricted to areas that are not red or inflamed. You may want to use lotion to reduce friction on the skin.
Relaxation techniques. With techniques such as deep breathing or progressive relaxation, the patient can interrupt the cycle of pain-fear-tension-more pain. Deep breathing is simply slow, deliberate inhalation and exhalation of air, with an emphasis on the release of tension with each exhale. In progressive relaxation, the patient tenses and then releases various muscle groups along the body. By contracting muscles and then relaxing them, the patient experiences the contrast and learns to identify and deliberately release tension in the body.
Prayer or spiritual support. In times of pain many people turn to prayer or spiritual pursuits and find it a source of great solace. Because physical, emotional, and spiritual well-being are interrelated, if the person you care for is spiritually inclined, the use of prayer, the reading of spiritual works, or talking with members of the clergy may indeed result in feelings of reduced pain or anxiety.
Mental techniques for pain relief. Like massage, meditation has long been recognized around the world as a method of releasing tension and easing pain. There are several types of meditation. Some forms focus on expanding the mind’s awareness beyond the level of the individual. Others concentrate the mind’s awareness on the internal functioning of the body, which, surprising as it may seem, reduces pain by placing the focus directly upon it. Either method seems to be helpful.
For those who are not inclined to meditation, guided imagery is an effective way to draw upon the mind’s ability to transform the perception of pain. Guided imagery usually entails someone giving the patient instructions in a calm, low voice, describing images and sensations such as a sunny day on the beach, with the gentle suggestion that each wave is washing the tension and pain out to sea. A slow, detailed narration of this type can help the patient by focusing attention away from the pain and onto pleasant and relaxing images.
Adjusting our attitudes. The experience of pain involves the mind’s perception of a physical sensation. Our mind, including our attitudes and the focus of our “inner voice,” can deeply influence our perception of that sensation and the degree of hopelessness we may feel about it. By using the technique of “reframing,” a patient can maximize the ability to cope with pain by altering any limiting or destructive messages to the self. For instance, “Nothing has worked. This pain is never going way,” can be reframed to “I wish I were not in pain. I guess I need to keep experimenting so I can find the right combination of approaches.” Reframing includes the practice of intentionally shifting the awareness from what isn’t working to focusing on whatever positives do exist in the situation. It challenges all-or-nothing thinking. Thus, another way to respond to hopelessness about pain would be to transform “This is useless, nothing has worked” to “This isn’t working as well as I had hoped, but ‘X’ has helped a little, and that’s a start.” Difficult as it may be, if the patient concentrates on what truly is working and gives him or herself encouragement to move forward, it will ultimately be more productive than focusing on disappointments. Focusing on defeats causes a person to be more aware of pain than if the focus is directed to victories or what might be possible.
Counseling. Although pain itself is very real, our perception of it and our confidence in our ability to cope with it have a significant impact on how much we suffer. People in chronic pain are not able to be themselves. They are constantly distracted, often irritable, and frequently discouraged. Relationships can become strained, and the person’s self esteem can plummet. Physical pain often brings with it emotional, spiritual, and social pain. Some patients find it helpful to work with a counselor trained in pain management techniques. These professionals can help not only with coping strategies to offset the physical pain of illness, but also with suggestions for handling the complicated feelings and dynamics that often arise when a person in pain is dependent on others for help and support.
Distraction. In the context of childbirth, Dr. Ferdinand Lamaze discovered that the nerve pathway that sends messages of pain to the brain can be filled with other nerve messages, effectively distracting or blocking the brain from fully registering the negative sensation. The Lamaze method uses unusual breathing patterns coupled with intense concentration to distract a laboring woman from the pain of contractions. Although “labor breathing” may be helpful for short term, stabbing, or shooting pains, it is not generally a long-term solution for chronic pain. Nevertheless, the distraction principle is a useful one. Certainly a patient with nothing else to focus on is more likely to be fully aware of his or her pain than is a patient whose attention is drawn to a specific activity. Depending on the patient’s energy level and mental capacity, useful distractions can include singing, playing cards, listening to music, watching television, talking with friends, reading, or having a story or magazine article read to them. Be aware that when distraction helps, it does not mean the pain was not real to begin with. Distraction simply blocks the pathway of the nerves leading to the brain and, thankfully, keeps the brain from registering discomfort.
Acupuncture. The Chinese have a long history of using acupuncture very successfully as a method to block pain. This ancient method of healing is based on a concept of “meridians” or pathways that circulate vital energy, called chi, throughout the body. In the Chinese approach, pain and illness are caused by blockages in these meridians. To relieve pain or illness, an acupuncturist inserts very thin, sterile needles into specific junctures on the pathways and twirls the needles to release the blockages and restore the balanced flow of chi.Return to top
Accurately describing pain
The simplest way to communicate about pain is to give it a score from 0 to 10, with zero representing no pain and 10 referring to excruciating or unbearable pain. Somehow assigning a number helps both the patient and the physician put the pain into an easy-to-understand perspective.
Many caregivers are surprised to discover that the person they care for downplays pain in front of the doctor. Even when they are asked a direct question about it, many patients deny having much pain, when in fact they have been experiencing significant discomfort or distress. A variety of reasons could explain their response: They value being stoic; they don’t want to be a “difficult patient”; they fear that more pain means the disease is getting worse; or they don’t know how to describe what they are feeling.
Other information that will help the doctor includes the answers to these questions:
- When did you start feeling this pain?
- How often do you experience it during the day?
- Where do you feel it (what part of your body)?
- Is it a burning pain? Aching? Shooting? Throbbing? Stabbing? A steady sensation of pressure?
- Does it seem to have a pattern (i.e., it comes on at a certain time or after a certain activity)?
- How long does it last?
- What has helped relieve this pain? Does anything make it worse?
- How has this pain been affecting your daily life? Your activities? Your relationships? Your mood?
Tips for working with medications
Stick to a regular schedule. In an effort to minimize the amount of medicine they take, some people try to extend the interval between dosages. Unfortunately, it is much harder to bring pain back under control than it is to prevent it from flaring up in the first place. Deviating from the schedule suggested by the doctor can result in a need for more medicine to keep the pain in check than if each dose had been taken when prescribed. If you are having trouble remembering to give a dosage, use an alarm clock or the oven timer to help remind you.
Do not skip middle-of-the-night doses. Because the body needs a constant level of medication in the system, skipping a middle-of-the-night dose is likely to result in unnecessary pain. If getting up is too difficult for the patient, shift the schedule so the late-night and early-morning doses are closer to times when he or she is more likely to be awake.
Get instructions about breakthrough pain. Sometimes a patient will begin to feel pain before the next dosage is due. Generally it is better to administer a smaller dosage in the middle than wait until the next scheduled time. Again, it is easier to stop a buildup of pain than it is to correct it after the fact.
Ask your doctor what to do if the patient vomits up the medicine. Some medications can be re-administered if they were given only a few minutes beforehand. Others require that you wait a specific interval of time before it is safe to give them again.
Consider alternate forms of the medicine. If the patient is having trouble with middle-of-the-night doses, a patch might be a better way for the medication to be administered. If the patient is having trouble swallowing or is throwing up the medicine, a patch or rectal suppository might be a preferable delivery method. Check with your doctor before you crush a pill and put it in applesauce. Some medications do not work as intended if they have been crushed or altered.
Use a pill tray. Many people with a serious illness take an overwhelming number of medicines. To help keep track of the patient’s treatment schedule, purchase a pill tray that has compartments for morning, noon, evening, and night. Because many boxes hold up to seven days’ worth of medication, choose a time when you can fill the tray without distraction. Once the tray is full, simply give the medicines one compartment at a time. You will find that using a pill tray also helps verify when the patient last took his or her medication.
Call several days in advance for refills. It often takes a doctor a few days to get a refill prescription to the pharmacy. When the patient gets down to five days’ worth of medication, call the doctor for a refill. It’s better to be safe than sorry!
Use the same pharmacy for all the patient’s prescriptions. Many patients have several doctors. It is difficult for these physicians to know what their colleagues have prescribed. Let the pharmacist help you avoid negative drug interactions. If all the patient’s prescriptions are filled at the same pharmacy, the druggist can alert you about combinations that are known to present problems.
Help monitor the pain. Keep a chart of the types of pain the patient is experiencing and when during the day the pain occurs. Help the patient rate the pain using a 0-to-10 rating system and record these numbers. The more information you can give the doctor about your loved one’s condition, the more likely it is that your health provider will be able to combat the pain.
Take periodic time away for yourself. It’s not selfish, it’s essential! Caring for a person in chronic pain can be very draining. If you do not take breaks now and then, you are likely to burn out and will not be able to give the best care possible. Check with community agencies, friends, family, or your congregation for help with respite. A simple walk around the block or lunch with a friend can do wonders for your mood and your ability to keep giving optimum care. You need to keep your strength up, if not for yourself, then for the sake of the patient.Return to top | medical |
https://www.aquaresist.co.nz/private-physiotherapy-sessions | 2022-07-05T22:32:40 | s3://commoncrawl/crawl-data/CC-MAIN-2022-27/segments/1656104628307.87/warc/CC-MAIN-20220705205356-20220705235356-00357.warc.gz | 0.940373 | 194 | CC-MAIN-2022-27 | webtext-fineweb__CC-MAIN-2022-27__0__133395882 | en | As a qualified and registered physiotherapist, with over 20 years of experience, I can help you enhance your pre-habilitation or rehabilitation through an individual program in your home or the pool
Phone to discuss your needs and together we can work out a plan for you. We can make contact with other health professionals so that your care is aligned and tailored to your specific situation.
The charge is $85/hour plus mileage if over 10km from my base. This will give you personal 1;1 physiotherapy advice, care, and a program to continue within your own time.
I have been working with people with arthritic conditions, pre and post hip/knee replacement surgery + back surgery for the past 6 years, and currently, work part-time as a rehabilitation physiotherapist at Grace hospital.
Please phone to discuss any ideas you have in regards to enhancing your rehabilitation to your wellness state.
Kate 027 241 9084 | medical |
http://ispps.org/about/ | 2019-11-21T18:56:30 | s3://commoncrawl/crawl-data/CC-MAIN-2019-47/segments/1573496670948.64/warc/CC-MAIN-20191121180800-20191121204800-00195.warc.gz | 0.859615 | 823 | CC-MAIN-2019-47 | webtext-fineweb__CC-MAIN-2019-47__0__156981566 | en | As medical professionals know, full well, plastic surgery is not always just for aesthetics. Physical health benefits can, and often do, accompany many procedures. Periodontal plastic surgery is a popular and beneficial option for patients looking to improve their smile, yet it is also an important means of treating such anomalies as gingival recession and root exposure, “gummy” smile, and atrophy in the gums and jawbone after tooth loss. To maximize esthetic restorative potential, the gingival tissue and bone surrounding a dental restoration must be sufficient.
Over 30 years ago, the concept of a plastic surgery study club first came about at the American Academy of Periodontology’s Annual Meeting. In 1987 P.D. Miller’s classification of marginal concept of periodontal plastic surgery was new, and a group of talented and inquisitive clinicians decided to form a club to delve further into the realm of oral plastic surgery. Initially, the study club was limited to 20 clinicians who would give presentations on various aspects of mucogingival surgery. In addition to Drs. Nordland and Miller, some of the early participants were such renowned leaders in periodontics as Drs. Jay Siebert, Gary Maynard, Pat Allen, Herman Corn, Jim Mellonig, Ron Nevins, Burt Langer, Bob Shallhorn, and Randy Harris.
The interest and focus of the group expanded as international dentists and educators expressed interest in joining. Dr. Yoshihiro Ono from Japan joined the group, bringing with him a contingent of Japanese dentists to the organization’s annual meeting. Dr. Peter Raetzke from Germany, who published on the subepithelial connective tissue graft, became an active participant. Before long, what had been known as the periodontal plastic surgery study club became the International Society of Periodontal Plastic Surgeons (ISPPS), and membership was opened to surgeons interested in periodontal plastic surgery.
Under the present authors’ leadership, ISPPS is currently comprised of dental specialists throughout the world, most of whom are full-time clinicians and educators. The society meets annually the day before the AAP annual meeting to present new, innovative and, often unpublished material and techniques or modifications/refinements to existing techniques in the field of periodontal plastic and reconstructive surgery, aimed at improving overall esthetics to the benefit of patients long-term. Lively and stimulating, these presentations are limited to 15 minutes, with 5 to 10 minutes for discussion, a format that has proven to be very popular. This format allows many ideas to be presented in a brief period. The group’s passion is to disseminate this information while mentoring younger members of the organization.
ISPPS welcomes new members who have an interest in periodontal plastic surgery. In addition, students in periodontal residency programs are encouraged to attend the annual meeting. Fellowship in the ISPPS is attained after presenting to the group at five meetings.
With new technology come new surgical treatments that are achievable and predictable. Working with the restorative dentist, the periodontal plastic surgeon can enhance treatment, with the patient being the ultimate beneficiary.
The 2018 ISPPS will take place Friday, October 26 in Vancouver, British Columbia, Canada. Please click here to attend the 2018 meeting.
Dr. Peter Nordland, President
Dr. P.D. Miller as Past President
Dr. Robert Levine, Vice-President
Dr. Pat Allen, Secretary
Dr. Yoshihiro Ono as Head of International Affairs
E. Pat Allen
Jose Carlos Martins de Rosa
Robert “Bobby” Horowitz
Brendan R. Lopez
Laura M. Souza
2019 Dennis Shanelec
2017 Dr. PD Miller
2016. Dr. Peter Nordland
2015 Dr. Yoshihiro Ono
2014 Dr. Andrew Allen
2013 Dr. Peter B Raetzke
2012 Dr. Randall J. Harris
2011 Dr. Robert Schallhorn | medical |
https://karenhumphreys.co.uk/ | 2022-06-26T02:29:43 | s3://commoncrawl/crawl-data/CC-MAIN-2022-27/segments/1656103036363.5/warc/CC-MAIN-20220626010644-20220626040644-00405.warc.gz | 0.935186 | 270 | CC-MAIN-2022-27 | webtext-fineweb__CC-MAIN-2022-27__0__238962768 | en | Respiratory specialist physiotherapist, Karen Humphreys (MCSP), provides assessment, treatment and management of a range of respiratory diseases. These include COPD (chronic obstructive pulmonary disease - an umbrella term for emphysema, chronic bronchitis or both), bronchiectasis, asthma, cystic fibrosis, pulmonary fibrosis, hyperventilation syndrome, chest infections and pneumonia. Karen has clinics based at The Witney Physiotherapy Centre . She also recognises that your condition may affect you getting out and about and so she offers home visits, residential home visits and nursing home visits.
Karen's aim is to:
- carry out a thorough assessment in order to provide you with individualised treatment
- educate you on your condition
- teach you techniques to clear phlegm/sputum from your chest
- help you to manage your breathlessness
- teach and correct your inhaler technique
- advise you on exercising with a respiratory disease
- teach you breathing retraining techniques to reduce symptoms of hyperventilation
- provide you with information on how to recognise an exacerbation of your condition and when to seek further medical treatment
- provide assessments and treatments in the most appropriate setting, whether that is in a clinic, in the comfort of your own home or within a care home. | medical |
https://www.fem-onlineberatung.de/en/infozone/addiction | 2023-12-05T05:43:34 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679100545.7/warc/CC-MAIN-20231205041842-20231205071842-00315.warc.gz | 0.960284 | 444 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__160738338 | en | Addiction is another word for dependency. We can be dependent on many things, but this does not always have to be negative. Most people are dependent on social relationships; during childhood and adolescence we are dependent on our parents. However, when we speak of an addiction, the situation is different. In such cases, a person is so heavily dependent on a certain substance - like alcohol or drugs - or on a certain behavior – such as computer games - that they cannot imagine a life without it. People often lose control of themselves and are unable to overcome their addiction without help. With physical addition, addicts get so used to the substance over time and thus need more and more of it over time to achieve the desired effect. People with an alcohol addiction for example can drink much more than other people before they feel drunk. In Germany, addiction is considered as an illness, and therefore affected people are entitled to medical or physiological treatment.
The reason why people become addicted to certain substances or behaviors is hard to tell. However, one thing is certain: Whether substances like alcohol or drugs, or certain behaviors like playing World of Warcraft, the addiction helps to forget negative thoughts or feelings for a certain period. Therefore, it is assumed that people who have experienced difficult times in their lives are more likely to develop an addiction than others.
The consequences of an addiction heavily depend on the type of addictive substance. Those who are dependent on cigarettes are at high risk of developing lung cancer, but are not psychologically restricted and live a normal life as other people do. Conversely, people addicted to computer games don’t necessarily have to fear physical consequences, but might not be able to maintain friendships or concentrate on school or work. Some addictions can destroy people both mentally and physically. This includes, for example, addiction to various drugs like alcohol, heroin, and in some cases even cannabis.
If you have the feeling, that you cannot cope without a certain substance or behavior, even though you feel that it is not good for you, you may have developed an addiction. Even iff you are unsure, you should get always look for support, for example, with the online advice from the FeM-Mädchenhaus | medical |
https://www.mattlevypsyd.com/ | 2023-12-08T06:16:55 | s3://commoncrawl/crawl-data/CC-MAIN-2023-50/segments/1700679100724.48/warc/CC-MAIN-20231208045320-20231208075320-00767.warc.gz | 0.920218 | 156 | CC-MAIN-2023-50 | webtext-fineweb__CC-MAIN-2023-50__0__92573240 | en | Welcome to my Website!
Matt Levy Psy.D. is a licensed clinical psychologist who specializes in treating children, adolescents, young adults, and their families. Dr. Levy offers psychoeducational evaluations and psychotherapy, as well as parenting support, to those who struggle to thrive in academic, home, or social settings. Matt, a native Atlantan, understands the stresses and rigors associated with balancing school, extracurricular activities, and play. He is a firm believer that success begins with a strong therapeutic bond and works hard to meet each client at their current level of functioning.
6000 Lake Forrest Drive, Suite 575
Atlanta, GA 30328
Office Phone: 404-308-0497
Office Fax: 404-255-3234 | medical |
http://www.sglaw.com/client-salemgi.html | 2014-07-26T17:11:48 | s3://commoncrawl/crawl-data/CC-MAIN-2014-23/segments/1405997903265.4/warc/CC-MAIN-20140722025823-00137-ip-10-33-131-23.ec2.internal.warc.gz | 0.907684 | 128 | CC-MAIN-2014-23 | webtext-fineweb__CC-MAIN-2014-23__0__182390557 | en | Salem Gastro delivers state-of-the-art medical services in a professional, caring and friendly environment. Established in 1979, this group of nine gastroenterologists and over sixty staff provides specialty care, including cancer screening as well as medical and endoscopic therapies for the full spectrum of gastrointestinal and liver diseases. Their compassionate, professional staff will care for you throughout the diagnosis and treatment of disorders of the gastrointestinal tract. By remaining independently owned and operated, Salem Gastro provides these services in a timely, efficient and cost effective manner.
875 Oak St. S.E. Suite 3010
Salem, Oregon 97301 | medical |
https://cyjtherapycentre.com/acupuncture | 2024-04-14T20:15:29 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296816893.9/warc/CC-MAIN-20240414192536-20240414222536-00605.warc.gz | 0.905309 | 791 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__19274412 | en | CYJ Therapy Centre is dedicated to helping you achieve optimal health and wellness through a wide range of natural and holistic treatments. And now, we're proud to announce a new addition to our services that will take your healing experience to the next level. Get ready for the amazing world of acupuncture!"
1. Harmonising Body and Mind: The Essence of Acupuncture
At its core, acupuncture is a holistic healing technique that originated in ancient China. It revolves around the concept of Qi (pronounced "chee"), the vital life force that flows through our bodies along specific pathways known as meridians. Traditional Chinese Medicine (TCM) believes that when the Qi is balanced and unobstructed, optimal health and well-being are achieved. Acupuncture aims to restore this balance by stimulating specific acupoints along the meridians, thereby harmonising the body and mind.
2. Effective Pain Relief: A Natural Alternative
One of the most well-known benefits of acupuncture is its ability to provide effective pain relief. Whether you're dealing with chronic back pain, migraines, arthritis, or sports injuries, acupuncture offers a natural alternative to conventional pain management. By targeting the root cause of the pain, rather than simply masking the symptoms, acupuncture stimulates the release of endorphins and activates the body's innate healing mechanisms. This results in reduced pain and increased mobility, allowing you to reclaim an active and fulfilling life.
3. Stress Reduction: Restoring Inner Balance
In today's high-stress society, finding effective ways to manage stress is essential for our overall well-being. Acupuncture offers a powerful antidote to the daily pressures we face. By targeting specific acupoints, acupuncture helps regulate the body's stress response system, promoting a sense of calm and relaxation. Moreover, this ancient practice can improve sleep quality, enhance mood, and increase energy levels, enabling you to navigate life's challenges with grace and resilience.
4. Boosting the Immune System: Fortify Your Defences
Bolstering our immune system has become a top priority, especially in recent times. Acupuncture has been recognized for its immune-boosting properties, making it an invaluable ally in maintaining our health and vitality. By stimulating specific acupoints, acupuncture activates the body's immune response, enhancing the production of white blood cells and strengthening the overall immune system. This can result in a reduced susceptibility to illness, faster recovery times, and increased resistance to infections.
5. Holistic Approach to Mental Health: Nurturing Emotional Well-being
Achieving optimal health goes beyond physical well-being; it encompasses mental and emotional balance as well. Acupuncture embraces a holistic approach to mental health, addressing conditions such as anxiety, depression, and insomnia. By harmonizing the body's energy flow, acupuncture helps regulate neurotransmitters and hormones, promoting emotional stability and restoring a sense of inner peace. This integrative therapy can be a valuable complement to conventional treatments, offering a comprehensive approach to mental wellness.
6. Enhanced Fertility: Opening the Path to Parenthood
For couples struggling with fertility issues, acupuncture has emerged as a promising solution. By optimizing hormonal balance, improving blood circulation, and reducing stress, acupuncture can enhance fertility and increase the chances of a successful pregnancy. This gentle and non-invasive treatment can be used alongside assisted reproductive techniques, supporting the body's natural processes and increasing the likelihood of conception.
7. Accelerated Injury Recovery: Restoring Optimal Function
Whether you're an athlete recovering from a sports injury or an individual healing from a surgery, acupuncture can significantly speed up the recovery process. By increasing blood circulation to the injured area and promoting the body's natural healing mechanisms, acupuncture can help reduce pain, inflammation, and scar tissue formation. This results in a faster and more complete recovery, allowing you to regain optimal function and get back to doing what you love. | medical |
http://southernestatesal.com/contact-us/ | 2024-02-27T20:53:12 | s3://commoncrawl/crawl-data/CC-MAIN-2024-10/segments/1707947474686.54/warc/CC-MAIN-20240227184934-20240227214934-00857.warc.gz | 0.90932 | 129 | CC-MAIN-2024-10 | webtext-fineweb__CC-MAIN-2024-10__0__81429738 | en | A Residence to Preserve Your Independence
Whether you’re considering assisted living for yourself or a loved one, let us show you the benefits of Southern Estates Assisted Living. Located in Scottsboro, AL, Southern Estates Assisted Living offers a comfortable, safe environment and award-winning care to help senior residents feel at home and confident. With around-the-clock assistance, medical attention, home-cooked meals, weekly events, and all-inclusive suites, our facility offers it all. To learn more about life at Southern Estates Assisted Living, please call us at 256-574-4202. | medical |
https://www.theblasecafe.com/winstrol-side-effects-and-benefits-is-it-worth-the-risk-for-males/ | 2024-04-13T03:40:55 | s3://commoncrawl/crawl-data/CC-MAIN-2024-18/segments/1712296816535.76/warc/CC-MAIN-20240413021024-20240413051024-00324.warc.gz | 0.935943 | 2,172 | CC-MAIN-2024-18 | webtext-fineweb__CC-MAIN-2024-18__0__15822467 | en | Winstrol represents an intriguing chapter in the history of performance-enhancing substances. It’s a synthetic derivative of testosterone-enhanced to suit those who frequently partake in strenuous physical activities. While renowned for amplifying strength and inducing significant weight loss, it’s prudent for users to augment their knowledge about the potential repercussions and boons associated with this treatment.
The pivotal aspect of responsible Winstrol use hinges on thoroughly comprehending its effects and proficient management of dosing. Misconceptions and partial insights often spur inadvertent misuse, undermining the user’s health instead of bolstering it. Ensuring you’re armed with accurate, in-depth knowledge can significantly shape your experience with Winstrol, paving the way for prudent use and maximal gain. This understanding bridges the gap between mere usage and proactive health management, serving as an invaluable tool for going through the basics of performance optimization.
Winstrol, best known among the crowd as a well-liked anabolic steroid, secured its fame due to its extensive application in different fields. Originally created in the 1960s, it commonly features in the regimen of athletes as it plays a critical role in enhancing their performance. Winstrol (or Winny, as some like to call it) possesses properties that can contribute significantly to improving agility, speed, and power. It’s picked up a lot of steam in competitive sports, and not just among bodybuilders. The drug is a favorite among athletes getting ready for contests because of its potent impact on lowering body fat and raising lean body mass.
However, the use of Winstrol isn’t just limited to athletes. It’s been found to be beneficial for certain medical conditions as well. In the medical field, it’s routinely employed as a therapeutic aid for treating hereditary angioedema, a disease that causes episodes of swelling in various parts of the body. In certain instances, it has been used to combat severe bone conditions and helpful in the treatment of burn victims. On top of it all, some animal research suggests possible benefits for muscle growth in livestock, depicting the scope of its usage in various domains. Everyone should be aware, though, as with any potent drug, the misuse or overuse of Winstrol can lead to adverse effects. It’s a potent formula, not to be taken lightly. Remember, not all that glitters is gold.
Successfully administering Winstrol involves a bit of savvy and understanding. Sure, the drug presents various benefits to its users, but to achieve the optimal results, the correct dosage is required. Just like hitting a home run requires more than swinging the bat with gusto, utilizing the power of this anabolic steroid requires precision and respect for its potential.
Typically, those who use anabolic steroids for performance enhancement purpose need a higher dose. In the case of Winstrol, the dose usually ranges between 25mg and 50mg per day for men. Lower amounts are generally recommended for women, at around 5mg to 10mg daily. Note that these dosages may vary depending upon individual factors such as the user’s health status, their physiological needs, and fitness goals.
Although its use in the therapy sector is less prominent, Winstrol still offers considerable benefits. The standard dosage for such instances often falls much lower than performance enhancement scenarios. A daily dose of 2mg is typically found sufficient across various treatment plans. However, this may again differ on a case to case basis, depending on the specific ailment being treated and the doctor’s advice.
Winstrol dosage is adjustable and can be changed in accordance with the needs and restrictions of the user; it is not a one-size-fits-all approach. Usually, the steroid should be used in cycles, and the length can vary from one user to another. For instance, typical male users may use it for a cycle of 6-8 weeks. Female athletes, however, may experience the best results from shorter cycles, lasting approximately 4-6 weeks. Always, the guiding principle should be a careful and monitored approach.
When it comes to the administration of Winstrol, you may be faced with the dilemma of deciding between injections or tablets. After all, every individual has preferences, and both forms offer distinct qualities and advantages. To help you figure out the optimal choice, let’s delve into a comparison of the benefits offered by each.
The injectable form of this anabolic steroid provides immediate absorption into the bloodstream. As a result, the effects tend to manifest with greater speed than their tablet counterparts. Additionally, the injectable version is believed to produce more significant results in a shorter period, making it a popular choice among those seeking effective yet accelerated gains.
On the flip side, there are those who appreciate the convenience and ease of administering Winstrol through tablets. In contrast to injections, the oral form requires no needles, making it a more accessible and user-friendly option, particularly for those with needle phobia or a fondness for simplicity.
Furthermore, the ability to ingest the anabolic steroid and obtain optimal outcomes through oral administration presents a level of traceability and control that is absent when using injections. Knowing the exact amount of the compound being consumed allows for better tracking of progress and adaptation of the regimen as needed.
Ultimately, the decision to choose between injections and tablets lies in the hands of the user, with individual preferences, goals, and lifestyle factors all coming into play. No matter which route one selects, it’s crucial to follow the recommended dosage schedule and be mindful of proper usage to ensure success.
Stanozolol, frequently recognized by its trade name, Winstrol, is hailed for its diverse benefits. However, as with any potent substance, it also has potential side effects. Awareness about these effects, both common and long-term, is crucial for ensuring safe and responsible usage. Let’s look into a comprehensive understanding of these effects.
Often, users may encounter several common side effects while taking the anabolic steroid. One of these may include accelerated hair loss, particularly in those already predisposed to baldness. The steroid is seen to quicken this process, and users may experience hair thinning or even total baldness.
Another conspicuous side effect associated with this anabolic steroid is acne. Just like hair loss, people who are already prone to acne might witness exacerbation of the condition. Skin becomes oilier, and pimples become more frequent.
Apart from the immediate outcomes, there are also potential long-term influences that users need to be aware of. Consistent use of the compound could influence liver function over time. Due to its toxicity, prolonged usage of this compound might put quite a strain on the liver, causing liver damage in more severe scenarios.
Frequent steroid intake could disturb the body’s natural hormonal balance as well. It might suppress the body’s natural testosterone production, leading to hormonal imbalances and associated predicaments. This is why after completing a cycle, a post cycle therapy is advised to restore the natural balance.
It’s not just the physical effects users need to be aware of. The misuse of this compound could take a toll on mental health as well. Excessive consumption might induce mood swings, aggression, irritation, and in severe cases, depression. It’s a classic case of everything in moderation – the key to reaping maximum benefits and avoiding the deep-end troubles. Proper usage and thoughtful control are essential.
While Winstrol is applauded for its gain-enhancing abilities, it’s only fair also to address the possible Winstrol side effects male. Everyone’s body responds differently to substances, and it’s essential to comprehend the potential risks before including it in your regimen.
Men using Winstrol might face an increased risk of cardiovascular complications. The anabolic steroid might trigger a rise in cholesterol levels, leading to an unbalanced lipid profile. High levels of cholesterol could lead to hardening of arteries and, subsequently, strain on the heart. It’s crucial to monitor these levels regularly and ensure a balanced diet and lifestyle to mitigate these risks.
In addition, increased blood pressure is another concern connected to Winstrol usage. Persistent high blood pressure might burden the heart and lead to serious complications over time. Frequent monitoring and taking timely corrective actions can help keep these risks at bay.
Another major area where male users might be impacted is the disruption of their natural hormonal balance. Winstrol might suppress the body’s natural testosterone production, leading to conditions like hypogonadism, where the body produces fewer hormones than needed. This hormone suppression could lead to a decrease in sperm production and testicular shrinkage, potentially impacting fertility.
Furthermore, consistent use of the compound may result in gynecomastia, a condition characterized by the swelling of the breast tissue in men. This may occur due to an imbalance in the levels of estrogen and testosterone in the body. Staying aware of such potential changes and seeking help when needed allows users to handle the situation better.
An open conversation about these risks promotes safer use of the substance. The decision to use any potent substance like Winstrol should never be made lightly, and we hope this information helps you in making a well-informed decision. Remember, it’s always a smart move to listen to your body and act accordingly.
A key takeaway from our examination on Winstrol effects is that there is indeed a delicate balance to maintain when it comes to reaping the benefits while managing the potential side effects. This anabolic steroid presents a range of advantages, whether taken in tablet form or through injections. Enhanced muscle gains, body sculpting, and speedy results are among the reasons this compound gained popularity among fitness enthusiasts.
However, one must be acutely mindful of the possible side effects. From common physical changes like hair loss and acne to more serious long-term effects on vital organs, one must tread carefully. Not to be overlooked, the potential impact on your psychological well-being also underscores the need for cautious consumption.
Balancing the pros and cons relies heavily on adhering to a disciplined approach toward dosage and cycle duration, frequent medical check-ups, and lifestyle choices that can counteract some of the side effects. Implementing a health-conscious lifestyle, which includes a controlled diet and frequent exercise, can help you advance in your quest for fitness while reducing the burden on your heart and liver. Therefore, preserving this equilibrium requires active responsibility and in-depth familiarity with your body’s capabilities and reactions. | medical |
http://basedental.com/Zoom-Whitening.html | 2019-11-13T09:03:03 | s3://commoncrawl/crawl-data/CC-MAIN-2019-47/segments/1573496667177.24/warc/CC-MAIN-20191113090217-20191113114217-00430.warc.gz | 0.91608 | 174 | CC-MAIN-2019-47 | webtext-fineweb__CC-MAIN-2019-47__0__196758609 | en | A smile is important. It's one of the first things noticed when meeting someone. A whiter, brighter smile can make a memorable impression. Today’s lifestyle and the aging process can stain and darken a person’s teeth. Many things we do on a regular basis can contribute to stained teeth, such as drinking coffee, tea, cola and red wine or smoking.
The Zoom!® Whitening system is safe, effective and very fast. It is performed only by a dental professional. The clinician applies propriety Zoom! ® whitening gel. This gel is then used in combination with the Zoom! ® curing light. The light and gel then work together to gently penetrate the teeth, breaking up stains and discoloration.
In less than an hour family members can go home with a new, whiter, brighter smile. | medical |
https://au.terrademontoito.com/880-healthy-pets-happy-owners-and-safe-from-possible-inf.html | 2020-10-27T03:08:46 | s3://commoncrawl/crawl-data/CC-MAIN-2020-45/segments/1603107893011.54/warc/CC-MAIN-20201027023251-20201027053251-00047.warc.gz | 0.95016 | 2,337 | CC-MAIN-2020-45 | webtext-fineweb__CC-MAIN-2020-45__0__4984231 | en | Zoonosis is the transmission of diseases from animals to people, directly or indirectly, and every year causes thousands of infections. In most cases it is about pathologies of bacterial origin, among which salmonellosis predominates, leading to gastroenteritis. One of the most common forms of infection is through food, if they have been directly in contact with pets or indirectly through an insect or tick carried by the animal. As the gastroenteritis and viral infections caused by food poisoning are usually mild, in almost no case is their origin determined, so that a relationship with pets is not officially established.
In these cases, it will be enough to take some preventive measures, such as Peel foods if they are eaten raw, cook them well, maximize hygiene in general, and do not break the cold chain. However, there are other animal-borne diseases that are more harmful to health and can lead to death due to the intake of toxins that destroy red cells, causing acute renal failure, such as hemolytic uremic syndrome.
Owners must make sure before acquiring the animal that does not cause allergy. Contact with pets is another risk factor that can cause zoonosis, so it is also advisable to wash your hands after being with them if you distrust any type of allergy (in the case of the owners there should be no doubt in this regard). These precautions are aimed primarily at young children, since their immune system is weaker and they may not know whether or not they have an allergy, which it could cause skin ulcers, although in a low percentage of the child population.
Reptiles and rodents
There are isolated cases of collective zoonotic diseases caused by rare pets and sometimes they have jumped to the headlines of the press, such as fifteen teenagers affected by smallpox after acquiring rodents from Eastern Europe. This kind of ailments too they can be transmitted by cats if they are free and have the chance to hunt small prey, usually mice, that carry some type of viral infection.Bites favor the transmission of bacteria, causing inflammation and fever
Another common way of transmitting diseases by pets is through contact with their feces. Therefore, it is convenient clean reptile terrariums or bird cages with some frequency and always with protective gloves. Dry droppings are a constant source of disease transmission, mainly flu and pneumonia.
Wounds caused by animals
The scratches or bites of pets are also behind zoonosis. However small they may be, they favor the transmission of bacteria, causing inflammations, fevers and malaise in general. Most dogs and cats are carriers of the bacteria called pasteurella multocida, which usually inhabit the mouth of pets and with the bites the microorganism is transmitted to the wound and a few hours later it causes swelling. That is why sometimes a slight scratch or disproportionate skin effects may appear. One of the most common forms of infection is through food
This inflammatory process can penetrate deep layers of the skin causing the death of certain tissues. If it is complicated, it can be the cause of arthritis, sinusitis or pleurisy. In these cases, the treatment must be immediate and consists of an antibiotic-based medication. At first, to avoid reaching this point, it is recommended disinfect the wound with soap and water, in addition to some antiseptic. These same measures should be taken if an infected wound of the pet has to be cured, since they could transmit bacteria such as staphylococci or streptococci, especially dangerous for people with few immune defenses.
What are the best known zoonoses
- Hydatidosis It is transmitted by a type of Equinococcus granulosus worms. These parasites can be found in the intestines of animals and transmitted to humans through contaminated objects or feces. It is a serious problem since they can cause hydatid cysts in different organs such as the liver and cause serious damage to health. “Although it is one of the zoonoses that most concern us, its prevention is very simple. Simply deworm the animal correctly, ”recalls Baciero.
- Rage. It is the oldest known viral zoonosis. It is caused by a type of virus. It produces serious neurological damage and respiratory arrest. Vaccine prevention is key to stop this disease. An animal that suffers from rabies can transmit it to the human by biting.
- Leishmaniasis Disease transmitted by the females of some mosquitoes called sandflies that, by sucking the blood, inoculate leishmania. Leismaniosis can manifest itself with wounds that do not heal, inflammation of the liver and spleen, and kidney and liver failure. The use of pipettes and collars is essential to avoid insect bites. There is a very small possibility that the same mosquito that infects the dog transmits the disease to the person. But it can happen that the mosquito bites the person (although there is no animal at home), ”he says
- ToxoplasmosisIt is caused by a parasite, the Toxoplasma gondii, It can be transmitted through the feces of animals such as cats. It is especially dangerous if it affects the pregnant woman as it can cause damage and malformations to the fetus. To prevent this disease it is necessary to maintain good hygiene of the animal's cabin, as well as to avoid direct contact with feces.
- Bartonellosis It is a disease transmitted by a bacterium known as Bartonella henselae It can be transmitted by the scratch or bite of a cat. In humans it can cause fever and painful inflammations.
Tick-borne diseases such as babesiosis,Lyme disease, anaplasmosis or ehrlichiosis They are very serious for your pet, so bite should be prevented with prophylactic measures. In addition, they can also cause problems for people. Although there are some types of ticks, especially the type Hyalomma lusitanicum, They do have a preference for us and their bite can be deadly.
How contagion occurs
When a parasite tries to invade the organism of any individual>
The best resources to deworm pets are the use of necklaces Y pipettes, containing active ingredients that extend through the hair of animals, and the administration of oral drugs They eliminate internal parasites, such as tapeworms, worms. “Although they are chemical substances, they are perfectly controlled and antiparasitic agents, if used correctly, are not toxic. In high doses, as with any medication, or due to misuse, it can cause toxicity, but the safety doses are very high. For example, if a dog swallows a collar it can cause digestive problems. If the contents of a pipette contact the eyes can cause irritation, etc.. In some animals they can produce a slight allergy. In that case, we will have to find the right product. But you should never stop using them, since we can compromise the health of our pet, ”he warns.
They are also not toxic to us, but we must take a series of precautions when administering them, such as wearing gloves or washing our hands immediately.
Tips to protect pets
In addition to the use of products to prevent the bite of mosquitoes, ticks or fleas, we must also consider these aspects to protect the health of our friends:
- When a pet is adopted or purchased, it must be taken to the veterinarian for proper sanitary and deworming control. In many cases, the protective association, kennel or the breeder will have already carried out a first check, but it is advisable to go to our trusted veterinarian as soon as possible.
- Whenever stool is collected, it must be done with protection, and thrown away, never into the drain or toilet.
- It is convenient to avoid, in the med> В © ВЎHOLA! The total or partial reproduction of this report and its photographs is prohibited, even citing their origin.
How is it spread?
One of the most widespread myths about this disease is its route of infection. Contrary to popular belief, leishmaniosis is not spread to humans by direct contact with the dog. “It's a fairly common mistake. It is believed that by having a dog at home with leishmaniasis, by touching or petting it, it is spread, but it is not so. This disease is transmitted by the bite of a mosquito called Phlebotomus perniciosus. That mosquito has previously bitten an infected sick animal, has been infected and when itching a human being again transmits the disease”, He clarifies.
López-Vélez points out that currently in Spain there are certain population groups that are more likely to receive the bite of this Phelebotomus perniciosus:
Approximately 30 or 40 percent of cases affect the immunocompetent, that is, the healthy population. "Within patients who are immunocompetent, the mosquito has more predilection for men than for women and for some ethnic groups, such as sub-Saharan Africans. ”
60 percent of cases of leishmaniasis manifests in patients with low defenses, immunosuppressed patients. It is the patients with transplants, those who are taking immunosuppressive therapy, corticosteroids and especially patients taking anti-TNF, very frequent medications in patients with rheumatoid arthritis, ulcerative colitis and other diseases. Also included in this percentage are patients who have HIV.
"We consider that only 1 in 50 infected will develop the disease. I'm probably infected with Leishmania, but I don't develop the disease. On the other hand, if I was immunocompromised and infected, it could happen that the disease manifested itself immediately in case of infection or that if I had it dormant, asleep, it could be reactivated, ”he says.
Measures to control and prevent disease
The best way to preventing leishmaniasis is to prevent mosquitoes from biting us and taking good care of animals, especially to dogs, the main reservoir of the parasite (remember that there is no contagion dog-dog or dog-man, occurs through the bite of a mosquito that has previously bitten an infected animal and then us).
For humans there is no prophylaxis or vaccines, so all measures aimed at preventing bites would be the only way to protect ourselves against this disease. “If we prevent the disease in the dog through the vaccine, collars or insecticides applied to the skin, the dog will not suffer the disease and humans will not suffer it either, because the reservoir is over. So that preventing disease in dogs prevents future disease in humans, that's why we always talk about the concept One health, because everything goes together: animal health, human health and the environment, ”says López-Vélez.
From the Official College of Veterinarians of Madrid also indicate that this disease in dogs is chronic and incurable, so they recommend, in addition to the measures indicated by López-Vélez:
- Periodically apply repellent and insecticide products on the booths.
- Avoid, as far as possible, that animals sleep outdoors, given the mosquito's nocturnal activity.
- Do not abandon pets. | medical |
http://247-new-york-locksmiths.com/2017/11/21/hcg-in-bodybuilding-applications/ | 2018-01-22T03:57:48 | s3://commoncrawl/crawl-data/CC-MAIN-2018-05/segments/1516084890991.69/warc/CC-MAIN-20180122034327-20180122054327-00233.warc.gz | 0.921609 | 1,006 | CC-MAIN-2018-05 | webtext-fineweb__CC-MAIN-2018-05__0__37979842 | en | In HCG diet forum, there is only one property of gonadotropin – the increase in the secretion of sex hormones (testosterone) may be appreciated by the testes. Because of what, gonadotropins are applied as an anabolic approach to a group of muscle blocks as a supportive application in the context of weight loss and as a constituent PCT.
The use of HCG for the purpose of anabolism is unreasonable and harmful to health. First, because chorionic gonadotropins are less effective than anabolic steroids. Second, in order to achieve good results, it is desirable to administer high doses (over 4000 ME per week) which can cause irreversible invasion in the physiological axis hypothalamus-hypophyses testes. In this context, many articles negatively address HCG and forget about its true destination. Do not forget to take Melody hydrazine for better grades.
Course chorionic gonadotropin and PCT
The use of chorionic gonadotrophins during construction is reasonable, if not essential, in the synthesis of steroids, and is used to prevent testicular atrophy. In this case, its use is safe because the dose of the drug is much lower except chorionic gonadotropin allows to eliminate some of the side effects of the anabolic steroids and also to maintain an increased muscle mass. HCG is of special value if the steroid cycle is longer than 6 weeks or if high doses are used. In this case, chorionic gonadotrophin does not break the hypothalamic-pituitary-testicular axis and, most importantly, allows the testis to retain its function.
Less use of chorionic gonadotropin as part of posterior treatment. Many believe it should be done before PKT as recovery can be disrupted during post-HGCh treatment.
Gonadotropin to lose weight
Recently, a British scientist study – ATW Simeons Endocrinologist, which announced the purpose of chorionic gonadotropin can be used to lose weight to maintain muscle volume. Scientists believe that gonadotrophins program the hypothalamus by the cost of fat inventory while keeping the muscles from catabolism. Simeons recommends using a small (and therefore safe) dose of HCG – 125 liters a day in a low-calorie diet – less than 1500 kg a day. This diet is practiced in many specialized weight loss centers. It is important to note that at such rates, enough protein and vitamins need to be consumed.
Dose and receive chorionic gonadotropin
The pharmaceutical industry now contains a large number of medicines containing HCG. Drugs are well absorbed after intramuscular injection. Elimination half-life makes a few hours, however the effect of a single injection is maintained within 5-6 days.
Injection of chorionic gonadotropin represents a solid that ends in an ampoule (bottle). Ampoules with liquids for drug dissolution must be applied to bottles with HCG. Usually sodium chloride solution. The powder dissolves well in the solution. The resulting mixture needs to enter muscle or subcutaneous. If you are not all liquid, then the remains should be placed in the refrigerator. Dry HGCH should be stored in the dark no higher than +25 degrees Celsius.
Michael Scully MD and Eric Potratz Application Protocol :
Of course, the duration of no more than 5-6 weeks, the use of a small dose of a drug, you do not need gonadotropin. If the duration of the treatment is longer than 6 weeks (8-12 weeks), increase the dose with 2 or more drugs: at least, the last 3-5 weeks course at 250-500ME weekly administration of gonadotropin 2 blocks to prevent testicular Shrinkage. The introduction is stopped after the almost complete deduction of anabolic drugs, and then started treatment after treatment. During several months of treatment, gonadotropins enter permanently for 3-5 weeks in 1-2 weeks (for at least 1-2 weeks to prevent desensitization). According to the latest scientific data, the figure admits best because it allows the preservation of testis and promotes the final complete recovery.
If HGC is not to be used throughout the long or “heavy” process, it needs to be included in the post-treatment composition, but then should only be used at the beginning of PKT. According to the bluest protocol of the HGCh’s William Llewellyns (Health Recovery Program), which is reinforced by clinical trials, it is recommended that in 2000, ME be used as 20 times every other day as part of the post-therapy day-arc hypothalamic-hypophyses Testicular restart; this kind of figure is not recommended in he absence of complications. | medical |
http://daltonraehl.total-blog.com/should-kratom-usage-really-be-legal-15467461 | 2019-01-16T10:46:50 | s3://commoncrawl/crawl-data/CC-MAIN-2019-04/segments/1547583657151.48/warc/CC-MAIN-20190116093643-20190116115643-00009.warc.gz | 0.971361 | 1,782 | CC-MAIN-2019-04 | webtext-fineweb__CC-MAIN-2019-04__0__39963419 | en | Should Kratom Usage Really Be Legal?
The leaves of the herb kratom (Mitragyna speciosa), a local of Southeast Asia in the coffee household, are utilized to relieve pain and improve mood as an opiate alternative and stimulant. The U.S. Drug Enforcement Administration notes kratom as a "drug of concern" since of its abuse capacity, mentioning it has no genuine medical use.
Now, seeking to manage its population's growing dependence on methamphetamines, Thailand is attempting to legalize kratom, which it had initially prohibited 70 years back.
At the exact same time, researchers are studying kratom's capability to help wean addicts from much stronger drugs, such as heroin and cocaine. Research studies reveal that a substance found in the plant might even function as the basis for an alternative to methadone in dealing with dependencies to opioids. The moves are simply the most current action in kratom's odd journey from home-brewed stimulant to unlawful painkiller to, possibly, a withdrawal-free treatment for opioid abuse.
With kratom's legal status under review in Thailand and U.S. researchers delving into the substance's capacity to help drug abuser, Scientific American spoke to Edward Boyer, a professor of emergency medicine and director of medical toxicology at the University of Massachusetts Medical School. Boyer has actually dealt with Chris McCurdy, a University of Mississippi professor of medicinal chemistry and pharmacology, and others for the previous a number of years to better understand whether kratom usage need to be stigmatized or celebrated.
[An edited transcript of the interview follows.]
How did you become interested in studying kratom?
I came throughout kratom while browsing online, however didn't think much of it at. When I discussed it to the NIH, they recommended I speak with a researcher at the University of Mississippi who was doing work on kratom. I no quicker hung up the phone when a case of kratom abuse popped up at Massachusetts General Healthcare Facility.
How did this Mass General client concerned abuse kratom?
He was a [43-year-old] successful software application engineer who had been self-medicating for chronic discomfort [as a outcome of thoracic outlet syndrome, a group of disorders that takes place when the blood vessels or nerves in the space in between the collarbone and the very first rib-- the thoracic outlet-- become compressed, causing discomfort in the shoulders and neck as well as numbness in the fingers] He had actually begun with pain tablets, then switched to OxyContin, and then transferred to Dilaudid, which is a high-potency opioid analgesic. He had actually gotten to the point where he was injecting himself with 10 milligrams of Dilaudid daily, which is a large dose. His other half discovered and required that he stopped.
He checked out kratom online and started making a tea out of it. For the most part, this assisted him avoid the opioid withdrawal he had been experiencing. After he began drinking the kratom tea, he likewise started to discover that he might work longer hours which he was more attentive to his wife when they would speak. He started try out methods to boost his alertness by including modafinil [a U.S. Food and Drug Administration-- authorized stimulant] with his kratom tea. When he began to take and had to be brought to the health center, that's. I have no idea how that combination of drugs caused a seizure, however that's how he wound up at Mass General Health Center. No one there had become aware of kratom abuse at the time. [Boyer and numerous associates, including McCurdy, released a case study about this incident in the June 2008 problem of the journal Dependency.]
The patient was investing $15,000 yearly on kratom, according to your research study, which is quite a lot for tea. What happened when he left the healthcare facility and stopped using it?
After his stay at Mass General, he went off kratom cold turkey. The remarkable thing is that his only withdrawal symptom was a runny sound. As for his opioid withdrawal, we found out that kratom blunts that process awfully, extremely well.
Where did your kratom research study go from there?
I had a little grant from the NIH's National Institute on Drug Abuse to look at individuals who self-treated chronic discomfort with opioid analgesics they acquired without prescription on the Internet. A number of them switched to kratom.
How numerous individuals are utilizing kratom in the U.S.?
I don't understand that there's any epidemiology to notify that in an honest way. The normal drug abuse metrics don't exist. What I can tell you, based on my experience looking into emerging drugs of abuse is that it is not challenging to get online.
How does kratom work?
Mitragynine-- the isolated natural item in kratom leaves-- binds to the very same mu-opioid receptor as morphine, which discusses why it deals with pain. It's got kappa-opioid receptor activity as well, and it's also got adrenergic activity as well, so you remain alert throughout the day. I do not understand how reasonable that is in human beings who take the drug, however that's what some medical chemists would appear to recommend.
Kratom also has serotonergic activity, too-- it binds with serotonin receptors.
Overdosing and drug mixing aside, is kratom hazardous?
When click to investigate you overdose on these drugs, your respiratory rate drops to absolutely no. In animal studies where rats were given mitragynine, those rats had no breathing anxiety.
What barriers have you run into when attempting click for source to study kratom?
I attempted to get an NIH grant to study kratom specifically. When I went to the National Center for Alternative and complementary Medication, they said this is a drug of abuse, and we do not money drug of abuse research. A group led by McCurdy, who confirms that it is tough to get moneying to study kratom, did handle to secure a three-year grant from the NIH Centers of Biomedical Research study Excellence to examine the herb's opioid-like results.
So the study of this kind of compound is up to academics or pharma companies. Drug business are the ones who can separate a specific compound, do chemistry on it, study and modify the structure, find out its activity relationships, and after that develop customized particles for screening. Then you have ultimately file for a brand-new drug application with the FDA in order to conduct clinical trials. Based on my experiences, the possibility of that occurring is reasonably small.
Why wouldn't big pharmaceutical business attempt to make a hit drug from kratom?
A minimum of one pharma business [Smith, Kline & French, now part of GlaxoSmithKline] was looking at it in the 1960s, but something didn't work for them. Either it wasn't a strong enough analgesic or the solubility was bad or they didn't have a drug delivery system for it. To the state of the art pharmaceutical company thinking in 1960s, this compound was not sufficient to be given market. Naturally, now that we have a nation with numerous addicted people passing away of breathing anxiety, having a drug that can efficiently treat your pain with no respiratory depression, I think that's quite cool. It may be worth a review for pharma business.
There are reports that Thailand may legalize kratom to assist that country control its meth issue. Could that work?
They can decriminalize kratom till they're blue in the face but the reality is that kratom is indigenous to Thailand-- it's easily offered and always has actually been. Drug users are still choosing for methamphetamines, which are stronger than kratom, not to mention dirt commonly offered and low-cost . I believe that Thailand is just trying to state that they're doing something about their meth issue, but that it might not be that effective.
Is kratom addictive?
I don't know that there are research studies revealing animals will compulsively administer kratom, however I know that tolerance develops in animal models. That kind of noises addicting to me. My gut is that, yeah, individuals can be addicted to it.
What are the threats postured by kratom use or abuse?
It's simply like any other opioid that has abuse liability. You put the proper safeguards in location and hope that individuals will not abuse a substance. Speaking as a scientist, a physician and a practicing clinician, I believe the fears of adverse events do not imply you stop the scientific discovery process completely. | medical |
https://aurorahsv.com/about/ | 2023-03-28T05:21:34 | s3://commoncrawl/crawl-data/CC-MAIN-2023-14/segments/1679296948765.13/warc/CC-MAIN-20230328042424-20230328072424-00451.warc.gz | 0.919881 | 353 | CC-MAIN-2023-14 | webtext-fineweb__CC-MAIN-2023-14__0__112098307 | en | A bit about me: I’ve been a practicing mental health therapist for over 8 years. Additionally, I have been certified to practice Clinical Hypnosis by the American Society of Clinical Hypnosis since 2016. I’m not sure how that might work over teleheath, but we can chat about it! I particularly enjoy working with older teens, young adults; and individuals in quarter and mid-life crises. I am experienced with veterans, health care workers, first generation children, non-binary and LGBTQIAA+ individuals. I have experience working with transgender individuals in the transitioning process, as well as providing therapy and documentation to meet reassignment needs. I enjoy helping parents and guardians of kids who are questioning, asexual, non-binary, or in the LGBTQIAA+ community. I consider myself a secular therapist, but talking about religion and spirituality is welcome, especially if its important to you! My therapeutic leanings are humanistic/relational and existential. Authenticity is our goal.
Description and Private Pay Rates
Please contact me for session rates
Individual Sessions: A 60 minute session with one individual; aged 17 and older
Family Sessions: A 60-85 minute and the individual client is still the main client. As I am moving to telehealth, family counseling will be provided only with existing individual clients. And must be pertinent to the treatment goals of the individual client.
Couples’ Sessions: A 60-85 minute session and the couple is the client.
Clinical Hypnosis: A 30-60 minute session. This session will consist of clinical hypnosis; guided imagery or the combination of the two. Please read about sessions under the Clinical Hypnosis tab at the top of the homepage. | medical |
http://www.intelliproject.net/how-to-take-care-of-your-health-this-winter/ | 2020-07-04T22:25:55 | s3://commoncrawl/crawl-data/CC-MAIN-2020-29/segments/1593655886706.29/warc/CC-MAIN-20200704201650-20200704231650-00135.warc.gz | 0.948974 | 535 | CC-MAIN-2020-29 | webtext-fineweb__CC-MAIN-2020-29__0__222968237 | en | If you want to feel your best this winter, then it is important to take care of your health. It is easier to get sick in the winter for several reasons, including spending more time inside along with coping with colder outdoor temperatures. Here are a variety of ways to remain healthier this winter.
Healthy Winter 1: Stay Warm At Home and In Your Vehicle
To avoid conditions such as frostbite, make sure to turn on the heater in your vehicle before you go anywhere. You should always dress warmly while traveling because if your vehicle stops working, then you could develop hypothermia quickly. In addition, you can develop this drop in body temperature at home, so have alternative ways to stay warm in the winter such as having a fireplace or space heaters.
Healthy Winter 2: Prevent Influenza With an Immunization
An annual immunization for influenza is one of the best ways to remain healthy each winter. Scientists create a new influenza immunization each year to prevent the most common strains of this illness. In addition, you can avoid catching influenza by washing your hands frequently and maintaining a clean home. To avoid an illness, keep your hands away from your nose, mouth and eyes as much as possible.
Healthy Winter 3: Consume a Nutritious Diet
In the winter, you might forget to eat fruits and vegetables because there is less fresh produce in supermarkets. However, you can still eat frozen vegetables and fruits to get enough nutrients. Plan to eat at least eight servings of fruits and vegetables to keep your body in great condition throughout the winter.
Healthy Winter 4: Get Enough Sleep Each Night
During the holidays, you might avoid sleeping so that you can have fun at Christmas parties. When you aren’t getting enough sleep, your immune system becomes depleted, making it easier to get sick. Remember to sleep seven to nine hours each night to remain mentally alert and physically healthy.
Healthy Winter 5: Drink Plenty Of Water
You should continue to drink at least eight glasses of water each day, and if you are physically active, then you should drink more liquids. While you may want to drink hot beverages such as coffee or tea, caffeine will make you urinate frequently, leading to dehydration.
Healthy Winter 6: Take Dietary Supplements
If you are feeling tired, then begin to take dietary supplements that contain vitamin D and iron. In the winter, it is difficult to have enough exposure to sunlight, and this can lead to a deficiency of vitamin D. When you are experiencing fatigue in the winter, you may have anemia, and you can cure this condition by increasing your iron levels. | medical |
http://topcanadianonlinepharmacy.com/ischemic-heart-disease-and-women-diagnosis-is-not-one-size-fits-all/ | 2019-09-16T13:05:48 | s3://commoncrawl/crawl-data/CC-MAIN-2019-39/segments/1568514572556.54/warc/CC-MAIN-20190916120037-20190916142037-00187.warc.gz | 0.910794 | 641 | CC-MAIN-2019-39 | webtext-fineweb__CC-MAIN-2019-39__0__26329845 | en | An exercise stress test looks for the obstruction of oxygen en route to the heart. This is obstruction is called ischemia. But it’s not the same for everyone.
Women—and some men—may appear to have clear arteries, making their ischemic heart disease hard to detect from an exercise stress test.
Ischemia Is Common, But It’s Also Serious
As we breathe, we take oxygen into the lungs. It then travels through the blood vessels—unless obstructed.
Medical science has long understood that obstructions can result from blood clots or from atherosclerosis, which occurs when “bad” cholesterol hardens and clogs the arteries.
The problem with an obstruction is the way it can prompt serious health events. These can involve leg problems, intestinal diseases, strokes and heart attacks.
Ischemia May Have Particular Effects in Women
Some women see a doctor on account of chest pain, but are not up to the exertion needed to get a meaningful result on an exercise test. And if the test does show an issue, the follow-up angiogram might show no blockage.
Therefore, many women have missed out on vital medical or diet advice. Today, we know there’s a type of heart disease that cannot be noticed on angiograms. Nearly five times as many false-positive stress tests occur in women as in men.
This is just one reason that leads us to do more than apply one blanket approach to diagnosing ischemia.
Leading-edge studies from the Women’s Ischemia Syndrome Evaluation (WISE) study show:
- Plaque can obstruct blood flow around—rather than inside—the artery.
- Plaque, especially in women, can accumulate in small blood vessels that don’t show up on the angiogram.
- Tightness or pain in the chest is not always connected with plaque buildup.
- Estrogen may change how the coronary arteries’ lining reacts to plaque and to stress.
Ischemia Might Have No Symptoms—But Sometimes the Body Sends Signals.
If you do have symptoms, see a doctor promptly. Symptoms may involve:
- A racing heart.
- Pain, numbness, or inability to move in any part of your body, from your jaw down through an arm, or in your feet or legs.
- Fatigue, or being easily winded during exercise.
- Unusually heavy perspiration.
- An upset stomach or the runs.
- Pain or tightness in your chest when carrying things, climbing stairs, or dealing with stressful situations.
Symptoms that may indicate an obstruction in the brain include sudden headaches, accompanied by nausea, dizziness, or fainting. Perhaps you can’t understand what people are saying, or you’re having trouble speaking. Shiny skin on your feet and legs can also be a warning.
To consult with an ischemic heart disease expert, call (718) 283-8902—or request an appointment with one of our specialists online. | medical |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.