Healthcare Compliance — Tuberculosis Relevancy in Healthcare Settings

Tuberculosis (TB) – An infectious bacterial disease transmitted through the air that mainly affects the lungs.

With rare exceptions, TB is infectious only when it occurs in the lungs or larynx. TB that occurs elsewhere in the body is usually not infectious, unless the person also has TB in the lungs or larynx at the same time.

According to the Centers for Disease Control and Prevention (CDC), an estimated 2 billion persons (i.e., one third of the world’s population) are infected with M. tuberculosis.  Tuberculosis kills almost 1.6 million people per year.  Although the 2007 TB rate (4.4 cases per 100,000 population) was the lowest recorded in the United States since national reporting began in 1953, the average annual decline has slowed since 2000.  TB is now the second most common cause of death from infectious disease in the world after human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS).

Characteristics of persons exposed to M. tuberculosis that might affect the risk for infection are not well defined. The probability that a person who is exposed to M. tuberculosis will become infected depends primarily on the concentration of infectious droplet nuclei in the air and the duration of exposure to a person with infectious TB disease. The closer the proximity and the longer the duration of exposure, the higher the risk is for being infected.  Additional hazards are now present because of multidrug-resistant (MDR) TB.  MDR organisms are resistant to the drugs that are normally used to treat TB, such as Isoniazid and Rifampin. The course of treatment when treating MDR TB increases from 6 months to 18-24 months, and the cure rate decreases from nearly 100% to less than 60%. Mortality among patients with MDR-TB can be high.

TB disease in persons over the age of 65 constitutes a large proportion of TB cases in the United States. Many of these individuals have latent TB infection; however, with aging these individuals’ immune function starts to decline, placing them at increased risk of developing active TB disease, and employees in long-term care facilities at risk of occupational exposure to TB.  Nursing homes or long-term care facilities for the elderly have been identified as having a high-risk situation for the transmission of TB. The degree of risk of occupational exposure of a worker to TB will vary based on a number of factors.

OSHA withdrew its 1997 proposed standard on Occupational Exposure to Tuberculosis because it is unlikely to result in a meaningful reduction of disease transmission caused by contact with the most significant remaining source of occupational risk: exposure to individuals with undiagnosed and unsuspected TB.

Although OSHA has no standard for TB Infection Control, it will enforce the “General Duty Clause” in situations where employers’ failure to implement available precautions exposes workers to the hazard of TB infection.  Created under the Occupational Safety & Health Act of 1970, the General Duty Clause can be thought as an employer’s general responsibility to ensure the safety of all its employees and states:  “Each employer shall furnish to each employee a place of employment which is free from recognized hazards that cause or are likely to cause death or serious physical harm & each employee shall comply with the occupational safety & health standards and all rules, regulations and orders issued pursuant to this Act which are applicable to his own actions and conduct.”  Additionally, OSHA requires employers with employee exposure to TB must comply with certain requirements including: 1910.134 – Respiratory Protection, 1910.145 – Accident Prevention Signs and Tags, and 1904 – Recordkeeping.

Under the General Duty Clause, OSHA will issue citations to employers with employees working in one of the workplaces where the CDC has identified workers as having a higher incidence of TB infection than the general population, when the employees are not provided appropriate protection and who have exposure as defined below:

Exposure to the exhaled air of an individual with suspected or confirmed pulmonary TB disease


Employee exposure without appropriate protection to a high hazard procedure performed on an individual with suspected or confirmed infectious TB disease and which has the potential to generate infectious airborne droplet nuclei.

Furthermore: OSHA will issue citations under the “General Duty Clause” in cases where the following procedures are not followed:

Periodic Evaluations: TB skin testing shall be conducted every three (3) months for workers in high risk categories, every six (6) months for workers in intermediate risk categories, and annually for low risk personnel.  The CDC has defined the criteria for high, intermediate, and low risk categories.

When working with TB potential hazards, OSHA recommends the prompt implementation of early screening procedures, and staff training to help them identify potentially infectious individuals, which will allow for early identification of patients with infectious TB and the initiations of appropriate controls before occupational exposure occurs to staff and other patients.

OSHA encourages employers to follow the guidelines established by the Centers for Disease Control and Prevention (CDC), Division of Tuberculosis Elimination (DTBE) to minimize the potential of TB transmission.

Should TB exposure occur, OSHA Directive CPL 2.106 states individuals with suspected or confirmed infectious TB disease must be placed in a respiratory acid-fast bacilli (AFB) isolation room. High hazard procedures on individuals with suspected or confirmed infectious TB disease must be performed in AFB treatment rooms, AFB isolation rooms, booths, and/or hoods. (AFB isolation refers to a negative pressure room or an area that exhausts room air directly outside or through HEPA filters if recirculation is unavoidable).

OSHA requires all healthcare settings establish a TB infection control program designed to ensure prompt detection, airborne precautions, and treatment of persons who have suspected or confirmed TB disease.

Fundamentals of Effective TB Infection Control:

Administrative Controls

Environmental Controls

Respiratory-Protection Controls

Sun Rash Symptoms & Causes – How to Treat Sun Rashes Naturally?

Sun rashes are also known as solar dermatitis. Usually children and young women suffer from this skin problem. Prolonged exposure to sun is the main cause behind the formation of these itchy bumps. This is a common problem that can be easily prevented. It is advisable to know and understand the causes and symptoms for treating the formation of these blemishes.


* They are small reddish blisters that generally appear in the back of our hands, chest, lower legs and V portion of our neck.

* These rashes cause an itchy sensation.

* It is mainly formed in the sun-exposed areas of our body.


* Harmful UV rays cause this skin problem.

* Other causes for the formation of rashes in our body are usage of strong ingredients, medication, pollution etc.

How To Treat Sun Rashes naturally?

* Protection from sunlight is mandatory for treating sun rashes naturally. You should apply a good sunscreen lotion with high SPF in your whole body before stepping outside of your house. You should preferably take an umbrella or wear a hat for preventing the harmful UVA and UVB rays.

* Drink plenty of water for keeping your body hydrated and moisturized. You should drink at least 10-12 glasses of water daily.

* Wear proper clothing during summer. It is advisable to cover your whole body during this period.

* You should include lots of high fibrous foods such as fruits and vegetables in your diet for flushing out toxins. These foods can rejuvenate your skin with panache.

* Proper rest is extremely important for exhibiting a flawless appearance. You should sleep for at least 8 hours daily.

* Pigment reducing ointment called Meladerm is tremendously powerful in diminishing the appearance of these sun rashes. It contains natural ingredients such as licorice extract, lemon juice extract, mulberry extract, bear berry extract, kojic acid, lactic acid, niacinamide (vitamin B3) and Alpha-Arbutin. These ingredients can easily treat rashes naturally. Meladerm skin lightening cream should be applied twice daily.

Treating Corner of Mouth Sores Naturally

What starts off as a seemingly simple condition sometimes progresses into a chronic condition which you just can not shift! There are a few simple ways of treating corner of mouth sore naturally but before you start, it is vital that you think about what the underlying causes of the condition might be, otherwise you may never manage to eradicate it altogether.

Split or sore mouth edges are very common in the elderly and children but can affect people of any age. In the elderly, they are often as a result of ill-fitting dentures or the muscle slackness which occurs with age, causing the edges of the mouth to sag. Both of these result in saliva escaping from the mouth corners. In children, corner of mouth sores can be caused by pen sucking, finger biting or thumb sucking and this also results in the dribbling of saliva.

This escape in saliva causes the edges of the mouth to become permanently damp and this in itself causes soreness and irritation. More worrying though is the fact that sometimes a fungal infection can take hold and this is when the condition becomes difficult to eradicate. However, even with a fungal infection, treating corner of mouth sores naturally is possible.

If you think the issue could be ill-fitting dentures, then have the problem corrected professionally. Once this is done soak them overnight in a mild bleach solution to eliminate any bacteria. Where the problem appears to be putting fingers or objects in the mouth, try to discourage this practice by painting them with an "anti-nail biting" solution which tastes bitter.

Another simple way of treating corner of mouth sores naturally is to dry the affected area as much as possible and place a thin layer of petroleum jelly on top. This will give some protection from further moisture which will give some pain relief.

If you have had the condition for more than a couple of days, it is likely that the infection is fungal in nature and the only way to eradicate it completely is to starve the affected area of ​​oxygen and moisture.

Best Supplements To Increase Height And Promote Bone Growth

Would you like to know the best pill to pop among the many supplements to increase height in the market today?  Growth hormones play a vital role in making you grow taller. Unfortunately, as we get older its production and release in our system gradually decrease. This is why most adults who want to increase their height prefer to undergo growth hormone therapy or take growth hormone supplements.

There are a wide range of height increase supplements in our market today. So the challenge is in choosing which one you are going to use that will help you achieve your goal of becoming taller. So read on and avoid the impulse to buy growth supplements that may not do the job for you.

Choosing The Right Supplements To Increase Height

1. Growth Hormone Spray

It doesn’t work. Sorry to burst your bubble but the truth is there is no scientific evidence that HGH oral sprays have any beneficial effects to a person’s height. Aside from its unpleasant taste in the mouth, it doesn’t meet the standard dosage needed.

2. Human Growth Hormone Injection

This treatment requires a prescription from your health care provider but I have good news for you, HGH injections do work. However, you will need to get the shots three times a day which would cost you around $60 a day. Also, like all other synthetic drugs it does have its side effects.

3. Herbal HGH Supplements

Being herbal they only contain natural ingredients that help in the production and release of our natural growth hormones. Although the use of herbal medicine is gaining acceptance in our society today there is still some controversy with its use among our medical professionals. But based on recent studies, a right combination of these herbs create a massive effect on the release of growth hormones in our body similar to that of HGH injections.

Psoriasis – Can it Make You Live Longer?

What do we know about psoriasis?

We know that psoriasis is one of the most wide spread chronic dermatitises, affecting about 2-3% of the total Earth population – that is 120 – 180 million people. We know that a person of any age – starting from early infancy to the elderly years – can develop psoriasis. We know that around half of the people with psoriasis have other relatives with psoriasis, which indicates that psoriasis is a genetic disorder. And we know that the prevalence of psoriasis has increased in the last 15-25 years.

Despite all that, there is still not enough of public psoriasis awareness; therefore the people with psoriasis are still often stared at because of the cosmetically appalling plaques and / or lesions on their skin.

Being a psoriasis sufferer myself, I have asked myself a question: Is psoriasis all bad and no good? Could there something beneficial about having psoriasis, especially if the itching, scaling and irritation are under control?

It turned out that some of the deviations, revealed in the bodies of the people with psoriasis when compared to the people without psoriasis, may be very beneficial.

The most notable deviation is the 20-30% raised content of the uric acid in the blood serum of the people with psoriasis.

The next question is: What do we know about uric acid?

Uric Acid was discovered in 1776 in urine, and thus it has received its name. However, uric acid is also present in the blood, the brain, and the rest of the body of every human being, as well as in the blood of the other higher primates like monkeys and lower primates like lemurs. Lower primates have lowered levels of the uric acid in their blood and a lower lifespan accordingly.

Various studies show that high levels of uric acid are transferred genetically, just like psoriasis itself. And even those people with psoriasis, who do not have any external psoriasis manifestations (ie the so-called latent psoriasis), also have high levels of Uric Acid in their bodies. With the elimination of the psoriatic plaques on the skin under the effect of, for example, UVB therapy, the levels of the uric acid in the body stay the same as they were before the elimination of the psoriatic lesions.

Uric acid is one of the most powerful natural antioxidants, produced by our bodies themselves.

Uric acid helps to lower the cell's oxidation and thus helps to slow the body tissue aging. This all is achieved by the protection against the free radicals and their damage, provided by the uric acid.

Slower body tissue aging will clearly result in the prolonged lifespan of the whole body.

People with psoriasis may be paying with their red scaly plaques for this and for the other possible benefits, which uric acid may provide to the psoriasis sufferers (possibly higher level of intellectual and physical activity, possible protection from the degenerative Central Nervous System disorders, such as Multiple Sclerosis, Parkinson's Disease, Alzheimer's Disease and Schizophrenia, and a possible protection from a stroke).

Brain Tumor: Causes, Symptoms, Diagnosis and Treatment

The growth of abnormal cells in the tissues of the brain. Brain tumors can be benign (non-cancerous) or malignant (cancerous).

Brain tumors are classified depending on the exact site of the tumor, the type of tissue involved, benign or malignant tendencies of the tumor, and other factors. Primary brain tumors can arise from the brain cells, the meninges (membranes around the brain), nerves, or glands.

Causes of Brain Tumor

The cause of primary brain tumors is unknown. This is because they are rare, there are many types, and there are many possible risk factors that could play a role. Exposure to some types of radiation, head injuries, and hormone replacement therapy may be risk factors, as well as many others. The risk of using cell phones is hotly debated.

Genetic mutations and deletions of tumor suppressor genes (i.e., genes that suppress the development of malignant cells) increase the risk for some types of brain cancer. Inherited diseases that are associated with brain tumors include the following:

Multiple endocrine neoplasia type 1 (pituitary adenoma)
Neurofibromatosis type 2 (brain and spinal cord tumors)
Retinoblastoma (malignant retinal glioma)
Tuberous sclerosis (primary brain tumors)
Von Hippel-Lindau disease (retinal tumor, CNS tumors)
Signs and Symptoms of Brain Tumor

Signs and symptoms can include the following:

New onset or change in pattern of headaches
Headaches that gradually become more frequent and more severe
Unexplained nausea or vomiting
Vision problems, such as blurred vision, double vision or loss of peripheral vision
Gradual loss of sensation or movement in an arm or a leg
Difficulty with balance
Speech difficulties
Confusion in everyday matter.


Computed tomography (CT Scan): A computerized x-ray machine is used to take a series of detailed pictures from many different angles. Dye may be injected to help to clarify organs and tissues.

Magnetic Resonance Imaging (MRI): Powerful magnets waves are used to make a series of detailed pictures. Patients are injected with a substance called gadolinium to highlight possible cancer cells.

Angiogram. This imaging test uses a dye to visualize all the blood vessels in the brain to detect certain types of tumors.

Lumbar puncture/spinal tap. For this procedure, a special needle is placed into the lower back and into the spinal canal around the spinal cord. A small amount of cerebrospinal fluid, which surrounds the brain and spinal cord, can be removed and sent for testing.


Surgery is required to determine whether a brain tumor exists and what type of tumor it is. A small sample of tumor tissue may be surgically removed and examined under a microscope. This is called a biopsy. Sometimes a biopsy is done by making a small hole in the skull and using a needle to extract a sample of the tumor.

Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells. There are two types of radiation therapy. External radiation therapy uses a machine outside the body to send radiation toward the cancer. Internal radiation therapy uses a radioactive substance sealed in needles, seeds, wires, or catheters that are placed directly into or near the cancer. The way the radiation therapy is given depends on the type and stage of the cancer being treated.

Ayurvedic Home Remedies for Shingles

Shingles is virus infection. Virus name is varicella herpes zoster. Herpes zosteris same virus in Chicken Pox .Chicken Pox is very common in children mainly of age group between 1 to 10 years. Initially, red patches of rash develop into blisters. The first sign of shingles is often burning or tingling pain, or sometimes numbness or itch, in one particular location on only one side of the body. Sometimes, however, the rash can lead to a debilitating complication called postherpetic neuralgia. This condition causes the skin to remain painful and sensitive to touch for months or even years after the rash clears up. Shingles erupts along the course of the affected nerve, producing lesions anywhere on the body. The most common areas to be affected are the face and trunk, which correspond to the areas where the chickenpox rash is most concentrated. There is usually a line of eruptions running from the spine along the path of the affected nerve on one side of the body. Early signs of shingles are often vague and can easily be mistaken for other illnesses. The condition may begin with fever and malaise (a vague feeling of weakness or discomfort). Within two to four days, severe pain, itching, and numbness/tingling (paresthesias) or extreme sensitivity to touch (hyperesthesia) can develop, usually on the trunk and occasionally on the arms and legs. VZV remains as a symptomless infection in the dorsal root ganglia of the spinal cord. It may or may not become active again, that is, begin reproducing, later in life. Reactivation occurs more often in older people, probably as a result of decreased immune response with age.

Shingles is an infection of the central nervous system. Shingles cannot be passed from one person to another. Some possibilities caused of shingles is stress, fatigue ,weakened immune system ,Injury of the skin where the rash occurs and cancer. Shingles’ symptoms may be vague and nonspecific at first. In the United States, there are an estimated 1 million cases of shingles each year. Shingles can lead to pneumonia, hearing problems, blindness, brain inflammation (encephalitis) or death. For about 1 person in 5, severe pain can continue even after the rash clears up. People with shingles may experience numbness, tingling, itching, or pain before the classic rash appears. In the pre-eruption stage, diagnosis may be difficult, and the pain can be so severe that it may be mistaken for pleurisy, kidney stones, gallstones, appendicitis, or even a heart attack, depending on the location of the affected nerve. The Outbreak The pain can be mild to severe. Blisters then form and last from one to 14 days. If shingles appears on your face, it may affect your vision or hearing. The pain of shingles may last for weeks, months or even years after the blisters have healed. The rash develops into fluid-filled blisters that then collapse, forming small ulcers. These dry out and form crusts. The risk of getting shingles increases as a person gets older. People who have medical conditions that keep the immune system from working properly, like cancer, leukemia, lymphoma, and human immunodeficiency virus (HIV), or people who receive immunosuppressive drugs, such as steroids and drugs given after organ transplantation are also at greater risk to get shingles.

Treatment for shingles is primarily with antiviral drugs. Early treatment with medicines that fight the virus may help. The shingles virus can be treated with antiviral medication. Apply cool tap-water compresses to weeping blisters for 20 minutes several times a day to soothe and help dry the blisters. Shingles that affects the eyes requires antiviral therapy and urgent referral to an ophthalmologist. Several medicines, acyclovir (Zovirax), valacyclovir (Valtrex), and famciclovir (Famvir), are available to treat shingles. These medications should be started as soon as possible after the rash appears and will help shorten how long the illness lasts and how severe the illness is. The treatment of post-herpetic neuralgia can involve painkillers, capsaicin cream and, if necessary, specific antidepressants. The pain associated with shingles, and with the postherpetic neuralgia that may linger (especially in older patients, after the condition has otherwise resolved), is best treated using combination therapy based on antivirals, antidepressants, corticosteroids, opioids (morphine), and topical agents (applied directly to the skin). Do not scratch. This may increase the risk of secondary bacterial infection and scarring. Keep the area clean with mild soap and water. Application of petroleum jelly can aid in healing. Wear loose clothing to avoid extra pain from clothing rubbing against the rash. Avoid close skin-to-skin contact with others who have not had chickenpox, are ill, or who have a weakened immune system.

Ayurvedic Home Remedies for Shingles Tips

1.Make a paste from turmeric powder. Apply the paste to affected areas of the skin for pain relief and to speed healing.

2.Crush two aspirin, mix them with 2 tbsp rubbing alcohol, and apply the paste to lesions three times a day. This will provide relief by desensitizing the nerve endings.

3. Mix 1/2 cup of apple cider vinegar with 2 cups of water. Moisten a clean cotton face-cloth with this solution. Wring slightly and rub affected area with the moist towel upwards towards the heart after the shingles attack subsides and the blisters dry up. Repeat this procedure for an hour daily, as needed.

4. Dust colloidal oatmeal powder on the parts of the body where clothes rub against your skin. This may reduce pain.

5.Apply aloe vera gel, raw honey, or fresh leek juice over the rash several times a day. You can also use hydrogen peroxide on infected blisters

6.A gel made from licorice root appears to be an excellent topical application.

7. Pear juice is rich in antiviral caffeic acid. Drink it as a fruit juice and eat lots of pears for shingles.

8. Avoid foods containing the amino acid arginine, such as chocolate, cereal grains, nuts, and seeds.

9.Baking soda and water solution can also be applied as a cold compress.

10.Take bayberry, cinnamon, ginger, lobelia, and valerian root to aid the healing process.

Phobia, False Beliefs and Procrastination – The Physical Symptoms of Anxiety and Stress

The physical symptoms of anxiety and stress are enough to knock anyone out. Do something about them before you are out for the count.

Nobody enjoys anxiety. And in some cases it can be debilitating. Reduce or even eliminate anxiety when you apply these techniques to your daily routine.

Fears, phobias, false beliefs and procrastination – these are just a few of the culprits that can cause anxiety. The trick to reducing or even eliminating anxiety is to identify the root cause and to change the belief surrounding it. In many cases anxiety is caused by thoughts and can be treated without medication and with effective life coaching.

Phobia is an overwhelming feeling of anxiety caused by a fear of specific situations or things, such as activities, animals, social settings or a confined space. The main symptom is an excessive and unreasonable desire to avoid the situation. Phobias disrupt daily life.

To overcome phobias one must determine the false belief associated with it, eg, the bridge will collapse if I cross it, therefore it is unsafe. The image in the mind is very vivid and real. The mind can not distinguish reality from fiction and when it sees the image – survival is a human instinct so it warns the body of the impending danger – it reacts with anxiety, which is a natural human response. The trick is to replace the negative image with a positive one.

False Beliefs can be misconceptions about one's own capabilities. The belief has the power to build and destroy self-confidence. Low self-confidence can lead to avoiding experiences for fear of failure. The idea of ​​trying something that may result in failure creates an extraordinary amount of stress. It opens the sweat glands and causes a whirlwind of excuses.

But these are the lessons that are invaluable and needed throughout life. It does not matter if the outcome is positive or negative because in the end the lessons learned from the experience outweigh any experience, which does not require much thought at all. A positive affirmation to counter any false beliefs will help to reduce stress.

Procrastination refers to putting off or delaying actions or tasks until some time in the future. It is a way of not having to deal with the outcome of a particular situation because the image in the mind is a negative one. So the natural human response is to jolt the body with anxiety, warning it of the impending danger.

It is another false belief represented by an image in the mind. The truth of the situation is on the other side. Change the image in the mind and deal with whatever is being avoided – now. Habitual procrastination will turn into guilt.

Anxiety, Fainting, and You

Not many people faint during an anxiety attack. Many fear fainting during an attack, but this rarely causes actual fainting. The fear in turn causes more anxiety, and the anxiety increases the fear. This is called a positive feedback, and eventually the symptoms of anxiety increases. What happens is that the fear becomes so real to the sufferer of anxiety that his blood pressure rises. This causes more blood to go to the brain, which in turn causes lightheadedness that seems to mimic the symptoms of fainting. Distraction techniques and controlled breathing may be used to calm a sufferer's fears.

Commonly, sufferers of anxiety breathe faster when they are having anxiety attacks. A few, however, stop breathing. This is called vasovagal syncope. This type of anxiety happens when a sufferer sees a disturbing stimulus such as blood or injuries. They then stop breathing. This causes oxygen levels in the brain to be depleted, thereby causing fainting. This is a very rare form of anxiety attack.

Some sufferers of anxiety may also faint even though they may not suffer from vasovagal syncope. The fear that they have becomes so great that they imagine in their minds that they are fainting. This becomes real, and they do faint. Techniques such as distraction techniques are useful to prevent fainting in such cases. Distraction would induce a calming effect on the anxiety patient. A failure to practice such techniques may cause injury to the patient as he or she falls to the ground violently.

Back Pain Caused by Allergies

Back Pain problems are developed in many different ways. If your back pain is caused by an allergy, than it is more difficult to deal with. This is a very common problem. If left untreated it can cause very severe back problems.

Finding The Cause

To find out what is causing the allergic reaction is an important step for a person dealing with back pain caused by allergies. The worst time of year for allergies is springtime. To help determine what you can be allergic to, you can have a doctor do a few test.

These are various allergies that you could have:

House dust, house dust mites, animal dander, yeasts, bee/wasp stings, and certain drugs and foods can also cause allergic reactions. Eggs, milk, shellfish, nuts, dried fruits, and certain food dyes can cause food allergies.

Lower Back Pain And How To Deal With It

What is going to happen next is that there are steps that need to be taken to tell what is the best treatment for the person who has the intolerance to the allergens. There are some very effective options, but it will depend if the back pain is acute or chronic.

What happens with sudden acute low back pain, is it comes on all of a sudden and you don’t know where it came from. Chronic lower back pain is the recurring type and can last for a couple months to even longer in some cases.

Typically, drugs are the first step in the treatment plan. There are prescription and non-prescription drugs that are available for people who are suffering back pain caused by allergies. Depending on how serious and how long a person has been suffering will determine what drug to take.

You could take anything from Advil to NSAID’s (non-steroidal anti-inflammatory drugs). These are commonly used to help alleviate all types of back pain.

Now when you get to the prescription drugs there are risks in taking some of them. You can have possible side effects, drug interactions with other medications you may be taking, so be careful.

Always read the labels of the medication you are taking even the ones prescribed by a doctor. This will ensure that you have as little cause for an allergic reaction as possible.

To increase your nutrition, you can also take supplements and vitamins. It is important to have a good diet as well.

There is treatment for people who are dealing with back pain caused by allergies. Talk to your doctor and you will get proper treatment for the condition that you are suffering from. Take care of yourself so that the back pain does not become permanent.

Don’t suffer anymore from back pain. Just think how good it would feel to be back pain free. You can, get your FREE report now. Discover information on arthritis low back pain and lots more.

Insomnia – What It Is, Possible Causes, Remedies and Treatment Options

Insomnia is where you are unable to fall asleep. Or, if you do fall asleep, you wake up many times during the night, or you wake up very early and can not get back to sleep. Ideally a person should fall asleep within 30 minutes of lying down. Interestingly, some people who claim to have insomnia upon visiting a sleep clinic find out they do not. People often sleep for longer than they remember. This may be because light sleep does not feel like sleep or the person has no memory of actually sleeping. It is a problem of perception and is known as sleep state misperception or paradoxical insomnia.

Possible causes and potential remedies

Certain medications can prevent a person sleeping.

> Speak to your doctor if you are on medication.

Caffeine and smoking.

> Try not to drink caffeine six hours before bedtime, or cut it out altogether.

> Give up smoking.

Too much alcohol.

> Limit your daily intake of alcohol.

Your bedroom is not dark enough.

> Use an eye mask.

Outside noise.

> Try earplugs.

> White noise such as a fan can help.

Being in unfamiliar surroundings.

> Lock doors and windows.

> Sleep with a bedside lamp on.

> Try relaxation techniques.

> Carry out your normal bedtime routine.

How comfortable your bed is.

> You may need to invest in a new mattress that supports you, without being uncomfortable.

Not feeling safe.

> Make sure your doors and windows are locked.

> Try relaxation techniques.

> Address additional safety concerns you may have. You may need to speak to a social worker, the police or a doctor.


> Try relaxation before going to bed.

> Engage in regular stress relieving activities.

Worried about something.

> Write down your worries, then tell yourself you will deal with them in the morning.

> You may want to speak to a counsellor if you have particular worries or concerns that are affecting your sleep.

Television watching.

> Do not have a television in your bedroom.

> Try to turn the television off an hour before bedtime.


Try addressing all the above causes. This can make a difference. No matter how tired you are, try to avoid daytime napping.

Drug therapy is often used in the treatment of insomnia. This can be a problem. Remember drugs will not address what caused the insomnia in the first place.

Cognitive behavioural therapy can be used, which alters a person's thought patterns, which in turn enables them to change their behaviour. For example, insomniacs often say to themselves that they must get to sleep immediately, or must get eight hours in or dire consequences will follow. More realistic thinking can alleviate the pressure on a person and allow a more relaxed attitude to sleep.

Insomnia is something that sometimes affects me and I am guilty of believing that I will absolutely not be able to function the next day. Such thoughts of course, kept me awake and reduced the time I did get to sleep. Then I thought about those times when I really did get little sleep and the fact that I did function the next day. Even important events such as interviews or exams I was able to get through. It allowed me to realise that I could function adequately on little sleep and stopped me fretting, which actually gave me the hours of sleep I so desired.

Ingrown Nails – Permanent Treatment For a Common Problem

Ingrown nails are a common nuisance and can be a source of pain that can run the gamut from annoying to severely painful. They can be present in any toe and at any age. It is not a disease of childhood, active people, or those who cut their nails too short. Ingrown nails may be inherited, as some people are simply born with them. They may also be seen later in life due to gradual damage to the cells under the skin that grow the nail (called the nail matrix). Repetitive injuries to the toe, such as heavy objects falling on it, pressure from poorly fitting shoes across the top of the toe, nail fungus creating thickness and loosening, or toe bruising (common in athletes) may cause irreversible changes to the nail matrix by causing undue pressure to these fragile cells. In time, the nail may abnormally grow inward toward the skin due to these changes, rather than flat outward as in normally shaped nails. It is possible that a poor nail trimming technique may leave a spike of nail that may protrude into the skin as the nail grows outward, although this is very uncommon. This is the heart of the big myth associated with ingrown nails: many people assume that nail cutting has a big role in their formation and cutting straight across is the only way to prevent this.

The truth is that one could cut one's nails in any shape and it would not change the fact that the nail grows FROM THE BASE OF THE NAIL ONWARD. One's cutting technique at the end of the toenail, after it has already grown out, generally has little to do with developing ingrown nail symptoms. More times than not, the reason people get ingrown nail symptoms after cutting the nail too short is that usually people nick the skin in some way, starting a skin inflammation process that eventually causes the pain by allowing the sensitive swollen skin to push against the ingrown nail side. This is really the underlying problem with ingrown nail pain. The nail itself is not the source of the pain as the skin is generally well suited to accept a curved nail next to it. The pain arises when inflammation to the skin along side the nail develops. The inflammation is painful, not the nail itself. Unfortunately, in many people, this inflammation begins to cycle regularly, with little to set it off, including tight shoes, an injury, a slightly close nail trim, et cetera. Eventually an infection can and will develop over time as bacteria becomes trapped under the swollen skin. If untreated, the chronic infection may spread along the toe skin and in very extreme cases may eventually involve the toe bone underneath, although this is very uncommon. Too many people seem to 'deal with' the infection for months at a time prior to seeking treatment, and the longer the infection sits in the toe, the greater the chance the infection can spread deeper, especially in people with lower immune systems or diabetics . It is also not uncommon for ingrown nail symptoms to resolve on their own, only to keep reappearing over and over again as mentioned above.

Temporary home-based treatment may consist of regular soaking in warm, soapy water, and application of an antibiotic ointment. Truly infected toes need prescription antibiotic medication to control the infection. However, the offending nail border must be removed in order to permanently resolve the condition. Often many people seek medical care in urgent care centers, emergency rooms, and even family practice offices where the procedure of choice due to lack of proper equipment or training is only a non-permanent removal of the ingrown nail side. The problem is that in 4-8 months the nail will grow back out along the side and the condition will return again eventually. Permanent nail border removal is quick, easy, and relatively painless, and will eliminate the chance of the condition returning again. This is accomplished through a short, simple office procedure where the nail border is removed under local anesthesia and a mild acid is used to prevent the nail matrix from ever growing the nail back into the skin along the side where the nail is ingrown. Only the process of getting numb is uncomfortable. However, this is brief and the procedure to follow is painless. The procedure can be performed on nearly everyone, with the exception of those with severe circulation disorders of the legs and feet.

Recovery from the procedure is very easy, consisting primarily of soaking the toe daily and antibiotic ointment use under a band aid. Most people have little to no discomfort following this procedure, and instantly feel better. Most people have full healing within three weeks, and during this time most people have little to no activity restrictions. No lost time from work, no restrictions from sports, and most importantly no lost time from enjoying life. It should be stressed again that it is not enough to simply have the side of the nail removed. Unless the nail matrix is ​​treated and destroyed in the nail corner, the side of the toenail will re-grow. Unfortunately, some people still prefer to treat this on their own at home. Home based "bathroom surgery" is not recommended as this may significantly worsen the condition. Trying to dig out the nail accomplishes nothing, as the nail will continue to grow from its base and will again meet against the skin eventually. Repeated infections will soon follow, especially if bacteria is introduced by unclean home instruments. At times, digging a fingernail or unclean instrument into the infected nail area may even worsen an existing infection. This condition is best handled by a physician, usually a podiatrist who has likely done hundreds to thousands of these procedures. There is no need to suffer through this easily treated condition, and the old days of going to an operating room to have it fixed are long over. This common nuisance is completely and easily curable if one takes the simple step to have it done.

Is Colloidal Silver A Treatment For Bronchitis?

What is Bronchitis?

Bronchitis is defined as an inflammation of the bronchi. Bronchi are airways in the respiratory tract that bring air into the lungs. This inflammation is typically caused by viruses or bacteria, but it may also be caused by inhaled irritants, such as cigarette smoke or harmful chemicals.

Most cases of bronchitis cases involve a viral pathogen. The inflammation is usually the result of the mucus lining of the airways becoming swollen due to irritation. Anyone may contract bronchitis, but people with weak immune systems, such as children and the elderly, are particularly vulnerable.

What are the Symptoms?

Coughing up phlegm or spit, difficulty breathing, and wheezing are all common bronchitis symptoms. Patients typically seek treatment for bronchitis once the coughing becomes uncomfortable or painful. If the inflammation is particularly severe, fatigue, fever, or chest pains may arise. In rare cases, gastrointestinal bronchitis symptoms may arise.

How can you Prevent Bronchitis?

A vaccine for a Haemophilus influenza, which commonly causes bronchitis, was developed in 1985. However, since the vaccine only boosts immunity for six months, it is typically only administered to those most at risk.

Anyone who wants to limit their risk of bronchitis should stop or not start smoking. Even secondhand smoke may lead to bronchitis. Workers who are often exposed to dust or irritating chemicals should wear a dusk mask to prevent inhalation. Everyone who wants to decrease their risk should also limit their exposure to air and traffic pollution.

How is Bronchitis Treated?

There is no medical cure for bronchitis. Typically doctors will treat the symptoms to alleviate the pain and discomfort, and wait from the body to naturally correct the inflammation. Far too often, doctors will prescribe antibiotics. However, for the large majority of cases of bronchitis, this is inadvisable.

Most bronchitis cases are the result of a virus, and antibiotics are only designed to treat bacterial infections. Many doctors are aware that antibiotics are ineffective for bronchitis, but prescribe them anyway because they feel pressured by the patient to treat something besides the symptoms.

A study from 2002 titled “Azithromycin for acute bronchitis” published in the medical journal “The Lancet” referred to this pressure from patients, concluding that “Many patients with acute bronchitis require their physicians to ‘do something.’ “And that it should not include the “defensive use of ineffective antibiotics.”

Immunologists have long warned that over prescription of antibiotics will only lead to stronger and more resistant bacterial strains. Unnecessary prescription of any medicine can be harmful, and patients who take antibiotics may suffer side effects such as vomiting, headache, and rash.

Since the immune system is the best (and in most cases, the only) way to fight the infection that causes bronchitis, patients might benefit from taking supplements that support and boost the immune system.

Many have claimed good results with taking colloidal silver for bronchitis. Colloidal silver can be taken orally or through a nebulizer.

If you would like to take colloidal silver for the treatment of bronchitis, it may be interesting to note that some patients have reported the best results with true colloidal silver versus inferior products that are mostly ionic solutions.

The Chiropractic Industry in the Philippines – Perspectives From a Chiropractor in Makati, Manila

There are less than two dozen chiropractors in the Philippines as of 2013 – representing a very small group of the 100,000 Chiropractors in the world, which mostly practice in countries with advanced economies (the G8 countries). You could say Chiropractic is in its pioneer stages of development in the Philippines.

Chiropractic has been in existence since 1895. It is a health care discipline which emphasizes the inherent recuperative power of the body to heal itself without the use of drugs or surgery. The practice of chiropractic focuses on the relationship between structure (primarily the spine) and function (as coordinated by the nervous system) and how that relationship affects the preservation and restoration of health. In addition, Doctors of Chiropractic recognize the value and responsibility of working in cooperation with other health care practitioners when in the best interest of the patient.

Although there have been isolated members of the profession through out the 1900’s who lived and saw patients in the Philippines, the first Doctor of Chiropractic (DC) to set up a permanent chiropractic clinic in Manila was Dr. Uy in 1986. For the first decade there were around a dozen Chiropractors who came to practice in the Philippines of which only half remained. The next decade saw the doubling of the total clinics from 5 to 10. When I opened my chiropractic clinic in 2006 in SM Bacoor, Cavite and in Forbes, Makati in 2007 I was only the 10th Chiropractor in the country.

Since 1988 the World Federation of Chiropractors (WFC) has held a seat for the small presence of chiropractors in the Philippines. In 2006 the Asian Pacific Federation of Chiropractic Doctors (APCDF) was established to develop the profession in the region, including the Philippines. We have held a council seat since its inception and I am a current officer.

The Philippine government passed a law in 1997 referred to as the TAMA act which resulted in the formation of a Complimentary and Alternative Medicine division of the Department of Health. The department is called the Philippine Institute of Traditional and Alternative Health Care, or PITAHC for short. In 2009 PITAHC established the National Certification Committee on Chiropractic (NCCC) which has to date certified 22 Doctors of Chiropractic, all graduates of colleges in the United States.

In the Philippines, there are outdated laws that limit the practice by professionals to Filipino citizens. These same laws permit licensing by reciprocity and there are hundreds of Filipino citizens who are licensed and who practice in the United States. The Chiropractic profession currently is not regulated by the Professional Regulatory Commission (P.R.C.) so foreigners with appropriate residency status with rights to engage in employment and business, and who are qualified and experienced in Chiropractic, are operating their private practices under general civil laws meeting the same requirements of any commercial entity. In addition they undergo Certification by the NCCC to assure the public of their professional training.

These provisions are important for the immediate growth of Chiropractic in the Philippines because most chiropractors who are willing to relocate to the Philippines are not citizens; limiting their practices would be contrary to the best public interest of the people of the Philippines.

The next step is the formalization of a National Chiropractic Association. This organization assists in the development of the Chiropractic profession and also in the self-regulation of its practitioners. Public health education is not the responsibility of the individual doctor but it is a principal role of the association. Second education topic is the providing of continuing education for its member chiropractors and so the profession can keep growing scientifically. Third education topic is the effort towards establishing a formal College of Chiropractic so bright, intelligent and young Filipino men and women can enter the profession after attending a local eight year university training program.

Other duties and responsibilities of the national association will evolve as the profession grows in the Philippines. The last important topic to mention is the formulation (under international consultations) of an appropriate Chiropractic Law as the final stage of public safety and professional recognition.

In the meantime, Media can play an important role in educating the public of the benefits of chiropractic. There have been many highlighted stories on chiropractic by TV and newspapers over the past 20 years and many more are needed. The future for the Chiropractic profession in the Philippines looks excellent, but it also looks like it will take many years of effort and by full and complete acceptance of all members of the profession for the roles each can contribute to the pioneering of Chiropractic in the Philippines.

Hip Braces- How Can They Help Relieve Your Hip Pain?

Hip pain can be caused by a number of different types of injuries and conditions. Your hip pain may be the result of: arthritis, bursitis, tendonitis, strains and fractures.

Hip pain may also be caused by a condition called osteonecrosis. Osteonecrosis occurs when the blood flow to the hip bone is restricted.

When there is a lack of blood flow in the hip joint, this can cause serious problems in the hip joint. These different conditions can cause pain, aching and inflammation in the hip. This pain can make everyday activities such as walking or running very difficult.

How Can Hip Braces Help Relieve Your Hip Pain? Hip braces can help decrease your hip pain. Braces can also help with the healing process. The following are some examples of how braces do this.

A hip stabilizing brace is useful if you have had a dislocated hip, a hip replacement, or a hip fracture. A hip stabilizing brace will help you to keep your hip in the correct position while it heals. It also helps keep it still which helps the hip to heal.

Hip braces can help you protect your hip from injury. They can also prevent swelling and pain by compressing the hip area.

Hip splints are ideal for those that have undergone some kind of hip surgery. Hip splints keep the hips from moving so they are stable. This stability can help the hip to heal more quickly.

Compression hip braces can help relieve pain in your upper leg. These types of braces can be used for the pain resulting from hamstring pulls, varicose veins, or Iliotibial band syndrome (also known as ITB).

Iliotibial band syndrome occurs when the tissue running from the hip to just below the knee becomes inflamed. Typical activities associated with this condition include running, cycling, weightlifting or hiking.

When you need to keep your hip stable but you still need to be able to move it, compression hip braces may be the best choice.

The type of hip brace you use will depend on the type of your injury you have. Braces come in many different styles and are made of many types of materials. Finding a brace for your requirements should be easy.

For various types of hip pain, hip braces can be useful. These braces are easy to use and comfortable. Brace settings can be easily adjusted to meet your individual needs.