How Lack of Sleep Makes You Fat

The nature of today’s fast paced, anxiety-filled, and busy society of overloaded schedules, has made a lot of people to resort to shortchanging themselves on the number of hours they spend sleeping per night. This is however a disturbing development as several new scientific studies have found that lack of sleep may actually be hindering a lot of people from losing weight.

It has been demonstrated that high quality, healthy and consistent sleep cycles significantly affects an individual’s metabolic health through the balancing of hormones responsible for appetite control, food cravings, and overeating. Inadequate night sleep does not only make an individual tired but research studies now say that it can also inhibit weight loss.

The effect of sleep on body weight is somehow directly or indirectly linked to its effect on certain hormonal changes that promote weight gain. Of particular interest would be how sleep affects the secretion of leptin, ghrelin, and insulin – all hormones that play significant functions in appetite regulation. There is also the need to consider the role of fatigue and stress – both side effects of lack of sleep – and their effect on the stress hormone, cortisol.

The effects of lack of adequate sleep on some of these hormones were brought to the fore by a study carried out by researchers at the University of Bristol. In their research, the scientists observed that people who had a five-hour per night sleep had a 15% reduction in the production of leptin and also an equally interesting 15% increase in the production of ghrelin when compared to people who had an eight-hour per night sleep.

The study also found that lack of sufficient sleep disturbs glucose metabolism and insulin sensitivity. Insulin resistance or insensitivity generally leads to the accumulation of excess amounts of glucose in the bloodstream and the tendency of the body storing same as fat. The study concluded that sleep deprivation may trigger appetite and cravings for sugar-rich, calorie-dense foods.

To start with, leptin is derived from the Greek word meaning “thin” and is a protein hormone secreted by fat cells. Leptin functions as a natural biochemical appetite suppressant that makes you feel full and satiated by sending signals to the hypothalamus notifying it that the body has eaten enough calories and therefore to stop eating.

Low levels of leptin occasioned by loss of sleep can make it difficult for an individual to cope with the constant feelings of hunger and increased appetite. Furthermore, lack of adequate sleep affects leptin through the reduction of the sleep hormone – melatonin. Melatonin is known to assist in the healing and restoration of the sensitivity of leptin receptors.

Leptin resistance or insensitivity is the “de-sensitization” of the brain to the effect of leptin occasioned by either engaging in overeating or the inability of the chemical signals sent by the secreted leptin hormones to cross the blood-brain barrier. Not receiving the leptin signals or incorrectly interpreting them causes the brain not to properly receive the “I’m full” signal and thus the tendency of the individual engaging in overeating.

On the other hand, the lack of adequate sleep increases the secretion of the hunger-promoting hormone known as ghrelin. Ghrelin is secreted by the cells in the lining of the stomach and activates the appetite. Elevated ghrelin levels essentially promotes overeating since they signal the need for the body to eat in order to stock up its energy reserve despite the fact that the body might not actually be in need of the extra energy.

Besides the above hormones, the neurotransmitter known as serotonin has also been shown to be affected by lack of adequate sleep. Serotonin generally helps to maintain a relaxed feeling or mood, promote good sleep patterns, as well as regulating the feeling of satiety and fullness.

Low levels of serotonin can lead to increased irritability and mood swings and also the craving for carbohydrate- and fat-rich foods such as cookies, roasted nuts, chocolates, cakes and potatoes chips. One notable feature of depression is actually the reduced amount of serotonin in the brain. Irritability, mood swings, and depression are all conditions that generally predispose a person to compulsive eating behaviors.

Furthermore, sleep deprivation also leads to increased secretion of the stress hormone called cortisol. Several studies have found that cells around the stomach love to attract cortisol and which makes a lot of people to add weight around the abdominal and hip areas.

Despite the fact that disruption in sleep patterns and actual sleep deprivation may not be the main reasons behind the growing global obesity epidemic, it nonetheless poses a great threat. There must be a hormonal balance for weight loss to occur and be effective, however lack of adequate sleep only tend to further distort this balance.

Therefore it is important to ensure to get an adequate night sleep of about eight hours per night as an adult in order to have an improved overall healthy life and to also get the best weight loss results.

Peer Pressure Teen Stress

Peer pressure teen stress can be defined as the way teenagers try to behave due to pressure coming from their peers. This kind of stress is triggered by issues like the need for approval, acceptance and the need to have a sense of belonging. When teenagers, the pressure that comes with trying to gain approval or acceptance or find a sense of belonging leads to all kinds of circumstances causing stress in the life of teenagers which if not checked may result in health related problems.

Issues that can cause peer pressure teen stress:

The two main settings that teenagers get their peer pressure stress from are the school and the home and there are many issues arising out of these settings which causes stress in teenagers of which some are

1. Issues relating to mixing with others

2. The feelings they have towards themselves relating to how they see themselves and how they think others see them

3. Problems that may arise out of the home with other family members

4. Traumatic or grief related events like divorce between parents, death or illness in the family can also be a likely cause for teen peer pressure

5. Having to adapt to a new school environment

6. Having to move to an environment or place they are not comfortable with

Some ways of dealing with peer pressure stress

1. A positive attitude

One way of tackling this type of stress in teenagers will be for teenagers to encourage themselves to adopt a positive attitude towards life. This will involve them having to adopt a healthy eating habit, avoid using alcohol or drugs as a way of solving their problems, cutting down on the intake of caffeinated drinks among others…

Exposed: TMJ Symptoms Including Numbness In Arms And Fingers

The temporomandibular joint is a complex bone formation in the base of the skull that aids in the opening and closing of the mouth in order to eat, drink, masticate, chew and helps in providing energy to body and even helps in smiling and even in speaking. Unfortunately, it can also become a house of problems and complications like pain in the jaw joint, pain in the ear, numbness in the arms and fingers, if it stops functioning properly. These TMJ symptoms are discussed in detail in this article.

The TMJ syndrome symptoms are so varied and innumerable in nature that for ease and convenience it is best to classify them under three different heads, namely Primary, Secondary and Rare. These rare symptoms can be felt in the arms and fingers as well. And they require a through understanding as these symptoms can be experienced over many body parts.

Primary Symptoms Of The TMJ Disorder

• Aching jaw joints
• Swollen jaw joint with tenderness experienced in the muscles, tendons, and bones around the affected joint.
• Incessant pain in the head and ears
• A clicking sound every time the jaw is opened
• Stiffness experience around the affected jaw joint
• A stuffiness experienced in the sinus
• Aching facial muscles
• Hearing difficulties

Secondary Symptoms Of The TMJ Disorder

• Compromised eyesight, difficulty in seeing during night, eyes becoming sensitive to light. A pressure felt just behind the eyeballs, and continuous flow of water from the eyes.
• Migraines, sinus headaches, cluster type headaches. Tender scalp area and hair roots.
• Hissing, roaring and buzzing sounds in the ear as in Tinnitus. Gradual loss of hearing and stuffiness in the ear.
• Aching jaws and hindered jaw movements.
• Confused and berserk movement of tongue and pain felt in the mouth, chin and cheek.
• Aching neck muscles and pain in the shoulder blades.
• Stiffness in the spinal chord and sore back muscles.
• Numbness in the arms and fingers is caused by the misalignment of the jaws and incorrect bite, which puts undue stress on the muscles associated with the jaws, neck and the shoulder and puts them into spasms. As a result, the nerves that reach to the fingers and hand also get affected and the tingling sensation occurs.

Unusual Symptoms Of The TMJ Disorder

• Severe inflammation of the cheek is a rare symptom of TMJ dysfunction, it is more apparent on the side of the affected area. Although, swelling of the jaw joint is a common sign of TMJ disorder but it rarely spreads to the cheek and the adjoining regions.

• Regular dislocation of the jaw without any accompanying pain or related discomfort is very rare. But there are many who suffer from this symptoms. Afflicted people have to sleep with a hard pillow pressed against the affected jaw joint, as the joint could dislocate while the person is fast asleep. This symptom generally occurs in cases of misaligned jaws and when the case has been left attended for a long time. It can however be solved with the help of neuromuscular dentistry.

• Generally the clicking sound which is a common symptom of TMJ dysfunction can be heard by other people as well standing a foot or two away from the affected person. But in some cases this sound can be so loud as to be heard as far as 5 feet! People suffering from this rare symptom also complain of severe pain just following the clicking sound.

• Aching shoulder blades is an uncommon feature of TMJ disorder. However rare, it does affect some. The pain usually occurs on one side and radiates from the neck which then spreads towards the shoulder blades.

While describing TMJ symptoms is also becomes necessary to point out that many of these symptoms can be caused by many other ailments as well that are leas bit connected with the TMJ disorder. Let us take the case of sore facial muscles, there can be in fact almost hundred causes leading to it. Dental boils, problems with the eyes, trauma to the face, complications of the nose, glaucoma are just a few of them. Hence a correct diagnosis becomes the most important feature before being able to decide on a treatment.

TMJ Cure

Since many people nowadays are being afflicted with the TMJ syndrome hence the cure for this disorder is becoming important as well. However, it is really sad that most of the treatment options available do not provide a permanent relief to the problem. Over the counter medication, conventional modes of treatment, natural exercises, home TMJ remedies none provide a temporary relief. All of them can only guarantee a temporary solution and all because they address only the symptoms of the disorder rather than the actual causes.

However holistic remedies ignore the symptoms and reaches deep within the body and identifies the root cause of the problem. And once the root cause is identified holistic remedies eliminates the root-cause permanently, thus removing all associated symptoms in the process. And once the root cause is gone neither the symptoms not the actual problem is able to afflict the person again. Hence the person gets the rid of the TMJ dysfunction forever and for good.

Tips For Women Dealing With Men With Commitment Issues – How to Get Him Serious About You

Men with commitment issues bring their own special challenges to the relationship arena. Any woman who has ever dated a man like this knows that it’s not an easy journey. If you love him, it’s that much more difficult. Trying to get a man to enter into a more serious relationship when he’s dead set against it feels virtually impossible. There are some tips that can help women facing this. If your guy has told you that marriage just isn’t in his future, don’t give up on him just yet.

Arguably the worst thing women can do when they are involved with men with commitment issues is to belabor the point of a more serious connection. Just as a small boy will fight you tooth and nail when you tell him that you want something he doesn’t, a grown man will do much the same thing. The more you pressure your boyfriend for an engagement ring, the more he won’t want to buy you one. Men like this need to be handled in a very specific way and it starts with dropping all talk of marriage, or anything more serious than dating.

Another very effective tip for women dealing with men with commitment issues is in addition to changing your attitude about marriage, change your availability as well. If you are constantly available whenever your man wants to see you, you are sending him a silent message that suggests that he has you all to himself. He doesn’t have to try anymore because he feels that you are his regardless of a serious commitment. Get busy doing different things including spending more time out with friends. A great way to jolt a man into realizing how much you mean to him is to take a short vacation with some girlfriends without him. Don’t give him much warning at all. Just tell him that you’ll be gone for a few days and you’ll get in touch with him when you get back. This one move can completely shift the dynamic of the relationship and make him fear he’s losing you.

4 Reasons Walk-In Tubs Are Important to Seniors

With too many homes stacking up enough monthly expenses as it is, it’s hard not to let go of that dream sailing boat, trip to Europe, or even simple health necessities such as prescribed medicine and the like. With around 5% of all Americans working multiple jobs and another 5% left unemployed, it’s easy to look at basic needs as luxuries.

A Luxury or a Necessity?

Seniors limited by their fading capacities to be as mobile as they once were know that they have to pay at least $1,000 to get a standard accessible soaker, and a couple-or-so thousand to get one with whirlpool jets or air bath for their arthritis or other bodily complications that keep them from bathing independently.

Seniors & What Domestic Spaces Mean to Them

There’s a harsh irony in knowing that aging seniors are among the most affected by depression and lowered self-esteem due to their inability to bathe independently, all the while being the number one victim to slip-and-fall accidents in the bathtub (mostly around the 80-years-old age group). Studies show that our older relatives would rather carry out their daily tasks on their own without assistance from other family members or caregivers.

Why Walk-In Tubs Are Not Covered

In most states, walk-in tubs are not counted as “durable medical equipment” by Medicare’s standards, even though they’re known to deliver substantial therapeutic benefits to their users. They may not necessarily heal a person from their arthritis-driven diet constraints, but they consistently reduce inflammation and pain, treat bruised joints and muscles, and help alleviate the body from the daily grind. Just because a household commodity does not heal a condition or disease, that doesn’t mean it can’t prevent potential symptoms from occurring down the road. Yet, this is the catch-22 of our government regulated medical insurers.

What Health Benefits Do Walk-In Tubs Have?

There is a whole host of medical and therapeutic benefits that the walk-in bathtub offers. From the light cardiovascular exercises that water immersion causes, to the full spectrum of air and water massage systems which accelerate healing of damaged tissue, muscles, and joints.

Soaking alone can greatly improve a person’s health as it relieves the body from 90% of the gravitational forces. A temporary respite from gravity enables the major muscle groups to achieve a wider range of motion that an aging body couldn’t have achieved on its own, allowing the user to perform and execute actions throughout their day with more livelihood and optimism.

Massage systems that incorporate air or whirlpool jets apply rhythmic pressure to damaged body parts, increasing the blood flowing to them and the healing agents that it carries with it. Apart from pain alleviation, massages can either relax or stimulate an individual, depending on the intensity of the pressure applied. Generally, air baths generate thousands of minuscule bubbles that soothe the body while whirlpool systems apply more pressure, move muscles, and make the individual feel more confident about their mobility.

Caring for a Broken Foot or Broken Ankle

It seems like a week doesn’t go by without some public figure who stumbles and breaks or fractures their foot or ankle. Recently, Vegas magician Lance Burton broke his foot during his act. Actress Jennie Garth stumbled in her home when she went to answer the door while holding her baby and fractured her foot. In LaGuardia Airport, returning to Washington for more congressional meetings, Supreme Court Nominee Judge Sonia Sotomayor stumbled and broke her ankle. Houston Rockets star center Yao Ming broke his foot during the NBA playoffs, which doctors now say may be a career-ending injury.

A fracture is a disruption of the integrity of the bone. So a fracture is a broken bone. It is one and the same. I often hear my patients in my Houston podiatry practice ask me if they have a break or a fracture. The answer is “yes.”

Like everything, there are different levels of severity of foot and ankle fractures, but even the most minor of these injuries require immobilization, usually with a walking cast-boot, often referred to as a cam-walker. Although it does not provide full immobilization, it does take enough pressure off of the bones and reduces the pull of the muscles and tendons to be adequate. When the fracture is stable, this is a good option to minimize the loss of mobility and muscle atrophy.

Other, more severe, fractures need true immobilization with non-weightbearing casts made of fiberglass or plaster along with the use of crutches. This transfers all pressure off of the bone and eliminates the pull of the muscles. Best used for fractures in good position but in an unstable area, this treatment can be expected to continue for a minimum of six to eight weeks. This is the amount of time necessary for bone to clinically heal with enough strength to bear weight.

When a bone is displaced, angulated, or in an area at risk for not healing well, surgical care of the injury is needed. This can include using surgical plates, pins, and screws to repair the bone in the best position and with maximum stability. This is almost always followed with the application of a cast or cam-walker for the same six to eight week healing period.

It does not take a major traumatic injury to break a bone in your feet or ankle. A misstep off a curb, stepping in a hole in a parking lot, or even a twist and stumble at home is all it takes to injure the bone. If something like this happens, and you have even a small amount of bruising or swelling, visit your podiatrist to be sure you get the appropriate treatment.

History of Acne Treatment

In the USA, a reported 80 percent of people between puberty and middle age suffer from acne. Although, the condition is not life threatening, it can cause embarrassment and emotional stress for those suffering. Let’s take a closer look at the history of acne treatment and see where we are now in clearing up this nasty bump in the road most of us face on the way to becoming an adult. 


History of acne treatment:


The term acne comes from a Greek word meaning a skin eruption. In Greece, a vegetable-based acne medicine was prescribed.


In Ancient Rome, acne was treated with hot mineral baths. Roman physicians preferred medication where the main ingredients were made from animals.


One ingredient both cultures agreed on was honey. The Greeks and Romans were in agreement that acne was triggered by the onset of adolescence.


Ancient Egyptians used spells and charms on the pharaohs who suffered from acne.  


3rd century

There was a belief during this time that pimples were caused by telling a lie. The treatment for hard lesions was a soap remedy.


14th century

The recommendation was to avoid spicy foods and strong drink. Respected authorities of the era recognized the condition was sometimes aggravated by a person’s diet.


19th century

Nineteenth century dermatologists used sulphur in the treatment of acne to dry and exfoliate the skin. Fathers of modern dermatology, William and Bateman, treated acne with local remedies. 


1920’s- Benzoyl Peroxide which kills bacteria became a popular remedy in the history of acne treatment. 


1930’s- Acne was often called “Chastity pimples” because people thought virgins were afflicted with acne because they were not able to dispel toxins from their body. Laxatives and radiation were used for treatment. 


1950’s- Antibiotics became successful in treating acne after its discovery mostly from the anti-inflammatory effects of tetracycline.


1960’s- ‘Retin A’ was discovered to benefit the fight against acne.


1980’s- ‘Accutane’ was introduced in the United States and later found to be responsible for causing birth defects if taken while pregnant. Accutane is a form of vitamin A that reduces the amount of oil released by the skin’s oil glands and promotes skin rejuvenation but should never be used during pregnancy. 


1990’s- Laser Treatment began being used to treat acne and to clear the skin from recent and old scarring. Laser therapy is beneficial for people with nodular and cystic acne. 


2000’s- Blue/Red light therapy developed along with laser therapy for acne treatment. It works by using a special blue light to prevent and heal acne. The light can be used on nearly every part of the sufferer’s body. 


Future treatments

Scientists are testing a vaccine against inflammatory acne. The goal is to develop a bacterial therapy in the future to overcome the problem seen with long-term antibiotic use, which builds up bacteria resistance.


Science has determined that acne is not caused by dirt. Scrubbing away at the skin too often can make matters worse. It is known that hormones rise during puberty in both sexes and continue to fluctuate during menstruation, causing the sebaceous glands to become overactive. Genetics also plays a role in whether an individual will suffer from acne.


As you see, you are not alone in facing acne. Throughout the history of acne treatment, kings to pharaohs have faced down this culprit and won. There is no need to despair with the great treatments available. The key is finding the skin care regiment that works best for you.

Fastest Cure For Impetigo

To stop impetigo from becoming more serious, people with this skin condition should get rid of it quickly. The fastest Cure for impetigo depends on the kind of impetigo a person is suffering from. There are general Cures that would work for most mild cases but those with serious infections would have to go for specialized Cure for impetigo. Impetigo is caused by the staphylococcus and the streptococcus bacteria, colloquially referred to as the staph and the strep. The non-bullous kind is caused by both bacteria but the bullous kind only involves the staph. Lesions form in both kinds that turn into blisters, with larger ones manifesting in the bullous kind. Both non-bullous impetigo and bullous impetigo eventually form crusts when the papules or blisters seep with yellow-colored fluid. Since the appearance of impetigo resembles other kinds of skin infections like ringworm, eczema, chicken pox, herpes cold sores, and scabies, the right diagnosis and Cure for impetigo sores can be determined after an examination has been done by a qualified doctor, usually a pediatrician or a dermatologist.

The fastest Cure for impetigo starts with immediate attention. This kind of skin condition should not be left to heal on its own – left on its own, impetigo could spread and worsen. The formation of impetigo sores takes about a few days to a week. They start out as small reddish lesions and then grow to become bullae or blisters. Personal hygiene is extremely important as part of a regimen of Cure for impetigo. Regular washing and application of an antibacterial solution would kill the staph and the strep bacteria to completely heal the impetigo. A mild soap is often enough to give the sores a good cleansing although herbal washes have proven to be effective for a lot of impetigo patients looking for the fastest Cure for impetigo. Impetigo sores in more advance stages of development would have to be soaked in water or saline solution in order to help remove the crusts.

Topical creams and herbal applications are also recommended for patients who want to find a Cure for impetigo. In cases when the impetigo sores persist for more than a few days despite the medication, doctors could order laboratory tests or culture tests to determine the specific bacteria causing the skin infection. This would determine what kind of oral antibiotics is necessary for a permanent Cure for impetigo. Since some strains of bacteria have been found to be resistant to certain antibiotics, the culture and sensitivity tests would help point the doctors to the right direction in terms of prescribing the right medication. Those who are worried about compromising their body’s response mechanisms to these medications could steer their sights towards homeopathic Cures that have likewise been found to be safe and effective in curing impetigo. Aside from homemade concoctions, there are commercially available homeopathic formulations ready to be used by anyone looking for a Cure for impetigo.

New York Medical Malpractice Lawyer explaining Cerebral Palsy

Cerebral palsy can result from a brain injury to the unborn baby during the development of fetus. However, there are several causes behind brain damage and some of the factors which can contribute to the condition are as given below:-

Maternal Infections

If the mother of an unborn child receives infection then it increases the chances of baby suffering from cerebral palsy. Some of these infections include:-

• Urinary tract infection (UTI)
• Infection of the bladder or kidney
• Rubella
• Infection of the bloodstream such as Sepsis
• Chorioamnionitis, a uterus infection
• Toxoplasmosis

If you are pregnant and have any of the above infections, then you must see your doctor immediately.

Prenatal/Neonatal Infections & Complications

The risk of cerebral palsy manifolds if you have an infection during neonatal/prenatal care:

• Bacterial meningitis
• Viral encephalitis
• Group B streptococcal infection
• Herpes group B
• Sepsis
• Rh incompatibility
• Severe Jaundice
• Premature Birth/Low Birth Weight

Having a premature delivery also increases the chances of baby born with symptoms of cerebral palsy. Premature infants are more vulnerable than babies with regular term. Most of these babies experience health related problems and have to be hospitalized. Pregnant mothers should also avoid intake of Smoke, Drug, and Alcohol. Mothers should also avoid stress otherwise it will put your baby at risk of cerebral palsy.

Some of the cerebral palsy cases can result from above causes. However, there are several cases where a child receives brain damage during the actual delivery. This damage to the brain can easily result in cerebral palsy. Injuries at birth should be prevented otherwise it could result in cerebral palsy.

Following are some of the causes which can result in Cerebral Palsy:-

• Misdiagnosis of Maternal infections and not receiving proper medical care.
• Inability to Identify and act upon fetal distress
• C-secton not done in a timely manner
• Lack of oxygen to the newborn baby
• Improper usage of instruments such as forceps

Medical malpractice usually results from negligence on the part of medical staff. However, the financial stress of medical malpractice can be overwhelming for the parents of the newborn baby. It is your judicial right to receive compensation in case your child is a victim of medical negligence.

When should you contact a New York Cerebral Palsy Lawyer

If your child has been a victim of medical error (within New York) which resulted in cerebral palsy, then you must contact a New York Cerebral Palsy Lawyer. The treatment of a child who is suffering from cerebral palsy is very expensive and can cost up to $500,000 over the child’s lifespan. If you find yourself in a similar situation then you must fight for your rights. You can file a medical malpractice lawsuit be compensated for treatments. You will also receive compensation for mental anguish, pain and suffering and other related costs. There is no known cure for cerebral palsy. The treatment of cerebral palsy is costly and you must speak with a New York Cerebral Palsy Lawyer who will help you receive justice and compensation.

2 Best Deworming Treatments for Canines

Worms causes pooch to eat irregularly or lose their desire to eat. In case your furry pal is facing these problems, then it is about time to de-worm your dog. Take him to the veterinarian who would conduct several tests to determine the types of worms affecting the doggy. Some of the major types of worms affecting the pooch include: tapeworms, hookworms, whipworms, and roundworms.

Each worm has a slightly different way of entering into the body of the tyke. This makes the symptoms distinct. Roundworms get transmitted through the dirt of faeces contaminated with roundworm eggs. About every puppy is born with roundworms since most mothers have dormant larvae in their tissue. The worst thing that roundworms can do is cause liver damage or intestinal blockage while a light infection can cause dull coat and skin along with a pot-belly.

Hookworms get transmitted from infected faeces or directly through the skin when the dog walks in wet grass or sand where larvae is present. The symptoms include weakness, diarrhoea, and in severe cases anaemia. Whipworms are transmitted by ingesting eggs that live in the soil. It causes inflammation of the intestine. Some of the serious problems include anaemia, lethargy, dehydration and weight loss. Tapeworms are caused through infected soils, from ingesting fleas while self-grooming or even while eating rodents. It causes nervousness, abdominal pain, vomiting, weight loss, or severe itching around the anus.

There are different types of deworming treatments available for your canine. But the most important thing is to determine the best amongst the rest so that your tyke can get the best deworming treatment.

Let us now look at the two best deworming treatments for canines:

Milbemax For Dogs

Milbemax is one of the best oral deworming treatments for dogs. It aids in treating and controlling different types of worms including tapeworms, hookworms, roundworms and whipworms. It even aids in preventing heartworms and is extremely beneficial for the overall health of the doggy. These tablets come in small form, but is extremely effective in eradicating the worm problem.

The two active ingredients present in this deworming treatment include Milbemycin oxime and praziquantel. Milbemycin Oxime disrupts the nerve transmission of internal parasites and kills them. While praziquantel gets rid of tapeworms by causing muscle spasms and attacked by enzymes. This results in total excretion of intestinal worms from the dog’s system through the natural process.

Drontal For Dogs

Drontal Allwormer is one of the most preferred deworming treatments for dogs. It comes in a chewable form with different types of flavours including pork and liver. It helps in treating multiple parasites including hookworms, roundworms, whipworms and tapeworms. It is very easy to administer. In fact, dogs take these tablets as a treat. Praziquantel, Febantel and Pyrantel Embonate are the three active ingredients present in Drontal.

Praziquantel has a profound effect on the skin of the parasite thus getting rid of it from the dog’s immune system. Febantel is effective against whipworms. While Pyrantel Embonate causes a sudden contraction in hookworms that results in them losing the grips on the intestinal walls. They get removed from the dog’s intestine through natural process. So, this treatment is effective against all types of intestinal worms.

The Three Sage Kings and the Five Legendary Emperors

Suiren, Fuxi and Shennong are regarded as the Three Sage Kings of ancient China who made personal sacrifices to improve the lives of the people. They are known for one or more unique contributions to mankind.

Suiren who reputedly lived 18,000 years ago discovered how to make fire by drilling wood. This discovering enabled mankind to eat cooked food and use fire to keep warm and ward off wild animals.

Fuxi taught people how to domesticate animals. He also taught them to make nets to catch fish, birds and wild animals and in the process ensure the supply of food all year round. He was also responsible for creating the institution of marriage and the for a 35 string musical instrument. His most important contribution however was the Bagua or Eight Trigram that formed the basis for the all important I Ching or Book of changes.

Shennong, also known as Yandi, invented the ancient rake, spade, plough and sickle and taught people to grow five types of cereals, rice, two types of millet, wheat and beans. He also invented barter trade and further modified Fuxi’s 35 strings musical instrument into a 5 strings one.

However he was best remembered for tasting hundreds of wild herbs to find remedies to treat illnesses. In the process he suffered continually from poisoning and eventually die from eating one too many.

The emperors after Shennong were Huangdi, Zhuanxu, Diku, Yao and Shun and they are collectively known as the Five Legendary Rulers.

Huangdi have many achievements attributed to him. He had good management skills and knows how to use men of ability to help him rule the country and come out with innovations.

He commissioned his subject to develop a written language which contributed to the growth of Chinese Culture. With another he studied the art of healing and compiled “The Yellow Emperor’s Medicine Classic”. Yet with another he developed the 60 year cycle “Jia Zi” calendar that aided in farming.

Huangdi advocated peace and avoided war. During his reign, the people enjoyed peace and prosperity and it ushered in the age of civilization for the Chinese people.

Zhuanxu who succeeded Huangdi was not his son. He was chosen over Huangdi’s many sons because of his outstanding ability. Zhuanxu greatest contribution was to bring law and order to the people plus consolidating the power of the central authority.

After Zhuanxu comes Diku who was a great grandson of Huangdi. Diku was a benevolent king who placed the people’s welfare above self. He created new official posts and ministries with clearly demarcated duties such as the Ministry of Land, Forestry, Water, Metal Ores and Fire. And he personally conducted inspections frequently to ensure that the country was well run. He also further improved the calendar which contributed to farming.

Yao was Diku’s son. He was industrious and benevolent like his father. He further developed the calendar and modified the timing of planting that resulting in bumper harvests.

Shun was Yao’s son in law. Although his mother died when he was very young, and his step mother and father ill-treated him, he remained filial to them. His great virtue helped him to gain fame and he was summoned to King Yao’s service at 30. He eventually married King Yao’s daughter.

Shun drafted the five rules of etiquette and others rules and regulations which the dukes and princes had to observed. He also divided the country into 12 states with each having its own administrator. He continued to implement changes at the administrative level and set up the department of rites, music, farming, mulberry planting, works, water and land.

Shun was succeeded by Yu who founded the Xia Dynasty. Yu was famed for his ability to control flooding but that is another story for another time.

Guillain Barre Syndrome – Causes, Symptoms and Treatment Methods

Guillain-Barre syndrome (also known as acute inflammatory or post-infective polyradiculoneuropathy) is a rare but serious disease of the peripheral nervous system. GBS can affect anybody. It can strike at any age and both are equally prone to the disorder. It often follows a minor infection, usually a respiratory (lung) infection or gastrointestinal (gut) infection. It can become life-threatening if the respiratory muscles are affected. GBS is believed to result from an autoimmune response, both humoral and cell mediated, to a recent infection or any of a long list of medical problems. The syndrome may occur at any age, but is most common in people of both between the ages 30 and 50. It is frequently severe and usually exhibits as an ascending paralysis noted by weakness in the legs that spreads to the upper limbs and the face along with complete loss of deep tendon reflexes. Adults are more commonly affected than children. Otherwise, recovery takes several months, but most people recover almost completely. In some cases, GBS can be fatal. The first symptoms of this disorder include varying degrees of weakness or tingling sensations in the legs. In many instances, the weakness and abnormal sensations spread to the arms and upper body. It may occur within days or weeks after a viral infection such as influenza (flu) or diarrhea. It may be triggered by pregnancy or a medical procedure, such as a vaccination or minor surgery, or have no evident reason for developing. Because the cause of GBS is unknown, there’s no way to prevent the disease from occurring.

The most compelling case for a direct relation between the Guillain-Barre Syndrome and preceding infections derives from experience with the enteric pathogen Campylobacter jejuni.Guillain-Barré occurs a few days or weeks after the patient has had symptoms of a respiratory or gastrointestinal viral infection. In most cases of Guillain-Barre syndrome the person had a virus or bacterial infection in the last four weeks. The disorder can develop over the course of hours or days, or it may take up to three to four weeks. Usually Occasionally, surgery or vaccinations will trigger the syndrome. In its most severe form, GBS is a medical emergency and may require hospitalization. The inflammation usually affects the nerve’s covering. Such damage is called demyelination. Some CIDP patients experience periods of worsening and improvement, and individual relapses are often confused with GBS. Some primary care physicians have described patients who complained of mild brief tingling and/or limb weakness accompanying or following a viral illness, such as a sore throat or diarrhea. Such a set of symptoms may represent a very mild form of GBS. Most people recover from even the most severe cases of GBS. There are several types of GBS, but unless otherwise stated, GBS refers to the most common form, acute inflammatory demyelinating polyneuropathy. People with severe GBS often need long-term rehabilitation to regain normal independence, and as many as 15 percent experience lasting physical impairment.

Causes of Guillain-Barre syndrome

The common causes and risk factor’s of Guillain-Barre syndrome include the following:

The exact cause of Guillain-Barre syndrome is unknown.

Infectious mononucleosis.

Administration of certain vaccinations, and other systemic illnesses.

Porphyria (rare disease of red blood cells).

Viral infections include cytomegalovirus, Ebstein-Barr virus, and during seroconversion with the human immunodeficiency virus.

Bacterial infections include C jejuni, Haemophilus influenzae, Mycoplasma pneumoniae, and Borrelia burgdorferi.

Symptoms of Guillain-Barre syndrome

Some sign and symptoms related to Guillain-Barre syndrome are as follows:

The first symptoms of GBS are usually numbness or tingling (paresthesia) in the toes and fingers.

Weakness, tingling or loss of sensation that often begins in your feet and legs and spreads to your upper body and arms.

Difficulty with eye movement, facial movement, speaking, chewing or swallowing.

Sensation changes.

Numbness, decreased sensation.


Difficulty breathing.

Difficulty moving face muscles.

Clumsiness and falling.

Tingling sensations.

Treatment of Guillain-Barre syndrome

Here is list of the methods for treating Guillain-Barre syndrome:

Plasmapheresis (plaz-muh-fuh-RE-sis): This treatment- also known as plasma exchange- is a type of “blood cleansing” in which damaging antibodies are removed from your blood.

High-dose immunoglobulin therapy is another procedure used to reduce the severity and length of Guillain-Barre symptoms.

ABCs, IV, oxygen, and assisted ventilation may be indicated.

In high-dose immunoglobulin therapy, doctors give intravenous injections of the proteins that, in small quantities, the immune system uses naturally to attack invading organisms.

Your treatment also may include pain medications including acetaminophen and nonsteroidal anti-inflammatory drugs, possibly in combination with narcotic painkillers.

Proper body positioning or a feeding tube may be used to prevent choking during feeding.

Blood thinners may be used to prevent blood clots.

Blood Sugar Level Chart

It is critical to monitor the levels of glucose for all diabetics. This monitoring must be carried out regularly. The best way to do this is with the help of a blood sugar level chart.

As most of us know glucose is the prime source of energy. It is the fuel for the body. Just like any other automobile the body cannot work properly without fuel. The given mentioned blood sugar level chart is of great help for the diabetics. This blood sugar level chart enables the diabetics to detect the moment a problem start to set in as well as to understand the pattern of the blood glucose levels. It is important for diabetics to understand the effects of different events, food groups and activities on the level of blood glucose.

It is also important for the diabetics to work in close connection with physicians to meet the targets. The doctor is in a better position of suggesting you the best diabetic testing supplies. It is always advisable to buy your own diabetic testing supplies so you can monitor the changes in the level in comfort of your own home.

Normal Readings Of Blood Sugar Level

Buying the glucometer and checking the level of glucose in blood is not all. The diabetics must be aware of the ideal levels of blood glucose at different times of the day. This will help in the proper management and monitoring of their disease.

The level of sugar in blood must be in the range of 80 mg/dl to120 mg/dl. These are the ideal levels on waking up and just before eating meals.

The level of blood glucose before meals must be again somewhere between 80 mg/dl and 120 mg/dl

The level of blood glucose 2 hours after meals must be below 170 mg/dl

The ideal level of sugar in blood before dinner must be again between 80 mg/dl to 120 mg/dl

The ideal level of glucose before going to bed must be somewhere between 100 mg/dl and 140 mg/dl

During fasting the ideal level of glucose in blood is in the range of 70 mg/dl and 100 mg/dl

Given above is the blood sugar level chart. This chart is of great help for the diabetics who want to control the disease with the help of food and exercise. This enables them to better understand the effect of different food groups and exercising routine on the level of their blood glucose.

Elder Abuse: Signs That It’s Happening

Sometimes, it can be difficult to decide what is happening, particularly if an older person is unable to speak, such as if they are a stroke victim. That doesn’t mean that this should happen, though. These signs and symptoms will help families decide if their loved one is a victim of elder abuse.

They speak up

Sometimes, determining if this situation is happening can be as simple as taking what a loved one says more seriously, no matter how many times they complain. If they say that a nurse is too rough, make sure to follow up on those concerns. A nurse may have done something unintentionally, but it may also be the start of elder abuse.


A loved one may wind up with unexplained bruises, such as if they accidentally bumped their leg when going to the restroom. This is understandable. On the other hand, families are encouraged to look at the bruises. Bruises that are in the same pattern as a hand or that look like fingerprint bruises are a call for concern.

Bed Sores

When a person is on bed rest, they can get bed sores easily. If a person is not turned as often as they are supposed to be, they will wind up with a bed sore. A family may be able to discuss this with the nursing home, and then they will never have to worry about this again. On the other hand, if bed sores are seen in combination with other things, such as bruises and rashes, it can also be a sign of neglect. According to a leading lawyer in the field, most of these cases start out as neglect.

Weird explanations

When a person is the victim of elder abuse, family members will often hear explanations that are a bit off. For example, a nurse may attempt to explain away a bruise on the front of a person’s leg by saying that they ran into a wall. Obviously, if a person ran into a wall, it would be difficult for a person that can barely walk to do it hard enough to cause a sizable bruise on the front of their leg. If this happens more often than it doesn’t, this is a large red flag, and is a cause for concern.

Other kinds

Often, elder abuse is not the only form that is happening. According to an expert lawyer in the area, this form often happens along with another form, such as financial exploitation, neglect or emotional. For example, a person’s bills may not be paid as they are supposed to, or the staff may make them feel as though they are worthless by telling them that they do not matter, and that their family does not love them.

Hiring a lawyer is the first step in discovering whether elder abuse is happening, and what can be done about it. Families are encouraged to discuss things with a professional lawyer if they suspect that this is a problem. A lawyer can help them decide the truth, as they have more experience in the area than most families and can recognize the signs and symptoms, and can help them decide what their next course of action should be. It may be gathering evidence to press charges, or it may be simply moving the person to another nursing home. Either way, an experienced lawyer will give a few benefits when it comes to handling the situation properly.

Apply Modifiers and Code Inguinal Hernia with Ease

There are many different hernia repair procedures, and using the correct CPT and diagnosis codes when billing for such services can be quite complicated for surgeons and their office staff. But once they understand the correct codes, practices can receive proper reimbursement.

For the surgeon, there is no conflict between the pre- and postoperative diagnoses and the procedure because a ventral hernia is defined as any hernia of the abdominal wall other than one that is femoral or inguinal hernia. Using this definition, the procedure qualifies as a ventral hernia, even though the documentation for both pre- and post-op diagnoses clearly states otherwise.

It would be very easy to code all abdominal hernia other than inguinal hernia or femoral hernia with ventral hernia codes, based on the clinical definition, but the codes need to be based solely on the documentation in the operative report.

Code inguinal hernia with modifiers: Without modifiers, the initial left inguinal hernia repair would be denied because initial repairs are normally bundled with recurrent repairs. Attaching the modifiers overrides the edit, however, and shows the procedures were performed on different sides. In most cases, the femoral hernia repair is bundled to the recurrent inguinal repair on the same side because the same piece of mesh used to repair the inguinal is usually placed on the femoral hernia as well. If a different piece of mesh is placed over the femoral, and the documentation clearly and specifically notes that this was done and provides medical necessity for it, the femoral repair can be separately billed and should be reimbursed.

When the general surgeon sees a patient in the office who has had previous abdominal surgery and appears to have a hernia around the area of the umbilicus, great care must be taken in obtaining precertification for any procedure that may follow – because it will affect how you code for inguinal hernia.