Anxiety and Physical Disorders

The patients of anxiety disorders tend to suffer from a range of co-morbid physical conditions that determine a novel syndrome, a new research has found. It thus debunks the belief so far that anxiety disorders do not cause physical symptoms in patients. Surprisingly, the previous studies overlooked physical problems thought about by anxiety disorders, brushing them off as mere somatic disorders.

Titled "A Novel Anxiety and Affective Spectrum Disorder of Mind and Body-The ALPIM (Anxiety-Laxity-Pain-Immune-Mood) Syndrome: A Preliminary Report," the study found that the prevalence of anxiety, laxity, pain, immune, and mood is more common in anxiety disorder patients than the general population who do not suffer from any anxiety disorder. Moreover, they also noted a number of significant associations between disorders within the domains.

"Our results provide further evidence to support a possible common pathophysiologic pathway towards the development of a related set of psychiatric and physical conditions, which were previously considered and, in certain instances, were unrelated," the researchers said.

The symptoms earlier discarded as normal physical disorders in psychiatry are now being treated as sterling symptoms of anxiety disorder in patients. "Viewing patients as sharing a psychological propensity towards somatizing behavior essentially denies patients access to care for the diagnosable medical conditions with which they present," the researchers noted. This information would come handy for all anxiety disorder treatment clinics in USA , where they can have a clear understanding of any physical symptoms shown by the patients.

For this, the researchers coined a term ALPIM (Anxiety-Laxity-Pain-Immune-Mood), which is a domain-defined clinical syndrome in which co-morbidity symptoms exist along a spectrum and corresponding to their relative domain. For instance, the anxiety domain includes panic disorder, generalized anxiety disorder, and social anxiety disorder. For the laxity domain, it included joint laxity, mitral valve prolapse, scoliosis, double jointedness, and easy bruising.

The pain domain included fibromyalgia, chronic daily headaches, interstitial cystitis, and prostatitis. And the immune domain included asthma, hypothyroidism, chronic fatigue syndrome, and allergic rhinitis. The mood domain finally included bipolar I, bipolar II, and bipolar III disorders, major depressive episodes, and antidepressant medication tachyphylaxis.

Methodology

The investigators then formulated an ALPIM inventory questionnaire, designed in a way to identify the conditions that fall within its spectrum. They conducted the research on 72 patients with anxiety disorder which average age is 43.19 years and 76 percent of them, women. When compared with the general population, the study group exhibited consistently higher co-morbid conditions. For instance, the prevalence of joint laxity and mitral valve prolapse in the study group was found to be 59.3 percent and 32.9 percent against 10 and 15 percent respectively among the general population.

Similar differences were also glaring in other domains. Anxiety patients treated from fibromyalgia and irritable bowel syndrome in the ratio of 80 percent and 76.3 percent against 2.1 percent and 17 percent respectively among the general population. The immune conditions also shown similar differences in symptoms like allergic rhinitis and chronic fatigue syndrome. The prevalence of the major depressive disorder in the study population was also reported to be higher than the general population.

"We conclude that patients with ALPIM syndrome possess a probable genetic propensity that underlies a biological diagnosis of the development of the spectrum of disorders. they present, "the researchers said.

This clearly indicates that anxiety disorder results in co-morbid physical conditions in patients suffering from it. Here, whenever an anxiety disorder patient complains of physical discomfort, it should be taken seriously and not passed off as any somatic reasons. Immediate professional intervention should be taken in such a case.

Gear Up For 2014 With Cardiology Coding Updates

Get Familiar With All the Changes to Ensure a Smooth Transition

The transition from ICD-9 to ICD-10 is around the corner and this change is proving to be quite troublesome for healthcare practitioners. Although its implementation date has been delayed to October 2014, its positive or negative impact still remains a debatable issue. But in spite of all this fact remains that there are going to be many more codes to deal with when the switch finally happens. In ICD-9 there are 13,000 diagnosis codes and 4,000 procedure codes while in ICD-10 there will be 68,000 and 87,000 codes that will be used extensively.

With the increase in codes, doctors will need to master all the new changes to ensure efficient and error free coding, but for some specialties the transition is not going to be easy. And one such practice is Cardiology that will see vital code changes to some of their most commonly used codes. In order to ensure smooth transition physicians along with their staff must be familiar with all the new cardiology coding updates. Not only will you be facing cardiology code changes but also definition changes.

Overview of a few of the cardiology coding updates:

  • Unlike the old definition, the new definition for acute phase of myocardial infarction has changed from eight weeks to four weeks.
  • Codes specifying the episode of care has been removed, for instance, under ICD-9 anterolateral wall is coded as 410.00 for an unspecified episode of care which changes to I21.09 in ICD-10 and is not related to episode of care.
  • Introduction of combination codes like atherosclerotic heart disease of native coronary artery with angina pectoris would have been reported separately under ICD-9 but will be used in combination under ICD-10.
  • Another example of combination code is when a patient is presented with known CAD and current angina, one code will cover it. There will be multiple codes to choose from depending upon unstableable angina or just plain angina.
  • Changes have been made to the classification of Myocardial infarction like the duration of treatment of eight weeks for acute phase has been reduced to four weeks.
  • Care codes for acute Myocardial infarction have been discontinued.
  • Unique codes exist for distinguishing a new acute myocardial infarction that occurs while a patient is still under treatment for an acute myocardial infarction.
  • "Subsequent" in acute myocardial infarction codes defines a different meaning which states a new acute myocardial infarction within four weeks of a previous myocardial infarction.
  • Rheumatic valve disorders are included in codes I05-I08. Non-rheumatic valve disorders range from I34-I37.

To sum up, the major conditions which form the core of cardiology practice have been revised thoroughly and the codes better reflect current clinical understanding. It will not be easy to master all the changes until and without preparations are made early on, to ensure an easy transition and error-free coding.

Sex After A Heart Attack?

Making love is extremely unquestionably to cause a second heart attacks in men who have had one, according to a report in the Journal of the American Medical Association. The men most likely to suffer a second heart attack during lovemaking are those who do not exercise.

After recovering from a heart attack, the average man makes love only half as often as he did before the heart attack, not because of any inherent problem in his heart, but because of the fear that it will cause another attack. Sadly, 70 percent of heart attack victims are given no advice about lovemaking after they have recovered. In a study from the University of Toronto, fewer than 12 percent of heart attack victims had chest pain while making love, while more than 36 percent had chest pain while riding a stationary bike.

Making love does not require that you be in shape. It takes very little energy to make love. Chances are that you can make love safely if you can walk up two flights of stairs, an activity that requires the same amount of energy. If you have had a heart attack, check with your doctor, who will probably recommend an exercise electrocardiogram to find out how much exercise your heart can tolerate. Then you can start a controlled exercise program to strengthen your heart.

The best way to prevent a heart attack during lovemaking is to stay with your regular partner. Guilt and excuse are far more important in provoking heart attacks than the extra work of making love. A study from Emery Medical School reported that when a man made love to his wife, his heart beats were regular and his pulse never went beyond 100 beats a minute. When he made love to his mistress, his heart beat irregularly more than l30 times a minute. A study in the Japanese Journal of Legal Medicine showed that more than 80 percent of men who died during lovemaking were not making love to their wives. A famous heart researcher, David Kritchevsky of the University of Pennsylvania, wrote:

Heart beats stay at normal rate,

When one beds down with legal mate.

But roving in another's nest,

flirts with cardiac arrest.

Simple and Straightforward Diets to Lower Cholesterol

Diets for weight loss vary depending on who regulates the diet and which the diet is formulated for, but diets to lower cholesterol remain constant. Countless diet fads for losing extra pounds have come up, such as the Atkins Diet, the South Beach Diet, and so on. Some of these diets work for a number of people, but not so for others. However, diets to lower cholesterol have been proven to work for every one since they are not just aimed at reducing weight, but they focus on the area of ​​healthy eating.

A reduced intake of red meat as part of your diet also helps to lower cholesterol. Steak, which is beef, is an American favorite. Unfortunately, it is also a potential heart killer because it is high in low density lipoprotein (LDL), more commonly known as bad cholesterol. Beef, which is red meat, has more fat than any other variety of meat, so health buffs tend to stay away from it. They would rather turn to chicken or pork since they are leaner and have a lower concentration of bad cholesterol. More often than not, doctors recommend a hearty serving of fish because it has Omega-3, a compound which contributes to cardiovascular well-being. For those who do not like the taste and smell of most fish, they should try salmon or tuna, which have the texture and almost the taste of meat.

It also helps to have a diet rich in fiber. One can start by eating foods made of whole-wheat, as they have less calories and saturated fats. Whole-wheat bread and pasta are good alternatives to the usual processed carbohydrates. Likewise, it always helps to have hefty servings of fruits and vegetables, as they are the natural and consequentially the best sources of fiber.

If all else fails, the last resort should be take prescribed medication for managing cholesterol. Note that these have to be doctor-prescribed and should only be taken as required. Otherwise, it could only result in further complications.

Although diets to lower cholesterol have been tried and tested and are known to be effective in maintaining a healthy heart, people still take them for granted because they involve some degree of self-deprivation and delayed gratification. Taking on these cholesterol-lowering diets does involve staying away from a lot of gastronomic favorites that are potentially damaging to one's health. However, one does not have to totally do away with their comfort foods as long as they take everything in moderation.

Ways of Transmission and Primo Infection of Tuberculosis

Tuberculosis is transmitted by respiratory way; an infected person will emit while coughing or sneezing about 2-3 bacterial particles. The person in immediate proximate will inhale the particles that will get to the lungs and multiply causing the infection.

Another less common transmission type is through the skin in laboratory workers and pathologists. They contact Mycobacterium through skin injuries while handling infected tissues. Cases of Tuberculin infection have been found also in circumcisions made with unsterilized instruments or in people with tattoos given in unhygienic environments.

In spite of the high risk of catching the Tuberculosis bacteria, the actual disease is only developed by 5-10% of the persons with primo infection. Healthy immune systems manage to annihilate the bacterial strains completely.

Most cases of actual Tuberculin infection are seen in smokers, persons of the lower society living in poverty and misery, alcoholics and people with depressed immune systems. The patients really developing the infection might go through two important stages of the disease, the primary and the secondary stage.

The primer stage of Tuberculosis or primo infection does not show clinical signs of the disease and the patient is frequently unaware of its condition. The disease is not contagious in the primer stage and can not cause further cases of Tuberculosis infection.
If the immune system is working, immune cells like the macrophages detect and ingest the infectious particles transporting them to the lymph nodes where they can be destroyed. In some cases, the bacterial fragments get to the lymph nodes and multiply causing the ganglion Tuberculosis.

If the bacteria is not destroyed and annihilated, the infectious new fire box activates producing the appearance of clinical signs of Tuberculosis. The patient coughs, sweats mostly at night, looses weight and develops fever. In case of an X-ray investigation opacities of the lungs and fluids collection (Pleurisy) can be discovered.

If the bacteria are only inhibited, not killed, the immune cells form a wall around the inactivated germs producing a so called Granulum. The wall collections amounts of calcium in time forming the Ghon focus. Usually the tuberculosis heal and permanent scars remain visible on the chest X-rays. The bacteria remain dormant inside the cell wall until the immune system is weakened by different factors and the bacteria are released. The primer infection can evolve into a secondary one.

The secondary Tuberculosis develops when the bacterial fragments multiply and begin to destroy the surrounding tissues inside the lungs. The infection may also advance to other organs or tissues by sanguine way. Other focus and tubercles develop inside the lungs and fluid collection can occur between the linings of the lungs. Patients in secondary stage cough blood and are contagious for people in the portfolio.

The Reasons Agriculture is Important

Why is agriculture important? The concept of ‘food security’ is fundamentally important, and for that reason, agriculture is important. The task of feeding its people has been perhaps the first priority of its rulers throughout history. As such, agriculture is considered to be the very basis of political and social stability of a nation since times immemorial.

Moreover, the agricultural sector plays an important role in the sphere of providing large scale employment to people. Large and moderately large farms employ workers to undertake the various jobs relating to cultivation of crops and care of farm animals. In most of the countries of the world, agriculture still remains the biggest sector responsible for the employing and feeding a large percentage of the population.

Agriculture is also important from the point of view of appraising the standard of a country’s development, based on the competence of its farmers. Poorly trained farmers cannot apply the advanced methods and new technologies. The prominence of science and technology in the development of agriculture is quite clear from the words of Deng Xiaoping –

The development of agriculture depends first on policy, and second on science. There is neither any limit to developments in science and technology, nor to the role that they can play in the field of agricultural growth’.

Though agriculture often plays a contributory role in the ‘Gross Domestic Product’ – GDP – of most countries, it nevertheless requires a substantial boost from both the local and the international community.

Agriculture is traditionally based on bulk manufacturing. Harvesting is done once a season, most of the times, and stocked and used later. In fact, some thinkers opine that people have begun to adopt ‘batch processing’ and ‘stocking’ in manufacturing, as a result of the practices from agricultural thinking. Before industrialization, people with the biggest stocks of food and other supplies were considered more stable, and they were able to face challenges of nature without having to starve.

So important is the role of agriculture that new concepts keep ‘cropping up’ to give the traditional activity a modern turn. One such new concept the world is raving about these days is – the importance of ‘organic farming’. There is evidence that, apart from their numerous other benefits, organic farms are more sustainable and environmentally sound, giving agriculture a new dimension.

The importance of agricultural practices was further established when ‘Organic food’ began as a small movement decades ago, with gardeners and farmers rejecting the use of conventional non-organic practices. With the growth of the Organic food market now outpacing much of the food industry, many big companies have ventured into it. With the emergence of multi-national companies, and with the creation of a legal certification framework such as the Soil Association, there is every doubt that the very definition of organic food will change, making it more of a commercial activity than ever before!

In fact, modern agriculture has already undergone a sea-change from the ancient times. Today, the importance of agriculture lies in the fact that it is practiced both for subsistence as well as commercial reasons!

Fibroid Tumors and Pregnancy – Getting Pregnant With Fibroids

Fibroids are firm tumors which typically develop in the wall of the uterus. They are extremely common, affecting between 50 and 80% of women of reproductive age and the vast majority are completely harmless. However, there is no doubt that at certain times of life, fibroids can become more problematic and many women are justifiably worried that fibroid tumors and pregnancy do not sit comfortably together! There are also concerns that obtaining pregnant with fibroids could prove difficult.

Before moving on, I must emphasize that most women will have trouble-free pregnancies and getting pregnant with fibroids present does not usually cause a problem.

One of the main worries which women have is that existing fibroids could grow larger during pregnancy, affecting the unborn baby. Fortunately, in most cases this does not happen. Indeed for some women, fibroids can actually shrink during pregnancy, but in most cases will stay the same size.

The most common problems with fibroid tumors and pregnancy tend to revolve around discomfort for the mother-to-be rather than the unborn child, although some problems can occur in this respect.

Some women have feelings of pressure or heaviness in the abdominal area as fibroids press on nearby structures as the womb enlarges. In addition, some women will experience sharp pain in the lower back or legs as the nerves become compressed. One rare complication caused when getting pregnant with fibroids is red degeneration. This occurs when the center of the fibroid begins to bleed and can cause severe pain during the middle trimester. However, it dies usually without treatment.

Where there are fibroid tumors and pregnancy takes place, incidentally, problems can occur with the implantation of the egg, particularly if fibroids have developed just below the womb surface. This can lead to an early miscarriage. In addition, fibroids can sometimes block the entrance to the womb or fallopian tubes, causing infertility. Later on in pregnancy, a large fibroid can disrupt the normal growth pattern of the uterus and this can sometimes lead to a premature birth.

When a woman has problems getting pregnant with fibroids but there is no apparent reason why this should be the case, it has been shown that removal or shrinkage of the fibroids can increase her chances of conceiving by between 40-80%.

If you are considering starting a family and know you have fibroids, it makes complete sense to be proactive and do something about it beforehand as despite most pregnancies ending with the delivery of a healthy baby, there is no doubt that fibroid tumors and pregnancy is not an ideal mix and that problems can occur.

Fibroids are a condition which responds very well to natural remedies and they are an ideal condition to treat because because they are so rarely life-threatening. It makes complete sense to try out a natural treatment for fibroids before resorting to surgery or any of the hormonal drugs which can cause their own side effects.

Bacterial Pneumonia: Symptoms And Treatment

Bacterial pneumonia is a common disease which starts as an infection of the lungs. This disease can have serious complications and becomes life threatening if not treated in the earlier stages. This infection of the lungs can be caused by bacteria, virus, fungus, or other micro-organisms. If the patient's immune system is weak, they are likelier to get affected and this disease can cause great damage to the system.

Bacterial Pneumonia is a contagious disease. It spreads through touching contaminated objects and even by inhaling air that contains bacteria in droplets. Whenever a foreign body reaches the lungs, it fights the infection. But due to a weak immune system, the bacteria win the battle and infect the lungs. If a person is affected with cold and flu, this bacterium has a greater chance to multiply. The complications caused by this infection, if untreated, may lead to hospitalization and even death.

One of the complications of bacterial pneumonia is blood bacterium. That is, if the infection spreads to the blood, it can spread to all the other organs and damage them. Another complication is fluid built-in in the lungs. The fluid gets infected and needs removal from the lungs.

Symptoms of Bacterial Pneumonia

There are two kinds of Pneumonia as specified by the doctors: typical and atypical pneumonia.

Bacterial Pneumonia Symptoms of typical pneumonia include high fever and shaking chills. The sputum turns yellow and brown sputum when coughing and there is chest pain as well as shortness of breath.

A typical Pneumonia has a gradual onset. The fever is lower, shaking chills are less, and there may be headaches, body aches, and joint pain. Coughing may be dry and abdominal pain may be present.

If the patient has high fever and is coughing up yellow green or brown sputum, a visit to the doctor is vital. If the patient is experiencing chest pain and shortness of breath, emergency care is required. Shortness of breath means you are not able to take in enough air to meet the body's requirements. That is a serious situation. If you are confused due to chest pain and its cause, it is advised to seek emergency medication. A person is at a higher risk of getting bacterial pneumonia if he has a weaker immune system, chronic health problems such as diabetes, is very young or very old, and has died or damaged lungs due to asthma or emphysema.

Treatment of Pneumonia: Antibiotic Medicines

Bacterial pneumonia treatment is done through antibiotic medicines such as penicillin. Anti-fever medicines are also given. The patient is advised non-alcoholic drinks to keep the body hydrated. The patient must avoid smoking or other tobacco smoke because those damage the lungs even more. If treated in early stages, taking the medicines on the tight time and being under the doctor's supervision is enough. The patients must follow the directions given by their doctor; this will fight off the infection and make their body stronger to fight off further infections.

A smart way to keep self and the family healthy is to get regular yearly check-ups. If you or someone in your family ever shows even the slightest of symptoms of bacterial pneumonia, make a trip to your doctor.

What Are the Most Common Symptoms of Pleurisy?

Inflammation of the pleural membrane results to pleurisy, a painful condition that makes breathing extremely difficult. The pleural membrane is made up of two layers, which are the visceral and parietal layers. These layers have a lubricating fluid with is called the parietal fluid. If the membranes become inflamed or swollen, these two membranes can rub against each other, or against other structures inside the chest. This then results to manifestation of symptoms of pleurisy.

Symptoms of pleurisy can include the following:

– The most common symptom is chest pain. It is described as a sharp, stabbing pain that can occur suddenly. Others describe it as a dull ache or a burning sensation. The chest pain is often made worse during a fit of cough or sneezing. Others even find it difficult to move around as movement also causes pain.

– Depending on the cause of pleurisy, you may also experience cough. It can either be dry cough or a productive cough with sputum or blood.

– Shortness of breath is also one of the symptoms of pleurisy that is associated either with the cause of pleurisy. Other times, difficulty of breathing is experienced because breathing itself can be really painful.

– Fever can also be experienced if the cause of pleurisy is an infection.

Treatment of pleurisy is often directed towards the cause, as well as some relief of the symptoms. Faster relief of symptoms of pleurisy is achieved by taking NSAID's according to your doctor's prescription. Usually the doctor would recommend taking NSAID's every 4-6 hours for pain. If you experience repeated bouts of cough that makes the condition really painful, your doctor will prescribe a cough suppressant. You can also hug a pillow or two if your cough is not that worse. Splinting can be done by wrapping an elastic bandage. Be sure to remove the bandage multiple times a day to promote circulation. Get plenty of rest, and drink water of 2-3 liters a day if you are not under fluid restriction. Do not hesitate to call the attention of your doctor if you experience some or excruciating pain that makes it really difficult for you to breathe. Presence of high fever must not be ignored and should be reported to the doctor immediately.

How to Play Defense One-on-One

1) Stay Between the Forward and the Net.

When playing defense in Hockey, you can never go wrong with the basic principal of keeping yourself between the opposing player and the net. One-on-Ones are a perfect example.

Keep Him to the Outside

When a hockey player on the other team is heading into your zone with the puck, your goal is to keep him to the outside towards the boards. His chances of scoring from the outside are far less than if he beats you on the inside. The best way to do this is with your body position. If the player is coming in down the middle of the ice, position yourself directly in front of him.

Own the Centre Lane

If he’s coming in on the wing, line up slightly towards the centre of the ice. Your outside shoulder should more or less line up with his inside shoulder. This encourages him to try to beat you to the outside, where he’s less of a threat. Picture a wide imaginary lane down the middle of the ice, and keep the other player outside of that lane. The tricky part is controlling the amount of space, or the gap, between you and the other player.

2) Control the Gap

A Gap Too Wide will allow the forward to cut to the inside. Or, it may give him enough room to get in close to the goalie for a shot, using you as the screen. You don’t want the gap to be much wider than about two lengths of a hockey stick.

A Gap Too Narrow, and you run the risk of letting him get around you if you’re unable to check him.

Willie Mitchell of the Canucks uses a much more deceptive approach. In an interview with the Vancouver Sun, Willie explains how he baits the forward into, “Taking the candy.”

“I call it taking the candy,” Mitchell said Monday, explaining his ability to bait opposing forwards. “The game of hockey is all about putting someone in position where they react, so they’re taking the candy.

“When I have my gap [defending an opposing forward], I hold my stick real close to my body, so it looks like there’s a lot of ice in front of me. The forward wants to make his move as close to the defenseman as possible because he wants the defenseman to bite so [the forward] can go around him. They come in to make a move — they take the candy — but then I move my stick out and poke the puck away. On a rush, that’s how I play it.

“In the defensive zone, it’s the same way. I’ll give them the pass and they think: Oh, I’ll make the pass backdoor. But I gave them that space. Now they make the pass; they take the candy. And I’ll put my stick there and break it up.

“You want to put them in an uncomfortable position. Instead of you taking the candy, you want them to take it.”

Even after the forward makes his move, try to stay between him and the net. You won’t stop them all, but you’ll make it as tough on them as possible.

3) Watch Their Hips

One-on-Ones in hockey can be tricky against an experienced puck carrier. These guys are just dying to deke you out and score that highlight reel goal. Watching their hips will help prevent you from getting deked-out in your own zone.

Mr. Deke

Once you’ve correctly positioned yourself between the opposing hockey player and the net, Mr. Deke will try to fake you out any way he can. As you know, Mr. Deke has a hockey bag full of tricks. I’ve been deked out of my shorts way too many times by guys like this. The infamous toe-drag usually gets me. Mr. Deke entices me with the puck by strategically placing it barely within my reach, sucking me in to try a poke-check. But he’s way ahead of me. As soon as I reach out for the puck, he pulls off his patented toe-drag maneuver and goes right through me. The next think I know he’s behind me, deking out the goalie as well. I hate getting undressed by these guys.

Don’t Stare at the Puck

The best hockey tip I’ve been given on this is to watch his hips as he’s coming in on you. An experienced forward will try to fake you out with the puck, his head, his shoulders, a change of speed, or anything else he’s got up his sleeve. If you focus on his chest or the crest on his jersey, he may even deke you with his entire upper body. The worst thing you can do is watch the puck. Keep the puck in your peripheral vision, but don’t stare down at it.

The Hips Don’t Lie

He is not going anywhere without his hips, so keep your eyes on them. A hip can’t be dropped like a shoulder, or quickly dart around like a head-fake. With your eyes at waist level, it also makes it a little easier to keep the puck within your peripheral vision. Watch their hips, not the puck.

4) Keep your Stick out in Front

Keep your stick on the ice out in front of you, with one hand on the stick. Not in the air, not off to the side. Pointing your stick at the hockey player coming in allows you the flexibility of swinging it towards whichever side he tries to go around you.

Be Patient

Let the forward make the first move, then react to it. If you lunge at the puck and miss, you could find yourself right out of the play.

I used to sweep my stick from side to side. Against slower hockey players, I would sometimes be able to get my stick on the puck and slow them down, or even whack the puck over to the boards. But it doesn’t always work. The Hot Shots would often time their move just after one of my stellar sweep attempts. My stick would be out to one side, and they would go around me on the opposite side. Burned again.

If you notice the forward is having trouble with the puck, that’s the time to try a poke-check. Otherwise, just keep your stick out in front and be ready when he makes his move.

How Long is Bronchitis Contagious For?

Bronchitis is a result of inflammation of the medium sized airways by pathogens. Another cause of bronchitis is inhaling dangerous fumes and smoking. Bronchitis caused by inhaling harmful substances and smoking is not contagious.

Bronchitis as a result of pathogens is very contagious. This is especially viral bronchitis infection. How long bronchitis is contagious is usually a question that many find hard to answer.

This is a result of the many myths and beliefs about bronchitis. Most are not true though. Since bronchitis is carried by pathogens, direct contact with these pathogens is the only sure way of one contracting the disease. Proper information on the disease will help you answer the question, how long is bronchitis contagious? The symptoms of bronchitis are wheezing, coughing, fever, fatigue, shortness of breath and headaches.

The most common way of contracting the is disease is through contact with a sick person. The pathogens can be spread through contact with a sick person. The pathogens can spread through mucous or phlegm of an infected person. These pathogens can be found in the air around the patient or on the utensils and clothing of the infected person. When a healthy person uses these things without washing them properly, chances of getting the disease are quite high.

A preventative vaccine can be taken to make one immune from the disease. This is an oral vaccine developed in 1985 by Professor Robert Clancy of the University of Newcastle Australia. This vaccine was commercialized four years later. When you have this information, answering the question, how long is bronchitis contagious becomes easy. Handling is also easy.

Penis Facts You Didn’t Learn on the Street

Sure, a guy’s penis has been with him ever since he was born – but how well does the average Joe really know his favorite personal appendage? And since he learned a lot of his information “on the street,” so to speak, how much of that information is maybe not 100% true? In the interests of better penis health and an informed penis-owning population, the following penis facts are presented for reader edification.

Penis facts

– A guy can’t really break his penis. Although one often hears talk of a dude having a sexual encounter that goes devastatingly wrong, it’s technically impossible to fracture or break the penis. That’s because the penis doesn’t actually have a bone inside it – despite the nickname boner being applied to a stiff erection. When a man does have what is called a penile fracture, it refers to a tear occurring in the tunica albuginea, the membrane surrounding the soft, spongy tissue in the penis.

– The penis does a lot of ejaculating. One source estimates that the average man ejaculates 7,200 times during his lifespan. (assuming an active sex life of 50 years, that’s 144 times per year.) Approximately 2,000 of those ejaculations occur during masturbation; whether that surprises an individual depends upon his own rate of masturbation, of course.

– And it ejaculates at an impressive speed. According to one measurement, the average rate of speed of an ejaculation is 28 miles per hour.

– More grow, fewer show. Most men tend to be growers – having a penis which is relatively small when flaccid and grows substantially when erect – than showers – men whose flaccid length is much closer to their erect length. One survey puts the figure at 79% growers, 21% showers.

– Erections don’t wait for birth to begin. Thanks to advances in technology, we now know that little boy fetuses get just as excited as their adult counterparts. Males begin sprouting erections in the womb sometime around the third trimester.

– Nighttime is the right time for erections. On average, a man will get erect 11 times during the course of the day – however, 9 of those occur at night, many of them while he is sleeping.

– A guy’s penis is longer than he thinks it is. Really. Men (and some women) obsess about penis size, so maybe it will make a guy feel better to realize his manhood is actually much longer than he thinks. About half of the penis is inside a man’s body. No, it may not be visible, but it’s there.

– Men were encouraged to eat cornflakes to stop masturbating. Throughout history, there have been some people who inordinately feared the supposed consequences of masturbation. John Harvey Kellogg (of the popular cereal company) believed that his cornflakes could help dampen the sexual impulses that could lead to masturbation (as well as inappropriate fornication). However, there are plenty of dedicated cornflake fans who could testify to the fact that this plan simply didn’t work.

– The penis shape helps prevent impregnation by another man. Many scientists believe that the pronounced head of the penis evolved to help a man foil his rivals. It is believed that if a man penetrated a woman who had recently been penetrated by another male, the glans could help “scoop out” semen deposited by a rival before it reached the egg.

There are other penis facts a guy can’t learn on the street, including the need to pay special attention to penis health on a regular basis. To do this, regular application of a first rate penis health creme (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) is required. For best results, a crème should contain both L-arginine and L-carnitine.. The former is an amino acid which helps boost nitric oxide and therefore helps keep penile blood vessels open and expanded when necessary. The latter has neuroprotective properties which can help to protect penis sensation, especially when the instrument is roughly handled.

What do You Know About Scabies (Scabetic Eczema) – Skin Disorders

Diagnostic Hallmarks

Distribution: finger webs, elbows, axillary folds, buttocks, breasts, and penis

History of contagion (family members or sexual partner with evidence of similar disease)

Identification of the mites, feces, or ova in scrapings from lesions

Response to therapy

Clinical Presentation

Scabies is basically a vesicular disease but the intensity of itching leads to such vigorous scratching that vesicles are destroyed as quickly as they are formed. This results in a presentation that almost always appears predominantly eczematous in morphology. Careful examination in a suspected case usually does reveal an occasional intact oval or linear vesicle (burrow), but these are terribly easy to overlook. The width of scabetic burrows is about 1 mm, and the length is generally 1.5 to 3.0 mm. Inflarnmation is prominent in excoriated lesions but is variable around intact burrows.

The distribution of lesions is quite characteristic. Burrows and excoriated papules are most commonly found in the web spaces of the fingers, around the elbows, on the anterior axillary folds, and over the buttocks. The breasts in women and the shaft and glans of the penis in men are also frequently affected. In patients with chronic infestation, widespread involvement of the trunk and extremities may also be noted. The face, except occasionally in infants, is normally spared.

Initially, burrows and eczematous papules are few in number, isolated, and widely separated. The scattered nature and small size of the eczematous lesions is a valuable diagnostic clue during the first few weeks of infestation, but this feature is lost in well-established cases of many months duration.

A history of contagion is an important diagnostic feature. Therefore, patients should be queried about the presence of pruritic eruptions in family members, friends, and sexual partners. In instances where clinical suspicion is high, it is permissible to attempt confirmation of one’s diagnosis through a therapeutic trial of antiscabetic medication. Rapid response, as measured by abrupt cessation of itching, is tantamount to proof of diagnosis.

Identification of the mite in scrapings from lesions is theoretically desirable but is not always possible. In fact, scrapings carried out from any lesion other than an intact burrow are so rarely positive they are not worth the effort. When an intact burrow is present, the roof can be lifted off with a thin scalpel shave technique. This roof, together with material subsequently scraped from the base of the burrow, is then transferred to a microscope slide. A drop of immersion oil is placed over the scrapings, and a coverslip is applied. Examination under low power will regularly reveal mites, ova, or feces.

Atypical Manifestations. In a small number of patients a residuum of long-lasting, dome-shaped, erythematous, pruritic nodules remains after treatment has been completed. These papules and nodules are most commonly seen in young men, particularly around the waist and in the groin. These lesions do not contain live mites, instead, they apparently form as an immunologic response to scabetic antigenic material that remains after treatment. The lesions do eventually disappear but their resolution can be hastened by the intralesional injection of triamcinolone.

Under some circumstances (very poor hygiene, marked immunosuppression, or in institutionalized persons), scabetic infestation can become overwhelming, so that the entire body is involved in a generalized eczematous eruption. Such widespread infestation, sometimes severe enough to be termed exfoliative erythrodermatitis, has in the past been known as Norwegian scabies.

Symptoms and Causes of Femoral Hernias

There are numerous distinct types of hernias that can develop in particular areas of the body. The more popular is the abdominal hernia – but this is not the only kind we have to worry about. Women are more inclined to having a femoral hernia when likened to men because of how their bodies function.

In order to understand the best way to address a femoral hernia you need to be able to find out how to identify the symptoms. These will offer you a clue as to what might be wrong with your body and help you into creating an appointment with your doctor. The most popular symptoms include:

Pregnancy
Coughing
Straight while urinating or bowel movements
Lifting large and heavy items
Straining muscles during physical exercises

All of these can thrust the contents into the femoral canal causing the hernia. For many individuals this might not make any pain – but a slight soreness. However, there are others who will feel altering levels of pain. When the contents are forced into the canal it will create a mass that can be seen in the groin or the inside of the thigh.

If you go through any of these symptoms you should speak with your physician so that they might diagnose the problem and ensure it is not something else. They will need to feel for the mass and do a GP exam on you. Many will do this when you are coughing, sitting up, or standing.

Many doctors will suggest that you treat the femoral hernia with surgery as soon as you can. This will assist to ease any pain or discomfort and keep it from becoming worse. You do not want to let it grow larger and become a disturbed hernia. These are deadly and must be treated using surgery immediately.

5 Ways To Decode Back Pain

1: Radiating pain in your arm and leg

Cause : Radiating pain can be a result of poor posture or sedentary lifestyle causing the muscles around the spinal to become weak. This leads to increase in the pressure on the spine and theby on the disks (present in between two vertebrae) causing some pressure on the nerves leading to the radiating pain.

Treatment : Correcting the posture and performing spinal muscle strengthening exercises.

2: Periodic flare-ups of lower back or neck pain

Cause : You could suffer from recurrent symptoms in cases where the root cause of the pain is not corrected. This pain could initially start by traveling down the limbs and would sometimes give a tingling sensation that feels like pins and needles in the limb. In some cases you could also feel that the affected limb is weaker and heavier than the unaffected one.

Treatment : Correcting your posture, avoid staying in one post for a long time, taking frequent breaks, spinal muscle strengthening

3: If your walking pattern has changed

Cause : This might be a symptom of one of your disks slipping out of your vertebral column. A common indicator of this is when your gait is stowed and crooked (tending to one side), which happens because your spine is unable to bear weight on one side. The severe muscle weakness caused due to increased pressure on the nerves leads to muscle weakness and a condition called foot drop, which makes you drag your feet when you walk. Another reason could be sciatica or obesity.

Treatment : If you are going through severe pain, altered sensation in the legs, motor fatigue, difficulty in walking with or without back pain then you must visit your doctor.

4: If you have headache and dizziness

Cause : As people over the globe have become increasingly dependent on electronic gadgets, back pain has become a common problem. Habits like pinning the phone between your shoulder and ear while you multitask is an instinctive move and it puts a lot of pressure on your neck. Poor posture especially when who bend your head forward to use your phone leads to the degeneration of the upper cervical spine – both these are the most common causes for mechanical headache and dizziness. Apart from that dizziness could also be due to various other conditions like benign paroxysmal positional vertigo (disorder occurring in the inner ear), low blood pressure etc.

Treatment : Visiting a physical therapist is a must if you get headaches and dizziness to find out whether it is mechanical or non-mechanical.

5: Upper back pain

Cause : Upper back pain can develop due to poor posture, chronic muscle tension and degenerative spinal in the elderly. Poor posture is a common cause of upper back pain, particularly if you sit in front of a computer all day. Upper back pain may also develop from an unrelated condition like acid reflux or cardic issues. This can also be due to muscular irritation (myofascial pain) or joint dysfunction.

Treatment : Taking breaks from your desk at regular intervals and stretching is important in order to address the pain.