Buy QBC Diagnostics Malaria Test Kits – Keep Malaria at Bay

Diagnosing Malaria Is Important

Malaria is a serious disease that causes the death of many people across the world, killing over one million people each year. The most serious and fatal type of malaria is caused by Plasmodium falciparum. It is estimated that over 500 million people across the globe get infected with malaria annually. In 2010, the World Health Organization reported 655,000 malaria deaths. Therefore, diagnosing malaria at an early stage itself is very important. Malaria test kits are available to accurately and easily diagnose the presence of this deadly parasite in the human blood.

It is possible to keep malaria at bay through measures such as using a powerful mosquito repellent, having a mosquito net over your bed, and using clothing that provides ample cover for the body. These measures are to be necessarily followed by people traveling to malaria prone geographical locations. Importantly, they should also carry anti-malarial medication and take the required dose as prescribed by the doctor.

Accurate Diagnosis Using QBC Malaria Test Kits

When malaria is diagnosed before it advances, proper treatment can help prevent death from this disease. Usually, malaria is managed using a combination of microscopy and diagnostic tests, and effective medicines. To ensure early diagnosis, clinical laboratories should have accurate diagnostic testing facilities. The QBC malaria test kits from QBC Diagnostics are very effective in identifying the presence of malaria in centrifuged capillary venous blood. These are unique microscopy systems that employ fluorescence microscopy for malaria parasite staining and review. The centrifuged blood in specially coated tubes can be directly observed.

Laboratory facilities can buy these test kits and help to keep malaria at bay. These diagnostic systems have the following advantages.

• Facilitates field detection of malaria parasites in a 10 second to 3 minute examination of blood infected with the malaria parasite.

• This is much more sensitive than conventional blood-film microscopy.

• More conveniently, the components of the test do not require any special controlled test environment or refrigeration facilities.

The available products are:

• QBC Malaria Test System with ParaLens Advance, Microscope, and Centrifuge

• QBC Malaria Test System with ParaLens Advance and Centrifuge

• QBC Malaria Test (Box of 100)

• QBC Malaria Test (Box of 2000)

Purchase from a Reliable Lab Equipment Supplier

Purchase malaria test kits only from a reliable lab equipment supplier. To find a dependable dealer, compare various dealers and consider their pricing and terms of service. Go for a lab apparatus dealer that has a wide range of quality products and has established a reputation for providing value-added services. Also look for the warranty, after sales support, and availability of products from famous brands.

Why Do People Use Compounding Pharmacies Vs A Normal Pharmacy?

The pharmacy practice has evolved to provide different types of medications for certain medical conditions. The traditional role of pharmacies has been to dispense medications to patients that were manufactured by mass market manufacturers. These pharmacies also provide such services as reviewing medications for safety and efficacy, providing drug information to patients. The role of the traditional pharmacy has been experts in drug therapy of traditional drugs and medications.

The role of a pharmacy extends to another area known as compounding pharmacy. Compounding pharmacies provide a customized treatment for a specific patient for a specific disease. The medications are compounded to be dispensed in non traditional methods that are not normally commercially available. This can include taking a medication and dispensing it in a form that is not usually dispensed for this medication such as liquids, capsules, suppositories, troches, or Transdermal forms. The compounding pharmacist also can customize and dispense medications which are no longer commercially available.

Compounding enables physicians to prescribe medications in dosage strengths not manufactured commercially. Through compounding, the pharmacist can customize medications to meet a particular patient’s requirements such as sugar-free, corn free, gluten free, lactose free, preservative free, and flavored to the patients’ choice. As well, the compounding pharmacist can add inactive ingredients to certain side effects. Compounding pharmacies have their own labs where they compound medication as prescribed by a physician. The distinctive methods of delivery allow for more options for administration.

People use compounding pharmacies over regular pharmacies for the following reasons:

1) The patient requires medications that do not contain certain inactive ingredients such as preservatives, sugar, lactose, alcohol, dyes, gluten and casein.

2) Patient requires another route of administration. For instance, if a patient has difficulty swallowing they need another way of taking the medication such as Transdermal. Other dosage types include liquid, suppository, lozenge, creams, nasal sprays, inhalations, lollipops…etc

3) Minimize the potential for side effects.

4) To provide an uncommon dose strength.

5) Patients requiring allergen-free medications

6) Children who require flavored liquid drugs

7) Patients who require drugs that have been discontinued by pharmaceutical manufacturers

The pharmacy industry has evolved to meet the changes of treating health conditions. Those who have a particular need when taking medication will make use of the compounding pharmacy. Pharmaceutical companies are regulated by the FDA so they have to meet strict quality control standards to ensure their products are safe. They also have to ensure that each batch that is made is consistent with other batches.

In the 1930s and 1940s, most of the medications that were created were done by compounding. When drug manufacturing developed into mass manufacturing, the method of compounding medication began to decline. Now, the pharmacy practice includes a blend of the old methods of mixing and dispensing medications as well as modern services. The goal is to ensure that all patients receive the best health care services. This in turn helps achieve a positive health treatment outcome for a patient.

Drug Detection – How Long Do Drugs Stay in the Body?

Drug Test Detection Times refer to the “window” of detection for drugs of abuse. If a person is tested too soon or too long after use, drugs may not show up in human urine. Often someone will ask us, How long to drugs stay in the body? This short guide will help to answer that question. For the purposes of clarity, this is a reference for the detection of drugs of abuse found in human urine.

How long do drugs stay in your system? The length of time that the presence of drugs of abuse in the body can be detected is an important factor in drug screening. The chart below outlines approximate duration times. When interpreting the duration for the presence of drugs of abuse in the body, you must take into consideration variables including the body’s metabolism, the subjects physical condition, overall body fluid balance, state of hydration and frequency of usage.

Drug Detection Times in urine are expressed below in terms of lower and upper boundaries. The amount of time that a drug/metabolite remains detectable in urine can vary, depending on the following factors:

o Amount and Frequency of Use: Single, isolated, small doses are generally detectable at the lower boundary. Chronic and long-term use typically result in detection periods near or at the upper boundary.

o Metabolic Rate: Individuals with slower body metabolism are prone to longer drug detection periods.

o Body Mass: In general, human metabolism slows with increased body mass, resulting in longer drug detection periods. In addition, THC (the active ingredient in marijuana) and PCP are known to accumulate in fatty lipid tissue. Chronic users, physically inactive users, and individuals with a high percentage of body fat in relation to total body mass are prone to longer drug detection periods for THC and PCP.

o Age: In general, human metabolism slows with age, resulting in longer drug detection periods.

o Overall Health: In general, human metabolism slows during periods of deteriorating health, resulting in longer drug detection periods.

o Drug Tolerance: Users typically metabolize a drug faster once a tolerance to the drug is established.

o Urine pH: Urine pH can impact drug detection periods. Typically, highly acidic urine results in shorter drug detection periods.

o Note: In a small percentage of cases, users may test positive longer than times shown – most notably in cases of long-term chronic abuse, in individuals with significant body mass and/or body fat, and in individuals with health related issues resulting in abnormally slow body metabolism.

Drug Detection Times in Urine

Drug / Drug Group Time Range

o Alcohol 24 hours or less

o Amphetamines 1 to 4 days

o Barbiturates Short-acting: 1 to 3 days

Long-acting (Barbital, Phenobarbital): 1 to 3 weeks

o Benzodiazepines Short-term Therapeutic Use: 1 to 3 days

Long-term / Chronic Use: 1 to 3 weeks

o Cocaine 1 to 5 days

o LSD 1 to 2 days

o Marijuana (THC) Casual Use: 1 to 7 days

Long-Term / Chronic Use: 1 to 4 weeks Note: THC, the primary active ingredient in marijuana, is stored by the body in fatty lipid tissue. From there, it is slowly released into the bloodstream for up to several weeks – depending on the amount and frequency of use and the user’s level of physical activity. In chronic and physically inactive users, THC may accumulate in fatty tissues faster than it can be eliminated. This accumulation leads to longer detection periods for these individuals. Also, users with a high percentage of body fat in relation to total body mass are prone to longer drug detection periods for marijuana.

o MDMA (Ecstasy) 1 to 4 days

o Methadone 1 to 4 days

o Methamphetamines 1 to 4 days

o Opiates 1 to 5 days

o PCP (Phencyclidine) Casual Use: 1 to 7 days

Long-Term / Chronic Use: 1 to 4 weeks Note: PCP is stored by the body in fatty lipid tissue. From there, it is slowly released into the bloodstream for up to several weeks – depending on the amount and frequency of use and the user’s level of physical activity. In chronic and physically inactive users, PCP may accumulate in fatty tissues faster than it can be eliminated. This accumulation leads to longer detection periods for these individuals. Also, users with a high percentage of body fat in relation to total body mass are prone to longer drug detection periods for PCP.

Ayurvedic Medicines For Erectile Dysfunction

Is it true that there are ayurvedic medicines for erectile dysfunction that work? Some are skeptical, but in this article we will try to find out the truth about these remedies. The best thing is they are natural, and not nearly as harmful as the drugs that sometimes are prescribed by doctors.

Ayurvedic medicine originated in India during the Vedic period. The word “Ayurveda” can be broken up into two meanings, longevity and science. Ayurvedic medicine consists of five elements which comprise the universe and the human body. This type of medicine focuses on balanced energy throughout our body. In addition, exercise, yoga and meditation are also very important.

Ayurveda uses plant based medicines and herbs as part of the treatment process. One of the earliest contributors to the promotion of Ayurvedic medicine in the United States has been Dr. Deepak Chopra. There are several ayurvedic associations in the U.S. that provide safety guidelines.

For the average man it is unthinkable that he would not be able to perform sexually. However this is exactly what happens to millions of men around the world each year, and consequently they need help fast. Many remedies do exist, and I would say that ayurvedic medicines for erectile dysfunction are certainly as good as any besides the drugs that some prescribe. The herbs in these medicines are made from traditional medicines originating from India, and are over 5,000 years old. They are used for many purposes, but generally used to restore a balance to the bodies natural energy and health. A true ayurvedic practitioner will do a whole body assessment on a patient before prescribing any medications. If the body is unhealthy, then any ayurvedic medicines for erectile dysfunction may not be of use.

The popularity of ayurvedic medicines for treating impotence has increase greatly in the past decade, as alternative medicine has taken hold in the U.S. due to distrust in established procedures. Unfortunately many medical insurance plans don’t cover these procedures, but if you find one that does it is certainly worth trying. Erectile dysfunction is a widespread problem which grows each year, and using this type of treatment can provide great results.

Certain general medical conditions such as diabetes and circulatory problems can be attributed to erectile problems, and getting to the root of the problem is the best course of action in most cases. If the body is not healthy, poor circulation is a symptom of other problems and using ayurvedic medicines for erectile dysfunction in that case won’t work. The side effects to some drugs can also be the culprit in many cases for men, so if one or more drugs are causing erectile dysfunction see your doctor. For an alternative, try ayurvedic medicine. This system of medicine treats the whole body.

Simple herbs can help erectile dysfunction depending on the severity, however ayurvedic medicines for erectile dysfunction go further in the treatment by getting a more healthy and balanced body in general rather than just effecting the penis. A man may also have lowered testosterone levels which could affect his sexual performance, and there are of course certain herbs to help increase this which have been in use for many thousand of years.

Other causes of erectile dysfunction are mainly stress related which reduces the hormone called prolactin, which is a major hormone involved in production of testosterone. So stress related issues are common these days, hence the incidences of erectile dysfunction are rising in proportion. Finding a cure through ayurvedic medicine can be helpful indeed, but removing stress is also a goal that men should strive for.

Antimicrobial Wound Dressings – Silver

The use of silver in wound care has a long history. A recent resurgence in interest in silver dressings as antiseptic agents has come about, largely due to an increase in antimicrobial-resistant organisms such as MRSA (methicillin-resistant staphylococcus aureus).

What is silver’s mechanism of action?

Silver is effective as an antimicrobial because it binds to and destroys bacteria cells at multiple sites. This ability to bind to several sites is the main reason why bacterial resistance to silver is rare, making silver an attractive option.

When the silver cation binds to proteins in the bacteria, the following can result:

– The protein structure is altered, causing structural and functional changes in the cell

– The bacterial cell wall can rupture, causing its contents to leak out, leading to cell death

– The bacteria is prevented from carrying out functions necessary for its survival, such as respiration and taking in nutrients, leading to cell death

Antibiotics usually only have one method of killing bacteria (i.e. preventing replication) while silver has several methods of killing bacteria.

What types of silver dressings are available?

Silver dressings are commercially available in several forms. The main difference in these dressings is in how much silver they contain and how quickly they release the silver cation. At present silver dressings are found in the following forms:

– Films

– Foams

– Alginates

– Hydrogels

– Hydrocolloids

The form in which you choose to deliver silver to the wound will depend on the type of wound, where it is located, and the amount of drainage present.

When should I use silver?

Dressings containing silver may be appropriate for short-term use on wounds that are critically colonized or infected. You should be cautious about using silver for wounds that show signs of cellulitis or a systemic infection, wounds that are colonized with fungus, in clients with interstitial nephritis or leucopoenia, and when signs of possible side effects are present, such as erythema multiforme. Silver should not be used solely to treat an infection, but as an adjunct to help decrease the number of bacteria on the surface of a wound. Keep in mind that using more silver is not necessarily better, as silver has been found to be cytotoxic to fibroblasts and single layers of epithelial cells in vitro as well and retards wound epithelialization in vivo. Use dressings with the least amount of silver necessary to get the job done.

Note that there are two substances that should not be used in conjunction with silver:

Saline – Saline will react with the silver cation to form silver chloride crystals, consequently decreasing the amount of silver released. This is important to know, as many times saline is used as a cleansing agent during dressing changes.

Papain-urea deriding ointment – The ointment will be deactivated by the silver, thus rendering it useless as a debriding agent.

In addition, silver dressings must be removed if a patient is to undergo an MRI. They should be discontinued once wound bioburden is controlled and wound healing progresses. Silver dressings should also be discontinued, and alternate treatments initiated, if no improvements in wound status are noted after 1 or 2 weeks of use.

Silver is making a comeback as a treatment option to help decrease bacterial loads in wounds. Although it has many advantages, silver also has its drawbacks.

2012 End of World – Safest Places to Hide

Where are you going to go when the 2012 end of world doomsday, unfortunately, comes to fruition? Where will you be hiding? How are you going to determine the best places that can provide shelter for you, in the face of volcanoes, earthquakes, tsunamis and other deadly catastrophes? Have you ever thought of that? If you haven’t, then by 2012 you’ll most probably be dead. But don’t worry! This article contains the five safe places you can go to just in case the world turns crazy and spins out of control.

The 2012 end of world doomsday is only three years away and panic has ensued in most areas worldwide. Many fear that it will be the end. If the environmental prophecies come true there are some “safe havens” that could remain intact during the havoc.

5th Safest Place on the Planet: The Himalayas

The obvious reason for this is that it is the highest location on Earth, so any threat of tsunami or volcanic activity is instantly shut down. However, there is one, itsy bitsy tiny catch: how to get there. Only the best of veteran mountain climbers have ever gotten the chance to step on top of the entire world, and many people died climbing Mount Everest, so our chances of even surviving just traveling to this survival location is very little. This could have been easily the top safest place on the planet if not for the accessibility issue.

4th Safest Place on the Planet: China

China as a nation is well high above sea level, has more than ample resources and manpower to build many survival bunkers, and isn’t prone to seismic or volcanic activity. Some of China is also landlocked, which means very little chance for water-related catastrophes to occur. Of course, we’re talking about 2012 end of world doomsday here, a lot of things can happen, but on a theoretical level, China is one of the safest countries to live in on Earth should it be destroyed.

3rd Safest Place on the Planet: Sierra Nevada

Europe on 2012 is a very miserable place: it will sink in water, has extensive nuclear facilities that could blow off together, and has very many volcanoes, a few with the most destructive effects ever. Sierra Nevada, a southern mountain range known for its skiing sites, is a paradise for those seeking apocalyptic safety in Europe. It has high peaks, reachable by road, and can provide for adequate shelter and materials for comfortable living amidst the catastrophes abound. Unfortunately, the higher areas are either popular ski resorts or government-owned property, and most of these lands are very expensive to acquire. But it is still a viable place to live in for those who are in Europe and is preparing for the 2012 end of world doomsday.

2nd Safest Place on the Planet: Arizona, USA

Yep, you read that right. Many people think that USA is going to be totally obliterated come December 21, 2012, but the thing is the country’s position has been diagnosed collectively, not state-to-state. Arizona, in this regard, is considered the safest place in the USA for an apocalypse. Arizona contains many highlands, which will be the safest place should a pole shift occur, and add to that the fact that it’s in America, a country that will be looked upon for help by other countries.

THE SAFEST PLACE ON THE PLANET: Africa

Nobody can ever question this penultimate truth. Africa has been, and is still is, the safest place on the planet. It is the most stable continent, unchanged for millions of years, and it has shifted very little compared to the other continents. Africa has the least number of fault lines and has a negligible volcano count. Though not every place in Africa is conducive for survival, all you need to find are African plains with altitudes 2,300 meters above sea level to be assured of safety.

Geographically, Africa may very well be paradise here on Earth. The biggest drawback is that Africa as a continent is immensely underdeveloped. It has poor infrastructure, has inadequate means of transportation and is home to fatal diseases such as leprosy, malaria and cholera. If someone wants to prepare Africa for the 2012 end of world events, he couldn’t do so in time. Add to that the pressure of current political instability in some disputing nations; the viability of Africa becomes lower. But just as it is, if people unite to truly conquer 2012 and set aside differences and prejudices, Africa can become the very cradle of a new civilization that is destined to grow after the whole world suffers the damages of the 2012 end of world Armageddon.

Cooling Down After Running

After you run, you need to cool down gradually. This is absolutely critical to letting your body recover and setting yourself up to have a great run the next day.

A gradual cool down will return your heart rate and breathing patterns to normal and will help you avoid   fainting  and dizziness. If you stop instantly after a hard work out, blood tends to pool in your active muscles and doesn’t allow the blood in your working muscles to gradually get back to your organs such as your heart and brain.

Also cooling down will allow you to remove the waste products that have accumulated in your muscles during the run. Eliminating these waste byproducts from your blood prepares your muscles for the next exercise session. Cooling down will also reduce post-workout muscle soreness.

When cooling down, you need to gradually slow down your running pace over the last five to ten minutes. The harder you exercised, the longer the cool down should be. If you had an easy workout, you only need to slow down your running pace over the last five to ten minutes.

Stretching is also vital to cooling down as it allows you to get rid of any tightness that has developed during your run. Stretch all the major muscles in your body. You only have to stretch for about an additional ten minutes. If you are pressed for time, at least be sure to stretch your legs and back as they take the most beating during a run. When running, your legs are the most prone to injury and stretching will help prevent problems and restore your muscles to their resting length.

How Sex Can Help Prevent Prostate Cancer

Many people keep asking whether sex can really help to prevent prostate cancer. This article looks into it and examines how and why sex can help in the prevention of prostate cancer or not. But of course – before you take any advice in this article, ensure that you consult with your doctor. Your doctor holds the final advice because they are the experts and they ought to know more about you to give you the right health advice.

It’s somewhat true that sex can help in the prevention of this condition. It’s really simple, if you look at it closely. The fact is that the prostate has to be in good health to prevent prostate cancer. The enlargement and unhealthiness of the prostate is what usually contributes to this disease. It goes without saying, therefore, that keeping the prostate healthy and clean as much as possible will help prevent prostate and even other types of cancer.

If you are wondering what has sex got to do with keeping the prostate healthy and clean – keep reading. You see, the more you engage in sex, you kind of “clean out” your prostate. By having sex and ejaculating, you are “cleaning out” your prostate and this can help, somewhat, in preventing this disease.

Even though all of the health and prostate cancer experts haven’t accepted that sex can really help prevent prostate cancer, but lots of them opine that it can. But whether or not it can prevent prostate cancer, it really doesn’t hurt you to engage in healthy sex as often as you can. Note that I said – healthy sex – and that is sex with one partner or safe sex.

Disabled Sport Equipment in Gyms

Many of Britain’s gyms, leisure centers and swimming pools are “no-go zones” for disabled people and will struggle to cope with an expected surge in interest in fitness activities, following the Paralympic games in 2012.

Although most gyms provided disabled parking spaces, for example, many of the bays are not wide enough to enable a wheelchair to be unpacked from a car. Although a cursory attempt has been made at making the building accessible to disabled and wheelchair users, little thought has been put into an independent wheelchair user gaining access through heavy (non-automatic) doors – with internal doors also proving to be difficult to manoeuver through with ease.

Many gyms have made the minimum changes to adhere to the law – to provide basic access, but have not embraced the full spirit of the law which is to encourage, involve and promote fitness to anyone regardless of their ability.

A crowdsourced survey* of hundreds of gyms across the UK by charity volunteers suggests that many local facilities are partially inaccessible, difficult to navigate and expensive to join. Some did not have specialist disabled sport equipment and nearly half lacked staff trained in disability awareness.

The survey of 300 UK leisure facilities found that:

  • Nearly a third of gyms did not have an automatic door at the entrance to the gym, while some were fitted with heavy internal doors that were difficult to open. One survey reporter said he watched a wheelchair user forced to open such a door by pushing it with his head.
  • Although many gyms had lifts, just over one in five were not working properly. A common problem was that lifts were too small for larger wheelchairs and control buttons were set too high
  • In one case, it was reported that a lift leading to the gym area of a leisure centre did not appear to have been working for more than a year.
  • A quarter of swimming pools did not have hoists to support disabled people to get into the water, while 31% of gyms did not have any fitness equipment that was suitable for disabled people.

This situation is solvable and the Government has encouraged local authorities and gym owners to become accredited as IFI (Inclusive Fitness Initiative) and literally open their doors to all.

IFI is a national scheme whereby fitness suites are awarded grants to increase the range of equipment (such as disabled bikes) that they can offer that is ‘user-friendly’ to disabled people. Staff will receive disability equality training and the fitness instructors are further trained in working with disabled.

The legacy that was promised to inspire a generation must surely be questioned if a proportion of the population who may want to take up exercise in a gym can’t even get in the building!

There is the potential to involve many disabled people in sports. Offering the ability to participate in sports is not a favour due to disabled people, but a responsibility of all local councils. To provide disabled sport equipment, along with adequate staff training should be the aim for every major leisure centre in the country.

*Survey was carried out by Leonard Cheshire Disability

Pertussis: The Preventable Epidemic

Pertussis, also known as whooping cough is the only vaccine-preventable disease that is on the rise. After 1940 when Pertussis vaccine became available till 1980, there was a steady decline of this deadly childhood disease in the United States. If you thought pertussis was history, think again. Since 1980 the number of cases in the U.S. has risen to more than 3 million a year. More cases are being reported among adults and adolescents who experience a milder but just as stubborn form of the disease as infants. Since pertussis initially resembles other common colds the disease is probably under reported.

Babies under the age of one year get the infection from those who are closest to them. Family members, friends, caregivers are usually the source. We have only recognized in recent years, the role of adults around the infant to be a potentially dangerous reservoir of the disease. Adults are susceptible to pertussis, because the vaccine you received as a child wanes over five to ten years. If one member of a household has it, there’s a 90% to 100% chance that other susceptible household members will catch it.

The vaccine is administered at 2, 4 and 6 months of age. A fourth dose is administered between 12 and 18 months, and a fifth after age 4. Teens need another booster shot between 11 and 18 years of age. All adults should have a single adult booster of Tdap (tetanus, diphtheria, and acellular pertussis) vaccine. Even when your baby is vaccinated, he or she may not be fully protected until they have received at least 3 doses of the infant pertussis vaccine. In order to create a “cocoon of safety” around your infant, those in close contact with the baby should receive a single dose of Tdap.

The infection is spread easily through mucus droplets broadcast by profound coughing and sneezing. It can take 3 weeks or more to develop symptoms after exposure to the infection. You can give it to others until you’ve been treated with antibiotics for five days, or until you’ve been coughing for 21 days. The swelling and inflammation to airways is actually caused by toxins secreted by the bacteria. After 21 days of the infection the bacteria will die off but have already released their damaging toxins. Early recognition and treatment is important to minimizing the effects and preventing spread of the acute infection to others. Pertussis (whooping cough) causes spells of coughing that make it hard for a child to eat, drink, or breathe. The cough is often followed by a “whooping” sound as the person gasps for air, which is how the condition got its name. Some historians referred to the disease as the “100 day cough”. Serious side effects from the coughing fits are common in children. The choking and gasping can be fatal in children under one year of age. The disease is most serious in infants, especially those too young to get the vaccine or not fully protected. Babies with whooping cough are often hospitalized. With older kids and adults, the disease is milder and can cause several weeks of exhausting coughs. Although rarely fatal in adults and older children, time loss from school and work is substantial.

Early detection is important in limiting the spread of the disease. Appropriate antibiotic therapy for the person suffering with the condition and their close contacts needs to be started as soon as possible. Late recognition and treatment fails to change the course of the disease. Many weeks of coughing in the affected individual will continue even if the spread is limited. Testing specimens from a nasal swab can be helpful in identifying pertussis only in the first couple weeks. Many patients do not seek medical evaluation till later. The results of testing also causes further delay. Precise recognition can be difficult. Treatment is often started in the context of clinical symptoms and known outbreak in the community.

This punctuates the importance of prevention and a proactive approach to immunizations of both children and adults in our community. The best way to help protect babies against pertussis is to get infant vaccinations in a timely fashion. Adolescents and adults should have a single dose of Tdap booster.

Fracture Facture – The Jones Fracture

The Jones fracture is a foot fracture at the base of the 5th metatarsal. This is the bone that is in the middle on the outside of the foot and connects to the pinky toe. What is the history behind its name? We call it a Jones fracture, because it is Sir Dr. Robert Jones who first described this fracture in 1902 after he injured himself while dancing. This is a typical way in which someone may get a Jones fracture. One can get a Jones fracture while dancing or doing sports and twisting one’s foot in inversion (i.e., turning your foot and ankle in) or if you get a trauma directly on the base of your 5th metatarsal (which is not as common a way to fracture this bone). I think it is important to discuss this type of injury, because it is actually very common and quite a bit different from other types of foot fractures. In fact, the management of this fracture can be tricky, because the specific site where the fracture occurs is known to have poor circulation and blood flow. Since there is less blood flow at this specific spot, the healing process can be more challenging and usually takes longer to heal. Another reason this fracture is difficult to heal is because a muscle tendon that attaches at the base of the 5th metatarsal is always pulling this bone apart.

For that reason, if you injure yourself, don’t wait to seek professional evaluation from your foot doctor. This type of injury, like any other fracture, can cause severe pain, swelling, bruising and difficulty walking. To make a clear diagnosis, your podiatrist will take X-rays, and his/her findings will guide the management of your condition.

If the fracture is not displaced or displaced less than 1-2 mm, you will be immobilized in a cast and advised not to put weight on your foot for 6 to 8 weeks. If it is displaced or if you are a high level athlete, a surgical management may be recommended with fixation of the bone with a screw or a metal wire. The healing time will be at least 6 weeks in a cast, if not more, with foot swelling and discomfort possible for several months afterwards. On average, athletes tend to go back to their previous level of activities after about 13 weeks. In some instances, you might need a device called a bone stimulator to help the healing process. Increasing your intake of vitamin D and calcium is also beneficial to help healing. Physical therapy may also be recommended after the cast is removed. The main focus of physical therapy is to overcome the effects of being immobilized, such as stiffness and weakness, and to help put proper stress on your healing bone. The main effects of being immobilized are muscle and bone weakness and muscle atrophy. Physical therapy will speed up recovery, restore muscle function, and promote early healing.

In conclusion, don’t wait to consult a health professional if you injure yourself. The quicker we start managing your condition, the quicker you’ll be back on your feet!

Cerebral Palsy Therapy

There are many forms of physical Cerebral Palsy therapy that can help reduce the disabilities associated with this disorder. Each person with Cerebral Palsy will often need a specialized kind of therapy.

The Maribelle exercise assist system, otherwise known as the MEAS is one option that people with Cerebral Palsy may be interested in and has had very beneficial results.

The MEAS is an exerciser that is suspended from the ceiling with a body support. This allows people that have little or no use of their legs to actually be put in an upright position (supported standing), or a sitting position where they can move or move with assistance. For example, swinging.

The benefits of this are many, including much enjoyment for the user just from being in an upright position, or from the swinging and other possible movements. Remarkably, the movements in the MEAS result in LESS spasticity! 3 to 5 minutes of gentle bouncing, followed by swinging, invariably will relax tight elbow joints and clenched hands will open up. The Neurophysiological reasons for this change have been well documented in research studies about using rebounders.

Progressive treatment goals, which have been achieved in varying degrees by the regular use of the MEAS in an eight week or longer program include:

1. Eye contact, tracking, eye-hand coordination, focusing, dramatically improved vision.

2. Increased attention span, improved learning skills.

3. Social awareness, interaction with peers, self confidence

4. Vocalization, improved speech.

5. Independent purposeful movement, muscle development.

6. Head Control, trunk balance, independent righting.

7. Improved circulation, improved bowel function.

8. Reduction in flexon spasticity, relaxed open hands.

9. Reduction in extension spasticity, less startle reflex

10. Release of frustration, improved morale, enjoyment.

11. Easier to feed after exercise, better appetite

12. Self feeding, finger foods, spoon, fork.

13. Desensitization of skin areas, particularly the soles of the feet, starting by letting the user splash their feet in warm water, shaving foam etc.

14. Crawling, independent mobility, knee walking, running.

15. Reduction of Athetoid movements allowing the person to control their electric wheel chair independently after exercising in MEAS

Therapists have reported that clients who were fearful when they were placed in a hammock are much less afraid of doing Sensory Integration and Vestibular Stimulation techniques using MEAS.

Meas is used for

* Sensory integration

* Vestibular stimulation

* Gait training

* Desensitizing soles of feet

* Occupying a child while tube feeding to distract the child from yanking tubes

* Encouraging weight bearing in hypertonic children

* Allows wheelchair-bound adults to move in upright position.

* Early recovery periods after injuries

Besides Cerebral Palsy, the Maribelle exercise assist system will also be of benefit for people with

* Low muscle tone

* Poor balance

* Spastic cerebral palsy (CP)

* Impaired vision/blindness

* Fearfulness & insecurity

* Sensory deprivation

* Hemiplegia

* Athetoid cerebral palsy (CP)

* Congenital dislocated hips

* Leg length discrepancy

* Fetal alcohol syndrome (FAS)

* Limited motor abilities

* Failure to thrive

* Poor head control

* Hyposensitive vestibular systems

* Cerebral cortical atrophy

* Hydrocephaly

* Agenisis of corpus collosum

* Microcephalic

* Developmental delay

* Intractable seizure condition

* Epilepsy

* CDH (congenital diaphragmatic hernia)

* Deafness

* Scoliosis.

Mild Stroke Symptoms

The clinical features of a mild stroke may include an extremely diverse group of effects, or symptoms. These include changes in sensation, changes to patterns of movement, weakness or paralysis, emotional disturbances and changes to speech. All, or only some of these mild stroke symptoms may be present in any particular case.

Sensation

The first thing to be affected may be the senses, particularly the sense of touch, and this can have a dramatic impact on the capacity of the person for rehabilitation. For example, a lack of sensation on the hemiplegic (paralysed) side can often make it difficult for the person to comprehend what is required. A lack of perception combined with loss of sensation can lead to a great risk of injury. For instance, the person may not be able to feel heat, which means they need a much greater awareness of where their limbs are in space if they are to avoid being scalded or burned.

Movement

The thing that will be most obvious to those around the person with mild stroke symptoms will be the abnormal patterns of movement. This may be caused by abnormal tone, sensory deficit, loss of balance or equilibrium and righting reactions. For example, when bringing food from the plate to the mouth the arm may go into a flexion pattern.

Paralysis

Paralysis (or plegia) is the most easily recognisable symptom of stroke. The paralysis may be just a weakness where the stroke has been a mild one. This weakness happens on the side of the body opposite to the lesion in the brain. The face, neck and trunk muscles can be involved as well as the arms and legs. The tone of the muscles alters following a stroke and may be either reduced (hypotonicity) or increased (hypertonicity, or spasticity).

Emotional effects

Many people suffer emotional disturbances after a stroke, even a mild one. They can become emotionally labile, for example laughing or crying at inappropriate times. This can be very distressing both for the person and their carers, family or relatives. The lability tends to pass, but it can give way to depression, frustration and aggression. This is particularly the case where the stroke has also caused communication disorders.

Speech

Speech and language disorders normally occur where the person has a lesion in the left hemisphere. If the muscles involved in speech are weak (or paralyzed) speech can become slurred, although there is no real loss of language. The language deficits are known are ‘dysphasia’ and this can mean that the person either cannot express themselves through speech (although they can still understand the spoken word), or they may lose the capacity to comprehend the spoken word.

Alcoholic Liver Disease

Alcoholic liver disease occurs due to an acute or chronic inflammation of the liver due to alcohol abuse. This disease usually occurs after a prolonged use of alcohol. In the United States 10% of men and 3% of women suffer from problems related to alcoholic consumption.

The occurrence of the disease depends on the amount of alcohol consumed and the duration it is consumed in. The greater the duration and greater the amount leads to a greater chance for liver disease to occur.

Other factors include the toxicity of ethanol to the liver, susceptibility to the disease, and genetic factors. Studies have shown that women may be more susceptible than men. The disease starts as inflammation (hepatitis) and progresses to fatty liver and cirrhosis. Alcoholism generally leads to three pathologically different liver diseases. They are the fatty liver ( Steatosis), hepatitis and cirrhosis.

The disease will not show any symptoms until it advances. Complications that arise are alcoholic encephalopathy and portal hypertension.

The symptoms include loss of appetite, nausea, jaundice, abdominal pain, fever, ascites,weight gain, mental confusion, excessive thirst, dry mouth and fatigue.

Other symptoms are vomiting blood, bloody bowel movements, paleness, fainting, lethargic movement, fluctuating mood, impaired judgement and confusion.

Liver function tests and liver biopsy are the common tests done to detect the disease. Treatment includes the discontinuation of alcoholic use, providing high calorie, high carbohydrate diet to break down the protein present in the patient’s body. Counseling and rehabilitaion may prove necessary for the patients.

Liver transplants become necessary if the situation advances to cirrhosis. Once the patient becomes medically stable, there is a need to abstain from drinking. Although stopping drinking may result in the reversal of fatty liver and hepatitis, liver cirrhosis may continue, but progressive liver deterioration can be checked.

Broken Bone Myths

There are many misconceptions about broken bones. Unless you are an anatomy and physiology major or a trained medical professional, you may not even realize that they are in fact myths. However, these myths can end up costing you time, money and creating a whole lot of pain for you.

Myth: Bones Don’t Change Once You Are Done Growing

False. Much like the rest of the body, the bones continue to change throughout your life. There is no magic shut-off date for bone growth. In fact, while the bones stop you from growing taller, they do still continue to grow as they are a living part of your being. Bones can become thicker or thinner, depending on your diet, any medical conditions and the overall health of your osteoblasts (bone cells) production. As we do age, many of us may experience a thinning of the bones caused by osteoporosis. Bone thinning can be reversed by including weight-bearing exercises like jogging and walking. Exercise will trigger osteoblast production, combating bone thinning due to arthritis.

Myth: A Fracture is Nothing Like a Broken Bone

Actually, they are the same thing. A fracture and a broken bone simply are significant injuries to a bone, where there is a separation of said bone. A fracture can result in a cleanly broken bone or it can separate only a portion of the bone. The bone is not in a solid piece and is separating from itself. It’s also quite painful.

Myth: You Know When You Have a Broken Bone

No, you may not always know the moment you have a broken bone. Some fractures in bone take a while to develop and can have little to no pain associated with it until the bone changes alignment or enough injury to the area creates a larger fracture. This is the case with stress fractures. Smaller injuries that are not painful can add up to a larger fracture over time. Many athletes suffer from stress fractures because of the repetitive use of injured bones. If the bone is not given time to properly heal and the area is constantly re-injured, a stress fracture will form and then will patients notice pain. Most wear-and-tear injuries will eventually cause pain, indicating a need for repair or support.

While bones can heal on their own when given proper rest and time, if you suspect that you have a broken bone or fracture, it is best to consult a physician. Pain is always an indication within the body that something is amiss, so don’t ignore it. If you have an injury that does not respond to rest and ice, and the pain becomes increasingly intolerable, you may have a more serious injury that will require medical attention. Don’t self-diagnosis and risk the health of your bones. Consult a physician as soon as possible!