Tetanus Infections Due to Negligence

You are out eating on the patio of a local restaurant. As you stand up to walk inside to pay your bill, you feel a sharp pain on your leg. You look down and see that you have a small puncture wound near your knee from an exposed nail on the edge of the wooden picnic-style table. You wipe the blood off with a napkin, put a bandage over the injury, and go on inside to pay your bill and continue on with your day.

About a week later, you start to feel a little sick. You are running a small fever, have a headache and the area around the wound you got at the restaurant is sensitive to touch. More strangely, you have noticed some odd muscle stiffness and a little difficulty breathing. You decide to go to the doctor and get checked out. After a few tests, the doctor determinates that you have a tetanus infection which could be fatal if you do not treat the problem quickly. In fact, reported tetanus cases have a mortality rate of almost 11%.

Tetanus is a type of infection caused by the bacterium Clostridium tetani , which can be found almost anywhere in the environment, particularly in animal manure and contaminated soil. The bacteria can enter the body through any sort of cut, scrape, or puncture wound. The deeper the wound, the more likely it is that a serious infection will develop. For this reason, things like animal bites, piercings with improperly cleaned equipment, or injections from dirty needles have a particularly high potential for causing tetanus. Other than the symptoms discussed above, an infected individual may suffer from diarrhea, rapid heartbeat, sore throat, sweating, spasms, and a stiff jaw (tetanus is sometimes called lockjaw).

In the example above, the tetanus-causing injury could have been found to be caused by the negligence of the restaurant's owners or managers. If the exposed nail was something that should have been noticed and tended to before it could cause your wound, the restaurant may be liable for the costs of your injuries and damages. Whether or not there is sufficient evidence for legal negligence to be established is an issue that may require the attention of a legal professional. So, if you feel strongly that you have suffered unduly, you should find out if you are entitled to compensation.

All You Need To Know About Chickenpox

Chickenpox is a contagious disease caused by varicella-zoster virus. It leads to a skin rash that is itchy and after a few days transforms into blisters.

Chickenpox virus is transmitted by air and reaches a healthy organism by mouth or by nose. If an infected person coughs or sneezes and the small particles of saliva reaches a healthy person the virus will get into the lungs and then into the blood stream.

If a person has had chickenpox the chances for it to develop this disease again are quite small. Chickenpox is very contagious and generally 90% of those who live close to the infected person will catch the virus if they are not immunized against it. It seems that chickenpox occurs more often during later winter and early spring moths.

Due to the vaccination campaign started in 1995 the number of cases of chickenpox has decreased. Before this vaccine was invented a lot of children developed complications or even died of this illness.

Generally chickenpox does not cause complications and health well, but in 1% of the cases lung infections, encephalitis or liver affections can occur. Skin infections are also possible to appear.

Once a person developed chickenpox the virus will hide in the nervous cells and will rest for some years. If during the lifetime that person will have immune system problems the virus will wake up (reactivate) and will cause another disease called shingles. This is a painful disease that affects the face and trunk nerves and also causes a rash to appear.

The reasons for the immune system to weaken are other serious diseases that attack the human organism. These diseases are: AIDS, cancer, and diabetes. Even some treatments can weaken the immune system: the immunosuppressive drugs.

The symptoms of chickenpox are: fever, itchy, red bumps that transform into round blisters with a red base. These symptoms generally occur after 10 to 20 days from virus contact. These blisters will form a crust and will eventually dry. It is important to let these blisters dry because if you break them they might leave some anesthetically sings on the skin.

Diagnosing is made easily. The doctor can do that if knowing whether you have been vaccinated for chickenpox or not, or if you have ever had chickenpox before. He will also take a look at the rash and will want to know if you have been into close contact with a person that has chickenpox. If the doctor still has doubts regarding your affection he will order some blood tests (ELISA and FAMA) but they are rarely ordered because doctors usually recognize chickenpox easily.

The Most Common Birth Defects

Common birth defects could be infections or metabolic. While infections are like carrying diseases like Rubella, Syphilis or HIV, metabolic are congenital structural disorder. Children with infections can not be treated as very common as they occur in one out of thousands of patient, the most common are coming of the structural defects of heart, skeleton, muscles, circulation and urinary or genital. These defects are common in the sense that they occur in one out of a hundred or so. While these figures are subjective and may vary from location to location a defects remains a reason for concern once it develops.

In USA certain congenital defects are common. They include heart defects, Down syndrome and orofacial clefts. Some heart defects are mild in nature where as others could be a cause of early death. It is said that in some places half of all the death among children below the age of one are caused due to heart diseases acquired as a birth defect. It is reported that one third of children born in the USA have congenital heart disease. Orofacial clefts include cleft lip is a disorder that imposes speech and food intake and defects in the roof of the oral cavity. Down syndrome involves mental or cognitive disability. Over a 5000 babies are born with such disease in the USA alone.

Muscle and skeleton defects cause shortcomings in the legs and arms. Such defect is found in one out of every 130 children born. Spina bifida, which is estimated to affect one out of nearly 2,000 babies born can cause paralysis or affect babies with compliance in the bladder. This is caused due to vitamin deficiency during pregnancy.

Eye defects nervous system disorder is found in one out of about 235 births since it is near common defect. Gastrointestinal deficiency that complicates the function of the stomach intestines and esophagus are also some of the not very uncommon birth defects that need serious attention and corrective measures. Hypospadias is yet another common metabolic disorder that has a bearing on the passage of the urine and its excretion point.

How Listening to Music Influences English Language Teaching Learning and Everyday Life

English and Foreign Language Learner Benefits of Listening to Music

How can you effectively use music in your English or foreign language learning class room? Listening to certain types of music has quite a number of additional benefits which go far beyond teaching and learning as we examined in a previous article. The impact of music and songs in ELT is well-documented. Now let's continue our brief overview with five additional benefits of listening to music.

Additional Benefits of Listening to Music

o Reduces Errors

With the improved integration and function of the brain and its two hemispheres, comes improved concentration and thinking ability. This immediately impacts our normal functioning by reducing the number of incorrect resolutions and responses to problems. Whatever you may be thinking or doing, you'll simply do it better.

o Aids in Digestion

Imagine the nicest, fanciest, and most expensive restaurant you can. The food will be an exclusive course. Are they playing music in the restaurant? Very likely so, but is the music Heavy Metal Rock, Rap, Hip Hop or Acid Jazz? Almost certainly not. The music played will of a type designed to promote a pleasant emotional and digestive state. Music has long been used to enhance the dining experience in one way or another.

o Helps to Regulate Moods

As touched on briefly at bit earlier, our moods and state of mind can be influenced or altered by the use of music. To help relax people in elevators, music is pied into it. The same is true in doctor's offices, medical and dental clinic waiting areas and even airports. People who have a fear of heights, falling, flying or dentists are helped to calm down a bit and relax.

o Moderates Tempo of Activity

Do you work to music? I and many other professionals often do. When I write, the Beethoven music station is normally playing in the background. At other times I might put smooth jazz in the CD-ROM drive for the mellowing effect it has on me. When I'm on deadline and need to focus along with working quickly, faster-rhythmmed Salsa music goes into my CD player. Fast-food restaurants want you to eat quickly, so they play faster-tempo music in the background.

o Aids in Isolation from Noise and Distractions

When you can not control external sounds and noise, you might try putting on some music to help to mentally "drown out" the distraction. Our ears can be selective, not in what we may hear, but in what we choose to actually listen to. Playing something you like will override distractions and noise which may be in the background.

Many Other Benefits of Listening to Music

These are but some of the hundreds of individual benefits researchers have discovered that are tied to listening to certain types of music. Listening to music has benefits, not only in the EFL or foreign language learning classroom, but in a number of other aspects of our daily lives as well.

Cold And Flu

The common cold and flu (influenza) are very common infections of the upper respiratory tract (nose, throat, ears and sinuses).

What causes them?

Colds and flu are caused by viruses. The infections are contagious, passed on by tiny droplets and hand contact.

There are hundreds of different types of virus that can cause a cold, which explains why children get repeated colds.

The flu virus is constantly changing its structure, so new strains appear each year

Flu is caused by the influenza virus. There are three major types: A (often the cause of flu epidemics), B and C. The flu virus is

constantly changing its structure, so new strains appear each year.

We don’t have immunity to the new strains, which is why we can catch flu repeatedly.

Symptoms of Common Cold

Following are the major common cold symptoms:

1. Frequent sneezing

2. Blocked or runny nose

3. Reduced sense of taste and smell

4. Sore throat

5. Dry cough

6. Headache and mild fever

Complications:

* Acute ear infection (otitis media). A frequent complication of common colds in children, ear infection occurs when bacteria

or viruses infiltrate the space behind the eardrum. Typical signs and symptoms include earaches and, in some cases, a green or

yellow discharge from the nose or the return of a fever following a common cold. Children who are too young to verbalize their

distress may simply cry or sleep restlessly. Ear pulling is not a reliable sign.

* Wheezing. A cold can trigger wheezing in children with asthma.

* Sinusitis. In adults or children, a common cold that doesn’t resolve may lead to sinusitis – inflammation and infection of the sinuses.

* Other secondary infections. These include strep throat (streptococcal pharyngitis), pneumonia, bronchitis in adults and croup in children. These infections need to be treated by a doctor.

Danger signs

* Colds associated with very high temperature, severe pain or shortness of breath. Contact GP.

Causes of Common Cold

Following are the major common cold causes:

1. Viral infection

2. Person to person through sneezing

3. Menstrual cycles

4. Allergic disorders

5. Low immunity power

6. Change in weather

Common Cold Treatment: An Introduction

It seems like every day a new common cold treatment is being marketed to prevent, cure, or shorten the length of the common cold

(see Common Cold Myths). Despite these marketing claims, there is only one cure for the common cold — time. Therefore, common cold

treatment goals are focused on providing relief from common cold symptoms as the body fights the cold virus.

Common cold treatment options include:

* Resting in bed

* Drinking plenty of fluids

* Gargling with warm salt water (or using throat sprays or lozenges)

* Using a cool-mist humidifier

* Taking common cold medicine.

Common cold Prevention

No effective vaccine has been developed for the common cold, which can be caused by many different viruses. But you can take some

common-sense precautions to slow the spread of cold viruses:

* Wash your hands.

* Scrub your stuff.

* Use tissues.

* Don’t share.

* Steer clear of colds.

* Choose your child care center wisely.

* Consider the alternatives.

Therapy

* Analgesics.

* Antipyretics

* Oral or topical sympathomimetics (short term use only) decongestants

* Antihistamines. (Care – can cause drowsiness).

* Vitamin C – is harmless and many claim benefit from it.

To remove these types of diseases Boost Your Immune System

How Long Does Lower Back Pain And Spasms Last

As you grow older, you tend to develop lower back pain or lumbago. Seven out of ten people will experience it at some time in their lives The risk increases if you inflict strains and sprains through incorrect lifting or awkward movement. Exercises can also injure your lower back. If your work regularly involves lifting, twisting, bending, and reaching, you can injure your back.

Studies show that people between 19 and 45 years old suffer from disability due to back ache. After the age of 45, the condition can become severe.

Usually when you impose injury on the muscles, bones, ligaments, and joints in your back , you jeopardize your back. The painful back also shows that the tendons or discs are damaged. You can feel the discomfort anywhere on your back, in between the bottom of the ribs and the top of the legs. You may find it difficult to move around and stand upright.

Usually, the pain will last from a couple of days to a few weeks. Most of the times, it will go away after six weeks. If you endure the pain in less than three months, you then have an acute condition. Once the condition extends to over 12 weeks, the condition becomes chronic.

Most of the acute cases happen because of a trauma to the lower back or a disorder such as arthritis. Sometimes, a sports injury or a damage on the spinal bones and tissues due to accident can result in acute back pain.

When the disc is damaged, the muscles on either side of the spine are in spasm. Straining of back muscles can lead to spasm. The discomfort usually go away in one to two weeks.

If a specific disorder contribute to your lower back pain, by applying treatment on that disorder may solve the problem.

To relieve pain, you can rest in bed for a few days. But don’t rest for more than two days. When in bed, lie on the back with a pillow behind the knees with your head and shoulders elevated.

You can also buy over-the-counter or prescription non steroidal anti-inflammatory drugs (NSAIDs) to minimize inflammation. Muscle relaxants can also soothe muscles spasms. During the period of recuperating, wear a back pain support if you continue with any back-stressing tasks.

If you sit for a long period or lift heavy object in a job, consult an occupational therapist to suggest upper limb exercises and safer revisions on performance of such job.

Back pain can interfere your life and work. Fortunately, in most cases, it will go away on its own. If the pain persist too long, then you need to consult your doctor to diagnose your condition. You will then be given an appropriate treatment based on the underlying cause.

Garden Plants – Uncover The Healing Properties Of Them (Part 2)

The article deals with the healing properties of various garden plants.

  1. Horseradish root contains mustard essential oil, various vitamins, carotene, sugars and mineral substances. You can use leaves and root of the plant. The whole plant is rich in phytoncides. Horseradish should be used to treat gout, rheumatism and anemia. It is proven to purify blood, stimulate appetite and facilitate digestion. Mix a bit of horseradish juice with water and drink the solution to deal with upper respiratory tract infection. You can use the juice as a mouth rinse and gargle. Rub the areas affected by radiculitis and myositis (inflammation of the muscle) with it. In addition, the juice can be used for facial masks and compresses to fight freckles and skin pigmentation.
  2. Chives contain essential oil, vitamin C, carotene, vitamin B, vitamin PP and mineral substances. You should use fresh plant. It is proven to stimulate appetite and fight anemia.
  3. Parsley contains essential oil responsible for the specific taste and pleasant smell. You should use leaves, root and seeds of this plant. Parsley leaves are rich in vitamin C, vitamin B, carotene, mineral substances and other biologically active substances. It can be used as a diuretic remedy in case of edema caused by heart failure, renal diseases and diseases of urinary bladder. It is proven to excrete salts out of your body. In addition, parsley improves digestion and fights intestinal colic. Fresh juice has an overall stimulating effect and strengthens the nervous system. The juice is intended for external use, as well, to deal with skin pigmentation, rash, sting, wound and gum inflammation.
  4. Celery contains essential oil, vitamin C, vitamin B, carotene, furocoumarins, mineral substances and other biologically active substances. You can use the whole plant. Celery is recognized as a plant capable to strengthen the nervous system, tone you up, increase the ability to perform intellectual work, activate metabolism, fight inflammation and calm you down. It has diuretic and bile-moving action. You should use the plant when suffering from rheumatism, stomach ulcer, neurosis, nettle-rush and duodenal ulcer. Celery juice or essential oil is proven to stimulate the movement of kidney. A decoction of root or leaves can be used to treat festering wound and sore.
  5. Thyme contains essential oil, bitter substances, tannins, flavonoids and other biologically active substances. You should use thyme tops. You can use the plant to facilitate anticipation in case of bronchitis and bronchial asthma. In addition, it is a great remedy to treat catarrh of the stomach, duodenal ulcer and meteorism. The plant stimulates the secretion of bile. The plant can be used externally, as well, as a mouth rinse and gargle. Moreover, you can add thyme decoction to medicinal bath to deal with rheumatism, gout, paresis, nerve pain and bruise.

Display Kitchen

A display kitchen is where much of the food preparation is done in full view of customers. Being able to watch a busy kitchen staff at work is interesting to most of us. It whets the appetite and gives guests the feeling that they are being catered to, with a meal that is freshly prepared as they look on. For today's more refined diner, the perceptions of quality, freshness, and presentation are just as important as how the food tastes. A well functioning display kitchen also accentuates the sense of showmanship that certainly is part of the culinary arts. It enhances the total dining experience by being part of the
atmosphere and the evening's entertainment value.

It presents opportunities for the culinary staff to interact with guests. Of course, this may affect the type of person you hire as a staff member. Not everyone is good at, or comfortable with, conveying such a
"public" image. But for chefs who enjoy the limelight, something magical happens when they can see the patrons, and vice versa. One nice design detail is to install half-walls, in what is sometimes called a semi-open kitchen. The staff can be seen preparing food "from the waist up," without a view of the inevitably messy and unsightly aspects of cooking: soiled pots and pans, stacks of plates, the dirty floor, and the like. Nothing should go on in a display area that indicates any type of "volume cooking." The emphasis is on individually prepared dishes.

Food preparation in view of the guests also addresses another modern-day concern: food safety. Most guests believe that when food is prepared in full view, the staff is more conscious of safe food-handling practices than they would be rounded away at a prep station in the back of the house. Today, as the cost of restaurant space keeps climbing, there is some financial urgency behind such a multitask environment. The modern restaurateur must maximize profit per square foot of space and risks failure by using space extravagantly and having to pay the higher costs of heating, cooling, and insuring it. Combining at least part of the kitchen with the dining area is one way to conserve space.

Yet the display kitchen is generally more expensive: up to $ 360 per linear foot, compared to $ 115 for a regular back-of-house commercial kitchen. When it is in public view, everything from equipment, to walls, to preparation surfaces has to look good. A final word about display or semi-open kitchens: They should be considered as an option only when the menu and food preparation techniques actually lend them to display-pizza dough being twirled overhead, steaks being flame-broiled over an open grill, the intricacy of sushi preparation.

Appliances "on display." In terms of equipment, we've noticed massive, brick wood-burning ovens (or gas-fired counterparts) as display kitchen staples. They're not exactly portable, weighing up to 3000 pounds, but they're attractive, energy-efficient and quite functional-they can turn out a pizza in three to five minutes. Induction range tops have found their way into display kits, since they are sleeklooking, easy to clean, and speedy and energy-efficient. Induction cooking works by creating an electromagnetic field, which causes the molecules (in this case, of a pan) to move so rapidly that the pan-not the range top-heats up, in turn cooking the food inside.

The magnetic field only prompts other magnetic items (ie, metal cookware) to heat, while its ceramic surface stays cool to the touch. Not every metal pan is well suited to induction cooking, but specific, multiple metal pans are made for this purpose. Cleanup is as simple as wiping off the cooktop surface; there are no spills seeping into burners and no baked-on messes. A 2.5-kilowatt induction burner puts out the equivalent cooking power of the 20,000 BTU burner on a typical sauté range.

Yet another display kitchen requirement is the rotisserie oven or grill. We usually think of whole chickens, browning perfectly in a glass-front rotisserie cabinet, but there are now attachments that allow you to bake pasta, casseroles, fish, vegetables, and more. From countertop units no more than 30 inches wide, to floor models 6 feet in width, rotisseries may be purchased as gas-, electric-, or wood-fired. Ease of cleaning should be a consideration when choosing a rotisserie unit, because they are in view of patrons.

And finally, the cooking suite is a real boon to today's hardworking "chef on display." A cooking suite (or cooking island) is a freestanding, custom-built unit which just about any combination of kitchen equipment can be installed. Instead of a battery of heavy-duty appliances against a wall, a cooking suite allows workers to man both sides of the island (see Illustration 3-1) .It is a way to effectively concentrate the cooking activities, improving communication because appliances and personnel are centrally located.

Often a cooking suite requires less floor space than a conventional hot line, with shorter electrical and plumbing connection lines. Men that include mainly sauteed, grilled, or charbroiled items would be
well served by a cooking suite.

Treatment of Toenail Fungus

A few years ago I had developed a toenail fungus. I got this because I was an athlete who use to use his sweaty running shoes over and over again before they had the chance to dry out. Unfortunately this silly mistake led me to develop my toenail fungus. For the next year or so I I went in and out of trying to treat it with any remedy available. Here I discuss the different methods I used to treat my fungus.

How did you catch your toenail fungus? Toenail fungus can develop for a variety of reasons. In my case I neglected wearing dry running shoes which exposed my toes to foul moisture. Usually it is the case that toenail fungus develops for other people in a similar environment. Places such as a locker room, public pool area, or even a sauna can increase your chances of infection. In these places it is recommended you wear sandals whenever possible to minimizeize risk.

Another common way to get a toenail fungus infection is by cutting your nails too short. Do not feel bad the majority of people do. However, in the future make sure you avoid doing this. Cutting your nails too short can cause minor cuts on the skin leaving your toe open for increased chances of infection.

Treating toenail fungus can be done in a variety of ways. One way is to treat your toenail fungus with Vick's Vapor Rub. This did not work at all for me. Almost it only works in the mildest cases. I would not recommend this treatment.

Tea tee oil is another common remedy. Tea tree oil is an anti fungus extract from plants that they use to combat fungus. Unfortunately I found this treatment on its own ineffective.

Prescription drugs for treating fungus infection are dangerous. They can cause liver damage and possible liver failure resulting in death. I do not recommend this treatment method because it is also expensive and results seem to be moderate.

Soaking your feet in beer believe it or not can actually help. To do this soak your feet in regular beer for 30 minutes a day. I actually never got around to this treatment but I've read that its been effective in some other cases.

Compression Sleeves Aid Lymphedema Patients

Lymphedema is a medical condition causing chronic swelling of the body. Doctors often recommend compression sleeves or stockings to reduce inflammation after the patient receives other therapy.

Sleeve Features

These sleeves are available in Lycra and nylon and should be worn every day under a medical professional's direction. Compression sleeves may be bought without prescription through a pharmacy or online store. Different sizes and elasticities are on the market to fit both men and women. Custom-designed sleeves may be special ordered for those who can not find the exact model suggested buy their doctor.

Once available in only sterile white, compression sleeves now come in a variety of colors and styles. Some brands even offer zebra stripes, lace, festive designs and floral prints, which look more like a fashion statement than edema treatment. These newer versions are breathable and more comfortable than the old-school variety. Depending on the manufacturer, moisture wicking is also featured to prevent excess perspiration benefit the sleeve.

Trying to pull on these special garments may be challenging for those affected by hand and finger swapping or arthritis and the elasticity of compression. Donning gloves are helpful in putting sleeves on, allowing for better grip on both stockings and sleeves. Resembling dishwashing gloves, they are made of rubber and usually extend just above the wrist. Ridges on the exterior help catch the slippery, stretchy fabric, making it faster and easier to pull on.

Another product available that supports with putting on compression sleeves is a slide or slippie. The arm is placed into an oversized sleeve, then the compression sleeve is slipped over it. The slide is easily pulled out by hand or hooking it onto a fixed object, like a doorknob. The compression sleeve fits the arm and the slide coming out.

For those with circulation or medication issues that result in easy bruising, slides and donning gloves also prevent fabric from snapping back against the skin while pulling and losing grip on sleeves.

Compression Gloves

Edema may be limited to the wrists and hands, making sleeves ineffective or cumbersome. Particularly made gloves are worn in these cases. The fingertips or area beyond the knuckles are removed to allow for finger dexterity, mobility and functional grip. While fabric choices are usually limited to various shades of tan rubber or nylon, some manufacturers also offer colored Lycra material.

Medical Conditions

People with missing or damaged lymph nodes are most susceptible to lymphedema. This can be caused naturally or by surgery for cancer or other health problems. Common swelling areas include the arms and upper body, especially for breast cancer survivors. Risk for lymphedema is also hereditary, especially where poor circulation is a factor. In some remote parts of the world, a parasite called filariasis may cause the condition, as can cellulitis.

Lymphedema is sometimes called elephantiasis, or misnomered elephantitis, for the disfiguring effects in extreme cases.

Right Side Upper Back Pain – How To Obtain Relief

Back pains can be very aggravating. The soreness may be found in the upper or lower portion of the back. The tenderness found in between the lower back and the neck and where the spinal column connects with the ribs commonly referred to as right side upper back pain. The muscles become worn-out and the ligaments are frayed. The muscle might become taut and rigid. The manifestations vary for each individual. A patient may have muscular contraction. Some might experience twinges in the muscles. Upper body movements can set off the pain in specific spots of the upper back. Neck and shoulder movement or even a touch on the affected parts may activate the right side upper back pain. The pain might even shoot up to the right shoulder blade.

Right side upper back pain is caused by different factors. These may be due to a misalignment or dislocation of rib joints, muscle strain, the joining of a disc or facet to the cervical spine, incorrect posture or referred pains from organ dysfunctions. Severe and razor-sharp pain can be felt in the right side upper back of the body.

Misalignment or dislocation of joints can bring about jagged pain which can be felt even if a person just takes a deep breath. Strained muscles are usually due to excessive repetitive movement, extended use of or heavy demands on the muscles. A throbbing soreness on the other hand can be felt if a patient suffers from right side upper back pain resulting from poor posture. A person who spends an extended period of time doing computer work might encounter this type of problem especially if he has poor posture. Since the movements of a person who constantly work on the computer are repetitive and tedious, the strain is usually on the same set of muscles causing it to overwork thus the persistent pain. Referred pains from some organ dysfunction also produce right side upper back pains or thoracic spine. This is especially true if a patient suffers from disorders in the stomach, spleen, heart, gallstone, and pancreas and so on.

Treatment for right side upper back pain would also vary depending on its cause. The medical practitioner has to identify the root of the right side upper back pain and treat it accordingly. Some medical practitioners may recommend traditional ways of handling the pain such as anti-inflammatory medications, muscle relaxants, ice packs or stretching exercises. Other kinds of strenuous exercises are to be avoided to refrain from causing more damage or strain on the muscles. Chiropractic care can also alleviate the pain by employing methods such as mild pumping or putting moderate pressure on the affected parts thus separating and treating the right side upper back pain. This is also known as the flexion distraction technique.

It is recommended that a patient who suffers from right side upper back pain must consult a competent medical practitioner for a thorough physical examination to determine the exact cause of the problem. Without proper medical care and attention, right side upper back pain might worsen and leave the patient incapacitated.

Got Marketing Paralysis? Try This

Many of us put off creating or overhauling our marketing materials until we have "time." But with all the responsibilities we have, who on earth has time? In my experience, the time excuse is very often a smokescreen, covering the fears hidden underneath.

And what of these fears? Well let's face it. When you're selling yourself, there's something scary about putting yourself "out there" and putting yourself "out there" in a tangible real piece of marketing, does seem to make it something final. We worry about being misunderstood.

We worry about not living up to other people's expectations. We worry about "getting it wrong". We worry about offending people. We worry about appearing over confident. We worry about making claims that we can not live up to. It's no wonder we can not find the time. Who would want to find the time to when there are so many ways of getting it wrong?

In spite of the fact that those fears exist and they're getting in the way, we really just have to thumb our noses at them. You simply have to say to yourself, "Yes, those fears may be there, but I'm going to create my marketing materials in spite of them."

My favorite method for blasting through these fears is a technique I call the "anti-brochure". Before we go any further I want you to grab a pen, and a sheet of paper and at the top write, "The reasons you SHOULD NOT become my client". Now as quickly as possible, write down all the reasons why someone should not hire you.

Do not worry, we will not be publicizing these, what we are aiming to do is to get these sentences out of your head where they can cripple your creative process and onto the page where they lose a great deal of their power.

Here are some examples that have come out of this exercise:

"I'm not good enough."

"I tell a good story, but I do not walk my talk."

"If I'm so great why is my own life in such a mess?"

"If people knew what I was really like they would not want to hire me."

"I'm afraid I will not live up to their expectations."

"The only reason I have any clients is because I fooled them all."

I love this technique for blasting away the doubts and fears that will otherwise really interfer with your creative process. Once you've got the words out and onto the page, they become a lot less effective at holding you back. Last year I ran a course with a partner, and we sat down and did this exercise together before writing the brochure.

We titled it, "The reasons you should not book onto this course". We each spent 5-10 minutes filling a sheet with our insecurities and errors and when we were done, we compared notes, then threw the lists away. That's it. That's all you need to do. Do not agonize over what you've written. Just write it, read it through and throw it away.

Some people like a ritual burning, but to be perfectly honest I think that's affording too much significance to what just amounts to a bunch of false fears. Just screw up the paper and toss it in the wastepaper basket. Try this. It really works.

(c) Bernadette Doyle, 2008. Reprints welcome so long as by-line and article are published intact and all links made live.

Shingles-What It Is and Treatment Options

"Shingles" is the name of the painful rash many people get as they get older and their immunity wanes. The rash is characterized by tiny blisters on red skin that usually occurs on one side of the body in a band-like distribution. The rash is often preceded by a 1-2 day period of intense, burning, sharp pain in the area where the rash will develop. Many people will mistake the pain as pain from muscle strain, heart attack (angina), gallbladder attack, appendicitis or kidney stones. Once the rash develops, the blisters will always dry up and the redness will disappear in approximately 10-14 days. The pain of shingles may last as long as the rash is present, may disappear once the rash appears, or may persist after the rash is gone. When the pain persists longer than 4 weeks after the rash is cured, the pain is called post-herpetic neuralgia. This pain can be very debilitating. It is often described as a constant burning, knife-like, throbbing, or aching sensation. It adversely affects people's ability to move, think and sleep. Post-herpetic neuralgia can lead to depression because the pain and condition is not curable; available medicines may decrease the severity of pain periodically.

The virus that causes "shingles" is the herpes virus responsible for chickenpox. One someone contracts chickenpox, the virus travels along nerves and becomes dormant in the dorsal root (sensory) ganglia of the spinal cord. When the body is "stressed", either by an illness, medication, emotional stressor, or physical trauma, the virus may be re-activated and travel along a nerve supplying a dermatome of skin and cause pain and a rash. Once someone experiences shingles (also known as herpes zoster,) the virus becomes dormant again. Unfortunately, the virus may re-activate more than once during a person's lifetime. It may affect more than one dermatome, causing pain and rash in different areas of the body. When shingles occurs in particular facial nerves, it may cause blindness, deafness and diminished taste sensation.

The treatment of shingles begins with prompt and accurate diagnosis of herpes zoster. When anti-viral medications, such as acyclovir and famcyclovir, are started during the first 72 hrs of the illness and continued to for 7-10 days, the duration and severity of rash will be reduced. These medications will not stop the pain or keep the rash from forming. They will also not post-herpetic neuralgia from developing. Tricyclic antidepressants (Elavil), topical anesthetics (lidocaine or capsaicin) and / or narcotic analgesics can be used to limit the pain. If post-herpetic neuralgia develops, antidepressant, anti-seizure, topical anesthetics and nerve blocks may be used to lessen the pain. The pain of post-herpetic neuralgia often requires the use of many treatment modalities, including chronic pain counseling and biofeedback, to help people cope with this chronic condition.

The best way to prevent herpes zoster from developing is keeping the immune system healthy and strong.

White Spots on Throat – How to Remove Tonsil Stones

For many people, the discovery of white spots on throat can be cause for great anxiety and concern. However, in many cases, these spots are mercly harmless accumulations of sulfur-based bacteria and debris that have become trapped in the tonsils, known as tonsil-stones.

These stones typically appear on the back of the mouth, the tongue, or the pockets of the tonsils themselves. They can usually be seen with the naked eye as white, carefula lumps. Such white spots on throttle oftentimes feel like a lump in the throat or an object protruding from the rear of the mouth.

Tonsil-stones can be both irritating and painful, and often result in bad breath, coughing, earaches, difficulty swallowing, and excess phlegm in the throat. More common in adults than children, the stones can be removed with a variety of home remedies. Many people opt to remove the white spots on throat by expressing them with a Q-tip or pulsating jets of water. Gently brushing them away by scrapping them gently with a toothbrush has also proven to rid the tongue and back of the mouth from them.

However, in some more serious cases in which the stone is firmly lodged, oversized, or in a difficult place to reach, it can be surgically removed by a doctor. More severe infections of the tonsils, such as tonsillitis, can be treated with a tonsillectomy, a procedure in which the tonsils themselves are removed. If you are concerned about white spots on throat, see your general physician for further diagnosis.

Pregnancy Hypertension – Dangerous and Relatively Unknown

Pregnancy hypertension is called preeclampsia or toxemia. It is common in women during a first pregnancy and in young women. It is common in women with multiple fetuses, women who have a history of pregnancy hypertension, chronic hypertension and preexisting diabetes.

Pregnancy hypertension includes three characteristics. They are protein in the urine, high blood pressure (readings in excess of 140/90) and swelling (edema)

Eclampsia, a form of this hypertension, can be severe. Women who experience eclampsia usually have seizures as a result. Approximately 1 in 1,600 pregnant women experiences eclampsia and it develops in the last few months of pregnancy.

The cause of hypertension during pregnancy is unclear. Certain conditions might increase the risk of developing it. They include: preexisting high blood pressure or hypertension, diabetes, kidney disease, a history of pregnancy hypertension, a younger woman (usually less than 20 years old) or a woman older than 40 and twins or triplets.

There could be an increased resistance in the arteries and capillaries as a result of high blood pressure. Restricted flow of blood in the different organ systems of the pregnant mother including the kidneys, liver, uterus, brain and placenta may occur.

As a result of pregnancy hypertension, other problems may develop such as early detachment of the placenta from the uterus. It can also lead to fetal problems including poor fetal growth and still born birth.

Left untreated, severe pregnancy hypertension may cause seizures and death for the fetus and/or mother. It also may be necessary for the baby to be delivered before a gestation period of 37 weeks.

The most common symptoms of high blood pressure in a pregnant woman is: protein in the urine, increased blood pressure, nausea, vomiting, edema, quick weight gain, changes in vision such as double or blurred vision, upper abdominal pain in the right side, changes in kidney or liver function tests or urinating small amounts.

Increase in blood pressure is often the basis of diagnoses. Additional symptoms may aid in establishing pregnancy hypertension as the diagnosis. The tests might include the following: blood pressure readings, assessment of edema, urine testing, and eye examination to check for changes in the retina, frequent weight measurements, blood clotting tests and tests for kidney and liver function.

Your physician will determine treatment specifics for pregnancy hypertension based on the following: medical history and overall health, extent of your hypertension, your overall pregnancy, specific medication tolerances, therapies and procedures and predictions for the course of the disease.

The overall goal of treating this hypertension is to prevent the condition from becoming worse. Pregnancy hypertension treatment may include: bed rest (either at the hospital or at home), hospitalization (in case specialized staff and equipment may be required), magnesium sulfate and fetal monitoring. Cesarean delivery may be recommended.

It is critical to identify at risk women for pregnancy hypertension. Complications of the disease will be prevented or minimized. Warning symptom education is also critical as early recognition may help women receive treatment and prevent the disease from becoming worse.