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The Elements of the Perfect Best Man Speeches

You've got your tux neatly hung in the closet and your shoes all spic and span – you're all ready for the wedding but you feel a thousand butterflies living in your stomach and a family of frogs down your throat. You realized that you just can not go diving into that wedding when you have not composed your best man speech yet. Being appointed to give best man speaks may be the best thing that ever happened to you, but you just can not deny that spurt of nervousness and apprehension that's making you believe that you're going to deliver one of the worst most embarrassing methods ever .

Relax. You're going to do great. With a couple of tips on how to deliver good best man speaks, you'll have everyone doing a standing ovation in no time.

Make Good Use of Stories

Always remember that you are in a position that no one else is in. You have close ties with groom and you can use this to your advantage. Good best man spokes are always personal and hysterically hilarious. Everyone loves a good story. Stories allow the audience to take a sneak peek into the groom's life, reeling them in and keeping them engaged. Use vignettes of the groom's life experiences to season your speech. You may know a hilarious tale of how they met or know of a disastrous date they once had. Delve into the groom's childhood and reveal little tales of hilarity. Inform your audience of the groom's college life or high school years or tell them about his first crush. Do not go too far as to embarrass the groom though, as the goal is not to humiate him but to set a light-hearted tone. Best man speeches should always be told in a manner that is appropriate for all ages, so lay off the green jokes for a while.

Keep it Personal

Best man addresses are a matter of sentiment. You speech should reveal what you feel and what you think about the couple being married. The groom must be one of the most important persons in your life, so tell the audience of how ecstatic you are that he is finally getting married. Perhaps you feel that the couple is a match made in heaven, or lovers unlike no other – reel the audience in to what you feel and you might make them feel the same as well. Always remember to season your speech with a heaping addition of compliments and sentimentality, your goal at this portion is to hear a symphony of "awwws" from the audience. Your speech should reflect the joy and the irrevocable love that is involved in the marriage.

Keep Your Audience at the Edge of Their Seats

If you want to make your speech a disaster, it's very, very easy. Make it dull and boring. Your goal is to engage the audience and keep them at the edge of their seats. Always remember that most people find spikes to be incredibly dragging, so you have to find that edge that could make your speech worthy of listening to. Try bringing your audience to the speech. Make your speech interactive; converse with the audience and the groom by asking them questions. The perfect best man speaks are always dynamic. You can mention other guests and comment about how they are involved in the marriage. When you keep mentioning names, your audience will be waiting for their names to be stated as well, so keep on seasoning your speech with people.

Additional Tips

Another way to turn your speech into a fiasco from hell is by drinking too much. Guests do not enjoy a best man conducting a drunken ramble. You do not want to be stating stories which you do not want to divulge. Hold the alcohol and dive into the juice. Also remember to thank the guests for coming, and the couple for giving you the honor to grace their marriage with your words. Perfect best man speaks are brief, hilarious and personal. If you focus on these three things, you can brace yourself for a radical round of applause.

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Sexual Body Language – How to Tell If a Woman Wants Sex (Important)

What signs does a woman give off if she wants to take you to bed? Does her NON verbal communication say more than she does? Are there KEY things you are overlooking that signal she REALLY wants sex?

The fact is… MOST men completely overlook the telltale signs of serious sexual interest:

  • She pouts with her lips… and makes sporadic eye contact (a dead giveaway)
  • Body POSTURE and positioning is critical (look for toes pointed outward… hips thrust forward)
  • She plays with HER hair… A LOT! (a nervous, subliminal sign of sexual desire)
  • She plays with YOUR hair… even a little..:-) (okay… hopefully ALL of you pick up on this one)

Women have tell tale signs of sexual interest… and they are MUCH different from those of a man. If you miss them… the simple truth is that someone else is likely to pick them up… and then of course, pick her up as well!

Here is why understanding female body language is SO important when it comes to making love to a woman. (especially one you DON’T know too well)

Why? Women are inherently nonverbal creatures when it comes to sex… at least in the initial stages of a relationship. Missing out on the simple signs she’s trying communicate to you could be the difference between scoring BIG and striking out. (believe it or not… most men will strike out OR come on so strong… that they blow the whole rapport to boot)

So understanding sexual sensitivity… AND subtlety is super important as well. (because you CAN’T be a “bull in a china shop” when it comes to interpreting sexual body language in a woman… OR your run the risk of turning her OFF completely) And picking up on the language of lust is NOT difficult either. If all else fails… look for lots of fidgeting, a glimmer in the eye, touching her OWN breasts (lightly) and the way she “mirrors” your body in conversation. It doesn’t’ get ANY easier to read than that!

The MOST important thing to remember when it comes to using your intuition, and body language cues to pick up on passion?

While you can use all sorts of cool and creative techniques to intuit what she is thinking, at the end of the day, NEVER assume. Always ensure that you are are picking the RIGHT signals, and never proceed without her agreement.

The bottom line?

Communication is key when it comes to building up erotic energy between two people, and body language is a great way of saying a lot, without having to say anything at all.

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Silicone Rubber Materials

Modern society expects technological innovation and product development that will enable us to live longer, healthier, better lives. Silicones are a fundamental building block that helps make this possible.

Silicone rubber is a synthetic material which has the structure shown below. The polymeric molecular structure of silicone rubbers has a main chain formed of siloxane links Si-O. The bond energy of the siloxane linkage Si-O is 106.0 kcal / mole which is much higher than the bond energy 84.9 kcal / mole of the carbon-to-carbon bond C-Co This difference in the bond energies explain the outstanding stability of silicone rubbers in comparison with other organic rubbers. In general, silicone rubber has much better heat resistance, electrical insulation, chemical stability, etc. than organic rubber.

The "Silicone-Oxygen" molecular structure provides characteristics that allow the final material to withstand a wide variety of chemical and mechanical degradation as well as serving as a strong dielectric.

Silicone synthetic rubber is one of two materials currently being used for switch contacts (the other is a material called EPDM).

Dimenthylpolysiloxane, a typical polymeric constituent of rubbers, has a helical or coiled molecular configuration with a small intermolecular force so that it has high resilience,

large compression and excellent cold resistance. Furthermore, the outwardly directed methyl groups are able to rotate freely resulting in the unique surface properties of silicones such as water repellence and surface-releasability.

Silicone is odorless and tasteless. It does not cause staining, corrosion or deterioration of other materials with which it comes in contact. Good for FDA-approved applications.

Silicone rubber has excellent resistance to many chemicals, fluids and oils commonly encountered in service. Silicones are a family of polymers that include siloxanes and silanes – compound variations of the natural element silicon. Silicon is the second most common element in Earth's crust.

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Omega 3 Fatty Acids

The majority of the people within the United States and Europe consume "dietary supplements," as a socially acceptable structure of health maintenance. Dietary supplements include vitamins, minerals, amino acids, enzymes, and herbs and other botanicals. The continuous use of dietary supplements has not been linked to any unfavorable health effects, and many studies show that supplements present significant health benefits in certain cases. For example, it has been studied that omega fatty acids assist in reducing the risk of heart attacks and strokes as well as assisting in the development and maintenance of the nervous system.

Scientific studies confirm that a diet higher in omega-3 fatty acids reduce the risks of heart attack as well as strokes and sudden cardiac death syndrome. Natural omega-3 fatty acids are found in the oils of fish.

The benefactors of omega-3 fatty acids reach far beyond more than just protecting against heart disease. Omega-3 fatty acids are also accredited in guarding against heart healthiness in general, mental health, child development, cancer, diabetes, inflammation, and many other health concerns.

Omega-3 Fatty Acids To maintain an optimized healthy lifestyle, the body needs to absorb two of the nutritionally indispensable fatty acids: omega-3 and omega-6. These fatty acids can not be synthesized in our bodies but make up the fundamental structural and well-designed mechanisms of our cells, and regulate many significant aspects of our bodies metabolism and immune system.

Dietary omega-3 fatty acids can be obtained from one of two sources; plants or animals. Plant Food a. Fruits b. Vegetables c. Oils d. Grains e. Seeds

Aquatic Plant a. Plankton b. Algae c. Seaweed

Animals a. Most fish b. Shellfish

On the other hand, the omega-3 fatty acids found in the aquatic plants and the animals are far more functional to the body than the plant food variety by itself. The body uses alpha-linolenic acid (ALA) -the short-string omega-3 fatty acids from plants-primarily to make a long-string omega-3 fatty acid called docosahexaenoic acid (DHA). In addition, our bodies use ALA to construct a secondary long-string omega-3 fatty acid called eicosapentaenoic acid (EPA).

Anadequate quantity of ALA was found in the main stream of the American diet, most coming from seed oils like soy and canola. This includes far more omega-6 fatty acid thus, creating an imbalance on the nutriental function of the body. The only significant sources of dietary ALA are flaxseed and hemp seed oils that have become uncommon in the Western American diet.

Omega-6 Fatty Acids Linoleic acid (LA) is a short-string omega-6 fatty acid the body utilizes to manufactor arachidonic acid (AA), a long-string omega-6 fatty acid, like omega-3 DHA, is a critical element of the cell membrane. Linoleic acid is derived from grains, seeds, and vegetables. Meats that include both LA and AA are chicken, beef, pork, and lamb.

How do Omega fatty acids make us healthy? Omega fatty acids engage in the fundamental and indispensable role within the cells membrane, controlling the fluidity, flexibility, permeability and the response levels of vital membrane dependent enzymes. DHA is selectively infused into cell membranes in the retina of the eye and into postsynaptic neuronal cell membranes, which implies that it takes an important vital role in our vision and nervous system functionality.

Omega-3 and omega-6 fatty acids also manipulate the creation of ephemeral, a hormone-like composite called autocoids (eicosanoids, prostaglandins, and leukotrienes). These persuasive chemical messengers manipulate major body behaviors such as blood pressure, blood clotting, inflammation, and the cell immune system.

The predisposition of omega-3 fatty acids to hinder infection is beneficial because chronic, low-level inflammation produced by a diet high in omega-6 induces cardiovascular disease and cancer and has recently been studied to have an associated with Alzheimer's disease.

Omega-3 fatty acids have a tendency to reduce inflammation and the risk of cardiovascular disease, diabetes, mood disorders, autoimmune diseases, and certain cancers, while omega-6 tend to increase the risk of these conditions.

The Omega Fatty Acids Imbalance in a Troubled Western Diet Omega-6 fatty acids are not essentially detrimental in its natural form of balance. The imbalance is in the diets of people largely within the US, Europe, and other industrialized countries that mainly maintain exceptionally elevated levels of omega-6 fatty acids.

The fact that most Americans and Europeans devour at least 10 times more omega-6 fatty acids in relative to the omega-3 fatty acids may explain why government health establishments on both sides of the Atlantic suggest that their general public boost diet intake of omega- 3 fatty acids.

Most citizens in developed countries would do good to increase intake of omega-3 fatty acid, some experts firmly believe that the same could be accomplished through a sharp reduced intake of omega-6 fatty acids.

Because of the fact that omega-6 fatty acids are so plentiful in common cooking oils, some meats, most poultries, and through preprocessed and commercially prepared foods that dictate the largest portion of our contemporary diets, it is less cumbersome to rectify the imbalance by increasing omega-3 intake than it is to suggest restricting omega-6 intake radically, which would require significant changes in a persons behavior in nutriminal choices and their consumption lifestyles.

SEE video at: http://www.emi-dcf.org

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The Medical Clinic or the Emergency Room

When you have a medical emergency in the United States, you typically have two main options. These are the emergency room at your local hospital or a regional medical clinic, either associated with the hospital or a private company. There are several differences between the two, and it is important to know what those differences are.

A medical clinic is an alternative to the emergency room that usually meets the community's outpatient needs. Usually they are privately owned or managed by the public health system. They treat minor emergencies that do not threaten life and limb and where there is not a lot of bleeding from an open wound.

Depending on where you live, there are different types of clinic options. There are those, such as in Canada, that are completely funded by the government. In other countries, such as the United States, there are those that offer free or cheap care for those who do not have the option of insurance. Other options include those that are in major stores, such as Wal-mart, Walgreens, and Target, or specialty, such as those which perform fertility treatments, abortions, or ambulatory surgery.

One difference between medical clinics and the emergency room is shorter wait times. Because ambulances coming in with trauma patients will always come before anyone waiting in line and trauma patients are seen first, so if you have a minor injury or cut, you are the last to be treated.

Another difference between private care and public emergency rooms are that you will have several doctors to choose from. Sometimes specialists are available as well, such as orthopedics. In this case, you will see a general physician followed by an orthopedic surgeon who will set a bone or put on a cast if needed. An emergency room offers treatments that are more specialized and can offer overnight stays if needed. Emergency rooms are also open 24 hours, after others have closed for the night.

A third difference between private care options and the emergency room is the price. Too many people use the ER as their regular doctor visit because they do not have insurance, making the premiums more expensive for those who need it on an emergency basis.

If you have a minor injury and do not need extreme medical care, the medical clinic will be more effective for your needs and be more cost effective for you. However, if you think you may be suffering symptoms of a heart attack or stroke, or experiencing severe bleeding, head straight to the nearest emergency room.

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Treatment Of Gum (Periodontal) Disease – Treatment Options

Periodontal or gum disease can range from a simple inflammation to a serious gum disease. It may result in teeth loss in a worst case scenario. Gum diseases can be preceded by proper oral hygiene. The bacteria, mucus and other particles in our mouth create a sticky colorless substance referred to as "plaque" on the teeth. Flossing and brushing can get rid of this. When plaque is not removed it hardens to form 'tartar'. Daily brushing can not clean this' tartar. "In such a situation, you require professional dental help.

Non surgical treatments include:

Professional dental cleaning

Once you go for a dental checkup, the dentist will assess the gravity of the plaque. In most cases, professional cleaning is recommended. The build up on the teeth is best removed through professional cleaning. If you have signs of gum disease, you may need to get cleaned at least twice a year. The dentist will recommend the frequency of the cleaning based on his assessment of your teeth and gums.

Root planning and scaling

Scaling is deep cleaning. The procedure is done under local anesthetic. Plaque and tartar are removed from the gum line. The scrapping away of plaque is referred to as scaling. The rough spots of the root are smoothened out, and this procedure is called 'planning'. Smoothing is essential because bacteria spots are removed and the teeth now have a clean surface to reattach themselves to. Root planning and scaling is recommended if the doctor ascertains that you have plaque or calculus (hardened tartar or plaque) that needs to be scraped away. A proper examination will reveal whether you need deep cleaning or if a regular clean will suffice.

Signs of gum disease

Periodontal disease symptoms are often unnoticeable until the advanced stages. Some of the telltale signs of gum disease include: bad breath that does not easily go away, loose teeth, swollen or red gums, sensitive teeth or tender or bleeding gums. If you have any of these symptoms, you should consult with your dentist for a medical check-up and treatment of gum (periodontal) disease. Consultation should be done immediately to prevent the advance of the disease, which may result in teeth loss.

Risk factors

There are certain risk factors that may aggravate gum disease. The most common ones include:

Smoking: smoking is a major risk factor associated with the development of gum disease. Additionally, it can also lower the success rate of certain treatments.

Hormonal imbalance: hormonal changes in women and girls can make the gums more sensitive to gum diseases such as gingivitis.

Stress: when you're stressed, the body is not able to fight infection as it normally could and this might leave you susceptible to diseases like periodontal disease.

Diabetes: individuals with diabetes are at a higher risk of developing infections such as gum disease.

Medication: certain drugs such as heart medication and anti-depressants may have a negative impact on oral health. They reduce the flow of saliva. Saliva is essential for protecting the gums and teeth from infections.

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4 Car Diagnostic Tools You Need To Have

The modern cars are complex and require some expertise to know the problems that they are having. The cool thing is that there are many tools in the market that you can go with in order to identify the problems that your car has. These tools include:

Multimeter

A multimeter helps you to test the electrical current through your car. The sensors on your car convert the multimeter readings to voltages that the car computer can understand. Using the tool you will be able to check the sensor's output voltage in order to verify a faulty wiring system. You will also be able to know if your system has a bad part that is creating out-of-spec signals that might be problematic in the future.

Vacuum-pressure gauge

The tool helps you to identify a problem in your engine. When the engine has problems, the problem is usually due to fuel, air or spark. The tool covers the air department so that you are able to work through the maze of vacuum lines in order to identify a leak or cracked tube that might be causing problems.

Fuel pressure gauge

The unit helps you to know whether the engine is getting enough or too much fuel. This helps you to eliminate some of the problems that your engine might be having.

OBD code reader

If you own a car you know the panic that comes in when the "Check Engine" light comes on. The first thing that many car owners do is rush to the nearest garage to have the car inspected. With the OBD code reader, you no longer have to panic when the light comes on. All you need to do is connect the tool to your car and you will know the exact problem that your car is having. This saves you money as you do not have to hire someone to do it for you. You also avoid the guess work game that results in more problems.

There are many types of OBD code readers in the market that you can go for. You only need to choose the one that is ideal for you. If you want the most advanced tools, there are those that connect to your phone and send you all the details that you need to know about your car.

Conclusion

These are the diagnostic tools that you need to have to identify the problems in your car. For ideal results ensure that you properly use the tools.

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Herbal Life Supplements – For Natural Treatment

Herbal supplements have become hugely popular over the years, and with herbal life supplements you can enjoy a natural and effective way of maintaining or improving your health. Herbal life supplements are classed as self medication, and as with any other type of treatment need to be taken responsibly. When taken properly this type of vitamin offers a safe and effective way of health improvement and maintenance. However, these supplements are only effective when you buy quality products, and the best way to do this is to ensure that they are produced at GMP registered facilities, which means that they reach the necessary standards.

When you buy herbal life supplements you can often get great discounts online. In addition to the discount price, you can also enjoy high quality products, so you can ensure that the supplements that you are taking are safe and effective to use. Using a scientifically formulated herbal supplement can aid your health in a number of ways, but quality is of paramount importance. You should make sure that standardized herbal ingredients are used in the supplements that you buy, as this will help to ensure the quality of the vitamin.

Purchasing Your Supplements – Getting The Best

When buying vitamin supplements, it is important to make the checks discussed with regards to quality and ingredients, as this will ensure that the vitamin you take is safe and of good quality. However, you also want to get good value on your supplements, and with the discount prices available online you can enjoy getting herbal supplements that are of high quality and at reduced prices.

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Heart Disease Prevention

Heart disease is the number one killer of both men and women in the United States. Many times heart disease is preventable with life style changes that you can do. Here are five changes that you should take to prevent heart disease.

1. Stop smoking and all use of tobacco products. Even occasional mental smoking, low tar and low nicotine cigarettes and smokeless tobacco put you at risk. Even worse news is that even second hand smoke is risky to your health. Cigarette smoke and nicotine make put stress on the heart and make it work harder. Women who take birth control pills and smoke increase their risk of heart attack and stroke. The risk is even greater after women turn 35. Within only a year after quitting smoking, the risk of heart disease drops quickly.

2. Start exercising. Moderate exercise can reduce your risk of a heart attack. It also helps you to maintain a healthy weight and can help reduce chances of high blood pressure, cholesterol and diabetes. You should get to to 1 hour of exercise most days of the week. The time can be broken up into shorter segments as long as you reach the total time during the day.

3. Eat better food. The American Heart Association has published the DASH eating plan that is available online. The plan encourages you to eat low cholesterol, low fat and low salt. It is also important to include Omega 3 fatty acids in your diet to lower cholesterol. Almost all of us should include more fruit and vegetables in our diet. Also remember that if you drink alcohol, it should be in moderation.

4. Keep your weight under control. Excess weight leads to greater opportunities of developing other conditions that lead to heart disease. One indicator of a healthy weight is a BMI of less that 25. A ten percent reduction in weight can lower your blood pressure.

5. Visit the Doctor regularly. Unless you are checked your will probably not know that you have high cholesterol or high blood pressure. Regularly having these checked also allows you and your doctor to know if the trends are increasing or remaining about the same. If your blood pressure is normal, it should still be tested every two years. Cholesterol should be tested at least every five years. If the numbers are high, then have them checked more regularly.

Heart disease prevention is a numbers game. If you take steps to reduce the risk factors, you reduce the risk of developing heart disease. Remember that heart disease is not only the number one cause of death among both men and women, but also is the number one cause of disability for both sexes. If heart disease disables you, it reduces your alert potential and may cause economic hardship for your family. If heart disease kills you, it not only causes economic hardship but also causes emotional pain for the family left behind. Take steps to prevent heart disease you are worth it and your family will appreciate it.

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Heart Disease Prevention

Heart disease is the number one killer of both men and women in the United States. Many times heart disease is preventable with life style changes that you can do. Here are five changes that you should take to prevent heart disease.

1. Stop smoking and all use of tobacco products. Even occasional mental smoking, low tar and low nicotine cigarettes and smokeless tobacco put you at risk. Even worse news is that even second hand smoke is risky to your health. Cigarette smoke and nicotine make put stress on the heart and make it work harder. Women who take birth control pills and smoke increase their risk of heart attack and stroke. The risk is even greater after women turn 35. Within only a year after quitting smoking, the risk of heart disease drops quickly.

2. Start exercising. Moderate exercise can reduce your risk of a heart attack. It also helps you to maintain a healthy weight and can help reduce chances of high blood pressure, cholesterol and diabetes. You should get to to 1 hour of exercise most days of the week. The time can be broken up into shorter segments as long as you reach the total time during the day.

3. Eat better food. The American Heart Association has published the DASH eating plan that is available online. The plan encourages you to eat low cholesterol, low fat and low salt. It is also important to include Omega 3 fatty acids in your diet to lower cholesterol. Almost all of us should include more fruit and vegetables in our diet. Also remember that if you drink alcohol, it should be in moderation.

4. Keep your weight under control. Excess weight leads to greater opportunities of developing other conditions that lead to heart disease. One indicator of a healthy weight is a BMI of less that 25. A ten percent reduction in weight can lower your blood pressure.

5. Visit the Doctor regularly. Unless you are checked your will probably not know that you have high cholesterol or high blood pressure. Regularly having these checked also allows you and your doctor to know if the trends are increasing or remaining about the same. If your blood pressure is normal, it should still be tested every two years. Cholesterol should be tested at least every five years. If the numbers are high, then have them checked more regularly.

Heart disease prevention is a numbers game. If you take steps to reduce the risk factors, you reduce the risk of developing heart disease. Remember that heart disease is not only the number one cause of death among both men and women, but also is the number one cause of disability for both sexes. If heart disease disables you, it reduces your alert potential and may cause economic hardship for your family. If heart disease kills you, it not only causes economic hardship but also causes emotional pain for the family left behind. Take steps to prevent heart disease you are worth it and your family will appreciate it.

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What Is Cataract?

The term cataract comes from the Greek word katarraktes (down rushing; waterfall) because earlier it was thought that the cataract was a congealed fluid from the brain that had flowed in front of the lens.

Our eye is like a camera. The lens focuses the light rays coming through the pupil onto the retina or back side of the eye. The different parts of the retina collect this light and send a massage to our brain then we can see.

For perfect vision the lens should be clear, so that light can pass through it and reach the retina. When the lens becomes cloudy or opaque, light can not pass through it and vision becomes dim or blurred. A cloudy lens is called cataract.

Symptoms:

  • Sensitive to Sunlight (Photophobia).
  • Cloudy, fuzzy, foggy, or filmy vision.
  • Difficulty in seeing at night or in dim light.
  • Monocular diplopia.
  • Problems seeing shapes against a background or the difference between shades of colors.
  • Seeing Rainbow halos around lights.

Causes and risk factor of Cataract:

  • With age.

  • Diabetes.

  • Glaucoma.

  • Eye infection (Uveitis).

  • Family history of cataract.

  • Eye Injury.

  • Infection.

  • Congenital or by birth.

  • Exposure to ultraviolet light (Sunlight).

  • Long-term use of corticosteroids (taken by mouth for skin or any other systemic diseases).

  • Radiation exposure (X-ray technicians, airline pilots have a higher risk of developing cataract than non-pilots and that the cause may be exposure to cosmic radiation.).

  • Smoking

  • Surgery for another eye problem.

  • Using long term anti-glaucoma eye drop like Pilocarpine.

Classification of cataracts according to time of occurrence:

(A) Congenital and developmental Cataracts (less than 1% of all cataracts):

These occur due to some disturbance in the normal growth of the lens. When the disturbance occurs before birth, the child is born with a congenital cataract. Developmental cataract may occur from infancy to discrimination. There are many congenital cataracts. They are either hereditary or acquired through the placenta

1. Hereditary Congenital Cataracts: Familial forms of congenital cataracts may be autosomal dominant, autosomal recessive, sporadic, or X-linked.

2. Cataract from Transplacental Infection in the First Trimester of Pregnancy:

Incidence of congenital cataract is due to virus infection contracted by the mother during the first trimester of pregnancy.

  • Rubella.
  • Mumps.
  • Hepatitis.
  • Toxoplasmosis.

The most frequent cause of congenital cataract is a rubella infection contracted by the mother, which also produces other developmental anomalies like hearing loss. This infection occurred during the fifth to eighth week of pregnancy, the phase in which the lens develops. Because the protective lens capsule has not yet been formed at this time, viruses can invade and opacify the lens tissue.

(B) Acquired Cataract (over 99% of all cataracts):

1. Senile cataract (over 90% of all cataracts) – This type of cataract occurs with age.
2. Traumatic cataract.
3. Cataract with systemic disease like diabetes or any other systemic diseases.
4. Secondary and complicated cataracts due to night blindness (retinitis pigmentosa), inflammation in the eye (Uveitis).
5. Toxic cataract-Corticosteroid (taken by mouth for skin or any other systemic diseases).
6. Postoperative cataracts due to any intraocular surgery like vitrectomy and retinal surgery.

Treatment: In early stage of cataract following things may help temporarily.

  • Better eyeglasses (Frequently changes spectacle power).
  • Better lighting.
  • Magnifying lenses.
  • Sunglasses.

If with spectacle vision gets worse, may need cataract surgery.

Is there any medication to remove cataract?

There is no medication to remove cataract, only option is cataract surgery to achieve a good visual result.

If I do not go for cataract surgery, what complication may occur?

A cataract that goes on to an advanced stage (called a hypermature cataract) can begin to leak into other parts of the eye. This may cause severe pain is called Secondary Glaucoma. If this type of thing occurs then after cataract surgery also vision may not improve.

When should I go for cataract surgery?

When a cataract has been diagnosed, consider how your vision affects your quality of life and ability to do the things, you ordinarily do. Without a cataract interferees with work, driving, computer work, reading or day to day work, there is no urgent need to remove it. There is no harm in waiting if you keep regular appointments with your eye doctor to evaluate how the cataract is progressing.

Will the operation be successful?

Cataract surgery is now performed as a microsurgical technique under an operating microscope. Modern techniques, microsurgical instruments and specially trained surgeons have made it possible to successfully perform cataract surgery without any serious complications in 98% of all patients.

Therefore it is important that the patient under goes a thorough preoperative eye examination to exclude any ocular disorders, as well as the cataract, that may worsen visual acuity and compromise the success of the cataract operation. Such disorders include uncontrolled glaucoma, uveitis, macular degeneration, retinal detachment, atrophy of the optic nerve, and amblyopia (lazy eye).

How much time it takes to perform a cataract surgery?

The procedure takes only 15-20 minutes.

Duration of hospitalization:

Now a day's no need to stay in hospital, after the surgery immediately can go home. Even medical insurance company also recommended this as a day care procedure.

Is it painful surgery?

You will not feel any pain because cataract surgery is performed under anesthesia. There are two type of anesthesia one is Local anesthesia and second is General anesthesia. Now a day, most of the cataract surgery is performed under local anesthesia.

Local anesthesia: (Retrobulbar injection, Peribulbar injection, or topical anesthesia): Here one small injection is given lower portion of the eye is called Retrobulbar or peribulbar.

Now a day topical anesthesia is very popular, because the procedure of cataract surgery takes only 15-20 minutes. So, long term anesthesia is not required for that. Here before surgery only one drop needs to instill in the eye that is enough for cataract surgery. This type of anesthesia is recommended for patients who are very smart and not nervous.

General anesthesia: This is recommended for patients who are extremely nervous, deaf, or mentally retarded or children. It is also indicated for patients with Parkinson's disease or rheumatism, who are unable to lie still without pain.

Surgical techniques to remove cataract:

Several techniques are used for removing cataracts. Latest technique is phacoemulsification. In this method a tiny instrument is inserted through a very small incision. The instrument uses ultrasound vibration to break the cataract into fine pieces, which are nicely suctioned out. Then an intra ocular lens (IOL) is inserted into the eye. No stitches are required to close the incision.

Is it necessary to implant IOL during surgery?

In 95-98% of all cataract extracts, an intraocular lens (IOL) is implanted in place of the natural lens (Posterior chamber lens). An eye with an artificial lens is called Pseudophakia. If surgery is performed without intra ocular lens then you have to use + 10D spectacle to see clearly. Without spectacle you can`t do day to day activity and second thing is heavy weight of spectacle that is very disgusting. So during surgery IOL is necessary.

Types of Intra Ocular Lens:

Monofocal IOLs: This type of lens can be implanted either for distance or near. Here patient can select wherever he wants distance vision clear or near vision clear without spectacle. If someone has so much near work and he wants to do near work without spectacle then it is possible in this type of lens. But most of the people want distance vision clear without spectacle, surgeon also want same.

Multifocal IOLs: These allow you to see at distance and near clearly. So Spectacle is not required. But one disadvantage of this type of lens is glare problem. So much perfectionist people should not go for this type of lens. This type of lens is work for housewife who has less visual demand.

Can I get 20/20 or 6/6 vision without spectacle after cataract surgery?

Pre-operative check can give an idea for 20/20 or 6/6. It depends on several conditions like:

  • Corneal curvature of the eye (Horizontal and vertical), if both meridian different more than 0.75D in keratometry then after surgery spectacle is required (Today Alcon toric IOL is available for this solution but it is very expensive).

  • If eye ball length (axial length) is very high or very less then spectacle is necessary after surgery. Eye ball length is measured by A-Scan machine. Normal eye ball length is 23-24 mm.

  • Image form in the retina. For good visual exit retina should be healthy and diseases free like diabetic retinopathy, age-related macular degeneration or any other retinal diseases.

  • If prior cataract vision was good then after surgery also chances to get same vision.

  • 90% visual exit depends on proper IOL power calculation. IOL power calculation should be done by expert technician, optometrist or doctor.

  • Last important thing is surgeon should be skilled and qualified.

Once cataract surgery done, Can I develop cataract again?

No there is no chance to develop cataract once surgery is done. But posterior capsule of the lens where lens in implanted becomes thick with time is called Posterior capsular opacification (PCO) or secondary cataract. Once PCO is developed then need to go for YAG (yttrium-aluminum-garnet) laser. This is maximum two minutes opd procedure. With laser beam the thickened capsule is to cut. So it is painless procedure.

Prevention:

  • The best prevention involves controlling diseases that increase the risk of a cataract.

  • Wearing sunglasses when you are outside during the day can reduce the amount of ultraviolet (UV) light your eyes are exposed to. Some sunglasses do not filter out the harmful UV. An optician should be able to tell you which sunglasses filter out the most UV.

  • For patients who smoke cigarettes, quitting will decrease the risk of cataract.

  • Eat green leafy vegetable.

  • Some studies suggest people with diabetes are at risk for developing a cataract. So, control blood sugar.

  • Should not take oral steroids for long time for any systemic disease.

  • Some eye care practitioners believe that eating a lot of salt may increase the risk of cataract.
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Blind No More

In the 19th century, Robert Ingersoll was a famed speaker and agnostic. He would give popular speeches on why he doubted the existence of God. Before one crowd he read a letter he recently received from an old friend.

In the letter his friend went on to discuss getting married, becoming a father, and losing everything to alcohol.

One night he passed out in the street, and was taken in by some kind people who helped him become sober. They told him that Jesus could help him overcome his addiction, and they helped him make a new start.

In the letter he challenged Ingersoll to reconsider his beliefs, recounting that his new faith saved his family, his marriage, and set him free from alcoholism.

Ingersoll paused after reading the letter to the crowd. He then proclaimed he could speak no ill will against the power of a faith such as this. He said he could find no fault in Christ. What he did find troubling though he would say, is people who do not practice what they preach. To those types of people he would say, were his speeches directed.

Paul states, “Whenever a person turns to the Lord, the veil is removed” (2 Corinthians 3:16). The veil he is referencing has shades of meanings, but the primary thought here is to spiritual blindness.

The blindness here is being unable to see that one needs a savior, in thinking that by self effort one can somehow be perfect by trying hard enough to please God. Paul says there is another way to live, one that is effortless, one that is about freedom. It is in seeing that not one is or can be perfect, and in realizing that in Christ we don’t have to be because grace is greater than all our sin.

Paul goes on to say that only in Christ is the veil removed, and when it is, the spiritually blind can now see. They can see that their sins are forgiven, they can see that God has their best interests at heart, but most of all they can see that they don’t have to keep struggling to be good enough or religious enough, they can simply rest in knowing that Jesus forgives, he changes us, he lives in us, and he sets us on a rock that is higher.

When we have sight like that, then we will practice what we preach, because we will take our eyes off of our self, and simply see Jesus, the author and finisher of our faith.

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Vitamin D and Death Due to Colorectal Cancer

Based upon recent high quality clinical research, only Vitamin D, among all vitamins, appears to have potentially significant cancer prevention effects. However, as with all areas of clinical and laboratory research, one can find contradictory research results for Vitamin D, as well.

An innovative prospective clinical research study is now reporting its results, which appear to link Vitamin D deficiency to colorectal cancer death rates. As with previous research studies, the findings of this study strongly suggest that Vitamin D deficiency may be linked with a higher risk of death due to colorectal cancer. The findings of this clinical research study appear in the current issue of the journal Cancer.

An interesting and unique aspect of this particular clinical research study was its evaluation of the potential impact of Vitamin D deficiency on the well-known increased risk of death due to colorectal cancer that has been observed in African-Americans when compared to Caucasian patients. As our bodies create active Vitamin D from exposure of our skin to sunlight, and as people with darkly pigmented skin are more prone to developing Vitamin D deficiency, when compared to lightly-pigmented people, the authors of this study sought to assess the potential colorectal cancer risk impact of Vitamin D deficiency on patient volunteers with darkly pigmented skin.

In this large public health study, the Third National Health and Nutrition Examination Survey (NHANES III), which was conducted between 1988 and 1994, blood levels of Vitamin D were measured in study volunteers. Patients with a Vitamin D level of less than 20 ng/dL were considered to be deficient in Vitamin D.

As previous public health studies have also shown, the results of this study indicated that African-Americans are twice as likely to die of colorectal cancer when compared to Caucasians. When blood levels of Vitamin D were considered, specifically, the increased risk of dying from colorectal cancerobserved in African-American patients decreased by 40 percent among those African-Americans who had normal levels of Vitamin D in their blood. (These results, therefore, suggest that at least 40 percent of the increased risk of dying from colorectal cancer in African-American persons is likely to be caused by Vitamin D deficiency.) When patients of all races were considered in terms of Vitamin D deficiency as a risk factor for death due to colorectal cancer, patient volunteers with a blood level of Vitamin D less than 20 ng/dL were more than twice as likely (i.e., a 211 percent increase in risk)to die of colorectal cancerduring the course of this prospective research study, when compared with patients who had normal Vitamin D levels.

In summary, this large prospectively conducted public health study found, as have previous studies, a significant association between Vitamin D deficiency and the risk of dying from colorectal cancer. (Previous Vitamin D studies have also identified a 25 to 40 percent reduction in the incidence of colorectal cancer, and death due to colorectal cancer, in study volunteers with blood Vitamin D levels in the 30 to 40 ng/dL range.) While not all clinical research studies have shown this level of colorectal cancer risk reduction associated with normal blood levels of Vitamin D, this particular study joins a growing list of clinical studies that appear to show a significant reduction in colorectal cancer risk associated with adequate levels of Vitamin D in the blood.

As excessive Vitamin D intake can cause significant health problems (especially in patients with kidney disease and parathyroid gland disease), you should check with your doctor prior to considering the use of Vitamin D supplements.

For a complete discussion of Vitamin D as a cancer prevention agent, and other evidence-based approaches to cancer risk and cancer prevention, order your copy of my new book, “A Cancer Prevention Guide for the Human Race.” For the price of a cheeseburger, fries, and a shake, you can purchase this landmark new book, in both paperback and e-book formats, and begin living an evidence-based cancer prevention lifestyle today!

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Soap Skin Care – Harmful Ingredients to Get Lathered Up About

Why get all lathered up about soap skin care? Because, not all soap is created equal. A good bar soap balances fatty acids to maximize hardness, lather quality and moisturizing ability. All of this is accomplished by the ingredients that make up a bar of soap.

The basics of soap consist of a mixture of fats and lye.

Lye –All soap is made using lye. In a properly produced soap, no lye remains in the final product. Lye is consumed in the saponification process. Superfatting further assures that all lye is consumed and no harm to you.

Fats – All oils are made up of fatty acids. The fatty acids required to make soap are supplied by tallow, grease, fish oils, and vegetable oils. When these oils are saponified (oil and lye are mixed), a chemical reaction results in molecules of soap leaving glycerin behind. Glycerin is a natural part of vegetable oils and a humectant, meaning it attracts moisture to your skin. Some soap companies retain all glycerin produced in the saponification process while others remove it to sell to other companies who make lotions and moisturizers. Glycerin is a highly profitable substance. Some may keep trace amounts just to put it on their soap label.

The soap is then screened and colored. Other chemicals may be added to enhance the performance of soap. These chemicals can be irritating to your skin and even harmful for your body.

Synthetic Scents – The soap may contain fragrances which are synthetic compounds that may dry out or irritate your skin. Fragrances can have hidden ingredients such as phthalates which are linked to serious reproductive problems in studies of people and animals.

Artificial Colors – Artificial colors are mostly petroleum based chemicals. Keep in mind that your skin is porous and will absorb whatever it comes in contact with.

Chemical surfactants –Sodium laurel (or laureth) sulfate may be added to increase the lather quality. The Journal of The American College of Toxicology (ACT) in 1983 showed that concentrations as low as 0.5% could cause irritation. Some soaps have concentrations of up to 30%, which the ACT report called "highly irritating and dangerous."

The Healthier Option –

The healthier alternative is to use soap created with vegetable oils, scented with essential oils and colored with herbs and plant extracts. Other added plant based oils like cocoa or shea butter will moisturize and soften your skin. Ingredients should be certified organic if possible to assure that the plants were grown without toxic chemicals.

Keeping the ingredients simple, natural and organic lead to a perfect bar of soap that will not harm you or the environment.

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One Bad Decision Can Cost a Hospital Millions

Things can go wrong without the right team in place

I recently read an article that was attempting to explain the cost overrun experienced by a hospital during the launch of their new EMR. The article was clear on what caused the overrun but failed to communicate why the decision was made that created the cause.

In many hospitals, emotions can run high fueled by attitudes of resistance to change. The pressures and stress associated with go-live can be a challenge to manage; however, allowing those forces to affect decision-making can have lasting adverse financial effects. When all planning, budget, constraints, and common sense that should be applied are set aside, you can almost always expect the worse. It may feel like appeasement is the right thing to do to relieve the stress, but it may not be the best thing. Sticking to the plan, and staying within the budget should always be the guiding factor that drives decisions even when the pressure is great.

It’s unfortunate, but some decisions are based on problems that may not exist at all but are only perceived based on excessive negativity. Having an experienced team in place that can help make decisions based on fact is vital.

Negotiating Skills Do Pay Off!

When doing logistics, treat it like it’s your money

Getting one of the best hotels in the city to give you the lowest rate with great concessions is excellent. In this agreement, the hotel managed the flight itineraries and provided transportation to and from the airport. They supplied one large conference room for orientation and then surprised us in the contract with a complimentary welcome reception for 120 guests with heavy hors-d’oeuvres. Provided two fifty-six seat luxury buses and several shuttles to transport consultants to the training facility and back. They also agreed to use their shuttles to take those consultants that worked within two miles of hotel to work and back each day. Everything listed above was in the price of the rooms $105.09 with tax. Note, this took a huge burden off the consulting firm, and the savings were passed on to the hospital.

When a hospital hires a consulting firm, that consulting company should put forth all effort to save money, not spend money. Creating a positive cost variance (CV) indicates the consulting firm is in fact on your team. Negotiating for the best price is good, but getting the most value for the lowest price is better.

Consultants Saved the Day!

Good consultants can mean the difference between success and failure

I sat in an auditorium with over three hundred consultants when the speaker invited to the podium the senior implementation project manager. “Dr. So and So has overseen the EMR implementation of nineteen plus hospitals please give him a round of applause.” Wow, nineteen projects that’s impressive. However, it turned out to be a challenging project in many areas but mainly with significant workflow issues.

Although it is confusing why this happens, it is clear the leadership was out of touch. Seeking someone with excellent qualifications can be attractive for any hospital, but having someone with the insight that can eliminate problems before they exist is priceless. I am not sure why this project manager didn’t know this.

Fortunate for everyone the consultants came with the experience and knowledge necessary to handle these types of issues. Jumping into action and based on past experiences they began the process of educating the staff and leadership on what works. This go-live would have never survived without the tremendous efforts of the consultant.