‘Mission Indradhanush’ – A Shot in the Arm for India’s Universal Immunization Programme

It is not common that India comes in for commending mention when health indices are in question. Mission Indradhanush (MI), a Central government initiative launched three years back in December 2014 with an aim to achieve full immunization, has managed to get its share of attention and international adulation. This is including a reference in a 2017 report of the Johns Hopkins Bloomberg School of Public Health.

Mission Indradhanush was designed as a booster vaccination programme in 200-odd under-served districts with low immunization coverage, to ensure that all children under the age of two and pregnant women are fully immunized against seven life-threatening diseases – tuberculosis, poliomyelitis, hepatitis B, diphtheria, pertussis, tetanus and measles.

The word ‘Indradhanush’ was chosen to represent the seven vaccines that are currently included in the Universal Immunization Programme against these seven diseases – the number has since risen to 12 with the inclusion of vaccines against measles, mumps and rubella (MMR), rotavirus, Haemophilus influenzae type B, pneumococcus and polio. In a select few states and districts, vaccines are also provided against Japanese Encephalitis.

The importance the government is attaching to the programme was clear when last year in October 2017, during the run-up to the Gujarat Assembly polls, Prime Minister Narendra Modi launched the upgraded version of the MI project – the Intensified Mission Indradhanush that aims to reach the last ‘unreached’ child. For the intensified MI, 1,743 districts and 17 cities were identified, aiming to reach ‘full immunization’ by December 2018. According to the National Family Health Survey 4, the vaccination coverage in the country is a mere 65 per cent.

In the three phases of the Intensified MI so far (usually held between the 7th and 14th of each month), health workers have covered approximately 4.5 million ‘unreached’ children – those who have never been vaccinated – and have fully vaccinated approximately 1.2 million children. They have also reached approximately 1 million pregnant women. The four phases of Mission Indradhanush, until July 2017, had reached approximately 26 million children and around 6.8 million pregnant women in 528 districts across the country.

According to the government’s Integrated Childhood and Immunization Survey, the first two phases of Mission Indradhanush led to a 6.7 per cent annual increase in immunization coverage as compared to the 1 per cent increase in the past. At those rates, the country would take a quarter of a century to reach the target of 90 per cent coverage.

MI happened with no additional resources from the Centre. When it was first mooted, states raised the demand for extra vaccines but Dr. Pradeep Halder, often hailed as the brainchild of the immunization programme, argued that since vaccines are procured with the entire birth cohort in mind, those meant for children who are not covered “should be somewhere in the system”. About 10 per cent could be presumed wasted, but the rest the states would have to fish out. They did that and out of this experience was born ‘ eVIN ‘.

eVIN (Electronic Vaccine Intelligence Network) is an indigenously developed technology system in India that digitizes vaccine stocks and monitors the temperature of the cold chain through a smart phone application. The innovative eVIN is presently being implemented across twelve states in India. eVIN aims to support the Government of India’s Universal Immunization Programme by providing real-time information on vaccine stocks and flows, and storage temperatures across all cold chain points in these states. The technological innovation is already being implemented by the United Nations Development Programme (UNDP) and has been categorized as a global best practice. Teams from Philippines, Indonesia, Bangladesh and Thailand are now preparing to roll it out in their own countries.

Future Challenges & Opportunities

The picture is not all that rosy. Health officials have reasons to worry. There is fear that MI is taking the emphasis away from the routine immunisation (RI) project. While MI is only meant to supplement RI, some states have started reporting consolidated figures for RI and MI that not only takes away from a realistic assessment of MI but also raises fears of the booster shot replacing the primary. There are concerns that because of the emphasis on MI and now Intensified MI, states will push resources into this and the routine immunization programme will suffer.

The first 2 phases of MI had led to an increase in immunization coverage by approximately 7 percent. Micro-planning needs to be strengthened so that all children and pregnant women, especially those in far-flung areas and high-risk habitations are covered. The biggest challenge is the deadline India has set for herself, that is, of bringing down the target date (for 90% immunization coverage) from 2020 to December 2018. This means that the Intensified MI would have to reach out to the populations in the most remote locations in a limited timeframe. However, it is easier said than done. A major barrier in achieving this target is the deeply ingrained cultural issues and religious beliefs and general lack of formal health communication at the ground level (village households).

MI is a strategy to strengthen RI. MI must lead to capacity building of frontline health manpower for providing quality immunization services. Massive campaigns have been carried out for MI which has led to an increased awareness on immunization and encouraged inclusiveness. Most importantly, MI in areas which were previously left out of RI has led to these areas being integrated into RI micro-plans and taking immunization services closer to the people than ever before. An integrated RI plus MI (and now Intensified MI) has provided much needed impetus to the national immunization programme.

Is achieving 100% target possible for India?

Achieving 100 percent immunization coverage requires persistent and sustained efforts because new cohorts of children who have to be immunized are added continuously. There is always a high probability that small proportion of children may not be covered despite best possible efforts due to reasons like migration (for work), among other factors. Hence, there can never be a target date for achieving 100 percent coverage. The aim should probably be to attain and sustain the immunization coverage across the country at 90-95 percent levels.

Conclusion

Vaccination is one of the surest methods of ensuring healthy children and eventually a healthy nation. As per the direction of the Prime Minister of India, the goal of Intensified Mission Indradhanush is to increase the immunization coverage to 90 percent by the end of this year. This can be achieved only when we reach out to those ‘unreached’ children who are left out of routine immunization sessions.

A public health programme, let alone child immunization programme, even globally, has never targeted such a large population in such diverse geographies. The only way ahead is to focus on the most backward districts. What is significant is India does not need money to push these things forward but unwavering focus and meticulous planning and implementation.

In My Opinion the Best Type of Omega 3 Fish Oil is the One That Has Been Molecularly Distilled

Although I have been writing these articles for a few years now, I am still amazed that some people still want to know, what is the best type of Omega 3 fish oil? You see, I know what the best type of fish oil is, I automatically assume everyone else does as well. However, I will tell you most of the things I think you want to know, in this article.

As far as I am concerned, the best type of Omega 3 fish oil is where the oil has been molecularly distilled to remove the impurities such as the heavy metals, lead, mercury and the toxins such as the PCBs. Now, these toxins are very dangerous, as they can cause cancer, this method of purifying the oil through molecular distillation is the only method that will get rid of them.

The best type of Omega 3 fish oil has the DHA fatty acid as the dominant fat, followed closely by the EPA fatty acid. The two of them join together to help prevent heart attacks. They do this by stopping the platelets in the blood from coming together and forming in to clots. These clots are the main cause of heart attacks and strokes.

The best type of Omega 3 fish oil is the one where the oil comes from the species of fish called the Hoki. This species is native to the cold, deep waters off the coast of New Zealand. They feed on plankton which makes them rich in the essential fatty acids DHA and EPA. The waters around this area are regarded as the most pristine waters in the world.

The company that I buy my oil from puts the Hoki oil and Tuna oil together and forms a combination that gives double the anti-inflammatory properties of other highly concentrated oils. This oil is highly thought after by people who suffer from rheumatoid arthritis and other inflammatory type diseases, as it helps to alleviate the pain often associated with these diseases.

Target Specific Areas Of Your Body With Laser Hair Removal

Laser hair removal can be an incredibly practical solution for those individuals who want to reduce or get rid of hair on targeted areas of their body. The greatest benefit is the permanence of the hair removal, as supported by years of scientific research and proven results.

The way laser hair removal works is through a concentrated laser beam, which is aimed at each hair follicle. When the procedure is performed correctly, the energy from the beam penetrates harmlessly through the skin and the heat reduces and finally eliminates the hair completely. This treatment is most effective for facial hair and other small patches of unwanted hair. It can work for larger areas, but requires more time and multiple treatments. People with lighter skin and darker, coarse hair will see the best results overall. Costs for the procedure depends on the number of visits needed, the area being treated, the method used, and the city where the clinic is located.

This option may not be the best one for every individual, and there are minor risks involved. As the laser targets the hair shaft, it can possibly damage the skin’s pigmentation. The beam remains in contact with the follicle long enough for its heat to work, but if that spot is exposed too long to the laser, the heat may spread to the skin surrounding the hair and cause damage. Other side effects may include scars, darkening of tattoos, reddened skin, blisters, crusting, and hypo-pigmentation. To reduce the risk, the procedure should be performed by a thoroughly trained professional at a reputable clinic.

Another option for removal of hair is Intense Pulsated Light, otherwise known as IPL. Like laser hair removal, IPL uses a kind of laser to permanently remove unwanted hair, but instead of a solid beam, it emits a spectrum of light to target the strand. This makes the procedure safer but in many cases produces less effective results, leading to a lower success rate.

Depending on the individual’s comfort level and the results he or she desires, either hair removal option may be a better fit. Laser hair removal is the more effective procedure, and after a few treatments, will lead to permanent removal of hair. The nature of the procedure, however, may also expose the individual to more risks if it is not done correctly. Consult with a qualified professional to achieve the best results and to avoid potential harm. Reputable clinics will be happy to explain every option and address any concerns, and will guide you to make the best decision to suit your needs.

Anxiety Depression Or Bipolar Disorder

Living with bipolar disorder is difficult. It not only affects your emotional well-being, but also your ability to think clearly and use proper judgment. Normal energy, sleep habits, and appetite are also influenced in a negative way.

Anxiety and depression or bipolar disorder is especially difficult to deal with on a day to day basis. The symptoms vary among individuals, but can include feelings of agitation when you are especially anxious. This agitation can manifest itself as an inability to be still. Restless, mindless pacing is common, as well as an almost overwhelming “keyed up” feeling.

Bottling It Up

Some people, however, seem to hold all their anxiety inside. Racing, disorganized thoughts and a feeling that the emotions will well up and out of the body like a volcanic eruption, or the sensation of being caught up in a wave of fear that won’t go away are characteristic of bipolar anxiety and depression.

Stress seems to be a trigger for the start of a depressive episode in many people with bipolar disorder. Any stress can lead to anxiety, which is known to affect someone suffering from bipolar disorder more severely.

The “Fight-Or-Flight” Syndrome

Anxiety in and of itself is normal, as it is the mind and body’s programmed acknowledgment of anything perceived as a threat. The “fight or flight” syndrome has been a part of human response since time began. Man seems to know instinctively whether he should run away or stand and defend himself.

The body recognizes the anxious feelings, and the brain responds by releasing adrenaline and cortisol into the bloodstream. This causes the anxious person to feel a heightened alertness and experience an increased heart rate and blood flow changes that can lead to shakiness and discomfort.

Constant Anxiety

Unlike most people though, anyone who suffers from bipolar anxiety and depression must live with these symptoms on a daily basis whenever they are in the depressive state of the illness.

The proper amount of anxiety is helpful in order to cope with day to day living, but too much can interfere with every aspect of life. When someone is anxious and jumpy, they cannot function normally. Job performance and personal relationships suffer. Bipolar anxiety and depression can cause you to have a physical reaction like that described above, even to the most normal of situations, and feel constantly anxious, irritable, and convinced that disaster is about to strike.

People suffering from bipolar disorder eventually begin to avoid the people, places, and things which in their minds are causing them to feel this way. Since everyone and every thing seems to create tension, and in turn provokes an anxious response, they tend to not want to leave the security of their home when the anxiety and depression hits them.

Asking For Help

What can you do about bipolar anxiety and depression? The first step is to visit your health care provider and ask for help. The condition is not curable, but is highly treatable with a variety of medications. Your doctor may also recommend a treatment known as talk therapy.

Talk therapy can help you to better understand the things in your life that trigger an anxious response, and work through ways to overcome your negative reactions. A comprehensive treatment plan that includes both medication and therapy is your best weapon toward conquering bipolar anxiety and depression.

The Benefits of Having Art Therapy Schools

In the past, people thought that when they go to the hospital, all that they would see are just bland white walls and they were right then. Most hospitals were painted white because they want to project the image of purity and cleanliness and white represents both. However, recent studies show that patients feel much better in an environment that is full of colors and works of art not only because it makes them feel as if they were not sick but also because the art works and its colors give them hope that someday, they will feel better and everything will be back to the way it was when they were healthier.

Art therapy schools have been found to be most useful and helpful for people who are going through something. Although in the beginning people thought it was outrageously crazy to even think of art as a helpful means of healing but when they found out the difference in the mental health of people who have submitted themselves to enrolling to art therapy schools, they became converts. There is no denying how helpful art is to the lives of these people. They can use their own creativity to produce works of art to help you express your innermost feelings and desires to lessen the burdens that you are carrying.

Perhaps one of the benefits of getting into art therapy schools is that in the process of learning the different forms of art, you also learn a bit more about yourself. Whether you decide to use bright colors or the cold ones or perhaps even the lighter shades, all of these colors just have their magical healing powers. Art therapy schools has successfully made itself important for people as they establish the importance of art in various medical and psychiatric setting in that it has reached out to people who have been under a lot of stress and trauma. Not only do these people discover that doing art and creating art is a form of therapy but they also discover a brighter side of life. Art has shown them that despite the troubles and illnesses that they have, they can still enjoy life as they live it and doing art and enrolling in art therapy school knows just how to help them.

The second benefit that people get from joining art therapy schools is that they are able to block out the negative ideas because they are too concentrated in doing art. It helps them keep their self confidence strong and grounded that they are able to control their feelings and avoid outbursts of emotion. When patients get involved in art production, they spend less and less time thinking about their illnesses and more time thinking about how they could improve their art work. Because of this, art magically makes them feel that they need less prescriptive medication and just more of art works. Today, art production has become an important aspect of a patient’s healing and instead of the intake of prescriptive medication, patients are now looking into producing more art forms because it has brought them to the brighter side of life.

Sometimes, people get sick just because they do not know that there is more to life than just getting sick and spending the days thinking about the fact that they are dying. By engaging in art like drawing or painting, one is able to redeem himself that allows the total healing process to commence.

Dog Joint Medicine – The Best Medicine For Dog Joints

Any condition which effects your dogs joints is more often than not a very serious one because it will have a direct effect on your dog's mobility and therefore their whole quality of life.

The most common problems with dog joints are caused by a degeneration of cartilage which is often as a result of added stress, or by a defect in the positioning of the joint caused by an injury or by stress.

The wearing down of the cartilage can often leave part of the joint exposed causing bones to rub together which can cause extreme pain and swelling. Fortunately there are dog joint medicines that are available that will work to regenerate the cartilage which is more than often the cause of the problem, and I will outline some in this article.

Dog Aspirin – Dog aspirin is widely used and can be very effective at decreasing the circulation and inflammation associated with joint pain in dogs. It is recommended that you consult your veterinarian before administiring aspirin for your dog, and this is because it can be toxic in the wrong dose for your dog, especially if it is a smaller or younger dog. Aside from this dog aspirin can act as a very effective dog joint medicine if the correct amount is given.

Natural Joint Supplements – There are a variety of natural supplements on the market that have been proven to be effective at regenerating and halting the break down of cartilage in the joints of dogs. These supplements can act as extremely effective dog joint medicines because they target the initial cause of the problem of the joint as a pose to just masking the pain of your dog.

You have to do your research first before purchasing a supplement to make sure that the supplement has been clinically proven to work, and is safe to FDA standards to ensure maximum effect.

If you use just one or a combination of these dog joint medicines above then you can expect your dog to be well on their way to recovery within a relatively short period of time.

The Breakthrough of the Natural Cure For Impotence

Impotence is one of the touchy issues that the male gender does not wish to discuss or accept. Many choose not to accept that they have this problem which is why they do not get proper treatment. Here are some facts about this condition and find out what is the natural cure for impotence.

What is impotence? This condition is also known as erectile dysfunction. This is the incapacity of a male to sustain or to achieveection when engaging in sexual intercourse.

When a man is stimulated sexually, there is a signal coming from the brain towards the spinal cord and the penis nerves. The nerves are responsible in releasing chemicals known as neurotransmitters that trigger a reaction of the corpora cavernosa which reacts by filling out with blood. The penis enlarges because of the rush of blood which is called the clearance process.

A person with erectile dysfunction has trouble sustaining this erection or has trouble havingection. This incapacitates them in performing well during intercourse.

In the US alone, there are estimated 30 million men suffering from this problem. Usually, men between ages 40 and 70 experience this.

What are the causes and symptoms? Before, many experts think that psychology has got something to do with this condition. Now, however, it has been recognized as a condition caused by age and problems in the treaties, tissue damage and other diseases that can cause a malfunction in the primary organs that are liable inection.

Medications such as antiulcer drugs, tranquilizers, antidepressants and even antifungals can actually suppress erection. Bad habits such as smoking and drinking can also contribute to this condition. Too much stress and emotional problems can be contributing factors as well.

What are the treatments? The first line of treatment by many is the use of prescription drugs. Viagra, a brand name for sildenafil citrate, has caused quite a stir in the market and many have been using this since it came out. However, since this is a potent drug, it causes side effects such as indigestion, flushing and stuffy nasal passes. Men diagnosed with heart disease are not advised to use this drug as it may cause heart complications. Many people are seeking for a more natural cure for impotence. It is not a secret that herbal remedies are effective in improving the quality of the life of the person. Some men use herbs in ancient years to improve male potency.

Ginkgo Biloba-is one of the most popular botanical cures. This is a natural stimulant that can send signal from the brain to the nerves.

Asian Ginseng-is another herb that has been originally used in China as a natural aphrodisiac. Horny goat weed- this has been labeled as "natural Viagra" which contains icariin. Icariin is great in increasing nitric oxide in the system of the person affected to enable the blood to flow more into the penis. Tongkat Ali-this is known as a natural booster of testosterone

A naturally made product that one can use is Ikawe for Men. Ikawe for Men is a great product that can support the normal process of the reproduction system of men. This will hinder any malfunctions that can occur during the erection process. It sustains heightened arousal and pleasure and can even boost the stamina.

What is great about this product is it uses natural ingredients such as horny goats weed, Siberian ginseng, saw palmetto, Kola nut and many more which are all carefully engineered to achieve great results minus the side effects.

The cure for impotence can be achieved through the natural way. Widen your choice of treatment and you can elevate the quality of your life.

World Class Healthcare in Singapore Hospitals

Singapore has always been on top in the healthcare sector within the Asian region. Not content develop linearly, Singapore has reached out to the international arena and built relationships and learning associations with some of the world’s best in medicine. Now, the small island can boast more than two thousand enterprises in Singapore – a supporting cast to the burgeoning local industry that includes Siemens Medical, Baxter Healthcare and Glaxo-SmithKline. The result; one of the best practice of medicine in the world, attracting thousands of patients from Asia and around to the world to her doorstep.

With continued investment into its infrastructure, education and its people, Singapore as a premier medical hub will continue to grow in reputation and soon, it will no longer be just a focal point for treatment, but a crucible where medical wonders and new areas of medicine can be discovered. With a resume that reads an expertise in areas of neurology, infectious diseases, cardiology amongst others – its list of medical accolades can only increase as the years go by. With specialised centres for treating specific diseases and state of the art equipment, Singapore has reaffirmed its status as a world class healthcare giver in all respects.

And this is not limited to the local front either, Singapore has taken to the world stage and has proven itself in areas of clinical trials, healthcare consulting, services, hospital management, lab services and even areas like medical and pharmaceutical services. This all starts from weaving an attitude of world class medical principles and cutting edge syllabus within the schools and universities all over Singapore. By nurturing the young to be innovative and creative in the medical industry, it has successfully continued to grow a stable of medical practitioners that can continue to carry the flag of Singapore being a world class healthcare provider.

Johns Hopkins International is one of the founding medical pioneers that has decided to shake hands with Singapore; and in the late 1990’s, it set up satellite outposts in our local government and private hospitals. This sort of international collaboration is important when remembering that a world class attitude towards providing service and healthcare starts from learning and Singapore and its medical staff and practitioners have always engaged the world in learning from the best and absorbing ideals and best practices and inculcating them into what they already learned. Singapore has also been able to attract some of the best and brightest internationally to come to the country and start to teach our local doctors – also working together to create medical breakthroughs that can benefit not only Singapore, but the entire world. The Washington State Medical University continues to work with local universities and polytechnics in Singapore work closely with foreign medical institutions to continue to lift up the banner of Singapore’s healthcare services.

With such initiatives put in place health care in Singapore will always be top class, affordable and accessible to all, with no compromises on quality and an assurance that anyone who enters any establishment to seek healthcare services is getting the best possible treatment possible in Singapore.

Home Remedies With Natural Cure Medicines

“Take two teaspoons twice a day from this bottle, one of these pills once a day after lunch and 1 of these pills every four hours if the pain persist but don’t take more than 4 every 24 hours” – I’m sure you have heard something like that at least once during your lifetime, most people might be used to hearing these prescription instructions from their pharmacists but what do these pills do to your body in the long term? Are you suffering from a disease so severe that it definitively needs to be taken care by prescription drugs?

Unless you are a doctor, a pharmacist or have knowledge of medicine, you don’t know what goes into these drugs; US is the country where several prescription drugs are made and also the country where the most prescription drugs are recalled due to unwanted side effects, taking these facts in consideration you should always try to use as many natural remedies as possible, not only do they not produce nasty side effects, they target your illness and are less expensive than even over-the-counter medicine.

At this point you might be thinking “yeap, another article promoting natural pills” – this is actually not the case, anything that is put in form of a pill has gone through a process where other substances have been added in order to preserve the drug from going bad and for several other reasons, so regardless of how many “all natural” labels the drug may have it still has substances unknown to you.

When using natural home remedies to treat your illnesses it is very important for you to do your own research, don’t take this and that just because a friend told you so; they probably heard this solution from someone who was just speculating or heard it works or they might even have confused the solution with something that sounds similar.

Natural remedies are all about the knowledge of what plants and herbs have the necessary chemicals to treat your ailment, for instance it is general knowledge that fresh lemon juice mixed with a few tablespoons of honey have the ingredients necessary to help you regain your health after suffering from the common cold and did you know that one tablespoon of onion juice mixed with a few drops of honey can keep you from catching a cold? It might not sound that nice but it is an absolutely natural way to prevent the common cold and the after taste can be solved by brushing your teeth and using some mouth wash which is what you should be doing at least 3 times a day anyway.

Natural remedies can be the perfect solution if your ailment is not extremely severe, so while prescription medication should be avoided at all costs if your condition worsens then it is imperative you contact your doctor. Use your common sense and keep yourself healthy!

Are You Living With Stomach Pain?

As we mature from children to adults, there are bound to be times when we have to deal with stomach pain. Short term illnesses like the flu and some viral infections can leave us feeling cramps or stomach nausea, while some injuries can also lead to severe stomach pain. The most important thing to know about instances of pain or sickness involving the stomach is that they are indicators of our overall health, and should never be ignored. If you want to learn more about side pain, the following information will be interesting.

What Should Adults Know About Stomach Pain?

There are many different reasons why an adult might start to experience stomach pain. Sometimes we eat something that doesn’t agree with us, or sometimes the pain is only a symptom of a larger problem. In most cases, this pain or stomach nausea will subside on its own within a few days, because the body has been able to restore balance to the digestive system on its own. However, if pain symptoms persist for more than a week, it’s time for you to call your doctor and make sure there isn’t an injury or disease taking root in your gut.

Symptoms of Stomach Pain

Many times, people can say that their stomach is hurting, even though the origin of the discomfort is actually the abdomen or the esophagus. It’s important to be familiar with the symptoms of pain, so that you can accurately report your experience to a doctor. Be on the lookout for:

• Stabbing, cramp-like, twisting, dull or piercing pains in the abdominal regions

• Stomach pain can build gradually, starting out relatively mild and becoming intense, or coming on strong but only lasting for a few minutes.

• Vomiting can also be a part of intense pain, but this won’t always make you feel better.

• People that experience intense pain have been known to pace around the room, or roll around in their bed hoping to find a good position that will alleviate the discomfort. However, some people will have to stay very still to reduce the stomach pain.

Understanding the Causes of Stomach Nausea and Pain

The human stomach is a resilient organ, and it acts as the laboratory through which all food and drink must pass before it’s allowed to reach the delicate intestines. Sometimes, however, something more than food is responsible for stomach pain. Some of the most common causes for stomach nausea and pain include pregnancy, appendicitis, ulcers, and infections.

Treating Stomach Pain Naturally

If you want to make sure that you’re doing everything you can to balance out the good bacteria in your stomach, it’s important to make probiotics a part of your daily routine. Probiotic supplements like Nutraelle DigestiveCare are designed to help your system get the most out of the food that you eat. If you’ve been suffering from digestive problems, this might be the ingredient that was missing to take care of your side stomach pain.

The Different Kinds of General Surgeries Offered at Hospitals

General surgery is a specialty, which focuses on different abdominal contents like the bile ducts, the appendix, the gallbladder, the pancreas, liver, colon, small bowel, stomach, and esophagus. Most times, it involves the thyroid gland, but this mainly depends on the referral patterns. General surgery also deals with different diseases that affect hernias, peripheral vascular surgery, trauma, soft tissue, breast, as well as skin. Procedures like colonoscopy and gastroscopy are also included here.

The scope

Trauma surgery

In many locations, the responsibility for trauma care usually falls under general surgery. There are surgeons who obtain more training to offer critical care. The general surgeons should be in a position to handle all sorts of surgical emergencies. They are often called so as to handle patients who are injured critically or those that are very ill. They are required to perform different procedures so as to stabilize the patients. They should be able to do thoracotomy, emergency laparotomy, compartment fasciotomies, cricothyroidotomy, and thoracostomy so as to staunch any bleeding. These are the people you will find in trauma or surgical intensive care units.

This area also covers emergency surgery like organ perforations, bowel obstructions, infections, and bleeding. Gallbladder removal is one of the surgical procedures that are very common all over the world. It has to be done electively. However, the gallbladder is at risk of being inflamed acutely and may require one to get an emergency operation. Other common emergencies include small bowel obstructions, rupture of the appendix, and infections in the appendix.

Laparoscopic surgery

This is a specialty that is new. It mainly deals with techniques for access where cameras, as well as small instruments, are inserted through small incisions. A lot is evolving from the concept such as robotic surgery. Colons, appendices, and gallbladders can actually be removed by application of the technique. Hernias can be repaired using the method. It is possible to perform bariatric surgery in this way and there are many benefits that are associated with this. They include the reduction of complications of surgical wounds, especially in the obese patients. It is important that the general surgeons be well trained in the area and proficient too.

Colorectal surgery

General surgery also deals with lots of minor and major rectal and colon diseases. This includes the inflammatory bowel diseases like Cohn’s disease or ulcerative colitis. Others are hemorrhoids, gastrointestinal bleeding, treat cancer, colon cancer, and diverticulitis.

Breast surgery

General surgery also handles lots of breast surgery that is non-cosmetic. This includes mastectomy all the way to lumpectomy. This usually pertains to the diagnosis, the evaluation and the treatment of cancer.

Vascular surgery

Vascular surgery is also a specialty of general surgery. However, for this one needs to have special training in the area. This area is usually handled by specialists. Most of the times, the general surgeons can actually handle the minor disorders.

There are many other areas covered by general surgery. These areas include endocrine surgery, transplant surgery, surgical oncologists, cardiothoracic surgery, pediatric surgery, and so on. Minimally invasive surgery has become prevalent in the present day. Robotic surgery has come with a lot of enthusiasm even though it is very costly.

How to Lower Your Triglycerides

A part of being healthy is taking an all round approach to your lifestyle change. If you lead a healthy life style in general you are not going to have to worry about this, your body naturally copies itself out. However, high triglycerides are a problem that many people suffer from, and it is important that you understand them why and how. The main form of fat in foods is called triglycerides. Our blood contains certain levels of triglycerides. However, if you consume more bad calories than we need, our body will transform the excess calories into triglycerides and be stored as body fat. It is more common to see high triglycerides in overweight people. High triglycerides are associated with increased risk of heart disease.

Your body has endless storage space for this fat. Some of these triglycerides are not stored as fat, but remain in your blood stream. Excess levels of triglycerides thicken your blood, which increases the potential of clotting and blockage which can lead to a heart attack or stroke. This is why it is doubly important to know how to lower your triglycerides.

High triglycerides are usually caused by other conditions, like:

  • Obesity
  • Poorly controlled diabetes
  • An underactive thyroid.
  • Kidney disease.
  • Regularly eating more calories than you burn.
  • Drinking a lot of alcohol.

Healthy lifestyle choices are the key to naturally lowering triglycerides

  • Exercise regularly: aim for at least 30 minutes of physical activity at least five or more times a week
  • Choose healthy fats: avoid trans fats, limit saturated fat found in meats for healthy monounsaturated fat found in plants, such as olive, peanut and canola oils. Substitute fish high in omega-3 fatty acids – such as sardines and salmon – for red meat. Food labels should tell you what kind of fat you are eating. Choose nonfat or low-fat dairy products.
  • Include high fiber foods such as wholegrains, oats, fruits and vegetables.
  • Limit sugar eat such as soda, cordial and other sweetened beverages
  • Limit alcohol: Alcohol is high in calories and sugar. If you choose to drink, try mixing it with low calorie beverages such as tonic water, or diet soda. Alcohol consumption can raise triglyceride blood levels by causing the liver to produce more fatty acids.
  • Cut back on calories. Remember that extra calories are converted to triglycerides and stored as fat. Watch your portion sizes.
  • Keep a healthy weight. Often losing as little as a 5-10 pounds can help lower your triglyceride level
  • Quit smoking

A healthy lifestyle takes an all round approach. If you lead a healthy lifestyle in general, eat a lot of fruit and vegetables, exercise regularly, and make the right choices, then it is likely that you will not have to worry about excess triglycerides. Stay healthy and make changes for life, and you will see the benefits.

How Smart Phones And QR Codes Will Revolutionise Internet Marketing

If you do not recognize a QR Code at the moment you certainly will be long. Smart Phones & QR Codes Will Revolutionise Marketing. When the code is scanned with a Smart Phone it takes the user to the Mobile Website hidden within the code. Once you have had your Code made, it can be printed out into newspaper ads, flyers, Letter Heads, Business Cards … well I'm sure you get the idea of ​​how critical QR Codes will become in your business.

QR is short for Quick Response (because they can be read quickly by a smart phone). They are used to transfer information from within the code and put it in to your smart phone. These codes can carry up to several hundred times more data than that carried by an ordinary bar code. Implanted within the code is a Mobile Website URL (Mobile Website Address).

QR Codes will soon become common place, displayed in:

  • Magazine Adverts
  • On A Billboard
  • A Web Page
  • On A t-shirt
  • Newspaper Ads
  • Business Letterheads
  • Business Cards
  • Store Windows
  • Instore Point of Sale Material
  • Van Decals and more

… Well, I'm sure you get the idea of ​​how critical these Codes will become in promoting your business and this is just scratching the surface. As your potential customers scan QR Codes with their Smart Phones they will see a message hidden within the code or taken to a Mobile Website.

The hidden Code will show whatever message is programmed into it such as:

  • Product details
  • Contact details
  • Offer details
  • Event details
  • Competition details
  • A Discount Coupon
  • Your Twitter Page
  • Your Facebook Page
  • Your eBay Store
  • Your Amazon Store
  • Your YouTube Video

As you can see just about anything you want can be embedded within a QR Code.

If you do not have a Mobile Website it is now imperative to your business to have one built without delay. Considering the facts above and that Google CEO announced that from now on Google will develop for the Mobile Market first then the PC market. Add to that the fact that 65% of people access the internet via Mobile Phones, making it clear that if you do not have a Mobile Website you are missing out on 65% of your potential customers and that figure will grow year on year. Couple that information with the powerful potential of QR Codes and the amazing number of sales of Smart Phones, I can only urge you to have a Mobile Website built along with at least one QR Code.

The future is here grab it with both hands before your competitors do.

Management of Rectal Bleeding

Rectal Bleeding is bleeding through the anus. The bleeding may be bright red, dark maroon or a tarry color, which you may notice in your stools, toilet bowl or toilet paper. Rectal bleeding may occur from any part of the gastrointestinal tract due to various causes. The common causes of Rectal Bleeding are:

Piles (Haemorrhoids) are the swollen blood vessels found in and around the rectal region. These can cause bleeding when passing stools and irritate the surrounding skin making you feel uncomfortable.

Anal Fissure is a small painful tear in the tissue lining of the anus.

Angiodysplasia of the colon is related to aging and occurs due to enlarged blood vessels in the colon.

Gastroenteritis: Viral or bacterial stomach infection causing bloody diarrhoeea with abdominal cramps and vomiting.

Diverticula: Refers to tiny bulges that develop on the intestinal lining. The deteriorated blood vessels in the diverticula may burst or bleed.

Other conditions such as stomach ulcers, ulcerative colitis, Crohn's disease and cancer of the colon or rectum may also cause rectal bleeding.

Abdominal pain, visible blood clots or bleeding without pain are the typical symptoms associated with rectal bleeding. You may also experience weakness, chest pain, dizziness, shortness of breath, or blood pressure variations based on the amount of blood loss.

The diagnosis of rectal bleeding depends on a large extent on the patients' age and medical history. Your doctor may ask questions about the bleeding, such as the color of the blood, amount of blood loss or other associated symptoms. A physical examination of the anus can confirm the presence of anal fissures or haemorrhoids and helps to rule out other associated diseases. Some diagnostic tests may be ordered to determine the cause of rectal bleeding and may include:

Faecal occult blood test: check for small tracks of blood present in the stools, which are invisible to the naked eye

Anoscopy: evaluation of the rectum with a flexible lubricated tube

Flexible Sigmoidoscopy: examine sigmoid, colon and rectum with a flexible tube

Colonoscopy: evaluate the colon for polyps, cancer, ulcerative colitis and Crohn's disease

Radionuclide scan: determining the location of gastrointestinal bleeding by injecting and following a radioactive substance through a scan

Visceral Angiogram: uses X-rays to study the blood vessels of the digestive tract

Rectal bleeding can effectively be evaluated dependent upon the related cause and under diagnosis. The treatment for rectal bleeding compounds of the following:

Anaemia and reduced blood volume, as a result of excessive blood loss is treated with intravenous fluids, blood transfusion and iron supplements to build up your levels of iron in your blood.

Haemorrhoidal creams and stool softeners may be prescribed to treat rectal bleeding associated with anal fissures (tear in the skin lining the anus) or haemorrhoids (enlarged blood vessels in rectum and anus).

Haemorrhoid artery ligation (HALO), a surgery that involves reducing the blood flow to haemorrhoids, or haemorrhoidopexy, which involves gradual shrinkage of the haemorrhoids, may be recommended to treat associated rectal bleeding.

Medication to treat pain or vasoconstrictors (decrees the size of blood vessels) to stop bleeding may be prescribed.

Endoscopy can be used to stop bleeding by constricting or cauterizing the actively bleeding blood vessels.

Constriction is achieved by infusion of medications through the endoscopic needle at the site of bleeding.

Cauterization during endoscopy is usually accomplished by inserting a cautery probe through the endoscope.

Surgery may be recommended to remove polypsor tumors.

Do not ignore any type of bleeding in the stools. Rectal bleeding can occur due to a mild condition like piles or a more severe condition that may require immediate intensive treatment to control it and that should never be ignored. Your embargo should not stop you from seeing a doctor.

Create a Diet Plan You Love

Late night TV, magazines, book shelves and everywhere else you turn today, people are claiming to have found the ideal solution to your weight loss problems. One group tells you to cut out all of the fat, good or bad, in their mind, it will all make you balloon out. Other people have this horrible fear of any carbohydrates, knowing this is going to quickly raise your blood sugar level and turn into fat. It seems there are very few people who come out honestly and say what we all know is true, not every diet works for every person.

Here is the secret they all claim to have patented: the best way to lose weight fast for you is a diet you're going to stick with for the rest of your life. It honestly doesnt matter if you're cutting carbs, cutting fat or adding up daily points. The diet you love and enjoy is the diet that's going to work for you. If you're cringing at what your diet plan has on the menu for lunch tomorrow, odds are you're going to quickly ditch it as soon as you hit your target weight, assuming you make it that far.

A really fast weight loss diet will not only make sure you're menu plan has fewer calories in it than you're burning, it will also suggest you include some sort of exercise in your daily schedule. Raising your heart rate for a short period of time will have a lasting effect on your metabolism, sometimes cranking it up for many hours.

When you stop to think about it, there is no reason you have to follow someone's published diet plan in order to be successful. Why do not you customize your own diet plan and make something that's going to work for you. That does not mean you eat fat and carbs all day long and call it your own special diet. That's not going to help you get in any better shape. In fact, this is what people do everyday in America and they're only getting bigger. What works best for you and helps you lose weight is a diet plan that includes the foods you like, but also watches your calories to make sure you're getting less than you're burning, and balances the ratios of fat, protein and carbohydrates .

The first step to your customized and personalized diet plan is to figure out what you're eating everyday as of right now. To do this, start taking notes on everything you eat. Write down every cookie and chip that Touches your lips and take the time to figure out the ratios of the vital nutrients. If you find out your fat intake is greater than 30 percent of your daily calories, you're probably going to want to cut that back. If you're carbs are over 30 percent, bring those back a bit. Look at the high carb foods you ate last week and ask yourself what you're going to reduce this week.

Make your diet fun and make it something you enjoy and look forward to each day. Take it week by week and do not rush into this. If you're looking at things with the right mindset, this is a lifelong process, not a short sprint to lose a few pounds. If it takes you 6 months to get your diet worked out and just the way you like it, so be it. At least you'll have something you can continue for the rest of your wonderful, healthy and fit days.