Patient Rights – Top Ten List Of Most Violated

INTRODUCTION

Patient rights are under siege, as evidenced in a recent survey conducted by the National Institute for Patient Rights (NIPR). NIPR staff compiled the results based on responses from one-thousand randomly selected, former hospital patients who took part in the study. The results of the survey show that, despite billions spent on advances in medical technology, patients daily experience an erosion of their rights “at the hospital bedside.” Ironically, it may be a consequence of the success of science in medicine.

Among those responding to essay questions, the following was a typical scenario. A hospital admits a loved one with “complications” (a medical euphemism for “we really don’t know all that’s going on here, but there are several organs involved”). While the loved one rests stable in bed, a line of doctors and nurses seems to form at the door. One after another, doctors enter the room, make a few comments, then turn around and exit. Primary care physicians refer patients to specialists who rely on subspecialists. It seems like each separate organ has its own special doctor.

In the health care industry, this is commonly referred to as “component management,” which results from a focus on the treatment of individual organ systems in isolation from others. It suffers from two shortcomings: (1) specialists and subspecialists tend to segregate organ systems at the expense of the whole patient; and (2) it is inefficient, because it inevitably leads to “episodic intervention” where if something happens, you see one specialist for a particular organ system; if something else happens, then you see another specialist or subspecialist, and so on.

Episodic intervention leads unavoidably to uncoordinated care that lacks continuity for the patient and for the patient’s family. Many individual decisions in patient treatment by numerous specialists and subspecialists entail a fragmented delivery system. According to the findings of the NIPR study, this leads to the number one problem in contemporary healthcare delivery: a failure to communicate.

PIECING TOGETHER BITS OF INFORMATION

The study suggests health care suffers from a decided lack of coordination and cooperation among diverse healthcare professionals. Participants in the survey invariably stated that, with no one to treat the entire patient and coordinate care, patients and their families are left largely on their own to integrate their own care. According to one respondent, “We had to somehow piece together bits of information from different doctors to try to get a complete picture of our mom’s progress.”

This can be very difficult to do in a hospital setting and extremely frustrating. Participants in the study frequently stated that no one seemed willing to tell them exactly what was going on with the whole patient. Doctors were more than willing to share information about their specialty, about precisely what was happening with their particular organ system, but no one seemed especially willing to say anything about how the entire patient was doing.

THE TOP TEN MOST VIOLATED PATIENT RIGHTS

This failure to communicate is responsible for the #1 spot on the top ten list of most violated patient rights. A full 63% of participants felt that healthcare providers most often violated their right to informed consent. When prompted to explain, many complained about the inadequacy of multiple diagnoses coming from multiple providers. Without a single, complete diagnosis, respondents felt unable to make an informed choice about appropriate treatment options.

The #2 violation on the list is related to the same problem. Participants often complained about the way in which doctors presented them with treatment options. The following is a representative statement, “I felt as if I was in automobile show room and the salesman was presenting me with a list of options for a new car.”

The #2 most violated of patient rights was a lack of respect for personal, spiritual, and religious values and beliefs. Participants observed that many doctors do not seem to care about personal preferences. Consequently, they often failed to acknowledge the unique nature of personal lifestyles in their presentation of treatment options. To quote one respondent, “I would have liked my doctor to have recommended a treatment option tailored to my love of the outdoors. He never even asked.”

A failure to communicate was also the cause of the #3 violation of patient rights, a lack of respect for advance directives. Participants complained vociferously about the way in which advance directives are handled by most hospitals. Stated one respondent, “The only time any one every mentioned my living will was at admissions. No one ever asked me again about my personal wishes.”

Miscommunication was the cause of violation #4. Despite HIPAA, many participants observed that providers often showed no regard for the privacy and confidentiality of their personal health information. Cell phones were often cited as the main culprit. Said one respondent, “A nurse bent over me to straighten out a line with a cell phone in her other hand, blurting out sensitive information about a patient in the next room. It was embarrassing!”

CONFLICTS ABOUND

Conflict between “team” and patient/advocate was the cause of #5 on The List. Patients and their advocates have a right to know of realistic care alternatives when hospital care is no longer appropriate. Some participants observed that no one ever approached them about realistic care alternatives in the event that hospital care was no longer appropriate.

Not only was there no discussion of alternative care options, but many respondents complained about how they were made to feel when they disagreed with providers about the continued appropriateness of hospital care. One respondent noted, “They made us feel like we were immoral when we questioned their treatment recommendations!”

Conflict was also the cause of violations #6 and #7, violations of a right to know hospital rules on charges and payment methods, and a right to review the hospital bill, have information explained, and get a copy of the bill. Said one respondent, “It was like pulling teeth to try to get an explanation of certain charges. I still don’t know why I was charged for things I know we didn’t use.”

Under violation #8, some participants complained about their inability to identify hospital personnel who could help in resolving discrepancies over billing issues or in disagreement over treatment between “team” and patient/advocate. Patients and their advocates have a right to know of hospital resources, such as patient complaints and grievance processes, patient representatives or ethics committees. It was common in the survey results that respondents express the desire to have known about the hospital ethics committees and their members in the event of conflict over treatment options.

MEDICAL MISTAKES AND RECORD KEEPING

Although listed at #9, the violation of a patient/advocate’s right to know the identity and professional status of those who care for the patient contained some of the most poignant responses in our survey results. Some of the narrative statements were truly heartbreaking.

Many participants claimed to have suffered some harm as a result of medical error. Some even noted if they had had ready access to information about the identity and professional status of their providers, they would have had second thoughts about consenting to treatment. Said one respondent, “I am permanently disabled because of what a doctor did to me. I found out only much later and through my lawyer the hospital knew the doctor caused similar problems in the past with other patients. Why didn’t they just tell me?!”

Coming in at a close #10 was the violation of a right to review medical records and receive an accounting of disclosures regarding health information. Participants observed that they have moved frequently during their life times. Consequently, they have received medical care from various providers over time. Each provider keeps his or her records detailing visits and treatments. The same is true for hospitals, clinics, laboratories, pharmacies, and so on. One participant noted, “Like most people, I’ve moved around quite a bit. Over time, it’s easy to forget when you were treated, by whom and even for what!”

Respondents noted such problems as the wide variation among providers in the amount of time they retained records, paper records were misfiled or even destroyed, electronic records were lost, stolen, damaged or vulnerable to unauthorized access, and physicians sold their practices. Stated a respondent, “I was made to feel intimated in asking one of my doctors for a copy of my medical records. He acted like my medical record was his property and his only.”

CONCLUSION

Despite billions spent on advanced medical technologies such as drugs and devices, patients daily experience an erosion of their most fundamental rights. The rights of patient self-determination and informed consent suffer the most.

Ironically, the widespread violation of patient rights in hospital-based care may be a direct consequence of the success of medicine, specifically of the application of science to medicine. The scientific method lends itself to reductionism with researchers analyzing smaller and smaller parts. Likewise in medicine, doctors become specialist who confine their focus to individual organs; subspecialist focus even more narrowly on the parts of organs.

Component management leads to episodic intervention and the fragmentation of care. The lack of coordination causes anger and frustration among patients and their families by the breakdown in communications. A failure to communicate may not just cause anger and frustration but also unnecessary conflict. Conflict is costly! Miscommunications can also cause significant harm when patients suffer underuse, overuse or misuse as a result of medical error.

Until hospitals adjust to the success of science in medicine, patients and their families are likely to continue to experience one or more of the top ten violations of patient rights.

Utah Violations of DUI Probation

Probation, by definition, is an alternative to prison time either to benefit a nonviolent or rehabilitated offender, or to prevent overcrowding and high costs in local and state prisons. In Utah, probation is used to fight recidivism for individuals like DUI offenders who benefit from supervision in lieu of jail time or in conjunction with a shorter jail term as well as special terms intended to help rehabilitate the offender. These terms are imposed at sentencing and can include:

  • Evaluation for addiction
  • Alcohol and drug education
  • Treatment for addiction, if present
  • Mental health evaluation and treatment
  • Ignition interlock device
  • Alcohol restricted driver’s license (ARD)
  • Interactive supervision with probation officer
  • Community service
  • Electronic monitoring

It is extremely important for DUI offenders on probation to maintain an open, honest, and consistent relationship with their probation officers. These are the people who initially decide whether or not your actions constitute a probation violation worthy of reporting to the courts. They are your first line of defense when you make a mistake, and, even if your violation does go to court, could be a critical factor in determining how your DUI probation violation case is decided.

Since probation terms are different for every DUI case, it is important that you know what constitutes a violation of your probation. You should be able to find these terms in your court papers, or a Utah DUI attorney can find them for you and explain them to you properly. The following are common mistakes made by those on probation for Utah DUI:

  • Failing to report to probation meetings
  • Leaving jurisdiction without your P.O.’s permission
  • Testing positive for alcohol or drugs
  • Measurable presence of alcohol while driving with ARD
  • Triggering ignition interlock device
  • Failing to complete drug education or counseling in allotted time
  • Failing to complete community service in allotted time
  • Failing to pay any restitution, fines, or court costs on time
  • Committing a new offense, especially an arrest for subsequent DUI

If you commit any of these or other violations of your probation, you could be facing the jail time and other sanctions for your original crime that were suspended in favor of probation, as well as any additional penalties from the nature of the violation itself. You do get a certain degree of due process to make a case and/or mitigate the outcome, but not to the extent that you originally had with your DUI case. An experienced Utah DUI criminal defense lawyer can help guide you through the process and fight for a favorable outcome.

After your violation is reported, you will be summoned to the court for an Order to Show Cause (OSC) hearing. This is your opportunity for you or your attorney to bring forward witness, explain any addictions or inability to pay or report, and use any other evidence to convince the court that the severity of the original DUI punishments are not necessary.

In this hearing, the judge will determine whether your actions were willful and substantial according to preponderance of evidence and not proof beyond a reasonable doubt – which means he or she only has to decide that the evidence presents 51% probability or more that your actions were willful and substantial. The outcome of this hearing and the judge’s decision will determine your future with regards to the violation.

When it comes to DUI violation of probation, the best defense is prevention. However, there are steps you can take after committing the offense and after the violation is reported to help your future. The most important one you can make on your own is admitting your mistake to yourself and changing your attitude towards your situation.

Treatment of Acne Rosacea With Colloidal Silver

Based on the severity and site of occurrence, acne – one of the common skin disorders – is categorized in different forms. Acne Rosacea is one of such forms. The characteristics of Acne Rosacea are identical to that of acne vulgaris. This aspect makes it difficult to identify the acne rosacea. Chin, forehead, cheeks and nose are the common sites for occurrence of acne rosacea. Generally, acne rosacea is observed in adults above the age of 30 years. Appearance of red rashes on skin, bard bump, blemishes and pimples are the main symptoms of acne rosacea. Women are more affected by this form of acne when compared to male population. However, when men get affected by this form of acne the severity is more when compared to female sufferers. Ignorance in treating rosacea acne immediately after its occurrence may result in undesired effects like rhinophyma (excessive growth of tissues) and swelling of nose. Considering the confusing symptoms, it is advisable that your consult your physician or dermatologist for proper diagnosis of the acne form. Starting timely treatment and selecting right remedy for treating will help you in gaining faster relief from acne rosacea.

Like other forms of acne, there are number of remedies available for treatment of acne rosacea. Some of these remedies include medication like antibiotics, alternate therapies, use of topical medicines, regulating hormonal levels through dietary supplements and home made remedies. In certain severe cases, which however are rare, one may have to opt for acne surgery or other medical procedures.

Acne Rosacea treatment is aimed at repairing abnormalities associated with excessive skin growth, regulating production of oils by oil producing glands, reducing/eliminating inflammation process and controlling growth of bacterial infection and propionibacterium acnes.

Excessive skin growth is result of accumulation of body oils and dead cells decomposed by bacteria. In other words, bacteria are the main culprit behind occurrence of acne and excessive growth of skin. This factor makes it appropriate to treat the acne rosacea with the help of colloidal silver products. Colloidal silver is known for its property of bacteria killing and maintaining hormonal levels. Colloidal silver products are prepared through non-chemical process, do not contain any additives, stabilizers or chemicals and hence are considered as natural. Use of colloidal silver supplements (solution and topical form) is considered as safe and effective remedy for treatment of acne rosacea.

How to Treat Fluid Retention Holistically

Fluid retention occurs when the body does not excrete water from the body properly. Water or fluid can seep out of blood vessels and accumulate in body tissues. It can accumulate in the abdomen, thighs, face, feet, hands knees and ankles. The severest form of fluid retention is known as oedema. Rapid changes in weight over a twenty four hour period is often a sign that fluid retention is a problem.

The most food allergies are wheat, cow’s dairy, pork, beef and eggs, and are linked to fluid retention. Food allergies can send body systems haywire and hinder blood vessels and kidneys from siphoning off excess fluid from the tissues. Food allergies are linked to leaky gut and compromised intestinal health. Gut health can become comprised due to a poor, low fiber/high sugar diet, use of anti-biotics, stress, HRT, the pill, and certain prescription drugs.

The kidneys are the most important organs which control fluid balance. Poor kidney function can cause fluid retention and can occur if you add too much salt to your food and don’t drink enough water, have many mercury fillings which can cause toxins to accumulate in the kidneys, eat too much sugar, protein or fat, and have deficiencies of vitamin B6 and magnesium and selenium.

Protein deficiency can cause fluid retention because protein provides albumin in the body. Albumin causes fluid in tissues to move into blood vessels. Not enough protein is just as bad as too much protein.

Vitamins and mineral deficiencies, especially deficiencies in vitamin B6, magnesium and selenium can be at the root of fluid retention problems.

Drugs can cause side Effects like this. Medically prescribed drugs have side effects which can include fluid retention. Common ones are: blood pressure lowering medication, diuretics, non-steroidal anti-inflammatory, HRT, the pill, antidepressants, insulin injections, anti-biotics, anti-fungal and anti-virals.

Internal toxicity can arise when liver detoxification is compromised, when there is a poor gut health, constipation, chemical and heavy metal exposure. The body tries to dilute the toxins in the body by retaining fluid.

Lymphatic congestion causes the body to hold onto water. The lymph system filters fluid out of the blood then allows it to flow back into the blood. Through lack of exercise or movement, lymph stasis can occur when fluid becomes stagnant and builds up in the lymph vessels.

Leaky Blood Vessels – if your capillaries become leaky, this allows fluid to build up in tissues. Blood vessels can become too leaky due to shock, infections, physical injury (e.g. bruising) and nutritional deficiencies can make your vessels too fragile.

What Can be Done to Balance the Body and Alleviate Fluid Retention Problems?

If you think you have food allergies – Cut out the following foods for at least 2 months:

1. Coffee,

2. sugar, honey syrup and foods containing added sugar,

3. salt and high salted or smoked foods,

4. sodium-rich drinks,

5. medicines and food additives

6. Excess saturated fat

7. White flour and white flour products

8. Alcohol

9. Artificial food additives

10. Potential allergens: wheat, dairy produce, eggs and yeast

11. Red meat, and non-organic white meat

After 2 months re-introduce possible allergic food week by week:

Test eggs, test yeast, test red meat, test dairy, test wheat. If you get a negative reaction, including headaches, sinus congestion, fatigue, or water retention, stop before the week is up; it is likely you have an intolerance to this food.

If you suspect you have poor Kidney function, avoid excessive salt and sugary foods. Drink around 2 liters of water per day. Avoid an excessively high protein diet. Avoid adding salt to food. Note some breakfast cereals contain more salt than a bag of crisps.

Ensure you eat some protein at every meal. This can include fish, shellfish, goats and sheep’s dairy, tempeh, nuts and seeds, and if not allergic.

Vitamin and mineral deficiency – eat fruit or vegetable at every meal. Take a good quality multi-vitamin and mineral supplement.

Drug Side Effects – discuss with your doctor how necessary your medications are. Work with your nutritional therapist to slowly wean you off drugs.

Avoid alcohol, caffeine and refined and processed foods to cut down on internal toxins.

Eat organic foods and vegetable juice daily. Herbal bowel and liver cleansing, colonics, sauna and infra red sauna help to cleanse and renew the body. Switch to eco-friendly home cleaning products and personal hygiene products. Heal leaky gut. Avoid metal fillings.

Alleviate lymphatic congestion by exercise. The best form of movement for lymph is mini trampoline, and deep massage can help, as can dry skin brushing. Regular exercise is important.

Leaky Blood Vessels can cause fluid problems. Eat fruit or vegetables at every meal, avoid processed and refined foods. Include spinach, celery, kale, cabbage, bananas, bilberries and blueberries in your diet.

Mesothelioma Treatment

Like all other types of cancer, mesothelioma is incurable. Although doctors and scientists have made a great deal of progress for diagnosing and treating these malignancies, there is still no current way to completely get rid of it.

When a group of cells mutates uncontrollably and starts invading and killing healthy cells, this is called cancer. In certain areas of the body where cells reproduce rapidly there tend to be a greater chance of risk because one cancer cell can multiply exponentially in a very quick period of time. Most cancers are caused by external stimuli and mesothelioma is no different. Mesothelioma cancer is caused by exposure to carcinogens such as asbestos.

The affected areas from mesothelioma cancer are the lining of the internal organs in the body. Because of the location of the infected cells, mesothelioma does not respond well to conventional treatments unlike most other forms of cancer. In addition, there are no fatal symptoms of the disease, so doctors can not properly diagnose the illness until it's significantly advanced. Because of these factors, the effectiveness of many conventional treatments are limited.

When treating mesothelioma, doctors use several treatment options. Surgery, radiation treatments and chemotherapy have been traditional options for slowing the growth of cancerous cells. Doctors dealing with mesothelioma have to plan an innovative method of attack to combat this condition. New treatments like angiogenesis, photodynamic and gene therapy hold new hope for victims of mesothelioma everywhere. Depending on the state and location of the cancer, doctors will choose the best course of action for the circumstances. If it's discovered early enough, doctors can prolong the life of the victim, but sadly can not cure the disease.

Brain And Neurological Problems Affect Almost Half Of Celiacs Even With A Gluten Free Diet

There is reasonable evidence of neurological problems in Celiac disease (CD) even those well treated on a gluten-free diet should undergo periodic neurological screening. Peripheral neuropathy is found in almost half of people with CD. Previously, neurological complications in Celiac disease were reported to be as high as 36% or more than a third. Some unexplained neurological problems are present but not recognized by the patient or their doctor in many patients and some have several problems. Unfortunately, since brain imaging is not routinely done or recommended in those who are newly diagnosed we don’t really know how high these numbers may be really be. More staggering is the fact that we are still learning about people who fail to meet diagnostic criteria for Celiac disease but are being found to have gluten related neurological problems that respond to a gluten-free diet.

There are many neurological problems that in undiagnosed and untreated Celiac disease but include neuropathy, balance problems (ataxia), seizures, MS-like symptoms, headaches, memory impairment, depression and anxiety, inattention (ADD/ADHD), schizophrenia, dementia, muscle weakness, childhood developmental delay, autism (Asperger’s). The sad truth is that many patients have delays in diagnosis that result in delayed treatment and poor response even while adopting a strict gluten free diet. The average delay of diagnosis in adults is between eleven and thirteen years. Dr. Hadjivassiliou, a neurologist in England who is considered the world’s expert in gluten related neurological problems has communicated to me by e-mail and written that responses to a gluten-free diet may take five years and if the neurological condition has been longstanding complete recovery is not likely.

The symptoms of neuropathy are paresthesia (numbness) or dysthesia (burning, tingling, heaviness, “pins and needles” sensation”). Many of my patients also describe hypersensitivity of their skin such that they do not like air blowing on them or their children or spouses against their skin. Some admit to “bug crawling” sensation on their skin, something called vermiculation in medical terms but rarely asked about or given much thought by most doctors. Odd muscle movements under the skin that some call a “bag of worms” medically known as fasiculations are also very common but dismissed by many doctors. My wife, a physician with Celiac disease, actually had these occur while undergoing an EMG (electromyleograph, recording of muscle activity by placing needle electrode into the muscle) exam by an older neurologist. Despite observing these occurring visually and the monitor showing “static like noise” the neurologist dismissed them as “normal”.

Many patients with Celiac disease also have what the radiologists and neurologists call “UBO’s” on MRI exams of the brain. These unidentified bright objects (think UFO) are white spots that show up on images of the brain. When found in certain locations of the brain they are highly suggestive of multiple sclerosis (multiple scarring spots in the brain). However, though many people with CD have MS like symptoms and these symptoms often respond to a gluten free diet when started early enough, the UBO’s seen on MRI of the brain are typically not in the classic areas of MS. Instead it is common to find them in areas of the brain associated with migraines or balance difficulty (ataxia).

Some are seen in children associated with strange seizure problems even without obvious intestinal symptoms. A classic specific syndrome is very well recognized associated with epilepsy in both children and adults who have calcifications in their brain that can be detected by CT scan or MRI. Epilepsy is well documented but the studies are confusing enough that there is not a good consensus regarding the risk and recommended screening of all children with epilepsy.

Personally and professionally I have observed all of the neurological complications of Celiac disease and most of them I have also noted in patients in whom I have not been able to confirm CD but who have what I believe are objective signs and/or genetic risk for gluten sensitivity. I have patients with MS-like symptoms, chronic unexplained neuropathy, headaches, attention difficulties, autistic behaviors and developmental delays who have responded to gluten-free diet but if they had listened to doctors who maintained such a “restrictive, expensive, hard to follow” diet should only be “imposed” on those with a established diagnosis of Celiac disease.

If you have neurological problems get testing for Celiac disease before starting a gluten-free diet. If you test negative for CD, make sure they test you for the complete HLA DQ genetics that includes the high-risk white blood cell patterns DQ2 and DQ8 for Celiac disease AND get blood tests that include IgG and IgA gliadin antibodies. If your blood tests, including gliadin IgA and IgG antibodies, are negative or normal then consider stool testing for gliadin antibodies in the stool ($99, http://www.enterolab.com).

The evidence continues to accumulate, though often ignored or missed, that gluten is toxic to some people’s brains, even if they do not have CD. If you do have Celiac disease it is likely you already have neurological problems and may be at risk despite being on a gluten-free diet. Borrowing from the old advertisement against drug abuse “this is your brain on drugs” maybe we should be getting the word out “this is your brain on gluten”. Despite your test results, consider a trial of gluten-free diet after you have your testing done if you have unexplained or unresponsive neurological problems. You owe to your brain. Like my seven-year-old son said to one of our friends, “maybe you should lay off the gluten”.

Teeth Whitening Vs Teeth Polishing

The market is flooded with products that promise to whiten your teeth. You can walk into any pharmacy with a closed-lip smile and walk out with more gels, trays, strips, and pastes than you have teeth in your mouth. Many of these products are capable of brightening your smile to some degree, but not all of them are actually capable of teeth whitening. There’s a difference and understanding it can be a way to avoid disappointment and serious damage to one’s teeth.

Whiteners work by having a peroxide-based chemical penetrate the enamel of your teeth. Once absorbed, they work their magic on the interior dentin of the tooth, which is what’s largely responsible for its color. These strategies actually fundamentally change the color of your teeth, working from the inside out. That holds true whether you’re discussing do-it-yourself kits with less concentrated solutions or professionally-administered strategies that may make use of laser lights to heat and activate a stronger peroxide brew.

Other products often referred to as teeth whitening options are actually cleaners or polishers. They work by removing stains from the exterior of the teeth. If your smile has lost its shininess because of exterior staining (a problem common for smokers and coffee guzzlers), these products may be able to improve the appearance of your smile.

Teeth whitening toothpastes are the most common example of non-whitening whiteners. These toothpastes don’t contain anything capable of changing the actual color of one’s teeth. Instead, they contain mild abrasives, that when brushed across the surface of the enamel, can dislodge certain stains. That’s wildly different than having a peroxide-based chemical activated under the enamel of your teeth, re-coloring the dentin. One is a serious means be which to significantly change the appearance of your grin. The other is just a nice way to fight a few stains.

There’s nothing wrong with those toothpastes and they really can make a difference for some people The only problem is that not everyone understands the difference between abrasive cleansers and real whiteners. As such, they develop inaccurate expectations. They may also begin to believe that the best way to get results is to use the toothpastes with heightened frequency. Overuse of abrasive-based products can occasionally cause lasting damage to one’s teeth and gum irritation.

The most dramatic results in smile brightening come from real, chemical-based teeth whitening. If you need lighten the shade of your smile significantly, that’s going to be the only way to get the job done. All of the brushing and scrubbing in the world isn’t going to create the desired change. That scrubbing might remove superficial staining, but real teeth whitening is an inside-out matter that requires more than a good toothpaste.

Sperm Taste – 10 Simple Tips For Better Tasting Semen

Sperm taste is affected by what you eat, as are all secretions from the body.

It is a fact that your sperms taste can be improved and making your semen taste better, can be done with a few simple diet changes.

Diet has A major influence on sperm taste as it’s a secretion from the body like any other.

Just as your sweat can smell strongly after eating a heavily spiced meal your sperm will also reflect the spices in its taste.

The make up of sperm

Semen is made up of ninety percent (90%) seminal fluids including fructose (sugar) protein, and various trace minerals and nutrients.

The PH of semen is 7 and scientifically neutral, yet it tastes slightly acidic. Let’s take a look at the actual ingredients of semen.

A man’s ejaculate is actually only 1% sperm.

The rest is composed of various proteins, vitamins, sugars, salts, cholesterol, and water. All the extras are what protect, feeds, fuels the sperm in its journey.

As you can see in terms of semen’s composition, it’s fairly obvious that what you eat will make it taste better or worse!

Getting a sweeter taste

With sperm taste, the aim is to make it taste sweeter.

All men have a semen taste that is exclusive to them, but the major complaint on sperm taste is normally always the same:

It tastes bitter or salty; let’s look at how to make semen taste sweeter

10 Tips for better semen taste

Here then are 10 simple do’s and don’ts to improve the taste of your sperm and make your semen taste better and sweeter:

1. Cut out alcohol, caffeine, recreational drugs and nicotine- they’re all pollutants.

2. Drink lots of water 1 – 2 liters a day to flush out body toxins.

3. Fruit get plenty each day and sweeten your sperm taste

Pineapple, papaya cranberry, melons, mangos, apples grapes are all good choices. These fruits are high in natural sugars and offset the bitter taste.

4. Eat plenty of vegetables which are generally good for improving sperm taste.

5. While it is true vegetarians generally have better tasting sperm there are vegetables to avoid:

Any vegetables from the cabbage family big offenders also include Cauliflower, broccoli, or asparagus:

5. Cut red meat consumption this is one pf the main offenders when it comes to making sperm taste salty. Dairy produce such as milk and cheese also make sperm taste salty.

Make sure when you eat protein you get good quality lean protein such as chicken and turkey.

Fish is claimed by some to be an offender in terms of taste, but this seems to vary between individuals. Try it and see the affects before cutting it out, fish is a major part of a healthy diet, so don’t cut it out!

6. Avoid heavy spices such as Garlic and onions, they’re big offenders when it comes to sperm taste, as they have a high sulfur content.

7. Do not buy products that claim to make your semen taste better there is no evidence that they work.

Your semen can be made to taste better by overall changes in diet and lifestyle, it’s a complex formula and a good healthy diet has the biggest affect.

8. Parsley, wheatgrass, and celery are particularly recommended for sweeter semen taste, because of their high chlorophyll content.

9. Cinnamon, cardamom, peppermint and lemon are particularly recommended for making semen taste sweeter.

10. Avoid junk food, they’re loaded with chemicals and preservatives that pollute your body and your semen’s taste.

Try and eat food “from the earth” i.e. as naturally as possible. Also consider taking a zinc and selenium supplement, both are needed for healthy sperm and can make the taste better.

Finally, strong smelling semen may indicate an infection, so if your semen taste doesn’t change when you change your diet, you should consider a visit to the doctor.

Your aim with your diet is to eat one that helps your overall health and the above recommendations will not only make your semen taste better you will also feel fitter and healthier as well.

Keep in mind that you can eat some of the foods we don’t recommend for sperm taste.

You can enjoy red meat and the occasional spiced curry just keep in mind the following when considering sperm taste:

What you put into your body takes between 12 and 24 hours to secrete out and you should simply keep this in mind before eating and deciding whether you want a better sperm taste on that particular day or not!

Top 6 Characteristics For Becoming a Librarian

If you are interested in choosing the career path of a Librarian, you should have certain characteristics and values.

1) The desire to help, teach, and serve others.

2) Believe strongly in the First Amendment, protecting the freedom of speech and press.

3) Respect others right to privacy and the freedom to read any subject they choose.

4) Have an interest in information research.

5) Have an interest in a wide variety of resources, materials, and subjects.

6) Have advanced computer skills and adapt quickly to new technology

Librarian positions generally have three components: user services, technical services, and administrative services. Librarians may specialize in one of these areas or in small libraries, they may be responsible for all three areas.

In user services, librarians assist visitors in locating the material they are looking for, rather it be research material, learning material, or books and media that are fictional in nature. They may also teach visitors how to find and acquire information on the internet or instruct in the use of the card catalogue.

Technical service librarians, specialize in acquisitions and cataloguing. They acquire, prepare, and classify materials so that patrons can find it easily. Some write abstracts and summaries. Often, these librarians do not deal directly with the public, but work behind the scenes to ensure the smooth operation of the library.

Administrative service librarians manage the operations of the library. They may negotiate contracts, supervise library workers, work with budgets, and oversee all activities in the operation of the library.

There are several types of libraries in which a Librarian may work. There are public libraries, school libraries, media center libraries, and university or academic libraries. Information centers, corporations, law firms, advertising agencies, medical centers, museums, research laboratories, and government libraries all hire Librarians.

A Masters Degree in Library Science or MLS from an accredited program may be required for most librarian jobs in public, academic, or special libraries. Some states require Librarians to be certified for certain jobs, while other states do not.

Traumatic Brain Injury – Ayurvedic Herbal Treatment

Traumatic brain injury (TBI) is an injury caused by an impact to the head from direct blows or sudden body movements. Diffuse axonal injury involves widespread injury to the brain instead of localized damage, and constitutes one of the most common types of TBI. This condition can result in severe physical, cognitive, behavioral and emotional deficits.

The acute phase of TBI, when the patient is unconscious or critically ill, is best managed in intensive care. Ayurvedic herbal treatment can be initiated once this critical phase has passed, and the sooner treatment is started, the better will be the overall results. Treatment is aimed at healing the damaged nerve cells, improving neuromuscular coordination and treating the physical, cognitive, behavioral and emotional difficulties that result from TBI.

Medicines like Maha-Vat-Vidhvans-Ras, Vat-Gajankush-Ras, Bruhat-Vat-Chintamani, Vish-Tinduk-Vati, Agnitundi-Vati, Kaishor-Guggulu, Trayo-Dashang-Guggulu, Abhrak-Bhasma, Trivang-Bhasma, Amalaki (Emblica officinalis), Guduchi (Tinospora cordifolia), Kuchla (Strychnos nuxvomica), Ashwagandha (Withania somnifera), Haridra (Curcuma longa), Yashtimadhuk (Glycyrrhiza glabra), Mandukparni (Centella asiatica), Bala (Sida cordifolia), Naagbala (Grewia hirsuta) and Shatavari (Asparagus racemosus) are used to normalize nerve and muscular function.

Medicines like Brahmi (Bacopa monnieri), Jatamansi (Nardostachys jatamansi), Shankhpushpi (Convolvulus pluricaulis), Vacha (Acorus calamus), Jayphal (Myristica fragrance) and Sarpagandha (Raulwofia serpentina) are used to treat cognitive, behavioral and emotional problems. Medicines like Maharasnadi-Guggulu, Nirgundi (Vitex negundo), Rasna (Pluchea lanceolata) and Tagar (Valeriana valichii) are used to control pain and muscular spasm.

The entire body is massaged using medicated oils like Maha-Narayan-Oil, Chandan-Bala-Laxadi-Oil, Bala-Oil, and Saindhav-Oil. This is followed by medicated steam fomentation using Dashmool-Qadha or Nirgundi-Qadha. These procedures are believed to strengthen muscles and stimulate the nervous system. Modified massage procedures like “Pinda-Sweda” and “Pizichil” can also be used for specific situations. Some physicians advocate the use of medicated enemas called “Basti”, which are believed to regulate the “Vat” dosha and normalize nerve impulses.

It should be kept in mind that the response of patients to treatment can be highly unpredictable. Sometimes, patients with severe injury and an apparently major nervous system deficit make a dramatic and early recovery, whereas other patients who are comparatively not as handicapped take a longer time for improvement. Nevertheless, all patients do benefit from herbal medicines and Ayurvedic treatment procedures.

Ayurvedic herbal therapy can thus prove to be a valuable treatment modality in the management of TBI. Speech therapy, physiotherapy, occupational therapy, recreational therapy, and counseling needs to be given as required. Ayurvedic medicines can help shorten the duration of treatment and improve the extent of recovery in TBI.

How To Hand Solder a Quad Flat Pack

This article describes how to sold a quad flat package component to a printed circuit board. The details of the process are covered, including chip placement, bent pin recovery, tacking, the soldering and solder bridge removal.

Get your chip ready by placing the component tray on your bench and opening up the packaging.

There are two things to do before picking up the chip. The first one is to make sure that you are not going to zap your chip with a lightning bolt out of your finger. Discharge yourself of any static charge build-up in your body by either wearing a grounded antistatic wrist strap, or by touching an exposed metal screw on the grounded case of a piece of equipment on your bench. Maybe your soldering iron base or a lab bench power supply.

The second thing to do is to look at where the pin 1 reference on the chip is. Rotate your circuit board so that when the chip is transferred over, it will be in the right position with pin 1 marks lined up.

Next, use the vacuum pickup tool to lift up the chip and transfer it over to the circuit board.

At this stage if you drop or bump the chip, you may have bent one or more of the legs. You can recover from bent pin legs using the following procedure.

Get a hypodermic needle and a fine pair of pliers. Make a small 90 degree bend on the tip of the hypodermic needle. The bend acts as a kind of hook or puller for the bent pin legs.

Next, put on your head magnifiers so that you can see what is going on. Hold down the chip and very carefully pull the bent leg back into position. Do this very slowly to avoid pulling it too far. Do this for all bent legs.

Place the chip down carefully on the board. It does not need to be too accurate at this stage.

Put a finger at opposite corners of the chip and carefully move it around so that the pads on all sides line up with the device legs. This takes some time to do, so be patient. It is important to line it up accurately at this stage.

Next, check all around the chip, by looking from the top, to make sure that all of the pins are nicely lined up with all of the pads. Do not bump the board otherwise the chip will move and you will have to realign again.

Now that the chip is in position, it is ready to be tacked down with a few solder blobs. To tack the chip down, start by putting a little blob of solder onto the chisel tip of your soldering iron.

Then very carefully touch the solder blob onto one of the corner pads. It does not matter if you get 2 or 3 pads at this stage. Do not let the actual soldering iron tip touch the legs – you just want some contact of the molten sold to the leg and the pad.

The objective at this stage is not to make a good sold joint but simply to get some solder onto the leg and pad to hold the chip down to the board.

Carefully rotate the board around and put a little solder blob on each of the other 3 corner pads.

The next step involves applying gel flux, so make sure that you are wearing powder free latex gloves to avoid getting flux on your hands.

Take the gel flux syringe and apply the flux to all the pads, all the way around the chip. Put on a reasonably good amount of flux. The chip is now ready for soldering.

There will be a lot of solder fumes during the soldering, so make sure that you are wearing a face respirator and have good ventilation in your work area.

Put some solder into the reservoir tip of the iron. You do not needily need to fill up the reservoir. As long as there is a small amount of solder there, the solder will flow out onto the pins and pads when the tip comes into contact with them.

Next, just run the iron slowly across the feet of the pins. Of course, do not press down too hard – just guide the iron along. It is OK to run the iron back along some of the pins if you feel that there may not have been sold coverage of some of the pads.

I like to wipe the tip of the iron on a damp sponge after every chip edge. This removes the dross or residue that builds up on the iron tip as you go along. Whenever you wipe the tip of the iron, you will need to reload the reservoir with some more sold before doing another edge.

If you can see that you have created some solders bridges on some of the pins, wipe the iron tip again. Put a little more flux just on those pins and then bring down the tip of the iron to suck away the excess solder from the joints.

After cleaning the flux residue from the board it is important to check all the way around the chip again for solder bridges. If there are any bridges, apply flux gel just to those pins and use the reservoir tip to suck away the excess solder. Once done, clean and inspect the board again.

That completes the description of the quad flat package soldering process, including chip placement, bent pin recovery, tacking, the soldering and solder bridge removal.

Home Rewires – Nitty-Gritty Questions and Answers

If your house was built before 1950, the wiring may not be up to current standards. Prior to 1950, many wiring systems relied on cloth-insulation, which deteriorates over time. Between the late 1800s to mid-1930s, wiring was given cloth insulation and, in addition, was held in place by a system called “knob and tube” or “knob and spool.” While cloth insulation may not be obvious, knob and tube is easy to see. It features whitish ceramic tubes (spools) through which the wires were run and whitish ceramic knobs over which the wires were wound. You can find photos on the Internet. If you suspect that your house was wired before 1950 or has cloth-insulated wiring or knob and tube, ask a qualified electrician to check it.

How much does a house rewire cost?

Of course, it depends on how much work a particular home needs and where you live. My company operates in a large urban area where the cost of living is as high as anywhere in the country. Depending on the type of existing wiring, we charge $4-$6 per square foot of home that needs rewiring. If you live in a less expensive part of the country, of course, you can expect a lower price.

How long does it take?

This depends on factors like the size of your house. In general, for a house of about 1,500 square feet, with 2-3 person crew, a complete rewire, where all the wires are replaced, takes about 2-7 days.

Is it necessary to break walls?

If your electrical wires were installed inside conduit (looks like plumbing pipes), breaking walls can be mostly or entirely avoided. For Romex or knob and tube, breaking walls can’t be avoided. If it’s necessary to break walls, an expert electrician will leave a clean patch ready for the painter.

Will our home lose power?

The parts of the house where the electricians are pulling out your old wires and replacing them with new ones will need to have the power turned off. Experienced electricians will sequence the rooms so that only a specific part of the house is without power at any one time. They shouldn’t leave your home without power overnight.

Will a rewire increase the value of my home upon sale?

Very likely. If your existing wiring is unsafe, this issue will come up in escrow during the home inspection. Also, some lenders may decline to provide a mortgage and some insurers may not offer home insurance. In this situation, you can expect fewer potential buyers and a lower price for your home. A rewire may make a higher price possible and a sale smoother. If you think you might end up doing a rewire before a sale, the best time to do it is as soon as you can pay for it. It will keep your family safer in the meantime.

Will it reduce insurance rates?

Many insurers refuse to provide insurance for homes with older electrical systems that don’t meet current safety codes. If you have such a home, you may find that your options are limited to insurance companies that charge higher rates.

Is an electrical permit required?

Yes. Upon sale of the house, if a rewire has been done, legally you will need to be able to show an electrical building permit. If you didn’t get a permit, you’ll need to disclose that. A permit requires that your electrician obtain an electrical inspection to make sure that the wiring follows the National Electrical Code.

Can I rewire my house myself?

This depends on your knowledge and skills. A safe rewire and one which will pass building inspections requires knowledge of many parts of the National Electrical Code as well as many electrical skills and special tools. Rewiring could be both a hazardous and lengthy undertaking for non-electricians. It’s possible but a challenging undertaking for the average do-it-yourselfer.

After how many years should a home be rewired?

There’s no set lifetime for an electrical system. A wiring system installed before 1950 should be checked out. But even a modern electrical system which was sound when originally installed should be checked every 10 years. Make sure that all electrical connections are still tight and in good working order.

If you feel that you would sleep sounder at night, get your electrical system checked. A qualified electrician may find that no work is needed, or that some connections need tightening, or that an older electrical system needs a rewire.

Is It OK To Break Open Fish Oil Pills If They Are Too Big For You To Swallow?

So is it OK to break open fish oil pills? These capsules or soft gels can be quite large and difficult to swallow for some people, especially smaller children who can also gain many important benefits. Find out what you need to know here. The answer to “is it OK to break open fish oil pills” is a resounding yes you’ll be pleased to know! I have to do this for my two children each morning as they refuse to swallow them, which is fair enough as they are only five and three.

What you should be aware of is that they should be consumed as quickly as possible after you pierce them, or with too much contact with the air they can lose their power. What I do is pour the contents of the capsule into their morning juice and get them to drink it within five minutes or so, and then they get the maximum health benefits. It is also essential to get the purest and freshest oils possible. When you break open fish oil pills, you should smell them to see how fresh they are. You should get a faint ocean smell and certainly not a strong fishy one! Strong smells mean stale or rancid oil which will lead to protests from those taking it (especially kids) and those unpleasant fishy burps. It will also mean that the oil will offer little or much reduced benefits. Some companies disguise stale oil by using an unnecessary enteric coating and flavouring, especially lemon.

An enteric coating protects the contents from the stomach and releases them in the upper intestine which is great for nutritional supplements but not for fish oil, as it should be released in the stomach. Purity is also paramount, especially with all the traces of toxins found in many supplements today. These can be very harmful, especially to kids and include mercury, arsenic and lead. Simply check the oils have been molecularly distilled to remove these toxins and you’ll be fine.

Use these tips to get the maximum benefits of this natural oil including improved heart and brain health, better memory and concentration, less chance of depression and anxiety, lower blood pressure and cholesterol and many more. For kids, they have been shown to actually increase their IQ, improve their vocabulary and speech, aid concentration and improve hand-eye coordination too.

Now you know that it is OK to break open fish oil pills, why not include them in your daily routine and enjoy the maximum health benefits.

Prostate Cancer Survival Rates in UK

There are approximately 25 000 men newly diagnosed with prostate cancer every year in the United Kingdom. For these men the risk of dying from their prostate cancer depends on a number of risk factors. For example if the cancer is confined to the prostate gland at diagnosis the chance of surviving to 5 years is 70%. If the cancer has already spread e.g. to the bones then only 20% of men will survive to five years. Of all the men who currently have prostate cancer in the UK approximately 10,000 will die of the disease each year. The prostate cancer survival rate is much higher in the developed world – unsurprisingly.

When a man is first diagnosed with prostate cancer then the doctor who has found the cancer (most often a “urologist” – a surgeon who specialises in looking after problems to do with the kidneys, prostate and bladder) will arrange a series of tests to help assess the risk for that individual patient. The results of these tests will in turn help the doctor and patient to decide the best treatment for that patient.

Prostate Cancer Tests to Help Predict Survival

1. Prostate Specific Antigen or PSA

2. Digital Rectal Examination or DRE

3. Trans-rectal Ultrasound and Biopsy

4. CT or MRI Scan

5. Bone Scan

PSA

This is a protein made by the prostate gland which can be measured on a sample of your blood i.e. a blood test. The PSA level can be raised by non cancerous problems with the prostate gland i.e. not all men who have a raised PSA have prostate cancer. Also some men who have prostate cancer will not have a raised PSA. However PSA does tend to increase as prostate cancers grow, invade and spread so PSA can be used to monitor how a prostate cancer is progressing or how it is responding to treatments.

DRE

This is where a doctor feels the prostate gland through the back passage. It tells the doctor how big the prostate gland is, whether the cancer is able to be felt easily and whether it has invaded the area near by.

Tran-Rectal Ultrasound and Biopsy

For this test you need to lie on your side with your knees brought up into the chest (same position as for a DRE). An ultrasound probe is then inserted into the back passage. This enables the doctor to see on a screen the outline of the prostate gland. There is no radiation involved. The image on the screen then allows the doctor to insert a needle safely into the prostate gland to take some samples of the prostate tissue. Usually several samples are taken from each area of the prostate gland. These samples are then sent to a laboratory to be looked at under a microscope. This allows confirmation that there is prostate cancer present and tells us how aggressive the cancer looks. Sometimes a local anaesthetic is used to help make the procedure more comfortable.

CT or MRI Scan

This is usually carried out in an x-ray department and involves lying still on a thin couch which moves through either a big donut (CT) or into a long tunnel (MRI). This is not painful in any way. The pictures gained from this test helps the doctors to see whether the prostate cancer is still within the prostate gland or whether it had started to invade out of the gland into other surrounding structures. This tells the doctor what “stage” the prostate cancer is.

Bone Scan

This requires you to have an injection and then to lie on a special table where a camera scans the whole body. It shows up whether any of the bones in the body have been affected by the prostate cancer i.e. whether the prostate cancer has spread to the bones.

Prostate Cancer Stage and Survival

The stage of prostate cancer describes how far the cancer has grown and spread. It is assessed by a mixture of DRE and CT/MRI scans.

T1 Stage

This is very early prostate cancer which can only be seen under a microscope. At this stage the cancer would not cause any symptoms. Men with this stage are at low risk from their disease may not need any treatment but surveillance. The original cause of a prostate cancer problem can be difficult to diagnose.

T2 Stage

This is early prostate cancer but is now big enough to be felt by a doctor on DRE. This may still not have caused any symptoms. This is most often cured if treatment is undertaken at this stage and about 70% of men are still alive after 5 years i.e. average length of survival from diagnosis is well over 5 years.

T3 Stage

This is locally advanced prostate cancer which has started to extend and invade outside of the prostate gland. This stage would often cause bladder symptoms in men. By this stage in the disease the chance of cure with treatments is reduced however survival is often around five years.

T4 Stage

This is more advanced prostate cancer which invades the structures around the gland. At this stage there are often already secondaries e.g. bone metastases. If the disease has spread it is usually incurable but may be controlled for some time. The average survival is between 1 and 3 years.

Predicting Survival in Prostate Cancer

Doctors use a combination of risk factors to predict the behaviour of prostate cancer but cancers do not always act as expected. The factors they consider include the cancer stage (see above), the age of the patient, the PSA level and how quickly it is rising, and the Gleason Score. The Gleason score is a marker of how aggressive the cancer looks under the microscope and how much of the gland is affected by cancer.

Ayurvedic Herbal Treatment for Bronchiectasis

Bronchiectasis is a medical condition involving an abnormal dilatation of the large airways in the lungs, resulting from chronic infections, obstruction in the lungs, hereditary diseases, and auto immune disorders. Abnormal dilatation of the airways causes symptoms of a chronic obstructive disease in which the lungs get inflamed easily, with collapse of the airways. The common symptoms of this condition include breathlessness, prolonged bouts of disabling cough, and impaired inability to clear the lung secretions, sometimes accompanied by hemoptysis. A major involvement of the lungs can cause considerable disability to the affected individual and significantly increase the morbidity and mortality from this disease.

The modern management of bronchiectasis involves treatment of infection using antibiotics, treatment of inflammation, the use of expectorant medication, and postural drainage in order to clear accumulated lung secretions. However, this treatment is mostly conservative and only treats the symptoms without actually curing the disease. The chronic disability resulting from this disease usually prompts affected individuals to seek alternative treatments, with the maximum number of patients looking towards Ayurvedic treatment for a remission of the symptoms of this condition.

Ayurvedic treatment has a significant role to play in the long-term management and treatment of bronchiectasis. Herbal medicines are known to have a specific action on the mucosa of the respiratory tract as well as the muscular walls of the airways in the lungs. These medicines have an anti-inflammatory effect and reduce inflammation, congestion and the production of excessive fluids in the lungs. Ayurvedic medicines also reduce the damage to the airways and bring about a significant reversal in the dysfunction cause due to this damage.

Ayurvedic treatment can bring about significant improvement in the breathing capacity of the affected individual in a very short period of time after commencement of therapy. Within four to six weeks, individuals affected with bronchiectasis notice a significant change in the symptoms and in the resulting disability from this condition. Symptoms like disabling cough and large amount of expectoration reduce significantly, and affected individuals experience an improvement in overall health and notice a definite feeling of well-being. The frequency of lung infections comes down significantly and the patient notices definite improvement in overall quality of life.

Most individuals affected with bronchiectasis require Ayurvedic treatment for about four to eight months in order to benefit significantly from treatment. Depending upon the severity of symptoms and associated medical conditions, treatment needs to be tailor-made according to the presentation of symptoms in each individual. Individualized treatment gives maximum positive results and long-term improvement in this condition, which usually does not have a clear-cut treatment in the modern system of medicine. Most individuals can stop treatment after this period and can carry on life at a normal pace, provided they take precautions to avoid infections and precipitate further lung damage. Some individuals may require booster doses of treatment ranging from 2 to 3 months in the following year or two, usually at the commencement of winter. Overall, the majority of patients affected with bronchiectasis experience a dramatic change in life after completing the prescribed course of Ayurvedic treatment.