For Children With Social Anxiety – Withdrawal is Common

Read a full insiders review here Anxiety-Free Child Review

In the same way as trying in the same way as social anxiety disorder is instead of adults, the personal property of this condition are exponentially added negative in the sphere of the lives of children. As confronted with unexpected fears of degradation sooner than their peers, many children escape approximately of the the largest part integral parts of their social development. The unadorned sham of raising one’s tender in the sphere of status becomes a nightmare to a product anguish from social anxiety, in the same way as they be afraid of with the aim of their fellow students and the teacher willpower one way or another give a ruling them in the sphere of a no style. Instead of many children anguish from this anxiety disorder, withdrawal from routine social interaction is humdrum.

What did you say? Makes this condition so much worse in the sphere of children is their next of kin lack of coping skills. A child’s mind is not urban to the tip someplace he or else she can effectively recognize with the aim of their opinion are irrational – contrasted with the adult sufferers of Social Anxiety Disorder who often know with the aim of they are thinking in the sphere of an irrational style, but simply cannot control their own opinion with no behavior. In the sphere of the container of a product, irrational opinion with the aim of they are constantly being evaluated are often in the same way as real to them in the same way as the ground on which they amble.

—-> Child anxiety program free (latest version)

This is why social anxiety withdrawal is even added frequent in the sphere of children than it is in the sphere of adults. Unfortunately, instead of children anguish from social anxiety, withdrawal from social interaction is the exact opposite of what did you say? They need from a developmental standpoint. Childhood is the episode as the largest part frequent realize the social and coping skills with the aim of sustain them instead of the have a break of their lives. A product whose fears cause him or else her to withdraw from social interaction and revolve still added insular willpower, if untreated, attend to to grow into an adult with rigorous anxiety and withdrawal issues. Proper behavior by an basic age is essential in the sphere of preventing the disorder from growing worse in the same way as the product gets grown-up.

Of all of the bad personal property of this disorder, social withdrawal is the most awful. It is the lone result to anxiety with the aim of ensures the condition’s survival and power in excess of the individual’s life. In the sphere of the container of children, withdrawal can mean lost opportunities instead of all of the things with the aim of take home childhood enjoyable: Camping trips, sports participation, and even academic opportunities. If not treated, social anxiety can factually strip children of their childhood.

Read a full insiders review here The Anxiety-Free Child Program Download

War Losers Are Criminals – Military Leadership and Something to Think About

How many wars have been fought over different beliefs and religions? I’ve been alive for less than 50 years and through the span of history this is a very small amount time but yet I noticed certain patterns by studying history and being part of it.

Why do we accept war as a necessity or a need to acquire something or instill a certain belief into someone else? Is it because we know, we are absolutely right and we know for a fact 100% that our way of living is better than theirs? What makes the winner of the war right and the looser wrong?

I was watching a movie that Robert McNamara made called The Fog of War: Eleven Lessons from the Life of Robert S. McNamara. I never really put two and two together but he mentioned something in the movie that got me thinking. His superior officer mentioned to him one day,” You Do Realize Robert, If We Lose the War, We Are Going to Be Tried As War Criminals.”

I never really thought that just because we were right and they were wrong, our military leaders could be executed. But were right aren’t we and their wrong, isn’t this why we were fighting World War II. The Germans and Japanese were wrong in doing horrible things. We tried their military leaders and found them guilty. After they lost the war of course.

I guess when I was a kid playing baseball and my coach told me “That the winner takes all.” This also applies to real life, war, beliefs, society and what were forced to belief. If you study the wars throughout history, you will notice that most of the winning sides acquired benefits from the losers and sometimes even property. Makes sense doesn’t it, winner takes all.

Losing a war doesn’t make you a criminal, if you’re trained as a superior leader, doesn’t this involve killing people or are there specific guidelines that military leaders should follow. Are there specific rules and did the Americans and English follow these rules during World War II. Sometimes we need to study leadership books to gain knowledge and skills to become a better leader.

The concept of creating war criminals because they have killed others during the war, will probably never make sense to me. War is a horrible and cruel thing to bestowed on any country and with it comes many acts of horror, it’s war and there’s only one objective and that’s to win, at all costs. If were going to put the losing side on trial, shouldn’t we also find out more about the crimes the winning side committed during the war.

Practical Aromatherapy: Feel Better Now With Helichrysum Essential Oil

The essential oil distilled from the small yellow flowers of the Helichrysum plant is quickly becoming one of the most popular essential oils used in aroma-medicine (perhaps the more appropriate term than ‘aromatherapy’ for the growing medicinal use of volatile plant extracts in the United States). Other monikers for this important oil include Everlasting and Immortelle — they all refer specifically to Helichrysum italicum — one of more than 500 known species of this flowering plant. What’s making this oil so popular? It’s not due to its somewhat medicinal aroma — Rose or Jasmine it is not (though many people do love the scent). It has to do with its fantastic healing potential. The oil has an array of therapeutic effects, all supported by the science in its natural chemical makeup. Here’s a look at the marvel of healing found in the chemistry of this important essential oil.

Healing The Musculoskeletal System

To reduce pain and heal structural tissues at the same time, a synergy of active ingredients is necessary. That’s why aspirin and ibuprofen reduce pain, but don’t stimulate healing — they only address one part of the equation. Essential oils are naturally made up of many chemicals — one oil can have more than a hundred identifiable molecules. And because of their molecular structure, they’re very compatible with our physiology. When topically applied, they pass right through our skin and into the bloodstream and underlying tissues where they can quickly get to work.

Cooling Inflammation

Helichrysum has the properties of being anti-inflammatory, anti-spasmodic and regenerative all in the same oil. The anti-inflammatory effects can be attributed to the “curcumenes” present in the oil. “Curcumenes” have recently been very prominent in the field of natural nutrition, as the extract of the spice turmeric, called “curcumin” has become popular as an anti-inflammatory supplement. The supplement is considered helpful not only for joint inflammation and pain, but as an all-around anti-aging supplement as well. Helichrysum contains a significant quantity of “gamma curcumene”, providing an excellent anti-inflammatory effect.

Muscle Relaxant

Helicrysum contains a significant amount of “neryl acetate”, a molecule from a larger group known as “esters”. These are the predominant relaxing molecules found in many essential oils. The relief of chronic muscle spasms has a two-fold action: one, release of the tension instantly brings pain relief and an increase in energy flow (anyone with neck muscles in this condition know how the mind can feel hazy as a result). Second, once this tension is relieved, circulation to the area is increased. This is crucial to the healing process, as it allows the flow of damaged material out of the area, and new healthy material in.

Cellular Regeneration

The third unique aspect of the essential oil is due to the regenerative nature of the “di-ketones” found almost exclusively in Helichrysum. The di-ketones are thought to signal tissues of the body to regenerate, and the oil is included in many formulas for wound healing and scar reduction. The di-ketone level is especially high in oils from plants grown and distilled around the Mediterranean, where levels of these di-ketones can exceed 11% of the total makeup of the essential oil.

Anti-Hematoma, Bruise Preventative

A wonderful effect for all us accident prone folks is the bruise prevention offered by the oil. Keeping a little of the oil on hand at all times is a smart way to keep ourselves relatively injury-free. An application or two of the oil on any part of the body that has received physical trauma can profoundly speed healing by preventing the formation of a hematoma, a bruised area where blood flow almost comes to a halt. For athletes twisting an ankle, for example, the oil can significantly reduce the swelling that occurs in the minutes after the injury, speeding healing by quickening the nutrient/waste exchange in the area. ANY blunt injury (walking into furniture in the middle of the night, or hitting your head on an open kitchen cabinet are but two common examples) will greatly benefit both in terms of healing time AND immediate pain reduction.

User Experiences Encourage Experimentation

Users have reported impressive results with the use of Helichrysum for all sorts of injuries. Many are astounded with the speed that they feel pain relief. Sports enthusiasts have dubbed the liquid “magic oil”; more sedate office workers are also very appreciative of the relief their aching backs receive. Those with a “crook” in their neck feel better in minutes. Because of the oil’s relatively recent arrival on the world-stage of natural healing — and its continued relative obscurity — it has not yet been the subject of scientific inquiry. Yet this shouldn’t prevent you from a little experimentation. A few milliliters is all you’ll need to see if the oil works for you.

Chemistry – How to Determine the Number of Bonds in an Element

In order to determine the number of bonds that an element will form, you must determine its charge. Once you know the charge, you know the bonds because for the most part the number of bonds is equal to the absolute value of the charge. So, lets learn how to determine the charge or oxidation number of an atom.

First, you will need to gather a few tools to help you with your task. You will need a periodic table, the octet rule and a couple of physics concepts. You can get a periodic table from your book, your teacher or online and the octet rule is below.

The Octet Rule:

An element will tend to gain or lose electrons in order to obtain a Noble Gas valence.

Physics Concepts:

Nature tends to move toward a state of lower energy, which basically means nature takes the easy way. Also, you need to remember that opposites attract an likes repel. These two concepts will help you decide whether an element will gain or lose electrons to obtain the Noble gas valence.

Alright, ready to put these tools to work? Good! Lets determine the charge for lithium.

  • Find lithium on the periodic table and determine the valence electrons.
  • Lithium has 1 valence electron.

Now remember the octet rule and ask, “Is it easier to lose 1 electron and go back to helium or is it easier to gain 7 electrons and move toward neon?”

I hope you answered that it is easier to lose one and go back. So, lithium will tend lose one electron and become a (1+) cation.

Remember, if you lose electrons you become more positive and if you gain electrons you become more negative because electrons are negative.

If the charge of lithium is (1+) then it will have one bond. It really is just that easy.

Should we try another? How about chlorine?

  • Find chlorine on the periodic table and determine the valence electrons.
  • Chlorine has 7 valence electrons.

Now ask, “Is it easier to gain 1 electron and go toward argon or is it easier to lose 7 electrons and move back to neon?”

That’s right it is easier to gain one and move toward argon. So, chlorine will have a (1-) charge and form one bond.

Factories And The Affect On The Environment

Long ago, eating meat was a good source of nutrition, since the use of hormones, pesticides and mass production methods was as yet unheard of. A family raised and processed their own livestock. Every morning the large golden eggs were plucked from the chicken’s nests, which were lovingly cared for and fed healthy pesticide-free grains..

Today’s factory farms use everything, but in the process they leave behind an environmental toll that generations to come will be forced to pay. Raising animals for food requires more that half the water used in the United States each year and one-third of all raw materials, including fossil fuels. This industry is the greatest polluter of our waters and is directly responsible for 85 percent of soil erosion. Our country’s meat addiction is steadily poisoning and depleting our land, water and air.

Of all agricultural land in the United States, 87 percent is used to raise animals for food. That’s 45 percent of the total land mass of the United States. Methane is one of four greenhouse gases that contribute to global warming. The world’s 1.3 billion cows produce one-fifth of all methane emitted into the atmosphere.

Raising animals for food causes more water pollution in the United States than any other industry because animals raised for food produce 20 times the excrement of the entire human population-230,000 pounds every second.

Of all raw materials and fossil fuels used in the United States, more than one-third is used to raise animals for food.

Rain forests are being destroyed at a rate of 125,000 square miles per year. The primary cause of deforestation is raising animals for food.

Coupled with the inhumane treatments of animals that are raised for human consumption, the costs of raising and processing these animals for human consumption is becoming too high. Make a commitment to reduce or eliminate meats from your diet, and learn to live from the plant foods the environment naturally provides. The animals and your conscience will be better for it.

The Million Dollar Condom Project

Through the innovations in the scientific community, it is now possible for people to have as much sexual pleasure as they want. Now, people do not have to worry about getting pregnant or contracting HIVs and other sexually transmitted diseases. Some of the birth control options that promote safe sex are pills and condoms.

Condoms are the cheapest and most convenient form of birth control in the market. There is no age requirement to be able to buy one. Now, people can even choose to buy condoms online. But even with these advantages, some people still will not buy a condom, exposing themselves to risks carried out by unprotected sex. With this, the Bill Gates Foundation has launched a contest for the redesign and development of the best condom in the market.

Here are some of the ideas that made it into phase one. They were given a $ 100,000 grant for the research and development. The best idea will grab a staggering amount of $ 1 million.

PROJECT RAPIDOM
Aside from the sensation one can get from using a condom, this project also prioritizes ease of use. Developed by a company in South America, the proponents want a condom that can be worn with just a single thug after taking it out of the wrapper.

GRAPHENE INCORPORATION
There are many comments about condoms online and most of them are about how guys do not want to use them because the sensation is reduced. Lakshminarayanan Ragupatin from a company in India would like to address this by developing a thinner and warmer condom. This can be done by incorporating graphene, a new super strong and conductive material, into the product. This will create a more natural sensation due to the thinner walls, which improves the amount of body heat transfer.

PERFECT FIT CONDOM
The Cambridge Design Partnership from United Kingdom is doing their best to come up with a dynamic, universal fit, and low-cost condom. The unique thing about their product is that while using the condom during intercourse, the multiple polymers in it will tighten around the sex organ. This aims to maximize privilege for both partners.

WRAPPING CONDOM
Among those that made the cut is California Family Health Council's great idea. Their concept is to make a condom that is as thin as possible without losing its durability. They are trying out polyethylene, which will cling over the surface rather than squeeze itself. Sensation is there before heightened.

Which among these ideas do you think will make the cut? Which will make people buy condoms not only for marketing purposes but for the promotion of safe sex? While the search is still on to find the next generation condom, do not be careless and always have a pack stashed in your purse. As the saying goes, prevention is always better than cure.

The Top 5 Camping Regions in North Carolina

Vacation time is just around the corner. It is the best time to go outdoors and spend time with the nature? From the mountains to the shore, there’s a campground and some gorgeous scenery waiting just for you:

Mount Pisgah Campground

It is a portion of the Appalachian Mountain Range, a place that has beautiful scenery, whether blanketed in the wildflowers in spring or overflowing with yellow, orange and red hues during the fall season. The Blue Ridge Parkway is the scenic byway which follows the tall crests of the southern and central Appalachians for 469 miles from the Shenandoah National Park located in Virginia to Great Smoky Mountains National Park of North Carolina.

Ocracoke Campground

For some various scenery, pitch the tent right on the sand dunes in this campground. You can reach his place with a boat. Ocracoke Campground is situated in the western end of the island close to the town of Ocracoke. This is the sole campground wherein you could make a reservation that makes sense seeing that you just need a boat to get there.

You do not like to get stuck with no a place to rest and sleep. There’s a manned pay station in the entrance and you could pay using your debit or credit card. You would be asked to drive all over the campground then pick out a vacant spot and then come back to pay. This campground comes with 136 cites, and is separated to 4 loops which are all available for RVs and tents. There are modern bathrooms or outdoor showers having cold water, so no one could see you taking a shower. These are all situated across the entire campground area.

Mouth Mitchell

Spend the whole day in climbing the highest peak in the eastern part of Mississippi. In the evening, pitch the tent in the summit and then have fun with the amazing view of those shining stars above.

Goose Creek State Park

For those people who have fun with camping, they can drive their RV going to Goose Creek RV Resort. It boasts its coastal terrain that you can explore and the beaches which can be reached just a few steps away. It would be a nice choice for a very long weekend.

Hanging Rock State Park

If you want that high mountain feel in Piedmont, your best destination will be the Hanging Rock. This is the most suitable area for pitching your tent. Enjoy trails, waterfalls, boating and horseback riding, just like whatever your heart wants. You will never find any reason to feel bored when you get there.

Get the Best Treatment for Cerebral Palsy

There may be no cure for cerebral palsy but treatment for cerebral palsy is possible. Parents who seek treatment for their children need to know a couple of basic facts about cerebral palsy treatment.

Goals of Treatment

Present research offers no immediate cerebral palsy cure. Parents may therefore wonder what treatment is for. Although treatment cannot cure the condition, it has some other benefit. Treatment can help individuals with cerebral palsy use their limbs to the utmost possible. Treatment therefore aims to maintain bone strength, improve flexibility, improve coordination and correct postures and alignment. The end result is an individual who is able to care for himself and function in society. The rate of progress and treatment success depend on the severity of the condition of a patient.

Multidisciplinary Approach

Treatment for cerebral palsy has to be planned. The planning and execution is done by experts in various fields. This means that more than one expert may have to be consulted for your child’s treatment. The number of experts and the duration of treatment would depend on your child’s condition.

Even with expert help however, parents may have to participate in the program. After all, activities such as play, bathing and feeding are executed at home and not with therapists. Parents therefore need to learn how respond to the needs of their child while at the same time fostering as much independence as possible.

Therapy

One top treatment for cerebral palsy is therapy. For some patients this may be all they would ever need. Physical therapists help patients achieve flexibility and optimum use of their muscles and bones. This may be done through a series of special exercises for muscle toning.

Occupational therapists may also be needed. These are the experts who assist cerebral palsy patients in learning to participate in daily home and school activities. Various activities may be devised to help individuals learn how to use their limbs in such activities as dressing up, writing, walking, sitting and feeding oneself.

Medications

Some patients may require medicines as part of their treatment for cerebral palsy. They may be prescribed to help ease rigid muscles and limit tremors. The usual problem with medications is the side effects. A person who may already have a hard time with movement may have to deal with possible physical discomforts such as headaches and nausea.

Surgery

Surgical procedures may be resorted to only in some cases. They may be needed to ensure better bone placement. In some cases, surgery may be used to reduce the symptoms of those with spastic cerebral palsy. As with every other condition however, surgery is always a last resort when nothing else will work.

Gadgets and Devices

Depending on a child’s condition, certain equipment may have to be used. Braces are the most common devices used. Aside from these, patients may also need wheelchairs and communication devices.

There is always hope for kids with cerebral palsy. Getting into the right treatment for cerebral palsy can help ensure that kids can function normally in life.

Health Benefits Of Hematite Magnetic Jewelry

Hematite magnetic jewelry is made from a reddish brown stone known as Hematite. The stone is the mineral form of Iron Oxide. Hematite exhibits anti-ferromagnetic properties at normal room temperatures. However, magnetized hematite shows properties similar to that of magnetite, another Iron Oxide. Hematite possesses several therapeutic properties and boosts the body’s natural healing system.

Apart from having several health benefits, magnetic Hematite jewelry allows you to make a fashion statement. They are available in trendy and stylish designs. Hematite jewelry is available in the form of bracelets, necklaces, earrings and anklets. They are suitable for all types of events and occasions.

Advantages of Wearing Hematite Magnetic Jewelry

Magnetic Hematite can effectively treat a number of medical conditions without any medication. Here are some of the health benefits of wearing such jewelry:

Relief from Sickness and Pains

The distinguished iron content in hematite jewelry facilitates tissue regeneration, boosts the immune system and improves general health. They are especially beneficial for people suffering from diabetes, asthma, acne, allergies, bursitis, bunions, frozen shoulder, tendonitis, fibromyalgia, carpal tunnel syndrome, bone spurs, rheumatoid arthritis and other joint diseases.

Magnetic Hematite has proved effective in reducing aches and pains in various body parts. It regulates the natural charge of the nerve cells, which results in reduced pain. Several holistic healers use it to address high blood pressure, leg cramps, nervous disorders, sleep disorders, migraines, tension headaches, back pain, spinal ailments, sprains, fractures, torn ligaments and other sports injuries.

Improved Blood Circulation

Wearing magnetic Hematite over your skin can have positive effects on your blood stream. The magnetic field applied to your body improves your blood circulation by affecting charged ions present in the blood. The increased blood circulation improves oxygen supply to various parts of the body. This increases the healing rate, alleviates pain and combats anemia. Moreover, Hematite stimulates the kidneys to purify blood. It is also used for reducing body temperature and drawing fever from the forehead.

Increased Energy

Magnetic Hematite helps to stabilize disorderly energy. The magnetic field helps to balance the energies between the body and the mind. Magnetic Hematite also enhances physical energy and has a calming effect on the mind. It reduces stress and anxiety, and improves concentration. It can help you to overcome addictions and compulsions, and improve self-esteem.

10 Tips to Lose Weight Fast

You might come across thousands of articles on the internet about the techniques to be adopted for losing weight. There are some techniques which are easy to follow while some others require your time and energy. So what is best the way out? I am going to tell 10 simple tips which can be followed if you want to shed extra pounds effectively.

Below are 10 tips for losing weight fast and healthy.

1. Take the time to experiment with food

Everyone knows that eating healthy is the first prerequisite for a diet with enduring results. It is the only way that you will lose weight and kept the extra pounds off. This is why you should try a lot of different healthy foods so that you will never get bored of your menu and start eating foods that will add to your waistline.

2. Have Smaller Meals

This is something that you will see mentioned in many diets and for good reasons. If you eat smaller meals, you won’t put any strain on your stomach, and you will also get used to eating less every time you sit down at the table. This is a sure fire way to cut down on your portions on the long run.

3. Drink Lots of Water

This is mandatory not only for losing weight but for living an overall healthy life. Water is the fuel that drives your metabolism so get a lot of it to make sure that you keep burning as many calories as possible throughout the day.

4. Avoid Alcohol

In case you didn’t know it, Alcohol comes with a significant sugar concentration so if you want to lose weight fast, remove it from the menu completely. If you are in a social situation where you absolutely must raise a glass, go for red wine because it gives you a nice metabolism boost and increases your blood flow.

5. Don’t eat after 6 pm

This is another golden rule in the Tips for losing weight fast book. The idea behind it is to avoid eating during the period of the day when your physical activity will be reduced significantly, and you won’t burn as many calories.

6. Stay away from Junk Foods and Processed Foods

This should go without saying, but there are many people out there that manage to convince themselves that it’s OK to eat that McDonald’s Salad and completely forget about the fat-laden dressing that it comes with.

7. Run

Out of all the tips for losing weight fast, this is the simplest and most effective I can give you. Just go outside and run because there is no way you will get rid of the extra pounds fast, without any physical exercise.

8. Eat Raw Food

Include vegetables and fruits in your menu but don’t add them, use them to replace other cooked foods.

9. Don’t eat before you sleep

Try to always be active after a meal because it is the only way you will lose weight fast.

10. Never leave the table feeling full

If you want to shed off pounds fast, always leave the table feeling a little bit hungry.

There you have it; these are my 10 Tips for Losing Weight Fast. Follow all of them, and you should see results sooner than you expect.

Type 2 Diabetes – New Devices Are Being Used to Monitor Pressure Continuously in Foot Ulcers

Diabetic foot ulcers are a serious complication of Type 2 diabetes. Neuropathy, one of the long-term complications of diabetes that affect the nerves in your feet, may affect your ability to sense major trauma. If left unchecked the foot ulcer can result in bone infection and the need for limb amputation.

One diabetic during his or her lifetime has a 25 percent risk of developing the condition. Of those 25 percent of diabetics who do develop foot ulcers, half will need hospitalization and 20 to 25 percent will need amputation. To put it another way, 80 percent of non-traumatic foot and leg amputations are due to diabetes. In the United States alone more than 82,000 people lose limbs to diabetes each year, and it is a leading cause worldwide.

Scientists in Italy and at the University of Arizona in Tucson, United States, have devised a method for continuous monitoring of pressure in diabetic foot ulcers. As reported in the Journal of Diabetes Science and Technology in February of 2017, the system consists of a pressure sensor made up of what is known as a smart textile. The textile is attached with a stretchable band which collects information and transmits it to a telephone. The collected information is then relayed to the diabetic’s doctor.

Sixty-eight percent of Type 2 diabetics live for five years or more after amputation.

According to the University of Arizona Medical School, the device will…

  • measure and analyze pressure, temperature, and gait,
  • be accurate for people walking on a variety of surfaces,
  • improve accuracy compared with other devices,
  • be mobile and easily washable,
  • deliver alerts when necessary,
  • improve the diagnosis of foot problems at home,
  • lower the risk of falling in older people.

The University of Arizona is also developing a smart insole. This device measures…

  • pressure,
  • foot position,
  • acidity or alkalinity,
  • blood flow, and
  • skin temperature.

It uses these measurements to lower weight-bearing where the ulcer is located, allowing it and other wounds to heal. Information from the smart sole allows doctors to monitor wound healing and make adjustments accordingly. It alerts health care providers as to any dead tissue hindering healing.

When foot ulcers are diagnosed, the first treatment is to relieve pressure from the ulcer with orthotic devices. The wound is…

  • cleaned with saline (salt water), and
  • dressings need to be changed daily.

Debridement becomes necessary when dead tissue prevents healing. Antibiotic therapy is used for soft tissue or bone inflammation and infection.

To protect your feet, you need to inspect them before and after exercise. If you have neuropathy, be aware you may not be able to feel the rubbing of a poorly fitted shoe or even a pebble in your shoe.

Massage Tips – When and How Much

How much to tip a massage therapist can be a confusing thing. On one hand you have the spa massage therapist that can be put in the same group as nail technicians and hair stylists. Another group is sports massage therapists and medical massage therapists. Typically people in the medical profession do not receive tips for their services. Lastly, what if you are not from the United States? Different countries have different customs. For example, Canada reimburses its citizens for massage, so massage is seen more as medical service versus a pampering service.

Below are listed the basic rules of how to tip a massage therapist:

Table Massage Tips Basic Rules

  • Massage therapist in a spa or outcall massage (at your location) – 10-20% of the total bill.
  • Massage therapist in a medical environment, such as Chiropractor, etc. – normally no tipping *.
  • Chair Massage Tips Basic Rules

  • Chair massage that is paid by the customer – 10-20% of the total bill
  • Chair massage paid by an employer or trade show – normally no tipping *.
  • * If you do want to tip, ask what the establishment's guidelines are. Tipping may be against the company's policies or they might not mind. Each situation is different.

    What if you do not want to tip?

    An exception to all of the above is when a customer does not want to tip and it's not a reflection on the services they received. Customers have a right to not tip because tipping is a courtesy. Many massage therapists I know are grateful for tips and do not expect them. Tipping, and how much, is absolutely the decision of the customer.

    Beware Hidden Tips

    Lastly, a word of caution; In many tourist areas, a spa or salon will add a tip to the bill for the customer – without asking! This is an automatic process at many places. Then, because the customer is not aware of this, the customer will add a tip to the bill not realizing they're double tipping! This is an unfortunate reality that massage customers need to protect themselves from.

    Hopefully this has answered all your massage tip questions. Remember, if in doubt; Ask the massage therapist or company. They will be pleased that you care enough to want to tip.

    1-2-3 Easy to use Online Opthamologist Database

     The easy-to-use online opthamologist database is as simple as 1-2-3. Simply enter your zip code and receive contact information for eye doctors in your local area providing services for emergency, routine, and disease care and prevention. Everyone in your family can receive care through this easy access to physicians.

    The easy-to-use online opthamologist database is servicing states all across the US including: Texas, Nebraska, North Carolina, New Jersey, Florida, and more. All rural, urban, and suburban areas across the US from the East Coast to the West Coast are serviced through this comprehensive database. You can easily connect with physicians providing care and service in your area for every member in your family including children and elderly. Handicapped care is also available through local eye doctors. Routine eye examinations are beneficial in providing excellent visionary health and in preventing disease, treating infection, and providing treatment. Simple surgeries are available for treatment of common issues including: cataracts, farsightedness, nearsightedness, stigmatisms, disease, and more. Common issues such as infection including conjunctivitis are treatable through antibiotics and proper care. Allergies causing inflammation, itching, and redness are treatable. An allergist may be recommended to determine the cause of the allergen; common allergens include pollen and dander. Your eyesight can be protected and enhanced through routine examinations and care provided by a opthamologist in your area. Receive quick access to physicians through the use of the online database. Contact information will be provided instantly including: phone number, map, and web site. You can rely on the qualified, professional positions provided through this easy access database. It is as easy as one, two, three; simply enter your zip code and receive a listing of providers.

    Full-spectrum care is provided through your opthamologist. This care includes: prescription eyewear, delicate and complex surgeries, disease prevention, treatment for infection, emergency care, and more. Providing a complete medical history is important. A number of medications from health conditions can adversely affect the eyesight including high blood pressure medication. Be sure to fill out all information pertaining to your health when visiting the eye doctors. Prevention is a very important part of protecting your vision. Delicate health issues can affect your eyesight. A number of health concerns including diabetes and multiple sclerosis can affect the eyesight. Early detection of all disease can present negative side effects created by medications and progressive symptoms. Early detection is an excellent way to prevent loss of eyesight. Connect with a physician immediately if you experience any of these red flags: blurry vision, pain, inability to open the eyelid, infection, an object in the eye, and other similar conditions. These red flags could indicate serious concerns. Be sure to wear preventive eyewear when working in the yard, on machinery, or with chemicals. If at any point a foreign object enters the eye, immediately flush it with water and contact your eye doctor. Metal shards can cause infection and a physician should be contacted immediately. Emergency care is available. Flushing the eye is very important. Place your head under the water directly if necessary to completely rinse the area. Colorblindness is also treatable through understanding. Understanding which color receptors are missing from your eyesight will help you to better understand and relate to the world around you. Visiting your local opthamologist will assist you in obtaining the best eyesight possible for you. Medical advances are available through your local eye doctors office.

    Shingles in Children – The Symptoms and Causes

    When you get chickenpox, your body is affected both inside and outside regardless of your age. You experience stomach pains, sore throat, flu, headache, and fever. What’s more, you get an extreme rash all over your entire body. The good news is once you get chickenpox, you will not get it a second time. The bad news is that you will possibly develop shingles. A secondary infection caused by the same virus that caused chickenpox.

    Being infected by chickenpox puts you at risk of having shingles. However, shingles are often diagnosed in adults over 50 years, although cases of children having shingles have been documented. If a baby was infected before reaching a year old, or if the mother had been infected by chickenpox during pregnancy, he or she has a greater chance of having shingles at an early age, while healthier children are less likely to have shingles until they grow up. A possible explanation is that shingles affect people that have weakened immune systems.

    The virus that causes chickenpox, also known as varicella zoster remains inside the body of the infected person even after he or she has recovered from the chickenpox. It stays dormant inside the nervous system. It then reactivates as a different virus, herpes zoster, the virus responsible for shingles. How and why this happens is still a mystery to scientists and doctors.

    Like chickenpox, shingles symptoms appear as very painful rashes; however, the similarity ends there. The rash only “runs” along the nerves that house the virus, and not all across the entire body. It starts as reddish bumps that eventually turn to blisters. Over a few days the blisters turns dry and crusty. This is accompanied by a continuous and intense pain. Children with shingles do not usually feel any other symptoms related to chickenpox such as fever and headaches.

    Shingles usually does not last more than a couple of weeks, but the discomfort caused by it is very hard to ignore. Some recommend taking pain relievers to deal with the pain. While relatively non-threatening, special care must be taken if the rash occurs around the eyes and the nose to avoid any major complication.

    People with shingles are not advised to go to school due to its contagious nature. Although shingles itself can not be directly transmitted from person to person, chickenpox can still be transmitted to other children. Tests show that the vaccine for chickenpox does not prevent shingles in children.

    What To Do If You Are Pregnant and Have Lupus or RA

    RA and lupus are autoimmune diseases and in autoimmune diseases the immune system, which is suppose to protect your body from any foreign substances that may harm it, malfunctions and attacks your own body’s tissues. If you have RA or lupus you are probably taking medication that reduces the immune systems activity to a greater or lesser degree. But pregnancy has its own impact on the immune system and your system must make some adjustments so that your body won’t attack what it perceives to be foreign, the genes that come from the father of your baby. These adjustments make it possible for your baby to grow safely. But there are other effects which can impact your rheumatic conditions such as RA and lupus in different ways.

    Something to think about.

    It can be hard to determine whether the changes in the way you feel are from the pregnancy or your RA or lupus. Unfortunately when you are pregnant you can become anemic, which can cause you to be tired and have a lack of energy, this also happens when you have RA or lupus. Your pregnancy will also affect certain markers of inflammation, doctors use blood test to measure your inflammation called a erythrocyte sedimentation rate or ESR, which is often high if you have RA or lupus. These markers can also be high when you’re pregnant so measuring ESR may not be the best way to gauge how active your RA or lupus is. Also, your pregnancy may make blood clots more likely, but if you have lupus, there is also an increased risk that you will have blood clots because there is a protein called antiphospholipid antibodies in your blood, and these proteins is what increases your risk.

    Your pregnancy can also cause musculoskeletal problems because as your baby grows, your ligaments will relax to allow the pelvis to stretch. You will also put on weight, which is a healthy thing but this can cause your posture to change which can result in joint aches and back pain. Another thing is carpal tunnel syndrome (CTS), which causes wrist pain and numbness, is a common complication of your pregnancy, especially during the second and third trimesters but is is also associated with RA and lupus. All these things can make it tricky to figure out whether or not they are problems with the pregnancy or are a part of your rheumatic conditions.

    Things to do if you have RA.

    RA mainly affects the joints and it will make them stiff, painful, swollen and sometimes, unstable and deformed, but it can also cause fatigue and you may have problems with your heart and your eyes. There is between 1% and 2% of the United States population that have RA, and it is most common among women than men. It will usually appear when you are in your twenties or thirties, the child bearing years, so finding women with RA who are considering pregnancy is not all that surprising.

    The first thing you will want to know, if you have RA and are considering having a baby, is whether or not your arthritis is going to flare-up during your pregnancy. The thought of carrying around an extra 20 – 30 pounds of weight on replaced joints or on joints that are sometimes swollen and sore can be a bit discerning. Luckily there are about 70% – 80% of women who have RA that go into remission during their pregnancy, another words their symptoms go away. For the rest of those women with RA who don’t go into remission, their symptoms may become milder and easier to manage. It’s hard to predict just who will go into remission but despite this uncertainty, some doctors will tell their patients to stop taking their RA medications when they become pregnant because of the high likelihood that they will go into remission and not need treatment. But there are some steps you can take before you get pregnant that can help you during and after the pregnancy.

    Work out a plan with your rheumatologist for what medication you will take if you do have a flare during your pregnancy.

    You will also have to consider the type of delivery you will have. Most women with RA can safely go through the labor and vaginal delivery, but if your RA affects your pelvis and legs extensively, a vaginal delivery may not be what you want to do. Your doctor may opt for a planned cesarean section.

    For some of you with RA, you may find that after you have your baby your arthritis flares up. Because arthritis flares can make it difficult to care for a newborn, you will want to plan very carefully just how you will manage this period. By planning you can ease the adjustment of this postpartum period.

    If you are planning on breast feeding you will need to discuss this with your rheumatologist, obstetrician and pediatrician ahead of time. There are some RA medications that are compatible with breast-feeding. Try to decide which one you want to take just in case you have a flare after your baby is born.

    If it’s possible, try to have someone to help you at home during the transition time. If you are unable to, there are some things you can do to make it easier on yourself, such as; having some extra meals stashed in the freezer so that all you have to do is to pull them out of the freezer when things get difficult.

    Planning is the key and it will go a long ways to helping you ease the stress of your worst flare. The good news is that RA doesn’t have a negative impact on the baby, it doesn’t increase the rate of miscarriages, and it doesn’t cause any problems in the baby.

    What if you have lupus

    If you have systemic lupus erythematosus, it’s a bit more complicated. The reason it’s more complicated is that lupus can affect many parts of the body, such as the skin, joints, kidneys, blood cells, heart and lungs. The most common symptoms are a rash on the face, pain and swelling in the joints and a fever with kidney disease being the most serious symptom. Lupus is more common in women then men and it will usually show up when you are between the ages of 15 and 45.

    Doctors of the past would often counsel women with lupus against getting pregnant based on the assumption that pregnancy would always cause lupus flares, possibly serious flares, and that babies would do so well. These were and are valid concerns, but there is now a better understanding of lupus and how to treat it that has made pregnancy very realistic and a safe option if you decide to get pregnant.

    There are several studies that have shown that being pregnant may increase your risk of flares and yet other studies that have found that it doesn’t. This confusion in part lies with how the different researchers measure and define a flare. And also, during any nine-month period you may have a flare or flares whether you are pregnant or not, so flares during your pregnancy are not exactly related to your pregnancy. Headaches, fatigue, shortness of breath and joint pain are all symptoms of a lupus flare as well as the possibility being a part of your pregnancy. The most likely risk is that women with lupus have a slightly higher chance of having a flare-up but for many women it can be controlled with medication.

    You will most likely flare and not do so well during pregnancy if your lupus was active at the time of conception. This will be the case if your lupus has affected your kidneys because pregnancy will also stress your kidneys. Most doctors will generally not recommend getting pregnant until you have been in remission from kidney disease and active lupus for six months.

    The most ideal situation is if when you have decided to become pregnant, that you see your rheumatologist ahead of time so he can run blood tests that will determine just how active your lupus is. The blood test will also establish a baseline that your doctor can refer to later during your pregnancy in case there are any difficulties. If you don’t get these test done before you get pregnant then definitely get them done shortly after. You will also want to consult with an obstetrician who has experience with treating women who have lupus or possibly an obstetrician who specializes in high risk pregnancies. It is also a good idea if when you become pregnant, you are taking medication to control you lupus and that you can continue to take them safely during your pregnancy. Although, if you have RA you are able to stop taking your medications during your pregnancy, this may not be the case if you have lupus. You and your rheumatologist will need to plan for what medications you can take if you have a lupus flare during your pregnancy.

    If your blood tests show that you have the antibodies called anti-RO (SSA) or anti-La (SSB), you will have a small risk of having a baby born with a rare condition called neonatal lupus. The main symptom of neonatal lupus is a skin rash, and it will usually disappear in six months. There is a very small percentage of babies with neonatal lupus, about 2% to 5%, who will develop heart block, which causes the heart to beat abnormally. If you are known to have the anti-RO or anti-La antibodies, you will probably have an ultrasound at 18 to 24 weeks into the pregnancy to see if there is heart block. The doctor may prescribe a corticosteroid in an attempt to treat the heart block if there is one. Although, research doesn’t show a clear benefit of doing this. It may become necessary to deliver the baby early but most babies born with heart block need to have a pacemaker implanted, wither at birth or later in life.

    There are other complications that come with lupus and that includes preeclampsia, premature rupture of the membranes, which means the baby will be born prematurely, and low-birth-weight babies. In preeclampsia, or pregnancy-induced hypertension, you will have high blood pressure and retain fluid among other symptoms. Preclampsia is thought to be more common if you have lupus and most often it can be hard to distinguish between preeclampsia and a lupus flare. But if it’s not treated appropriately, preeclampsia can damage your kidneys and liver as well as increase the risk for a miscarriage and premature birth or even cause the baby to be very small. If you have preeclampsia your doctor may recommend that you deliver the baby early, either by induced labor or a C-section.

    The same advice that applies if you have RA applies to you if you have lupus as far as the period after the birth of your baby. Planning makes all the difference and having help lined up in case you have a lupus flare prevents you from taking care of your baby. As with RA, you will want to have ready-to-eat meals in the freezer and be sure to know what your options are in terms of breast-feeding and medications.

    As you can see, there are some very special considerations for you if you have lupus and are considering having a baby, but if you have a clear understanding that your chances are good that our outcome will be nearly as good as someone who doesn’t have lupus. Remember that the best approach is to have your health care team, your rheumatologist and obstetrician, working hand in hand and also good communication and close follow-up with this these team members is the key.

    Your medications

    There are many medicines that are used to treat RA and lupus that are relatively safe during pregnancy, but some of the drugs used for rheumatic conditions increase the risk of birth defects, and it’s also important to remember that birth defects occur in about 3% of pregnancies where the mother doesn’t take any medications. When you are considering if a medication is safe during pregnancy, you should determine if the risk of birth defects is greater than 3%. Your doctor should be able to help you figure it out.

    NSAIDs: Non-steroidal anti-inflammatory drugs treat the pain and inflammation of arthritis. These NSAIDs include the COX-2 inhibitor celecoxib (Clelbrex) and traditional NSAIDs such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn) and the many other, both prescription and over the counter. There are studies in animals that have shown that NSAIDs can cause birth defects, but there hasn’t been any findings in humans. It is possible to take these medicines safely during your pregnancy up to the third trimester. Taking NSAIDs during the third trimester, will increase the risk that one of the baby’s heart vessels will close prematurely, a good reason to stop taking them at 24 weeks of pregnancy. If you are trying to get pregnant you may want to stop taking the NSAIDs, including COX-2 inhibitors, from the time of ovulation until their next menstrual period because there is a hypothetical risk that these medicines will interfere with the implanting of a fertilized egg.

    Corticosteroids: Corticosteroids decreases the inflammation throughout the body and these drugs are often the mainstay of treatment for people with inflammatory conditions such as RA and lupus. Prednisone and prednisolone are the most commonly prescribed drugs that your doctor will give you and you can continue to take these medicines during your pregnancy if you need to. But before you do, remember that if you take the corticosteroids during the first trimester of your pregnancy, your baby could be born with a cleft palate. This risk is still fairly low, with cleft palate happening in roughly 1 in 300 babies exposed to the drugs in the womb compared to 1 in 1,000 when there is no exposure. Babies born to mothers who take corticosteroids during pregnancy are also more likely to be smaller and born prematurely. They also will raise your risk of pregnancy induced hypertension, gestational diabetes, a form of diabetes that happens only during pregnancy, and pregnancy-induced osteopenia or bone thinning. Corticosteroids are often a reasonable choice during pregnancy for the management of both RA and lupus despite the potential side effects.

    Hydroxychloroquie: It was thought that hydroxychloroquine or Plaquenil, was not compatible with pregnancy but over the past decade that idea has changed. Right now most rheumatologists in the United States and elsewhere with patients who need hydroxychloroquine to keep their condition stable will keep them on it during their pregnancy. Studies have been done to substantiate the claim that the medicine might cause problems with the development of the fetus’s visual and hearing systems, but the studies didn’t prove it.

    Sulfasalazine: Sulfasalazine or Azulfidine, is considered to be safe to use when you are pregnant.

    Azathioprine and cyclosporine: These drugs are immunosuppressive drugs that are used mainly to maintain organ transplants. Doctors will also subscribe them to treat RA and lupus. There is information from world wide transplant registries of literally thousands of babies that were exposed to these medications in the womb. This information shows that there were no increased rates of birth defects, but the babies do seem to be smaller and to be born earlier. There are many doctors will use these medications if they need to control RA or lupus activity in women who are pregnant.

    Methotrexate, leflunomide, mycophenolate mofetil, cyclophosphamide: These medications can cause early fetal death and birth defects at a rate higher than what you would expect. You shouldn’t take them during your pregnancy and also if you are planning a pregnancy you should stop taking methotrexate or CellCept at least one menstrual cycle before trying to get pregnant. If you’re a man taking these medications then you will want to stop taking them three months ahead of time. If you are taking leflunomide you will need to to stop taking it two years before you try to get pregnant, or you could under go a two-week procedure to wash the medicine out of your bloodstream.

    Biologics: There isn’t enough data to conclude whether or not this newer type of drug is absolutely safe during pregnancy. However, we do know that TNF-alpha blockers, etanercept (Enbrel), infliximab (Remicade), and adalimumab (Humira) may contribute to birth defects according to recent evidence. You will want to stop taking biologic drugs before trying to become pregnant.

    In just about all circumstances, if you have RA or lupus, you can be sure it is safe to become pregnant as long as you are sure your RA and lupus are under control and your pregnancy is planned. If you have lupus it is particularly important to keep the communications open with your rheumatologist and that you have an obstetrician that is experienced in dealing with women with lupus or high risk pregnancies. With careful monitoring and the appropriate use of your medicines, it will be possible to successfully manage your pregnancy when you have RA or lupus.