Health Risks Of A Non-Ergonomic Environment

Can working in a non-ergonomic office be bad for your health? Yes, say some advocates of the ergonomic way of life. But, let’s face it; people have worked in traditional offices for years without risking their health and well being. Of course being smart about how you work can help increase your chances of staying safe and well.

The truth is that overly stressing any part of your body, albeit a set of muscles and tendons, your immune system or even your mental health can all be dangerous, and since ergonomics relies on bringing the physical, mental, emotional and technological beings together in better alignment and harmony it can only help create a healthier and more comfortable work environment.

Without an ergonomically designed workspace you could be setting yourself up for a myriad of physical ailments including:

  • Carpel tunnel syndrome – this can be avoided by using better aligned keyboards and other office tools
  • Tendonitis – finding a better fit in office equipment can help alleviate this painful disorder
  • Fatigue – something as simple as putting a glare filter on an annoying computer screen can ease eye strain and help alleviate mid-day fatigue
  • Chronic colds and flu – stress can lower the immune system. Ergonomics helps to find ways to lower physical and emotional stress by improving the way people view their job tasks and finding better (and easier) ways to accomplish them. Another way to avoid more physical ailments is to make your work environment more physically comfortable in terms of temperature. People who feel too cold or hot in the office may be more apt to suffer with the sniffles or worse on a regular basis. Regulating temperatures and the like can help alleviate these problems once and for all.
  • Mental health – psychological issues too can be avoided lowering stress levels, frustration and feelings of incompetence

So, now that you better understand the dangers of working in a non-ergonomic environment what can you do about? First, make sure the equipment and tools you use (computers, desks, chairs, etc), are comfortable to use. Be sure chairs and desks are at the right height to prevent neck and back strain; install extra lighting to stop eye strain; and use keyboards that are specially designed to prevent wrist and hand problems.

Next, make sure the outdoor environment is comfortable. Get rid of plants that may be causing allergy symptoms; lower or raise the temperature in your office or cubicle for the most comfort and add some soft music if that helps you relax more and concentrate better.

Finally, find ways to complete tasks in an easier manner. If you are having hand pain from folding newsletter and brochures, either enlist some help or try to talk your boss into buying a folding machine. You aren’t always going to be able to incorporate the best ergonomics ideas and designs into the workplace, but the key is to find as many as you can to make your work life easier and more comfortable.

How to Treat Baldness?

What is baldness? In medical terms baldness is known as Alopecia. Baldness is the loss of hair and the scalp becomes visible. This condition is more prevalent in men than women. Hair loss is mainly due to age, illness, heredity, changes in hormones etc.

In male pattern baldness the loss of hair is on the front portion of the head, which is known as the crown. Some men lose all their hair on the head too. In female pattern baldness too, the hair gets thin all over the head or mainly in the crown and front position. In female pattern baldness, it is very rare to see fully bald women.

How to treat baldness? The doctor takes into account the age, heath condition, family history, tolerance for certain medicines etc. There is no treatment for baldness but hair replacement surgery can be done to fix some hair in the bald spot on the head. This is a little painful process. 99% of baldness has no cure through medications. There are lots of medications available over the counter for alopecia, but most of them are of no use. The baldness in men starts in the shape of "M" and the hair becomes very thin and small. Baldness could lead to low self-confidence and low self-esteem.

Shiny top on the head is always something, that could make a person lose his self-esteem. Though slowdown in the process of hair loss can be achieved, hair growth is not possible. If baldness is detected early then certain precautions can be taken to prevent further falling of hair.

Stroke Rehab

In the US around 70,000 people suffer a Stroke each year. Rehab is crucial to help the victims of Strokes cope with the effects of a Stroke and recover to a normal and healthy life.

How well a patient recovers from a Stroke depends on many factors. Minimizing brain damage during the Stroke will make Rehab faster and more effective. Rehab can not cure the Stroke but can help in long-term recovery of the aftereffects of brain damage.

The first step would be to diagnose a Stroke. A number of tests may be done on the patient to diagnose the type of Stroke so that the professionals can determine a treatment and rehab plan. This includes blood pressure, blood sampling, X-ray, ECG, Echocardiogram, brain scans such as MRI and CT scans, and Carotid Ultrasound scanning.

After the diagnosis the medical treatment begins. During a Stroke brain tissue is damaged by blood clots (ischemic stroke) and / or internal bleeding (hemorrhagic stroke). Various drug treatments must be started immediately to treat this condition. If used soon enough, they can help prevent damage to the brain.

These include-Anti-platelet drugs, such as aspirin, to prevent clotting, anti-coagulant drugs, cholesterol lowering drugs, and antihypertensive drugs. Some patients may go in for surgical procedures like stenting to clear the clogs and reduce the intensity of the Stroke.

Rehabilitation therapy begins in the emergency care hospital within 24-48 hours after the Stroke, once the patient has stabilized. Rehabilitation of Stroke victims is a difficult and time-consuming task. It helps the Stroke survivors to relearn skills that are lost by brain damage during the Stroke.

It also teaches new skills to make up for any disabilities and to practice and relearn communication, memory, and voluntary and physical skills. Commonly people have a surge of recovery in the weeks following the Stroke, followed by a slower recovery in the next year or so.

Stroke can cause five types of disabilities: Paralysis, problems controlling movement, sensory disorders including pain, problems using or understanding language, and emotional distortions.

Paralysis is the most common result of Stroke. It causes problems of movement, posture and swallowing. Left-brain damage causes right-limb paralysis. Stroke victims may also experience sensory problems like pain, numbness and loss of feeling. Some may have aphasia, problems using or understanding language. People with Global aphasia may lose all their linguistic abilities.

Stroke can also cause damage to the parts of the brain related to memory, learning and awareness. Some also experience some emotional trauma involving fear, anxiety, frustration and suicidal thoughts.

During the Rehabilitation process, doctors are responsible for the long-term care of the Stroke survivors, including neurologists who look after acute care and physiatrists who look after the Rehab program. Physical therapists help patients with mobility issues like walking, climbing stairs and maintaining balance. Occupational therapists teach them daily living activities like feeding, grooming and using the toilet. Speech therapists help with language skills and swallowing problems. Rehab nurses care for the patient and educate the family concerning how to care for them. Social workers help Stroke survivors and their families with counseling and community resources.

Stroke is a serious disease, rendering the survivor in a weak and deficient position. The need for aftercare and Rehab is high, as the aftereffects of a Stroke are numerous and interfere with normal life function in an unmanageable way. It is only with the help of this team of doctors, nurses and therapists that the patient can be rehabilitated.

Recurring Headache Causes

When it comes to repeating headache causes, the most common is migraine. See if you have two of the following symptoms for migraine headaches:

  • Throbbing headache lasting 4-72 hours
  • Light others you
  • Loud sounds or strong smells like perfume, bother you.

Additionally you probably have one of the following:

  • Nausea and / or vomiting
  • Loss of appetite during the headache
  • Vertigo (or dizziness)

If so the diagnosis is migraine. The MOST common cause is something you and I can control. Hey who knew? It's STRESS. Yup, good old, plain old stress! We all have stress..everyone has it but the key is how do you manage it? Do you exercise regularly to relieve stress or is your idea of ​​stress relief sitting on the couch watching TV?

Cluster Headache Cluster headaches, are a second recurring headache cause and often mostly in men. They tend to last less than two hours. Spring and Fall seem to be the most popular times for this and every year the clinics will be crowded with cluster headaches patients coming in.

Cervicogenic Headache Another cause of headache that many are unfamiliar with, is cervicogenic headache. Now wait a minute! What are these big medical terms! Simply put: it's a pain in the neck. Literally. Many times simple lifestyle changes and a short course of medicine relieves the problem. This headache is closely related to tension headache.

Analgesic Rebound Headache Additionally, there is over use of over the counter medications like Tylenol Sinus or Excedrine Migraine. These medications used more than three times a week are a definite cause of repeating headache. One in particular that I refer to is the Claritin D Sinus Headache. When in pain you will reach for anything to take the headache away.

With over use, now the condition is analgesic rebound headache syndrome. This can be one of the most difficult to treat recurrence headache causes.

Trigeminal Neuralgia Although somewhat rare, trigeminal neuralgia can reoccur years after the first bout of neuralgia. What is neuralgia? Just means pain in a nerve. Specifically the nerve which runs along the side of the face and the jaw.

Most of the time this is provoked by a virus or dental work but sometimes the cause is unknown.

Additional Causes of Recurring Headache You can not forget about the food items in our environment now that cause headaches. Many foods contain chemicals to enhance flavor, MSG being the most famous, which provoke heads. Caffeine overuse is another migraine trigger.

  • Headache and food triggers
  • Caffeine and headaches.
  • Overuse of opiods with addiction.

Jaw and tooth problems can also cause repeating headaches. These are best managed by a dentist. If you feel you are suffering from TMJ symdrome, a dentist who specializes in this problem is the best person to help you. These conditions can include:

  • Temporomandibular joint syndrome (TMJ)
  • Dental abcesses
  • Post extraction infections
  • Dental caries
  • Poor fitting denture

Ear, nose and throat disorders can refer to the head and provoke migraines and headaches. A thorough evaluation for heads should rule out:

  • Sinus problems
  • Trauma such as perforated eardrum
  • Chronic ear infections
  • Rare tumor of the inner ear: schwannoma

Obviously the key here is to find a good physician or practitioner who can help you sort out your headache profile.

Seizures: Have You Been Victim Of People's Ignorance

I have suffered from different types of seizures over the years. It does not matter what type of seizure disorder is affecting your life, people's reactions often hurt you more than they think. They often do not realize the importance of their reactions as they are primarily the reflection of their fears and ignorance on the subject.

As a toddler, I started suffering seizures that were later on diagnosed as Epilepsy. This was caused by a brain trauma that happened at birth. I had to take medications that were too strong for me resulting in not remembering years of my life. During this period which lasted for ten years as I was later told that I outgrew Epilepsy because of my body's changes during my teenage years I had to face people's reactions. I may not remember much of this decade but I vividly remember the pain related to the cruel comments, being excluded and especially, the ignorance of some members of my extended family.

You see, in these days, the terms Epilepsy and seizures cave life to uncontrollable fears in people. Some excluded me because they though I was mentally challenge, others thought that if they played with me, they would catch it. Others, like my own grandmother were convinced that I had to pray every night as she thought that I was possessed by an evil spirit as a punishment for my parents' sins. I was also picked on and laughed at by kids because of my lack of coordination and focus. It did not matter, who said nor did what, hurt and these painful memories still break my heart today.

As I later grew out of Epilepsy when I became a teenager, I started to suffer from seizures related to Hyperventilation. I was told that several people that had Epilepsy in the past were affected by this disorder as a result of extreme stress. Well, even my own mother thought that I had Hyperventilation episodes because I was looking for people's attention. Little did she know about the abuse that I enduring at the time.

Then during the first seven years of teaching, I experienced pseudo seizures which are also related to high level of stress and the fact that I was on heavy medications due to a wrong diagnosis of Epilepsy. Later on, I was told by a former principal that if I would look for a teaching position in her school, she would have to turn me down, not because of my teaching skills which she liked but for the fact that people with Epilepsy need to take more sick days than others according to her, which would be costly to the school division. Is not it a great example of discrimination or what?

Finally, since the birth of my youngest child, I have been experiencing some seizures related to my hypoglycemia. As a result, my husband has asked of me not to drive anymore as he is concerned for my safety, my children's and others should I have a seizure while driving. Others seem to think that I am not capable of handling stressful situations very well and tend to underestimate my potential and abilities which can make you feel inadequate at times.

What do I suggest as a solution to this problem? The answer is simple. Let's educate people and provide them with adequate information about any seizure disorder that you may be affected by right now. Ignorance is nobody's friend. It only creates heartache despites people's good intentions. Let's help them avoid hurting your feelings.

Stroke (Brain Attack) Part IX – How to Prevent and Treat Stroke With Chinese Acupuncture and Herbs

As we mentioned in previous articles, stroke is caused by uncontrolled diet that is high in saturated and trans fats resulting in cholesterol building up in the blood vessel in the brain that blocks the circulation of blood to the body, including cells in the brain. If not enough oxygen is delivered to the brain cells, some cells die off and can not reproduce, the you may have a stroke. Other strokes happen when a blood vessel in the brain ruptures causing the cells in your brain to be depleted of oxygen, so they die and never come back. In this article, we will discuss Chinese herbs and acupuncture that help to prevent stroke.

1. Acupuncture
Acupuncture is the most popular treatment modality for stroke patients in China, used effectively on 85% of the stroke patients there. The recent acceptance of acupuncture by western medical practitioners allows one more effective method in curing diseases especially stroke. Study shows that acupunctures helps to facilitate nerve regeneration, decrease blood viscosity, as well as helping survival nerve cells find new pathways, effectively bypassing damaged parts of the brain resulting in reduced risk of stroke.

2. Ginkgo biloba (bai guo yee).
Ginkgo biloba improves mental functioning as well as preventing blood cells from forming blood clots in the brain. Study shows that ginkgo improves blood circulation and lowers plasma cholesterol concentrations that help to lower the risk of stroke.

3. Gastrodia
Gastrodia was listed in the ancient Shennong Bencao Jing (ca. 100 AD) and was later reclassified by Tao Hong as a superior herb, meaning that it could be taken for a long time to protect health and prolong life, as well as for treating illnesses . Gastrodia is used by Chinese herbalist in treating stroke and chronic weaknesses of Qi that historically blocks the flow of blood to the brain.

4. Cinnamon bark
True Cinnamon is one form of the common spice. As we discussed before, cinnamon helps to lower blood sugar by mimicking insulin, activating insulin receptors and working with insulin in the cells to reduce blood sugar by up to 20%. Also cinnamon has some antioxidant benefits that helps to find new pathways for survival nerve cells after stroke.

5. Angelica
Angelica can help to warm up the chest-yang to remove obstruction of blood flow in the heart vessels as well as brain vessels.

6. Dragon's Blood
Dragon's Blood is used for increased power, purification, protection, consecration, and the development of strong ritual energy. It also helps to relieve pain in the heart due to blood stagnation and stimulate blood circulation to the brain resulting in reduced risk of stroke.

There are many other Chinese herbs that can help to prevent and treat strokes such as ginger root, mantis egg case, and tortoise plastron. Please consult with your doctor before taking any Chinese herb because some of these herbs may have side effects.

If you need more information, please visit my home page at:

Stammering Cure Tips For Your Child

It is frightening to realize your Kindergarten has started to stutter. Most parents assume something is wrong, and they need to have their child (ren) examined. The opposite is actually true. Studies have shown children with a stammering problem have fully functional brains. Their brains, however, are developing at a fast speed. This is the cause of the stammering. The children have so much to say and their mouths can not keep up. Here are some stammering cure tips for your child:

1. Tell him to relax. You want your child to feel he does not have to rush through his words. You can even explain you do not understand him when he stammers, so he will need to try the words again without stammering. Make sure your son understands you are not angry with him, but you want to understand what he is saying to you.

2. Talk to him in a clear, slow, concise way. Your child should become an observer of himself and other people to lower his habit to stammer. Talking to him in a way he is provided to talk will help him hear what he is supposed to sound like. Do not rush your words, or he may believe it is alright to speed talk.

3. Get down to his level. Even if your child does not stammer, you should follow this stammering cure. Children respond to adults that do not talk down to them. It gives them a feeling of having your full attention. If they need to look up to talk to you, they may want to repeat themselves until you are at their level. So, the next time your son is talking to you, try this technique. Take notice to how he responds.

4. Take a look at his friends. A few doctors believe a child can develop a habit, like stammering, from other children with the same habit. Your child could have a friend with a stammering problem. They are around each other enough, so your child may think that stammering is a normal way to speak. This does not mean you should forbid your son from seeing his friends.

5. Design flashcards of sounds and difficult words. Practice sounds and words your child stammers over when trying to say them. Take turns saying the sounds or words. Follow the "I do-we do-you do" rules. Basically, you say the word / sound first, and then you both say it together, and he tries it on his own. The rule is used by teachers, pathologists, and therapists as a way to scaffold information to children.

6. Encourage your child to finish. The child needs to finish the sentence or thought on his own. Do not let people finish his thoughts for him. If he is stammering on a phrase, encourage him to think of another way to say it. It is okay for him to stop what he is staying, and take a short break. When he feels he is ready to begin again, give him the chance to finish his thoughts.

Stammering cure tips are available online, at doctors 'offices, and school speech therapists' offices.

All About Sleep Apnea & How it Affects You

Sleep apnea can be a dangerous and scary problem. The scariest thing about it is that you are not conscious for most of it. Anybody should know about the causes, symptoms, and treatments for sleep apnea.

Sleep apnea is episodes of not breathing while you are sleeping. These episodes usually last up to 10 seconds and can happen over and over every hour of the night.

Causes

Sleep apnea can be caused for different reason in different people and ages. If you have blocked airways, it can cause this problem. If you have constant problems with drainage from mucus in the throat or nose, this could be the culprit as well while you are sleeping.

Tonsils and adenoids can be the problem in adults and in children as well.

Being overweight can also increase the risk of developing sleep apnea.

Symptoms

  • feeling overly tired during the day
  • headaches; usually immediately after waking up
  • snoring; tossing and turning (if you sleep with someone, they may notice these things)
  • stop breathing during sleep (they may notice this too)

Treatments

There are a couple treatments available, but it can be hard to figure out exactly what it right for you. You may be advised to wear strips to open airways at night, get tonsils or adenoids removed, or lose weight. It is a subject that should absolutely be brought up to your doctor because of the intensity that it can reach.

If you are worried that you may have this condition, you may want to ask your sleeping partner about your habits while you are sleeping and pay close attention to what you feel like in the morning as you wake up and through the day.

Does Oregano Oil Really Work?

People who are not familiar with the healing benefits of pure oregano oil are often in disbelief when told about this all natural healing product. That fact is pure oil of oregano has countless healing properties we can’t even begin to imagine. Take for example my good friend Leo, which by the way is not his real name but indeed a real person with all assurance being true. Leo was able to treat his tetanus infection with oregano overnight.

The story starts with Leo working one weekend at his cousin’s carpet installing company. He often worked with his cousin on weekends to earn extra cash. One weekend in particular Leo had been with his cousin in the basement of an old friend, pulling the old carpet to install new flooring.

Unfortunately the carpeting was so old and moldy that the nails holding the carpet strips were rusty and filled with mold as well. As the story goes, Leo, unaware that a piece of nail strip was still attached to the carpet, pulled the carpet and punctured his hand with the rusty nail. Later that night, Leo recanted that he started to feel numbness in his arm and could see his skin turning purple. Surely there was something wrong, he thought to himself. So Leo, not having any insurance and fully aware of the healing properties of oregano, commenced to treat himself by applying a few drops of oil directly on his wound.

As he explains, it was like a shot of fire running through his veins. He later explains that he was able to see his arm turning red with a burning sensation rushing up his arm. It burned like heck, but for sure the oregano oil was at work. The following day Leo’s arm was totally back to normal with the two small punctures being the only sign of a once infected arm.

Leo is indeed an extremist when it comes to his use of herbal products. I don’t recommend trying what he did. However the fact is it worked great for him under extreme circumstance. If you plan on using pure oregano oil, be sure to consider the following very important facts:

  • Know the level of purity and potency of the oil. There are several brands available on the market. You should know that the level of potency is not the same for each. Ask your merchant if the oil contains any binders or fillers.
  • Have a full understanding of the proper dosage to take for your particular ailment, and how to apply or consume each dosage.
  • Understand the specific healing benefits.

Individuals unfamiliar with the healing powers of pure oregano oil often listen to Leo’s story with disbelief, however, the story is true and his experience may help you treat yourself with the powerful healing properties of oil of oregano.

Craniosacral Therapy and Head Shaking Syndrome in Horses

I was out in Chesapeake the other day working on a gorgeous thoroughbred horse, a grandson of Secretariat, who had the unmistakable look of Nasrullah in his eye. He was well over 17 hands and put together nicely. He nearly walked over 3’6″ fences I was told. But, he was being plagued by a condition known as Head Shaking, which some have said is Trigeminal Neuralgia.  

Headshaking syndrome in horses is a perplexing challenge. It is found all over the planet, I am told it is mostly seasonal, and afflicts mainly geldings who are over 10. Well, that would fit the bill perfectly for Charlie. It is characterized predominantly by vertical head tossing or flicking and muzzle irritation observed as rubbing on objects and sneezing but the cause is actually unknown.

If Charlie is suffering from Trigeminal neuralgia, then he may have to deal with sudden bursts of facial pain. The current opinion is now in favor of a neurovascular conflict: an artery that has an offending contact with the trigeminal nerve root.  Trigeminal neuralgia is diagnosed as having pain with distribution along one or more of the trigeminal nerves, the pain is sudden, intense, precipitated by triggers, has periods of remission, no neurological deficits and all other causes have been excluded. I worked with humans who have been afflicted by this condition and I can tell you there is a great deal of suffering.

There is an assumption now in the medical field that a horse that is suffering from head-shaking syndrome is having the same syndrome cluster-tic syndrome that my patients have. The good news is that one session of craniosacral therapy totally relieved Charlie of the syndrome. Now it may not “hold”. But, I believe we are on the right path. Consider craniosacral therapy for your horse. http://www.lyonsinstitute.com/equinemassage.html

Baby Health – Immunization

'Prevention is better than cure' is the basis for the widely propagated immunization program for tiny tots. Perpetually, it is better to avert a disease than to cure it.

Not only do the vaccines protect those who have been administrated the dose, but also the un-vaccinated part of the population. Children who are vaccinated as per the immunization program have a heightened resistance towards potentially life threatening diseases.

The importance of immunization stays put even if your child has been consistently breast fed. Although the immunity boosting antibodies provided your milk are very essential, they do not last longer than a year after his birth.

Also, maternal immunization is not able to deal with more sinister diseases like whooping cough and polio which are also extremely contagious. Due to the world wide campaign for immunization and its significance, certain fatal diseases like small pox have been almost entirely wiped out.

The complete immunization program mostly works on eradicating the disease like Tetanus, hepatitis, whooping cough or pertussis, polio, rubella (German measles), mumps, haemophilus, influenza b and diphtheria.

Certain vaccines provide the child immunity for his entire life span, while others may have to be administrated more than once. When a disease infests itself in the human body, it turns into a battleground between the disease causing organisms (antigens) and our protectors, the antibodies. Our body retaliates against the invaders by rapidly producing antibodies which fight and annihilate the antigens. Vaccines are actually the dwindled or killed form of the pathogens that cause a particular disease. Once inside the body these bacteria or viruses do not harm but invoke the same reaction from it, that is, the rapid production of antibodies. These antibodies then remain active for a lifetime or less, depending on the vaccine.

After vaccination routine side-effects like fever or rash might make your baby little fussy, recommended doses of simple medicines like acetaminophen or ibuprofen will make him feel better. Although the usefulness of vaccines is debated at times, the boons of immunization outweigh any risks by far. Give you baby a lifetime of health and smiles by meticulously following the immunization schedule.

Dog Bite Treatment – An Overview

Dog bite treatment should be required knowledge for anyone that lives around dogs. Many people believe that most dog bites occur away from home, by a dog not familiar to the person bitten. This is just not the case. Most experts agree that about half of all dog bites are from a dog that the person bitten is familiar with – sometimes the family dog ​​or a dog that belongs to the next-door neighbor.

An interesting report called "Fatal Dog Attacks, 1989-1994" states that only about 22% of "dog bite fatalities" involved an unrestrained dog off the owner's property. This flies in the face of popular beliefs.

The first step in proper dog bite treatment is to assess the situation. You must ask yourself, is this a minor incident or not? A serious dog biting attack should be deal with differently than a minor bite.

If the wound is slightly bleeding, clean the wound first then try to stop the bleeding. But if the wound is bleeding profusely, you must stop the bleeding first. Of course, in the case of a serious wound, always call 911 immediately.

If the wound is boring, you should stop that bleeding by putting pressure on the wound and then after the bleeding is stopped or greatly slowed, extensive cleaning is necessary. If bleeding resumes, reapply pressure on the wound. If you are unable to stop the bleeding get the patient to the doctor as soon as possible.

The doctor will assess the risk of infection, tetanus and rabies. Most likely 3 to 5 days of antibiotic, like Augmentin, will be prescribed to keep an infection from developing. In some cases a tetanus shot is given.

The tetanus shot will most likely be required if a child dog bite victim has not previously had 3 or more tetanus shots. However, if they have a serious bite that is not considered clean, and the patient has not had a tetanus shot in the last five years, the doctor will probably give one just to be on the safe side. Also, even if the wound is judged to be clean, and the patient has not had a boost shot in the last 10 years, the doctor will most likely give one.

These days, contracting rabies from a dog bite is rare because of the legal requirements for regular rabies vaccinations for all dogs. Rabies is more often seen in wild animals: raccoons, skunks, bats, etc … However there is still a "rabies risk" with a dog bite, and not one that you should take lightly. Better safe than sorry.

Do not be surprised if the doctor does not stitch up the wound. If there is the fear of infection, due to the length of time until the wound was cleaned, etc., she will not suture the wound. Wounds that are known to be clean or that are on the face may be sutured.

Although not necessary, it is always wise to document the bite injury with photos and diagrams. It is helpful in assessing the progress of the wound in recovery, and it is especially useful in litigation situations.

Some pre-existing medical conditions increase the risk of infection and beg special attention to insure patient safety. A few of these are: chronic disease, chronic edema of the extremity, diabetes, immuno-suppression, liver dysfunction, previous mastectomy, prosthetic valve or joint, splenectomy, systemic lupus, and many more. Be ready to tell your doctor of any such pre-existing condition

I think it would be safe to say that everyone will get at least one dog bite in their lifetime. Knowing how to execute proper dog bite treatment is knowledge that all families should possess. Just a little bit of knowledge on this topic can save a lot of pain and grief.

Low Backache

Definition. The term includes many types of pain on the lower part of the back viz,, pain at the sacrum, coccyx, on the lumbar spine, soreness on the back and sciatica; low backache is more common in women than in men.

Causes

A. Gynaecological causes. These form less important causes of low backache. The causes may be as follows:

(1) Uterine prolapse with retroversion may drag on the pelvic ligaments causing backache; this gets relieved on lying.

(2) tubo ovarian mass, parametritis and chronic cervicitis;

(3) benign and malignant pelvic tumours impacted uterine fibroid or ovarian cyst, pelvic endametriosis, advanced carcinoma of cervix, retroperitoneal tumour;

(4) postoperative because of sacro iliac strain following gynaecological operation in lithotomy position under anaesthesia;

(5) Premenstrual low – pain especially in premenstrual syndrome.

Site of backache due to gynaecological cause is sacral but never extends above fourth lumbar vertebra; it has got bilateral distribution but not localised. Causes mentioned above do not necessarily produce backache in all cases.

1. Orthopaedic causes. These are the commonest cause. There are numerous factors that can play. Some important ones are the following-

(i) Sacro iliac strain or subluxation this often follows pregnancy and labour. Pain is felt on lifting weight or stooping move¬ment. There may be tenderness at the sacroiliac joint;

(ii) postural cause muscular and ligamentary strain on the back is possible due to postural defect. Obesity may also cause such strain;

(iii) Spinal arthritis ;

(iv) congenital anomalies sacralization of last lumbar vertebra or lumbarisation of first sacral vertebra, spina bifida occulta may cause back pain;

(v) lumbago this is due to myositis of the lumbar region;

(vi) coccygodynia pain at the coccyx commonly following labour. Tenderness can be elicited on movement of the coccyx ;

(vii) other spinal diseases prolapse of intervertebral disc, caries spine, spinal cord compression.

Sites of pain in orthopaedic cause vary according to the particular lesion But pain tends to be localised with tenderness at a site; pain is also related to exercise or rest. Sacroiliac strain becomes worse at night while lying flat on back or turning to the side.

II. Nonorthopaedic causes.

(1) Renal pain distribution of pain is characteristic i.e. unilateral arising at the Join.

(2) Rectal pain. Constipation, rectal spasm or carcinoma may have sacral pain or discomfort.

In some cases, no demonstrable cause for backache can be found. psychological upset is alleged to be a factor to play in this group.

Investigations.

1. Careful history taking, thorough clinical examination of the patient’s general condition, pelvic condition, should be done. Examination of spine and back especially for any local tenderness is essential. Radiology of lurnbosacral region is al¬ways taken to detect any evident lesion. Urological investigations should be taken up in cases suggesting the cause.

2. Cases showing no gynaecological factor for backache should be referred to the orthopaedic surgeon.

Treatment. This is done according to the cause. The gynaecological causes are treated. For the orthopaedic causes, local application of heat, local massage of some liniment, rest, analgesics can be instituted before the orthopaedist takes up the cause for treatment.

How to Disinfect a Wound

Often, individuals may be required to disinfect their own wounds. This may happen across different scenarios, involving both minor injuries, wherein the wound can be treated at home, and also major injuries, in which a need needs to be contained at the earliest point in order to prevent the chance of infection.

Here in this article, we will take a look at some of the most effective methods concerning how to disinfect a wound.

How to Disinfect a Wound

In order to disinfect a wound, the area must be thoroughly cleaned. Here are some of the most effective ways to disinfect a wound:

– Before tending to any wound, make sure to wash your hands thoroughly with soap and water.

– If you have medical gloves, make sure to use them. Bare hands should be the final resort.

– Rinse the wound thoroughly with cold water for at least 10 minutes. This will remove any debris and dirt on the wound and will reduce the chances of infection.

– Water under moderate pressure or a water spray may be used for cleaning the wound.

– If wounds are very dirty, light scrub them. If debris can not be dislodged, small tweezers-preferably sterilized-should be used to remove the stubborn dirt.

– Once the wound has been completely cleaned, pat dry.

– After drying, apply antiseptic or antibiotic cream.

– If any cotton or other material for wearing the wound is available, the wound can be covered.

– Any bandage or dressing done on top of a wound will need to be well sealed to protect the sensitive area, but must not be too tight.

– If you decide on not visiting a doctor, the bandages and dressings will need to be changed on a regular basis. Disinfectants may be applied to the wound while changing the dressing.

These steps can help in containing a wound to a certain degree. However, depending on the severity of the wound and the amount of dirt and debris present, individuals are recommended to seek proper medical attention at the earliest possible point.

An injured person should only clean their own wounds to the best of their ability.

When in a calamity, if there is no access to immediate medical help, an injured person must remain calm and behave in a rational manner. It is best to attend to one's own wounds and disinfect them as soon as possible before there is a risk of an infection. We have taken a look at how to disinfect a wound and these steps must always be kept in mind when faced with such a situation. Doing so will prevent complications until proper medical attention can be provided.

How To Prevent Atrophy And Death In Your LEAN Project

Developing a LEAN culture with a LEAN Management system developed in parallel with the LEAN process system ensures that the roles, processes, standards, and procedures are documented and followed. Although we are not discussing physics, the law of entropy applies. It states "Organized systems tend to move toward disorganization". LEAN involves the adoption of new processes, work habits, and the use of new tools. Everyone must learn new habits and, as psychologists say, extinguish the old habits. It is so easy to fall back into old habits. They lurk in the back of our mind waiting for the opportunity to resurface. This propensity of old habits to re-occurs is the reason why a management system must be developed and implemented in parallel with the LEAN process system.

A LEAN management system will provide the tools and processes to maintain and support the LEAN process system. It will sustain the integrity of your system and ensure you realize the benefits of LEAN. A management system will close the loop on processes and allow employees to make continuous improvements. A LEAN production system and a LEAN management system are interrelated.

For example, a company instituted LEAN and standardized processes in a major area. They developed a flow for the work and cross trained employees and immediate supervisors so that flow could be maintained. The implementation rejected in less wait time for customers, reduction in time and costs, and an increase in quality. But then, employees in the LEAN area were transferred to new areas, management changed their focus to the latest new technology, and new employees were not cross trained. LEAN tools to document abnormalities stacked up and were not reviewed and no one acted on them. The result was a return to old habits and business as usual, which affected customer relations and profits. When management tried to reinstate LEAN, there was resistance and many felt it was a failure because it did not last, so why try again?

Actually, LEAN had worked but it was not sustained because there was not a parallel management system developed. Another contributing factor was the lack of discipline in completing, reviewing, and acting upon LEAN tools. LEAN is not a one-time fix but a journey to continuous improvement.

The tools in LEAN make sense and are easy to use. The challenge is to actually employ the discipline to complete the charts, interpret data, and make the improvements. Let's take a small scale example of what can happen when the tools are not used and the processes in not followed. In a manufacturing plant, an employee on the line had a call for the production of a number of units of a product not produced every day. The employee was considered very knowledgeable about the product and had a standard of work document. His team leader also had a standard of work document for the inspection of the process. The employee took a quick look at the steps in the standard of work and began producing the product. Unfortunately, he skipped an important step that ensured quality and eliminated customer complaints. This would have been noticed on the first unit or at least in the first hour of production if the team leader had inspected as required in her standard of work. But, she relied on the skill of the employee and turned her attention to another area of ​​responsibility. The result was the shipment of a below-standard product and customer complaints.

Had the employee and the manager followed the standard of work and both used their LEAN tools, no sub-standard product would have been shipped and one or the other may have found another opportunity for improvement as they would have a fresh look at the process.

The objective is to develop a LEAN culture that includes everyone; that means executives, managers, team leaders, and employees. LEAN includes new work habits and like the development of personal habits, you must have a license to employ the new habit.

It is the development of a culture. It is something that evolves as the employees and executives change. It is the result of experience. It results from the implementation of the two LEAN systems. It also results from a new way of approaching things. It includes respect for the brain power, capabilities, and experience of the employees. They are closest to the work and can provide valuable insights and innovative ideas.

Many people think that technology alone will ensure quality and improve production, but that is not true. Alex Warren, a former Executive Vice President of Toyota, tells how the technology alerts to defects but the employee has the power to stop the production line and fix the problem. He says it puts power into the hands of the employees and they know they count and feel both the responsibility and the power.

In many companies, executives sit in their office and either read reports or attend briefing sessions. However, going to see for yourself provides a different level of understanding. In one of the Success CDs that came with my copy of the magazine, Darren Hardy told of how he was brought in to do a turnaround for a company. One of his first recommendations was for the owner to take a walk around the building at least one or two times a week for 30 minutes and find an employee doing something right and compliment that person. He also recommended asking employees what were their challenges and what would help overcome the challenge. Darren said to ask questions so you understand what you observe and what the employee is telling you. The owner was impressed with the success of this change. Employees began to feel valued and make recommendations. Production and quality improved. Of course there were other changes as well, but this is an example of a change in habit and how cultures are developed.