January 12th 2011 · Read More · No Comments
Follicular Urticaria
Follicular urticaria is a variant of urticaria, or hives. As with most cases of urticaria, the cause is usually not discovered. In follicular urticaria, lesions appear more vesicular than pustular and may have a surrounding wheal. Follicular urticaria is usually very pruritic but nontender. Treatment is the same as for typical urticaria (antihistamines, steroids, etc).
Pseudofolliculitis Barbae
Also called razor bumps, pseudofolliculitis is not an infection but a foreign body reaction to hair that has been shaved below the opening of the hair shaft. It is more common among African-Americans and typically appears as red follicular papules and pustules on the neck. Symptoms of pruiritis continue until the hair grows above the surface or is dislodged, treatment includes avoidance of shaving or changing shaving techniques. Because bacteria can aggravate the problem, antibiotics may speed recovery
*3/348/5*
December 29th 2010 · Read More · No Comments
Spinal morphine should be considered for patients with:
• pain not controlled by optimal systemic opioid therapy
• intolerable side effects from systemic treatment
Spinal morphine is most likely to be successful with deep somatic and visceral pain. Neuropathic pain is less sensitive although good results are achieved for some patients; the response may be better if a combination of local anaesthetic and morphine is given by epidural injection.
Contraindications-Spinal morphine is contraindicated in patients who:
• have a significant bleeding tendency or are anticoagulated
• have septicaemia or significant risk of septicaemia
Spinal metastases need not be a contraindication but the catheter should be sited away from known tumour and better results are likely if it is rostral to the tumour.
Administration-Morphine is administered via a catheter placed in either the epidural or subarachnoid space. Epidural morphine is usually given by bolus injection each 6-12 hours, subarachnoid by continuous infusion. Epidural catheters may be sited at the painful segments and this method has the advantage of allowing the co-administration of local anaesthetic agents which may significantly aid pain control. Subarachnoid catheters are placed below the level of L 2. The spinal catheter may be connected to a subcutaneously implanted reservoir or brought out through the skin for intermittent injection or attachment to an external pumping device. The morphine used for spinal therapy should be preservative free.
*50\55\2*
December 22nd 2010 · Read More · No Comments
Mr. M. Singh, a young man of 19 years, was in the final year of his college education. While at school he excelled in sports, was good runner, a good cricketer, and very good at basket ball. At college he was equally good in cricket and basket ball, and in fact could not choose which game to adopt. At college he had taken commerce as subject and it was time to think about his future. There were various options: should he become a chartered accountant and adopt that as a profession, or should he join his father in a very well established business or should he accept an offer from his maternal uncle in U.S.A to join him in business as he had no male child to succeed him in business. There were also offers from friends to start some new venture. His parents had left the final choice to him. The boy was rather puzzled, and sought our advice.
WILD OAT was given to him T.D.S for one week, when he could settle finally to join his father’s business, thus ending his mental conflict once and for all.
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December 14th 2010 · Read More · No Comments
I believe we are here to love and learn – that is all we depart with, after all.
It is hard for me to talk about the soul without going back to the human energy field. The energy field (for which there is firm scientific evidence) surrounds the body in layers. These are sometimes called the etheric or heavenly bodies. I believe that the energy field is the ‘physical’ link with our soul or higher self. Observations from my own ‘hands on’ and Therapeutic Touch work and information from people using similar bioenergetic therapies leads me to believe that relaxation and pain relief are not the only benefits. Clients repeatedly report spiritual insights (although no reference of this possibility had been made by the therapist) and a feeling of inner strength. It is often a great surprise to people who consider they have their feet firmly on the ground. Many people report that this new awareness of themselves as spiritual beings frees them from the fear of death which they have carried for years.
My feeling is that our soul-consciousness stays in Heaven, the Universe (or whatever name we want to give it) when we are born, and through life is always concerned for our well-being and for us to complete the life-plan we chose before birth. Our spiritual progression depends on this and I believe this evolves through many lifetimes.
We hurt our soul by not loving ourselves, by not listening to oui intuitive feelings or to the promptings of dreams, and by seeing th< pain of life as terrible misfortunes instead of the tools we have chosen to carve out our chosen path. Salvation comes when we acknowledge the Divine in us, when we learn to forgive and love ourselves as vulnerable human beings. Only when we do this can memories be healed, can we be freed from negative emotions and treat those around us with the same gentleness.
*155\326\8*
December 1st 2010 · Read More · Comments Off
(у детей и молодых людей)
Астма – очень распространённое детское заболевание. Исследования, проведенные в Англии, Канаде, США и Европе говорят о том, что у каждого десятого ребёнка подозревается астма. Хотя эти данные могут быть сильно преувеличенными, на детскую астму приходится наибольшее количество пропущенных учебных дней в школе. Кроме того, астма является наиболее распространённой причиной обращения за неотложной помощью. Детская астма является основанием для госпитализации в каждом четвёртом случае, если речь идёт о городских больницах, и даёт наибольшее число койко-дней по сравнению с любой другой детской болезнью. У трети детей астма проявляется ещё до трёхлетнего возраста, и почти три четверти всех детей-астматиков начинают хрипеть до поступления в первый класс.
Важно знать, в каком возрасте астма появляется впервые, поскольку у детей, заболевающих астмой в раннем детстве, меньше шансов избавиться от неё к зрелому возрасту. Распределение астмы по половому признаку тоже варьируется с возрастом: в раннем детстве астмой чаще страдают мальчики, с годами соотношение выравнивается, а в подростковом периоде соотношение больных девочек и мальчиков составляет 3:2.
Наиболее распространённые стимуляторы астмы у детей младшего возраста – это простуда и вирусные инфекции. Один-два первых эпизода одышки и хрипов врач чаще всего диагностирует как бронхит. Однако, если у ребёнка отмечено более трёх-четырёх эпизодов заболевания, сопровождаемого хрипами, то, вероятность заболевания астмой возрастает.
Многие родители бывают подавлены, услышав диагноз «астма». Ведь врачи ранее объясняли членам семьи, что у ребёнка всего-навсего «не в порядке бронхи», влекущее за собой отсутствие лечения при состоянии, весьма опасном для жизни.
Многие младенцы рождаются с генетическим дефектом, делающим их более подверженными заболеванию астмой. Для того, чтоб этот дефект активировался, ребёнок должен быть инфицирован определёнными вирусами. Один из таких вирусов – РСВ, оказался наиболее астмогенным из всех детских вирусов. РСВ вызывает очень тяжёлое, сопровождающееся хрипами, заболевание, которое может не поддаваться лечению отхаркивающими и противокашлевыми средствами, и жертвы РСВ часто требуют госпитализации.
В то время как астма, начинающаяся в младенческом возрасте, скорее всего, бывает неаллергического типа, астма, возникающая в возрасте старше 3 лет, обычно принимает аллергическую форму. Наименее опасное для человека время заболевания астмой – возраст между 4 и 10 годами, поскольку астма, появляющаяся в таком возрасте, обычно проще всего лечится и, как правило, впоследствии полностью исчезает.
«Вырастают» ли дети из своей детской астмы? К сожалению, ответ на это отрицательный. Хотя у многих из них может отмечаться постоянная или частичная ремиссия, большинство взрослых, болевших в детстве астмой, имеют «слабые легкие». Это значит, что они, могут начать хрипеть, простудившись или позанимавшись спортом на холодном воздухе.
Естественное развитие аллергической астмы у ребёнка часто идёт в соответствии с развитием астмы у его родителей. Многие дети с аллергической астмой длительное время не испытывают никаких симптомов, но в зрелом возрасте приступы могут появиться. Почему астма преследует одних людей и оставляет других – понятно ещё не до конца. Наихудший прогноз у тех детей, у которых в наследственности отмечается астма и экзема, а сама астма появляется в младенческом возрасте. Если астма начинается в ранней юности, прогноз тоже выглядит не блестяще, поскольку это обычно бывает астма неаллергического типа с меньшими шансами на ремиссию. Астма у подростков подчас принимает весьма тяжёлые формы и трудно контролируется. В этой возрастной группе особенно велик риск возникновения тяжёлых форм астмы, носовых полипов и аллергии на аспирин.
Играют ли психологические факторы какую-то роль в развитии детской астмы? В большинстве случаев – да. Стресс является значимым стимулятором приступов, подобно холодному воздуху или физической нагрузке. Многие из больных детей начинают хрипеть, даже когда слишком много смеются. В то же время, для небольшого процента детей астма становится болезнью, сильно ограничивающей их жизненные возможности, – то, что врачи называют «злокачественной астмой». Это термин введён для обозначения очень тяжелой формы астмы, которая не обязательно приводит к смертельному исходу, но действительно может угрожать жизни. Такой тип астмы может вызвать реакции гнева, вины, негативизма и множество других, создающих основательные проблемы для всей семьи больного.
Тяжёлая астма у ребёнка в семье ведёт к избыточному покровительственному отношению со стороны остальных членов семьи. Это делает всю структуру семьи очень жёсткой. Ни один из членов семьи не может полноценно решать свои собственные проблемы. Больной астмой ребёнок становится тираном или средством решения всех конфликтов и принимает на себя роль священной; богоподобной личности. Сколь странным бы это ни казалось, наибольшая гармония в семье царит именно в разгар приступа астмы у ребёнка. Такая семья явно саморазрушается: растут потери учебного времени, планы совместных отпусков и школьных каникул постоянно отменяются, и хотя оба родителя работают, доход семьи падает. Половина родителей сообщает, что астма вызывает у детей депрессию, а 40% родителей чувствовали, что их дети излишне озабочены своим заболеванием. Почти треть больных переживала чувство вины после приступа астмы. Часто отмечались напряжённые отношения между членами семьи, и чем тяжелее степень астмы, тем эти отношения были напряженнее. Контакты с окружающим миром сокращаются, поскольку родители не решаются переложить ответственность на какую-нибудь няньку. Чтобы избежать полного развала, таким семьям нужна интенсивная постоянная психологическая поддержка. В некоторых случаях, единственным спасением для подобной семьи может быть передача ребёнка в лечебный центр, с тем, чтобы восстановить сравнительно нормальный образ жизни и развалившуюся структуру семьи.
Дети-астматики в школе часто ощущают со стороны сверстников пренебрежение, презрение, подвергаются насмешкам. Исследователями были обнаружены огромное количество прогулов школы и несанкцинированных пропусков занятий, плохие показатели в учёбе и нежелание администрации многих школ разрешить ученикам принимать лекарства во время занятий. Ученики часто получали несправедливо заниженные оценки по физическому воспитанию либо полностью отстранялись от занятий физкультурой и спортом ввиду полного непонимания проблематики астмы учителями физкультуры.
лечение депрессии
September 16th 2010 · Read More · No Comments
Evening primrose oil was tried in Raynaud’s syndrome because it makes PGEl in the body naturally. PGEl as a drug has been used effectively in Raynaud’s syndrome, showing an increase in hand temperature for up to six weeks. In other words, the hands felt hotter. Normally, a patient suffering from Raynaud’s syndrome has abnormally cold hands.
However, the problem with the drugs PGEl and prostacyclin is that they have to be given intravenously and repeatedly in hospital. The hope was that evening primrose oil could achieve the same effect without the inconvenience. Indeed, the results of the Glasgow trial did show that evening primrose oil produced the same results as the infused drugs.
Apart from being a precursor of Prostaglandin El, evening primrose oil has also been shown to increase the production of prostacyclin and to decrease levels of thromboxane B2, which constricts blood vessels. Also, evening primrose oil lowers vascular reactivity, and may suppress chronic inflammation in animals.
As an essential fatty acid, evening primrose oil also works in the body by helping to keep cell membranes fluid and flexible. This is an important function in a disease such as Raynaud’s syndrome. Also, unsaturated fatty acids do not solidify in the cold – which is also an asset in Raynaud’s syndrome. Patients who have both Raynaud’s syndrome and scleroderma have found to be abnormally low in Prostaglandin El.
*43/60/5*
Compare online pharmacy prices
September 16th 2010 · Read More · No Comments
Disc Disruption
The outside of an inter vertebral disc is like a leather onion, the inside of an apple core. Persistent bending forward or heavy lifting scrambles this inner core and the scrambling is called disc disruption. Chemicals leak from a disrupted disc causing pain which fairly typically crescendos over 24 hours and then dissipates over the next fortnight. Pain returns every time heavy lifting or bending forward resumes. A year or two after the onset of pain and disability disc disruptions heal.
Home Remedies
Swim a kilometer a day. Swimming relieves both pain and muscle spasm.
Disc Protrusion
People continuing to heavy lift or bend forward in the face of disc disruption, run the risk of herniating the inside of their scrambled discs. Herniation means the centre of an inter vertebral disc pushes backwards through its outer lining into the space of the spinal canal. Within the canal awaits the spinal chord and the vulnerable beginnings of the peripheral nerve roots. Much pain, disability and back surgery are potential outcomes of the preventable occurrence of inter vertebral disc protrusion.
Home Remedies
In time disc protrusions shrink and heal. Swimming and not bending forward or heavy lifting steer the victim of a disc protrusion into less painful territory. According to orthopedic surgeons, after five years, those who adopt conservative approaches find themselves in exactly the same position as those who undertook surgery. With surgery people get better fast; and develop osteoarthritis later. Without surgery people get better slowly; and still develop osteoarthritis later.
*42/131/5*
Online Pharmacy – Generic Pills
June 2nd 2010 · Read More · No Comments
Where help can be given is to the family members who surround the addict or alcoholic. These are often suffering severely – financially, sometimes physically if they are being abused, always emotionally.
Children, in particular, are at risk in an alcoholic or drug-using home. It is not that their parents do not love them. It is simply that the chaos surrounding the alcoholic or addict affects their lives too. Their lives are, above all, emotionally chaotic. The alcoholic or addicted parent is one moment kind and caring, the next an angry, raving stranger. There is no emotional security in their lives. Physical and sometimes sexual abuse is quite common too. Fear is their constant companion.
It is important that children should be told about alcoholism and drug dependence. That way, they have some idea of why these things are happening in their home. Without this knowledge, many children believe that in some way they are to blame, and many make pathetic and frantic efforts to put things right. If they are told about the illness of chemical dependence, this will relieve them of the burden of misplaced responsibility and release them from some of their acute feelings of fear, guilt and sometimes anger.
The fellowships of Al-anon and Families Anonymous are quite crucial here. They can do a great deal to help the suffering families, whether or not the alcoholic or addict stops drinking or using drugs. Once again, a surprising number of helping professionals have never been to their meetings, and are in almost total ignorance of what they do and how they do it. Without seeing for themselves, they may – in the words of one marriage-guidance counsellor who had never bothered to investigate for himself – believe these are just ‘tea and coffee sessions’.
Both Al-anon and Families Anonymous offer specific suggestions which can give enormous help to the suffering families, who often bear the brunt of bad behaviour from the alcoholic or addict. There is also an organisation called Alateen for teenage children of alcoholics. Some
Al-anon meetings, known as AC A meetings, are for the adult children of alcoholics, to help them deal with the legacy of their disturbed childhoods.
Teachers and schools can play their part in educating people about drink and drugs. All the self-help groups we have mentioned will provide speakers who will help you understand the problem. Most children find this a great deal more interesting than lectures on the topic.
There is also literature available from the head offices of these organisations. Older teenagers should be encouraged to find out for themselves by going to an open meeting, as part of a school project. Literature, video films and speakers for conferences can also be provided.
Finally, schools need to remember that drug-taking and drinking start at a very young age nowadays. There are children as young as fourteen who are full members of Narcotics Anonymous and Alcoholics Anonymous, whose drug-taking and drinking histories are appalling. Some of them started on drink or drugs as early as ten, eleven or twelve years old.
So some of the children attending our schools already have quite severe drug or alcohol problems. Like all addicts and alcoholics, they need help at the early stages, not at the later stages of the illness. And like all addicts and alcoholics, abstinence is the answer. The sooner this message reaches them, the better their chances of recovery.
*137\116\2*
Anti-Smoking
June 2nd 2010 · Read More · No Comments
It is no favour to the addict or alcoholic, however, to let him escape the consequences of his drug-using or drinking. Prison sentences are rightly given to those who commit serious crimes, no matter what their reasons.
‘Prison did me a lot of good,’ says more than one recovering addict. ‘I was in such a state when I went in there that it probably saved my life. It gave me time to think. I’ve been clean in Narcotics Anonymous since coming out.’
Just as the family should stand back and let the addict suffer the consequences of his
drug-using, so should others. Rescuing addicts or alcoholics from the consequences of their behaviour simply delays their recovery.
This is hard for the ‘helping’ professional to grasp. Their training has usually been to suggest that helping people will give them a better chance of tackling their problems. The reverse is true with drug dependence and alcoholism. ‘Helping’ or protecting alcoholics or addicts simply enables them to go on drinking or using drugs.
*136\116\2*
Anti-Smoking
May 21st 2009 · Read More · No Comments
All children will exhibit distress the first time they are separated from their parents, especially from the mother as she is usually the primary care-giver. The first time that separation occurs is when the baby is put down to sleep. The repeated and inevitable separations that follow are an important part of the developmental process for the young child. If the separations are properly handled, the child will develop the independence and self-confidence that will enable him to develop appropriate relationships with care-givers and other adults, and allow him to learn from new situations. If there continues to be significant anxiety every time a child is separated from parents, or from familiar and comfortable surroundings, then this may have a harmful effect on the child’s social development.
Separation obviously involves the parents as well as the child, so it is a mutual process. There is enormous individual variation in the manner and ease of separations, and this is determined by attributes of the child and attitudes and feelings of the parents.
A child’s individual temperament characteristics will affect the intensity and duration of the distress that occurs. A child who is intense, fearful or has a negative mood will probably make a big fuss. On the other hand some children have a more ‘laid back’ temperament which will make it likely that they will have a less strong reaction. However, while a child’s temperament will often determine the strength of the reaction to the departure of the parents, it is likely to be the reaction of the parents that will determine whether separation issues continue to be a problem.
All parents bring to their relationship with their child their own set of attitudes, fears and emotions that are a function of their own life experiences. There is great variation amongst parents in their self-confidence, their perceived level of competence as parents, their anxiety level about themselves and their children, and so on. There is also variation in the degree to which parents can tolerate crying or other signs of distress in their children. Some cannot bear the thought of their child being upset, and spend much time and effort trying to protect the child from events that may cause them distress. Others know that it is important for a child to learn that life is not a bed of roses, that it is inevitable that he will face situations that cause upset, and that learning to cope with these situations is an important part of growing up.
*178\90\8*