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04:03pm Tuesday 25 February 2020

New technology traces resistance gene quickly

The National Food Institute, Technical University of Denmark, and Statens Serum Institut have been able to quickly create an overview of the situation in Denmark because many bacteria have had their DNA-profile mapped with the help of whole genome sequencing.

A new resistance gene, mcr-1, has been found in coli bacteria among pigs, broiler meat and humans in China according to a scientific article in renowned journal The Lancet on 18 November 2015.

The gene leads to resistance to colistin – antimicrobials of the type polymyxin, which are the last available option to treat infections with multiresistant so-called gram negative bacteria such as fx E-coli and klebsiella.
Technology platform at DTU

Since 2009 the National Food Institute and DTU Systems Biology have built up computer facilities which are able to quickly map a bacteria’s genome – its DNA – and compare the results with bacterial findings from around the world. Many bacterial findings in Denmark have had their DNA profile mapped with the help of whole genome sequencing.

When the resistance gene, mcr-1, was made available to researchers on 23 November 2015, the National Food Institute in cooperation with Statens Serum Institut was able to quickly create an overview of the situation in Denmark for the Danish authorities.

Unlike previously when it was necessary to collect bacterial samples, set up new detection methods and carry our analysis, researchers can these days get an overview of the situation within hours thereby saving months of work.

The approximately 3000 gram negative coli- og salmonella bacteria, which have previously been mapped using whole genome sequencing, have been reexamined to see whether mcr-1 is present. Results show that mcr-1 was found in one patient, who suffered from a blood infection in 2015 and in five food samples that have been imported from 2012-2014. All the bacteria are multiresistant ESBL bacteria containing the mcr-1 gene, which can further complicate treatment.
Global databases

The National Food Institute is working to develop global databases in order to further the intelligent use of whole genome sequencing data.

This work takes place in the network Global Microbial Identifier and the EU project COMPARE. Both have the aim of creating a global system of databases for whole genome sequencing. These databases will be used to identify and diagnose disease-causing microorganisms and infectious diseases. They will also make it possible to compare data with information on outbreaks and emerging disease-causing microorganisms.

The National Food Institute also performs the role of WHO Collaborating Centre and EU reference laboratory for antimicrobial resistance. As such, the reference laboratory is planning in agreement with the European Commission to examine the prevalence of mcr-1 in cooperation with national veterinary and food laboratories in the EU.
Read more

See the scientific article in The Lancet: Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study.

Read more about whole genome sequencing in a news story from May 2015: Uncovering foodborne outbreaks using the latest technology.

Treatment with antimicrobials is intended to kill pathogenic bacteria. Unfortunately, antimicrobials also cause the bacteria to protect themselves by developing resistance to the type of antimicrobials that are used to treat them which causes the antimicrobials to lose their effectiveness. Resistant bacteria can be transmitted between humans, and bacteria can infect each other with resistance. However, resistant bacteria are poor at surviving if antimicrobials are not present. Therefore, it is important to have an overall focus on using as few antimicrobials as possible for the treatment of both animals and humans.

Bacteria that are resistant to several types of antimicrobials are called multiresistant.

Bacteria know no borders, therefore antimicrobial resistance in one country can cause problems outside of its borders. As such the use of antimicrobials in both animals and humans is a global problem.

Not all antimicrobials are the same. Some are narrow spectrum and affect only individual groups of bacteria. They are used when you know which bacteria are causing the disease. Others are broad spectrum and affect numerous groups of bacteria at the same time. They can therefore be used to treat a disease before knowing which bacteria is the cause. However, they often also kill useful and harmless bacteria such as bacteria from the intestine, which may lead to the emergence of resistant bacteria.

Not all antimicrobials are equally important in the treatment of humans. WHO has declared a number of antimicrobials to be ’critically important’, because they are the only or one of only a few antimicrobials, which can be used to treat serious or life-threatening infections in humans. These types include carbapenems, third and fourth generation cephalosporins, fluoroquinolones and macrolides.

For almost two centuries DTU, Technical University of Denmark, has been dedicated to fulfilling the vision of H.C. Ørsted – the father of electromagnetism – who founded the university in 1829 to develop and create value using the natural sciences and the technical sciences to benefit society.

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04:38pm Tuesday 25 February 2020

Intracellular Protein May Impact Efficacy of Common Diabetes Drug

CINCINNATI—Scientists at the University of Cincinnati (UC) College of Medicine are studying how a small intracellular protein, Hsp20, may affect the efficacy of a common drug used to treat diabetes.

The research is available online in the June 19 issue of the scholarly journal Cell Reports.

“We have investigated the functional role of Hsp20 in the heart for more than 15 years and found that this protein can provide protection against various stress condition-induced heart injuries,” says Guo-Chang Fan, PhD, associate professor in the Department of Pharmacology and Systems Physiology.

Fan says for the past three years he worked closely with Jiangtong Peng, PhD, a visiting scholar in his laboratory from Tongji Medical College, Huazhong University of Science and Technology in Wuhan, Hubei, China, to explore Hsp20’s possible function in fat cells. Peng is the lead author of the research study.

“We created the global knockout of Hsp20 animal models and surprisingly observed that Hsp20-null animal models develop obesity without diabetes,” says Fan, also a member of the UC Heart, Lung and Vascular Institute.

More interestingly, Hsp20 promotes the degradation of the cellular target for thiazolidinedione (TZD), one of the most commonly prescribed drugs for diabetes, explains Diego Perez-Tilve, PhD, research assistant professor in the UC Department of Internal Medicine and a co-author of the research study. TZD works better in Hsp20-null animal models than in control wild-type animal models by improving the effect of insulin in the cells of fat tissue.

“Eliminating Hsp20 results in an increase in the anti-diabetic efficacy of TZD in animal models,” says Perez-Tilve. “Thus strategies aimed to block Hsp20 in fat cells may improve the effectiveness of TZD on diabetes.”

Diabetes is a chronic (long-lasting) disease that affects how your body turns food into energy, according to the Centers for Disease Control and Prevention (CDC). As a result of diabetes, the body either doesn’t make enough insulin, which acts like a key to let the blood sugar into your body’s cells to use as energy, or can’t use the insulin it makes as well as it should.

About 30 million American adults have diabetes, according to the CDC.

“These studies are eminently mechanistic and would require pharmacological drug development to confirm the therapeutic value of inhibiting Hsp20 for the treatment of diabetes in humans,” says Perez-Tilve. “Nonetheless, they offer a proof of concept on how indirectly manipulating the target of TZDs may provide benefits to improve metabolic control.”

Additional co-authors on the research study from Fan’s laboratory include: Yutian Li and Kobina Essandoh, two PhD students; Xiaohong Wang, research scientist; Xingjiang Mu and Haitao Gu, two post-doc fellows; and Shan Deng, visiting scholar, in the Department of Pharmacology and Systems Physiology. Contributing authors from Perez-Tilve’s laboratory include: Jenna Holland, senior research assistant, and Emily Yates, principal research assistant in the Department of Internal Medicine.

Other co-authors also from UC are Robert McNamara, PhD, professor in Department of Psychiatry and Behavioral Neuroscience; Anil Jegga, research associate professor in the Department of Pediatrics; and Takahisa Nakamura, assistant professor in the Department of Pediatrics.

Kai Huang, professor at the Huazhong University of Science and Technology, along with Jing Chen, research fellow at Cincinnati Children’s Hospital, Boyu Wang of Samaritan Medical Center in Watertown, NY, Tianqing Peng of Lawson Health Research Institute in London, UK and Tiemin Liu, Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University in Shanghai, China, were also co-authors.

The research study received funding from the University of Cincinnati, an American Heart Association Established Investigator Award (17EIA33400063) and the National Institutes of Health grants HL-087861 and GM-112930.

 University of Cincinnati

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eClinicalWorks focusing on consumerism, doc burnout, interoperability at HIMSS20

The co-founder of the EHR maker explains why these trends are key to CIOs and other healthcare leaders, and digs into SMART on FHIR.
By Bill Siwicki
11:42 AM
eClinicalWorks focusing on consumerism, doc burnout, interoperability at HIMSS20

EHR maker eClinicalWorks will have a large presence at HIMSS20 in March. And it has been giving a lot of thought to what is happening in healthcare information technology that is most important to focus on at the big annual conference and exhibition.

Healthcare IT News had a discussion with Sameer Bhat, vice president of sales and co-founder of eClinicalWorks, asking him to identify the most important healthcare and health IT trends surrounding HIMSS20. He focused on consumerism, physician burnout and interoperability.

Consumerism in healthcare

In 2020, consumerism is at the forefront of healthcare, he stated.

“People want access to things anytime, anywhere,” he explained. “As a healthcare provider, it’s imperative to recognize and understand your consumer’s needs. The goal is to empower patients so they remain involved in their healthcare decisions throughout every step of the patient journey.”

Having a set of resources at one’s fingertips that can keep patients engaged could be the difference between a provider organization and its competition, he cautioned.

"SMART on FHIR apps provide physicians with data that moves directly into their workflow and helps form a more detailed patient story."

Sameer Bhat, eClinicalWorks

“Implementing the latest technologies such as kiosk, telemedicine and self-service apps offers your patients the flexibility they expect,” he said. “Tools like these create a one-stop-shop for all patient-provider interactions and support the overall goal of enhancing provider to patient outreach.”

Reducing physician burnout

Elsewhere in healthcare, physician burnout still plagues many doctors, Bhat said.

“It’s a long-term stress reaction marked by emotional exhaustion, depersonalization and a lack of sense of personal achievement,” he remarked. “Although there is not one particular cause that leads to physician burnout, the rapid increase in the sophistication of medical technology and the rise of convoluted EHR systems can leave physicians with less time interacting with patients and more time behind a computer screen.”

To combat this ongoing issue, the health IT industry is striving toward developing innovative products that address the needs of medical professionals and reduce physician burnout, he noted.

“For example, AI-centered conversational APIs, such as an electronic scribe, give busy providers powerful tools to make documentation faster, easier and more clinically accurate than ever before,” he said. “The goal is to help doctors increase their productivity, reduce the hours they spend on documentation and help them gain precious minutes to achieve a better work-life balance.”

Another trend surrounding HIMSS20, according to Bhat, is interoperability. Without effective interoperability, provider organizations can be stuck in the past, he said.

“Today, health information needs to move quickly among physicians’ offices and hospitals,” he said. “The goal of interoperability is to allow this health information to flow securely among practices and facilities nationwide. It also is critical that we find ways to help providers quickly and successfully sort through patient information. Health information search engines allow them to quickly access relevant data and deliver complete, accurate patient information at the point of care.”

The Fast Healthcare Interoperability Resource (FHIR) is different from traditional interoperability solutions, he noted.

“It gives developers a platform to create apps that authorize access to medical records,” he explained. “Implementing this capability to patients allows them to retrieve their medical data and puts them in control of their own health.”

Additionally, SMART Health IT is an open, standards-based technology platform that enables innovators to create apps that seamlessly and securely run across the healthcare industry, Bhat added.

“SMART on FHIR apps provide physicians with data that moves directly into their workflow and helps form a more detailed patient story,” he said. “Patients, doctors and healthcare practitioners can use this library of FHIR apps to improve clinical care, research and public health.”

eClinicalWorks will be at HIMSS20 in Booths 149 and 8300-91.

Twitter: @SiwickiHealthIT
Email the writer:
Healthcare IT News is a HIMSS Media publication.


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A Day in the Life of a Patient With Dementia

  • : Online

Molly wakes up in the morning and can hear her husband making breakfast. She gets out of bed and makes her way into the kitchen, where she sees a stranger in the place of her husband. “Who is that?” she says. “What are they doing here? Where is my husband?” This sounds like the script for a murder mystery movie; instead it is dementia, and 342,000 people live with this disease in Australia every day.

What is Dementia?

Dementia is the umbrella term for a variety of diseases that affect the brain and cause a decline in an individual’s level of function, their thinking and behaviour. The risk of getting dementia increases with age, but it is not a normal part of ageing. This is quite concerning as our global population is ageing and dementia is one of the leading contributors to disability and dependence in this generation. As nurses, we may be caring for more elderly people with severe disability secondary to dementia dementia, so we must ask ourselves: are we, and our health services, equipped to do this?]

The journey of dementia is a different story for everyone. Molly believes she is only 25 years old instead of 75, that she has two children under the age of six and is a school teacher. Another person with dementia might think they still live with their wife at home when in reality they live in a nursing home and their wife passed away five years ago. Someone else might be aware of who and where they are, but struggle to remember what they did an hour ago.

Alzheimer’s disease is the most common type of dementia. Other types include vascular dementia, Lewy body disease, frontotemporal dementia, alcohol-related dementia and dementia caused by Huntingtons disease or HIV.

Symptoms of Dementia

Dementia is a progressive disease and affects each individual differently. However, all will have similar areas of function that may be affected, including:

  • Memory
  • Insight
  • Decision-making ability
  • Reasoning ability
  • Ability to learn new tasks
  • Ability to plan
  • Emotional changes
  • Tolerance to stress
  • Difficulties with orientation
  • Difficulties with spatial awareness
  • Difficulties with information processing

The sheer range of areas affected offers some indication of how big the impact of dementia is, not only for the person with the disease, but also for those around them. Dementia also raises many challenges for the health professionals caring for these people. If we look at Molly again, we can see that she is having difficulties with her memory, her orientation and her information processing. It is also easy to see in this case that she is most likely experiencing emotional changes, not only from the dementia but also from the stress of her beliefs versus her reality.

Treatment for Dementia

There is no cure for most forms of dementia. Medications can be used to help with symptoms such as anxiety and sleeping disturbance which can be a big part of dementia, but these must be used with caution due to their side effects and potential interactions with other medications. The most important form of treatment for someone with dementia is support from their loved ones, but we must remember that our support should extend to those caring for someone with dementia too.

Caring for Someone With Dementia

Support is an essential part of the care of someone with dementia. Nurses need to ensure the individual and their loved ones are aware of the potential support available to them. There are various community services and support groups for the person with dementia and also for the carer. Carer education sessions, resources such as books and videos, day centres, respite care, home care and telephone support groups are also available. In Molly’s story, we can see how much pressure and stress her husband must be under if he goes through this scenario on a daily basis. As nurses, we need to include him in our treatment plans for Molly and look at how we can support him, and make him aware of the aforementioned services.

It can be difficult to care for an individual with dementia in an acute care setting. Often we prioritise their acute care over their dementia-based needs, which causes a variety of negative consequences for the individual. This also increases the stress on their loved ones because they see the symptoms of the dementia worsening. When caring for someone with dementia, nurses need to ensure they are providing person-centred care. There needs to be a balance between caring for their acute needs and looking at the care needs of dementia. How would you care for Molly and her husband if she was one of your patients?

[show_more more=”Show References” less=”Hide References” align=”center” color=”#808080″]

References Author Sally Moyle

Sally Moyle is a rehabilitation nurse educator who has completed her masters of nursing (clinical nursing and teaching). She is passionate about education in nursing so that we can become the best nurses possible. Sally has experience in many nursing sectors including rehabilitation, medical, orthopaedic, neurosurgical, day surgery, emergency, aged care, and general surgery. See Educator Profile

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Battling the Bulge of Belly Fat

Battling the Bulge of Belly Fat

As the weather warms up, the clothes get smaller.  If you’re ready to try on a new bikini, there may be something getting in your way – the bulge of belly fat around your middle.  Many people face the frustration of having a little extra padding around their midsection – and it can be terribly frustrating.

Belly fat can make it difficult to have the smooth waistline under your clothes that you’ve always wanted.  It can also make it difficult to fit into your favorite swimsuit.  And whether you’re a man or a woman, belly fat can make buying clothes challenging and even a depressing task.

It can be upsetting to feel that your body is embarrassingly bumpy with the bulge around your middle.  But belly fat doesn’t have to be a permanent companion.  You can make some simple changes that will help to trim your tummy and reduce the amount of belly fat you have to carry around and conceal.

Belly fat has many sources that may be different than you would expect.  For example, belly fat can be caused by a lack of sleep. It can also result from too much stress in your life.  While calories and fat grams are an important contributor to excess belly fat, you may be the victim of a stressful, busy life that sends fat straight to your middle.

This happens because the stress hormone cortisol begins to occur at higher levels when you have too much stress or not enough sleep.  When cortisol levels rise, the fat cells in your abdominal area are the first to become filled.  When you reduce your stress and get enough sleep at night, cortisol levels return to normal.

So you’re belly fat may not be all due to eating too many donuts.  But in order to maintain a healthy weight and reduce your belly fat, it helps to maintain a healthy diet and to move your body.  While you can’t spot train the fat off of your belly, it will naturally decrease as you lose overall weight.

Belly fat can be frustrating and make you feel poorly about yourself.  But you don’t have to battle belly fat forever.  You can decrease your waistline by decreasing your stress and taking care of your body.  You only have one body and you’re the only one who can take care of it and give it what it needs.  It’s time to take control so you can lose weight.

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Steps of treatment in the way of babies tubes

Steps of treatment in the way of babies tubes:

First :

When a couple is subjected to the process of the tubes, we must conduct certain tests for the husband and wife to ascertain the existence of reasons to impede pregnancy and know if there can be treated in simpler ways of the children of the tubes and these tests include blood test, ‘examination of the uterus, and animals, and the fallopian tube.

Second :

The process of activating the ovaries to produce oocytes suitable for use in the process of the children of the tubes, giving us the opportunity to collect as many eggs as possible in a single session. It should be noted that ovarian activating drugs have nothing to do with ovarian cancer.

Observation of oocytes by the vaginal ultrasound device to determine the size of the egg, the number of eggs produced, and prevent any complications that may occur and usually if the patient did not adhere to continuous follow-up as determined by the treating physician.

Third :

Oocyte withdrawal is a minor operation where the eggs are withdrawn from the mother’s body after giving the drugs. If the woman did not produce enough eggs or the eggs were empty, the process of the IVF was delayed.

It should be noted that not all of the follicles that are pulled out of the tube process contain oocytes and that 70-80% of them only contain oocytes.

Fourthly :

Preparation of sperm either by giving the sample in a normal way (ejaculation) or in other ways. In other words, sperm cells must be killed next to the eggs. For the success of the process of the tubes, one egg in the process of the babies needs 10,000-100.000 sperm. This is different from the injection.

Injection and fertilization: The sperm and eggs taken together in the same container are taken in a similar environment. The sperm then tries to penetrate the egg wall to fertilize the egg after placing it in the incubator. If the success rates of this method are weak for one reason or another, Microscopy which we will talk about later.

In the process of the children of the tubes after the fertilization of the egg and its division is incubated egg fertilized to be divided and become an embryo, at this stage of the children of the tubes if the couple suffer from genetic diseases there is a technique to examine the genetic material of embryos in search of some genetic diseases have been identified genetic material and this is Before reaching the process of re-embryos in the babies of the tubes.

Embryo transfer: the last step of the steps of the children of the tubes where it is usually in the day 3-5 days of egg fertilization transfer embryos to the mother’s womb through a laboratory tube high through the cervix into the uterine cavity. In the process of transferring embryos into the womb of the mother, More than one fetus was transferred unless the couple produced only one embryo.

Search for the eggs in the follicular fluid after withdrawing from the patient during the process of pulling the eggs

Preparation of agricultural media containers for embryo conservation

Specialized incubators equipped with carbon dioxide for implantation of embryos

Evaluation and treatment of semen prior to injection

Preparation of agricultural media

Measure and check the percentage of carbon dioxide in the incubator

What are the side effects experienced by the couple during the operation of the tubes:

First: during the process of activating the ovaries

1 – hyper-response to the ovary: which is when giving stimulants to prepare for the process of the children of the tubes is by activating the link between the pituitary and hypothalamus with the ovary to have a response to ovaries more than expected and less than 10% of all cases of activation, whether for children pipe or any other method Of the methods of assisted pregnancy only 1% of the cases need to be cared for within the hospital, and the patient suffers from:

. The mother is sharply below the abdomen.

. The desire to vomit.

. Lack of urinary incontinence.

. Breathing difficulty .

. Increase weight in a few days.

. Inhalation of fluids in the abdomen or lungs.

Second: side effects during the process of withdrawal of oocytes for the process of children of the tubes and beyond:

. Side effects of anesthesia itself.

. Simple mother down the abdomen.

. Bleeding in the abdomen or outside.

. Inflammation in the region or in the upper genital canal.

. A hole in the bowel or bladder during the extraction process.

* The incidence of these symptoms reaches less than a patient with a thousand that may need surgical intervention to solve the problem.

Third: In the case of the failure of the process of the children of the tubes suffer the couple of frustration and loss of material and may enter into a state of depression or psychological pressure.

How do you know the wife of pregnancy after the completion of the operation of the tubes?

After two weeks of reintroduction, a hormonal examination of L-ml should be performed and if it is positive after another week, the pregnancy can be seen with a sag.

What are the success rates of the pipeline process?

The ratios depend on several factors including:

  1. The wife’s age
  2. The type of eggs obtained and the type of sperm and the success rates of the process of pipe children are divided as follows:

(41-43) for women under the age of 35 years. Our success rates (65-75%)

(33-35) for women between the ages of 37-35 years. Our success rates (50-55%)

(23-27) for women aged 38-40 years. Our success rates (30-35%)

(13-18) after the age of 41. Our success rates (20-22%)

In addition, the results were as follows: The higher the percentage of embryo transfer, the greater the chances of success of the process of the children of the tubes at the same time increase the pregnancy rate more than the fetus, and therefore the proportion of abortions larger.

Other factors that control the success rate of the pipeline process include:

  1. Deformity of embryos where the deformed embryos usually do not stick to the uterine wall.
  2. Internal lining of the uterus and the extent of its preparation to receive embryos.

 What happens if ovulation occurs within the body before the doctor collects mature eggs?

The answer is that either the entire process is postponed to the next cycle, or if the fallopian tubes are open, the IVF procedure described above can be performed.

Madam, After the operation, you can return to normal life, noting that you do not do chores. Traveling by car or plane is permitted, and usually you should consult your doctor. You can also have intercourse with your husband after 10 days in a normal way.

Some of the factors that may give an idea of the success rates of the process of pipeline children before going into them, including:

– Inert vesicles in the ovaries.

– Semen analysis and sperm quality.

– hormone ratio (AMH).

– Smoking.

– Body area and fat percentage of area.

– The removal of the uterine tubes that suffer from infections and the absorption of fluids inside before entering the experience of the children of the tubes helps raise the success rate of the process.

– Number of embryos transferred in the process of children of one tube.

– Some autoimmune diseases may reduce success rates

Some techniques raise the success rate of the process of tube children

– Wall hole processes of embryos:

– Luteal phase, by giving certain drugs that increase endometrial support and support embryo implantation in the lining such as progesterone and support the initial genetic stage (ie support for the yellow body).

These are some of the techniques that can raise the success rates of pipe children, taking into account that there is nothing guaranteed in the treatment of infertility, but there is one thing guaranteed is your concern and preserve your privacy and our commitment to complete confidentiality We cherish your confidence always go without despair tomorrow tomorrow may send threads Hope and optimism We always wish you success.

And always remember:

We are here for you. Please do not hesitate to inquire about everything that is going on with your thoughts and discuss any circumstances that arise before or during the treatment period.

Dear readers:

Science and its infinite developments have solved a very complex problem: the number of sperm in a man is so low that it was previously thought impossible to treat. Today, there is a way to overcome this difficult problem and we will remind you here in a simple scientific way of some important details. This method is called microscopy


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Baclofen 25 mg (Normal Dosage)
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Drug Uses

Baclofen is used to treat muscle spasms caused by multiple sclerosis or other diseases. It may also be used in other cases as you doctor deems fit.

Following the dosage instructions of your doctor is the best way to use any medication. If you are unsure or do not remember the instructions then you may read the medicine label for more detailed information.

You may choose to take Baclofen with a meal or without one.

Drug Class and Mechanism

Baclofen being a muscle relaxant, reduces the frequency an severity of muscle spasms which are caused due to neurological disorders such as multiple sclerosis.

Missed Dose

Despite your best attempts at remembering, if you still miss out on a dose, then take it as soon as you remember about it. But keep in mind that you will have to adjust your next dose by spacing it out by 4 to 5 hours. If this is not possible, then the best thing to do would be to skip the missed dose and continue with your normal dosage schedule.

Never try to compensate for the missed dose by taking a double dose together. It may cause adverse effects.

Store Baclofen at room temperature (read between 68 and 77 degrees F (20 and 25 degrees C). You may also store it at 59 to 86 degrees F (15 to 30 degrees C) for a brief period. Always keep it in a cool dark place that is not directly exposed to sources of heat or moisture and sunlight. Protect it from kids and pets.

Doctors advise against using Baclofen if you are allergic to any ingredient in it.
Discuss your past/current medical history in detail with your doctor before beginning treatment with any new medication. If you are using any herbal supplements or over the counter medication, including vitamin pills, then mention it to your doctor.

Baclofen may increase the risk of getting dizziness or drowsiness. This risk greatly increases if you combine it with alcoholic beverages. So please avoid them while using Baclofen. Also, avoid undertaking any tasks which require mental alertness (driving, handling heavy machinery etc).

Pregnancy Info

If you are expecting a child or are planning to have a child in the near future, then consult your doctor before using Baclofen to discuss any possible threats to the unborn baby.

If you are a nursing mother and breast feed your baby, then too, seek consultation before using Baclofen as some drugs are excreted in the breast milk and may enter the baby.


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Hoarding Disorder: Compulsive Hoarding Is a Mental Illness

h 1 hoarding mental illness healthyplace

You may know Hoarding Disorder as compulsive hoarding or extreme hoarding. Previously classified as merely a symptom or sub-type of obsessive-compulsive disorder, experts have promoted compulsive hoarding from sub-type to actual disorder. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, or DSM-5, classifies hoarding disorder as a mental illness separate from other disorders, which is a good thing when it comes to selecting an effective treatment for hoarding.

America Gets a Peek Into Hoarding Disorder

Hoarding disorder has made its way into living room and water cooler conversations across the country. These days, it seems everyone knows what a compulsive hoarder is. The condition is the subject of the popular show, Hoarders, on A&E channel. The show shamefully spotlights and makes a spectacle of the tendency shared by many people – a debilitating condition for well over a million Americans.

Disconcerted viewers may think to themselves, "I am glad I am not as bad as those people!" Then there are those who may secretly worry, "I have some similar tendencies! Am I becoming a compulsive hoarder?" If you feel the show mocks the sensitive subject, you would not be alone. However, if you keep an open mind, you may find there is a societal benefit in bringing hoarding disorder to everyone's attention. People who need treatment, but have been unaware of available help, may gain the knowledge they need to seek that help. Since 2009, A&E's Hoarders has enjoyed enormous popularity, showing that hoarding disorder strikes a chord with mainstream America.

Compulsive Hoarding or Hobby?

Compulsive hoarding comes in a variety of forms. A compulsive hoarder may collect knick-knacks, books and papers, food items, or even animals. Whatever the items of obsession, the hoarder cannot bear to part with them. The reason could involve an emotional connection. In other words, the person may feel the objects have sentimental value or evoke pleasant memories. Another reason could come out of a desire to avoid wastefulness. One hoarder may keep things that he believes he may need later on. Another compulsive hoarder may have a fear of losing information she'll want later, such as books, magazines, even junk mail.

Doctors and mental health professionals look for certain hoarding symptoms or characteristics when diagnosing a person with hoarding disorder:

  • Excessive and persistent collection of items regardless of material worth
  • Absolute inability to part with any of the collected items
  • The accumulation fills up entire living or working space, making normal use impossible
  • Hoarding behavior causes significant anxiety and distress in the hoarder that impairs functioning in daily life
  • Hoarding behavior is not due to a medical condition

Hobby collectors and people who simply don't keep a neat living or workspace typically don't fit diagnostic criteria for hoarding disorder. Many people have collections of favorite items and memorabilia and most people collect clutter to varying degrees. But healthy people have very little problem sorting through and discarding their clutter when time and situation allows. In the mind of the compulsive hoarder, every single collected item has value. Just the thought of discarding an item usually results in severe anxiety.

Extreme Hoarding – A Silent Cry for Help

What you typically see on television represent cases of extreme hoarding. People who suffer from this mental illness often cannot navigate around their homes because of the excessive amounts of debris stacked and stored in every available space. Many refuse to allow visitors inside. Those who live with other family members create unhealthy environments not only for themselves, but also for their loved ones.

If you entered a hoarder's home, you would likely notice an overwhelming smell. The smell could come from mildew, rotten food, or even dead animals lurking behind and under the stacks of stuff that no one could reach to clean out. Hoarders who rent their homes risk eviction because of the mess and unsafe conditions. The filthy environment can lead to frequent or chronic illness. Certainly, social interactions and family relationships would become difficult for a hoarder. Even keeping a job can prove challenging because of frequent sickness and lack of hygiene.

Pack Rat Personality vs. Hoarding Mental Illness

So, you have always thought of your quirky Aunt Betty as a pack rat, but never considered that she might have the mental illness called hoarding? The typical pack rat is simply an unorganized person who lacks organization skills and puts off sorting through clutter. A compulsive hoarder takes this tendency to the extreme--not just procrastinating, but purposely keeping things most folks would call trash. There is no denying that unlike typical pack rats, compulsive hoarding behavior indicates a serious psychological illness. Fortunately, doctors have effective treatments specifically for hoarding mental illness, since the DSM-5 now classifies it as a separate diagnosis.

article references

APA Reference
Gluck, S. (2013, April 18). Hoarding Disorder: Compulsive Hoarding Is a Mental Illness, HealthyPlace. Retrieved on 2020, February 25 from

Last Updated: May 21, 2019

Medically reviewed by Harry Croft, MD

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Facebook Supporting employees with migraines - Healthy Working Lives

Supporting employees with migraines

Information and guidance for employers on supporting employees who have migraines including legal obligations.

Migraine is a common health condition with 1 in 5 women and around 1 in 15 men affected, usually beginning in early adulthood.

Migraine is more than just a headache, it is a condition with a wide variety of symptoms with the main feature being a painful throbbing headache. Other symptoms may include

  • disturbed vision
  • sensitivity to light, noise and smell
  • feeling sick and vomiting
  • lack of energy.

The symptoms vary from person to person, some experiencing migraine several times a week and other only occasionally and sometimes there can be years between attacks, therefore when implementing support in the workplace an understanding of the condition and the possibly symptoms is useful.

There are different types of migraine, but the three main types are

  • migraine with aura – where there are specific warning signs just before the migraine happens such as seeing flashing lights
  • migraine without aura – the most common type where the migraine happens without the specific warning signs
  • migraine aura without the headache – where you have specific warning signs but no headache.

Migraine with aura is the rarer form and can also present with additional symptoms such as loss of balance; double vision and fainting.

The exact cause of migraines is unknown, it may be due to inflammation in the brain, or it may have a genetic link as half of all people who experience migraines also have a close relative with the condition.

For those susceptible to migraine there are certain triggers which are common, these include

  • stress
  • delayed or irregular meals, dehydration, or specific foods
  • alcohol
  • caffeine
  • hormonal changes in females
  • tiredness, lack of sleep
  • surroundings, for example bright lights or flickering screens on computers.

Treating migraines

There's no cure for migraines, but a number of treatments are available to help reduce the symptoms. These may include

  • painkillers – including over-the-counter medicines
  • triptans – medicines that can help reverse the changes in the brain that may cause migraines
  • anti-emetics – medicines often used to help relieve people's feeling of sickness (nausea) or being sick
  • during an attack, many people find that sleeping or lying in a darkened room can also help.

Preventing migraines

If your employee could have a specific trigger which is causing the migraines, such as stress or a certain type of food, avoiding this trigger may help reduce the risk of experiencing migraines.

It may also help to maintain a generally healthy lifestyle, including regular exercise, sleep and meals, as well as ensuring you stay well hydrated and limiting your intake of caffeine and alcohol.

The GP may refer them to a migraine clinic and ask them to keep a diary of their symptoms and what you were doing prior to the migraine onset to try and pinpoint specific triggers which then allows them to manage them. They may also use some anti-seizure medication which may also help reduce, or event prevent the symptoms or occurrence of migraine.

How to support employees in the workplace

You may find employees with a diagnosis of migraine may have increased levels of sickness absence or they may need to attend the hospital, their GP or their specialist more frequently than those without the health condition.

Authorised absence, out with the normal organisation sickness absence triggers, should be considered an appropriate adjustment under the Equality Act 2010, this would be identified within your Supporting Staff Attendance Policy.

If you feel your policy doesn’t include this, you can get support from our Supporting staff attendance pages.

Other areas that you can consider when supporting an employee with migraine may include

  • if their work pattern exacerbates the health condition, such as shift work; early starts or full time hours
  • does their medication have side effects that you need to consider when looking at their job role and their work rotas
  • does their working day allow them to eat regularly and hydrate regularly
  • if they have any triggers which the workplace setting may make worse
  •  the nature of the work they do
    • is it physically demanding for them
    • is it psychologically demanding
    • can they be redeployed or their duties amended to allow them to continue to work
  • do they drive as part of their job role? If so do they need to inform the DVLA and insurance company of their diagnosis?
  • consider a Display Screen Equipment (DSE) risk assessment if your employee uses a computer for their work, this would include if they use computerised tills or other work equipment that might cause flickering
  • consider if your employee became unwell during his working day and how it would affect them and their colleagues
  • encourage the employee to discuss possible signs, symptoms and emergency treatment with work colleagues and first aiders.

Key Sources of support

Key sources of support for both the employer and employee include

Healthy Working Lives can help you to develop supportive and inclusive workplace policies and offer support both online and on the telephone. You can contact the free and confidential advice line on 0800 019 2211 for more advice.


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FitPlan boosted awareness of its app through a combination of UGC Instagram Stories and Feed posts.

The Solution:

Heartbeat selected a group of fitness enthusiasts to post both feed posts and stories to deliver a high engagement rate and create a variety of content to be repurposed by the brand.

The Results:

The addition of IG stories to the campaign resulted in an engagement rate of 9% – over 2x what we guaranteed. FitPlan saw a boost in free trial signups during the campaign, and also used our content to engage with the app’s influencer partners.

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#ad Isn’t it funny how once January hits, the gyms become packed? Everyone who typically goes cheers the new comers on, but also can’t wait for February when there’s a little more breathing room again. It also becomes the month when getting to your gym becomes that much harder because it’s cold and dark basically all of the time. I know that whenever a snow day (or just a super cold day) hits, I dread the idea of leaving my apartment. But, I also know I need to get my workout in. @fitplan_app Has given me a way to work out without ever having to leave my apartment on those days. I can just pick out the workout I want to do and then do it there from the luxury of my own home! It’s also been nice because I can get those quick hit mini classes in when I literally only have 10 minutes and I get to try out new classes that I would have been normally scared to try at a gym. I still love my fitness studio, but this is a great way to mix it up and also get a workout in when I’m traveling. Want to try? Click in the link in my bio to download the Fitplan App for a FREE 7 day trial!

4.06% Engagement |1824 Followers | 74 Likes


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Villas in Cyprus

Finding a Villa in Cyprus couldn't be simpler with We have an extensive range of Villas in Cyprus, in some of the most coveted locations that all of Cyprus has to offer. With our latest search tools and up to date technology, you will find your search for the perfect villa in Cyprus to be both an easy and enjoyable experience. Our knowledgeable Cyprus property advisors pride themselves on providing their clients with an excellent service that is second to none, throughout the process of purchasing your villa in Cyprus and beyond!

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Jul 2, 2016

Marc Jacobs Beauty Haul & Sephora Online Experience

It's been awhile since Marc Jacobs has launched its beauty line. Til today I have not tried any of its product except a few swatches at their counters in Sephora. I took my liking to the foundation immediately, but at the same time I was so fond of the Urban Decay Naked Weightless Ultra Definition Liquid Makeup that I keep purchasing it.

Finally, I made up my mind to purchase it since I'm running out of the Urban Decay foundation. And as usual, it has never been my history to buy just one product in a single purchase. I added in the cart the Le Marc Lip Creme Lipstick and Re(Marc)able Full Coverage Concealer.

Genius Gel Super-Charged Oil-Free Foundation
Erase the past, perfect the present, and protect the future. Formulated with lifestyle ingredients and Buoyancy Gel™ technology, Genius Gel Super-Charged Foundation creates a weightless, natural veil that never settles into fine lines. An infusion of Soft Focus Powder reflects light to minimize imperfections, while revitalizing multi-vitamins provide supreme hydration for even application and luxurious wear.

Re(Marc)acble Full Cover Concealer
Get a reputation for perfect skin when you erase imperfections with this richly pigmented, full-coverage concealer. Infused with antiaging and nourishing ingredients, the ultra-emollient formula easily blends with skin, fully covering spots, dark circles, and blemishes for a flawless look worth raving about.

Le Marc Lip Creme Lipstick
Indulge your lips with Marc’s new revolutionary 10-hour lipstick that saturates your lips in luxe and creamy, vibrant pigment with just one swipe. Experience unprecedented colour payoff from concentrated color-boost pigments that are triple-milled and enriched with hydrating ingredients—leaving lips with ultimate long-lasting colour and moisture. The 20 irresistible colour-drenched hues were named after iconic women that have inspired Marc throughout his life.

The reason why I picked up those products is because of the Sephora Big Malaysia Sale. From the website, the prices shown were really attractive.

I could have paid RM361. I was so excited and checked out immediately. After I got the email confirmation, I realized, the check out did not take away the discounted price. I actually paid full price for all the items:

It was Sunday. I couldn't contact the customer service because their operation is from Monday to Friday only. The next day the customer service returned my email with a not-so-satisfying explanation that the discounted price was for a specific shades only. The shades that I picked was not under the discount list. They can't exchange my order as well because the discounted shades are all sold out.

I'm not sure if it was my fault for not check it out (I'm sure I looked all over the internet but I couldn't find any disclaimer or note from Sephora on this). But it surely not a pleasant experience for my first time shopping at Sephora Online. I find the price was misleading. They should have a special listing with the specific shades under the sales category.

For a side note, Sephora Online has the most inventory of stock compared to all the online beauty stores. You can link your Sephora member card online so that you won't miss any shopping perks. Sephora Online is operated by Luxola.

Have you shopped in Sephora Online before? Let me know if you have a pleasant experience or bad experience shopping there. I personally prefer its physical store more.

ashwiini said...

I myself recently bought the marc jacobs foundation online as the sephora sale was going on and i was alittle doubtful too, if they would send me the wrong shade of color or something else but i went to sephora first before making my purchase online. thankfully i received my parcel 2 days later without any complications

Gwendolyn Me said...

I have purchased on Sephora Malaysia and Luxola as well which so far I haven't encountered any issues as such and shipping is fast too. But if I were you I would be very annoyed too. Maybe try calling and checking with HQ directly?

Jerine said...

@ashwiini - That's what I do always. I try out the products in the physical store and take advantage of the online sales.

@Gwendolyn - Yes I checked with them. And their reply was the shade that I choose are not in the sales list. So misleading.

Keshi Baba said...

Amazing article thanks for sharing this post.Keshibaba is the best online beauty store that is provides to all collection of beauty products.

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Feedback from individuals

Feedback from organisations

“We would like to thank Hertfordshire Mind Network for carrying out such an interesting and extremely complex training session. The volunteers that attended have all given me valuable feedback on the course that was covered, complementing the trainer on her professionalism and descriptive techniques. The course was very easy to digest with lots of takeaways and the trainer was excellent. As this is the second bespoke course your organisation has carried out for us we can highly recommend you and your trainer to other organisations.”
“With 36 parks around the UK and our central support office in Hemel we employ over 7000 people and the well-being of our team is paramount importance to us. Many of our park teams are living away from home for the first time and we recognise this has an impact on them. At one of our People team meetings we invited MIND to come and share with us how we can best support our teams. Understand the different types of mental health problems, how we recognise them and what support is available.”
“Some of our Partners/staff find work and outside work a challenge so we were looking for ways that could best support them at John Lewis Watford. The taster session that Hertfordshire Mind Network ran for us on Mindfulness was very well received. We also encouraged Partners to join in that had an interest in finding out more. The small groups found the sessions informative and learnt ways to relax and slow! their thoughts down to a more peaceful state away from the stresses of the day. They all left with an understanding of how regular practice could improve their own wellbeing."
“We were very satisfied for the Managing Stress for Managers course that the trainer ran for us earlier this year. The sessions were interesting, informative, informal, and the trainer herself is very knowledgeable. Staff went away with an increased awareness of how to recognise and respond to stress in themselves and colleagues.”


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1. K-State home
  2. »College of Health and Human Sciences
  3. »Hospitality Management
  4. »Faculty & Staff
  5. »Nancy Hansen King

Department of Hospitality Management
Kansas State University
152 Justin Hall
1324 Lovers Lane
Manhattan, KS 66506-1404

785-532-5522 fax

Nancy Hansen King

Nancy Hansen King

Contact Information

103 Justin Hall
(785) 532-5023

  • M.S. in Adult and Occupational Education, Kansas State University
  • B.S. in Business with emphasis in Marketing, Wichita State University

Courses Taught

  • HM 230 Issues in Tourism
  • HM 361 Principles of Lodging Operations
  • HM 362 Practicum in Lodging
  • HM 422 Cost Controls in Hospitality Operations
  • HM 424 Hospitality Marketing
  • HM 427 Travel and Dining Auction

Professional Biography

Nancy Hansen King has over 15 years of experience in the hospitality industry, working in restaurants and hotels in food and beverage and for 6 years with AAA National Headquarters doing hotel and restaurant reviews to establish the AAA rating for properties. For 14 years, she was director of the hospitality management program at Butler County Community College in El Dorado, Kansas. She joined the HMD faculty at Kansas State University in 2008.


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Free Meditation Hialeah, Miramar, Miami Lakes, Doral, Miami Springs and Miami Gardens

Welcome to Hialeah – providing information on meditation and free programs, classes and workshops in the western corridor of south Florida. This site is maintained by the Sri Chinmoy Centre of Hialeah.

Pink Water Lillies

About our meditation classes

Benefits of Meditation

Our FREE meditation programs are held primary in the areas of:

  • Hialeah
  • Doral
  • Miami Gardens
  • Miami Lakes
  • Miami Springs
  • Miramar

You can also find us at both University of Miami Wellness centers, where classes are offered free of charge and are also open to the public:

Aprende a meditar …

Informaciónes En Español

El Centro Sri Chinmoy ofrece clases gratuitas de meditación.

Para detalles de próximas clases … Contáctenos

Other classes in FLORIDA

Find out about classes being offered throughout the state …

What others have said about our classes …

“Your work and talent is highly regarded at the University of Miami and by reaching out to the Freshmen, their resources on campus are expanded. We are honored that you were a part of  ‘True Life: I’m a College Student.’ “

Daniel and the True Life Program Team


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Solenoid valve-sealed HAWE WH 1N G24

Solenoid valve HAWE seat leakproof WH watertight and free of leaks.

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283,20 €

All the components relevant to the function, from the coil to the elements of the valve, lubricate with hydraulic oil and do not require maintenance. In the model WH, the actuator is located between the coil and the elements of the valve are leak-proof and has been built in a way that the force of the coil is assisted by a force additional hydraulic and that the pressure switch is around 350 bar. The compartment of the coil also communicates internally with the return chamber for the lubrication and the clearing of acudal, depending on the type of application, then you should join with the return line that goes to the tank when you ruse valves 2/2-way.

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What is a Highview Power plant?

Our large scale, long-duration technology can be built from 10MW to 200MW+ power output, with a storage capacity of 40MWh to more than 2000MWh+. This is high powered energy storage with true long duration: the capabilities of pumped hydro storage (PHS), without the geographical limitations.

With a lifespan of more than 30 years, our systems can utilise industrial waste heat and cold from applications. Connecting to thermal generation plants, steel mills and LNG terminals can further boost the system’s efficiency and diversify its offering.

Pilsworth Grid Scale Demonstrator Plant

In addition to providing energy storage, the cryogenic energy storage plant converts low-grade waste heat from the GE Jenbacher landfill gas engines to power.

Operation started in April 2018 at Pilsworth Landfill facility in Bury, Greater Manchester. The plant demonstrates how cryogenic energy storage can provide a number of balancing services, including Short Term Operating Reserve (STOR) and supporting the grid during winter peaks.

Developed in partnership with recycling and renewable energy company, Viridor, the project is backed by UK government funding of £8 million.

Find out more about the Pilsworth plant by watching the video here.

Pilot Plant

This cryogenic energy storage Pilot Plant (350kW/2.5MWh) was developed to prove our technology and used heat from a biomass plant to improve the efficiency of the system.

Between 2011 and 2014, it successfully underwent a full testing regime at SSE’s biomass plant at Slough Heat and Power in Greater London, and has operated for the hours equivalent to three years of UK Short Term Operating Reserve service and seasonal TRIAD management in the winter months.

The pilot has now been relocated to the University of Birmingham Centre for Cryogenic Energy Storage, to support further testing and academic research.

Non-standard applications

Our storage technology works as a standalone system with the option to increase efficiencies further by utilising either waste heat or cold, or introducing a hybrid system for fast response.

Waste heat

If there is a waste heat stream available, a Highview Power plant can utilise this during the discharge of the system. This improves the round-trip efficiency considerably, and potentially reduces the CAPEX of the cryogenic energy storage plant by not having to harvest our own waste heat from compression during the re-charge of the system.

Waste cold

Cryogenic energy storage technology is a thermodynamic process and can harvest waste cold and make use of it during the re-charging phase. During the re-charge of the liquid air tanks, the waste cold is used to reduce the amount of work the refrigerators have to do. The effect of this is a reduced amount of power consumption during re-charge and a higher overall round-trip efficiency.

Hybrid cryogenic energy storage

Fast response can be added to a Highview Power plant by adding flywheels or supercapacitors. This enables the plant to respond to grid frequency events within 1 second.

In the UK where the grid must be kept balanced within +/- 1% of nominal 50Hz system frequency, a hybridised cryogenic energy storage plant can meet the requirements of National Grid’s Enhanced Frequency Response (EFR) and Firm Frequency Response (FFR) services. This technology can be transported to electricity markets globally.

Our delivery process

To install a Highview Power plant, we develop a bespoke plan for each of our customers depending on their needs. We always work alongside our development partners and suppliers to enable delivery of a fully integrated solution.

    Development Execution Post-contract
  • 1
    Feasibility study

    Economic and engineering study on suitability of cryogenic energy storage technology

  • 2
    Front end engineering & design (FEED)

    Design work begins, supply chain assembled and cost assessed

  • 3
    Engineer, procure, construct (EPC)

    Tendering to established firms and design licensing - then engineering begins

  • 4

    Commissioning begins by EPC and OEM with Highview Power support

  • 5

    Operation and maintenance undertaken by Highview Power and relevant partners with performance guarantee and availability warranty

Approved suppliers

We source the component parts of our technology from well-established OEMs to ensure that our plants have the best possible equipment in place, with proven lifetimes and performances.


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What causes low back pain? Posture!

Posted on 09 February 2020

What causes low back pain? Posture!

You might not realise this but low back pain causes a huge impact not only to individuals but also the economy. It costs the UK £4billion per year - £500million in care costs but £3.5billion in lost workforce productivity. It is one of the most common reasons people stop working.

I started thinking about this a lot after an Urban Massage I had recently. I have a longstanding shoulder issue from a gym injury in 2015 which I have been doing rehab for on and off as well as hip pain that seems to have cropped up in the last year. In the last year I have gone from being on my feet most of the day as a junior doctor to doing a lot more sitting at my desk running my business. The masseur was also a physio by background and had plenty of useful insights for me, including a series of stretches but also lots of advice on setting up my workstation to optimise my posture. I know I have always been prone to slouching, which would exacerabate my shoulder and hip issues but likely cause low back pain in future so I went away and researched how to manage this risk. Let’s briefly consider low back pain causes and low back pain exercises before diving deeper into preventing low back pain by optimising posture.

What causes low back pain?

Most low back pain causes are non-specific or mechanical - to do with the joints, bones and soft tissues in the spine. This tends to be worsened with positioning or movement and may be due to a minor injury or stress. You can read about more serious causes here.

What are some low back pain exercises I can do?

The key with low back pain is to stay as active as possible. Too much rest will make it worse. Walking, swimming, yoga and pilates may be helpful but here are some exercises you can do to help. Group exercise classes are an option too. In more serious cases you can see a physio, osteopath or chiropractic and should consider psychological approaches like cognitive behavioural therapy (CBT). Psychology plays a huge role in pain perception and how you think should always be a part of managing any chronic pain.

What lifestyle approaches are there for low back pain?

Check out the infograph below for a summary on the lifestyle approaches you can take to manage low back pain:

Low back pain by D K

If poor posture causes low back pain, what can I do to optimise it?

If we sit typing at a desk all day our tendency is to lean into our computers, especially if we have laptops, leading to low back pain, hunched shoulders, achy hips and even dodgy wrists. This is exactly what I have been experiencing with it exacerbating my shoulder and hip issues. Thankfully there is lots you can do to optimise your workstation for posture. Yes, all you corporate types should have listened to the Health & Safety training in your first week. Here is a great summary from Zapier showing how to optimise your workstation:

For me as someone who runs my own business, I need to have a portable workstation that works anywhere at any time without compromising my posture and causing low back pain. I therefore set out to find a series of products that would help. Here are my recommendations:

  • Measure your ideal desk and keyboard height Use an ergonomic calculator to work out the optimal desk and keyboard heights for you when sitting or standing. The top of the monitor should be level with your eyes and it should be 20-40” away from your eyes. You should be able to type with your wrists flat or angled downwards.

  • Exercise ball as a chair I was inspired by a colleague who was a trained yoga teacher years ago to use an exercise ball as my chair. It forces you to use your core all day long and therefore build strength. Be careful though, as you tire throughout the day you can end up slouching. This is best combined with posture braces.

  • Upper back posture brace I have always had a tendency to roll my shoulder forward towards my chest, especially after a chest workout. My upper back posture brace has helped me to correct this and ease the tension that builds in my shoulder after long days at my desk.

  • Lower back posture support Here is the key product for preventing low back pain: a lower back posture support. By creating a brace between your lower back and your knees this support leads your spine naturally into an optimal posture. I notice that everytime I wear this I come away from my desk with no low back pain at all.

  • Portable laptop stand For laptop users to get the monitor to the appropriate height for an ergonomic workstation, a laptop stand is needed. I got a Kensington one but there are tonnes of even more portable laptop stands.

  • Sitting/standing desk converter Sitting at the desk all day is always a risk for low back pain; therefore it is a great idea to mix it up between sitting and standing at your desk. To make this switch possible, you’ll need a sitting/standing desk converter.

  • Mouse and keyboard With your laptop on a stand to optimise the display height, you’ll need a mouse and keyboard, ideally wireless so you can position them at the ideal height. I already had an Apple Magic Mouse, which works perfectly with my Macbook. Your keyboard needs to sit so your wrists can be flat or angled downwards, so I picked up this brilliant Arteck keyboard that is bluetooth, super slim, types like a dream and has a battery lasting forever - 2 months later I still have not had to charge it!

For more thoughts on a portable ergonomic workstation suitable for a digital nomad, check out this awesome Intentional Travelers blog post.

If you are suffering from low back pain, book yourself in at Hippocrates Lounge.


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• Wedding
  • Engagement
  • Atlanta
  • Indian
  • Destination
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Photographer's Blog

A Place in the Vineyard Wedding | Jacqueline & Bernard
February 11, 2020

Located in Albemarle, NC just a bit north of Charlotte, NC; A Place in the Vineyard is an amazing place for wedding.  I could've been here all day photographing weddings and I wouldn't run out of place for backgrounds. They have vineyards for those vineyards pictures, a little gazebo right in front of a small water fall, and some distance trees futher out that you can use to possible create an epic photos. With my creative mind, I would've had ...

Atlanta Engagement Photos at Tanyard Creek Park
January 28, 2020

Atlanta Engagement Photos at not so famous park Tanyard Creek Park.  It was actually an awesome place to shoot! When you think about taking photos in downtown Atlanta, the first place that pops in your mind is Piedmont Park. Atlanta is known for Piedmont Park as it's enormous, overpopulated during peak times, and just merely busy most of the time. Photographing at this park can be a challenge. Usually, all the best spots are already taken, and ...

Engagement Proposal in North Georgia
December 14, 2019

I felt like a detective who is spying on someone for this engagement proposal that occurred in Dahlonega, GA. It felt so awkward, hanging downtown with a big lens (70-200mm), taking shots. Jeez, was imaging what other people might be thinking, but it was so much fun. Richard had contacted me a few months in advance regarding this planned trip to propose to his love, Allie. I was so thrilled at the idea since it was my first time doing something li...

Fall Engagement Photoshoot in North Georgia
December 12, 2019

I had asked Natalie if you guys were ok with me doing a behind the scene video of the session.  This is something that I wish to do more often with couples for my own self and showing other people what it's like to do a session with me. So make sure you check out the video. Natalie & Luke were the absoulte bomb to hang out with and photograph!  We had the best time capturing their fall engagement photos in North Georgia. When speaking ...

Winter Engagement Photos in North Georgia
December 5, 2019

We had planned this winter engagement photos session in North Georgia for a few months now.  We all knew that this would be so much like a fall engagment photo session then anything else.  It rarely get's so cold in Georgia, and this year we didn't have much snow either. So techically this is more like a Fall Engagement Session then anything else.  Since the leaves was already fallen and we had no shortage of that here in Burton Mill Park near Lak...


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The Most Frequent Unhealthy Ways to Lose Weight

There are several ways to lose weight which are unhealthy and hazardous to your mental and your physical well being. Here are the most common which you should always avoid:

  1. No-Calorie Diets

Our body needs fats, and healthy ones can help us lose weight. The zero calorie diet trend has become very popular, and it’s leading people to consume harmful artificial sweeteners to get rid of some excess weight.

  1. Medication and Drugs

There is no magic pill which can help us lose weight in a healthy manner, and sadly even drugs are used today for a quick fix for weight loss. It’s vital to remember that in the long term they can severely damage the heart and also the brain. On the other hand, there are some supplements which can help in fat-burning processes, but they must go along with exercise and healthy eating.

  1. Skipping Meals

Even if this approach may seem to make sense, skipping meals is harmful to the body, and it’s a very unhealthy way to lose weight. Our metabolism increases after we eat and if we skip meals it will slow down, and it will eventually lead to weight gain. Starving is a very inefficient way of losing weight.

  1. Purging

If you don’t already know, throwing up on purpose after eating is extremely dangerous to your health. This comes with severe psychological effects, and such an act is either a symptom of bulimia, or it will lead to it for sure. It will also increase cravings for unhealthy foods. Purging can create the illusion that the hunger craving has been satisfied by consuming food, but the calories are lost afterward by throwing up.

  1. Using Laxatives

The use of laxatives in excess in the form of powders, pills, teas and suppositories for losing weight is a pretty old concept. A continuous use of laxatives will lead to weakened digestive system and will also result in abdomen related complications.

  1. Smoking

Unfortunately, this unhealthy habit has also become a popular way of suppressing hunger. Smoking seems to send vague signals to the brain with the effect of an increased metabolic rate, and this will kill hunger. Chronic smokers can skip meals without any problems. But, on the other hand, we all know that smoking causes lung cancer and many other infections to the body; therefore it is not worth it.

  1. Over Exercising

If your body is already undernourished, over exercising can be awful for your health. Excessive amounts of cardio won’t help you drop the remaining weight. Instead, burst training for 20 minutes 3 to 5 times a week will sure do the trick.

Unhealthy Weight Loss Vs Healthy Fat Loss

It is vital to acknowledge the differences between the two.

Weight loss by crash dieting and improper training involves decreased fitness and strength, poor performance, early aging, and reduced immunity, while fat loss with correction nutrition and training includes improved fitness, greater strength, peak performance, delayed aging, and a reduced risk for a disease.

Sticking to a healthy diet and working out should be the two things that complement one another to help you lose weight in a healthy way. Losing excess weight requires a lifestyle change especially if you dream of long term results.

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Barbecue - Recipes for your Grill

Grilling in yard

Summer is approaching and I bet you're planning a barbecue for your family and friends. Memorial Day weekend marks the beginning of the summer vacation season and one way to celebrate is by eating outdoors. Barbecuing in your own backyard with family and friends is one of life’s greatest pleasures.

Nothing tastes better than your favorite barbecue recipes made fresh on your charcoal grill and served outside. And getting family and friends together for a picnic is a time for fun and food. I can remember the whole family getting together at my aunt's house during the summer. And I mean the whole family; aunts, uncles, cousins, brothers, sisters, the whole bunch of us. It is one of my fondest childhood memories. My aunt was a wonderful cook. And she used the family barbecue get-together to show off her cooking abilities. She grew a garden, so we would have fresh green beans, corn on the cob, tomatoes right off the vine and other delicious food that she prepared. One of my favorites that I remember is her barbecue pulled pork.

me and my kids ready for a barbecue

Today when the kids and I get together I hope to make wonderful memories for them as my aunt made for me. We either pull out the barbecue grill or make sure the picnic area we are using has a grill. Who can resist food hot and sizzling from the grill? Whether it’s steaks, ribs, chicken, kabobs or burgers everyone loves it barbecued. And don’t forget the vegetables are great for grilling too!

With all the modern cooking appliances, backyard barbecues are still one of America’s favorite pastimes. Grilling accessories include long handled utensils such as tongs, spatulas and brushes for easy food handling. Heavy mitts to prevent burns and a spray bottle full of water to douse any flare-ups are also good items to have handy when using your barbecue grill. And don’t forget that lightly spraying vegetable cooking spray on the grill surface before lighting the charcoals will help your food from sticking.

Best of the Grill Burgers

Although burgers are a barbecue staple I think you will find these Chicken Kabobs a delicious recipe to try on your grill.

chicken on skewer from the barbecue

Grilled Rosemary Chicken with Sweet and Sour Orange Dipping Sauce

1 tbsp. plus 1 tsp. minced fresh rosemary
2 tsp. dark brown sugar
1 tsp. crushed red pepper flakes
Salt and course ground black pepper
2 1/2 lb. boneless, skinless chicken thighs, trimmed of excess fat
2 tbsp. vegetable oil
1 c.orange marmalade
1/4 c. rice vinegar

Thread chicken thighs onto skewers. In a small bowl, mix 1 tbsp. of the rosemary with the brown sugar, crushed red pepper flakes, 2 tsp. salt and tsp. black pepper. Place the chicken thighs in a shallow pan, drizzle with the oil and toss. Sprinkle thighs with the rosemary mixture. Set aside.

In a saucepan, warm the marmalade, the vinegar and the remaining 1 tsp. rosemary over low heat until warm. Remove from heat.

Prepare a hot charcoal fire or heat a gas grill with all burners on medium high for 10 minutes. Using cooking spray to lubricate grate. Place the chicken thighs on the grill (uncovered over a charcoal grill, or covered on a gas grill) until one side for 5 to 6 minutes or until one side has dark grill marks. Turn and grill additional 5 to 6 minutes or until sides are well marked.

Place thighs on a platter and serve with dipping sauce.

Yields 4 - 6 servings.

If you like to Barbecue try some Beef Recipes and click here.

Shak'em Up Sides for your Barbecue

Potato Salad is a standard at most barbeques. And you probably know that there are 1000s of potato salad recipes. I have several potato salad recipes that include a Herbed Potato Salad, a Pennsylvania Dutch Potato Salad and a hot German Potato Salad, just to mention a few. One of my favorites is this basic recipe. It’s easy and delicious.

Home Style Potato Salad

2 lbs. red skin potatoes, washed and cut into quarters
1 large sweet onions, chopped
3 stalks celery, chopped
4 boiled eggs, chopped
1 c. chopped sweet pickles
1 c. mayo
2 tbsp. prepared mustard

Boil potatoes until tender (do not overcook). Drain potatoes and let stand until cool.
Toss potatoes and remaining ingredients in large bowl until mixed well. You may add mayo if too dry. Add salt and pepper to taste. You may also want to boil extra eggs to slice and place on top of potato salad for garnish. Yields 6 - 8 servings.

Have you ever tried Corn on the Cob on the grill? If not, you’re missing out on a tasty treat. This recipe for Mexican-Style Charcoal-Grilled Corn is an excellent alternative to your ordinary boiled corn on the cob. The dry heat and smoke intensifies the flavor and is certain to please the family.

Corn on the cob on the barbecue grill

Mexican Grilled Corn on the Cob

1/4 c. light mayo
3 tbsp. light sour cream
3 tbsp. minced fresh cilantro
1 large garlic clove, minced
3/4 tsp. chili powder
1/4 tsp. ground black pepper
1/4 tsp. cayenne pepper
4 tsp. fresh lime juice
1/2 c. Pecorino Romano cheese, grated
4 tsp. vegetable oil
1/4 tsp. salt
6 large ears of corn, silk removed but husks left on but pulled down (these can be used as handles).

Start about 6 quarts of charcoal and allow to burn about 20 minutes or until coals are fulled ignited and partially covered with a thin layer of ash. Arrange all coals in even layer over "half" the grill, leaving the other half with no coals. Place grate over coals and allow to get hot. Use cooking spray to lubricate grate.

While you are waiting for grill to heat, combine mayo, sour cream, cilantro, garlic, 1/4 tsp. chili powder, black pepper, cayenne, lime juice and cheese in large bowl. Set aside. In another bowl combine oil, salt, and remaining 1/2 tsp. chili powder. Add corn and toss until evenly coated.
Grill corn over coals, turning occasionally until light charred on all sides. This is take about 7 - 12 minutes total. Remove from grill and place in bowl with mayo mixture. Toss to coat and serve immediately.
Yields 6 servings.

Marinated Summer Beans recipe compliments many barbecue menus. The nice thing about this side dish is that you can prepare it one day ahead. As it sits, the beans absorb more flavor.

3 1/2 tsp. salt, divided
1 lb. fresh green beans, trimmed
1 lb. fresh wax beans, trimmed
a large can kidney beans, drained
3 tbsp. chopped fresh parsley
2 tbsp. extra virgin olive oil
1 tbsp. grated lemon zest
2 tbsp. fresh lemon juice
1 tsp. chile paste with garlic or 1/2 tsp. crushed red pepper
1 garlic clove, minced

Add 1 tbsp. salt and beans to a large pan of boiling water;cook 6 minutes or until crisp-tender. Drain and rinse with cold water. Combine remaining 1/2 tsp. salt, parsley and remaining ingredients in a large bowl. Add beans to bowl and toss. Chill at least 1 hour, tossing occasionally.

Yields 8 1-cup servings.

My family doesn’t think the barbecue is complete unless there are deviled eggs served. I must admit, I love deviled eggs. They are so easy to prepare and the ingredients can vary from simple to elegant. I took a plain ol’ deviled eggs recipe and added smoked salmon and discovered a delicious treat. It’s always fun to experiment with my recipes and this one turned out eggceptional.

Smoked Salmon Deviled Eggs

8 hard-boiled eggs, peeled and cut in half lengthwise
1/4 c. minced smoked salmon
2 tbsp. mayo (not salad dressing)
1 tbsp. freshly squeezed lemon juice
1 tbsp. honey mustard
1 tbsp. fresh dill, minced or 1/2 tsp. dried dill weed
1/4 tsp. salt and pepper
Paprika for garnish (this is optional)

Remove yolks from eggs. Mash yolks with a fork in mixing bowl. Add remaining ingredients and mix thoroughly.

Fill center of eggs whites with yolk mixture. Sprinkle with paprika and cover loosely with plastic wrap. Refrigerate for at least 1 hour before serving.

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I love my collection of recipes and am excited about sharing them. I bet you have some great recipes! Every good cook has a recipe that is their favorite and enjoys sharing that recipe. Do you have a favorite dish that you're famous for? Or found a new one that you would love to share with others?

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Scepter Bag
Scepter Bag Color

Our beautiful Rhea Scepter is a Genuine Austrian Crystal Scepter with circular repeating design on front and back featuring a 16 inch wand handle. Perfect scepter for prom, princess, mardi gras or homecoming!

A scepter is a treasured accessory to keep safe and away from the elements when not in use. To keep your scepter forever beautiful enclose it in one of our lovely velvet scepter bags. The scepter bag is made of a soft velvet exterior, satin interior, and metallic silver pull string. The scepter bags are approximately 22 tall. See Scepter Bags

For accent color options see Crystal Color Chart

CUSTOM Rhea Scepter
Solution Graphics


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4 posts
Location: Cullman, AL, United States

Hello, all.My band is taking a trip to Panama City and I was wondering if I would need a burn permit to play with my fire toys. Any help on this would be greatly appreciated.

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