วันอังคารที่ 23 พฤศจิกายน พ.ศ. 2553

5 Tips to Help You to Obtain Your Medical Assistant Certification With Ease

Medical assistant (MA) is projected to be in high demand for the coming years. Hence, it is a rewarding career to pursue in. As certification can help to increase your value, let's look at 5 Tips to help you obtain your MA certification with ease.

1. Firstly, before anything else, ask yourself whether you are an ideal candidate for this type of career. You should consult people in this industry to see do you have the qualities to become a MA and if there is something you need to improve, start improving now. Having the right attitude and character for the job will assist you in passing your certification with flying colours.

2. MA certification can be earned through on campus, online, or distance learning. There are so many schools providing this certification. Hence, enrolling in nationally accredited and certified MA program is important which can give you a better chance of receiving a quality education in the medical assisting field.

3. Reading is an important hobby to develop which can lead you to widen your knowledge. Healthcare industry changes rapidly and you need to ensure you are up-dated and understand the medical terminologies use in practice. The more you read, the wiser you will be which will assist your during your certification.

4. Next, you must learn to practice good time management by balancing your work, study and personal time. As a MA, you will be working for long hours and confronting with people who is unwell and with all sorts of emotions such as depressed, sad, angry, worried and confuse. Due to the nature of your work, it is advisable that you spare some time for leisure to give yourself a break. In this way, you will be able to concentrate better in studying your certification.

5. Last but not least, take every opportunity to practice and gain hands-on experiences such as taking blood pressure, drawing blood, suturing and changing dressing. As practice makes perfect, what are you waiting for?




For more information about medical assistant training and medical assistant schools, visit http://MedicalAssistantAdvice.com today.

วันอาทิตย์ที่ 21 พฤศจิกายน พ.ศ. 2553

Organic Vs Natural Foods

Taking a walk through the grocery store, you see so many different labels claiming this food product is better and healthier than the one next to it. Unfortunately, some marketing practices either lack integrity or lack knowledge - or perhaps a little of both. So is there a difference between Organic and Natural claims on a label? Most often, yes.

To be labeled Organic in the United States, the product must adhere to strict regulations imposed by the USDA's National Organic Program. Some of these regulations include: the ground must be chemical free for 36 months prior to selling crops as organic; limitations on vaccines and hormones given to animals, including poultry, beef cattle, and dairy cattle; and specific processing and labeling requirements.

Natural, on the other hand, has no regulations in the United States. Simply speaking, if something says it is "Natural," it is claiming that it is natural by the definition of the producer or manufacturer. Some believe using Round-Up and other such products is natural. Some believe there is nothing wrong with spraying weeds, giving animals growth hormones, or using fertilizers.

And there are some who take the definition of Natural to mean "the most natural way of life for plants and animals." These people don't use chemicals, but rather use alternative means to get rid of weed and pest problems through crop rotation, hand-picking, and other ways that are not detrimental to the plant. They allow nature to take its course with animals, giving the livestock access to pasture, space to move around, and accepting the natural growth instead of attempting to defy nature through growth hormones. Often times these products could qualify as being organic.

How can the average consumer know they are buying something that is actually natural and healthy? Check the label. It's usually a safe bet if a product has more then one or two impossible to pronounce, scientific sounding ingredients, it is no healthier then the box next to it that doesn't claim to be natural. Use local suppliers you know and trust. If you don't know local farmers personally, you may know someone who does, and who knows the farming practices used. Farmers generally don't, from what I've seen, hide the fact that they spray weeds, or what they use. So a simple solution, ask.

If you ever doubt the validity of a "natural" claim, and can't get an answer that satisfies your desire to have the healthiest, most natural food available, don't buy it. And if you ever doubt the validity of an "Organic" claim, USDA regulations require the certification agency be listed on the product. Call the agency and ask if the product is indeed certified organic. Organic certification agencies are here not only to give out certificates stating a product is organic. It is also their job to assure consumers that everything possible has been done to insure the integrity of the organic industry and the organic status of the products on the market.




http://www.ics-intl.com

วันศุกร์ที่ 19 พฤศจิกายน พ.ศ. 2553

The Importance of CAT Exams For MBA Admissions

Most of the students will get confused when they complete their graduation studies. Most of them will not have a plan about the future courses, which they have to complete. However, this article is basically designed to give you some important knowledge about the top MBA institute Noida and the importance of cracking CAT or MAT exams for getting admissions in the top colleges.

Even though most of the students are aware of CAT exams, there are few candidates who do not know the importance of writing these exams. If you are one amongst them, this is the right time for you to gain some knowledge about it. CAT, which is also known as Common admission test, is basically a national level entrance test. These tests are conducted by Indian Institutes of Management (IIM) for the management courses. Most of the top colleges that provide admission for the MBA students look for the marks scored in CAT as well as MAT exams. Most of the top management institute located in Noida and Delhi will provide quality education with highly experienced teaching staffs. This is one of the main reasons why millions of individuals take CAT and MAT exams each year.

Know More About The Pattern of The Exam:

If you are planning to write a CAT exam, you should know about the four different sections, which are known as Problem Solving, Verbal ability, Reading Comprehension, and data interpretation. CAT exams also contain time duration with multiple-choice questions. However, the exam is for two and half hours. These exams are not as easy as your think, because for each wrong answer you make, there will be a negative marking.

Eligibility Criteria for CAT or MAT:

If you have bachelor's degree with a minimum of fifty percent marks, you are eligible to appear for the CAT or MAT exams. In case, if a person belongs to the Schedule tribe (ST) or Schedule caste (SC) category, he or she can appear for the exams even with forty five percent marks.

How to get prepared for the CAT exams:

If you are planning to get prepared for the CAT exams, there are few aspects that you have to consider. Before, appearing fro this exam, it is very important to know the ninth to twelfth concepts of the NCERT books. However, you do not have to worry, as you will be able to find all type of books required to prepare for these exams. These books will help you to cover the portions of your exams.

There are also many tuition centers as well as classes, that provide coaching for the students who are getting prepared for the CAT or MAT exams. Therefore, if you are planning to do MBA Noida or MBA Delhi, it is quite imperative to consider the above-mentioned tips in your mind. You can also take the assistance of the websites, which are proving information on Part time MBA Noida and Executive MBA Noida.




Tahseem providing top management institute, MBA Delhi and Executive MBA Noida

วันอังคารที่ 16 พฤศจิกายน พ.ศ. 2553

CNA Examination

Proctored to trainees who are seeking certification as a nursing assistant, the CNA Skills exam and test are required parts of the process towards gaining vital knowledge and comprehension of the fundamentals in certified nursing assistant work. Separated into two halves, the CNA test is made up of a written test and a practical skills test. The skills aren't your normal multiple-choice-type exam (very unlike the SATs) while the written portion focuses on the overarching concepts and procedures that CNA hopefuls have been training on during their learning programs.

The best method to prepare for the CNA test is to sign up for a strong CNA training program such as the one offered by the Red Cross. If you receive superior test preparation, you should assumed superior results likewise when taking the exam. The training programs that Red Cross and other health care organizations provide will typically run for 3 to 4 months, with a focus on traditional classroom instruction as well as clinical experience and exposure for applying the skills learned in the classroom. In the hands-on experience portions of training the CNA trainees will be instructed by a registered nurse who has worked heavily in patient care and can impart strong advice to the trainees.

In taking the test, most former CNA trainees agree that the written portion is rather easy as long as proper study has been achieved, as the questions asked are only designed to probe understanding of the fundamental concepts of patient care. The CNA skills test is often where many CNA trainees have the largest challenges on their quest to gain certification. Some exam proctors will require trainees to bring with them a human visual aid to act as a model while the trainee demonstrates the skills they've learned throughout the CNA training program. Trainees will be expected to adequately prove a mastery of all the basic tenets of CNA job duties on their visual aid before getting certified.

Most exams will have trainees successfully complete between 3 to 6 specific CNA skills, such as measuring a patient's temperature, washing hands correctly, changing bed linen, transporting or correctly positioning a patient, and proper maintenance of a bedpan. Details are important when taking the test, as the proctor will be sure to mark off points for every mistake or blunder. If a trainee fails to knock on a patient's door before entering, or incorrectly washes hands, or failing to read a thermometer correctly will all count as points off the final exam score. For this reason, repeated practice before an exam, and staying calm generally helps to ensure the best possible score on exam day.

The written test and the skills assessment portions of the CNA certification exam will have a state examiner that observes your performance during the exam as well. These state examiners will present hypothetical scenarios for you to solve, to their satisfaction, and test your retention of vital CNA-related skills as learned throughout the training program. Be sure to study hard and there should be no problems with any of the aspects of the CNA exam.




If you would like to read more on cna training and cna certification, visit our source website at cna certification guide

วันศุกร์ที่ 12 พฤศจิกายน พ.ศ. 2553

LAN Design and the Hierarchical Network Model

CCNA focuses on networks for SMBs (small, medium businesses).
A hierarchical design model is recommended.
Easier to manage and expand.
Problems are solved more quickly.

Hierarchical design divides the network into 3 layers.
Core, (CL).
Distribrution, (DL).
Access, (AL).

Each layer provides specific functions.
This "modularity" facilitates scalability and performance.

Access Layer, (AL): lowest

Interfaces with the end device (user).
Includes routers, switches, bridges, hubs and wireless APs.
Provides a means of connecting devices to the network and controlling which one communicate on the network.

Distribution Layer, (DL):

Aggregates data received from the AL before transmitting to the CL for routing.
Controls traffic flow using policies and delineates broadcast domains with VLANs defined at the AL.
VLANs allow traffic segmentation (separate subnetworks).
DL switches are typically high-performance devices that have high availability and redundancy to ensure reliability.

Core Layer, (CL):

The high-speed backbone or the internetwork.
Critical for interconnectivity between distribution layer devices ? needs to be highly available and redundant.
Often connects to Internet resources.
Aggregates tfc fm all devices, so it must be capable of forwarding large amounts of data quickly.
Note: smaller networks often combine the distribution and core layers.

Three Logical Laye3rs are separated into a well-defined hierarchy.
It is much harder to see these layers physically.

Benefits of a Hierarchical Network:

Scalability:

Hierarchical networks scale very well.
The modularity allows you to replicate design elements.
Expansion is easy to plan and implement.

Redundancy:

As a network grows, availability becomes more important.
Availability increases dramatically with hierarchical networks.
E.G. AL switches connect to 2 DL switches. If one DL switch fails, the AL switch can switch to the other one.
Redundancy is limited is at the access layer. Typically, end devices do not connect to multiple switches.

Performance:

Properly designed networks can achieve near wire speed btwn all devices.

Security:

AL switches can be configured to provide control over which devices are allowed to connect to the network.
More advanced security policies available at the DL.
Some AL switches support L3 functionality, but it is usually the job of the DL switches, because they can process it much more efficiently.

Manageability:

Changes can be repeated across all devices in a layer because they presumably perform the same functions.
Deployment of new switches is simplified because configs can be copied with few modifications.
Consistency within each layer simplifies troubleshooting.

Maintainability:

Because of their modularity and scalability, hierarchical networks are easy to maintain.
This also means these networks are less expensive.
With other designs, manageability becomes increasingly complicated as the network grows.

Principles of Hierarchical Network Design:

Hierarchical design is no guarantee of good design.
Simple guidelines help differentiate btwn well-designed and poorly designed hierarchical networks.

Network Diameter:

Usually the first thing to consider.
The # of devices a packet crosses to reach its destination.
Small diameter ensures low and predictable latency.

Bandwidth Aggregation, (adding together):

Combines links btwn switches to achieve up throughput.
Cisco has a proprietary link aggregation technology called EtherChannel.
Aggregated links are indicated by multiple dotted lines with an oval or a single, dotted line with an oval.
Can be used at every layer (less common @ AL).

Redundancy:

Redundancy can be provided in a number of ways.
E.G. 2x connections btwn devices, or 2x devices.
Redundant links can be expensive.
Designing redundancy starts at the AL. You ensure that you accommodate all network devices ? 3 of AL switches.
This helps determine 3 of DL switches ? CL switches.

What is a Converged network?

SMBs are increasingly running voice, video and data.
Convergence is the process of combining these.
Until recently this was limited to large enterprises.
Legacy (older) equipment hinders convergence.
Because analog phones have not yet been replaced, you will also see legacy PBX telephone and IP-based systems.
Convergence is now easier and less expensive.
With a convergence there is just one network to manage.
This costs less to implement and manage.
IT cabling requirements are simplified.
Convergence also creates new opportunities.
You can tie voice and video directly into an employee's PC.
No need for an expensive phone or video equipment.
Softphones (Cisco IP |Communicator) offer a lot of flexibility.
With software businesses can quickly convert to converged networks with little capital expense.
With cheap webcams videoconferencing can be added.

Separate Voice, Video and Data Networks:

Voice networks contain isolated phone lines running to a PBX (Private BDXT Exchange) switch located in a Telco wiring closet PSTN (Public Switch Telephone Network).
Telco closet often separate fm the data and video closets.
New phone ? a new line to the PBX.
Using a properly designed hierarchical network voice lines can be added with little or no impact.
Now that networks can accommodate the BW it makes sense to converge.

Considerations for Hierarchical Network Switches:

Tfc Flow Analysis:
The process of measuring BW usage and analyzing it for performance tuning, planning, and HW improvement.
To select the appropriate gear in a hierarchical network, you need to spec out tfc flows, users and servers.
Networks must be designed with an eye on growth.
Done using tfc flow analysis software.
Should consider port densities and forwarding rates to ensure adequate growth capability.

Analysis Tools:

Many tfc flow analysis tools are available.
E.G. Solarwinds Orion 8.1 NetFlow Analysis.

User Communities Analysis:

Identifies user grpings and their impact on net performance.
Affects port density and tfc flow, which influences the selection of network switches.
Typically users are grped according to job function.
E.G. HR one floor and Finance on another.
Each dept. has different users and needs, and requires access to different resources through the network.
Choose switches that have enough ports to meet the dept needs and pwrful enough to accommodate tfc.
Good network design also factors in the growth.
Investigate the tfc generated by end-user applications.
Some user communities generate a lot, some do not.
The location of the user communities influences where data stores and server farms are located.
By locating users close to their servers, you can reduce network diameter, reducing the impact on other users.
However, usage is not always bound by department or physical location.

Data Stores and Data Servers Analysis:

Data stores can be servers, SANs, NAS, tape bu units, or any other storage device or component.
Considers both client-server and server-server tfc.
Client-server tfc typically traverses multiple switches.
BW aggregation and switch forwarding rates can help eliminate bottlenecks for this type of tfc.
Some server apps generate high volumes btwn servers.
These server shouls be located close to each other (i.e. secured data centers).
Tfc across data center switches is typically very high.
Requires higher performing switches.

Topology Diagrams:

A graphical representation of a network infrastructure.
Shows how all switches are interconnected, including which ports interconnect devices.
It shows where and how many switches are in use.
Can also contain info on device densities and user grps.
Helps visually identify potential bottlenecks.
Very difficult to create after the fact.

Switch Features:

Switch Form Factors:

Fixed or modular config, and stackable or non-stackable.
Thickness is expressed in rack units. (i.e. 1U, 3U).
Fixed Config Switches - Cannot add hardware.
Modular Switches - chassis allows for multiple line cards which contain the ports.
The larger the chassis, the more modules it can support.

Stackable Switches:

Can be interconnected using a special backplane cable that provides high-bandwidth throughput btwn the switches.
Cisco's StackWise technology allows you to interconnect up to nine switches using fully redundant backplane connections.
Stacked switches effectively operate as a single larger switch.
Desirable where fault tolerance and BW availability are critical and a modular switch is too costly.

Performance:

Port Density:

Port density is the 3 of ports available per switch.
Fixed sitches typically 1,000 ports!

Large enterprise networks require high density, modular switches to make the best use of space and pwr.
Also prevent uplink bottlenecks.
A series of fixed swtches consume many additional ports for BW aggregation btwn switches.
Whith a modular switch, aggregation is less of an issue because the chassis backplane provides the BW.

Forwarding Rates:

The processing capabilities of a switch in bps.
Switch product lines are classified by forwarding rates.
If this rate is too low, it cannot accommodate wire-speed across all ports.
Wire speed = rate that each port is capable of (10Mbps etc).
E.G. 48-port GbE switch at wire speed = 48Gbps of tfc.
If the switch only supports 32 Gbps (internally), it cannot run at full wire speed across all posrts simultaneously.
Access switches typically do not need full wire speed because they are physically limited by their uplinks to the DL.

Link Aggregation:

Determine if there are enough ports to aggregate to support the required BW.
E.G. GbE 24-port switch could generate up to 24 Gbps.
If it is connected to the network by a single cable, it can only forward 1 Gbps to the rest of the network.
That results in 1/24th wire speed for each of the 24 devices.
Link aggregation helps to reduce these bottlenecks by allowing up to 8 ports to be grped, providing up to 8 Gbps.
With multiple 10GbE uplinks very high throughput rates can be achieved.
Cisco uses the term EtherChannel = aggregated ports.

Power over Ethernet (PoE):

PoE allows a switch to deliver power over existing Ethernet.
Can be used by IP phones and some wireless APs.
Allows more flexibility for equipment installations.
Adds considerable cost to the switch.
PoE switch marked with a `V`for volts.

Layer 3 Functions:

Typically, switches operate at L2 and deal primarily with MAC addresses.
L3 switches offer advanced functionality.
L3 switches = multilayer switches.

Switch features in a Hierarchical Network:

Access Layer switch Features:

Port security - first line of defense for a network.
How many or what devices are allowed to connect.
All Cisco switches support port layer security.
VLANs - component of converged networks.
Voice tfc is typically given a separate VLAN.
Port speed:
Fast Ethernet is adequate for VoIP and most data tfc.
PoE - much more expensive, so use only when required.
Link Aggregation - supported at all 3 lvls.
QoS - needed for VoIP.

Distribution Layer Switch features:

Collect all AL switch data and forward it to the CL switches.
Provides the inter-VLAN routing functions.
DL switches have higher processing capabilities than AL.
Need L3 to support inter-VLAN routing.

Security Policies:

Need L3 so advanced security policies can be applied.
ACLs control tfc flows through a network.
ACLs allow switches to filter tfc.
ACLs are CPU-intensive because they need to inspect every packet and match ACL rules.
Placing ACLs at the DL also reduces the 3 of switches that require the extra mgmt configuration.
Policy-based connectivity and departmentaléworkgroup access to the core layer.

Quality of Service:

DL switches need to maintain the priorities of tfc coming fm the AL switches that have implemented QoS.
If not all the devices support QoS, the benefits will be reduced -. poor performance and quality.
DL switches are under high demand.
They need redundancy for adequate availability.
DL switches are typically implemented in pairs.
Recommended that they support multiple, hot swappable pwr supplies.
Finally, they need to support link aggregation and high-bandwidth aggregated links back to the core.

Core Layer Switch Features:

The CL is the high-speed backbone.
The forwarding rate is dependent on the number of devices participating in the network.
If you choose an inadequate switch at the core, you face potential bottleneck issues slowing down all tfc.
CL switches should support aggregated 10GbE.
L3 redundancy has faster convergence than L2, so, ensure CL switches support L3 functions.
CL switches should support FULL redundancy features.
QoS is important at the core since high-speed WAN access is often prohibitivel expensive.

Switches for SMBs:

Identify the Cisco switches used in SMB applications.

The features of Cisco Catalyst Switches:

You cannot simply select a switch by the size of a business.
Businesses are often cross integrated with other entities.
A 6500 makes sense as an AL switch where there are hundreds of users in an area, such as a stock exchange.
Cat Express 500 - forwarding rates = 8.8 - 24 Gbps.
Cat 2960 - L3, QoS, no PoE, 16 - 32 Gbps.
Cat 3560 - enterprise-class PoE, QoS, 32 - 128 Gbps.
Cat 3750 - stackable high performance.
Cat 4500 - DL midrange modular - up to 136 Gbps.
Cat 4900 - data center.
Cat 6500 - DL and CL - up to 720 Gbps.

Miscellaneous:

MDF - Main Distribution Facility.
Gi 0é1 - abbreviation for Gigabit Ethernet ports.
Spanning Tree - protocols allows redundant paths, but shuts down some links to avoid switching loops.




Bitmindframes CCNA study tips.

Switching - Routing - WAN - Network fundamentals http://www.bitmindframes.info

วันอาทิตย์ที่ 7 พฤศจิกายน พ.ศ. 2553

Questions to Ask Siamese Cat Breeders

Siamese cats are a wonderful breed to have in your home: They're great with children, don't typically scratch people or furniture, aren't known for chewing electrical cords or other household items and are a beautiful animal to showcase to your friends and guests. When making the decision to purchase one, you need to ask different Siamese cat breeders a few questions, to make sure you're making a good investments, rather than buying problems for yourself.

1. Ask for references. Most people don't buy an exotic breed of animal, without research and your best research hear will be to ask Siamese cat breeders for references from past and current customers. If the breeder seems put off by your request, or needs time to get them together -- be wary. Most breeders will be ready for the request and will have a list readily available for you, and other potential customers.

2. Ask to see the cat's certification and/or the parent's certification. Most health problems are hereditary and if Siamese cat breeders don't have the paperwork to prove the cat's family history: You may be looking at expensive health complications in the future.

3. Ask about guarantees. A quality breeder, who cares about their reputation will offer you a guarantee that the cat will be free of hereditary illnesses. Considering that you're paying well for a special breed of feline, rather than picking one up at the animal shelter -- a guarantee should be a must unless you're receiving a considerable discount.

4. Ask about what treatments that the cat has had. All kittens need to be de-wormed and receive their scheduled vaccinations. Any good Siamese cat breeders will already be ahead of the required vaccination schedules.

5. Ask about recommendations for taking care of your new cat. A knowledgeable breeder will be able to quickly educate you on how to care for your cat and will offer themselves as a resource for information throughout the course of your cat's life.




Find out more on Siamese cat breeders and read many interesting articles on pet health care.

วันศุกร์ที่ 5 พฤศจิกายน พ.ศ. 2553

How to Become a Special Education Teacher

Get Started


  1. Become qualified.You need two things: A State Teaching certification and (since NCLB was enacted) status as a Highly Qualified teacher in the subjects you plan to teach. Every state has its own guidelines for teaching certification and HQ. Check with your state's Department of Education (or equivalent department) for specific guidelines.
    • Although it varies, the following will be needed for certification: A four year degree in special education, OR a four year degree in another subject area, with a master's degree in special education. (If you have a four year degree in a subject other than education, many states will allow you an emergency or temporary certificate so that you may teach while earning your certification in Special Education.)


  2. Find a suitable university or college with a program in Special Education. Public universities often do just as well as private colleges, if not better in some circumstances, at preparing you for working in a public school.

  3. Take as many elective courses as possible in reading and math. Special education students are nearly always integrated in the english and math regular classrooms. This will give you a better idea of their needs. Reading instruction is also critical in elementary grades.

  4. Look around for alternative options. If your degree does not also make you Highly Qualified, check your options. Each state usually has two or three means of becoming HQ. The most direct option tends to be a Praxis II exam if your state considers it acceptable.

Tips


  • Further your education whenever possible. The willingness to continually improve your understanding of the subjects you teach and of instruction methodology is what will make you an excellent teacher.

  • While taking courses, take care to learn as much as possible about reading, writing, math, special education curriculum, learning styles and teaching styles.

  • Self-confidence is important; you should at all times emit an aura of having everything under control, even when you just want to run away and cry.

  • Respect is earned. While you will be able to have some leverage in your position, good teaching will not take place until your students respect you.

  • In challenging situations (and there will be many), keep your cool; respect is easily lost.

  • The kids can and will try anything to throw you off balance, so have a plan to handle it before it happens.

  • Choose your battles; some conflicts are just not worth engaging in. It will only distract you and your students and derail the class.

  • You will have some fantastic moments that will make you wonder how you could ever have considered anything but teaching.

  • Always over-prepare your lessons. Bored kids are noisy kids.

  • Always be prepared for the unexpected. You might have the best lesson in the world planned, but sometimes half the class is clueless to the concept and you have to adjust everything.

  • Be sure you know to spell and use correct grammar. Nothing looks worse than a teacher who can't spell or punctuate properly, even the students don't know the difference.

  • Greet your students each morning to read their moods even before the school day begins. If appropriate, hug each of them. At least give each of them each a high five and tell them you are glad that they are there. That may be the only positive contact they have all day.

Warnings


  • The Special Education field is not for everyone; it takes a lot of patience and you'll have to be prepared for anything.

  • You are not the kids' friend. Relationships can become misunderstood. Be friendly with your students, but keep a distance.




Natasha Veale, M.Ed. writes articles on Special Education topics. She is a former Special Education teacher. She is currently a Research Associate in the Special Education department at the University of North Carolina at Greensboro. To further your research and get information on several Special Education topics, visit [http://specialeducation2008.com]

วันพฤหัสบดีที่ 4 พฤศจิกายน พ.ศ. 2553

Chronic Stuffy Nose? Fungus May Be the Culprit

If your nose is stuffy during the pollen seasons in the spring and fall, check with an allergist. Allergy injections can help control your symptoms. If your stuffy nose started after puberty, you don't have allergies and your nose is stuffy 12 months a year, allergy injections usually are ineffective. Antihistamines and decongestant pills help to control your symptoms a little. Cortisone-type pills are highly effective but have side effects, such as obesity and osteoporosis. Cortisone-type nasal sprays are safer than the pills. So doctors are continuously searching for better ways to treat people with chronically stuffy and running noses.

Researchers at the Mayo Clinic found fungi in 96 percent of people with chronic sinusitis. The most common fungi are alternaria, penicillium, cladosporium, aspergillus, candida and fusarium. A sinus cat scan will tell whether a person has a sinus infection. If the cat scan shows fluid levels indicating a sinus infection, the doctor should order a fungus culture of the nose. If the culture is positive for fungi, the doctor should consider treatment with antifungal medication, even though there are no good studies to show the fungal medicines cure sinusitis, because the present treatment of cortisones works only in the short run, and shortens life by causing osteoporosis, high blood pressure and obesity. If the fungus infection is positive, the person should be treated with the appropriate anti-fungal medication such as Sporanox, Lamisil or Diflucan.

Your nose is supposed to clean, heat and moisturize the air that you breathe. The inside of your nose is covered with a sticky mucous that traps dirt, pollen, mold and other pollutants and prevents them from reaching your lungs. Inside of each nostril are large ridges called turbinates that have large blood vessels in them. When the inner lining of one side of your nose fills up with pollutants, the blood vessels inside the turbinates enlarge and swell the turbinates so they stop air from entering that side of your nose and force you to breathe through the other side of your nose. Then small hairs called cilia in the lining of your nose sweep the mucous and filth toward your mouth where you swallow them and they pass from your body.

All day and night, it is normal for you to breathe through one side of your nose and then the other. It is abnormal for the turbinates on both sides to swell at the same time and cause a stuffy nose. If your nose is stuffy in the spring and fall, you probably have an allergy and need allergy tests. If you have thick yellow or green mucous, you probably have an infection and need a culture and antibiotics. If you are exposed to irritants such as hair spray or smoke, that is probably the cause, and if your stuffiness is worse in the winter, the cause is probably breathing dry, cold air. If no cause is found, your doctor usually diagnoses vasomotor rhinitis which means that he doesn't have the foggiest idea what's causing your stuffiness and the only relatively safe and effective treatment offered today is daily use of a cortisone nasal spray such as Vancenase, Beconase or Rhinocort.




Dr. Gabe Mirkin has been a radio talk show host for 25 years and practicing physician for more than 40 years; he is board certified in four specialties, including sports medicine. Read or listen to hundreds of his fitness and health reports at http://www.DrMirkin.com

Free weekly newsletter on fitness, health and nutrition

วันอังคารที่ 2 พฤศจิกายน พ.ศ. 2553

Mexico City - General Information

Mexico City is the capital and most populous city in Mexico. It is the most populated city in America. It is located in the center of the country, in the Valley of Mexico, a plateau at an altitude of 2250 meters. It is surrounded by peaks that extend more than 5000 meters above sea level.

It is often referred to as official Distrito Federal (DF, Federal District) to avoid confusion with the country or the State of Mexico. Founded in 1325 by Mexicas (Aztecs), the city of Tenochtitlan Precolumbian was completely destroyed by Spanish conquerors in the early sixteenth century. Today Mexico City has become one of the most densely populated cities in the world with an estimated population of around 20 million people. This places Mexico City third in the world behind Tokyo and New York. It is also the second most populated urban area in the world after Tokyo. Political, economic and cultural development of Mexico, has made it into one of the most dynamic cities in Latin America. Mexico City still faces the problems of many other megacities such as population explosion, saturation channels of communication, crime and corruption.

Air pollution is one of the many problems that the authorities of the Mexican capital face. This pollution is the result of intense traffic - there are 4 million cars, 27,000 microbuses, 92,000 taxis which consumes about 14 million gallons of gasoline every day. Urban sprawl and the construction of new highways over the past thirty years have helped the increase use of cars in Mexico. The rapid growth of manufacturing plants and industries from abroad who have plants in Mexico for cheap labor have also added to the local pollution problem.




For more information about Mexico visit http://www.GuidedTourMexico.com