Author: farrel jeffery

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Law

Become A Firefighter And Help Others

Why would anyone want to become a firefighter? Well, I can tell you that it’s not for the money. Although a firefighter’s salary will pay the bills and put food on the table, it will not place you in an extremely high tax bracket. In fact, a lot of full-time firefighters work an extra job on their days off. A person does not become a firefighter just for the money.

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Secondly, people do not decide to be a firefighter because they want a stress-free job. Responding to 9-1-1 calls that often involve literal life or death situations does not bring about calm and serenity. Likewise, crawling through a burning building full of super-heated gasses and throat-choking smoke is really not the most relaxing day at work. Sure, every job has some stress, but nothing compared to that of a firefighter. The desire to become a firefighter is not due to the relaxing work environment.

While we are on the subject, people do not become a firefighter because it is a healthy profession. Each year, approximately 100 fire fighters die in the line of duty. About half of these fatalities are due to heart attacks. Both stress and extreme physical exertion contribute to these statistics. So, after pointing out some of the negative aspects, why would anybody still want to become a firefighter? Because firefighters help people. When we think of the many ways in which a firefighter helps others, one of the first things that come to mind is fighting fires. We have all seen the TV shows or movies where a heroic firefighter saves someone from a raging inferno. Although the Hollywood depiction of what a firefighter can actually do is often exaggerated, the truth remains that when it comes to being trapped in a fire, a firefighter is definitely your best friend. Even if the fire does not require the saving of a life, firefighters still have a crucial role in helping others.

A quick extinguishing of a house fire will help to save treasured items that otherwise could never be replaced. Family heirlooms and personal photographs are just some of the items that fall into this category. And don’t forget the pets. To some people, their beloved cat or dog is considered to be a member of the family. There are countless stories of how firefighters have rescued an animal that would have otherwise succumbed to the smoke and flames. Any individual who wants to become a firefighter should be aware that today’s fire service does more than just fight fires, a lot more. For example, many of our local fire departments respond to medical calls involving car wrecks, falls, near drowning and heart attacks.

The men and women who work these medical emergencies often times are able to provide the help that will save a victim. Even if the situation is not life threatening, the actions of the fire fighters can lessen the severity of the injuries and decrease the patient’s recovery time. Without a doubt, this service is truly a help to others. In addition, firefighters are a huge help to others through their community education efforts.

Teaching people the importance of having a working smoke alarm in the home is an excellent example of how educating the public can save lives. The early warning from a smoke detector will give family members a head start in escaping injury in the event of a fire. Hundreds of lives are saved each year as a result of these alarm systems. As we can see, these are just a few of the many ways that firefighters help others. Like any job, being a firefighter has its pros and cons. But for the majority of men and women who are in the fire service, it is a job they love. It is a job where they can go to work and help people. So, if you are a person who wants to become a firefighter in order to help others, you have come to the right place.

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Health

Do you ever awaken during the night to find yourself feeling

The Dangers of Sleep Apnea

Do you ever awaken during the night to find yourself feeling like you’re choking or having a hard time breathing? No, it probably wasn’t a nightmare, and it’s most likely a condition that needs to be looked into. With these symptoms it’s very possible that you have Sleep Apnea which can be a severe sleep disorder.

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Other symptoms to look for include snoring that’s so persistent it wakes your partner, morning headaches, and dry mouth. If these symptoms apply to you, you need to see a doctor right away. They are all indications that you might be a victim of Sleep Apnea.

You’ve undoubtedly heard about people having sleep disorders, and Sleep Apnea can be one of the most severe on the list. “Apnea” comes from the Greek and means “want of breath”. During an Apnea episode, your breathing is disrupted by either slowing down or stopping altogether for a short period of time. These disruptions can occur as often as 20 times in only one hour, and each episode can mean a 20 second period during which your body is near death.

Sleep Apnea is a dangerous condition that not only destroys your sleep but also affects your entire body. There are three different types of sleep apnea, and in their worst stages, all three of them can be deadly.

The Widespread Problem of Obstructive Sleep Apnea

The condition known as Obstructive Sleep Apnea is the most common type. During sleep, the muscles in your soft palate, which are located around the base of your tongue, relax and obstruct your airway. When this happens, the oxygen level in your blood decreases causing hypoxia, your blood pressure goes up, and a great deal of stress is placed on your heart. All of these difficulties keep you from going into the deeper, sounder phases of the sleep cycle which means your body starts suffering from sleep deprivation. To add to the problem, you will experience snoring and choking which can awaken you several times a night. Your body becomes desperate for sleep.

Rare but Lethal Central Sleep Apnea

Central Sleep Apnea is a much rarer condition that Obstructive Apnea, because it’s caused by a flaw in the brain. In this condition your brain gives the wrong or delayed messages to your body’s breathing mechanisms. Because of these faulty signals, throat, abdominal and oral breathing all stop at the same time for a few seconds. Even though it doesn’t last long, it can still lower the amount of oxygen that gets to your blood and tissues and can lead to high blood pressure, an irregular heartbeat, and heart stroke.

Dual Causes of Mixed Sleep Apnea

If you suffer from both of the conditions described above, Obstructive Apnea and Central Apnea, you are said to have Mixed Sleep Apnea. In this condition you have the combined symptoms of relaxed throat muscles and flawed breathing signals from your brain, and the combination can obviously be much more detrimental to your health.

Since Obstructive Sleep Apnea is the most common form of apnea that people suffer from, it’s a good idea for everyone to know exactly what symptoms to look for as well as what causes the condition and how it can be treated in case you, or someone in your family, develop the problem.

What Causes Obstructive Sleep Apnea?

There are a number of different factors that can obstruct your airway while you’re sleeping and bring on episodes of Obstructive Apnea. You might have muscles in your tongue and throat that shrink too much when your body relaxes in sleep allowing them to block the function of your airway. In addition, if you are overweight, your airway can be obstructed by the soft tissue in your throat becoming larger and stiffer. If your adenoids or tonsils become enlarged, that, too, can disrupt your airflow.

What are the Symptoms of Obstructive Sleep Apnea

Waking because you’re choking and having problems breathing and snoring are very common symptoms of Obstructive Apnea. Being very sleepy during daytime hours can also be a sign that your sleep is being disrupted. With this form of of the condition you can lose the ability to concentrate, suffer from dry mouth, wake with headaches, experience a rapid weight gain, or have lethargy, high blood pressure, and possibly depression.

What Treatment is Available for Obstructive Sleep Apnea?

There are things that you can do to prevent or halt the progression of Obstructive Apnea even if you haven’t yet seen a doctor about the condition. The solution to the problem might be as easy as losing weight, changing your sleep position, or eliminating alcohol from your evening routine. In more severe cases, medical treatments may be needed, however. Some of the more common medical procedures used to treat apnea include Continuous Positive Airway Pressure (CPAP), Oxygen Administration, and surgeries such as a tracheostomy.

If you have reason to believe that you might have sleep apnea and are exhibiting the symptoms outlined above, never put off going to a doctor thinking you can treat the problem yourself. A visit to your doctor will confirm the condition and its causes so that you can follow the right mode of treatment for a speedy recovery.

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Law

Water is one of the most vital products you can have in your body

Your body is made up of 66% water so it’s important that you put the right type of water into your body. Water does not just consist of H2O it also provides you with your essential minerals, namely calcium. You require approximately 2 liters of water a day but these days tap water contains nitrates, trihalomethanes, lead and aluminium, which are toxic to your body. In the UK and US the levels of toxins in our water exceeds safety limits.

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These days people are reverting to bottled water and filtered water, however these sources of water not only take out the toxins they also take out the vital minerals. That’s why I recommend having a filtering system that puts the minerals back in or adding an electrolyte solution. A brand I recommend is ‘elete’.

Another major concern is the amount of pharmaceutical drugs that end up in your water supply, especially the contraceptive pill. Have you noticed that the height of the new generations is increasing because of the amount of hormones that are in your water supply and your food? Chlorination of the water supply isn’t helping and in fact it can be making it worse. In 2002 a report by the US Geological Service discovered that the water supplies have microbial and viral contaminants, pharmaceuticals and hormones. In 2004 the USGS tested a water plant – the water going in and the water coming out – in the water entering the plant scientists found 40 prescription and non prescription drugs and their metabolites, fragrance compounds, flame retardants, disinfectants, cosmetics detergents, plant and animal steroids.

The standard chlorination treatment took care of the detergents, disinfectants and steroids but allowed the rest of the drugs to enter the drinking water. Not only were contaminants still in the water but how safe is chlorine for us? The source of these drugs is from literally throwing the unused prescription drugs down the toilet and also peoples urine. These end up in the sewerage system and get recycled back into the water supply. In some areas of London the water supply may have already passed through the kidneys of five people. Chlorination is the major way to be rid of bacteria and viruses but it doesn’t work on some parasites. However chlorine can react with some organic matter in the water and form chlorine-related ‘disinfection by-products’ (trihalomethanes THMs). Studies have shown that it can cause cancer such as colorectal and pancreatic and a slight increase in brain cancer. The strongest link is with bladder cancer and studies also show that it’s linked to miscarriages. Chlorination has also been attributed to fetus growth defects and cancer. Not only when you drink THMs does this have an effect but also because you bathe, swim and shower in it.

So what’s the solution? Bottled water is not a good substitute because of the problems with plastics, therefore the only option is to have a reverse osmosis water purifier (a plumbed-in system) or carbon-block filters. Attach this to the water as it enters your house. We may be thinking that buying bottled water is a good substitute, but is it? In 1999 the NRDC (National Resources Defence Council) did a report on the bottled water industry in the US. They found that 35 out of the 103 brands had contaminations, many had ‘bacterial overgrowth’, others had high levels of arsenic, chloroform, trihalomethanes or fluoride; some had high levels of arsenic and phthalates that aren’t even allowed in tap water.

Phthalates are chemicals that are added to plastics to make them flexible. Concluding that the biggest contamination of bottled water is from its container, phthalates mimic estrogen and causes damage to genitals, liver, kidneys and lungs. Ironically there are strict limits on phthalates for tap water but not for bottled. Bisphenol-A (BPA) a polycarbon is another toxin that mimics oestrogen and disrupts the hormonal system and causes genetic abnormalities. So any bottled water can be classed as unhealthy even the big office bottled water fountain. A biodegradable bottle made out of cornstarch only leeches small quantities of lactic acid that isn’t harmful; the brand is called bleu and is found in Waitrose supermarkets in the UK.

So what’s the solution? Drink tap water but filter it and store it in a glass container or get a stainless steel bottle. Brita removes 85% of chlorine, 70% pesticides, and none of the fluoride and nitrates at all. Under the kitchen sink filters remove 99% of bacteria, 95% of chlorine, heavy metals and pesticides. Plumbed in systems use reverse osmosis; it totally removes everything but also the nutrients. Using a good quality electrolyte will provide the solution and put the good nutrients back in.

Categories
Law

Canine Epilepsy is a disorder of the brain in which abnormal

Canine Epilepsy is a disorder of the brain in which abnormal electrical activity can trigger nerve transmission that is not coordinated. The chaotic and uncoordinated nerve tissue activity is a scramble of messages to muscles in your pet’s body. The use of muscles is then hindered.

IDIOPATHIC OR SYMPTOMATIC

There are numerous reasons for chronic recurrent seizures in dogs and canines, it is not an individual disease, or an individual condition however, it is rather a wide group of disorders. Canine Epilepsy is broadly divided into symptomatic and idiopathic disorders. Idiopathic Epilepsy or primary epilepsy means that there is no discernible brain abnormality apart from seizures. The term “symptomatic epilepsy” (or secondary epilepsy) is epileptic seizures that are result of a specific trigger.

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Most dogs suffering from epilepsy with idiopathic causes experience their first seizures between the years of one to five years old. The possibility of a genetic cause for epilepsy idiopathic is thought to exist in a variety of breeds, including the purebreds involved in the development of Australian Labradoodle and Labradoodle.

SIZURE CAUSES AND Diagnostics:

The cause of seizures can be circumstances in the brain (such as tumors, trauma or infections) or by circumstances that are centered in the outside of the brain (such as low blood sugar levels, hypothyroidism, circulating metabolic toxins as well as other external poisons). First, it is important to identify the possibility of situations which are outside of the brain. This can be done with blood tests. Ophthalmic examinations can also be done because the retina might reveal signs of a brain disease. If these tests prove to be negative the next step is determined by the pet’s age. My opinion is that the most effective testing lab is run by Dr. Jean Dodd’s. Samples are set by your vet for her company Hempet. According to me, it is Dr. Dodd’s office and UCDavis are the best-organized information in the field. The blogger is not associated with either of them.

After BLOOD Testing, ANIMALS LOWER than one year old

The majority of seizures are caused by inflammation of the brain. The analysis of cerebrospinal fluid that is gathered by tapping under anesthesia, is vital.

After BLOOD testing and ANIMALS BETWEEN AGES 1 and 5

When these pets suffer, generally there is no cause so the phrase “epilepsy,” which simply signifies “seizure disorder” is used. If seizures are frequent enough, then medication is prescribed to stop seizures. To better understand the effects of medications, consult your veterinarian or visit canine-epilepsy.net and join owner forums regarding the subject.

Following BLOOD Testing, ANIMALS OVER than age five years old

In this class seizures are often caused by tumors growing from the skull and pressing down on the skull (a “meningioma”). The majority of these tumors can be operated should they be detected in the early stages. ACT test or MRI is your next option. In the case of patients for whom surgery isn’t an optionfor them, corticosteroids can be utilized to decrease the swelling in the brain.

GENETIC OR TUMOR OR OTHER Cause

The causes of seizures can be easy to eliminate However, there are some that are more severe. Do not make rash conclusions eliminate the most common problems first. Our bulldogs each had seizures (first one, then just a few months later, after that the third). We changed their diet to a low protein diet to a less protein-rich food, and they never had another seizures.

Some epilepsy types are caused by genetic. The three elements potassium, sodium, and calcium are used by the brain as ions. They produce electrical charges that need to be fired often to enable steady flow of electricity between nerve cells one after another. If the channels carrying their currents are damaged or damaged by birth, an imbalance develops that could cause misfires or seizures.

The brain is a place where cancerous as well as non-cancerous tumors can trigger seizures. Brain tumors are the main reason for seizures that start after the age of five. If a dog in the senior years starts to experience seizures and other causes like trauma, toxins and diabetes have been eliminated the possibility of a brain tumor is something to consider.

Liver disease is a degenerative , inflammatory condition that causes formation of scars and hardening of liver cells. The liver is unable to function normally due to scarred tissues, which block the normal flow in blood to the liver.

Severe worm infestation can result in seizures. Parasites release toxic substances that can cause a negative impact on the nervous system of central.

Low blood sugar or hypoglycemia that can cause feelings of stress and fatigue and can be a trigger in the triggering of seizures. Scientists have calculated that 50-90 percent of epileptics have low blood sugar levels, and 70% have abnormal levels of glucose tolerance.

Toxic metals, such as mercury, lead, copper as well as aluminum have been linked to seizures. Some pets are extremely sensitive to the presence of these metals and exposure is commonplace through aluminum cookware automobile exhaust industrial pollutants cleaning products, household cleaners and water pipe pipes made of copper.

Collars, sprays and garden sprays can be harmful for pets. It is crucial to ensure that your dog is free of chemical pollutants as is possible. Consider the environment your dog is in. Are you using chemical sprays for your yard? Sometimes, dogs will only seize when your lawn is being sprayed to control weeds. What about the cleaning product that you apply to your floors? There are dogs who have been known to have seizures after floors have been cleaned with a pine-scented cleaner. The tick and flea medications may also trigger seizures. It is suggested that epi dogs receive Interceptor as an annual heartworm preventative as well as Frontline is used to treat fleas. Do not use products containing Ivermectin because it has been proven to trigger seizures in certain breeds. There are many factors that can reduce the dog’s seizure threshold. Keep a journal of your pet’s seizures. Keep track of anything you’ve done or anything that your dog came into contact with during the day that could have triggered seizures. There is also the recognized fact that dogs can be prone to seizures around the full moon.

Because vaccines could contain organisms or proteins and/or organisms, they can trigger an allergic encephalitis that causes inflammation in the brain. The vaccinations can reduce a dog’s seizures and cause seizures. If you believe this may be the case for your dog, request the vet to divide the shots and give the shots at every two weeks or at intervals and request for an Rabies shots to be administered two weeks after the initial shot. We strongly recommend testing for titers against vaccines, and always. It is a blood test to determine if the appropriate levels of vaccinations are present and are therefore not needed. It’s incredible how long a dog are able to go without having to get vaccinated again.

Cancer, cysts, and infections can cause seizures.

A head injury that causes head injury from an auto accident, abuse , or another accident could cause permanent seizures.

The job of the kidneys is to eliminate excessive fluid and toxins. When kidneys are afflicted or damaged, also known as Renal Kidney Insufficiency, the kidney can cease to function effectively, leading to a toxic build-up within the body, resulting in seizures. The toxic build-up may cause a seizure disorder.

Research suggests mineral and vitamin deficiencies as possible causes for epilepsy. The main nutrients lacking in epileptics include vitamin B6 vitamin A, vitamin A, folic acid zinc, vitamin D taurine magnesium, calcium, and zinc. Diet plays a significant part in the treatment of Canine Epilepsy. It is crucial to feed a dog a food which is without preservatives. Preservatives like Ethoxyquin or BHT, BHA should be avoided since they could cause seizures. Dogs shouldn’t eat grains.

Genetics (from the Canine Epilepsy Project)

“The Canine Epilepsy Project is an inter-disciplinary study of how epilepsy is caused in canines. The project is funded by grant funds from AKC Canine Health Foundation (CHF), National Institutes of Health (NIH) as well as breed clubs, and private donations. The grants supporting this research include CHF Completed Grant #1718, CHF Completed Grant #1729, CHF Completed Grant #1845, CHF Active Grant #2252, CHF Active Grant #2304 along with NIH Awards #1K08NS0224501.

Their aim is to discover epilepsy-related genes in dogs, so that smart breeding could reduce the risk of this disease in dogs. We hope that knowing which genetic factors control epilepsy in dogs could assist us in tailoring our treatments to address the specific causes.

The goals of their studies to understand the causes of hereditary canine epilepsy include:

Samples of recruits from a vast variety of individuals affected as well as those who are their closest family members (siblings parents, siblings and grandparents) and from a variety of breeds of dogs.

Analyze the genotypes of the selected families to determine connections among DNA markers as well as epilepsy. You can then analyze the results to determine the mutation that is the cause or mutation.

Develop the testing method for DNA markers that can detect and differentiates between abnormal and mutational (epilepsy-causing) alleles. Then, offer this test to breeders to ensure that they can create epilepsy-free breeds.

The genes responsible for seizures in dogs are not fully identified. This project aims to identify what marker(s) as well as the mutation(s) for the cause. If these are discovered A blood test can identify if a particular dog is carrying the mutation or not, or is likely to develop an illness (even before the symptoms start). With these data, breeding professionals can select breeding partners that will not breed affected puppies.

Owners and breeders frequently ask what information is available about the idiopathic inheritance epilepsy (also known as primary epilepsy or epilepsy genetic). This is a crucial issue because if breeders understand the way in which inheritance occurs (that is how inheritance patterns change over generations) and have a good understanding of the pattern of inheritance, they might be able to devise breeding strategies that allow them to avoid breeding for epilepsy. In some cases, if the mechanism of inheritance that causes an illness is known and controlled, selective breeding could allow breeders to significantly decrease, or even eradicate the disorder, while allowing breeders to maintain their bloodlines. Of course, when breeders and owners are asked about the inherited epilepsy they hope to establish that seizures in their dogs aren’t due to inheritance of epilepsy. Sometimes, they have a reason to believe this. But, often they are forced to face the possibility that the cause was inheritance (genetics) is the root reason for the seizures.

For those who aren’t familiar with the concept of “mode of inheritance” we’ll try to explain. The definition of “mode of inheritance” is the term used to define whether the disorder can be described as a straightforward recessive condition or a dominant simple characteristic, or more complex trait. A trait that is “simple” are passed down by one gene, whereas those complex require multiple genes. Complex genetic traits mean that the various genes may combine or interact and they may be interacting with the dogs’ surroundings. Naturally, basic genetic characteristics are more straightforward to research. The phrase “recessive” implies that a dog can only be affected by the disease in the event that the defective gene is transmitted by both parents. Therefore, if just one parent carries this defective gene their children will not be affected by the disorder, even though they could have the potential to be “carriers” and eventually transfer their deficient gene offspring. The phrase “dominant” signifies that the dog could suffer from the disorder even though only one parent is affected by this defective gene.

As stated, there aren’t any conclusive results on the mechanism of inheritance in canine epilepsy with idiopathic nature. There are however certain general theories. Researchers have speculated that, at a minimum, for the breeds they examined it could be recessive since frequently two parents epilepsy-free have offspring that have epilepsy. Another hypothesis is that genetic defects are carried by the sexual the chromosomes. (Each pet has 39 pairs of the chromosomes that are able to carry all the genes of his or her parents. Each pair of chromosomes is passed down from one parent. Thirty-eight pairs of these are autosomes. One pair is the sexchromosomes.) In most cases, when there are differences between sexes in an attribute the gene responsible for the characteristic is carried on sex chromosomes. But it is true that some breeds (though not all) have a higher incidence of epilepsy in males than females this pattern of inheritance across generations suggests that epilepsy-related genes are likely to be carried by at least one of the autosome pairs. Although these two theories (recessive or autosomal) could be the case for a variety of breeds, at this moment, there is insufficient evidence to make any conclusive conclusions, not just on the breeds specifically for which studies of pedigrees have been conducted.

As stated that there are a number of researchers currently investigating the genetic causes of canine epilepsy idiopathic. If you have a dog that has epilepsy idiopathic, and/or one of them has given birth to epilepsy offspring, you should get in touch with the Canine Epilepsy Network.”

If your dog suffers from seizures, it is essential to inform the breeder as well as any associations or clubs that they are a part of. Only through sharing information and pedigree studies that genetic issues can be discovered and utilized to select the best breed.

Find out the source of seizures (WHEN IS IT A MEDICAL EMERGENCY?)

Generalized Seizure, also known as Tonic-clonic. The tonic-clonic seizures have two phases and could manifest in either a moderate and/or Grand Mal version. In the Grand Mal seizure the “tonic” stage is when the dog is lowered to the ground, then rigidly extends his legs and begins to lose consciousness. At this point, his breathing also ceases. The seizure typically lasts from ten to 30 minutes. Following this, the “clonic” phase begins. At this point that the owners begin to notice the stereotypical behavior that is often referred to as an “fit.

When the dog is in the clonic phase it is possible to start any or all of the symptoms listed below:

1. Paddling of limbs, or “running in the same place”.

2. Jaw movements that resemble the dog trying to chew gum.

3. Eye pupils dilate (become massive) and become unresponsive.

4. Dog begins salivating or drooling.

5. Dog loses control of its bodily functions and starts to urinate or vomit onto the floor.

Different types of seizures

In mild cases of Tonic-clonic seizures, there’s usually very little paddling and there isn’t any losing consciousness. Uterine and defecation could also not be observed.

Petit Mal Seizures have short moments of the dog being unconscious , and exhibiting signs of loss of muscle tone as well as blank eyes. These seizures are thought to be extremely uncommon in dogs and need the evidence of EEG abnormalities to diagnose for certainty.

Partial seizures are atypical in which the seizure activity like muscles spasms in the legs or neck and head bends or the major body part or facial spasms occur in a specific part that is the human body. These kinds of seizures may become more severe until they appear as Grand Mal or Mild Tonic-clonic however the distinction is in how the seizures began. Both Tonic-clonic types appear to be a general body seizure from the beginning but partial seizures could begin at the face or on one hip.

Status Epilepticus type seizures can be life-threatening. They may occur as one continuous seizure lasting more than 30 minutes, or as an ongoing series of seizures that end with the dog not getting back to consciousness. Status epilepticus seizures may occur in dogs who have an underlying background of Grand Mal or Mild Tonic-clonic seizures, and also epilepsy diagnosis. They can also be seen in dogs that have never had seizures but suffered an injury to the brain exposed to toxic substances such as enormous amounts of chocolate poisons and pesticides. They also could result from a disease.

Cluster seizures are like the status epilepticus loop seizures, and both are frequently classified as one or the other. The main difference between the status epilepticus and Cluster seizures are that the puppy is able to return to consciousness between every seizure.

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Law

Preventing severe asthmatic attacks requiring hospital stays or visits to the Emergency Room

There is no cure for asthma. Aim of management is to achieve control of the disease. This includes the following:

Prevent chronic and recurrent symptoms like nocturnal coughing
Reduce the use of medications
Maintenance of lung function
Maintenance of regular activities
Preventing severe asthmatic attacks requiring hospital stays or visits to the Emergency Room
Practical tips to control asthma:

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Control other conditions that can aggravate asthma
Avoid known allergens
Maintain an active lifestyle
Have an action plan in the event of asthma attacks
The asthma action plan should include the medications regime, avoidance of triggers, tracking of asthma attacks, and actions to be taken if asthmatic symptoms become more severe despite treatment. Eg When to proceed to the Hospital Emergency Department for treatment

Medications for Asthma

Asthmatic medications can be broadly divided into medications that exert long term control and medications that provide rapid relief from asthmatic symptoms.

Both types of medications aim at reducing airway inflammation to control asthma.

Initial treatment depends on how severe your asthma is. Follow up treatment depends on how well the patient follows the asthma action plan and how effective the action plan is.

Note though that the asthma action plan will vary with changes in your lifestyle and social environment because different social exposures result in exposure to different allergens in your environment.

Adjustment of medication dosage should be at the discretion of your primary physician. If you have adjusted the dose of medication on your own, you should let your primary physician know immediately to facilitate proper titration of medication dosing with each visit to the doctor.

The doctor will always aim to use the least amount of medicine necessary to achieve control of your asthma so it is imperative that the doctor be made aware of how much medications you have been using.

Certain groups of patients require more intensive titration regimes – these include pregnant women, young children, or patients with special needs.

Asthma Action Plan

Every Asthma Action plan should be crafted to the individual patient. The plan should include the medication regime, avoidance of triggers, tracking of asthma attacks and actions to be taken should symptoms of asthma become progressively severe.

It is best to work with your primary physician to draft your asthma action plan. The plan should describe all the above in detail.

In the case of children, parents and caregivers should know the child’s asthma action plan. This should include babysitters, workers at day care centers, parents, schools and organizers of outdoor children activities.

Avoidance of Triggers

An entire multitude of allergens have been documented to be linked to asthma. To the individual patient, the most important thing is to know what triggers asthma in you. Following that, know what steps to take when asthma is triggered.

Simple common sense is essential. For example, if you have a known allergy or sensitivity to pollen, please limit your exposure to pollen and stay indoors if needed. If you are sensitive to pets, or pet fur, please do not keep pets at home or allow pets to enter your bedroom.

Of note, physical activity can also trigger asthmatic attacks. However, it is recommended that asthmatics exercise on a regular basis because in the long run, exercise will help with control of asthma. Speak with your primary physician if you experience asthmatic attacks when engaging in physical activities. There are medications available to control asthma during exercise.

In the event your asthma correlates strongly to allergens that cannot be avoided (eg dust), your primary physician might advise on use of medications against allergies.

Medications for Asthma

Please consult with your primary physician for medications suitable for control of your asthma. Your primary physician will adjust the dose of medications as needed. If you have self adjusted the dose, you must inform your primary physician on your next visit.

Generally speaking, medications for asthma can either be in the form of a pill, an injectable, or as a nebulized drug consumed via use of an inhaler. Nebulized drugs are inhaled directly into the lungs where it exerts its effects.

Please note that use of inhalers will require a certain technique and should be taught by a doctor or a trained health care provider.

Medications targeting Long Term Control

Chronic asthmatics will need medications to achieve long term control of their asthma. These medications work slowly and reduces airway inflammation.

Inhaled Corticosteroids

Inhaled corticosteroids are most commonly used for long term control of asthma. They act by reducing inflammation in the airways of the lungs. Use of inhaled corticosteroids daily will greatly reduce the severity and frequency of symptoms.

The most common side effect of inhaled corticosteroids is oral thrush. Use of a spacer when using the inhaled corticosteroid can reduce the incidence of oral thrush. Check with your primary physician if you are unsure of how to use a spacer. Simple rinsing of the mouth after cosuming inhaled corticosteroids can also reduce the incidence of oral thrush.

Patients who have severe asthma might need to consume oral corticosteroids instead of inhaled corticosteroids to achieve sufficient control of their asthma. Unlike inhaled corticosteroids, which can be taken for years, oral corticosteroids will have significant side effects if used for prolonged periods.

Long term use of oral corticosteroids increases the risk of diabetes, osteoporosis, cataracts, and abnormal metabolic activity.

Consult with your primary physician to measure the risks and benefits before consuming oral corticosteroids.

Other long term medications:

These include:

Cromolyn – This drug prevents airway inflammation and is used as a nebulized drug delivered via an inhaler.
Omalizumab – This drug is a form of immunotherapy and acts against Immunoglobulin E (anti-IgE) which triggers narrowing of airways. This medication is usually given as an injection once or twice a month and prevents the immune system from reacting to triggers of asthma. It is, however, not a first line treatment for asthma and might not be offered upfront by your primary physician.
Inhaled long-acting beta2-agonists – These medications are usually taken together with inhaled corticosteroids to achieve a synergistic effect on expanding the lumen of the lung airways.
Leukotriene modifiers – These are oral medications that reduce airway inflammation.
Theophylline – Theophylline can be consumed orally or via an injection and acts to open the lung airways.
Please note that there is a likelihood of symptoms rebounding if long term medications are suddenly ceased. Also, all long term medications will have side effects. Please discuss with your primary physician before commencing long term treatment regimes

Rapid Acting Medications

Short acting Beta 2 – Agonists are usually the first line medications in this group. They are often delivered in the nebulized form through an inhaler. They act by relaxing the muscles in the airways, thereby allowing more air passage through.

Rapid acting medications should be consumed as soon as symptoms appear.

Should the medication be required for more than 2 days a week, you should inform your doctor to formulate more strategies for your asthma action plan.

Asthmatics are advised to carry their quick relief inhaler with them at all times.

Of note, these medications do not reduce inflammation of the airways and hence cannot replace long acting medications.

Documentation of Asthma Progression

Regular use of the peak flow and regular visits to your primary physician will be the primary means of documenting progression of Asthma.

As a rule of thumb, asthma is well controlled if:

Symptoms occur no more than 2 days a week
Symptoms do not disturb sleep more than twice a month.
There are no limitations to your daily activities.
Quick-relief medicines are required less than 2 days a week.
Less than one severe asthma attack a year requiring oral steroids
Peak Flow Meter readings remain at 80% of baseline level
Peak Flow Meter

Your primary care physician will instruct on the use of the peak flow meter.

When used, the peak flow meter measures the maximum rate of flow of air out of the lungs during exhalation. Regular measurements will allow documentation of asthma progression and it is recommended that patient record their peak flow every morning.

During the initial phase after diagnosis, it is important to ascertain baseline peak flow. This is often touted as the patient’s “Personal Best” peak flow reading. Future control of asthma relies on this baseline. Good asthma control being maintenance of peak flow to at least 80% of baseline.

Regular peak flow readings also help predict impending asthmatic attacks. Progressively deteriorating peak flow readings often indicate an impending attack and should be incorporated into the Asthma Action Plan.

Medical Reviews

Frequent medical reviews with your primary physician every fortnightly is the norm during the initial phase of treatment. Once asthma is controlled, your primary physician might elect to see you across a longer stretch of time.

During the medical reviews, important information required by your primary physician include:

Frequency of Asthma Attack
Changes in Symptoms
Changes in Peak Flow Readings
Changes in daily activities like exercise tolerance
Difficulties with adherence to the Asthma Action Plan
Problems with current medications
Emergency Situations

Seek Medical advice if:

Regular medications fail to treat an asthma attack.
Peak flow readings falls to less than 50% of baseline
Proceed immediately to the nearest Hospital Emergency Room if:

You experience severe shortness of breath to the stage where walking becomes difficult
Your lips and tongue turn bluish
Asthma – A Lifelong Issue

There is no cure for asthma. Successful management of asthma requires the patient to take an active role in the control of asthma by conforming to an asthma action plan.

Your primary physician is your best partner to develop your asthma action plan. The action plan will keep you reminded of your medication regime, triggers, and protocols to follow when asthmatic symptoms develop or worsen. Even children should be involved in the creation of their action plan because it is the individual effort that counts in the long term care of asthma.

Asthma will not be going away. But it can be controlled.

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Law

How to become a firefighter

1. Be aware of your responsibilities and obligations

Being a firefighter not just about putting water on the fire. The responsibilities of a firefighter at the entry level are incredibly important. Shifts for work are different by department, and typically run for 24-hours or even 24 hours, with 2-3 days of time off in between. Firefighters are accountable for maintaining equipment and trucks, planning regular meals and cleaning the living spaces and maintaining their fitness levels and performing fire inspections, drills, as well as other chores. Although there will be time for rest on duty, firefighters must be ready to respond to any emergency at any time. The emergency response is never scheduled, which can cause disturbances to meals, sleep and bathroom breaks.

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2. Graduate from high school or get GED

The completion of an high school degree or GED certificate are the minimum requirements for most community firefighter posts. Although candidates can be employed with only a basic education, those who have a solid academic background are usually more appealing. Firefighters must create incident reports, and they could be asked to appear in court. A lack of writing ability can easily be an indication of and a reason to question the credibility and honesty that a firefighter has.

3. Participate into the Emergency Medical Technician (EMT) course.

A majority of fire departments require the basic EMT certification. It also gives you an idea of what it’s like to help patients during medical emergencies or emergencies, as well as fire emergencies. If you have a hard experience with the sight of blood or the act of administering CPR firefighters, the profession may not be the right choice for your career. An appealing way to present yourself to firefighters would be to be certified or certified as a paramedic. The future subject matter related to EMT and Paramedics/EMS will be covered.

4. Make an appointment for the Firefighter Academy

Prior to taking the entry-level test, a variety of fire agencies require accomplishment in Firefighter Academy 1. A fire academy will offer the potential candidate a broad range of information and details, including the fire commission’s protocols and ordinances including fire science, technology, fire assessment as well as the safety of firefighters, hose protocols and fire extinguishers, the organization of a pre-incident building construction, and numerous other subjects. If you are planning becoming a firefighter,, enrolling in a firefighter’s academy needs be considered seriously. In the near future, articles about Firefighter Academies will be presented.

5. Obtain Firefighter Written Assessment Training Material

The test written is a method to reduce the pool of candidates in order to enable them to advance to the physical test. Written tests aim to determine if the candidates have sufficient competence levels. The subjects could be reading mathematics, science, math and English. Reading road maps and following directions can be examined. The tests are usually assessed as pass/fail with the average scores exceeding 70 percent. Certain textbooks that have been approved by the government comprise “Smoke The Firefighter’s Written Test” written by Paul S. Lepore, “Firefighter Exam Preparation Book” written by Norman Hall and Arcos “Master the Firefighter Exam”. These training books improve readers’ basic understanding of exam preparation. Certain facts might not apply to your state or location. Before purchasing any book, ensure that you communicate with the fire department that you’ll be working with. Ask the fire chief to determine if they have any particular books they recommend using.

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Home

Before you start listing your property, make sure that you understand

If you want to sell real estate in a short time, you will need to get in touch with a professional agent. You can also do this on your own. It may seem like a daunting task, but you can be sure that you will get the best deal possible. Listed below are some tips for real estate agents. Read on for more information. Once you have chosen a real estate agent, you’re ready to begin the process of selling your property.

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Before you start listing your property, make sure that you understand the terms and conditions of the purchase contract. It’s a good idea to work with an agent, but if you’re selling on your own, it’s a good idea to study the contract. It should specify when you will be departing the property and what your responsibilities will be once it is sold. Once you have all the facts you need to move forward, it’s time to make an offer.

Remember that a real estate agent can make the process run more smoothly, but it’s still a good idea to understand the details of the purchase contract before you begin. You can also seek the advice of a real estate attorney if you’re unsure of the details. If you sell your property on your own, you’ll need to understand its legal ramifications. In particular, you should specify when you’ll be leaving and approve any final agreements before you sign them.

Before signing a purchase contract, it’s important to familiarize yourself with its provisions. Whether you’re selling your property on your own or working with an agent, it’s important to know how to understand the variations and legal ramifications of the contract. The most important thing to remember is to make sure that you understand your rights and obligations if you decide to sell your property on your own. A real estate agent will ensure that the entire process goes smoothly for you.

When selling a property, you need to understand the rules and regulations in the area. There are various types of associations that govern the home or business. A homeowner’s association, for example, is an association of homeowners. If you are considering buying a house in a condominium, you must be aware of the rules for your specific area. A real estate agent can help you with the paperwork. The agent can also prepare you for negotiations.

If you’re selling a residential property, you’ll need to negotiate the price and the terms of the sale. You will have to negotiate a price and a contract. In a conventional sale, you’ll have to negotiate the price of the property, as well as the conditions of the sale. If the buyer’s offer is lower than yours, you’ll have to negotiate the purchase and sell again for a higher price.

Depending on the area of your home, you may have several options when selling a home. You may be dealing with a homeowner’s association or a developer. These associations set rules for the neighborhood. If you’re not a member of the homeowner’s association, you’ll have to negotiate with the buyer directly. When a buyer doesn’t accept an offer, the seller won’t close the deal. Unless the buyer is prepared to accept your offer, the sale is unlikely to be successful.

You should also know the types of real estate in which you’re selling. A commercial property is a property with a homeowner’s association. In this case, the seller and the buyer should work with the same type of agreement. The contract will be a document that details the sale and the purchase price. A good contract will protect both parties. You’ll want to make sure you have a valid agreement in place before you try to sell your home.

Before you sell your home, you need to know the type of property you’re selling. The type of real estate you’re selling will determine how much you’re able to earn. You’ll be able to sell the property for a profit by using a real estate agent. But if you’re doing it on your own, you can’t afford to make the sale on your own. If you’re selling your home through a private party, you’ll have to use a real estate agent.

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Law

What is the Cure For Sleep Apnea

Trying to find the best cure for sleep apnea is a normal attempt for those who suffer. There isn’t only one cure for sleep apnea that could be recommended to everyone. As you probably know, each case is different and requires a specific solution.

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Depending on what is causing the sleeping apnea (SA) and how severe it is, some of the cures can be very simple and can be done quickly. Starting with the simplest cure for SA, one that can be used immediately with no cost, would be to stop smoking. Yes, it seems trivial, but in some cases it works.

And the reason is that the upper airways will have more ability to allow air to pass. Smoking causes swelling in the upper airways which causes apnea. That is why many people find that they no longer have a problem with apnea when they quit smoking.

Another simple cure for sleeping apnea is to eliminate sleeping pills and alcohol from before bedtime activities or habits will greatly assist with reducing apnea. Many people suffer from blocked airways when they are in a drug induced sleep.

If you eliminate sleeping pills and alcohol before bedtime that will greatly help you to reduce apnea. Many people suffer from blocked airways when they are in a drug induced sleep.

Changing the type of pillow that one uses is often the first, and easiest, cure for SA. Often, when a person sleeps on a soft pillow and is on their back when they sleep, their throat will constrict and cut off air. By using a foam contour pillow made for apnea one will find that this issue is resolved.

Getting 7 1/2 hours of sleep every night is also a cure for sleeping apnea that is often the easiest to try. By going to sleep at the same time and getting the proper rest, a person often can avoid the conditions that constrict the trachea.

There are many products available to widen the nasal passages while one is sleeping. These provide a way to decrease sleep apnea and snoring. Other cures for this sleeping disorder can be more complex and involve the need for surgery.

When suffering from sleep apnea it is important to seek the advice of a physician. There are some causes of sleep apnea that are serious and need medical intervention. The physician will discuss options and sleep apnea cures that will be most helpful for the specific type of sleep apnea that a person has.