Back woes, which rank second only to headaches among modern miseries, eventually afflict seven of every ten adults. Anyone from a college athlete, to a retired grandparent can suffer a back injury, but the risks increase with time as the deeper muscles and tendons surrounding the spine become less resilient. Yet age itself is rarely the only factor in a disabling back attack; almost always tense injured, or weak muscles are to blame. Other risk factors include extra pounds, particularly if stuffed into a pot belly; lack of exercise; poor posture; bending from the waist to hoist a heavy load; and sitting long hours while studying how to become a sonographer or even a while getting a political science major.
Strain from use or abuse accounts for 80% of back ailments. Most vulnerable is the lowest, or lumbar, part of the spine, which bears the greatest pressure when bending and lifting. Five to ten percent of back problems involve the discs between the vertebrae. Most common is the protrusion (or herniation) of the soft center of a disc through the casing so that it presses on spinal nerves. Another 10% of of back problems involve structural defects, which may be the result of injuries, tumors, arthritis, congenital malformations, osteoporosis (the weakening of the bones), or scoliosis (side-to-side curving of the spine). Sometimes a sore back back is a symptom of diseases of other organs, such as the kidneys, gallbladder, or stomach. A physical exam and various test, including electrodiagnostic studies, X rays, CT scans, and MRI’s (magnetic resonance imaging), may be necessary to pinpoint the problem.
Bed rest, supplemented by moist heat or other muscle relaxants, and anti-inflammatory drugs, eases most backaches. However, the days when doctors advised two weeks of bed rest for back aches are gone. After two to three days, most back patients are urged to get up, start walking, and resume light activity.
Back specialists tailor treatment programs to an individual’s needs. Different forms of physical therapy include specific exercises, massage, heat, ultrasound, and electrical stimulation, and often works to relieve pain and speed recovery. Some people successfully use chiropractic, acupuncture, hypnosis, biofeedback, or relaxation techniques to cope with back pain. Regardless of treatment, more then 85% of back-injury patients well within two weeks. Fewer then 2% eventually require surgery to repair a herniated disc.
Are you under too much pressure to get good grades? Are you exercising and eating well? Do you have close friends to share your triumphs and traumas? If you choose to be sexually active, what do you do to prevent unwanted pregnancy or sexually transmitted disease? Do you get regular health checkups? Are you aware of safety and environmental threats to your health? How are you going to make the most of your life? What do you hope to accomplish before you die? These are questions that you should ask yourself whether you are an allied health professional or studying how to become an accountant. These are all questions that we should ask ourselves as humans concerning your mind, body, and spirit. Your attitudes affect your social ties, your needs, your wants, your past and your potential for the future. Dare to discover your possibilities, about what makes you unique and what makes your you unique and what makes your life worthwhile.
Life is about living in a human body, thinking with a human mind, responding to a world of ideas and experiences with a human spirit. You are the owner of an incredible machine, the most complex and sophisticated on earth. The human body is remarkably robust, resilient, and superbly equipped to deal with the challenges of daily living. Even processes, we sometimes think of as malfunctions – a cough, a runny nose, diarrhea – can be indications of the body’s capacity to heal itself. Many times emotional energy can get blocked and manifest itself in physical illness. Health and Wellness begins in the heart.
“Euthanasia” is a blanket term that can encompass a variety of situations, and many authors use the term to mean different things. For example, some view physician-assisted suicide as a form of voluntary euthanasia, while others treat it as a separate issue. Others may distinguish between “active” euthanasia, or killing and passive euthanasia which would be allowing a patient to die. Because of these different connotations, it is important to be aware of how the term is being used in a given context. Here is an outline of six different degrees of euthanasia as written by Andrew Solomon on May 22, 1995 in The New Yorker: “There are essentially six degrees of euthanasia under discussion in the United States. The most basic is discontinuing artificial life-support systems (ventilators, shunts, etc…) for a patient in an irreversible coma who cannot live without such intervention. The second is discontinuing feeding or hydration for a comatose patient who does not require any other artificial support. The third is withholding (at the patient’s request) treatment that can extend the life of but not cure a severely or terminally ill patient. The fourth is providing pain relief to someone in great pain knowing that the pain medication may hasten the patient’s death. The fifth is giving a patient access means that the patient may use to kill himself in order to escape from severe or terminal illness. The sixth is administering a lethal injection (at the patient’s request) to a patient who is severely or terminally ill. Involuntary euthanasia, which occurs when someone takes it upon himself to “put out of his pain” a patient without that a patient’s explicit knowledge or consent is outside the American dialogue.
This week we will be exploring the controversial topic of euthanasia.
Profitability and viability are not always synonymous. You will discover when learning how to become an accountant that an organization can be profitable every year, but still go bankrupt. How is this possible? Most frequently it is due to the result of rapid growth and poor financial planning. Consider a privately held medical supplies company. Lets look at a theoretical example with a company called Medical Supplies Expanded, whose sales are so good that it constantly needs to expand its inventory on hand. When a company is constantly expanding it requires cash payments to manufacturers well in advance of ultimate cash receipts from customers. So…..assume that Medical Supplies Expanded starts the year with $40,000 in cash, $80,000 of receivables, and $10,000 units of inventory. Receivables are the amounts their customers owe for goods and services that they bought but which have not been paid for yet. It’s inventory units (the medical supply items) are sold for $10 each and they have a cost of $8 yielding a profit of $2 on each unit sold. During January, it collects all of its receivables from the beginning of the year (no bad debts!) thus increasing available cash to $120,000 available, it spends $96,000 on replacement and expansion of inventory (12,000 units acquired at $8 each). No cash is collected yet for sales made in January. This leaves a January month-end cash balance of $24,000.
Everyone at Medical Supplies Expanded is overjoyed because they are making money on each unit sold plus they are collecting 100 percent of their sales on a timely basis. There appears to be unlimited growth potential for increasing sales and profits at Medical Supplies Expanded. This is an ideal situation, and it doesn’t always occur this way. That is why it is important to have a good health care accountant to assess the financial needs of any health care organization.
I am about to give birth to my first baby and my friend who does Kauai massage has promised to massage me after. I thought now would be a good time to look at the benefits of massage after a giving birth.
After Childbirth – Massage is tremendously beneficial after childbirth. In parts of the East is the tradition for a new mother to be cosseted and pampered, and every day for 40 days the local midwife massages her whole body, giving a particularly deep massage to the abdomen. A mother in Borneo told me how comforting it was to receive a massage after childbirth….”It felt as though my whole insides were being pushed back into place.” After a month her stomach was flat, she had no aches and she felt energetic and lively again.
How civilized these traditions seem compared with our won way of life. Every new mother would benefit from a regular massage. It eases the strain of caring for a new baby, and helps relieve the aches from picking up and carrying, reduces nervousness and stress, and above all ensures at least an hour of complete relaxation. This can benefit the rest of your family too, because after the massage the mother will be filled with a sense of well-being. In fact, one of the reasons that I first became interested in massage was because my mother was always in such a wonderful mood after having a massage. Be sure to ask your doctor how soon you can start massaging your abdomen. This area may be rather tender right after child birth so massage with great care. Avoid any movements that are painful and be sure not to massage the scar area after a cesarian.
I am pregnant and I can’t stand looking in the mirror without feeling ugly and depressed about my size. Will things get better? You are not alone in battling with your self-image during pregnancy. For many women, their changing body shape can create very negative feelings. Eating a healthy diet and getting some exercise helps to keep weight gain within expected levels. Exercise will also help to lift your spirits and improve your sense of well-being. There is not set emotion response to pregnancy, but as well as coming to terms with a momentous life and body change you are also under the affect of fluctuating hormones. This affects your moods and may add feelings of negativity. Mild depression in pregnancy is often helped by the reassurance and support from your partner, family and friends. Talking over your fears and concerns with your partner, or other pregnant women at prenatal classes may help to relieve your anxieties-you will probably find that other pregnant women are having the same feelings.
Prenatal depression is now recognized as having a negative effect on pregnancy and birth outcomes, so if you suspect that you may be depressed, consult your midwife or doctor. He or she may refer you to seek support through your community health department, church or hospital plan. Hospitals and clinics often have classes for expectant mothers who feel they may be at risk for depression and postpartum depression.
There is a link between not putting on enough weight in pregnancy and low birth weight babies. If you gain too much weight, you are more likely to suffer from high blood pressure, diabetes, backaches, varicose veins, fatigue, shortness of breath and to have a large baby. The recommended weight gain in pregnancy depends on your pre-pregnancy weight. If your BMI was less then 19.8 you should aim for a gain of between 28-40 pounds. If your BMI was between 19.8-26 you should aim for 25-35 pounds and anything above 26 you should aim for 15-25 pounds.
Today’s health care system, with its many different types of health care organizations, is extremely complex. The science of health care is complex, the physical maintenance of the facilities is complex, the interactions and human behaviors within the organizations are complex, and so too are the financial and accounting requirements. The complexity of today’s environments has resulted in the spread of accounting and financial management to all areas within a health care organizations. Accounting and management is no longer the sole purview of the finance department. Nurse managers are being held responsible for the financial management of their units, pharmacy directors are making significant financial management decisions on a daily basis, operating room mangers must maintain efficient utilization rates and keep patients flowing through the OR to maintain the financial health of the organization. If you are interested in learning more about how to become an accountant, or maybe you would just benefit from taking a couple of accounting classes to compliment your health care degree. To be successful, health are managers and executives (regardless of what specific area within a health care organization they lead) must all have a firm understanding of accounting and financial management. It is clear that not everyone will become the Chief financial officer, but everyone is making financial decisions and needs to be able to communicate effectively with financial managers.
The complexity of today’s health care system has brought with it a need for all managers and executives to have a solid understanding of accounting. It is known that knowledge of accounting is beneficial regardless of a person’s primary focus within the health care system.
From the moment of conception, the minute cluster of cells that is a baby, starts to develop rapidly into a fully formed human being. A baby takes all the nourishment from the mother in order to bring about the miracle of a new life. In the first 12 weeks of life, a baby changes rapidly from an indistinct bundle of cells into an identifiable human form. During this time, the body starts to form and all the major organs are developing.
By eight weeks, the four chambers of of the heart have formed and it can be seen beating on an ultrasound. At this stage the baby can be called a “fetus”. The baby, now called a fetus, loses its tail and limbs and starts the process of forming a body.
By 12 weeks, the end of the first tri-mester, your baby is fully formed; facial features are developing and the major organs are beginning to function. The second tri-mester, from weeks 13-27 weeks, is a period of rapid growth as a baby grows from 2 in (6cm) each month. This is when a baby starts to move and can swallow and hear sounds outside the womb.
By 24 weeks, most body systems are formed and, except for the lungs, the major organs are all working. By the third tri-mester a baby is now much more in proportion. A greasy protective substance called vernix covers the skin. By the third tri-mester, at 28 weeks, a baby has put on considerable weight and and if born can possibly survive outside the womb with the proper medical care. During the last tri-mester, a baby becomes much more active and and is likely to have some sort of sleeping and waking routine. The baby may also start to fill out and resemble a newborn as fat deposits are laid down. The organs continue to mature and the body systems are becoming more and more complex. The brain and nervous system develop rapidly and the brain will still continue to develop in a baby after birth.
By 36 weeks, the liver and kidneys are fully developed and the liver is starting to process waste products. The digestive system has formed and the intestines are filled with meconium, a dark green substance made of waste products. The lungs are among the last organs to fully develop, but by only 40 weeks these are fully functioning and a baby starts to practice small breaths.
Under a defined-benefit plan the employer promises to provide each employee with a specified amount of benefits upon retirement. Such a guarantee is somewhat more difficult than promising to make specified contributions, because the benefits are by the employees in the future and therefore uncertain. The benefits must be predicted, and the employer must contribute enough cash so that the contributions plus the earnings on the assets in the fund will be sufficient to provide the promised benefits as they come due. The employees of most major U.S. companies, as well as health care workers, are covered by defined-benefit plans. A survey conducted by the U.S. Labor Department indicated that the percent of U.S. employees covered by such plans….dropped from 63 percent in 1988 to 56% in 1995.”
In the past many employers under defined-benefit plans either set aside no funds or failed to set aside enough to cover their future pension obligations. They simply paid the obligations as they come due, often out of the company’s current operating capital. This practice not only represented poor financial management, but on occasion left retired employees short of their rightful pension benefits. To help assure that employees received what was promised them. Congress passed the Employee Retirement Income Security Act in 1974, which requires employers to fund their plans at specified minimum levels and provides other safeguards designed to protect employees. This was one area of study that is covered when studying how to become a CPA. As a health care worker, your defined benefit plan should be clear and serve the purpose of protecting and covering allied health professionals such as; sonographers.
All of the diseases that occur in the female breast can potentially occur in the male breast. The incidence of male breast carcinoma was approximately 2,000 cases in the year of 2007 in the United States or approximately 1% of all breast cancers. This, of course, is dramatically lower than that in the female population. Thus, mammography has no medical use as a screening examination in males and an ultrasound technician can help. The indications for male diagnostic mammography and the image obtained are similar to those for females. Men tend to be diagnosed in advanced disease status and thus have poorer survival rates. The reasons for these late-stages diagnoses are they may not be aware of changes in their breasts, slow response to discovered changes, and they are not screened for breast cancer.
One benign male breast clinical situation that can be confused with breast cancer is called gynecomastia . Usually, adult men present with a tender subareolar breast mass, and it may be unilateral or bilateral. On mammography, there is breast tissue in the subareolar zone that may rarely contain classifications. The need for biopsy will be determined by a combination of symptoms, physical findings, and mammographic or ultrasonographic findings. There is probably no correlation between gynecomastia and carcinoma. Male breast carcinoma are similar in appearance to female breast carcinomas. They most commonly present as irregular or ill-defined solid masses. Pathologically, invasive lobular carcinomas are rarer in men than in women due to less developed lobular structures in men.
Listed are some common causes of male Gynecomastia:
1) common in the neonatal male
2) common in pubertal males
3) Adult men
a. Any underlying disease causing hormone imbalance such as liver of the cirrhosis
b. Drugs (digitalis, steroids)
c. Androgen deficiency as in aging.