Effective Alternatives for Antibiotics in the Treatment of Strep Throat

February 11th, 2012

Strep throat is an illness that commonly accompanies flu or cold. Although it commonly affects children, strep throat can occur at any age. Unlike sore throat, an ailment caused by infection with viral agents, strep throat is caused by infection with group A streptococcus bacteria. These bacteria are very contagious and they can be easily acquired by entering in contact with infected people. In order to minimize the chances of acquiring strep throat, it is important to maintain proper hygiene and to avoid close contact with people who show signs of the illness. Although good personal hygiene can’t effectively prevent the occurrence of strep throat, it decreases the risks of acquiring streptococcus bacteria. People who suffer from strep throat should avoid entering in contact with other people in order to prevent spreading the illness.

Strep throat can generate intense symptoms such as difficult breathing, mucus-producing cough, headache, throat inflammation and pain, enlargement of the tonsils and lymph nodes, and fever. In some cases, strep throat can be accompanied by scarlet fever, generating skin inflammation and rashes. Although it may sound serious, scarlet fever can be effectively overcome through the means of an appropriate medical treatment with antibiotics. However, in some cases strep throat can lead to serious complications such as kidney problems, heart affections and rheumatic fever, which are very difficult to treat. In order to prevent the occurrence of such complications, doctors commonly prescribe antibiotics in the treatment of strep throat.

While antibiotics are effective in preventing the occurrence of various diseases associated with strep throat, these commonly prescribed drugs can’t always completely overcome infection with streptococcus bacteria. This type of bacteria has become very resistant to common antibiotics and nowadays doctors experience difficulties in prescribing an effective treatment for strep throat. In present, more and more patients who follow medical treatments with antibiotics suffer a relapse of the infection and due to this fact, doctors are looking for more effective ways of overcoming strep throat.

Due to their decreased efficiency in curing strep throat, antibiotics have lately been replaced by other forms of treatment. Homeopathic treatments have proved to be one of the best alternatives to antibiotics in overcoming infection with streptococcus bacteria, and they are nowadays recommended to most people who suffer from strep throat. Homeopathic treatments have fewer side-effects and they minimize the chances of relapse.

Belladonna is one of the most common medicines prescribed in homeopathic treatments for strep throat. Prescribed in the incipient stages of the illness, belladonna can rapidly alleviate throat inflammation and pain, it can decongest the airways and it can also ameliorate fever. Thanks to its antibacterial and anti-inflammatory properties, Mercurius is also a very effective medicine for strep throat. Mercurius provides a rapid relief for throat inflammation and pain, and it can also fight against bacteria. Another effective medicine in the homeopathic treatment of strep throat is Phytolacca. This medicine can quickly alleviate throat swelling, pain and cough and it is usually prescribed to very young children. In order to speed up the process of recovery from illness, homeopathic treatments for strep throat can also include Echinacea and multivitamin supplements.

Combined with proper rest and a good diet, homeopathic treatments can effectively overcome strep throat, also minimizing the risk of relapse. Homeopathic treatments are very well tolerated by the organism and they are a lot safer than antibiotics. Prescribed for uncomplicated forms of strep throat, homeopathic treatments are a reliable alternative to antibiotics.

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Caution – caterers at assignment (full video)

February 5th, 2012

HORECA (Hotel, restaurant, catering). Download the video at osha.europa.eu

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A History of Nursing Uniforms

February 4th, 2012

Before the 19th Century, nursing was just another daily chore or duty of women folk. Whether in the home or in the street, women have always used their nurturing dispositions and instinctive nursing and healing abilities to comfort, and in some cases cure, the sick and injured.

In the home, women tended their own children and attended at the births of other children. In a time before hospitals, everyone could benefit from some knowledge of first aid and midwifery.

On the streets, unmarried women often traveled around poor districts where families could not afford a doctor’s house call, and performed services for free in the name of the local health facility or the city.

By the 19th Century, these nurses wore a servant’s uniform, with white gathered or banded cap and a long print dress with a white apron. Some nurses began to work for wealthy households, but most nursing, as a profession, still took to the streets. Therefore, nursing was not well respected for some time. The nurses of the age contributed somewhat to their own ill-repute. Without families, they often spent nights in their lodgings or in the hospital basements drinking and carousing.

By the 1840s district nurses had become more common, and started to gain some respect. Somewhat trained nurses who worked for the city or local health board wore a more ladylike and sometimes more matronly version of a servants outfit.

Since it was important for these newly trained nurses to be recognized on the street, an outdoor and indoor uniform system was designed. When the nurses walked the streets (or rode motorbikes!) in poor neighborhoods they wore cloaks, coats, and warm hats, and changed into their pretty white “indoor” hats and apron inside.

By 1880, Florence Nightingale’s work had turned nursing into a more reputable occupation, and she established a schooling system for nurses. They had to have distinct uniforms to separate them from common untrained women who acted as aids for the military or in the few hospitals.

A hat and band system was devised to identify nurses of different rank. Depending on the school, a nurse would star with bands of pink, blue, or other pastel ribbon, and advance up to a black band of ribbon. A trainee did not even have a hat until she passed three months of training. And even then, her hat could be revoked for poor behavior, like smoking in the hospital. In the future, this rank system would help usher the hats out of uniform chic. The practice of using them for discipline would eventually be deemed cruel.

At the turn of the century the uniform started to get even more differentiated from servants’ clothing. The breast and collar of the dress got more detail (pockets, button down style top, pointy collars), a bib covered the torso and gathered at the waist with an apron below. The fabric of the main dress was solid. This new tailored look was in contrast with the formless apron and dress the common servant wore.

Hats start to show influence of nun’s coifs, which brought the nursing uniform a borrowed look of respectability. The two professions merged at times however, and sister/nurses actually had some of the most amazingly designed and amazingly huge hats nursing would ever see.

At the start of the First World War, functionality became the most important feature in a nurse’s uniform. War brought untold numbers of casualties into the nurses’ tents, and care had to be fast and efficient. Bulky aprons sometimes disappeared altogether, cleanliness of appearance going by the wayside. Skirts shortened for better mobility, and short or rolled up sleeves became the norm.

The combination of this need for functionality and the desire to maintain a feminine look to the uniform produced after the wars the most familiar, and probably the most attractive and useful nurse’s uniform in history – the one we think of when we imagine a nurse.

Between the World Wars and in the brief period of prosperity in the 1930s, nursing fashion began to mimic fashion at large. Nursing was a popular profession for females at the time, and magazines and newspapers were constantly calling for new recruits. Women had only recently gone into the workforce in any significant number, and for a young woman nursing was an attractive and exciting option compared with, say, typing or sewing. It was a stable job, and what great clothes she got to wear!

In the 1950s hats as ranking identifiers began to be de-emphasized, as it was believed the system led to low morale among trainees. The hat was also considered feminine, and by no longer requiring it the hospitals hope to attract more male trainees. Uniforms became less starched and even less complex – bigger hospitals meant more patients and faster paces and the laundry couldn’t keep up. Simple folded hats and paper hats replaced the crown-like caps, and more comfortable, less form fitting designs appeared for the dresses. Everything had to be wash-and-wear.

By the late 1970s the hat had disappeared almost completely in the U.S. The new trend in nursing fashion, scrubs appear on the scene (for men anyway). Uniforms began to look more like regular clothing or in some cases like doctor’s coats. Hospitals had begun to employ aids and candy-stripers, and nursing staff did not wish to appear in uniform as these untrained staffers were required to do.

Today the differentiation between nurses, doctors, staff, etc. is only denoted by accessories and nametags. At most U.S. hospitals, everyone wears scrubs at all times to prevent the spread of infectious diseases. Doctors wear coats, nurses may sometimes don a warm-up jacket, but for the most part, men and women, doctors and support staff alike are all in some shade or pattern of loose drawstring pants and v-neck t-shirts. In Britain, uniforms are more widely used in nursing, and doctors still wear their own clothes outside of the OR.

Today’s scrubs are available in hundreds of styles, colors and patterns. Whether you are a woman who wants a fitted look, a male nurse who prefers a darker colored wardrobe than the one his hospital has to offer, or a nurse who wants to brighten a patient’s day with a whimsical pattern, the vast resources of nursing apparel available on the internet today are sure to offer even the most fashionable of nurses everything he or she needs to create the perfect nursing wardrobe.

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Teens: the hazards we face in the workplace

January 29th, 2012

A film highlighting the hazards that young workers face in the workplace. It also looks at some of the common causes for worker injuries and fatalities in the workplace.

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Occupational Video – General Practitioner

January 28th, 2012

Physicians are licensed to diagnose and treat patients’ diseases, physiological and psychiatric disorders, injuries and other health-related problems.

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Fork Lift Driver Klaus – SICK but HILARIOUS!

January 24th, 2012

Probably the most disturbing and sickening public information video ever made! Do not watch if you don’t like the sight of blood. Do watch if you want to see what can go wrong when driving a fork lift truck! The original DVD can be ordered from www.staplerfahrerklaus.de

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Collection Tips 101

January 19th, 2012

Collections today are said to be 95% psychology and 5% muscle. This article is a time tested collection of tips, techniques and thoughts that can aid you and your organization in collecting more money, faster, for less. Much of what is contained in this article may be common knowledge and the types of things you and your organization are already doing on a daily basis. But, there are bound to be several ideas and action-oriented tips that, if you implement them, will help you do an even better job on your receivables.

I: Warning Signs of Potential Credit and Collection Problems:

1. Numerous inquiries about one of your accounts.

2. Customer switches banks frequently.

3. Client asking for clarification or proof of service more frequently.

4. Changes in client payment patterns.

5. Partial payments rather than payment in full.

6. Problems in the client’s geographical area.

7. Problems in the client’s industry.

II: Warning Signs Your Sales Force May See First:

8. Order levels shrinking.

9. Empty shelves in warehouse or retail floor.

10. Plant operating at less than capacity.

11. Your customer’s major customer is trouble.

12. Loss of key staff members.

13. Large layoffs or reductions in hours.

14. Restricted tours in areas of facility.

III:Warning Signs of Potential Bad Check Problems:

15. Checks with printed numbers under 300.

16. No preprinted name or address on the checks.

17. Starter checks with no printed information.

18. Address on check and ID don’t match.

19. No picture ID or expired picture ID.

IV: Why Collection Problems Occur:

20. Fear of loss of future business (don’t pursue delinquencies actively for fear of losing future business).

21. Absence of credit and collection policy or unclear policy.

22. Lack of training of the collection staff.

23. Reluctance to use outside collection sources early in delinquency cycle.

V: Seven Reasons to have a Formal Written Credit & Collection Policy:

24. Clarifies who does what.

25. Facilitates training.

26. Supports actions.

27. Prevents unauthorized changes.

28. Promotes consistency.

29. Reduces wasted time.

30. Answers 95% of the routine questions.

VI: Develop Your Credit and Collection “Skills:”

31. Two basic concepts: (1) Time is the greatest deteriorating factor on the collectability of an account, and (2) You will never have enough resources to collect all your delinquencies.

32. Implement an early referral or cure program to maximize your internal and external recoveries.

33. Early referral programs, in addition to collecting, help you identify and single out no-pays from slow-pays and treat each accordingly.

34. Accounts 60 days or less of age are over 80% collectible.

35. Accounts over 90 days of age are typically less than 50% collectible (internally).

36. Working accounts under 60 days delinquent will typically maximize your internal yield and recovery. Use a third party for those over 60-90 days delinquent while focusing internal efforts on the easier slow-pay accounts.

37. Develop and use a “60-day Pursuit Program.”

• Concentrate all internal efforts into the time frame where they are most profitable.

• Start on your delinquents early – contact them often in the 60-day period.

• Get progressively stronger as the 60 days go by.

38. Elements to use in the 60-day Pursuit Program – copies of statements/invoices, letters, sales visits, phone calls, suspend credit.

39. After 60-90 days your options are: continue to pursue internally with reduced results, write-off the account, use small claims court, attorney or outside full-service collection agency.

VII: Collection letters:

40. The most easily automated way to collect money.

41. Can’t solve problems or determine if a payment problem exists.

42. One-way communication.

43. Subject to misunderstanding.

44. Collection letters maintain the dialogue with the debtor.

45. They are inexpensive.

46. Sets the stage for your next action.

47. Lets the debtor know you haven’t forgotten about them.

VIII:Other Considerations in Using Collection Letters:

48. Your bill is not the debtor’s only mail.

49. Your letter is competing against professional mailers.

50. Change the look of each mailing.

51. You must discourage the debtor from discarding your envelope.

52. You must encourage the debtor to open your envelope.

53. Increase the odds of positive results from your letter.

54. Hand address a blank envelope – they’ll open it up!

55. Add “Address Correction Requested” and “Forwarding Postage Guaranteed” to the envelope.

56. Mark envelope to encourage opening: “Urgent,” “Personal,” “Confidential,” “Do Not Fold,” “Personal & Confidential.”

57. Motivate the debtor to want to pay with appeals in your letters:

• “Save finance charges.”

• “Keep your good credit record.”

• “Remain a valued client.”

• “Avoid a bad debt record.”

• “Avoid outside collection agency placement.”

58. Make collection letters progressively stronger.

IX: Telephone Collection Calls.

59. Telephone contact is more costly, but much more effective.

60. Calls should supplement letters and follow up on what was said in the letters.

61. Being two-way communication, calls can identify and solve problems.

62. Sell and keep control on the collection call.

X: Making the Collection Call:

63. The collection call format:

• Identify the debtor.

• Identify yourself.

• Demand payment in full.

• Psychological pause.

• Determine problem or objection.

• Find solution.

• Close the call and get commitment.

64. Collection calls have three phases:

1. Opening Phase.

2. Negotiation Phase.

3. Closing Phase.

Opening Phase Tactics:

65. Verify the debtor’s identity. (I’m calling for [name]…is this he/she?)

66. Verify debtor’s address.

67. Identify yourself.

68. State the debt owed (You owe us $567.35…).

69. State the type of action you desire. (“I need payment in full today.”)

70. Pause and let the debtor respond.

Negotiation Phase Tactic-4 Steps (in this order):

71. Step one: “I must have payment in full today.”

72. Step two: “When can you send payment in full?”

73. Step three: “How much can you send today?”

74. Step four: “When can I expect a payment?”

Closing Phase Tactics:

75. Collector recaps what is going to happen and when.

76. Payments are always expressed as dollar amounts.

77. Points in time are always expressed as dates.

78. Debtors must confirm that they understand the next action on their part.

XI: Selecting an Outside Agency:

79. Always use a full-service agency as opposed to letter-writing services etc.

80. Look for agencies that report accounts to all three major credit reporting bureaus.

81. Select an agency that works on a national basis rather than a “local” or “regional” basis so that debtors will be pursued even if they move out of your local area.

82. Utilize an agency that has optional litigation services available if a lawsuit becomes necessary.

XII: Twenty More Tips – Especially for Medical Practices:

83. Conduct new patient pre-registration (and credit analysis) by phone or mail in advance of the first office visit. This reduces bottlenecks in the office and gives time for a credit investigation.

84. Secure credit bureau reports on new patients with poor credit history – identify and solve payment problems before services are rendered.

85. Potential “danger signals” on new patient registration forms:

• Address – transient or a P.O. Box only.

• Telephone – none or unlisted.

• Business address/telephone – none or same as home.

Occupation – none.

• Referral – none, “a friend,” “medical society,” or “yellow pages.”

• Marital Status – divorced or separated, young, single persons.

• Age – very young or very old.

• No insurance coverage.

86. Doctor hopping (if known).

87. “What bills do you have that are more important than your health?”

88. Collection ratio – 92% to 95% recovery is average to good for most types of group practices.

XIII: Special Medical Collection Call Debtor Appeals:

89. “I’d guess you made several thousand dollars during the last few months, yet we have received only one small payment.”

90. “We helped you in a time of need, and in good faith, we expected to be paid in a reasonable time.”

91. “I know that you want to protect your credit so you can feel comfortable should you or your family need to return.”

92. “Add to a current loan (to pay us off)…or let some other bills go as you have ours for the past few months.”

Know the Law…Debt Collection, Collection Agencies and Credit Reporting Bureaus are highly regulated. Complete copies of the Fair Debt Collection Practices Act (FDCPA), the Fair Credit Reporting Act (FCRA) and a specimen HIPAA approved agreement for healthcare providers are available at: [http://www.ncsplus.com/regulations]

That’s 101 Credit and Collection Tips and Techniques that, when implemented effectively, can dramatically improve your cash flow and translate into improved profitability for your business.

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Flash Point Demonstration 1965

January 15th, 2012

The flashpoint of a liquid is the lowest temperature at which the liquid gives off enough vapor to be ignited (start burning) at the surface of the liquid. Sometimes more than one flashpoint is reported for a chemical. Since testing methods and purity of the liquid tested may vary, flashpoints are intended to be used as guides only, not as fine lines between safe and unsafe. A wonderful source of additional information on flammable materials can be found at: www.ccohs.ca . The site is from the the Canadian Centre for Occupational Health and Safety (CCOHS), a Canadian federal government agency based in Hamilton, Ontario. CCOHS makes a vast scope of occupational health and safety information readily available, in clear language that is appropriate for all users, from the general public to the health and safety professional. Internationally, the Centre is renowned as an innovative, authoritative occupational health and safety resource. This was clipped from the 1965 training film, Magic of Fire (23 minutes), produced by the US Bureau of Mines. The film deals with fire, its composition, uses and control. Tabletop displays and laboratory demonstrations illustrate how fires and explosions occur. Describes the safe use and control of commonly used gases and flammable liquids. Shows various industrial fires (and fire hazards in the home) and gives instructions on fire prevention.

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