I am an Assistant Professor of Medicine and Assistant Director of the McDonnell Genome Institute at Washington University School of Medicine. I have more than 13 years of experience in the fields of genomics, bioinformatics, data mining, and cancer research. My research is focused on improving our understanding of cancer biology and the development of personalized medicine strategies for cancer using genomics and informatics technologies. I develop bioinformatics and statistical methods for the analysis of high throughput sequence data and identification of biomarkers for diagnostic, prognostic and drug response prediction. In collaboration with our Genomics Tumor Board, I am currently leading analyses of sequence data from the genomes and transcriptomes of living cancer patients that have exhausted standard-of-care treatment options. I am also leading the analysis of several large-scale genomics projects to help discover genomic signatures relevant to cancer initiation, progression and treatment response. I am an instructor for the Canadian Bioinformatics Workshops and Cold Spring Harbor Laboratory high-throughput sequencing workshop series. I have received numerous competitive research awards from the Natural Sciences and Engineering Research Council, University of Winnipeg, University of British Columbia, National Cancer Institute of Canada and British Columbia Cancer Agency. I was also a Junior and Senior Trainee of the Michael Smith Foundation for Health Research. I was profiled as an "up and coming" investigator in Genome Technology Magazine and listed in Wired Magazine second annual smart list as an emerging talent. Most recently, I was awarded an NHGRI K99 Pathway to Independence Award to developed integrated analysis and interpretation methods for whole genome, exome and transcriptome sequence data in cancer. In particular, I am focused on applying these methods to better understand the regulatory consequence of somatic mutations that are otherwise of unknown functional significance. I have also made substantial contributions to open source and open access resources for the scientific community including creation of platforms for alternative expression analysis (www.alexaplatform.org), regulatory region annotation (www.oreganno.org), mining drug-gene interactions (www.dgidb.org), genome analysis development (https://github.com/genome/gms), curation of functional cancer mutations (www.docm.info), the clinical interpretation of variants in cancer (www.civicdb.org). I have published 39 papers with major areas of focus in precision medicine, AML, colon cancer, lung cancer, cancer genomics, cancer biomarkers, sequence analysis, and alternative splicing. The following paragraphs describe some general contributions to science and provide an overview of my current research interests. For more specific details refer to the publications section.
For the past 12 years I have worked continuously at two large-scale genome sequencing and analysis centers. Early access to new technologies has allowed me to develop cutting edge approaches for genome, transcriptome, and epigenome analysis. For example, I helped to develop some of the first massively parallel sequencing assays for microRNAs, alternative expression analysis of RNA-seq data, copy number variant analysis by tumor whole genome sequencing, RNA-seq and cDNA capture of challenging archival (FFPE) clinical samples, and epigenetic profiling by ChIP-seq.
Alternative splicing and gene regulation
An area of particular focus in my research has been the development of new massively parallel assays to study alternative expression (alternative transcript initiation, splicing, and polyadenylation). Following on from early work in the Mammalian Gene Collection project to produce a catalogue of all human transcripts, I developed a custom microarray design platform for alternative expression analysis (ALEXA, www.alexaplatform.org/alexa_arrays/). With the advent of massively parallel sequencing, I adapted the principles and analysis methods learned from my work with splicing microarrays to create an alternative splicing analysis platform ALEXA-seq to mine RNA-seq data (www.alexaplatform.org/alexa_seq/). I have since applied these approaches to address several specific biological questions relating to the mechanisms of RNA transcript processing and aberrant RNA splicing observed in tumors, particularly blood cancers where mutations in certain splicing factors such as U2AF1 are common.
In addition to tools and algorithms developed for analysis of RNA-seq data in the context of alternative splicing I have helped to release many other bioinformatic tools, databases, and web resources including tools with very focused applications such as SciClone, ALEXA-Seq and DGIdb but also resources with much broader application including the Genome Modeling System and an RNA-seq analysis resource for cloud computing (www.rnaseq.wiki). I am currently co-leading the development of the first completely open-source and open-access resource to define a community consensus on the clinical interpretation of variants in cancer (www.civicdb.org). A theme of all of these efforts is transparent development including version tracked source code and unrestrictive licensing of both the code and the content produced so that the community can benefit most efficiently from this work.
Developing new methods, assays, algorithms and bioinformatics tools is a means to an end in my research program. My goal is to apply these to improve our understanding of cancer biology and to translate discoveries into improved outcomes for patients suffering from cancer. I have applied these new methods to address specific biological questions in several cancer types and treatment scenarios. These studies range from creating the first genomic landscapes of some cancer types such as lung cancer, to pursuing specific candidate biomarkers of therapeutic resistance in colon cancer, to defining the clonal architecture of AML.
My greatest research interest is personalized or precision medicine. I am broadly interested in the translation of genomics data from whole genome, exome and transcriptome sequencing into clinically actionable observations and personalized cancer therapies. In 2010, I was involved in one of the first attempts to sequence the genome of a patient in real time and personalize therapy based on the analysis of this data. In 2011, I helped to lead the analysis of a second case that lead to a widely reported discovery of aberrant FLT3 over-expression and unique therapeutic intervention in a case of adult ALL. Since those two cases I have continued to focus on the work needed to make clinical genome sequencing of individual patients a reality. To date, I have contributed to the analysis of hundreds of tumors representing more than ten tumor types in collaboration with over a dozen clinicians.


Period pain (dysmenorrhea) is pain or cramps felt in the lower abdomen that occur before and during menstruation. The pain may range from dull and heavy to severe and extreme. Primary dysmenorrhea is the most common type. It is characterised by pain in the lower abdomen that can occur 1-2 days before and last the length of her period. In this situation, there are no underlying conditions causing the pain. Secondary dysmenorrhea is characterised by pain due to an underlying condition e.g. endometriosis, uterine fibroids or pelvic inflammatory disease.
Oestrogen dominance is the most common cause of period pain, as pain is a symptom of hormone imbalance. Symptoms are your body’s way of communicating with you, because it does not have a voice to talk. Check out my Women’s World Tonic and Oestrogen Dominance Blog.
Symptoms may also include lower back pain, nausea, vomiting, sweating, dizziness, constipation or diarrhoea (often constipation before and loose stools during), fluid retention and cyclic headaches.
Magnesium helps to relax muscles, the uterus is a muscle. Magnesium also helps to relieve constipation, as the bowel is also a muscle. Food sources include leafy green vegetables, nuts, seeds and cacao. It is difficult to obtain sufficient quantities through diet, therefore, supplementation may be inevitable. Choose a supplement with 300-500mg per day. Tip: a simple test to determine if you are magnesium deficient is to stick your tongue out in front of a mirror – slight shaking or quivering indicates magnesium deficiency.
Ginger is anti-inflammatory, enhances blood circulation and reduces nausea. Enhancing blood circulation may improve period pain. Ginger can be taken fresh, dried, as tea, crystallised or as ginger beer/ale.
Omega 3 is also anti-inflammatory and stimulates blood circulation. Animal sources include salmon, sardines, mackerel, anchovies and other fatty fish. Plant sources include walnuts, flaxseeds, chia seeds and hemp seeds (and their oils). Animal sources are more bioavailable (easily absorbed) than plant sources as they are already in their active form.
Evening primrose oil contains essential fatty acids. It may balance hormones and reduce symptoms associated with hormone imbalance. Evening primrose oil is taken in liquid or capsule form.
Herbal tea warms the body and promotes blood circulation. Try ginger, chamomile and peppermint. Use a saucer as a lid on the cup, keep the tea bag in and brew it strong for full benefits of the herbs. The lid traps in the volatile oils which would otherwise evaporate into the air and escape.
Warm bath or hot water bottle to increase blood circulation. Have a hot bath with epsom salt, as this is magnesium sulphate. Epsom salt is partially absorbed through the skin, which increases the magnesium levels in our body. Add about 10 drops of relaxing essential oil to your bath, like lavender, ylang ylang, bergamot, chamomile or frankincense.
Essential oils not only smell nice, but they are therapeutic. Massage 2-3 drops of clary sage or cypress essential oil on your lower abdomen and apply a warm compress on top for 2-5 minutes. Clary sage helps to balance hormones and cypress improves circulation.
Herbal Medicine – Licorice and White peony are effective at relieving period pain. Chaste tree is well known at rebalancing oestrogen and progesterone, which is a common cause of period pain. Antispasmodic herbs help to relieve smooth muscle spasms (the uterus is an example of smooth muscle, as opposed to skeletal muscle). Carminative herbs soothe intestinal spasm and pain. Circulatory stimulant herbs improve blood flow through body tissues, including the uterus.
Consult with me to determine if herbs or supplements are indicated in your individual case.


I am a music therapist, music therapy supervisor and researcher. I have over 18 years experience as a music therapist in a wide variety of settings, and I have a growing track record of doctoral supervision, research methods teaching and music therapy input. I present frequently in national and international contexts, on music therapy and aspects of medical humanities. My research interests focus on aesthetics of care, using innovative methods from musicology and drama to explore everyday life situations. I recently completed a Wellcome Trust post-doctoral project in medical humanities, hosted by the Guildhall School of Music and Drama.
I have a creative and innovative approach to providing music therapy within healthcare, education and social care, and I provide a wide range of music therapy and Arts in Health services, including music therapy, consultancy, expert reports, supervision and corporate masterclasses / workshops. My training programme, Aeriel, was launched in August 2018.
In 2017 I was awarded an MBE for my services to music therapy and care.


Dec-Durabolins.com is a subweb of the parent website UK Steroids which deals mostly with anabolics in the UK. This website provides information on Nandrolone Decanoate as manufactured by Organon Pakistan and Norma Greece. Also provided is information to bodybuilders using this particular anabolic steroid.
Chemical Name: Estr-4-en-3-one, 17-((1-oxodecyl)oxy)-, (17beta)
What does the manufacturer Organon say?
Action: Deca-Durabolin"100" is a high dosage form of nandrolone decanoate designed especially for adjuvant therapy in the treatment of certain blood disorders. Nandrolone the pharmacologically active substance of the preparation, is chemically related to the male hormone. Compared to testosterone, it has an enhanced anabolic and reduced androgenic activity. This has been demonstrated in animal bioassays and explained by receptor binding studies. The low androgenicity of nandrolone is confirmed in clinical use.
In animals, nandrolone decanoate possesses an erythropiesis-stimulating effect probably by directly stimulating the haematopoietic stem cells in the bone marrow and by increasing the release of erythropoietin. It also affords protection against bone marrow depression caused by cytotoxic agents. In the human, Deca-Durabolin "100" stimulates erythropoiesis as demonstrated by rises in the red blood cell mass, and in the haemoglobin and haematocrit values. This effect is utilized therapeutically in the treatment of anaemia due to a decreased production of erythropoietin, bone marrow depression induced by chemotherapy, or hypoplasia of the stem cells in the bone marrow. In the latter condition (e.g. aplastic anaemia) the erythropoietic response is frequently accompanied by a positive on leucopoiesis and thrombopoises. Androgenic effects (e.g. virilisation) are relatively uncommon at the recommended dosages. Nandrolone lacks the C17 alpha-alkyl group which is associated with the occurrence of liver dysfunction and cholestatsis.
Nandrolone decanoate is slowly released from the injection site into the blood with a half life of 6 days. In the blood the ester is rapidly hydrolysed to nandrolone with a half life of one hour or less. The half life for the combined process of hydrolysis of nandrolone decanoate and of distribution and elimination of nandrolone is 4-3 hours. Nandrolone is metabolized by the liver, 19-norepiandrosterone have been identified as metabolites in the urine. It is not known whether these metabolites display a pharmacological action.
Deca-Durabolin"100" should be administered by deep intramuscular injection.
Use during pregnancy and breast-feeding
this medicine is contraindicated during pregnancy because of possible masculinization of the foetus. There are insufficient data on the use of the medicine during breastfeeding to assess potential harm to the infant or a possible influence on milk production.
Warnings and precautions
-The recommended dosage should not be exceeded
-If signs of virilisation develop, discontinuation of the treatment should be considered, preferably in consultation with the patient.
-It is recommended to monitor patients with any of the following conditions:
Anabolic Steroids may improve glucose tolerance and decrease the need for insulin or other antidiabetic medicines in diabetes.
Although only one possible case of interaction with an oral anticoagulant has been observed, it is advisable to check the prothrombin time regularly when Deca-Durabolin"100" is used in patients on anticoagulant therapy.
The high dosages, which are required to obtain a therapeutic effect in the indications may cause:
The acute toxicity of nandrolone decanoate in animals is very low. There are no reports of acute overdosage with Deca-Durabolin"100" in the human.
Keep in a dry place between 2-30°C away from light.
Info For Bodybuilders
Deca Durabolin is the brand name for nandrolone decanoate. World wide Deca is one of the most popular injectable steroids. It's popularity is likely due to the fact that Deca exhibits significant anabolic effects with minimal androgenic side effects. Considered by many the best overall steroid for a man to use (side effects vs. results) Deca is most commonly injected once per week at a dosage of 200-400mg. With this amount, estrogen conversion is slight so gyno is usually not a problem. Also uncommon are problems with liver enzymes, blood pressure or cholesterol levels. At higher dosages, side effects may become increasingly more frequent, but this is still a very well tolerated drug.
For bodybuilding, Deca can effectively be incorporated in both mass and cutting cycles. One major drawback to Deca is that it can be detected in a drug screen for as long as a year after use. Deca durabolin is considered to be the most popular of all steroids. It is an oil based injectable that comes in 100 mg/cc containers. It produces very few side effects. Deca durabolin is easy on the liver and promotes good size and strength gains while reducing body fat. Deca only aromatizes (converts to estrogen) in extreme dosages. It is highly anabolic but only moderately androgenic. Deca durabolin does shut down natural testosterone production, but it is not extreme. Gains will minimally dissipate, if at all, after the cycling period if workouts are kept intense. Usual dose is 200 mg per week with highs ranging 200 mg a day. The average duration is about 2 to 4 month.
There are very few side effects. Blood clotting time is increased so that some people may experience bloody noses when they are dehydrated. Deca durabolin is generally considered by athletes and sports medicine physicians to be the safest and most effective injectable anabolic steroid. Nandrolone decanoate is mildly androgenic and is becoming increasingly popular with women bodybuilders. Although side effects similar to those of other steroids have been reported, the effects are relatively uncommon when compared to other forms of steroids. Nandrolone does not effect the immune system, unlike testosterone! It will not damage connective tissue, i.e. elbows, knees (Big problem amongst heavy steroid users). It does not aromatize easily and gives the body a lean hard look.
We hope this information proved useful. Why not visit us at UK Steroids.


Eating well balanced meals is important at all times, but it is even more essential when you are pregnant. There are essential nutrients, vitamins, and minerals that your developing baby needs. Most foods are safe; however, there are some foods that you should avoid during pregnancy. Some may seem obvious, like drinking alcohol and smoking, but others are not so obvious. We have compiled a list for your review.
Raw Meat: Uncooked seafood and rare or undercooked beef or poultry should be avoided because of the risk of contamination with coliform bacteria, toxoplasmosis, and salmonella. This is especially hard for sushi lovers, but items like California rolls, or cooked items like shrimp tempura rolls are still ok.
Deli Meat: Deli meats have been known to be contaminated with listeria, which can cause miscarriage. Listeria has the ability to cross the placenta and may infect the baby leading to infection or blood poisoning, which may be life-threatening. If you are pregnant, or trying to get pregnant ,and you are considering eating deli meats, make certain that you reheat the meat until it is steaming .
Fish with Mercury: Fish that contain high levels of mercury should be avoided. Mercury consumed during pregnancy has been linked to developmental delays and brain damage. A sample of these types of fish include: shark, swordfish, king mackerel, and tilefish.
Smoked Seafood -Refrigerated, smoked seafood often labeled as lox, nova style, kippered, or jerky should be avoided because it could be contaminated with Listeria. (These are safe to eat when they are in an ingredient in a meal that has been cooked, like a casserole.)
Raw Shellfish: The majority of seafood-borne illness is caused by undercooked shellfish, which include oysters, clams, and mussels. Cooking helps prevent some types of infection, but it does not prevent the algae-related infections that are associated with red tides. Raw shellfish pose a concern for everybody, and they should be avoided altogether during pregnancy.
Raw Eggs: Raw eggs or any foods that contain raw eggs should be avoided because of the potential exposure to salmonella. Some homemade Caesar dressings, mayonnaise, homemade ice cream or custards, and Hollandaise sauces may be made with raw eggs
Soft Cheeses: Imported soft cheeses may also contain bacteria called Listeria You would need to avoid soft cheeses such as: Brie, Camembert, Roquefort, Feta, Gorgonzola and Mexican style cheeses that include queso blanco and queso fresco, unless they clearly state that they are made from pasteurized milk. All soft non-imported cheeses made with pasteurized milk are safe to eat.
Un pasteurized Milk: Un pasteurized milk may contain a bacteria called listeria Make sure that any milk you drink is pasteurized.
Pate: Refrigerated pate or meat spreads should be avoided because they may contain the bacteria listeria. Canned pate, or shelf-safe meat spreads can be eaten.
Caffeine: Although most studies show that caffeine intake in moderation is OK, there are others that show that caffeine intake may be related to miscarriages. Avoid caffeine during the first trimester to reduce the likelihood of a miscarriage. As a general rule, caffeine should be limited to fewer than 200 mg per day during pregnancy. Caffeine is a diuretic, which means it helps eliminate fluids from the body. This can result in water and calcium loss. It is important that you are drinking plenty of water, juice, and milk rather than caffeinated beverages. Some research shows that large amounts of caffeine are associated with miscarriage, premature birth, low birth weight, and withdrawal symptoms in infants. The safest thing is to refrain from consuming caffeine.
Alcohol: There is NO amount of alcohol that is known to be safe during pregnancy, and therefore alcohol should be avoided during pregnancy. Prenatal exposure to alcohol can interfere with the healthy development of the baby. Depending on the amount, timing, and pattern of use, alcohol consumption during pregnancy can lead to Fetal Alcohol Syndrome or other developmental disorders. If you consumed alcohol before you knew you were pregnant, stop drinking now. You should continue to avoid alcohol during breastfeeding. Exposure of alcohol to an infant poses harmful risks, and alcohol does reach the baby during breastfeeding.
Unwashed Vegetables: Yes, vegetables are safe to eat, so you still need to eat them. However, it is essential to make sure they are washed to avoid potential exposure to toxoplasmosis. Toxoplasmosis may contaminate the soil where the vegetables were grown.


The process begins by clicking Get Sparrow Ascent to see if you qualify. If you do, you’ll be connected via telehealth with a U.S. licensed substance use provider to discuss your specific needs and determine whether Sparrow Ascent is the right next step on your recovery journey.
Your telehealth provider will never prescribe a treatment without first addressing any questions or concerns. He or she will also be available for continued substance use treatment support. If you're deemed a good candidate for Sparrow Ascent, then the telehealth provider will prescribe treatment and it will be shipped directly to your home.
Although Sparrow Ascent is FDA-cleared, it is not yet covered by insurance. That means you’ll need to pay out of pocket for the device. You can also use HSA or FSA dollars to cover the cost of Sparrow Ascent. The cost of your office visit or telehealth appointment may be covered by US-based health insurance carriers.
Sparrow Ascent is designed to make overcoming opioid withdrawal easier. But overcoming withdrawal is just the first step on your recovery journey. What happens next is even more important and up to you. Your telehealth provider may prescribe additional out-patient counseling or other programs to ensure you address the circumstances that led to opioid use in the first place.
Should you need more than 28 earpieces, additional earpiece packs may be prescribed as needed at an additional cost.
The List Price of the Sparrow Ascent Kit is $4,500, but with the instant $1,000 patient rebate, you will only pay $3,500. This is significantly lower than traditional in-patient behavioral health programs, which average about $20,000 per detox.
For the price of $3,500, the patient will receive the Sparrow Ascent Kit (containing seven daily-disposable Earpieces, one Patient Controller, one Cable, one Belt Clip, seven alcohol wipes, and twelve AAA batteries) plus three Sparrow Ascent Earpiece Kits (each containing seven daily disposable earpieces and seven alcohol wipes) for a total of 28 Earpieces.
Although Sparrow Ascent is FDA-cleared, it is not yet covered by insurance. That means you’ll need to pay out of pocket for the device, though you may be able to use HSA or FSA dollars to cover the cost of Sparrow Ascent. Rebates and Costs of Sparrow Ascent from Healthcare Providers may vary.
The Sparrow Ascent shipment comes with a total of 28 daily-disposable earpieces. However, your healthcare provider may prescribe additional Sparrow Ascent Earpieces for purchase if needed. A 7-pack of Earpieces costs $600.
Yes, the Sparrow Ascent Earpiece is latex free.


Water, water, everywhere... (Image source here) We are told our body is between 60 and 70% water. Our blood is mostly water, our cells, muscles, lungs and brain need water to function. Water helps us to hydrate our body, carry nutrients and oxygen to our cells, removes toxins and waste, and protects our organs. But the body is also constantly losing water - through urination, breathing, and sweat. And when we lose more water than we can replenish, the body suffers from dehydration.
According to Dr. Google and About.com, symptoms of mild dehydration include headaches, daytime fatigue, constipation, lower back pain, and even chronic joint and muscle pain. The skin dries out (read: you look older!), and a yellow or amber colour to your urine confirms the diagnosis. I personally think that a lot of people suffer from mild dehydration without realizing it - and if you drink a lot of coffee and little water, you might be one of them!
I have become hyper-sensitive to dehydration. I can tell when my headaches or moods are water related. Drinking enough water not only clears my head but it helps me to be a nicer person to be around! People also report that drinking enough water helps to relieve insomnia, curb overeating (Ayurveda tells us that at mealtimes the stomach should be 1/4 full of water, 1/2 full of food, and 1/4 empty), and keep their skin looking young and healthy.
Thirst, of course, is the most obvious symptom of dehydration but in fact, your body may need water long before you are thirsty! So, how much water do we need to drink to stay hydrated? [NB, about 20% of your daily water intake comes from food, but the rest we have to drink.]
Well, the answer depends on many factors including the climate, your diet, how much exercise you are doing, and how much you sweat. Someone doing 90 minutes of sweaty exercise a day will need to replenish more fluids than someone mostly sedentary. Also, if you eat a lot of salty food, or drink a lot of caffeine or alcohol, you will need to drink more water because these foods exacerbate dehydration. Some sports drinks or 'enhanced water' drinks offer the additional advantage of including electrolytes that help to increase re-hydration. But be careful, many of them also contain way too much sugar and other additives.
About.com offers this handy equation: Take your body weight in pounds, and divide that number in half. That gives you the base number of ounces of water you should drink every day. Then, add even more water if you exercise, live in an arid climate, or sweat a lot! I did this calculation and it actually seems pretty accurate - according to the calc., I should drink about 65 oz, or 1.9 litres of water a day. I reckon on an average day I drink between 2 and 4 litres, depending on how hot it is an my level of activity.
Some good tips from About.com on staying hydrated:
- Drink at least 8 glasses of water per day.
- Drink fluids slowly by constantly sipping throughout the day.
- Don't drink caffeinated drinks or alcoholic beverages, which can actually have a dehydrating effect.
- When flying in an airplane, drink plenty of water and avoid alcohol.
- Drink water before, during, and after exercise--slowly!
- Carry a water bottle whenever possible, especially when participating in outdoor activities in warm weather.
Finally, let's not forget: there is such thing as too much of a good thing. Avoid trying to drink your entire daily intake of water all at once, and check with a doctor if you have any kidney problems or other issues that might affect your body's ability to absorb water.
So readers, what is your experience with hydration or dehydration? How much water do you drink a day?


The following passengers are allowed to enter from 10 May 2021.
NATIONALS and PERMANENT RECIDENTS OF MONGOLIA
– foreign nationals of those countries/regions stated in the Visa exemption list of Mongolia which can be officially found at http://consul.mn/eng/index.php?moduls=23
1. All passengers must present a negative Covid-19 PCR test which is taken within 72 hours before departure of the first embarkation point.
2. All persons arriving to Mongolia who have not been fully vaccinated against coronavirus infection (COVID-19) shall be quarantined at designated facilities for 7 days and PCR tests shall be taken during the quarantine period followed by 7-day self-isolation.
3. In case PCR test results are positive, an individual shall be transferred to a hospital for treatment.
4. Persons arriving to Mongolia 14 days after receiving the full dose of the coronavirus (COVID-19) vaccines upon presenting proof of vaccination or those who were diagnosed earlier with a coronavirus infection (COVID-19) and fully recovered upon presenting antibody test result or other medical document shall be exempted from quarantine.


March 20, 2020
Below we highlight the measures suggested by the Arun Mansukhani (Malaga) psychologists’ cabinet.
PSYCHOLOGICAL RECOMMENDATIONS TO THE COVID-19 PANDEMIC
Given the exceptional situation imposed by the Covid-19 pandemic, we want to share some reflections and indications aimed at helping us to maintain emotional and psychological balance. First of all, there are two important elements in this situation that affect people’s emotional balance:
1. The perception of risk.
2. Isolation situations imposed by quarantine.
Regarding RISK PECEPCTION, it must be said that it is too high in the population given the objective situation in which we find ourselves. It must be remembered that our mind does not objectively process the situation, but uses a series of heuristics or «shortcuts». Thus, due to the amount of information circulating about the virus, the disease, the count of the victims, etc., our mind, due to the accessibility and impact heuristic, tends to «think» that the risk is much greater than what it is.
This causes our brains to go into “defense” mode and do things like gathering food (unnecessary) or, as we are seeing in the USA. in recent days, an increase in arms sales.
Excessive fear generally leads people to make non-rational decisions. This high perception of risk also increases anxiety, hypochondriacal thoughts, fear of contact with others, etc. In addition, in extreme cases, if people feel helpless, they can abandon the healthy behaviors that must be carried out to reasonably prevent infection.
To avoid this, it is important to:
1. Not being connected all the time and being informed of the evolution of the pandemic. It is better to choose a reliable source and get information once a day (on the mid-day news for example) or two at the most. The rest of the time, spend doing or thinking about things not related to the pandemic.
2. Contextualize the information (relating the number of deaths with those of other diseases, such as the flu, helps to provide that context) and relating the negative information to the positive (number of people who died and the number of people who have overcome the infection, for example).
3. Pay attention to the specific indications that reliable sources give us about how we should proceed and what are the reasonable protective behaviors. Focus on carrying out those healthy and logical behaviors.
4. Keep busy with scheduled activities throughout the day (see next section).
5. Remember that most people will be asymptomatic or with mild symptoms and that what we are really trying to do is slow down the contagion curve so as not to collapse the health systems. The goal is not so much not to contract the coronavirus as to prevent its rapid expansion. Most of us will have Covid-19, or maybe already have it, and it will not be a serious risk to your health.
Regarding the situations that arise from INSULATION:
1. It is very important to maintain a routine that includes: hours of sleep and adequate rest, adequate food (it may be necessary to reduce a little due to the decrease in physical activity) and, very important, physical exercise. There are many videos and tutorials available on the web for this purpose.
2. Limit the number of hours per day in front of screens. Greatly limit the search for information on the Covid-19 (see previous section).
3. Have, if possible, short periods a day of sun exposure and clarity, even through glass. It is important for the assimilation of vitamin D and the immune system, as well as for the circadian rhythm.
4. Maintain adequate daily personal hygiene and dress while maintaining a good appearance, even if one is not going to leave home.
5. Maintain social contact (calls, video calls, etc.) with friends and family. Participate in group sessions through the different programs and applications that allow it (Skype, Zoom, WhatsApp, Jitsi Meet, Facetime, etc).
6. Schedule activities and times to do them throughout the day (reading, yoga, etc.), not making them depend on the mood of each moment.
7. Do activities at home with family members: games, sports, etc.
8. Get used to this slower pace in general; remember that certain doses of boredom are good for the mind.
9. Think about the activities that must be done day by day, not discounting the remaining days so that the quarantine ends.
10. Feeling that we are part of a community, that we are all in this together, feeling the support of others, even from a distance. Participate in as many group activities as possible to increase this feeling (go out to clap on the balcony, for example).
11. Remember that we are facing an exceptional and unique situation, that we have never lived before and that we may not live again. Take advantage of this time that they have given us to do things that we would otherwise not find time to do at home: read, paint, order, etc.
We hope that these simple guidelines help you spend this quarantine time better.
Prepared by the Arun Mansukhani Psychologists Team.
www.arunmansukhani.com ● (+34) 607803803 ● Alameda Principal, 21. 5a planta. 29001, Malaga.


CMSG-POPS owns one of only ten STARband™ scanners in the United States.
What is positional plagiocephaly?
The newborn infant’s head is quite pliable, allowing it to pass through the birth canal and grow rapidly throughout the first year of life. Brain growth continuously pushes against the bones of the skull to expand the head until the sutures (fibrous connections between the bones) begin to fuse between 18 and 24 months. Many infant heads have some degree of asymmetry. In most cases, the infant’s head resumes a symmetrical shape by 6 weeks of age as the confining conditions that caused the temporary deformation are eliminated. Abnormal head shape beyond this period may indicate a condition requiring further medical observation and/or treatment.
Positional plagiocephaly is characterized by unusual flattening of the head and often a prominent or flattened forehead is visible. Plagiocephaly exhibits a variety of different head shapes. It includes those that have flattening on one side of the back of the head with an asymmetric forehead, and brachycephalic head shapes that are flat across the entire back of the head with very prominent foreheads. Another type of head shape, scaphocephaly, is long and narrow, and more common for infants that spent extended time in neonatal intensive care units.
In any of these deformities, the ear alignment may be affected and the infant may also have facial asymmetry. Several treatment options are recommended including repositioning techniques to move the infant off the flattened area of the head, physical therapy to stretch tight neck muscles, and treatment with a cranial remolding orthosis such as the STARband™.
When parents first notice that their infant has an unusual head shape, they often bring it to their pediatrician’s attention. At that time, the physician encourages repositioning and evaluates head circumference measurements, asymmetry, and tightness of the neck musculature. If repositioning and/or therapy are not effective, the pediatrician may refer the infant to a pediatric neurosurgeon or plastic surgeon for further assessment.
The specialist will conduct a physical examination and may order diagnostic tests (i.e., X-ray, CT scan or MRI) to rule out synostotic (non-positional) plagiocephaly. This condition is characterized by an abnormal head shape caused by premature suture closure, not external forces, and may require surgery to obtain correction. The STARband cannot be used to treat synostotic plagiocephaly, but may be used after surgery for protection or to direct the head into a more symmetrical shape.
Why do some infants develop positional plagiocephaly?
The incidence of positional plagiocephaly has increased since 1992 when the American Academy of Pediatrics recommended that parents place infants on their backs or sides to sleep in order to prevent Sudden Infant Death Syndrome (SIDS). This highly effective program has dropped the SIDS rate in the United States and across the world by 40%. However, the additional time many infants spend in infant seats, car seats, and other supine (back) positions may place them at risk to develop greater flatness and/or asymmetrically shaped heads.
As many as 85% of the infants with positional plagiocephaly also have torticollis. This condition is caused by tightness on one side of the sterno-cleidomastoid muscle in the neck. When one side of this muscle is shortened, the infant’s head bends forward, tilts toward the shoulder on the affected side, and the face rotates toward the opposite shoulder. This muscle tightness causes the head to rest consistently in the same position, creating areas of flatness on the back of the skull and compensatory growth in other areas of the head. This process of deformation happens quickly in young infants because of the softness of the skull and flexibility of the sutures.
Physical therapy treatment is often prescribed to address torticollis. Home programs for stretching and massage of the affected muscle are very successful in addressing this problem. Therapists may also provide additional information regarding repositioning and handling techniques that include placing the infant on the tummy while supervised during the day. Other factors contributing to the development of positional plagiocephaly include premature births, multiple births, restrictive intrauterine positioning, birth trauma, and cervical spine abnormalities.
How does the STARband work?
The orthotic treatment program focuses on redirecting cranial growth towards greater symmetry. This is accomplished by maintaining contact over the areas of bossing or protrusion and allowing room for growth in the areas of depression or flattening. The STARband uses the period of most active skull growth, between 3 and 18 months of age, to create a pathway for more symmetrical growth to occur. Progressive adjustments over the course of the treatment program accommodate growth and ensure optimum outcomes.
The STARband Cranial Remolding Orthosis derives its name from its purpose—Symmetry Through Active Remolding. This custom orthosis is manufactured from a model of the infant’s head to obtain optimal fit and function. The rigid outer shell maintains the structural integrity of the design and is lined with closed cell foam to allow progressive adjustments and promote hygienic conditions. The side opening on the STARband makes it easy to apply and remove, and allows the STARband to adjust in circumference as the infantÕs head grows and changes.
What happens at the first visit?
The initial visit includes a thorough patient evaluation, gathering of patient history, clinical photographs and discussion about the treatment process. It may be necessary to verify insurance coverage prior to initiating the treatment program, so another visit may be scheduled for the casting procedure. It is important that no more than two weeks pass between the time of the casting and the initial fitting of the orthosis. If you are ready to begin the process immediately, the orthotist or prosthetist will make an exact duplicate of your baby’s head from a plaster impression or 3-D scan.
What happens at follow- up appointments?
Within two weeks from the date of casting, you will return for the STARband fitting and delivery. The orthotist will determine final trim lines, answer any questions, and provide you with specific instructions regarding wearing time, cleaning the STARband, and follow-up appointments. Follow-up is an integral part of STARband treatment. In most cases, your infant will be seen within 7-10 days after the STARband fitting and delivery.
Additional follow-up visits take place at two-week intervals for the first month, and at 2-4 week intervals thereafter. At each appointment the orthotist will assess the fit of the orthosis, monitor changes in head shape, and may make adjustments to the STARband to direct more symmetrical skull growth. Depending on your infantÕs age, unique head shape, and response to the orthosis, your follow up appointments may be more or less frequent than those stated above. You are encouraged to contact your orthotist immediately if you have concerns about the fit, notice reddened areas that do not disappear within a reasonable amount of time, or feel that your infant needs an adjustment before the next scheduled appointment.
How long does STARband treatment take?
On average, treatment programs with the STARband take approximately 8-16 weeks for infants between the ages of four and seven months. Older infants may require a longer treatment program because head growth slows after 12 months. Research indicates that the greatest symmetry can be attained through early intervention, although some correction may be possible in infants over 18 months.
How do I get a STARband for my baby?
STARband Cranial Remolding Orthoses are available by prescription only. Your pediatrician or specialist can write a prescription for the STARband Cranial Remolding Orthosis, which you can then take to a certified orthotist or prosthetist within your community.
Contact us today to find out how we can help!


Cyndi knows wellness involves the whole person – body, mind, and spirit. Her philosophy has led her to train in multiple modalities to better help others attain the level of wellness which they seek. Having worked in several areas of the medical field in different capacities all of her life she decided to turn to a more holistic approach and explore acupuncture. She attended an information session at a local acupuncture school and received a treatment that left her amazed at the effect it had on the recurring migraines she battled for 15+ years. Pursuing acupuncture allowed Cyndi to provide others the same kind of relief. She attended AOMA Graduate School of Integrative Medicine, receiving her Master’s degree in Acupuncture and Oriental Medicine.
Cyndi's calming & nurturing nature puts you at ease during your treatments as she will always guide you through any questions you may have and puts your relaxation and wellness as her number 1 priority.


The Science Behind Medical Grade Peels: How Do They Work?
Medical grade peels are a popular skincare treatment in California that can address various skin concerns and provide significant improvements in the overall appearance and health of the skin. As a clinic, we understand the importance of educating our clients about the science behind these peels to ensure they make informed decisions about their skincare regimen.
- Understanding the Structure of the Skin:
It is crucial to have a fundamental grasp of the anatomy of the skin to understand how medical-grade peels function. Our skin has three different layers: the epidermis, dermis, and subcutaneous tissue. Each layer plays a crucial role in maintaining skin health and function.
2. What Causes Skin Issues?
There could be various reasons for skin problems, both internal and external. External factors include prolonged sun exposure, environmental pollution, and harsh skincare products. Skin issues can also be influenced internally by aging, heredity, and hormonal changes.
3. How Medical Grade Peels Work:
Medical grade peels are carefully formulated with specific chemical compositions that work on different layers of the skin. The depth of penetration and strength of the peel determines the intensity of the treatment and the results achieved.
4. The Role of Exfoliation:
One of the key mechanisms of medical-grade peels is exfoliation. By removing the outermost layer of dead skin cells, peels promote cellular turnover and stimulate the production of collagen, the protein responsible for skin elasticity and firmness.
5. Chemical Reactions and Cellular Turnover:
Medical-grade peels trigger chemical reactions within the skin that accelerate the shedding of damaged skin cells. This process activates enzymes, such as proteases, which break down old collagen and encourage the production of new collagen and elastin fibers.
6. Categories of Medical Grade Peels:
Various types of medical-grade peels are available, including superficial, medium, and deep peels. Superficial peels are gentle and target the outermost layer of the skin, while medium and deep peels penetrate deeper layers to address more severe skin concerns.
7. Benefits of Medical Grade Peels:
A medical-grade peel treatment in California offers a range of benefits for the skin. It can lessen the appearance of fine lines and wrinkles, enhance the texture and tone of the skin, and eliminate hyperpigmentation brought on by hormone fluctuations or sun exposure.
8. Considerations and Precautions:
When considering medical-grade peels, it is crucial to consult with a qualified professional. They will assess your skin condition, determine the most suitable peel type, and guide proper aftercare and maintenance to maximize the results and minimize any potential risks.
Example: Treatment Journey:
Let’s walk through a hypothetical treatment journey for a medical-grade peel. It starts with an initial consultation and skin assessment, where a professional evaluate your skin type, concerns, and goals. Based on the assessment, they recommend the most appropriate peel type for your needs.
Before the peel, you will prepare your skin by following specific instructions, such as avoiding sun exposure and discontinuing certain skincare products. During the treatment, the peel solution will be carefully applied to your skin by a trained professional, ensuring the appropriate depth and duration for optimal results.
After the peel, you will receive detailed instructions on post-peel care, including the use of gentle cleansers, moisturizers, and sunscreen. The recovery period may vary depending on the peel’s depth, but it is essential to follow the provided guidelines for proper healing and long-lasting results.
Medical grade peels offer an effective solution for various skin concerns, utilizing the science of exfoliation, chemical reactions, and cellular turnover. By understanding the mechanisms behind these peels, you can make informed decisions about incorporating them into your skincare routine.
Always seek the advice of a skilled specialist to get the greatest results while protecting your skin’s safety and health.


International Journal of Advanced Medicine and Medical Sciences (IJAMMS) is an open access journal that provides rapid publication (-monthly) of articles in all areas of Medicine and Medical Sciences such as:
- Clinical Medicine: Internal Medicine, Surgery, Clinical Cancer Research, Clinical Pharmacology, Dermatology, Gynaecology, Paediatrics, Neurology, Psychiatry, Otorhinolaryngology, Ophthalmology, Dentistry, Tropical Medicine, Biomedical Engineering, Clinical Cardiovascular Research, Clinical Endocrinology, Clinical Pathophysiology, Clinical Immunology and Immunopathology, Clinical Nutritional Research, Geriatrics and Sport Medicine
- Basic Medical Sciences: Biochemistry, Molecular Biology, Cellular Biology, Cytology, Genetics, Embryology, Developmental Biology, Radiobiology, Experimental Microbiology, Biophysics, Structural Research, Neurophysiology and Brain Research, Cardiovascular Research, Endocrinology, Physiology, Medical Microbiology
- Experimental Medicine: Experimental Cancer Research, Pathophysiology, Immunology, Immunopathology, Nutritional Research, Vitaminology and Ethology
- Preventive Medicine: Congenital Disorders, Mental Disorders, Psychosomatic Diseases, Addictive Diseases, Accidents, Cancer, Cardiovascular Diseases, Metabolic Disorders, Infectious Diseases, Diseases of Bones and Joints, Oral Preventive Medicine, Respiratory Diseases, Methods of Epidemiology and Other Preventive Medicine
- Social Medicine: Group Medicine, Social Paediatrics, Medico-Social Problems of the Youth, Medico-Social Problems of the Elderly, Rehabilitation, Human Ecology, Environmental Toxicology, Dietetics, Occupational Medicine, Pharmacology, Ergonomy, Health Education, Public Health and Health Services and Medical Statistics
The Journal welcomes the submission of manuscripts that meet the general criteria of significance and scientific excellence. Papers will be published shortly after acceptance. All articles published in IJAMMS are peer-reviewed.
The International Journal of Advanced Medicine and Medical Sciences is published monthly (one volume per year) by WorldScholars Journals.
Types of paper
- Regular Articles:These should describe new and carefully confirmed findings, and experimental procedures should be given in sufficient details for others to verify the work. The length of a full paper should be the minimum required to describe and interpret the work clearly.
- Short Communications: A Short Communication is suitable for recording the results of complete small investigations or giving details of new models or hypotheses, innovative methods, techniques or apparatus. The style of main sections need not conform to that of full-length papers. Short communications are 2 to 4 printed pages (about 6 to 12 manuscript pages) in length.
- Reviews: Submissions of reviews and perspectives covering topics of current interest are welcome and encouraged. Reviews should be concise and no longer than 4-6 printed pages (about 12 to 18 manuscript pages). Reviews manuscripts are also peer-reviewed.


An ingrowing toenail can be truly uncomfortable and cause a range of complications. If you leave an ingrown toenail too long, you may even have to have surgery to remove the toenail and correct the growth path. Professional advice and treatment should be sought ASAP as the toenail could become infected, but there are several steps you can take to reduce any pain, and also reduce the chance of infection. The below details how you can deal with an ingrown toenail:
1. Soak your foot daily in warm salt water
First and foremost, you should bathe your foot in a solution of warm salt water for 15 minutes each time at least twice a day. This will greatly help reduce the chance of infection, and it can also help reduce swelling and relieve any pain you are experiencing.
2. During all other times, keep your foot dry
Whenever your foot is not being bathed, you should ensure that it is completely dry – dry your foot and toe gently to avoid pain, but ensure that no water or moisture remains. If your toe is damp then this can encourage infection and can make the ingrown toenail worse.
3. Separate the skin from the toenail and insert padding
To alleviate pain, and also to prevent the toenail from digging into your skin further you should separate your skin from the toenail itself. Use a small nail file or other pedicure device and gently pull the skin away. Once you have pulled the skin away, you should place small pieces of clean cotton between the toenail and skin – this will keep the two separated and help prevent infection. Consider dabbing the cotton in an antiseptic cream or cleanser.
4. Cover your toe with a bandage
Once you have separated the toenail from your skin and padded with cotton, you can then cover your whole toe with a soft bandage. Do not wrap the bandage tightly as you need to give it room to breathe but do cover the toe entirely. This can provide extra padding to your toe and also help prevent any knocks or unnecessary pain.
5. Wear comfortable and wide-fitting shoes
Any pressure placed on your toe can be painful, and it can cause the ingrown toenail to dig further into your skin. To reduce the pressure placed on your toes, consider wearing wide-fitting shoes that sit lightly on your feet. Alternatively, sandals or flip-flops may be preferable as your toes are then not covered in any way at all.
Aside from the above, ensure that you check your toenail regularly for signs of infection and try to minimize the amount of walking you do. If the toenail does become infected, or the problem persists, then you should look at visiting a podiatrist who can fix the problem and even perform minor surgery to remove the ingrown portion of the nail. We hope you have found this advice useful – an ingrown toenail is manageable so don’t suffer in silence or leave it until it’s too late!


Due to the ongoing Corona pandemic, today we handed over 1,500 masks as a donation for the voluntary work »Lebensmittel-Retten« of the CSU Nuremberg-Worzeldorf.
Markus Portuné und Bea Pfanner überreichten die Maskenspende an den Ortsvorsitzenden der CSU-Worzeldorf Theo Deinlein, sowie an die Vorsitzende der Frauen-Union Worzeldorf, Monika Simon-Deinlein (Bild oben).
On February 10, 2022, Markus Portuné, Managing Director of PES Portuné Engineering Service GmbH, handed over a further 1,500 medical masks ("surgical masks") to Karin Benner, Director of the Ansbach Sociotherapeutic Residential Home, where fifty chronically mentally ill people live.
Peter Daniel Forster, member of the Board of Directors of Bezirkskliniken Mittelfranken – and representative of the sociotherapeutic residential home – together with Dr. Matthias Keilen, Strategic Director, expressed their sincere thanks for the donation.
Also in February – thanks to a hint from Lutz Quester, President Freundeskreis Deutsche Einheit e.V. – a third donation of masks was made to Lebenshilfe Nürnberg e. V.. The masks were handed over to the managing director of Lebenshilfe André Deraëd and will be used in the care of people with disabilities.
The COVID-19 disease can affect any of us, and the effects are felt globally. PES GmbH is pleased to continue to contribute during the Corona Crisis.


Changes to venue check-in regulations
From Monday 19 July 2021, designated venues are no longer legally required to ask customers, visitors and staff to “check in” (attendees can scan the NHS QR code poster via the NHS COVID-19 app or provide their contact details).
Although it isn’t a requirement, venues are being strongly encouraged to retain the NHS QR code poster and maintain a “logbook” containing attendees’ contact details.
By asking individuals to check in and promptly sharing the records of those who provide their contact details with NHS Test and Trace, you will help us to identify people who may have the virus. NHS Test and Trace will only ask for your records if there is an outbreak at your venue, and then alert attendees who checked in on the same day.
- will be triggered if there are two or more cases at a venue (unless it is a large venue, such as a football stadium, which will lead to a case-by-case assessment).
- will ask individuals to book a test as soon as possible. A venue alert will not ask individuals to self-isolate.
- will never name the venue linked to the outbreak.
- does not mean your venue needs to close. Public health guidance will be given to you if you are contacted by NHS Test and Trace so that you can continue to operate safely.
- are not the same alert that individuals receive on the NHS COVID-19 app if they have come into close contact with a confirmed case. Close contact alerts will advise the individual to self-isolate, venue alerts will not.
- will be sent as an app notification to those that scanned the NHS QR code with the NHS COVID-19 app, or by text message to people who provided their contact details to check in.
For further guidance, visit gov.uk


Ok, we’ve all heard of Viagra- the diamond-shaped blue pill from Pfizer that revolutionised ED in the mid 1990s. Whoa. Probably going too fast here.. what’s ED? ED stands for Erectile Dysfunction. It’s a medical term for the much less pleasant word “impotence”. It means that a man cannot achieve an erection, or is unable to sustain an erection and therefore be able to engage in sexual intercourse (penetration) or other forms of sexual activity, and will be unlikely to achieve orgasm. It often occurs in older me, 50-70 and until recently was just thought to be part of the ageing process. Until the discovery of Viagra men and their partners had only a few viable treatments for ED. These included a penis vacuum pump, injections directly into the penis and an implant. All highly invasive and not very romantic. But with the availability of Viagra (and similar drugs Cialis and Levitra, for 7 or 8 out of ten men, popping a simple pill means that with sexual stimulation, they will be able to achieve and sustain erections that are hard enough to complete sexual activity to the fulfilment of both involved.
Now to how Viagra works.
There’s a molecule in your body called cyclic GMP, or cGMP. cGMP has a variety of functions, one of which is to cause vasodilation. Vasodilation means the relaxing of the muscles of the blood vessels, which increases the diameter of the vessel, and therefore, increases blood flow into where the vessels are. Viagra is the brand name for the drug Sildenafil. Sildenafil inhibits (or, blocks) the protein that normally degrades cGMP. This makes it simpler to increase blood flow, as less cGMP is degraded.An erection occurs when some of the tissues of the penis are filled with blood. The protein that spoils cGMP is affected by the Sildenafil and, for a period, means that you can get more blood into your penis, for longer. That means an erection to last for the period of sexual activity.
However you need to be sexually aroused, usually by physical stimulation in order to get an erection when you have taken Viagra. It doesn’t give you an instant erection when the drug kicks in, or for any part of the 4 hours or so for which the active ingredient is in your bloodstream. It is not an automatic reaction. It needs your brain and body to become aroused. It is important for women to understand that just because their partner uses Viagra, it doesn’t mean that they don’t “fancy” them anymore. ED is a medical condition that is usually beyond the control of the man, unless or until ED treatment is taken. The very fact that a man wants to take Viagra means that he is keen for both to have sexual fulfilment.
Viagra (and the other ED treatment drugs mentioned, Levitra and Cialis, which work in similar ways) are available online from Pharmacy2U after an online consultation, or if you provide evidence of a doctor’s prescription for Viagra. This is because Viagra may not be suitable for all men, and as a precaution, you will need to discuss your medical history first.
To understand how Cialis works, you’ll need to understand what normally happens. When a man is sexually stimulated, his brain transmits a signal down the spinal cord and into the many nerve endings of his penis. Those nerve endings then release chemical “messengers” or stimulants (called neurotransmitters) that signal to a part of the penis called the corpora cavernosa. This is two spongy rods of tissue that extend the length of the penis. The message from the neurotransmitters is for those spongy rods to relax and allow blood to fill them. As they expand, the corpora cavernosa closes off other veins that would normally take blood away from the penis to continue circulation elsewhere in the body. As the rods and the penis become engorged with blood, it grows in size and stiffens, causing the erection necessary to enable sexual intercourse. When things aren’t right, problems with blood vessels, nerves, or tissues of the penis can interfere with this intended function.
ED is more common than you think- it strikes up to half of all men between the ages of 40 and 70. Doctors used to think that most cases of impotence were psychological in origin, and therefore not curable by physiological means. However we now know that physical causes alone play a primary role in more than half of all cases. Before Viagra and Cialis, the only treatments available for ED (or impotence as it was known then) were an implantable penile prosthesis or long-term psychotherapy. But where the problem is purely physical, as it is in most cases, there’s an easy to administer treatment that works in the great majority of cases: Cialis.
The response to Cialis since it was introduced 10 years ago has been dramatic and overwhelmingly positive. Many men have tried Viagra, Cialis and Levitra and there are testimonials to Cialis say that there are either no side effects or a reduction in the severity of side effects as compared to other ED treatments. Given that Cialis also last longer, up to 36 hours after being taken, than other ED treatments such as Viagra and Levitra, then one can begin to see why it is popular. As you can only take one ED pill over any 24 hour period, then Cialis’ longevity is bound to be popular.
Before you order Cialis it’s best to talk to your GP or a qualified pharmacist so that you know whether it is safe for you to use and can understand what the side effects might be (many men experience none).
It’s important to realise that Cialis required some sexual stimulation in order to work. But when used in accordance with the prescription and manufacturer’s instructions it can transform your bedroom activities into ones of fun and joy rather than frustration.
What some men don’t realize is the problem leading to their Erectile Dysfunction could be caused through a mental disorder. It is common for people who suffer from depression or stress to have problems in their sex life. If your doctor finds that this may be the cause of your Erectile Dysfunction, they may recommend Psychotherapy. If the problem is mental, the only way to get past Erectile Dysfunction is to address the mental disorder. Once the mental disorder is tackled, you will be able to see a change in the side effects and the end of your dysfunctions.
Often if the doctor can’t find any other problems, he may resort to medications for treatment. The market is full of medications that are designed to address Erectile Dysfunction. Though these medications may not completely solve the problem, they can help you live a normal life. Viagra is one of the most popular medications for Erectile Dysfunction, there are also medications designed to help men with other conditions as well.
Machines And Surgery
For mild cases of Erectile Dysfunction, doctors may recommend small machinery to help men solve their problem. There is device that acts as a vacuum to help men increase blood flow to their penis so they can achieve and maintain an erection. If the problem isn’t that simple and you are not responding to the medications, the doctor may recommend surgery. Penile implants are becoming more common, giving men the ability to achieve a full erection. There are different types of implants, some that allow men to achieve an erection naturally and other methods that help a man maintain his sexual abilities.If you have Erectile Dysfunction, there are many treatment options available to you. Once you talk to your doctor and he is able to diagnose the problem, your doctor will create a treatment plan, best suited to your needs.
So what exactly is erectile dysfunction?
Erectile dysfunction, commonly referred to as impotence, occurs when a man can no longer get or keep an erection firm enough for sexual intercourse. If erection trouble is happening now and then it is not necessarily cause for a lot of concern; However if it becomes a fairly regular problem it can cause problems within your relationship, stress, and negatively affect your self-confidence.
If it is happening, what should I be doing?
While it may seem like an awkward thing to talk about, if it is starting to occur on a fairly regular basis, it is important to talk to your doctor, and set up an evaluation. Having impotence as a regular occurrence can be a sign of health conditions, such as heart disease or diabetes, that a quite serious and require treatment. As awkward as it might be to talk about, getting to the bottom of what is going on, and treating the underlying issue might just be enough to reverse your erectile dysfunction.
What kinds of treatments and drugs are out there?
Oral medications are a successful erectile dysfunction treatment for many men, these include the ever popular Viagra, Cialis.
A penis pump, which is a vacuum style device that helps enable an erection, is an empty tube that has a battery-powered pump or hand-powered. You place the tubeon the penis, and the pump is used to draw out the air inside the pump, a vacuum is created and allowsthe blood to flow to your penis. When you experience an erection, you use a penis ring at the base of the penis to keep the blood flow in that area firm. You remove the vacuum after this has been achieved. By using a penis pump an erectioncan be maintained long enough for intercourse.


An update from VancouverStreetBattle
With the continued news regarding COVID-19, we here at VSB with a heavy heart have decided to suspend all hours of operation until further notice. We recognize the severity and ongoing feeling of uneasyness going around as the virus continues to spread and wish to do our part as well to limit the spread of the Coronavirus. The health, safety, and general well being of our attendees and staff will always be our number one priority. Those who have a current ongoing membership will be credited with a fresh 30 day membership once we reopen.
Thank you for your continued support and understanding. We’ll see you again once we reopen!


Is Hair Removal in DERMALIFE Vienna with Soprano ICE Platinum safe?
Absolutely. Soprano ICE’s SHR method has been proven in multiple clinical studies as the safest method of laser hair removal for all skin types. With SHR, hair follicles are damaged not by a single pulse of high energy which can injure the skin, but by repetitive short energy pulses. These pulses produce heat build-up which gradually raises the temperature of the dermis to the level needed for preventing hair growth, while minimizing the risk of burns.
Can DERMALIFE Soprano ICE Platinum be used in the summer and can it treat tanned skin?
Yes. Soprano ICE’s SHR method affects the melanin of the skin using a unique method, allowing the procedure to be performed anytime of the year as well as on tanned skin. Furthermore, sun exposure is less traumatic to the skin following SHR treatment.
Is Hair Removal with DERMALIFE Soprano ICE Platinum really painless?
Soprano ICE Platinum uses Alma Laser’s SHR method, which is the only clinically proven method of laser hair removal that is virtually painless. The unique heating and energy delivery method effectively damages the hair follicle while preventing injury and pain to the surrounding tissue. At the same time, integrated ICETM tech cools the skin surface, preventing superficial burns and the sensation of pain.
How long are treatment sessions with DERMALIFE Soprano ICE Platinum?
While Soprano ICE Platinum offers the fastest laser hair removal solution available today, the duration of treatment can vary depending on the patient’s skin color, hair type and the area being treated. Treatment time can range from a few seconds for a small area such as above the upper lip, to 8 minutes for the entire back.
How many treatments do patients typically need in order to see results?
Depending on the patient’s skin and hair type, results are typically seen following 6 to 8 treatment sessions.


Marc Ellison, Ed.D. is the executive director of the West Virginia Autism Training Center, located at Marshall University in Huntington, WV. Dr. Ellison is a Licensed Professional Counselor who has worked for nearly 35 years to provide person-centered support, services, and advocacy to individuals who live with Autism Spectrum Disorder, their families, and those who support them. He has supported individuals with ASD throughout their lifespan, as they moved to the community from state-supported institutions, searched for and obtained employment, entered into relationships, and transitioned into college. Dr. Ellison has authored or co-authored several publications specific to supporting students diagnosed with ASD, and is a member of the Panel of Professional Advisors for the Autism Society of America.


What is the lawsuit about?
Valsartan is the generic name of a very popular and effective blood pressure medication that has been used since 1996. Originally developed and manufactured by Novartis under the trade name Diovan, Valsartan became available for other manufacturers to produce as a generic drug in 2012. A number of other pharmaceutical manufacturers including manufacturers in China and India began manufacturing the bulk drug for use by distributors in the U.S. to manufacture their own version of the medication with their own branding. However, the procedure for making the raw drug by the Chinese and Indian manufacturers was modified by some of these companies resulting in the introduction of a by-product and contaminate called NDMA (N-nitrosodimethylamine) into the final raw or bulk product. NDMA is a potent carcinogen in animals and probably carcinogenic to humans, even in relatively small amounts. The Valsartan personal injury lawsuits involve individuals who have taken generic versions of Valsartan for a certain period of time, and who have been diagnosed with cancer, specifically liver, stomach, intestinal or kidney cancer.
What are the current actions by the FDA?
In July 2018, one of the leading Chinese valsartan manufacturing companies, Zhejiang Huahai Pharmaceuticals, discovered that the raw Valsartan it was producing was contaminated with NDMA. Before and after the discovery of this contamination, Zhejiang Huahai was a wholesaler of Valsartan in bulk to its distributors in the U.S. Other manufacturers in China, as well as India, had similar problems and sold bulk contaminated Valsartan to its U.S. distributors.
The FDA has done limited testing and has recalled a number of the generic products of U.S. distributors who have purchased bulk Valsartan from these Chinese and Indian manufacturers. But numerous products have yet to be tested and recalled. It is suspected that many more distributors of generic Valsartan contain Valsartan purchased from the contaminated sources and has resulted in significant exposure of the carcinogen to individuals taking the generic forms of the medication. Consequently, more recalls of the medication are expected in the future.
What is the current staus of claims?
Numerous lawsuits have been filed against a number of distributors of the generic form of the medication alleging that valsartan contaminated with NDMA was sold to individuals who were consequently exposed to significant amounts of the NDMA carcinogen, and developed various cancers as a result. These cases which were originally filed in various federal court jurisdictions throughout the country have been consolidated into a Federal District Court in New Jersey for the discovery phase of the litigation. The judge in this Federal District Court will be responsible for managing much of the discovery part of the litigation for establishing the rules for filing and managing all pending and future claims and lawsuits involving Valsartan.
What do you need to do?
If you or a family member currently take any generic form of Valsartan, it is important that you immediately contact your doctor to discuss your risk of exposure to the carcinogen, NDMA. You should discuss alternative therapies to minimize your risk from exposure to the carcinogen. If you have stopped taking any generic form of the medication since 2012, it is important that you get records from your pharmacy or pharmacists that will show the identity of the particular distributors or manufacturers of the generic medications you received from 2012 up until the date you stopped taking the medication. You may need this information for any future claims.
If you have taken any generic form of Valsartan since 2012 and have been diagnosed with stomach, intestinal, liver or kidney cancer, you should call our office immediately to discuss your legal options for compensation against the manufacturers and distributors of Valsartan. Time is of the essence. Your ability to file claims is limited and depends on numerous factors. Call The Cochran Firm – Dothan today for a free consultation: (334) 673-1555.
References and Resources:
The New York Times discusses the recall and how the contamination is related to the way Valsartan is manufactured. It is advised that patients check the ingredients on the medication or ask their health care providers about the medication they are currently taking. The health care provider will be able to prescribe a different, non-contaminated medication should the current medication be part of the recall.
The Washington Post covers the contaminants and how they were created through the manufacturing of Valsartan. The FDA believes that millions of people have been exposed to contaminated Valsartan products. It is advised that you do not stop taking the medication until you speak with your healthcare provider and start a new, non-contaminated medication. There are other health risks associated with stopping medication without direction from the health care provider.


Methadone 101/Hospitalist Workshop
The Methadone 101/Hospitalist Workshop is presented by the College of Physicians and Surgeons of British Columbia as an introductory workshop in the use of methadone for the treatment of opioid dependence and in the provision of methadone prescribing for hospital patients (both for analgesia and opioid dependence).
The College welcomes all health-care professionals to participate in the Methadone 101/Hospitalist Workshop, including nurse practitioners, nurses, and pharmacists in both community and hospital settings.
The workshop comprises a series of didactic lectures on the pharmacology of methadone, methadone use in pregnancy, counselling techniques and the peer practice assessment process, which will prepare physicians and other health-care professionals as they enter this challenging area of addiction medicine.
For those wanting to pursue an authorization to prescribe methadone for opioid dependence, the afternoon is comprised of the physician-patient interviews, which are conducted in small groups and are designed to develop skills for treating this group of patients.
For those wanting to pursue an authorization to prescribe methadone in a hospital setting (both for analgesia and opioid dependence), the afternoon is comprised of interactive case presentations on hospital care. It will also cover the use of methadone for analgesia, the role of the hospitalist, initial evaluation of methadone maintenance patients, dosing and management of withdrawal symptoms, and discharge from hospital.
All inquiries can be directed to the BC Methadone Program at 604-733-7758 extension 2628.


Haringey residents encouraged to get Covid-19 vaccination as local take-up lags well below average
By James Cracknell and Luchia Robinson
First-dose vaccinations among over-70s in North London are lagging behind almost every other part of England.
The latest data from NHS England shows that first-dose Covid-19 jabs have now been given to 78.2% of people aged over 70 years living in Haringey, Enfield, Barnet, Camden and Islington, compared to an average of 86% across England. The NHS does not provide individual borough-level data.
The vaccine rate for the over-70s in North London is lower than every other NHS area in England aside from East London. When it comes to those aged over 80, the rate in North London is even lower, with just 76.3% having received their first dose, compared with an England average of 91.3%.
However, when it comes to the delivery of second doses, North London is one of the best-performing in England, with 18.29% of over-80s now having had both jabs. This compares to an average second-jab rate in this age group across England of 11.9%.
The government announced this week that everyone in its top four priority groups (the over 70s, clinically extremely vulnerable, care home staff for older adults, and frontline health and social workers) had been offered a jab, with 15 million people having now received a first dose. In London, 1.5 million people have received at least one dose of a Covid-19 vaccine, with the capital just shy of hitting its target.
As a frontline worker, resident Susannah Fairweather, consultant child and adolescent psychiatrist, was part of the priority groups to receive the vaccine, she said:
“The vaccine was very straight forward to receive, and the nurse was very professional. There was a really good atmosphere amongst everyone attending.
“I felt strangely emotional afterwards because I was so happy to be part of the movement to move us out of the crisis we are experiencing.”
Susannah added: “We have vaccines for many other diseases and having one for Covid-19 should feel no different. I think getting the vaccine is not just helpful for you as an individual, but it is a part of keeping the whole community safe.”
There remains concern that a significant number of people are not taking up their vaccination offers, particularly in areas with larger ethnic-minority populations.
To help tackle the issue, Haringey Council is holding a vaccines webinar at 7pm on Tuesday, 23rd February. The webinar held via Facebook Live and Microsoft Teams will feature local experts and doctors who can offer advice, answer questions and provide updates on the vaccination programme in the borough.
📢 We’re hosting a #COVIDVaccines webinar on 23 Feb @ 7pm with public health experts answering all of your vaccine-related queries. Joining info to be shared soon.— Haringey (@haringeycouncil) February 17, 2021
Submit your questions to us by 18 Feb via this form ➡ https://t.co/WquhQLX3Kq
Let’s Talk COVID-19 Vaccines! pic.twitter.com/JcnYhhXMqg
The vaccine is now being rolled out to people aged 65-69.
Anyone over the age of 70 who has not yet received their first dose is urged to book an appointment online or by calling 119.
Click here for more information from the NHS.
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The CLCWA meetings have been found to be valuable to IBCLCs who need CERPs for their ongoing professional development, those working towards becoming IBCLCs for CEPs, and to any health professional or voluntary breastfeeding counsellor who works with breastfeeding mothers. The normal monthly education meetings are free to members and only $15 for non members.
The meetings are held as per the education flier
7pm - 7.15pm: Business Meeting alternate months
7.30pm - 8.30pm: Education Meeting
Attendance certificates for CERPs will be issued at the meetings.
Unforeseen circumstances may cause the program to change without notice.
Breastfeeding & Obesity Risks: What Goes wrong When Breastfeeding Stops?
Before this question can be addressed an understanding of the mechanism controlling the nutrient intake of exclusively breastfed babies is required. This talk will outline the available literature including gaps in our knowledge. It will describe approaches at biochemical and cellular levels and this knowledge will set basis for intervention and assist in the prevention of obesity.
Dr Fonteini Hassiotou PhD
Using Circle of Security Concepts to bring an attachment perspective when working with families with infants & young children
The Circle of Security offers a readily understood conceptual framework of attachment theory and Ann will provide an outline of the Circle of Security (COS) concepts and describe the ways in which the richness of the COS model supports practitioners in helping parents understand their child's needs and most importantly the barriers parents may have in understanding and meeting those needs.
Anne Clifford. BN, Paeds Cert, IBCLC, MHN, MIMH
Validation of an Assessment Tool
Looking at screening tools used in Child Health and why oral motor skills are not included in the standard screening tools. Going through historical data of their development in the 60' and 70's and where they can be improved.
Ailsa Rothenbury Master Arts. Grad Dip Health Science, RM, RN, IBCLC
Simultaneous vs Sequential Pumping: Expressing the difference
There is conflict in the literature regarding this practice, Jones et al found difference in milk yield and Hill found no difference in milk yield.
By measuring fat content of milk samples we can calculate the percentage of available milk in a breast. With a research tool called the "Showmilk" we can investigate milk ejections and the physiology of milk removal.
Cathy Garbin Midwife, IBCLC
The Ebb and Flow of Preterm Milk Composition
Psychoactive Drugs and Breastfeeding
March 15th 2010
The Pharmacy Department at KEMH has a special interest in research into the transfer of medications into breast milk. With a particular interest in antidepressants & antipsychotics as there has been very little published information about their transfer to breast milk. The lecture will summarize and discuss the results of our studies & other published information, and discuss the choice of drugs to treat psychiatric disorders in breastfeeding mothers.
Judith Kristensen B Pharmacy
The Where, When and How of Lactation Aids
15th February 2010
Cathy traces the development and use of lactation aids historically to the present day where aids such as nipple shields, breast pumps, feeding devices and pharmaceuticals have now become commonplace. such aids may be either misused or under utilised and Cathy will discuss the where, when and how of shields, supply lines, syringes, finger feeding and pumps using research and case histories.Dr Cathy Fetherston RN RM ICLCLC MSc PhD
Years End Celebration Meeting
Ethics and Research Funding: There's no free meal!
16th November 2009
Research must be published to advance knowledge. However, it is also necessary to publish research to attract further funding for continuing research. The balance between achieving these competing needs requires close ethical consideration (1E CERP).
Prof. Peter Hartmann BrurSc, PhD
This meeting will be followed by a free and delicious celebration supper!
Unsettled baby - could it be from Mum's diet?
October 19th 2009
Adverse reactions to foods in breastfed babies can arise from a number of different components of the mother's diet. Joy will outline the difference between food allergy and food infolerance, how these can impact the breastfeeding dyad and what can be done to help.
Joy Anderson BSc Postgrad.Dip.Diet APD IBCLC
Reading the Research: Basic statistical literacy
September 21st 2009
This presentation aims to provide a brief discussion of some statistical terms that are frequently encourntered in the breastfeeding literature, and to improve the participants understanding and ability to interpret the presented results. Focus will be on two papers which demonstrate a wide range of concepts. No previous knowledge of statistics is required.
Anna Hepworth BSc(Hons-Statistics), BSc(Hons-Psychology)
The Intricacies of Sucking, Swallowing and Breathing During Breastfeeding
August 17th 2009
Donna will present new research findings about the suck-swallow-breathe reflex of breastfeeding infants.
Each major research finding will be linked to particular clinical situations.
Donna Geddes DMU, PostGrad Dip (Sci), PhD
20th July 2009
Pasteurizing human milk for the preterm infant (.5 L Cerp)
Current pasteurization practice damages the bioactive proteins of human milk, however, recent research as shown thatthis can be avoided. These issues will be discussed in the context of implementation into the Human Milk Bank.
Charles Czand BSc (Hons) PhD (C)
Growing the Preterm Infant (.5 L Cerp)
Gemma is senior dietician in the neonatal special care nursery at KEMH. The focus of her PhD studies is individualising human milk fortification to promote appropriate growth of the preterm infant. Gemma will present her most recent research outcomes.
Gemma McLeod MSc APD
'Breastfeeding is For Everyone' - A quick update on Ngala (1 R Cerp)
15th June 2009
'Breastfeeding is For Everyone' is Ngala's new multicultural DVD; showing 19 different nationalities, translated into 5 African languages, it aims to normalise breastfeeding in Australia and addresses the role of fathers, introducing solids and much more
Julie Holschier RN RM F&CHN BHlthSc Nursing Adjunct Lecturer Curtin University
Ethical Dilemmas - What would you do when? (1 E CERP)
18th May 2009
Cathy and Shaughn will present various clinical scenarios that may present special ethical dilemmas for the practicing IBCLC. Possible solutions will be explored in discussion with the audience.
Cathy Fetherston RN RM IBCLC PhD
Shaughn Leach RN RM IBCLC DipT
CONCERNS and CONTROVERSIES - What's new in the Literature
20th April 2009
An overview of the evidence cited in the medical journals in the past year which is suggesting that the introduction of solids at 4 months would benefit the infants immune system.
Diana Langton RN, RM, FCHM, B.Hlth Sc, IBCLC
2006 North Metropolitan Breastfeeding Study
16th March 2009
Results from the 2006 North Metropolitan Breastfeeding Study will be presented. This cohort study collected infant breastfeeding data up to six months of age. The study has established baseline breastfeeding indicators for infants seend by Child Health Nurses in the north metropolitan area of Perth between July to December 2006 (n=3828) and will serve to assess the impact of future breastfeeding initiatives on breastfeeding exclusivity and duration rates
Karen Forde B AppSc (Health Information Management, Post Grad Dip (Health Sciences Research & Evaluation), Master of Public Health
'Akachan Ni Kampai' - Celebrating the Baby
The 11th World Congress for Infant Mental Health
16th February 2009
I consider myself very fortunate to have travelled to this conference which was held in Yokahama, Japan in August last year. In this presentation I will provide and outline some of the most memorable presentations and keynote addresses at the conference.
Anne Clifford RN, BN, CHN, IBCLC, MIMH, MHN
Tenth Anniversary Dinner
17th November 2008
Please click here for further information.
Come and have fun!
Update and Case Study – Examining the Role of Bacteria in Nipple Pain
20th October 2008
Marnie and Jane are both GPs who work with the UWA Breastfeeding Research Team. They are involved with a small research project examining the role of bacteria in nipple pain. They will provide most recent updated information and a case study.
Jane Deacon MBBS, DCH & Marnie Rowan BPharm, MBBS (Hons)
Breastfeeding and Drinking Alcohol
15th September 2008
Roslyn's PhD is a compilation of eight published aricles and this presentation is based on this work and will look at the physiological effect of alcohol on lactation and the breastfed infant.
Roslyn Giglia, Assoc. Lecturer in Epidemiology and Biostatistics, Curtin University
Weighing the Options for CLCWA
18th August 2008
Discussions have taken place between ILCA, NALC, NZLCA, ALCA exploring the pros and cons of forming a Australasian organization affiliated with ILCA. Angela will present the ILCA position for our evaluation and give you the opportunity to explore how this would affect our day to day existence as an autonomous association.
Angela Smith President Elect, International Lactation Consultants Association (ILCA)
THE 3 Bs OF PARENTING: BABYWEARING, BEDSHARING AND BREASTFEEDING
July 21st 2008
This session will discuss how to help mothers work with babies who are 'wired' for adult contact. Explore the anthropological ideas on bedsharing, how mothers can carry their babies and still 'have a life' and how these gentle parenting methods interact with breastfeeding. Learn how to make and use a length of material to tie a baby onto the mother's body. Slings and fabric will be available for practice.
Shaughn Leach RM, IBCLC, DipT
LACTPANEL - CASE HISTORIES
June 16th 2008
MRSA and Breast Trauma
Cathy Garbin RN, RM, IBCLC
Lessons Learned - Submucosal Cleft or Velopharyngeal Insufficiency?
Rebecca Glover RM, IBCLC
BREASTFEEDING CHALLENGES - POST THE FOURTH TRIMESTER
May 19th 2008
The presentation will explore the breastfeeding difficulties the presenter has observed working with the breastfeeding mothers and their 3-6 month old infants. Linda will explore these difficulties using the information in the literature, her experience undertaing 'infant observation' as a student studying Infant Mental Health and her own practical experience.
Linda Landsborough RN, RM, BSc(Nsg), IBCLC


- How does a person get eye cancer?
- Can an eye test detect cancer?
- Does eye cancer spread to the brain?
- Can a tumor cause vision problems?
- Does cancer cause blindness?
- When you have cancer what actually kills you?
- How long can you live with eye cancer?
- How rare is cancer of the eye?
- Can chemotherapy affect vision?
- How is eye cancer treated?
- Can red eyes be a sign of cancer?
- Can you die from eye cancer?
- What are signs of end of life with cancer?
- What is the last organ to shut down when you die?
- What are the chances of surviving eye cancer?
- Can eye cancer be cured?
- Can cancer affect your eyes?
- Who is most likely to get eye cancer?
- What are the signs of eye cancer?
- What are the first signs of your body shutting down?
How does a person get eye cancer?
Doctors know that eye melanoma occurs when errors develop in the DNA of healthy eye cells.
The DNA errors tell the cells to grow and multiply out of control, so the mutated cells go on living when they would normally die.
The mutated cells accumulate in the eye and form an eye melanoma..
Can an eye test detect cancer?
Some people may be aware that eye tests can detect cancers of the eye such as melanomas, but possibly don’t know that they can also detect signs of brain tumours. Dr Nigel Best, says: ‘Swelling of the optic nerves can be visible during an eye test,and can indicate that a brain tumour is present. ‘
Does eye cancer spread to the brain?
In addition to damaging vision, eye tumors can spread to the optic nerve, the brain and the rest of the body. Therefore, early diagnosis and treatment are extremely important. Melanoma tends to spread via blood vessels to distant organs.
Can a tumor cause vision problems?
Hearing and vision loss- A tumor that is located near the optical nerve could cause blurred vision, double vision or loss of peripheral vision. Depending on the size and location of a tumor, abnormal eye movements and other vision changes like seeing floating spots or shapes knows as an “aura” may result.
Does cancer cause blindness?
The identification of this immunologic anomaly illustrates how blindness can occur in some cancer patients, through the serendipitous initiation of ocular hypersensitivity, with vision loss developing as a cancer-induced autoimmune retinopathy.
When you have cancer what actually kills you?
– “Death by cancer HURTS: tumors can gradually cut off your air supply, compress your heart so it can’t beat properly, block your gut so you can’t eat, erode your bones, press on nerves, or destroy bits of your brain so you can’t control your body or think properly.”
How long can you live with eye cancer?
5-year relative survival rates for eye melanomaSEER stage5-year relative survival rateLocalized85%Regional71%Distant13%All SEER stages combined82%Jan 8, 2020
How rare is cancer of the eye?
Ocular melanoma is the most common primary cancer affecting the eye. However, it is a rare disorder and is estimated to be diagnosed in about 2,500 people in the United States each year. The incidence is unknown, but one estimate places it at about 5-6 people per every 1,000,000 people in the general population.
Can chemotherapy affect vision?
Many patients experience eye issues during cancer treatment. … The National Cancer Institute offers chemotherapy side effect information that specifically covers possible eye changes during treatment, including that certain types of chemotherapy may clog the tear ducts, leading to blurry vision.
How is eye cancer treated?
The main treatments for eye cancer are surgery, radiotherapy and chemotherapy. But you may have other treatments that your eye specialist will discuss with you. Your treatment will depend on: the type of eye cancer you have and where it is in the eye.
Can red eyes be a sign of cancer?
Most eye cancer symptoms are influenced by the type of cancer. Some of the most common eye cancer symptoms in adults include tiny floating specks in the field of vision (most often non-cancerous), bulging eyes, red or watery eyes, eye pain, dark spots on the iris, and blurred vision.
Can you die from eye cancer?
There are other types of eye cancers, but OM is the most common in adults and the most dangerous. It’s a potentially lethal disease which many people die from, especially when it spreads to the liver, a complication in about half of people diagnosed with this disease.
What are signs of end of life with cancer?
Signs of approaching deathWorsening weakness and exhaustion.A need to sleep much of the time, often spending most of the day in bed or resting.Weight loss and muscle thinning or loss.Minimal or no appetite and difficulty eating or swallowing fluids.Decreased ability to talk and concentrate.More items…
What is the last organ to shut down when you die?
Heart and lungs are last It is the heart and lungs that keep going until the very end. In the last few hours or days, the heartbeat becomes thin and very fast (120 beats a minute or more). Blood pressure is very low.
What are the chances of surviving eye cancer?
The 5-year survival rate for people with eye cancer is 80%. If the cancer is diagnosed at an early stage, the 5-year survival rate is 85%. About 73% of people are diagnosed at this stage. However, survival rates depend on the size and location of the tumor and the type of cancer diagnosed.
Can eye cancer be cured?
Treatment for eye cancer depends on the type and stage of the cancer. Radiation therapy is the main treatment for most people, but other treatments might be needed too. If a very small melanoma is suspected, treatment may not be needed. … The chance that a type of treatment will cure the cancer or help in some way.
Can cancer affect your eyes?
Vision changes. Vision changes can be caused by cancer that affects the eye or cancer treatments. They can range from very small changes, such as blurred vision, to complete loss of vision in an eye.
Who is most likely to get eye cancer?
The following factors can raise a person’s risk of developing eye cancer:Age. People over age 50 are most likely to be diagnosed with primary intraocular melanoma. … Race. … Gender. … Individual history. … Family history. … Other factors.
What are the signs of eye cancer?
Symptoms of eye cancer can include:shadows, flashes of light, or wiggly lines in your vision.blurred vision.a dark patch in your eye that’s getting bigger.partial or total loss of vision.bulging of 1 eye.a lump on your eyelid or in your eye that’s increasing in size.pain in or around your eye, although this is rare.
What are the first signs of your body shutting down?
They could have:Different sleep-wake patterns.Little appetite and thirst.Fewer and smaller bowel movements and less pee.More pain.Changes in blood pressure, breathing, and heart rate.Body temperature ups and downs that may leave their skin cool, warm, moist, or pale.More items…•