Ayurveda is the most ancient medicine which defines a behavioral way to apply to prevent health and cure.
It balances the body through an adapted and personalized lifestyle, but also through the use of plants and other natural remedies.
Ayurveda is incredibly true in its definition of our being and it gives us the keys to live in harmony.
It provides this deconditioning to bring us back to our true self, according to our physical, mental and spiritual needs!
Ayurveda, more than 4000 years old and then written in several medical treatises, is both a medicine for all but also a technique of personal development in itself. It has been recognized by the WHO since 1982.
And today we find its procedures in the field of personal development, already defined 4000 years ago! (Meditation, yoga, culture of the present moment…)
It is a holistic and preventive medicine that diagnoses imbalances in the body and mind. These imbalances can manifest themselves as illnesses or other symptoms in the short, medium or long term. It guides you to readjust your lifestyle and be in better health.
Ayurveda is the science of life, it is the health system of eternal India but it is also a knowledge that goes beyond the purely medical sphere.
It gives us access to the understanding of human nature which also integrates the Soul or consciousness.
It is the consciousness that creates the energy and the information that then manifests itself in thought and matter.
Any imbalance in the physical body is a reflection of disturbances in the mental, emotional and environmental levels.
Our lifestyle (stress, lack of peace, rest, clarity of mind and awakening of our consciousness) and our diet are also the causes of our imbalances.
She invites us to dive deeply into ourselves in order to eliminate the cause of these imbalances imprinted in our consciousness and our body and to live the healing.
Its pillars of healing are:
– Ahaar: diet
– Vihaar: lifestyle
– Achar: the routine of life
– Vichaar: thoughts
In addition to nutrition, lifestyle, and managing one’s mind, emphasis is placed on methods of cleansing the inside and outside of the body.Ayurveda is the most complete medicine. It prevents, heals and cures the mind. Each prescription is personalized unlike the more standardized allopathic medicine.
Take care of yourself


BREWER — Penobscot Community Health Care is pleased to announce that the Libra Foundation Fund recently awarded a $10,000 grant in support of PCHC’s Brewer School Based Health Centers. With clinics at the Brewer Community School and Brewer High School, PCHC provides more than 1700 students access to medical, dental, and mental health services.
Lori Dwyer, Esq., President and CEO states, “Much like the Libra Foundation, PCHC strives to empower our patients and the communities we serve by improving their health and well-being and enhancing their quality of life. The funding awarded by the Libra Foundation to PCHC’s Brewer School Based Health Centers will support the provision of medical, dental, and mental health services to children in the Brewer schools who otherwise might be without access to these crucial services. Our future certainly lies with our children and we are thankful the Libra Foundation recognizes our important work.”
Not only are the services convenient and affordable, data from the National Assembly on School Based Health Care demonstrates that “School Health Centers provide an optimal setting to foster learning readiness and academic achievement while giving children the resources they need to improve their health.” Students who use school-based health center services have better attendance and are less likely to drop out of school compared to students who do not use them.
The Brewer School-Based Health Center was established in 2006 as a partnership between the Brewer School Department and Penobscot Community Health Care to provide accessible medical, dental and mental health services to Brewer students in grades K-12. The Student Health Center staff consists of an experienced certified physician assistant, dental hygienist, licensed therapists, and a medical assistant. Although the school nurse and guidance counselors are not members of PCHC’s School Based Health Center staff, they work closely with the team to coordinate student referrals to the clinic and assist with follow-up as needed.
A link to the original Bangor Daily News article can be found here.


Title:Cauliflower ear and skin infections among wrestlers in Tehran Authors:Ramin Kordi, Mohammad Ali Mansournia, Roh Allah Nourian, W. Angus Wallace Summary:
Journal of Sports Science and Medicine (2007) 6(CSSI-2), 39-44
The purpose of the study was to describe the magnitude of the selected sports medicine problems (i.e. cauliflower ear and skin infections) among wrestlers in Tehran. A number of 411 wrestlers were randomly selected from restling clubs in Tehran employing cluster sample setting method. The participants were interviewed using a specially designed and validated questionnaire. Nearly half of the participants (44%) had "cauliflower ears". Only 23% of these participants had received any kind of treatment for their acute ear haematomas that are known to result in "cauliflower ears". The prevalence of reported hearing loss among participants with cauliflower ears (11.5%, 95%CI: 6.9 to 16.2) was significantly more than this prevalence among those participants without cauliflower ears (1.8%, 95%CI: 0.1 to 3.5) (p < 0.05). More than half of the participants (52%) had skin infection diagnosed by a physician during the previous year. This study has identified evidence of an increase in hearing loss as a possible side effect of either cauliflower ear or ear injury in wrestling in Iran. There has been an outbreak of ringworm
and there is a significant potential for an outbreak of impetigo among wrestlers in Tehran.


Ordering Repeat Prescriptions
Repeat Prescriptions may be ordered as follows:
- Patient access (24 hrs per day) – online via our website – ask reception for registration details. To use this service you will first need to get a log-in from the Practice. For security purposes this must be obtained by attending the Practice in person and producing identification
- Our Repeat Prescription Telephone No. is 02896 941594 available 8.30am -6.00pm
- By Letter – post your prescription request to us
All prescriptions, once authorised will be ready in 48 hours. Please bear in mind that requests for antibiotics and other one-off items must be approved by a doctor.
Hospital letters/urgent prescriptions will be processed on the same day if submitted before 12.00noon and will be ready for collection from 5.30 pm. Hospital letters /urgent prescriptions submitted after 12.00 noon will be ready 1.00pm the next working day.


Liver plays a major role in metabolism and participates in myriad functions in
the body, including glycogen storage, plasma protein synthesis, and
detoxification. The comprehensive mapping of liver proteome will augment our
understanding of its physiology, and provide further insights into its role in
various pathological conditions. This will in turn provide impetus to the
development of liver-specific therapeutics and diagnostics.
We report a large-scale analysis of mouse liver tissue comprising a novel fractionation approach and high accuracy mass spectrometry techniques resulting in confident identification of 2210 proteins.
This database accompanies the article:
Ring S., Kumar C., Zougman A., Zhang Y., Podtelejnikov A., Cox J., Wisniewski J.R., Mann M., Analysis of the Mouse Liver Proteome Using Advanced Mass Spectrometry, J Proteome Res. 2007 Aug. Apr 5 (2007)


Welcome to FortView Chiropractic Clinic!
FortView Chiropractic Clinic is a family oriented wellness center. We combine safe and gentle chiropractic care with a combination of soft tissue techniques, stretching exercise, nutritional guidance, and simple strengthening programs to achieve our primary goal:
- Reduce pain
- Improve range of motion and stability
- Improve joint function
- Restore normal posture
- Reduce muscle adhesions and scar tissue
Our goal is first to eliminate the source of pain and then begin to restore normal joint function to return you to the activities that you enjoy and prevent further injury in the future.
We welcome you as a patient and appreciate the opportunity to provide you with quality personalized chiropractic care. FortView Chiropractic Clinic is committed to providing safe and effective healthcare services for you and your family. To aid in stress reduction we offer a relaxing environment and strive to deliver competent, courteous, convenient and cost-effective care that gets results.
Dr. Rodriguez is a gentle, caring Austin chiropractor who offers the best of both worlds: convenience and affordability. We accept most insurance and PPO plans, as well as auto accidents. Our office is dedicated to helping you achieve your wellness objectives.
We are enthusiastic to continue serving the Austin Area. Call today to schedule and see how Dr. Alexia Rodriguez can help you become pain-free.
FortView Chiropractic Clinic is open during the following hours:
|Monday thru Thursday||9:00am - 1:00pm, 3:00pm - 6:00pm|
|Friday||9:00am - 1:00pm|
|Saturday and Sunday||Closed|


I bring together computer science and immunology to build data-driven medical diagnostics.
My team at Stanford is building a new type of medical diagnostic that reads your immune system's record of disease exposures to monitor for illness. It's based on DNA sequencing and machine learning.
I built the team during my computer science PhD program, where I'm advised by Anshul Kundaje and Scott Boyd and supported by fellowships from NSF and Stanford.
I've led engineering teams to launch and grow products to tens of thousands of users.
I worked as a product manager and software engineer at a unicorn medical technology startup, Butterfly Network. Our product made a complex clinical tool accessible to the masses, earning an Apple Design Award and SXSW Best of Show Award, and landing on the covers of the International New York Times and the Science Times.
Full-stack software engineering
Reading the immune system's records to diagnose disease
The clinical diagnostic toolkit makes little use of our built-in surveillance and defense system — but analyzing the immune system could unlock precision tracking for complex diseases that are hard to diagnose today.
The research team I built at Stanford develops machine learning algorithms to decipher how our immune system reacts to disease exposures. The way B cells and T cells reconfigure their collections of “pattern matching” receptors when we get sick can reveal what exactly we're sick with. Our recent proof of concept shows how this approach can reliably distinguish diseases and teach us about the biology.
2018 — 2019
I was the product manager responsible for Butterfly’s mobile ultrasound imaging software — determining what we build and how we build it. I reported directly to the head of product.
Butterfly iQ is the world’s first whole-body imager. iQ fits in your pocket, connects to your iPhone, and lets you see inside the body, for $2000 — a fraction of the price of a traditional ultrasound machine.
Butterfly’s mission is to make medical imaging more accessible, affordable, and intuitive. In the US, ultrasound is becoming a pillar of the physical examination. As for abroad, two thirds of the world has no access to even basic medical imaging. Handheld, simple-to-use ultrasound at a $2000 price point can help.
What makes Butterfly unique is that the piezoelectric crystals typically used in ultrasound have been replaced by custom-designed semiconductor chips, controlled entirely in software. Rather than swapping ultrasound probes to scan different parts of the body, a clinician scans with a single iQ probe and simply adjusts the scanning preset on their iPhone.
iQ is a medical device with the paradigms that make an iPhone app, an iPhone app. Connect your iQ and immediately start scanning. Swipe on the screen to adjust your image. Easily save to cloud storage and share with colleagues.
I was responsible for Butterfly’s iPhone and iPad software, which programs the iQ device, reconstructs images from ultrasound data, uploads captured images and videos to Butterfly secure cloud storage, and enables sharing and commenting for groups of physicians.
I managed the iQ software product from several months before launch to approximately one year after launch. I shipped:
- Core imaging features: the first Butterfly iQ app for iPhone and then for iPad; onboarding education revealed as the user learns the iQ scanning workflow; improved capture and annotation tools; and advanced imaging modes.
- Sales and marketing initiatives: a referral program that generated hundreds of thousands in revenue without a dime of incentives; safe deidentified image sharing; and the foundation for SaaS subscription management.
- Underlying infrastructure: speedy uploads, hardware-software compatibility, automatic diagnostic health checks, and lots and lots of usability refinements to get the iQ experience just right.
We won an Apple Design Award ("the Oscars of app development"), the SXSW Best of Show and Best in Health, Med, and Biotech awards, and other awards during my tenure.
Butterfly iQ was featured on the cover of the International New York Times, on the cover of the Science Times, and elsewhere.
I was also responsible for our software testing and release process along with my engineering partners, as we maintained a high-velocity release cadence, rare in medical devices.
Before I managed the core iQ product, my first assignment at Butterfly was to conceive of and build a way to empower non-ultrasound-trained clinicians with ultrasound insights for the first time, using telemedicine.
As a software engineer and product manager, I specced and built Butterfly Tele-Guidance, a green-field project combining ultrasound imaging with streaming video, computer vision, and augmented reality.
Imagine if any medical professional could unlock answers with ultrasound. Our technology emulates the feeling of an expert over your shoulder, guiding your hand as you scan. See press and footage from CES 2019.
Ultrasound is a game of millimeters. With Tele-Guidance, a novice scanner wouldn't need careful training to understand expert ultrasound terminology for maneuvering the probe. Instead, Tele-Guidance tracks the iQ probe’s position in the novice scanner’s iPhone camera feed. The remote expert can command precise adjustments in augmented reality, leading the novice scanner to the right image and insight.
Within my first 10 weeks, I built a fully functional iOS and web prototype to showcase at a national ultrasound trade show. Then I progressively refined the product through methodical user testing.
I worked as a solo engineer and product manager, with the help of a part-time product manager, pointers from several ultrasound software designers and engineers across the company, and guidance from the head of product and the chief medical officer.
Notable technologies used: Python, Typescript, React, WebRTC, Swift, SceneKit, Three.js, ArUco.
I ran the process to hire and onboard a tech lead to take over my day-to-day responsibilities, before I moved on to the core Butterfly iQ product.
Here's a recent jazz piano performance with my band at Stanford.


Mind-body fitness, a holistic approach to health, recognizes the intricate connection between physical and mental well-being. This paradigm emphasizes that the body and mind are not isolated entities but function collaboratively, influencing each other in a dynamic interplay. The integration of physical exercise with mental wellness practices has gained prominence, offering a comprehensive strategy for achieving optimal health and vitality.
Engaging in regular physical activity is a cornerstone of mind-body fitness. Exercise releases endorphins, the body’s natural mood enhancers, contributing to improved mood and reduced symptoms of stress and anxiety. Whether through cardiovascular activities, strength training, or mind-body disciplines like yoga and tai chi, physical exercise becomes a powerful tool for enhancing mental well-being by promoting the release of neurotransmitters that positively impact mood.
Mind-body exercises, such as yoga and Pilates, specifically focus on the connection between physical movement and mental awareness. These practices emphasize mindfulness, breath control, and intentional movement, fostering a deeper connection between the body and mind. Through poses, stretches, and controlled breathing, individuals experience not only physical benefits like increased flexibility and strength but also a heightened sense of mental clarity and relaxation.
Aerobic exercise, known for its cardiovascular benefits, also contributes significantly to mental health. Regular aerobic activity has been linked to improved cognitive function, memory, and reduced risk of age-related cognitive decline. The increased blood flow to the brain during exercise enhances neuroplasticity, the brain’s ability to adapt and form new connections, promoting cognitive resilience.
The impact of physical activity on stress reduction is paramount in the context of mind-body fitness. Stress, a common contributor to mental health challenges, can be mitigated through regular exercise. Physical activity reduces the levels of stress hormones, such as cortisol, and promotes a sense of accomplishment and control, empowering individuals to better manage the daily stressors that life presents.
Mind-body fitness extends beyond structured exercise routines to include relaxation techniques and stress management practices. Mindfulness meditation, for example, encourages individuals to cultivate a present-moment awareness, fostering mental resilience and reducing symptoms of anxiety and depression. Incorporating mindfulness into physical activity creates a synergy that amplifies the overall benefits for both the body and mind.
The mind-body connection is further emphasized through practices like biofeedback and progressive muscle relaxation. These techniques involve becoming attuned to the body’s responses to stress and learning to consciously influence physiological functions. By training the mind to influence physical processes, individuals gain greater control over stress responses, promoting a sense of calm and well-being.
Quality sleep, an essential component of overall health, is influenced by both physical activity and mental well-being. Engaging in regular exercise has been shown to improve sleep patterns, contributing to better cognitive function and emotional regulation. Conversely, addressing mental health concerns, such as anxiety or insomnia, positively impacts sleep quality, creating a cyclical relationship between mental wellness and restorative sleep.
In conclusion, mind-body fitness represents a holistic approach to health that recognizes the inseparable connection between physical and mental well-being. By integrating physical activity, mindfulness practices, and stress management techniques, individuals can harness the synergistic benefits of a comprehensive wellness strategy. This approach not only enhances physical fitness but also fosters mental resilience, emotional well-being, and an overall sense of vitality. Embracing mind-body fitness empowers individuals to cultivate a harmonious relationship between the body and mind, fostering a holistic state of health that transcends the boundaries of traditional fitness paradigms.


WOORIDUL SPINE CENTRE AT KING’S COLLEGE HOSPITAL LONDON IN DUBAI
WOORIDUL SPINE CENTRE (WSC) is a pioneer centre for spine surgeries, which was established in 1982 in Busan, Korea. It has 10 branches in Korea and has extended its service to the Middle East since 2011. WSC is a world leader in spearheading minimally invasive treatment techniques. Our surgeons are internationally renowned for their minimally invasive spine surgeries technique and its’ high rate of satisfaction.
WSC provides comprehensive treatment plans for the patients with spinal disorder, the team provides services for most spine conditions from diagnostic to therapeutic procedures. We also have a state-of-the-art physiotherapy department, which is cornerstone in managing spine diseases.
Guided by the world leaders in pioneering minimally-invasive treatment techniques, Wooridul Spine Centre provides patients with a complete spectrum of spine care solutions – from diagnostics and pain management through to advanced surgical techniques and physiotherapy.
We bring together the brightest minds in the diagnosis and management of spine disorders and back pain, ensuring that each patient receives a personalized treatment plan for optimal results. Our holistic approach, from the initial diagnosis all the way through to post-treatment rehabilitation, ensures we provide meticulous levels of care.
Wooridul Spine Centre is a partnership between Mubadala Health and South Korea's Wooridul Spine Hospital and is wholly owned by Mubadala. Its goal is to bring leading-edge spinal care to the United Arab Emirates in order to address the region's high prevalence of spinal problems and to reduce the need for patients to travel abroad for specialized treatments.
Spine surgeries carried out at Healthpoint are performed by renowned South Korean spine surgeons who are pioneers in minimally-invasive spinal surgery, utilizing endoscopic and microscopic laser technology to effectively treat disorders of the spinal disc. These techniques reduce surgical damage to muscle and tissue, resulting in shorter hospital stays, almost no bleeding, minimal scarring, and above all, a speedy recovery. As a boutique style hospital, we also provide unrivalled levels of comfort with luxury private rooms, valet parking, concierge services and a personal touch, making your stay with us as pleasant as possible.


In the realm of infectious disease, antibiotic resistance is a real and ever increasing concern across the entire healthcare industry. This is also true for ocular infections. With bacterial conjunctivitis being the second most common cause (versus viral conjunctivitis), diligent epidemiology and surveillance monitoring brings valued insight to us all. Eurofins Central Laboratory is proud to have provided analytical services (microbiological species confirmation and antibiotic resistance profile determination) to one of the only two nationwide multi-center surveillance studies (Antibiotic Resistance Monitoring in Ocular Microorganisms - ARMOR) ever undertaken in this indication. Article can be downloaded here.
Species identification was provided for Staphylococcus aureus, Coagulase-negative staphylococci (CoNS), Streptococcus pneumoniae, Pseudomonas aeruginosa and Haemophilius influenza. Antibiotic resistance profile determination was provided for fluoroquinolones (ciprofloxacin, moxifloxacin, gatifloxacin, besifloxacin, levofloxacin and ofloxacin), macrolides (azithromycin), aminoglycosides (tobramycin), lincosamides (clindamycin), penicillins (oxacillin and/or penicillin), dihydrofolate reductase inhibitors (trimethoprim), polypeptides (polymyxin B), amphenicols (chloramphenicol), tetracyclines (tetracycline) and glycopeptides (vancomycin).
Eurofins Central Laboratory is one of the six divisions within Eurofins BioPharma Services (Early Development, Bioanalytical, Genomics, Virology/Immunology, Oncology/Pathology, Central Laboratory) that provides true end-to-end analytical services for your clinical trial development needs.
If your passion and professional dedication is within the Infectious Disease category, and/or Ophthalmology, we look forward to the opportunity to support your advancements in this critical indication. Please reach out to us here and we can begin the conversation.
Asbell PA, DeCory HH (2018) Antibiotic resistance among bacterial conjuctival pathogens collected in the Antibiotic Resistance Monitoring in Ocular Microorganisms (ARMOR) surveillance study. PLoS ONE 13(10): e0205814. https://doi.org/10.1371/journal.pone.0205814
Link to CC license:
No revisions have been made to the original article.


Doctor’s Smock & Lab Coat Rental
Since 1938, CLEAN has set the industry standard for uniform rental and laundry services. We exist to help you and your employees put your best foot forward. Through our top-of-the-line laundry facility and highest quality lab coat selection, numerous customers have trusted our expertise. Whether you work in a doctor’s office, small hospital, surgery center, or other medical facility, you can rely on us to provide unmatched, personalized services.
Custom Lab Coat Rental Program
In the medical and healthcare sector, patient trust is of utmost importance. Begin laying the foundation for a mutually beneficial medical professional/patient relationship through a lab coat rental program built just for you. When you choose CLEAN to implement your lab coat and doctor’s smock rental program, our knowledgeable team will conduct an on-site visit to assess your needs. From there, we’ll create a budget-friendly, 100% customized program specifically tailored to you.
We partner with highly respected healthcare textile manufacturers to provide lab coats that are hygienic, safe, and professional. If you’re seeking to increase your employees’ dependability, look no further than CLEAN’s vast selection of lab coats.
HLAC-Accredited Lab Coat Laundry Services
Our St. Louis healthcare laundry facilities are accredited by the Healthcare Linens Accreditation Council. Therefore, a third-party has deemed that CLEAN’s healthcare laundry processes adhere to the rigorous standards of the industry. Our laundry services cover the complete cycle of your lab coats, from handling and transporting to laundering and finishing, with excellent customer service. Plus, you’ll never have to question where your lab coats are throughout the cycle when using our online tracking system.
Each garment that is laundered at our HLAC-accredited facility receives the following treatment to ensure clean and reusable textiles:
- An antimicrobial wash cycle that removes both stains and dangerous microbes from garments
- The industry’s first registered oxygen bleach sanitizer, AdvaCare 120, that kills 99.9% of microbes and is EPA (Environmental Protection Agency) certified against many kinds of viruses
- A separate treatment that ensures each garment is properly cleaned, inspected, packaged, and compliant with strict medical standards
Our technology-empowered tracking system ensures the complete delivery of each garment. You can count on the CLEAN solution for high-quality uniforms and superior customer service, which saves you both time and money.
Personalized Doctor’s Smock & Lab Coat Options
Custom lab coats featuring your name, title, and logo improve trust, professionalism, and credibility. Our vast collection of doctor’s smocks and lab coats can be further tailored to suit you through embroidery, screen printing, emblems, and dye sublimation. With numerous styles and colors available in our catalog, the options are near endless to create a uniform that is truly your own.
Receive a Free Cost Analysis Now
CLEAN is your go-to provider for lab coat and doctor’s smock rental and laundry programs. Our HLAC accreditation and sustainability promises support our desire to make each customer love us. We strive to provide the highest quality, budget-friendly products and services in addition to unmatched customer service. When creating your personalized plan, we put your needs first, so you receive programs that save you time and energy. Contact us today for a free cost analysis!


ABHES - Accrediting Bureau of Health Education Schools.
PSI is institutionally accredited by ABHES as an allied health educational institution. ABHES approved PSI to confer Associate of Applied Science Degrees and program Diplomas. http://scr.ohio.gov/
Ohio State Board of Career Colleges and Schools
PSI has been granted state approval to confer the Associate of Applied Science Degrees and program Diplomas. http://scr.ohio.gov/
Physical Therapist Assistant program at Professional Skills Institute is accredited by the Commission on Accreditation of Physical Therapy Education (CAPTE). 1111 North Fairfax Street, Alexandria, Virginia 22314; telephone 703-706-3245; email: firstname.lastname@example.org; website: http://www.capteonline.org.
Nursing - The Practical Nurse program at PSI has full approval by the Ohio Board of Nursing through July 2018.
Medical Assisting - PSI's Medical Assisting program is accredited by the Accrediting Bureau of Health Education Schools (ABHES), 7777 Leesburg Pike, Suite 314 N, Falls Church, VA 22043; telephone 703-917-9503; website: http://www.abhes.org.
Graduates of PSI's Medical Assisting Program are qualified to take:
- RMA - Registered Medical Assistant through (AMT), American Medical Technologists.
- CMA - Certified Medical Assistant through (CAAHEP), Commission on Accreditation of Allied Health Education Programs.
Graduates of PSI's Practical Nurse Program are qualified to take:
Graduates of PSI's Physical Therapist Assistant Program are qualified to take:
- NPTE:PTA - National Physical Therapy Exam through the Federation of State Boards of Physical Therapy.
Graduates of PSI's Pharmacy Technician Program are qualified to take:
- ExCPT - Exam for the Certification of Pharmacy Technicians through the National Health Career Association
- PTCE - Pharmacy Technician Certification Exam through the National Pharmacy Technician Association
Graduates of PSI's Medical Billing and Coding Specialist Program are qualified to take:
- CBCS - Certified Billing and Coding Specialist Exam through the National HealthCareer Association.


couvade n : a custom among some peoples whereby the husband of a pregnant wife is put to bed at the time of bearing the child
The term couvade is derived from the early French word (Couver "to hatch") and originally referred to the medieval Basque custom in which the father, during or immediately after the birth of a child, took to bed, complained of having labour pains, and was accorded the treatment usually shown women during pregnancy or after childbirth. The medical term for this condition is sympathetic pregnancy.
Couvade "involves a father experiencing some of the behavior of his wife at near the time of childbirth, including her birth pains, postpartum seclusion, food restrictions, and sex taboos" (Counihan, p.69).
Western medicine has tended to see the couvade as a medical syndrome or pathology.
SymptomsCouvade is a common but poorly understood phenomenon whereby the expectant father experiences apparently physical symptoms during the pregnancy for which there is no recognized physiological basis. Symptoms commonly include indigestion, increased or decreased appetite, weight gain, diarrhea or constipation, headache, and toothache... Couvade has been seen as an expression of somatized anxiety, pseudo-sibling rivalry, identification with the fetus, ambivalence about fatherhood, a statement of paternity, or parturition envy. It is likely that the dynamics of couvade may vary between individuals and may be multidetermined (Klein, 1991).
In some extreme cases, fathers can grow a belly similar to a 7 month pregnant woman and gain approximately 25 to 30 pounds ("phantom pregnancy"). Other symptoms include and are not limited to developed cravings, suffered nausea, breast augmentation, and insomnia.
In "Psycho-Evolutionary" theory, it is thought that couvade is a way to minimize sexual differences in the pregnancy and birthing experience. The couvade may also be a way to establish the father's role in the child's life and to give balance to the gender roles. Couvade is more common where sex roles are flexible and the female is of a dominant status .
CausesStudies have shown that the male partner cohabitating with a pregnant female will experience hormonal shifts in his prolactin, cortisol, estradiol and testosterone levels; typically starting at the end of the first trimester and continuing through several weeks post-partum. Various explanations of how and why this occurs have been given, including an interaction of factors (some of which are little-researched) such as pheromones, circadian rhythms, simple stress, and mitogenetics.
Couvade has been reported by travelers throughout history, including the Greek geographer Strabo and the Venetian traveler Marco Polo. It has been observed and studied by anthropologists in modern times and is often seen in tribal societies. In some indigenous societies, "sympathetic pregnancy" is attributed to demons or spirits inflicting the symptoms in an attempt to cause problems for the family.
Currently, scientists are at a loss to whether or not Couvade syndrome should be considered psychosomatic, as the syndrome is brought on by a psychological effect (i.e.) the pregnancy of the wife, but was formerly considered a form of Munchausen syndrome. Formerly a number of elaborate psychological explanations were given for it, but today the general medical thought is shifting to a more physical explanation based on hormones.
Some studies report that nosebleeds are sometimes a symptom, indicating that it cannot be totally psychosomatic, as nosebleeds are a symptom caused primarily by mechanical means (e.g. atmospheric conditions) or by the thinning of the wall of the nose. Furthermore, the Couvade phenomenon seems to exist everywhere, and the syndrome does not appear in other, psychologically similar stress situations. In many cases the symptoms appear before the husband is even consciously aware of the wife's pregnancy.
Author Gordon Churchwell has written extensively on the hormonal explanation for the phenomena.
- Klein, H. Couvade syndrome: male counterpart to pregnancy. Int J Psychiatry Med, 21: 1, 1991, 57-69.
- Counihan, Carole. The Anthropology of Food and Body: Gender, Meaning, and Power. New York: Routledge, 1999.
couvade in German: Männerkindbett
couvade in Spanish: Covada
couvade in French: Couvade
couvade in Hebrew: תסמונת קובאד
couvade in Croatian: Kuvada
couvade in Dutch: Couvade
couvade in Polish: Kuwada
couvade in Portuguese: Couvade
couvade in Chinese: 苦娃達


Ningún país ha llegado a ser desarrollado sin potenciar su Investigación y Desarrollo
Investigación en Uveítis y Retina
El desarrollo científico se basa en la constante búsqueda de respuestas y soluciones frente a los problemas que nos vemos enfrentados día a día. La investigación es la herramienta para este fin. La investigación crea y modela el conocimiento.
En Uveitis Network buscamos respuesta basadas en el método científico para poder ofrecer lo mejor de la medicina a nuestros pacientes. Esto nos permite perfeccionar nuestro diagnóstico, tratamiento y así mejorar el pronóstico de estas enfermedades.
En esta sección encontrarán algunos de los estudios que hemos realizado o participado.
New Pharmacological Strategies for the Treatment of Non-Infectious Uveitis. A Minireview
Non-infectious uveitis (NIU) is a group of disorders characterized by intraocular inflammation at different levels of the eye. NIU is a leading cause of irreversible blindness in working-age population in the developed world. The goal of uveitis treatment is to control inflammation, prevent recurrences, and preserve vision, as well as minimize the adverse effects of medications. Currently, the standard of care for NIU includes the administration of corticosteroids (CS) as first-line agents, but in some cases a more aggressive therapy is required. This includes synthetic immunosuppressants, such as antimetabolites (methotrexate, mycophenolate mofetil, and azathioprine), calcineurinic inhibitors (cyclosporine, tacrolimus), and alkylating agents (cyclophosphamide, chlorambucil). In those patients who become intolerant or refractory to CS and conventional immunosuppressive treatment, biologic agents have arisen as an effective therapy. Among the most evaluated treatments, TNF-α inhibitors, IL blockers, and anti-CD20 therapy have emerged. In this regard, anti-TNF agents (infliximab and adalimumab) have shown the strongest results in terms of favorable outcomes. In this review, we discuss latest evidence concerning to the effectiveness of biologic therapy, and present new therapeutic approaches directed against immune components as potential novel therapies for NIU.
Publicado en Frontiers in Pharmacology, mayo 2020.
Glucocorticoid Receptor-α and MKP-1 as Candidate Biomarkers for Treatment Response and Disease Activity in Vogt-Koyanagi-Harada Disease
Purpose: To investigate the potential of utilizing the expression of genes for glucocorticoid receptor (GR) and mitogen-activated protein kinase phosphatase-1 (MKP-1) as biomarkers of corticosteroid (CS) refractoriness and disease activity in patients with Vogt-Koyanagi-Harada (VKH) disease.
Design: Prospective cohort study.
Methods: Twenty VKH patients receiving their first cycle of CS treatment in the absence of additional systemic immunosuppressive therapy and a control group of fifteen healthy volunteers were recruited from the University of Chile (Santiago, Chile) and US National Institutes of Health (Bethesda, United States). Intraocular inflammation was clinically quantified at enrolment and all follow-up visits. CS refractoriness was defined as an ocular reactivation of VKH upon CS withdrawal at a daily oral prednisone dose of 10 mg or more. Quantitative Reverse transcription polymerase chain reaction (qRT-PCR) was performed to measure the mRNA levels of the alpha (α) and beta (β) isoforms of GR and MKP-1 in peripheral blood mononuclear cells (PBMC) after in vitro stimulation with either anti-CD3/anti-CD28 antibodies, lipopolysaccharide (LPS), or phytohemagglutinin (PHA), in the presence or absence of dexamethasone (Dex).
Results: After 6 hours of stimulation in the presence of Dex, PBMC from CS-refractory VKH patients had an impaired elevation in GRα expression (P = .03). Furthermore, inactive patients showed a significant Dex-induced upregulation of MKP-1 (P = .005).
Conclusions: In this pilot study, the expression of GR isoforms and MKP-1 corresponded with patients’ clinical response to systemic CS treatment and disease activity, respectively. Hence, these candidate biomarkers have potential clinical utility in the early identification of CS refractoriness and subclinical inflammation in patients with VKH disease.
Publicado en American Journal of Ophthalmology. Am J Ophthalmol. 2019 Nov;207:319-325.
Isolated conjunctival granuloma as a first manifestation of Parinaud's oculoglandular syndrome: A case report
Purpose: Parinaud’s oculo-glandular syndrome (POGS) is the most frequent manifestation of ocular bartonellosis, and usually presents with local lymphadenopathies and systemic symptoms. We present a case of isolated conjunctival granuloma as the sole manifestation of ocular bartonellosis.
Observations: A 67-year-old female presented to the authors’ eye clinic with complaints of a 2-week history of unilateral red eye and chemosis. Slit lamp examination revealed an isolated bulbar conjunctival granuloma. The remainder of the eye examination was unremarkable. Topical treatment with gatifloxacin and prednisolone acetate was started. Etiological work-up was performed. General laboratory tests revealed only a mild leukocytosis, and interferon gamma-release assay and chest computed tomography were normal. Serological testing for Bartonella henselae was positive at titers of 1:1024. Three weeks after initial symptoms, lymphadenopathies, malaise, and fever appeared. Systemic azithromycin was added, which resulted in complete regression of the disease.
Conclusion and importance: Conjunctival granulomas present a wide range of differential diagnoses to the practitioner. Ocular bartonellosis is a relevant cause of conjunctival granuloma. POGS should be suspected in cases of conjunctival granulomata non-responsive to local therapy. It is important to consider that other agents to treat POGS have been described and are available, and that appropriate serological tests should be performed.
Publicado en American Journal of Ophthalmology Case Reports. Am J Ophthalmol Case Rep. 2019 Feb 23;14:58-60.
Uveítis asociada a terapia contra melanoma de piel
Propósito: Describir el cuadro clínico y evolución de uveítis secundarias drogas para el tratamiento de melanoma cutáneo metastásico (MCM)
Método: Descripción de 5 casos, evaluados en 2 centros.
Resultados: Primer caso, paciente varón de 45 años que consulta por dolor y baja visión bilateral. Usuario de Vemurafenib durante los últimos 16 meses. Al examen destaca una agudeza visual (AV) de 1.0 OU, celularidad moderada en cámara anterior, snowballs y envainamiento vascular retina periférico. El estudio etiológico fue negativo.
Segundo caso: Mujer de 34 años que consulta por cuadro de inflamación intensa en cámara anterior, asociado a lesiones redondas e hipopigmentadas retinales. Su AV era de OD:0,3 y OI: 0,5. Además con vitíligo en tronco y abdomen. En tratamiento actual de Vemurafenib y previo de Ipilimumab y Nivolumab por melanoma de piel.
Tercer caso: Varón de 52 años que consulta por baja de visión bilateral y ojo rojo, en tratamiento con Dabrafenib y Trametinib desde hace 5 meses por un MCM. Al examen físico destacaba una AV de 1.0 bilateral y solo celularidad anterior, con un fondo de ojos normal.
Cuarto caso: Mujer de 61 años con MCM en tratamiento con Trametinib y Dabrafenib, derivada por pérdida visual bilateral. Su examen arroja una paunuveitis bilateral, papilitis, desprendimientos serosos extensos de retina y AV de cuenta dedos OU. Un completo estudio etiológico fue también negativo.
Quinto caso: Varón de 52 años con diagnóstico de MCM que consultó por baja abrupta de visión bilateral. Tratado con Vemurafenib por 4 meses y posteriormente con Dabrafenib y Trametinib por 3 meses hasta el momento de la consulta. Al examen, su AV era de OD: 0,9 y OI 1,0. El segmento anterior estaba sano, pero al fondo de ojos presentaba un desprendimiento de retina bilateral, con líquido intraretinal, asociado a lesiones hipopigmentadas en forma de gusanos a nivel retinal.
Los 3 primeros casos, recibieron corticoides tópicos con buena respuesta, sin suspender su tratamiento de base. El 4º caso requirió metilprednisolona y Micofenolato para el control de la inflamación. El último paciente, no continuó en seguimiento por el pésimo pronóstico vital.
Conclusiones: Las uveítis asociadas al tratamiento del MCM son una nueva entidad reconocida recientemente. El oftalmólogo debe tenerlas presentes al momento del diagnóstico diferencial.
Presentado en el XXVI Congreso Chileno de Oftalmología. Viña del Mar, Chile. 2018.
Biologic therapy in non-infectious inflammatory eye diseases: Experience in a group of Chilean patients
Purpose: To describe the use of biologic therapy in a group of Chilean patients with non-infectious uveitis or scleritis, focusing on inflammation, visual acuity, adverse effects and associated therapies.
Methods: Retrospective, cross sectional, observational study. Medical records of patients with non-infectious uveitis and/or scleritis and biologic therapy were reviewed at 2 medical centres. Demographic data, degree of inflammation during follow-up, drugs used and complications were recorded in an Excel database and analysed using Stata®12 software.
Results: We found 41 patients with uveitis or scleritis and biologic treatment. The average age was 15 years at diagnosis (1.5-64). The most frequent aetiology of the inflammation was JIA-associated anterior uveitis. Adalimumab was the main drug used. In the subgroup of patients with ophthalmic indication of biologic therapy and a minimum follow-up of 1 year (1 to 5.6 years, 25 patients), we found a complete control of the inflammation in 72%, 84% and 92% at 3, 6 and 12 months, respectively. 44% had flares-up during follow-up (average 2.8 reactivations per-patient). In 6 patients the treatment was discontinued after 25 months (14-34) of quiescence, occurring reactivations in all but one.
Severe complications seen during treatment were one Varicella Zoster infection, one patient with Leukoencephalopathy, one with pustular psoriasis and one with a non-Hodgkin lymphoma.
Conclusions: Biologic treatment is effective in treating uveitis and scleritis in patients where conventional immunosuppressive drugs have failed. However, despite this high effectiveness, the withdrawal of treatment usually entails a reactivation of the disease and it is not exempted from complications.
Presentado en el 14th Congress of the International Ocular Inflammation Society (IOIS) and the 4th International Assembly of Ocular Inflammation Societies . Laussane, Switzerland. 18-21 october, 2017
Diabetes Mellitus-Associated Uveitis: Clinical Features in a Chilean Series
Purpose: To describe clinical features of patients with diabetes mellitus-associated uveitis (DMAU).
Methods: Retrospective analysis of clinical records of patients with uveitis and diabetes mellitus (DM) presented in an uveitis referral centre in Chile. Demographic data, comorbidities, complete ophthalmic examination, and treatments were analyzed.
Results: We found 72 patients with uveitis and DM: 16 with DMAU and poorly regulated DM (22%), 15 with DMAU and well-controlled DM (21%), and 41 with uveitis due to established other causes than DM (57%). Patients with DMAU in poorly regulated diabetes, presented inflammation of 3-4+ cells in 33%, a fibrinous reaction in 28%, hypopyon in 17% and posterior synechiae in 83%, compared with 5%, 0%, 0%, and 50% in the group with well-controlled DM, respectively (p < 0.05). Most DMAU patients responded well to topical or periocular steroids.
Conclusion: Patients with DMAU with poorly regulated DM present a more severe inflammation compared with patients with DMAU with well-controlled DM.
Publicado en Ocular Immunology and Inflammation. Ocul Immunol Inflamm. 2019 Feb 27;1-4
Clinical Features and Prognostic Factors in Presumed Ocular Tuberculosis
Purpose: To characterize the clinical features in patients with presumed ocular tuberculosis (TB) and determine prognostic factors of visual outcomes and complications in this disease.
Material and methods: Retrospective case series of 35 patients (29 females, 6 males) with presumed ocular TB from referral centers in Chile and Spain between 2002 and 2012. Medical records were reviewed, and data regarding clinical features, complications, best-corrected visual acuity (BCVA), duration of disease, extraocular manifestations, and therapy were retrieved. Prognostic factors for low vision (BCVA 20/50 or less), legal blindness (BCVA 20/200 or less), and complications (cataract, glaucoma, and macular lesion) were evaluated. To calculate correlations, we used Spearman’s rank correlation test. To determine clinical predictors, we used the binary logistic regression test.
Results: Anterior and non-granulomatous uveitis was the most common types of inflammation. Only 2 (5.7%) patients had respiratory symptoms, and 6 (17.1%) patients had an abnormal chest X-ray at diagnosis. All patients received combined antitubercular therapy with a mean duration of 6.9 ± 2.3 months. A longer duration of symptoms at diagnosis was associated with both low vision and legal blindness. Older patients had a higher risk of legal blindness. A longer duration of symptoms as well as anterior inflammation demonstrated an increased risk for cataract formation. The duration of the symptoms and baseline BCVA had a positive correlation with the final BCVA. Prognostic factors of macular lesions were not found.
Conclusions: The diagnosis of ocular TB can be difficult due to the lack of extraocular manifestations and the broad spectrum of ocular features. A longer duration of symptoms at diagnosis was associated with poorer visual outcomes and cataracts. Therefore, efforts should be made to avoid a delay in the diagnosis of ocular TB and to identify prognostic factors for visual outcomes and complications.
Publicado en Current Eye Research. Curr Eye Res. 2017 Jul;42(7):1029-1034.
Evaluation of the Accuracy of T-SPOT.TB for the Diagnosis of Ocular Tuberculosis in a BCG-vaccinated, Non-endemic Population
Purpose: To determine the performance of T-SPOT.TB, an interferon gamma release assay test, in patients with ocular tuberculosis (TB) in a BCG-vaccinated, non-endemic population.
Methods: We employed a nested case-control design. In total, 45 subjects were enrolled (23 patients with ocular tuberculosis and 22 patients with other causes of uveitis). A blood sample was collected from each subject, and T-SPOT.TB was executed. Laboratory professionals were blinded to the disease status of each subject.
Results: Five patients were excluded because of indeterminate results. The calculated sensitivity and specificity were 0.80 and 0.85, respectively. The positive likelihood ratio was 5.33 and the negative likelihood ratio was 0.23. The overall accuracy of the test was 0.83.
Conclusions: T-SPOT.TB adequately diagnosed ocular TB. This technique is particularly useful in populations where BCG vaccinations are still mandatory.
cataracts. Therefore, efforts should be made to avoid a delay in the diagnosis of ocular TB and to identify prognostic factors for visual outcomes and complications.
Publicado en Ocular Immunology and Inflammation. Ocul Immunol Inflamm. 2017 Aug;25(4):455-459.
Earlier immunomodulatory treatment is associated with better visual outcomes in a subset of patients with Vogt-Koyanagi-Harada disease
Purpose: To evaluate clinical outcomes of first-line immunomodulatory therapy (IMT) and prednisone alone or late IMT in Vogt-Koyanagi-Harada disease.
Methods: Retrospective cohort study of 152 patients with Vogt-Koyanagi-Harada disease evaluated in a referral uveitis clinic in Chile from 1985 to 2011. Medical records of these patients were reviewed. Demographic data, clinical evaluation, type of treatment, functional outcomes, glucocorticoid (GC) dose and complications were recorded. Multivariate logistic regression was used to identify prognostic factors of poor response to GC.
Results: There were no significant differences between first-line IMT group and prednisone alone/late IMT group in terms of visual acuity (VA) improvement, complications and GC sparing effect. There was a trend for a higher frequency of systemic adverse effects leading to discontinuation of treatment in patients receiving IMT than in those receiving prednisone (14.6% and 6.5%, respectively). The subgroup of patients with poor response to GC who showed functional improvement had a significantly earlier time to IMT initiation than the patients who had no improvement. We identified following prognostic factors of poor response to GC: VA ≤ 20/200, fundus depigmentation, chronic disease and tinnitus at diagnosis. Patients with a prognostic factor (excluding tinnitus) and VA improvement had an earlier IMT initiation than those who had worse functional outcome.
Conclusion: There were no differences in outcomes between first-line IMT and prednisone alone/late IMT in the entire VKH group. However, in a subset of patients, there was a significant better functional outcome with earlier IMT initiation.
Publicado en Acta Ophthalmologica. Acta Ophthalmol. 2015: 93: e475–e480.


You want to have the best when it comes to dentistry, and that’s exactly what you should get. You undoubtedly are even more concerned with ensuring that your child is benefiting from what a top dental office has to offer. Well, here at Bayside Dental Group, you can get it all under one roof. Our dental care for all ages is not just a slogan, but something we are fully committed to. You’ll feel confident in bringing in every member of your household for routine checkups and needed treatments.
It’s all well and good to take patients in all age groups, but that isn’t of much value unless each person’s individual needs and preferences are taken into account. Dental care is not one size fits all, not should it be. Our Fresh Meadows family dentist personalizes the experience of each and every patient. At the top of the list of priorities is a full examination and teeth cleaning every six months. This is the same for kids as it is for teens, adults, and senior patients. For children, even greater patience and gentle care is taken to ensure that his or her visits are pleasant and comfortable. These earliest sessions will form the basis of how your child thinks about our Fresh Meadows family dentist, and all dentists throughout her or his life. Our office takes that responsibility seriously. Of course, some of our services, like digital x-rays, are meant to be a positive feature for everyone, regardless of how old or young. There is far less exposure to radiation, and that’s always a good thing.
Why not reach out to our office right now and book an appointment to come in, or to bring in your child? Our Fresh Meadows family dentist is looking forward to being the one you turn to for all the oral wellness needs in your household.


The Registered Nurses’ Foundation of Ontario (RNFOO) is delighted to invite applications for the RNFOO Scholarship Program. Only those who are registered as nurse or nursing students in Ontario are welcome to apply. Total value of the scholarship is $80,000.
The Registered Nurses’ Foundation of Ontario (RNFOO) is a charitable organization that provides financial support for Registered Nurses and nursing students in Ontario to further their educational studies, conduct nursing and health care research, and support community health initiatives.
60 awards available, with a total value of more than $80,000.
Level and Area of Studies
RNFOO Scholarships are available for study at the certificate, undergraduate and graduate levels in nursing field.
Place of Study
The program will be taken in Canada.
Eligibility and Criteria
This RNFOO Nursing Scholarship is exclusively open to any individuals registered nurses in Ontario, Canada.
The Canadian students are welcome to apply.
Applications for RNFOO Awards and Scholarships must be submitted on-line through the RNFOO website: www.rnfoo.org
15 December 2018.


It has been well documented how the combination of driving and intoxication can be deadly. Each year, over 10,000 lives are lost in accidents related to drunken driving. In 2016 alone, that number was 10,497. According to AAA, while 66% of drivers believe driving under the influence of alcohol is a serious threat, only 28% of drivers feel the same way about driving under the influence of prescription drugs. Despite that low level of awareness, 46.5% of all fatal accidents that involve drug use are related to prescription medication.
Substances Commonly Found in Drugged Drivers
Every drug, whether illegal or prescribed by a doctor, can have different effects on different people. Some drivers will react more than others. But there are a few drugs that are found to present in a large number of motor vehicle accidents.
Marijuana may be legal to possess in small amounts in Washington, but it is still illegal to drive under the influence of it. Pot can have a negative effect on reaction time, the perception of time and distance, as well as judgment. Marijuana can also exacerbate the effects of other substances like alcohol, and even lead to hallucinations when combined with drugs like opiates. Alarmingly, fatal crashes involving drivers who had used marijuana recently doubled in Washington State. According to a 2016 AAA study, in 2014 one out of every six drivers involved in a fatal crash had used marijuana recently.
Drugs That Sedate
Drugs that can sedate you – namely sedatives and tranquilizers – are some of the most frequently cited for causing impairment in drivers. This group includes Opioids like morphine, tranquilizers normally used to treat anxiety, and prescription sleep aids. When sedated, you may feel drowsy, unresponsive, and develop slow response time behind the wheel. Benzodiazepines and opiates, both drugs that may sedate you, are the two prescription drugs most frequently found in drivers involved in fatal accidents.
Drugs That Overstimulate
The word “stimulant” might lead you to believe these types of drugs can increase your awareness or reaction time. However, when overstimulated there is an increased risk that you could drive aggressively or carelessly. Amphetamines are the most common type of drug in this group. Amphetamines are used to treat an array of issues including ADHD and narcolepsy. Prescription diet pills are another example of drugs that might overstimulate you. These pills are designed to increase metabolism but can lead to insomnia as well as overstimulation.
Avoiding Drug DUIs
While it's true that proving a drug-related DUI is tricky, that doesn't mean you can't be arrested for one based on little more than a police officer's suspicion. The best route to avoiding a drug-related DUI is to talk to your doctor and avoid driving on medication that could affect your ability to drive safely. However, if you have been arrested for a drug-related DUI in the Seattle area, Attorney Steve Karimi is ready to help you defend yourself in court. Contact the Law Offices of Steve Karimi today for a free consultation.


Hispañola Health Partners is a Summit County based Non Profit committed to improving health care services in the Dominican Republic and Haiti. Businesses all over Summit County have contributed to food programs, sports camps and medical operatives that have impacted thousands of lives.
Hispañola Health Partners was started by a group of Americans with the passion to help people. This passion brought all of the founders to the Island of Hispañola (Dominican Republic/Haiti) in one way or another. Some of them were working in clinics and performing cervical cancer screenings, others were running full time medical clinics and K-8 schools, while others were creating sports camps and providing yoga therapy to beaten women. Once they discovered the village of Marre-Joffrey, Haiti and saw how poor the medical care was in the area, they knew they needed to do something. They met with local community groups, Haitian government officials, local doctors, nurses, community leaders and non-profits to see if a clinic in Marre-Joffrey would be feasible. Once they found out that such an endeavor in the area could be made into a reality, they came back to the States and created Hispañola Health Partners, with a simple motto: Love People!


Calgary Scientific is dedicated to providing advanced web, mobility, and multi-party collaboration enablement platform technology, as well as advanced visualization solutions to industries looking for secure access and use of their data or graphics intensive applications, while using their existing systems. All of these products demonstrate a leading edge web and mobile enablement capability made possible with the unique power of PureWeb<sup>®</sup>. Calgary Scientific is the premier leader and provider of truly accessible, advanced visualization solutions, in the medical imaging market, as well as the industry leaders in advanced web, mobility, cloud and collaboration enablement technologies. Calgary Scientific’s advanced medical imaging software ResolutionMD™ seeks to so save time and streamline workflow for medical professionals by providing an innovative combination of advanced imaging, reporting and results analysis through standard web technologies and on mobile devices. ResolutionMD™ exceeds workstation solutions by providing versatile 2D, 3D and MIP/MPR viewing and analysis of CT and MR imaging for cardiac and vascular medicine. ResolutionMD™ leverages the PureWeb® platform to provide a secure, centrally managed solution that easily integrates into existing PACS infrastructure and eliminates migration costs of moving to a new distribution system.
For more information about Calgary Scientific visit their website.


If you’re insecure about your smile, cosmetic dental work can significantly improve its appearance. We offer several simple cosmetic dentistry procedures with gorgeous, natural-looking outcomes.
Discover the ways that cosmetic dentistry can improve your smile and boost your confidence. Call us today!
Cosmetic Dentistry FAQ’s
What is cosmetic dentistry?
Cosmetic dentistry is the discipline of dental work that primarily focuses on your smile’s appearance.
While many cosmetic dental procedures also benefit your oral health or functioning by arranging its positioning, the most noticeable change for you is usually how much better your smile looks.
Our team will examine your teeth and ask about your most pressing appearance concerns. Even procedures that seem small can make a huge difference in the way your smile looks and give you a significant boost in confidence.
What imperfections in my smile can cosmetic dentistry fix?
With today’s ever-expanding list of techniques and technologies, dentists have the ability to fix nearly any imperfection that you can identify in your smile. At Fox Dental, the team can guide you to cosmetic treatments that:
- Align your teeth
- Align your jaw
- Whiten your teeth
- Change the shape of your teeth
- Change the size of your teeth
- Fill in gaps
- Cover or repair tooth damage
Many cosmetic alignments and damage-correcting dental procedures also help you eat comfortably and speak with clarity. After you complete your cosmetic dentistry plan, you’ll enjoy a straighter, brighter smile that you’re proud to show off.
What cosmetic dentistry procedures are available?
We offer a lengthy menu that includes many popular and effective cosmetic dentistry treatments and procedures. A few examples are:
Veneers are thin shells that cover the front of your tooth to change its outward appearance. They can adjust the color, shape, or size of your tooth or cover up the damage.
Crowns, also called caps, are custom appliances made in the shape of the tooth and is then placed over an entire tooth. While they can protect your teeth from damage or decay, they can also improve a tooth’s appearance.
Implants are screw-like appliances that fit into your jawbone. They hold in artificial teeth to restore a full smile permanently.
ClearCorrect is a teeth-alignment system that can straighten your teeth into a more aesthetically pleasing position without using bulky metal attachments or wires.
Either in the office or with a take-home whitening tray, you can bleach the color of your teeth for a bright white shine.
To explore your potential for a perfect-looking smile, call us to book your consultation today.


Your dental office is the physical manifestation of your practice's philosophy, and its design directly influences patient perception. While standards of hygiene and expertise remain the foundation of patient trust, creating a luxurious and comfortable environment can significantly enhance the overall patient experience. The inclusion of luxury furniture in your dental clinic is not just about aesthetics—it's a strategic move that can positively impact your patient satisfaction, your staff's morale, and, indirectly, your bottom line.
Crafting a Context of Comfort
Dental anxiety is a widely recognized psychological barrier that keeps patients away from their oral health care. A luxury dental office design, which includes high-end furniture, can help alleviate these fears by offering a more familiar and comforting atmosphere. Similarly, opulent treatment room furniture, replete with amenities like heated massage functions, can transform a mandatory treatment session into a relaxing retreat for patients.
Enhancing the Professional Image
Your office design silently communicates the ethos of your practice — modern, traditional, family-oriented, or progressive. By employing luxury furniture in your dental office, you are signaling a commitment to quality that aligns with the services you offer. The elegance of your environment can make a powerful first and lasting impression, one that underscores excellence and detailed attention, traits you want patients to associate with your practice. Moreover, refined and comfortable furniture can do wonders for your staff's morale. Spaces that prioritize comfort and aesthetics instill a sense of pride and ownership among employees, which can translate to better performance and staff retention.
Financial Considerations and Return on Investment
It is understandable that the concept of luxury conjures high costs; however, considering the long-term benefits, it is not justifiable to view it in isolation. Comfortable patients generally secure better treatment outcomes, and improved patient satisfaction often correlates with a willingness to spend on additional services and recommended post-treatment care products. In addition, the potential increase in patient volume, retention, and referrals due to a noteworthy patient experience further justifies the initial investment. Luxury furniture is not merely an expense; it is strategic business development that enhances your operational ROI.
The inclusion of luxury furniture in your dental office is not a splurge—it's a purposeful investment in the patient-centric ambiance of your practice. It's a tangible reflection of your dedication to patient well-being and comfort, a statement about the caliber of your services, and a supportive measure for your staff. By enhancing the aesthetic appeal and overall comfort, you can create a space that resonates with your patients, setting your practice apart and fostering loyalty. In the realm of professional healthcare, the choice of furniture might not seem monumental, but the cumulative impact on patient satisfaction and the positive atmosphere within your office is undeniably significant. Remember, it's not just about looking good; it's about creating a space that feels right for everyone who enters your doors.
Contact a local company to learn more about luxury furniture.


After Rhinoplasty Surgery. Tel: 09 529 5783
If you have a day procedure you will be discharged two or three hours afterwards. You will need a caregiver to take you home and be with you overnight. You will not be allowed to drive for 24 hours. It is possible to swallow blood from the back of the nose and vomit bloodstained material. Do not worry as this is a normal phenomenon and does not indicate problems.
Arrangements will be made to review you the following day to remove any packs and ensure you are recovering well. Expect any bruising to be at its worst by two to three days. Your nose will feel blocked, but try not to blow it as this can start bleeding. Any internal crusts should be allowed to come away naturally over the next few days.
Although we generally recommend two weeks away from work many patients find that they are able to return to desk work within a week of surgery, albeit with a splint and some bruising.
Your splints and tapes are removed at one week and you will be able to see the new shape of your nose. At this stage it will still be swollen.
Most of the swelling has settled by 3 weeks but there are subtle changes that occur for many months post-operatively. Make-up can be worn to cover any bruising once the splints have been removed.
Gentle exercise is OK at two weeks but strenuous gym work is best avoided for six weeks. You should avoid glasses on the bridge of the nose for three weeks. By a month the bones have healed and a knock to the nose is unlikely to cause any damage.
The nose will feel numb and a little cold for several months, the sensation gradually returning over a six-month period.
If there has been work performed on the airway it may take two months or longer for the swelling to settle inside the nose.
In normal circumstances we will see you postoperatively at one day, one week, six weeks and six months. Whilst not essential, we do like to keep in touch with our patients in the longer term and follow their progress. [ read more...]


Last April, I had an operation that changed my life but left me with scars. I found a product that I’ve been faithfully using since July and I’m happy to say my scars have faded significantly. I’m so pleased with the results that I thought I’d share some information about it. Most people don’t go through life without acquiring the embarrassing marks left over from an accident, a burn, or a surgical procedure. Scars can be the constant reminder of an unpleasant situation someone would rather forget.
Depending on their location on the body, scars can shake the self-esteem of even the most confident person. Scars can make an individual want to cover up even on hot days. For years, products to improve the appearance of scars were only available from medical professionals. Fortunately, times have changed and these same products can be purchased over-the-counter.
ScarAway professional grade silicone scar treatment sheets are the answer to more normal looking skin. They were first used by burn centers on victims and by plastic surgeons on their patients. When applied to freshly healed wounds, studies have shown ScarAway sheets have helped to flatten scars that would have been raised in addition to returning the skin to a more natural tone and texture. Significant improvement on older keloid, contracture, and hypertrophic scars has also been well-documented.
These unique sheets are made from a patented material that’s breathable and flexible. They’re so comfortable to wear under clothing that individuals will actually forget they’re wearing them. The process of how they work to reduce scarring is ingenious. By imitating the natural blocking function of normal, undamaged skin, they increase hydration. This moisture works to soften scar tissue by breaking down excess collagen. Scar growth is diminished and the tissue fades away much quicker.
Available in a plethora of sizes, ScarAway sheets can be used anywhere on the body. They’re drug-free, so they’re safe for nursing moms to use on cesarean section sites. The self-adhesive sheets require no surgical tape to keep them in place and should be worn for a minimum of twelve hours a day. Washing the sheets daily with mild soap and water will keep the adhesive sticky. With proper care, a sheet can be reused for at least a week, maybe two. For optimum results, ScarAway sheets should be worn every day for twelve weeks. Some individuals will continue to see scar improvement the longer they wear the sheets.
Unfortunately, most scars won’t fade completely. Fortunately, using ScarAway professional grade silicone scar treatment sheets can significantly reduce a scar’s appearance. A short three-month commitment to wearing them can make it possible for an individual to regain the confidence he or she has lost. Everyone deserves to be able to show his or her best skin off without having to spend a fortune on expensive laser resurfacing procedures. It’s important to note that laser resurfacing offers no guarantee it will improve a scar’s appearance. In some cases, it might make a scar worse.


Hi. Thanks for taking a look at our page. I’d like to tell you why we are going to be riding the Big Bike and what your donation does.
Cardiovascular disease is a leading cause of death for Canadian men and women. We want to help change this. That’s why we are riding the Heart&Stroke Big Bike to create more survivors.
All of the money raised through Big Bike will go to the Heart and Stroke Foundation, where they’ll use it to develop life-saving treatments that bring hope to heart disease and stroke patients. In the last year alone, the Heart and Stroke Foundation has helped created 165,000 survivors of heart disease and stroke.
Please help us reach our fundraising goal by making a donation today. We also need riders to partipate.
It’s only with your help that we can continue to fund this vital research, and return more survivors home to their loved ones.
Thank you so much for your support….Deb Henry: Team Captain for Unifor, Local 414
For more information as to how to donate or if you would like to participate in the ride, please contact me at: email@example.com


Involves photographing the inner structures of the eye; also known as the fundus. The main structures that can be viewed on a fundus photo are the central and peripheral retina, optic disc and macula, which are important for the screening and diagnosis of Glaucoma, Macular Degeneration, Diabetic Retinopathy and various other ocular diseases and conditions.
Ocular Coherence Tomography (OCT)
The OCT is used to obtain high-resolution images of the retina and anterior segment. OCT’s use an imaging technique, which works similar to ultrasound by simply using light waves instead of sound waves to show cross-sections of tissue layers of the retina and / or cornea. The layers within the retina can be differentiated and retinal thickness can be measured to aid in the early detection and diagnosis of retinal diseases and conditions.
Specialised Eye Care for Children
We take great care in assessing your child’s entire visual system. In addition to our thorough health and prescription testing, our paediatric exams also include evaluation of visual efficiency skills children need to succeed in the classroom.
Our Clinical Eye Tracker provides a powerful new tool for the clinical assessment of eye movements, which enables us to quantify and measure the visual system more effectively.
On-site Spectacle lens fabrication and lens fitment
At Du Preez Family Optometrist we have a state-of-the-art optical laboratory on site. Whether we are repairing or aligning your current pair of spectacles or creating you a new pair altogether, we utilise the highest quality products and the most innovative, advanced 3D Digital equipment available to produce, cut and fit your lenses easily and timeously – WHILE YOU WAIT!!
Contact lens fitting
We facilitate the fitting of commercially soft monthly and daily disposable Contact Lenses as well as the fitting of specialised Contact Lenses for Keratoconus and / or Irregular Corneas like RGP lenses, Hybrid lenses and Scleral lenses.


ADHD Misdiagnosis-Guest blogger Dr. Mary Ann Block
Author: Jeremy Lelek
I am excited to feature a guest blog by Dr. Mary Ann Block, great insights on good treatment of ADHD symptoms.
Attention and Behavior Problems Are Not ADHD, by Dr. Mary Ann Block
I have never seen a child that actually has Attention Deficit Hyperactivity Disorder (ADHD). In my medical practice, I have seen thousands of children that have been labeled
ADHD and thousands of children that have been prescribed psychiatric drugs for ADHD, but they came to my office without a thorough history taken, a complete physical exam, lab work, allergy testing, heavy metal testing or educational testing. When I performed these tests, I discovered that none of them had ADHD. There was always some medical, physical or educational reason for the symptoms. If your child was labeled ADHD without these tests, there is a good chance your child was misdiagnosed as well.
Children with attention and behavior problems can have many different medical or educational problems that cause the attention and behavior symptoms. If one of these other diagnoses is found then that is the real diagnosis, not ADHD.
Find The Cause—Fix The Problem
Labeling children as ADHD and prescribing a psychiatric drug may be quick, easy and cheap, but I do not consider it to be good medicine. I was taught to always look for the underlying cause of any medical problem. Most of the children I have seen that were labeled as ADHD had teachers that encouraged the parents to take the child to the doctor for a prescription. The doctors usually did not do a physical exam, nor took a thorough history. Rarely was any lab work or allergy testing performed. The doctor just accepted the teacher’s opinion for it and prescribed a psychiatric drug to the child.
There is No Objective Medical Test for ADHD
The diagnosis of ADHD is actually made from a checklist filled out by the parents and teachers. Of course, the teachers know what to check to assure an ADHD diagnosis so it doesn’t surprise me that the diagnosis is given quickly and readily just as are the psychiatric drugs used to treat ADHD. Because the label made from a check list, ADHD is just a made up psychiatric label that is based on a group of subjective symptoms. There is no means available to determine that someone actually has ADHD. Your child might have many of the symptoms that make up the psychiatric disorder called ADHD but those same symptoms can be caused from many medical and educational problems as well.
According to the National Institutes of Health, there is no valid test for ADHD, there is no data indicating it is a brain disorder and there is little improvement in academic and social skills when it is treated with drugs.
ADHD Drugs Have Many Potential and Serious Side Effects
It concerns me greatly that children are prescribed these psychiatric drugs that come with a host of potentially dangerous side effects. I am sure you would like your child to be appropriately evaluated before using any of those drugs. The number of children and adolescents taking psychiatric drugs tripled in the past ten years. A study in the Archives of Pediatrics and Adolescent Medicine reported that pediatricians and child psychiatrists are turning more and more to prescription drugs to treat their young patients. The study said “little research exists to indicate whether psychiatric drugs are being prescribed responsibly in most cases, or whether they are being over-prescribed-in part because health insurers are reluctant to pay for non-medication treatments.”
Posted on October 15, 2012


“I had the good fortune to meet Dr Jergens under dire circumstances. One of our 3 year geldings kicked through a metal wind break while playing. We made an emergency trip to Greeley with him and was met with a veterinarian that exuded professionalism and confidence. She surveyed the severity of the situation, gave us clear options with possible outcomes to each and allowed us the time to make an educated decision about the future of this colt. We made the decision to have the suspensory ligament surgically repaired. Dr. Jergens spent an extra hour in surgery pulling minuscule pieces of metal shards out of the tendon sheath to ensure success. Her time and dedication never waived over the next 10 weeks of antibiotic treatments, bandage changes and stall rest that she helped us manage at our own barn, for the colt’s comfort. Hard work and commitment from this outstanding veterinarian paid off and Maximum Cash Return is now an outstanding asset to ACtion Racing Stables.
Over the course of the next few years we grew to trust Dr. Jergens with all of out veterinary needs. Her resource base for specialists, in a broad array of fields, allows her an advantage with her diagnostic skills and as a client this was a huge comfort. She always puts her patients first and her unwavering commitment to excellence makes her a clear choice for veterinary care in Northern Colorado!”
~Katie Hollingsworth, Something Wicked Speed Horses
“Although our case was terminal, Dr. Jergens was exceptionally helpful in establishing a diagnosis with her state-of-the-art equipment and equine veterinarian knowledge. The Jergens displayed tremendous willingness to help, intuition, compassion and professionalism throughout our tragic situation. We are forever grateful for the care they gave to our Buck and know they will be there for us and our future horse healthcare.”
~ Angela Chinn


Likewise, it should be praised and emphasized not only the caloric intake of this product and its great satiety capacity but also its multiple benefits, such as:
- It is an anti-fat product. Since it’s a depurative food, the artichokes get rid of the toxins in our organism.
- The presence of cynarin (a hydroxicynnamic acid) transforms cholesterol and triglycerides into bile acids. Definitely, the artichokes intake reduces cholesterol and triglycerides.
- Ideal food to fight fluid retenton.
- The artichoke can be very helpful to fight kidney or liver diseases, such as hepatitis or cirrhosis, as it regulates the formation and output of bile.


There is greater than simply the cleaning component of seeing the dentist that is necessary when it involves looking after your child's mouth and also teeth. Remember these other important reasons to see your local oral as well as orthodontic office:
Spots Dental caries
Probably the factor you currently understood about, but dentists are the best individual to attend make certain your youngster has healthy, cavity cost-free teeth. In many cases your Lafayette household dental practitioner can find the visibility of cavities through X-rays and also observation before your kid experiences any signs or has any type of external indicators of a trouble. This implies that you will likely not have to go with an expensive procedure to have a filling place in, and it will also prevent any kind of emergency dental-related journeys when your child does start experiencing signs and symptoms.
Addresses Growth Troubles
The expanding mouth of children, combined with the fact that they shed all their teeth and obtain a complete brand-new collection implies that points are constantly changing in there! If things are changing incorrectly however, and also teeth are expanding in where they typically aren't meant to, or the teeth are relocating around in methods they typically aren't implied to be, it can create a lot of issues later on in life, including headaches, overbite, jaw problems and also in addition to, truly uneven teeth. If you consistently visit your neighborhood dental office, they can check this development over time as well as have the ability to enact preventative procedures to make certain no expensive repairs as your child ages.
Whether it is frustrations, jaw pain, teeth grinding or neck problems, all of these painful signs and symptoms are no question having an unfavorable influence on your child's well being, mood, and capacity to focus and also function at college. Exactly what you might not understand is that a lot of these could come from issues with the teeth, problems which your family members dental expert in Layette could seek to deal with. Taking the steps to take care of the root of these troubles will reduce the signs and symptoms as well as leave your child in far much less pain and also much more able to operate quickly everyday.
While we are commonly well aware of illness that could affect the body as well as are acutely mindful of signs and symptoms suggesting these are taking place, we might be much less so when it concerns the mouth. The fact though, is that the teeth and mouth could become unhealthy too. A routine visit to your Lafayette household dental practitioner office assists bring recognition to the symptoms of these Cosmetic Dentistry lafayette diseases in addition to assists in very early discovery should your child be impacted. Points such as gum tissue condition, halitosis, and mouth ulcers are all possible issues, that an oral specialist could deal with.
Because we may not see any type of noticeable indicators or really feel any kind of signs and symptoms prompting us to go to the local dentistry, it can be quickly ignored on the checklist of points to do. When it pertains to managing your youngster though, it's no place to fool around, and as you could see, it is worthy of crucial focus and also deserves the normal journey!
Learn more about this dentist in lafayette.


The eye can be taken a look at with relative ease regarding both its function and its structure. A practical examination includes the capability to relocate the orbit and the reaction of the student to light and lodging.
The function of the eye may be tested in numerous ways. The client may be asked to recognize illuminated letter or items of varying sizes on what is referred to as the Snellen chart.
On the other hand, the evaluation of the structural part of the eye might be made in numerous methods. Tension within the eyeball is determined by a "tonometer." In specific illness, particularly in glaucoma, the tension in the eyeball is increased noticeably.
Nevertheless, it must be well bore in mind that a client with an eye issue may have other issues as well. Frequently other physical conditions are primary and affect the eye as a effect. The look of the eye can notify the doctor and the client to difficulties in some disturbances of other parts of the body even prior to other signs present themselves.
One's reliance on sight is emphasized when one deals with a short-lived or possible permanent loss of this vital sense. When restorative procedures are looked for, certain forms of vision correction such as contact lenses or spectacles are prescribed.
On the other hand, some people are bothered with the fact that they have actually some framed lenses or contact lenses in front of their eyes.
For this reason, advanced surgeries were developed to motivate reduced usage of contact lenses or glasses. Among which is the now popular LASIK eye surgical treatment.
Essentially, LASIK eye surgery is the short term for "Laser-Assisted In Situ Keratomileusis." Like its concrete counterpart, LASIK eye surgical treatment is another kind of vision correction. The only distinction is that with this type of surgery, one's vision is remedied completely.
With LASIK eye surgical treatment, the refractive errors in the cornea are permanently changed. This can be done utilizing an "excimer laser."
The main purpose of this surgical treatment is to produce a threadlike, rounded "flap" in the cornea utilizing a blade referred to as "microkeratome." In a series of unfolding and laser processing, the that site cornea is finally reformed, allowing better the eye to direct more light into the retina.
Appeal vs. Disadvantages
Amidst the growing popularity of LASIK eye surgical treatment, there are still disadvantages that people should know. Most likely, the primary reason that this type of eye surgical treatment has actually become well accepted is because the majority of its cases had achieved success.
In spite of its success, there are still some drawbacks. Here is the list:
1. It is an operation applied to the most delicate part of the eye
Because LASIK eye surgery involves the operation of the retina, which is one of the most delicate Web Site parts of the eye, many people say that the operation can be extremely dangerous.
In other words, a easy mistake could nearly trigger an person's lifetime blindness. It is essential to think about many elements prior to deciding whether LASIK eye surgical treatment is the right restorative measure one has to undergo.
2. It is not a ideal treatment
LASIK eye surgical treatment may remedy your vision but it does not always indicate that it can offer you a twenty-twenty. Even if analytical reports show that 70% of the clients may have 20/20 vision, this does not necessarily imply they have perfect vision.
Given all these things, it can be deduced that, in spite of the popularity of he has a good point the operation, LASIK may not constantly be the ideal eye surgery the method the majority of individuals see it
Alternatively, the evaluation of the structural part of the eye may be made in several ways. It ought to be well remembered that a client with an eye issue might have other issues. Frequently other physical conditions are primary and impact the eye as a repercussion. The look of the eye can signal the patient and the doctor to difficulties in some disruptions of other parts of the body even before other symptoms present themselves.
Like its tangible equivalent, LASIK eye surgical treatment is another kind of vision correction.


Experienced Maternity Nurses
Caring for a newborn can be tough...
Our experienced Maternity Nurses know how to care for a newborn infant by sleep-training them and putting them on a healthy eating schedule. They also care for the mothers and allow them rest, peace of mind, and advice when needed.
Caring for a newborn, especially if it is your first child, should not be an overwhelming experience. It should be an enjoyable and memorable time in your life. Our Maternity Nurses are there to make sure every moment is one to remember.
Maternity Nurse Guidelines
Maternity Nurses are newborn specialists and are available for new parents on any basis. Their schedules are flexible to work around a new mom just home from the hospital, or a mom heading back to work after maternity leave. They are available to live-in or live-out.


The licensed mental health professionals at Cana Counseling hold master’s degrees in clinical social work, marriage and family therapy, or a related field. They have additional training and education in areas of specialty.
George Sevick, LCMFT
Director of Cana Counseling
George is a licensed clinical marriage and family therapist. He has a background in treating anxiety, depression, grief and loss, marital and relationship discord, attention deficit disorders, developmental disorders including autism, spectrum disorders, men's issues, and issues with sexuality. He has experience with special needs children and child behavioral problems, as well as assisting parents in developing different skills for working with their children.
Lisa Butler, LCMFT, LCAC
Lisa Butler has been a therapist since 2008 and has worked in both private practice and community mental health prior to coming home to Catholic Charities. She is dually licensed in the state of Kansas as a Licensed Clinical Marriage and Family therapist and a Licensed Clinical Addiction Counselor. Lisa works with families, couples, and individuals from toddlers to the elderly. As a wife and a mother of three, she has a true passion for strengthening relationships and enjoys collaborating with her clients to move through individual and relational issues that affect the mind, body, and spirit. Lisa is also trained in EMDR therapy and approved as a Gottman Seven Principles Program Educator.


If your senior dog has nighttime anxiety, which may manifest as panting, pacing, and whimpering, aid is available. After you’ve learned the reasons and received six remedies, everyone in your home will be able to rest, relax, and recharge after the sun has set.
Are you able to identify with these pet parents?
I was excited to speak with my new customer about the possibility of acupuncture for his elderly dog, who was suffering nighttime anxiety. As he described the difficulties he and his wife were experiencing, I could detect a mixture of despair and tiredness in his voice. He had reached the end of his rope and was uncertain of where to turn for assistance.
His wife, who was responsible for the dog’s daily care, was on the point of having a “nervous collapse.” Those were the exact words he used. She was a light sleeper, as were many other ladies her age. She was also completely committed to their pet dog, and she was determined to give him the finest care possible at whatever cost to the family.
Every night, she was roused by the panting and pacing of their dog. After getting out of bed and attempting to calm her agitated dog by putting him outside, providing him with plenty of freshwater, turning on a fan, and going to another room in the house, she would eventually give up and give up altogether. It was a nightly routine for the duo, which continued until the fatigued dog and mother eventually crashed together in the early morning hours of the next day.
Unfortunately, this is not an exceptional instance. All-too-common among senior dogs is the experience of nighttime dread. The issue, just as it did for my new client and his wife, has the potential to have a significant negative influence on everyone’s quality of life.
The significance of obtaining an accurate diagnosis
Clients want vets to make their pets well—to “cure” the symptoms, in other words, to make them feel better. They are looking for a therapy plan that includes specific action actions. Their main concern is understanding what will happen and when it will happen. That makes sense. As a dog parent myself, I know what you’re going through.
However, as a veterinarian, it is difficult, if not impossible, to develop an educated treatment plan without first comprehending the “why” behind the “what” in question. It is possible that your dog is not sleeping at night, but we must first determine the cause of this before providing the appropriate remedy.
How can veterinarians determine if a senior dog is experiencing nighttime anxiety?
A thorough history and physical examination are critical initial steps. To begin, your veterinarian and their team will ask you questions and take comprehensive notes on what is occurring with your dog during the nighttime hours. This is referred to as “taking a history.” After that, they will conduct a comprehensive physical examination and administer several tests.
What causes anxiety in a senior dog when alone in the evenings?
Now it’s up to your veterinarian to do what they do best: play detective and put the puzzle pieces together to find out why your dog is panting, restless, and worried in the first place.
Several different factors often bring on anxiety at night in older dogs. Let’s take a quick look at each of them in turn.
Canine cognitive impairment is characterized by the following:
Canine cognitive dysfunction syndrome (C.C.D.S.) is the most prevalent cause of anxiety in elderly dogs (C.D.S.). Despite the lengthy term, it simply indicates that your dog’s brain is not operating correctly. If your dog’s mental abilities and awareness are impaired, you will recognize this condition as soon as you detect it. Canine cognitive dysfunction syndrome (C.C.D.S.) is often compared to canine Alzheimer’s disease.
According to the American Veterinary Medical Association, when there is no evidence of cognitive impairment, your dog may be worried at night if he is in discomfort. If your dog is experiencing pain, a thorough examination along with your observations should assist your veterinarian in determining the cause of the discomfort.
While arthritis and musculoskeletal pain are widespread, there is also the possibility of neurogenic pain, often known as nerve pain. It is usually essential to get a proper diagnosis to customize therapy to the patient’s needs to treat neurogenic pain properly.
There are a variety of other causes of senior dog worry at night.
Listed below are some of the other prevalent disorders that might cause restlessness and anxiety in senior dogs throughout the night. These conditions would be detected by standard diagnostic testing.
Disease of the intracranial space
An additional factor to consider is an intracranial illness, which is in addition to the ones already mentioned. Inflammation of the intracranial space is a disorder that begins in the brain (such as a brain tumor or other type of inflammatory brain disease).
A veterinary referral facility or veterinary school will do an M.R.I. or C.T. scan on the patient to get a precise diagnosis. Although not every dog parent can afford or go to a veterinary hospital to take advantage of these sophisticated diagnostic imaging alternatives, it’s comforting to know that they are accessible if needed if the situation calls for them.
What should you do if your senior dog has nighttime anxiety?
Once you’ve figured out what’s causing your dog’s nocturnal anxiety, it’s time to speak about possible treatments. It’s important to remember that diagnosing someone might be difficult. Don’t give up if you don’t get a firm answer on your initial visit to the veterinarian. It may take multiple trips and a great deal of thorough observation on your part to piece together the whole scenario.
Make dietary modifications.
Many veterinarians will advocate switching to a prescription food with brain-boosting ingredients since it is a simple modification that may reap significant benefits. Although I’m usually the one who recommends a custom-formulated, home-cooked food over a prescription diet, in this instance, I’m siding with those who advocate for prescription diets instead.
Hill’s® Prescription Diet® b/d Canine is one option for “brain aging care,” as is Purina® Neuro Care and Purina® Bright Minds. Hill’s® Prescription Diet® b/d Canine is another option for “brain aging care” (which represents the Purina veterinary prescription diet and the over-the-counter version, respectively). It may take many months to notice improvements from these diets, but they effectively treat cognitive impairment. Customers and colleagues have reported the usage of Bright Minds as effective in alleviating nocturnal anxiety in some dogs, which may have been the case since the underlying problem in those instances was C.D.S.
Increase your physical activity and mental stimulation throughout the day.
Another straightforward tip is to boost your dog’s daily exercise routine as well as his mental stimulation throughout the day. Exert some additional energy by making an extra loop around the neighborhood and consider cognitive challenges and canine puzzles. With a quick web search, you may find hundreds of ideas and items that are meant to test your dog’s cognitive abilities.
Don’t cause a commotion.
For example, anxiety in elderly dogs may occur when their daily routine is disrupted. Maintaining a healthy, regular nightly schedule may benefit everyone, including seniors. If your senior dog has suddenly acquired strange anxiety-related behavior at night, the first step is to seek “triggers” that are causing it. Is there anything new that has happened recently? Also, please make confident that your dog has easy access to their chosen resting spot as well as a wonderfully lovely bed to sleep in. Oversized memory foam beds are an excellent option for anyone with creaky elderly joints.
dietary supplements made from natural ingredients
There are a variety of natural supplements for dogs available that may be beneficial for elderly dogs experiencing nighttime anxiety. These are things that you should look into and discuss with your veterinarian. Frequently, they will be used in conjunction with one another:
Medications are number five.
There are a variety of pharmacological alternatives available for dogs suffering from C.D.S. and anxiety. Although the list is lengthy and expanding as pharmaceutical firms produce new possibilities, the following are more specific options. These are often used in conjunction with one another and in conjunction with supplements as “combination treatment.”
Because every dog is unique, a period of trial and error will probably be required to determine which “combination treatment” is the most effective for your dog. To emphasize the significance of working closely with your veterinarian while beginning, changing, or discontinuing your dog’s medication regimen, consider the following:
Sleep is essential for both your dog and yourself.
If you can connect to the dog parents in this story who are fatigued, I implore you to get help from your local veterinarian. You are not obligated to suffer in solitude. Sleepless evenings are not something that can be sustained. They will harm your health, the health of your dog, and your entire well-being. Although it is not as straightforward as detecting lameness or a dental problem in your dog, your veterinarian is prepared to assist you in addressing nocturnal anxiety and restlessness in your dog.