Thursday, November 14, 2019

Health Benefits Of Ergonomics Essay -- essays research papers

Ergonomics involves designing workplaces and work tools to be used easily, efficiently and effectively by people. The overall goal is to promote health and productivity in the workplace. Where ergonomic principles are not applied, chronic musculoskeletal disorders such as tendinitis of the arm and hand, eyestrain injury and back injuries may be common.Most people are concerned when they cannot use parts of the body like they know they should be able to use them. People are often unaware of ways to prevent injury, and ergonomics will introduce methods that will help reduce those injuries. Chiropractors recommend using ergonomics in a professional environment as well as at home. Following simple guidelines can help prevent injury to the arms and hands, eyes, and back. Everyday activities at work, home, or play can cause wear and tear on muscles, joints, tendons, and nerves. Problems can be a direct result of poor posture, repetitive motion, and excessive force or pressure to any part of the body.Occupational Safety and Health Administration (OSHA) provides ergonomic consulting services to companies, labor organizations and government agencies. In an environment where Repetitive Strain Injury (RSI) and the associated workers' compensation costs continue to increase, these services are directed to identifying the risk factors to such disorders and assisting clients in reducing the hazards created by these factors.INTRODUCTIONIncreased or constant productivity is a concern of every employer. Employers want to know that their employees are doing their best. Therefore, employers should strive to make the work environment suitable for productivity. The ergonomics program is designed to do just that. In most cases, a happy employer leads to happy employees.PurposeThe purpose of the ergonomic program is to make employers aware of injury prevention. Such awareness can to increased productivity, a decrease in the number of worker's compensation cases, and a decrease in number of lower back injuries.The information provided to you in this proposal will make you, as an employer, see the necessity of applying ergonomics to your working environment. Studies have shown that with increased computer use, the numbers of Repetitive Motion Disorders has tripled since 1979.ScopeThese ergonomic consulting serves are provided by trained and experienced industrial engineers and ... ... body movement: Try Yoga, Chi Kung, or Tai Chi.For reducing stress: Try meditation, visualization exercises, taking deep breaths, or going for a walkFor working through sore, stiff, or sensitive muscles: Try massage, physiotherapy, trigger point therapy, acupressure or shiatsuFor reducing inflammation and pain: Try ice or a package of frozen vegetables on the affected area.For relieving neck strain after sleeping: Use a cervical roll or a "contour pillow" and don't sleep on your stomach.For general well-being: Take frequent rest breaks (recommended is 5 minute rests every 20 minutes and get out of your chair at least once an hour), drink lots of water, exercise, stretch, and move around often.CONCLUSIONSThose are the basics. The most important thing to ask yourself is: Are you comfortable throughout a day's work? If it feels good and you tend not to shift trying to get comfortable, then you are probably less at risk of injury or possible reinjury. Remember, people are not robots. Move around. Get up. A good chair lets you have a little room to move so you can stay loose. Leaning and slumping is fine once in a while, just don't make that your continual working position.

Tuesday, November 12, 2019

Psoriasis

Yes, psoriasis can be treated This six-part KULIT article series by the Persatuan Dermatologi Malaysia aims to raise awareness of psoriasis. In this final article, PDM President Dr Allan K C Yee highlights an important message for people with psoriasis – there is no cure yet for psoriasis, but its symptoms can be effectively treated and managed. Be open-minded and willing to work with your doctor to find a treatment that will work for you. The object of treatment is to reduce the extent and severity of psoriasis – the red scaly stigmata, the tell-tale scaling on one’s clothes, the rough cracked palms that make handshakes awkward, painful joints that limit one’s activities. In short, the goal is to improve the quality of life which has been shown in studies to be as affected as much as other major diseases such as cancer, heart disease and depression. The good news is that with today’s medical armamentarium, much can be done to allow the sufferer a greatly improved quality of life. Treatments must be individualized Fortunately, only 20% of psoriatics suffer from severe psoriasis, and the site involved is so variable that the treatments must be individualized. Limited disease can be treated with topical agents but more extensive skin involvement will require oral systemic treatments, phototherapy with artificial UV light, or even injectable agents (biologics). Furthermore psoriasis can affect any part of the body, each meriting special measures. Site-specific treatments For instance, thick scalp psoriasis is often mistakenly treated with endless anti-dandruff shampoos with little results. Scalp psoriasis invariably responds dramatically to tar pomades under occlusion for one to two weeks, a tip that an experienced dermatologist would gladly share with sufferers. Similarly, thick and cracked scaly palms and soles that prevent working with the hands or sometimes even walking, can be significantly improved with special steroid-salicylic acid ointments used under occlusion. These soften and shed the thickened dead skin making the skin pliable and usable once more. Psoriasis affecting the face, body creases – groins, armpits and private areas can be improved with the udicious use of weaker topical steroids and the newer and safer nonsteroidal calcineurin-inhibitors. The problem is that these thinned skinned areas are often treated with strong steroid creams that are not meant to be used in these sensitive areas. The end-result is irreversible side-effects such as ugly pink stretch marks, easy bruising and skin infections. We see a lot of these unfortunate cases who are sold these strong steroids from errant pharmacies without a prescription, or are introduced to them by well-meaning friends and relatives. The Dermatological Society of Malaysia is working with the Ministry of Health to ensure that potent steroids are only available with a prescription. The treatment should not be worse than the disease! Hopefully with warnings such as in this article, the lay public will be better informed about the dangers of self-medicating with potent topical steroids. Topical Treatments Generally, when the extent of psoriasis is limited to less than 5 – 10% of the body surface area (BSA), it is best to use topical treatments in the form of creams, ointments, lotions. As a guide, 1% of the BSA is the area covered by one’s palm. The red, thickened skin in psoriasis is due to the increased multiplication of the skin, allowing the collection of the dead skin layer to be manifested as thick scales. Most effective treatments whether topical or systemic work by reducing the cell multiplication, and by removing the dead skin layers. Time tested agents are coal tar, and anthranols which are messy and brown-staining thus adding further to the stigmatization sufferers feel. More cosmetically acceptable topical agents are steroid creams, vitamin D analogues and calcineurin inhibitors. The latter two are more expensive than the ubiquitous steroid creams but with a superior safety profile. Most psoriatic lesions also tend to be dry and glycerin, urea-based or other humectant moisturizers help relieve soreness and improve recovery especially when used in conjunction with keratolytics – agents that soften and shed the abnormal dead skin layers. Systemic treatments When more than 10% of BSA is involved it becomes impractical to rely on topical measures alone. It may take more than half an hour just to apply creams on large areas of affected skin. Hence, oral or injectable medications are required. Many of these drugs are able to reduce the skin’s cell multiplication or maturation rate eg methotrexate, hydroxyurea, retinoids. However many others suppress the disease process at a more fundamental level by suppressing the activity of abnormal white cells (T-cells) or by neutralizing the T-cells inflammatory chemicals (eg TNF a) eg cyclosporine and the newer biologic agents licensed for use in Malaysia. With the proper use of these systemic agents singly or in combination, it is often possible to control even the most severe cases of psoriasis. However, these systemic agents should only be used by experienced physicians as many of them can have significant side effects. For example, persons with liver disease or gastric ulcers should not be treated with methotrexate; women of child-bearing age should not use retinoids as it can cause fetal abnormalities; persons with high blood pressure or kidney problems cannot use cyclosporine. If a person with severe psoriasis has liver disease, is a woman of childbearing age, or has kidney problems what options then are available for him/her? There are 3 options – oral salazopyrine which only works in 50% of Asians, the injectable biologic agents, or phototherapy (see below). Biologic agents are the new kids on the block. They have a much better safety profile than the above mentioned oral drugs and can be used in persons with liver, kidney disease and women but unfortunately their high cost means relatively few can afford them. Even in the west, where such expensive treatments are reimbursable, the psoriasis must be shown to be non-responsive to conventional oral drugs, or organ toxicities with these drugs are present. Some of them are very helpful in controlling psoriasis as well as the disabling arthritis that affects 10-30% of psoriatics. Phototherapy (PUVA, UVB, nUVB) This is an excellent form of treatment with artificial UV light which is relatively free from serious side effects apart from a small risk of developing non-melanoma skin cancers with prolonged use. This risk is probably not significant in the setting of Asian skin types especially with the newer types of phototherapy equipment such as narrow band UVB (nUVB), and the excimer laser or excimer light. Another advantage of phototherapy is that it is a clean form of treatment, nonmessy and can give a long remission period of up to one year. The main drawback is that it does require visits to the phototherapy centre 3 times a week for 2-3 months. The good news is that most states in Malaysia now have phototherapy units to treat not only psoriasis, but also vitiligo and severe atopic eczema. Alternative therapies In this day and age where the emphasis is on evidence-based medicine (EBM), alternative therapies must prove its worth with hard core scientific evidence from well-conducted clinical studies. Many people with psoriasis who have suffered from the condition for years are, not surprisingly, hopeful for answers, breakthroughs, and even a â€Å"cure† perhaps. Unfortunately, there is no shortage of charlatans offering â€Å"cures† for psoriasis, often in network marketing schemes. One has to acknowledge the fact that psoriasis has a genetic basis, and unless gene therapy becomes a reality, there cannot be a cure, even with accepted treatments such as climatotherapy in the Dead Sea. Diets for psoriasis are as yet unproven, although an FDA-approved healthy diet with at least 5-9 servings of fresh preferably organic produce may be of help in improving one’s general health. Stress reduction strategies may help insofar as stress precipitates and aggravates psoriasis. Prayer has been shown useful in several medical conditions, and a strong faith life can only help, if only to give one the equanimity to deal with the turbulence of modern life. The future of psoriasis treatments There is considerable optimism in the search for better and safer treatments for psoriasis in the near future. We now have a much better understanding of the genetics and underlying immune derangements in psoriasis. It is only a matter of time before the tremendous amount of ongoing research bears better fruit that is sweeter and without the bitter aftertaste of side-effects. Indeed here are promising smaller molecules in the offing that are cheaper to synthesize. Watch out for this space. Psoriasis affects 2-3 percent of Malaysians. This is the final article of a six-part series from PDM’s â€Å"KULIT – Living with Psoriasis† Campaign 2007. For more on psoriasis, treatment options and KULIT, visit www. dermatology. org. my or email [email  protected] com. This article is a guide to help you better understand psoriasis and psoriatic arthritis. Consult a suitably qualified medical practitioner before acting on any information contained above. KULIT is a community programme sponsored by Wyeth Malaysia.

Sunday, November 10, 2019

Analysis of Hollow Men by T.S. Eloit

Analysis T. S. Eliot’s â€Å"The Hollow Men† to me represents several interpretations of death or â€Å"the end†. The poem is split into five parts, each part presenting a different point of view or idea of death. There are several â€Å"kingdoms† of death presented in the various parts, intertwining  within eachother throughout. I view each part as representing a different member of the hollow men looking at the different â€Å"kingdoms† of death.Part I’s  presents a dank, dark cellar and is associated with violence and darkness â€Å"Violent souls, but not only†¦Ã¢â‚¬  (16). Part II’s  presents death’s â€Å"dream kingdom† and shows a more beautiful side of death, comparing souls to fading stars. Part III  presents â€Å"dead land† â€Å"cactus land†. We imagine a desert setting, dying of thirst, praying for life. â€Å"The supplication of a dead man’s hand/Under the twinkle of a fad ing star. †(43-44). Part IV takes place within death’s twilight kingdom that is talked about in part II.The speaker talks of eyes or the lack thereof in a valley of once again, dying stars. â€Å"There are no eyes here/In this valley of dying stars/In this hollow valley/This broken jaw of our lost kingdoms† (53-56). Part V is presents a more broad view of the end, not just for one, but for all. It describes several emotions and actions that everyone takes within their life, inbetween each â€Å"falls the shadow†. One could view this as the shadow of death, ever looming closer in everything you do.The poem ends with â€Å"This is the way the world ends/This is the way the world ends/This is the way the world ends/ Not with a bang but with a whimper. â€Å"(75-78). Death is something that has always been around me in my life. I have had several family members die around me but this particular poem doesn’t really make me feel anything about them. It makes me think more about what will happen when I die, when everyone dies. The poem provides a bleak view of death but also has a strange beauty about it.I like the idea of death as various landscapes, something about that sounds strangely appealing despite the apparent lonliness of the hollow men. No one seems to be in pain or very sad, they are just†¦there. That is similar to how I have always viewed death, not neccessarily as a big experience, you just cease to be. This is exemplified in the final lines of the poem â€Å"This is the way the world ends/Not with a whimper but with a bang. † I don’t believe we are nearly as significant as we believe, when it all ends, it will simply be that. The end.

Thursday, November 7, 2019

Concept Essay

Concept Essay Steps for Writing Concept Essays The aim of Concept Essays is to inform readers about a particular topic. The purpose of such an essay is to explain a concept without influencing your readers. When you write this type of essay, you do not adopt a stance or provide a point of view on the essay topic. Even if you write about a controversial topic, you need to explain all the sides of the controversy instead of taking one particular side. This type of essay can be written on any essay length. If you are writing a concept paper for the first time, follow these simple steps to get started: 1. Select a Topic You may be given a specific essay topic or you may be told to write your essay on a topic of your choice. If it is the latter, look for a topic that you find interesting. Writing about an interesting theme will lead to you writing your essay in a way that interests your readers. Keep in mind that topics for Concept Essays are more abstract than other types of essays. Examples of such topics would be racism, wisdom or communication. 2. Conduct Research Make a note of the information you possess on your topic and then start collating information on the parts that are missing. As you will be educating your readers on your chosen topic, it is important that you know all that you can find out about it. After carrying out all the research, decide what information you are going to use. You don’t have to write about your topic in extensive detail; however it should be detailed enough to provide thorough understanding of the concept. 3. Determine your Audience Before writing your Concept Essay, you must have an idea of who your target audience is. It is not possible to write an essay effectively without determining the type of readers you are writing for. Knowing who your readers are will help you decide what materials to include, the order of ideas and the best way to support the arguments made. 4. Create an Outline Creating an essay outline is a great idea as it will help you organise your thoughts and information. Once you organize your thoughts, you will get an overall view of how your essay will look. This will help you group similar ideas together and eliminate unnecessary ones. 5. Begin Your Essay The introduction to an essay is very important. The essay intro introduces readers to the subject of the essay and indicates the areas of importance. This opening paragraph must contain your thesis statement. This statement must be explained briefly in one or two sentences and must convey the main idea of your essay. Follow your introduction with the essay body paragraphs in which every paragraph discusses one main point. 6. Write Your Conclusion Conclude your Concept Essay with a paragraph that reminds readers of your essay’s main idea. This paragraph must summarize the main points in a fresh and interesting way. If you find it difficult to write this type of paper, you can buy an essay or read a couple of free sample essays online for guidance.

Tuesday, November 5, 2019

Create an Endothermic Chemical Reaction

Create an Endothermic Chemical Reaction Most  endothermic reactions  contain toxic chemicals, but this reaction is safe and easy. Indeed, this experiment requires no toxic chemicals   a rarity in chemistry studies. Use it as a demonstration or vary the amounts of citric acid and sodium bicarbonate to make an experiment. Materials Citric acid and baking soda are available at most grocery stores. Citric acid is used for canning, while baking soda is used for baking. Heres what youll need: 25 milliliters of citric acid solution15 grams of baking sodaplastic foam cupthermometerstirring rod Creating the Reaction Pour the citric acid solution into a  coffee cup. Use a thermometer or other temperature probe to record the initial temperature.Stir in the baking soda   sodium bicarbonate. Track the change in temperature as a function of time.The reaction is: H3C6H5O7(aq) 3 NaHCO3(s) → 3 CO2(g) 3 H2O(l) Na3C6H5O7(aq)When you have completed your demonstration or experiment, wash the cup out in a sink. Tips for Success Feel free to vary the concentration of the citric acid solution or the quantity of sodium bicarbonate.An endothermic is a reaction that requires energy to proceed. The intake of energy may be observed as a decrease in temperature as the reaction proceeds. Once the reaction is complete, the temperature of the mixture will return to ​​room temperature.

Sunday, November 3, 2019

What Do You Think Coursework Example | Topics and Well Written Essays - 250 words

What Do You Think - Coursework Example For a businessman who derives his satisfaction by spending time with his family after a busy day’s work, this is something that cannot be bought with money. Money is merely a quantitative entity which cannot be defined in terms of happiness and sentiments. For money to play a bigger role this has to be amplified in magnanimous proportions and even then it will fall short of the expected levels. Even after immense research and personal examples, money always lags behind providing happiness within the relevant frameworks of human beings, in the past as well as in current times. Hence it has been proven time and again that money can’t buy the moments which provide glee, satisfaction and immense achievement. These can only be had when there is a dire effort to bring happiness through endeavors which ensure that it stays for a long period of time. This indeed is a given for every human being in this

Friday, November 1, 2019

High risk pregnacy Research Paper Example | Topics and Well Written Essays - 1750 words - 1

High risk pregnacy - Research Paper Example First, she is overage. The risks of complications in pregnancy increase with age. Mrs. K is already past the safe age of 35 years. Secondly, she is obese. This complicates further her pregnancy due to the risks of conditions such as hypertension. In fact, she has already developed gestational diabetes and has to depend on insulin. It is also worth noting that her social history does not adequately support her health needs. This is clearly demonstrated by her inability to afford insulin, glucometer and glucometer strips. Besides, she cannot effectively maintain adequate bed-rest prescribed. Currently, the patient is out of hospital. She has been monitored for 37 weeks at what time her cerclage is released and delivery conducted. She delivers a six-pound, two-ounce baby spontaneously without many problems. The puerperium is normal with the mother and child discharged home after only 48 hours after delivery in good condition. The management has successfully controlled not only the risk of pregnancy but also helped retain the mothers’ hobby, knitting. This assists the mother to save money on the baby’s blanket and also keep her busy and away from junk foods. The patient is diabetic and obese. She has to depend on insulin injections to control her blood sugars. She also has a bad obstetric history, having lost seven of her last pregnancies. She has only one surviving child, 18 years old. She has had cramping and false signs of pregnancy which could be the cause of previous loss of pregnancy. For this, she requires close monitoring in a high-risk obstetric clinic to ensure that this pregnancy matures to term. During the early third trimester, the patient was diagnosed with urinary tract infection and placed on antibiotics in consultation with the physician. This case was handled by qualified community obstetrician. The case manager was able to identify and handle all the client’s health problems throughout the period of