standard precautions should be used:?
A. only when the patient exhibits signs and symptoms of illness
B. in all interactions when direct contact with body fluids is possible
C. only when a diagnosis of communicable disease is made
D. only when contact with mucous membranes, non-intactskin and infectious materials is possible
which of the following is part of nurse aide’s job during discharge of the resident?
A. explain the resident’s prescriptions
B. gather all belongings and valuables and document the items received
C. arrange for home care if needed
D. comlete the discharge nursing summary
which of the following might be sign of an obstructed airway?
A. Elevated temperature
B. pinpoint pupils
C. inability to speak
D. coughing
which of the following may irritate the skin around stoma?
A. stool
B. alcohol based cleaner
C. soap
D. all of the above
which foods are more difficult to swallow for a resident with dysphagia?
A. Milk shake
B. Water
C. Apricot nectar
D. Creamed corn
1. B
2. B
3. C
4. D
5. D
INTRODUCTION TO COMMUNICABLE DISEASE NURSING

Acupuncture and Moxibustion is a medical treatment that has been practiced for thousands of years in China and other Asian countries as well as now around the world. It is used as a means of treating and preventing disease.
Acupuncture treatment involves the insertion of fine, sterile needles into specific sites (acupuncture points) along the body’s meridians to clear energy blockages and encourage the normal flow of energy (Qi) through the individual.
The general theory of acupuncture is based on the premise that there are patterns of energy flow (Qi) through the body that are essential for health. Disruptions of this flow are believed to be responsible for disease. Acupuncture corrects imbalances of flow at identifiable points close to the skin.Today, acupuncture is an effective, natural and increasingly popular form of health care that is used by people whole over the world .
Acupuncture needles are so fine that there is no discomfort when they are inserted but a slight tingle (known as needle sensation) may be experienced. The needles are usually left in for approximately twenty minutes to more; during this time there may be a heaviness of the limbs and a feeling of relaxation. The Doctor / practitioner may also stimulate the acupuncture points using other methods, such as moxibustion (a traditional technique that involves the burning of mugwort, a small, spongy herb used to facilitate healing), cupping and electro-stimulation etc. in order to re-establish the flow of qi.
Since Acupuncture and moxibustion Medicine promotes the body’s natural healing ability, many conditions can be treated. It is also a comprehensive system of preventative health care and maintenance. The effectiveness of acupuncture is well-documented. Throughout its long history, acupuncture has established a solid reputation as an excellent alternative for health care that actually works, and is very effective to treat some diseases, where other methods of treatment could not achieve good result or failed.
An Acupuncture medicine doctor should possess adequate knowledge and experience for providing proper treatment to his/her patients. To avoid the unwanted complications in Acupuncture treatment please avoid taking treatment by quack / fake Acupuncturist. There are many around us without proper qualifications. Because inadequate knowledge and experience may lead to serious medical problems.
The World Health Organization recognizes Acupuncture as a viable means of treatment for a wide range of conditions. In an official report, Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials, the WHO has listed the following symptoms, diseases and conditions that have been shown through controlled trials to be treated effectively by acupuncture:
low back pain, neck pain, sciatica, tennis elbow, knee pain, periarthritis of the shoulder, sprains, facial pain (including craniomandibular disorders), headache, dental pain, tempromandibular (TMJ) dysfunction, rheumatoid arthritis, induction of labor, correction of malposition of fetus (breech presentation), morning sickness, nausea and vomiting, postoperative pain, stroke, essential hypertension, primary hypotension, renal colic, leucopenia, adverse reactions to radiation or chemotherapy, allergic rhinitis, including hay fever, biliary colic, depression (including depressive neurosis and depression following stroke), acute bacillary dysentery, primary dysmenorrhea, acute epigastralgia, peptic ulcer, acute and chronic gastritis.
In the field of acupuncture some good clinical researches have been completed, and there has also been some follow-up assessment of many of the conditions that have been treated by Acupuncture Doctors. Some diseases are more successfully treated by acupuncture and Moxibustion where other methods of treatment could not achieve good result or failed. Though this method of treatment has already been started in our country but due to quite less number of medically qualified acupuncture doctors available in our country and lack of proper perception about the application of this method in some specific diseases, the patients are depriving from the advantages of Acupuncture & Moxibustion treatment.
So, I have made an attempt to provide little information about the effects of Acupuncture and Moxibustion in few diseases. Many of the facts and figures quoted in the following sections are the results of my own experience and clinical trials carried out in China and others countries.
Diseases of the Muscles, Bones and Joints:
The muscles, bones and joints are usually called collectively the musculo-skeletal system. When disease or damage occurs to this system it nearly always results in pain, and most people use words such as rheumatism or arthritis to describe this type of pain.
There are three main types of damage that occur to the musculo-skeletal system; the first is a sudden injury or sprain which might be a domestic injury, or might be incurred during a sporting activity or in a car accident. This usually causes local pain and bruising lasting for a few days, or even a few weeks or more. The other main group is arthritis and this can be divided into two important types, Osteoarthritis and rheumatoid arthritis.
Sprains: Sudden injury or sprains usually respond well to acupuncture. The pain resulting from a sprained shoulder, ankle etc will often continue for some days or weeks after the initial injury. Once a clear diagnosis has been made acupuncture can usually be used to relieve this type of pain. Many of these ‘acute pains’ represent a self-limiting disease process; for instance a small burn is usually excruciatingly painful for a few days and then settles. If acupuncture is used as a form of pain relief for burns then its ‘pain relieving’ effect is only required for a few days. Because of the natural history of the pain it is therefore difficult to produce a clear picture of the effect of acupuncture on this type of ‘short-lived pain’.
The experience of a many of Acupuncture doctors including me, shows that, of the people treated for differing acutely painful conditions, about 70 percent obtain swift and significant pain relief. If a fracture of the bone is present then the pain relief gained from acupuncture is less effective than if the injury is due to a strain or tear of the muscles, tendons or ligaments. The main advantage of treating these acute pains with acupuncture is that chronic pain can be avoided. A sudden shoulder injury may produce pain and immobility for many months, sometimes years, but if acupuncture is used when the pain occurs then it seems that chronic pain may be avoided.
Osteoarthritis: Osteoarthritis and the rheumatic pains that result from this type of joint damage are quite a common problem. People frequently complain that their arthritic knee pain is worse in cold or damp weather and this demonstrates quite clearly the origin of the concept of pathogens in traditional medicine. The pathogen in osteoarthritis is almost always cold or damp and therefore these pains should be treated by moxibustion.
A great deal of research work has been done to investigate the effects of acupuncture on the pain caused by osteoarthritis. Clinical trials have been completed on knee, hip, elbow, neck and lower back pain, and the information from these trials shows that significant pain relief can be achieved in about 70 per cent of those who receive acupuncture. Some work suggests that only 50 per cent of people benefit from acupuncture while other trials show 95 per cent of the patients benefiting. Acupuncture also has a ‘magical quality’ that drugs do not have, so it is difficult to sort out the effects of the ‘magic’ as compared to the real effects of acupuncture. In spite of these problems, acupuncture is a safe and effective form of treatment for osteoarthritis.
Rheumatoid Arthritis: The effects of acupuncture on rheumatoid arthritis are not so clear cut. During the early, acute, inflammatory stage of rheumatoid arthritis there is some evidence to suggest that Acupuncture might worsen the pain (though which usually may subside gradually) and therefore many acupuncturists do not treat acute rheumatoid arthritis. After some months the acute inflammatory stage subsides and the residual joint destruction may then lead to the development of a secondary osteoarthritis. This type of pain is amenable to acupuncture and responds in the same way as other osteoarthritic aches and pains. Chronic pain, due to disease of the musculo-skeletal system, is frequently amenable to acupuncture treatment. The published research shows that pain which has been present for many years can respond as well as pain that has been present for only a few months; therefore, from the available information, it is fair to say that acupuncture is ‘always worth a try’ in this type of condition.
Headaches: Headaches can be due to a multitude of factors; arthritis of the neck, dental problems, psychological problems, sinusitis, stress and tension, and head injury are a few of the many causes. Headaches are a common complaint and a notoriously difficult one to treat effectively, and they can be the cause of a considerable amount of distress and marital disharmony. Acupuncture treatment has been used to treat a wide variety of headaches, particularly migrainous headaches, and the results obtained have been very encouraging. The published work suggests that between 65-95 per cent of all headache sufferers obtain significant and long lasting pain relief from acupuncture treatment. Migraines seem to respond as well as, if not better than, other types of headache. Acupuncture therapy for headaches may cause the headaches to vanish completely, or occur with a markedly decreased intensity and/or frequency. The pain relief resulting from acupuncture treatment can sometimes be maintained for some years and re-treatment is usually required less frequently for headaches.
Diseases of the Nervous System:
Strokes: A stroke is caused by a disturbance of the blood supply to the brain. The blood vessels that normally supply blood to the brain can be compromised by becoming blocked or bleeding. This result in a deficient blood supply to the brain tissue and these events can be precipitated by a variety of factors such as raised blood pressure, hardening of the arteries and severe head injury. The brain is divided into many different functional areas, one area controlling speech, while another dominates the sensations of touch and pain. The functional impairment that occurs with a stroke depends on the area of the brain that is damaged; if the speech area is damaged by a lack of blood supply then the patient may be unable to speak properly. In China, acupuncture is the standard treatment for strokes. In the Western countries, the mainstays of stroke treatment are speech therapy, physiotherapy and occupational therapy, but the Chinese feel that these methods have less to offer than acupuncture medicine. Both scalp and body acupuncture are techniques that can be used to aid recovery from a stroke. The research work suggests that acupuncture increases the blood supply to the brain, and for some unexplained reason this seems to improve functional ability and acts as a stimulus to recovery after a stroke.
Clinical trials completed by the Chinese doctor’s state that some effect can be gained from acupuncture in about 80 per cent of strokes. The success rate claimed is very high but to some extent this success rate is mirrored by the experience of a variety of doctors in the West. Western medicine often has little to offer the stroke patient and therefore acupuncture therapy is always worth considering. Ideally strokes should be treated within six months of the damage occurring.The Chinese doctors also treat their patients for long periods and a stroke patient may receive one hundred or two hundred acupuncture treatment sessions before being declared a success or a failure.
The Neuralgias (Nerve Pain): Trigeminal neuralgia usually presents with severe unilateral facial pain. Its cause is unclear but the painful facial spasms are often precipitated by cold or wind. The Chinese acupuncturist claim to be able to gain improvement, with acupuncture, in about 70 per cent of cases of trigeminal neuralgia. Judging by the experience of Western acupuncturists this success rate represents a rather high figure, although acupuncture can undoubtedly have a beneficial effect on this type of pain.
Postherpetic neuralgia is the pain that occurs after an attack of shingles.Shingles is a viral infection of the nerves, and the nerves affected by shingles can occasionally continue to cause severe pain after the shingles has cleared. It seems that of those patients with established postherpetic neuralgia, about 40 per cent gain some degree of long term benefit from acupuncture treatment. There are a vast number of aches and pains that are often described as neuralgic. Many of these occur as facial pain and most of them cause severe discomfort. It is always worthwhile to attempt to alleviate these pains by using acupuncture treatment.
Anxiety, Depression, Insomnia and Other Nervous Disorders: It is difficult to be objective about the treatment of disorders such as anxiety, Insomnia and depression, as the problems themselves are difficult to assess objectively, and therefore no good clear figures are available about their treatment with acupuncture.
In spite of this, many acupuncture doctors, including the Chinese, treat a wide range of ‘mental disorders’ and insomnia (sleep problem) with acupuncture. Many people have stated that acupuncture is clearly effective in helping symptoms such as insomnia and bed-wetting, and can also create a feeling of general well-being. The Chinese doctors have completed trials on some of the more clearly defined and serious mental diseases, such as schizophrenia. In a trial involving over 400 patients they claim a 54 per cent cure rate for this disease, with a further 30 per cent showing ‘significant improvement’. However, from a variety of excellent research papers it is clear that acupuncture can influence quite radically many areas of the central nervous system, as well as neurotransmitters and others brain functions also. Therefore this therapy has a great role in brain related problems or neuro-developmental dysfunction.
Nerve Paralysis: Paralysis can also be treated by a variety of acupuncture techniques. The acupuncture must be continued for a long period. Sometimes daily for six months and the results from some of the Chinese research works are very encouraging. Chinese doctors claim that some 50-60 per cent of patients are likely to gain significant return of function if treated with acupuncture.
Facial paralysis (Bell’s palsy) is a disease of sudden onset that causes one side of the face to lose muscular power; the cause of this is unknown. Acupuncture and moxibustion can be used to treat this and the research claim a 75 per cent complete recovery rate but, again, this disease allows a significant percentage of spontaneous recovery. The Chinese research also claim that a further 20 per cent gain benefit from acupuncture, although not complete recovery. Even allowing for the known level of spontaneous resolution in facial paralysis it does seem that acupuncture has something extra to offer.
Parkinson’s disease, Epilepsy, nerve deafness etc: Acupuncture has been claimed to be effective in Parkinson’s disease, Cerebral Palsy, Epilepsy, nerve deafness, and a large variety of other problems. According to some studies, Parkinson’s disease may be accompanied by an imbalance of energy along one or more meridians. The muscle stiffness, soreness, imbalance etc. of Parkinson’s may be alleviated by a series of treatments. It is always wise to remember that acupuncture is a harmless technique and can sometimes give excellent results in above casese where other medical methods have failed.
Autism /ASD, Cerebral Palsy etc: Acupuncture along with herbal therapy have been found highly effective for treating children with brain dysfunction, resulting in improvement in the patient’s overall functional abilities. Excellent results are being achieved through simultaneous application of Acupuncture and Herbal Medicine in the cases of ASD / Autism and Cerebral Palsy in different countries of the world. There are several research papers, articles etc. that has been published all over the world about the efficacy of Acupuncture and Herbal Medicines in this context. In my clinical practice I am also getting very effective result by applying integration of Acupuncture and Herbal treatment. I noticed that, formulated Herbal Medicine along with acupuncture session gives much result other than only Acupuncture treatment or only Herbal Medicine. Like other diseases, I treated several patients. Some of them improved tremendously just after few days of treatment.
ADD and ADHD: Acupuncture can help the patient to manage the Attention Deficit Disorder (ADD) and Attention Deficit Hyperactive Disorder (ADHD), and may provide some relief which will help the patient to gain greater benefit from the therapies available to him or her, and can help with the side effects of those therapies. Taking advantage of everything the medical knowledge of both hemispheres has to offer is a great way to ensure the most effective treatment for this disruptive, often limiting and painful condition. Acupuncture can be an excellent complementary therapy for the treatment of ADD and ADHD. In some cases Acupuncture works as a magic bullet for the treatment of ADD and ADHD. A research showed that, Acupuncture treatment has a good effect on infantile
attention deficit hyperactivity disorder, its total effective rate was higher and the changes in abnormal electroencephalogram and the curative effect were better.
Diseases of the Digestive System:
IBS: An increasing number of studies have been conducted on treating IBS, with promising results. These studies have documented that Chinese medicine can effectively treat IBS in a safe and drug-free way.
Indigestion: Exact figures for success rates are not available, but the ‘clinical impression’ that arises from a number of acupuncture doctors indicates that about 60 per cent of patients gain some long-term relief of their symptoms with acupuncture.
Diseases of the Respiratory System:
Asthma: Acupuncture causes the contracted muscular walls to dilate; the mechanism of this is unknown, but there is good Western research data to support this claim. A recent Chinese clinical trial on asthma showed that some 70 per cent of asthmatics gained a ‘very good effect’ from acupuncture and moxibustion. The acupuncture treatment was able to decrease the frequency and intensity of asthmatic attacks over a period of a year or more. This result is encouraging as it shows that acupuncture and moxibustion can affect the response of the body to the environmental stimuli causing asthmatic attacks. Our clinical experience also supports this efficacy of Acupuncture and Moxibustion medicine.
Bronchitis: Acupuncture cannot rebuild lung tissue, but by opening up the breathing tubes it can allow the remaining lung tissue to function efficiently. The mechanism of acupuncture in bronchitis is probably much the same as in asthma, allowing more air to enter the lungs. Recent Chinese research works has shown that about 50 per cent of bronchitis ‘benefit’ from acupuncture. The treatment must be repeated regularly if the effect is to be maintained for long period. On the other hand acupuncture treatment also help to control the infection effectively in bronchitis.
Diseases of the Heart and Blood Vessels:
In China it is a common and acceptable form of treatment for some of these problems. A variety of experiments carried out in the western countries give clear support to the idea that acupuncture does have an effect on the circulatory system.
Angina: Using sophisticated measuring equipment the Chinese researchers have completed a variety of trials to assess the effects of acupuncture on the heart, and they have shown a marked increase in the functional ability and efficiency of the heart muscles after acupuncture. This is further supported by clinical work, which shows that some 80 per cent of patients with angina have improved after acupuncture. When acupuncture is used to treat angina a course of treatments is given, and then followed by booster treatments.
The Correction of Abnormal Heart Rhythms: Heart diseases can frequently cause an abnormal rhythm to the heart beat; this may manifest itself as palpitations, an irregular heart beat, or dropped beats. Acupuncture can correct a small number of these arrhythmias. In established atrial fibrillation (irregular heart beats), acupuncture affects a small percentage of cases, some 1.5 per cent, although in recently acquired arrhythmias, acupuncture can be effective in up to 70 per cent of cases.
The Use of Acupuncture in Addiction and Obesity:
A large number of Western countries acupuncturists are using a variety of acupuncture techniques to treat obesity, smoking and hard drug addiction. There is some excellent physiological and clinical evidence to support the use of acupuncture method in these areas. The withdrawal symptoms experienced by people giving up smoking, or drugs, can be alleviated by raising the levels of endorphins in the nervous system. Some people believe that the desire to eat is also mediated by the endorphin level in the brain. It is clear that endorphin levels throughout the nervous system can be increased by Acupuncture. The techniques used to achieve an increase in endorphin levels center around the use of ear acupuncture. It must be stressed that acupuncture cannot replace willpower. It can only help the withdrawal symptoms, or hunger pains, experienced by those already motivated and committed to solving their particular problem.
Obesity: Acupuncture seems to relieve the problem of hunger usually created by dieting. Many people who receive acupuncture to help with weight loss also go on a diet at the same time. It is difficult to assess exactly which factors are responsible for weight loss, the acupuncture or the diet, or both in combination. Most acupuncturists claim that 40-50 per cent of their patients experience some significant weight loss during treatment.
Hard Drug Addiction: Some excellent research work has been done in this field, especially in Hong Kong. It is clear that acupuncture can help to solve the severe withdrawal symptoms experienced by those coming off hard drugs like heroin.
Smoking: Acupuncture treatment helps about 40 per cent of people to give up smoking over a period of about six months. Again, it is essential to be well motivated before embarking on a course of treatment. Acupuncture does seem to decrease the desire to smoke and also to alleviate the withdrawal symptoms produced by abstinence from tobacco.
The effect of acupuncture on chemotherapy-induced nausea, vomiting etc. has been studied over the past 20 years, and clinical evidence gathered to date has been favorable. Current practice guidelines recommend acupuncture as a complementary therapy for uncontrolled nausea and vomiting induced by chemotherapy.
The Use of Acupuncture in Obstetrics:
In China the major use of acupuncture in obstetrics is to provide analgesia (pain relief) during Caesarean section, and to correct foetal malpositions, such as breech (breech means when the baby is ‘bottom first’ rather than ‘head first’).
Fertility and Cynecological Problems: Women who are having problems with conception, premenstural sympstems or menopausal issues will see positive results with Acupuncture medicine. It may be possible to reduce or elimenate the need for western drugs. If drugs or hormones must be used, side effects may be reduce. For women who are experiencing disorders of coception, my own experience suggests that Acupuncture with Herbal Medicine is more effective and much less unpleasant and dangerous than hormonal treatments or in vitro fertilization procedures.
Foetal Malposition: The correction of foetal malposition is achieved by applying moxibustion to an acupuncture point. In about 60 percent of women the foetus turns naturally prior to the thirty-fourth week of pregnancy; this can be increased to 90 per cent with the aid of moxibustion. After the thirty-fourth week, when natural version is less likely, the Chinese claim that 80 per cent of foetal malpositions will be corrected permanently by this procedure. Once corrected, the malposition does not recur, provided moxibustion is applied daily. There seems to be no available physiological basis with which to explain this finding.
Anaesthesia for Labour and Delivery: Acupuncture anaesthesia is widely used for caesarean sections in China. A report recently published, discusses the results of 1,000 cases managed in this manner. The Chinese Acupuncturist claim a 98 per cent success rate in the abolition of pain, a quicker recovery rate from the operation, less blood loss, and the obvious advantage of the mother being able to see the baby at, or soon after, birth. This report finds acupuncture a superior form of analgesia compared to other forms of pain relief (general or epidural anaesthesia) for caesarean section. Acupuncture can also be used to provide pain relief in normal obstetric deliveries. Adequate assessment of this form of obstetric analgesia has not yet been published, although the experience of a wide variety of acupuncturists in the western world would indicate that it is a useful and effective procedure.
Acupuncture Anaesthesia:
Acupuncture anaesthesia is widely used in China and it has been used in a wide variety of operations, from minor procedures to open heart surgery or brain operations. It is undoubtedly an effective form of pain relief in the majority of people, but there is always a small percentage who fail to gain adequate analgesia from acupuncture. In general, acupuncture allows for a safer operation, with less likelihood of complications, and a swifter post-operative recovery. (Excerpted from Acupuncture: It’s Place in Western Medical Science)
About the Author
Dr. Shariq H. Khan
BUMS-1st. class 1class(DU) MD-medicine(Clmb.) TRCS(Pak.) DAc(Cylon) DTCM(China)
Associate Professor of Medicine
Govt. Unani – Ayurvedic Medical College and Hospital
Constituent and affiliated institute of the University of Dhaka
Acupuncture & Herbal Medicine Consultant
Mobile: 0088-01710-155355, E-mail: thekhansbd@gmail.com
The Khan’s Acupuncture and Herbal Therapy Clinic.
Dhaka, Bangladesh.
Parkinson’s Disease

I am sure we all want to protect our pets from disease and one common disease, called Canine Distemper is a worldwide problem and young puppies, in particular are the most susceptible and the most likely to die from the disease.
It is possible for humans to have a sub-clinical CDV infection although anyone who has had an anti measles vaccination, will be immunized as the two diseases are related.
Dog Distemper Transmission
The disease can be spread by coming into contact with the bodily secretions and nasal fluid from an infected animal but most commonly ingestion via airborne particles from infected animals i.e. breathing in the particles.
How can it be prevented?
All dogs and all breeds are at risk from Canine Distemper with older dogs who have not been vaccinated and particularly puppies being most at risk because their immune systems are still immature. There is no cure for CDV, prevention is the only viable solution and since development of the vaccine in the early 1960′s there has been a substantial reduction in the number of fatalities, attributed to this disease. At one time Canine Distemper was the highest reported cause of death in domestic dogs.
Vaccination is the way to protect your dog and until your pet has been vaccinated, be careful where you take him. Since airborne ingestion is the most common form of infection, be especially aware in parks, dog areas, kennels, and grooming premises. Try to avoid exposing your dog to any animals that you are unfamiliar with, including wild animals as it is often the wild animal population that is attributed for the sporadic outbreaks of the disease. The Canine Distemper virus (paramyxovirus) also occurs in Ferrets, Foxes, Mink, and other carnivores.
Puppies, being particularly at risk can receive vaccination from 6 weeks and should be re-vaccinated every 3-4 weeks until 16 months old. Newborn pups prior to vaccination need to be kept away from other dogs and areas of possible contamination. Adult dogs should continue be vaccinated every year.
Speak with your vet about local issues and problems that can affect your pet.
Look out for Distemper in Dogs
Following ingestion, infections are replicated in the lymph nodes although dogs can appear to be quite normal for several days following the actual contamination and initial Distemper symptoms may include
• Loss of appetite
• Runny nose
• Watery eyes
• Diarrhea
• Cough
• Labored breathing
• Sore throat.
• Vomiting
The Treatment
There is no cure for actual Canine Distemper Disease but supportive treatments include controlling the spread and the severity of secondary ailments like vomiting, diarrhea, and fluid discharge.
Providing a warm and draft free environment with good nursing care will make the dog as secure and comfortable as possible.
Monitor for dehydration
The vet will probably use antibiotics and drugs to control any nausea, vomiting, diarrhea, pneumonia, twitching and spasm.
Recovery
Following recovery, an infected animal can still be a carrier and needs to be quarantined for a minimum period of 2 weeks to reduce the possibility of contaminating and infecting other animals.
Conclusion
Prevention and vaccination is the best option of all.
If during the course of treatment or convalescence the dog appears to respond well, you must avoid the temptation of allowing the animal outside, even on what might seem a mild day, as the colder air and ground can exacerbate its respiratory problems with possible dire consequences. This information was compiled for your interest because it is an extremely serious illness, and if you suspect Distemper in your dog you should consult with your Vet Practice immediately for help and treatment.
About the Author
Canine distemper – articles and information on the canine distemper cause and transmission and canine distemper treatment.
Dog Eye Disease Peppie’s Eyesight Deteriorates

semi-precious stones article and semi-precious stones information
The use of semi-precious stones were in Eastern and Western countries and Middle East very popular. Plato believed in the correspondence of the gemstones with the planets of our solar system. It is used around the world are very valuable not only as decoration but as agents of power and storage of hidden power, too.
Coral, pearl, ruby, rock crystal, onyx, amethyst, agate and jade were more popular in the West than the East. Amber and crystal are mentioned in the bible. In Germany, amber beads on a string is placed in a children’s home in order to help the teeth, many people use to save Amber by rheumatism. Amber The Turks used the nozzle of smoking pipes, to prevent infection. In India, sadhus wear necklaces of amber beads in order to save them from diseases of the stomach, intestines and liver.
In Rome, the use of older coral that the use of pearls. Romans used not only as coral jewelry (rings, chains, etc.) as well as amulets and charms against fire, lightning, storms, magic, magic, poison, and the wreck. Coral was also used to help children in primary teeth.
amethyst stone was the favorite of the Greeks. They use it for good dreams, courage, chastity and protection against thieves.
There are 84 types of gemstones. Of these, only nine major gems and semi-precious stones passed. Many of them idols, utensils used, and decorative items. Some of them are not currently available. The semi-precious stones, which are now fashionable, are more Lusture, the value and impact that real. These are described in the following lines –
First Amber – is Kaharua in Hindi as “call.” There is no jewel, but a fossil resin. Is found mainly in red and yellow. Of all the gems is the oldest, light and soft. Located on the shores of England, China, Thailand, and Baltic seas Sysley as gum or oily substance. When worn around the neck calms the mind. It is believed that the use of amber can be saved from too unstable. That may be true, because Bernstein has a magnetic property: its magnetic quality works in the electromagnetic field of the body and allows the user to achieve greater self-control and better physical health to achieve. The carrier is not affected by evil spirits or black magic. He does not want to be a victim of any disease of the throat. The crystals are advantageous for infectious diseases. One or two drops of amber must be worn around the neck of children.
Second Agate – is a gem opaque. It is sculpted to the fine. Is found in many colors. There are images of trees, clouds, grass and plants. Contains the divine power. It is a jewel luck for farmers and other workers. To eliminate the negative impact of man on the agate planetary times using one color on the planet. The world’s poor in particular must be used to count mantras accounts to sing on the planet.
Third Game – In Hindi it is called – or Jamunia Kataila. Its color is purple. Its meaning depends on its strength in the paint. increases with increasing thickness of its value and effect. For the excess iron in it to win support their spiritual power. Suppresses the evil passions. Your carrier can not lose moral status. It also makes a man live without wine. The company begins the evil deeds, through which you get peace of mind and comfort to hate. Therefore, more demand and days in the past. In Western countries, women’s clothes to her husband loves to make permanent. It is also necessary in order to appease the arrogance of Saturn. People often use them instead of sapphire blue.
Fourth Aquamarine – In Hindi it is called “Beruj. Belongs to the family of Esmeralda in the sky color. It is also transparent. It has all the qualities that has an emerald. People use it instead of emerald. It is useful for going on a trip. It can safely be used by everyone. It is especially gratifying when used as a necklace, bracelet, pendant or charm. In women, women’s values.
Fifth Carnelian – Found in many colors – reds, browns and orange. If a person feels feverish at night, poor advantageous to him because he has too high body heat and cure the sick. His crown is patience, perseverance, self – confidence. Also eliminates the negative effects of the company.
Six Citrine – It is transparent and less price. Its color is yellow. Is used instead of yellow sapphire. After great scholar, increased his fortune. used by the Egyptians and the Romans, when a man from the weaker eye, or suffer any other kind of eye disease will be. Its wearer becomes more and more financial and physical strength, longevity, honor, friendship, success, beauty and wisdom. It also makes the joy and the blessing of the elders. It is a symbol of the friendship. If worn, the man can not have night-mare and can enjoy a deep sleep.
Seventh Garnet – Nowadays, it is very popular and fashionable. His appearance is Crimson, soft and beautiful. Belongs in the sun to be used instead of Ruby. By taking his ring, pendant or necklace active man advances health is strong, the company puts in the path of honor and success. Your carrier prevents immoral and illegal activities. It is also very beneficial for rheumatism. It will stop bleeding and cure diseases caused by the formation of stones in the body, increase strength and vitality, and acts as a sexual stimulant.
Eight Green Jade – In Urdu it means Margaj. It is a replacement of precious emerald. Jade is found mostly in green. If children are parents, increased life span. According to the Chinese Scholar, wit, and increased cooling effect on the eye. This allows people to play with words. Greeks and Romans say they never can be carriers with mental illness and optical equipment. It is believed by all that this jewel of the carriers of diseases related to heart, stomach and kidney care.
Nono Turquoise – The color is the sky blue to greenish blue. It contains phosphorus, aluminum, copper and a little water, light, after polishing. It is so delicate that it is easily corrupted by a small fire or water. Astrologically, it is possible Ketu in context. Therefore, it is an advantage in case of a man affected by Ketu. Your carrier can not be poisoned to death. This gem is a must for those who go on an adventure trip or any trip. as a true friend, who saves the user from all sorts of trouble and joy, makes the wearer. In Russia is presented as a wedding ring. Its color changes, depending on changes in the season. Since the Middle Ages is considered to increase hatred and love destroys. If a disease carrier attack, warns us your Morph.
winbowgems-is found in many colors. It is smooth stone. This is a replacement of Esmeralda. It is beneficial in the neck cramps and back pain. It also helps to live a life without problems and got married. Purity lies in thinking. Its purpose is primarily for the priests and Brahmans.
For example, some of the major semi precious stones are all the rage these days, but there are some other gemstone wholesaler, which are sketchy in their use. If you have any old piece of stone, wood or clay product or ornament and have worth, you must show to any astrologer or a mineralogist, is perhaps the most valuable
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Infectious Disease Part 1

There seem not to be one single cause of Coronary Heart Disease (CHD), but medical research have however, shown that a whole range of things can make you more likely to develop Coronary Heart Disease and these are the risk factors. Just like a very high speeding car is more likely to hit and crash into another car than a slower speeding car. So a person with one or more risk factors will be more likely to develop heart disease than someone without any. Though not every very high speeding car crash and not every with Coronary Heart Disease risk factors gets a heart attack, but the chances are undeniably greater.
These risk factors are divided into two groups: the non-modifiable and the modifiable factors.
The non-modifiable risk factors: are as the name implies, are those risk that we cannot do anything about. They can’t be altered by our lifestyle changes or medical treatments. And they include:
Age and gender: Coronary heart disease becomes more common with older age and it is the strongest predictor of coronary deaths in women. Two third of women who die from heart diseases are ages between 55 – 65 years old. Below the age of 65, it is much more common disease among men then women. This is because after menopause (a period when women menstruating).
Coronary Heart Disease becomes more common among women. It does seem likely that age different among men and women with CHD is related to estrogen hormone that disappear once menstruation stops, this hormone has a way of regulating and maintaining the effects of the Coronary Heart Disease in women. But test carried on women who are undergoing hormone replacement therapy (HRT) have shown some evidence that this can protect against heart diseases. Many doctors are recommending HRT for this reason as well as, of course for other reasons.
Family history or Genetic factor: as with age and gender, we don’t choose our parents so we’re stuck with our genetic history. If your father or mother had a heart attack below the age of 65, this may increase your own risk significantly, but getting it from a second or third degree relative is less likely. The reason being that the gene we inherit from our parents may make us more liable to have high cholesterol or less insulin production in our body.
It is advisable to have a medical checkup from time to time with your doctor in order to reduce or treat the risk on time.
The modifiable risk factors: are the ones that can be influenced by changes in our various lifestyles such as diet, physical exercise and medical treatment. The major risk factors include smoking, raised blood cholesterol, high blood pressure, diabetes, lack of exercise. While the contributory risk factors are obesity, stress, alcoholism, raises insulin level, fibrinogen, homocysteine and some others.
The risk of you developing Coronary Heart Disease becomes greater the more risk factor you have. Some risk however has much greater effect on your chances of developing Coronary Heart Disease, for instance a smoker with high blood pressure and a raised cholesterol level has a much higher risk than a non-smoker who has these factors.
In general, Coronary Heart Disease is a disease of the affluence, it’s rare in the tropics and developing countries but common in North America, northern Europe and Australia and it’s more related to lifestyle.
To learn more about coronary heart disease visit http://www.heartcares.blogspot.com
Knowledge is power, so Learn and Live!
About the Author
Miracle is an expert researcher on health and fitness matters especially heart health, women and men’s health, dieting, environmental health issues, a motivational speaker and a teacher. For more information, visit http://www.heartcares.blogspot.com http://www.dietcares.blogspot.com
Air – Tropical Disease/Le Samourai