Thursday, December 25, 2008
Snoring Aids
Anti-snoring devices range from the very simple, to the somewhat complex. The majority of devices are available in drug stores or through direct mail (postal or Internet/e-commerce). The most common and effective devices and snoring aid are described below.
• The “Sandler” Pillow
A popular non-surgical device used to alleviate snoring is called The Sandler pillow (named after its inventor). This pillow, by design, compels the sleeper to sleep on his/her side. Since sleeping on the side generally closes the mouth, this can prevent some kinds of mild snoring from occurring (the vibration is still there, but the snoring does not escape the mouth).
• The Snore Ball
Invented in the early 20th century, the snore ball has undergone a series of advancements, and modern versions are available today. Snore balls are devices that the snorer puts on their back while sleeping (i.e. putting it in a pouch on the back of their pajamas). When these people move to sleep on their back – and thus generally open their mouths while the sleep and emit loud snoring – the snore ball gives them a wake up call of discomfort.
As you can easily imagine, the snore ball is not the most painless of options
Ayurvedic Management of HIV/AIDS
In a retrospective study in 55 patients, Ayurvedic treatment has proved to be very promising in the management of HIV/AIDS. Fifty-Five adult patients were given Ayurvedic treatment for HIV/AIDS, during the period from April 1999 to November 2004.Each patient had tested positive for HIV/AIDS on at least 2 different occasions. No patient was taking anti-retroviral drugs at the time of commencing Ayurvedic treatment. All patients were started on treatment after written, informed consent.
The Ayurvedic Herbal Combination ( AHC ) comprises of eleven different herbs in different dosage strengths, based upon their respective potencies, reported anti-viral and immunomodulatory properties, and their traditional usage according to Ayurvedic principles of medicine 2 -4 .The constituents of AHC with their respective dosages are as follows:-Terminalia arjuna: 250 mg. ;Zinziber officinale: 250 mg. ;Phyllanthus niruri :1 gm ;Glycyrrhiza glabra:1gm. ;Withania somnifera:1gm. ;Eclipta alba: 250mg. ;Centella asiatica: 250mg. ;Boerhavia diffusa: 250mg. ;Emblica officinalis: 250mg. ;Tinospora cordifolia: 250mg. ;Rubia cordifolia: 250mg. This AHC was dispensed in a combined dose of 5 gms. t.i.d., to be taken with water after meals. Aqueous herbal extracts of all the medicines were used, in tablet form.
All patients were advised to eat a well-balanced, nutritious diet. Therapeutic counseling sessions were conducted regularly to help the patients achieve mind relaxation, to modify their risk behavior , and to increase adherence and compliance to therapy.
All patients were followed up at monthly intervals. Detailed clinical examination was done at each visit and significant findings were recorded. In addition, in affording and willing patients, investigations like CBC, Hb, Liver and Renal functions, X-Ray of chest, Western Blot, CD4 count and Viral Load were done wherever possible. Other investigations were done, if required, for Opportunistic Infections (O.I.).All O.I. were promptly and aggressively treated with modern medicines. A close watch was kept for adverse reactions of the drugs.
Therapeutic outcome was assessed by overall clinical examination, change in Karnofsky score (assessment for overall well-being of patients), change in weight, occurrence and response to O.I., and change in CD4 and Viral Load values. Maximum number of patients was in the age ranging from 20 - 39 years (80 %). Of the total number of 55 patients, 39 were male (71 % ) and 16 were female (29 %), with the male: female ratio being 2.4: 1. There were 7 couples who took treatment together.
Of the 55 patients, 5 patients died, 42 patients took treatment for varying periods and then stopped treatment, while 8 patients continued treatment till the end of the study period. The 5 patients who died were critically ill at the time of presentation, and died mostly within the first two months of starting Ayurvedic treatment. The cause of death varied ; 1 patient died from cirrhosis of the liver, 3 died of extensive Pulmonary Tuberculosis (multi-drug resistant) and 1 died of a combination of Pulmonary Tuberculosis and demyelination disease of the brain.
In the 50 patients who were alive till the time of their last follow-up , there was an average weight-gain of 2.3 kgs.(range = - 4 to + 7.5 kgs), usually within the first 3 months. In those patients who took continuous treatment for more than 3 months, the Karnofsky score increased from an average of 75.9 at the commencement of treatment to 87.4 at the last follow-up. Almost all the patients had 1-3 O.I. at the time of presentation. Other than Tuberculosis, all the O.I. cleared up rapidly within the first 2 months of treatment.
Long-term administration of Ayurvedic medicines (upto 30 months) did not seem to have any major adverse effects. In fact, in a few patients, the tests for liver and renal function appeared to normalize further, with treatment. Haemoglobin readings gradually improved in those patients taking regular, prolonged treatment.The most striking effect of the Ayurvedic medicines was on the Viral Load and CD4 counts. Because of financial constraints, only 15 patients (27 % ) agreed to do either the Viral Load or the CD4 count, or both. In most patients, there was a definite and steady decrease in the Viral Load, and an increase in the CD4 cell counts.
Antiretroviral medicines are the mainstay in the modern treatment of HIV/AIDS. However, a plethora of side-effects, development of resistance to drugs and escalating treatment costs are serious concerns. In the absence of a definite cure for HIV/AIDS, Ayurvedic medicines may provide a useful alternative for long-term management of patients, since these medicines are economical and devoid of serious side-effects. However, scientific research is necessary to determine efficacy of these medicines. This retrospective study is one such effort to assess long-term therapeutic effects of an Ayurvedic Herbal Combination in the management of HIV /AIDS.
In this study, 4 patients died within the first 2 months of commencing treatment. Onset of therapeutic effect is slow with Ayurvedic medicines, and these patients probably could not benefit from Ayurvedic treatment. This emphasizes the need to start treatment as early as possible in immuno-compromised patients. The causes of death indicate that Tuberculosis and CNS involvement are major killers in HIV patients. Multi-drug resistance to Tuberculosis is also a major concern.
16 patients ( 29% ) did not come back after just one ( 11% ) or two ( 18% ) visits. The reasons cited were, a complete inability to pay for treatment, or a search for a ‘better’ or a ‘guarenteed cure’. Fortunately, perceptions have changed in the last few years. Even illiterate patients from the lower socio-economic strata are no longer asking for a ‘guarantee’ or a ‘cure’. ‘Long-term management with minimum expenses’ is a mantra being readily accepted by the HIV positive patient of today.
All the patients who took medicines regularly, had a high-protein diet and kept themselves busy, improved very well and put on weight. Even 2 to 3 years after stopping Ayurvedic treatment, most of the patients are doing very well, some inspite of very low CD4 counts. This is probably one of the biggest long-term advantages of taking Ayurvedic medicines for HIV /AIDS. However, patients with socio-economic difficulties and a lot of psychological pressure who could not have access to regular treatment, started losing weight after initially improving with treatment. A comprehensive management of each patient thus needs to address several issues relevant to each individual patient.
This study also brought forth some interesting results. One patient who subsequently died, had severe demyelinating disease of the brain (as diagnosed in a major hospital), and had lost most of his motor control and sensory senses, since several months. After being given Ayurvedic treatment for about 1 ½ months he became alert, and could speak clearly, albeit temporarily, for 1 week. Another patient with Nephrotic syndrome resulting in long-standing generalized oedema (2 years ) had complete regression of the oedema after 2 months of Ayurvedic treatment without any other treatment. One HIV positive patient with suspected malignancy of lung in the right upper lobe was steadily losing weight. After starting Ayurvedic treatment, he started putting on weight. Another patient with history suggestive of HIV Encephalopathy was semi-conscious at presentation. He was passively fed on liquid diet and a combination of both modern drugs and Ayurvedic treatment. This patient be!
came ambulatory within 2 weeks, and after 2 months of treatment he was faring well, even with a CD4 count of just 6.The above 4 instances indicate that the Ayurvedic medicines may have multi-faceted properties and need further evaluation.
Thus,the retrospective study of 55 HIV positive adult patients treated with an Ayurvedic Herbal combination from April 1999 to November 2004 proved the Ayurvedic medicines to be highly effective as anti-viral and immuno-stimulant,and safe on long-term use. A nutritious diet, Ayurvedic baseline therapy, timely allopathic treatment of Opportunistic Infections and regular counseling support appears to be an ideal combination in the management of HIV/ AIDS patients.
Tuesday, December 16, 2008
Dog Training Aids
You may think that dog training aids are out there for you to spend money and not actually reap any benefits from. That is not the case. Dog training aids are there to help you succeed in teaching your dog, this could be teaching him obedience, agility or any other type of teaching you want to do. There are many aids available but only a certain few will work with your dog and his temperament.
I find the best training aid to be treats, small pieces of human food chopped up and given to him when he has done something good has always worked wonders, that is unless your dog doesn’t really have an interest in treats. This is a really cheap method of a training aid but if you want to blow some cash there are hundreds of options available for you.
For dog agility training aids that are available are things like anti bark collars, many dogs have a problem when they do dog agility that they bark constantly basically because o the hype involved. Anti bark collars do one of two things or sometimes both, they give a small electric charge when your dog barks and spray some water up into their face. People may think this is cruel but it is completely harmless it just lets your dog know that barking is not acceptable. These collars are available at pet shops and on the internet and are not to expensive.
For dog obedience some dog training aids that are available are dog clickers, the newest craze out on the market which allows owners instead of associating sit with a word they use a click instead and reward with treats, no punishment allowed. Another aid available is a harness; this gets fitted around your dog’s upper body so when you are teaching him to heel a slight tug on the harness pulls him back completely. The harness is a widely used obedience aid and is greatly used for bigger dogs such as German shepherds and Rottweilers.
There are also dog training aids available for around the home and are simple and effective. Many people turn to dog training aids when nothing else has worked but they don’t have to be the last thing you try, with aids so cheap these days there is no reason why you cant invest in something that will make your dogs learning process a lot more exciting!
AIDS/HIV Information
AIDS is an acronym for Acquired Immunodeficiency Syndrome it causes a destruction of the immune system. It is the most advanced stage of the HIV virus (HIV stands for Human Immunodeficiency Virus). AIDS is defined by the Centers for Disease Control and Prevention (CDC) as the presence of a positive HIV antibody test and one or more of the illnesses known as opportunistic infections.
The HIV virus, type 1 or 2 is widely known to be the cause of AIDS. HIV breaks down and attacks your T cells so your body is unable to defend itself against different infections. The HIV virus also attacks your peripheral nervous system, this causes nerve and muscle pain, especially in the feet, legs, and hands.
HIV is spread through direct contact with semen or blood of an individual that is infected. This can be transferred in many ways the most common is unprotected sexual intercourse. Other means of infection are infected blood transfusions, mother to infant (at time of birth, or through breast milk), sharing needles with an infected person, and rarely a healthcare worker that gets pricked with an infected needle.
Often people who are infected with HIV have few symptoms and in some cases there are none. Other times, symptoms of HIV are confused with other illnesses such as the flu. This may be severe, with swollen glands in the neck and armpits, tiredness, fever and night sweats. This is where as much as 9 out of 10 of the infected individuals will develop AIDS. At this point the person may feel completely healthy and not even know that he/she has the virus. The next stage begins when the immune system starts to break down and the virus becomes more aggressive in damaging white cells. Several glands in the neck and armpits may swell and stay swollen for an extended period of time without any explanation. As this disease progresses boils or warts may spread over the body. They may also feel tremendously tired, night sweats, high fevers, chronic diarrhea, and they may lose a considerable amount of their body weight. Most cases have shown thrush as a symptom as well. At this point the person is in the final stages of HIV--AIDS. Severe chest infections with high fever are common and survival rate is above 70% but decrease with each recurrence.
A person is diagnosed with AIDS when he/she has one or more positive HIV screening and the presence of an AIDS defining condition. Some of the common conditions include but are not limited to: Meningitis, Encephalitis, Dementia, Pneumonia, Kaposi sarcoma, and Lymphoma. There is also a blood test called an Immune Profile that can be done. This test is used to measure the loss of immunity and help decide on the best treatment. There is a test that is rarely used due to its high cost, it is known as a Viral Load: This test detects the virus itself, and also measures the amount of HIV in the blood. It shows how quickly the HIV infection is likely to advance. A high viral load suggests that the person may progress rapidly to AIDS.
Although there is no cure for AIDS there are medical treatments that aide in prolonging, and maintaining the best quality of life possible. These include two nucleoside inhibitors, lamivudine and zidovudine. Actual treatment plans will vary with each patient, along with the physical aspect of this disease. The psychological side has to be addressed in order for a treatment plan to be effective.
The easiest way to escape contracting this disease is to avoid the risk factors that you are in control of. Such as: unprotected sex, not sharing a needle, and if you are in the healthcare field be sure to use all precautions necessary to avoid an accidental prick from a possible infected needle (remember that in this diseases early stages it is common for the person not to even know they are infected). Today AIDS is the fifth leading cause of death among all adults aged 25 to 44 in the United States. Among African-Americans in the 25 to 44 age group, AIDS is the leading cause of death for men and the second leading cause of death for women. Our society needs to become aware that by not protecting ourselves we are killing ourselves and that this has to stop.
