How to stay slim during a vacation

Learn how to avoid weight gain during a vacation.

  1. Prepare snacks beforehand

It’s essential to prepare snacks you can take with you for an all-day excursion or tour to an interesting place. If you don’t take them beforehand, you risk making bad food choices or overeating during the next meal. So, make sure you have something healthy to restrain your hunger.

  1. Remember about healthy sleep

According to the best NYC doctors, healthy sleep habits can help people lose weight! For this reason, you should remember to provide your body with a proper amount of bedtime hours. For some people, it can be rather challenging on a vacation because interesting people, new places, parties, and drinks are capable of keeping you awake. Nevertheless, don’t forget about healthy sleep!

  1. Stay away from the buffet

Buffets are dangerous because they offer too much food, which looks too delicious to simply walk past it; moreover, have you seen those huge plates? To cut a long story short, it’s extremely difficult to keep everything under control in the buffet. If you think you handle it, then try to choose healthy food and stick to normal portions.

  1. Keep your body moving

If you want to stay slim during a vacation, you shouldn’t forget about the importance of physical activity. It doesn’t mean you should start your morning with a gym session (although it won’t hurt). You should find ways to move your body and have fun at the same time! Take a long walking tour around your destination, explore new places by bicycle, swim instead of simply lying in the sun, etc.

  1. Wait until the breakfast

It’s difficult to control your appetite during a vacation, especially when exotic dishes of the local cuisine look so attractive. The desire to try everything new is understandable, but we recommend waiting until the breakfast. According to the best NYC doctors, the food you eat in the morning has enough time to be digested while calories become burnt throughout the day, thus doing no damage to your waist.

Find more tips for your health on New York Neurology Associates.


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For medical researchers, the first step in researching Rheumatoid Arthritis (RA) is understanding it. This requires taking research out of the lab and into the real world. This is now possible through Apple’s ‘Research Kit’, and we need your help.

By installing the mobile phone App using Apple’s ‘Research Kit’, Rheumatoid Arthritis (RA) patients can help medical researchers further advance new treatments by sharing real-world experience. This information is collected via a specific phone app customized for RA using Apple’s Research Kit. The App is called PARADE, and is supported by GSK.

Please join in understanding RA, and access the PARADE App today.
This App is for the purpose of a virtual research study. It is intended for iPhone version 4, 5 and 6.

How To Find A Great Orthodontist

Choosing the right orthodontist for yourtreatmentis vital if youwant to experience a satisfyingtreatment. After all, the orthodontistis in charge of taking care of one the most visible aspects of yourpersonality – yoursmile !


 Find and orthodontistbecause an orthodontistis a specialistwho has alsoattended an accreditedspeciality program beyond the dental school. Besidesthis, orthodontistsalsoreceive a Master’sdegreealso and theywill have the degreealongsidetheirname. The best way to find out if the dentistis a specialistis to ask the doctor. General dentistsgenerally call themselves “Specialist in Orthodontics”. Specialistsalsoappear in the list of the American Association of Orthodontists. Goingthroughthislistis an excellent way of identifyingqualifiedorthodontists.

Another excellent way to identify a good orthodontistis to asksomeonewhoiscurrentlyundergoingtreatment. This couldbe a friend, a relative or even a strangerwearingaligners on theirteeth. A patient candescribe how the doctoris, whether the doctorispunctual and whether the doctor and their staff treat the patients well. Ask patients whetherthey have hadanyproblemswith the doctor. Whenyoumakeenquiries, distinguishbetweentreatmentproceduresthat are generallypainful and uncomfortable and thosethatbecomeuncomfortablebecause of the rough treatment of doctors.

 Ask a generaldentist about an excellentorthodontist in your area. In most cases, a generaldentistwillreferyou to the best specialist in the area becausethey have relationshipswithorthodontists in their area.

You canfindreferences to good orthodontists in magazine and newspaper articles. However, itis important to takethis information with a grain of saltbecause the rating system and the resultsmaybeskewed. These articles wouldwellbe a reflection of popularityratherthanskill.

Some dental insurancecompanies are alsowilling to provide information about specialists. This listmayonlybeconsidered as preliminary information. The quality of the specialistcannotbedeterminedwithcertainlyfromsuchreferrals.

Lastly, the internet is a greatresourcewhenitcomes to finding the right orthodontist. On the internet, youcanfind the websites of You canthenread about their qualification. You canalsoread about their areas of specialization and view ‘Before’ and ‘After’ pictures. This information is important and itcan help youmake up yourmind about the orthodontist.

Finally, beforeyoumakeyourchoice, itis important to meet the orthodontistpersonally. Visittheirfacility and assess the equipment and the quality of the staff. Whenyoumeet the doctor, itis important to ask a lot of questions. After all, most dental treatments are expensive. More importantly, what the doctordoeswill impact your face in a hugway.

The first vehicle -Knee – Must care for it each and everyday



It is important to take care of our knees while we are participating in our favourite physical activity. However, it’s equally or even more important to keep our knees in mind while doing everyday tasks. During an ordinary day, we are walking, going up or down the stairs, squatting, lifting things, etc. It becomes very important to learn to perform correct movements while doing everyday things, because this is what we are doing most of our time, and this greatly will influence the knee joint’s health.

Look at the way you are walking and standing. Do you let your knee joints to fall inward or outward (duck feet) instead of using your thigh muscles to hold the correct posture? For example, an unhealthy angle inwards will wear out the medial (inside) side of knee cartilage – the same thing that happens to car tires that are left crooked, degrading them lot faster than normal. The point is that your body weight should rest on your muscles, not on your joints, as this puts unnecessary pressure on knee cartilage and ligaments.

Now check how you normally bend your knees in order to lift things from the ground. Do your knees pass forward of your toes, and you are lifting your heels while squatting? Squatting this unhealthy way will put a lot of pressure on the knee joint, not to mention that you’ll hurting your lower back, also. Neither the knee joint nor the spinal cord is designed to hold the weight of your body or other objects; this is what body muscles are for. Instead, keep the heels on the ground and the knees back so you can see your toes, and use leg muscles to lift things.

Healthy way to lift

You should apply the same technique for going up stairs. Instead of stepping on your toes, keep your body weight toward the heel of upper leg – the foot that is stepping up. While going down stairs, keep the pressure on the upper leg until the leg that steps down is firmly on the ground. Instead of jumping downstairs, use the muscles of the upper leg to decelerate.

It’s very common to see people standing and walking with their knee joints hyperextended backwards. This bad posture puts body weight on the knee joint while crushing knee cartilage. A deteriorated knee will require a surgery and a lengthy post operation period to recover using cold therapy treatment using a knee cryo cuff that can be purchased on discounted rate at Home Health Care Shoppe.

Hyperextended knee joints

Many people have developed bad posture because it might feel easier not to use muscles to hold the body weight. Using body muscles requires energy, and we are designed to save energy as much as possible due to the lack of food in our ancient history. The lack of energy (food) now also is history, but our body is not aware of it, and we continue to save energy. Also, bad posture was not a big problem back in the days when the average life expectancy was around 30 years.

As we all know, our brain consists of neocortex (new brain) and the legacy part, also called a reptilian brain. Our reptilian brain will tell us to eat all the cookies from the dinner table, while the neocortex will advise that it would not be a very good idea. Now, you have two choices: You could turn off the neocortex and eat all the cookies, or you can use your brain (neocortex). The smarter way to do things is to use the new part of the brain.

The good news is that keeping a good posture eventually will be a good habit so you don’t have to think about it anymore while walking and squatting. By squatting and walking the right way, we are getting good exercise and, at the same time, taking good care of our knee joints!

How You Can Find The Best Dentist In Barrhaven


The Barrhaven area of Ottawa is a close-knit community that features many families with small children.  The community prides itself on being somewhat self sustaining and in this regard, its dental clinics are no different.  Finding a dentist in Barrhaven is not as difficult as it may seem and following the recommendations in this guide can help ensure you find the Barrhaven dentist that is right for you.

  • Choose a dentist and stick with them

It is a good idea to keep a dentist close to your chest because you will be seeing them on a regular basis for check-ups and possibly other treatments.  Developing a relationship and rapport is always good because the dentist will be able to serve you better by knowing your preferences and your dental history.  Staying with the same dentist also elevates the level of responsibility that dentist has for your smile.

  • Get a referral

A referral is the best way to find your new dentist because you gain from someone else’s experience.  Good places to start are your current dentist, friends, family, neighbors and so forth.  Find a dentist that someone you trust can vouch for and you’ve already won half the battle.

  • Logistics matter

What I mean by this is that a dentist must be convenient for you to visit; otherwise you run the risk of shirking your dental responsibilities.  Make sure the dental clinic is close to either your home or work, has ample parking, appointment schedules that suit you and is available to take care of you in an emergency situation.  Payment method or payment plans are also worthwhile discussing with your new dentist.

  • Prospect the prospects

Once you have a few options narrowed down it is time to start calling and visiting.  Make a phone call to a prospective dentist to ensure that they are accepting new patients and to book a consultation appointment.  This appointment should be free of charge.  Check the attitude of the staff, cleanliness of the office, certifications of the dentist etc.  Make sure you can speak to the dentist and that they are sympathetic to your needs.

  • Speaking with the dentist
  • During your interview some questions to broach include:
  • Treatment approaches
  • Are your feelings and wishes understood?
  • Are treatments explained clearly?
  • Are they child friendly?

Having this introductory session can really make the difference between enjoying your dental visits and them being a chore.

If you’ve just moved or are looking for a new dentist for another reason, don’t dismay, there are plenty of reputable and friendly professionals out there for you.  Do your own due diligence and homework so you can rest easy knowing your smile is in good hands.

Pediatric Orthopaedic Conditions


The specialty that treats genetic-related or acquired bone diseases and bone defects that develop during gestation is called pediatric orthopaedics.

Children born with congenital bone diseases will require the expertise of a pediatric specialist. Likewise, developmental and musculoskeletal disorders will also require help from a pediatric orthopaedics specialist.

While some conditions correct themselves sans treatment, others can become severe when left unattended.

Below are some of the most common pediatric orthopaedic disorders parents need to look out for:


Curly toes – this condition usually affects the fourth and the fifth toes. Oftentimes inherited, curly toes do not manifest any symptoms in most cases. At least 25 to 50 percent of the cases are resolved by the time the child turns 3 or 4 years old. Otherwise, surgery will be needed.

Polydactyly – this disorder is considered one of the most common and severity can vary from minor soft tissue duplication down to severe skeletal abnormalities. Surgical removal is often the likely treatment recourse for polydactyly.

Ingrowing toenail – when the nail’s edge grows into the soft tissue that surrounds it, an ingrown toenail develops. Management of the condition can range from noninvasive treatments (antibiotics and warm soaks) to surgery.

Hammer toe – this condition often affects the second toe and may require surgery if painful.


Internal tibial torsion – this condition is the most prevalent cause of in-toeing in children aged 2 years and below. Fortunately, the condition is often resolved once the child starts walking.

Bow-legged (genu varum) – the condition is often attributed to a tightened posterior hip capsule. When it does not get resolved by the time the child turns 2, osteotomy might be recommended.

Knock-kneed (genu valgum) – the condition is often benign and gets corrected when the child turns 8 years old. However, if the condition persists until the child turns 10 years old, surgery might be recommended.

Internal femoral torsion – this condition is known as the most prevalent cause of in-toeing in children aged 2 and above. Correcting an abnormal sitting position would be enough to treat the condition.


Talipes equinovarus – diverse abnormalities of the fibula, tibia, and the bones found in the foot form a composite disorder known as club foot. Treatment options can include casting, manipulation, splinting, and surgery.

Pes cavus – the condition is characterized by a high arch that does not flatten even with weight-bearing. Treatment options can include orthotics, physical therapy, and surgery. Chosen treatment will often depend on the condition’s severity.

Planovalgus deformity – this condition is associated with cerebral palsy. In non-ambulatory children (with severe deformity) relapse rate is high and surgery might not offer much help. In ambulatory children, mild to moderate deformities are often treated through calcaneal lengthening.


Perthes’ disease – this disorder is characterized by the idiopathic avascular necrosis of the femoral head. Interventions will often include bracing, analgesia, and bed rest. Femural varus osteotomy (operation to redirect the femoral head’s ball) is required in some cases.

Transient monoarticular synovitis – this condition is known as one of the common causes of limping and often develops after a respiratory infection. Treatment options can include NSAIDs, physiotherapy, and rest.

Septic arthritis – this condition is often attributed to Staphylococcus aureus. Treatment options include arthroscopy, drainage and debridement (with antibiotic cover), and emergency aspiration.

Developmental dysplasia – this spectrum of disorders affects the hips, proximal femur, and the acetabulum. Early detection and treatment can help prevent long-term morbidity.


Baker’s cyst (Popliteal cyst) – this synovial cyst will often respond to conservative treatments. However, arthroscopy might be required when there is an underlying internal derangement in the knee.

Patellar subluxation and dislocation – this congenital disorder is typically treated through immobilization. However, if condition becomes chronic, surgery might be recommended.

Discoid lateral meniscus – this congenital malformation may require arthroscopic repair when it becomes troublesome.

Osgood-Schlatter disease (Tibial apophysitis) – this condition will often respond to conservative treatments like bracing, orthotics, activity modification, and physical treatment.

occupational therapy assistant salary

An Occupational Therapy Assistant Salary and Job Description

Anoccupational therapy assistant salary depends solely on the job description, their experience and the education behind this career. An occupational therapist is a part of healthcare team that specializes in occupational therapy. An occupational therapist works with sick, injured, disabled, aging and emotionally psychological affected people. They oversea development of individualized and group-oriented programs to help increase their ability to care for themselves and to work, study, or general activities such as running or walking up the stairs. They also work with communities and companies to create and implement health promotion programs. They utilize purposeful activity and promote health in order to help patients to live independently and feel satisfied and fulfilled in life. The role of an occupational therapist is to help their patients be able to carry out daily activity that sustain and occupy their life. They work with people of all age groups including people with mental health problems and learning disabilities.

For an occupational therapy assistant salary, this depends on their job description which includes the following responsibilities: evaluate the condition of the patients and be able to develop a treatment plan that fits their needs, choose activities that will help the patients to carry out their daily works independently, watch the patients as they carry out the task given to them, observe and assess the progress of each patient in order to prepare a report about their progress and help in rehabilitating those disabled as a result of injury, illness, developmental or psychological problems. In order to be able to become an occupational therapist, one must obtain a master’s degree in occupational therapy. Normally the program takes two year of full time school to be completed. You can also enroll in doctoral programs in occupational therapy, which is longer. In order to obtain a degree in this field, you need to have done courses in biology and physiology. Any applicant who has already worked in occupational therapy settings stands a better chance of getting admission in most of the programs. At the completion of their training, prospective occupational therapists are supposed to acquire practical experience through any supervised fieldwork during the time the program is being taken in school. This is a career that is often demanding and time consuming. An occupational therapy works long hours depending on the type of environment they are in and that is why an occupational therapy assistant salary depends on their job description.

Get Rid of Stress by taking exotic massages

Stress has become a very common problem of today’s world and we see a number of people who suffer from the issue of stress and anxiety. The most common reasons why people suffer stress in today’s time are the responsibilities and challenges which a person has to face in his/her professional and personal life. If your life has also become no less than a challenge because of stress which you have to deal with then this piece of writing will surely offer you a great option.

Spa and massage are two most popular options which people look forward to for the purpose of relaxing and rejuvenating their body and mind. By taking a spa therapy you can easily feel completely relaxed and the best part is that; this therapy not only have good effects on the body, along with this it also helps in relaxing the perturbed mind.

There are many massage parlors in Jaipur which provide various options in massages so that they could easily cater to the different demands of their clients.  What else can be better than taking a massage from a beautiful and charming girl? There are different kinds of massages which help people in making their body and mind completely relaxed.

Massage by girls is one of the most liked options by a number of males clients who feel that bored with the daily stress which they have to face. These girls are basically professionals who are well trained in providing various massages in a way that a person can get rid of all kinds of body aches and he can relax his mind.

There are many reasons why a person should take a spa therapy once in every month, let us have a look at some of them:

Easy way of relaxation: You will find a number of people who look for various options to feel relaxed, however the end up taking a number of pills which have various side-effects, for such the people the best way to deal with daily stress is to get a massage which is the most easy and effective option.

Calms the mind:  As stress has become very common in the today’s time, you will find people going crazy and this is the reason why they feel lethargic and sad all the time. By taking a massage you can easily ensure to come out of such helpless situation.

Natural healing: There are many stress busters and drugs which are available in the market, however there are many side-effects of taking such medicines, rather than taking any drug, the best way to get rid of stress is to get a massage as it is a natural way of healing which also does not have any kind of side-effects.

So, if you are also suffering from stress and anxiety then the best thing you can do is to get a massage in jaipur today for refreshing your mind and body.

IlealNeobladder Patient Instructions for Self-Irrigation and Discharge


The Focus of These Instructions

If you are required to have anilealneobladder andsuprapubic Foley catheter, these instructions will help you ensure thatafter you leave the hospital your catheter tube functions properly. Find out how to irrigate a suprapubic catheter and ilealneobladder, which will help to stop harmful mucus build up on the lining of the pouch and prevent your catheter tube from getting stopped up.

How to Self-Irrigate

Unless otherwise instructed by your doctor, self-irrigate 3 times a day. This will help to make sure that the entire device functions properly.

What You Need

  • 2 syringes (60 mL each)
  • Basic saline
  • A small container

The Procedure

  1. Carefully wash your hands in warm, soapy water and dry them thoroughly.
  2. Open the saline container.
  3. From the outside of the syringe, detach the plunger
  4. Then lie down, making sure your body is positioned at a 30- to 45-degree angle.
  5. Carefully disengagethe suprapubic tube from the drainage bag.
  6. Keeping the suprapubic tube stable, attach the syringe casing to it.
  7. Next, into the casing, pour a total of 60 mL of saline.
  8. In order to facilitate proper drainage, raise the tube straight up. This will enable gravity irrigation.
  9. Once the saline has run into your bladder, check to make sure it flows through the suprapubic Foley catheterand into the drainage bag. It’s very possible that you’ll recognize a bit of mucous. Repeat the process once if the saline drains through the Foley® immediately.
  10. After taking out the syringe,rejoin the drainage bag to the suprapubic tube.



If you have a problem with the saline flowing through the tube or your suprapubic Foley catheter, then it’s likely that you’re dealing with mucous, which is blocking the flow. In this section you’ll learn how to flush your suprapubic catheter and, also, how to use aspiration to help make it function properly. Empty any remaining saline before proceeding. Place the liquid in a container and discard it. Then follow these steps.

  1. After disconnecting the casing from the suprapubic tube, rejoin the drainage bag. Place the plunger into the syringe’s casing
  2. Pour up to 30 mL (cc) of saline into the syringe.
  3. If you need to, you may place the syringe on a clean surface.
  4. Remove the drainage bag from the suprapubic tube.
  5. Carefully put the tip of the syringe into the suprapubic tube.
  6. You’ll now attempt to flush out the blockage. With care, gently inject the saline into the tube.
  7. Do not force the liquid through. If there is resistance, move onto the next step.
  8. Utilize aspiration, which involves pulling back on the syringe.
  9. When you do so, you’ll most likely see a mixture of saline and mucous.
  10. After completing this process, repeat both the flushing and aspiration once again.
  11. When engaging in aspiration if you find resistance, do not force the issue.
  12. Disconnect the syringe and recouple the suprapubic tube to the drainage bag.
  13. Take a moment to walk around.
  14. When checking the drainage from the suprapubic tube, you’re likely to recognize mucous mixed in with it.
  15. If you find that you are unable to flush the suprapubic tube, attempt to flush and aspirate the suprapubic catheter.
  16. In doing so, use a clean syringe and follow steps 6-9 in this section.
  17. Attempt to use gravity irrigation as outlined in steps 8 and 9 under the section labeled “The Procedure.”
  18. After finishing this process, carefully wash you hands to remove bacteria.


You may utilize the same syringes when you engage in this process again. However, make sure that you clean them immediately after you have engaged in this aspect of suprapubic catheter care. Clean each syringe by removing the plunger and washing the parts in warm, soapy water. Place them on a clean surface and allow them to air dry

Guidelines for Discharge

Follow this procedure for dealing with discharge associated with your suprapubic Foley catheter and the suprapubic tube. These should be stable and connected to the leg bag during the day. Empty the bag every two hours. In order to facilitate sleep, during the night, your suprapubic catheter should be connected to a large drainagebag. In doing so, you should not have to interrupt your sleep in order to empty the bag.

Tips for Suprapubic Catheter Care

  1. Make sure your suprapubic Foley catheter and tube are securely connected to your leg.
  2. Each day drink eight, 8-ounce glasses of noncaffeinated liquids.
  3. Until your suprapubic Foley catheter is removed do not drink any alcoholic beverages.
  4. Daily exercise is important, engaging in basic activities such as walking twice a day for 30 minutes is recommended.
  5. Daily showering is also important. Allow warm water to run over the suprapubic tube and carefully pat the area dry. Do not rub it dry as this may upset the device.
  6. Unless there is drainage around the tube, your suprapubic tube should not be covered with dressing.
  7. Use warm, soapy water to clean your suprapubic Foley catheter. This should be done twice a day.


When to Contact Your Medical Professional

Make sure you contact your doctor or nurse concerning the care of your suprapubic Foley catheter if you experience any of the following issues.

  1. You are unable to flush the tube or catheter.
  2. After irrigating suprapubic catheter or tube, you find it does not drain.
  3. Urine is not draining from either bag. Single bag drainage is fine.
  4. If you have discomfort in your abdomen, such as bloating, pain, pressure or distention and irrigating does not relieve the problem.
  5. Find you have a fever over 101° F (38.3° C)
  6. Discover your incision is discharging pus or is red hot.
  7. Discover your urine is foul-smelling.
  8. Feel nauseous or vomit.
  9. Find that you have concerns or questions or experience unforeseen problems.

Tips for Changing Your Suprapubic Catheter



Here are some helpful tips for when you change your suprapubic catheter. These should be referred to prior to removing and inserting a new device. Use these tips in addition to the specific instructions that related to your catheter. Control and efficiency are important when you arte involved in this procedure.

Sterile Handling Tips

  • Make sure you have cleaned you hands thoroughly
  • Wear sterile medical gloves.
  • Disinfect the site using sterile solution.
  • Put both pair of gloves on.
  • Once removing the catheter take off the soiled gloves.
  • Clean the area around the wound.

Working with the Device

  • Clamp the catheter just above connection to drainage bag, plug it, or use a spigot.
  • Remove the catheter as if it were a screw.
  • When removing catheter place one hand on abdomen.
  • Once the new catheter is inserted make sure urine is present in the bladder.
  • Prior to inserting the new suprapubic catheter lubricate it with a gel such as K-Y Jelly. (Do not use Vaseline.)
  • Make sure you insert the new catheter to the same stopping point as the original.
  • Partially inflate the balloon with up to 4ml of water; once you do that pull back on the catheter until you see or feel the abdominal wall.
  • Make sure that the balloon is in the bladder (and not the urethra) before fully inflating it.
  • Before placing the rest of the water into the balloon, push the new catheter in a further 1cm.
  • Keep the drainage bag below waist level.
  • Make sure your drainage tube remains unkinked.
  • Disconnect the drainage bag and plug the tube when taking a shower.


Signs of Infection and Problems

  • Extreme redness around the wound area.
  • Pus around the wound area.
  • Swelling in the area.
  • The wound area is hot to the touch.
  • Blood clots in urine.
  • Bloody urine.
  • Urine leakage.
  • Low or no urine flow through drainage tube into bag.


Other Thoughts

If you have any questions or problems regarding when you change your suprapubic catheter, before, during, or after the process, contact your doctor or nurse. Your catheter will function more effectively and remain clean longer if you irrigate it once a day, empty the drainage bag every two hours or when it is half-full, and keep the wound area clean. Always clean your hands thoroughly before handling the device and use sterile medical gloves when changing it.


Change your suprapubic catheter ever four to six weeks. If you or a relative or a friend will be changing the device, make sure that you or they have proper training and understand every part of the process. If you are unsure of how to take out or replace your device, then seek help from a medical professional. Never wait to call a healthcare worker when you are experiencing problems with your suprapubic catheter or if you recognize signs of infection. Following all of the tips in this article will help ensure that your catheter functions properly.