Hands-Only CPR: When and How to Do It

I’m frequently asked if giving breaths has been eliminated from CPR now that the CPR guidelines have been updated. The simple answer is no, the breaths are still instructed in traditional CPR classes. However, there has been a big push, especially by the American Heart Association, to teach a version of CPR without breaths. This approach is often called “hands-only CPR”.

In short, hands-only CPR is fast, deep compressions on a victim’s chest. If someone doesn’t respond to your efforts to wake them, and their breathing is irregular or they aren’t breathing, you push straight down on an adult’s chest at least 2 inches at a rate of at least 100 compressions a minute. This is a skill you need to practice with an instructor on a manikin, so I’m not going to go into further detail on how to perform this skill.

Hands-only CPR has many advantages over traditional CPR: it’s simple to do, it reduces the risk of disease   transmission  while doing CPR, and research shows it’s as effective or more effective when used appropriately.

Hands-only CPR is an acceptable approach when you witness someone suddenly collapse. If this is an adult, it’s probably because of cardiac arrest (a heart attack). The victim still has several minutes of oxygen in their blood because they were breathing moments before they collapsed. The goal of hands-only CPR is to circulate that oxygenated blood throughout their body. By continually compressing their chest, you are literally squeezing blood through their heart so it reaches the brain and organs. Those compressions will buy the victim valuable minutes until emergency medical personnel arrive.

However, hands-only CPR isn’t always the best approach. If the victim has become unconscious and isn’t breathing normally because of an airway emergency, they need CPR with breaths. Asthma, severe allergies, choking, drowning and suffocation are all examples of airway emergencies that can lead to a victim who is unconscious and not breathing normally. Because these victims are lacking oxygen, they need rescue breaths, along with chest compressions.

Children and infants usually have healthy, strong hearts so if they become unconscious, the cause is usually not cardiac related. Most likely they are suffering from an airway emergency. This is why every parent who takes a CPR class should learn to do CPR with breaths. Unless a CPR class says it’s a hand-only class, all American Red Cross and American Heart Association CPR classes will teach you how to give rescue breaths along with compressions.

Rohan Online Half Elf Ranger Class Build (PvP-PvE)

Half Elf Ranger Class Build (PvP/PvE)

The half elf ranger build in my opinion is the king of solo. This build is designed to bombard enemies from an insane attack range. The Ranger has a decent critical rate and some great rooting spells.

Stat Build: Your leveling points should be distributed as 1VIT – 3 DEX or This ranger build has no psyche so you are gonna rely on pots for your mana so you must be careful not to deplete it too soon.. You will have some decent HP with 130 points of VIT just in case someone might be lucky enough to get close to you.

This build has a large distribution of DEX to boost your ranged attack quite a bit. You will have great damage and a long range to do it in.

PvE: The easiest class to solo with by far and one of the fasted classes to level also. Most mobs won’t even get close enough to you to do any damage since you have long attack range and have the ability to slow your target mobility speed. Only ranged mobs will have that chance to get a few shots off before they hit the ground bleeding. You only really need to cast one skill per mob before they die since you will be doing some nasty normal ranged attack damage. You will also have an easy time when in a high level mob grind party. You don’t really have to move around much just let tankers tank and do a little pulling here and there.

PvP: The ranger class i one of the few classes that do well against ranged and melee based classes in PvP. You take down magic type classes pretty easily and melee classes can be stunned and slowed down to a crawl before they can get to you. You can do some powerful critical damage at a long range using Critical Shot. The ranger has some great PvP skill at their disposal including Luxury Shot and Premium Shot leaving enemies with missed parts of their HP bar lol. A nice spell to initiate your PvP sequence is Speed Wind which boosts your attack speed to an insane rate that lasts 10 seconds. When a melee class finally does get to you, hit them with Brandish Kick which has a 70% chance to stun target for 9 seconds. You can kite away from enemies easily since you have increased mobility skills.

Conclusion: This ranger build is balanced and you will have extended use of your skills and will be able to solo and pvp well. You don’t have a whole lot of mana so be careful. Remember that range is your advantage, don’t let melee get to close or they will rip you up 馃檪

Stat Point Build at Level 99

The recommended spell upgrades:

(Half Elf Archer Tree)

1. Darkness-Level 5: Increase dark dmg 100%, res50% 8% chance decrease target’s 30% atk spd for 7 sec.

2. Psychic Pierce-Level 1: 160% of normal dmg.

3. Long Shot-Level 5: Increase 50% of attacking range for 9 min.

4. Enchanted Arrow-Level 5: Increase arrow damage by 30 for 30 min.

5. Fainting Pierce-Level 5: 35% chance decrease target movement speed by 50% for 10 sec, last 18 min.

6. Bleeding Shot-Level 1: Effect ‘bleed’ dealt 70% of normal dmg every 3 seconds, occur 5 times.

7. Nimble-Level 5: Increase dex by 30%, lasts 30 min.

8. Brandish Kick-Level 5: 70% chance stun the target that last 9 second.

9. Feeble Arrow-Level 1: Decrease target 3% of str last 30 seconds.

10. Fatal-Level 5: Critical dmg increases by dex * 3.0, last 15 min.

11. Sprint-Level 4: Increase movement speed by 80% in 27 seconds.

12. Evade-Level 1: Increase evasion rate by 10% last 18 min.

13. Piercing Root-Level 4: Normal attacks 130%, 50% chance hold the target in place for 5 second.

14. Double Strike-Level 1: Increase 20% of normal dmg, attack target twice.

The recommended spell upgrades:

(Half Elf RangerTree)

1. Crossbow Mastery-Level 5: Increase X-bow’s atk by 25%, last 30 min.

2. Open Eyes-Level 1: Instantly removes root status.

3. Trick-Level 1: Wouldn’t get attack by npc guard during gvg and during red-name period, last 5 min.

4. Detect-Level 1: Detect hidden target within the range of 10m, last 30 sec.

5. Dissapear-Level 1: 50% chance become hidden, last 30min. moving, atking or using item will expose.

6. Siege Shot-Level 5: Unable to move for 10 sec, mean while atk + 90%.

7. Murder Shot-Level 5: Increase atk dmg by murder count * 90.

8. Speed Wind-Level 5: Increase atk spd by 160%, last 10 sec.

9. Kael’s Arrow-Level 2: Create 100 bolts with dmg of 120.

10. Alacrity Blow-Level 5: Increase dex by 15%, last 30 min.

11. Strip Shot-evel 5: Ignore defense, increase dmg by 70%

12. Rank Shot-Level 1: Total damage = weapon’s rank * 50.

13. Critical Shot-Level 5: When hit the target, 90% chance occur critical hit.

14. Premium Shot-Level 1: Increases weapon’s atk by 200%.

15. Magic Guard-Level 1: Do not affect by magics for 10 seconds.

16. Luxury Shot-Level 1: Increases weapon’s atk by 200%.

17. Winged Foot-Level 5: 18 mp per sec, party member increase movement spd by 100%.

Even Beginners Can Make Money Investing in Mutual Funds

Even if you don’t really understand stocks and bonds and the markets they trade in, you and other beginners can make money investing in mutual funds once you get a handle on the mutual funds universe. Here we take the mystery out of investing for beginners.

News flash: Tens of millions of Americans make money investing in mutual funds without knowing what they are doing. Caution: They also lose money unnecessarily and they are not investing as beginners, because they have been doing it for years. Let’s look at what you really need to know to make money investing on a more consistent basis while avoiding serious losses.

Mutual funds were created and promoted as the average investor’s vehicle for investing money in stocks and bonds. That’s just what they are – packages of investments managed for investors by professional money managers. They make investing for beginners simple. You simply open an account, and put your money down with instructions as to how much to invest in which funds. Example: You send in $10,000 to buy shares of ABC Stock Fund. Soon you will own shares in that fund and will own a very small part of a very large portfolio of stocks. The number of shares you will own will depend on the share price at the time your purchase order is processed.

Whether or not you make money investing in mutual funds without taking much risk depends on which funds you invest money in and how you go about it. There are basically three traditional fund alternatives: stock (diversified), bond, and money market funds. You should invest in ALL THREE TYPES if your goal is to consistently make money investing in mutual funds. You also need to understand asset allocation, so you can tailor your total mutual fund portfolio to fit your risk profile. And remember, investing for beginners need not be difficult.

Diversified stock funds are the riskiest of the three and they are your growth engine for earning higher returns. They invest your money in a broad spectrum of stocks representing a number of different industries. This makes investing for beginners simple compared to picking your own stocks. You make money investing here primarily through price appreciation (the fund share price going up) and through dividends. The major risk: share prices fluctuate and can fall significantly when the stock market falls. One year you can make 20%, 30% or more; and you can also lose that much. Over the long term, investors have averaged about 10% a year. Notice I said LONG TERM.

Bond funds invest your money in bonds, which are debt securities that pay interest. Their primary objective is not growth, but rather to earn higher interest for investors than they could earn from safe investments like bank CDs. Traditionally, you make money investing in these mutual funds primarily through the dividends they pay you from the interest they earn. Normally they pay considerably higher dividends than stock funds do, but similar to stock funds their share price fluctuates (usually much less). You can profit from higher share prices, but you can also lose money here. They are considered to be safer investments than stock funds, but bond funds are not necessarily safe investments.

Money market funds invest your money in high-quality short-term debt instruments (IOUs) and pay current interest rates in the form of dividends. Unlike the other two mutual funds, their share price is pegged at $1 and does not fluctuate by design. As interest rates go up the dividend increases, and as rates fall so does the dividend. You make money investing in these mutual funds only through the dividends paid. These mutual funds are considered to be safe investments, and can be used as a cash reserve awaiting bigger opportunities.

To make money investing in mutual funds without worrying your head off you should invest in all three to have a balanced investment portfolio. Here’s what I mean by balance and why it is so important to investing for beginners. Holding either stock or bond funds involves the risk of losing money. If you invest in both this will lower your overall risk. Reason: oftentimes losses in one are offset by gains in the other. Money market funds add flexibility and a cushion of risk to your overall portfolio of mutual funds. The more safety you want the more you allocate to money market funds.

An example of investing for beginners follows. You invest $10,000 equally allocated to the three basic fund types. A couple of years later you see that the stock fund is worth quite a bit more than the other two. The good news is that stocks performed very well. The bad news is that a major decline in stock prices could wipe out your profits and more. To keep things in balance, rebalance once a year so that you are back to equal amounts in each fund. This is very important if you want to make money investing in mutual funds on a consistent basis without unpleasant surprises every few years.

Investing for beginners is not about getting rich quick and neither are mutual funds. If you want to grow your money for a long term goal (like retirement) this article was written for you. You can make money investing in mutual funds without much effort or worry once you get a handle on the basics.

3 Nutrition Facts All Coaches Need to Know

Coaches are often the first people to provide any nutritional guidance to athletes. Unfortunately, many coaches are ill-prepared to provide such guidance and, under most state laws, are not authorized to provide nutritional direction. However, when it comes to sports nutrition, many coaches and players simply focus on weight and muscle gain. This “plan” lacks research-based information.

Below are 3 key nutritional facts that all athletes and coaches should be aware of.

Hydration. Coaches and athletes should all understand the proper hydration entails a lot more than water breaks during practice. Maintaining proper hydration can be complicated based on the intensity of the sport, the environment and each individual. A distinct problematic scenario revolves around the classroom setting. While athletes progress throughout their day, a stop at the water fountain between classes can go a long way towards aiding hydration levels. Poor hydration leads to fatigue, weight loss, and, contrary to popular belief, is the primary culprit behind muscle cramps. Athletes should maintain proper hydration levels throughout the day. During practice in warmer areas (in a gym, outside during spring and summer, etc.) they should drink water incrementally.

Carbohydrates. Glycogen is the primary fuel source for the body. Carbohydrates are easily turned into glycogen and without enough, you’ll see slow, sluggish performance. Eating an ample amount of carbohydrates throughout the day will replace muscle energy lost in workouts and keep the body from robbing the muscles of protein for energy. A goal for athletes should be to intake about 50 grams of carbohydrates 30 to 45 minutes post-workout. This could include a bagel with peanut butter, a banana and a cup of chocolate milk or a cup of Greek yogurt with a handful of granola. Remember chocolate milk – it’s one of the absolute best post workout drinks you can find.

Protein. The amount and timing of protein are equally important when an athlete wants to increase muscle mass and strength. Protein builds muscle and repairs muscles damaged during exercise. When an athlete conducts a strenuous workout, tough practice and lengthy games, a large amount of stress is placed on muscles. If total protein consumption is too low, muscles will not be able to properly recover, new muscle will not form, and athletes may experience an increase in soreness, as well as delayed recovery time. Timing: After a workout, practice or game 20 to 30 grams of protein within 30 to 45 minutes post-workout should be consumed. Amount: An athlete intent on increasing muscle mass or strength should intake 1.2 to 1.4 grams of protein per pound of bodyweight in a day. This will ensure enough protein is synthesized to illicit repair and growth of the muscles. As a general rule, 20-30 grams of protein should be eaten at each meal. This will leave time for protein supplementation throughout the day. That level of protein can take the form of a piece of meat the size of a deck of cards, a protein shake or three eggs.

Here are four quick and easy post-practice recovery meals:

– 1 cup vanilla low-fat Greek yogurt with 陆 cup granola

– Smoothie with 1 cup vanilla Greek yogurt, 1 cup water and 2 cups frozen blueberries

– Protein shake blended with 1 cup strawberries, 1 cup blueberries and 1 banana

– 3 eggs and 1 cup rolled oats

Investing Money in 2014 and 2015 for Retirement – An Old Pro’s Viewpoint

In 2014 and maybe 2015 and beyond, investing money will be tougher and putting together the best investment portfolio might mean investing money for safety vs. higher investment returns. The best investment ideas are slim pickings. There is very little that is normal in today’s world of finance. My reasoning and background follows.

In 1971 I had my Masters in Business (finance) and knew nothing about the investment world or investing money. Actually, I found it quite embarrassing, because adults that I would meet in the business world thought that I might have the best investment ideas in my pocket – due to my education. The years that followed were not the best investment environment, and I became a stock broker in Columbus, Ohio in 1972. I learned real quick what my job was really all about: selling investment ideas… SELL the sizzle NOT the steak… I was informed by my sales manager.

Forty years later, investing money is a game that I find has changed little. It’s all but impossible to find the best investment, and the world of investing money is primarily a sales game aimed at uninformed investors (more than 90% of the investing public). I once read that NOW is always the hardest time to invest money. I’ve seen difficult times in the markets for over 40 years and I’ve NEVER repeated that phrase until now.

At this time, I am afraid that it is really true. Allison and I have three children, who are all basically 30-something and trying to make it in a difficult world. Investing money for retirement is not an option for them. It is an absolute necessity if they don’t want to work for the rest of their life. Many folks my age are covered by pension funds plus other entitlements, but that’s not the norm for 2014 and beyond. Now, let’s get down to business and talk about investing money in 2014 and beyond; and the best investment ideas I can muster as an older (but still on top of my game) retired financial planner.

If you have a 401k at work participate in it, and take maximum advantage of your employer’s matching contribution if your company offers this feature (it’s free money). Investing money here is automatic and almost painless. This is one of the best investment ideas available for accumulating a nest egg for retirement. Plus, the tax advantages will put a smile on your face each year at income-tax time.

Open a Roth IRA with a major NO-LOAD mutual fund family and start investing money each month through their automatic investment plan. Enter “no-load funds” into a search engine and you’ll see some of the biggest and best fund companies at the top of the page, names like Vanguard, Fidelity and T Rowe Price. Give them a toll-free call if you have questions – like do you qualify, how much can you invest a year, and will they send you free literature. A Roth IRA (or Roth 401k if available) is one of the very best investment ideas for accumulating money for retirement. A Roth account (IRA or 401k) is TAX FREE investing, as long as you follow the rules. Tax free is as good as it gets and difficult to find.

Mutual funds are the average investor’s best investment vehicle because they offer both professional management and instant diversification in the form of a managed portfolio of stocks, bonds, and money market securities. When you invest money in a fund, you own a very small part of (own shares in) a very large investment portfolio. There is always a cost for investing money in funds. All funds charge for yearly expenses. This can amount to less than 1% a year in NO-LOAD FUNDS, with no sales charges when you invest money and no extra ongoing management fees. Or, you can pay 5% in sales charges off the top when you invest money, 2% or more for yearly expenses and 1% to 2% in additional management fees if you work through a sales rep (financial planner, adviser, or whatever).

One of the best investment ideas for 2014, 2015 and beyond: keep your cost of investing money as low as possible. This could make a difference of tens of thousands of dollars over the long term. A dollar saved is a dollar earned.

Do all that you can to learn about investing money; and especially learn about stocks, bonds, and mutual funds. Once you understand stocks and bonds, getting a handle on mutual funds is a piece of cake. What are the investment options inside your employer’s 401k plan? The vast majority of them are likely mutual funds – mostly stock funds, bond funds, and/or balanced funds (that invest in both stocks and bonds). There will likely also be one or two safe investment options that pay interest: a money market funds and/or a stable account.

Investing money successfully in 2014 and beyond could be very difficult due to today’s investment environment. First, record low interest rates mean that safe investments that pay interest are paying close to nothing. Second, bonds and bond funds pay more interest, but when interest rates go back up to normal levels they WILL LOSE money; that’s the way bonds and bond funds work. Third, stocks and stock funds are pricy, having gone up in value and price well over 100% since 2009. In other words, best investment ideas are few and far between.

Here’s the best investment strategy in 2014 and beyond for beginners who want to start investing money for retirement and keep it simple. In a 401k and/or Roth IRA account invest (monthly or each payday) equal amounts into a stock fund, bond fund, and money market fund. If your 401k has a stable account option use this instead of the money market fund if it pays more interest.

Mutual funds are always one of the best investment ideas for most investors – if you invest money in low-cost no-load funds. (Your 401k plan should have no loads, sales charges). When investing money for retirement in 2014 and 2015 keep three factors in mind. Two of these always apply: keep costs low and invest money across the board in all three fund types listed above. Your third factor is to give money market funds equal weight in 2014 and beyond for added safety. Normally, you would give them less weighting.

Heartburn Can Be Easily Cured

Do you suffer from heartburn, reflux or burping? Perhaps you rely on a medicine to help settle your tummy. I have written on digestive disorders on several occasions previously, but this time I would like to write specifically on a little bacterium called Helicobacter pylori. Helicobacter pylori bacterial infection is recognised as the most prevalent bacteria to infect the human population in the entire world. You may well identify the following problem, and if you do, don’t despair. It actually is possible to free from heartburn, reflux or a low grade queasiness, which affects so many people.

Helicobacter is a clever little bug

In 1982, when Australian Dr. Barry Marshall identified a new bacterium called Helicobacter pylori (HP) as an infectious agent responsible for peptic ulcer disease, it completely transformed medicine’s understanding of the microbiology and disease of the human stomach. Your stomach is protected from its own gastric juice by a thick layer of mucous that covers the stomach lining. HP takes advantage of this protection by actually living in the mucous lining. Once this clever little bug is safe in this mucous, it is able to fight the stomach acid that does reach it with an enzyme it possesses called urease. Urease converts urea, of which there is an abundant supply in the stomach (from saliva and gastric juices), into bicarbonate and ammonia, which are strong (alkaline) bases. This creates a cloud of acid-neutralizing chemicals around the H. pylori, protecting it from the acid in the stomach. This cloud is also part of the reflux and burping process that occurs, which many HP people complain of.

Contributing to the protection of HP is the fact that the body’s natural defenses cannot reach these bugs in this mucous lining of the stomach. The immune system will respond to an HP infection by sending “killer T-cells”, (white blood cells), and other infection-fighting agents. However, these potential H. pylori eradicators cannot reach the infection, because they cannot easily get through stomach lining. They do not go away – the immune response just grows and grows over time. White cells die and spill their destructive compounds onto cells lining the stomach lining. More nutrients are sent to reinforce the white cells, and the H. pylori can feed on this. Within a few days, gastritis and perhaps eventually a peptic ulcer results in the lining of your tummy. And of course, the person who suffers is often blissfully unaware, takes an antacid or an acid-blocking drug long-term, and continues to eat and drink foods which only aggravate the healing process long term. So they go back to the doctor, only to be told to stay on the medicine. After a few years, the person resigns themselves to the fact that they will always require this “medicine” to cure their condition. Yeah right, and Alice lived happily after in Wonderland.

To confirm that HP caused the gastritis and peptic ulceration, Marshall swallowed cultures of the bacteria and contracted gastritis (inflammation of the mucus membrane of the stomach). He then underwent endoscopy (internal examination of the stomach), and provided biopsies from which the suspected bug was re-isolated.

Changing medical belief and practice takes time. For nearly 100 years, scientists and doctors thought that ulcers were caused by lots of stress, spicy foods, and copious alcohol. Treatment involved bed rest and a bland and boring diet. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids when they became fashionable.Unfortunate for poor Barry, nobody believed him. In fact, he was actually treated with ridicule and disdain when he first proposed the idea that a bacteria actually lived the hostile environment of the stomach. Before 1982, the accepted medical paradigm was “no acid, no ulcer”, and that stomach ulcers only occurred when excess acid damaged the stomach wall and that all treatment should be aimed at reducing or neutralising all that bad acid. Surely you remember the advertisements on TV with the man drawing on his tummy with a felt tipped pen, telling you that the acid has to “stay down there”. These commercials generally came on after dinner, the time when your tummy is most likely to play up, I can’t help but thinking how many of those sufferers possibly have an undetected H.pylori infection. There is still a lot of drug promotion regarding this acid reflux problem. Unfortunately, many such patients today are still seen as having “too much stomach acid”, and treated with antacids or stomach-acid blockers as front-line therapy, when in my clinical experience actually the opposite applies, they don’t have enough or have an infection which needs sorting. Gastric juice is composed of digestive enzymes and concentrated hydrochloric acid, which can readily digest food or kill microorganisms. Low levels of stomach acid increase the chance an organism’s survival. It used to be thought that the stomach contained no bacteria and was actually sterile, and it took an Aussie GP to prove all the world’s experts wrong.

It seems pretty silly to treat the acid problem perpetually, without enquiring into actually why this burping, reflux and upper abdominal discomfort is occurring in the first place. Albert Szent Gy枚rgyi, (1937 Nobel Laureate in Physiology and Medicine) said that: “Discovery consists of seeing what everybody has seen and thinking what nobody has thought.” Today it is an established fact that most cases of peptic ulcers and gastritis, diseases that affect millions of humans worldwide, result from this HP infection, and not “too much acid” in the stomach at all.

“Discovery consists of seeing what everybody has seen and thinking what nobody has thought.” Albert Szent Gy枚rgyi

HP infection and prevalence

H. pylori is believed to be transmitted orally. Did you wash your hands? Many researchers believe that HP is transmitted orally by means of fecal matter through the ingestion of tainted food or water. In addition, it is possible that H. pylori could be transmitted from the stomach to the mouth through gastro-esophageal reflux or belching, all common symptoms of gastritis. The bacterium could then be transmitted through oral contact.

HP infection remains a huge problem, is extremely common and infecting more than a billion people worldwide. It is estimated that half of the American population older than age 60 has been infected with H. pylori at some stage and the economic effect of ulcer disease in the US (as measured back in a study of 1989 data) showed that the illness cost then nearly $6 billion annually. ($2.66 billion for hospitalisation, not including doctor ‘s fees), outpatient care ($1.62 billion), and loss in work productivity ($1.37 billion).

One in five Aussies and Kiwis have HP, according to Dr. Barry Marshal, infection usually persists for many years, leading to ulcer disease in 10 % to 15% of those infected. H. pylori is found in more than 80% of patients with gastric and duodenal ulcers. You can imagine what this common complaint in NZ and Australia is costing, in terms of medication, doctor’s visits and lost productivity at work. Early research on HP characterised much of the work to come, the data that emerged from the study of all these samples was quite unexpected. It showed that HP is actually a common bacterial agent and that an amazing 30-50% of the world’s population are colonised with it.

How do you know if you have the HP bug?

The infection manifests differently in different individuals. In some people, it produces more acid in the stomach, and ulcers may result. In others, stomach acid suppression or complete lack (which we call achlorhydria) may result, and these people may be at a greater risk of gastric cancer. It is unclear why some people respond one way or the other.

Typical manifestations of a Helicobacter pylori infection:

路 Nausea, or a low-grade feeling of being queasy. Could be vomiting.

路 Avoidance of chilli, garlic or a specific food which “does not agree” with your tummy.

路 Bloating worse after meals. Feeling worse after meals or certain foods.

路 Recurring abdominal pain, intestinal cramps.

路 Peptic or duodenal ulcers (over 90% of all cases have HP)

路 Burping, this can be pretty bad. The person may have developed a reputation!

路 Heartburn, and perhaps reliant on Quick-Eze or Gavascon, Losec, etc.

路 Diarrhea or constipation after several years of infection.

路 Disturbed sleep, perhaps waking up with a hollow feeling or heartburn. I have known some patients to prop up the head of the bed with a few bricks even.

路 Symptoms worse at night, or worse lying down.

路 Vitamin B12 deficiency. Have your practitioner test for this, you may well be deficient.

路 Altered appetite, some times you may feel like eating, other times you don’t.

路 After being infected for several years, you may have develop mineral deficiencies which can lead to a myriad of health problems.

路 Helicobacter pylori is implicated in Hashimoto’s thyroiditis.

路 Migraine headaches (40% of migraine sufferers are positive, and eradication subsides the headaches).

路 Acne rosacea. Helicobacter pylori is suspected of causing rosacea (eradication of HP often results in a significant reduction in rosacea symptoms).

Is it any wonder how an ailing stomach is supposed to do its job, i.e., digesting and absorbing foods efficiently when a bacterial infection is causing such dysfunction? Your doctor may have initially prescribed a medicine such as Losec, Gavascon or Mylanta for your stomach, serving to block acid or dilute it. How is your tummy supposed to work at all now? Then you go back and complain that the symptoms are unchanged. What then? You can see what I mean, after many years of this infection you can feel quite unwell. I see one person or more each week like this, and have done so for many years. When I wrote an article to our local newspaper several years ago regarding HP, I received nearly ten calls. And almost al these patients had a HP infection, all were on either Losec, Quick-Eze, Gavascon or Mylanta.

Conventional HP Therapy

Please note that it is extremely important to obtain an accurate diagnosis before trying to find a cure of your heartburn or reflux. Many stomach or digestive diseases and conditions share common symptoms: if you treat yourself for the wrong illness or a specific symptom of a complex disease, you may delay legitimate treatment of a serious underlying problem, yes even stomach cancer. In other words, the greatest danger in self-treatment may actually be self-diagnosis. Always work with your health-care professional, preferably one who is experienced in gastrointestinal disorders. If you do not know what you really have, you simply can not treat it!

I have always had a great concern regarding the extensive use of antibiotic drugs required to treat HP infected individuals. The conventional medical clearing of HP from the stomach requires therapy from 10 to 14 days with multiple drugs. My concern is that prolonged or recurrent antibiotic treatment alters the normal microbial population of the entire gastrointestinal tract, eliminating many beneficial bacteria as well as HP, allowing the sufferer to develop a gut environment which may contain bugs like Candida albicans, proteus, or a whole host of other undesirables. You get rid of one problem, only to create yet another.

Triple Therapy

The use of only one medication to treatH. pylori was never recommended by Dr. Marshall. At this time, the most conventional treatment is a 2-week course of treatment called “triple therapy”. It involves taking two antibiotics to kill the bacteria and either an acid suppressor or stomach-lining shielding drug. Two-week triple therapy reduces ulcer symptoms, kills the bacteria, and prevents ulcer recurrence in many patients – but the recurrence can be as high as 75%. Complete eradication is difficult, I have had many patients who have come to me after having had triple therapy many years ago with average to poor results, and were placed on an acid blocker for many years after.I do recommend this for some resistant cases, and have been know to send some patients to a GP for triple therapy, then follow-up with natural treatment for 6 weeks. I have found that some patients may find triple therapy complicated because it involves taking 3 kinds of drugs, and as many as 20 pills a day. Also, the antibiotics and bismuth drugs used in triple therapy may cause side effects such as nausea, vomiting, diarrhea, dark stools, metallic taste in the mouth, dizziness, headache, and yeast infections, particularly in women.

HP Testing

The diagnosis of H. pylori infection has traditionally involved endoscopy with biopsies of the stomach’s mucosa. There are three ways to test for HP currently in NZ. To be honest, I only occasionally authorise a HP test these days, and generally have a “gut feeling” a person has this bug once they come into my room and complain of the above mentioned symptoms. Common sense – the patient will soon tell you if they are or are not improving, and it only takes about three to four weeks to really know what is going on. Just because the test results come back negative, you could still have this bug. You know me by now, please don’t get paralysis from analysis! If you feel significantly better after a HP treatment whether it be pharmaceutical or natural – you probably have HP regardless of what the test results say. Remember – up to one in five New Zealanders have this infection, so the odds are reasonably high you have it.

The Urea Breath Test method of diagnosis relies on the Urea reaction being present, as mentioned earlier. This is a sound test – 90 – 95% successful in picking up the HP bug.

Blood tests measuring HP antibody levels have been developed. However, these tests have suboptimal sensitivity and specificity (85% and 79%).

Stool tests for antibodies – again, many factors can affect the outcome of this test, stay with breath testing. Many experts say that the fecal antigen test is bullet proof, but in my experience I have seen many “false negatives” with testing. That is, the results come back all ok, but the patient responds dramatically after HP treatment.

Natural HP Eradication

No clear indications exist for specific treatment of each and every individual case of HP associated gastritis. I have found the following treatments to be effective, and employed many different therapies over the years. Here are some treatments which I have found to work in various HP cases. Remember, recurrence rates are quite high, so you may want to persist with treatment until you feel much better, then hang in there for a few more months (lower grade treatment) to be absolutely sure. I recommend treatment in blocks of 6 weeks, then wait 2 -3 weeks, then another 6 week period of treatment. A good clinical tip for you: always treat this infection by taking something with meals, and also something in-between, or away from foods. This is designed to really drive the “kill” treatment home, and lets the treatment have access to the HP bugs in the gut with as well as away to some extent from foods and gastric juice involvement. I have a saying in my clinic: persistence breaks resistance. Remember Winston Churchill? – never give in, never give in, never give in.

路 Manuka honey, which has high levels of hydrogen peroxide and has been shown in studies to be active against H. pylori. Go for the Comvita high UMF factor Manuka honey.

路 Propolis works really well for some, but is dismal for others.

路 Vitamin B12 – get this checked in your blood! You may well be deficient here.

路 After antibiotic treatment is finished, (triple therapy) it makes sense to rebuild the gut flora with lactobacillus species. They won’t cure the condition, however. (A 2002 trial demonstrated that a mixed acidophilus preparation failed to eradicate the H. pylori infection in the patients upon whom it was tried).

路 DGL (deglycyrrhizinated licorice) – you can get this in capsules or liquid.

路 Aloe Vera helps to heal the mucous lining of the gastrointestinal tract.

路 Berberine is found in the herb Goldenseal, and it may be used as a natural herbal antibiotic.

路 Eat grapefruit seeds, for some this is very effective long term. The extract is even better.

路 Digestive enzymes may also be useful – especially with achlorhydria (low stomach acid)

路 Gum mastic is a natural substance from the sap of the Mediterranean evergreen tree, Pistacia lemniscuses. Mastic gum has been shown to be effective in protecting the digestive system, healing peptic and duodenal ulcers, and eradicating H. pylori from the gut. I use this a lot, and give two capsules twice daily in between meals.

路 Bismuth. It displays anti-inflammatory action (due to salicylic acid) and also acts as an antacid and mild antibiotic. Don’t freak out – It can also cause a black tongue and black stools in some people who take it, when it combines with trace amounts of sulfur in their saliva and gastrointestinal tract. This discoloration is temporary and absolutely harmless.

My favourite HP treatment regime? I would have to say gum mastica between meals, and with meals a preparation of Bismuth,deglycyrrhizinated licorice, grapefruit seed extract and goldenseal. I often recommend aloe vera and activated charcoal as well.

Do you get that annoying heartburn, and want to try and find a cause and ultimately a cure? Consult your naturopath or nutritional-friendly doctor who can check you out carefully and thoroughly and who will actually treat the cause, not the symptom. They should generally recommend a course of treatment and a specific diet designed for the individual, with promising results for many patients. And what a relief, to be free of heartburn, bloating and that “awful feeling in the tummy” again!

Online Education – Do You Want To Return To School?

In our rapidly changing global world, millions of students are currently taking college-level online (distance education) classes. Private and public universities in the United States and abroad are offering Certificate, Baccalaureate, Masters and Doctoral degree programs over the Internet to adult learners. From Ivy League to Community Colleges, an increasing number of students can log on to their classes from home, work or while commuting by bus and train. Adult learners frequently juggle a myriad of responsibilities including raising children, career, and care giving for senior parents. Formerly, a university of interest may have been out of reach geographically. Presently, an employee located in the United States can register for classes taught half way around the world. Non-traditional venues outside of the more traditional classroom offer viable opportunities for continuing one’s education.

Adult learners make up the largest demographic of post-secondary institutions in the United States. For this student group, the benefits of online academic programs are:

o To update current skill sets

o To learn new skill sets

o To earn an undergraduate or graduate level degree

o The fulfillment of academic requirements necessary for a current job or promotion

o To change careers

o The satisfaction of certification or licensure requirements

o Personal and spiritual growth and development

Not for the faint of heart, success in distance education academic programs requires high levels of stamina, discipline, and motivation. A good candidate must be computer literate, possess the ability to read massive amounts of material in short-time frames, have good writing and communication skills, hold high expectations for good grades, enjoy applying critical thinking and commit a minimum of 15 hours per week per course (be prepared to allocate more, if necessary).

The Internet and the World Wide Web provide the critical technology platform for distance education. University technological and operational infrastructures (including hardware, software and transmission) provide the additional cornerstones to the technology platform needed to execute distance education programs. The delivery of academic content may be accomplished in several formats. The more traditional venues are correspondence courses, videos, audio-cassettes, CD-ROMS, and broadcasts via television and radio. Modern formats include synchronous and/or asynchronous education content distribution channels. Synchronous delivery refers to real-time interaction between instructor and student i.e., two-way video-conferences, whiteboards, chat rooms, telephone software (ex. Skype), and mobile technology devices. Asynchronous interaction does not involve real time communication. Instead, interaction between instructor and student is accomplished through the use of e-mail, DVDs, and the traditional education delivery formats.

As a student, you will need a desktop or laptop computer, an Internet Service provider, a cell phone, software (i.e., word processor, financial spreadsheet, calendar and Power Point), a backup storage disk drive (nothing can make your heart drop faster than losing a body of work that you’ve diligently developed), a headset with microphone for virtual team discussions and the traditional school supplies. Optional technology may include memory upgrades, scanners, digital scanners, and fax machines.

Ten Tips For The Successful Online Student:

o Have a credit card or debit card ready for downloading e-books and other required course reading materials.

o Maintain a list of more than one bookstore in the event that a required textbook is sold out. It’s always a good idea to obtain a list of the required textbooks midway through the term and order in advance for the following term.

o Do not be shy about asking for help if needed. I cannot stress enough the importance of communicating openly with your professor or instructor about course material that you may not understand. Online academic programs tend to move rapidly and course content that you do not understand will most likely cause problems down the road resulting in frustration and possibly, lower grades.

o Seek out a tutor. If there are areas that you know need strengthening, even before the class begins, have a tutor on stand-by. Also, the telephone number of a computer specialist should be in your rolodex.

o Time management will be critical. Keep a planner. Read your syllabus as soon as it becomes available and plan accordingly.

o Uphold your responsibilities as a virtual team member. Your contributions will directly impact the team grade.

o Exercise. Long hours at the computer can cause strain on the neck, shoulder, arm and back muscles, not to mention the hands. Remember to periodically stretch and tone.

o Eat a healthy diet. Keep good healthy recipes handy. Hydrate. Avoid heavy snacking on calorie-laden food and instead eat lots of fruit and vegetables. Avoid white flour and choose high fiber grains.

o See your doctor. A healthy body feeds a healthy mind.

o Stay in contact with your Academic Advisor to be sure that you are satisfying the requirements needed to complete your degree.

In the Fall term of 2006, 3.5 million students representing 20% of all U.S. higher education students, took at least one online course (2007. The Sloan Consortium). It is projected that distance education will continue to grow in popularity domestically and internationally. The most commonly offered online academic programs are Business, Computer Science and Engineering, Education, Engineering, Library Science, Nursing, and Public Health. Whether you select a community college, public institution, private institution or Ivy League university, enjoy the learning experience.

© 2007-2008 Jeanna Foy-Stanley

“But” vs “And”

Two three–letter words: “but” and “and.” In grammatical terms, they are called conjunctions. They bridge two clauses of a single sentence together. In communication (and negotiation), these words are subtle manipulators of exclusion or inclusion. Generally speaking, “but” excludes, denies, discounts or in some way rejects the previous clause. For example, the statement “she is a very productive employee but she can be a bit demanding” is subtly different than “she is a very productive employee and she can be a bit demanding.” In the first example, the “but” tends to convey a negation of the first clause of the sentence in favor of the second clause of the sentence. In the next example, the “and” tends to convey an inclusion of the first clause along with the second clause.

Take another example: “Yes I understand you need to meet with me before tomorrow’s meeting but my schedule is packed full” vs. “I Yes I understand you need to meet with me before tomorrow’s meeting and my schedule is packed full.” In this example, by using “and” instead of “but” the speaker not only avoids negating the initial clause but also conveys to the listener that his/her concerns about needing to meet are acknowledged.

Using “and” is also a much softer way to say no. For example, the typical “yes, but” can easily be replaced with “yes, and.” For example, the request “We need to purchase new computers” can be responded to with “yes I know, but we can’t until next year” or “yes I know, and we can’t until next year.” The “and” does not negate the “yes” whereas the “but” does tend to convey a sense of canceling out that which preceded the “but.”

The use of “but” is extraordinarily common. In fact, few people actually recognize the subtle influence of using but. If you were to consciously attempt to change “but” to “and” in your speaking, you will notice how odd it feels. But, it is a worthwhile exercise if for no other reason than to become more comfortable with the ability to switch from one to the other. However, there can be a more important reason: using “and” instead of “but” can positively influence dialogue. When using “and” instead of “but” there is a sense of inclusion and acceptance even if the conclusion is a denial or refusal.

Try it out over the next several days. Listen to others’ sentences and when you hear “but” change it in your own mind to “and.” Then, start listening to your own sentences. When you hear yourself about to say “but” change it to “and” but remember one thing…oops…and remember one thing…

An Aion Primer – Basic Aion Guide

The massively multiplayer online RPG known as Aion (full name: “Aion: Tower Of Eternity”) is NCSoft’s latest foray into the MMORPG genre. So, what’s Aion all about and what makes it different from the myriad of other popular MMO games on the market now? This article aims to be your guide to the world of Aion, to give you a primer on the basics of how Aion works and what you can expect from the game.

The game takes place in two separate “worlds”, Elysea and Asmodae, inhabited by the Elyos and Asmodians, respectively. Elysea is bright and cheerful, whereas Asmodae is more dark and sinister. Players begin the game as humans in whichever world they choose. Players gain experience by completing quests and defeating enemies, which they then use to “level up” their characters. Once characters reach the required level, they become winged immortals known as “Daevas”. Once a character has become a Daeva, they travel to the capital city of whichever world they inhabit, to begin their new lives. Features

Character Creation & Customization

An important feature in any RPG, Aion features a robust character creation and customization system. This system allows players to fine-tune the height, weight and scale of various body parts. A variety of hair styles, skin colors, facial textures and voices are available to choose from. Players can go really in-depth with their character’s detailing, by adjusting eye shape/color, nose shape, ear size/shape, and tattoos for the character’s face and/or body. Aion also features the ability to dye a character’s equipment to change its color, and the ability to interchange graphics between weapons and armor that the characters have in their inventory (though this graphic swapping must be done between items of the same type).

Skill Chains

Many RPGs allow characters to gain and improve new skills as they progress. Aion introduces a subtle twist to this game mechanic with “Skill Chains”. With “Skill Chains”, skill upgrades may only be performed in a certain order (hence the term “chain”).


There are four “primary” classes: Warrior, Mage, Scout, or Priest. Once characters reach level 9, the player can then choose from two “specialized” classes related to their original “primary” class. Warriors can become either a “Templar” or “Gladiator”. Likewise, Mages can become either a “Sorcerer” or “Spirit Master”, Scouts can be either “Assassin” or “Ranger”, and Priests can become either a “Cleric” or a “Chanter”. Professions

On top of your character classes, there are six “crafting” professions (Alchemy, Cooking, Tailoring, Handicrafting, Weaponsmithing, and Armorsmithing) and two “extracting” professions. The extracting professions are learned automatically by each player, but the crafting professions must be learned manually. A single character is able to learn ALL of the crafting professions, but only master two. Becoming a “master” of a profession gives the player a fancy title and a boost to his or her stats.


Players can join together to form a “group”. Groups can accommodate up to six players. Certain parts of Aion are designed for group play, and in some areas a group is required for entrance. Building on the group mechanic, in Aion up to four groups may form what is known as an “alliance” when greater numbers are needed. However, being a part of an alliance can limit your rewards from smaller quests intended for single or group play.

PvPvE system

The “Abyss” is a PvP area physically located between the two game worlds. Once characters reach higher levels, much of the game of Aion revolves around PvP encounters in this area. The Abyss features strongholds which can be controlled by “Legions” (Aion for “guild”). Players battle it out to gain and keep control of these various strongholds. Again, Aion introduces another twist with siege weapons players can obtain from raids, and use in these battles. Control of a stronghold means income from taxes, and players get perks from stores and NPCs. Battling it out with your fellow players in the Abyss will get you “Abyss Points”. These points are used to rank you among the rest of the Aion players out there. Why does this matter? Well, higher ranks unlock visual upgrades to your characters wings, and you can use your Abyss points to purchase high-end armor and weapons.

How to Cure Ringworm?

Ringworm is a very contagious skin fungal infection. It can affect all individuals and even animals. During the infection stage of the ringworm, they produce fungal spores that can be transmitted to others. When you become exposed to fungal spores, you are at high risk to develop ringworm. But ringworms are treatable, and ringworm cures are very helpful to remove and kill fungal spores.

It is very essential to kill the fungi, and prevent the spread of ringworms to your body and to other people or animals. Here are some tips that will help you:

– Perform environmental disinfection regularly. It is important to maintain a clean environment because fungal spores can be present anywhere, especially to places where the infected person has been exposed to. Bleach is common in every household, and is very effective in disinfecting the environment. You just need to make a 1:10 bleach and water solution, and use it in decontamination of floors and surfaces. This will effectively kill the fungal spores, and prevent its transmission.

– Use a vacuum with HEPA filters. High Efficiency Particulate Absorbing or Arrestance (HEPA) filter removes at least 99.97% of airborne particles such as dust and fungi. It is very useful in cleaning carpets and upholstered furniture to remove fungal spores.

– Isolate infected pets. It is very important to separate your infected pet from other animals. You should not touch or come in contact with the infected pet because you can contract the fungal spores that cause ringworm. Consult your pet’s veterinarian so that you can determine what type of treatment will help your pet resolve its ringworm.

– Do not share personal articles. Sharing is a good act but if you have ringworms, it is a big no to share your personal items to others. Your things are contaminated with fungal spores. You should keep them and disinfect them using bleach.

– Keep a clean body. Fungi flourish in dirty areas. Proper personal hygiene should be observed to prevent the spread of ringworm on your skin. It is also important to perform regular hand washing after treating your ringworm, and after touching or treating your infected pet because you can obtain fungi spores from it.

– Maintain a sweat-free body and wear comfortable clothing. Fungi thrive in hot and moist areas of your body such as armpits, groins, and areas which have folds especially to obese individuals. You should keep yourself dry and avoid wearing tight clothes.

– Use a natural ringworm remedy. Natural ringworm remedies are found to be effective against ringworm, and they are absolutely safe to use. They are medicinal herbs that use leaves or extracted oil to cure ringworm such as turmeric (Curcuma longa), coconut oil (Cocos nucifera), mustard seeds (Brassica nigra),cassia leaves (Cassia fistula), holy basil leaves (Ocimum sanctum), butea seeds (Butea monosperma), and papaya seeds (Carica papaya). They are applied directly over the ringworm patch. Carrot (Daucus carota) and spinach juice (Spinacea oleracea) are also helpful in treating ringworm because they contain large amount of beta-carotene, which are very good for skin care.

– Apply topical creams. Topical creams are effective for ringworms that have mild symptoms. They are over-the-counter medications that help to relieve ringworm symptoms and kill fungi that cause ringworms. Topical treatment should be used for 2 to 4 weeks to effectively eradicate the fungi. Topical medications include Miconazole (Micatin, Desenex, Daktarin, Monistat-Derm, and Decocort), Clotrimazole (Mycelex and Lotrimin), and Terbinafine (Lamisil AT, Lamisil, and Lamisil Dermgel).

– Administer anti-fungal pills. Anti-fungal pills are systemic treatment for severe cases of ringworm. It is recommended to consult your physician so that you will be advised on the proper dosage and length of treatment using oral anti-fungal medications. Anti-fungal pills include Griseofulvin (Gris-PEG, Grifulvin V, Fulvicin P/G, and Griseofulicin), Itraconazole (Sporanox and Sporanox PulsePak), Terbinafine (Lamisil), and Fluconazole (Diflucan).