Choosing a Medical Transcription School

In addition to the medical transcription courses you can take at community colleges or trade schools, you can also complete a course online or have the course sent to your home to complete.

If you take an online course or are completing your course at home and are working at the time of taking your course, it can be very beneficial as you get to choose your own hours for studying and testing. If you are either not working or only working part time you can probably complete your course in less than 6 months. If you are working full time it will probably take you longer. It is up to you to choose the time frame you are comfortable with. There won’t be someone standing over you telling you to hurry up. You will set your own schedule and the amount of time you will be spending on your course.

When you are researching your school be sure you check out their support staff. This can be very important during your training. You want to be able to contact them and get a response quickly to your questions. A lot of the top schools have chat rooms and forums where you can communicate and interact with other students. This can be very helpful and can sometimes get you a lead to a job when you finish your schooling.

Your course should consist of not only textbook lessons but also in getting to transcribe actual doctor’s dictations. This is something you can really only learn by doing. One of the most important things you will need to learn is how to correctly interpret the doctor’s voice dictations. This will take practice. But the more that you practice the better prepared you will be to become a medical transcriptionist.

There are many medical procedures and fields that you will learn during your course. One of the most important is medical terminology. This is the basis for every medical term you will be typing. You will also be learning disease processes, some training in specialties such as gynecology, GI and GU, dermatology, chiropractic terms and procedures, physiology, and many others.

You need to have a broad knowledge of all different types of fields because you don’t know what your first position will be. Maybe working in a pediatrician’s office or a psychiatrist’s office. Working for a clinic is a good place to start and has a combination of many different diagnoses and treatments from a sore throat to a cut toe. It will be good experience to get you started on the right track.

A lot of the medical transcription schools have started giving some training in different types of medical transcription software and types of transcription equipment. With the internet playing such a large role in medical transcription today, you will need to familiarize yourself with different applications and transmission formats. You will need to have a compatible system with the health care providers you will be working for.

Do a thorough research of the many medical transcription school programs that are out there now. Find the one that suits your needs for convenience and financially. Some programs have a payment system for monthly payments, some require half down and monthly payments, and some require the entire fee up front.

Issues about Scabies Rash

Scabies rash can be identified only if it is accompanied by other symptoms of scabies. If you have a severe, persistent rash that doesn’t seem to ease up it might be caused by infestation with scabies mites. Scabies rash is characterized through itching and soreness and it tends to intensify at night. Scabies rash may also become very irritated after taking a hot shower or bath. If the skin appears to be blistery and scratched and the presence of small burrows is revealed on the surface of the skin, it is a possible sign of scabies rash and appropriate dermatological treatment is required.

An overwhelming number of 300 million people worldwide are diagnosed with scabies each year. Scabies can be very easily acquired by simply touching a contaminated person. Although scabies is very contagious, scabies rash can’t be transmitted from a person to another. Scabies rash usually occurs when the body develops allergic reactions to scabies mites and their feces. The only contagious aspect of scabies involves the mite infestation. If the mites responsible for causing scabies are transmitted to a person, they will quickly infest the skin and the symptoms of scabies will occur within a few days. Scabies mites can be acquired through direct contact with an infested person or by touching or wearing contaminated clothes or personal items. Scabies mites can live without their human hosts for about 3 days and therefore they can easily contaminate bed sheets, clothes, towels, etc.

The main cause of scabies in people is contamination with a particular type of mite, called Sarcoptes scabiei var. hominis. This microscopic mite lives only on the bodies of human hosts and an infected person can spread it to hundreds of other persons.

It is important to note that scabies rash, just like other scabies symptoms, doesn’t occur due to improper hygiene. Although in the past, when the true nature of scabies wasn’t completely understood, people considered scabies rash to be the consequence of poor hygiene, today the cause of scabies rash is clear to most people. It is true that scabies occurs mostly to people from the lower classes of society, but this has nothing to do with hygiene. The factors that facilitate the   transmission  of scabies are overcrowding and situations that involve a lot of physical contact (factory workers). Hygiene can neither facilitate the occurrence of scabies, nor prevent it.

The most common symptoms of scabies are inflammation, discomfort, pain, swelling of the skin, pustules, burrows, nodules. However, the most intense of all seems to be the scabies rash. This symptom of scabies occurs as a result of allergic reactions to the mites’ feces, secretions, eggs and larvae.

Scabies rash is among the first symptoms that occur and it is usually the last one to disappear. Even if the condition is appropriately treated with topical medications, scabies rash may persist for another few weeks! This is due to the fact that even after they die, the mites remain under the skin and continue to produce allergies that cause scabies rash. The mites’ secretions contain substances that are toxic to the human body. However, there are ways of easing the itch, soreness and pain characteristic to scabies rash. Dermatologists usually prescribe hydrocortisone and antihistamine along with the treatment for scabies. These topical medications are usually in the form of creams, gels and ointments and they ameliorate scabies rash. However, if the scabies rash persists and even intensifies after a few weeks, it is a sign that the mite infestation hasn’t been eradicated and the treatment needs to be repeated.

Infectious Diarrhea

Clinical Presentation: Every year throughout the world more than 5 million people-most of them kids younger than 1 year-die of acute infectious looseness of the bowels. Although death is really a uncommon outcome of infectious diarrhea within the United States, morbidity is substantial.

It is estimated that you will find more than 200 million episodes each year, resulting in 1.8 million hospitalizations at a price of $6 billion per year. The morbidity and mortality attributable to diarrhea are largely due to loss of intravascular volume and electrolytes, with resultant cardiovascular failure. For example, adults with cholera can excrete a lot more than 1 L of fluid per hour.

Contrast this with the typical volume of fluid lost daily within the stools (150 mL), and it is clear why massive fluid losses connected with infectious diarrhea can lead to dehydration, cardiovascular collapse, and death. Gastrointestinal (GI) tract infections can present with primarily upper tract symptoms (nausea, vomiting, crampy epigastric pain), small intestine symptoms (profuse watery diarrhea), or large intestine signs or symptoms (tenesmus, fecal urgency, bloody looseness of the bowels).

Sources of infection consist of person-to-person   transmission  (fecal-oral spread of Shigella), water-borne  transmission  (Cryptosporidium), food-borne  transmission  (Salmonella or S aureus foods poisoning), and overgrowth following antibiotic administration (Clostridium difficile).

Etiology: A wide range of viruses, bacteria, fungi, and protozoa can infect the GI tract. However, in the majority of instances, symptoms are self-limited, and diagnostic evaluation isn’t performed. Individuals presenting to medical attention are biased toward the subset with more severe signs or symptoms (eg, high fevers or hypotension), immunocompromise (eg, HIV or neutropenia), or prolonged duration (eg, chronic diarrhea defined as lasting 14 days). An exception is large outbreaks of food-borne sickness, in which epidemiologic investigations may detect individuals with milder variants of illness.

Pathogenesis: A comprehensive approach to GI tract infections starts using the classic host-agent-environment interaction model. A quantity of host elements influence GI tract infections. Individuals at extremes of age and with comorbid conditions (eg, HIV infection) are at higher risk for symptomatic infection.

Medications that alter the GI microenvironment or destroy typical bacterial flora (eg, antacids or antibiotics) also predispose individuals to infection. Microbial agents responsible for GI sickness could be categorized according to kind of organism (bacterial, viral, protozoal), propensity to attach to various anatomic sites (stomach, little bowel, colon), and pathogenesis (enterotoxigenic, cytotoxigenic, enteroinvasive).

Environmental elements can be divided into three broad categories based on mode of  transmission : (1) water borne, (2) foods borne, and (three) individual to person. GI tract infections can involve the stomach, leading to nausea and vomiting, or affect the small and large bowel, with looseness of the bowels as the predominant symptom.

The term “gastroenteritis” classically denotes infection of the stomach and proximal little bowel. Organisms causing this disorder consist of Bacillus cereus, S aureus, and a quantity of viruses (rotavirus, norovirus). B cereus and S aureus produce a preformed neurotoxin that, even in the absence of viable bacteria, is capable of causing disease, and these toxins represent major leads to of foods poisoning.

Although the exact mechanisms are poorly understood, it’s thought that neurotoxins act locally, through stimulation of the sympathetic nervous system having a resultant improve in peristaltic activity, and centrally, through activation of emetic centers within the brain. The spectrum of diarrheal infections is typified by the diverse clinical manifestations and mechanisms via which E coli can trigger diarrhea.

Colonization from the human GI tract by E coli is universal, usually occurring within hours following birth. Nevertheless, when the host organism is exposed to pathogenic strains of E coli not normally present in the bowel flora, localized GI illness or even systemic sickness may occur.

You will find five major classes of diarrheogenic E coli: enterotoxigenic (ETEC), enteropathogenic (EPEC), enterohemorrhagic (EHEC), enteroaggregative (EAEC), and enteroinvasive (EIEC). Functions typical to all pathogenic E coli are evasion of host defenses, colonization of intestinal mucosa, and multiplication with host cell injury.

This organism, like all GI pathogens, should survive transit via the acidic gastric environment and be able to persist within the GI tract despite the mechanical force of peristalsis and competition for scarce nutrients from existing bacterial flora. Adherence can be nonspecific (at any part from the intestinal tract) or, a lot more commonly, particular, with attachment occurring at well-defined anatomic areas.

Once colonization and multiplication happen, the stage is set for host injury. Infectious diarrhea is clinically differentiated into secretory, inflammatory, and hemorrhagic kinds, with different pathophysiologic mechanisms accounting for these diverse presentations. Secretory (watery) diarrhea is caused by a quantity of bacteria (eg, Vibrio cholerae, ETEC, EAggEC), viruses (rotavirus, norovirus), and protozoa (Giardia, Cryptosporidium).

These organisms attach superficially to enterocytes in the lumen of the small bowel. Stool examination is notable for the absence of fecal leukocytes, even though in uncommon instances there’s occult blood in the stools. Some of these pathogens elaborate enterotoxins, proteins that improve intestinal cyclic adenosine monophosphate (cAMP) production, primary to net fluid secretion. The classic example is cholera.

The bacterium V cholerae creates cholera toxin, which leads to prolonged activation of epithelial adenylyl cyclase within the small bowel, primary to secretion of massive amounts of fluid and electrolytes into the intestinal lumen. Clinically, the patient presents with copious diarrhea (“rice-water stools”), progressing to dehydration and vascular collapse without having vigorous volume resuscitation.

ETEC, a common trigger of acute diarrheal sickness in young kids and the most typical trigger of looseness of the bowels in travelers returning to the United States from developing countries, creates two enterotoxins. The heat-labile toxin (LT) activates adenylyl cyclase in a manner analogous to cholera toxin, whereas the heat-stable toxin (ST) activates guanylyl cyclase activity.

Inflammatory diarrhea is really a result of bacterial invasion of the mucosal lumen, with resultant cell death. Patients with this syndrome are usually febrile, with complaints of crampy lower abdominal discomfort as nicely as diarrhea, which might contain visible mucous. The term dysentery is utilized when there are substantial numbers of fecal leukocytes and gross blood.

Pathogens connected with inflammatory looseness of the bowels consist of EIEC, Shigella, Salmonella, Campylobacter, and Entamoeba histolytica. Shigella, the prototypical trigger of bacillary dysentery, invades the enterocyte through formation of an endoplasmic vacuole, which is lysed intracellularly. Bacteria then proliferate within the cytoplasm and invade adjacent epithelial cells.

Production of a cytotoxin, the Shiga toxin, leads to local cell destruction and death. EIEC resembles Shigella both clinically and with respect towards the mechanism of invasion of the enterocyte wall; however, the specific cytotoxin associated with EIEC has not yet been identified. Hemorrhagic diarrhea, a variant of inflammatory diarrhea, is primarily triggered by EHEC.

Infection with E coli O157:H7 has been connected with a quantity of deaths from the hemolytic-uremic syndrome, with a number of well-publicized outbreaks related to contaminated foods. EHEC leads to a broad spectrum of clinical disease, with manifestations including (1) asymptomatic infection, (2) watery (nonbloody) looseness of the bowels, (three) hemorrhagic colitis (bloody, noninflammatory diarrhea), and (4) hemolytic-uremic syndrome (an acute illness, primarily of children, characterized by anemia and renal failure). EHEC doesn’t invade enterocytes; nevertheless, it does create two Shiga-like toxins (Stx1 and Stx2) that closely resemble the Shiga toxin in structure and function. After binding of EHEC towards the cell surface receptor, the A subunit of the Shiga toxin catalyzes the destructive cleavage of ribosomal RNA and halts protein synthesis, leading to cell death.

Clinical Manifestations: Clinical manifestations of GI infections vary depending on the on website of involvement For instance, in staphylococcal foods poisoning, symptoms develop several hours after ingestion of foods contaminated with neurotoxin-producing S aureus. The symptoms of staphylococcal food poisoning are profuse vomiting, nausea, and abdominal cramps.

Diarrhea is variably present with agents leading to gastroenteritis. Profuse watery (noninflammatory, nonbloody) diarrhea is connected with bacteria that have infected the small intestine and elaborated an enterotoxin (eg, Clostridium perfringens, V cholerae). In contrast, colitis-like symptoms (lower abdominal pain, tenesmus, fecal urgency) and an inflammatory or bloody diarrhea occur with bacteria that more generally infect the large intestine.

The incubation period is usually longer (> 3 days) for bacteria that localize towards the large intestine, and colonic mucosal invasion can occur, causing fever, bacteremia, and systemic symptoms.

Canine Grooming

There are many reasons to groom your pet and regular grooming is one of your responsibilities as a pet owner. This task should never be neglected as it has many health benefits for your dog. Most people understand the importance of regular grooming but some don’t and neglect to perform this vital task and hopefully this article will convince them to groom their dogs on a regular basis. The majority of people understand that dogs need a bath every now and then, especially when they’ve rolled in something particularly smelly (something dogs love doing!). Dogs with tangled and matted hair don’t look good and are a sure sign that they have lazy and neglectful owners! So read on and discover the many benefits of regular pet grooming.

Routine grooming removes dead skin and hair from your pet’s coat allowing the growth of new hair. Grooming also stimulates circulation and makes your dog’s coat shiny and healthy.

Grooming your dog will also help you discover if anything is wrong with your dog. You may find hives or lumps that you would normally miss when interacting with your dog. Grooming allows you to check your dog thoroughly for any unnoticed wounds or problems.

Pets enjoy the extra attention they receive when being groomed and this activity will help them bond with you. You will notice after grooming your dog that he seems very pleased with himself and more cheerful, this is because grooming makes dogs feel good about themselves.

Grooming is not limited to brushing and combing, it also extends to your dog’s nails and teeth. You should check your dog’s nails regularly to see if they need trimming and clip them if they do. Brushing your dog’s teeth on a daily basis should also be part of your dog’s grooming routine.

Just as brushing our hair stimulates our hair follicles and distributes sebum throughout our hair to nourish the hair shaft, so does grooming stimulate your dog’s coat and keep it nourished and healthy. Regular combing or brushing also stimulates your dog’s lymphatic system which helps boost his immune system.

If you take your dog to dog parks or on hikes you should routinely check to see that he hasn’t picked up any ticks. Ticks are dangerous pests that can make your dog very sick and by grooming your dog regularly, you will be able to discover if he has a tick infestation. Early detection of these parasites can literally save your dog’s life as these pests transmit disease and suck your dog’s blood robbing him of nutrients.

If you are interested on learning how to groom your dog professionally, there are evening classes available at some colleges that can teach you how to properly groom your dog. An online search will also reveal the location of such classes or you can ask around in your area. If you don’t have the time or inclination to groom your dog yourself, you should take him to a dog groomer on a regular basis to ensure he’s getting the care he needs.

Staying Healthy: HIPAA Training

The Health Insurance Portability and Accountability Act of 1996 is fondly known as HIPAA. It is a law that was enacted to provide protection and safeguard against the issuance of confidential medical information of individual patients. HIPAA specifies that those who work in the medical industry receive training in the laws and procedures of patient information security. Hospitals, physicians, nurses, researchers, and insurance companies are required to understand and be certified in HIPAA rules and regulations. There are those who work as medical staff, clerks and records clerks who must also be trained. HIPAA training teaches policies, organization, and protections as well as the procedures involved in maintaining patient security and privacy rights.

HIPAA Training

If an organization is deemed a covered entity by the medical community that organization is required to provide HIPAA training to all employees, agents, volunteers, trainees and contractors. As a definition, a covered entity handles, stores, and uses private medical information.

HIPAA training can be obtained in several different ways. Generally HIPAA training is completed at the time of first employment with training sessions conducted throughout the employee’s career. Training can be conducted between the execution of agreements, though educational conferences, classes and seminars, on the job training, in newsletter updates, online or several other methods. Whatever way you choose to administer HIPAA training, you will be required to provide employees with certification and keep copies of these certificates on file.

It is possible to incorporate HIPAA training using an agreement entitled a privacy, confidentiality and information security document. This instrument is used at the time employment begins and throughout the employee’s career. Policies of the HIPAA laws and of the clinic will be included and the employee will be tested on HIPAA privacy issues. There should also be signatures from both the employee and the employer stating that training has been offered and the employee is certified. If there is a problem with HIPAA policies or a breach of confidentially and security these documents are the proof that the employee and the employer were trained and signed off on the HIPAA laws.

HIPAA educational courses are dependent on how the employer will handle protected health information and how the employees will use this information. The classes discuss procedures and policies for handling information to be in compliance with HIPAA laws. Written procedures are required to be available in the office, and these written documents describe how patient data is handled, what the policies are in case of a breach, and how a security breach will be documented.

Transmitting Patient Information via Computers

A covered entity stores and exchanges protected medical records through its computer system. HIPAA designates procedures that must be followed. For example computers must be password protected, provide limited access, and have additional back up security procedures. Training regarding the usage of electronic   transmission  of patient data includes computerized exercises developed to create potential HIPAA violations. The tools are given to the employee to resolve the breach. Exercises are documented and graded. This type of training can be very effective when certifying employees in HIPAA security methods.

Do I Really Need a Lawyer to Get a Trademark?

As an experienced Trademark Lawyer, I am frequently asked if individuals or small companies need an attorney to register for a federal trademark. The short answer is no — just as one doesn’t technically need a mechanic to change a car transmission or perform a major engine overhaul. Nonetheless, in both cases, hiring a professional is still advisable.

First, it is essential to conduct a thorough search of all available public records to determine if your proposed name and/or logo are confusingly similar to names or logos that are already being used in commerce by others.

The United States Patent and Trademark Office’s website allows one to search public records online for free. However, smart businesses hire a third party research firm to conduct this exhaustive research for them. If you attempt to do such a search yourself, you will probably miss something, and that could create significant problems for you down the line. Further, there are multiple sources of information about unregistered, but still relevant “common law” uses that must be considered.

This voluminous research will undoubtedly reveal third-party uses that are somewhat similar in some way, shape or form to your proposed use. For example, if you are interested in using the mark “COMPUTER” in connection with jeans, there will be other marks with “computer” in them. Are they confusingly similar? That is the key question, and like most nuanced issues in law, it is often a matter of degree and professional opinion.

Once you are comfortable with the knowledge that your proposed brand name and logo are clear of any major, conflicting third party uses, there are a number of questions to still ask: Is the mark “generic”, that is, the name of the class of goods for which you intend to use it?

For example, one cannot trademark the brand name “computer” for use in connection with computers. However, “computer” could theoretically become the brand name of a pair of jeans, because in that context, it is actually “arbitrary” or “fanciful.” Other categories of marks are “merely descriptive,” that is, does it merely describe an attribute of the product you are branding? Is the term “suggestive,” that is, does it not describe but suggest a feature of the goods? A legal professional can evaluate this issue based on how similar cases were handled on the past.

If you are still comfortable with the mark as proposed, you would then file a formal application in the United States Patent and Trademark Office. This application costs a fee of several hundred dollars all the way up to thousands of dollars, based on the number of “classes” of goods or services that you intend to use the trademark in connection with.

Eventually, you would receive a response from an Examiner working at the Trademark Office. That Examiner would probably ask a number of questions about your proposed mark, and often will seek further clarifications about your application. BE CAREFUL. Whatever you say in response to these questions will become public knowledge as part of the government file.

Further, whatever you do in response to these Office Actions can limit or affect your rights later. For example, disclaiming a portion of the mark, or narrowing the classes of goods for which you are seeking a trademark, can come back to haunt you later. It is easy to give away your rights, but much harder (and sometimes impossible) to ever get them back.

So, to answer the recurring question, one does not technically need an attorney to apply for a US Federal Trademark on a new brand name that one intends to use in commerce. However, it is a long and complicated process, especially if you are unfamiliar with it. And like replacing a car transmission, it requires skill and experience.

Marine VHF Radio

Types of VHF sets:

Non-DSC sets

Non-DSC VHF sets on yachts and motorboats will still continue to work, will still be legal to use and certificate holders do not need to do a conversion course until they choose to upgrade. After 2005 Coastguards will cease to monitor Channel 16 in the way that they do now, that is with a dedicated officer on headset watch 24 hours a day, but they will continue to have a loudspeaker watch on channel 16 in the operations room. Increasingly the boat without VHF DSC radio will be at a disadvantage.

A transportable set is an invaluable second radio for use in an emergency when it can be taken into a life raft or used on deck to communicate in a rescue situation. It is useful for safety reasons in a tender when going ashore or in a safety boat when organising dinghy sailing events. A portable set is a good buy for non-boat owners who charter or who go afloat occasionally. They have a limited range but do require licensing and certification. Portable sets with a very limited DSC facility are available. They are intended as an addition to a full VHF DSC set, not as a substitute. Note that the portable set covered by a ship’s radio licence can only be used on the vessel covered by the licence or by its tender(s). It is illegal to use the portable ashore.

VHF DSC radio sets

From 2001 all new non-portable radios sold must be VHF-DSC or be capable of being converted to DSC by the addition of an extra ‘black box’. These are called DSC Controllers. It will provide the digital selective calling (DSC) facility which is the special feature of the new type of set. What this does is to send, on channel 70, a burst of digital signals in a code to ‘call up’ another DSC set. This call can be directed at an individual, using their MMSI, a group of boats or ‘all stations’ in an emergency. Once the link has been established by the digital ‘call’, normal voice   transmission  will be used. The DSC is essentially a new method of establishing communications, more reliably than was possible before. The digital signals are of high radio quality and rapid, the alert taking just 0.5 seconds. It can be used in both routine and distress situations.

There are different classes of controller with varying levels of capability for use in different types of vessel.

The Class D controller is the one designed for use with VHF on yachts and motorboats who make passages within VHF range of the coast. Fitting one of these is not compulsory on private boats. On small boats used at sea commercially, sea school boats for example, it may become a requirement. This will be to the great advantage of their students who will be able to see the sets in use and appreciate their advantages.

Other controllers for VHF DSC are available to meet the requirements of ships. These include Class A and B Controllers, which have enhanced capabilities.

What is the range of the set?

Those sailing across an ocean, or even the Bay of Biscay, need radios that transmit over vast distances. Licensing arrangements are different too.

The range of  transmission  of VHF radio telephones is limited by a number of factors. The height of the aerial is very significant as the propagation of the radio waves is only slightly more than ‘line of sight’. This includes the aerial height of both the transmitting and the receiving station.

When talking from yacht to yacht expect a range of 10 to l5 miles with aerials fitted at the tops of the masts. Those commonly fitted to yachts are known as ‘unity gain’ aerials. They are made of thin wire and often have wind instruments attached. They are recommended because, although the range is not as good as the taller rigid aerials used on motorboats, they cope better with the heeling effect often experienced on yachts! The better range of a ‘high gain’ motor cruiser aerial is only achieved if it is mounted vertically.

It should be possible to talk to a Coastguard station from 30 to 40 miles offshore because of the height of their aerial.

Transmitting range is also affected by the transmitting power of the set. The maximum power allowed is 25 watts. There is also a low power setting, which reduces the transmitting power to 1 watt. This should be used for all short range routine communications. You might think that it is always a good idea to broadcast your signal as far as possible. This it not so. Remember that each channel can only be used for one  transmission  at a time. Powerful signals cause more inference to other radio users. If you are calling another craft nearby or a marina, use low power. Try to use low power for all routine communications. The use of low power does not change the receiving range of the set.

A portable VHF set has yet another type of aerial. This is flexible and will operate at a wider range of angles. The low aerial height and a maximum power output of 5 watts reduces the range of  transmission  of these sets. Between portable radios the range can be up to 5 miles, increasing to 10 miles to a Coastguard station, if there is no land in the way! Remember, with portable radios there is always the risk that the battery will go flat.

The information about ranges of  transmissions  is for average conditions and good circumstances. Ranges can be influenced by:

o Atmospheric conditions, especially high pressure, can increase the range and cause interference from distant stations.

o Land. Boats operating near land may have poor reception with signals being blocked by hills or buildings.

o Incorrect installation of the aerial, or damage to the coaxial cable connecting the aerial to the set, can give poor reception.

o The proximity of other electronic equipment can cause interference.

For these reasons it is best to have the fitting done, or at least checked, by a professional electronics engineer.

A portable radio has a range of 5 miles to another portable, 10 miles to a Coastguard Station.

All distress calls should be transmitted on high power.

Many yachts carry emergency VHF aerials in case of dismasting, which is a very good idea, but failure of the electrical supply is a more frequent problem! The emergency aerial has a plug attached to connect it to the back of the set. For maximum range, situate the aerial as high as possible, but realistically expect a greatly reduced range. When the mast is lost, many people are surprised to hear the radio apparently still working. This is because the co-axial cable is acting as an aerial over a short range, but transmitting without an aerial will damage the set permanently.

A portable radio could be useful under these circumstances!

Everything You Ever Wanted To Know About Condoms

If there was ever an invention to make sex as safe as possible, it has to be the condom. Not only do they prevent the spread of sexually transmitted diseases, but they’re very effective at preventing pregnancy too. No other form of contraception is so reliable and versatile. So what’s not to love?

Buying them

So you’re shy about asking for them? Supermarkets and gas stations carry condoms these days – you can buy them from a machine in the washroom. Sex clinics give them out by the handful for nothing. And if you still feel weird about getting your hands on condoms – just consider how it would feel buying medicine to treat an STD instead.

Carrying them

Is it presuming too much to take condoms on a date? Frankly, that attitude hasn’t been seen since the fifties. So the girl might realise you do have sex and you wanted it with her. Is that an insult? In any case, you don’t have to take them out your pocket and wave them around. If you get to the point where you need one, you’ll both be happy to see that little foil wrapper, never mind who was carrying it!

Using them

Remember the classes where you practised with a banana? Do yourself a favor, practise with the real thing. Use a whole pack if you need to – keep trying till you know how to get one on properly. You won’t be able to put on a condom if your penis isn’t fully erect – but remember that the penis releases fluid that can spread STIs or contain sperm even before it’s erect. Remember to pinch the ‘teat’ at the end before you unroll the condom down your penis – you might want to leave a bit more space at the top to prevent the condom from splitting. Keep this teat pinched between your fingers as you unroll the condom, and make sure it’s fully covering your penis before and during sex. Don’t feel shy about interrupting your lovemaking to put one on – that pause can only build the excitement!

Last words

Oil based lubes, sharp fingernails, jewellery and out of date condoms are all recipes for disaster. Use a special lubricant. Some people find they have an allergy to latex – condoms now come in allergy-friendly latex-free varieties. In fact, there are now a vast number of different shapes, colors, sizes and flavors of condom. Experiment to see which ones you and your lover prefer – perhaps a ribbed variety for more stimulation or a condom with extra lube for very sensual sex. You should use a condom or dental dam for oral sex too, and change condoms for every new orifice or sex act.

Finally, to get rid of a condom, wrap it and bin it. Never flush a condom down the toilet.

For more information about lingerie please have a look at this link:Exotic Lingerie | Blouses See Thru [http://www.oasislingerie.com]

5 Universal Precaution Measures to Prevent HIV Transmission

Universal precautions are safety measures that are followed for the prevention of the spread of HIV (Human Immunodeficiency Virus) and other bloodborne pathogens. All samples of blood and body fluids are to be considered infectious while dealing with them. In fact, it was after the discovery of HIV that universal precautions became known to be extremely important in a healthcare setting.

As an employer, it is a major responsibility to ensure that all your health care workers are adhering to universal precautions. While treating patients of HIV or AIDS (Acquired Immunodeficiency Virus), all employees must have an open mind and focus on leaving all prejudices behind, following universal precautions as usual. There is no room for mistakes for such cases.

Here are five measures to prevent the  transmission  of HIV infections:

• Personal Protective Equipment: Your health care employees must be taught to always use protective clothing when handling HIV/AIDS patients. Protective gear like face masks, gowns, gloves and goggles must be used during occasions where chances of accidental splashing of blood and fluids are high. It is essential to change gloves between patients and procedures to avoid contamination. Make sure all gloves and gowns are in good condition without any holes or tears.

• Equipments and Instruments: Needles and sharp instruments must be used carefully while using them on HIV patients. If any of your health care employees gets an accidental cut or prick, immediate treatment should be started. Gloves are essential as they provide protection. Despite wearing gloves, all sharps must be handled with special care and later disposed in a sharps-container.

• Mouth-to-mouth breathing: Sometimes an HIV patient may have a sudden cardiac arrest and require administration of artificial respiration. Even though there is only a negligible chance of spread of the virus through the saliva, it is still good to be careful. There is a greater chance of  transmission  if the patient has developed a wound in the mouth. Your nurses and doctors must wear gloves and give rescue breaths through respiratory devices in such situations.

• Hygiene: Good hygiene habits must be practiced in your health care facility at all times even while dealing with normal patients. Gloves must be donned before treating a patient and afterwards must be taken off carefully and placed in marked containers. Hand washing with antiseptic soap is a must after handling any patient. In the event of any body fluid touching your skin, a disinfectant must be used.

• Injuries: You must make a rule that any health worker with personal injuries like open wounds or broken skin must avoid dealing with such patients. In case they have to, they must properly cover the injured area to decrease the chances of contracting the infection.

HIV infection results in AIDS, which is a fatal disease. There is no absolute cure for it and therefore great emphasis must be given on strictly following precautionary measures to prevent its spread. Other than the above measures, you must keep your health care employees aware of the latest protective measures used. Following these simple universal precautions can save lives and must not be taken lightly.

The Basics Of Avian Flu

Bird flu or avian flu is an influenza virus type that normally infects birds. However, it can also infect other animals including pigs. Wild birds are natural hosts to the virus and normally don’t get sick from it. But domestic animals such as chickens and turkeys could be severely affected. Humans, on the other hand, can be infected with influenza types A, B, and

C.

Genetic changes and sharing can occur under certain circumstances. This could happen in crowded conditions where poultry, pigs, and people live in close quarters. This change could allow a virus to turn into more infectious to humans. This could also mean that the virus can more easily transmitted from person to person. This is precisely when a pandemic could break out.

The avian flu’s jump to humans was first detected in 1997. Though there have been around 60 human deaths reported, they have been due to transmission from animals to humans. Migratory birds have been detected with the virus and these cannot be caught and killed – these birds have alreadd carried the virus to Europe and Africa. It is difficult to predict when the pandemic could break out – It all depends on when that genetic shift (from birds to humans) takes place.

For now, there has been no detection of this virus in the U.S. It is however possible for travelers to be infected, but most of cases in humans have been in those with closer contact to birds than a casual traveler has. Since the infection occurs via fecal-oral route, people are advised to reduce their risk while traveling by avoiding bird markets, zoos, and areas in parks, where there could be high concentrations of bird feces.

Countries that are the most vulnerable to this flu are Indonesia, Vietnam, and Cambodia, due to their high concentration of bird markets. Other areas include Thailand, China (south and north), Tibet, Kazakhstan, Russia and

Mongolia.

Symptoms of bird flu in humans have ranged from typical flu-like symptoms (fever, cough, sore throat, muscle aches) to eye infections and pneumonia. If you feel you’ve been exposed, there are a couple of treatment recommendations available today that you may want to discuss with your doctor. Until these are tested in a pandemic, however, their true efficacy is unknown. There are currently no vaccines available, but many companies are working on them.

More information on Avian Flu and preventive measures can be had from Avian Flu Protection [http://www.avianfluprotection.org.uk].