Biologic Drugs – Are They Safe to Use During Pregnancy?

I’d like to spend a few minutes with you talking about a recent article that came out in one of our major gastroenterology journals in regard to the safety of biologic medicines for women who are pregnant so women are always concerned.

understandably about whether therapies they’re taking for their chronic illness are going to cause birth defects and one of the major medications used to treat ulcerative colitis and Crohn’s but also other chronic inflammatory conditions like rheumatoid arthritis and psoriatic arthritis psoriasis are the anti TNF agents.
so that includes Remicade and Humera Cinzia and symphony well those are very good at controlling symptoms but what do they do to the potential for birth defects in a pregnant woman. so this was a very nice study looking at all of the children born throughout the country of Sweden as well as Denmark and they were able to track all of those women who were treated with these medicines and exposed 90 days before conception and then 90 days after conception which is the time frame where birth defects would occur and it turns out that women who were exposed to any of these medications to treat their disease had no more of an increased risk for developer delivering a child who had a birth defect compared to women who also had the disease but not treated with anti TNF agents nor compared to the healthy controls.
so these were women who did not have any disease whatsoever so that’s incredibly reassuring so purists will say well maybe the absolute number didn’t go up but how about specific birth defects was there a signal that perhaps even though the absolute didn’t go up that maybe all of the side effect all of the birth defects that were seen were from the baby’s heart or from the baby’s bladder and it turns out that that wasn’t true either.
it turns out that it didn’t matter what their disease what the mother’s disease was either so what this means is that these therapies when used to control inflammation are not associated with an increased risk for birth defects in the children born to these moms.


so the implication is that we do not need to stop these therapies what a woman is contemplating conception nor should they be stopped when she finds out that she is pregnant.

How Chiropractic Treatment Helps Osteoarthritis of the Hip

There could be several reasons for pain over the hip, and one of the common reasons escalates from the back. In medical terms, osteoarthritis of the hip is a joint-related problem that affects people (to be precise, older people), and it is a common disease that targets the hip joint, with 15% men and 25% women experiencing the symptoms over the age of sixty years.

Usually, previous trauma such as dislocation, fracture, or even disease of a joint may predispose it to osteoarthritic pain. In addition, you are more prone to this condition if you have an old family history of the disease and you will be more at risk if you are on the overweight or obese side since this puts stress on your hips. However, you should know that you could encounter this condition even if you do not have any particular risk factors.

The best option at such times is to seek chiropractic Atlanta pain management and consult the right team of specialists who can recommend the best path of treatment (through nonsurgical means).

The Symptoms of Osteoarthritis

Often the symptoms of hip osteoarthritis could vary. One of the first signs could be slight discomfort and stiffness in the buttock, groin, or thigh as you wake up in the morning. A common symptom that most experts such as Kroll Care experts diagnose is a gradual increase of pain over the hip side going into the groin region, with the pain going down the thigh front and into the knee joint.

There is a pain in the knee and the main presenting symptom and the problem in the hip could hence easily be one you overlook. Usually, the pain can be worse with activity, especially most weight-bearing activities like walking and this could escalate when the weather is cold.

The patients experience loss of mobility and muscle strength, which results in difficulty when walking or running. It is also common to see a flexion fixture, which results in a characteristic type of limp with the person not being able to extend their thigh back. Due to restricted hip movement, the foot tends to turn outwards, so when engaging in activities like cycling, the knee, and thigh wants to turn out. It could also get difficult to put shoes and socks and trying to squat.

In most cases, rest can help to relieve the pain, but not in all cases and this depends on the inflammation level as well as the damage to the joint. You can use a stick at such times for support to help you walk easier.

Chiropractic Examination and Hip Osteoarthritis

There is no such evidence to show that osteoarthritis of structural changes could reverse or change, however, some cases have been around in the picture. Chiropractic treatment at such times may help to avoid unnecessary disability or pain and slows the disease progression.  Hence, this can delay the need for surgery or also avoid any need for it.

In addition to examining the hip joint, it is also vital to include an examination of the knee, back, foot, and ankle, since these are all the areas that influence the hip problem. Although the physical examination often picks up the problem easily, an x-ray is quite necessary to help confirm the diagnosis. The findings of the x-ray findings will give a clearer picture of how severe the problem actually is in the end.

This helps chiropractors to give a good and accurate prognosis, and it rules out all other causes that help to select the right set of treatment.

How Chiropractic Treatment Helps

Chiropractic treatment helps to:

  • Improve and reduce the inflammation of the moving joint, and relaxes muscle spasms, strengthening all the weakened ones. Exercise and lifestyle advice as well as tips on the treatment help to strengthen the joint. The chiropractic session with massage and stretching helps to relax the muscles and tighten them through manipulation and mobilization techniques.
  • Sometimes, an ultrasound can help to detect the interferential modalities.
  • Your chiropractor will also give you some exercises all based on your fitness level and personal needs. A well-supervised physical therapy program will show long-term results.
  • In addition, a healthy lifestyle and nutritional support will keep you healthy and feel It is important if your body heals from an injury.
  • In some studies, chondronitine and glucoseamine supplement prove to help all the symptoms of osteoarthritis, but a recent review shows it was not as effective.

Often, in case the problem becomes a severe one, osteoarthritis may need some orthopedic diagnosis or even surgery, but this is surely not the first option. For relief from pain, chiropractic treatment can help to delay the need for surgery and the sooner you receive treatment, the more you will benefit.

In case you need surgery, keep in mind that after the surgery, rehabilitation is necessary to strengthen the muscles in your body and it restores or even helps to maintain the flexibility of your hip along with any form of hip joint related problems.

The difference between a registered nurse and a nurse anesthetist

What is the difference between a registered nurse and nurse anesthetist ?

Registered nurses (RNs) are among the most versatile and valuable professionals in the health care system. They are the health care equivalent of a Swiss army knife, with training that gives them the intellectual tools to play a supporting or leadership role in almost any area of clinical care. More ambitious nurses can acquire the education and additional skills to become advanced practice nurses, such as certified nurse anesthetists or CRNA.

nurse difference

Registered Nurses

Registered nurses enter the profession by acquiring a bachelor’s degree in nursing and passing a national licensing exam. Their role in most health care organizations begins with basic patient care, at the basic level. Motivated nurses can achieve progress through time and experience, gradually focusing on management or areas of clinical practice of special interest. For example, some become perioperative nurses and spend their time caring for surgical patients. Others may opt for pediatrics or oncology. A handful pursues a master’s degree or a doctorate in nursing, becoming advanced practice nurses.

Nurse training

There are three educational paths to becoming a nurse. One way is to have a four-year bachelor’s degree in nursing science from an accredited university. The second way is to attend a community college for two to three years and obtain an associate’s degree in nursing. Some hospitals, as a third option, offer a three-year certification program like Certified Cursing Assistant Practice Test. To be a plant nurse, you are eligible after completing your education and becoming a graduate.

Nurse certified anesthetists

Certified nurse anesthetists are one of the four categories of advanced practice nurses, along with nurse-midwives, nurse practitioners, and clinical nurse specialists. CRNAs earn a master’s degree in anesthesia and can provide full anesthesia services during surgical procedures without the supervision of a physician. They are responsible for supervising the patient’s condition while under anesthesia, preparing patients for anesthesia, and contributing their knowledge about pain management during patient recovery. Outside of anesthesia services, CRNAs are limited to nursing practice, while anesthetists, being doctors, often treat cardiopulmonary diseases and other medical conditions.


The Bureau of Labor Statistics reported an average annual income of $ 69,110 for registered nurses, as of May 2011. Separated by percentages, 25% of nurses with lower incomes earned up to $ 53.77 thousand per year. The median income, or middle point, was $ 65,950 per year, and the top 25 percent reported income of $ 80,390 or more. However, nurse anesthetists are in a totally different salary range. The medical staff firm Locum, in a 2011 survey, reported an average salary of $ 168,998 per year for CRNAs. The American Association of Nurse Anesthetists reported an average income of $ 182,000 in 2009.

Employment prospects

The health care system employed more than 2.7 million registered nurses in 2010, according to the Bureau of Labor Statistics, and the number is expected to increase significantly. The agency projects a 26 percent increase in the number of registered nurses between 2010 and 2020, much higher than the average for all occupations. The demand for nurse anesthetists is expected to be even higher, due in large part to the increase in the number of surgical procedures performed in outpatient clinics and clinics. A 2010 article in the Becker’s Hospital Review noted a shortage of 5,000 nurse anesthetists, indicating strong short-term demand as well.

Health benefits of massage – The things that you should know

Did you know that the usual massage treatments can strengthen your immune system and, as a consequence, cause you to be healthier and less prone to suffer ailments and diseases? Did you also know that by getting regular massages you can significantly reduce your stress and anxiety levels, as well as avoid depression?

Some people believe that massages are inevitably linked to the relief of stress, to the treatment of pain or to a personal taste that one wants to give. In these cases, unfortunately, people underestimate the extent of the benefits of massage. The fact that the massage brandon fl feels like a mime does not mean that it is, therefore, less therapeutic.

Health benefits of massage

The Power of Contact

Massage is one of the universal healing techniques and has been considered a constituent element of traditional healing systems for thousands and thousands of years. Taking into account that human beings respond positively to contact, massage valrico fl is an important technique to awaken our internal pharmacy.

When you feel relaxed, comfortable or strengthened during a massage it means that your body is increasing its production of natural relaxing, pain relieving or energizing chemicals. Also, to feel good, habitual massages and loving touch detoxify body tissues, improve immune functions, stimulate circulation, and calm the mind. The benefits of massages are evident instantaneously.

In recent times, a considerable amount of research has appeared regarding the effects of touch. Among the benefits of massage, there is the relief of chronic pain, the prevention of neurological problems, the reduction of fatigue, the reduction of insomnia and the relief of the stresses that the lifestyle we carry today. In the case of premature babies, it can help them gain weight quickly and in the case of air traffic controllers, it can help them lower their blood pressure.

Discoveries as a result of research

It has been confirmed that massage produces the release of vasoactive intestinal peptide (VIP) when you massage another person. VIP is one of the most potent vasodilators known to medical science. In addition, it can increase blood circulation to the heart, which means that massage is also a very powerful tool to treat cardiovascular problems. Therefore, the medical community actively accepts physical work and massage is becoming an integral part of medical care.

The benefits of massages are also quantifiable in babies. Studies showed that premature babies who received caresses increased 45% more weight per day. The caress practiced on a baby causes the secretion of growth hormones or anabolic hormones. Because growth hormones in small doses also help to reverse the effects of aging, when you practice a massage on someone you can decrease their biological age.

Practically, all massages including activated isolated stretching that provoke feelings of relaxation and comfort provide benefits for the mind and body and help considerably to maintain the health of the body, mind, and soul. Here are some of the many benefits of massage therapy:

Benefits of Massages in the mind

  • They reduce stress and anxiety.
  • Increase focus and concentration.
  • Improve the quality of sleep.
  • They reduce depression.
  • They reduce dependence on the remedies.
  • They relieve migraine pain.
  • They reduce fatigue.
  • Increase mental clarity

Benefits of body massages

  • They improve immunity by stimulating the lymphatic flow: the natural defense system of the body. This means that you will be less prone to diseases.
  • They release endorphins: they are amino acids that work as the body’s natural analgesic.
  • They lower blood pressure.
  • They relieve lumbar pain and improve range of motion.
  • They serve to reduce and facilitate the labor of pregnant women and reduce the time of hospitalization of the mother.
  • They exercise and lengthen weakly, stressed or atrophied muscles.
  • They improve the state of the largest organ of the body: the skin.
  • Increase the flexibility of the joints.
  • They facilitate the regeneration of tissues and reduce the scars of tissues and stretch marks.
  • They pump oxygen and nutrients to vital tissues and organs, improving circulation.
  • They reduce postoperative adhesion and swelling.
  • They reduce spasms and cramps.
  • They relax and soften the injured, fatigued and overused muscles.
  • Improve circulation.

What is perfume allergy and how to prevent it?

perfume allergy The most common types of allergies are the food allergy, environmental and chemical allergies. When one thinks of allergies or someone having an allergic reaction the last thing one would think of is perfume allergy. Although not as popular or common, perfume allergies do exist. For those who have never heard of them or don’t quite understand them, perfume allergy is when the immune system reacts negatively to one or more substances that are in scented products, most of them being perfumes. This isn’t to be confused with fragrance sensitivity. Although sometimes mentioned in the same context and used as synonyms perfume allergies and fragrance sensitivity are actually two different things.

What causes perfume allergy

             Like regular allergies no one can determine exactly what causes perfume allergic reactions. Genetics and the environment certainly play a part in the development of perfume allergies. However, there are no real factors to determine what triggers one to have them. People who already have allergies are more likely to become allergic to certain perfumes and fragrances. This leads many to believe the nurturing of the immune system could be one of the reasons for perfume allergies. This could also be due to the fact that people who already have allergies have a weaker immune system.  Just as the immune system considers certain foods and proteins a negative substance for the body and tries to fight them off, the body takes on that same mechanism for certain fragrances and begins to fight those scents off. These cause allergic reaction symptoms such as headaches, dizziness, itching, hives and rashes.

The difference between perfume allergy and fragrance sensitivity

           Even though they’re often mentioned as the same thing there’s a difference between perfume allergy and fragrance sensitivity. As stated before, perfume allergy is when the immune system is actually affected by a certain substance in a fragrance or perfume which causes an allergic reaction. Whereas fragrance sensitivity is when one’s body becomes irritated by a substance in a perfume or fragrance. However, fragrance sensitivity has no effect on the immune system. At the same time it can trigger the same symptoms allergies can. This is why they appear to be the same, because to the naked eye they have the same affects.

Preventing perfume allergy

            There are several different methods of prevention that can be used against perfume allergies. Besides staying away from scents altogether one can try natural scents and organic fragrances which will help with the immune system. Drinking a lot of water can also help with allergic reactions. Another way to prevent perfume allergies is knowing exactly what scent and ingredient you’re allergic to. Most people that have those allergies don’t know the exact scent or ingredients that irritate them. It’s very important to know what’s causing your reactions. That’s the last effective method of prevention that can help anyone with perfume allergies. Knowing the substance in the item that you’re allergic to will help in the future with so many labels, products and brands.