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Deep brain stimulation: Uses, surgery, and benefits

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Deep brain stimulation (DBS) is a surgical procedure in which the electrodes are implanted into the brain to deliver electrical impulses. These impulses aim to block or change the abnormal activity that cause associated symptoms.

A Deep brain stimulation system consist of three parts that are implanted by the surgeon inside the body:

  • Neurostimulator – a battery-powered pacemaker device that produces electric pulses. The device is placed under the skin of the chest, just below the collarbone or in the abdomen.
  • Lead – a coated wire attached to a number of electrodes at the tip. These electrodes deliver electric pulses to the brain tissue. The leads are placed inside the brain and connected to an extension wire via a small hole in the skull.
  • Extension – an insulated wire that is connects the lead to the neurostimulator. It is placed under the skin, running from the scalp, behind the ear, down the neck, and to the chest.

The handheld controller is then used to turn the DBS system on and off. The doctor will program the stimulator settings using a wireless device and adjust the stimulation settings as a patient’s condition changes over time. Unlike other procedures, such as pallidotomy and thalamotomy, Deep brain stimulation (DBS) surgery does not cause damage to the brain tissue.

For the brain surgery portion, the neurosurgery team first use magnetic resonance imaging (MRI) to map the brain and identify the area in the brain where the electrodes have to be placed.

Surgery for implanting DBS device may be done under general anaesthesia or using a local anaesthetic to numb the scalp before the procedure as an anaesthetic in the brain itself is not required because the brain has no pain receptors.

The surgeon will implant a thin wire lead with a number of electrodes at the tips into the specific area of the brain. The wire will run under the skin to a pulse generator or neurostimulator that is implanted near the collarbone.

In the second part of the surgery, the surgeon will implant the part of the device containing batteries under the skin in the chest, near the collarbone. It is done under general anaesthesia.

Uses:

Deep brain stimulation can be used to treat many of the symptoms that are caused by the following neurological and movement disorders:

Parkinson’s disease: The symptoms such as tremor, rigidity, and slowness of movement are related to Parkinson’s disease. These are caused due to the death of dopamine-producing nerve cells that are responsible for transferring messages across the body to control body movement.

Essential tremor: The patient suffers from involuntary rhythmic tremors of the hands and arms, occurring both during rest and while making purposeful movement. It may also affect some patient’s head in a “no-no” motion.

Dystonia: It involves having involuntary movements and a prolonged contraction of muscles, causing twisting or writhing body motions along with tremors and abnormal posture. It can affect the entire body, or be limited to an isolated area only. Patients may suppress the spasms by using “sensory tricks,” such as touching the face, eyebrows, or hands.

DBS surgery may not be an option if a person has severe untreated depression, advanced level dementia, or they have symptoms that are not typical in case of Parkinson’s disease.

Deep brain stimulation is also currently being studied as a potential treatment for other medical conditions, including:

  • Dementia
  • Major depression
  • Addiction
  • Multiple sclerosis
  • Chronic pain
  • Traumatic brain injury
  • Cluster headache
  • Huntington’s disease
  • Stroke recovery
  • Tourette syndrome

DBS surgery has become popular amongst patients Parkinson’s and other diseases around the world. Numerous people travel to India for this procedure due to various reasons, such as low cost, advanced facilities, experienced surgeons and excellent patient care services.

Deep brain stimulation cost in India is very reasonable in comparison to various other countries, especially in the west. Indian hospitals offer cost-effective medical packages for patients travelling from abroad for their treatment.

DBS Surgery Advantages

  • Deep brain stimulation can be performed on both sides of the brain in order to control symptoms that affect both sides of the body.
  • The effects of DBS are reversible and can be customized according to a patient’s clinical condition.
  • Stimulation settings and impulses can be adjusted to reduce the chances of potential side effects and improve efficacy of the system over time.
  • The device can be used to provide continuous control of the symptom 24 hours a day.
  • Patients who have DBS implanted still remain potential candidates for other treatment options such as stem cell therapy, gene therapy or others when they become available.
  • This procedure has been proven to be more effective and safer than ablative surgical procedures, in which the tissues are removed
  • Long-term complications are less than that in case of traditional surgery as conventional surgery approaches involve destroying small parts of the brain, whereas DBS does not cause this damage
  • Stimulator can be easily programmed and managed
  • The device can be removed when required – is reversible
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Coronavirus: Centers for Disease Control and Prevention and Public health

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coronavirus

CDC experts say that China’s lack of data on the Wuhan coronavirus limits international efforts to quench the outbreak.

Although the consultants commended Chinese researchers in just a few weeks ‘ time to map the genome of the virus, there was clearly a lack of epidemiological evidence as to who is infected by the virus and how the virus spreads.

“It is Epi 101,” said Dr. William Schaffner, medical director of the National Infectious Diseases Foundation and a long-standing CDC consultant. The Wuhan virus spreads as China locks up cities and scraps New Year’s celebrations. The Wuhan virus spreads as China locks cities and scraps cities and festivities the virus spreads, as China locked cities and scraps new year’s celebrations.

On 31 December the first cases were reported to the World Health Organization, with 44 cases in China by 3 January. Currently, not even three weeks later, over 600 cases have occurred, and the epidemic has spread to Thailand, South Korea, Japan, Singapore, Saudi Arabia and the USA, where there is only one case.

As no vaccine is available against this new virus, the advice of the CDC indicated that public health measures such as early capture cases and quarantine rules are important. Yet they agree it is difficult to know who can be quarantined, and how long without understanding how infected people are, how long they are able to spread the virus to others.
“This knowledge is extremely important. It shows you how to treat an outbreak and what you should look for and who to think about,” said Dr. Paul Offit, a specialist in pediatric infectious diseases at the University of Pennsylvania’s Perelman School of Medicine and a longtime CDC advisor.

Disease detectives searching for more details on Wuhan Coronavirus’s’ super spreading tools ‘ Disease detectives search for more information regarding Wuhan coronavel virus’s’ super spreader’ At a press conference on Wednesday in Beijing, Li Bin, the Chinese Vice Minister of National Health, said his country is’ engaged’ in the public and international disclosure of information

On Thursday, Chinese authorities provided new epidemiological information to top officials from the World Health Organization, which reported a growing number of cases, suspected cases, the affected Provinces and the proportion of fatalities. They have reported cases of the fourth generation in Wuhan— which means that a person infected can give the virus to a third person who can give it to a fourth person. According to a WHO media release, they reported second-generation cases outside Wuhan, and also clusters outside Hubei province.

But the advisors of the CDC said that wasn’t almost enough. They said that there are still very specific pieces of information missing on the spread of the Wuhan coronavirus.

Of these: how many of the 600 cases were contracted by the virus from the handling of animals on the farm where that virus emerged and how many were contracted by people on the street?

Were they family members of people who are sick on the street or colleagues sitting beside each other at work, among those who never went to the market? Or perhaps they don’t know anyone who is sick, and where they caught it isn’t clear?

Looking at the chain of infection, do people spread the disease before they have symptoms or are they recovering?
Wuhan: The main coronaviral outbreak Wuhan: Answers to these concerns will help authorities assess the length of time they should isolate diseased patients and who must be quarantined to determine if symptoms grow. Wuhan:

Inside the Chinese city at the core of coronavirus outbreak Wuhan:

Patricia Stinchfield, Vice President of the National Foundation for Infectious Diseases and CDC Advisor said “You have to consider how this is spreading. Stinchfield, a pediatric infectious healthcare nurse, and senior infection control specialist at Minnesota Children’s Hospital, and Schaffner, an infectious disease doctor at Vanderbilt University Medical Center, are both linkers to the CDC’s advertisement center, who has moderate or severe disease. How many people are hospitalised?

Between 1998 to 2003, Offit was a voting member of this group and has been working on CDC working groups since then.

How about Coronavirus do you need to know?

02:29 A CDC spokesman declined to comment on the story.

A WHO official has said he acknowledges the frustration of a lack of epidemiological knowledge, but it is likely that some CDC workers know the answers and have not yet transmitted them to the public or advisors.

At the start of the outbreak, Dr. David Heymann, Chair of the WHO Infectious Risk Strategic and Technical Advisory Group, said that sometimes different groups know different pieces of information.

“The CDC may have access to WHO-free information, and vice versa,” he said.
Generally speaking, the more detail public health officials learn, the better.

“The more you learn, the more you can identify and control what the problem is,” he said.

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5 Fast Ways To Get Back On Track After Holiday Indulging

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Now that the holiday season ended, it’s time to begin something we like to call the regret season, during which most of us look back with resignation to our holiday eating habits. The accumulated amount of hearty meals consumed between Remembrance Day and Australia Day, combined with lack of exercise is enough to throw even the fittest one among us out of balance. Now most of us look at the mirror thinking what have we done to ourselves and how to repair the effects of holiday overindulgence. Some of you might get tempted to try my extreme measures in order to undo the damage, but we think there is no need for any radical measures. All you need to restore your pre-holiday cheap are a few smart, reasonable adjustments to your daily routine, adjustments you can actually hold to.

 Let Go Of the Blame

The biggest hindrance for the setting yourselves on the right path is the feeling of the blame caused by holiday hedonism. It is even more harmful to our self-image and determination than binge eating itself. The best thing you can do is to let the guilt go. A single yield to the temptation doesn’t automatically make you a failure. Forgive yourself for a moment of weakness and try not to starve yourself as a punishment. Starvation will only turn your body into survival mode and as a result, your body will store more fat. The preferable course of action would be regrouping and concentrating on continuing the healthy routine.

Set Goals

The first step in establishing a healthy routine is setting goals. Write down your projected values for following these, weeks, and months. After you have made your plans and wrote them down, keep them in a visible place so that you can see them. This will increase your motivation and make you hold yourself accountable. Increase the output of your exercise and make a healthy nutrition schedule. Once you make all the plans it would be much easier to focus on achieving them. Just don’t push yourself into expecting quick results. As long as you stick to your plan the results will come eventually.

Move It!

The first victim of the holiday season is exercise, therefore it is the first thing you should fit into your daily schedule. Every day you should set some time aside for exercise. Even a single exercise is enough for you to start feeling better. If you need someone to oversee your progress, you can book a class at your local gym or invite a friend. The best way to keep practicing is to start slowly and to have a company. Even without going to the gym you can take your friends along to visit the Australian sightseeing destinations.

Plan Your Meals

Every good project starts with a good plan, and nutrition is not any different from that. A good start for the recovery of your organism after holidays would be a week-long detox regime. Detox will help your body get ready for further challenges you have prepared for it. Contrary to popular belief, detox is not complicated at all. All you have to do is to substitute sugar-rich food with something healthier. After the detox, the next thing you should pay attention to is portion control. Portion control is the second biggest victim of the holiday season, after exercise. The best way to restore the appropriate ratio of ingredients in your meals is to take one day of your weekend and to prepare are all the meals for the next week. The correct ratio of ingredients would be 50 percent vegetables, 30 percent protein, and 20 percent starch. If you happen to be too busy to prepare your meals by yourself, there are several businesses that specialize in making and delivering weight loss meals within the Sydney municipality. Just plan your meals and stick to the plan, and the results will follow soon.

H2O

Water is the most important element for human health, yet a lot of people diminish its importance in a healthy daily routine. This is wrong because water maintains optimal metabolism, and it could (arguably) even curb your appetite. Anyway, drinking water can help you feel better quickly because that way you flush out unnecessary sodium, which helps you de-bloat. Water also activates your digestive system which helps prevent constipation. The ideal daily intake of water is 2 to 2.5 liters, which equals 8 to 10 cups.

Conclusion

The holiday season has passed and left us all with the aftermath of a few months long overindulgence. After the initial period of regret, it is up to us to find a way to restore our former shape. Fortunately, there are plans for that already premade. All you have to do is to choose whichever is the most suitable for you and just stick to it until the next holiday season.  Just don’t put unrealistic goals in front of yourself, and don’t lose your patience if the projected values are off the schedule.

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6 things you shouldn’t forget while following a particular diet

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First things first, the goal of losing weight is something personal to everybody.

Sure, there are plenty of health and wellbeing benefits if you do decide to lose weight. But if you choose not to, that is just fine too!

However, if you do wish to do something about those extra pounds this year and have no clue where you should start, you are not alone.

You’d be surprised to know that a quarter of people in the US who resolve to change different aspects of their lives for the better this New Year will also be hoping to lose weight. And that means they are also going to hope for cookie-cutter solutions – fast weight loss alternatives, fad diets, quick fat burn exercises, etc.

You see, the thing is, losing weight successfully and without suffering any adverse side effects is something frightfully complicated.

There is a lot of dedication, will power and commitment attached to losing weight, not just following a strict diet. Anybody can go on a diet; a few can stick to it. Remember, this is something long-term that is you want to bring about a positive change in your life truly.

Top 6 things to always keep in mind when you start any particular diet

  1. Stay realistic

It is good to be determined and committed to attaining a goal, such as weight loss. However, what is equally vital to achieving that goal is being realistic.

The ability to effectively lose weight is directly proportional to personal honesty. Always make sure that your weight loss goals are realistic and in tandem to your lifestyle.

What that means is you will never have the time to cook a diet-conscious meal every night. And that is especially a truism if you don’t like spending the on standing in front of your stove.

As per a study published in the American Journal of Clinical Nutrition, it was identified that many diet relapsers did lose weight by going on fast or by taking fat loss supplements. However, the same study also discovered that those relapsers were able to maintain their weight loss in the long term.

A good workaround to staying committed yet comfortable is to cook for two nights any day of the week and ordering healthy options for the rest of the week.

Moreover, it is also crucial that you stay honest when it comes to your food preferences. If you don’t like to eat quinoa to lose weight, don’t. Go for something that suites your taste buds.

  1. Get in-tune with your inner motivation

It is one thing to jump on a weight-loss bandwagon with a free gym pass and then quitting a week into your routine. To stay consistent, you have to first intrinsically realize why it is that you want to lose weight.

Knowing why you are setting a goal will help you stick to the pathways that lead towards a positive outcome.

Ask yourself questions like:

  • Why do you want to get into shape?
  • How are you going to feel once you lose weight?
  • Would accomplishing your goals make your loved ones happy?

Jot down your answers in a notebook and keep reminding yourself!

  1. Go for a dietary plan that suits you and your lifestyle

Don’t get sucked into new diet fads – those so-called magical tips and ingredients to melt fat. There is no such thing as a secret to lose weight. The only secret is to understand what suits you.

The best diet is one that you can comfortably accommodate in your lifestyle while giving you all the nourishment you need to function normally.

Don’t look at food as just means to curb your calories – encourage yourself to eat healthier foods overall. Go for more wholesome foods, minimize your daily sugar intake, balance your calories, etc.

Practicing moderation is a heck of a way to stay healthy and lose weight at the same time rather than trying and forcing yourself to stick to a strict meal plan each day.

  1. Don’t rush anything!

Sure, you may experience rapid weight loss. However, keep in mind that this is very short-term and is challenging to sustain. Slow and gradual weight loss far outweighs melting your fat as fast as you can.

That is because taking things slowly will enable you to get used to your routine. Losing half to two pounds every week is normal. But don’t get too worked up about numbers – practice moderation and consistency.

Gradually change your habits, start making time to go to the gym – you don’t have to go every day, every alternate day is fine.

  1. Remember not to get too caught up in just the food you consume

It is effortless to concentrate on what just what you are consuming day in and day out. However, losing weight more sustainably requires a couple of other elements as well.

For example, hire a personal health coach if you can join a supportive community, etc. You see, without good moral support, you will never be able to get the knowledge that is vital to designing a long-term eating plan you can sustain.

  1. Keep fueling your resolve

It is essential to understand that your weight loss journey can be exciting, and at the same time, it can also be a total letdown.

When you slowly lose the motivation to attaining a goal, it can knock the socks off you. This is one of the most challenging parts of losing weight.

To maintain and sustain your weight loss, you are going to have fuel your resolve and keep moving forward!

Just keep on eating healthy, you can have a cheat day once or twice a month – but be sure never to quite your physical training sessions.

The bottom line

As you take the first steps in your weight loss journey, endeavor and fight your desires, never forget to be your cheerleader. Don’t neglect self-care! Remember to reward yourself in full when you achieve a goal. But more importantly, never compare yourself to anyone else!

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9 Luxurious Ways To Pamper Yourself Without Leaving Your Home

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We’ve finally realized that self-care is essential in order to feel good and be healthy. However, we also often associate self-care and pampering with expensive spa appointments and see it as something we cannot afford. Well, the truth is quite different. Regardless of how small your budget is, there are so many ways how you can pamper yourself and the following ones don’t even require you to leave your home. 

Create a good atmosphere

 The first step toward feeling pampered in your own home is creating an atmosphere that will help you relax and get in touch with yourself. It doesn’t matter what your day or evening will look like, there are several aspects to consider here if you want to feel comfy and cozy.

Play some soothing music in the background – instrumentals are what most people opt for, but you can basically play whatever helps get you in the mood. Then, light some natural, scented candles to create that spa sensation. You could also turn to incense seeing as how that can evoke a sense of serenity as well.

Have a long bubble bath

Even if you are not able to turn your whole house into a spa-like environment, take some time to have a nice warm bath. In case you don’t live alone, tell your family members or roommates that the bathroom is off-limits for the next hour or so and create a nice atmosphere that will make this bath super relaxing.

Just like the tip above, you can play some calming music and light some candles. Add some bath salts or essential oils to your bubble bath as well. Moreover, take a glass of wine with you or a good book if you need some entertainment.

Make some DIY scrubs

We don’t have to go to an expensive salon or buy pricy products in order to get a good scrub. There are so many ways to make your own scrubs from the ingredients you already have at home. For example, by mixing brown sugar, baking soda and olive oil, you can easily create a DIY foot scrub that will smooth out the rough spots. What is more, a body scrub can be made from coarse sea salt, Himalayan sea salt, coconut oil and some rose petals. 

Do your own hair

We all need an occasional haircut but before you decide that your ends are too ragged to be saved, consider treating yourself to hair treatment. You can easily find various leave-in hair masks that are quite affordable and will help your hair regain its old shine. Furthermore, when it comes to styling your hair, there is no need to visit your hairdresser every couple of days just so you can get a blowout. Luckily, nowadays there are many video tutorials on how you can do it with a little bit of effort and the right products.

Give yourself a manicure and pedicure

Just like you can skip the hair appointments at the salon, you can do the same for your nails. Giving yourself mani-pedis can be a very relaxing activity and you will also get to save some money. After a nice bath, you will feel warm and calm and you can set some time aside to paint your nails. Remember to think ahead and purchase a bottle of cute and quality nail polish beforehand. Fortunately, plenty of instructions can be found online so you’ll start doing your friends’ nails as well before you know it.

Get a massage

When we think of spa-like experiences and pampering, the first thing that comes to mind is probably massages. Well, the great news is that it is very easy to get a massage in the comfort of your own home. There are so many professionals that offer home visits and bring everything that they need for the session with them. Therefore, all you have to do is book an appointment and enjoy the massage. 

On the other hand, by equipping your home with a quality massage chair, you will have an easy way to relieve stress and relax at your disposal. This way, you can still get all the benefits of a massage even when you can’t go to a spa or have a masseuse over.

Do what makes you happy

Pampering can often sound like you have to do various fancy beauty routines but its point is doing something that makes you happy and at peace. Make some tea and read a book you’ve been intending to start for a while. Make some popcorn, get a warm blanket and watch your favorite movie or binge a recently released TV show. If you have a pet, play with them. In case gardening makes you feel better, tend to your plants. 

Order in some delicious food

In addition to all the previously listed activities, you can also turn to cooking or baking. However, if that’s not your cup of tea, you can always order. These days, you can find everything online so getting your favorite meal delivered is a piece of cake.

Invite friends over

Who says that you have to be alone for your pampering session? Isn’t everything better when you do it with your loved ones? So, invite some friends over and enjoy your time together. Order all the food you can eat, snuggle up and watch your favorite show. Spending time with the people you don’t get to see that often and being able to catch up can sometimes be all the relaxing you need. It’s basically a sleepover so what’s not to like?

Conclusion

Oftentimes, carving out some alone time for yourself seems like a huge challenge. However, explain to your family and roommates that you need a little bit of pampering to recharge your batteries and they are sure to give you privacy. These nine ways are guaranteed to make you feel special so don’t hesitate to try them out.

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Kick-Start Your Career With Apprenticeship In Health and Social Care

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Kick-Start Your Career With Apprenticeship In Health and Social Care

Are you looking for a career that gives a chance to make a difference to people’s lives, while boosting your earning potential? Well, a career in health and social care can be a great choice for you!

It’s a sad fact that there are vulnerable people within all the communities. Some require extra care, while others can’t manage to do alone and are dependent on someone. As a result, there is plenty of career paths for those who want to support others and help the less fortunate.

Healthcare is a fantastic sector for the graduates, as well as non-graduates to kick-start a successful and fulfilling career. According to the WHO, the world will be short of 12.9 million healthcare workers in the coming decades. It means more opportunities and higher earnings! And, what will be more rewarding than knowing that your work is contributing to make the world a better place?

So, if you want to dedicate your career in this sector, earning a certified apprenticeship standard is the key! It will help you to gain the necessary skills required to grab an entry-level position in the industry. Read on to know more-

Who Is This Apprenticeship For?

This apprenticeship is suitable for those who are looking to gain employment in the healthcare sector as adult care workers, child care workers, care officers, care supervisor, family support worker, etc. It takes around 12 to 18 months to complete.

What Will You Get To Learn Under This Apprenticeship?

Apprenticeships combine on-the-job training with work-related qualifications. Level 2 apprenticeship in health and social care will provide you with the necessary knowledge and skills which form as the base for your job role.

Though apprenticeships vary depending on the level, you’ll gain a range of skills by completing tasks such as-

  • Maintaining the standards of service.
  • Assisting in the delivery and development of health and social care plans.
  • Working as a member of the clinical team or hospital.
  • Communicating the information relevant to the care plans.

Some of the mandatory units of Level 2 apprenticeship are:

  • Promote the physical health and well-being of individuals.
  • Dementia, mental health, cognitive issues.
  • Interpersonal skills.
  • Basic life support.
  • Duty of care.
  • Equality and diversity.

However, this apprenticeship in health and social care is just the beginning. Career progressing include higher-level apprenticeships, working in diverse areas, or attaining a managerial or supervisory position at the workplace, etc. For this, you can apply for a diploma in health and social care from a recognized organization.

Further, according to the new standards, you require a Level 5 apprenticeship to obtain a Level 5 diploma in leadership and management for progressing through the gateway. So, if you want to grow in this sector by obtaining a higher-level qualification, apprenticeship is the core requirement.

Are There Any Previous Qualifications Required?

It depends upon your employer or the level of apprenticeship you are applying for. Generally, you must be 18+ and require at least grade C or above in English and Maths in GSCE. Even if you don’t have these grades, don’t worry! You can polish your functional skills in these two subjects alongside the apprenticeship training.

What Can You Do After Completing The Apprenticeship?

Apprentices learn the skills they can take anywhere. Upon the successful completion of your apprenticeship, you can progress onto the next level of study or secure a job with your employer. You can work as:

  • Health care assistant
  • Home care support worker
  • Adult care worker
  • Nursing auxiliary
  • Clinical health care support worker
  • Residential child care worker, etc.

Get Started With An Apprenticeship Program

There are several kinds of jobs you can do after getting certified from a government-recognized institution. Many organizations provide loans and funding to the candidates who wish to pursue their careers in this sector. They provide you with the skills, knowledge, support, and experience you need to take your career to the next level. So, take your first step to build a career in the healthcare industry by applying for an apprenticeship from a reputed employer.

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