15

Bourn Hall Clinics Guide to Intracytoplasmic Sperm Injection ICSI

The first pregnancies from a technique called Intracytoplasmic Sperm Injection (ICSI) were announced in 1992 in a paper by Palermo et al, published in the Lancet. Since then, ICSI has become a mainstream treatment option for male factor infertility.

In essence, the ICSI procedure involves the injection of an immobilised sperm directly into the central part (cytoplasm) of a mature egg. ICSI is performed in addition to an in vitro fertilisation (IVF) procedure, in which several eggs are recruited and extracted from the ovaries. The eggs have the protective cumulus and corona cells removed so that their maturity can be assessed, typically 75-80% of all eggs collected will be suitable for injection.

The ICSI procedure is carried out under high magnification (x200-400) using a special inverted microscope and micromanipulators, which convert the hand movements made by the operator into precise and minute adjustments of the sterile microtools used on the approximate 120 micron diameter egg and the approximate 4 micron sperm.

A holding pipette stabilizes the egg by gentle suction, while from the opposite side a thin (7 micron diameter), hollow glass needle is used for the actual injection. A dish is prepared containing a drop of carefully prepared sperm, and further individual drops for each egg. A single sperm is immobilised by breaking its tail with the point of the needle. After moving into the egg drop the injection pipette is used to pierce the outer shell (zona pelucida) and inner membrane (oolemma) of the egg so that the tip of the pipette sits in the inner part of the oocyte (cytoplasm). The sperm is then gently released into the oocyte and the needle slowly withdrawn. After the procedure, the injected eggs are placed back into the incubator and checked the following day for signs of fertilisation.

Although ICSI is an invasive procedure, only 10-15 % of injected eggs do not survive, however 60 – 80% of injected eggs will be fertilised normally.

ICSI is now carried out in approximately 60% of all IVF procedures worldwide and has been shown to be effective for the treatment of male factor infertility, including low sperm count (oligospermia), poor sperm motility (asthenospermia), poor sperm morphology (teratozoospermia), the presence of anti-sperm antibodies and sperm retrieved directly from the testes using surgical techniques. ICSI may also be used for patients who have had a previous failed or low fertilisation using conventional IVF.

The pregnancy rates following ICSI are as good, if not better, than those achieved using conventional IVF.

TO WATCH AN ICSI PROCEDURE AT BOURN HALL CLINIC, LOG ONTO WWW.WALLACE-ICSI.COM

2

The History of Hospital Food

Food within hospitals has for centuries played an important part in healing and recovery. Today, catering systems can be highly advanced mobile units which allow staff to prepare and feed patients right by their beds although this was not always the case.

In fact, however dubious the medical practices, in medieval Europe the value of hospital food was well understood by practitioners. Hospitals at this time were rarely operated by secular members of society and instead were the mainstay of the church, with many doctors doubling as clerics and many of the support staff being monks. It was these monks that usually prepared meals for patients.

In other parts of the world hospital food also played an important role, in some Islamic countries chroniclers speak of food which would have been suitable for nobles and kings. Many historians have argued that the high quality of care in the secular hospitals that were built in urban areas were a considerable achievement with medieval Islamic society.

Within Europe in later centuries the function of hospitals and those offering the care also changed. This was particularly the case in the eighteenth and nineteenth century where the monastery hospitals began to be replaced by more professional hospitals run by the military. Once again hospital food remained and important element within the recovery process although most hospital diets consisted of bread, beef and beer, although the serving of alcohol did diminish in the latter stages of this period.

Throughout the nineteenth and twentieth centuries a greater understanding of the role that food played in healing was gained. Termed nutritional science hospitals now comprehended that there was a direct correlation between the food given to a patient and healing times and meals had to be carefully planned to ensure patients received all of the nutrients they needed.

Today hospital food is as important as ever although tight budgetary restraints and pressures on staff mean that hospitals are now looking for evermore advanced and efficient methods of food preparation which do not sacrifice taste, presentation or nutritional value.

15

Photodynamic Therapy For Beautiful Skin

Photodynamic therapy is the general name given to therapy using light-lamps of different types. Such light sources (filtered light or LED) are commonly used by dermatologists to repair skin and even psychiatrists to fight depression and sleep disorders (such as the winter blues etc). The effectiveness of blue light is still being studied on a clinical and institutional level, however, since the FDA approves of light therapy (especially blue light), many medical practitioners use it to great effect, often claiming very good results for the majority of their subjects (unofficially).

Varicose, spider veins, acne and the removal of marks on the skin due to discoloration (caused by wounds or surgery) are the most common uses of light for skin therapy. New uses of light, specifically of blue colored light (with a wavelength between 405-455 nm), are still being discovered today. Many treatments combine the use of this type of light with red light and other medication to cure many skin afflictions, the most common of which are acne and some other bacterial infections. The following are some of the other uses of blue light which have proven effective.

Anti aging light treatment
The treatment of skin to reduce the effects of aging is called photo-rejuvenation. The application of focused light can increase the production the chemicals in the skin which make it arrear fresh and youthful (collagen and elastin). Smile lines, age lines and wrinkles are commonly treated with light of various frequencies, including blue light. Many people all over the world regularly use this type of treatment as an addition to cosmetic surgery or other skin care treatment.

Drug allergy symptoms on the skin surface
Allergies which cause inflammation and discoloration of the skin are commonly experienced with the use of medicines for other purposes. Even though these effects are actually side effects of other causes usually unrelated to the skin, the symptoms can still be treated using light therapy.

Rosacea
This condition causes the skin on the face; cheeks, nose forehead neck and even the chin to appear red as though burnt raw or flushed. This skin condition is not medically understood to a great extent and is usually chronic and untreatable with medication. This condition is known to cause psychological difficulties as it affects the appearance in a negative way and can affect a person’s confidence and self esteem over a long term. The reason for this condition is understood to be damaged blood vessels, and light therapy using pulses of various types of mixed light in certain instances has been seen to disintegrate these damaged vessels, helping remove this symptom and leaving the skin looking natural and healthy without the use of drugs or creams.

References
Wikipedia

www [dot] medscape [dot] com/viewarticle/499713_2

Cosmeticsurgery [dot] com

The National Rosacea Society website

16

Healthy Diet Eating Plans

Healthy Diet Eating Plans :

When people try to change from a diet loaded with processed, fatty foods to a healthy diet, they quickly become overwhelmed with all the obstacles, whether real or imagined. You may start one diet only to last a few days because it’s too strict or it just becomes difficult to deal with the entire process. Due to our hectic lifestyles most of us are so accustomed to convenience foods, it seems impossible to get back into the swing of planning meals, shopping, buying and preparing healthy food. When you are transitioning to healthy diet it is to your benefit to arm yourself with a healthy eating plan and a resource for healthy organic produce and products to support your efforts. This is the time when having a healthy diet menu built for you can make all the difference for successfully changing to a healthy diet and lifestyle.

The visionary behind Australia’s Lifestyle Healthy Foods, Frank Aiolo, has a history helping his clients transform their bodies and lifestyles using a clever combination of healthy diet tips, meals, and exercise. When you pair his healthy diet guide with the convenience of the Healthy Lifestyle online organic store, you have a win/win scenario.

Your Healthy Diet Plans :

You start with a 28 Day Nutrition Plan including 7 days of breakfast, mid-morning snack, lunch, mid-afternoon treat, dinner and/or supper menu tailored for you. People find their healthy diet plan is simple to follow, convenient and cost effective. The healthy diet plans include a variety of meal options to follow each day. You can even pick and choose your favourites and just stick with those menus or try each one. It’s not unusual for people to notice they have more energy and stay energised for a longer period of time within the first 2 days of their healthy diet eating plan.

You’ll also receive a listing of all the products Frank personally tested (and tasted) that you can add into your healthy diet. You’ll find these at Lifestyle Healthy Foods online organic grocery store so you don’t have to make special trips to an offline market.

Healthy Diet for Weight Loss :

When you order one of these healthy diets, you’ll also receive a handy food exchange list to assist your food selections when you want to change up the menu within food groups. If your goal is to follow a healthy diet to lose weight you’ll be delighted to know that each healthy diet menu is based upon a caloric intake that promotes weight loss.

There really isn’t an easier way to get started and stick to a healthy diet. We’ve got it all right here and we’re ready to ship to you today.

1

Simply Supplements Responsible, Ethical And Sustainable Values

After recently announcing the decision to provide customers with Certificates of Analysis for all products in a revolutionary move within the vitamins, minerals and supplements industry, Simply Supplements reveal more reasons for the discerning consumer to choose their products over its rivals.

The latest move sees Simply Supplements offering “further reassurance to customers regarding the quality of (their) products, in a market where quality is demanded as the primary focus, and is the prerequisite for consumer confidence and ultimately success” explained Chris Robinson, Product Specialist at Simply Supplements. Chris went on to emphasise: “we are truly dedicated to providing the highest quality supplements and literally go to the four corners of the earth to source original and genuine raw materials and extracts, which are made from raw material to finished product in the UK, to Good Manufacturing Standards (GMP).

GMP offers complete quality assurance; it is a set of strict pharmaceutical regulations, codes, and guidelines that ensure that food supplements are constantly manufactured and controlled to a high standard which is suitable for use. GMP is highly regarded as it verifies manufacturing excellence and demonstrates a manufacturers ability to produce supplements that meet both the industrys high standards of quality and safety as well as label claims, for consistently reliable clinical outcomes.

With regards to GMP, Chris highlighted that “no matter which country the raw materials are sourced from, Simply Supplements GMP approved products are manufactured with strict compliance to the GMP pharmaceutical guidelines in the UK. Whilst GMP certification is not a legal requirement for food supplements in the UK, Simply Supplements choose to recognise it as it offers genuine quality assurance Our commitment to maintaining only the highest standards of quality has lead to us becoming one of the largest and fastest growing vitamins and minerals suppliers in the UK. Hundreds of thousands of customers trust our products, and we value and honour that trust by offering a Certificate of Analysis upon request, with each an every product we supply”.

And, whilst focussing on their responsible and ethical approach towards the manufacture and quality of their products, the online and mail-order vitamins and minerals supplier is also proud to announce that their latest mail-order brochures are now printed on Forest Stewardship Council (FSC) certified paper. In light of this move, Chris explained: “This decision has been made to reflect Simply Supplements economic, environmental and social values as well as our commitment to sustainability, in choosing paper which is certified by the FSC, an independent organisation which has been established to promote the responsible management of the worlds forests. Whats more, FSC paper is 100% recyclable, which also helps the environment”.

Certificates of Analysis are available upon request. Visit Simply Supplements or call 0845 8630622 for more information.

3

Hospitals Expand To Attract Well-insured Patients Despite Pressures Of Healthcare Reforms

Several hospitals are looking for well-insured patients beyond traditional market boundaries, both in prosperous suburbs and in nearby areas with growing, well-insured populations. According to a study by the Center for Studying Health System Change (HSC) hospitals seeking a competitive edge in the marketplace are targeting geographic expansion into new markets which are well-insured.

The study based on HSCs visits to 12 nationally representative metropolitan communities, depicted that hospitals are expanding despite the pressures of the healthcare reform. Hospital strategies mainly include building full-service hospitals, establishing freestanding emergency departments and other outpatient services, acquiring physician practices, and operating medical transport systems with several hospitals building near major highways to be accessible.

Hospitals expansions survey findings

In all 12 markets surveyed results depicted that hospitals are looking for full-service hospitals or freestanding emergency departments, buying or establishing physician practices and developing a regional presence through emergency medical transport systems

Recession rather than diminishing has heightened the drive among hospitals to pursue well-insured patients beyond traditional hospital market boundaries

Expansion appears more frequent where large hospital systems were pursuing significant employment of physicians and where service-line strategies, such as cardiac or cancer care, were well entrenched

Impact on Hospitals & Independent physicians

The overall impact of hospitals geographic expansions is still to be observed, there are conflicting views within the industry regarding these new hospital competitive strategies, if they will increase costs, improve care or both. Hospitals are of the view that the expansions will increase efficiency, increase access and improve the quality of patient care, while payers and competitors argue such strategies will lead to elevated costs.

Also Independent Physicians in most markets due to health reforms who are faced with financial pressures along with difficulty in hiring younger physicians, who often prefer employment in larger organizations, are actively seeking the stability and security of employment in larger physician-owned or hospital-owned groups. According to the HSC study in fast growing and well insured Greer, SC, there are no more independent primary-care practices left.

Revenue cycle management amidst hospital expansion and reforms

Hospitals backing expansions as necessary countering that even though there are costs increases, their efforts provide increased high-quality care; will need to cater to higher patient influx and increased medical billing. Hence in this scenario along with the growing pressure of health care reforms, services of skilled service providers possessing the requisite credentials can be availed by hospitals and practitioners to maintain favorable revenue cycles management.

Medicalbillersandcoders.com the largest Consortium of Medical Billers and Coders, servicing over 50 specialty US physicians, are constantly updated with the requisites of the industry and healthcare reforms are the right choice for hospitals and practices. Medicalbillersandcoders.com has in-depth knowledge and expertise in the delivering the best quality services to hospitalists. Hospital employment will affect patients, hospitals and doctors as healthcare will require greater coordination, greater use of clinical data and collaborative provider teams which MBC is best positioned to deliver.

For more information visit: hospitalist billing, medical billing services

5

Best Animal Hospital San Jose To Take Care Of Your Pet

Description Of Animal Hospital San Jose For Lovable Pets:

All pets would need medical notice at some direct or the other plus this is the occasion when the landlord is seen organization randomly in the look for an animal hospital in San Jose. In such a circumstance, most frequently what a human being would do is to bang the entrance of the nearest animal hospital San Jose however this is not the mainly bright choice in all the cases. If single owns a pet, she or he has to forever know a good animal hospital San Jose in go forward. Just like a human being would not aspire to go into any animal hospital San Jose himself to get a conduct but would do a bit of exploring, the equal fixation is central for the animal hospital San Jose as well.

Benefits Of Animal Hospital San Jose For Lovable Pets:

There are hardly things that anyone has got to take care of at the same time as choose the right animal hospital San Jose for pets. These include the following:

1. License: The animal hospital San Jose or the animal surgery should have a license to train. Moreover it must also have a skilled and focused staff with appropriate certification. The nurses must also be well knowledgeable. These belongings are of greater meaning because there are very few laws pertaining to the veterinary practices, for example stipulation a clinic gathers blood or gives anesthesia to the pet meant for no utilize, he cannot be alive challenged.

2. Location: If the animal hospital San Jose is positioned too far off beginning the home, it power be a waste of time. Animals also face an urgent situation such as in case of a misfortune, burn or a pregnancy and need urgent check-up concentration. Always want a consulting room that is within available limit.

3. Extended Hours: These days, animal hospital San Jose also have 24 hour service for the badly behaved pets that stay lethargic during the late dark hours. If one owns such a pet, she or he ought until the end of time look for a encompassing the clock animal hospital San Jose.

4. Cat clinics, Dog Clinics: These days, animal hospital San Jose specialized in looking subsequent to one genus of animals are also very all the rage. There are out of the ordinary cat clinics and the same there are out of the ordinary dog clinics as well. They can be a good choice for those owning an inexpensive pet or one with a less frequent breed.

Author Resource :

The Author is conveying information about animal hospital san jose and . You’re probably thinking, everyone says that, so, what’s different here. It’s the commitment of quality, genuineness, and a guarantee that values your time and interest.

4

Best Hospital For Weight Loss In Bangalore

For advice on how to reduce and maintain your weight you need to visit an experienced Hospital for weight loss in Bangalore, that also has a proven track record. Losing weight can be difficult but keeping the weight off is also a very difficult task.

So what is it that you should be looking for when it comes to a positive and effective weight loss program?

Firstly you need to know that the people giving you advice are professional, qualified and capable. The Genesis Medical Facility offers weight loss programs and clinics as part of its overall program.

The sort of advice you could receive from the Genesis weight loss program might include the following:

1.Weigh yourself regularly and chart your progress. Use a digital scale and take your weight first thing each morning. Your weight will fluctuate on a daily basis but after a period of time you will start to notice and overall pattern, hopefully seeing you weight reduce.
2.When you use the Hospital for weight loss in Bangalore Plan your food intake. Find out how many calories per day you need to maintain your current weight and then plan your food intake to reduce that by around 500 calories per day. If the reduction is smaller the weight loss will be slower.
3.Plan to snack. Dieting is best by taking say 6 small meals and snacks per day rather than 1 big meal and starving for the rest. Also plan to treat yourself every day or two with a small amount of chocolate (preferably dark) or some other small sweet treat.
4.Low Fat Foods. Seek out low-fat alternatives to your regular diet. Low fat milk for example. You actually still have potato chips but make them yourself and bake them in the oven. Its the fat in cooking potatoes that really does the damage.
5.Be a slow eater. Dont wolf your food down. Take your time, chew well, eat slowly and drink water with your meals.

If you a seeking a hospital for weight loss in Bangalore, the Bangalore Genesis Hospital offers just what you are looking for. The main facility is located in Marathahalli but they have clinics and offices throughout the Bangalore/ Bengaluru city area

The Genesis Hospital is a highly professional medium-sized facility that is small enough to offer a personalized approach while being large enough to have all the facilities and options that you will need. The programs are personalized and highly effective.

The highly qualified, professional team is managed by Dr. A.M Patil, who has been in practice for 35 years and the hospital itself has been a leader in its field for over 15 years.
The hospital for weight loss in Bangalore is open 7 days per week and 24 hours a day and can even come to you if needed.

15

Healthcare Credentials From CRNE Exam to Accredited Pharmaceutical Courses

Healthcare credentials matter for many professions. Sometimes it’s a matter of the school providing the right certification and membership training and sometimes a graduate must pass a professional exam. In some cases there is regular re-testing and mandatory skill upgrades.

When you think about the immense responsibility that a healthcare professional has, this makes a great deal of sense. Firstly, healthcare workers are in a position of trust. People are predisposed to believe people who work in medicine and health and see them as authority figures. Healthcare workers deal with people in a state of vulnerability, either those who don’t have all their facilities or who are immobilized or in pain, or simply in the intimacy of a patient’s home in the case of a nurse or a personal support worker. For these reasons, training from nursing through to pharmaceutical courses will also include an ethics component.

Teaching ethics isn’t just about the simple concepts of right from wrong. It’s also hard questions, for example when to notify patients about a diagnosis, who is privy to confidential patient information and what to do where the patient may have been involved in criminal activity or is a victim of abuse. Sometimes ethical questions may involve choices like whether or not to administer a treatment that could extend a patient’s life but increase suffering. This is one of the reasons why the CRNE exam is constructed using input from working nurses and will have realistic case studies as examples.

Professional accreditation also makes sure that the healthcare worker has skills that are up to date. New medical research is occurring constantly. Treatments that were used in the past may be deemed ineffective or even actively harmful, while dosages and administration methods are being carefully refined. Pharmaceutical courses are expected to be current and be structured to train students the most modern practices. Courses taught several decades ago could hardly be expected to predict the plethora of drugs that are available today. In the past, antibiotics were constantly over prescribed, but modern know-how teaches us that this can be actively harmful to collective health or even the safety of the patient.

Another trend that encourages accreditation is increasing regulation and the legal due diligence to prevent litigation. Much like a restaurant will make sure it has qualified staff with a food safety certificate, medical facilities will hire staff that can prove they have a solid background. Professional organizations help compliance with regulations and care standards. For example, there is little oversight on who may call themselves a nurse, but a registered nurse, the kind that can work semi-autonomously in providing healthcare, must pass a national CRNE exam.

Visit Academy of Applied Pharmaceutical Sciences (AAPS) Inc. for more information on credentials like a food safety certificate.

12

Daily Vitamins Consider The Necessary Ingredients Of Effective Multivitamins

Many people with healthy diets assume that they are getting everything they need. Unfortunately, it is difficult to get all the necessary minerals to stay healthy, unless you keep excellent track of all the ingredients in your food. Instead of obsessing about what you eat, you can simply find out the best daily vitamins to take if you are a woman.

In most cases, you can get the correct dosage of the nutrients you need through daily vitamins that contain multiple minerals. One of the most important for women is calcium, which can help prevent osteoporosis and promote strong bones, which typically break easier as you age. You should get about 1000 mg each day of calcium.

If keeping your skin looking healthy and your eyes clear are two goals you have, you should take vitamin A. Most women need about 5000 mg of this kind. Compared to the amounts that you need of other daily vitamins, your necessary consumption of both this nutrient and calcium are high, so it is crucial that any multivitamin you take has quite a bit of these.

Your intake of other minerals is much lower. For example, zinc, which helps you heal, have a strong immune system, and keep your taste buds in good shape, is only needed in amounts of about 8 mg each day.

Similarly, vitamins B6 and B12 are necessary to regulate metabolism, among other things, but you should only take 1.3 mg and 2.4 mcg, respectively. Be sure to stick to the recommended amounts, as you can actually overdose on such supplements.

If you want to have a nervous system that is in tip top shape, you should take about 400 mcg of folate. Additionally, you will need about 18 mg of iron to keep your blood healthy and oxygen flowing to all your tissue. Most multivitamins will have all these necessary ingredients, though you should check the package before buying to be sure.

These suggestions of daily vitamins are for the typical women. If you are pregnant, hoping to become pregnant, or nursing, you should take only supplements made for such stages in your life, after making sure it is okay with your doctor.

Unfortunately many people do not know that it is possible to overdose on any vitamin, though the negative effects vary depending on which one you take too much of. If you are generally healthy, picking out a multivitamin at the store after reading the label should suffice, but if you are under a doctor’s care for any condition, you should consult him or her first.

Using daily vitamins supports your daily wellness and address vitamin deficiency, by helping your body obtain the fundamental nutrients it requires. To know more, visit