Skin Tears and Treatment through Wound Be Gone

The skin is the largest organ of the body and often the most forgotten. Skin is exposed daily to numerous environmental risks of irritants and chemicals, as well as to physical and mechanical injury. One such injury is a skin tear, defined as a traumatic wound resulting from separation of the epidermis from the dermis. It is usually related to friction and/or shear force.



How are skin tears caused?



When skin tears are reported to healthcare professionals, the cause of the injury often is not known. When the cause is known, they are often linked to the following events: wheelchair injuries (25%), blunt trauma from accidentally bumping into objects (25%), transfers (18%), and falls (12.4%). It has also been concluded that the key times when skin tears occur are during peak activity hours, from 6:00 to 11:00 am and from 3:00 to 9:00 pm. Skin tears result from shearing, friction, or blunt trauma that causes separation of skin layers. The subsequent wounds are partial- or full-thickness, depending on the degree of tissue damage. Subtle skin changes associated with aging increase the risk of skin tear development and interfere with the healing of the skin tear. Aging skin undergoes a process in which it experiences dermal and subcutaneous tissue loss, epidermal thinning, and serum composition changes, which cause decreased skin surface moisture. The skin's elasticity and tensile strength decrease as these other changes occur. Dehydration, poor nutrition, cognitive impairment, altered mobility, and decreased sensation can also increase skin tear risk.



Skin tears are a painful, yet preventable problem. In the United States, reports show that 1.5 million skin tears occur each year in institutionalized adults. These types of wounds pose a potentially serious and painful problem for the older adult population, who are at a higher risk for skin tears. Such wounds can cause stress to both patients and their families. The result of the physical changes associated with aging and coexisting illnesses can be very difficult to manage. Thus, it is imperative that healthcare professionals identify those at risk for skin tears and establish plans of care that will address prevention, as well as evidence-based management of these wounds. Compared with more extensive and costly chronic ulcers, skin tears are often seen as minor, inconsequential wounds. But in reality, these wounds are painful and can lead to potential complications if not treated appropriately.



How can skin tears be prevented?



Following should be considered if patient is at risk of having a skin tear:



• Educate staff on the importance of carefully handling elderly patients with

frail skin. Any harsh movement or pulling can create a skin tear.

• Encourage proper positioning, turning, lifting, and transferring techniques

to prevent friction or shear. A lift sheet should be used to move and

turn patients. If the patient is being cared for at home, make sure the

home health care assistants and the patient's family caregivers understand

these techniques.

• Provide padding to bed rails, wheelchair arm and leg supports, and any

other equipment that may be utilized to protect the patient from

accidentally bumping into a hard surface.

• Use pillows and blankets to support arms and legs.

• Recommend that patients wear long sleeves and pants for added protection.

• Use paper tape or a non-adherent dressing on frail skin and gently remove it.

Or use stockinet, gauze wrap, or any other similar type of wrap instead of

tape to secure dressings and drains.

• Apply a moisturizing agent to dry skin to keep it adequately hydrated. Creams

and topical gels are better than lotions.

• Provide a well-lit environment to minimize the risk of patients bumping

into equipment or furniture.



Wound be gone is a breakthrough invention in healing wounds such as skin tears. It wondrous and unique principle is totally different from current healing products. Wound be gone has no side effects and doesn't contain any kind of biological material or antibiotics. It is safe to use by people of any age. It supports moist healing so the need to use bandages in not required. Its other plus point is that it prevents the wound from getting infected.

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Wound-Be-Gone Blog

Wake Pharma US, Inc.

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Catalytic Converter Hazards!

Your catalytic converter can be hazardous to your health...literally! Take care of your car and your catalytic converter will do what it is supposed to do: reduce pollution.

Government auto emissions control legislation mandates that virtually all cars built or sold in the U.S. come equipped with a catalytic converter. A smart device, catalytic converters help to convert dangerous and polluting exhaust gases into less harmful carbon dioxide and water. As helpful of a device that it is, there are some hazards that come with the use of a catalytic converter. Read on to learn what you need to know about your vehicle’s catalytic converter.

Many consider a catalytic converter to be a godsend. With pollution levels ever climbing, the U.S. government acted to reduce harmful pollutants in a step to clean up the environment. The Environmental Protection Agency was formed by the Nixon Administration and the agency was instrumental in passing the Clean Air Act to help America control pollution. Since 1975 virtually every passenger vehicle has come equipped with a catalytic converter.

As helpful as catalytic converters can be, they can be problematic. Besides catalytic converter failure, which generally goes unnoticed until your vehicle flunks its next inspection, it is the intense heat of the unit that can cause problems.

If you work on your own vehicle, you need to let your car cool down completely before working near the exhaust system. Catalytic converters get very hot, as hot as 1800 degrees, and any burn sustained from touching a hot converter can be very dangerous, even deadly.

Motorists have also learned that a catalytic converter can be a fire hazard. For the past three decades police and fire department reports have indicated that many car fires have been started because a motorist parked their car over dry leaves. Even when the engine is off the hot converter can drop a spark which can ignite leaves underneath. If that happens, your car can be engulfed in mere minutes and destroyed by the conflagration.

There are also hazards that occur to the catalytic converter itself. Because the unit burns at such hot temperatures, catalytic converters can suffer rapid thermal deactivation. Some experts suggest switching to synthetic engine oil to help reduce phosphorous contaminants a known contributor to catalytic converter failure.

No, you cannot legally remove your catalytic converter as you may become subject to stiff fines and penalties. Yes, if your car was built before 1975, none of these concerns matter to ou so enjoy your classic and let her rip without pollution controls holding you back!

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Studio Lighting Equipment - How to Get Professional Results on a Budget

There is a lot to be said about having the chance to shoot in a studio filled with expensive lights and equipment perfect for creating the perfect photo. Unfortunately, most people who love photography as a hobby, don't have the budget to spend money on a professional lighting equipment setup. In fact, if you enjoy photo as a hobby but not as a profession, there's really no reason to spend so much on something that you will use so little. Here are some ways that you can get studio-quality images simply by using the light you have around you.



Home-made Reflectors



One of the keys to studio lighting is "bouncing" the light off of reflectors or umbrellas to create full, soft, and even light. Though this is hard to do without a few different light sources, you can mimic the effect by making your own reflectors to use when you shoot. Lots of things will work to help soften the shadows that are created when you're only using a single light source such as the sun. For example, you can use a white sheet, a large piece of poster board or even a large piece of Styrofoam.



Use Backdrops Creatively



You may not be able to have a large selection of photo backdrops like in a professional studio, but that doesn't mean you can't have fun creating one of your own. You can use bed sheets for basic colors and then if you want to get creative you can always use paint to create a pattern or add color. The best thing to do is hang your backdrops on the opposite side of a big window or a large bright opening (like a garage door opening) and it will be like you're using a fill light pointed directly at the subject.



Get Out the Paint Brush



Whenever you go to shoot, always remember that all surfaces either reflect or absorb light so keep this in mind especially when designing a room for taking pictures. If having a lot of lights in the room isn't an option, then you should consider painting the walls and floor white. The white walls will help to bounce the light around for a more even tone.



Control the Flash



A direct flash will often make the subject have harsh shadows or look shallow but if used correctly it can be a great lighting tool. Whenever possible, look to bounce it off surfaces around your subject and only use it to fill in the shadows from the front. Think about it this way - if the image you are building looks like you won't need a flash, that's a perfect time to use one for additional fill.



Watch Your Time



Light looks different at different times of day. If you use your homemade reflectors to soften the shadows and use your backdrop facing towards the early morning light, you'll be happily surprised at the great results you'll get. Try taking photos at different times of day to see how the difference in light impacts the way things turn out, then book your studio sessions in for the times in which you'll have the best light possible.



It's important to remember that studio lights, for the most part, were created to simulate the light that we have in our every day lives. If you know how to harness this light and make it work for you, there's absolutely no reason that you shouldn't be able to generate images that compete with those created in the most expensive studio in town. If you have the desire and creativity to do it, you can create your own makeshift studio with a little bit of effort and ingenuity. At the end of the day, the only important thing is the result - the method is secondary.





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Autumn Lockwood is a writer for Your Picture Frames. Shop online and see our selection of 11x14 picture frames in a wide variety of styles, shapes and colors. Visit our website to see our selection of

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How To Really Save Planet Earth: A Test About Al Gore

If you really want to bring the Earth back from the brink of disaster, who should you be listening to?

A. Al Gore of "Live Earth" and "An Inconvenient Truth"
B. Diane Sawyer of ABC's "Seven Ways to Help Save the World"
C. Michael Brune of "Rain Forest Action Network"
D. Conservative commentator Glenn Beck of "CNN Headline News"

"An Inconvenient Truth" left out the most inconvenient truth of all, and the Live Earth concerts were an environmental joke (and the music was really bad, too). Ms. Sawyer's suggestion to cut back on toilet paper is a bit of poo itself. Then, with a golden opportunity to enlighten and empower Americans, Michael Brune of the Rain Forest Action Network only highlighted the problem with even our "environmental" groups. Therefore, and by way of deductive reasoning, the answer must be Â… and is Â… (drum roll, please) Â… Glenn Beck. Yep, that's right. Glenn Beck, the ultra-conservative, speaks out on CNN Headline News while interviewing Michael Brune and tells people how to really save the environment.

In speaking about the Live Earth concerts, Glenn said, "There's nowhere in here about vegetarianism or anything like that, that would make a real impact on the environment ... It is animal gases that produce more CO2 than any of the cars we're driving."

To which Michael Brune disagreed. Michael? HUH? Earth to Michael Â… Come in, Michael.

The fact is, a HUGE portion of our environmental problems come from eating meat and dairy (and from producing meat and dairy), and Glenn Beck, of all people, hit the nail square on the head. Global warming, rain forest destruction, coral reefs dying off, topsoil erosion, poisoned water and polluted air are all a result of animal agriculture, and everybody – including our "environmental" groups – refuses to connect these dots. Thanks, Glenn, for doing what Al Gore, Diane Sawyer and even Michael Brune have refused to do.

"A report released by the U.N. Food and Agriculture Organization last November charged that raising livestock produced more "greenhouse gases" globally than the international transportation system." http://www.crosswalk.com/news/11543779/

The U.N. report tells of a tragedy in the making on everyone's dinner plates, and it doesn't stop there; global warming concerns are now keeping kids up at night. http://www.gm.tv/index.cfm?articleid=24717

Kids, and all Americans, need to know that they are the empowered ones. This is not a political or governmental issue. WE, each of us, has a hand in global warming, and, therefore, its cure. If we stop eating animals and their secretions, we will stop killing the planet. It is as simple as that. Concerts galore, one million TV shows on the "Top Seven Ways ..." and pseudo-environmentalists be damned. Without veganism for all people, nothing else can possibly save our doomed planet. The great news is, if we each switch to eating a vegan diet, we will no longer have to "save the planet." Veganism allows the planet to save itself.

Major kudos to Glenn Beck.

Trends in Management Consulting: The rise of internal management consulting groups

At first glance, this topic may not look like anything new to you; nor to me. After all, it is a routine fact that today hire many corporations hire business consultants all the time. I'm guessing, as we speak someone out there has hired a consultant for an outside perspective of a specific business matter.



Over the years, an endless number of companies have outsourced this task to specialists. But in recent times, an important change in the industry has been the spin-off or separation of the consulting units of large diversified firms. Although an initially expensive proposition, the long term benefits of setting up such a group eventually out-weighs the cost. These corporations have set up their own internal consulting groups, hiring internal management consultants either from within the corporation or from external firms employees. Many corporations have internal groups of as many as 25 to 30 full-time consultants catering to functional areas such as organizational development, process management, information technology, design services, training, and development.



But before a corporation steps into the task of creating its own internal management consulting group, they need to be conscious of and consistent with how this internal cost is accounted for on both a project and organizational level. At the end of the day, it needs to be cost effectiveness as well as provide significant value to the organization's operations. On one hand, these internal groups are capable of evaluating the engagement on projects in sync with the corporation's strategic and tactical objectives. Besides the low degree of dichotomy in terms of priorities (They put the company objectives first) and less ramp up time on a project due to its familiarity with the corporation, internal consulting groups also ensure that vital corporate information is not leaked out and is kept private. Moreover, the time and material cost of internal consultants is significantly less than external consultants operating in the same capacity. But the crucial difference lies in the fact that, unlike external consultants, the job of the internal management consulting team does not end with the mere presentation of the business solution. They are equally are involved in the monitoring and implementation of their recommendations.



However, there is always a flip side to everything good. The most important limitation of internal management consulting groups' lies in the fact that they fail to bring the 'objectivity' factor to the table s well as the best practices from other corporations like an external consultant can. Moreover though, it is often difficult to accurately measure the true costs and benefits of an internal consulting group. Last but not least, these groups pose an obstacle to the Human Resource department as well as the level of compensation in the consulting industry is high, it becomes difficult to attract good talent.





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Defragging Drive May Work Best When Starting in Safe Mode

The following is a question posed to Array Systems Inc. (http://www.arraysystems.com/), an IT outsourcing and Computer Network Support company serving Los Angeles:

"When attempting to defrag the C drive on my 333 E Machines PC using Windows 98 OS 6.1 edition, the first message I get is “Reading Drive Information. Defrag begins but will not go beyond 10 percent completion. Next a blank screen appears, th. This sequence recurs every 3 to 4 minutes."

What you’re experiencing is conflict/contention with another open program. When the defrag utility runs, it copies information (data, programs or files) from one area of your hard disk to a clean area. If a program is open or a file is being accessed by another program, the defrag utility will not copy it to the clean area. These programs probably are part of your startup process. For example, my startup process automatically opens my virus scan program so that when I get on the Internet I’m protected. If I want to run my defrag utility, I need to start my computer in safe mode.

Safe mode is a scaled down version of your Windows operating system and will bypass your startup process so that programs that are automatically turned on will not be initiated. You’ll notice a difference right away because your Windows desktop will look different and your icons will appear larger than normal. This is because the default screen resolution is larger than your normal settings.

For those who aren’t familiar with the defrag utility, let me take a few minutes to explain what what exactly it is. There are two programs you should run on a regular basis, which should be part of your disk maintenance program. These programs are disk defragmenter and scandisk.

I run my disk defrag once a quarter and my scandisk once a month. The disk defrag utility cleans up your hard disk to make it more efficient. Let me explain how your hard disk works and why it needs to be cleaned up periodically.

I’m writing my column using MS Word. When I open the file for my current column, I like to save it after 5-10 minutes of typing. When I save it, the Word document can’t be saved over the same spot on my hard disk. Therefore, a new spot on the hard disk must be found and the pointer (index) must be updated to reflect the new location. Sometimes, if the file is very large (novel or screen play), there isn’t enough clean space in one location so the file is broken up into several locations with several pointers. The old space is now unusable until the next defrag utility is run.

Sometimes, you’ll notice that your computer takes a long time to save a document because it is hunting around for some clean space. This is probably the No. 1 problem associated with computer performance. The defrag utility starts by copying all the files from the beginning of your hard disk to another location. Then it cleans the disk area and copies the current files back. It continues with each area/sector or your hard disk until it cleans the entire disk. This process can take up to eight hours, depending upon the size of your hard disk and the computer’s speed.

The next utility is called the scandisk. It resembles the defrag utility, but it updates only the pointer/index files. Every time a file is updated, the new location is updated in your index file. These files are the most active files on your computer because it tracks the location of everything. The scandisk also eliminates any corruption problems that have occurred when shutting down your computer improperly or when your computer hangs.

A well-maintained index also will increase the speed and efficiency of your computer.

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Car Safety

When automobiles first came out, the only car safety feature they had was a brake. No safety glass, no seat belts, no air bags. Driving back then was a sure-fire hazard that could get you killed. Thankfully, those times are over.

Car safety has improved dramatically over the years. Since the invention of the automobile, safety has been an issue. It is no joke, that the early originators of the car industry would be stunned at all the features now available on our automobiles. The gas-powered engine has altered our society into one of greater mobility. We can now travel to destinations that would have taken months to get to only a century ago. Much of that change is due to car safety measures.

New technologies have made automobiles faster, and with increased speed, comes increased accidents. Because of lawsuits and just bad press, automobile manufacturers became more concerned with improving car safety and preventing injuries and deaths. Because of this concern, car safety has been greatly improved, saving countless lives.

However, vehicle accidents continue to happen, often with devastating results. Car safety devices such as seat belts are commonplace today, but they are not always used. In fact, it wasn’t until the legislative bodies in many states addressed this issue of car safety and made seat belt use a law that their use became more the rule than the exception. Drivers in these states must buckle up, or they will be fined. In an effort to improve car safety, and to lessen the amount of tickets handed out, some vehicle manufacturers designed seat belts that would automatically secure the passenger.

Car safety should be everyone’s concern. Not every accident can be prevented, but we can make wiser choices by choosing a safer automobile for ourselves and our families. But even that isn’t enough. We must then use the restraint systems while we are driving. Newer vehicles have air bags, which require us to do nothing in order to benefit from this added car safety feature. In addition, side air bags are also available on some models. The actual bodies of the cars, side panels, as well as front and rear panels, are now designed for greater impact protection should we be in crash.

If you are shopping for a car, you can get insightful and honest information on vehicle safety ratings by visiting the National Highway Traffic Safety Administration at www.nhtsa.dot.gov. Crash test and rollover test ratings are available for review on most passenger cars, pick up trucks, SUVs, and vans from 1990 onward. Car safety ratings can be compared quite easily. This is a very good site to visit and can assist consumers in making an informed decision based on a car’s safety ratings.

The next time you get into your car, remember that car safety is a choice. A choice that can save your life and the lives of others.

Promoting Workplace Safety & Health in Sindh: A Tripartite Consultation

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