PAT Testing Procedure

Portable Appliance Testing (or PAT Testing) is a legally required method of testing portable appliances. There are many stages that go towards the testing process. It will end with either a pass or fail result.

Portable Appliance Testing needs to look at certain safety elements. Amongst the things that can cause the failure is damage to cables, plugs and wires, overheating and signs of water damage. There should be no bare wires and no sign of internal damage.

The testing needs to be done according to the IEE (Institute of Electrical Engineers) guidelines. Before testing takes place anyone who is not part of the testing team should leave the premises.

The most basic part of the testing process is the visual inspection. Over 90% of problems are said to be found during this part of the process. It consists of the tester looking at the appliance and seeing if there are any obvious issues.

Here the tester will be able to see any poor wiring, cracked casing, bent pins and other damage. These are the most basic areas where appliances fail the PAT test.

The location that a particular appliance is used needs to be inspected. There must be sufficient ventilation (depending one the needs of the equipment), the area cannot be unreasonably damp, and controls to the equipment must be easily accessible.

An Earth Bond Test needs to be carried out during the testing process. Electrical Test Equipment is necessary for this part of the procedure. This is a test between the earth bond and continuity between the plug pin and external components. The voltage and test current is assessed during this process.

Other parts of the test are the insulation test and operational test.

The insulation test is necessary to ensure the insulation resistance is safe. The operational test simply consists of the tester switching the equipment on and testing out certain regular functions that it should perform, and making sure its performance is as expected.

Once testing has been completed the result of the PAT test should be clearly stated. The most common method of this is simply placing a label on the equipment. The label will say whether the appliance has passed or failed, and should also include more specific details of its condition. It will give the date of the test and the date at which another test will be necessary.

Equipment that is faulty or damaged should be removed from service immediately. It can then be determined whether or not the seriousness of the damage is sufficient for the equipment to be out of use.

PAT testing records are required to be kept for the duration of the life of the appliance. This is a legal necessity as it shows that tests have been carried out and the results of them.

Clinical explanation of Bronchiectasis

Permanent dilatation and distortion of the bronchi is called bronchiectasis. What is it’s effect to human health?

Etiology and Pathogenesis:

Most of the cases of bronchiectasis result from acquired causes.

• Obstruction to the bronchus due to any cause leads to distal collapse of the pulmonary segment. The pull on the bronchi by the collapsed alveoli leads to dilatation of the bronchi. In the initial stages this is reversible and the bronchi regain their normal size when the lung expands. If the obstruction persists, accumulation of mucus occurs distally, infection supervenes and the bronchial wall is destroyed permanently.

This results in permanent dilatation. The infective organisms are streptococci, pneumococci, Klebsiella, and anaerobes.

• Bronchiectasis may follow several viral infections without passing through the obstructive phase.

• Congenital defects in the bronchial wall lead to bronchiectasis. The classical example is Kartagener’s syndrome, which is characterized by dextrocardia, sinusitis, and defects of ciliary function in the bronchi and non-motile sperms.

• Middle lobe bronchiectasis is a sequel to pulmonary tuberculosis. This is caused by obstruction to the middle lobe bronchus by tuberculous glands. This is called “middle lobe syndrome” or “Block’s syndrome”.

Clinical features:

The clinical picture is very chronic, extending over several years.

The common site of lesion is the left lower lobe. Though children may be affected, usually symptoms manifest in early adulthood or middle age. Males are affected more than females. Digital clubbing is a prominent sign, sometimes being associated with hypertrophic pulmonary osteoarthropathy.

Postural cough with the production of large quantities of purulent and foul smelling sputum is the presenting complaint in most cases. On keeping for sometime, the sputum settles into 3 layers as described under lung abscess. Hemoptysis may occur frequently. This may be mild or severe. Recurrent infections such as pneumonia may develop. Repeated affection of the same lobe or segment should suggest the possibility of underlying bronchiectasis. Bronchiectasis sicca is the condition in which bronchiectasis presents with mild or severe hemoptysis without purulent sputum.

Physical examination may reveal impairment of the percussion note and diminution of respiratory sounds over the presence of coarse, persistent leathery rales. At times bronchiectasis may present with one of its complications. These include massive hemoptysis, recurrent pneumonia, emphysema, septicemia brain abscess, and cor pulmonale. Anemia develops in long standing cases due to chronic sepsis and recurrent hemoptysis. In untreated cases secondary amyloidosis may develop.

Diagnosis:

Bronchiectasis should be diagnosed by the long history, presence of clubbing, postural cough, coarse leathery rales over the affected part and reasonably normal general health. Once established, bronchiectasis is not curable by medical treatment.

Differential diagnosis

Bronchiectasis should be distinguished from chronic bronchitis and emphysema, lung abscess, tuberculosis, congenital cystic disease of the lung and malignancy. Lung abscess generally develops acutely. The right lower lobe is affected more often and the signs are localized. Tuberculosis is more common in the upper lobes and clubbing is not prominent in uncomplicated cases. Features like digital clubbing and copious sputum are seen in tuberculous bronchiectasis. Cystic disease is not uncommon. All age groups are affected. A long history or recurrent respiratory disease is present in the majority of cases. Clubbing is not prominent. The cysts may be localized or generalized. Clinical distinction from bronchiectasis is difficult. The presence of cysts in other organs like the kidneys, liver, etc, suggests the probability of congenital cystic disease of the lung. X-ray reveals the presence of soap bubble-like or ring shadows.

Diagnosis is confirmed by bronchography. This procedure is absolutely essential for determining the extent and type of bronchiectasis. Plain X-ray of the chest is not a reliable investigation to assess the site and extent of bronchiectasis.

Management

General measures include high protein diet, treatment of intercurrent infections, and removal of focal sepsis from the upper respiratory tract. Principles of specific therapy include postural drainage, administration of antibodies, respiratory exercises and in selected cases surgical excision. Postural drainage helps in clearing the bronchi and brings about relief. The patient should be instructed to practice postural drainage regularly. This gives relief of cough and also the foul smell. The fetid odor of the breath can be controlled by administering steam inhalations containing tincture benzoin or eucalyptus oil. The choice of antibiotic is determined by microbiological studies. Intermittent antibiotic therapy is required to clear infection and prevent exacerbation. The site of lesion may have to be excised if medical treatment fails.

Indications for surgery:

The following are the indications for surgery.

• The disease is localized to one lung or one segment and is not amenable to medical therapy.
• Socio-economic factors such as non-compliance by the patient
• Uncontrollable hemoptysis in which the site of origin of blood may be detected by emergency bronchoscopy and surgical resection has to be planned;
• To reduce the area of infection-even in bilateral disease sometimes surgical resection may have to be done on the more affected side, with a view to reducing the surface area of infection; and
• To remove an obstructive lesion which tends to perpetuate the condition, eg, bronchial growth or bronchostenosis?

I am Funom Theophilus Makama. I advertise through writing. As a platinum expert Author, I write lots of articles and hence promote interested websites, companies, groups, organizations, and communities through publishing and distributing my articles

Ultrasound Technician Schools: Your Key to a Career in Sonography

When you start looking at ultrasound technician schools, you will find out that diagnostic medical sonography is a highly sought after career. This position not only diagnoses conditions, but detects pregnancy. But their skills are not limited to pregnancy. Ultrasounds are used for other conditions as well.

Typically, ultrasound technician schools offer programs ranging from 24 to 48 months of training. At the conclusion of the program, the student has either an associates or a bachelors degree. If students already work in the health care field, they can participate in a one-year certificate program. These programs can be found at junior colleges and technical schools pretty affordably. But there are also programs at the sonography and radiology departments of major universities. Students study a science-heavy curriculum, which will include classes like anatomy & physiology, basic physics, instrumentation, radiology, patient care, medical ethics, and ultrasound principles.

There will also be clinical classes, which take place at an actual medical setting.

The focus of ultrasound technician schools is to provide students with practical, hands-on experience and knowledge. Everything the student learns can be immediately applied on the job—on the first day! Diagnostic medical sonographers work in clinics, hospitals, and diagnostic imaging centers.

Students learn various specialties in the field of diagnostic sonography. Breast sonography, neurosonography (which is focused on the nervous system and the brain), obstetric and gynecological sonography, cardiac sonography, abdominal sonography (which focuses on pancreas, spleen, liver, kidneys, and male reproductive system), and vascular sonography (which focuses on the circulatory system).

Sonography touches nearly every specialty within the medical field. Diagnostic sonography is quickly becoming the diagnostic tool doctors turn to first.

Sonography uses sound waves, which bounce off the part of the body that is being targeted for diagnostic answers. The equipment used during the process captures the echoes created and turns them into images that can then be read by a physician trained in examining those images. This non-invasive means of getting answers regarding patient symptoms and conditions is a preferred method of diagnosis.

Sonographers not only run the machines, but they also explain the procedure to the patient. They must calm the patient and reassure them, while positioning them for the best pictures possible. The sonographer helps find the initial indicators of illness and disease, as well as get the best images possible for the doctor.

Diagnostic medical sonography is a rewarding and fast-growing field. Gaining employment should be fairly easy with the proper credentials and training. The education needed can be gained in a relatively short period of time. The field allows you to help patients get answers to their concerns and questions and provide reassurance. Many people enjoy their jobs as sonographers.

When you are picking out ultrasound technician schools, ask the following questions about the program:

Accrediation—is the school accredited?
Class size—how many students per class?
Focus—is the school focused on practical experience or learning?
Success of graduates from the program

Dorset Cottages

Dorset is set to become one of the most popular tourist destinations in the UK this year and when you look a little closer on the map, it’s easy to see why.
Dorset is home to many famous landmarks and heritage sites and then of course there are the famous sandy beaches. The Jurassic Coast stretches down 95 miles of the English Channel and was named England’s first natural World Heritage site in 2001. But if breathtaking scenery and million year old fossils aren’t your thing then don’t worry because the beaches also provide access to some fantastic water sports for people of all ages and abilities, whether it’s a high octane Jet Ski ride or a relaxed tootle around in a pedalo.

And for those of you who are old enough to indulge in a little bit of nostalgia there’s also ‘that hill’ – the scene of that famous Hovis bread advert of the early seventies, which now plays host to the annual Gold Hill Fair. The fair brings a range of activities and shopping stalls to the area over one weekend in the summer.

There is really only one way to sample the county of Dorset however and that’s in a traditional Dorset cottage. Staying in a Dorset cottage puts this magnificent place quite literally on your doorstep. The quaint coastal villages and market towns have hundreds of cottages available for rent, all of which have a certain character about them.

The dog walkers amongst you will be pleased to know that many of the cottages, particularly those near the coast and on hiking routes are pet friendly so you can bring them along with you, and you should because they will enjoy it almost as much as you will.

One last tip…there really is so much to see and do so just be sure to book a long enough stay, even if it’s to just recover from your holiday.

Comparing Online Travel Services To Your Local Travel Agent

Sites such as Expedia, Orbitz, and Travelocity claim to offer the best price – sometimes even guaranteed. They may even claim to offer the best rates on a luxury world cruise, a trip that travel wholesalers publicly prefer to be sold by agents. The emergence of online travel sites have put many agencies out of business, and claim to have conquered the consumer base by offering quality product at a lower cost. When you call your local travel agency and ask for a price quote on an air and hotel luxury travel vacation package, most consumers will check against one of the more popular travel websites to see what prices better. True, two thirds of the time, you will find that the Internet will beat the travel agent price by about $150. The travel website will assure you that it is the same package. The resorts and hotels are aware that you are going to be in the most unfavorable rooms, in fact, that is why they sold them to the Internet travel site at a discounted rate in the first place.

Travel service sites proudly proclaim that they are able to further save customers money by selling large volumes of travel and collecting a smaller fee. Orbitz and Travelocity do have a large volume of travel reservations made, but what little they make in commission they make back in changed or canceled reservations. Most travel agencies offer a travel insurance that covers you and your travel companions if you should have to cancel for a medical or personal emergency.

American Express Travel offers a cancel for any reason insurance that even covers your airline tickets. These Internet booking engines are now beginning to offer “insurance,” but it rarely covers cancellations in full. Your local travel agent is there to offer the customer care you need back at home while you’re traveling abroad. When it comes to planning luxury travel vacation, you are truly better off using a travel agent. If you don’t like your room, your travel agent can have it fixed in a matter of moments. Travel agents are not focused on quantity, but quality. So travel safe, not sorry, and call a travel agent to hear more benefits that each agency offers their clients

Advertise Medical Equipments

Except the medicines, with the advancement in medical equipments we have created various machines and other units that helps the doctor in diagnosis our disease and medical problems. We have X-ray machines, ventilators, anesthetic machine, blood pressure monitor, ultra sound machine, CT (CAT) scan machine etc. These are very helpful machine of modern time. With the advancement of technology, medical science has witnessed a great boom in the last few decades. Today we have cures and treatments of almost every disease except a few like cancer and AIDS. Due to this advancement in medical science human existence become more reliable. Now we are sure that we can save ourselves from various hazardous diseases.

If we talk about medical equipments that work at fitness equipments also, we have various such products such as Knee belt, infusion pump, air purifier, nebulizer, diabetic shoes, walkers etc.

In our childhood we don’t need such thing, but thanks to medical science for making the life of senior citizens or the old age people much better than they used to live. Home medical treatment equipments are must for the old age people. But excluding these high tech machines such as CT (CAT) scan and X-tray machine, medical science has constructed various other medical equipments also that make our life more comfortable and soothing. Medical laboratory equipments, surgical equipments, medical oxygen equipments, and disposable medical lab equipment there are divided into various categories.

If you are an old age person and want to keep yourself updated with recent medical innovations and equipments, there is a lot of information available on internet. Various websites provide information on health maintenance for old age people.

There are various online classified websites, which contains contact info about who deals in sell and purchase of used medical equipments. If you are an individual and cannot afford to buy new equipments as they are very costly then you can buy this equipment at low price by finding old medical equipments dealers through these classifieds websites. And if you are in medical profession and establishing your personal clinic then also you can buy expensive medical equipments in reasonable prices.

Cutting Corners – How to Build a Healthy Family

Do we all sometimes forget to floss? Brushing your teeth alone will leave your mouth only about 60% clean. Although it is something awkward to do, flossing is imperative in your teeth cleaning process as it breaks up and removes the plaque from the gum line and teeth where your toothbrush cannot reach. Within just two short days of not flossing, plaque can turn into hard calculus, which is composed of salt, food, and other debris. This causes bad breath, gingivitis and ultimately periodontal disease, which occurs when the body’s immune system cannot clear the bacterial and toxins in the mouth. There is also a proven connection between sever gum disease and an atherosclerosis, which is a condition where arteries get clogged up. But it is bad enough having to walk around with a terrible smelly breath.

Therefore ultimately try to floss every day, but is you just cannot, then swish water around and through your teeth after brushing your teeth as it has been shown to reduce bacteria, but this is only for a once in a while solution to not flossing.

Even slept with your make-up on? Although leaving your make-up on when you go to bed seems like a great idea at the time, especially after a late night out or you are just lazy, you are not doing your skin any good at all. Wearing foundation to bed can cause your pores to clog up, which leads your skin to break out and have blackheads. And not only is sleeping with foundation not good, your mascara fragments will dislodge into your eyes while you sleep and could cause painful corneal abrasions. Just keep some pre-moistened make-up removal pads at hand for these occasions when you have little time for makeup removal, or are just not in the mood for doing it right now, your skin and eyes will thank you for it.

Do we award ourselves fewer hours to sleep? We compromise our health by sleeping less. Men who sleep fewer than five hours a night are at risk of becoming obese and also have high levels of blood sugar, which could lead to diabetes. It has also been concluded that a lack of sleep triggers off a hormone in the blood, and this hormone stimulates your appetite. Sleep disorders are very common and also under-diagnosed especially in woman. Therefore it is really important, for both men and woman, to have seven to eight hours of sleep to prevent poor concentration, irritability, depression, fatigue and even obesity which can often times lead to other health problems as well. To curve this problem, start by limiting your food intake before bed time, stick to regular bed times, and give yourself fifteen minutes to fall asleep, if you don’t just get up and do something until you are sleepy, like reading. Do not watch television or work on your computer. Also use herbal sleeping tables or teas to get you sleepy. If you feel these tips do not work to help you sleep better, visit your doctor for some further help and advice.

Reading in dim light, although reading in bad lighting increases tension, concentration and strain, causing headaches and sore eyes these symptoms are not permanent. Suboptimal lighting can create a sensation of having difficulty in focusing. It also decreases the rate of blinking and leads to discomfort from drying eyes. The important counterpoint is that these effects do not persist. But avoid unwanted headaches by switching on more lights or invest in a reading light for where you are most likely to sit down and read your book.

Not wearing sunglasses is a very good habit we all seem to brake from time to time. Whatever the reason for this may be, your skin is not the only part of your body that will be damaged from over exposure to the sun. Your eyes are also at risk of UV rays, and reflections from shiny objects. Like white buildings and water and metal. These subject the eyes to more than 12 times more light than what is needed. UV rays are invisible to the naked eye, but are high energy rays of light, and it is through this light that a reaction is caused in your eye tissue. And one this has occurred it cannot be reversed. When spending a lot of time where there is a lot of glare and not enough adequate protection, you can develop a short term condition known as photokeratitis; this is reversible sunburn on the cornea of the eye. This damage causes eye pain, sensitivity to light and the sensation of having sand in your eye constantly. Cataracts, which is a cloudy formation on the lens inside the eye, or the yellow areas on the whiles of the eye may appear after too much sun exposure as well. Then there is also Pteryguim, this is where tissue growth happens on the whiles of the eye, and can result in blocked vision and exposure to UV rays will also bring about eye cancer as well. It is better to have a pair of UV ray large wraparound sunglasses kept away in your car, bag and at home so you have them with you and ready to use whenever the need arise. Also get your whole family to do the same, especially the younger family members too, protecting everyone’s eyes will help build a healthy happy family.

Something not too many of us do, but still too many do, and that is biting nails. Your nail splits, so you just take it upon yourself to just bite of what has been broken off. You think this is a good idea at the time, but in fact it is a bad idea! And besides your nails just looks terrible, your fingernails are actually dead cells made of the same stuff as your hair, which is a protein called Karatin. So when you bite your nails, you risk transferring infectious organisms between your mouth and your fingers, and this could result in a bacterial or yeast infection of the nail bed. Therefore it is better to pack clippers and an emery board in your bag, or in a place where you will be the most times during the day. Then make sure you wash your hands properly, thoroughly and regularly throughout the day.

And now that you know what the risks are that you are really putting your health at, next time it may be better to just rethink taking those convenient shortcuts, but rather take these tips to heart and put them to good use. These can be really beneficial to you but also to your family, and if you are anything like me, these ideas can be put to good use on how to build a healthy family.

Drug Addiction Treatment – Effective Coping Strategies for Future Cravings

Drug addiction treatment helps thousands of addicts across the United States achieve lasting sobriety every year. Due to recent advances in neuroscience and psychology, rehab clinics are able to use a variety of proven methods in their drug addiction treatment programs. Though individual patients’ circumstances may vary, these methods work astoundingly well for almost all cases of addiction.

However, inpatient rehab programs last only one to three months. Addiction is treatable but not curable, and recovering addicts must manage drug cravings throughout the rests of their lives. Here are a few of the coping strategies rehab specialists teach their patients during drug addiction treatment.

Rationally Coping with Cravings

Many rehab clinics use cognitive-behavioral therapy to help patients stay sober once they leave their treatment facilities. These therapies teach addicts to relieve their negative emotions with logical thinking. This is a crucial skill, since emotional problems are so often the cause of drug abuse, addiction, and relapse. Addicts’ abilities to determine their own emotions are also important because control issues are often the root causes of addictions.

Avoiding Addiction Triggers

Every addict has personal addiction triggers – people, places, and physical objects which exacerbate their drug cravings. One of the best ways to avoid relapse is to avoid these triggers altogether.

For many addicts, the difficulty in avoidance lies in determining their personal triggers. During individual counseling sessions, addicts work with rehab specialists to make these discoveries so that they can successfully manage their cravings throughout life.

For other substance abusers, avoidance can be difficult to practice because of certain life circumstances. Rehab patients may have friends who still use drugs, stressful careers which induce cravings, or tough financial situations which produce chronic anxiety and compulsions to drink. Large lifestyle changes are often necessary to avoid these triggers.

Relaxation

Rehab patients often find their recoveries frustrated by anxiety, paranoia, and other high-stress emotional states. It is essential that addicts learn to calm themselves to mitigate the craving-inducing effects of these emotions. Meditation, prayer, and venting to close friends are useful relaxation techniques encouraged during rehab. Even vigorous exercise can provide relaxation because it signals the body to produce endorphins.

Daily Reflection

To take full advantage of the counseling they receive during drug addiction treatment, addicts must constantly monitor their mental and emotional states for signs of the thought patterns which initially led them to use drugs. Relapse isn’t always predictable, and drug cravings can take addicts by surprise. Even people who have been sober for years must consistently practice self-reflection in order to avoid a return to drugs or alcohol.

Continued Therapy and Support

Many addicts require continued support from their rehab clinics and communities to stay sober after their treatment programs. Some clinics offer additional counseling, group therapy, and family therapy to patients who need this extra help. Community resources can be invaluable as well – groups such as Alcoholics Anonymous allow addicts who have gone through rehab to come together and talk about their ongoing struggles. They can form accountability partnerships which strengthen their resolves to stay drug-free and live meaningful lives.

If you or someone you know is struggling with addiction, click the links below to find a treatment center near you. No matter how much you’re suffering, a drug addiction treatment program can help you get your life back on track.

Medical Equipment Marketplace

The medical equipment marketplace is replete with broad selections of equipment and supplies for medical, dental, and beauty salon equipment. There are several websites devoted to supplying such items. Trade networks exist within social commerce climates that constantly move products in this category every hour of every day. It is a highly competitive market and the information provided regarding the products is sometimes reliable and in other situations it is unreliable.

Within this market it is important to know certain facts. In order to learn these facts, you might have to critically shop around and ask many questions. When you do this, you will find contradictory information as well as useful information. You will see that some businesses selling these products are reliable and others are not. Ultimately it is confusing. One of the best companies that I have seen is Crystal Medical http://www.crystalmedical.co.uk.

Crystal Medical has a special niche in the medical equipment marketplace. They offer an exceptional variety of products in many categories including dental, medical, surgical, opthamalic, nursing, homecare, veterinary, pharmaceutical, and software categories. All of the products they offer are of high quality. Their dental equipment line is comprehensive and takes quality seriously.

Perhaps one of their best features is the flexible payment plans. With Crystal Medical, you may purchase medical equipment, dental equipment, and beauty salon equipment outright or you may rent the products on agreement for nominal fees. They have their payment plans set up in such a way that the equipment you purchase can pay for itself with added profit. Often these upgrades in equipment yield better business profits, easily offsetting the cost of the equipment itself.

Naturally, there are other organizations that offer similar equipment. You should research those as well. I believe you will discover that Crystal Medical offers the best products and the most practical payment plans. Considering the fact that they offer a 5 year warranty on all of the products they sell, it is a deal worth considering. Advance the technology of your healthcare practice with a reliable company and you will be assured better quality and cost.

Longstay Travel Insurance: Extend Your Travel Stay

Whenever we decide to travel abroad, we always get the think of taking travel insurance. If you are an occasional traveler you’ll probably buy your insurance from the travel agent. But if you travel more than twice a year, it is much more cost effective to have one insurance lasting all year round, than buying one every time you travel. If you are travelling for a long time then its better to take longstay travel insurance.

Before buying any longstay travel insurance, it is better to go through the whole policy. Health concerns which are rather severe as well as problems brought about by alcohol and drug uses are oftentimes excluded from the full coverage a client is entitled to. War and terrorism clauses can be excluded in most policies to protect both the company and the traveler with the latter being influenced not to plan a trip to such hazardous nations. Travel insurance is an agreement or a contract which can offer a traveler with an adequate amount of assistance that can be beneficial when traveling so it would be smart to compare a list of policies beforehand.

There are different forms of insurance which is hard to classified but considering the durations, travel insurance is further divided in three types:

* Single trip,
* Multi-trip and
* Annual / Long stay

“Long stay” insurance is the most important and attractive part of the travel insurance because for the large number of travelers who planned their vacations for more numbers of days / many months. It not helps you only in travelling plans but also a safeguard for cancellation charges, luggage and personal belongings, financial investments, your health and well being and most important to give you sense of peace. Companies are offering much best coverage to the customers who are buying long stay like international travel insurance, top up insurance etc. The main benefit of this insurance is the customization of coverage. A customer of long stay travel insurance can optimize their coverage as per their need; he should take help with their insurance adviser. Go for most appropriate coverage often their charges may be more than the standard one. The customers must be clear about their need and the ignorance.

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