Showing posts with label Treatments. Show all posts
Showing posts with label Treatments. Show all posts

Monday, December 6, 2010

How Wildfires Affect Public Health

Many county health departments are getting questions from their residents who have been affected by the smoke from the wildfire burning in Eastern North Carolina. The accompanying information has been provided to the local health departments by the Office of Public Health Preparedness and Response and is being provided to the media to help facilitate dissemination of the information to the public. Thank you for assisting us in that effort.
Q: What is the health threat from wildfire smoke?
A: Smoke from wildfires is a mixture of gases and fine particles from burning trees and other plant materials. Smoke can irritate your eyes or your respiratory system, and worsen chronic heart and lung diseases. How much and how long you are exposed to the smoke, as well as your age and degree of susceptibility play a role in determining whether or not someone will experience smoke-related health problems. If you are experiencing serious medical problems for any reason, seek medical treatment immediately.
Q: How can I tell if the smoke is affecting my family or me?
A:
* Smoke can cause coughing, scratchy throat, irritated sinuses, shortness of breath, chest pain, headaches, stinging eyes and runny nose.
* If you have heart or lung disease, smoke might make your symptoms worse.
* People who have heart disease might experience chest pain, rapid heartbeat, shortness of breath and fatigue.
* Smoke may worsen symptoms for people who have pre-existing respiratory conditions, such as respiratory allergies, asthma, and chronic obstructive pulmonary disease (COPD), in the following ways:
o Inability to breathe normally
o Cough with or without mucus
o Chest discomfort
o Wheezing and shortness of breath
* When smoke levels are high, even healthy people may experience some of these symptoms.
Q: How can I protect myself and my family from the harmful effects of smoke?
A: The best thing to do is to limit your exposure to the smoke. Specific strategies to decrease exposure to smoke include staying indoors whenever possible, using air conditioners (air conditioned homes usually have lower air exchange rates than homes that use open windows for ventilation), using mechanical air cleaners, keeping windows closed while driving in a vehicle, and minimizing other sources of air pollution such as smoking tobacco, using wood burning stoves, burning candles or incense and vacuuming.
Q: Will I suffocate in my house?
A: No. The most common call for evacuation during a wildfire is due to the direct threat of the fire, not smoke. Leaving the area of thick smoke may be an option for those who are sensitive to smoke. But it is often difficult to predict the duration, intensity and direction of smoke, making this an unattractive choice to many people. Those without air conditioning must also remember not to become overheated by closing all windows.
Q: Should I wear a dust mask or N95 respirator?
A: N95 respirators and dust masks are masks made of filtering material that fit over the nose and mouth. The filter material will filter out some of the small particles that may be found in smoke, but only if there is a good fit to the wearer’s face. It is also important to know that N95 particulate respirators and dust masks only filter particles, not toxic gases and vapors.
Most people will find it difficult to use the respirators and masks correctly for general use. For instance, it is impossible to get a good seal on individuals with facial hair. As a result, the respirator will provide little if any protection, and may offer the wearer a false sense of protection.
Filtering face-piece respirators and masks can make the work of breathing more difficult and can lead to increased breathing rates and heart rates. They can also contribute to heat stress. Because of this, respirator use by those with heart and respiratory diseases can be dangerous, and should only be done under a doctor’s supervision. Even healthy adults may find that the increased effort required for breathing makes it uncomfortable to wear a respirator for more than short periods of time. Decisions on whether to use respirators or masks as personal protection for people who must work outside should be made on a case by case, day by day basis.

Friday, November 26, 2010

New Technology Helps Restore Cognitive, Physical Functions

Stroke survivors and others with neurological injuries and illnesses often have difficulty regaining the ability to perform everyday functions such as walking, talking and even swallowing. In response to these difficulties, Fairlawn Rehabilitation Hospital has introduced several new therapeutic technologies to its inpatient and outpatient programs.
“These new technologies, combined with traditional therapy techniques, provide patients with the best possibilities for recovery,” said Dr. Howard Fixler, Chief of Internal Medicine at Fairlawn. “I have seen dramatic improvements in my patients’ quality of life due to their use.”
Bioness functional electrical stimulation systems help patients with neurological disorders affecting upper and lower extremities.
The Bioness H200 assists patients with upper limb paralysis to improve hand function and voluntary movement. The device surrounds the patient’s hand and forearm. Five surface electrodes are integrated into the H200 to stimulate and activate the hand. A microprocessor provides the patient and clinician control over the desired hand activation.
Once the device is fitted, movement can begin immediately. The device can be used for exercise as well as functional activities, such as practicing the grasp and release of objects and performing activities of daily living.
Bioness L300, which works much the same way as the Bioness H200, is used to help patients with conditions affecting the lower extremities.
Keeping The Beat
Interactive Metronome (IM) is a training program developed to improve processing abilities that control attention, motor planning and sequencing. IM challenges a patient to match a computer generated beat heard through headphones with repetitive actions such as tapping his or her toes on a floor sensor mat or hand clapping. By improving these skills, a patient can improve motor function, as well as many cognitive capacities such as planning, organizing, and using language.
The Interactive Metronome combines the concept of a musical metronome with a patented technology that measures, assesses and improves a person’s rhythm and timing.
Preventing Falls
Most individuals at risk for falls are not identified, assessed, diagnosed and treated until they have fallen. CAPS (Comprehensive Assessment of Postural Systems) is a computerized assessment tool that quickly and easily identifies individuals with asymptomatic balance disorders as well those who may be at risk for falls.
Using age-based norms, it provides immediate, objective quantification of risk. CAPS, which can benefit individuals with stroke, brain injury, hip fracture, joint replacement, and other neurological or orthopedic diagnoses, also provides diagnostic information to justify further treatments/testing, monitors therapy progress, and documents outcomes.