Eric Garcia horrifying injury vs Arsenal
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Saleyha Ahsan looks at trench foot and other infections of the war. Particularly how poor wound cleansing was one of the major contributors to amputations and death.

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Do you or your child suffer from an earache? Do they get frequent ear infections or what we call otitis media? Get a doctors perspective on some simple things you can do at home as an effective ear infection treatment. Most importantly you will learn how to prevent them from happening in the first place.

Now, when we talk about treatment, it’s important to understand that there are two main types of infections that we see. One is bacterial and one is viral. When its a bacterial infection it’s called Acute Otitis Media, these are a lot less common. The second type we call Otitis Media with effusion. These tend to be viral.

Now these names don’t mean a whole lot to you, all you care about is your kid’s ear is killing them, but it makes a big difference to your doctor. Because depending on what the ear drum looks like gives us a good idea which is which. Ultimately it matters, because there are significantly different treatment approaches that we take for each of them.

So why does this matter? Well, it’s important to know because antibiotics are worthless in treating a virus. If the ear drum is red and bulging out at you then its more likely to be a bacterial infection and may benefit from an antibiotic. Now, if the ear is just red and angry looking, but not bulging out, then it’s more likely to be a virus and the antibiotic would be worthless.

Unfortunately, for you the patient, there really isn’t a way to know what you or your child have without an exam.

So does that mean that you need to run to the doctor or emergency room every time your kid complains of ear pain? Thank goodness the answer is no. So refer to my other video about when you should be seen for an ear infection.
So what are things that you can do to help you through this?

It’s important to remember, that since most ear infections are caused by a virus, your body will often clear it on its own. Because of that, most of our treatments will focus on helping with the symptoms, while your body does what it does best and fight it off on its own.

Effective measures to control symptoms that have been studied:

*OTC pain meds like Tylenol and Ibuprofen-take according to instructions on bottle, consult your doctor on how to do this, but often times can alternate taking each one every 3 hours.
*Warm compress over the affected ear and alternating that with ice. -Caution not to leave heating pad on for prolonged period to avoid burns.

Helpful but not studied:

*Laying with affected ear up
*Applying downward and outward traction on ear

Some things many may advocate using are putting things like
• Garlic oil
• Tea tree oil
• Ginger
• Olive oil

A few drops of body temperature oil in the ear can provide some relief. I wouldn’t count on it to cure a true bacterial infection but it won’t hurt and can provide some relief.
*Avoid putting drops in ear when there is drainage unless under the direction of physician.

Treatments that are not effective and can be harmful:
*Ear Candles
*Fire Cone

The most important thing to remember about any of the home remedies is that if your symptoms persist or are getting worse after a couple days then go in and get seen.

Best ways to help prevent:

• Get your kids vaccinated for both flu and pneumonia and the bacteria hemophillius influenza. These are standard common childhood immunizations.
• Wash your hands and teach your kids to wash hands frequently
• Get rid of the constant use of pacifier- In one study it showed that elimination of pacifier use decreased ear infections by 1/3
• Don’t give infants bottles to sleep with-Besides dental problems also gives increased risk for ear infections
• Stop smoking-smoke exposure for your kids increases risk of ear infections
• Breast Feed your baby at least 6 months preferably to a year

Remember, what is discussed above is for informational purposes only. This is not intended to be medical advice to you in your own situation. Always consult your own doctor for recommendations on your specific situation.
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Take a look at what Communicable diseases are, what causes them and how they are transmitted.

The National Institute for Communicable Diseases is a resource of knowledge and expertise in regionally relevant communicable diseases to the South African Government, to SADC countries and the African continent.

#CommunicableDiseases #InfectiousDiseases #NICD
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Hepatitis C, often abbreviated HCV, is a DNA virus that is most often transmitted by the sharing of infected needles. It can often lead to serious liver conditions if left untreated. Join Dr. Dominic Rowley as he explains the virus in detail.

See below for an overview of points covered in this video.

For more information please navigate to:
https://www.letsgetchecked.com/sti-testing/?utm_source=youtube&utm_medium=video&utm_campaign=Rowley_Videos_YT&utm_term=Hepatitis%20C&utm_content=video%20description

0:10 – What is hepatitis C?
0:30 – How is hepatitis C transmitted?
1:26 – Hepatitis C, symptoms and complications?
2:11 – What is the test for hepatitis B?
2:50 – How to get tested?

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Have you ever thought about the effects Hepatitis C (HCV) may have on individuals? Did you ever think about whether or not the disease can be fatal? Be sure to watch this video to make sure you find out the molecular mechanisms of the disease, symptoms, and methods of transmission in place. This video will give you insight of statistics in Canada as well as globally on cure rate, survival rate, and death rates of HCV.

Kindly click the following link for the video transcript with timestamps:
https://docs.google.com/document/d/12PP-CMdLAqx-wrPyAS-_xfFUS7dvye2T293T2RM9Aao/e dit?usp=sharing

This video was made by McMaster Demystifying Medicine students: Abdel-Rahman Mohamed-El Faki, Maiura Muralitharan, and Mansi Patel in collaboration with the McMaster Demystifying Medicine Program.

Copyright McMaster University 2020

References:
1. Canada, P. (2018, June 07). Government of Canada. Retrieved November 08, 2020, from
https://www.canada.ca/en/public-health/services/reports-publications/canada-communic able-disease-report-ccdr/monthly-issue/2018-44/issue-7-8-july-5-2018/article-7-hepatitis- c-canada-2018-infographic.html
2. Canada, P. (2020, August 14). Government of Canada. Retrieved November 08, 2020, from https://www.canada.ca/en/public-health/services/diseases/hepatitis-c.html
3. Commissioner, O. (n.d.). Hepatitis C Treatments Give Patients More Options. Retrieved November 08, 2020, from https://www.fda.gov/consumers/consumer-updates/hepatitis-c-treatments-give-patients- more-options
4. Carrat, F., Fontaine, H., Dorival, C., Simony, M., Diallo, A., Hezode, C., … & Zoulim, F. (2019). Clinical outcomes in patients with chronic hepatitis C after direct-acting antiviral treatment: a prospective cohort study. ​The Lancet,​ ​393​(10179), 1453-1464. doi: https://doi.org/10.1016/S0140-6736(18)32111-1
5. Gale, M., Blakely, C. M., Kwieciszewski, B., Tan, S. L., Dossett, M., Tang, N. M., … & Katze, M. G. (1998). Control of PKR protein kinase by hepatitis C virus nonstructural 5A protein: molecular mechanisms of kinase regulation. ​Molecular and cellular biology​,
18(​ 9), 5208-5218. doi: 10.1128/MCB.18.9.5208
6. Ghany, M. G., Marks, K. M., Morgan, T. R., Wyles, D. L., Aronsohn, A. I., Bhattacharya, D., … & Heller, T. (2019). Hepatitis C guidance 2019 update: AASLD-IDSA recommendations for testing, managing, and treating hepatitis C virus infection. Hepatology​, ​71​(2), 686-721. doi: 10.1002/hep.31060
7. Hepatitis C Symptoms. Diagnosing Hepatitis C – ALF. (2020, March 10). Retrieved
November 08, 2020, from https://liverfoundation.org/for-patients/about-the-liver/diseases-of-the-liver/hepatitis-c/dia gnosing-hepatitis-c/
8. Hepatitis C Treatment. Treatment for Hepatitis C Info – ALF. (2020, April 13). Retrieved November 08, 2020, from https://liverfoundation.org/for-patients/about-the-liver/diseases-of-the-liver/hepatitis-c/trea ting-hepatitis-c/
9. National Progress Report 2025 Goal: Reduce reported rate of hepatitis C-related deaths by ≥20%. (2020, August 11). Retrieved November 08, 2020, from https://www.cdc.gov/hepatitis/policy/NationalProgressReport-HepC-ReduceDeaths.htm
10. Khatun, M., & Ray, R. B. (2019). Mechanisms underlying hepatitis C Virus-associated hepatic fibrosis. ​Cells,​ ​8(​ 10), 1249. doi:​ ​https://doi.org/10.3390/cells8101249
11. Owens, D. K., Davidson, K. W., Krist, A. H., Barry, M. J., Cabana, M., Caughey, A. B., … & Ogedegbe, G. (2020). Screening for hepatitis C virus infection in adolescents and adults: US Preventive Services Task Force recommendation statement. ​Jama​, ​323​(10), 970-975. doi: 10.1001/jama.2020.1123
12. Schillie, S., Wester, C., Osborne, M., Wesolowski, L., & Ryerson, A. B. (2020). CDC recommendations for hepatitis C screening among adults—United States, 2020. ​MMWR Recommendations and Reports​, ​69(​ 2), 1. doi: 10.15585/mmwr.rr6902a1
13. van de Laar, T. J., van der Bij, A. K., Prins, M., Bruisten, S. M., Brinkman, K., Ruys, T. A., … & Jurriaans, S. (2007). Increase in HCV incidence among men who have sex with men in Amsterdam most likely caused by sexual transmission. ​The Journal of infectious diseases,​ ​196(​ 2), 230-238. doi: ​https://doi.org/10.1086/518796
14. Vescovo, T., Refolo, G., Vitagliano, G., Fimia, G. M., & Piacentini, M. (2016). Molecular mechanisms of hepatitis C virus–induced hepatocellular carcinoma. ​Clinical Microbiology and Infection​, ​22(​ 10), 853-861. doi: ​https://doi.org/10.1016/j.cmi.2016.07.019
15. Zeisel, M. B., Fofana, I., Fafi-Kremer, S., & Baumert, T. F. (2011). Hepatitis C virus entry into hepatocytes: molecular mechanisms and targets for antiviral therapies. ​Journal of hepatology​, ​54​(3), 566-576. doi: ​https://doi.org/10.1016/j.jhep.2010.10.014
Credits:
The HCV life cycle animations were adapted from

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Vitamin D. This weeks video is on Vitamin D Foods. Vitamin D Deficiency Symptoms. Vitamin D Supplements, Benefits.

00:00 Vitamin D
01:09 Where does Vitamin D come from?
03:22 Vitamin D Foods
05:21 Vitamin D Deficiency Symptoms
06:18 Vitamin D Supplements

One of my favourite notifications is your comments and as you may already know more often than not I’ll get back to you with a reply and heart. If you’d like more information on any of the questions I’ve answered or have a question, then let me know so I can try and either dedicate a video to it or get back to you in next months responding to your comments.

VITAMIN D:
Vitamin D helps regulate the amount of calcium and phosphate in the body.

These nutrients are needed to keep bones, teeth and muscles healthy.

A lack of vitamin D can lead to bone deformities such as rickets in children, and bone pain caused by a condition called osteomalacia in adults.

For more information about Vitamin D – https://www.bda.uk.com/resource/vitamin-d.html

VITAMIN D AND SUNSHINE:
Unfortunately, the amount of Vitamin D your skin can make from sunlight varies a lot. It depends on your skin tone and how long you spend in the sun. Therefore I do not recommend that this is the only way you get Vitamin D.

Remember, UVB rays in sunlight cause skin damage and skin cancer – so do not depend on the sun for your Vitamin D – it is simply not worth it!

Sunscreen is really important and if you’re ever unsure about which sunscreen to wear and the science behind it the good news is I have a video on this already – https://www.youtube.com/watch?v=Lf5vsdcJMzQ

VITAMIN D FOODS:
Your next best source of Vitamin D is food. Foods high in Vitamin D include egg yolks and oily fish like salmon. Here’s a really useful page with a good list of Vitamin D foods – https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/
Let me know what you find in the comments below!

You might have heard of foods “fortified with Vitamin D” – this means Vitamin D has been added to the food during the manufacturing process . Fortified foods include cereals, fat spreads and non-dairy milks.

In the UK, cows’ milk is generally not a good source of vitamin D because it is not fortified, as it is in some other countries.

Here’s a fun fact for you: You can now get super mushrooms that have been treated with UVB rays to make them high in vitamin D! Tomatoes, potatoes and peppers claim to be high in Vitamin D but sadly that’s not true.

VITAMIN D DEFFIECNY SYMPTOMS:
Symptoms of a Vitamin D deficiency include feeling tired and weak. You might also experience muscle and joint or bone pains.

Vitamin D deficiency in children causes rickets – also known as soft or bendy bones, and in adults this is known as osteomalacia. For more information on this – https://www.nhs.uk/conditions/rickets-and-osteomalacia/

PEOPLE AT RISK OF VITAMIN D DEFICIENCY:
As mentioned in the video some people will not get enough vitamin D from sunlight because they have very little or no sunshine exposure.

The Department of Health and Social Care recommends that you take a daily supplement containing 10 micrograms of vitamin D throughout the year if you:

• Are not often outdoors – for example, if you’re frail or housebound
• Are in an institution like a care home
• Usually wear clothes that cover up most of your skin when outdoors
• If you have dark skin – for example you have an African, African-Caribbean or south Asian background – you may also not get enough vitamin D from sunlight.

You should consider taking a daily supplement containing 10 micrograms of vitamin D throughout the year.

Want to see more videos about everything health and pharmacy? Let me know in the comments below. Subscribe for new videos ▶https://www.youtube.com/c/AbrahamThePharmacist

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ABOUT ME:
Prescribing Media Pharmacist | Extreme Optimist | Bringing Science Through New Videos Every Week – Monday 4PM(GMT).

I’m a prescribing media pharmacist who loves science, making videos and helping people. I work in both GP surgeries and community pharmacy.

DISCLAIMER:
This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Abraham The Pharmacist has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions.
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Just say I didn’t make the video lol.

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Inside the warehouse of Pharmapacks, a company that took on Amazon and eBay by constantly changing prices to get consumers better deals.
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Consumers are shifting their spending from in-store to online making an e-commerce presence critical for businesses to stay afloat. Many businesses are relying on platforms like cloud-based Shopify, which has jumped 73% since the WHO declared a pandemic in mid-March. Shopify powers sites for 1 million brands, including Allbirds, Staples and PepsiCo. Harley Finkelstein, Shopify chief operating officer, joins “Squawk Box” to discuss.

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UCLA-Mellinkoff Gastroenterology and Hepatology Symposium
March 6-7, 2020
Learn more about the UCLA Vatche & Taman Manoukian Division of Digestive Disease at www.uclahealth.org/gastro
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