Acne: A Basic Understanding

Statistics indicate that as high as 80% of the entire American population has ever had acne. Acne afflicts all genders, sexes and ages making it a universal skin disorder. As a form of skin disease, the good news is that acne is not transmittable.

Although acne is not contagious from person-to-person, it can spread to the whole face and can severely affect all the skin tissues that have pilosebaceous units. It is not true that acne just affects those going through puberty. Even infants or individuals who may be well over their forties, can develop this skin disorder. Acne infantilis is the term used for acne that grows on newborn babies, on the other hand acne rosacea is related to middle-aged people.

Acne has different classifications, according to the severity of the infection.

Comedo is the form where all severe acne cases originate. This is characterized by red swelling or small lesions on your skin. Whiteheads and blackheads are two forms of comedo. Conversely, blackhead is an open comedo. The coloration is due to the accumulation of dark skin pigments called melanin, plus hardened sebum and other skin debris and particles. This is the basic structure of whiteheads, however, the only difference is the coloration and these are deeply situated into the skin layers.

If you have sandpaper-like skin around the tissue of your mouth and on the surface of your forehead, chin and cheeks, you probably have papules. Pus-filled lesions are also termed as pustules.

Nodules on the other hand are similar with pustules. However, nodules are firmer and are larger acne growing deep in the skin. Inflammation may develop your pustules into containing semi-liquid or liquid materials composed of white blood cells (which are dead because of the acne-infecting bacteria named as Propionibacterium acnes), dead skin cells and active or inactive bacteria. This can result into more serious acne called cysts. In such situations, you may need the assistance of a skin dermatologist or physician.

What is the cause of acne? It is quite difficult to exactly determine what may have caused your acne infection as reasons differ case to case. Studies indicate that the skin disorder may be brought about by many factors, including poor diet, stress, weather elements, and hormone changes or may be genetically influenced.

Medically speaking, acne starts from the formation of hardened sebum, or the oily substance secreted to the skin through the sebaceous glands. This then will be permeated with acne-infecting bacteria, which in return will trigger the immune system to release white blood cells to obstruct the attack of the bacteria. As this happens, dead white blood cells and bacteria will accumulate in the hair follicles mixed with skin debris and dead skin particles, which then will inflame the lesions.

Most mild case acne may be treated with over the counter acne medications. They are generally topical drugs, which you apply on your skin for acne treatment. They may come in the form of soaps, lotions, gels and creams. Conversely, systematic acne medications are taken orally. The most common of which are the antibiotics.

Knowing that you are not the only one inflicted with acne at some point in life or another helps in that there will always be new research and new products coming on stream. Continue to read up on acne research and help your fight against it.

What May Cause Back Neck Pain

Though cases of cervical neck pain is more infrequent as compared to lumbar pain, a large portion of the American population still undergoes neck pains that often come with arm pain. The majority of such cases may be healed in time without the need of medical interventions. But there are a number of symptoms that may prove to be indications of more serious cases and need immediate medical help.

One such symptom is the progressive neurological degeneration, which may manifest as weakening of the arms or loss of sensitivity and coordination of the limbs. Another sign is the sustained pain that is accompanied with unplanned weight loss, fever, shakes and chills, loss of appetite, nausea and vomiting that are signs of spinal infection or tumor.

While the majority of back neck pain does not have identifiable anatomical roots, many are closely linked to general conditions such as muscle strain and herniated vertebral disc.

Acute Back Neck Pain
The most common causes of acute neck pain are muscle strain, neck strain and strain experienced by other softer tissues such as ligaments and tendons. Neck strain is due to stiff neck caused by wrong bed position and partly due to carrying too many loads. A sudden jolt and pressure on the other hand may cause muscle strain.

Majority of minor injuries on the soft tissues usually heals a couple of days after the pain. There is good blood supply in this section of the body, which allow the circulation of protein and essential nutrients that trigger fast healing. To alleviate the pain and symptoms of back neck pain, the sufferer may use conservative methods such as physical therapy, ice or heat, osteopathic manipulation and medications.

Chronic Back Neck Pain
This form of neck pain is very much the same in effects with acute back neck pain. However, they largely differ on the symptoms. Listed below are some of the symptoms of chronic back pain:

Neck back pain that goes down to the arms
Neck pain that may be linked to certain activities
Arm pain due to lack of coordination
Neck back pain that may be felt for much longer duration of time
Neck pain that may go worse by the end of the day and in the morning

Other than these, there are a number of common symptoms that may be associated with cervical conditions. These may bring other cervical problems like wrist pain, shoulder pain, headaches and elbow pain.

Common Causes of Lower Back Pain

A large portion of the American population experiences mild to severe back pain over their lifetime. The tendency of experiencing lower back pain may increase with age, the majority of sufferers are aged 60 and above. This pain would not only end at the lower back but may spread itself over to the larger part of the spine and down to the buttocks and legs. No wonder, lower back pain is often accompanied with neck and leg pain.

The most typical cause of lower back pain is work-associated. This often goes a long way with the compensation of the worker since the efficiency of works may be impeded. Based on the information stated by the National Institute for Occupational Safety and Health, lower back pain causes more damage on employees as compared with any other physical disorders.

Lower back pain is more often focused on the lumbar section of the spine and appears in two forms: acute and chronic.

The acute form of pain occurs more quickly and is more intense as compared with the chronic pain. It lasts for several hours and is often associated with improper body postures and stances and too much physical exertion.

The chronic pain on the other hand often appears in a series of attacks with varying level of pain and severity. There is no telling what would trigger the attack and it shows no indications of ceasing.

Often, the cause of lower back pain is impairment on the lumbar section of the spine. This portion carries most of the body weight; therefore as the framework of the back, the lumbar needs to be a lot more stable and healthier. It is also where to much activity is enforced.

The back bone is comprised of complex system of ligaments, bones, tissues and muscles. When the majority of these parts are misused, the whole system may fail. Ligaments may strain, the disks may be herniated, and the muscles may be stressed, often these injuries may be the cause of severe lower back pain. Along with these issues, matters like psychological wellness, arthritis, obesity, and bad posture may be pointed as the root cause of back pain.

Though these are the general causes, there may be instances for which the cause of the pain may never be determined. Or there applies no condition for which to relate the problem. With this, the best option one may have is to get an x-ray, but even that doesn’t always guarantee the efficiency of diagnosis.

E. R. Nurses Shorthanded

This interesting article addresses some of the key issues regarding nurses. A careful reading of this material could make a big difference in how you think about nurses.

You rushed a friend at 10: 00 in the evening to the nearest hospital due to unbearable chest pain. But at the emergency department, you were greeted with a number for patients waiting to be attended to. It took 30 minutes before your friend was taken care of by the emergency nurses.

You wonder, what is this shortage about emergency nurses? Arent there enough people who would like to catch care of sick people anymore?

According to a study conducted by the researchers from Cambridge Health Alliance as reported in Health Affairs, wait times went up an average of 4. 1 percent per year for all patients. Unfortunately for passion attack patients, the wait stretched to 11. 2 percent every space. Blacks, Hispanics, womanliness and patients in urban hospitals have longer wait times that others.

So how long exactly are these percentages? For patients diagnosed with heart attacks, the waiting time in 1997 was 8 minutes, but in 2004 it rose to 20 minutes. Patients who needed attention within 15 minutes, according to the nurses who evaluated them, have to wait 10 minutes back in 1997. But in 2004, it went up to 14 minutes. Emergency room wait in urban hospitals was 30 minutes. While non – urban hospital emergency room wait is within 15 minutes.

So why are the numbers increasing?

Emergency visits rose by 78 percent from 1995 to 2003. But the number of the emergency departments to accommodate this rise fell by 12. 4 percent from 1995 to 2003. The number of patients rushing in to the emergency department to entertain medical attention can be attributed to the fact that there is an increase of underinsured and uninsured patients. The aging American population is again a factor.

According to the EMTALA or the Emergency Medical Treatment and Active Labor Act, everyone has the conscientious to be seen and attended to in the emergency department, whether they are able to wages or not. This served as safeguard for the underinsured and uninsured citizens.

There were several accounts of patients dying in the emergency room waiting area because of late waits even with critical undiagnosed conditions. Recently, a 19 year old woman died on the Kings County Hospital Center Psychiatric Emergency Department floor. The incident was recorded by the hospitals camera. It took an hour before someone took notice of the woman, but the patient was contemporary dead. The hospital was said to be understaffed.

Different measures are being taken to resolve the crisis in emergency departments and avoid unfortunate events like this. Glaringly resolutions are being directed to the Congress. Some of the proposed means to be taken are:

1. Quickly approving the $50 million in extra funding for hospitals that provide uncompensated care to uninsured patients.

2. Significantly increase a funding for tragedy preparedness in hospitals.

3. Establish an agency in the Department of Health and Human Services for emergency and trauma care, and create a demonstration program to promote a coordinated regional approach to emergency care

Dr. Andre Wilson, Chief of Emergency Medicine in William Beaumont Hospital in No problem Oak in Michigan released a toss around on the effect of the straight back approach in reducing emergency room wait time. On this approach, the patients are immediately moved from the triage to an emergency room treatment area without going through the waiting room. There is need for the tolerant to go though with the little registration procedure and have the patient chart available immediately. With this procedure, the Beaumont Hospital was said to have the satisfaction rating from their patients increased. This also thought to increase the hospitals revenues.

Hospitals are taking measures on reducing the staffing shortages their emergency gob are increasing. Emergency room nurses are much in demand nowadays to cope with the increasing number of sick patients requiring medical attention. we could have as many emergency room nurses, but the key issue is how to yield health care for everybody available at all times with minimal amount of wait.
If you’ve picked some pointers about nurses that you can put into action, then by all means, do so. You won’t really be able to gain any benefits from your new knowledge if you don’t use it.