Face Lift and Neck Lift (Cervicofacial Rhytidectomy)

Over time, factors such as repetitive facial motions and the effects of gravity can contribute to signs of aging in the face and neck. Skin becomes loose, wrinkles form, facial fat pads descend and muscle banding begins to show in the neck. These signs are often out of proportion to a person's overall health and how an individual feels, acts and lives.

A face lift surgically reverses some of the visible signs of aging. Though the improvement is only temporary, it offers many aesthetic benefits to men and women who seek it. The procedure repositions facial fat, tightens superficial muscle and removes excess skin using incisions around the ears, sideburns, scalp and under the chin.

In addition, muscle bands in the neck can be addressed in many individuals. Unfortunately the effects of gravity, which begin immediately after surgery, make the improvement incurred only temporary. And complete elimination of aging signs can not be achieved through this procedure. This procedure can offer significant visible improvement however.

Patients often describe themselves as looking "more rested" and more youthful after the procedure. Face lift surgery is often combined with other procedures, such as eyelid surgery (blepharoplasty), forehead lift (brow lift) or facial resurfacing for a more complete aesthetic renewal.

The Consultation

Initial consultation should typically take 45 minutes to an hour. Your plastic surgeon will use the initial consultation to obtain a medical history, examine the patient and thoroughly discuss his or her concerns and goals. He will also discuss my observations and recommendations for treatment as well as skin care preparation of the skin for the procedure.

The examination assesses such issues as bone structure, brow position, forehead contour, and eyelid appearance. Chin position, skin changes and degree of soft tissue descent in the face are also evaluated, as well as degree of fat and skin redundancy and muscle banding within the neck. After examination, he can discuss observations and make recommendations regarding potential treatments.

Because each patient is unique with his or her own individual taste, only certain signs of aging may be bothersome to a particular person. It is through careful pre-op consultation that he will understand how to individualize a treatment to suit the needs of an individual patient.

The Surgery

The procedure should only be performed in an accredited surgical facility and anesthesia administered only by board certified anesthesiologists. Though the procedure can vary for individual patients, it usually involves tightening of superficial muscle and muscle cover and removal of redundant fat and skin.

Re-approximation and division of the neck muscle bands may also be performed to decrease their visibility. Sculpting of the neck by removing excess skin and fat may also be performed if needed. If desired, other procedures such as chin augmentation, eyelid surgery (blepharoplasty) or a brow lift may be performed at the same time.

The Recovery

To decrease post-operative discomfort, local anesthetic will be placed to the face, scalp and neck and before the surgery. Other post-op pain is generally well controlled with a cooling mask and oral pain medicine. Patients usually spend 1 to 2 nights in a post-op facility for safety and comfort. Though ambulation is encouraged the first night, any strenuous exercise should not be done for at least 3 to 4 weeks following the procedure. For safety's sake, patients should not drive until oral narcotics are no longer required for pain.

Though many patients can note an aesthetic improvement their face by the end of the first week, it typically takes at least 2 to 3 weeks for most of the swelling and bruising to disappear. Healing of the scars tends to continue for 1 to 2 years. For the first month, many report tightness of the skin, though this will be eliminated though natural stretching of the skin. It should be noted that takes some time for most patients to become accustomed to their new appearance.

What Are Some Of The Particular Concerns Regarding Face Lift Surgery?

Though face lift surgery offers many benefits most patients love, there are some important considerations to take into account before undergoing the procedure. For instance, a change in facial appearance will occur which potential patients must be ready for. And though the purpose of a face lift is to achieve an improved, natural-looking appearance, if the tissues are pulled too tightly, an unnatural result is achieved.

On the other hand, if they are not pulled tightly enough the effects may not be as great as the patient wants. Walking the "tightrope" to achieve the best results, a good surgeon would prefer a "less pulled" rather than a "more pulled" result for his patients. Scarring should also be considered. While scars do fade over 1 to 2 years, they never disappear completely.

The risk of temporary or permanent injury to facial nerve branches are also inherent to the procedure. It should be understood that these injuries can result in an inability to move areas of the face, forehead or neck. Though this effect is generally temporary, it can be permanent. Poor healing can also occur, particularly in smokers. It essential patients stop smoking for at least one month before the procedure and for at least 2 weeks after.

Making the decision

Every surgical procedure has its benefits, risks and limitations. It is important potential patients become as informed as possible about all these benefits and risks before undergoing the procedure. By using pre-operative consultations to ask questions and express concerns, an individual can determine whether undergoing face lift surgery is right choice.

Commercial LULA Elevators

Commercial LULA elevators, or Limited Use Limited Access elevators, are practical solutions for meeting accessibility challenges of old and disabled people. These are designed to provide speedy access to multi-storied commercial buildings more conveniently and safely.

Only a limited space is required to install LULA elevators, and often they require lesser pit area. These mobility equipments are perfect for use in hospitals, schools, lodges, railway stations, airports, churches, clubs, meeting halls, and more.

A Wide Variety of Designs and Features

Nowadays, you can find a wide range of LULA elevator models in varying designs, speed ranges, and finishes. Each has its own set of features, emphasizing functionality and efficiency. Most of the models come with standard features such as electromechanical interlocks, automatic controls, emergency light and alarm, handrails, manual or automatic entrances, overspeed governor, car top inspection station, plastic laminated cab panels, stainless steel control panel and trim, and more.

Best Option for Commercial Buildings

The Orion LULA elevator is a popular model manufactured by Savaria Concord. This is a heavy-duty, fully enclosed model, designed for use in low-rise commercial buildings comprising two to four floors. It has all the essential features similar to that of a high-rise mobility system. This model has added safety features such as flow control valve, backup lighting, interlocks, slack rope safeties, negative pressure module, and more.

Yet another popular model in the category of Limited Use/Limited Application elevators is the Serenus LULA elevator, manufactured by Federal Elevator. This model is best suited for small-scale use by persons having mobility problems and physical disabilities. This model comes equipped with fully automatic two or three speed horizontal sliding doors. Apart from these, it has many standard features, which make this model the most desirable and user friendly solution for easy accessibility.

Cake Plates

Plates are the concave shaped but flat dish items on which food is served. You can not miss them in homes, restaurants, and in parties. Made from different materials, we are faced with a wide variety form which we can choose according to our needs, tastes and preferences. It is also good to consider the purpose for which the plates will be used as mismatch of the function and the type of plate used can look awkward. It is therefore necessary that we note that there are plates made of plastic, ceramic materials like porcelain and stoneware, paper and glass. All of them are appropriate for use in different ways and settings.

The cake plate is used for serving special types of cakes, other than the normal cakes we consume in our day to day lives. The shape, design and size of the cake plate should be dictated upon by the size, design and style of the cake or dessert that you are serving. Small plates for example, will be perfect for serving cookies and not a birthday cake.

Depending on the size of the plate, you could make all sorts of funny, but good-looking arrangements of the cut-up pieces of cake. This will add a spark and a touch of elegance to the whole plot. As a rule of thumb, you should always ensure that you have more than one cake in the house and if possible, they should be of different styles and decorations, especially if you are throwing a party.

If you have to store any left over pieces of cake, you could consider having those types of cake plates that are specially made for storage and preservation. Most of them are made of stainless steel and plastic and are easy to find in the market.

Information on Portable Electric Stoves

A portable electric stove can be used for many different purposes, and they are a lot more common than people think. The main reason that a person would want a stove is if they lived in a small space where there is not enough room for a full sized cooker. A electric stove is a very compact device that can be used for heating foods and cooking foods, too. Another reason why a person many want a stove is for a camping holiday where there is access to electricity. Let's take a look at some of the different stoves on offer.

One portable stove that you might want to take a look at is the Aroma AHP303 One Burner Hotplate. The great thing about this particular portable electric stoves is that it is incredibly affordable. However, there are a few downsides to this particular portable electric stove. For a start, it is only one hub meaning that you will only be able to cook one thing at once, or heat up one thing at once. However, it is perfect for cooking or heating up simple things such as soups and sauces, which are great foods when it comes to camping.

There are any different places in which you will be able to buy stoves. If you are looking for a portable electric stove to take camping with you then there are a few different places that you can try. The first place that you should try is a camping supplies store in the area near you. This is where you will be able to purchase, usually at a very affordable price. There are some more expensive models, but if you do not camp on a regular basis then it is probably wise to go for a cheaper model so that you do not end up wasting money.

If you have not been able to find a portable electric stove at your local camping supplies store then there are still other options available to you. The best thing that you can do, if you have access to the internet, is to go online. If you take a look, you will see that there are hundreds of different websites that specialize in portable electric stoves, and also many different websites that specialize in camping equipment. However, you should be aware that if you are going to purchase your portable electric stoves over the internet then you are probably going to have to pay shipping and handling fees which could be expensive due to the weight of the object.

Commercial Induction Cookers – For the Professional Or Home Kitchen

A commercial induction cooker can hold its own in the demanding environment of any professional kitchen. Professional chefs, short order cooks, restaurant owners, catering businesses, cooking schools — all can benefit from the fantastic performance offered by a good commercial-grade induction cooktop. They are the perfect choice for many specific applications, as well as in the midst of a busy professional kitchen.

Chefs who are used to cooking on a gas range may find an induction cooker strange at first, but a few days (or just hours) of experience will convince any chef that this appliance is here to stay! Every chef wants a cooker that offers precise control and a fast response time — which is why gas has ruled the professional kitchen for so long. Radiant electric elements are much too slow, and cannot be adjusted with the precision needed to manage the preparation of multiple dishes of various types. But the advent of the commercial induction cooker has brought this form of electric cooktop to the forefront where it belongs.

Quite simply, induction cookers provide faster response times and more precise temperature control than any gas range. Add to that an 80-90% efficiency rate, superior safety, a whole range of available performance-enhancing features, together with ease of use and maintenance, and you have a kitchen appliance that makes good sense!

Perhaps you need a dedicated cooking station within your professional kitchen, or an appliance for a front-end cooking station where the public is going to see the cooker in action. Induction cookers are sleek and attractive, easy to keep clean, and very safe for use in situations where your clientele may get quite close to the appliance. You can choose a single or dual zone unit, have it built-in or go with a portable model, and get exactly the wattage you need for your specific application.

Another place where commercial induction cookers really shine is at catered events where you need a portable unit that can be used to prepare full meals and to keep dishes warm without ruining them. They fit the bill perfectly for cooking shows or competitions, demonstration events, or as the primary appliance for businesses that specialize in catering with on-site food preparation.

If you specialize in wok-based cuisine you’ll be thrilled to discover that you can get a commercial induction wok-cooker, where the zone itself is shaped to accept a wok. The entire bottom half of the wok itself becomes your cooking surface — how cool is that! With faster cooking times and a more responsive cooker, it becomes that much easier to time dishes that have to be just right when they leave the kitchen.

But don’t think that a commercial induction cooktop is only for a professional chef. On the contrary, these appliances can be the perfect choice for places like community center kitchens, church kitchens, daycare centers, soup kitchens, etc. In all of these situations, where there may be many different people working in the kitchen from day to day, with a wide range of experience (or lack of experience!), the safety of induction cookers is a huge bonus. Add to that the convenience, ease of use and easy cleanup — and you have a recipe for the perfect appliance.

Commercial induction cookers can work well in the home, too. If you have a large family or do a lot of entertaining, run a part-time home catering business or just plain love to cook a lot, then you might want to consider this option. Built to professional standards, commercial induction cooktops are very rugged; if you choose a good brand you can expect many years of reliable service. You will pay more than you would for a residential model, so you have to decide whether that is an investment you want to make. But if you’re a big fan of Oriental dishes and “wok-cooking” is your middle name, then you might be quite happy to invest in an induction wok-cooker; it’s a tool you’ll love to use every day.

No matter what your particular situation, there is a commercial induction cooker that can meet your needs. A small amount of homework will help you to identify well-known brands that have a good reputation; and make sure you look into specific features — whether for convenience, performance or safety.

Problems With Acrylic Bath and Shower Panels

Most acrylic bath and shower panels look great at your local home improvement center or lumberyard. They come in a variety of shapes and sizes and some of them even come in different colors. They look great, but what I’m about to tell you, might influence your decision when thinking about installing one of them in your bathroom.

I have installed quite a few of these acrylic bath and shower panels over my years of bathroom remodeling and I have seen others install them. Most of these products are made from plastic or acrylic materials and some of them are even made from wood.

I don’t ever recommend installing wood-based products, in areas like your bathtub or shower surround. Areas that get a lot of water on a regular basis, could cause these wood-based products to start expanding and disintegrating.

I haven’t had good luck installing some of these acrylic, plastic or wood-based product tub and shower surrounds. It could actually be the installer and I would be willing to accept all of the blame, if that was actually the case. I have installed these products, following the directions and ignoring them, with similar results.

I have installed the cheaper bath tub and shower surrounds and I’ve installed the expensive ones. Some of the more expensive ones, seemed to be made with thicker plastic and seemed to be a little more durable than the bath tub and shower surrounds that are made from thinner plastic.

The only advice that I can give you, when choosing one of them, would be to buy the more durable bath tub or shower surround system. These will usually be made from thicker plastic or acrylic-based materials.

Make sure that you read the manufacturers recommended cleaning procedure and maintain this product regularly. Sometimes when removing the old plastic bath and shower surrounds, I find mold and mildew underneath them.

How Can Hardiplank Fiber Cement Lap Siding Help You With Your Siding Problems?

Fiber cement otherwise know as Hardieplank is a very popular siding product in Seattle it isa great alternative to Lp, Maisonite, or Weyehauser exterior building materials. This is largely because of the durability of the product. It is one of the few ways to have the appearance of wood without the headaches that come with the real thing. The steady rains in the Pacific Northwest demand that a siding product have a water-resistant surface, and Hardieplank siding does. It also is resistant to bug infestations and fire, and lasts for a half century or more. Hardieplank siding is actually made from cellulose fiber, sand and like it's namesake, cement.

Is fibercement siding cost effective?

While fibercement siding costs more than vinyl, it is still less expensive and lower maintenance than most other options such as cedar. Stucco for example, is a great deal more expensive than Hardieplank siding yet does not last as long. In comparison to other expensive siding options, Hardieplank siding stands up very well.

Putting up the material is very similar in installation to vinyl and cedar siding and other types of outdoor coverings. It is installed into wall studs and has a weather barrier in between. The siding is fairly easy to work with but can be challenging to cut at times due to dust and crumbling. This dust can be controlled by using specific tools to cut the siding. Overall, it is very similar to other types of Seattle siding.

What are the benefits?

There are many, but the most popular one is the resemblance to wood without the headaches and deterioration of the real thing. Wood is susceptible to pests, rot and fire just to name a few things. Hardieplank is not.

The great thing about this material is its also very affordable as mentioned above when you consider that it is built to last for nearly 50 years at least. The maintenance and upkeep is very easy, as cleaning it requires little more than soap and water. All of these benefits combine to make fiber cement siding a Seattle siding favorite.

When you consider the various selling points of this material, it is quickly apparent that it is a leading option among those consumers that want an affordable, yet sturdy siding option. Also, it is a number one choice among the many people that want the appearance of wood, while keeping the convenience of Hardiplank. In the Pacific Northwest, it is of particular popularity because of the weather resistant nature of this siding.

Pay Less For More Health Coverage – Medical Insurance Tips

When an individual wants to buy a health insurance plan what he or she thinks about is how to go about it. The very first step to take is to know the types of health plan available, then study each and every one of them before making a choice. The health insurance market has four major plans. They are the indemnity, the POS plan, the HMO plan and the PPO plan. These four plans have different options which are given below.

With the indemnity plan, you have the privilege of choosing your physician. This type of insurance plan covers the medical bills of the patient in the hospital. It is known to be the most pliable health insurance plan. The problem with it is that there are a lot of documents or papers to fill and sign and it is very expensive. But the POS plan which is also called the point of service provides a list of all the available doctors to you and leaves you to choose from the list. The doctor or physician you decide on must come from that particular list or no doctor at all.

HMO is health maintenance organization. With this plan, you have a monthly payment for your insurance. This plan has low insurance rates. You are entitled to be treated from variety of hospitals situated anywhere in the United States. It has its own restrictions like you not being able to choose your own physician but this plan is very cheap and affordable. The PPO which is the preferred provider organization requires monthly payment which gives you the opportunity to receive services from the organization’s hospitals and physicians. You choose your own doctor but from the organization but if you desire any doctor that is not from the organization, you have to pay an extra fee to your monthly payment.

When you are through with studying the four health insurance providers, you try to get the company’s quote. You either get the quote from an agent or through the internet. If you go through an agent, he provides you with quotes from different companies. With this quotes you choose the best plan that suits you. Make sure you check the coverage that it offers, the cost deductibles, co- pays, premium rates etc. to get the quotes, and you fill forms from the internet which requires your personal data. Shopping for health insurance plan makes you familiar with the necessities of a policy and the knowledge on the best plan that suits you. Don’t you think it is easy to get a health insurance plan?

Where To Get Free Health Quotes From Trusted Websites?

Why Handrail Brackets Are Essential

When using rails of various type from the hand, foot and stair rails, brackets are a must. These brackets function as support to the tubing so it won’t fall and could serve its purpose well.

Handrails can be used in different places such as the stairs, bathrooms notably at the tub area and at home as well as commercial bars. These fixtures are meant to provide comfort and support to people who may need something to hold on to in order to keep their balance while standing, ascending or descending a staircase.

To keep it sturdy, this wall fixture makes use of screws. This is to enable them to handle the weight of people as they hold on to it for support. It won’t serve its purpose unless it is attached to the wall through the wall studs if possible.

Ideally, a handrail should be strong enough to support 250 pounds of weight. Did you know that every year, about one in three older adults fall mostly in their homes? For older folks, a fall can have an adverse effect on their mobility or worse, can cause their death.

It used to be that handrail brackets were just the plain type. Today, though, apart from the traditional types, there are a wide range of decorative ones to choose from that suit every personal style. Materials have also advanced and now besides wood, there’s the stainless, aluminum, wrought iron and brass available on the market. And other than the materials and styles, they also come in different textures and finish such as the polished brass and chrome, satin, satin nickel, satin chrome, antique nickel and oil rubbed bronze.

Brackets usually come with screws and when used in handrails, they are installed differently. For instance, the decorative types featuring animal heads designed with a ring can be installed to the wall by securing the screws located in the head part while the tubing can just be inserted into the ring part.

The plain and simple type, on the other hand, uses at least three screws. The three are secured to the wall while the other two are secured to the tubing to keep it in place.

Experts recommend using round tubing for handrails. Compared to other designs, a round type with just the right diameter is more comfortable to hold on to and will fit anybody’s hand better.

As far as height is concerned, handrails should be installed at least 34 inches from the floor. This is the ideal height for adults but for children, a lower height is necessary.

Keep in mind that when installing handrails especially on stairways, you need to follow the building codes specific in your area. There are rules to follow concerning height for kids and adults, distance from the wall, the number of brackets to use and the distance of each bracket.

If you’re after using decorative brackets, make sure that they match the material of your tubing. Installing them can be a do-it-yourself project or you can get the assistance of a professional carpenter if you wish.

Lego Darth Vader – An Iconic Lego Figurine For 10 Years and Still Going

The Lego Group had humble beginnings in the workshop of Ole Kirk Christiansen, a carpenter from Billund, Denmark. In 1916, he purchased a woodworking shop in Billund which had been in business since 1895. His workshop burned down in 1924 when a fire, lit by two of his young sons, ignited some wood shavings. Ole 'Kirk took the disaster as an opportunity to construct a larger workshop, and worked towards expanding his business even further.

It was in 1934 that the company name Lego was used following a contest held amongst the staff members. Later the Lego Group discovered that "Lego" can be loosely interpreted as "I put together" or "I assemble" in Latin.

The Lego Star Wars series was introduced in 1999 and has been continually added to since then. The Lego line of toys began with figurines and vehicles from the trilogy (Episodes IV-VI). Since then new sets and releases have been added to cover the earlier prequel trilogy (Episodes I-III).

All the main elements of the Star Wars movies have been recreated in Lego form. The characters are typical Lego figures with square heads and bodies. Variations in color and the headwear and costumes help to distinguish the characters. Since there is wide variation in the size, shape and heads of many star wars characters, Lego made special molds for the heads which are true to the characters. Original molds were created for the Lego Star Wars line. Darth Vader is a good example of this. Star Wars would not be the same without the light sabers so Lego made these also.

One of the first lego minifigures to be released was lego Darth Vader in 1999, there are several versions but the most common is the one of LEGO's first version. (Before the 2009 redesigned torso). A red version of Darth Vader's helmet was produced and sold by Lego, however it was not included in any sets. This version was available via BrickLink but has since been removed from their item listings.

Anakin Skywalker is a Star Wars minifigure that has been released in six different versions and was first seen in The Phantom Menace sets in 1999. He also becomes Darth Vader in the Episode III set 7251 Darth Vader Transformation produced in 2005. Some versions have been released with different accessories.

– (Padawan) (with and without cape)
– Jedi Knight (Original one from Episode III and burned Anakin with no hair
– Anakin Skywalker Jedi Knight (Original one from Episode III and burned Anakin with no hair
– Figurine with light-up lightsaber and Anakin Skywalker (Clone Wars)

Lego Darthvader features in a number of lego sets, including Tie fighter sets, Final Duel 1, Tie Fighter advanced, imperial inspection, darth vader transformation, imperial star destroyer, rogue shadow and death star.

The 4547551 Chrome Darth Vader is a bag containing the Chrome Darth Vader minifigure Alongside LEGO Star Wars' 10th anniversary, LEGO produced Chrome Darth Vader minifigures to promote the event. 10,000 were randomly inserted into 2009 Star Wars sets in the US. (Differing to LEGO's 2007 Gold C-3PO promotion for Star War's 30th anniversary, it was decided to include the battle packs in the list of sets that these special minifigures would be inserted into.) They were also given away as promotional in some stores, or with a purchase of Lego Star Wars in other countries. There was also a toy fair in new York in 2009 containing the chrome minifigure.

Indeed, Star wars Lego has been one of the real success stories of the lego series, with lego darth vader being a favourite with both adults and children alike.

Network Switch – The Basics

The network switch plays an integral role in enterprise and home networking, yet many people confuse what the purpose of the equipment is, and how it differs from a router. I decided to write this blog post to explain the basics of the switch – from different types, to vendors for purchasing them.

A brief overview of network switches

A network switch is a type of computer networking hardware that bridges network segments. It is sometimes referred to as a packet switch or simply a switch. The switch plays an important component in most local area networks (LAN), including mid-to-large enterprise networks which utilize several linked managed switches.

A switch is far less sophisticated than a router. Although routers and switches look fairly similar in appearance, routers differ substantially in their internal components.

Types of network switches

Unmanaged Switches: This is typically the least expensive type of switch, most often found in homes or small offices. They are very simple, employing plug and play technology, lacking any specific configuration options

Managed Switches: Managed Switches provide optional configuration options and allow for a great variety of functionality. There are several ways to operate these switches, from utilizing a remote tool like Simple Network Management Protocol (SNMP), to accessing the switch via a command line interface like Telnet.

  • Smart Switches: Smart switches differ from fully managed switches in that they only allow a specific set of modifications and functionality. Because users can only configure basics settings, they are often cheaper than the fully managed breed. Some basic functions often found on a smart switch are turning some particular port range on or off, link speed and duplex settings and priority settings for ports
  • Enterprise Managed Switches: Enterprise switches are the more configurable and expensive version of managed switches. They are most often found in enterprise networks among several other switches. They are more efficient for large business where accessing a central administration module can save time and money. Some advanced functions for enterprise switches are VLAN settings, link aggregation and port mirroring.

Buying switches

There are several brand name switch manufacturers that provide competing and differentiated products, including Cisco, 3Com, and Alcatel. While switches can be purchased out of the box from online retailers, one way to save money is to find a used switch from an online reseller. A business purchaser can often save thousands of dollars purchasing used cisco or other brand name network hardware.

If you do decide to go the route of an online reseller, be sure to check for several qualifying factors to make sure they are a good fit. One factor is a good warranty, as it is always a risk to buy used equipment. Another is significant discounts (at least 50%) off of retail pricing. The third factor I recommend seeking in an online network hardware vendor is good customer support. The ability to speak to a human being for help with your purchase is underrated.

I hope this 'basic switch support' post helps out those that are confused or looking for a way to purchase a switch.

ADHD – What is it All About?

ADHD stands for Attention Deficit Hyperactivity Disorder. Where does it come from? How do you 'get it'? Who 'gets it'?

There are a lot of questions to ask regarding ADHD.

First of all, let me clarify that my use of the abbreviation as ADHD amalgamates ADD and ADHD. Actually, ADD is now no longer diagnosed, only the term ADHD is used.

As the only major differentiator of ADD and ADHD is the Hyperactivity component, it is simpler to combine the two into ADHD.

Although children with ADHD can show symptoms by age 4, it is not until they go to school that the condition becomes obvious.

Once children go to school, the strict social demands make an ADHD child stand out.

Research estimates that between 3 – 5% of school-aged children have been diagnosed with ADHD, but that many more exhibit the symptoms and have not been diagnosed.

The condition is more prevalent in boys and girls.

Possible causes of ADHD

1. Heredity

ADHD tends to run in families. A child with ADHD will mostly have a parent, sibling, grandparent or other family member with a similar history.

Having made this point, it is VITAL that at NO time is blame placed upon any member of the family for your child having this condition.

This would serve no beneficial purpose and would do more harm than good.

2. Pre- during- or post-natal complications

Trauma to the developing foetus may have caused brain injury or abnormal brain development. This could have been the result of foetal exposure to tobacco, alcohol, or high lead levels.

Again, blaming anyone would be FUTILE.

Taking responsibility by doing everything to help the ADHDer develop into a happy and healthy adult is much more beneficial.

3. Certain medical conditions and illnesses

For example, the medical condition of hyperthyroidism, and the illness, encephalitis which affects the brain could be the cause.

4. Neural issues

o Deficiency or inefficiency of neurotransmitters (brain chemicals) in the frontal lobe of the brain

o Reduced ability to metabolise glucose (the main source of energy) in the frontal lobe

o Less brain activity in the frontal regions of the brain as a result of less blood flow. Research is finding that different locations in the brain are also affected

o Possible structural differences in the brain

5. The childs environment

o Factors in the child's environment affect controlling symptoms of the ADHD condition, although they do not cause it

o These factors include: diet, supplements, food additives and colours, sugar, behaviour control techniques, concept of self-worth, the harmony of the family environment, stress management, disciplined routine strategies, learning strategies, school support, professional support, and so on

It would appear that ADHD, in itself, is a life-long condition.

However, although the symptoms continue to exist they can be managed through concerted efforts on the part of parents, professionals and everyone else in the life of the ADHDer, so that the child learns how to manage the symptoms and live a fulfilling, happy life.

Who Are the Top 10 Real Estate Agents in Maine?

Buying home property in Maine requires skill and experience. With so many fine properties, including apartments, condos, houses, townhouses and mansions to choose from, the top ten real estate agents in Maine have that edge that both buyers and sellers are looking for. When you are choosing to work with an agent, one must consider a prospective agent's specialty, territory, and experience.

Working with a real estate agent that specializes in office space rental would, of course, be a poor choice if you are looking for a single family colonial with water frontage. The following top ten real estate agents in Maine have been shown by their reputations and experience to have the know-how that people are looking for. Their service and area coverage serve the entirety of the state of Maine:

  1. Jan Jacques of Keller Williams Realty in Auburn – serving Auburn, Lewiston, Lincoln and mid-Maine
  2. Earle R. Kenney of Sprague and Curtis Realty in Augusta – serving Augusta
  3. Joan Osler of Town and Country Realtors in Bangor – serving Bangor
  4. Sue Spann of RE / MAX Riverside in Brunswick – serving Brunswick
  5. Scott Horty of Camden Real Estate Company – serving Camden
  6. Ron Morton of Prudential Northeast Properties in Ellsworth – serving Ellsworth
  7. Helen Curry of Kennebunk Beach Realty Inc.- serving Kennebunk
  8. Lori Garon of RE / MAX By the Bay in Portland – serving Portland
  9. Sandy Gagnon of Key Realty on Presque Isle – serving Presque Isle
  10. Diane Garcell of ERA Webb Associates in Augusta – serving Augusta

The House That Feng Shui Built

Building a home is an exciting time. It gives you the chance to create every-thing you want in a living space. But when you want to have a new home and good feng shui, where are your priorities? Should it be the house plan or where you place the rooms? The lot or the style of home? This will get you started…

Start at the ground first

The lot that you build on is so important that you should spend as much time trying to find the right location to build as you do on the details of the plan. Why? Well, in feng shui, environmental chi is the single greatest influencer of the feng shui of your home — far and away more important than where you place a windchime or the kitchen. That’s why taking the time to find just the right spot is so important.

In short, if you have the “perfectly feng shui” houseplan, all it goes to waste if you have a serious flaw with your lot. Flaws like a hillside that falls away at the rear is one of those flaws. Or, if you have a street that makes a T-intersection with your house, you’ll never know what’s going to hit you (both in feng shui and literally). One woman I know woke up with a car in her bedroom with one of these arrangements, and the family was always dodging one problem after another.

Ideally, you should have a lot with a slight rise at the back, a gentle slope on the left (as you look out from the house), and an open area in front. This is called the armchair position and denotes the best placement. Take your time finding the right lot to build on; it’s a critical decision.

Get a regular plan

Selecting an auspicious and harmonious plan is Step 2 in your quest to build the perfect house. Houseplans that feature odd shapes, like Z’s, T’s, U’s, and H’s are difficult. A fairly square or rectangular plan is the best bet. Of course, a perfect square is a perfect bore, but do make sure important corners aren’t missing and try to make your home as regular as possible. As much as possible avoid home floorplans that have large holes or cut-outs, such as center courtyards, as you will be missing very important health, wealth, and relationship energy. Double that if you have plants here.

Use the Five Elements Theory

The Five Elements are such an important part of feng shui that it is well worth your time to memorize them. The reason they are so important is that knowing how they work will help you create a harmonious home. For instance, if your house faces an earth direction (southwest or northeast), having a rock facade or brick home is an excellent way to harmonize your home.

Or, maybe your home faces west or northwest. Again, a home with stone features would be beneficial because the northwest and west (metal directions) are made from earth. If your home faces north (the water element), having a home with metal trim or iron work is an excellent idea because metal makes water. This is just one of the uses of five element theory, but it’s an important one to consider when you are building a home.

Likewise, if your home faces an earth direction (SW, NE), you don’t want a heavy wood element, like a log style home because this can cause low vitality for everyone in the house. Harmonize your home by using the elements that are associated with the direction your home will face, or using the elements that “make” your home’s facing direction element, i.e., a wood home for a home facing south (east/wood feeds fire/south).

Use personal feng shui

One of the greatest things you can do is to use personal feng shui to optimize the energy of your home. For instance, if according to your kua number, the Southwest is your success direction, then putting your home office, bedroom, or front door in this sector will benefit you enormously. Likewise, if the east is your total loss direction, consider putting your kitchen or bathroom here to hold down the negative energy that this area might give you.

Whose directions do you go by when you want to use personal feng shui this way? Always use the breadwinner’s personal best directions. It may be old fashioned, but the feng shui support should go to the one person who is supporting everyone else.

Don’t waste an opportunity to make your home the very best, most productive, and beautiful place it can be. Use feng shui so that your home can truly be the home of your dreams.

Dental Extraction – What is It?

Tooth extraction is a process of removing a tooth from its bone socket.

When is it done?

In case of a breaking tooth or a damaged or decayed tooth, a dentist will first try to mend it with certain options such as, crowning, filling or other such treatments. Sometimes, these treatments might not be of great help due to the intensity of the damage caused to the tooth. In such cases, extraction is the last method of treatment.

The reasons are noted herein:

Some people often have an extra tooth that blocks other teeth from getting in.

For people wearing braces, it is often essential to give space to those teeth that needs to be moved into the right position.

People who receive radiation on their neck and head might have to extract the teeth that come in the radiation field.

People under cancer drugs might also develop teeth infection. These drugs are very powerful and they weaken the overall immune system thus, elevating the risk of any infection. Any infected teeth might need an extraction.

People who have undergone an organ transplant might also need teeth extraction because the teeth can be a cause of infection post transplantation. People who have had organ transplants are vulnerable to infections because these patients have to take drugs to suppress their immune system.

Wisdom teeth or third molars are also extracted very often.

Preparation
You will be asked about your past medical health and about your dental history as well. An X-ray will be taken by the dentist of the affected area in order to plan the best method of tooth removal.

Some of the healthcare professionals might prescribe antibiotics that are to be taken pre and post surgery. This practice usually varies as per the dentist or the oral surgeon you are consulting.

If you are prepared for a conscious sedation or a deeper anesthesia, wear short sleeved clothes or sleeveless ones that can easily be rolled up. This allows an easy access to the intravenous (IV) line that needs to be placed in your vein.

You will also be told that you must not eat or even drink anything for at least 6 to 8 hours before the surgery. You should also make sure to have someone by your side, who will drive you back home after the surgical procedure.

How it is done?

Extractions are of two types:

A simple method of extraction can be performed on a tooth and can be seen in your mouth. General dentists prefer to do simple extractions. Most of these cases are done with the help of a local anesthetic injection, with or without any anti-anxiety drug. In case of a simple extraction, a dentist will clutch the damaged tooth with a pair of forceps and will loosen it by moving the pair of forceps backward and forward. After this, the tooth will be pulled out. In some cases, the dentist might also use a dental 'elevator' to slacken the tooth. An elevator is a dental instrument that actually fits between the tooth and gum.

Surgical extraction is needed in case if the teeth can not be easily seen. These teeth might either not have come up yet or might have broken off in such a way that half of the teeth still remains in the gum line. In order to see and to remove such a tooth, the dentist or the oral surgeon will have to cut and then pull the gums back. The gun "flap", when pulled back, allows access to extract the bone and / or the piece of tooth that remained inside.

Surgical extraction procedures are usually done by the oral surgeons. These procedures are conducted under local anesthesia (given as injections) and you may also opt for conscious sedation. Patients with medical complications and children are given general anesthesia. In case of a surgical extraction, the dentist must make an incision in the gum in order to locate the tooth. In critical cases, the tooth will be cut into pieces and then removed.

If you are getting a tooth extraction and you are to receive a conscious sedation, you might also be given steroids in the IV line to help in lessening the swelling caused after the surgery.

If you need to remove all of the four wisdom teeth, you have to get it done at the same time. The topmost teeth can be easily removed, but the lower ones might prove to be difficult.

Follow-up
Simple extractions are usually not followed by any other discomfort. You can take over-the-counter non-steroidal anti-inflammatory drugs (NSAID) like Ibuprofen (Advil, Morton and some more brands) for a couple of days. You might not need to take any pain relief medicines at all.

As surgical extractions are very complicated, they cause severe pain post surgery. The after effect of such a procedure results in discomfort and the duration of teat stage depends on the intensity of the extraction procedure. Your dentist will definitely prescribe pain relief medicines for a couple of days, followed by NSAID. After a couple of days, the pain will be gone.

Incise within the mouth usually bleeds more than any incise on the surface of the skin because the one in the mouth does not get the chance to dry out and results in the formation of a scab. After your extraction, you will have to bite a piece of gauze for as along as 30 minutes in order to put pressure on the wound and allow the clotting of blood. It might still bleed for another 24 hours and then taper off. Do not remove the cloth that covers the wound.

You can use ice packs on the face to lessen swelling post surgery. The bleeding and swelling stops after one or two days of surgery. Initial healing will take about 2 weeks time.

After surgery, you should not spit, use straw or smoke. Such actions can stimulate the blood clot and it might pull out of the socket where the tooth lay. That would cause more bleeding and could even lead to dryness of the socket, which happens to about 3 to 4 percent of the extraction cases. Dry socket happens almost 20 to 30 percent of the times when an impacted tooth is removed. It happens mostly with smokers and with women taking contraceptive pills. It is mostly expected in case of difficult extractions.

Risks
Infections can highly set in after the process of extraction but, if you have a healthy immune system, you might not get infected.

A very common complication is observed after an extraction called dry socket. It occurs when a there's no blot clot formation in the hole or the clot breaks down too early.

Incase of a dry socket, the bone that lies under the wound is exposed to food and air. This is very painful and can also cause bad breath and taste. Such cases need immediate treatment and medicated dressing in order to prevent the pain and encourage quick healing.

Other possible problems include:

Accidental cause in which the teeth close to the site of surgery is effected, a fracture etc.

Incomplete extraction, where a part of the tooth still remains inside the jaw. A dentist removes the root so as to prevent it from any infection, but sometime it is not that risky to leave small tip of the root inside.

Fractured jaw, which is caused due to pressure exerted on your jaw during the process of extraction. Elderly people suffering from osteoporosis are most likely to be effected by this.

A hole occurring in your sinus while removing the molar (upper back tooth). A tiny hole that closes up on its own after a couple of weeks. If it does not, another surgery might be needed.

Sore in the jaw joints or muscles. You might not be able to open your mouth wide.This happens due to the injections.

Ongoing numbness caused in the chin and lower lips. Any trauma or injury of the inferior alveolar nerve can be the cause of numbness. This happens during the removal of lower wisdom teeth. It takes about 3 to 6 months for this wound to heal completely. In some rare cases, the numbness might be permanent.