The POWERbreathe Classic High Resistance device allows you to train your breathing system to reduce fatigue when training – allowing you to move faster and stronger. Using a variable load calibrated spring. You can adjust from the lowest load setting when you begin training and increased as your breathing muscles adapt. Heavy Resistance Load Settings Level 1 = 10cmH2O Level 2 = 40cmH2O Level 3 = 70cmH2O Level 4 = 100cmH2O Level 5 = 130cmH2O Level 6 = 160cmH2O Level 7 = 190cmH2O Level 8 = 220cmH2O Level 9 = 250cmH2O How to Use 1. Position the nose-clip so that it pushes your nostrils together – can be used without this but this element prevents you from breathing through your nose for better results. 2. Breathe in quickly and forcefully through the POWERbreathe for 30 breaths twice a day – for best results do so in the morning and evening, giving yourself plenty of rest time between sessions. 3. As your inspiratory muscle strength and stamina increase adjust and up the resistance. Within a few days your inspiratory muscles will feel stronger. Within 3-weeks you’ll feel less breathless. Within 4 weeks activities and training will feel easier. Precautions The POWERbreathe is drug free and suitable for anyone and should cause no side effects when used properly. The following precautions and contraindications, meanwhile, should be observed: Precautions Do not make changes to any prescribed medication or prescribed treatment programme without consulting your doctor. Do not use POWERbreathe if you are suffering from a ruptured eardrum To prevent the transmission of infections it is recommended that you don’t share the POWERbreathe device. This product is not intended to diagnose, treat, cure or prevent any disease POWERbreathe is designed to exercising your inspiratory muscles only - no other use is intended or implied. Anyone under the age of 16 should only use POWERbreathe with the supervision of an adult. Not suitable for children under 7 years Whilst training with POWERbreathe you should feel resistance when inhaling but it should not be painful. If you start feeling pain, then stop immediately and consult your doctor. You may feel slight ear discomfort while training with the POWERbreathe due to inadequate equalisation of pressure between the mouth and ears – especially if you’re suffering from a cold. If these symptoms persist consult a doctor. If you have any of the following conditions then refer to your Healthcare Professional before using POWERbreathe: a history of spontaneous pneumothorax, pulmonary hypertension, marked osteoporosis with history of rib fractures, desaturation during or following IMT. Contraindications The POWERbreathe is also not recommended for patients with certain conditions, including the following: Asthma patients who have low symptom perception and suffer from frequent, severe exacerbations If you are suffering from a ruptured eardrum or any other condition of the ear Patients with marked elevated left ventricular end-diastolic volume and pressure Patients with worsening heart failure signs and symptoms after RMT/IMT In the Box POWERbreathe IMT device Mouthpiece (PVC – not made with natural rubber latex or and phthalates) Nose clip Storage pouch 4 cleansing tablets User manual
The story of low-wage workers rising up around the world to demand respect and a living wage. Tracing a new labor movement sparked and sustained by low-wage workers from across the globe, "We Are All Fast-Food Workers Now" is an urgent, illuminating look at globalization as seen through the eyes of workers-activists: small farmers, fast-food servers, retail workers, hotel housekeepers, home-healthcare aides, airport workers, and adjunct professors who are fighting for respect, safety, and a living wage. Drawing on interviews with activists in many US cities and countries around the world, including Bangladesh, Cambodia, Mexico, South Africa, and the Philippines, it features stories of resistance and rebellion, as well as reflections on hope and change as it rises from the bottom up. 1. Language: English. Narrator: Erin Bennett. Audio sample: http://samples.audible.de/bk/rand/006003/bk_rand_006003_sample.mp3. Digital audiobook in aax.
In Cuban Revelations, Marc Frank offers a first-hand account of daily life in Cuba at the turn of the 21st century, the start of a new and dramatic epoch for islanders and the Cuban diaspora. A US-born journalist who has called Havana home for almost a quarter century, Frank observed in person the best days of the revolution, the fall of the Soviet Bloc, the great depression of the 1990s, the stepping aside of Fidel Castro, and the reforms now being devised by his brother. Examining the effects of US policy toward Cuba, Frank analyzes why Cuba has entered an extraordinary, irreversible period of change and considers what the island's future holds. The enormous social engineering project taking place today under Raúl's leadership is fraught with many dangers, and Cuban Revelations follows the new leader's efforts to overcome bureaucratic resistance and the fears of a populace that stand in his way. In addition, Frank offers a colorful chronicle of his travels across the island's many and varied provinces, sharing candid interviews with people from all walks of life. He takes the listener outside the capital to reveal how ordinary Cubans live and what they are thinking and feeling as 50-year-old social and economic taboos are broken. He shares his honest and unbiased observations on extraordinary positive developments in social matters, like healthcare and education, as well as on the inefficiencies in the Cuban economy. 1. Language: English. Narrator: Danny Campbell. Audio sample: http://samples.audible.de/bk/adbl/025800/bk_adbl_025800_sample.mp3. Digital audiobook in aax.
Self-medication or automedication is the act of taking drugs without prescription from a doctor or a nurse or without the advice of a doctor/nurse. It is also the consumption of one or more drugs that are not actually prescribed for the patient. Self-medication can be dangerous since it can cause drug resistance due to misuse especially antibiotics. Many people are exposed to self-medication including University students who have generally low income and lack the time to consult when they are ill. At the end of this study, it was observed that the proportion of self-medication among UBa students was high. There was no significant difference between healthcare and non- healthcare categories at the level of the practice. Self-medication was mostly practiced for mild symptoms such as headache, fever, cold/flu and abdominal pain. Modern drugs were the most frequently used. The study revealed that the drugs mostly used were the antibiotics, antimalarials and analgesics within the students' community. Misuse of these drugs could lead to drug resistance.
Antibiotics resistant have been a global threat in healthcare. These days, bacterial pathogens causing common clinical infections have acquired resistance against almost all currently available antibiotics. New efficient therapeutic approaches are mandatory, otherwise the pre-antibiotic era like situation is imminent. Use of lytic bacteriophages and their products as a therapeutic or biocontrol agents have been renewed of interest and considered as an alternatives to treat the multidrug resistant (MDR) bacterial pathogens. Some phage products have already got regulatory approval particularly to be used in food safety, many others are on the stage of preclinical and clinical trials. This book highlighted the details of methodology related to the isolation, characterization and application of lytic bacteriophages as an effective biocontrol agent.
Antibiotics revolutionized the platform for medical developments and are indispensable around the world. Triumphs in modern medicine such as cancer chemotherapy and surgery would have been impossible without the use of effective treatment for bacterial infections. However, globally, several previously susceptible bacteria have developed resistance to antibiotics. The World Health Organization defines antibiotic resistance as the ability of bacteria to resist the effects of antibiotic treatment to which they were once sensitive to. Antibiotic resistance has become a serious threat to public health. Antibiotic resistance has resulted in prolonged illness and hospital stays due to the challenges in treating infections and resulting increased mortality and morbidity has financial implications for the individual as well as the healthcare system. The World Health Organization has referred to the 21st century as the post-antibiotic era in which minor injuries and common infections can threaten the lives and the general well-being of all populations. South Africa is faced with an increasing burden of antibiotic resistance.
Antibiotic resistance occurs when an antibiotic has lost its ability to effectively control or kill bacterial growth, in other words, the bacteria are "resistant" and continue to multiply in the presence of therapeutic levels of an antibiotic. The misuse and overuse of antibiotics leads to antibiotic resistance among bacteria and consequent treatment complications and increased healthcare costs. According to this problem of antibiotic resistance, we should in continuous research about the discovery of novel antibiotics to overcome this problem. This book focused on the collection and isolation of the bigger source of antibiotics production which is the Streptomyces spp, Additionally, this book includes the use of many methods that involve the extraction and subsequent purification of these bio active compounds (antibiotics) using newer methods. As a result, this book provides a rich information to the researchers and any students in the master or Ph.D research.
Reproductive health and more so pregnancy and childbirth are clouded in culture and related practices. Healthcare utilization patterns are therefore, cultural in nature. In this study, pregnancy was put under a cultural microscope and the arena in which it is experienced examined. The study reveals the decision making pattern in the Luo community and concludes that women are constrained in their decision making and are subjects of patriarchal control spearheaded by the husbands and mothers-in-law. What is considered their inability to attend health care facilities is seen as a form of resistance to medical control and the urge to be in charge of their lives. The study recommends that different approaches that take into account the women's lived experiences are needed if safe motherhood is to be realised.
This classic, newly updated, is an indispensable source for anyone-from mid-level managers to CEOs-who must execute key business initiatives quickly and effectively. Once groundbreaking and now time-honored, Managing at the Speed of Change has helped countless business leaders learn how to orchestrate transitions vital to their organizations' success. Rather than focusing on what to change, this book's aim is far more valuable: It shows readers how to change.Daryl R. Conner, founder and chairman of the consulting firm Conner Partners, is a leading expert on change management. He has served as "change doctor" for clients that include non-profit enterprises, government agencies and administrations, and Fortune 500 companies in an array of industries such as Abbott Laboratories, PepsiCo, American Express, Catholic Healthcare West, JPMorgan Chase, and the U.S. Navy.Based on Conner's long-term research and his decades of consulting experience, Managing at the Speed of Change uses simple, easy-to-understand language and elegant visuals to explore the dynamics of change, and in doing so, teaches readers- why major change is difficult to assimilate- what distinguishes resilient individuals from those who suffer future shock- how and why resistance forms- how people become committed to change- why organizational culture is so important to the success of change- the roles most central to change in organizational settings- why powerful teamwork is at the heart of achieving change objectives, and how to foster itIn this pioneering book, updated for the twenty-first century, Conner demonstrates how both individuals and organizations can develop the capacity not only to endure change but to thrive on it.