What Can You Do About Pyoderma Gangrenosum?


Diagnosing and treating a rare condition such as pyoderma gangrenosum can be tricky because it is not yet clearly understood and is often misdiagnosed for other conditions. Unfortunately, doctors still cannot yet explain what causes pyoderma gangrenosum and its name is even misleading, because it does not cause both gangrene and infection.

Pyoderma Gangrenosum Basics
What doctors do know about the condition is that it is one of the types of autoinflammatory conditions called neutrophilic dermatoses. Pyoderma gangrenosum causes a small bump, pustule or blister to appear on the skin suddenly, then the lesion breaks and becomes an ulcer. Over time, the ulcer becomes wider and deeper and can be very painful. Who is at risk of this rare condition? Some people are more likely to get pyoderma gangrenosum if he/she is an elderly, has a digestive tract disease and/or rheumatoid arthritis, and has a blood disorder.

Preventing Pyoderma Gangrenosum
Because the disease is not yet fully understood, there is no way to avoid it. Doctors will advise you, however, to prevent getting your skin injured and to get treatment for any existing skin condition to reduce the chances of getting pyoderma gangrenosum. Unfortunately, pyoderma gangrenosum can be unpredictable even when it is treated and there is always the possibility of developing the following complications: pain, infection, scarring, and the loss of mobility.

Diagnosing Pyoderma Gangrenosum
There is no test to determine if the ulcer is pyoderma gangrenosum, but the doctor might want to take swab samples for a culture or a biopsy may be performed to rule out other possible causes. Blood tests and pathergy tests are not reliable most of the time, but the doctor can conclude that it is pyoderma gangrenosum if it has an undermined and irregular border, and the ulceration has progressed rapidly. Sometimes there are other conditions associated with pyoderma gangrenosum like other systemic diseases.

Treating Pyoderma Gangrenosum
The doctor will have to dress the ulcers and apply topical medication such as corticosteroid creams and ointments. Because the ulcers are open wounds that can be infected, there must be protected from further injuries. If there are necrotic tissue, these must be removed, and skin grafting is recommended once the ulcers and swelling have improved. Specifically, small ulcers are treated with steroid or tacrolimus ointments, ciclosporin solution, anti-inflammatory antibiotics, and intralesional steroid injections; while widespread or large ulcers will need ciclosporin, oral prednisone, and biologic agents.

The doctor might also recommend oral medication or intramuscular injections for some patients, while those who must undergo surgery will need prophylactic treatment to avoid the recurrence oft eh condition. Immunosuppressive therapy is also recommended, but there are also people who have shown improvements when they took tumor necrosis factor inhibitors.

Nail Fungal Infections You Should Be Aware Of


Although nail fungal infections are very common, they can be difficult to treat and can spread easily among people. Other nail conditions suspected to be fungal infections are also misdiagnosed nail dystrophies, bacterial infections, dermatitis, lichen or mold, eczema, and psoriasis that is why it’s important to get a proper diagnosis. Some types produce less serious symptoms, but there are nail fungal infections which can be painful and difficult to manage.

Symptoms of Nail Fungal Infection
Although the severity of the symptoms will vary, there are common signs of nail fungal infection that should be easy to spot, such as; the discoloration of the toenail/s (they can turn yellow, black, green, or white), changes in the shape and texture of the nails, pain and discomfort when pressure is placed on the toes, and the breaking or cracking or crumbling of the nails.

• Candida Onychomycosis
Also called yeast infection, this type of fungal infection affects the skin around the nails as well. The symptoms may include pain, weakened nails and nail bed, distorted nail shape, discoloration of the nails, thickening of the nails, and infected skin around the nails. The nail might also separate from the nail bed if the condition is not treated.

This is treated with oral medication, topical creams, and laser treatment if there is an infection.

• Distal Subungual Onychomycosis
The fungi that causes this infection is also the same fungi that causes athlete’s food and is also the most common nail fungal infection in the world. The fungi affect the nail bed and nail, making the area weak and crumbly, resulting in the accumulation of nail and skin debris.

Unfortunately, the condition can be difficult to treat, and part of the nail might have to be removed if there is an infection. Laser surgery is usually performed, but it will require several visits to the podiatrist.

• Proximal Subungual Onychomycosis
This type of fungal infection affects the nail base and causes it to thicken, resulting in the separation of the nail from the nail fold. People with this condition are also prone to infections. Although not common, most people with this type of fungal infection have human immunodeficiency virus.

The treatment for proximal subungual onychomycosis is like that of distal subungual onychomycosis because the fungi that caused the infection is the same. It is also difficult to treat and may take years before any improvements can be seen through a combination of oral medication, topical creams, and laser treatment.

• White Superficial Onychomycosis
Another common type of nail fungal infection, this is probably the easiest to treat among the four. It is characterized by the appearance of white spots on the nails, and if not treated, the affected nails will eventually crumble.

To treat this fungal infection, the doctor will recommend topical medications and laser treatment. Oral medication is rare because the side-effects can sometimes be nastier than the nail fungal symptoms.

Issues in Pest Control to Consider


Pest control management can be a tedious process depending on the level of infestation and the species that have invaded your home or office. Anywhere you can find humans, there most certainly will be pests like rats, cockroaches, and flies. Commercial methods to terminate pest can be ineffective and often endanger the health of the occupants especially with the use of chemicals, that is why you have to consider several factors that could affect the life of your family or the occupants when considering pest control services in Singapore.

Behavior and Identification
You don’t need to be a biologist to observe the behavior of the pests that occupy your home. By being able to describe certain details to the pest control services team, they will be able to help you find the best solution. To exterminate rodents for example, pest control management does not necessarily have to resort to chemical treatments if they can place traps or use other methods. To terminate pest, you need to observe where they usually get their food, hide, leave droppings and urine, and the time they usually come out.

Condition of the Structure
Some homes in Singapore with a problem of pest infestation aren’t necessarily filthy places with owner who don’t clean up after themselves. Sometimes the apartment building has seen very few renovations and improvements or there might be problems in the plumbing that the landlord has not addressed. Multiple entry points for pests can be a cause for infestation, especially for tough survivors like rodents and cockroaches. If you want to get rid of cockroaches or eliminate mosquitos and pestilence that contaminate your food, you should also consider in investing in minor repairs to holes in the walls or ceiling, ventilation and cooling system servicing, and plumbing inspection.

Use of Chemical Treatments
Some species such as termites can only be exterminated through chemical treatment but only if the infestation has not caused major damages to the structure. To remove termites your best option is to prevent infestation in the first place. For this, chemical treatments are a must, but you should pick a pest control management company in Singapore that has the license to use pesticides, insecticides, repellents, rodenticides, disinfectants, fungicides, and others. All these chemicals have different functions, effects on the non-targets, and even effectivity. A pest control services team therefore must have an expert such as a certified entomologist or have a solid pest management program for both long-term and short-term solutions. Termite removal is a long-term treatment, which means your family will be exposed to chemicals frequently.

Effect on Targets
As already detailed, the chemicals used for pest control management can affect not only the pests but even non-targets such as the humans, house pets, and even non-pest animals and plants that thrive in the area. Ask the pest control services team for details about the effects and if there are other less-harmful options that you can pick. There are natural and biological pesticides for example that are less harsh than conventional pesticides.

Spending Christmas the Singaporean Way


The colors of Christmas are finally coming together as the end of the year feels like the end of a painting. With the last stroke filling in the last touches, the painting of your year 2017 is almost finished. Throughout the colors of Singapore, you’ll find the evolution from an urban paradise, into a festive one. Colors come out from every corner of Singapore from Shangri La all the way to Clarke Quay. Even Chinatown is adding in green to their theme of red all throughout. Everyone is starting to celebrate Christmas!

The hard part for some of us is that when Christmas comes, we are still expected to work. The pay may be bigger, but maybe you had a different picture in mind on how to spend your Christmas. Well, one of the first things you need to think about is not where to spend your Christmas but rather with who. Making plans to spend your Christmas with your family and your friends should definitely be your first priority in comparison to what to do.

There are many beautiful places during Christmas like Ngee Ann City Civic Plaza’s Christmas City taking you to a whole new Singapore in general as it transforms into this Christmas themed plaza. But wait, let’s not get carried away, there are so many more things to Christmas than the place. Another big thing that makes up Christmas is gifts. The pressure usually takes place some time around November when we realize that December is definitely fast approaching and we haven’t even picked decided who to give gifts to and not just what to give them. There are so many things expected of us during Christmas and giving the best gifts ever is definitely one of them. Another thing that may add to the pressure is when you are incharge of Dinner or maybe even cooking. What are you to do? Sit back, relax, and remember, Christmas is a time to smile.

Christmas isn’t a time to break your back over the pressures and expectations this holiday puts on your shoulders. Christmas is a time to look back and be thankful for all that has happened this year. Christmas is a time to motivate yourself once again for the upcoming year. But most important of all, Christmas is a time to smile. A smile can be so powerful that it can actually dictate your mood! On Christmas, everybody deserves to smile. After all, what’s there to frown about? Throw a smile into the world, you’ll see what the world has to give in return, on Christmas day.

Things that can Cut Our Spending


There are many ways for us to save money but one of them is cutting down on our spending. Have you ever been in that awkward situation when you start the day with a certain amount of money and because of oblivious spending, you suddenly wonder where your money went? Well, maybe it’s time to take a little more control on your spending. We’re not saying spending is bad, what we’re saying is that there are so many ways for you to be able to cut your spending.

Here are a few ways for you to cut your spending:

1. Do Groceries
Groceries are a great way for you to save! Even those snacks you’ve been craving, instead of buying them from a convenience store or a store where it would cost a little more. Another great thing about going to the grocery is that you get to buy by bulk which means that you get more at a cheaper price. You also get great deals at the grocery! Not only do you get to buy more, but you get to buy cheaper food.

2. Plan Your Week
Planning your meals for the week might seem a bit odd but it is the perfect way for you to be able to maximize your groceries and ration your meals. This also pushes you to cook which means you save a lot on food. Rather than always buying form outside, why not cook at home? You could start by once a week, then thrice a day, then everyday, then twice a day. Really depending on your schedule and discipline. You can even cook or prepare your food in advance and just leave them in the refrigerator for when you are scheduled to eat them.

3. Bring a Tumbler
We all need water. And although water doesn’t seem like much of an expense, it is actually a great one considering how many times we buy bottled water on a regular basis. Bringing a tumbler lets you drink water from your home anywhere you go. This might even be really convenient later on once you suddenly find yourself thirsty without any place that sells water nearby.

4. Bring Snacks/Food
This is an obvious way to save up on money. Even the cheapest meals you’d be able to eat at the Hawker Centers might even be more expensive than what you get to cook at home. Besides, with your low budget, there are very few options available. When you cook your food and bring it with you, or at least bring snacks with you, you are not only saving up on money, you are also giving yourself the liberty of choice.

Here are a few things you can do to cut your spending. Why spend extra when you can save?

The Best Sports Manga for Newbies


The sports genre has been gaining popularity among manga and anime enthusiasts in the recent years. If you’re a newbie, choosing your first title can be daunting, so here are the best sports manga titles you should start with.

Prince of Tennis by Takeshi Konomi (1999)
The longevity of this franchise rivals that of other long-running series from other genres. It features the triumphs and heartbreaks of a tennis prodigy, Ryoma Echizen, who chose to attend Seishun Gakuen instead of pursuing a career internationally.

Chihayafuru by Yuki Suetsugu (2007)
This manga will introduce you to the game Hyakunin Isshu karuta or a card game with the objective of determining which card comes next and to grab it before the opponent does.

Hajime no Ippo by George Morikawa (1989)
This epic series follows the struggles of a young boxer, Ippo Makunouchi, as he tries to rise up in the ranks after being inspired by a middleweight professional boxer who taught him the sport.

Ace of Diamond by Yuji Terajima (2006)
Seidou High has been known as an elite school when it comes to baseball, but when three talented freshmen named Sawamura Eijun, Furuya Satoru and Kominato Haruichi joined the team, it seemed that they had a fair chance in reaching the Nationals.

Kuroko’s Basketball by Tadatoshi Fujimaki (2008)
Kuroko Tetsuya didn’t have any talent for basketball at all when he joined Seirin’s team. They were surprised to learn, however, that he was the sixth man of the Generation of Miracles and has an unusual ability for passing.

Real by Takehiko Inoue (1999)
Noted for its serious take on basketball and the struggles of disability, it introduces Tomomi Nomiya, Kiyoharu Togawa and Hisanobu Takahashi who all have gone through difficulties in life but found purpose in playing basketball.

Yowamushi Pedal by Wataru Watanabe (2008)
Onoda Sakamichi was unable to join the anime club in high school because it was disbanded. It was then that two other students, Imaizumi Shunsuke and Naruko Shoukichi, convinced him to join the school’s bicycle racing club.

Haikyuu!! by Haruichi Furudate (2012)
The series introduces two extremely talented volleyball players, Hinata Shouyou and Kageyama Tobio, who ended up becoming teammates when they enrolled at the same high school, Karasuno. Instead of continuing their rivalry, they have to work together to get their team to the Nationals.

Kokou no Hito by Shinishi Sakamoto and Yoshirou Nabeda (2007)
Buntarou Kato was a mountain climber who aspired to reach the peak of K2’s East Face. The manga is based on the novel by Jirou Nitta and inspired by a real-life mountain climber named Katou Buntarou.

Ping Pong by Taiyou Matsumoto (1996)
Best friends Hoshino “Peko” Yutaka and Tsukimoto “Smile” Makoto have very different approaches to playing table tennis. Smile is getting more attention at Katase High School because of his work ethic and obvious talent, while Peco refused to practice and has no confidence.

What You Need to Know About Multiple Sclerosis


Multiple sclerosis affects a lot of men and women in Singapore when they reach the age of 50, although the number of affected isn’t as high as the other countries in Asia. The causes of this progressive illness are still unknown and even the progress and severity cannot be predicted.

Here are the facts you need to know about multiple sclerosis.

It is an autoimmune disease.
Multiple sclerosis (or MS) is a kind of autoimmune disease that affects the central nervous system, which means that your own body attacks the protective covering of the nerves in your brain and spinal cord called myelin. The myelin, which is a fatty substance that insulates the nerve fibers, is responsible for the transmission of the nerve impulses in your nerves. MS results in the inflammation and damage of the myelin over time, causing interruptions in the nerve impulses or damage to the nerve fibers. The name sclerosis is taken from the scar tissue that forms on the damaged myelin.

The symptoms are unpredictable.
The afflicted experience different symptoms such as weakness and extreme fatigue, tingling sensations, lack of coordination in the movements, vision problems, sensation problems, bladder problems, sexual dysfunction, mood swings, spasms and pains, and cognitive impairment. Some of the symptoms can be mistaken for other health problems, so make sure to get diagnosed properly. MS is not fatal, however, and a lot of people with the condition can still live normal lives and live for up to 80 years in Singapore.

The symptoms are subtle.
For some people with MS, the symptoms might not be noticeable and will develop slowly. The progression and severity of the condition will also vary and cannot be predicted even during a medical checkup. If you suspect that you or someone you know has MS, it’s important to consult a neurologist in Singapore to check coordination, strength, and eye movements. If there are symptoms, the doctor will recommend additional tests such as MRI scans to determine the extent of the damage in the brain tissue. Then the doctor has to pinpoint if you have clinically isolated syndrome, relapsing-remitting MS, primary progressive MS, or secondary progressive MS.

Multiple sclerosis cannot be cured.
Unfortunately, there is no cure for MS today, although studies are still ongoing to pinpoint the causes, risk factors, and to come up with effective treatments for MS. Some researchers point to a combination of factors for the cause of MS such as genes and family history, age, lifestyle and habits, and environment. Anyone can be affected by MS, but most patients are diagnosed between the ages 15 and 40.

There are treatments for MS.
The goal of treatment is to reduce the progression of the disease and to ease specific symptoms experienced by the afflicted person. He/she must also avoid relapses, or short and severe attacks. Some of the treatments available are immunotherapy or the modification of the immune system’s activity; prescription of methylprednisolone to control severe attacks and reduce inflammation; and prescription of immune suppressants for people with progressive MS.

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