Angelica Daniels

The STOP-Bang assessment or questionnaire was instituted in 2008 by Dr. Frances Chung for anesthetics as a pre-operative assessment tool for people who have undiagnosed obstructive sleep apnea. This questionnaire contains eight yes/no questions developed to hit on each of the major risk factors for obstructive sleep apnea. STOP-Bang is the abbreviation of these symptoms and risk factor first letters which are associated with obstructive sleep apnea: ● Snoring - If you snore loudly or so that your partner cannot sleep, then this can be a sign that you have sleep apnea. ● Tiredness - If you fall asleep while doing your daily tasks such as driving or reading, you may have sleep apnea. ● Observed Apnea - While sleeping if you have stopped breathing or choke for air, then you may have sleep apnea. ● Pressure - Another main symptom of sleep apnea is high blood pressure. ● BMI - If you have a body mass index higher than 35 then you may have moderate to severe OSA. ● Age - If your age is above 50 years then you are at higher risk of having sleep apnea. ● Neck Circumference - If your neck circumference is more than 16 inches then you have a high risk factor for sleep apnea. ● Gender - Males are more prone to have Obstructive Sleep Apnea (OSA) than females. When The STOP-Bang Assessment Is Used? The STOP-Bang assessment is used by doctors if they think that the patient has a risk of sleep apnea. It helps the doctors decide whether the patient will need a polysomnography (or home sleep test) or not. It was first developed as a screening tool for OSA but now it is used in a wide range of patients and as a sleep screening tool it is accepted in sleep clinics. People who are suffering from sleep apnea have a high risk of complications, so the screening tool is needed before any surgical situation. Before undergoing any surgery this assessment will help the anesthesiologist and medical staff know if the patient has OSA, so that they can take extra care. People who go through weight loss surgery (approximately 70% of them) have sleep apnea. What Is The Next Step After The STOP-Bang Assessment? After finishing the assessment the score will show whether the patient has a high or low risk for sleep apnea. People who are thought to be at high risk for sleep problems should be evaluated immediately. Obstructive sleep apnea (OSA) can cause both short and long-term consequences, such as fatigue, daily headaches, inability to focus or concentrate, neurological, cardiovascular, and endocrine comorbidities if left untreated. If the patient has high risk of sleep apnea then a next step should be to buy the complete care package and arrange a telehealth consult with a board certified doctor to know if the patient is eligible for a sleep apnea test at-home.

The most popular Philips home nebulizer is the Philips Respironics InnoSpire Essence Compressor Nebulizer. It helps to manage aerosol medication delivery using effective and inexpensive procedures. The nebulizer is compact, inexpensive and light-weight. To ensure the medication dose consistency of the delivery, it comes with a SideStream technology. With short treatment times patient’s experience deeper inhalation of mist medicine in the lungs. Philips Home Nebulizer - Warnings Some warning you should remember before using the compressor nebulizer are: ● Philips InnoSpire Essence Nebulizer should be used for aerosol therapy as a compressor nebulizer system. The manufacturer will not be responsible for any damage caused by inappropriate use or while installing the machine electrically, if the safety rules are not obeyed. ● The product should be used in a dirt-free, dust-free, pet hair free environment. ● The device should not be operated in the presence of anything flammable, including nitrous oxide or oxygen. ● A prescription should be followed when using this product. ● When the machine is in use it is normal to feel warm. ● Always attach the filter to the device before use. ● Do not operate the device with any adapter, or using an extension cord. ● When the device is not in use do not plug it in. ● Contact Philips if the power cord is damaged or if you need to replace it. ● After unplugging the device, it should be cleaned and the filter should be replaced. Philips Home Nebulizer - Maintenance After each treatment the nosepiece and the nebulizer should be washed with liquid soap and water and then sterilized by boiling in water for 10 minutes or in an airtight pot at 121°C. Clean the mouthpiece and the mask with disinfectant. Dry all parts of the nebulizer with a clean cloth. After cleaning and drying let the compressor run for 5 to 10 minutes before using. The nebulizer should be changed if it is inactive for a long period of time or when it gets clogged by dust, dry medications, etc. With regular use the nebulizer should be replaced every 6 months. After about 500 hours of use the filter should be replaced, but this should be done sooner if it gets dirty, wet, brown or gray. The filter holder should be opened to replace the old filter with the new filter. Don’t reuse or clean the filter. Philips Home Nebulizer - Troubleshooting When the device does not turn on, check to see if the plug fits correctly in a power outlet. Also make sure you have not hit a user limit of 30 minutes On. The device then makes you wait 30 minutes (turned OFF) before reusing the device. If the compressor is not nebulizing or the nebulization is very pale then check that the air tube is tightly fitted with the nebulizer and the main unit, make sure that the nebulizer is not overfull(max. 6ml) or empty with medication and also see that the nozzle of the nebulizer is not obstructed and the baffle is tucked perfectly.

As the internet reaches around the world, online shopping is becoming more and more popular every year because it is easy, fast and convenient - and now more secure. Statistics show that online medical businesses are becoming multi-million dollar industries. At online medical devices stores customers can find a wide variety of oxygen and CPAP products at low prices, fast delivery and name brands. This saves time and money. There are some benefits as well as disadvantages of buying CPAP supplies online. Advantages of Buying CPAP Supplies Online are: ● Money saving The main reason for buying CPAP supplies online is to save money and time. Every retailer offers their products at competitive prices or they do not sell online. There are hundreds of products to choose from, so a good CPAP Supply website will help the buyer to compare features and prices and order products easily. Buyers can also find and apply promo codes after comparing prices. ● Large choice The Internet offers a huge amount of medical supplies. Online shopping helps buyers access the large product pool and choose which will be a best fit for them. Buyers can also get a variety of different accessories that they were not aware of. ● Online ordering is available 24*7 Internet is available 24*7 and the buyers can order anytime they want without traveling to find CPAP supplies. They can also order medical supplies any time of day or night, or even sign up for a subscription at lower rates. ● Reviews by the customers Now almost every online store has the option for customers to provide product reviews and post pictures. Honest reviews allow other customers to make more informed decisions before buying any medical product. Disadvantages of Buying CPAP Supplies Online are: ● Transport cost Online shipping can be very expensive, but many online stores offer free shipping over $99. ● Unable to try it on The biggest problem associated with shopping online is that customers cannot touch or determine the size of the CPAP machines, masks or supplies beforehand. But many stores provide a return policy within 30 days. ● Insurance Coverage Many CPAP products are not covered by insurance. Buyers can put in insurance claims with their company to find out whether the insurance covers it. However some CPAP equipment is covered by insurance. Online medical device providers such as The CPAP Shop also provide assistance on chat or phone to ensure the products you purchase will help in your sleep therapy. Customers can work directly with professionals to locate the ideal CPAP supplies for their prescriptions.

What Is an Employment Attorney In Philadelphia? Employment attorneys represent employees to resolve issues under federal and Pennsylvania state laws. Examples of legal issues that an employment attorneys in Philadelphia handle include: wrongful termination, sexual harassment, workplace discrimmination, whisterblower protection, FMLA violations, etc. What Does a Philadelphia Employment Attorney Do? A Philadelphia employment attorney deals with employment related laws and represents individuals when these laws are violated. Violations include wage related issues, discrimination, and workplace safety issues. Employment attorneys in Philadelphia also consult with employees to determine if their rights have been violated and what actions they should take. The attorney will advise the employee to report harassment or discrimination according to their employee handbook protocol. The employment law attorney will also help in Fair Labor Standard Act cases to determine if the employee’s rights have been violated and guide them through next steps. When Is the Best Time to Get Advice From an Employment Attorney? As soon as the employee realizes that something inappropriate has happened at work or they have been treated unfairly, they should reach out to an employment attorney in Philadelphia. consulting with an attorney doesn’t not mean you have to utilize their services. An employee should reach out to an employment attorney to understand their rights and to learn if they have any legal grounds to file a lawsuit or not. If the employee has been harassed at work, has been discriminated against due to their age, gender, religion, race, or wrongfully terminated, they should immediately contact an attorney. If the employee delays contacting an employment attorney, they can lose their chance to prove the misconduct committed by their employer and to recover compensation. There are statutes of limitations in filing a lawsuit and delay in filing a complaint may cost you the chance to file your claim.

Hydrovac excavation is a relatively new process of digging to break soil using pressurized water and a power vacuum system. It is a substitute for mechanical excavation, which depends on tractors and excavators. Hydro-excavation is non-damaging and helps to cautiously reveal underground framework and utilities. It is also less dangerous to workers because of the decreased chance of collapsing and other calamities which happen during mechanical drilling. Hydro-Excavation Services Application A specialized machine known as hydrovac trailer or hydrovac truck is used for hydro-excavation. The operator inserts a wand or a hose into the ground at the site during digging. Water pressure is injected into the soil with the help of the wand which will break up the compactness of the soil. Then the water makes the soil slurry. After that, to make the workplace clean the slurry soils are removed from there. The best application of hydro-excavation is where there is low impact and accuracy on the worksite is crucial. Using hot water is one of the most common ways to excavate frozen soil. How to Hire for Reliable Hydrovac Excavation Services ● Experience - One of the best strategies is to hire experienced workers. Search for a company such as The Merrick Group has been around for over 25 years and provides local and global Hydrovac Excavation Services. ● Accuracy - For small digging projects hydro-excavation is used for superior accuracy. Accuracy is essential for digging projects like channel digging which means straight cutting, small channels in the ground. ● Cost-Effectiveness - The hydrovac may not always be the most cost-effective. However, just keep in mind that hydrovac is one of the safest methods of digging which means less chance of running up costs trying to fix a damaged utility line! ● Efficiency - Reduce the disturbance of the residents, hydrovac excavation is done because mechanical excavation is too time-consuming. Conclusion For more than 25 years, The Merrick Group has been serving the customers with the best industrial maintenance and cleaning services.

In the transportation business, a chassis is a piece of equipment that connects with the cab of a truck and is used for transporting cargo containers. A chassis is a special trailer that has a steel structure with wheels. What is Chassis Leasing? Chassis leasing happens when a freight shipping company leases a chassis to another company to accommodate shipments and move freight containers. How to Lease a Chassis? There are three ways to lease a chassis. These include chassis pools, term leases, and daily leases. In essence, lessors are charged for the length of time using the chassis. Chassis Pool: Chassis leasing companies organize a cooperative chassis pool. It has a pool manager who ensures the quality of the equipment and availability when truckers need a chassis. Generally, chassis pools operate inside ports. If you are using a chassis pool, you have to pay for time of usage from the time the chassis is taken at the terminal until you return it. Chassis Term Leases: Chassis term leases began as a way to control costs. By ensuring that the chassis you lease is safe, it allows truckers to travel quickly through the port complex. However, with a long term lease you are paying for the chassis even if you are not using it. Additionally, you are responsible for all maintenance. Daily Chassis Leases: Most chassis leasing companies provide daily leasing options. It includes maintenance without commitment to a long term lease. Some leasing companies also offer you online booking options. This process allows fast reservation and transportation. Some have also developed intelligent business systems for truckers to track daily usage. In this way, the whole process gets more efficient: making a reservation for a chassis, moving it, making the delivery, and dropping the chassis back to the depot and paying the daily rate.

If you are at an age where everyone around you is getting married, then your social media accounts are probably flooded with proposal, engagement, and marriage photos taken by a professional engagement portraits photographer. Engagement is one of the life events that everyone wants to be beautiful and perfect. Nowadays, couples want their engagements to be unique and special so that it becomes a moment to remember for a lifetime. Engagement photos often become part of wedding cards or displayed on the couple’s wedding day. It doesn’t matter how you plan to propose to your partner, it will be a moment to remember forever. Planning the event and capturing these special moments requires expert help. A professional engagement portraits photographer can take enduring pictures of your special day. In today's digital world, when people post nearly everything on social media, it is imperative to capture (and post!) photos of your special day. How Does a Professional Engagement Portrait Photographer Work Planning: Your professional engagement portraits photographer will make an appointment to sit and discuss the planned proposal with you. You can bring your own ideas and plan the whole event together with your engagement photographer to make this special! Your expert engagement portraits photographer will guide you with their expertise, experiences, and knowledge while planning the surprise event. Execution: Once the plan is ready, your engagement portraits photographer will send you drawings, directions, and maps of the location where the surprise proposal will take place. You will also get the details of your engagement portraits photographer’s secret hiding spot, and plan to begin taking pictures. When the special day arrives, bring your partner to your special spot, and count on your professional engagement photographer to make your special moments unforgettable.