Medical Equipment Marketplace

The medical equipment marketplace is replete with broad selections of equipment and supplies for medical, dental, and beauty salon equipment. There are several websites devoted to supplying such items. Trade networks exist within social commerce climates that constantly move products in this category every hour of every day. It is a highly competitive market and the information provided regarding the products is sometimes reliable and in other situations it is unreliable.

Within this market it is important to know certain facts. In order to learn these facts, you might have to critically shop around and ask many questions. When you do this, you will find contradictory information as well as useful information. You will see that some businesses selling these products are reliable and others are not. Ultimately it is confusing. One of the best companies that I have seen is Crystal Medical http://www.crystalmedical.co.uk.

Crystal Medical has a special niche in the medical equipment marketplace. They offer an exceptional variety of products in many categories including dental, medical, surgical, opthamalic, nursing, homecare, veterinary, pharmaceutical, and software categories. All of the products they offer are of high quality. Their dental equipment line is comprehensive and takes quality seriously.

Perhaps one of their best features is the flexible payment plans. With Crystal Medical, you may purchase medical equipment, dental equipment, and beauty salon equipment outright or you may rent the products on agreement for nominal fees. They have their payment plans set up in such a way that the equipment you purchase can pay for itself with added profit. Often these upgrades in equipment yield better business profits, easily offsetting the cost of the equipment itself.

Naturally, there are other organizations that offer similar equipment. You should research those as well. I believe you will discover that Crystal Medical offers the best products and the most practical payment plans. Considering the fact that they offer a 5 year warranty on all of the products they sell, it is a deal worth considering. Advance the technology of your healthcare practice with a reliable company and you will be assured better quality and cost.

Machine Tool Industry Quietly Recovery

By lower automobile, engineering machinery, electrical equipment and aerospace industry product demand pull, the machine tool industry is experiencing accelerated warming trend. China Securities Journal reporter learned that, at present, a lot of construction machinery and equipment category Power Grid Company is intensity of technological transformation, have added special milling large heavy equipment. Required for the development of large aircraft aluminum alloy high-speed cutting machines and cutting machines are also difficult to process materials as in hot demand.

Affected by this machine plate Qinchuan development companies such as Shenyang Machine Tool orders currently in hand more than the guaranteed performance.

Warmer downstream demand driving machine

Secondary market, the development of the recent gains Qinchuan obvious, from the end of March the upside to the current 11 yuan to 14 yuan, up 27.2% gain in 10 trading days.

Shenyang Machine Tool were up in 10 days or more than 30%.

Qinchuan Development Office, said the person, company orders full. This year will further expand the field of grinding in the car market share, while increasing the sales force composite machining center, there are some new products will be introduced. In addition, the company will also increase with the machine tool manufacturing-related services-based business development. These are the company’s new profit growth point.

Qinchuan development report shows that the top ten shareholders of circulation share of seats all the institutions, there are two combinations of social security.

Number of Shareholders by the end of the third quarter, 4.82 million shares plunged to the end of 33400, chips concentration was evident. Shenyang Machine Tool very high proportion of institutional ownership, the first quarter of this year, four new entrants, including Social Security Fund 102 Portfolio, the oil companies and two pension funds.

Shenyang Machine Tool a quarterly show, the first quarter the company achieved sales revenues of 1.958 billion yuan, up 69.94%; 30.27 million yuan net profit attributable to parent company, equivalent to earnings per share were 0.06 yuan, a year earlier loss of 0.05 yuan per share, results of reverse significant.

Shenyang Machine Tool recently also adopted Placements, the company developed to the issuance of not more than 2 billion shares, and fund-raising not more than 2.1525 billion yuan for the construction of a major base of CNC machine tools, CNC lathes New CAK technical innovation, the core features of NC machine tools technological transformation and the return of bank loans for four projects.

CNC machine tools worth the wait

Lower demand in the machine tool industry, automotive and construction machinery accounted for more than 50%, military, and aerospace are also accounted for about 20%. In addition, large power grid devices also need various types of heavy machine tools. It is learned that heavy demand for machine tools rose sharply, especially in heavy-duty CNC milling machine, boring bar diameter of 250mm above floor large CNC boring and milling machine, CNC machining diameter and 16m heavy duty vertical lathes, machining diameter of 4m-5m, 14m-18m length processing CNC heavy duty horizontal lathe and CNC blade root slot milling machine so special.

As the demand for downstream production and marketing industry, strong, machine tool sales in 2010 are expected to well, especially in CNC machine tools with high added value is more worth the wait.

January-February 2010, China’s production and export of CNC machine tools were improved: total exports of metal working machines 272.767 million U.S. dollars, an increase of 14.8%; CNC machine tool exports of 6,161,700 U.S. dollars total, an increase of 32.37%. The first quarter of this year, the Shenyang Machine Tool new order contract 2.6 billion, up 100%, maintained since the February 2009 monthly growth trend.

Benefits of Wedding Car Hire

Car rentals have gone beyond the realm of tourism and have grown to become an essential part of any big occasion. The Wedding car hire is a trend that has steadily gained popularity over the last decade. Choosing just the right wedding day car has become as important as choosing the right Decor and the right wedding dress as the kind of car one chooses indicates a lot about the individuals personality. Finding the perfect car for the newlyweds to drive away in at the end of the ceremony only enhances the picture-perfect culmination to a very special day. Choosing the wedding cars is not confined to just the car the bride and groom would use; picking the right ones is not as simple as it seems. The vehicles need to complement the overall theme of the wedding while simultaneously serving a functional purpose. One may need to hire bigger wagons to partake in the much required wedding shopping and to move things from one venue to another.

Similarly people can hire Luxury cars to take guests to the wedding venue from their respective houses or take them from one venue to another.

It is best to use wedding car hire services can provide you with a wide variety of vehicles, so that you can avail discounts when you hire numerous cars together. The necessary information can easily be found online by using any search engine.

On ones wedding day there are always things that can go wrong last minute, you don’t need to add your car rental to add to that list. To ensure that car hiring doesn’t prove to be counterproductive it is essential that the cars hired are fuel efficient, in good condition and come with a qualified chauffeur attached.

It is important to check the background of the car hire company and go through customer reviews so that you have a hassle free wedding day.

The type of car one hires for their wedding day indicates a lot about their personality and adds to the theme of the wedding significantly. Old models and luxury cars are considered the most fashionable. Vintage cars are most often used for classical weddings. They render a sense of impactful simplicity to the bridal party’s entrance. Expensive luxury vehicles infuse the theme with a touch grandeur, sophistication and lavishness. Limos dominate the list of the favorite wedding vehicles, most likely due to their size and exceptional design. They are the best choice when it comes to transporting wedding guests together as they comfortably seat up a relatively large number of guests.

Car rental companies that cater to such occasions give brides and grooms the opportunity to ride in rare and trendy car models to commemorate this joyous occasion. They do so by providing clients with deals and reasonable fees. With car rental companies around, it is now possible to have an exquisite wedding ceremony no matter how tight your budget.

Extended Stay In An Arizona Golf Resort

If you are looking to spend an extended amount of time in Arizona, whether it’s for business or pleasure, you should definitely consider an extended stay AZ golf resort or hotel. If you’re in town for business, staying at a golf resort will allow you to enjoy your hobby in your free time and make the trip feel less like “work.” Not to mention, it can also ease those pangs of missing home and the ones you love and help the work days go by a lot less painfully. When you know you have something fun and exciting to do after a hard day’s work, it makes work a lot more rewarding.

If your trip is solely for pleasure, an extended stay golf resort offers a great vacation option for you and even your family. Whether you all are experienced or novice golfers, you’ll find courses for all levels of expertise at most resorts. What’s even better is that you can play at your own comfort and skill level and at your own leisurely pace. After all, extended stay golf resorts are all about relaxation and fun. Find a place that you and your family would enjoy to stay at with many activities you can enjoy together.

Most extended stay AZ golf hotels and resorts offer reasonable rates on package deals for golf games plus boarding and accommodations as well as a wide range of other activities and perks. There are usually lavish spa treatments available to treat yourself to as well as delicious food to sink your teeth into and options to enjoy a bit of nightlife as well. The great thing about these types of resorts is that you can play all day and then usually not have to go very far to find something to do at night that you enjoy. And if you’d prefer to retire to your room after a fun day of golfing, that’s ok too. The rooms are usually comfortable and very homey, truly making you feel like you’re in your heavenly home away from home.

Whether it’s for business or pleasure, AZ extended stay golf resorts offer the right amount of fun and relaxation to provide you with a very cozy extended stay. Relax at a golf resort for as long as you want with the feeling of being at home as well. Enjoy a vacation in an Arizona gold resort with your family.

Activity Internet Marketing Report, Internet Marketing Information

INTERNET MARKETING INFORMATION

NETWORKING

SCAMS, FRAUDS

FAKE E CARDS

HOLIDAY RENTALS

DROP SHIP

One of the first things you should do is check the government regulations that effect Internet marketing. Two of the main regulation deals with e mails. You can only send out your offer to persons who have contacted you about your offer or (a one time only) persons who have contact you with their offer.

You are required to enclose in all your e mails, your e mail address, your business address and phone. If you will be using a autoresponder you are required to have a unsubscribe link, so persons who may have contacted to receive your offers, newsletter, etc. can click on and have their name removed from your list.

It is also very important to remember if you join a MLM as a affiliate the firm you are marketing for meet the regulations, as you too could be charged if they make outrages claims about their product, how much money can be made etc.

The FTC enters Internet, telemarketing, identity theft and other fraud-related complaints into Consumer Sentinel, a secure, online database available to hundreds of civil and criminal law enforcement agencies in the U.S.

and abroad.

Get your own website, avoid the free ones offered by MLM’s. Don’t be restricted to one firm’s product with a free website.

With a free web site you would have no chance of being listed on the search engines, as there would be hundreds of web sites with the same offers. All you are doing is working for free, paying for advertisements for someone else’s products. If there was some product you wanted to sell from a MLM firm, you can join as a reseller and place just the product you want to handle on your website.

NETWORKING

You didn’t learn it at school, or at the office.

Would you believe your mother?

Networking is more then shaking hands, and giving out business cards. Forget about the endless networking skills you may have learned at the office. We just have to put the few lessons mother taught us into practice. As a kid we were always in a hurry to find something better. Our mothers taught us patience.

If your in a hurry you miss the value that can be built taking time with building relations in networking. Establishing a relationship by taking time, gives you a solid framework in networking building.

Your mother worked hard as an example. This is one of the better examples in networking she gave you. That’s why it is called networking, not sit work. For networking to be successful you have to work hard and put out the effort.

Remember her telling you to share your things with others? Some of our best resources are time, money, and information we are willing to give to the relationship. They appreciate us when we are willing to give to the relationship.

She always made you clean up after yourself. In networking, follow-up is required. Whether it’s a promise to meet someone, or just a thank you is one of the most important lessons of networking. These life lessons we learned from mother during childhood are a solid basis’s for strong networking skills.
Thank you mother for all your help.

The biggest time spend in selling, more so in mail order or on the Internet is developing a relationship with your customer and building trust. If you did a good job in the first two, closing a sale will take the smallest of your time spend with your customer.

SCAMS, FRAUDS

Fake e cards.
You get a message with a link to an online greeting card but, when you click it, you end up with a virus on your PC. A couple of simple rules here. Delete any messages that come from someone you don’t know or that don’t address you by name. If they come from someone you know, email that person to check that they sent it before clicking on.

HOLIDAY RENTALS

2009 has seen a surge in ads offering bogus vacation rentals. You pay a deposit or even in full to get a key and that’s the last you hear of them. Scammers are experts at creating phoney look-alike sites where you land after mistyping an address or by clicking on a link supplied in the e mail or ad. Always type in the URL and don’t just click on the link.

DROP SHIPPERS
You can get products to sell via e bay or/and your website by using the services of a drop shipper. A reliable drop shipper will not ask you for a fee. They will allow you to copy pictures of the products they sell. Prices are about half you would pay for retail.

When writing articles to directories, we are not allowed to list URL’s for places to go for free information, such as drop shippers, ebay, and other places. If your interested you can go to our website and in our archives there is over 2 years of free Internet information listing with URL’s. My website is listed in the article source at the bottom of this article.

If you have a website they will allow you to move any listing on their site to yours. You set your price on the product/s you transfer. When an order comes in place the order they will ship it out for you under your shipping label and not include any of their material.

A good way to promote is join as an affiliate, transfer a couple specials onto your site, with a link back to your affiliate page. The cost of setting up a web site is minimum. Check out my website archive for drop ship firms. Transfer a couple specials onto your site, with a link back to your affiliate page. The cost of setting up a web site is minimum. Check out my website archive for drop ship firms.

Disclaimer:
The Author of this article is not responsible for accuracy or completeness nor shall he be held liable for any damage or loss arising out of or in any way related to the information or utilization of it.

The Travel Career in nursing and it is Advantages

There are quite a bit of profession prospects accessible to nurses today. Nurses can be found in various medical areas a variety of medical establishments for instance hospitals, schools, government, medical clinics, nursing homes, administration, plus more. One sort of nursing job that may be now being chosen by more nurses because several positive aspects will be the travel career in nursing.

A travel nurse is usually a nurse who goes toward areas everywhere over the nation and works for a medical facility for any set specific time. These nurses are replacement workers for nurses who’re away for reasons like if they’re on the holiday to have an extended period of time. Since the nursing positions are temporary, the employer will be expecting a nurse who does not have for being trained or supervised.

As a travel nurse, you require some important qualifications. You will need to be considered a licensed nurse that completed the nursing program from a certified school for nursing. It’s also advisable to been employed by being a nurse for the year or higher. Employers rely on travel nurses to be prepared to leap into work can be with the necessity for supervision or much training. To obtain a job as a travel nurse, most nurses will join a nurse recruiting agency.

A nurse recruiting company assists employers in the healthcare industry hire travel nurses to temporarily replace nurse on leave. Upon joining a staffing company, every one of the specifics of the nurse such as qualifications is set up a database. When an employer requests a nurse for the short term job vacancy, the agency will quickly realize the proper nurse to complete the job. The agency will help make a phone interview between the employer and nurse, assist the nurse with pay for it for travel, get the right nursing licenses, and help with finding suitable housing. A nursing staffing company could also offer courses to help keep nursing skills and knowledge on issues within the medical industry.

You can find nurse staffing agencies that provide nurses to employers needing temporary workers. As effectively, a travel nurse in most cases obtain compensation for travel relates expenses. There can also be a housing compensation and medical insurance benefits. Using a travel nursing career, flexibility is really a benefit as a nurse can choose the type of work assignment that meets the requirements and preferences. They even have a holiday between work assignments. As nicely, this can be a fun and lucrative way to see the country. If a nurse isn’t ready for any full-time career available as one place, travel nursing is a superb choice.

Nursing travel jobs tends to make a lucrative income because these nurses need to be experienced and ready to travel and begin work competently the first day. For nurses trying to travel as well as a great living, the travel nursing profession may be the solution. They also receive the good thing about working in different medical environments and experience new places. When nurses attempt this kind of career, they soon discover travel nursing is often a rewarding and lucrative career.

Accelerate Business Growth with Application Management Services

In the corporate world IT has always been a critical business enabler. Most of the advancements in technology are due to the finesse with which this particular department operates. Today IT infrastructure is critical to business because it helps in seamless integration with customer network and makes information readily available for business leaders to take strategic and informed business decisions.

Today the role of IT has become more challenging and important – companies depend on it to meet strict international standards/requirements such as USA PATRIOT and Sarbanes-Oxley acts. IT capabilities of a company are crucial in integrating and performing repetitive data management processes. This is where Client Application Management Services pitch in by offering services pertaining to managing and maintaining the end user application environment, one of the costliest activities within IT Infrastructure management.

By outsourcing non-core functions, companies can better focus on core business competencies; simultaneously, lowering the total cost of ownership as well. In this article, let’s understand some of the client application management services available in the market.

Application Packaging – This service ideally includes definition of packaging standards, package complexity, categorization, development of packaging standards, package creation, testing and, package conflict detection and resolution.

Software Distribution – This service usually covers activities such as automated software distribution, deployment process, customization and coordination, distribution to software repositories & workstation clients, pilot testing and implementation of rollback plan.

Image Management – Starting from establishing common operating environment, through image creation/testing, image release, and maintenance for new platform, security patches, driver updates etc., image management services ensures standardization and accuracy in all phases.

Patch Management – This service comprises of all the activities starting from assessing threats and vulnerabilities, discovering new updates, obtaining, testing and deploying all the required patches on time.

Usually, companies offering Application Management Service may also be catering to messaging and collaboration services, asset management, IT infrastructure management etc. The advantage of using these services lies in the fact that they are all cloud-enabled and delivered using business ready platform for enterprise tools.

Companies can now expect to achieve new industry benchmarks aligned to business outcome in less time. An experienced Application Management Service provider can ensure excellence in delivery quality and continuous improvement in the management and optimization of your applications. Such services use innovative tools that help in adopting new technologies for improved end user productivity. Above all companies can expect to enjoy competitive differentiation that will accelerate the ROI curve in no-time.

Eczema – An Explanation

Eczema (Atopic Dermatitis)

Eczema is a chronic, recurrent skin disease and presents as one of the most common inflammatory skin diseases in childhood. Sufferers experience intractable itching with subsequent skin damage, soreness, sleep loss and the social stigma of visible skin damage. Although the cause is not understood , there appears to be a genetic predisposition as well as a combination of allergic and non-allergic factors that determine the diseases expression.

Eczema or Atopic Dermatitis is known as the itch that rashes. Eczema displays in infants as red skin with oozing cracks and small pustules. Eczema lesions are found on the face, wrists, folds of skin and nappy areas of the buttocks. As the child ages the eczema presents as papules and thickened skin in the joint areas. In adults eczema displays as papules and thickened crusted sores that often weep as a consequence of scratching.

Adult eczema is found in flexures, on the face, neck, legs, feet, back of the hands and the genital areas.

Triggers of Eczema

Some people have a genetic inherited tendency to develop eczema, indicated by eczema occurring in families predisposed to hay fever and/or asthma. A normally harmless substance in the environment will often trigger an outbreak of eczema in people born with this tendency. How eczema is first triggered and how severely substances will affect the skin is uncertain as everyone with this genetic tendency is different and reacts differently.

This makes identifying triggers and controlling symptoms difficult. A process for identifying individual triggers is often by elimination and can be a long and drawn out procedure.
Although people react differently and different substances affect each individual differently there are some common substances that are most prone to triggering an eczema flare-up:

* Dust mite
* Animal dandruff
* Pollens
* Environmental and seasonal changes
* Stress
* Some foods ( egg, cows milk, shell fish, peanuts, wheat, nuts, rice, food additives and some fruits)
* Alcohol and coffee.

Nutrition

Nutrition plays a very large role in the outcome for eczema sufferers. An important reason for eczema occurrence is the western diet which promotes inflammation in the body. A defect in the bodies ability to metabolise Gamma-linolenic acid, (GLA) is thought to play a major role in the onset and development of eczema. GLA is the molecule produced from linoleic acid, the body makes Prostaglandins and Arachodonic acid from it. These two products are used by the body to trigger allergic reactions and the bodies response to injury and attack. When there is too much GLA, the body has excessive inflammatory response. The Western diets have an excessive amount of Linoleic acid (omega 6) to the alpha -linolenic acid (omega 3) of 10:1.so GLA promotes inflammation when the person has a defect in its metabolism or usage. This defect is, I believe, the reason that some people suffer eczema .

It is proposed that an eczema sufferer should supplement their diet with specific nutrients, particularly calcium, iodine, vitamin C and omega 3 fatty acids. Vitamin C @ 50 to 75mg/kg has been found to be beneficial. Flaxseed oil and fish are good sources of omega 3 fatty acids. The inclusion of Vitamins A & B6, Zinc and Selenium, Biotin, Evening Primrose Oil & Lecithin are also proposed. Dosages should be worked out by your Naturopath or “enlightened” Doctor .

PAT Testing Procedure

Portable Appliance Testing (or PAT Testing) is a legally required method of testing portable appliances. There are many stages that go towards the testing process. It will end with either a pass or fail result.

Portable Appliance Testing needs to look at certain safety elements. Amongst the things that can cause the failure is damage to cables, plugs and wires, overheating and signs of water damage. There should be no bare wires and no sign of internal damage.

The testing needs to be done according to the IEE (Institute of Electrical Engineers) guidelines. Before testing takes place anyone who is not part of the testing team should leave the premises.

The most basic part of the testing process is the visual inspection. Over 90% of problems are said to be found during this part of the process. It consists of the tester looking at the appliance and seeing if there are any obvious issues.

Here the tester will be able to see any poor wiring, cracked casing, bent pins and other damage. These are the most basic areas where appliances fail the PAT test.

The location that a particular appliance is used needs to be inspected. There must be sufficient ventilation (depending one the needs of the equipment), the area cannot be unreasonably damp, and controls to the equipment must be easily accessible.

An Earth Bond Test needs to be carried out during the testing process. Electrical Test Equipment is necessary for this part of the procedure. This is a test between the earth bond and continuity between the plug pin and external components. The voltage and test current is assessed during this process.

Other parts of the test are the insulation test and operational test.

The insulation test is necessary to ensure the insulation resistance is safe. The operational test simply consists of the tester switching the equipment on and testing out certain regular functions that it should perform, and making sure its performance is as expected.

Once testing has been completed the result of the PAT test should be clearly stated. The most common method of this is simply placing a label on the equipment. The label will say whether the appliance has passed or failed, and should also include more specific details of its condition. It will give the date of the test and the date at which another test will be necessary.

Equipment that is faulty or damaged should be removed from service immediately. It can then be determined whether or not the seriousness of the damage is sufficient for the equipment to be out of use.

PAT testing records are required to be kept for the duration of the life of the appliance. This is a legal necessity as it shows that tests have been carried out and the results of them.

Clinical explanation of Bronchiectasis

Permanent dilatation and distortion of the bronchi is called bronchiectasis. What is it’s effect to human health?

Etiology and Pathogenesis:

Most of the cases of bronchiectasis result from acquired causes.

• Obstruction to the bronchus due to any cause leads to distal collapse of the pulmonary segment. The pull on the bronchi by the collapsed alveoli leads to dilatation of the bronchi. In the initial stages this is reversible and the bronchi regain their normal size when the lung expands. If the obstruction persists, accumulation of mucus occurs distally, infection supervenes and the bronchial wall is destroyed permanently.

This results in permanent dilatation. The infective organisms are streptococci, pneumococci, Klebsiella, and anaerobes.

• Bronchiectasis may follow several viral infections without passing through the obstructive phase.

• Congenital defects in the bronchial wall lead to bronchiectasis. The classical example is Kartagener’s syndrome, which is characterized by dextrocardia, sinusitis, and defects of ciliary function in the bronchi and non-motile sperms.

• Middle lobe bronchiectasis is a sequel to pulmonary tuberculosis. This is caused by obstruction to the middle lobe bronchus by tuberculous glands. This is called “middle lobe syndrome” or “Block’s syndrome”.

Clinical features:

The clinical picture is very chronic, extending over several years.

The common site of lesion is the left lower lobe. Though children may be affected, usually symptoms manifest in early adulthood or middle age. Males are affected more than females. Digital clubbing is a prominent sign, sometimes being associated with hypertrophic pulmonary osteoarthropathy.

Postural cough with the production of large quantities of purulent and foul smelling sputum is the presenting complaint in most cases. On keeping for sometime, the sputum settles into 3 layers as described under lung abscess. Hemoptysis may occur frequently. This may be mild or severe. Recurrent infections such as pneumonia may develop. Repeated affection of the same lobe or segment should suggest the possibility of underlying bronchiectasis. Bronchiectasis sicca is the condition in which bronchiectasis presents with mild or severe hemoptysis without purulent sputum.

Physical examination may reveal impairment of the percussion note and diminution of respiratory sounds over the presence of coarse, persistent leathery rales. At times bronchiectasis may present with one of its complications. These include massive hemoptysis, recurrent pneumonia, emphysema, septicemia brain abscess, and cor pulmonale. Anemia develops in long standing cases due to chronic sepsis and recurrent hemoptysis. In untreated cases secondary amyloidosis may develop.

Diagnosis:

Bronchiectasis should be diagnosed by the long history, presence of clubbing, postural cough, coarse leathery rales over the affected part and reasonably normal general health. Once established, bronchiectasis is not curable by medical treatment.

Differential diagnosis

Bronchiectasis should be distinguished from chronic bronchitis and emphysema, lung abscess, tuberculosis, congenital cystic disease of the lung and malignancy. Lung abscess generally develops acutely. The right lower lobe is affected more often and the signs are localized. Tuberculosis is more common in the upper lobes and clubbing is not prominent in uncomplicated cases. Features like digital clubbing and copious sputum are seen in tuberculous bronchiectasis. Cystic disease is not uncommon. All age groups are affected. A long history or recurrent respiratory disease is present in the majority of cases. Clubbing is not prominent. The cysts may be localized or generalized. Clinical distinction from bronchiectasis is difficult. The presence of cysts in other organs like the kidneys, liver, etc, suggests the probability of congenital cystic disease of the lung. X-ray reveals the presence of soap bubble-like or ring shadows.

Diagnosis is confirmed by bronchography. This procedure is absolutely essential for determining the extent and type of bronchiectasis. Plain X-ray of the chest is not a reliable investigation to assess the site and extent of bronchiectasis.

Management

General measures include high protein diet, treatment of intercurrent infections, and removal of focal sepsis from the upper respiratory tract. Principles of specific therapy include postural drainage, administration of antibodies, respiratory exercises and in selected cases surgical excision. Postural drainage helps in clearing the bronchi and brings about relief. The patient should be instructed to practice postural drainage regularly. This gives relief of cough and also the foul smell. The fetid odor of the breath can be controlled by administering steam inhalations containing tincture benzoin or eucalyptus oil. The choice of antibiotic is determined by microbiological studies. Intermittent antibiotic therapy is required to clear infection and prevent exacerbation. The site of lesion may have to be excised if medical treatment fails.

Indications for surgery:

The following are the indications for surgery.

• The disease is localized to one lung or one segment and is not amenable to medical therapy.
• Socio-economic factors such as non-compliance by the patient
• Uncontrollable hemoptysis in which the site of origin of blood may be detected by emergency bronchoscopy and surgical resection has to be planned;
• To reduce the area of infection-even in bilateral disease sometimes surgical resection may have to be done on the more affected side, with a view to reducing the surface area of infection; and
• To remove an obstructive lesion which tends to perpetuate the condition, eg, bronchial growth or bronchostenosis?

I am Funom Theophilus Makama. I advertise through writing. As a platinum expert Author, I write lots of articles and hence promote interested websites, companies, groups, organizations, and communities through publishing and distributing my articles