Ever wondered why one of your friends seems to have a sky-high tolerance for alcohol while you’re bathing on your vomit after two glasses? If you have more embarrassing photos during parties than good memories, it’s time to step back and look at what you’re doing wrong.
1. One at a Time
Never try to drink more than you think you can handle. If you’re inexperienced, limiting yourself to one beverage every hour should make it easier for your body to eliminate the alcohol. Ask for your own glass and never leave it just about anywhere. Hold it for everyone to see so you don’t get more offers to drink.
2. Know Your Limit
If you’re the type who feels dizzy with just a glass of beer, don’t go beyond that. Even if you’re with trusted friends, some of them might end up drunk too and that could be a recipe for disaster. Alcohol tolerance is dependent on genes, weight and body type.
3. Drink Water
Water will help your stomach break down alcohol faster. Drink water before, during and after drinking alcoholic beverages. That will also help you sit through drinking sessions longer without getting dehydrated and you’ll have an excuse to make trips to the bathroom.
4. Eat Something
Food can help reduce the effects of alcohol. You will still get drunk but at least you’ll feel full and be less inclined to drink more. Never drink on an empty stomach because solid food should help slow down digestion of alcohol and delay its distribution in your bloodstream.
5. Pick Your Drinks
It never hurts to research before going to a party especially if you’ve never tried drinking before. Don’t mix drinks if you don’t know what’s in it. If you know how to do it, it’s better if you mix it yourself so you’ll know what you’re drinking. Don’t accept just about anything without asking.
6. Don’t Go Solo
Ask someone to accompany you. You’ll never know if you’re going to have too much to drink. At least one of you can take care of the other and make sure you can get home safe with your limbs intact.
7. Alcohol Tolerance
Some doctors would not recommend this but increasing your tolerance by drinking one or two glasses everyday can help. Liquor isn’t all that bad for your health if you drink in moderation. You need to accept too that some people can handle the effects of alcohol much better than you.
8. No Pressure
Newbies are sometimes pressured into thinking they need to keep up with friends. They should respect your decision not to drink more because if they keep insisting, then maybe they aren’t your friends. If you want to avoid pressure, then don’t go to places or attend events that could tempt you.
9. A Teaspoon of Dry Yeast
One co-founder of a beer company said that his secret is to swallow a teaspoon of dry yeast before drinking. Yeast has an enzyme that helps break down alcohol just like the way your liver does. It will help reduce the effects of alcohol.
There are a lot of women who don’t look forward to their monthly period. Although some over-the-counter painkillers can help alleviate the pain, they don’t completely eliminate the discomfort of the experience. This is why some girls choose to skip work or school. So what causes menstrual cramps and how do you eliminate the pain?
What causes the pain?
Dysmenorrhea is the name for painful or difficult periods. There are two types, primary and secondary dysmenorrhea. Primary dysmenorrhea is the most common form which affects the lower back and lower belly. Secondary dysmenorrhea is caused by medical conditions such as pelvic diseases and endometriosis.
The pain is caused by the contractions of the uterus. The uterus is a muscle which contracts to discharge the lining of the uterus or endometrium that has built up but not used. The compounds called prostaglandins are released to make the uterus contract. Strong contractions disrupt blood flow in the endometrium so that it breaks down and is squeezed through the cervix. That’s when you feel the pain. These contractions are affected by the level of the prostaglandins. It can cause nausea, vomiting, light-headedness, diarrhea or constipation, and bloating.
What are the tests done?
If the pain lasts for more than three day or there are other symptoms besides those listed above or if the pain is persistent, the physician will do several tests to determine the cause.
The areas including your abdomen, cervix, uterus, fallopian tubes and vagina will be examined. The tests include an ultrasound, MRI, CT scan, laparoscopy, and hysteroscopy. These tests will determine if you have any of the following: ovarian cysts, pelvic inflammatory disease, cervical stenosis, adenomyosis, endometriosis, uterine fibroids, ectopic pregnancy, or adhesions.
Is there a relief for dysmenorrhea?
If you have painful menstruation, you should visit the doctor to eliminate other possible causes. The doctor will also recommend medication to relieve the pain. Most over-the-counter medications with ibuprofen or naproxen sodium will work as anti-prostaglandins. The pain reliever should be taken as soon as the pain starts because there are times that you won’t feel its effects if taken too late. Some women are prescribed to take birth control pills too which sometimes work to lessen the pain before the period.
You should rest at home if the cramps are bad. Lie down and place a heating pad on your lower belly. Others also find relief in taking short warm baths, massage or exercise. Don’t wear tight clothes because you might also feel pain around the hips, inner thighs and lower back. Avoid eating or drinking anything with high salt or caffeine content. Avoid alcohol and smoking too.
Sometimes having a regular exercise routine before your period can reduce the pain. Besides those mentioned above, alternative treatments to painful menstruation may also be recommended such as yoga and acupuncture.
Well, yeah. A lot of us enjoy the city and the tall structures and the fancy this and that. But some of us are looking for something a little more adventurous. Maybe you’ve grown up with rock music or used to be a big fan of skate and street culture, there’s a perfect place in Singapore for you.
Not everyone enjoys street culture. The graffiti for some is a bit too outspoken to the point that they do not appreciate it anymore. Street culture has grown both ways! Both good and bad. But hey, don’t worry, there’s a place where the culture is not only preserved but also celebrated! Being young usually means you have so much energy and adrenaline inside of you. Skating is a great way for you to let out that energy and just enjoy the sport in itself. Well, skateboarding is more than just a sport, it is a way of life!
Most people do not understand that skating is a culture in itself. The surfers are already recognized for their culture. I mean, how couldn’t you recognize them. It’s pretty obvious that they surf in the water and compared to skateboard culture, there isn’t much places where it is celebrated. Skateboards in some places are considered to be just a toy but there is so much more to that board than being just a toy.
Back in the day, the skateboard movement started and it caught fire all over the world! Even people from Singapore caught a glimpse of skateboard culture! Why wouldn’t it? There’s a lot of art to the skateboard movement. The graffiti and vandalism, the music, the clothing, the lifestyle, and the boards themselves have a lot of meaning to them.
Now, where in Singapore can we enjoy skateboarding culture in peace? You can find a small skatepark right next to the Somerset MRT! Get to see skateboarders do tricks all around the park and enjoy the visual art of the vandalism everywhere! Singapore has given this park to the skaters, this is something you should definitely not miss.
Skating is a culture and it is a great thing that Singapore itself respects that culture. Leaving the park open for anyone who wants to skate, this is a great way to learn and make friends. Chilling by the park is also something you are free to do.
There are so many places in Singapore where most locals do not appreciate. But not you, check out the skatepark next to the Somerset MRT and discover a whole new world inside the city of Singapore.
Ever heard of the three month rule? Well, even if you haven’t it doesn’t matter at all. We’re talking about another three month rule here. This three month rule is guaranteed to give you a cleaner and more breathable home! “Home is where the heart is.” this is one of the most famous lines we’ve ever heard describing the sanctity and importance of our home. The rooms of our house become the very ground we call ours. As human beings, shelter is a very basic need. But then again, the sentimental emotions inside of us beg to think of our home as just a house, instead, we give greater value to our home as it is not just a place where we belong, it is also a place that belongs to us.
What some people do not understand though is that having a home comes with certain responsibilities. This means that your house is entrusted to you and you have to take care of her no matter what. Now, what does this say about cleanliness? Well, if we care about something, we obviously won’t allow that thing to go on unpolished. Keeping our houses clean reflects the respect we give to the idea of home. There is definitely no place like home.
Now, going to the three month rule. This rule is actually pretty basic. All you need to do is take out the things you haven’t used in the last three months. That’s it? Yup! That’s it. You see, when it comes to things that are necessary, sometimes a lot of them aren’t even useful. Why let those things clutter up your homes if they do not even serve a purpose from the start.
Let’s start with your clothes. This may be the hardest to give up as most of your clothes have been collected over the number of years. But let’s face it, you can’t use them anymore. And even if you did, you wouldn’t actually want to. You’d just use them for the sake of saving them from being thrown out. Well, there are certain exceptions to this rule like that fancy suit you’ve been saving up for which you only use during rare occasions. But now talking about the rest of your wardrobe, some things have to go.
Your clothes aren’t the only things that need to be sorted out. There are also books, furniture, games, gadgets, and so much more things that could minimize the clutter around in your home.
CRM, which stands for Customer Relationship Management, is a type of system that can help you manage the information of your clients, partners, customers, sales reports, and even inventory. It allows you to look at all your information at a glance so that you could easily glean information for future courses of action.
A lot of businesses think that using CRM software isn’t necessary and are only needed by large companies with multiple departments. But with all the benefits that CRM software can provide a company, its use is simply something too valuable to pass up on. Truly, a CRM system can be one of the most important tools that a business can use, no matter its size.
After all, starting a business can be incredibly risky. There are a lot of factors to be considered, some of which cannot be controlled or predicted. As with every risk-filled endeavor, it always helps to remove as much luck from the equation as you can. CRM systems can allow you to do this by giving you access to valuable information that you otherwise wouldn’t have access to. This is especially important for small businesses who want to get off the ground; CRM can provide you the data for sales management and other factors, which can leverage your business and get your services and products out into the world.
Build Your Business
At its foundation, CRM providers like crystal dash in Singapore can allow you to make your company bigger. CRM software is the perfect tool to aid you in this. All the information that CRM provides you can help you understand the best courses of action that you can take next. It also keeps you connected to potential clients, as well as previous clients so that they can easily return to you for future engagements. Here are some of the things that CRM systems can do for your small business.
1. Understand your market
CRM software, at its most basic, helps you organize the data you have on your customers. With CRM, you can easily look at all the data you have concerning your business at a glance, including sales reports, past interactions, the effectivity of your leads, and the profitability of your products. With all of this data, you could be sure that the markets you are targeting are engaged with your business, or if an entirely different and more profitable market is waiting for you on the sidelines.
2. Help you appear more professional
Using a CRM software is also an easy way to appear more professional towards your clients, especially in terms of sales management. Being able to organize your information doesn’t just affect your efficiency but also saves time for your clients as well. Because of your software’s ability to store and track data, your customers don’t have to repeat every single necessary detail every time they engage with one of your employees. It also means that you can approach them in the most appropriate manner. For example, if a customer is having a problem with your product, you wouldn’t want to sell them the same product before you solve their current issue.
Cloud CRM also quickens your response time. In the fast-paced modern world, being able to quickly rectify issues is expected. Cloud CRM allows you to look at your data from anywhere you are, whether in Singapore and abroad, and access information on clients. This allows you to quickly answer any questions and solve any issues that may arise.
3. Helps you build your company
CRM can aggregate all the data that you have about your business and customers and can automatically generate trends and statistics so that you are armed with the information that you need to move forward with your company. With more information, every big move that you take requires less risk on your part. CRM can also help you build your business in smaller ways, such as letting you understand which leads are effective or helping you understand how to better engage your audience, whether you have an international customer base or only target customers in Singapore.
4. Lets you find the best practices for your company
The way companies operate differ from one company to the next, from their marketing philosophy to their differing brand identities. Creating a company means understanding what will work best for all the aspects of your company, including the vision you have in mind, the products and services that you want to offer, and a host of many other things.
With so much data that you have to constantly sort through, its hard to not let anything fall by the wayside, much less understand which practices are more effective. CRM helps you sort through all the information that you come across when building a business, helping you understand which practices are working, which ones could be improved on, and which ones should be scrapped.
Who Doesn’t Need CRM Systems?
We’ve already established all the reasons why you would need a CRM system even if you just started your business. If you want to know more what package is suitable for your company, call http://www.crystaldash.com/contact-us/ for a quick consultation.
You think you don’t need a CRM system?
As a rule of thumb though, all businesses need CRM systems. Even those that are comprised only of a few employees can benefit from all the features that CRM software can bring, even if they invest in the more basic and less complex kinds.
Some may state that you don’t really need a CRM system if you are a one-man business endeavor, or if you only have a handful of employees. But as long as you plan on growing your business, you will need to invest in a CRM system. Even if your plan of expansion isn’t well into the future, investing in CRM early on can give you a ton of benefits. Investing in this handy tool as early as possible can give you a leg up in the game, letting you grow much faster than all other competitors in your market.
Thousands of people in Singapore consume their coffee on the daily. From iced mocha to a warm cup of café latte, the drink isn’t exclusively sold during the mornings alone. This growing demand for coffee has prompted entrepreneurs to run coffee-related business endeavors such as setting up a mobile coffee cart or offering coffee catering. After all, Singaporeans make for great coffee consumers.
Aside from being a staple drink in the morning to start the day right, coffee is also enjoyed in between meals and for when you need the extra attention boost over piles of deadlines to beat. For instance: a nice cup of cappuccino remains to be an excellent favorite by many, providing them the focus and concentration they need to get their tasks done.
The coffee business in Singapore is booming and continuously growing by the day. If you’re seeking for a worthwhile investment, consider entering the coffee business to see if you can achieve success in this endeavor.
The coffee cart business also enjoys a popularity among businesspeople. Since it’s one type of a mobile coffee shop, customers can enjoy richly brewed instant coffee anywhere and anytime of the day. The Singapore www.butlerkoffee.com cart offers various coffee blends and flavors for people to enjoy as they rush towards their pending tasks soon afterwards.
Why does it remain to be a popular business endeavor? Simply put, the mobile coffee cart can be likened to a mini store that can be easily transferred from once place to another. If you’re eyeing to shift locations between different schedules of the week, you can increase profit by up to twice or thrice. Customers prefer coffee carts when they’re on-the-go. They do not have to queue in long lines just as they do in famous coffeeshops.
With the appearance of more and more coffee push cart in Singapore, here are some of the frequently asked questions regarding this coffee-related business endeavor:
1. How do you begin?
If you’re interested to venture into the coffee cart business, start by becoming a student of the coffee industry. Venturing into a particular business with zero knowledge about the industry is unwise. It is important to have a firm grasp on the necessary details you have to be aware of. You can attend tradeshows and read industry periodicals to quickly catch up on what you need to know.
There are also books which focus on the mobile coffee cart business; they often have a general operation guide and starter manual to help your coffee business journey grow into greater heights.
2. Is a coffee cart still worthwhile, given all the other competition?
Keep in mind that the demand for coffee only increases by the day – with lots of people in the workforce chugging the drink as if it’s water. Coffee is a fool-proof option when you need the right ‘kick’ to get things done, so a coffee cart is still a worthwhile business investment with all things considered. Opportunity exists for coffee businesses if you only know where to look.
Another viable business endeavor is coffee catering, where you can make use of your mobile cart to serve dozens and more people who might want to enjoy some coffee at the same time. This is a popular option in office meetings and large symposiums.
3. How can I find the best location for my coffee cart?
The right location will always be the most strategic location. Find a good and convenient spot with increasing customer traffic, such as in hospitals, offices, grocery stores, and public waiting areas. You will need to exert effort and persistence in finding the right sport for your coffee cart, considering the number of other competitors you might have to take on the challenge with.
Don’t worry if the search will take you quite some time. Even if it takes around six months to one year – the right location will be worth all the wait. The convenience of your spot also matters if you want to attract more customers. This is ideally to be found in a place where people pass by on their way to the office or just around the corner from where they work.
4. Is the right equipment necessary?
Without a doubt, it is crucial for any coffee cart business to function on the right kind of equipment. Consider it an investment on your part, as state-of-the-art machines can help you yield more profit in the long run. Have a durable espresso machine or a sturdy coffeemaker. You wouldn’t want your equipment to act up often enough for it to hog your finances over repair costs.
The success of running a mobile coffee shop greatly depends on the equipment and tools you use. Keep in mind that these are essential factors if you don’t want your mobile cart to crash and burn.
5. Should I come up with a business plan?
Planning is crucial in every business endeavor. Businesses need to have deliberate plans to achieve concrete goals and targets over time. A good business plan also provides guidance to steer your coffee cart business into the direction you want it to take. Keep in mind that success is composed of a lot of factors, and planning is only one of it.
This also includes picking a name for your coffee cart business. Generally, you’d want a trendy and catchy name for customers to easily familiarize with. Develop your reputation well so that your coffee brand will register positively among people.
It is important to have an idea about the different types of electricians to avail the right electrician services for what you need. As a home owner, you’ve probably had an experience in the past that required you to hire an electrician to install new lighting or troubleshoot electrical works. A good electrician knows how to work his way around wires and has fair knowledge on the most common household problems. You can easily hire one to do the basic inspection and assessment on your home.
However, when it comes to more specific expertise, you’re better off looking for a licensed electrician who specializes in a certain field.
In Singapore, electricians are considered skilled craftsmen and experts in technical tasks such as installation, repair, and maintenance of various electrical devices and systems. To attest to their skills, they are also bearers of official licenses. They are obliged to undergo massive training and relevant work experience before they can officially be called an electrician.
While general practitioners master the basics of electrician services like the back of their hand, there are different types of electricians with varying degrees of specialization and expertise. This means they have a certain area of expertise, and they’re most likely the ones you need to turn to when fixing advanced electrical problems. Here are the various types of electricians:
1. Residential electricians
Homeowners turn to residential electricians to fix certain technical issues in their household. A residential electrician knows how to maintain, install, or upgrade any electrical equipment in one’s apartment or house. In some cases, they are also responsible for the installation of outdoor landscape lighting.
Before you can officially become a residential electrician, you need rigorous training in the forms of formal classroom instruction and apprenticeship. The apprenticeship typically spans to around 4 years of supervised work under an established electrician. Any aspiring candidates must also pass the final tests at the end of an apprenticeship program.
2. Journeymen electricians
A journeyman electrician generally works on mechanical connections, power supplies, lighting installation, communications and security systems in residential and commercial buildings. Oftentimes, they are also assigned to work on overhead lines. Several of these electricians may opt to work in construction sites, though others prefer working for manufacturing plants or utility companies.
Typically, there’s a journeyman electrical exam to pass if one aspires to become one. Upon successful passing, the examinee gains an official certification to attest his/her competency as a journeyman electrician. They may also begin working unsupervised on various electrical systems. As a certificate holder, they can also help in training the junior apprentices.
It is widely believed that the name ‘journeyman’ suggests there’s a lot of travel involved in the job. Meaning, journeyman electricians often work from one place to another on a regular basis.
3. Master electricians
Master electricians from Singapore http://www.powermax.com.sg/ are highly skilled experts and they mostly hold a supervisory role in commercial companies. Some master electricians also own a personal contracting business to which they directly supervise. To become a master electrician in Singapore, you will need to provide proof that you have sufficient work experience or a bachelor’s degree in electrical/electronic engineering.
Strong managerial skills are important in a master electrician. Their expertise must span beyond basic repair, installation, and maintenance of electrical systems. They must know how to work with people, as their role often involves supervising a staff of laborers, trainees, junior apprentices, and journeymen electricians on various jobs.
4. Commercial electricians
Typically, commercial electricians are found working on construction sites. Their expertise at commercial buildings and mechanical electrical systems makes them sought-after by different businesses and commercial companies. Some commercial electricians also do installation work, which may involve advanced security systems, water heaters, and electronic key systems.
Being a commercial electrician also means you are tasked to complete system upgrades and troubleshoot systems. Doing the latter allows you to isolate specific problems which are brought by faulty wiring. To acquire an official license, you are to work under a master electrician first to gain relevant work experience.
There is a high standard in selecting potential commercial electricians because commercial electric work can greatly affect the safety of the public and the users of the building.
How do you hire the right electrician?
Hiring the right electrician for the right job doesn’t just happen after a single click on a web search engine. While the results might lead you to several options to choose from, you still need to consider: (a) the kind of work you’re seeking help for and (b) the budget you can allot to get the job done.
Personal recommendations also matter when hiring an electrician. If you know anyone who has had their wires fixed or recently installed a new electrical system, ask them where they availed their services from. If they had a pleasant experience with a certain electrician/electrical company, it’s best to check them out and browse through the services they offer.
Consider their relevant work experiences and ask them for a quick run-through, as well. Your best shot lies on an electrician who has done a similar task at the issue you’re hoping to fix, or at least closely related to it.
A general electrician can only help as much. Advanced electrical problems might be beyond his/her skill and capacity, and so seeking the assistance of an expert technician is highly encouraged. These electricians are well-trained in the respective fields they work for – may it be a journeyman electrician, commercial and residential electrician, or a master electrician.
Over-the-counter medicines are good for relieving pain, allergies, cough and cold fast. But if taken without considering the right dosage can lead to serious organ damages and death.
Some people are unconsciously addicted to these medicines and this could be a problem because they can be bought without prescription. There are also no visible signs on the person unlike those addicted to dangerous drugs. Addiction could start with one harmless tablet until the person feels dependent on the medicine for relief. Other people start increasing the dosage and take more than one tablet or capsule a day.
Pain Relievers or Analgesics
Overdosing on pain relievers like nonsteroidal anti-inflammatory drugs (e.g., aspirin), paracetamol or acetaminophen, and opiods (e.g., codeine) is quite common and some even use them to commit suicide. The symptoms include sweating, irritability, diarrhea, and nausea. Later, your body shuts down slowly and painfully. Most die because of liver failure.
Overdosing can also cause stomach pains, headaches, gallstones and liver damage. Withdrawal can cause headaches and irritability.
Overdosing on antihistamines like diphenhydramine can cause mild to severe symptoms but it’s rarely fatal. The person experiences spasms, seizures, hallucinations, drowsiness, and flushing. But it can also lead to kidney damage and appendicitis.
Never try to mix antihistamines with medications for sleeping problems or motion-sickness because some have the same ingredients. You could still overdose on two different medicines unknowingly.
Cold and Cough Relief
Some people use over-the-counter cough medicines to get high. That feeling comes from the ingredient dextromethorphan, which is common in most cold and cough relief drugs.
Overdosing on dextromethorphan can cause euphoria, hallucinations, distortions in vision and hearing, vomiting, and drowsiness.
Combinations to Avoid
Sometimes when we’re sick, there is a tendency to rely on medicines to treat every symptom. Those who don’t feel like they’re getting any relief tend to ignore the instructions on when and how much drugs should be taken. There are cases of unintentional overdoses because of a combination of drugs.
Don’t mix any of the mentioned medicines with too much alcohol and other drugs without the doctor’s advice. Never take more than one type of the same drug together, like taking one opiod and another with acetaminophen or paracetamol. They can also be lethal when mixed with energy drinks, motion sickness medicine, laxatives, diuretics and herbal products. Herbal products are just as bad because they can be bought without prescription and do not usually undergo the same strict regulation as other medicines.
These medicines are not harmful. In fact, they’re safer than herbal supplements. It’s this assumption however that can lead to mistakes. Too much of something is bad for you, as the saying goes. Take only one medicine at a time and each should be spaced out as indicated by the label. Never go beyond the dosage prescribed and it wouldn’t hurt to read the instructions.
If you feel like over-the-counter drugs don’t have an effect on you, then it’s time to visit the doctor. Perhaps you’re experiencing more than just a regular cold.
Some fans of the horror genre are turned off by so many releases of slasher films that sometimes even turn into a hit movie series. The article isn’t making fun of other people’s choice of the dark and macabre, but sometimes its refreshing to see films that aren’t about semi-human psychopaths with sharp saws for forks.
The Cabinet of Dr. Caligari (1920)
This classic silent horror film features the hypnotist Dr. Caligari who uses the somnambulist Cesare to kill people. Francis, who is having problems with his fiancee, investigates the murder of his friend Alan who earlier had visited Cesare.
This is the first of Clive Barker’s films of a gruesome tale of Frank who was resurrected after he escaped an alternate dimension populated by Cenobites. His niece Julia had solved a puzzle box and meets Pinhead, the leader of the Cenobites.
Detective John Hobbes investigates murders which seemed to have been copied by a recently executed serial killer whom he captured earlier. Further investigation revealed that another detective in the past uncovered the mystery but ended up committing suicide.
Based on the manga of the same title by Junji Ito, it’s a frightening tale of a town obsessed with spirals. Kirie is disturbed by one of Kurouzu’s resident’s love for the patterns on a snail. He later went inside a washing machine to find more spirals.
Secret Window (2004)
Based on a novella by Stephen King, it tells about the descent of Morton Rainey into madness. He was in the process of divorcing his wife and was trying to finish his work, but someone is accusing him of plagiarism.
Three… Extremes (2005)
It’s a compilation of three short films from East Asian writers and directors. “Dumplings” is about an actress who wants to become younger following her discover of her husband’s infidelity. “Cut” is about a film director who is threatened by one of his extras because of jealousy. “Box” tells the story of Kyoko who recalls her frightening past as a circus performer.
The Descent (2005)
Six friends enter a cave system in the Appalachian Mountains and were trapped. One of the women, Juno, claimed that she led them to an unknown cave system so she can restore their friendship. In the cave, they find human-looking creatures.
Pan’s Labyrinth (2006)
Ofelia and her mother move in with Captain Vidal. She was led by a stick insect to a stone labyrinth where a faun tells her that she is the Princess Moanna, the daughter of the king of the underworld. Ofelia has to perform three tasks to become immortal.
A Girl Walks Home Alone at Night (2014)
Arash was about to pay the drug-dealer Saeed when he found that the latter was murdered. The woman who supposedly killed Saeed found Arash after he was drugged and lost. Not knowing what she was, Arash gave her the earrings he was supposed to use as payment for Saeed.
If you are hypertensive or there are abnormalities found in your heart during a general check-up, your primary doctor in Singapore will recommend heart screening to determine if you have a cardiovascular disease.
If you see symptoms that are associated with heart diseases, you should look for the best cardiologist at the nearest hospital. Different techniques are employed by the cardiologist whom you will be referred to. Let’s look at each procedure.
Checking Your Blood Pressure
The first part in a heart screening is the manual checking of your blood pressure. In this procedure, a cardiologist will use a sphygmomanometer to check the systolic and diastolic pressures. This is usually a good indicator if you have hypertension. The systolic pressure is the upper number and indicates the pressure of the blood on the artery walls. The diastolic pressure is the lower number indicating the pressure on the artery walls when the heart is at rest. The result is measured in mm Hg, and the normal blood pressure is no more than 120/80 mm Hg.
Electrocardiogram or ECG or EKG is a procedure that records the electrical activity of the heart. The result, which is read by either a technician or cardiologist, will show if there are abnormal rhythms or arrhythmias and heart muscle damage in the heart. Each electrical impulse that causes the muscles of the heart to pump will be recorded, particularly the timing of the top and lower chambers of the heart. The cardiologist will look at the interval of the waves and the amount of electrical activity.
Echocardiogram, also called echo, uses high-pitched sound waves to assess the condition of the chambers and valves and the pumping action of the heart. You can click here for more info on heart check before going for one. On a monitor, this heart screening process will show an image created by the sound waves that bounce off the parts of the organ. The heart doctor will use an ultrasound probe over the skin surface of the patient. There are three types of echocardiograms; Doppler, transthoracic, stress and transesophageal echocardiogram.
Cardiac CT Scan
The computed tomography scan uses X-rays to check the heart and the blood vessels. There are three types of cardiac CT scan based on what the cardiologist is trying to look for. Coronary calcium scan is for determining the build-up of calcium deposits in the arteries. CT angiography is done to monitor blockages and changes in the arteries. A cardiac CT scan is also done to check the pulmonary arteries and aorta. This last technique is a combination of the two.
Magnetic Resonance Imaging
Magnetic Resonance Imaging or MRI of the heart uses radiofrequencies and magnets to create images of the heart and blood vessels. This procedure will determine the health of your heart’s valves, the major vessels and even the presence of other abnormalities in the system. A heart surgeon will also require a magnetic resonance angiography or MRA before any heart procedure is performed on a patient.
Thallium scans are also called myocardial perfusion scans. In this procedure, a laboratory technician will intravenously inject radioactive sestamibi so that a camera can take photos of the heart. It is recommended by a cardiologist so that the blood supply to the heart can be viewed. This will tell him/her if there are areas in the heart that do not receive enough blood. There are four types of thallium scans used in hospitals in Singapore today.
Blood tests will also be recommended by the cardiologist especially for hypertensive patients who are taking medication. The tests will check the level of cholesterol and triglycerides, sugar, C-reactive protein or CRP, ceramides, brain or B-type natriuretic peptide, creatine kinase or CK, creatine kinase-MB, cardiac troponin or troponin T, myoglobin, and urine albumin/creatinine ratio. The cardiologist will ask you to have a 12 to 14-hour fast before cardiac blood tests are performed. Don’t forget to tell him/her about other medications and supplements that you’re taking.
A stress test may be done by asking the patient to use a treadmill or a stationary bike. Also called exercise ECG, the result of this test will tell the heart doctor in Singapore if a person’s breathing and blood pressure are within normal range during and after a strenuous physical activity. The cardiologist may also administer medicines which will stress the heart during the procedure. The result will help the heart doctor determine if the patient has a high risk of developing coronary artery disease. This is also a way for the heart surgeon to determine if the patient can start exercising after a heart surgery was performed.
Cardiac catheterization or coronary angiogram is done by placing a narrow hollow tube into the artery in your upper leg, arm or the heart. When the dye is injected, X-ray photos will be taken as it travels through the patient’s heart. The cardiologist will recommend this procedure to determine the extent of the narrowing in the arteries, the functioning of the valves and others.
Positron Emission Tomography Scan
Also called PET scan, it a procedure that looks for signs of damage or abnormalities in the flow of blood and the heart muscles. PET scan is a nuclear scan that uses a radioactive tracer that is given intravenously. You will be asked to lie down in a scanner so the technician can record the signals on the monitor. The heart doctor might recommend a PET F-18 FDG scan to look for damages in the heart. The heart surgeon will also ask for this procedure to assess your condition after a heart surgery.
Tilt Table Test
In this test, you will be asked to lie down on a table. The laboratory technician will secure you on the table with straps and connect an ECG and a blood pressure monitor. The table will tilt you in standing and lying positions alternately to see if your blood pressure and pulse rate suddenly change when you are lying down or standing up.