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Sea kayaking, the other way to hike

Appearing for many years on the catalogs of tour operators specializing in trekking, stays combine discovery on foot and sea kayaking and open up new horizons. From the warm seas of Oman to the icebergs of Spitzbergen, passing by the Mediterranean shores, the sea kayak offers travelers promises of discovery with an original point of view. But what is really this activity, what to expect, how and with whom to prepare … With Fanny, I mix with happiness trekking and sea kayaking for many years and offer to share my experience.
In the heart of the Aland archipelago, Baltic Sea In the heart of the Aland archipelago, Baltic Sea
In the heart of the Aland archipelago, Baltic Sea
The origins of sea kayaking

More than 4000 years ago, the kayak was born on the Arctic coast, a craft originally used by the indigenous peoples of Greenland, Aleutians and Alaska. Intended for hunting seals and whales, generally constructed from skins sewn and stretched over a wooden structure, its shape evolved according to the epochs, the regions and the uses. But its main features, like its Inuit name ᖃᔭᖅ qajaq, have been perpetuated until today.
If the use of motor ships by the Arctic peoples gradually led to the abandonment of the kayak as a hunting craft, it was the development of the leisure society that in the 1970s gave a second boost to the kayak. Intrepid explorers and actors of popular education – especially the Paimpol youth hostel for France – contributed to the development of the practice and the emergence of more comfortable ships and a more “safe” use. And the sea kayak to know, since the 1990s, a new development until becoming a complementary activity of the hiking with which it shares some characters.
Kayak under the snow. Kayak under the snow.
Kayak under the snow.
Neither canoe nor rowing …

A water craft, with which the user is body, and propelled, directed and balanced with a paddle with two blades, the kayak is a marine craft. And it must not be confused with the canoe, intended for lakes and large rivers, nor with the boat propelled with oars. The sea kayak, unlike its river cousin, is a large craft – between 4.5m and 6m – which allows it to move quickly and keep a course. Insubmersible due to its waterproof bulkheads, it has such a marine character that, in accordance with the French regulations for category 6 kayaks, if one has the equipment and especially the necessary experience, s ‘To engage in crossings up to 21 km at sea, almost twice the crossing Corsica – Sardinia!
Crossing Corsica – Sardinia Crossing Corsica – Sardinia
Crossing Corsica – Sardinia
Hiking in sea kayak

The interest of the sea kayak does not lie in these great crossings but in a coastal navigation which is much like the hike. It is a slow, regular effort, not engendering physical constraints too big and allowing to envisage days of 15 nautical miles (27 km approximately) like one would make a hike of 15 km on the plateaus of Vercors. And it is thanks to a huge storage space in the front and rear caissons, and a carrying capacity often over 40 kilos that great roaming becomes possible. If the coastlines offer beautiful day trips, it is quite possible to leave for a stay of two to three weeks with luggage and food on board. Then the pleasure of discovery, bivouacs in small coves and paradisiacal beaches … without the constraint of portage or the armada of animals of packs.
The orientation with the aid of a map and a compass, the daily taking of the weather, the preparation of its “bottom of bag” with food and small wool finish comparison with the hiking.
Orientation with map and compass on deck, compass in hand. Orientation with map and compass on deck, compass in hand.
Orientation with map and compass on deck, compass in hand.
Practiced contemplatively, the sea kayak offers unprecedented views on the coastal landscapes, on an original geology exposed by the waves. But it is also the thrill of happiness of the encounter with the fauna that marks in an indelible way the memory of the hiker in kayak. Would you tell me about our narwhal navigation in a Greenland East Fjord, our observation of the big dolphins in the National Park of the Calanques or our encounter with the gray seals of Brittany or the Baltic that I can not describe to you the emotions That there is to live, in all tranquility, these unique moments.
Unique view on the nature reserve of Scandola (Corsica). Unique view on the nature reserve of Scandola (Corsica).
Unique view on the nature reserve of Scandola (Corsica).
What if I turn around?

It is the angst of the beginner! In reality the anguish of the unknown because the sea kayak is an astonishing boat stable for its dimensions and capsize are rare. Rare and unimportant since in a few seconds you will be extracted alone and without learning (Ah the survival instinct!) Of your kayak and that the guide will help you to re-embark. No need to know how to practice sea kayaking, at least as long as your practice is not engaged in violent sea conditions.
Going with an agency?

The unreal blue of the icebergs of Spitzbergen, the breath of the whales of the St. Lawrence, the sun-drenched ribs of the fjords of Oman … the catalogs of tour operators open to dream destinations, mixing hiking and sea kayaking. Invitation to travel is all the more tempting as it is specified that no experience of sea kayaking is required!
Bivouac in the North-East of Greenland Bivouac in the North-East of Greenland
Bivouac in the North-East of Greenland
And it is true that these destinations – large bays and deep fjords – particularly sheltered from the winds and swells, as well as the instructions given to the guides not to sail as soon as the sea rises guarantee your safety and serenity. It is also true that most of the agencies will take you aboard two-seater kayaks, excessively stable and above all much less physically demanding. But as soon as they arrive there, everyone wants to enjoy the destination and the learning time can only be short.
Unless the technical bases of sea kayaking are not difficult to acquire, they require at least a few days. A few days to discover the activity, to overcome its possible apprehension, to master the stroke of paddle to advance without fatigue and to easily manage its kayak. A few days that I can advise you to take on the coastline nearest to you, with a qualified guide who will not only allow you to discover otherwise this coastline but to take full advantage of your future stay, The other end of Europe or the world.
Turquoise waters of Sardinia Turquoise waters of Sardinia
Turquoise waters of Sardinia
From beginners to experienced practitioners

That’s it. After a short course of a few days you learned the basics that allowed you to enjoy this destination that made you dream so much. On these exotic water you slipped without difficulty and you are to return . Thin, hiking, trekking, you feel you have caught a new virus. You feel the call of the sea, the itchy paddle … you want more.
Very intimate picnic break in the heart of the Baltic Intimate picnic break in the heart of the Baltic
Very intimate picnic break in the heart of the Baltic
The sea is, like the high mountain, a universe where man can only be passing. And if it is necessary to patiently learn the mountain or to lean on a guide to cross certain paths, it is the same for the sea. Practiced by calm sea and framed professionals sea kayak is without risk or difficulty. But that the wind rises, that a strong swell settles wherever you are in tidal currents and you will have to be able to mobilize skills, sense of observation, ability to evaluate the conditions and its own level that alone A patient and exciting learning will offer you. And if after learning the idea of ​​leaving the bosom of the guides you itch, then would open to you the same pleasure of autonomy as in mountain. Pleasure to go in couple or between friends, to assume its choices of navigation, safety, bivouacs.
Shorebreak shorebreak
Departure in the shorebreak … a fun exercise that requires a strong experience
To know more

On the Web. The V ery friendly and well illustrated seakayakermag offer you a thousand and one explanations for sea kayaking does no more secret for you.
In bookstore. Kayaking and sea , Bernard & Michel Moulin Gu gan é, é conditions of the Boater’s the French bible of sea kayaking.
Newsstand. Apart from a few items sometimes said é é s in the books magazine Adventures, that is h e las to the language of Shakespeare that you will have to turn up for a playback quality é. Ocean paddler is the r e f e rence across the Channel and beyond to.
And to learn?

Without pretending to be exhaustive, two excellent addresses tested for you.
M é é e diterran, near the national park of the Creeks

Go to the bathroom when you travel

When one travels, one of the elements with which he has to share his day to day life, just as he would in his house, is the bathroom . In this case, leaving aside the bath, shower or sink, I want to focus only on the toilet, also known by the name of toilets, cup or “baza” , as we call it in Cantabria.

Receive the name you receive, that seat of china or porcelain must provide us with the security necessary to feel at ease when it comes to our needs . It is clear that“at home, nowhere” , but if the seat in question meets a minimum hygienic, almost none have any problem in making use of work service, a restaurant, and even a mall. Although in some cases we dare not sit on it . Or spend more time cleaning it with a roll of paper than “using it”.

But I deviated from the subject. As I said, when traveling, one must face the dilemma of encountering different baths than we are accustomed to. Especially if you travel by free, making our the local way of life, and not in hotels adapted to the western standards.

I remember the first bathroom I went to in India as if it were today: Nothing but a Turkish plate on the floor, giving off an odor difficult to bear . Not to mention that the use of toilet paper is something that is not there, and instead use a “manguerita” or tap to be cleaned with water and the help of the hand . It took me a long time to find the proper position to buckle down without spotting my pants with the indescribable floor of the passenger compartment, and to clean myself without wetting my clothes for more than a quarter of an hour.

Fortunately, that visit was “short”, since I only had to pee, but when a few days later I caught the dreaded and almost inevitable “traveler’s diarrhea,” my (frequent)service visits became a veritable torture. Until I got used to it.

From there, and after multiple experiences accumulated in the baths of Nepal , Cambodia , Indonesia or so many other countries , the “Turkish toilet” and I have become close friends. But I have not been fully aware of it until now, in China , when I entered a public restroom with (something unusual) seat, I stood looking at him, defiant, and thinking: “And now, how do I do? I do not play it crazy. “

Bathroom Indonesia

At first I thought to do something like this, until I remembered this poster I saw in Indonesia

And it is that travel opens the mind, and what at first may seem to us something abominable, ends up becoming the most natural thing in our eyes .

I am a fervent defender of the Turkish plates : they seem to me the most hygienic (especially in public baths like the first picture ), and why not say, we are forced to adopt the most natural posture to do “our things”. In the case of women, also to give birth, but that is another issue.

I also defend the use of water for cleaning . At first it can give some disgust (and what we have to “touch” is our only thing) , but when you think about it, it is not much less hygienic to rub a piece of dry paper, we have to use both To get the desired result? For not going into the subject of the unnecessary expenditure of paper that supposes. Or that role does not have the same quality around the world, and in some countries it seems that one is being cleaned with sandpaper.

I admit it is not normal. In the end, “normal” is what we have lived and taught us. I know cases of people who not only do not use the use of this kind of toilet, but even go so far as to feel so uncomfortable at the idea of ​​having to use them, that they “block” , suffering terrible discomforts. There are also those who do not conceive of their daily visit the service without a good book to entertain themselves at least half an hour .

Prenatal Diagnosis and Fetal Medicine

During the recent changes in the laws of bioethics has been added to Article L.2131-1 of the Public Health Code which defined prenatal diagnosis these words (in italics) “Prenatal diagnosis refers to medical practices, there including obstetric and fetal ultrasound , aiming to detect in utero in the embryo or fetus affection of particular gravity ( Code of Public Health, Article L.2131-1 Edited by ION from 2011-814 July 7, 2011 – art. 20 ). It is actually impossible in 2011 to disassociate prenatal diagnosis and ultrasound. In the last ten years we have seen major changes in our exercise: screening for trisomy 21 in the first trimester, non-invasive prenatal diagnosis and in utero treatments are just a few examples.

Combined first-trimester screening combining maternal age, nuchal translucency and PAPP-A and free ßHCG between 11 SA and 13 + 6 SA allows screening of up to 86% of the fetus carriers Trisomy 21 and other major aneuploids, with a low false-positive rate of 5% (1). This screening could be improved by the addition of echographic signs already described such as the absence of clean bones of the nose, an abnormal flow of the ductus venosus or a tricuspid leak. The inclusion of these markers in the first trimester screening would improve the aneuploid detection rate from 93% to 96%, with a false positive rate of 2.5% (2) (3). This screening has been implemented gradually since the decree of 23 June 2009 laying down the rules of good practice for prenatal screening and diagnosis using maternal trisomy 21 serum markers. Access to this technique is still Unequal in the different regions of France, but the majority of sonographers thanks to a very dynamic corporatism have bent to the regulation of the evaluation of professional practices and affiliation to a network. This result is important because it allows us to see a significant reduction in the number of amniocenteses performed for healthy fetuses and earlier sampling (trophoblast biopsy), which results in a reliable result before 14SA and To avoid, in the case of a fetus carrying T21, a late termination of pregnancy. Information on the risk of miscarriage, regardless of the levy and whatever the statements of some of our colleagues, should give a 1% risk . Even if 15 to 20% of the patients questioned said that they would keep their pregnancies if the child had T21, 96% of pregnancies with a fetus carrying T21 diagnosed in the prenatal period were interrupted in France. This screening, which is offered to patients, is obviously not mandatory. The duty to inform patients and signing a consent must be informed allows, in theory, do not turn this screening eugenic practice . This word irritates, irritates, irritates but if the doctor prescribes the examinations without understanding the functioning of the screening and the patient accepts that this screening is carried out without realizing that the stake can be the interruption of pregnancy and that this screening is prescribed by All, one might feel passing the specter of eugenics. This screening policy is, of course, implemented in the name of the well-being of individuals, but it is taken on collectively by the Health Insurance.

It is clear that in the coming years the first trimester will become the key period of prenatal diagnosis. The quality of ultrasound machines currently at our disposal allows us to make diagnoses reserved there is still little by ultrasonography 2 e quarter. There is a real benefit in diagnosing as early as 12 years some severe pathologies for which no treatment is possible, but earlier diagnosing curable anomalies but which can be associated with significant morbidity and mortality Is not without posing a number of questions and problems. Some of our colleagues sonographers prefer not to give all the information to the patients and wait for a later term to announce the diagnosis. Patients expect full information from us and it is our responsibility to give all the information and learn to manage an early announcement and to direct the patients as soon as possible to the CPDPN, which in turn will probably have to Adapt their mode of operation to these ads early in pregnancy if we do not want to witness an uncontrolled increase in pregnancy interruptions.

Many recent publications report a possible prediction of preeclampsia, preterm delivery , IUGR or of macrosomia. Some even go so far as to give results to patients. However, although these techniques are very likely to represent the future of our specialty, there are currently no preventive treatments that have proved to be effective either for pre-eclampsia or for premature delivery. Several points need to be analyzed before making these clinical research findings to patients: (i) What prevention strategy should be implemented when screening for at-risk patients ?, (ii) The cost of screening in the absence of treatment (Iii) How many patients will be alerted for nothing and what will be the impact on the pregnancy and the child?

The discovery of the presence of fetal DNA in maternal blood in 1997 by D Lo marked the beginning of the non-invasive prenatal diagnosis . Fifteen years later, the diagnosis of fetal sex is proposed with a 100% reliability in the management of patients at risk of transmitting X-linked pathology or congenital adrenal hyperplasia and determination of fetal RhD from A simple blood test from 11SA can reassure alloimmunized patients and alleviate the monitoring of unimmunized negative RhD patients and thus avoid systematic injection of blood products if the fetus is RhD negative. The diagnosis of certain genetic diseases (cystic fibrosis, spinal muscular atrophy) on fetal cells is also possible, but this research has not yet reached the stage of clinical trials. It is the same for the diagnosis of trisomy 21. Some papers are promising T21 diagnostic status on maternal blood and some tests are already commercialized but their price and reliability not possible at present to generalize these techniques (4 ).

Non-invasive diagnostic tests are regulated in the same way as other biological examinations of prenatal diagnosis by HAS and the Agency of Biomedicine. It would be necessary for the various professionals, obstetricians, geneticists, psychiatrists, philosophers, lawyers … to quickly reflect on the way in which we will have to supervise the arrival of these new tests, particularly that of the T21. The stakes of implementing these tests are numerous because they will replace probabilistic tests (screening) and tests involving risks of miscarriage (amniocentesis, trophoblast biopsy) by easy, reliable, early, rapid diagnostic tests And without risk.

Fetal medicine makes it possible to oppose the natural history of certain pathologies. We currently know how to place drains of pleuro-amniotic or kysto-amniotic derivations, treat transfuse-transfused syndrome, or place a balloon under endoscopy in fetuses with a diaphragmatic dome hernia. Of course, these techniques are not routinely performed by all teams, but the results obtained are encouraging and encourage us to develop them in the framework of, in particular, Rare Disease Referral Centers. Two new techniques could modify the management of children with diaphragmatic dome hernia and myelomeningocele.

As a result of animal studies showing the potential preservation of neurological functions in utero surgery, the first in utero surgery of human myelomeningocele occurred in 1997. Since then, 200 fetuses have been operated in utero. Monitoring of these fetuses showed an improvement in post-natal neurological signs but associated with significant maternal and fetal morbidity and mortality. The MOMS (Management Of Myelomeningocele Study) study recently compared randomized prenatal treatment to postnatal myelomeningocele treatment (5). The primary endpoint was a composite criterion combining the risk of fetal or neonatal death and the need for a cerebro-peritoneal shunt before 12 months of life. Another composite criterion was the neurobehavioral assessment at 30 months of life between the 2 groups. The study was discontinued prior to the inclusion of the 200 patients expected for the proven efficacy of prenatal surgical treatment: the primary endpoint was found in 68% of cases in the prenatal treatment group versus 98% in the post- Natal (RR = 0.7 p <0.001). A shunt was set up in 40% of cases in the prenatal treatment group, compared with 82% of cases in the postnatal group (RR = 0.48 p <0.001). Prenatal surgery also showed improvement in the psycho-motor development score at 30 months of life (p = 0.007). Prenatal surgery, however, is associated with an increase in the risk of prematurity (average duration of delivery: 34 SA vs 37 SA and 13% of fetuses born before 30 SA) and dehiscence of the uterine scar. Despite these encouraging results, the practical application of this study remains limited due to the need for specialized teams for this type of management, and the significant morbidity associated with it (In the prenatal surgery group, the sequelae remain important). Moreover, this study was carried out in a country where the IMG is not authorized after 24-28 SA according to the states, which is not the case in France.

Prenatal assessment of the postnatal prognosis of children with diaphragmatic dome hernia (HCD) has improved over the last 5 years. Although the prognostic factors used are not unanimous, it seems important that all teams use the same measures in order to compare and improve our practices. The prognosis will be assessed using the Lung over Head Ratio (LHR) between 22 and 28 SA or the observed / expected LHR (LHRo / a) irrespective of the term, liver position and volume measurement Pulmonary artery by MRI. These factors make it possible to define a group of fetuses carrying HCD with poor prognosis. When LHR is <1 or LHRo / a <25% and the liver in the chest, the chances of survival in the neonatal period are less than 20%. For this group, in utero treatment may be proposed. A balloon is placed, between 28 and 30 SA, endoscopically in the fetal trachea. It is withdrawn towards 34 SA. The first results show that the survival rate of these children goes from less than 20% to about 50%. This technique does not appear to lead to an increase in morbidity, but this is currently being evaluated (6).

Hopefully, recent progress allows us to quickly contradict D Sicard, who wrote, “Most of the prenatal screening activity is aimed at suppression and not treatment.” It is true that technical advances in terms of diagnosis have progressed more rapidly than the development of treatment and the management of disability. Read more here Rosh Maternal.

The first quarter will become the key period for risk prevention and the discovery of fetal anomalies. To us “prenatalist” doctors to adapt us to this new medicine.

A healthy body with an oil-free fryer

The oil-free fryer has landed a few years ago in the trade. Indeed, it is characterized as a more healthy cooking appliance. To have tests and reviews on different models fryer without oil, we invite you to click here Más informacion . As for us, we will introduce this fryer and its health benefits!

Operation of the oil-free fryer

Its operation is simple. It uses a ventilated hot air system and an arm rotating your food. It can be programmed. Once you have put what you want to cook in your device, you only have to set the timer and let it happen. You no longer have anything to do, it’s a good alternative for people who do not like or do not have time to cook elsewhere. Do not imagine that you can only cook chips on the inside. On the contrary, you can fry any kind of food: meat, fish, vegetables and even simmer dishes. You can do almost everything with this device, there is a multitude of recipes for fryer without oil .


!

The advantages of this device

Even if its use is not as healthy as that of a steam cooker, it is part of a process of cooking less fat and therefore better for your health. For those who struggle with steam cooking because it does not give enough taste to foods, you will not be disappointed with the oil free fryer. Even if it uses very little oil (1 teaspoon), or not at all, it allows golden and give the food all their flavor. If you need to lose weight, or simply control your cholesterol levels, this is a very very good solution. You can use it every day and it is really very simple to use. It can also be a good choice to keep your motivation if the kitchen does not fascinate you.

 

You can eat chips without fear now 😉

Gardens for therapeutic purposes, hospital gardens

“The garden face the essential touch of being with nature, the proposal just between the small inner world and the vastness of the outside world so that the balance is restored and the affected serenity.”
Roberto Burle Marx
The garden is defined as “an essential geographical space, symbolic place of a good nature, a reduction of the world, and therefore profoundly civilized” (1) bringing both “profit and joy to the citizens” (2).If a garden is a source of balance for a person without specific pathology, it is a fortiori for subjects with mental or physical disabilities, staying permanently or permanently in places of life and care.

The Therapeutic Purpose Garden is an outdoor space, integrated into a hospital or para hospital setting (hospitals, psychiatric, educational centers, for injured cerebral, for people with autism, elderly, vulnerable, fragile, dependent, disabled, …).

  • It preserves the necessary permeability so that the establishment is a universe that is both closed and secure but also open to the world and invigorating.
  • He is interested in people and creates situations of well-being and comfort where things are linked together by pacts extremely numerous.
  • It is not only to offer the possibility of living in a garden, but also to participate in its creation, its evolution, to take care of it.
The benefits experienced through the use of these Daniel Tyrrell gardens design are particularly recognized in Great Britain, the United States, Canada, Switzerland and Japan. Roger Ulrich (1945)  (3)  studied its benefits in many patients the fact of having a room overlooking a park (accelerated recovery of hospital patients after surgery), the nature “with therapeutic virtues by its simple presence ” (4) .

 

These benefits are multiple and vital:

  • Improving the quality of life and the well-being of all users. It can be experienced in relation to care, body, relationship, art, creation, culture. They are gardens to contemplate, to live, to take care of, to receive, to love each other; Gardens where plants useful to man are harvested; Gardens for intergenerational and intercultural links, concerning both the caregiver and the caregiver, families and the surrounding environment;
  • Patient health (sleep quality, reduced prescribed medications, appetite, improved cognitive function and attention capacity, reduction of stress and anxiety, decreased blood pressure, exposure to vitamins D through the sun…);
  • A quality of working environment and a renewed motivation of the medical staff.
The current gaps in the evaluation of scientifically measured health-related objectives leave the door open to some skepticism. To remedy it through studies carried out by the medical profession would make it possible to counter possible reductive discourses making their presence in all Places of essential care.

 

Many establishments have outdoor spaces, often still empty and disused green areas, which are capable of transforming themselves into therapeutic gardens, places of life on the ground, roofs or facades, Health, not in isolation, but in a holistic way, placing the individual in an interrelated environment “(5).
The elements to be taken into account when designing a hospitality and care garden are the suitability for the building, the environment, the users, the pathologies encountered in an adapted therapeutic approach, the relationship with the village, the city.
The principles remain the same as for any garden, maintaining a living diversity, not only of plant or animal species, but also of practices of conception, use, representation and realization.
The garden thus carries environmental legitimacy (conservation of biodiversity, landscape enhancement), social (insertion and social link), economic (nourishing and caring function).
People who take advantage of these gardens often talk about the pleasures they give them, describe their joys of seeing plants, flowers or fruits, feeling them, tasting them, touching them, taking care of them Time to the rhythm of the seasons, to see the trees, symbols of what grows and ages at the same time, to be connected with animals, water, produce food, trade or Exchange, create and participate in the life of the garden, its inhabitants, the village or the city, to share knowledge and experiences.
The task of the human being is to define on the basis of the possible, his reasons for being and act, borne by a creative energy; Creating, according to Nietzsche, “the supreme exigency” in generosity, capacity for action, disinterestedness.

 

The Nietzschean injunction to “divinize the world” is now necessary.

Effective means of disinfecting a surface

If you have ever been in an inhabited place, like a subway station or a doctor’s office, you know the importance of aseptic surfaces.Disinfection of a surface removes visible dirt and bacteria to the extent that diseases are not likely to spread, according to the National Resource Center for Health and Safety in Child Care Settings. Disinfection is not the same as disinfection or sterilization, which effectively kills and eliminates germs. Water and soap

This is the oldest and most basic method of disinfection. Unlike what cleaning products companies might say, you can effectively disinfect a surface by rubbing the bottom with warm soapy water and a paper towel. The hotter the water, the more effective the disinfection. Allow the soapy water to stand for at least three minutes before wiping clean. Wipe all remaining water with a fresh paper towel. Use a paper towel instead of a sponge for maximum disinfection efficiency.

Disinfecting wipes

Remove germs from surfaces such as keyboards, phones and other electronic devices that can not get wet with disinfectant wipes. These wipes are often softer than powerful cleaning products, making them popular in childcare settings. The longer you expose a surface to a cleaning agent, the more effective the results. Therefore, the use of two disinfecting wipes may be necessary to keep the surface moist. You can find disinfecting wipes in any store, petrol station or pharmacy.

Steam

Hot water more than 130 degrees Fahrenheit cleans and disinfects any nonporous surface effectively. Use this option for floors or flat surfaces such as game tables. No extra soap, cleaning agents or chemicals are needed if you use steam. You can buy a household steam mop at your local grocery store or at the hardware store. Note that the use of steam on porous surfaces such as wood or carpet can cause deformation and mold. See top steam mops reviews for more information.
Household Cleaner

Generously spray the surface with a household disinfection cleaner. Allow the product to stand for three minutes before wiping with a clean paper towel. Choose a suitable product for the surface area. For example, do not use your bathroom disinfection product to wipe kitchen countertops unless the instructions in the product instruct you. Many companies will specify disinfection, disinfection or antibacterial properties on the label.

What is an HCG Diet? And Can It Help You Lose Weight?

Some diets, even when they sound convincingly scientific, do not necessarily offer in their promises. The HCG diet is one of the approaches that look good on the surface, but can cause more harm than good.

What is an HCG Diet? And Can It Help You Lose Weight?

Those who wish to lose weight are bombarded with hundreds, possibly thousands, of different diets, each claiming unprecedented benefits for body weight, fitness and general health. Unfortunately, the vast majority of diets simply do not work in the long run. And while the shortcomings of some diet recommendations are evident even to people with no education, others sound too scientific to be simply dismissed.

The hCG diet belongs to the latter group. In effect, it may provide certain advantages for weight loss, but it is evident that at the expense of other factors.

What is an HCG Diet?

HCG (human chorionic gonadotropin) is a hormone present in large amounts in a pregnant woman. Uses fats stored in a mother’s body to provide the calories needed for the fetus to grow. This attribute of using stored fat is the basis of using the hormone as a weight loss treatment. Research has shown that hCG (when taken orally or by injection) increases metabolism in non-pregnant people (men and women).

Initially developed and studied by Albert Simeons, the diet is refined and now includes a four phase fat removal method.

Phase 1: During this phase, the person is asked to consumemuch food as possible, especially fats, more than two days.

Phase 2 and 3: In this case, the daily calorie intake to 500 calories consistent decreases in fruits, vegetables, salads or lean meat with a daily dose of the hormone hCG. This phase continues for three weeks. Halfway through this period, the hCG dose is stopped.

Step 4: Return to a normalhealthy diet.

HCG diet, a diet to lose weight?

Although research on the use of hCG hormones to lose weight and be part of a diet plan is deficient, some studies clearly show that hCG is not an effective way to promote weight loss. A clinical study of 51 obese women was conducted over a 32-day period. All of them were put on a 500 calorie per day diet and half of them received hCG injections. At the end of the study, we found that there was no significant difference between the two groups in terms of weight loss, hip and waist circumference, hunger sensation or weight loss per injection. Therefore, the conclusion that HCG does not contribute much to lose weight.

In another study, 82, pre-menopause, healthy nonpregnant women participated for 28 days. All of them were put on a 500 calorie per day diet. Only a small part of them received injections of hCG, while others were given no injections.

During the first week, all participants experienced strong feelings of hunger and adjustments in diet improved considerably more for those who did not receive hCG injections. During the course of the experiment, two participants also experienced side effects and both belonged to the group taking injection hcg. One woman developed ovarian cysts and the other woman suffered a severe headache. At the end of the study, it was concluded that hCG offered no advantage over caloric restriction and diet success was based on motivation rather than on hCG administration.

A lot of recommendations for the hCG diet have been mentioned in various sources, not to use body lotions and oils to avoid consumption of alcohol, sugar and dairy products. Some recommendations even discourage any form of exercise. A review of these studies clearly showed that hCG is ineffective in the diet and is not recommended for use.

If you are still thinking about trying this diet, it is also advisable to consult a good nutritionist or doctor before starting because of the increased risk of side effects associated with this diet approach.

Pregnant or lactating women should avoid going on a diet as artificially raising HCG hormone levels in the body can pose a threat to the baby’s development and produce serious birth defects. It can also cause problems for the mother’s health.

HCG Diet Plan Facts

What do you need to know about the hCG diet plan before you even start considering it as a weight loss option for yourself? Quite as it turns out. These are important facts about the hCG diet plan everyone should keep in mind.

Although an hCG diet can result in rapid weight loss in a short time, it is certainly not a healthy and permanent way to lose weight.

The evidence of rapid weight loss with this diet that can be found online seems very convincing, but a closer look clearly indicate that the HCG diet can cause serious health risks. There are many studies that show that the use of extreme diets offer more risks than benefits. So instead of putting your body at risk by trying these types of diets, it is best to find a meal plan that fits you well and have been scientifically proven to work and to be safe.

International accounting standards for health sector

The technical Council the accounting public as the Government agency of technical standardization of accounting rules, financial reporting and assurance of information, serving as provided in article 6 and 8 of the 1314 Act of 2009 and the regulatory decree 3567 of 2011, proceeds to answer a query.

CONSULTATION (TEXTUAL)

“(…) I go to his office worthy, in respectful and restrained, in order to ask you, they serve have to whom it may concern, provide guidance to the E.S.E. in relation to what is the group which belongs to the entity I represent, with regard to the application of the VAT (sic), in order to give a proper application of the technical regulatory framework for financial information.

The present request is formulated, since that is the responsibility of the national Superintendence of health check compliance with the rules on the implementation of the VAT (sic) in the health sector.

In addition to the above, must take into account that the past February 27, 2013, arrived via mail, letter Circular No 000001 from February 14, 2013, emanating from the SUPERHEALTH, informing that the entities that are classified within Group 1 and subject to its supervision, should prepare and submit a Plan of implementation of the financial information – NIF with Xero bookkeeper kent street – rules but do not notice the quoted mail If in the particular case of the E.S.E. Hospital Niño Jesús de Barranquilla, belongs to this group, or if this is required or not to report the information that concerns the issue of yore (…) “.”

CONSIDERATIONS AND RESPONSE

Within the purpose and stated, the responses of the technical Council of the public accounting are general and abstract, since its mission is not to solve specific problems that apply to a particular case.

The that Jesus child Hospital in Barranquilla, to identify whether it belongs or not to group 1, you must validate if it complies with the criteria referred to in article 1 of the Decree 2784 of 2012, namely:

“a. issuers of securities: entities that have securities listed on the national register of securities and issuers – RNVE – in finish them (sic) article 1.1.1.1.1 2010 Decree 2555;”

b. entities of public interest;

c. entities that are not in the preceding subparagraphs and comply with the following parameters:

1 plant of more than two hundred (200) workers personnel, or

2. total assets exceeding 30,000 monthly legal minimum wages in force (SMLMV), and

3. complying with any of the following requirements:

i. be subordinate or branch of a foreign company applied IFRS full;

II. be subordinate or parent of a national company that must apply IFRS full;

III. be matrix, associate or joint venture of one or more foreign entities that apply full IFRS.

IV. to carry out imports or exports representing more than fifty percent (50%) of purchases or sales respectively.

For the purposes of the computation of the values stated in the literal c.1., c.2, and c.3 iv, will be considered the separate economic entity parameters corresponding to the second year immediately prior to the exercise which is reported…”

We cannot establish this response group belongs the entity, since it is not provided more information in the consultation, and the determination of the groups is not necessarily tied to the development of a specific activity.

Note: Second year immediately prior to the exercise which is reported, means December 31, 2013, since according to paragraph 8 of article 3 of the above-mentioned Decree, the reporting date for the Group 1 entities corresponds to the December 31, 2015. Therefore, if it is required to classify the company prior to the closing of the year 2013, be should be projected figures and based on this information, proceed to determine the group, taking into account that the final data will be which really present the company through December 31, 2013.

In the above terms is acquitted the inquiry, stating that to do so, this body observed by the information submitted by the consultant and the effects of this writing are those laid down in article 25 of the administrative code; its content does not compromise the responsibility of this body, does not have binding force, does not constitute administrative act and against it not applicable recourse.