Monday, November 28, 2011

8 Germiest places in the Mall - Got Hand Sanitizer?

After a super busy American black Friday you'll be thankful that Cyber Monday allows you to stay at home and contend with your own family's germs instead of thousands of others germs that you've not built up a resistance to.  Here are the "Top 8 Germiest places in the mall":



1. Restroom sinks
The filthiest area in a restroom (and therefore in the whole mall) isn't the toilet handle or the doorknob -- it's the sink, our experts say. Bacteria, including E. coli, fester on the faucet and handles because people touch those surfaces right after using the toilet, explains panelist Charles Gerba, Ph.D., a professor of environmental microbiology at the University of Arizona.



"The sink area is a moist environment, so bacteria can survive longer there," he adds.

Watch out for soap dispensers, too -- not only are they handled by many dirty hands, but the soap itself may harbor germs. When Gerba's team tested liquid soap from refillable dispensers in public bathrooms, they found that one in four contained unsafe levels of bacteria.

Protect yourself: Wash your hands thoroughly after using a public loo: Lather with soap for at least 20 seconds, then rinse well. Use a paper towel to turn off the water and open the door. If there's no soap or paper towels, kill germs with an alcohol-based hand sanitizer, using at least a tablespoon of product.

Gerba also advises avoiding refillable soap dispensers (usually made of clear plastic with a removable lid) and only using liquid soap that comes in a sealed refill; if that's not an option or you're not sure, follow up with hand sanitizer.

2. Food court tables
Even if you see the table being wiped down, that doesn't mean it's clean, says panelist Elaine Larson, Ph.D., a professor of epidemiology at the Mailman School of Public Health at Columbia University: "The rags themselves can actually spread harmful bacteria such as E. coli if they are not changed and washed regularly."

Protect yourself: Consider stashing a pack of hard-surface disinfecting wipes in your purse so you can swipe the table before you sit down. "Look for ones that contain alcohol or another disinfecting agent in order to make sure you're killing germs, not just wiping away grime," Tierno says.

3. Escalator handrails
"In our testing, we have found food, E. coli, urine, mucus, feces, and blood on escalator handrails," says Gerba. "And where there is mucus, you may also find cold and flu viruses." Tierno concurs: "We've found respiratory flora on handrails," he says, "which makes sense because people cough into their hands, then touch the rails."

Protect yourself: Play it safe: Avoid touching handrails altogether, recommends Gerba, unless you absolutely have to -- in which case, give yourself a generous squirt of hand sanitizer afterward.

Health.com: The germiest places in America

4. ATM keypads
After testing 38 ATMs in downtown Taipei, Chinese researchers found that each key contained an average of 1,200 germs, including illness-inducing microbes like E. coli and cold and flu viruses, Tierno says. The worst key of all? The "enter" button, because everyone has to touch it, Gerba points out.

Protect yourself: "Knuckle" ATM buttons -- you'll avoid getting germs on your fingertips, which are more likely to find their way to your nose and mouth than your knuckles. And be sure to wash your hands or use sanitizer afterward.

5. Toy stores
Toy stores can actually be germier than play areas, carousels, and other kid-friendly zones, Tierno says, simply because of the way little ones behave there. "Kids lick toys, roll them on their heads, and rub them on their faces, and all that leaves a plethora of germs on the toys," he says. The goods their parents don't buy end up back on the shelves, where your kid finds them.

Protect yourself: If you make a purchase, wipe down any toy that isn't in a sealed box or package with soap and water, alcohol, or vinegar (which has antimicrobial properties) before giving it to your child. And, of course, reach for the hand sanitizer after you've been hands-on in the toy aisle.

6. Fitting rooms
You won't pick up much from the hooks or the chair. The germ culprit? What you try on.

"After people try on clothing, skin cells and perspiration can accumulate on the inside," says Tierno. "Both can serve as food for bacterial growth." You can even pick up antibiotic-resistant bacteria, such as MRSA (methicillin-resistant Staphylococcus aureus), just by trying on clothes, says Tierno.

Protect yourself: Always wear full-coverage underwear (no thongs!) when trying on clothes, especially pants, bathing suits, and any other garment that touches your genitals or rectum. Bandage cuts or scrapes before trying on clothes, as "open wounds can be a gateway to dangerous bacteria," Tierno says. And be sure to wash new clothes before you wear them.

7. Gadget shops
While you're playing around on that new smartphone, you could be picking up germs from the thousand people who tested it out before you. "Most stores do clean their equipment," says Tierno, "but they certainly don't clean after each use."

A study published last year in the Journal of Applied Microbiology found that viruses easily transfer between glass surfaces (think iPad or smartphone faces) and fingertips. And a recent report found that of four iPads swabbed in two Apple stores located in New York City, one contained Staphylococcus aureus, the most common cause of staph infections, while another registered a bacteria associated with skin rash. That's not even counting the cold and flu germs that might be lurking.

Protect yourself: Before you try out the latest gizmo, quickly wipe it down with a disinfecting wipe. And (yes, once again) use a hand sanitizer after you're done.

8. Makeup samples
Heading to the makeup counter? You might end up picking up a
staph infection right along with the latest lipstick shade. A 2005 study found that between 67% and 100% of makeup-counter testers were contaminated with bacteria, including staph, strep, and E. coli. "This study shows us that someone was sick or went to the bathroom, didn't wash their hands, and then stuck their finger in the sample," Tierno says.

Protect yourself: "Avoid using public makeup samples to apply cosmetics to your lips, eyes, or face," says Tierno, who suggests asking for a single-use unit (you open it, try
 it, and throw it away). If that's not available, use a tissue to wipe off the sample and
then apply the product to the back of your hand.

The best line of defense: Buy then try. Returning stuff to the store may be a little more of a hassle, but it's a heck of a lot better than bringing home a nasty bug.
(source: health.com)

Sunday, November 27, 2011

Home hacks we're working on for our next post

  • Recycle your old router as a home wi-fi repeater. Don't throw that old linksys out yet! We're going to post directions on how to turn it into a wi-fi repeater. Garage too far away for wireless?  Not anymore
  • 
    (Yep, these are OUR little angels!)
    
  • The top 10 'breaks&Stains', and how to get them fixed, or gone!  If you have children, there is a huge chance that you've said; "Can't we keep anything nice around here!"  Thursday we'll reveal the top 10 breaks&Stains, and simple ways to minimize the damage.

Friday, November 25, 2011

Emergency Medicine Files - Holding a Hand

Saturday morning (0500am) at work, a patient called into the E.R. stating that she had been awakened by her tongue swelling, and was curious on what to do. The charge nurse explained to her that since she was taking Lisinopril for high blood pressure, it would be wise to come into the E.R. and get the situation checked out. It was a good thing she did.
After driving themselves into the hospital, instead of calling 911 for an Ambulance, the patient seemed uncomfortable, but otherwise none the worse-for-wear except for the discomfort and anxiety of her tongue being swollen.

What would unfold before our eyes was clinically amazing.

The patient, a 40'ish y/o African American female, had been taking ACE inhibitors for her high blood pressure for over four years. ACE inhibitors, such as Lisinopril, have rare side effects such as dizziness, anaphalaxis, and hives.. A person can be taking the med for years and never have a negative side effect, and then, one (random side effect) may occur with literally no warning.

What was taking place before our eyes was that her airway was quickly closing. In a short amount of time, her airway would be closed completely, and she would suffocate to death. This formerly stable patient, had now become top priority.

With tears in her eyes, she (the patient) acknowledged the importance of letting us sedate her and put a tube into her trachea before the swelling completely prevented her from breathing. It was a strange emotion to witness.

 
The only other time I had witnessed this weird emotional perception was over five years ago when one of our patients was already intubated and on a ventilator.. The difficulty was that although the patient was paralyzed and was awake and responsive; that particular patient had a DNR (Do Not Resuscitate) order that the staff was previously unaware of.. The attending physician was asking the patient to make a choice. Stay on the ventilator and live, or have us honor his DNR and previous decision, and take him off of the vent, to where he would suffocate and die.

Needless to say, the reality of the situation hit both patients the same way and they chose for us to do everything possible for them to live. The difference between the two cases is that Saturday's case was a temporary bridge to prevent the unfortunate demise of an otherwise healthy patient. Regardless, time to contemplate was not an option.

As the patient was sedated with Etomidate, she turned out to be one of those few that clench their teeth tightly shut when sedated with Etomidate, thereby preventing our access to preserve her airway. With the clock ticking, respiratory therapists were "bagging" the patient while alternate meds were retrieved for further sedation.

Diprivan was pushed through her I.V., as well as Versed, which sedated the patient further and provided a relaxed/hypnotic state for the patient. As the resident physician attempted to intubate the patient, the difficulty of a swollen airway coupled with the heavy-set nature of the patient provided for a more-than-complex task. The attending physician took over.

While beeps, buzzers, and alarms were sounding; complimented by everyone's procedural medical jargon; I felt that amidst all of the 'gray noise' that we were creating, my primary inclination had led me to ...Hold her hand.

There was a four-fold benefit to what I had chosen to do:

By speaking directly to the patient and holding her hand, I was extending a sense of human compassion to her while she endured the panic of the situation. By someone 'being there' I was hoping to provide a calming hand to reduce her anxiety and reduce her clenching, thereby facilitating the intubation. By holding her hand I could feel when she would begin to squeeze my hand. This indicated that she was regaining muscle tone and needed more anesthetic. -And lastly, If it was me; in her shoes, I would hope that someone would just stop a moment, and hold my hand..

The attending physician assumed position for the actual intubation and placed the tube in the trachea, just where it needed to be, and just in time.

After the tube was sunk,(in place) I believe we all breathed a cumulative and audible sigh of relief. The patient was placed on the vent and administered additional therapeutic meds before being sent to the I.C.U.

It is important to note that medicine is about clinical data, practice, objectiveness, statistical values, procedural applications, and outcome percentages. Medicine is not what is perceived on shows such as 'E.R., or Grey's Anatomy'. Although these shows provide entertainment value, they do not provide much else. I've never, nor have I ever seen others; cry over every third case, carouse around with other staffers, get involved with patients, or anything else of the like. That is TV-land, not reality.

Over the past ten or so years I've had bouts of cynism and empathy; (depending on the level and frequency of bogus patients) However, I've clearly noticed that the best professional practitioners extend a higher amount of consistent empathy than many others. When this is combined with professional excellence; I believe it is a recipe for success that is mentorable.

A buddy of mine recently stated this of me in the closing of an email while I was in Haiti: "You've always had more heart than brains. But that's why your my brother". Although flattered, (I think) I prefer the explanation provided on a plaque I've noticed at work:

Excellence

"Excellence is the result of caring more than others think is wise; risking more than others think is safe; dreaming more than others think is practical, and expecting more than others think is possible".

Nice plan. Now, execute it!

Saturday, November 19, 2011

Got Water?

Got secure water?

Last year, noticing the lack of secure controls with our own local water utilities (not to mention the rise in cost if we wanted to water the gardens), I took advantage of a non-working shallow well on our land. 

The well head was dry, so after doing some research and making some notes, I rounded up the supplies needed to see if it was do-able.  After sinking the well pipe down an additonal 14 feet into the water table, obtaining a pump and other hardware, I can now say with confidence that if the water utilities ever get knocked out (natural cause or otherwise), I can get us up-and-running safe water, off grid in less than a day.

After reading the latest news hacks...  Yep.  Happy its there.  Just in case.
-TR Hilton

Water utility hackers destroy pump, expert says


Are our public water sources secure? 
  Hackers destroyed a pump used by a US water utility after gaining unauthorized access to the industrial control system it used to operate its machinery, a computer security expert said.

Joe Weiss, a managing partner for Applied Control Solutions, said the breach was most likely performed after the attackers hacked into the maker of the supervisory control and data acquisition software used by the utility and stole user names and passwords belonging to the manufacturer's customers. The unknown attackers used IP addresses that originated in Russia.

Weiss cited an official government report from the state where the regional water district was located. It was dated November 10, two days after the hack was discovered. The document indicates that the utility had been experiencing unexplained problems with its computerized system in the weeks leading up to the breach.

“Over a period of two to three months, minor glitches had been observed in remote access to the water district's SCADA system,” Weiss said during an interview, in which
he read a verbatim portion of the document to The Register. He said that the attackers were able to burn out one of the utility's pumps by causing either the pump or the SCADA system that controlled it to turn on and off “repeatedly.”

Weiss said he obtained the report on the condition that the water utility and the state where it's located aren't disclosed. A statement issued by the US Department of Homeland Security indicated the utility was located in Springfield, Illinois. Weiss published bare-bones details of the hack on Thursday because he wanted to bring attention to an incident he said raised serious concerns about the ability of the US government to secure critical infrastructure.

“This is really a big deal, and what's just as big a deal is what isn't being said or isn't being done,” Weiss said. “What the hell is going on with DHS? Why aren't people being notified?”

(Article Credit to writer Dan Goodin in San Francisco. 'UK The Register'.)

Friday, November 18, 2011

Local CraigsList Shout!

Classic Anchor Brand clothes wringer, $100.00, Ships light and wheel Nautical table (Light works! Glass is 1/2"thick tempered. Heavy!) Ships clock $40. Prices are somewhat negotiable. (2) Champion Vintage Sleds $80/$70,Motivated seller. Serious buyers please email. thank-you!.





Local Pickup only friends!  Thank-you!  It'd be really cool to have these vintage items go to someone and complete their collection.
Cheers!
-Carl


•Location: Allendale
•it's NOT ok to contact this poster with services or other commercial interests



PostingID: 2710055776

Tuesday, November 15, 2011

Brick by brick

Aside from all the behind the scenes framework involved in getting ready to deliver the best & coolest content available, this spot on the web will be a "freedom-of-Speech" zone! (Finally!!)
Semper Fidelis,
--More to come.
SSGT. Hilton, USMC Ret. & Tribe


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