Shopping Online and Shipping to Canada

Shopping Online and Shipping to Canada If youre on the Canadian side of the border and shopping online on American sites, hidden costs may catch you by surprise. There are things you should check before you give out your credit card number. First, ensure that the shopping site offers international shipping or at least shipping to Canada. Theres little more irritating than going through an online store, filling your shopping cart, and then discovering that the vendor doesnt ship outside the United States. Shipping Charges to Canada Good sites will list their shipping policies and procedures upfront, usually in the customer service or help sections. Shipping charges are determined by weight, size, distance, speed, and number of items. Read the details carefully. Dont forget to factor in the exchange rate for the shipping charges as well as for the cost of the merchandise. Even if the exchange rate is in your favor, your credit card company will likely add a charge for currency conversion. The shipping charges and methods of shipment, usually mail or courier, arent the total cost youll have to pay to get that package across the border. Youll also have to pay Canadian customs duties, taxes, and customs brokerage fees. Canadian Customs Duties Because of the North American Free Trade Agreement, Canadians dont have to pay duties on most American and Mexican manufactured items. But just because you buy an item from a U.S. store doesnt mean it was made in the United States; its possible it was imported into the United States first. If so, you may be charged duty when it comes into Canada. So check before you buy and if possible get something in writing from the online store in case the Canada Customs people decide to be particular. Duties on goods vary widely, depending on the product and the country where it was manufactured. In general, on goods ordered from a foreign retailer, there is no assessment unless Canada Customs can collect at least $1 in duties and taxes. If you have questions about Canada customs and duties, contact the Border Information Service during business hours and speak to an officer. Canadian Taxes Just about everything individuals import into Canada is subject to the Goods and Services Tax (GST) of 5 percent. The GST is calculated after customs duties have been applied. Youll also have to pay the applicable Canadian Provincial Sales Tax (PST) or Quebec Sales Tax (QST). The provincial retail sales tax rates vary between provinces, as do the goods and services to which the tax is applied and how the tax is applied. In Canadian provinces with a Harmonized Sales Tax (HST) (New Brunswick, Nova Scotia, Newfoundland and Labrador, Ontario, and Prince Edward Island), youll be charged the HST rather than the separate GST and provincial sales tax. Customs Brokers Fees Fees for customs brokers services can really surprise you. Courier companies and postal services use customs brokers to get packages processed through Canada Customs at the Canadian border. Fees for that service will be passed along to you. Canada Post is authorized to charge the recipient a handling fee of $5 for mail items and $8 for express mail items for collecting duties and taxes assessed by the Canada Border Services Agency (CBSA). If there is no duty or tax owed, they dont charge a fee. Customs brokers fees for courier companies vary but are usually much higher than the Canada Post fee. Some courier companies include the custom brokers fees in the courier service price, depending on the level of courier service you select. Others will add the customs brokers fees on top and youll have to pay those before you can get your parcel. If you select a courier service for shipping to Canada, check whether the level of service includes customs brokers fees. If it isnt mentioned on the online shopping site youre using, you can check the service guide on the individual courier company website or call the local number of the courier company to find out their policies on international shopping.

Pain Under the Left Breast Is It a Heart Attack

Pain Under the Left Breast Is It a Heart Attack SAT / ACT Prep Online Guides and Tips Pain under your left breast or rib cage can be really scary, especially if you’re worried you might be having a heart attack or other medical emergency. However, most cases of chest pain under the left breast and rib cage area are caused by benign or easily treatable conditions. In this decision guide, we’ll first help you determine if your chest pain could be an emergency. Then, we’ll review different kinds of chest pain under the left breast, the potential causes, and how you should address the issue. Chest Pain Under Left Breast: Is It an Emergency? You may think: chest pain under my left breast? Time to call the ER! However, if you have pain under your left rib cage, it's unlikely, though possible, that you are experiencing a cardiac emergency. The main worry people have when experiencing pain under the left rib cage is that they are having a heart attack. While a heart attack won’t always have the same symptoms, here are some indications your pain under the left rib cage could be heart-attack related: The pain from a heart attack (or myocardial infarction) is typically not sharp or localized. Instead, it can feel like crushing, burning, squeezing, or tightness deep within the chest. It is also typically spread over a wide area of the chest (and potentially the arms, neck, and upper back). In general, you cannot relieve the pain by changing positions, breathing, stretching, etc. The pain typically increases gradually over several minutes. Here are some other potential symptoms of a heart attack: Sudden-onset vomiting or nausea Sweating or flushing Light-headedness, fatigue, or confusion Shortness of breath Tingling, numbness, weakness in arms Fever If you suspect a heart attack, call 911 or go to the emergency room. Be aware that while your primary concern may be a heart attack, there are some other medical emergencies that can also cause chest pain under the left breast. We’ll briefly go over these here. Pulmonary embolism: A pulmonary embolism occurs when a blood clot gets lodged in one of the arteries of the lungs, typically traveling from somewhere in the legs. Major clots can be life-threatening. These are the symptoms: Shortness of breath (main symptom) Sharp chest pain under the left breast (or right breast if the clot is on the right side) that extends into the arm, shoulder, neck, and/or jaw and gets worse with breathing, coughing, or exertion Fever, sweating Light-headedness, fainting, dizziness Heart palpitations Coughing up blood or bloody sputum Pain or swelling in the leg (typically the calf) Pneumothorax: A pneumothorax, or a collapsed lung, can be caused by lung disease or chest injury, but it can also occur apparently spontaneously. While a small pneumothorax may go away on its own, a severe pneumothorax can inhibit the flow of blood through the chest and be life-threatening. The main symptoms are: Sudden, sharp chest pain on one side of the body Shortness of breath If you think any of the above emergency situations might apply to you, seek medical attention immediately. Next, here are some indications that you are probably not having a heart attack: You’re feeling a stabbing, sharp pain under the left breast You can pinpoint the location where the pain is coming from Pain increases from breathing or coughing Pain comes and goes in sudden, shocking stabs Chest pain improves with exercise Pain follows eating spicy or heavy foods; you may also have a sour taste in your mouth Changing positions relieves the pain Note that some of these symptoms may be caused by chronic cardiac conditions. So if you are experiencing pain under the left rib cage, you should make an appointment to see your primary care physician to get checked out even though you most likely don’t need to go to the emergency room. Moody doctor will see you now. Types of Pain Under Left Rib Cage Even if you feel confident it’s not an emergency, you probably want to know what could be causing chest pain under your left breast. The first thing you’ll want to consider is what type of discomfort you’re feeling. Are you feeling sharp pain under the left rib cage? Dull pain under the left breast? A stabbing or burning sensation? The type of pain you are feeling on the left side of your chest can help you narrow down the potential causes, because chest pain under the left breast can be caused by a wide array of underlying complaints. Also think about the onset of your symptoms. Was the pain preceded by physical activity? Stress? A Big meal? These kinds of questions will help you figure out what your pain might be caused by. Here’s a table describing different types of chest pain under the left rib cage and some potential conditions on the right. Click on a condition to be taken to a more in-depth description of that condition. Type of Chest Pain Potential Conditions Sharp/stabbing; worse with breathing Bruised rib Costochondritis Pleurisy Pneumonia Pneumothorax Pulled chest muscle Pulmonary embolism Sharp/stabbing; not worse with breathing Angina (especially in women) Mitral valve prolapse Myocarditis Panic attack Pericarditis Pain accompanied by uncomfortable sensation of pressure, tightness, or squeezing Angina Aortic valve stenosis Asthma Coronary artery disease Heart attack Hypertrophic cardiomyopathy Severe anemia Myocarditis Pericarditis Pulmonary hypertension Pain localized to a specific area; tender to pressure Bruised rib Costochondritis Pulled chest muscle Shingles Burning chest pain Acid reflux/GERD Angina Aortic valve stenosis Coronary artery disease Heart attack Peptic ulcer Cardiac Causes of Chest Pain In this section, we’ll focus on causes of chest pain under the left breast associated with the heart. While discomfort due to heart disease often manifests as a dull pain under the left breast that feels like uncomfortable pressure, it can also be a burning or even stabbing pain depending on the condition. Conditions are listed alphabetically. Angina Angina refers to the discomfort caused when your heart muscle isn’t getting enough oxygen. It is typically caused by a narrowed or blocked coronary artery due to plaque buildup and is a warning sign of heart disease. Kind of Chest Pain: Uncomfortable feeling of squeezing or pressure; may radiate throughout the upper body to the shoulders, arms, neck/jaw, and back. Can sometimes also feel like indigestion/heartburn. Pain typically comes and goes and is often made worse by exertion. Women may also experience angina as a sharp chest pain under the left breast or breastbone. Other Symptoms: Shortness of breath Sweating Dizziness Angina symptoms may be different in women than in men. In addition to chest pain and also symptoms, a woman may also feel: Nausea and vomiting Abdominal pain Actions: The pain of angina may feel very similar to that of a heart attack, and often sends people to the emergency room (better safe than sorry!). However, it’s actually a warning sign of heart disease. Your doctor will probably recommend medication to help widen the arteries, as well as lifestyle changes. You may also need a procedure like stenting or, in serious cases, coronary artery bypass surgery. Aortic Valve Stenosis Aortic valve stenosis refers to the narrowing of the aortic valve (the valve that allows oxygen-rich blood to flow from the heart into the aorta). The narrowing of the valve causes the heart to have to work harder, potentially leading to eventual heart failure. Aortic valve stenosis can be congenital or it can caused by infection or calcium deposits that form as you age. Kind of Chest Pain: Pressure or tightness. May also feel like burning. Can radiate to the arms, shoulders, and neck. Other Symptoms: Minor stenosis typically has no symptoms. If stenosis becomes more severe, chest pain on the left side under the breast and the following additional symptoms may appear: Dizziness/fainting Irregular heartbeat Fatigue and shortness of breath Actions: Minor aortic valve stenosis will be monitored by a physician, who may recommend lifestyle changes to help protect your heart. Severe stenosis may require valve replacement, an open-heart surgery. Coronary Artery Disease (CAD) Coronary artery disease occurs when plaque builds up in the walls of the arteries that bring blood to the heart. This causes the arteries to narrow, which limits blood flow to the heart and deprives the heart of oxygen. This can lead to heart attacks and heart failure. It is the most common type of heart disease and the most common cause of death for both men and women in the United States. It is typically related to lifestyle factors like smoking, lack of physical activity, and unhealthy diet. Kind of Chest Pain: Pressure or squeezing chest pain; may also feel like burning. May radiate to the left shoulder, the arms, back, jaw, and neck. Physical exertion or stress often triggers the pain. Other Symptoms: Shortness of breath Irregular heartbeat Nausea Fatigue Dizziness Weakness Actions: CAD has serious consequences if left untreated. However, risk of complications can be lowered dramatically through lifestyle changes and medication. Surgery may also be needed to clear plaque from the arteries and restore blood flow to the heart. Mmmm, the sweet taste of lifestyle changes. Heart Attack (Myocardial Infarction) A heart attack occurs when one of the arteries in the heart becomes completely blocked, depriving part of the heart of oxygen. Kind of Chest Pain: As mentioned above, the pain from a heart attack usually feels like a crushing, burning, squeezing, or tightness in the chest. It may radiate throughout the upper body, shoulders, arms, and neck. The pain is not really relieved or changed by shifting positions, breathing, or stretching. The pain typically increases gradually over a period of several minutes. Other Symptoms: Sudden-onset vomiting or nausea Sweating or flushing Light-headedness, fatigue, or confusion Shortness of breath Tingling, numbness, weakness in arms Fever Actions: If you are experiencing a combination of the above symptoms and suspect a heart attack, call 911 or go to the emergency room. Pharmaceutical treatment can decrease the damage done by a heart attack, but drugs typically need to be administered within 1-2 hours of the attack. You may also need bypass surgery. You will likely also need to make lifestyle changes and take medications to decrease risk of future heart attacks. Hypertrophic Cardiomyopathy Hypertrophic cardiomyopathy refers to the thickening of the heart muscle, typically between the ventricles. The thickening of the muscle makes it stiffer, which makes the heart work harder to pump blood. While many people with this condition remain asymptomatic, it can lead to abnormal functioning of the valves of the heart or decrease the size of one of the ventricles, which can cause symptoms including chest pain. Kind of Chest Pain: Chest pain or pressure that appears during/after exercise or exertion, but may also occur at other times, like after meals Other Symptoms: Shortness of breath (especially during exercise/exertion) Light-headedness and fainting (especially after exercise/exertion) Heart palpitations/irregular heartbeat Fatigue Actions: See a healthcare provider, as untreated hypertrophic cardiomyopathy can have serious complications. Hypertrophic cardiomyopathy can normally be managed with medication, but surgery may be recommended. Be aware that this condition is sometimes misdiagnosed as exercise-induced asthma. Mitral Valve Prolapse Mitral valve prolapse means that the mitral valve (one of the valves in the heart) bulges backward into the left atrium of the heart instead of closing evenly over it. Sometimes this causes blood to â€Å"leak† back from the left ventricle to the left atrium. People with mitral valve prolapse often have no symptoms, and will never experience health problems related to the condition. Some may have a murmur or other symptoms, including chest pain. It can be a progressive condition, getting worse over time. Kind of Chest Pain: Stabbing pains that come and go, sometimes with exertion but typically when at rest Other Symptoms: A heart murmur or irregular heartbeat dizziness/lightheadedness/fatigue Shortness of breath Panic/anxiety Numbness/tingling in hands/feet Actions: Serious mitral valve prolapse can have similar symptoms both to panic attacks and heart attacks, so patients may end up in the emergency room. If symptoms are more mild (heart murmur, etc) see a cardiologist. You may need medication or surgery in more serious cases to manage the condition. Dr. Frog will see you now. Myocarditis Myocarditis is the inflammation of the heart muscle, most often caused by viral infection. Symptoms normally develop 1-2 weeks after an infection. It can also be caused by fungal or parasitic infection or by autoimmune disorders. Kind of Chest Pain: Sharp/stabbing pain or feeling of pressure. May spread to shoulders/neck. Other Symptoms: Shortness of breath: first from exertion, then at night while at rest Heartbeat irregularities Light-headedness and fatigue Painful or swollen joints Other signs of infection, like fever, headache, diarrhea, and sore throat Actions: See a medical professional. They will conduct tests, and if you do have myocarditis, they will treat the underlying infection or cause and potentially prescribe medications to help your heart operate while you recover. You will likely need to rest and eat a low-salt diet. Most patients will make a full recovery in several months; a minority of patients will have chronic heart problems and may need a heart transplant. Pericarditis Pericarditis is the inflammation of the two thin, lubricated sacs of tissue that encase the heart. The cause is often unknown but it can be a complication of respiratory infection or of taking certain medications. Kind of Chest Pain: Typically a sharp, stabbing chest pain on the left side under the breastbone or on the left side of the chest, but can also manifest as a duller pain and pressure. Leaning forward in a seated position often eases the pain. Coughing typically makes it worse. Pain may spread to left shoulder or neck. Other symptoms: Fever Fatigue and weakness Shortness of breath Coughing Heart palpitations (irregular heartbeat) Actions: Like several of the other conditions described here, the pain of pericarditis may send individuals to the emergency room due to the fact that its symptoms can sometimes resemble those of a heart attack. However, pericarditis usually resolves on its own within a few weeks unless there are complications to be addressed. Pulmonary Hypertension Pulmonary hypertension refers to high blood pressure in the arteries that move blood from the heart to the lungs. It can have a number of causes, including genetic abnormalities, lung disease, heart disease, autoimmune conditions, drug use, and even sleep apnea. This condition causes the heart to pump harder to move blood to the lung, which can ultimately cause heart failure if untreated. Kind of Chest Pain: Pain/pressure towards the front of the chest Other Symptoms: Shortness of breath with light exertion/activity Fatigue Fainting/lightheadedness Ankle/leg swelling Dry cough Coldness in the extremities due to poor circulation (or secondary Raynaud's) Actions: Pulmonary hypertension is progressive (it gets worse over time) so seeking treatment early is important. Treatment will vary based on the cause of your pulmonary hypertension, but your doctor will likely recommend lifestyle changes and medication. In severe cases, your doctor may recommend surgery Delicious, delicious lifestyle changes. Lung and Respiratory Causes of Chest Pain In this section we’ll describe some of the main causes of chest pain on the left side due to lung or respiratory issues. Respiratory causes of chest pain often manifest as a sharp pain under the left breast. Conditions are listed alphabetically. Asthma Asthma is a chronic condition in which irritation (which can be caused by a number of triggers, depending on the type of asthma) causes the airways to narrow and fill with mucus, making breathing much more difficult. Kind of Chest Pain: You may experience chest pain before, during, or after an asthma attack. Before and during the attack, you may experience a feeling of chest tightness or pressure. Following an attack (especially the next day) you may feel soreness in your chest as a result of using accessory muscles to breathe. Other Symptoms: Coughing (especially at night) Unusual shortness of breath Wheezing Fatigue and trouble sleeping Actions: Because asthma is a chronic condition, it is important to be under the care of a physician. They will help you create a treatment plan to manage symptoms. Pleurisy Pleurisy (or pleuritis) is a condition in which the tissue encasing the lungs and lining the inner chest wall (the pleura) becomes inflamed. Pleuritis can be caused by a variety of underlying conditions but the source is often a bacterial or viral infection, like the flu. Kind of Chest Pain: Sharp pain made worse by inhaling; you may also feel pain in your shoulders or your back. Your chest may also feel tender to external pressure. Other Symptoms: Shortness of breath (primarily because taking deeper breaths is more painful). Cough Fever and chills Unexplained weight loss Actions: If you repeatedly feel sharp pain under the left breast that gets worse with breathing, see a medical professional. A variety of tests may be performed to diagnose pleurisy. Your doctor may remove some of the pleural fluid with a needle for testing. The symptoms of pleurisy may be relieved through splinting, but to treat the condition the underlying source of infection or other condition will need to be addressed. Pneumonia Pneumonia is a lung infection caused by viruses or bacteria (and sometimes fungi or other infectious agents) in which the air sacs of the lungs fill up with fluid. It can occur in one or both lungs. Because it is typically accompanied by a host of other telltale symptoms, it will probably be pretty clear to you that your chest pain is from some kind of respiratory infection. Pneumonia is often a complication of the viral flu or the common cold. Kind of Chest Pain: Sharp or stabbing, often on the side of the chest. Typically gets worse with coughing or deep breathing. Other Symptoms: Phlegmy cough; your mucus may be red-brown, green, or have blood flecks Fever and chills Shortness of breath from chest congestion. Weakness and fatigue Gastrointestinal symptoms like nausea, vomiting, and diarrhea Headache Confusion (common in older patients) Actions: If you think you have pneumonia, go to a doctor to manage treatment. Because pneumonia can have serious consequences if left unchecked, it’s best to be under the supervisory care of a physician. They can also prescribe antibiotics if they suspect the pneumonia is caused by a bacterial infection. With treatment, you’ll likely get better in 1-3 weeks. Bacteria bad guys can cause pneumonia. Pneumothorax (Collapsed Lung) Pneumothorax occurs when air gets into the space between the lung and chest wall, causing part or all of the lung to collapse. It can be caused by chest injury, certain medical procedures, or lung disease. But sometimes the cause is unknown. Men are much more likely to have a collapsed lung than women. Kind of Chest Pain: Sudden and sharp, on one side of the chest Other Symptoms: Shortness of breath A severe pneumothorax may cause the following symptoms: Chest tightness Dizziness and fainting Fatigue Rapid heart rate Blueish color to the skin (from lack of oxygen) Actions: While a small pneumothorax may go away on its own, a severe pneumothorax can inhibit the flow of blood through the chest and be life-threatening. If you suspect a collapsed lung, seek medical attention. Treatment typically involves inserting a tube to drain the air. Pulmonary Embolism A pulmonary embolism occurs when a blood clot forms in another part of the body (usually the legs), travels through the bloodstream, and gets lodged in one of the arteries of the lungs. Kind of Chest Pain: Sharp chest pain that extends into the arm, shoulder, neck, and/or jaw and gets worse with breathing, coughing, or exertion Other Symptoms: Shortness of breath (main symptom) Sharp Fever, sweating Light-headedness, fainting, dizziness Heart palpitations Coughing up blood or bloody sputum Pain or swelling in the leg (typically the calf) Actions: Major clots can be life-threatening; seek medical attention. Long flights can increase your risk of blood clots. Musculoskeletal Causes of Chest Pain This section reviews pain in the left rib cage due to damage to bones, cartilage muscles, and ligaments. If your pain is musculoskeletal in origin, you’ll likely have a specific area of pain in the left rib cage or pain under the left breastbone that’s tender to pressure. A Broken, Fractured, or Bruised Rib Trauma to the chest can cause rib injury, which naturally causes chest pain. Excessive coughing can also cause rib injuries in some cases. Most rib breaks are cracks or fractures; complete breaks are rare and very serious. Kind of Chest Pain: Site-specific pain on one or more ribs (you will be able to pinpoint the general area); will most likely feel worse with pressure, with deep breathing, and when bending and/or twisting. Other Symptoms: An injured rib may impede your breathing, which can lead to headache, dizziness, shortness of breath, and fatigue. Trauma strong enough to cause rib injuries can also sometimes damage internal organs and blood vessels, which could cause their own symptoms. Actions: If you suspect a damaged rib or ribs, see your doctor. Broken ribs are primarily treated through rest and pain management so that you can continue to breathe relatively normally to lower your risk of developing pneumonia. Costochondritis Costochondritis refers the inflammation of the cartilage that connects your ribs to your sternum (or breastbone). The cause is often unknown, but it can be caused by strenuous exercise or lifting, intense coughing, chest injury, or viral infection. Kind of Chest Pain: Typically a sharp pain in the breastbone area that gets worse when you apply pressure to the area. Pain will be increased by deep breathing or coughing and eased by rest and quiet breathing. Other Symptoms: There typically are not other symptoms of costochondritis other than the pain. Actions: This is one of the more benign causes of chest pain. Costochondritis typically goes away on its own within a few weeks. Treatment focuses on pain management. However, if you develop other symptoms like trouble breathing, a high fever, etc, you should follow up with a health care provider. Similarly, if pain does not resolve, your provider may perform a chest x-ray. Pulled or Strained Chest Muscle A strain or tear in the muscles and ligaments around the chest could be caused by a traumatic event or just from simple overuse, particularly related to sports or exercise. Kind of Chest Pain: The chest pain will likely accompany weakness and get worse with certain motions, especially of the arms. You may also feel that the area is tender to pressure. Other symptoms: Swelling Muscle spasms Actions: If pain is minor, you can treat a pulled muscle at home with ice, rest, and over-the-counter painkillers. If pain is severe or does not improve, see a doctor; you may need physical therapy or other treatment. Be careful, Santa Claus! Don't tear a muscle. Digestive System Causes of Chest Pain Issues in the digestive system can cause chest pain. Because both heart attack pain and digestive system pain can manifest as intense, burning pain under the left breast, digestive issues are often mistaken for a heart attack. However, if the pain seems impacted by your food consumption, the issue is probably digestive in nature. Acid Reflux/GERD (Gastroesophageal Reflux Disease) Acid reflux occurs when stomach acids move up into the esophagus, causing pain. If this is a chronic problem, you likely have GERD- a defect in the esophagus. Kind of Chest Pain: Burning chest pain after eating that gets worse when you lie down and improves in an upright position. Often worse at night. Some people mistake the pain of severe heartburn for a heart attack. But if the pain follows eating a heavy or spicy meal or is improved by sitting upright, it’s most likely not a heart attack. You may also feel pain below the left rib cage area. Other Symptoms: Hoarseness (from vocal cord irritation) Bitter or sour taste in mouth or throat Nausea Difficulty swallowing Dry cough Actions: You can relieve occasional acid reflux by popping a couple of antacids. But a chronic issue can damage the esophagus if it's not addressed. Your doctor might prescribe a medication to reduce the amount of acid in your stomach. You will also likely need to make some lifestyle changes (especially dietary ones) to manage your symptoms. Peptic Ulcers Peptic ulcers are sores in the stomach or the first part of the small intestine. They develop when the mucosal lining of the stomach thins and gets irritated by stomach acids. A variety of underlying issues can cause ulcers, including H. Pylori infection. Kind of Chest Pain: Burning pain that gets worse on an empty stomach and at night. You may feel pain below the left rib cage. Other Symptoms: Difficulty digesting fatty foods Nausea/vomiting; vomit may look like coffee grounds Bloating Weight loss Appetite changes Dark/black stool (from bleeding) Actions: It’s important to seek medical treatment because untreated ulcers can cause serious complications like tearing in the stomach, intestine, or blood vessels, and scarring that obstructs the digestive process. This little organ can cause major chest pains. Pain Under the Left Breast: Other Causes This section has a few other potential causes of chest pain under the left rib cage. Severe Anemia Anemia means your body is not producing enough healthy blood cells. There are a number of causes of anemia, including nutrient deficiencies, genetic abnormalities (like sickle cell anemia), and rapid blood loss. This means your heart has to work harder to pump oxygen through your body. When anemia becomes severe, your heart may not get enough oxygen-rich blood, leading to chest pain. Kind of Chest Pain: Feeling of pressure or tightness in the center of chest. Other Symptoms: Intense fatigue Shortness of breath Heartbeat irregularities Persistent feelings of coldness Paleness Headaches and dizziness Trouble concentrating; irritation Actions: While mild to moderate anemia is often not very serious and is typically easily treatable with supplements and/or lifestyle changes, long-term, severe anemia can have major consequences, like heart disease. If you suspect you are anemic, see a doctor. Panic Attack Panic attacks are intense, sudden-onset anxiety episodes lasting about 20 minutes to an hour, with unpleasant physical and emotional symptoms. They can be brought on by intense stress or the cause may be unknown. Repeated panic attacks are called panic disorder. Kind of Chest Pain: Sharp/stabbing, lasting for short bursts. Pain is often directly behind the breastbone. Other Symptoms: Feeling terrified, anxious, and out-of-control Feeling of dissociation or unreality Fast heartbeat and shortness of breath Feeling of choking Shaking/trembling Sweats and/or chills Numbness, tingling Abdominal pain or nausea Dizziness, lightheadedness Weakness Actions: Many people confuse initially confuse panic attacks for heart attacks, particularly because panic attacks are so scary. However, the chest pain associated with a panic attack is typically different from a heart attack as it is sharp and intense, lasting in short bursts. If you do have a panic attack, see a doctor. They will help you figure out coping strategies should the panic recur. If you have panic disorder, you will likely to treated with some combination of therapy and medication. Shingles Shingles, or herpes zoster, is a viral infection that causes a localized, painful rash, often on the side of the chest but sometimes elsewhere. It’s caused by the same virus that causes chickenpox. Anyone who has had chickenpox (or varicella) can get singles. Shingles is fairly common; about 1 in every 3 people in the US will get it at some point in their lifetime. Kind of Chest Pain: Before the shingles rash surfaces, many people feel intense pain at the infection site. Because the rash often appears on the side of the chest, many people experience a band of tight, intense chest pain on one side as the initial symptom. Other Symptoms: The main symptom of shingles is the rash itself, which, when it emerges is typically very painful. It typically blisters. Before or during the emergence of the rash, you may also experience chills, nausea, diarrhea, or stomach pain Swollen lymph nodes Headache and/or light sensitivity Fatigue Actions: If you suspect shingles, get to the doctor as soon as possible after the rash appears. Shingles is rarely life-threatening, but if you catch it early enough you’ll be able to take antiviral medication, which will shorten the course of the infection and reduce the chance of ongoing complications. Wrong kind of shingles. Pain Under Left Breast: Action Points If you’re feeling pain under your left breast, you may be worried that you’re experiencing a heart attack. The pain from a heart attack typically feels like a crushing or tight sensation. You probably won't be able to relieve the discomfort by changing positions, stretching, or breathing. If you suspect a heart attack, call 911 or go to the emergency room. However, most chest pains are not heart-attack related. If you feel a sharp pain under your left breast, it’s probably not a heart attack. With that said, you should still probably make an appointment with your doctor just to get checked out. Any kind of chest pain under the left rib cage can be a cause of an underlying chronic issue in need of treatment even if it’s not an immediate medical emergency like a heart attack. Early treatment of such chronic conditions dramatically decreases the risks of complications further down the line. In this guide, we went over most of the common causes of chest pain under the left breast to help you identify what the issue could be and what actions to take. Even if the cause of your chest pain is not serious, it’s important to consult with a medical professional. What's Next? Do you have shingles? Is shingles contagious? Here's how to treat that painful shingles rash. Need help understanding your blood pressure reading? Let us explain!

The Public Interest Defence in UK Copyright Law and the impact of Essay

The Public Interest Defence in UK Copyright Law and the impact of Ashdown v Telegraph Group - Essay Example According to Hugues, the Copy right act itself does not define 'fair dealing', the interpretation of which must be judged on the merits of the individual case, allowing the courts the freedom to "tailor their decisions to the facts which are placed before them without having to work their way around an impractical definition". According to Guangyong, the last defence to copyright infringement is termed 'public interest', which is "a newer and less well-developed defence in the copyright field compared with others, whereby the work is deemed important for wider distribution and fair dealing is not applicable". In Hyde Park v. Yelland , Jacob J., "assumed that it may well be that balancing the 'freedom of expression' conferred by Article 10 of the ECHR and the 'right to respect for private life' conferred by Article 8 will involve the judges in just the same or a similar sort of exercise as is involved in judging whether there is a public interest defence" (Sutti) Sutti goes on to say that" commentators were surprised when the Court of Appeal of Hyde Park v. Yelland reversed the decision of Jacob J. denying the possibility of a public interest defence in an action for a copyright infringement." Taking the above as precedent, the first time that the English courts "fully addressed the issue of the impact of the HRA on copyright law was in the case of Ashdown v Telegraph Group Lt, which involved important issues of freedom of expression of the press and the right of the public to receive information of legitimate public interest."(Walker) In this case, The Sunday Telegraph reproduced the minute of a private meeting between Ashdown, a prominent politician, and the Prime Minister. Ashdown sued the newspaper for breach of copyright. The newspaper argued that the provision of the Copyright Act 1988 should be interpreted in context with the Human Rights Act 1998 section 3 (1) The Court of Appeal was receptive in principle to the human rights defence: "now that the Human Rights Act is in force, there is the clearest public interest in giving effect to the right of freedom of expression in those rare cases where this right trumps the rights conferred by the Copyright Act". (Griffit hs) But the appeal was decided against the appellant on the basis of fair dealing: the newspaper's activities were not fair because it had taken "too much" of Mr Ashdown's "work product". - this narrow interpretation of Laddie was to lead to criticisms of inflexibility (Griffiths) Sir Morrit assumed " the importance of the right of property and stressed the right of every natural or legal person to the peaceful enjoyment of his possessions. He continued: "intellectual property rights in general and copyright in particular constitute a restriction on the exercise of the right of freedom of expression. Thus Article 10 is engaged"." (Sutti) According to Walker, the right to freedom of expression was cited in the newspaper's argument that the Act was incapable of satisfying the requirement of being 'necessary in a democratic society'. At first instance this argument was rejected with Morritt V-C stating that, "The provisions of the Act alone can and do satisfy the 3rd requirement of article 10(2) as well. The needs of a democratic soci

Auditing-Accsys Technologies Plc Case Study Example | Topics and Well Written Essays - 1250 words

Auditing-Accsys Technologies Plc - Case Study Example It is exposed to overestimation of financial figures as in the current fiscal it has adopted IFRS for the group has a whole and follows UK, GAAP for its parent company. Unlike in GAAP, under IFRS it requires companies to value financial items at fair market value. If the market value of the asset is more than its written down value, it will lead to overestimation that increases the inherent risk (Carcello & Nagy, 2004). Accsys Technologies Plc has revised its accounting reporting standards from GAAP to IFRS for its group as a whole and not for the parent or subsidiary companies. It adopted IFRS 13 and IAS 1 for the current period. IFRS 13 fair value measurement implies that the value of the financial and non financial items will be recorded in the books at market price which includes inventory, assets, investments, etc. The change in reporting standard might exhibit highly geared assets i.e. assets might have a relative low price in the domestic market compared to the value of its final product. Accsys Plc reported a 78% increase in its revenue and the EBITDA margin for its Arnhem plant was â‚ ¬2.4 million compared to a loss of â‚ ¬.9 million in the last fiscal. The resulting difference in the operating income and loss is a key indicator of its reporting mechanism than its increased demand in the global market (Accesys Technologies, 2015). In the current fiscal Accsys discontinued its licensing partnership with Diamond Wood China Ltd and as per the order of the tribunal was supposed to pay  £1.6 million. It also incurred legal costs of  £.6 million. Such transactions did not feature in its annual report of 2014 and thus clearly indicates the risk of misstatement i.e. arising out of error or intentional actions (Khurana & Raman, 2008). Accsys Plc is in the practice of recognising all cost of revenue to the Arnhem manufacturing plant if it cannot be recognised with the licensee.

Three Big Ideas About Child Development Young People Essay

Three Big Ideas About Child Development Young People Essay Understanding child development means that we as carers and parents can understand skills and typical behaviours of children within our care, providing an environment which is nurturing and one that will foster growth. Laura Berk (2000) provides a simple definition of child development; a field of study devoted to understanding all aspects of human growth and change from conception through adolescence. (Berk: 2000, p4). This paper will look at three important theories of child development that you as a teacher or parent should know in order to understand the changes that take place from birth to adulthood. When we talk about child development we refer to three stages called development areas; Physical development involves the growth and change in a persons body and body functions. In this domain we look at the physiological and motor development as well as the influences of health, illness and nutrition. Cognitive development refers to the growth and change of a persons ability to process information, solve problems and gain knowledge. In this area we consider the study of brain development, memory, learning, thinking, language and creativity. Social-emotional development involves the growth and change of our interactions with others and our feelings. Included in this area is the study of relationships, emotions, personality and moral development. Whilst we discuss each area of development separately it is important to realise that they do overlap. One domain can influence the other. Interest in the field of child development began early in the 20th-century. (ref) Many theories have been put forward to explain why and how children develop. Theorist Jean Piaget played a major influence on the way we understand children. He explained childrens development in terms of their cognitive development in a theory known as Piagets theory of cognitive development. Piaget believed that children think differently from adults, arguing that its not that children know less than adults but their thinking skills are qualitatively different. (ref) Many of his ideas came from observing his own children. Piaget was convinced that intellect grows through processes he termed assimilation and accommodation. Assimilation refers to using existing mental patterns in new situations. (ref) In accommodation, existing ideas are modified to fit new requirements. Thus, new situations are assimilated to existing ideas, and new ideas are created to accommodate new experiences. In his theory children mature through a series of distinct stages in intellectual development. Sensorimotor (0-2years): Piaget believed that an infant is born with no way of making sense of the world. Infants use reflexes which act on the world in specific ways so that the child gradually adapts to the world. Motor movements are seen as the basis for the eventual development of intelligence. These slowly become separated from motor activity as the child learns to represent objects, actions and thoughts through play and language. According to Piaget, object permanence emerges during infancy. This relates to the understanding that objects continue to exist even though they are out of sight. Preoperational (2-7 years): Piaget describes toddlers thinking as illogical. This is due to two main characteristics of their thinking processes; egocentricism and centation. Piaget sees young childrens thinking as egocentric; meaning they can only see things from their point of view. They cannot take into account the ideas or needs of others. Due to their stage of cognitive development their thinking is not yet flexible enough to consider more than one aspect of a given situation. They are now in a stage of self-centred thinking. (ref). Centration is the term Piaget uses to describe young childrens tendency to focus their attention on a single aspect of a situation or object. This is where Piagets experiment for the conservation of volume. This stage of development also describes toddlers having improved memory skills, problem solving skills and begin to understand concepts; for example, words such as big and small, colours and the ability to recite numbers. (ref) As children progr ess into pre-school, children practise mental representations by using mental imagery and language symbols. (Ref) Concreter Operational (7-12years): The typical school aged child is entering this stage of development. Children begin to think logically however, they tend to need concrete objects to help them solve problems rather than being able to use abstract ideas. (ref). Piaget would describe the school age child as less egocentric. According to his theory a child is now able to view the world and themselves from other perspectives. (ref) Children at this stage have a longer attention span, a better concept of time and distance and their ability to remember improves. Formal Operational (12-15years): Children at this stage break away from concrete objects and thinking is based more on abstract principles, such as honour or democracy. (ref). Full adult intellectual ability is attained during this stage. For Piaget, the development of scientific reasoning is the pinnacle of development. (Vialle, Lysaght, and Verenikina: 2008, p55). At this stage older adolescents can comprehend math, physics and other abstract systems. (ref). Some critics have faulted Piagets theory on several grounds but mostly for its vagueness. Some would say that Piagets theory has limited our perception of childrens capabilities- particularly in the pre-school years. (ref). Others may say there has been too much focus on what children cant do rather than what they can. According to Siegler (2004) children continuously gain specific knowledge; they do not undergo stage like leaps in general mental ability. (more) However, Piagets work has encouraged us to see childrens cognitive skills as being different from those of adults. His theory is valuable for understanding how children think. If we understand how children think and learn we can provide a stimulating environment that will support their learning. Using Piagets theory of cognitive development, a teacher or parents role is to provide the stimulation and observe carefully to see when to step in and interact or change experiences (ref). (125 more) While Piaget stressed the role of maturation in cognitive development, Lev Vygotsky focused on the impact of socio-cultural factors. His Socio-cultural theory of cognitive development saw that social interaction and language has a major influence on the development of childrens thinking. Vygotsky places great importance on the tole of significant adults such as teachers, parents and also peers. -The zone of proximal development: Like Piaget, Vygotsky believed that children actively seek to discover new principles. However there is emphasis that many of a childs most important discoveries are guided by these significant adults. (ref). Vygotsky realises that some tasks can be beyond a childs reach. The child is close to having the mental skills needed to do the task, but it may be slightly too complex to be mastered alone. The zone of proximal development means children learn with the guidance and assistance of those within their environment. Parents, teachers or other sensitive caregivers will know that children will need assistance, guiding the child to support them in the learning process. Vygosky argued that childrens thinking is highly influenced by interactions and conversations with other peoples. If we want to understand how children think and learn, Vygotsky proposes that we need to observe them when they are relating with others. (ref). Vygotsky proposed that language plays a critical role in learning. He noted that preschoolers often talk to themselves as they complete activities and tasks. He called this Private speech. According to Vygotsky, private speech enables children to talk through problems (ref). Erik Erikson proposed a theory of development that focuses on the emotional and social aspects of development and how these impact on the overall development of the person from infancy to old age. (ref). He called it a Psychosocial theory of development focusing on the social experiences we have in life that shape our psychological make- up. Erikson was a student of Sigmund Freud and believed that the social interactions an individual experiences has a greater influence on development. (ref). Erikson identified eight stages of development over the entire human lifespan, each stage marked by a crisis. If each crisis is resolved in a positive way then the child would develop high self esteem and was more likely to respond to the next crisis in a positive way, developing a healthy personality. If the crisis was resolved in a negative way then it was likely the child would develop low self esteem and have difficulty resolving future crisis. (ref). His theory, particularly the first four stages hold vital considerations for you as a teacher or parent, ensuring that young children develop and maintain a positive sense of emotional wellbeing. -Stage one (0-1 years) Trust vs Mistrust: According to Erikson, a critical emotional struggle in infancy is between trust and mistrust. Emotionally healthy babies come to understand they have nurturing, responsive caregivers who meet their basic needs. They view the world as safe and enter into trusting relationships with caregivers and later, other individuals. However, a degree of mistrust is also important to keep infants safe from harm. But for the most part, the emotionally healthy baby is trusting of the world. (ref) A critical part of achieving trust from Eriksons view is the ability of infants to come to know and develop an emotional tie with caregivers; also known as attachment. Mary Ainsworth described attachment as the affectional tie that one person forms to another specific person, binding them together in space and enduring over time (Ainsworth: 1973). Stage two: (1-3 years) Autonomy vs Shame and Doubt: Once toddlers have developed a sense of trust with significant adults and understand their basic needs will be met, they are willing to venture away from the safety of parents and caregivers. We see this as striving for control over their environment. (ref). Children express their growing self control by climbing, touching, exploring and trying to do things for themselves (Coon Mitterer: 2007). Offering support, achievable tasks and time, children are more likely to experience success and thus feel autonomous and develop feelings of positive self-esteem. (ref). However, if we are impatient, provide tasks that are too difficult or become unsupportive with their efforts, children will develop feelings of shame and doubt about their abilities, resulting in low self esteem. Stage three: (3-5 years) Initiative vs Guilt: In this psychosocial theory of development, Erikson saw the preschool years as a time when children develop a sense of initiative. Preschoolers develop an increasing sense of their own ability and have a desire to make things happen. Through play, children learn to make plans and carry out tasks. Parents can reinforce initiative by giving children freedom to play, ask questions, use imagination and choose their own activities. (ref). When encouraged, this sense of initiative will support the development of high self esteem. However, when preschoolers receive negative feedback, prevent play or punished for trying to plan and make things happen they will develop a sense of guilt, thus developing low self esteem. (ref.) -Stage Four (6-12 years) Industry vs Inferiority: Middle childhood is the time to resolve the crisis of industry versus inferiority, according to Erikson. Primary school years are a childs entrance into life, where children begin to learn skills valued by society. His theory states that as children gain positive feedback from developing skills required for their particular culture, they will develop a sense of industry if they win praise for productive activities such as building, painting, cooking, reading and studying. This high self esteem will motivate children to challenge new tasks. However, if children receive negative feedback and have trouble developing skills and a sense of inferiority will arise, resulting in low self esteem and less motivation to try new tasks. (160 more)

The Flynn Effecct

Coupled with the given assumption, I do agree that human being is getting smarter. The reason of the growth in humans intelligent is affected by several factor. The factor that took Into consideration is shown as below: – 1. 1. 1 Technology: The conveniences that technology brought to this society, not only bringing conveniences to our daily. It also shift the human Intelligent paradigm to towards the right. Therefore the Intelligence Quotient (IQ) score are rising at the rate of 3 IQ points Increased per decade. 1. 1.Right to education: In the olden days, education could only affordable for the royalty and the rich. However, civil revolution has brought the awareness of the Importance of education. After World War II (1945), education system has embark the education system across some national(s). At the global level, Article 13 of the United Nations (1966), under the department of International Covenant on Economic, Social and Cultural Rights recognizes the right of everyone to an education. This recognition has strengthen the right for everyone to learn, having the opportunity for education, human intelligent end to continually increase as well. . 1. 3 Individual Psychology Behavior towards Media Influence (Media Psychology): Media psychology studies how media as a factor influence how people perceive, interpret, respond and interact in this cutting-edge century. To be able to perform as a media user, language abilities and reading is important. The increase of this awareness, indirectly influence human eager to learn and speak for their voice. Having this unaware awareness, it also helped in the human intelligent paradigm shift. This factor may not appear as an obvious factor UT it is a grey area to be studied further. 1. Which of the factors explaining the Flynn effect do you accept? Drawing upon the understanding towards the given case, the Education factor and Test-taking as'. N. Y factor are the main drives towards the growth in human intelligent . 1. 2. 1 Education: Students today are better educated than their ancestors, and education leads to higher test scores. 1. 2. 2 Test-taking save,y: Today's children have been tested so often that they are test-savvy. They know how to take tests and how to do well on them. 1. 3 If the Flynn effect is true, does this undermine the theory that IQ is most inherited?Why or why not? Based on the background study and understanding towards IQ, human intelligence Is not only difficult to measure; it is also difficult to define. Intelligence Is a combination of what we know (Knowledge), skills and ability to understand and reason – that Is the cognitive abilities continue to grow throughout our lives, rather than being set at birth. To answer this question In precise, IQ has only small percentage Is Inherited, biology Is only part of the Intelligence package; other factors Including our dally bobtail, what we eat to where we live, can also affect our Intelligence.

Euthanasias Place in a Civilized Society Essay - 763 Words

Euthanasias Place in a Civilized Society Euthanasia beyond any doubt does not have a place in our civilised society. It is undoubtedly murder and people who are severely disabled or terminally ill should unquestionably still die naturally. Euthanasia is the act of causing somebody to die gently and without pain. there are two types of euthanasia. One is active euthanasia which involves a lethal injection given to someone who is severely disabled or terminally ill. The other is passive euthanasia which involves doctors to withdraw all treatment to their patients. To begin with many people decide to end their lives when they are told they have a life threatening disease. This will lead to them†¦show more content†¦Euthanasia by all means should remain illegal because doctors may leave the profession as they might not feel comfortable in participating in any form of euthanasia and they have taken an oath at the start of their medical career to do everything in their ability to keep their patients alive but euthanasia being legalised will break that promise. Also euthanasia may prevent the future generation of doctors in joining the profession. This could be a major problem for the NHS and other medical services as they are already short of staff. Many critics of euthanasia will agree with this point as did Dr Peggy Norris who says that if euthanasia is legalised, many objections on moral grounds could mean poor job prospects for doctors who werent willing to kill their patient on request. This is recipe for a nightmare. I am convinced that if euthanasia is legalised it will prevent patients travelling to the hospitals. There is conclusive evidence for this statement as Dr Peggy Norris, a GP of Liverpool, has claimed that in Holland were euthanasia is practised, some elderly people have to be counselled before they go into hospitals because they are frightened they will be put down. This makes it clear that euthanasia will affect many people. Another reason that euthanasia should most definitely not be legalised is because allowing such