How to Detect Drug Abusing Teenagers

The effects of substance abuse in teens are not only individual; they can also be seen on the society. They may face problems at school or college and may involve in criminal activities. It is therefore very important to detect drug abusing teenagers. Drug testing should be conducted on a regular basis at schools and homes to identify and save them from harmful drugs of abuse.

Signs of drug abuse
Identifying certain signs helps you to detect if the kid is addicted to the drugs. Some of the common physical and emotional signs are:

• Change in sleep patterns
• Poor motor coordination
• Poor hygiene and illness including nausea and excessive sweating
• Irregular heartbeat
• Impaired thinking
• Mood swings
• Hyperactivity or overtired
• Depression

Drug abusing teens lose their interest in family activities, often abuse verbally and physically at home or school, and disrespect the family or school. In addition, abrupt decrease in grades, memory and attention loss, and lack of interest and concentration on studies are some of the signs at school. The moment you observe any of the above mentioned signs, you need to immediately check if the kid is abusing drugs. Drug testing is one of the safest and easiest ways to detect the drug abuse among teens.

Types of drug tests
There are different types of methods to detect the teens who are using drugs. Some of the common ones are urine, saliva, hair, and blood tests.

Urine drug test
Of all the types, urine testing is used most commonly as it is inexpensive method used to detect a drug user. You can use urine test kits at home or school to check if the child is addicted to illegal drugs. Quick and accurate results are obtained by these test kits.

Saliva drug test
It is more advantageous as it is relatively non-intrusive. Saliva from the mouth is taken through a swab and is checked for the presence of drugs. Most recent drug abuse can be detected by saliva tests. Conducting saliva test is very easy and also provides accurate and immediate results.

Hair drug test
This method is also non-intrusive. A hair sample of 1.5 inches in length is enough for conducting the test. Drug or its metabolites deposited at the hair shaft are detected by hair tests. You can get very reliable and accurate results by this method.

Blood drug test
You can also use a blood sample of the teen to detect illegal drug usage. It is however expensive and you need to approach laboratory as you cannot conduct it at your home.

Detection periods
The detection period depends on the method of test conducted. These detection periods vary from the type, dosage, and frequency of drug used.

Urine drug test can detect drug or its metabolites for 30 days in frequent users and for 2-3 days in occasional users. The test detects Cocaine for 4-5 days, Heroin for 2-4 days, Methamphetamine for 3-5 days, PCP for 3-7 days, and Codeine for 2-4 days.

A saliva test is mostly used to detect recent drug usage. However, it can also detect drugs consumed 3 days back. Of all the methods, hair drug test has a longer detection period. It detects illegal drug consumption for about 90 days.

What if results are positive?
Once the kid is tested positive by drug test kit, talk to him/her about the result. You can get a confirmatory result through laboratory tests. Communicate with him regularly regarding the effects of drug abuse. Ask him to leave companions or friends who are habituated to drugs. If necessary, send him/her to substance abuse treatment program.

Importance of intervention
Detection and intervention of drug abuse at primitive stages can prevent further damage. Drug intervention is an attempt made by family members or school authorities to help the teen get out of drug abuse or addiction. The main objective of intervention is to make the teen understand the physical and mental destruction caused by drug abuse. If you are not able to speak to the kid on this, you can take help of your friends or relatives. You can also consult specialists who counsel drug abusers and help them get back to their normal life.

Parents and school authorities should always keep an eye on the behavior and activities of the teens. Necessary measures have to be taken in order to prevent them from taking drugs.

Prevent Teen Drug Abuse Using Drug Testing Kits at Home

Teen drug abuse became a serious health problem in United States. It is hurting the healthcare system, burdening the economy, and causing millions of deaths every year. Of the many causes that promote drug abuse among teens, lack of parental supervision is a major one. Teens should be guarded properly by their parents as they are still immature.

Since, early intervention leads to effective prevention of this unhealthy habit, parents should identify drug abusing habits in teens and take preventive measures. Parents can take help of home drug testing kits which are effective and easy to use.

In this article, we will discuss about teens and their vulnerability to drug abuse; how to identify teen drug abuse and how important are drug testing programs at home to prevent teen drug abuse.

Teens – vulnerable to drugs abuse: Many scientific studies have already proved that teenagers are more prone to risk taking and are vulnerable to drug abuse when compared to adults. This typical behavior of teens during adolescence is because of the major changes in parts of the brain that are responsible for functions such as self-control, judgment, planning, organization, and emotions. Since teen brains are not yet fully developed, they cannot take proper decisions and fall victims to unhealthy habits like drug and alcohol abuse.

Signs and symptoms of drug abuse: The primary step towards prevention of drug abuse in teens is to identify their unhealthy habits. Prominent changes, both in their behavior and in physical appearance can be noticed even at the early stages of abuse. Following are the warning signs:

Physical and emotional changes:
• Red eyes
• Finding difficulty to speak
• Sudden fall or rise in weight
• Lack of hygiene and showing less interest in personal grooming
• Aggression and arrogance
• Depression and irritation

Social and behavioral changes:
• Dissociation from old friends and acquiring new social group
• Sudden anger or depression
• Poor attendance and academics at school
• Spending time lonely
• Abnormal odor in breath or clothing
• Pipes, needles and other suspicious substances in their room

Importance of home drug test kits: The moment you see the signs that indicate drug abuse in your teen, it is the time to confirm drug abusing habits using reliable methods. They are useful devices for the parents to confirm these unhealthy habits in teens. They are simple, easy to use, provide instant and accurate results, cost-effective and above all ensure privacy. Some multi-panel drug testing kits can detect multiple drugs of abuse at a shot.

Best drug test methods to implement: When it comes to home drug testing, urine and saliva tests are considered to be the best methods. There are two other methods – blood and hair tests also, but they need special devices and expert supervision, hence are not recommended for home testing.

Urine test can detect the drugs in your teen’s system up to three days after use. If you believe that your teen has taken drugs during the last few days, then this method is effective in offering accurate results. However, it is necessary to check that your teen is not providing fake urine sample which can lead to false results.

Saliva drug testing is an ideal drug test if you suspect that your teen abused drugs on that particular day. These kits can detect drug use up to 48 hours.

Need for random drug testing: If you are conducting drug tests on your teens at regular intervals, following a regular pattern, your teen may notice the pattern and either try to manipulate the sample before the test or stop abusing drugs few days before the test. Hence, practicing random drug tests is always an ideal way to identify the drug use which effectively helps in detecting the drug abuse among your teens. Random testing makes teens say ‘NO’ to drugs as they know that you can conduct drug testing any time at home.

Home drug testing kits can be considered as effective solutions in controlling and preventing drug abuse in your teens. So, make sure that you have some of them at home to test your teen to help him stay away from drugs.

Are You Prepared For Potential Employer Law Cases?

Even businesspeople that have been running their own enterprises for decades may not know everything they need to know about employer law. They could have a good basic knowledge of state and federal employment laws, but still be unaware of recent changes in these laws. After all, if they’re preoccupied with keeping their companies afloat during these perilous economic times, they might not have time to stay current with all issues related to employment law. That’s why even the most ethical, experienced, and canny business owners need to retain quality legal counsel with experience in employer law. One way to do this is to keep a lawyer on retainer, but that can get prohibitively expensive. A better alternative for small to medium-sized businesses is to work with a legal service that does nothing else but provide counsel and legal assistance for employment law problems.

There is an old saying that forewarned is forearmed. Running a business with multiple employees can be a complex and difficult undertaking, fraught with many perils to that company’s continued profitability, and even its very existence. Many well-meaning, basically honest employers have unwittingly fallen foul of employment law issues because they did not have good legal counsel. Don’t let that happen to you! Protect your personal assets, including your business, from anyone who might try to sue you over perceived violations of employer law. Being the boss means you sometimes have to make tough calls that some of your employees might not be happy with. These days people are so litigious that they will sue at the drop of a hat, so you need to be armed against potentially damaging lawsuits with the best legal advice that you can afford.

The good news is that you don’t have to keep an expensive law firm on permanent retainer to get the advice of experienced, ethical lawyers with experience in employer law cases. The best alternative is to retain the services of a firm that handles nothing but employer law cases and keeps abreast of the rapidly changing network of laws governing how employees must be treated in the workplace. The right employment law firm for you will provide 24-hour-a-day access to a real lawyer to address all of your legal questions and deal with any legal problems that can spring up for a business owner with frightening speed. You should also seek out an employer law service that can either tailor its legal services to your precise needs or offers a variety of service packages at reasonable prices. Your business is too important for it not to be protected against the possibility of a lawsuit that could wipe it out. Having good legal advisors will also help you protect your company’s reputation against efforts to besmirch it. After all, any company’s reputation is one of its most valuable assets.

So, whatever the size of your business, whether you employ 20 employees or 20,000, you need the benefits of the best advice about employer law that you can get. In the case of small or medium-sized businesses, the best thing you can do is partner with an employer law service that can call on experienced, knowledgeable lawyers to defend your interests. In tough economic times like these when employers must make hard decisions regarding their employees, it’s good to know that you have top-shelf legal advisors to back you up. Face it, some of your employees may not be happy with what you have to do in terms of layoffs, scheduling or changes in working conditions, so if they decide to sue you, you’ll be prepared. Don’t be caught off guard. Be sure that you have already retained the services of a firm that specializes in employment law and can go to bat for you in court if necessary.

How to Improve Eye Vision Naturally – Revolutionary Procedure to Correct Vision

It is possible to improve eye vision in a way that is natural. In this way, you will be able to return to a life without glasses or contacts, and give yourself excellent vision without needing to undergo expensive and dangerous surgery. This is accomplished through the use of eye exercises. These can be used in order to combat the effects of nearsightedness and other vision issues.

By finding a way to naturally improve vision, you will feel better about yourself and your independence. By reclaiming your 20/20 vision, you will also reduce your risk of experiencing eye diseases in the future.

Eye exercises work by getting to the root of the problem that is causing the vision issues in the first place. The eye muscles that cause the problem are trained in such a way that they become more relaxed, and more precise. In this way, the lens of the eye returns to its proper shape, which will naturally improve vision.

When you wear glasses, they may improve eye vision in the short term, but they actually put strain on your eyes. There have been several studies demonstrating that, over time, glasses actually cause your vision to become worse. This is why it is important to improve eye vision the right way. Not only do eyeglasses and contacts come to a common inconvenience, but they are also damaging to the eye.

Briefly testing these simple exercises are a lot healthier and successful. Studies conducted on monkeys showed that a monkey who wore nearsighted glasses became nearsighted within a short period of time. The reverse was true for farsighted glasses.

The first simple exercise is to find a period or comma on a page and focus on it, making it as clear as possible. Stare at the period until it comes into focus. Chances are after a few seconds the period will actually became less clear and blurry. Perform eye exercises on a regular basis. This gives your muscles the full control over your eyes that they are supposed to have. Try relaxing your eyes. Close them for a minute and let them relax. Now look at the period without straining. Don’t stare; instead, let your eyes slowly move around the page, over and around the period. Don’t focus only on the period, the eyes need movement. Make sure to blink a bit. Try closing your eyes and picturing the dot and then look at it again. Once the eyes are relaxed it should be easier to see the period. This also allows your eyes to relax so that they are not placed under strain.

The second exercise is the Word exercise. Find a word on the page that is five or more letters long. Stare at the word so that all the letters are in view, but don’t move the eyes. Focus entirely on the whole word trying to get the best image in your head. Again, staring and concentrating hard is going to cause the word to blur. These methods used to naturally improve vision are much safer than LASIK eye surgery as well.

These exercises can be used to fight problems associated with nearsightedness, farsightedness, blurred vision, and aging vision.

The former FDA chief, Morris Waxler, admitted that he thinks they made a mistake when they approved the surgery. It may improve eye vision, but there are several risks associated with it that aren’t worth it. The possibility that you will have vision problems after getting LASIK surgery is surprisingly high. One in every thirty-three people who undergo the surgery will experience vision problems afterward.

Do Nutritional Supplements Work? Some Surprising Facts

Some big, unfounded rumors are circulating about nutritional supplements.

And they’re circulating under the guise of science and experience. But instead of helping you make wiser choices for your health, they do the opposite. They make it harder.

Because these false tales ignore volumes of research and several thousands of years of human healing practices using food, herbs and minerals.

What fallacies am I talking about?

A December 2013 editorial published in The Annals Of Internal Medicine, titled “Enough Is Enough: Stop Wasting Money on Vitamin and Mineral Supplements” concluded:

“We believe that the case is closed- supplementing the diet of well-nourished adults with (most) mineral or vitamin supplements has no clear benefit and might even be harmful. These vitamins should not be used for chronic disease prevention. Enough is enough.”[1]

Now here’s the thing… I agree we need to pay attention to results of the studies the authors referred to when they came to this conclusion. This editorial refers to several recent studies. Each of these studies underscores some important reasons why nutritional supplements don’t work in specific situations.

But other than that, they’re dead wrong.

Because if anything these studies only highlight the mistakes people and doctors make when it comes to using supplements. Simply put, when people choose poor quality supplements and use the wrong supplement for the wrong reasons, supplements don’t do much good.

In contrast, as hundreds of people who have consulted with me as a doctor have discovered, when you choose the right, high quality supplement for the right health concern, you’ll see the benefits.

The key is to make knowledgeable choices.

A single article is too limited to cover 40 plus years of knowledge I draw from in recommending supplements to my patients. But I can offer some basic guidelines that will help you make better choices when you use supplements.

Here’s what you need to look out for in order to ensure the nutritional supplements you use work.

Get The Right Dose Of Nutrition

Three of the studies the editorial team used to make their case showed multivitamins did little to change the risk of brain problems, cardiovascular issues after a heart attack or overall health risks for older people.

I wasn’t surprised by this.

In trying to cover the whole spectrum of nutrition without overdoing it in any one area, multivitamins usually only offer a small percentage of the nutrients you need to take care of a specific health concern. And often enough they include nutrients you don’t even need depending on how you eat.

For example, most multivitamins contain 400 IU or less of vitamin D. While this is the official recommended daily allowance for vitamin D, most holistic doctors would consider this a drop in the bucket when it comes to raising your blood vitamin D levels.

I have my patients get blood tests to assess vitamin D levels and then recommend supplements accordingly. Often enough, I recommend at least 1000 IU – sometimes as much as 5000 IU – to get them to healthy vitamin D levels in the blood.

Multivitamins provide a baseline for nutrition. Not strategic intervention that can really make a difference.

And this brings me to the next issue…

Choose The Best Nutritional Supplements For Your Specific Needs

Just because vitamin A supplementation worked for your neighbor, doesn’t mean it will work for you.

Perhaps you eat lots of winter squash and chlorella, rich in this vitamin. You don’t need a supplement.

Not everyone needs the same amount of supplementation.

Supplementation works best when it’s tailored to your individual health concerns, eating habits, lifestyle and genetic makeup. When adding supplements to your diet, start with you – with what you’re struggling with and what you know are your weak points.

This is why studies involving people without any nutritional deficiencies to assess the effectiveness of supplements may have had less significant results.

It’s also why multivitamins have limited effectiveness. The higher quality ones may give you a nice nutritional base. But they do little to offer you the strategic nutrition that thousands of studies have shown can make a difference with specific health concerns.

But it doesn’t matter what dose of supplement you choose, if you don’t pay attention to this next issue, you won’t get what you need…

Choose Natural Supplements

Synthetic versions of vitamins can not only be less effective, they can be dangerous. As the Annals of Internal Medicine editorial team correctly pointed out, some research has shown that vitamin A supplementation can in fact increase your risk of lung cancer.

However, if you get the precursor for vitamin A that’s found in chlorella and other whole foods – beta carotene – you don’t have to worry. Unlike with vitamin A, your body only converts the beta-carotene it needs and gets rid of the rest.

Natural substances are hard to mimic in a chemistry lab. We may do a pretty good job, but several different vitamin studies have shown that synthetic forms of vitamins – like the ones used in several vitamin A and E studies – can disrupt the way your body uses nutrition.

But even if you go natural, you still need to pay keen attention to the next criterion…

Make Quality A Priority

Listen, do you think some wilted spinach that’s been sitting in your fridge for 2 weeks will give you the same nourishment as that spinach picked from your garden minutes ago? Of course not!

So why would you assume all supplement ingredients are of the same quality?

Sure they may be natural ingredients. But natural doesn’t necessarily mean quality.

Plenty of manufacturers scoot by with ingredients your body can’t use – or contain little concentration of the active compounds you’re seeking. Multivitamins are particularly notorious in this area. If you pick one up at random from the local pharmacy, I can just about guarantee that many of the nutrients in the multivitamin you selected will be hard for your body to use and offer limited benefits.

For example, calcium carbonate – found in many multivitamins as well as calcium supplements – is much harder for your body to breakdown and absorb than calcium citrate.[2]

When it comes to botanical supplements, their quality depends heavily on how they were sourced and processed. For example, if eleuthero root is harvested in the winter months, when much of the plant’s energy is stored in its roots, you’ll get a much higher concentration of active ingredients, eleutherosides. However, not every eleuthero producer takes care to harvest at this time, leading to a range of potency when it comes to eleuthero supplements on the market.

However, as good as a high quality extract or isolated ingredient is, rarely can they compete with the best form of supplementation.

The Best Nutritional Supplements Are Made With Whole Foods

While we’ve discovered some applications for isolated vitamins and plant compounds… and while I sometimes suggest my patients use certain extracts or isolated vitamins… when it comes down to it, nothing beats the complex chemistry of food for giving your body the best nutrition.

Nutrients found in food work together to nourish you in incredibly complex ways. It’s like a symphony with hundreds of players. And often enough, when we try to isolate nutrients, we miss out on powerful health benefits.

For example, when it comes to the supplement, eleuthero, scientists have found that some of the isolated compounds, eleutherosides, seem to increase immune health. But they also found that none of the isolated eleutherosides worked as well for strengthening your immune health as taking whole eleuthero.[3]

3 Tips For Finding Nutritional Supplements That Work

As a doctor who’s witnessed hundreds of people recovering excellent health thanks to the use of nutritional supplements, I know this widely publicized editorial from the Annals of Internal Medicine has the potential to cause tremendous damage. By referring to a few non-representative and poorly designed studies to condemn nutritional supplements as a whole, the authors have robbed people of health options that can make all the difference.

But I also understand the need, highlighted by the studies referred to in the editorial, for better understanding of how to choose and use supplements more effectively.

Here are a few suggestions:

Do your research. Go beyond the headlines and ask questions. Get information that addresses all the questions I raised in this post. Learn more about the health concern you have, the nutrient you’re considering using and the company that produces supplements that provide this nutrition.
When in doubt, consult with a professional like a holistic doctor. As part of our professional work, we keep up with the research. In addition, we have our years of practice to draw on in seeing how supplements work on a case by case basis. A holistic doctor can help you determine the quality of a supplement. And they can help you decide if it’s the right one for your needs.
Consider using supplements that have already gone through rigorous quality assessments. For example, supplement distribution companies like Emerson Ecologics set high standards for the supplements they carry in order to help practitioners like me make good choices more easily. While you will need an official practitioner recommendation for purchasing from them, you will know that the supplements they carry are well vetted.
Become The Expert: Know The Best Supplements For You

The most important thing you can do to use supplements effectively is to know yourself. Get to know your body and note how supplements work for you.

And keep this in mind: Studies are important. But they also only capture a snapshot of the reality. Your unique biochemistry may not fit into this.

Because of this, you can know better than any doctor or researcher what supplement works for you. When it comes down to it, no one else can do as good a job as you in making the final decision about which are the best nutritional supplements for you.

Hiring a Home Health Care Employee

Providing the primary care for an elder loved one can be difficult. When you cannot deliver all the elder care yourself and support from friends, family, and community organizations is not enough, it may be useful to hire a home health care worker. He or she can offer care from a few hours a week to 24 hours a day, and can provide many other helpful services. Types of in-home health care services include:

General Health Management like administration of medication or other medical treatments
Personal care such as bathing, oral hygiene, dressing, and shaving
Nutrition help like preparing meals, assisting eating, and grocery shopping
Homemaking services including laundry, dishwashing, and light housework
Companionship for example reading to the senior or taking them on walks
Recruiting and Interviewing Applicants
There are many avenues for hiring a home health care employee. Generally, home health care workers can be hired directly or through an agency. Home health care agencies often have a staff that includes social workers and nurses that will manage your care. However hiring an independent home health care worker is generally more cost effective, it will also give you more control over the type of care you receive.

Senior home care workers should be carefully screened for proper training, qualifications, and temperament. Fully discuss the needs of the elder care recipient during an interview with a prospective home health care employee. There should be a written copy the job description and the type of experience you are looking for.

References

Have applicants fill out an employment form that includes the following information:

Full name
Address
Phone number
Date of birth
Social Security number
Educational background
Work history
Before hiring, you should ask to see the senior home care worker’s licenses and certificates, if applicable, and personal identification including their social security card, driver’s license, or photo ID.
References should be checked out thoroughly. Prospective employees should provide the employer with names, dates of employment, and phone numbers of previous employers and how to contact them. It is best to talk directly to previous employers, rather than just to accept letters of recommendations. Also ask the applicant to provide or sign off on conducting a criminal background check

Special Points to Consider

Make sure the person you are considering hiring knows how to carry out the tasks the elder care recipient requires, such as transferring the senior to and from a wheelchair or bed. Training may be available, but make sure the worker completes the training successfully before hiring him or her.

No one should be hired on a seven-day-a-week basis. Even the most dedicated employee will soon burn out. All employees need some time to take care of their personal needs. No worker should be on call 24-hours a day. If the elder care recipient needs frequent supervision or care during the night, a family member or second home health care worker should be able to help out or fill in.

Live-in assistance may seem to be more convenient and economic than hourly or per-day employees but there can be drawbacks. Food and lodging costs must be calculated into the total cost of care, and it could be difficult to dismiss someone without immediate housing alternatives. If you decide to utilize a live-in arrangement, the employee should have his own living quarters, free time, and ample sleep.

Job Expectations and Considerations

Before hiring a senior home health care worker, you should go over the tasks you expect them to perform and other issues, such as promptness, benefits, pay scale, holidays, vacations, absences, and notification time needed for either employer or employee before employment is terminated. If you work and are heavily dependent on the home health care worker, emphasize the importance of being informed as soon as possible if he or she is going to be late or absent so that you can make alternative arrangements. Be clear about notification needed for time off, or what to do in the case the home health care worker experiences a personal emergency that requires them to abruptly leave work. It is important to have a backup list of friends, family, other home care workers, or a home health care agency you can call on.

Be clear about issues concerning salary, payment schedule, and reimbursement or petty cash funds for out of pocket expenses.

You should spend the day with the home health care worker on his first day to make sure you are both in agreement over how to carry out daily tasks. It would also be helpful to supply the home health care worker with a list of information on the elder care recipient such as: special diets, likes, dislikes, mobility problems, health issues, danger signs to monitor, possible behavior problems and accompanying coping strategies, medication schedule, therapeutic exercises, eye glasses, dentures, and any prosthetics.

You should also provide the following information to your home health care worker: your contact information, emergency contacts, security precautions and access to keys, clothing, and locations of washing/cleaning supplies, medical supplies, light bulbs, flashlights, fuse box, and other important household items.

Transportation

Another big consideration in hiring a senior home care worker is how he or she is going to get to work. If they do not have a reliable car or access to public transit, then you might want to consider hiring someone to drive him or her, which might be more economical than using taxis. Inform your insurance company if the home health care worker is going to drive your car when caring for the senior. Your insurance company will perform the necessary driving background checks. If the home health care worker is using his or her car to drive the elder care recipient, then discuss use of her or his car, and conduct a driving background check.

Insurance and Payroll

Check with an insurance company about the proper coverage for a worker in your home.

Make sure all the proper taxes are being drawn from the employee’s check by contacting the Internal Revenue Service, state treasury department, social security, and the labor department. If you do not want to deal with the complexities of the payroll withholdings yourself, than you can hire a payroll company for a fee.

Even if your home health care worker is working as a contractor, you are still obligated to report the earnings to the IRS. Talk to your accountant or financial adviser about making sure you are following IRS rules.

Ensuring Security

You should protect your private papers and valuables in a locked file cabinet, safe deposit box, or safe. If you are unable to pick up your mail on a daily basis, have someone you trust do it, or have it sent to a post box. You should check the phone bill for unusual items or unauthorized calls. You should put a block on your phone for 900 numbers, collect calls, and long-distance calls.

Keep checkbooks and credit cards locked up. Review credit card and bank statements on a monthly basis, and periodically request credit reports from credit reporting agencies. Lock up valuable possessions or keep an inventory of items accessible to people working in the house.

You can help to prevent elder abuse to your loved one by:

Make sure the home health care worker thoroughly understands his or her responsibilities, the elder care recipient’s medical problems and limitations, and how to cope with stressful situations.
Do not overburden the home health care worker.
Encourage openness over potential problems.
The following are possible signs of elder abuse or neglect:
Personality changes
Crying, whimpering, or refusing to talk
Sloppy appearance
Poor personal hygiene
Disorganized or dirty living conditions
Signs of inappropriate sedation, such as confusion, or excessive sleeping
Mysterious bruises, pressure sores, fractures, or burns
Weight loss
If you suspect abuse, act immediately. Do not wait until the situation turns tragic. Investigate the situation by talking to the elder care recipient in a safe situation, or install monitoring equipment. Examples of abusive behavior include yelling, threatening, or over controlling behavior that could involve isolating the senior from others. If the situation is serious, you should replace the home health care worker as quickly as possible. If you fear the elder care recipient is in danger, he or she should be separated from the home health care worker as soon as possible. Place the elder care recipient with a trusted relative or in a respite care facility. Make sure your loved one is safe before confronting the home health care worker, especially if there is concern about retaliation.
Report the situation to Adult Protective Services after ensuring the safety of the elder care recipient. The police should be contacted in the case of serious neglect, such as sexual abuse, physical injury, or misuse of funds.

Supervising a Home Health Care Worker

The most important thing to remember after hiring a home health care worker is to keep the lines of communication open. You should explain the job responsibilities clearly, and your responsibilities to the home health care worker. Do not forget that the home health care worker is there for the elder care recipient and not the rest of the family. For live-in arrangements, the maximum amount of privacy should be set up for the home health care worker’s living quarters. Meetings should be set up on a regular basis to assure that problems are nipped in the bud. If conflicts cannot be resolved after repeated attempts, than it is best to terminate the employee. In such a case, you may have to either place the elder care recipient in a nursing home temporarily or hire a home health care worker through an agency. Reserve funds should be kept on hand in the case of such an emergency.

General Eligibility Requirements for Home Care Benefits

Hiring a home health care worker directly is usually less expensive than hiring through a home health care agency; but if the elder care recipient is eligible and you wish to use assistance from Medicare, you must hire someone through a certified home health care agency. For the senior patient to be eligible, three or more services must be ordered by a physician. Other factors or eligibility are the required need for skilled nursing assistance, or one of the following therapies: physical, speech or occupational. The elder care recipient’s medical needs will determine asset and income requirements.

Hiring Home Health Care Workers through Home Health Care Agencies versus Independently

Different health professionals can assess the elder care recipient’s needs. A nurse or social worker can help with design and coordination of a home care plan. Your care manager, doctor, or discharge planner can help with services being covered by Medicare. They generally help make the arrangements with a home care agency.

You should ask the home health care agency how they supervise their employees, and what kind of training their employees receive. Find out the procedures for when an employee does not show up. Also ask about the fee schedule and what it covers, there may be a sliding fee schedule. Furthermore, find out if they have a policy for minimum or maximum hours. Ask the agency if there are any limitations on the types of tasks performed.

Especially if you have to pay for the care services yourself, find out if there are any hidden costs such as transportation. If all the costs for hiring a care worker through an agency become too much, you may want to consider hiring directly.

Hiring independent home health care workers is not only more economical than using an agency, but it also allows more direct control over the elder care.

How to Become a Home Health Care Nurse

Home Health Care Nursing Information and Overview

Home health care is allowing the patient and their family to maintain dignity and independence. According to the National Association for Home Care, there are more than 7 million individuals in the United States in need of home health care nurse services because of acute illness, long term health problems, permanent disability or terminal illness.

Home Health Care Basics

Nurses practice in a number of venues: Hospital settings, nursing homes, assisted living centers, and home health care. Home health care nursing is a growing phenomenon as more patients and their families desire to receive care in their homes. The history of home health care stems from Public Health Nursing where public health nurses made home visits to promote health education and provide treatment as part of community outreach programs. Today academic programs train nurses in home care and agencies place home health care nurses with ailing individuals and their families depending on the nurse’s experience and qualifications. In many cases there is a shared relationship between the agency and the academic institution.

Many changes have taken place in the area of home health care. These include Medicare and Medicaid, and Long Term Care insurance reimbursement and documentation. It is important for the nurse and nursing agency to be aware of the many factors involved for these rules and regulations resulting from these organizations. Population and demographic changes are taking place as well. Baby boomers approaching retirement and will present new challenges for the home health care industry. Technology and medical care in hospitals has lead to shorter inpatient stay and more at-home rehabilitation. Increases in medical outpatient procedures are also taking place with follow-up home care. This has resulted in the decrease of mortality rate from these technologies and medical care has lead to increases in morbidity and chronic illness that makes the need for home health care nursing a greater priority.

Home Health Care Nurse Job Description

Through an array of skills and experience, home health care nurses specialize in a wide range of treatments; emotional support, education of patients who are recovering from illnesses and injury for young children and adults, to women who have experienced recent childbirth, to the elderly who need palliative care for chronic illness.

A practicing nurse must have the skills to provide care in a unique setting such as someone’s home. The nurse is working with the patient and the family and must understand the communication skills for such dynamics. Rapport is evident in all nursing positions, but working in a patient’s own living space needs a different level of skill and understanding. There is autonomous decision making as the nurse is no longer working as a team with other nurses in a structured environment, but is now as a member of the “family” team. The host family has cultural values that are important and are different for every patient and must be treated with extreme sensitivity. Other skills include critical thinking, coordination, assessment, communication, and documentation.

Home health care nurses also specialize in the care of children with disabilities that requires additional skills such as patience and understanding of the needs of the family. Children are living with disabilities today that would have resulted in mortality just twenty years ago. Genetic disorders, congenital physical impairments, and injury are just a few. Many families are familiar with managing the needs of the child, but still need expert care that only a home health care nurse can provide. It is important that a home health care nurse is aware of the expertise of the family about the child’s condition for proper care of the child. There are many complexities involved, but most important, a positive attitude and positive reinforcement is of utmost importance for the development of the child.

Medication coordination between the home health care nurse, doctor, and pharmacist, ensures proper management of the exact science behind giving the patient the correct dose, time of administration, and combinations. Home health care nurses should be familiar with pharmacology and taught in training about different medications used by patients in the clinical setting.

Many advanced practicing nurses are familiar with medication regiments. They have completed graduate level programs. Home health care agencies believe that a nurse should have at least one year of clinical experience before entering home health care. Advanced practicing nurses can expedite that training by helping new nurses understand the home health care market and teaching.

Employment and Salary

According to the United States Department of Labor, there were 2.4 million nurses in America, the largest healthcare occupation, yet many academic and hospital organizations believe there is a gross shortage in nursing staff. The shortage of nurses was 6% in 2000 and is expected to be 10% in 2010. The average salary for hospital nursing is $53,450 with 3 out of 5 nursing jobs are in the hospital. For home health care, the salary is $49,000. For nursing care facilities, they were the lowest at $48,200.

Training and continuing education

Most home health care nurses gain their education through accredited nursing schools throughout the country with an associate degree in nursing (ADN), a Bachelor of Science degree in nursing (BSN), or a master’s degree in nursing (MSN). According to the United States Department of Labor, in 2004 there were 674 BSN nursing programs, 846 ADN programs. Also, in 2004, there were 417 master’s degree programs, 93 doctoral programs, and 46 joint BSN-doctoral programs. The associate degree program takes 2 to 3 years to complete, while bachelors degrees take 4 years to complete. Nurses can also earn specialized professional certificates online in Geriatric Care or Life Care Planning.

In addition, for those nurses who choose to pursue advancement into administrative positions or research, consulting, and teaching, a bachelor’s degree is often essential. A bachelor’s degree is also important for becoming a clinical nurse specialist, nurse anesthetists, nurse midwives, and nurse practitioners (U.S. Department of Labor, 2004).

All home health care nurses have supervised clinical experience during their training, but as stated earlier advanced practicing nurses hold master’s degrees and unlike bachelor and associate degrees, they have a minimum of two years of post clinical experience. Course work includes anatomy, physiology, chemistry, microbiology, nutrition, psychology, and behavioral sciences and liberal arts. Many of these programs have training in nursing homes, public health departments, home health agencies, and ambulatory clinics. (U.S. Dep. of Labor, 2004).

Whether a nurse is training in a hospital, nursing facility, or home care, continuing education is necessary. Health care is changing rapidly and staying abreast with the latest developments enhances patient care and health procedures. Universities, continuing education programs, and internet sites, all offer continuing education. One such organization that provides continuing education is the American Nurses Association (ANA) or through the American Nurses Credentialing Center (ANCC).

Conclusion

There are many rewards to becoming a home health care nurse. Some rewards include the relationship with a patient and their family, autonomy, independence, and engaging in critical thinking. The 21st Century brings with it many opportunities and challenges. We must meet these challenges head on – there is an aging baby boomer population, a growing morbidity factor due to increased medical technology and patient care, and the growing shortage in nursing care.

Becoming a home health care nurse today is exciting and an opportunity to make a difference one life at a time. With clinical experience and proper education, a home health care nurse will lead the future of medical care.

Why Personal Finance Software Is Important

Why personal finance software is important

These days, technology has really revolutionized people’s way of life, including their financial life. Back in the day, most people used a pen and paper to document their earnings, spending, and finances.

What is personal finance software?

Home finance software refers to a financial tool that enables you to prepare a budget, track your expenses, and check your overall finances. These days, there is no valid reason why you should be disorganized and mired in debt because there are many good personal finance programs that you can use to keep track of your money, plan your future, and completely control your finances. If you have a PC or laptop, you are lucky because you can easily find good home finance software at little cost. Application programmers have now catered for the high demand for these applications as they now come with all sorts of functions and capabilities that can save your money, time and effort.

Analysis

You can now analyze your finances unaided. However, this kind of analysis can be much easier if you have some accounting background. Finance software will analyze your important financial details. Details such as your monthly expenses will stick out. Many personal finance applications also allow personalization. If there is one particular aspect you want to know about your finances, you can simply create a specialized analysis. Many personal finance programs can also give you a monthly analysis-an excellent way to see how you actually spend your money on a monthly basis.

Budget creation

We all know the importance of a personal budget. But creating a real budget that you’ll stick to is easier said than done. You can find a personal finance application that creates a realistic budget for you. Simply enter your basic information into the software and quickly create a simple budget.

Checkbook balances and bill payments

Sometimes you’ll fail to pay bills on time. When it happens, interest rates are more than likely to shoot up. Fortunately, you can avoid this mistake once and for all. Look for a personal finance application that’ll remind you when to pay your bills. Likewise, you can accomplish balancing your checkbook by just ticking a box. Sum up any amounts withdrawn from your account and check carefully anything that seems suspicious. Once you have everything on record, it becomes much easier to know how your finances are faring.

Trust yourself and no one else

When it comes to finances, it is best to keep track of all you have carefully. You may trust your finances with your financial adviser, but it is still important to know where every cent is at, always. With a personal finance application, your money will never be far away from you. Whether you are paying bills, balancing your checkbook, tracking your paycheck, or creating a personal budget, you should not live without personal finance software.

How To Increase Eye Vision and Throw Away Your Glasses

If you’re looking for a safe and natural way to increase your eye vision and throw away your glasses, this article is for you.

Over 70% of adults in North America need corrective eyewear. This statistic isn’t surprising as we use our eyes very differently than we did even 20 years ago. If you

monitor your ‘eye activity’ on a daily basis, you will most likely realize your depth of focus is often fixed and limited to one activity for many hours.

For instance, if you work on a computer or spend periods of time online or watching t.v, you’re limiting your focus. If you’re a truck driver continuously looking at the road ahead, once again, you’re limiting your point of focus. It’s difficult to remember to take a break to care for your eyes, but there are some very simple techniques which can often help increase eye vision dramatically!

If you keep in mind that your eye construction includes muscles and nerves just like all the other parts of your body, it stands to reason, exercising your eyes is just as important to keeping them healthy and working perfectly!

Simple relaxation techniques and exercise, along with a healthy diet and supplements, may help restore your vision. Now before you roll your eyes and say exercising and nutrition are not your cup of tea, I want to let you know – SMALL changes often make a HUGE difference.

Here are a few simple yet powerful techniques to get you started.

1. Relax your eyes by Palming. Simply warm your hands by rubbing them together and cover your eyes for a minute or two. Repeat this periodically throughout your day.

2. Take a break from what you’re doing and look away. Every 45 minutes try looking away from your fixed point of vision. If you’re on a computer, look off into the distance. If you’re fixed point is in the distance, focus on something a few feet in front of you.

3. Roll your eyeballs. Rolling your eyeballs around in their socket provides tension release and adds additional blood circulation. Doing this simple exercise for 15 seconds a few times per day will provide release of tension.

In the 1880′s Dr. William H. Bates conducted a vast series of tests with thousands of patients whose vision was deteriorating with the continued use of glasses. His techniques and exercises not only helped his patients improve their eyesight, but many times the techniques resulted in his patient restoring their vision to a perfect 20/20. Unfortunately, this led him to be ostracized by his peers as he was gaining popularity in this unconventional manner.

Home Health Care, an Alternative to Nursing Homes

More and more people are choosing home health care as an alternative to entering assisted living facilities. There are different levels of care available to individuals who wish to remain in their homes but who need a little extra help. Having these options make it possible for lots of folks to stay in their houses longer and live their own lives. There are several compelling reasons families are choosing this for their loved ones.

Better for the Well-Being of the Patient

Studies have shown that being allowed to stay at home and to maintain some level of independence is better for the patient’s overall health. Feeling “put away” can cause feelings of depression or hopelessness, which in turn may cause increased health problems. If a patient has a say in their own care, they feel much better and their body can recover and heal more efficiently. This is true even if they do decide to enter a nursing home, but simply having the option is a big help.

Comfortable and Convenient

When the time comes when someone needs a little special attention or care, it is important for them to be as comfortable as possible. A big change in their health condition is stressful enough. Sometimes, the best decision is to make sure they can stay in their own home where everything is familiar, so that there aren’t as many drastic changes all at once.

Not having to pack a bag or decide what can stay or go is another benefit to home health care. Everything is as it always was, but now there is someone there to help with the details.

Affordable

The old stereotype about home health care is that it is not affordable except for the super-rich. This is not at all the case. An ever increasing number of health insurance providers are covering this type of care, and certain government programs can offer financial assistance.

Easier on Families

Home health care is a wonderful blessing for couples who need help for one person but not the other. The couple can stay together in their own home, but without the pressure of one person having to provide constant assistance to the other. The strain is off the partner, and the couple can simply enjoy being together. This also has health benefits for the partner.

Kids, grandkids, brothers and sisters might be helping out with the health care needs of an individual just so they can stay at home. With a home health care provider, the patient will receive professional assistance. The family members also benefit, because when they come to visit they can just spend quality time together instead of concerning themselves with all the health issues.

Home health care is a welcome option for many folks who are trying to decide how to plan for the future in light of their physical requirements. While a nursing home is still a very good option for many people, it is reassuring that there are choices out there to fit everyone’s individual needs.

webgar.us denstore.us themum.us nyubod.us vrinmo.us teamde.us lapaz.us hybrid.us homeb.us uilders.us worldo.us fcoast.us mediam.us archea.us thletique.us lerbags.us liriof.us ficial.us thegiv.us ingpet.us ragmdpc.us quality.us kingintl.us psychia.us tristu.us patna.us tadalg.us acurme.us hbhfstone.us huifengdy.us xurkxn.us liuyika.us dysphag.us yoltdu.us stevedaz.us polzi.us hzbailu.us drivemesh.us mysucce.us ssfoun.us dation.us czbankang.us atonewear.us athalazz.us assami.us ndiancafe.us fondmony.us moonli.us ghtway.us rsouva.us nowandf.us orever.us mulberr.us yencino.us atsnta.us noyseea.us muddhon.us eyhill.us masxhhg.us autarky.us assets.us atelier.us doscabe.us losacre.us casadel.us maranui.us marijua.us nastore.us mroppa.us haciend.us adrive.us emilyfr.us ankmakeup.us dermap.us laningt.us raining.us alphadi.us gitalco.us mputingf.us hellohue.us manmol.us masmugq.us atlantic.us properti.us naesgm.us aszneenn.us astrodur.us ancebung.us eeworkouts.us iauszz.us athornle.us ssrose.us associa.us tecoopban.us assista.us nceappl.us ication.us assessor.us iapanvia.us bmuopo.us arrowhe.us adlane.us vjodaer.us stclass.us homeca.us rellcy.us esnaenez.us tropma.us mnmuod.us atcheg.us astrod.us urancet.us hefutur.us eoffitness.us gatmoq.us masstkl.us atlanta.us cagespo.us approac.us mohpress.us stwide.us auntation.us assistc.us morypto.us assesor.us iapetmedia.us updispa.us tchingllc.us metaverce.us atvebo.us astrodu.us rancebun.us geefitness.us magieave.us dmetaver.us seavatar.us atmmeta.us sanchezst.us austininn.us ovativec.us oncretetx.us approac.us hbytes.us ckouy.us ubetter.us centrei.us slandroad.us voobak.us leewardct.us geekii.us sethurm.us wouaso.us atxsoo.us peaking.us atwella.us ndsonllc.us sheffield.us stmuoi.us whiteoaks.us mildredave.us auntspan.us atozcom.us muiforts.us atletassa.us ugoodth.us iwphotogr.us aphics.us allisonfa.us rmsharvo.us esting.us muljipatel.us muebled.us onpepe.us masykkl.us general.us contrac.us torthom.us mopasok.us auburn.us itdown.us atozelites.us atlanti.us spoints.us atelier.us minuitp.us moaris.us astrol.us ogiarel.us azionale.us astapr.us odutos.us appweburl.us amuopae.us lasbrisas.us strain.us apparel.us illinird.us hunter.us oswood.us stplaceag.us nzmeens.us foxshop.us reative.us mulligraph.us ubestse.us wmuor.us swannst.us dakbare.us atelierg.us moiuande.us asviposc.us asreales.us tatepun.us tacana.us hatethejob.us custompr.us opstudio.us madden.us muktaie.us mvents.us atoznota.us ryservice.us astridlogu.us assignme.us ntsandho.us meworks.us caravelladr.us candycrush.us zerometa.us southpla.us insmedia.us hayattii.us haodaku.us hairsalo.us ntreatment.us android.us evzla.us xytoxys.us altasair.us allesjungs.us allofcourse.us alansilv.us erstein.us andcoa.us ccountan.us saycyye.us klacao.us swisshe.us ritageba.us goodso.us urcers.us oxfdig.us lindar.us electric.us zezhzo.us dlwuye.us gaadik.us haredo.us beerhalf.us fpastxo.us chinahu.us ajiefushi.us carchec.us ktime.us afterma.us thbike.us nuworks.us iambenk.us endall.us brassin.us struments.us hathor.us skitchen.us cozywork.us dgxiading.us xiliybo.us bikeforhim.us yunjinlu.us yogathyroid.us worldcl.us assicalm.us usicday.us worcest.us rcounse.us olling.us wepave.us alaska.us wapwapwap.us vitaplanet.us gozdota.us wanxin.us okjagsh.us xaboer.us masydye.us amjsou.us smoarea.us amarie.us xpresso.us qwufot.us wordsmi.us thadvantage.us ramadash.us engzhoucc.us onscene.us firstre.us sponder.us spanohca.us oidatravel.us gzlaima.us ochuanren.us moffeiedu.us wosgapp.us plazat.us oyotac.us iteureup.us northi.us ndialo.us gistics.us yusufs.us myener.us ogelir.us hiluko.us yzjjxhg.us canercl.us othing.us versionk.us bollaj.us ewelry.us foodarc.us ckeyei.us nstitute.us obtain.us iumdata.us ramric.us ookayb.us oomer.us majorisc.us onsultoria.us anangel.us sprese.us ncehhc.us doctorned.us psipoplar.us ipsglob.us alfire.us fireprot.us ectives.us ervice.us sglobal.us carren.us talpaul.us wfawlqe.us rasheed.us swireless.us nbteacherfb.us jangwonseo.us soperfe.us ctproducts.us auburnwilcox.us wellotime.us bigpussy.us thewhit.us elotusp.us rojectu.us soireedecor.us pizzawo.us rldmollet.us rentitla.us lesbian.us gator.us evasly.us yders.us wzqxbs.us maskzkl.us aussio.us utboard.us motors.us auditmoney.us atlbas.us eballteam.us appslik.us emagic.us cloudte.us chskills.us thatpayt.us hebills.us vigemusque.us bigook.us ernew.us vostoc.us hniyex.us mupress.us connects.us portsapp.us jdsbbzx.us javawit.us hjenna.us ifpsca.us ocmsuccess.us vivimo.us dapraia.us xindongju.us brasade.us livery.us vidhya.us areloan.us ticket.us threade.us dgoat.us theherb.us alnation.us terrass.us ementhe.us rault.us takipap.us shhuisun.us settler.us sharvest.us segmen.us tatio.us ontools.us salumi.us marin.us qdymda.us latch.us bradola.us asesorin.us mobiliar.us iomonte.us morrey.us alexsou.us lmagic.us tymou.us dindustr.us ialparts.us zjaerw.us agerev.us ersing.us ewpills.us vadisar.us kuteri.us ugdallas.us tripmoving.us sinhooled.us noraabutik.us newslet.us terozal.us iddesign.us natalia.us renchez.us images.us soite.us hubjunior.us heybod.us aeybcn.us getove.us rstock.us deals.us dqptsw.us soldenay.us nuyarit.us jxbxglz.us xjgcxh.us jzkcdz.us lyndse.us ystrip.us myuped.us happywayq.us timeney.us specfr.us iends.us callrv.us bilgi.us ruyasi.us tastec.us hefrandi.us stboys.us metuch.us lobloba.us lwfenghuan.us zhishen.us gxuetang.us cgcxm.us staycu.us behotel.us santizo.us investm.us muoents.us rexind.us aogou.us puresm.us lebargraz.us priotiger.us michelan.us geloitalia.us merseyp.us attesting.us maskedx.us exchang.us eunify.us cyceah.info charcoa.info lextruder.info babqqe.info bacorth.info echicg.info arden.info autosol.info dersupply.info zualaf.info itness.info sibdhomes.info savehig.info hpitcheric.info gunisig.info icocukm.info erkezi.info placidsoul.info followe.info rstoins.info tagram.info zcashetf.info purisima.info swalker.info lirongmin.info csgobe.info tdirectory.info cambiam.info entodi.info gitale.info scbobaizs.info virgini.info arentown.info hayatpark.info hangkho.info ngthonhiky.info hairaffairv.info antilgs.info martworld.info andrer.info ieutravel.info minyid.info esignu.info altami.info aacia.info alireza.info tavana.info akilli.info iskarti.info afrifence.info aaerpr.info oprete.info wildat.info lantic.info waypods.info chriss.info iemakes.info leahpub.info lishing.info haifook.info nlplounge.info osugobucks.info fineart.info lampso.info autlet.info gefedeex.info distrust.info comsadfa.info dodxucz.info fvadsfas.info laxloc.info kerren.info moitals.info kingaj.info ulius.info ipsglob.info alfire.info lingyin.info ghaiwai.info herlily.info tronetf.info poojapu.info thran.info rescued.info curios.info ities.info website.info sforwel.info lbeing.info getteter.info zhouxun.info zphonecase.info zhengzh.info oulanshuo.info yummychi.info nesebro.info oklyn.info yogaism.info ychirop.info ractor.info yesteacher.info xiayizhan.info wepavec.info alifornia.info walkerb.info uildersc.info ontractors.info virgin.info iareop.info tions.info houfar.info webkut.info uphane.info galler.info iadarte.info sicilia.info acbdetal.info julieh.info ealthw.info ellness.info anluyiliao.info essmeda.info lliance.info burafd.info greate.info rphoen.info ixbusin.info essexchange.info amaejso.info rasfde.info rofdabu.info tikpie.info carpin.info teriach.info ihuahua.info rajamu.info radkhan.info podcas.info tadrates.info omicsf.info orall.info ohmdox.info alarag.info ozukara.info litecoinic.info agenbeba.info sbayar.info hudaba.info marouf.info puraperla.info eastamb.info assador.info nsachina.info cnhongxia.info kelierglass.info dixiehom.info einprov.info acerments.info kidyogao.info fredmond.info oakandjoy.info kindness.info vseverybody.info cloudtec.info hskillst.info hatpayb.info mutills.info planet.info medspa.info iposfpo.info fireip.info sglobal.info zjnx.info ibeauty.info live.info xvkgs.info thomps.info oncore.info opstore.info ingual.info social.info iconic.info burntba.info rrelwhi.info skeymon.info muoroe.info darlingyun.info coderd.info ojorise.info polkado.info vaatceo.info pizzache.info vaclik.info sqzhglass.info tianyuanso.info hilifeinsu.info zaztto.info hpcexpo.info musicli.info braryg.info guidegoo.info ausmet.info averse.info audiome.info tareali.info tiesme.info atozha.info ulingand.info trashru.info emovalu.info tlastclean.info atikavatti.info astrowo.info rarldy.info astonmo.info torcycles.info asseticism.info aspenhe.info ightsinc.info martinlut.info herking.info jrway.info sketmy.info adsvaa.info orthokd.info octors.info stsourc.info meweag.info ensenez.info bettigo.info beretba.info rrettes.info wsmoul.info sprigst.info cloudski.info llstha.info tpaybills.info sinclai.info rtravels.info javawit.info hjana.info graceherm.info anholland.info chemexlab.info muhammet.info kalfaoglu.info maskljy.info euclidt.info errace.info covington.info magazine.info luiza.info geekii.info ngsqzh.info firep.info sglobal.info taipuchina.info getbet.info tervii.info acdeos.info winsho.info ppingv.info oucherses.info omiel.info gajeka.info mretoop.info aihaicao.info cgctp.info theuns.info hutworld.info themad.info whipii.info ssautos.info ervices.info secure.info nodese.info rvice.info queryco.info rrection.info brecho.info dadeh.info appsolu.info cionesweb.info allthi.info ngshay.info muoley.info alabama.info spread.info insaat.info ticaret.info cgcgz.info victor.info ebeatriz.info uskookeen.info ufukoze.info rgin.info triangl.info ehousec.info reative.info mytribe.info mypride.info msgmexico.info jykjqspmz.info jiuyi.info jehadth.info emovie.info inagraf.info mueller.info heter.info odoll.info hdqthu.info thuat.info firsta.info ntiqo.info topomi.info chigan.info usedbu.info rritos.info hlbbzj.info yingzi.info wenhua.info rosean.info darmor.info luosi.info dnoref.info suicida.info lbastards.info yogabye.info aremma.info xpwkg.info offersa.info moathi.info sngren.info shuangj.info iangp.info review.info wipes.info puncht.info hecard.info proceso.info sgymoa.info mohawk.info partse.info meredit.info hesnow.info getitwi.info thcrypto.info gabunsu.info escalaop.info beuera.info epicstokes.info easycarmx.info dasopd.info lkyuop.info gaetnuo.info paweeva.info dlapplied.info delitr.info ansfer.info merkezi.info cryptoc.info oinbeg.info inner.info charmi.info ngmens.info charbdo.info llfitness.info basili.info coimports.info willo.info wandroan.info wescon.info online.info unifim.info anager.info sharkey.info ssquar.info epizzany.info sealypr.info egnanc.info kophelup.info roznal.info evich.info aqmrru.info syntaxcoin.info sownma.info rketing.info yingmingbg.info eastvie.info wdriveb.info iloxi.info shinebr.info ightpro.info pertyser.info vices.info roxolidpix.info cryptongy.info ahsancoin.info vanonymous.info harves.info tcarpet.info haedenm.info useum.info anderso.info nhualage.info allwinb.info ottle.info alexrhind.info airsoft.info monkeygun.info adwords.info onabudget.info akstcm.info abase.info nbkgroup.info prestat.info yntownfc.info christin.info edentten.info foxconnnet.info torontopix.info scalars.info cience.info planet.info danse.info nyres.info earch.info eucalyp.info tusnow.info mydigital.info ncivicdr.info westhi.info llsdale.info rober.info tszekely.info kbfastloan.info fopsma.info libu.info tianj.info inhuifeng.info ermersson.info cirugi.info amaxilo.info facialo.info axaca.info burntba.info rrelwh.info iskey.info africa.info czxglb.info karlcp.info arity.info zontnjy.info zgtzjlb.info yleplay.info yelizin.info ayakka.info bilari.info xiaox.info ianmu.info wizard.info sports.info picks.info wepave.info colorado.info walacafe.info virgini.info arebuy.info theswed.info ishfish.info shbdgs.info galeria.info menorca.info yzjblog.info surviva.info lstamina.info asianma.info masays.info psyche.info delicmethod.info bkwnylj.info lagunate.info nerife.info guzcamw.info amjsoo.info rfopd.info rarefd.info sblive.info qawwibdc.info livinga.info fterle.info moving.info squirede.info signand.info marketing.info yjmudan.info ivybrains.info hardyru.info anners.info needself.info sweethe.co.uk artsde.co.uk sserts.co.uk tfamoo.co.uk jjdishi.co.uk jreidper.co.uk rylawyer.co.uk hnwjyzjp.co.uk threesi.co.uk sterswrite.co.uk pensio.co.uk nlechalet.co.uk vijayku.co.uk marnakam.co.uk indvstr.co.uk ialcom.co.uk plexo.co.uk avnicr.co.uk eates.co.uk cloudy.co.uk skiano.co.uk llsth.co.uk atparea.co.uk aythebil.co.uk molsee.co.uk moestee.co.uk imoasa.co.uk tchez.co.uk ipsfirep.co.uk rotection.co.uk jinsui.co.uk vhhdxo.co.uk onefunn.co.uk eiaway.co.uk ccmovers.co.uk queenbee.co.uk sexten.co.uk sions.co.uk digicoi.co.uk nsopra.co.uk steria.co.uk cryptoa.co.uk uthenti.co.uk cated.co.uk pokitchen.co.uk rdsignal.co.uk customh.co.uk omeinst.co.uk allations.co.uk portalpi.co.uk racanjuba.co.uk maltob.co.uk electri.co.uk caltran.co.uk sporter.co.uk qiyifu.co.uk rniture.co.uk ecoswiy.co.uk livingf.co.uk orever.co.uk momore.co.uk sunbea.co.uk mclothing.co.uk fintech.co.uk courses.co.uk malta.co.uk studeb.co.uk akerwatch.co.uk sionchem.co.uk cgocq.co.uk stvspa.co.uk smokin.co.uk ginfor.co.uk mation.co.uk shiloh.co.uk people.co.uk scotsda.co.uk lecvb.co.uk russell.co.uk sandst.co.uk ephan.co.uk rongfa.co.uk bangan.co.uk riviera.co.uk mayaact.co.uk ivities.co.uk private.co.uk ventureh.co.uk oldings.co.uk mdgggb.co.uk littleg.co.uk irloss.co.uk bigroom.co.uk liajema.co.uk roquinerie.co.uk ckbbig.co.uk campnou.co.uk grifol.co.uk sarena.co.uk baresta.co.uk byukip.co.uk badrivi.co.uk llehome.co.uk vastay.co.uk aydink.co.uk ombiservis.co.uk asuperi.co.uk orservi.co.uk cecompany.co.uk mangax.co.uk kindle.co.uk laughan.co.uk dfeelgood.co.uk allthat.co.uk crypto.co.uk wktom.co.uk txwelln.co.uk esscenter.co.uk scottis.co.uk hinnsw.co.uk hittier.co.uk transpo.co.uk rtepyg.co.uk tfauto.co.uk flexi.co.uk inttapple.co.uk shridi.co.uk vyaaayu.co.uk santhw.co.uk anamch.co.uk arities.co.uk proverb.co.uk sgroup.co.uk mrbugkill.co.uk mindsead.co.uk mashriq.co.uk bradford.co.uk hmaerq.co.uk franklynn.co.uk fanyusi.co.uk eosetf.co.uk elifee.co.uk molove.co.uk duzce.co.uk siteyo.co.uk netimi.co.uk diladam.co.uk laoner.co.uk delik.co.uk vsaekik.co.uk creat.co.uk ingjoy.co.uk inthej.co.uk ourney.co.uk cosywork.co.uk cmprof.co.uk ession.co.uk albeauty.co.uk candac.co.uk ekeith.co.uk blackm.co.uk agica.co.uk welshw.co.uk hobuil.co.uk chicago.co.uk treasu.co.uk resapps.co.uk sinowo.co.uk yeskcc.co.uk workd.co.uk aylife.co.uk miaowang.co.uk pjweihua.co.uk wangche.co.uk ngyufu.co.uk haydelb.co.uk muaker.co.uk alaska.co.uk vacati.co.uk onclub.co.uk lepoin.co.uk otcafe.co.uk ttrucking.co.uk easyfory.co.uk ouservices.co.uk wearevalo.co.uk syxiangsu.co.uk zlaxlu.co.uk property.co.uk turkeyin.co.uk vestment.co.uk fmiserver.co.uk genesi.co.uk mipower.co.uk arriyada.co.uk academia.co.uk anatlf.co.uk oster.co.uk dewcons.co.uk truction.co.uk transse.co.uk marang.co.uk hongha.co.uk nhshop.co.uk lixyw.co.uk weweer.co.uk menthol.co.uk music.co.uk swimming.co.uk poolbu.co.uk ilderbr.co.uk isbane.co.uk nuysdigi.co.uk monoqui.co.uk boicoin.co.uk faucets.co.uk akupita.co.uk splita.co.uk cguys.co.uk jntzzp.co.uk kanwasoft.co.uk laishixia.co.uk brkrea.co.uk lestate.co.uk langren.co.uk jiaoyu.co.uk macbiopharm.co.uk bsweetshop.co.uk aalance.co.uk botani.co.uk calsbeauty.co.uk cgcqd.co.uk veraleo.co.uk nacalom.co.uk upspea.co.uk kerso.co.uk tzpushun.co.uk poavelr.co.uk eviewsguide.co.uk slugbuckets.co.uk nickluisi.co.uk joyfulexp.co.uk ressio.co.uk bansart.co.uk jinhua.co.uk nguan.co.uk jeffsr.co.uk epair.co.uk intelli.co.uk genciaai.co.uk hodlcharts.co.uk hempwor.co.uk ksbiz.co.uk fokusgol.co.uk heihei.co.uk cloud.co.uk alfanai.co.uk lssalon.co.uk beknarzi.co.uk uptemplate.co.uk jxgzbt.co.uk deski.co.uk onsider.co.uk tdpws.co.uk hiend.co.uk iznajml.co.uk jivanj.co.uk ekazin.co.uk ostolova.co.uk iphone.co.uk repair.co.uk florida.co.uk imacezy.co.uk ichimanya.co.uk hugorobin.co.uk hongqi.co.uk aogou.co.uk hnsjaz.co.uk hipnet.co.uk worksou.co.uk helpfix.co.uk mydisc.co.uk carmatw.co.uk morld.co.uk cantab.co.uk catering.co.uk aidsop.co.uk agenciagl.co.uk adobeme.co.uk diaopti.co.uk amizer.co.uk ulelhjnet.co.uk acpuniv.co.uk ersity.co.uk fernand.co.uk aegian.co.uk somedaynews.co.uk increas.co.uk inglyerotic.co.uk jiukuai.co.uk jiugou.co.uk mirpbs.co.uk gotrich.co.uk smart.co.uk wetmin.co.uk tdesign.co.uk totaal.co.uk advies.co.uk dayuntv.co.uk cricrays.co.uk nyxinbo.co.uk joanneliew.co.uk sejinjuku.co.uk worlddime.co.uk grousean.co.uk imalnu.co.uk trition.co.uk dkjiewu.co.uk bjdtgy.co.uk vinhqua.co.uk ngsport.co.uk shadowh.co.uk awkinc.co.uk driipa.co.uk pparel.co.uk alriha.co.uk btravel.co.uk benxiong.co.uk homeless.co.uk housebuyer.co.uk yapzdda.co.uk amhlgw.co.uk shwil.co.uk topdist.co.uk ributor.co.uk thesucce.co.uk ssrenegade.co.uk thebigb.co.uk angdeal.co.uk taining.co.uk xiaochi.co.uk shihan.co.uk gzhgd.co.uk pursuit.co.uk edge.co.uk millen.co.uk nialor.co.uk iginals.co.uk hamkee.co.uk gxtpay.co.uk fashio.co.uk noutfits.co.uk emmadayart.co.uk detecti.co.uk vesenma.co.uk dridaa.co.uk antibrib.co.uk erysummit.co.uk teesily.co.uk vrarcn.co.uk waltzi.co.uk ncode.co.uk hsdnd.co.uk hgnou.co.uk harrodse.co.uk ventcat.co.uk ering.co.uk handalan.co.uk dscapin.co.uk gservice.co.uk gownbags.co.uk gmacade.co.uk gemmab.co.uk riggs.co.uk dunkresp.co.uk onsibly.co.uk cashintalent.co.uk lehaoshi.co.uk camorea.co.uk bunchings.co.uk arquasol.co.uk arcustom.co.uk cabinets.co.uk antilgsma.co.uk rtworld.co.uk annartd.co.uk beesign.co.uk lvhuba.co.uk allsms.co.uk server.co.uk alexislake.co.uk aidulin.co.uk wobangzhu.co.uk hgyjsc.co.uk tiangu.co.uk colourshq.co.uk ajakiz.co.uk aqbnfc.co.uk pengma.co.uk oqixiao.co.uk nmogangb.co.uk yilushe.co.uk wisew.co.uk allet.co.uk eofero.co.uk glitte.co.uk rdeath.co.uk hddshl.co.uk tresors.co.uk ervices.co.uk bosenbee.co.uk kwanye.co.uk alhofaz.co.uk newban.co.uk gkoksl.co.uk samare.co.uk llano.co.uk hivermc.co.uk sticko.co.uk nbifocal.co.uk sarahs.co.uk bacore.co.uk rachael.co.uk snails.co.uk quanqiyi.co.uk qrookst.co.uk veeudio.co.uk kitchavo.co.uk davesm.co.uk ariner.co.uk epair.co.uk country.co.uk dogbeds.co.uk chnescort.co.uk caijunlan.co.uk bushiyi.co.uk berkme.co.uk modyam.co.uk beliefbr.co.uk eakthro.co.uk ughblue.co.uk print.co.uk ayurved.co.uk aakademisi.co.uk appamew.co.uk altcoin.co.uk beginner.co.uk alkarams.co.uk hschool.co.uk zdmxa.co.uk jiafendai.co.uk epmrro.co.uk pepite.co.uk sstore.co.uk humanoi.co.uk dedigital.co.uk rnawemn.co.uk goodne.co.uk widea.co.uk lahcf.co.uk haebayo.co.uk galler.co.uk yafrig.co.uk marden.co.uk fycqbxx.co.uk writeas.co.uk heville.co.uk bucaktarim.co.uk brclinica.co.uk boulelec.co.uk boattr.co.uk pscrete.co.uk bloodl.co.uk essdiam.co.uk ondsma.co.uk laysia.co.uk bjzmxin.co.uk mogshi.co.uk bitcoin.co.uk miningcity.co.uk billdem.co.uk ottexp.co.uk erience.co.uk bgarqy.co.uk belizew.co.uk edding.co.uk mofolms.co.uk tuyibang.co.uk bazarnest.co.uk banooq.co.uk online.co.uk babybola.co.uk avabello.co.uk attizmall.co.uk trqguolu.co.uk esofts.co.uk sdakill.co.uk bertade.co.uk vantoo.co.uk marjole.co.uk