JAD Clinic / Jordan Aviation Doctor

"Back pain at work: Preventing pain and injury"

Heavy lifting, repetitive movements and sitting at a desk all day can take a toll on your back. Get the facts about back pain at work and how to prevent it.

Whether it's dull and achy or sharp and stabbing, back pain can make it hard to concentrate on your job. Unfortunately, many occupations — such as nursing, construction and factory work — can place significant demands on your back. Even routine office work can cause or worsen back pain. Understand what causes back pain at work and what you can do to prevent it.
Common causes of back pain at work.

A number of factors can contribute to back pain at work. For example:
• Force. Exerting too much force on your back — such as by lifting or moving heavy objects — can cause injury.
• Repetition. Repeating certain movements, especially those that involve twisting or rotating your spine, can injure your back.
• Inactivity. An inactive job or a desk job can contribute to back pain, especially if you have poor posture or sit all day in a chair with inadequate back support.

** Chili pepper compound can stop breast cancer! **

Genetic research has enabled scientists to classify breast cancer into subtypes, which respond differently to various kinds of treatment.
These subtypes are categorized according to the presence or absence of three receptors that are known to promote breast cancer: estrogen, progesterone, and the epidermal growth factor receptor 2 (HER2).

Breast cancers that test positively for HER2 typically respond well to treatment and even to some specific drugs.
However, there are types of cancer that test negatively for HER2, as well as for estrogen and progesterone - this is called triple-negative breast cancer.

As some studies have shown, triple-negative cancer is more difficult to treat, with chemotherapy being the only option.
New research, from the Ruhr University in Bochum, Germany, tested the effects of a spicy molecule on cultivated tumor cells of this particularly aggressive cancer type.
Researchers were led by Dr. Hanns Hatt and Dr. Lea Weber, and they collaborated with several institutions in Germany. These included the Augusta clinics in Bochum, the hospital Herz-Jesu-Krankenhaus in Dernbach, and the Centre of Genomics in Cologne.

"Examining the effect of spicy molecule on cancer cells"

The researchers tested the effect of an active ingredient commonly found in chili or pepper - called capsaicin - on SUM149PT cell culture, which is a model for triple-negative breast cancer.
The scientists were motivated by existing research, which suggests that several transient receptor potential (TRP) channels influence cancer cell growth. As the authors explain, TRP channels are membranous ion channels that conduct calcium and sodium ions, and which can be influenced by several stimuli including temperature or pH changes.
One of the TRP channels that play a significant role in the development of several diseases - and received a great deal of attention from researchers - is the olfactory receptor TRPV1.

Capsaicin has also been shown to induce cell death and inhibit cancer cell growth in several types of cancer, including colon and pancreatic cancer.
In this new study, the researchers aimed to investigate the expression of TRP channels in a vast amount of breast cancer tissue, as well as to analyze and understand how TRPV1 could be used in breast cancer therapy.

"Capsaicin activates TRPV1 to inhibit cancer cells"

Researchers found several typical olfactory receptors in the cultivated cells. Olfactory receptors are proteins that bind smell molecules together and are located on olfactory receptor cells lining the nose.
The scientists found that the TRPV1 receptor appeared very frequently. TRPV1 is normally found in the fifth cranial nerve, which is called the trigeminal nerve.
This olfactory receptor is activated by the spicy molecule capsaicin as well as by helional - a chemical compound giving the scent of fresh sea breeze.
Dr. Hatt and team found TRPV1 in the tumor cells of nine different samples from breast cancer patients.
Researchers added capsaicin and helional to the culture for several hours or days. This activated the TRPV1 receptor in the cell culture.
As a result of TRPV1 being activated, the cancer cells died more slowly. Additionally, tumor cells died in larger numbers, and the remaining ones were not able to move as quickly as before. This suggests that their ability to metastasize was reduced.
The findings were published in Breast Cancer: Targets and Therapy.

"Implications for breast cancer treatment"

The authors note that an intake of capsaicin through food or inhalation would be insufficient to treat triple-negative cancer. However, specially designed drugs might help.

Previous studies have shown that the drug arvanil effectively treated brain tumors in mice. Arvanil has a chemical makeup that is similar to the spicy molecule capsaicin and can reduce tumor growth in rodents.

However, the substance cannot be used in humans because of its side effects.

Endovanilloids were also found to activate the TRPV1 receptor in previous studies. These are fat molecules naturally produced by the body, particularly when the brain grows and develops in infants and children.

In Flight Problems

Airline restrictions on flying

Many airlines will not allow passengers to fly with certain conditions.

Regulations may vary so if in doubt seek advice from the medical department of

the airline concerned.

Conditions that might cause problems include:-

 Pregnancy beyond 36 weeks.

 New born babies during the first few days after birth.

 Recent or current middle ear infections or sinusitis.

 Unstable psychiatric illness or epilepsy.

 Recent myocardial infarction or moderate/severe heart failure.

 Recent chest, intra-cranial or abdominal surgery.

 Recent pnuemothorax or moderate to severe hypoxic pulmonary disease.

 The presence of a communicable disease.

 Previous record of causing disruption during flights.

New day, new chances to move forward!
Good Morning from JAD Clinic :)

"Physical Fitness"

Physical Fitness is very important in a person’s life. Physically fit people are much more productive & successful in their life, not only that; they hold a lot of health benefits over the people who are not fit. They live their life to the full extent, and they don’t have to worry about their health.

Physical Fitness is not just; how your body looks, how much exercises you can do. It’s the general health of a person who is physically and mentally fit. In the below, we have presented 25 Health Benefits of Physical Fitness which are worth reading.

The health benefits of being physically fit includes:

1. Decreases the risk of Heart Diseases.

2. Decreases the risk of Stroke.

3. Cholesterol Level stays in limit.

4. Controls Blood Pressure.

5. Controls Body Weight.

6. No Back Pain.

7. No Bone Deformations.

8. Reduce Depression & Anxiety.

9. Helps in Stress Management.

10. Reduces the risk of Diabetes.

11. Boost Energy Level.

12. Helps in Better Sleep.

13. Decreases the risk of various type of Cancers.

14. Improves overall Body Flexibility.

15. Give Strength to Joints & Ligaments.

16. No Fatigue.

17. Improves Muscular Strength.

18. Help in Proper Brain Functionality even in older ages.

19. Improves Digestion.

20. Improves Metabolism of a body.

21. Increase Immunity against common diseases like fever, cold, etc.

22. Increases Bone Density.

23. Decreases the risk of Respiratory Problems.

24. Fast Recovery after illness.

25. Physically Fit & Healthy Body gives Long Life.

In conclusion,
There is a long list of health benefits of physical fitness, but to take those benefits you have to work hard to achieve your fitness goal. To make your body physically fit, you’ve to take proper nutrition and do exercises along with good sleep.

I have heart condition. Will be able to travel by air?

If you are planning a flight, it is a good idea to check with your GP or hospital specialist before you book your flight. You should make sure that you have adequate travel medical insurance if you are going abroad,
If your doctor is not sure if you are fit to fly, contact the airline you intend to fly with for advice. Most airlines have a special assistance or medical clearance team and there will be information on how to contact them on their website. You must contact the airline before your flight if you will require help at the airport, wish to carry additional medical equipment or will need extra oxygen during the flight. Sometimes the airline will need additional medical information and will ask your doctor to fill in a medical information form (MEDIF) before they will confirm whether you are fit to fly.

Remember to carry your medication with you in your hand-baggage, in case you need to use it during the flight. It is also a good idea to take a copy of your repeat prescription, in case you need to get more medication when you are away from home. General guidance for some common heart condition.

Angina

Angina is not usually a problem in flight, provided that your symptoms are stable and controlled by your medication. If you sometimes get chest pain on gentle exercise, such as climbing a flight of stairs or walking up a slight slope, you will still probably be able to fly but might need assistance at the airport and to have extra oxygen during the flight. However, if you sometimes get chest pain when you are at rest you may not be able to travel by air.

Heart attack (myocardial infarction)
If you have had a heart attack, you may be able to travel after 7 to 10 days, provided that there have not been any complications. If the blocked artery that caused the heart attack has been successfully unblocked, it may be possible for you to fly after as little as 2 to 3 days.

Heart failure
Heart failure occurs when the heart is weakened and is no longer able to pump blood around the body as effectively as it should. Most people who have heart failure are still able to fly, provided that the condition is stable and well-controlled on treatment. However, if you get breathless on gentle exercise you may need to request assistance at the airport and to have extra oxygen during the flight. However, if you sometimes become breathless when you are at rest or when you lie down, you may not be able to travel by air.

Pacemakers and Implantable Cardioverter Defibrillators (ICD)
Travelling by air should not be a problem if you have been fitted with a pacemaker or an ICD.
The modern devices are designed so that they will not be affected by any of the security screening equipment at airports and will not cause any problems with the aircraft electronic systems. However, they may set off the airport security alarm and therefore you should carry a letter from your doctor to explain that you have been fitted with the equipment and, if possible, show this to the security staff before you go through the security arch.

Heart surgery
Patients are often discharged from hospital very quickly these days, even after major surgery such as coronary artery bypass grafting or replacement of a heart valve. Normally you should not fly after such surgery for at least 10 days and until you are able to manage normal daily activities. You may need to request assistance at the airport if you still need help with baggage or are not yet able to walk the sometimes long distances from check-in to the aircraft.

Hypertension (high blood pressure)
Your blood pressure should not be affected by air travel and therefore there is no reason why you should not fly if you are being treated for high blood pressure. However, your travel insurance may not cover the cost of any additional treatment or complications, so it is advisable to only travel once your blood pressure has been controlled and your treatment is
stable.

Am I fit to fly?

I have recently had surgery. Are there any restrictions to travel by air?

The subject of air travel following a surgical operation is becoming an important issue with the increasing frequency of day surgery.
The time between surgery and travel varies depending on the complexity and extent of the surgical procedure.

It is appropriate to allow one to two days following keyhole surgery and between four and five days for simple abdominal surgery.

Major chest or abdominal surgery requires a period of approximately ten days.

Simple cataract or corneal laser surgery do not cause major complications and therefore 24 hours is an adequate gap between surgery and flying.

More complex eye surgery, for example that used for a detachment of the back of the eye (retina)
require approximately one week before air travel.

It is always best, in more complex cases, to contact the airline medical department in order that their medical adviser can have as much information as possible before making a decision on fitness to fly.

"عيادات جاد الطبية"
- طب عام
- الرعاية العاجلة
- وصفات طبية و أدوية
- الفحوصات الطبية
- العدوى
- الخدمات الوقائية
- تخطيط قلب

عيادات جاد الطبية معتمدة لدى شبكات التأمين التالية :
- NatHealth
- Mednet
-Metlife

نستقبلكم من الساعة التاسعة صباحاً و حتى الساعة الخامسة مساءاً من الأحد الى الخميس
الشميساني - شارع الأمير زيد بن شاكر - مجمع الهندي - بناية رقم 2

Passenger health FAQs:
Am I fit to fly?
I’m pregnant is it safe for me to travel by air?
The key focus when considering the pregnant traveller is the health and wellbeing of the
mother and the baby.
Delivery in flight, or diversion in flight to a location, which may not have high quality obstetric
Services, is undesirable and for this reason, most airlines do not allow travel after 36 weeks
for a single pregnancy and after 32 weeks for multiple pregnancies.
Most airlines require a certificate after 28 weeks, confirming that the pregnancy is
progressing normally, that there are no complications and the expected date of delivery.

AM I FIT TO FLY?

Information for passengers

What is medical clearance?

You may be asked for proof of your “fitness to fly” when requesting assistance. If you have a

Stable condition, there is generally no need to be cleared for travel.

There are usually two parts to the medical clearance process:

1. You will be asked to provide information about your situation or condition and, for
many passengers, this will be all you will need to complete.

2. If the airline has concerns about how flying might impact your particular condition, it
will ask you to complete a further form either online or hard copy.

You may also be asked to provide medical proof at this stage, often a doctor’s note.

Travelling with an es**rt.

Airlines may decide that for safety reasons, you must travel with an es**rt. This is generally
the case if a passenger can’t undertake activities such as:

• using the toilet,
• feeding themselves,
• breathing unaided and,
• Being able to evacuate independently in the event of an emergency.

Your travelling companion will usually need to buy their own ticket. However, the airline
should make all reasonable efforts to ensure that you and your companion can sit next to
each other.

An airport should never separate you from your carrier if you need help understanding
instructions, including at the security search area.

Good Morning :)

JAD Clinic Profile :)

7 Ways to Make Water Taste Better
Simple tips for livening up your drinking water

Not everybody has a taste for water, but we all need it to ensure that our bodies continue functioning properly. If you want to drink more water, but aren't crazy about the taste (or lack thereof), here are some tips that can make it more enjoyable:

1. Add fresh fruit. Citrus fruits, such as lemons, limes, and oranges, are classic water enhancers, but other fruit flavors might also tempt your taste buds. Try crushing fresh raspberries or watermelon into your water, or adding strawberry slices. Cucumber and fresh mint are refreshing flavors as well — especially in summer.

2. Use juice. Any fruit juice can be a good base flavor for water, but tart juices, like cranberry, pomegranate, grape, and apple, are especially delicious. Go for juices that are all natural, with no added sugars. And remember: Fruits and their juices don't just taste good — they contain vitamins and antioxidants that can benefit your health too.

3. Make it bubbly. Many people prefer sparkling to still water. If plain old water isn't inspiring to you, try a naturally effervescent mineral water — which will give you the added benefit of minerals. Or try bubbly seltzer, a carbonated water. You can add fresh fruit or natural juice flavors to your seltzer, as suggested above, or look for naturally flavored seltzers at your local market. If you become a seltzer devotee, you might want to consider getting a seltzer maker for your home.

4. Get creative with ice. Some say that ice water tastes better than water served at room temperature. If that's so, flavored ice cubes may make an even better drink. Use some of the flavoring suggestions above and start experimenting with fresh fruit, mint, or cucumber ice cubes. Simply chop your additive of choice, add it to your ice cube tray along with water, then freeze. You may also consider juice, tea, or coffee cubes. If you want to be more creative, use ice cube trays that come in fun shapes, like stars, circles, or even fish.

5. Drink tea. Herbal, fruit, green, white, and red teas are generally considered to be better for you than black teas (or coffee, for that matter) because they contain little to no caffeine. And there are countless flavors of these teas to choose from. Start with the selection at your local market or health food store. If you're interested in pursuing more exotic flavors and sophisticated teas, start researching the vast array of specialty teas that come from all parts of the globe.

6. Try bouillons, broths, and consommés. If your palate leans toward the savory, you may pass on tea and start sipping one of these hot and savory liquids instead. Choose low-fat and low-sodium versions for maximum health benefits. Because soup is water-based, a cup of hot soup will count toward your daily fluid consumption.

7. Add fast flavor. If you're looking for a quick-and-easy flavor booster, you might also consider sugar-free drink mixes, and flavor cartridges that can be used with your faucet filter system.

Good Morning from JAD Clinic :)

Travel medical kit checklist

Preparing your travel first aid kit is a vital part of your pre-trip planning and packing.
When I think about getting ready for a trip it usually involves packing. This means all my
Clothes lay out on the bed. When designing a travel first aid kit, look at several factors.
First, what are the pre-existing medical needs of the travellers? Second, how long are
You are going to be travelling for? Third, where are you going? Last, what are you going?
To be doing? Let’s take a look at these needs, one by one.

*Pre-Existing Medical Conditions

It is vital to remember to carry enough of your home medications with you on your trip for
Preexisting medical condition like hypertension, diabetes or other problems that need
Regular mediation falls into this category. I also like to place people with known histories of
allergic reactions here.

*How long is the trip?

Make sure you have enough first aid supplies for the duration of your trip.

*Where are you going?

Travellers headed to different parts of the world have different health related needs.
This concept is especially important when looking at the local diseases the travellers
may face.

*What are you going to do?

The activities planned on the trip are keys in helping build an appropriate travel first aid kit.

*The basics

Regardless of where you are going or what you are doing, there are a few basics that
should be found in every first aid kit.

Your personal medications (carry prescription copies)

• Pain control/Fever reducer (acetaminophen, ibuprofen, paracitamol, etc.)
• Allergy Medication (Benadryl, antihistamines, etc.)
• Assortment of Band-Aids (for small cuts and scrapes)
• Mole Skin or Blister Care (for blisters on the feet)
• Gauze (various sizes to clean and dress wounds)
• Electrolyte solution or powder (to rehydrate with traveller’s diarrhea)
• Antibiotic ointment (for small cuts and scrapes)
• Sunscreen (no matter where you go)

*More remote areas

For travellers headed to more remote areas or looking to be a bit more self-
sufficient there are some extras you should place into your kit. Some of the
basics include:
• SAM splint (for sprains or stabilization of injured limbs)
• Anti-malarials (talk with your travel doctor about which type)
• Broad Spectrum Antibiotics (again, discuss this with your doctor)
• Blood clotting agents (Celox, Quik-Clot that can be bought in most outdoor stores)
• Sling/Bandana (for injured arms or as a dust mask, etc.)

*Putting it all together

Probably the only mistake a traveller can make with their first aid kit is not having
one. There are many commercially available kits to be purchased or you can
assemble one from scratch. A bit of pre-planning can go a long way towards
dealing with an unexpected injury or illness while on your adventure?
If you need to prepare a first Aid Kit you can contact us to help you.

There is always something to be thankful for, each day and every day when you see the beauty of being alive under Gods grace!
Have a blessed Morning and a great start :)

Lifestyle Advice
A healthy, enjoyable diet can reduce some of the causes of stroke and help you to recover. Eat
plenty of fruit and vegetables (aim for 5 portions per day) and try to include oily fish, such as
trout, salmon, sardines and mackerel in meals 3 times a week.
Diet
Replace fatty foods with low fat alternatives. This will help to stop your arteries narrowing, lower cholesterol and also keep your weight at a healthy level.
Try to keep your weight in the middle range – neither too high nor too will low. Eating less salt and salty foods help you to control your blood pressure. Watch out for hidden salt in processed food, even in bread and biscuits.

 Enjoy:
• Foods flavored with herbs, spices & lemons.
• Fresh fish, and fish tinned in water.
• Eggs (3–4 a week). Lean meat (chicken, turkey).
• Small amounts of monounsaturated oils and spreads such as olive oil and rapeseed oil.
• Cottage cheese.
• Unsalted crackers & nuts, fresh & dried fruit.
• Home-made soups and stocks.
• Potatoes, pasta & rice (try brown), high fiber bread (try low salt bread).
• Whole-grain breakfast cereals, such as porridge and unsweetened muesli.
• Fresh/frozen vegetables, beans & lentils.
 Reduce:
• Salt – just use a little in cooking but not at table.
• Fish tinned in brine and smoked fish.
• Canned & salted meat, bacon, sausages.
• Butter, oils, full fat spreads, cream.
• Hard cheese (maximum of 4 oz. /100g per week).
• Crisps & dips, salted nuts, sweet biscuits.
• Packet soups, stock cubes & sauces.
• Chips, Pastries and cakes.
• Sweetened or high salt cereals such as cornflakes etc.
• Ready meals – try making meals to freeze instead.

Tips for a Healthy Flying Crew

• Drink and sip water throughout your flights, staying hydrated is crucial to health and productivity. Coconut water post flight is extremely hydrating.
• Invest in a pair of noise cancelling headphones and use when on break, noise pollution is stressful avoid it where possible.
• Get into the habit of taking the best quality antioxidant you can and take it daily.
• Doing regular aerobic exercises is considered as an important part of your lifestyle, at least 4 times a week for 45 minutes or more.
• Get into good sleep habits and stick to them no matter what.
• Invest in an indulgent full body massage once a month to de-stress.
• Always eat breakfast, don’t skip meals, early or late starts and delays can leave you running on empty.
• Reduce the amount of caffeine and alcohol overall in your diet and opt for high protein snacks for energy.
• Take an interest in world affairs as you never know how they may affect you if you are travelling to an affected region.
• Keep yourself grounded and maintain healthy relationships with people who don’t fly.

Is it safe to fly during pregnancy?

Air travel before week 36 of pregnancy is considered safe for women who have
healthy pregnancies. Still, if you’re pregnant, check with your Doctor before you fly.
Your Doctor might caution against air travel if you’re experiencing pregnancy
complications that might be worsened by air travel or require emergency care.
The duration of the flight also should be considered. Similarly, you’re health care
provider and many airlines might restrict travel after 36 weeks of pregnancy.
If your Doctor approves air travel and your plans are flexible, the best time to fly might be during your second trimester. This is when the risks of common
Pregnancy emergencies are the lowest.
When you fly:
• Check the airline policy about air travel during pregnancy. Guidelines for pregnant women might vary by carrier and destination.
• Buckle up. During the trip, fasten the lap belt under your abdomen.
• Promote circulation. Take occasional walks up and down the aisle.
If you must remain seated, flex and extend your ankles often. Also, avoid wearing restrictive clothing. Use of compression stockings might help prevent blood clots.
• Drink plenty of fluids. Dry Air in the cabin can lead to dehydration.
• Avoid gassy foods and drinks pre-flight. Entrapped gases expand at altitude, which can cause discomfort. Examples include broccoli and carbonated drinks.
• Make a contingency plan. Consider how, if necessary, you’ll obtain obstetric care during your trip.

Radiation exposure associated with air travel at high altitudes isn’t thought to be
problematic for most that fly during pregnancy. However, pilots, flight attendants
and other frequent fliers might be exposed to a level of cosmic radiation that
raises questions during pregnancy. If you must fly frequently during your
pregnancy, discuss it with your health care provider. He or she might recommend
limiting your total flight time during pregnancy

Dear Friends,
your suggestions and comments on our page are most welcomed !

الأصدقاء الأعزاء،
نرحب بتعليقاتكم و اقتراحاتكم على الصفحة!

Travel health kit
Why should I take a health kit when travelling?
A basic travel health kit is important no matter where you travel. First aid supplies and medications may not always be readily available in other countries or may be different from those available in Jordan.
A good travel health kit contains enough supplies to prevent illness, handle minor injuries and illnesses, and manage pre-existing medical conditions for longer than the duration of your trip.
What should I pack in my travel health kit?
Basic first aid items
It is essential to know how and when to use the first aid supplies in your kit. You may consider taking a first aid course before you travel.
You may want to include:
• Adhesive bandages (multiple sizes) and adhesive tape
• Alcohol-based hand sanitizer
• Antiseptic wound cleanser (for example, alcohol or iodine pads)
• Blister pads or moleskin
• Disposable latex or vinyl gloves
• Gauze
• Packets of oral rehydration salts
• Safety pins and scissors
• Tensor bandages for sprains
• Thermometer
• Tweezers for removing ticks splinters etc.
Travelling with medications
Discuss the use of medications with your health care provider before departure and carefully follow the directions for use, including dosage and when to seek medical care. Bring more than enough medication to last your entire trip.
Here is a basic list of medications to be included in your travel health kit:
• Any prescription or over-the-counter medication you normally use
• 1% hydrocortisone cream to treat minor skin irritation, such as itching caused by bug bites or poison ivy
• Allergy medication, such as an antihistamine, or epinephrine prescribed by your doctor, such as an Epinephrine auto-injector (EpiPen®)
• Anti-diarrheal medication
• Anti-motion sickness medication
• Antifungal and antibacterial ointments or creams to apply to wounds to prevent infection.
• Cold and flu medications, such as decongestants, cough suppressants or throat lozenges
• Pain and fever medication, such as Aspirin, ibuprofen (e.g., Advil, or acetaminophen (e.g., Tylenol.
• Stomach and intestinal medication, such as antacids and laxatives
• If recommended, destination-specific medication, like those for malaria or high-altitude sickness
• If you need to use needles or syringes, take more than enough to last for your entire trip and carry a medical certificate from your health care provider explaining that the needles or syringes are for medical use.
Other items
You may include these items depending on personal preference, destination, and activities:
• Aloe gel for sunburns
• Adequate supply of condoms
• Ear plugs to reduce noise or stop contaminated water from entering the ear canal
• Extra pair of glasses or contacts (or a copy of your prescription)
• Insect repellent containing DEET or Icaridin
• Mosquito net
• Saline eye drops
• Sunscreen
• Water purification filter or tablets
Contact card
Carry a card with the following information in case of a medical emergency:
• Name, address, and phone number of a family member or friend in Canada
• Name and phone number of your health care provider in your country
• Address and phone number of your accommodations at your destination(s)
• Address and phone number of hospitals or clinics at your destination(s)
• Address and phone number of the country Embassy, Consulate, or High Commission in your destination country/countries (you might also consider carrying the Emergency Contact Card)
• Emergency contact phone number from your travel health insurance provider
Proof of your insurance coverage
Always carry proof of your health insurance coverage when travelling.
Immunization record
Carry a copy of your immunization record in your travel health kit. Include your original International Certificate of Vaccination or Prophylaxis for yellow fever, if you have one.