Psysical activity for asmathic child

Can your asthmatic child participate in physical activity?

Exercise-induced asthma is likely to affect 80 to 90% of children with asthma. This can be a reason for fear for the child and the parents, especially when teaching physical education and sports at school. Regular physical activity helps develop the lung capacity of the asthmatic child. Thus, it is important to allow the child to play sports in order to improve his quality of life on a daily basis. However, precautions must be taken to practice physical activity safely.

How to recognize exercise-induced asthma?

Exercise asthma manifests itself a few minutes after intense physical exertion. Symptoms are those of asthma (wheezing, difficulty breathing, coughing).Generally, they regress spontaneously after 30 to 40 minutes. Symptoms can sometimes be unusual (chest pain, decreased performance, coughing fits).

Can asthmatic children play sports?

Asthma is not a contraindication to the practice of sport. On the contrary, an asthmatic child can and must do sports. Abnormal shortness of breath, fear of the onset of the crisis or fear of mockery from comrades, can cause the child to practice less and less physical activity. He then becomes less tolerant of effort, his physical capacities diminish, and he enters the vicious circle of physical deconditioning. Conversely, regular physical activity increases exercise tolerance by reducing breathing discomfort during exercise. Sports activity increases respiratory capacity, decreases the intensity of crises and allows better respiratory control. This better breath control allows the child to live with less anxiety from the asthma attack, to have less use of crisis treatment and to better accept the disease. In addition, sport is essential for relationship development, the child feels less isolated, which improves his quality of life.

What sport for my asthmatic child?

All sports can be practiced (except scuba diving with a bottle which is most often contraindicated). However, the effort must be regulated. Two factors must be taken into account: the intensity of the effort and the duration of it. Brief, strenuous exercise, as well as prolonged but lightly strenuous exercise, carries little risk. The intense exercises of 6-8 minutes are the most at risk. Long runs are likely to trigger a crisis when their intensity is too high. Thus, the child can run for a long time at moderate intensity. This level of intensity corresponds to the dyspn ea threshold, which is the moment when breathlessness appears and which therefore corresponds to the running speed that the child should not exceed. During exercise, the environment plays a very important role: the inspired air can contain pollutants, allergens or particles favoring the triggering of the crisis. It is best to avoid exercise on days of high pollination or peak pollution. Cold, dry air is asthmogenic, so it is advisable to favor activity in a hot and humid environment.

Weakly asthmogenic activities Highly asthmogenic activities.
  • Racquet sports (tennis)
  • Combat sports (judo, karate, etc.)
  • Sprint
  • Gymnastic
  • Golf
  • Alpine skiing
  • Market
  • Handball
  • Swimming
  • Soccer
  • Rugby
  • Horse riding
  • Cycling
  • Long distance race
  • Cross-country skiing
  • Ice Hockey
  • Skating

How to treat a stress asthma attack?

Current physical activity must be stopped. Be sure to sit and reassure the child. Follow the action plan in the event of an asthma attack. This is based on the administration of a fast-acting bronchodilator (eg VentolineⓇ). If there is no improvement, the administration of the crisis treatment will be repeated 5 to 10 minutes after. In case of signs suggesting a severe crisis (child having difficulty speaking, prostrate, pale, etc.) or in the absence of improvement following the administration of crisis treatment, an emergency service should be contacted (n ° 15 or 112). In order for your child to be able to follow sports education at school in complete safety, it is recommended to draw up an individualized reception protocol (PAI) with the reception structure for your child.

How to prevent these stress asthma attacks?

The prevention of stress asthma attacks relies on different elements.

Before practicing a sporting activity the child must have a good control of his asthma in order to have a good respiratory function at rest. For this, good compliance with the background treatment is essential. Do not hesitate to talk about it with the doctor who monitors your child.

Drug prevention most often consists of the administration of a short-acting bronchodilator (ex: VentolineⓇ) 10 to 15 minutes before the start of sports activity. The child must be in possession of the emergency treatment during sporting activity. Crisis treatment must be brought to the attention of the physical education and sports teacher, in particular by setting up an IAP.

Non-drug prevention consists of preparing your effort well. The beginning and the end of the physical exercise must be progressive. Warming up is essential because it helps prepare the bronchi for physical activity. A general warm-up by breathing exercises promotes breath control. It is advisable to breathe through your nose so that the inhaled air warms and moistens. At the end of the exercise it is necessary to stop gradually so that the bronchi adapt to a breathing of rest.

Therapeutic education is also very important because it will allow your child to recognize the warning signs, aggravating factors, asthma symptoms and to manage his stress asthma attack well. Many asthma schools across the territory welcome you with your child to discuss all the questions related to the management of your child’s asthma on a daily basis.

Finally, the main long-term treatment for exercise-induced asthma is improving your child’s physical abilities. Regular physical training helps to reduce the threshold for the appearance of exercise-induced asthma, to have better breath control and thus improve the quality of life of your child. For children whose respiratory function at rest is very impaired, supervised exercise training programs exist. The important thing is to practice physical activity at your own pace, to have fun, which will contribute to the quality of life of the child.

Febrile convulsions in children or babies

DEFINITION

If the temperature is at least 38 ° C, a child may have convulsions: these are febrile convulsions. They are generally not serious and do not leave any after effects on the child’s brain, despite their impressive manifestations:

  • Symmetrical muscle spasms shake the child’s body;
  • The members move involuntarily, in a jerky and symmetrical manner;
  • The child loses consciousness or has a short absence;
  • Child’s eyes may roll over or remain fixed

The crisis can last from 1 to 5 minutes. The end of the crisis is marked by a recovery phase during which the child is sleepy and often breaths loudly. The child returns to normal within 10 minutes.

WHAT TO DO DURING A FEBRILE CONVULSION ATTACK?

In the event of a febrile convulsion attack, certain measures should be applied:

  • Put the child in the lateral safe position (PLS): on the side, the head slightly lower than the body. This will allow an easier evacuation of saliva and prevent possible false routes as well as choking in case of vomiting;
  • Stay close to the child and monitor him so that he does not hurt himself, especially at the level of the head;
  • Support the child’s head;
  • Leave it free to move. Do not try to open his mouth and introduce nothing into it: no object that can hurt him, no medicine, or your fingers (unless it is necessary to remove a foreign body such as a toy or food)
  • Loosen his clothes and discover the child, because of his fever.
  • Note the time of the start of the febrile convulsion attack.

WHAT TO DO AFTER A FEBRILE CONVULSION ATTACK?

If the febrile seizure attack lasts less than 5 minutes and the child recovers well in less than 10 minutes, there is no need to call the emergency services. It is however recommended to consult a doctor or a pediatrician in order to make sure that this episode is indeed a febrile convulsion and to look for the cause of the fever such as for example an otitis, a chickenpox, a nasopharyngitis, a roseola,…

When to call medical emergencies? In rare cases, seizures can be accompanied by complications and should lead to an immediate emergency call (15 or 112). These “complicated” seizures occur mainly in children under the age of one.

Here is the list of complications that require the use of emergency services:

  • The child is less than 6 months old or more than 5 years old;
  • The seizure attack lasts more than 5 minutes;
  • It takes more than 10 minutes to recover from his seizure;
  • The convulsion episode is not isolated but repeated during the past 24 hours;
  • The child suffers from a neurological disease;
  • He has no fever;
  • His hands and lips were colored blue (cyanosis);
  • He has disturbed breathing;
  • Convulsions affect only one side of the body;
  • He presents with a paralysis following the convulsion;

SAMBAL: DARE TO TASTE THE STRONG PEPPERS SAUCES OF INDONESIA!

Do you want to spice up your life? Well, try to do it literally by your palet, tasting some of the typical spicy sauces from Indonesia, the spiciest, and also the tastiest, known as “sambal”, the essential condiment to accompany any local cuisine.

Many Indonesians have a steel puck because each region of Indonesia cannot live without sambal and each with its own style. Depending on the region, the sambal may be sweeter, more salty, more sour or simply stronger. The list below gives you some examples of the strongest and spiciest sambals that can be found in the archipelago.

Prepare a glass of hot water or hot tea, as you will definitely need this to offset the effects of these fiery delights. Cold water is not an antidote.

1|SAMBAL KECAP

It is a typical sambal which is found almost everywhere in the archipelago without any particular roots. Each region has its own version, of course, but the “Sambal Kecap” consists mainly of fresh Asian shallots, sweet soy sauce and, as you would expect, a lot of chili!

Anyone can prepare it because none of the ingredients need to be cooked. It is best to prepare the sambal a few hours before eating it so that the soy sauce has time to absorb some of the flavors of the other ingredients. However, it is also nice to taste it right away. This sambal is ideal for light weights who want to strengthen their resistance to stronger sauces. Best served with: rice and grilled meats (especially chicken) or grilled fish.

Why include it in this list ?: it contains raw and whole peppers, seeds included. If you only eat soy sauce, it’s nice and sweet. But, if you bite into the chopped chili, beware! It’s like a mine exploding in your mouth.

2|SAMBAL KOREK

Originating from Solo in Central Java, this sambal is made up of only four ingredients: tons of little red peppers, Asian shallots, garlic and salt. The ingredients are then chopped and bound using a mortar and pestle, then mixed with hot oil before serving. The name Korek literally means scraping, this is how people eat this very spicy sauce. They gradually “scratch” the sambal because too much of a blow would be too much to bear. Best served with: rice and duck or fried chicken

Why include it in this list ?: Beginners should be wary of it because even the kings of chili peppers feel their tongues burn from the first contact. The small red peppers are among the strongest in Indonesia and this sambal uses an abundance of them. However, after a few tries, the spicy and salty combination is addictive, which establishes between you and this sambal have a somewhat abusive relationship: leaving on your tongue on fire a taste of come back.

3|SAMBAL MATAH

Sambal Matah is a Bali sambal, spicy and refreshing at the same time. Composed of raw and fresh ingredients, including red peppers, green peppers, Asian shallots, green tomatoes, lemongrass, terasi (shrimp paste), leaves and lemon juice of combava. This cheerfully spicy preparation is one of the most popular in Bali and can be found in any Balinese restaurant. Best served with: rice and grilled fish or seafood

Why include it in this list ?: This sambal is interesting because it is spicy but refreshing at the same time. The hot fire of chili peppers can be suppressed simultaneously by other fresh sambal flavors, such as tomatoes and shallots. The ingredients of this sambal are not mixed, each natural and fresh flavor remains strong and separate, giving the option of tasting them individually or in combination.

4|SAMBAL ROA

Sambal Roa is a typical Manado pepper sauce, in the North Sulawesi province, made from Roa fish (galafea). Roa is a type of smoked fish that comes from the North of Manado. It is basically roa fish sautéed in extremely hot chilli, although some commercial products produced outside Sulawesi reduce the level of chilli so that it can be eaten by more people. Many consider it a main dish or companion for rice, as it already contains fish. If you manage to get your hands on its original version, be sure to taste it with caution.

Why include it in this list ?: Besides being spicy, this type of sambal is delicious with rice and nothing else. It has such a lovely fishy flavor and a strong smoky scent that it could actually make a dish on its own.

5|SAMBAL TERASI

It is also another type of sambal which has different versions in most regions of the archipelago, the sweetest type being that of Central Java (recommended for light weights of chili). There are two versions, the raw sambal terasi and the cooked sambal terasi. Its ingredients sometimes differ, but still contain red peppers, terasi (shrimp paste), Asian shallots, garlic and salt. The fresh raw version is generally more intense than the cooked version.

Best served with: fresh vegetables known as lalapan in Sundanese for raw sambal terasi, rice and almost all types of meat and vegetables for cooked sambal terasi. Raw is, of course, also delicious with rice and most types of meats and vegetables.

Why include it in this list ?: Most Indonesian houses have their own type of Sambal Terasi available daily, especially among chili lovers. This is probably the first type of sambal you should try to get used to before exploring the other versions, as it is the basic flavor of sambal.

6|SAMBAL DABU-DABU

This fresh sambal also from North Sulawesi is similar to Sambal Matah from Bali with its raw ingredients and explosive flavors. It consists of green tomatoes, peppers and coarsely crushed shallots with a pinch of salt and lemon juice. Like the one from Bali, this sambal is not mixed with a mortar and pestle and retains the natural, raw flavors of the ingredients. Best served with: rice and grilled fish or seafood

Why include it in this list ?: it’s like a party on your tongue. The salty, tangy and spicy sensation leaves a delicious and lingering sensation in your mouth.

Business Continuous Plan for small business

ESTABLISH A SOLID BUSINESS CONTINUITY PLAN FOR YOUR SMALL BUSINESS

Small business owners know this: time is a precious resource. There are never enough hours in a day for those who use all their energy, their foresight and their diplomacy to run the machine smoothly. In short, it is difficult to find time for hypothetical reflections when you juggle with a host of very real imperatives.

Unfortunately, disasters strike without warning – and more often than we think. A sudden incident that interrupts your activities or prevents your talented employees from doing their job can have disastrous consequences, especially if you don’t know how to react to it. Data leaks, hurricanes, fires, virus outbreaks… With the right business continuity plan, your small business can overcome big obstacles.

What is business continuity, and why is it so important?

Your worst professional nightmare becomes reality: an incident suspends all activity in your business. While you are dealing with the immediate consequences of the flood, fire, pandemic or other serious event, you also have logistical challenges to overcome: trying to get employees back to work, avoiding any power cuts. material supply, maintain demand for your services, etc.

Does this scenario give you cold sweats? You are not alone. This is where the business continuity plan comes into play: it involves anticipating the financial and operational consequences of a disruption, to provide the means to ensure the quickest possible return to normal.

Business continuity planning is based on several important elements, including assessing the main risks and managing them using emergency plans, business insurance, and appropriate recovery and continuity plans. But before you get into the details, you need to know exactly where your business is – including what its flaws are.

How to develop a strategy?

To develop an appropriate continuity plan, you need to know the risks to which the business is exposed. It is impossible to foresee absolutely all the risks, but recognizing the main threats will help you speed up the recovery of your business.

Business impact analysis

Regardless of the size of your business, a business impact analysis will help you predict the effect of a major disruption on your business. The first step is to list and prioritize your services, products and activities of primary importance. You will know where to focus your attention.

The likelihood of a given type of incident also to be considered. In this regard, the field of activity and the location of your business are often determining factors (for example, a business set up along a river is particularly vulnerable to floods). There are, however, almost universal threats to small businesses in all sectors, such as pandemics and cyber risk.  A modern business continuity strategy should therefore provide the best way to respond to a virus outbreak and to overcome phishing scams, malware attacks, and the countless other cyber threats that threaten connected devices.

Content of plan

There is a type of plan for each aspect of an emergency. The following three are separate, but work together to help your business recover from a crisis.

The intervention plan is executed during the crisis to manage and contain the damage from the incident, whether it is a natural disaster, a security breach or a cyber attack. The aim of such a plan is to limit the damage, but also the costs of the immediate incident – an important short-term intervention.

The disaster recovery plan comes into play after this initial reaction. It helps you put in place measures to continue to curb the damage and, like the previous plan, it must clearly define the role played by each in the resumption of activities.

When it comes to cyber risks, the disaster recovery plan focuses on data: it provides for example the restoration of the IT infrastructure (even for a very small network) and the recovery of backup copies stored outside the places. In the case of natural disasters, such as floods, uncontrolled fires, earthquakes and hurricanes, the measures to be planned are quite different: access to a generator, direct line of communication with equipment specialists and suppliers, etc. .

The business continuity plan , which is broader in scope than the disaster recovery plan, often incorporates elements from other plans. It covers the business as a whole, generally prioritizing business concerns, such as finding a safe workplace for employees and making public relations efforts to limit the damage. It also aims to ensure the uninterrupted operation of network connections, equipment and essential applications.

Call in an expert

Remember that a lot depends on your business continuity plan – including your reputation. And as news spreads quickly in this digital age, you need to react as quickly as possible to reassure your customers and partners when an incident interferes with your business. If you communicate honestly and effectively while executing your plan, you have a better chance of maintaining customer loyalty and competitive advantage.

Depending on the size and nature of your business, you could benefit from retaining the services of experts to develop good intervention, recovery and continuity plans. There are many things to consider, and as they say, “prevention is better than cure”. A risk management specialist can help you assess threats and enhance your strategy with carefully chosen monitoring and training solutions.

3 tips for developing a quality continuity plan

Whether your business is large or small, there are many things to consider. Disaster recovery and business continuity plan templates can then be useful, as they help you organize your strategy and get you thinking about things you might not have even thought of. However, any plan can and should be adapted to the reality of your business.

Here are some tips for creating a continuity plan that reflects your image.

1|    Two heads are better than one

Sure, imagining every possible disaster scenario is no easy task, but by bringing your team together to discuss glaring (and less glaring) risks now, you’ll be able to respond well to a crisis later.

To get started, ask yourself questions like:

Is our building vulnerable to extreme weather events or natural disasters?   If so, you could provide a remote secondary workplace to accommodate your team in the event of a forced evacuation. Also consider ways to improve your current warning or alarm systems to speed up your response.

Are our files up to date?   By having a comprehensive list of important contact information, such as suppliers, service providers, emergency services and equipment specialists, on hand, you can save a great deal of time and energy when you are busy work hard to prevent further damage and loss. Conversely, an outdated contact list could slow down your recovery efforts by several hours or even days.

How do we manage our data?   In the face of cybercrime advances, it is more important than ever to back up your essential files frequently to a shared or external drive. Cloud servers, for example, are a good way to recover your data quickly and securely. If you don’t have an IT department to keep your security measures up to date, don’t forget to train your employees on detecting and reducing cyber risks.

Are we a target for thieves and other criminals?   If you are working with high-value materials or goods, sensitive information or anything else that makes thieves attractive, your staff should know how to react in the event of a break-in or confrontation. Also consider modernizing your surveillance systems. This list is just a starting point: a ton of other things can influence your risk. This is why it is better to bring your team together to consider them from all angles.

2|   Divide and rule

Everyone must have – and know – their role in resuming activities. Emergencies are often chaotic, and without a clear division of tasks, the mess can quickly set in.

Here are some ideas to simmer:

  • If you do not have a public relations team, designate a person responsible for communications in the event of a crisis (by writing a statement in advance, you will facilitate their work).
  • Make sure a few employees have basic first aid training; they will be able to offer immediate assistance while waiting for help to arrive.
  • Train more than one person on important tasks to prevent everything from ending due to the absence of a key employee.
  • Don’t be the only person who knows where important documents are: keep a colleague secret so that he can access emergency numbers and insurance documents if you are not there.

A back-up plan will help your business continue its work through remote access to data, external arrangements and pre-written statements to explain the state of your operations. It can also be useful to group employees into sub-teams to better organize the response in the event of a crisis.

3|   It is practice makes perfect

It is not enough to put the recovery plan in place: it still has to be tested and adapted regularly. Once the procedure to be followed in the event of a fire, cyber attack, theft or other disaster is clearly communicated (and recorded), it is appropriate to test it.

Simulation exercises, hypothetical scenarios and ongoing staff training can all help you to check if your plan is working well. Found a weak spot? Make it right! The most important thing about a business continuity plan is that it works for your business. It must therefore be tested and revised often. The more you test it, the more you can refine it, the more your team masters it, and the better you will be able to react in an emergency.