Numbness in Hands and Feet ( Mpirjet e duarve dhe këmbëve).

Nëse jeni duke e lexuar këtë material, atëherë ju, një mik apo ndoshta një i dashur ka mpirje në duar dhe këmbë që është konstant ose me ndërprerje. Është e rëndësishme të bëhet dallimi mpirje në duar vetëm me mpirje në këmbë vetëm kundrejt të dyja në të njëjtën kohë, sepse kjo do të ndryshojë në mënyrë të konsiderueshme diagnozën lidhur me këto simptoma. Para se të bëni ndonjë lexim të mëtejshëm apo hulumtim është e rëndësishme për të regjistruar kohën, raste, karakterin e mpirje apo ndjesi shpimi gjilpërash. Termi mjekësor për këtë është nganjëherë thirrje parasthesias.

Parasthesias në përgjithësi është i bazuar neurologjikisht në mpirje apo ndjesi shpimi gjilpërash trupi i përgjithshëm mund të shkaktohet edhe nga simptoma je sjanë neurologjike. Një çrregullim jo-neurologjik, si ankthi mund të jetë baza për këto. Gjatë një sulmi paniku, për shembull, dikush mund të ketë ndjesi shpimi gjilpërash përgjithësisht  ne duar dhe këmbë,e cila mund të jetë ose simetrike ose jo. Zakonisht, kjo është lehtësisht e dallueshme nga një gjendje më e rëndë të bazuar në të dhenat aktuale fizike dhe historinë.

Një mpirje akute në duart dhe këmbët apo vetëm një mpirje apo ndjesi shpimi gjilpërash në këmbët ose duart vetëm pa ndonjë traume asociuar mund të jetë tregues i një goditje ose ndoshta një sulm ishemie. Me fillimin e mpirjes apo ndjesisë së shpimit të gjilpërave unë sugjeroj te  marret një aspirinë menjëherë nëse ju jeni tashmë në një tjetër mjekim si Plavix ose aggrenox. Nëse  shoqerohet me trauma ju duhet të kërkoni kujdes mjekësor sepse mund te keni dëmtim nervor.

Nëse ju keni pasur keto siptoma gjate gripit, së bashku me dobësi dhe lodhje të konsiderueshme që ju mund të keni Guillain-Barre Sindromi i cili mund të jetë kërcënuese. Ju duhet të kërkojnë kujdes mjekësor menjëherë.

Mund të keni parasthesias kronike në këmbë vetëm  vetem nese vuani nevropati periferike. Nuk është idiopatike nevropati periferike e cila eshte një sëmundje kronike dobësuese që përkeqësohet me moshën. Për fat të mirë ka shumë ilaçe që ju mund të merrni për të ndihmuar me këtë dhe me kalimin e kohës dhimbje dhe parehati juaj duhet të lehtësojë dhe të bëhet i durueshëm. Ju duhet te merrni kohe nga puna/shkolla/aktiviteti dhe te qendroni te qete pa u sforcuar derisa kjo situate te kaloj.  Nëse keni diabet atëherë ndoshta ju keni një nevropati diabetik periferike. Duhet që të jetë rasti të bëni të sigurtë që jeni vigjilent në kontrollin e diabetit tuaj si diabeti i pakontrolluar këtu është fajtori dhe mund të shkaktojnë simptomat tuaja të përkeqësohet duke shkuar përpara.

Kjo është vetëm një përmbledhje e shkurtër e disa prej çrregullimeve shumë se sa mund të shkaktojnë numnbess në duart dhe këmbët dhe ne ju inkurajojmë që të kërkojë këshilla mjekësore në lidhje aktive Sëmundjet tuaja. Nuk ka shumë informacion në dispozicion në të gjithë vendin që mund të jetë e dobishme ne lidhje me kete.

English Version: 

 If you are reading this page then you, a friend or perhaps a loved one has numbness in hands and feet that is either constant or intermittent.  It is important to distinguish numbness in the hands alone vs numbness in the feet alone vs both at the same time because that will significantly change the diagnosis associated with those symptoms.  Before doing any further reading or research it is important to record the time, instances, character of the numbness or tingling.  The medical term for this is sometimes call parasthesias.

The basis for parasthesias is generally neurologically based though general body numbness or tingling can be caused by non neurological symptoms.  One non-neurologic disorder such as anxiety can be the basis for these.  During a panic attack for example one could have generalized tingling of the hands and feet which can be either symmetrical or symetrical.  Usually, this is easily discernable  from a more serious condition based on the actual physical findings and history.

An acute numbness in the hands and feet or just a numbness or tingling in the feet or hands alone without any associated trauma could be indicative of a stroke or perhaps a transient ischemic attack.  With new onset numbness or tingling I suggest taking an aspirin right away unless you are already on another blood thinning medication like plavix or aggrenox.  If there was associated trauma you should seek medical attention as there could be nerve damage

If you have had the flu shot and have these symptoms along with significant weakness and fatigue you may have Guillain-Barre syndrome which could be life threatening.  You should seek medical attention immediately.

Should you have chronic parasthesias in the legs only likely you have peripheral neuropathy.  There is idiopathic peripheral neuropathy which as a chronic debilitating disease that worsens with age.  Fortunately there are many medications you can take to help with this and over time your pain and discomfort should ease and become tolerable.  It takes some time to get the right regimen.  Often the regimen is quite idiosyncratic as is the response to it.  If you have diabetes then perhaps you have a diabetic peripheral neuropathy.  Should that be the case make sure that you are vigilant in controlling your diabetes as uncontrolled diabetes here is the culprit and can cause your symptoms to worsen going forward.

This is just a brief summary of some of the many disorders than can cause numnbess in hands and feet and we encourage you to seek active medical advice regarding your ailments.   There is more information available throughout the site that may be helpful as well.

Careers and Employability.

University is Finishing, NOW WHAT?

What Are your career goals and how higher education will help you get there? 

Will graduate school pay off?

Should you go to graduate school immediately after completing your bachelor's degree?

Aren't these the questions you have been asking yourself lately?

Student internship or volunteer during the summer, semester or upon graduating: Interning or volunteering in your field is one of the best ways to get some real experience in the career you want and boost your resume! 
Many companies are more willing to hire a candidate right out of college if they have at least had some relevant experience in the field through internships or other part-time work.

Look for smaller companies for your first full time job : in many fields, it can be easier to land a position in the field in smaller , local companies. Depending on the size of your city or town , you may even know some of the people working in the field that interests you. It can be often easier to land a position with the small company in order to get the experience and expertise you need to move into a larger institution. 

Think about your connections and networks : Think about your parent[s careers,an aunt that works in a a bank, a friend in advertising , ect. and ask them for advice about how to get into the field. You can also ask them to let you know if they hear of any available positions within their company or in smaller ones. 

Time to Get Hired!

Make FACEBOOK work for you (pt 2).

Start by making your own network aware that you are looking for a new JOB. All this requires is a status update in which you mention that you are looking for work and would love to e-mail your CV to anybody who is interested.

You can also set up your own page on, e.g. linkedin.com post the link in facebook - preferably with a message to recipients  that they are more than welcome to forward the link to others in their networks.This is a quick and effective way of spreading the message.

A second, more strategic way to use FACEBOOK is to find insiders - friends who work at the companies in which you're interested. Find contacts that work in the company or maybe know someone who does, and then take steps to contact them. Ask about the working conditions, what qualities are prized by the company , and whether she/he might be able to put in a good word for you.

Make FACEBOOK work for you.

Social media are here to stay and they have become a good way of keeping track of family, friends, colleagues, business partners and others in your network.

You may have already a solid network of friends and acquaintances on FACEBOOK. Remember that everyone in your network has his or her own network, of which you are a small part. Most people have more than 100 Facebook friends. This means that you are one step removed from 10,000 potential contacts. You should make use of this fact. This can be done in several ways.
But before you start, avoid suspicious types. Don't display photos where you look drunk, where you are partially undressed or at some wild party or event. Be aware of what groups you join, and what they say about you. Ask yourself what impression you want to give to a potential employer, and what they'd think of you if they looked you up on FACEBOOK.

(This is also a matter of you protecting yourself and your personal life).

In the future days we will post the steps one by one to make your FACEBOOK work for you. Stay tuned. Leave a comment below if you have any questions.

Klajd & Stella.

Sa perqind te trurit perdorin njerezit?

Poor or Broke?

Broke Vs. Poor

(True story) 

When I was growing up, my next-door-neighbor was a single mom who supported herself with her writing. Needless to say, she did not have issues of where to invest all that excess income.

One thing she used to say, which stuck in my mind was:

“I’m not poor, I’m just always broke.”

I remember being a little confused with this. Weren’t poor and broke the same thing? I just didn’t get it.

Now that I’m a certified grown-up, I think I understand what she was getting at.

To describe oneself as poor is to accept a place in a lower strata. To believe that there is a distinction between the classes, and you’re simply stuck at the bottom. It’s who you are, and there’s no way out. The long term view.

To be broke, means you have no money, but it’s a temporary situation. You’re just one good writing assignment away from financial stability. You may have an empty bank account now, but flush times are just around the corner.

Is there a real difference between poor and broke?

Of course not.

I’m not suggesting that poverty isn’t a valid and real existence for millions of people the world over.

But it sure is more satisfying to be frugal because you’re broke, rather than because you’re poor.

And I’ve certainly been broke in my life, but I sure as hell have never been poor.

Have you ever refused to take money saving measures because you didn’t want to be perceived as poor? Tell us about it in the comments section below.

What about money?

History of money shows us that it is a medium of exchange for trade. It can be a medium of exchange because it has a clear value that is trusted by everyone. 

Money is also a way to store value for the future. So, for example, we can save up our money to buy something expensive in the future. 

Finally, money is also a unit of account. It can be counted easily and it enables a clear value to be given to goods. 

The history of money

Barter

Many thousands of years ago, our European ancestors lived as hunters and farmers. 


Stone axe from 
the Stone AgeMetals had not been discovered, so they hunted and farmed with stone tools – this time was known as theStone Age. Stone Age men and women did not have the banknotes and coins that we use today. Instead, they would exchange goods with each other: for example, a hunter could exchange animal skins with a farmer for grain, or a fisherman could exchange decorative seashells for a polished stone axe with a hunter. This exchange is known as barter. An important feature of barter is that it involves the exchange of goods that have value.

A medium for exchange

When our ancestors learned how to make metals then exchanges became easier.

Silver nugget

This is because metals, such as gold silver, tin and iron, were valuable to everyone. So, a farmer could barter his cattle for a certain weight of silver, then later, the farmer could use some of this silver to pay his taxes. In this way, valuable metals and other objects became a 'measure of value', a 'medium of exchange' and a way to 'store value' until it is needed.

The first coins

Around 2600 years ago, the first coins were made in Asia Minor. 

Ancient Greek coin
The ancient Greeks quickly adopted this new idea and started producing silver and bronze coins, for example the silver drachma. These early coins contained a specified weight of metal with a certain value. And to guarantee this weight, the coins were stamped with a seal by the king or city or country that issued them. 

Coins were convenient because they could be counted rather than weighed. Because these new coins were a trusted and efficient 'medium of exchange' they helped greatly increase trade in the ancient world.

The first European currencies

To guarantee the value of coins, kings and governments strictly controlled their production.


Denarius depicting 
Juno Moneta
In ancient Rome, coin production was done in the temple of Juno Moneta – which is where the word 'money' comes from. 

Later, as the Roman Empire expanded, other mints were opened and the same roman coins were accepted for exchange all across Europe, from the British Isles to Turkey – the first pan-European currency. 



Later, as the Roman Empire broke up and the nations of Europe began to appear, each country kept control of its own coinage. 



Roman templeIt was from these European nations that we inherited the many coins and currencies that existed before the euro. These were often named after units of measure, such as the Italian lira and the Finnish markka, because the coins originally contained a fixed amount of gold and silver. 

A problem with many currencies is that, depending on the success of individual economies, the exchange rate between the currencies can vary a lot – this makes trade between countries a risky business, so it is discouraged.

20th century currencies in Europe

Before the euro was introduced most European countries had their own coins and banknotes – their own currency.


For travel and trade, it was necessary to change money as you changed country. In Germany you paid in Deutschmarks, if you left Germany and travelled to France you had to exchange your Deutschmarks for French Francs, and so on. 

The names of Europe's old currencies often revealed something about their origins:

• The schilling, used in Austria, was named after a mark on a stick used for counting.
• The tolar used in Slovenia comes from the medieval coin, the thaler, first minted in the Czech Republic in 1518 – the name 'thaler' is the origin of the term 'dollar' in the USA.
• The name of the Greek drachma means 'handful' and refers to a handful of six metal bars that were used as currency before the drachma was introduced in ancient Greece.
• The franc, meaning 'free' in French, was first minted in the 14th century to pay the ransom for the French King John the Good.