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		<title>Sinus Infections and Swimming</title>
		<link>http://h2oblogged.wordpress.com/2012/01/16/sinus-infections-and-swimming/</link>
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		<pubDate>Mon, 16 Jan 2012 19:53:47 +0000</pubDate>
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		<description><![CDATA[from LiveStrong As a swimmer, I found it normal to get congested during work-outs&#8230;I also found it just as easy to evacuate my sinuses while practicing&#8230;as a coach, certain environments are conducive to the &#8220;chlorine cold.&#8221;  Yes, the chlorine lobbyists will challenge anyone in regards to the safety of their product, and the suitability for [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=599&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>from <a href="http://www.livestrong.com/article/311053-sinus-infections-swimming/">LiveStrong</a></p>
<p>As a swimmer, I found it normal to get congested during work-outs&#8230;I also found it just as easy to evacuate my sinuses while practicing&#8230;as a coach, certain environments are conducive to the &#8220;chlorine cold.&#8221;  Yes, the chlorine lobbyists will challenge anyone in regards to the safety of their product, and the suitability for its continued use; however, the is no evidence exonerating chlorine from the disinfectant by-products that are responsible for our bodies reactions&#8230;</p>
<p>i have coached many athletes who are treated for sinus infections.  I am not a doctor, just an observer.  I have not witnessed any antibiotics solving any of the to be mentioned symptoms.   The chlorine cold is chronic&#8230;please recommend that your primary care physician make a visit and watch their patients swim&#8230;</p>
<p>Enjoy the article..</p>
<p>&nbsp;</p>
<section>You swim for fitness, but sinus infections that occur with greater frequency after you swim can sideline you and cause congestion and pain. Understanding the condition, its causes and how to treat it is important to avoid continued problems.</p>
</section>
<section>
<h2>Identification</h2>
<p>Your sinuses are cavities behind your cheekbones, forehead and jaw that filter the impurities you breathe in. Mucus traps dirt and germs, and tiny hairs called cilia sweep out the debris via your nose before the foreign material makes you sick. When your sinuses plug up, you become vulnerable to sinus infection.</p>
</section>
<p>&nbsp;</p>
<p>&nbsp;</p>
<section>
<h2>Causes</h2>
<p>Sinus infections occur when viruses or bacteria invade the linings of your sinus passages and replicate there. Changes in pressure in your sinus canal occur when you dive in water or swim under the surface and lead to blocked sinuses. Inadequate swimming pool sanitation also leads to sinus infection when contaminated water enters your sinuses. Secondary causes include existing irritation and inflammation of sinus passages from pool chemicals.</p>
</section>
<section>
<h2>Symptoms</h2>
<p>Typically, you experience pain with sinus infection caused by pressure buildup in the canals. Pain in your face, behind your eyes or jaw and headaches sometimes accompanies the condition. Pressure causes you to feel congested or &#8220;stuffy.&#8221; Your immune system usually deals with infections in time, but bacterial infections sometimes need antibiotic treatment to resolve, reports the American Family Physician website.</p>
</section>
<section>
<h2>Prevention/Solution</h2>
<p>Avoid poorly maintained swimming pools, or those with bad ventilation. Wear nose clips to prevent water from entering the sinus cavities if you have sensitivity to chlorinated or treated pool water. After swimming, irrigate your sinuses with saline or salt water. Maintain good hygiene and avoid contact with people who have colds or the flu; wash your hands often and thoroughly. Rest and do not swim until you feel completely better.</p>
</section>
<section>
<h2>Considerations</h2>
<p>Some infections progress unless treated. See your physician if you feel worse or fail to get better after resting. Change swimming pools if you find that you get recurrent infections. The pool&#8217;s sanitation may be inadequate and allows the survival of bacteria and viruses despite chemical treatment.</p>
</section>
<p>&nbsp;</p>
<p>&nbsp;</p>
<section>
<h3>References</h3>
<ul>
<li><a href="http://familydoctor.org/online/famdocen/home/common/infections/cold-flu/686.html" rel="nofollow" target="_blank">FamilyDoctor.org: Sinusitis</a></li>
<li><a href="http://www.aafp.org/afp/2004/1101/p1711.html" rel="nofollow" target="_blank">American Family Physician: Sinus Infections</a></li>
<li><a href="http://health.nytimes.com/health/guides/disease/sinusitis/risk-factors.html" rel="nofollow" target="_blank">The New York Times: Sinusitis Risk Factors</a></li>
<li><a href="http://www.cdc.gov/healthywater/swimming/pools/disinfection-team-chlorine-ph.html" rel="nofollow" target="_blank">Centers for Disease Control and Prevention: Your Disinfection Team: Chlorine and pH</a></li>
</ul>
</section>
<footer>Article reviewed by Denise C. Ritter Last updated on: Jun 14, 2011</p>
</footer>
<p>&nbsp;</p>
<div>
Read more: <a href="http://www.livestrong.com/article/311053-sinus-infections-swimming/#ixzz1jeVKNeMD">http://www.livestrong.com/article/311053-sinus-infections-swimming/#ixzz1jeVKNeMD</a></div>
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		<title>Hyperventilation &#8211; makes you feel as if you can&#8217;t get your breath</title>
		<link>http://h2oblogged.wordpress.com/2011/12/29/hyperventilation-makes-you-feel-as-if-you-cant-get-your-breath/</link>
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		<pubDate>Thu, 29 Dec 2011 01:46:09 +0000</pubDate>
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		<description><![CDATA[from DRMyhill.co.uk At last I am beginning to understand hyperventilation. It has never made sense to me until now after I have read Buteyko&#8217;s book. I have never understood why humans evolved such an inefficient system of breathing. We inhale most of our recently exhaled air, which to me seemed a nonsense: it is much [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=590&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>from <a href="http://www.drmyhill.co.uk/wiki/Hyperventilation_-_makes_you_feel_as_if_you_can%27t_get_your_breath">DRMyhill.co.uk</a></p>
<p>At last I am beginning to understand hyperventilation. It has never made sense to me until now after I have read Buteyko&#8217;s book.</p>
<p>I have never understood why humans evolved such an inefficient system of breathing. We inhale most of our recently exhaled air, which to me seemed a nonsense: it is much more efficient to have a one way flow of air over a surface, like fish do with water over gills. However, there is a good reason. Life evolved over millions of years in an atmosphere rich in carbon dioxide, the waste gas of respiration. Carbon dioxide became essential for normal cell metabolism because cells used carbon dioxide to maintain their optimal pH (acidity). When levels of carbon dioxide in the atmosphere fell, cells had to develop a mechanism for artificially bathing themselves in the right level of carbon dioxide for their efficient metabolism. And so lungs evolved.</p>
<p>Lungs are necessary to keep carbon dioxide levels high in inhaled air and therefore in the blood. The blood is very efficient at gathering oxygen and all arterial blood is 100% saturated with oxygen. But here comes the crunch! Oxygen is only readily released from red blood cells to supply oxygen to the tissues in the presence of high levels of carbon dioxide. So what does this mean in practice?<br />
Short of breath? Breathe less!</p>
<p>Many patients, particularly asthma patients, but also CFS patients, have a sensation that they are not getting enough oxygen to their tissues. Their response to this is to breathe more deeply. However blood cannot become more than 100% saturated with oxygen. All that happens is that more carbon dioxide is washed out of the blood. This makes oxygen cling more fiercely to haemoglobin in red blood cells and therefore oxygen delivery to the tissues is made worse! Paradoxically, to improve oxygen supply to the tissues you have to breathe less! Breathing less increases carbon dioxide levels and improves oxygen delivery.</p>
<p>Lowering carbon dioxide levels in the blood has other dire effects. It upsets the acidity of the blood and causes what is known in medical jargon as a respiratory alkalosis. This causes all sorts of awful symptoms such as panic attacks, pain, fatigue, feeling spaced out and dizzy, brain fag, brain fog and so on.</p>
<p>Again, taking the evolutionary approach, humans used to live a far more active existence. Because we are now so sedentary, we do not need the oxygen supply our lungs have evolved to deliver. We do not produce enough of the waste gas carbon dioxide either. The system is under used and so there is an in-built tendency to breathe too much. This is worsened by stimulants such as excitement (sitting in front of an exciting film, but not using any oxygen up), caffeine, computer games and so on.</p>
<p>Hyperventilation is probably extremely common and we could all benefit from breathing less. We have simply got into bad habits and have to re-learn how to breathe.</p>
<p>Asthma is how the body tries to prevent you from hyperventilating. The airways constrict to try to reduce gaseous exchange to allow carbon dioxide to be retained. Breathing harder, or deep breathing makes asthma worse. Inhalers to open up the airway, whilst relieving the airway constriction in the short term, in the long term worsen hyperventilation and therefore the cause of asthma.<br />
Typical symptoms of hyperventilation</p>
<p>Vivid dreams or nightmares; tingling and numbness of hands, feet, and area around mouth; yawning or sighing; sensation of needing to take a deep breath; panic attacks; feeling of being spaced out, faint or dizzy, episodes of weakness and exhaustion; muscle spasms, twitching, cramp, aching.<br />
Diagnosis of Hyperventilation</p>
<p>If you are asthmatic then the answer is a definite yes. All asthmatics hyperventilate (it is only in the very extreme forms of asthma that oxygen levels in the blood fall).</p>
<p>Many CFS symptoms are the same as those from hyperventilation. Buteyko suggests you test yourself with his controlled pause: Sit comfortably in an upright chair, breathe in normally and out holding your nose after the out breath. Count the seconds using a watch until you feel you have to breathe in again. The number of seconds counted gives your control pause. The ideal pause is 60 seconds, but a pause of 40-60 denotes good health. (Editor&#8217;s note: 60 seconds seems too long! I can&#8217;t do this, but perhaps I need retraining!) A control pause of 30 (according to Buteyko) means you are breathing enough for 2 people and suggests mild asthma. A control pause of 15 seconds indicates you are breathing for 4 people: this is serious hyperventilation. A control pause of 10 seconds denotes severe asthma. Like I said before, his controlled pauses seem like a long time to me and I can&#8217;t do 60 seconds!</p>
<p>The other method to check for hyperventilation is to do a forced test of over breathing. Sit and breathe deeply through your mouth, as if you are running. Within 30-40 seconds you will develop unpleasant symptoms which may include dizziness, palpitations, cough or wheeze. If your troublesome symptoms are flared, this suggests hyperventilation may be the cause.</p>
<p>If one is hyperventilating the blood and therefore urine becomes alkali. This can be tested for with litmus paper &#8211; I can send you some if you order. Indeed many people with CFS tend to have acidic urine because they are constantly switching into anaerobic metabolism with the production of lactic acid. Hyperventiliation may be the body&#8217;s response to ry to restore normal blood pH.<br />
Treatment of Hyperventilation</p>
<p>For those patients who do not have a chronic fatigue syndrome, physical exercise is extremely helpful. Take up some sort of physical activity, such as running, swimming or cycling on a daily basis to reduce your hyperventilation. Singing is also very helpful and the breathing exercises for singing are very much like those for hyperventilation, particularly breath control. The third possibility is to take up a wind instrument such as a trumpet, which again teaches breathing control and which can be helpful for hyperventilation.</p>
<p>The following principles apply both to non-CFS and CFS patients.</p>
<p>Firstly you must always breathe through your nose. This increases the amount of air which is exhaled and immediately re-inhaled and is therefore relatively rich in carbon dioxide. Mouth breathers must make a conscious effort to close their mouths always, if necessary tape your lips closed at night.</p>
<p>Secondly, breathe less deeply and more slowly. Initially this brings a feeling of wanting to breathe more, but this must be ignored. It is a bit like having an irritating itch and not being allowed to scratch it. Some anti-hyperventilation techniques ask you to practice breathing using your diaphragm instead of your chest. I don&#8217;t see the logic of this because whether you use your diaphragm or your chest muscles, air will still be drawn into the lungs. Buteyko is similarly unconcerned about diaphragmatic breathing, so in this we agree! The results of reducing your rate of breathing are felt very quickly (within a few minutes) good positive feedback to encourage you to continue! But improvement may continue over weeks, so keep at it!</p>
<p>Thirdly, if you catch yourself sighing, yawning or taking a deep breath, hold your breath for a few seconds, breathe out very slowly, then start breathing slowly and shallowly again.</p>
<p>There is another mystery which may also be explained by hyperventilation. Virtually all of my CFS patients are magnesium deficient. Why? The body&#8217;s response to a respiratory alkalosis is to pee out bicarbonate. Bicarbonate is a negatively charged ion and cannot leave without a positively charged ion. Guess which positively charged ion goes out with it? Spot on, magnesium! Magnesium deficiency may well be another indicator of hyperventilation. Taking magnesium carbonate may be very helpful (suggest 2-4 grams daily).</p>
<p>Further information can be obtained from the Buteyko Breathing Association via their website or contact your local teacher for more information. A list of Buteyko teachers is displayed on their website. Recommeded reading &#8220;Freedom from Asthma, Buteyko&#8217;s Revolutionary Treatment&#8221; cost £7.99 from the Nutri Centre Bookshop tel 0207 323 2382. Also &#8220;The Carbon Dioxide Syndrome&#8221; by Jennifer and Russell Stark from the Buteyko Asthma Management website.</p>
<p>It is interesting to speculate about the relationship between asthma and hyperventilation and fatigue. In my experience it is unusual to see fatigue and asthma in the same patient at the same time, although with CFS patients there is sometimes a past history of asthma. Perhaps the local reaction to hyperventilation is asthma (by constricting the airways to reduce gaseous exchange) and the systemic reaction is fatigue (through reducing blood supply, to try to increase carbon dioxide retention in the blood in an attempt to improve local oxygen delivery). Perhaps treatment of asthma by using bronchodilaters (blue inhalers), whilst relieving the local airways obstruction and wheeze actually then allow the systemic symptoms to become a problem? This is speculation! But it squares with clinical observation.</p>
<p>Further information from Physiotherapy for Hyperventilation<br />
Test for Hyperventilation</p>
<p>John McLaren Howard has now developed a test for hyperventilation at Acumen. This measures levels of red cell carbonic anhydrase. In chronic hyperventilation this becomes depleted and the ratio between the activity and the protein gives a good indication of whether or not hyperventilation is a problem. This test tells us how much effort we have to put in to correcting this and essentially there is a two-pronged approach &#8211; firstly biochemical and secondly physical. More information about this can be found under test details, see link below to carbonic anhydrase test details.<br />
Related Tests</p>
<p>Litmus paper test<br />
Carbonic anhydrase studies in red blood cells</p>
<p>Related Articles<br />
References</p>
<p>Sarah Myhill Limited :: Registered in England and Wales :: Registration No. 4545198<br />
Registered Office: Upper Weston, Llangunllo, Knighton, Powys, Wales LD7 1SL, UK. Tel 01547 550331 | Fax 01547 550339</p>
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		<title>Why am I having difficulty breathing?</title>
		<link>http://h2oblogged.wordpress.com/2011/12/21/why-am-i-having-difficulty-breathing/</link>
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		<pubDate>Wed, 21 Dec 2011 13:28:41 +0000</pubDate>
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		<description><![CDATA[A swimmer&#8217;s nightmare&#8230;not being able to breathe. Sometimes it is an uncontrollable cough, midway through training; other times it is an inability to control a breath rate. Is it asthma? exercise induced? Is it Vocal Cord Dysfunction? Is it Hyperventilating? Bronchitis? Sinusitis? Is it contagious? We are looking for answers. We do know that we [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=588&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>A swimmer&#8217;s nightmare&#8230;not being able to breathe.  Sometimes it is an uncontrollable cough, midway through training; other times it is an inability to control a breath rate.  Is it asthma? exercise induced?  Is it Vocal Cord Dysfunction?  Is it Hyperventilating?  Bronchitis? Sinusitis? Is it contagious?</p>
<p>We are looking for answers.  We do know that we are not alone.  Talking with coaches, swimmers and parents, persistent coughing during or after practice is more common, than not.  As dedicated athletes, we often just put up with it, whether it be from sickness, or environmental.</p>
<p>It would be simple to point out one single cause, but this isn&#8217;t the case.  From experience, air quality issues can be identified, but not, as yet, quantified.  If you can smell something in the air&#8230;be prepared.</p>
<p>So many swimmers have been diagnosed with asthma, without most doctors looking into environmental conditions.  Athletes will typically have greater lung capacities further challenging the medical profession.  </p>
<p>Full blood analysis exposes the dermal, (through the skin,) absorption of what it is we smell in the air.  History shows that the athletes with a higher metabolism are the first to react to questionable air quality.  We can chronicle the duration until an attack occurs, as well.  It happens to correspond to the point in time when athletes are &#8216;warmed-up, and at a point with peak body temperature and subsequent sweat production&#8230;</p>
<p>What are the causes when the air doesn&#8217;t smell?  More times than not, it is stress, or panic induced.  Think how well you breathe when you are nervous, upset, or crying&#8230;</p>
<p>In any event, consulting with the medical profession is the most prudent response.</p>
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		<title>Hyperventilation Syndrome Recognizing Symptoms of Hyperventilation Syndrome</title>
		<link>http://h2oblogged.wordpress.com/2011/12/13/hyperventilation-syndrome-recognizing-symptoms-of-hyperventilation-syndrome/</link>
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		<pubDate>Tue, 13 Dec 2011 13:16:47 +0000</pubDate>
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		<description><![CDATA[Hyperventilation syndrome is a nonmedical cause of shortness of breath. Hyperventilation syndrome is very scary, but not life-threatening. It can be hard to tell hyperventilation syndrome apart from other causes of shortness of breath. If there is any doubt about the cause of difficulty breathing, call 911 immediately. Read How to Treat Hyperventilation Syndrome to [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=572&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>Hyperventilation syndrome is a nonmedical cause of shortness of breath. Hyperventilation syndrome is very scary, but not life-threatening. It can be hard to tell hyperventilation syndrome apart from other causes of shortness of breath. If there is any doubt about the cause of difficulty breathing, call 911 immediately.</p>
<p>Read How to Treat Hyperventilation Syndrome to learn the steps for helping a victim overcome the feelings that cause hyperventilation syndrome.<br />
Causes of Hyperventilation Syndrome<br />
The term hyperventilation syndrome evolved from the more descriptive psychogenic hyperventilation syndrome, which indicates a psychosomatic cause for the hyperventilation. Basically, that means there is usually some sort of behavioral or emotional reason for the hyperventilation. In most cases, hyperventilation goes hand-in-hand with anxiety or panic disorders. Many of the symptoms of hyperventilation syndrome appear during what are commonly called panic attacks.</p>
<p>There are other, more serious, medical conditions that may lead to hyperventilation. The most serious is related to an increase of pressure inside the skull (intracranial pressure). The increased pressure pushes the brain through the foramen magnum, the opening in the base of the skull where the spinal cord exits. This is called herniation of the brain and leads to neurogenic hyperventilation syndrome, an involuntary reaction of the respiratory centers in the brain to increases in pressure.</p>
<p>For the purposes of this article, the term hyperventilation syndrome refers to conditions stemming from behavioral causes.<br />
Recognizing Hyperventilation Syndrome<br />
If a victim with rapid, shallow breathing has the ability to become more calm and slow his or her breathing, it may be hyperventilation syndrome. A behavioral cause of hyperventilation can be overcome, a medical cause of rapid breathing probably cannot. Treating hyperventilation syndrome often distinguishes the condition from other causes of shortness of breath as well as treats it.</p>
<p>Never assume a victim is suffering from hyperventilation syndrome. Always assess victims for other causes of shortness of breath first. It&#8217;s important to note that hyperventilation syndrome patients must be conscious and able to communicate. Unconscious or unresponsive victims are likely not suffering from hyperventilation syndrome.<br />
Hyperventilation Symptoms: The Nijmegen Questionnaire<br />
Developed to screen patients complaining of shortness of breath for possible hyperventilation syndrome, the Nijmegen questionnaire identifies several signs and symptoms of hyperventilation syndrome. Correctly using this screening tool requires a clinical background, especially since many of the screening questions could be symptoms of much more serious medical conditions.</p>
<p>Of the hyperventilation syndrome symptoms and signs listed in the Nijmegen questionnaire, there are several that are distinctly related to hyperventilation syndrome. These signs and symptoms are strong indicators of hyperventilation syndrome, especially if the victim has several of them:</p>
<p>    Tense feeling<br />
    Dizziness<br />
    Fast or deep breathing<br />
    Tingling in fingers and hands<br />
    Stiffness or cramps in fingers and hands<br />
    Tightness around the mouth<br />
    Cold hands or feet<br />
    Palpitations in the chest<br />
    Anxiety </p>
<p>Despite their relationship to hyperventilation syndrome, each of these signs and symptoms could also be related to other medical conditions. Always assume the worst possible scenario first, then proceed to less serious conditions, in order to identify the cause of shortness of breath. </p>
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		<title>Vitamin D Deficiency Linked to Vocal Cord Dysfunction</title>
		<link>http://h2oblogged.wordpress.com/2011/12/12/vitamin-d-deficiency-linked-to-vocal-cord-dysfunction/</link>
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		<pubDate>Mon, 12 Dec 2011 14:08:57 +0000</pubDate>
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		<description><![CDATA[from MedScape December 8, 2011 (Cancun, Mexico) — Vitamin D deficiency is associated with exercise-induced paradoxical vocal cord dysfunction (VCD) in young athletes, according to research presented here at the World Allergy Organization XXII World Allergy Conference (WAC). The study was conducted during the winter in a town above 45 degrees latitude. Exercise can be [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=577&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>from <a href="http://www.medscape.com/viewarticle/755046">MedScape</a></p>
<p>December 8, 2011 (Cancun, Mexico) — Vitamin D deficiency is associated with exercise-induced paradoxical vocal cord dysfunction (VCD) in young athletes, according to research presented here at the World Allergy Organization XXII World Allergy Conference (WAC). The study was conducted during the winter in a town above 45 degrees latitude.</p>
<p>Exercise can be associated with exercise-induced bronchospasm (EIB) or laryngospasm, which can be mistaken for asthma. The researchers had previously demonstrated that vitamin D deficiency is associated with VCD during a hyperventilation test, especially in hypocapnic conditions.</p>
<p>In a population of 37 nonsmoking young athletes (24 males, 13 females; age, 13 to 25 years), the researchers investigated the prevalence of EIB and exercise-induced VCD during a hyperventilation test. They then related the findings to vitamin D levels.</p>
<p>The hyperventilation test included five 1-minute runs in isocapnic (breathing carbon dioxide–enriched air) or hypocapnic (breathing normal air) conditions. Each test was performed 1 week apart. Capnography was used to monitor exhaled carbon dioxide pressure. The researchers used a 10% decrease in forced expiratory volume in 1 second as a marker of EIB and a 25% reduction in mid-inspiratory flow (MIF50) as a marker for exercise-induced VCD.</p>
<p>Of the participants, 16 (43%) were atopic and 6 (16%) reported that they had previously been diagnosed with asthma. None used drugs or had had respiratory infections in the previous month, and all had normal results on lung function tests. In isocapnic conditions on hyperventilation testing, 10 participants experienced EIB and 12 experienced exercise-induced VCD. Under hypocapnic conditions, 8 participants experienced EIB and 15 had exercise-induced VCD.</p>
<p>Vitamin D deficiency (serum 25-hydroxycholecalciferol &lt; 25 ng/mL) was recorded in 18 participants (49%). Athletes with exercise-induced VCD had significantly lower serum levels of vitamin D than those without it, in both isocapnic (19.1 ± 1.8 vs 25.7 ± 1.5 ng/mL; <em>P</em> = .013) and hypocapnic (20.2 ± 1.9 vs. 26.2 ± 1.8 ng/mL; <em>P</em> = .029) conditions.</p>
<p>The researchers also found an association between vitamin D levels and a decrease in MIF50 (as percentage of baseline) during the test (under isocapnic conditions: <em>r</em> = .41; <em>P</em> &lt; .015; under hypocapnic conditions: <em>r</em> = .42; <em>P</em> = .017).</p>
<p>The researchers found no correlation between vitamin D and EIB.</p>
<p>&#8220;I think the role of vitamin D and other micronutrients [in respiratory problems] is still poorly understood, and for sure they have a role both in this particular syndrome, but also in airway inflammation and so also asthma. I think it’s an interesting field to be expanded,&#8221; Enrico Heffler, MD, PhD, from the University of Torino, Italy, who presented the research at a poster session here, told <em>Medscape Medical News</em>.</p>
<p>Dr. Heffler also related a previous case study of a patient with severe vitamin D deficiency who experienced VCD and bronchospasm; symptoms and lung function were significantly improved after vitamin D supplementation.</p>
<p>&#8220;This study is fascinating because it links vitamin D deficiency to something new. [The researchers] need to do a double-blind placebo-controlled trial in these individuals,&#8221; Glenis Scadding, MD, a consultant allergist and rhinologist at the Royal National Throat, Nose and Ear Hospital, London, United Kingdom, who attended the session, told <em>Medscape Medical News</em>.</p>
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		<title>Vocal Cord Dysfunction: Something to Talk About</title>
		<link>http://h2oblogged.wordpress.com/2011/12/07/vocal-cord-dysfunction-something-to-talk-about/</link>
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		<pubDate>Wed, 07 Dec 2011 14:11:10 +0000</pubDate>
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		<description><![CDATA[By Laurie Ross Nine-year-old Ellie Carson lives to play soccer. To her, happiness is flying down the field after the ball. For a while, though, it looked like she might have to stop chasing her dream. Ellie was having trouble keeping up. Just minutes into a game she would begin to wheeze and feel short [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=568&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>By Laurie Ross<br />
Nine-year-old Ellie Carson lives to play soccer. To her, happiness is flying down the field after the ball.</p>
<p>For a while, though, it looked like she might have to stop chasing her dream.</p>
<p>Ellie was having trouble keeping up. Just minutes into a game she would begin to wheeze and feel short of breath. As symptoms slowed her down, she became frustrated and upset. That would make it even harder to breathe and she would have to come off the field.</p>
<p>The wheezing and shortness of breath were classic exercise-induced asthma symptoms, so Ellie’s pediatrician prescribed an inhaled bronchodilator for her to use before practice and games to prevent breathing problems.</p>
<p>When that treatment didn’t work, Ellie and her medical care team tried different combinations of asthma and allergy medications to help her breathe, including corticosteroids to treat airway inflammation. Still, game after game and practice after practice, Ellie would have to come off the field.</p>
<p>Determined to find out what was wrong with her daughter, Yvonne Carson took Ellie to see a pediatric pulmonologist, Sunil Kapoor, MD, of the Pediatric Lung Center in Fairfax, Virginia. Dr. Kapoor says he listened to Ellie’s story and checked her lungs but was pretty sure from the outset that what was causing Ellie’s difficulties wasn’t asthma, but a very good imitation: vocal cord dysfunction (VCD).</p>
<p>Following the Clues<br />
“Vocal cord dysfunction,” explains Dr. Kapoor, “looks and feels a lot like asthma. However, since asthma medications weren’t helping Ellie, I suspected she had VCD. It’s a process where your vocal cords move the wrong way when you inhale – closing instead of opening – and it’s closely related to stress, anxiety and exercise. Ellie fit the profile of many of my VCD patients:  a very competitive, high achieving, young female athlete.”</p>
<p>You can’t see vocal cords when you look down your throat in the mirror – but you can feel where they live. Put your hand on the front of your throat and swallow. That hard ball that moves up and down when you swallow (on guys it’s called the Adam’s apple) is your voice box, also called the larynx. Vocal cords are folds of tissue that stretch across your voice box. As you breathe in, your vocal cords open to let air go through into your lungs, then narrow as you breathe out. Most of us can’t control this opening and closing, but we do learn to use our vocal cords to talk and sing – it’s the vibration of our vocal cords that makes these sounds.</p>
<p>If you have vocal cord dysfunction, your vocal cords suddenly close when they’re not supposed to, cutting off your air supply. Often this happens during exercise or when you’re emotionally upset or crying – just when you need air the most!</p>
<p>Symptoms of VCD include</p>
<p>    wheezing or stridor (a high-pitched sound)<br />
    chronic cough or throat clearing<br />
    shortness of breath<br />
    upper chest or throat tightness<br />
    intermittent hoarseness</p>
<p>Diagnosing vocal cord dysfunction is tricky because it so closely resembles asthma – and will often occur alongside asthma – and because the symptoms may seem random. It may happen to an athlete during a game but not a practice, for instance. Or it may happen outside of exercise, when the person is laughing or crying.</p>
<p>In addition to stress and exercise, VCD can be set off by other factors often associated with asthma, including cigarette smoke, perfume and other strong scents, upper respiratory infections, air pollution and cold air.</p>
<p>The most definitive way to identify VCD is to use a laryngoscope (a flexible, fiber optic tube and tiny camera inserted into the back of the throat) to view the vocal cords. However, it must be done while the symptoms are actually occurring – an uncomfortable technique Dr. Kapoor hesitates to use with his young patients. Instead, he has the patient exercise on equipment in his office to induce symptoms, then he uses a spirometer to measure patient lung function. When VCD is occurring, the spirometer reading will show very different results from those seen with asthma.</p>
<p>Some patients may have both asthma and VCD. According to Susan Brugman, MD, one of the leading VCD experts at the National Jewish Medical and Research Center in Colorado, “In my experience with adolescents, 30 to 40 percent of those with VCD also have some degree of asthma.”</p>
<p>Michael Mellon, MD, a pediatric allergist with the Southern California Permanente Medical Group in San Diego, says, “It’s important to look at the overall pattern of symptoms. Patients with exercise-induced asthma will usually have symptoms of asthma at other times (with an upper respiratory infection, for instance, or during allergy seasons) whereas VCD patients may have extreme episodes of difficult breathing in only very isolated situations such as competitive sports or exercise.”</p>
<p>Pointing to a Cause<br />
There’s no single cause for this vocal cord miscue. Dr. Brugman says one aspect is the stress factor. “I see pediatric patients, most of whom are adolescents for whom the vocal cords have become their stress organ,” she explains. “It’s similar to stress-related migraine headaches or irritable bowel syndrome.”</p>
<p>VCD may also be linked to chronic irritation of the throat that makes the vocal cords sensitive. The irritation could come from postnasal drip caused by chronic nasal and/or sinus congestion or from gastroesophageal reflux, where stomach acids leak up into the esophagus. In some people, Dr. Brugman says, the acids travel all the way up to the top of the esophagus, where it meets the windpipe and larynx. “Even a small amount of this fluid spilling over onto the larynx can cause severe irritation and prompt the vocal cords to close,” she explains.</p>
<p>Dr. Kapoor agrees. “Quite often, people with vocal cord dysfunction don’t realize they have reflux,” he says, “because they don’t experience the classic heartburn symptoms. This kind of ‘silent’ reflux that affects the upper airways is so common among my VCD patients that I give the majority of them a trial run with reflux medications.”</p>
<p>Treatment Talk<br />
Beyond treating an underlying throat irritation such as reflux or sinusitis, there is no specific medication available to treat VCD. However, many patients are referred to a speech pathologist (therapist).</p>
<p>“When people think of speech therapy, they tend to think about learning to pronounce r’s and s’s correctly,” says Susan Miller, PhD, CCC-SLP, assistant professor of otolaryngology at the Georgetown University Hospital and a certified speech-language pathologist. “But your voice is an instrument you play by learning to control your breathing and the vibration of your vocal cords. A speech pathologist can help you learn to relax your breathing. And we can teach you techniques that help keep the vocal cords from tightening in the first place.”</p>
<p>Dr. Miller specializes in treating vocal cord dysfunction. She’s also a runner, which helps her understand athlete patients like Ellie. “Vocal cord dysfunction is very much a learned behavior which may have begun with a physical cause, such as silent reflux or sensitivity to an odor,” she explains. “It is very disturbing to patients, especially if they are athletes who have experienced very loud wheezing or even vomiting during exercise. They become embarrassed and afraid that it will happen again. That fear and stress tends to set it off again – whether through tensing the muscles or through reflux, since stress can influence reflux. Then it becomes a self-fulfilling prophecy.”</p>
<p>Dr. Miller says athletes with VCD have to learn new ways to breathe. “Many athletes have been taught to relax by breathing in through the nose and exhaling through the mouth. But when you run or exercise heavily, you can’t do this – you don’t get enough air. So you need a different technique. I teach them to breathe with their jaw relaxed and mouth open, using small, rapid inhalations, then exhaling through pursed lips.”</p>
<p>She also teaches them to reduce reflux by not eating acidic foods like orange juice, soda, chocolate or pizza before exercise. In fact, Dr. Miller thinks one reason so many teenagers have VCD is that they tend to eat a lot of junk food; even the power bars that athletes eat before exercising can cause problems if they contain chocolate.</p>
<p>Dr. Miller taught Ellie about dietary changes that could reduce her reflux and helped her learn to relax her breathing while exercising. According to Ellie’s mother, the techniques are working.</p>
<p>“It’s been a struggle,” says Yvonne. “It’s so easy to assume the breathing problems are asthma and to medicate without testing for anything else. We just kept pushing to find answers. Finally, we’re seeing improvements. Ellie still takes medicine for her allergies and watches what she eats before games. She’s also learned to use her breathing technique on the field while she’s running. She knows she can’t wait till there’s a problem, but has to control it early on. I remind her that she has to control it herself and I try to give her confidence that she can. I think the confidence is a big part of the control, since it allows less room for the anxiety.”</p>
<p>Separating the Symptoms<br />
Vocal cord dysfunction (VCD) is often mistaken for asthma, especially exercise-induced asthma (EIA). This is no surprise, since symptoms of the two conditions are so similar. There are some differences, however, that you might notice. If you suspect you have VCD, consult this chart and talk with your physician.</p>
<p>VCD</p>
<p>EIA </p>
<p>Timing of symptoms<br />
	less than 5 minutes after beginning exercise 	5-10 minutes or more after beginning exercise</p>
<p>Tightness<br />
	in throat 	middle or lower chest</p>
<p>Wheezing or high-pitched sound<br />
	when breathing in; hoarse voice 	when breathing out               </p>
<p>Recurrence<br />
	symptoms can recur immediately and more severely when exercise resumes 	symptoms tend to be less severe when exercise resumes (after bronchodilator use)</p>
<p>Recovery time<br />
	may take less than 10 minutes 	usually takes up to an hour without medication</p>
<p>Medications<br />
	bronchodilator won’t help 	bronchodilator will help</p>
<p>First published:  Allergy &amp; Asthma Today, Volume 6, Issue 1<br />
Updated:  February 2009</p>
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		<title>What is Ferrate?</title>
		<link>http://h2oblogged.wordpress.com/2011/11/21/what-is-ferrate/</link>
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		<pubDate>Mon, 21 Nov 2011 13:24:31 +0000</pubDate>
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		<description><![CDATA[Ferrate (FeO42-) Ferrate is a supercharged iron molecule in which iron is in the plus 6 oxidation state; it is better known as Iron(VI). Ferrate is extremely powerful, can deliver multiple treatments from a single application, does not create disinfection byproducts, is environmentally friendly, and solves difficult treatment challenges that other oxidants can’t touch. Most [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=564&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>Ferrate (FeO42-)<br />
Ferrate is a supercharged iron molecule in which iron is in the plus 6 oxidation state; it is better known as Iron(VI).  Ferrate is extremely powerful, can deliver multiple treatments from a single application, does not create disinfection byproducts, is environmentally friendly, and solves difficult treatment challenges that other oxidants can’t touch. Most importantly, Ferrate is often the least expensive and most effective treatment option.</p>
<p>A Laboratory Curiosity … Until Now<br />
Research scientists have been testing Ferrate for the past 50 years.  Previous attempts to commercialize a Ferrate product were unsuccessful due to high synthesis, packaging and transport costs, which made Ferrate too expensive for broad industrial use. We solved this problem by patenting a method to manufacture liquid Ferrate “onsite” so that it can be applied when its potency is highest.</p>
<p>More Powerful<br />
The relative strength of water treatment chemicals can be measured in volts, similar to an electrical circuit. Scientists compare the reduction – oxidation potential or “redox” potential for different compounds which is a gauge of their ability to gain or donate electrons in a chemical reaction; the higher the redox potential, the more powerful the reaction.  Ferrate is the most powerful common oxidant/disinfectant for water and wastewater treatments.  Various redox potentials measured in volts are: Ferrate &#8211; 2.2, Ozone &#8211; 2.08, Hydrogen peroxide  &#8211; 1.78, Permanganate &#8211; 1.68, Hypochlorite &#8211; 1.48, Perchlorate &#8211; 1.39, Chlorine &#8211; 1.36, Dissolved Oxygen &#8211; 1.23, Chlorine Dioxide &#8211; 0.95.</p>
<p>Multiple Treatments from a Single Dose<br />
In a single application, Ferrate can simultaneously perform as an oxidant, coagulant, and disinfectant.  Ferrate is more powerful than other oxidants such as ozone and chlorine dioxide. It can replace coagulants such as ferric chloride, alum and polymers for the removal of metals, non-metals and humic acids. It outperforms other disinfectants such as UV, hydrogen peroxide, and chlorine and can kill many chlorine resistant organisms such as aerobic spore-formers and sulphite-reducing clostridia. Ferrate is a versatile, powerful, multi-use water and wastewater treatment technology. (See What Can Ferrate Treat?)</p>
<p>Synthesized Using Common Chemical Feedstocks<br />
Ferrate is synthesized at the point of use in a patented device called a Ferrator® using caustic, sodium or calcium hypochlorite, and ferric chloride.</p>
<p>No Disinfection Byproducts<br />
Ferrate redeploys the power of chlorine for water treatment without producing disinfection byproducts. Chlorination in the presence of organics creates carcinogenic disinfection byproducts (DBPs) such as trihalomethanes (THMs), and haloacetic acids (HAAs). Ozone reacts with naturally occurring bromine to form bromates, also a human carcinogen. Switching to Ferrate from chlorine, chlorine dioxide, or ozone, precludes the formation of DBPs.</p>
<p>Environmentally Friendly<br />
Ferrate is powerful, fast acting, works in small doses, and the final product of Ferrate treatment is ferric hydroxide, Iron(III), a non-toxic, environmentally benign compound.  The environmental benefits of Ferrate were demonstrated during a pilot test in Pennsylvania.  The primary test objective was disinfection with neither a chlorine residual nor THM formation.  The regulatory fecal coliform limit of 200 CFU/100mL was easily achieved with a Ferrate dose of 2 ppm.  At the same time, freshwater aquatic toxicity tests for Daphnia showed “no observable effects” when exposed to 100% effluent through three reproductive life cycles; residual chlorine and THMs were non-detect or at trace levels in the effluent.</p>
<p>Unique Treatment Benefits<br />
Ferrate has been demonstrated to treat antibiotics, hormones, pesticides, and personal care products that end up in sewers and pass through municipal treatment plants.  Low doses of Ferrate have been shown to inactivate those EDCs and PPCPs. As a simultaneous oxidant, disinfectant and coagulant, one dose of Ferrate has been demonstrated to treat drinking water in Florida with color, odor, taste and residual DBP problems by simultaneously oxidizing H2S to SO4, oxidizing and co-precipitating the color-causing organics, and precluding the formation of THMs and HAAs caused by prechlorination.  Ferrate has also been shown to disinfect highly colored or turbid waters that UV light cannot penetrate, making it ideal for the restoration of wetlands as a water reuse application. In wetlands restoration, Ferrate’s iron residual is an essential micronutrient for healthy plant growth.</p>
<p>Solves Difficult Biosolids Treatment Challenges<br />
Ferrate has been proven to be a key ingredient in a new biosolids-to-fertilizer process.  It disinfects and stabilizes biosolids to inhibit putrefaction, destroys odors, and adds iron as a vital micronutrient. Ferrate also helps bind phosphorus and nitrogen to the organic matter to create a “slow-release” fertilizer, which prolongs its availability, increases uptake in the root zone, and reduces nutrient runoff into local streams and rivers.</p>
<p>Least Expensive Green Technology<br />
Ferrate is a truly unique compound that offers an economical and environmentally friendly alternative to conventional water and wastewater treatment technologies.  For many applications, the capital equipment cost and aggregate operating expenses associated with Ferrate are appreciably less than other methods of treatment.  Ferrate synthesis uses commodity chemicals already found in most water and wastewater treatment plants, and a Ferrate treatment system utilizes less real estate and consumes less energy. In terms of its impact on the environment, Ferrate is a genuinely green technology that is both effective and affordable.</p>
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		<title>What&#8217;s in the Pool We Swim in?</title>
		<link>http://h2oblogged.wordpress.com/2011/11/10/whats-in-the-pool-we-swim-in/</link>
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		<pubDate>Thu, 10 Nov 2011 11:40:07 +0000</pubDate>
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		<description><![CDATA[&#60;a href=&#34;What&#8217;s in the pool? A comprehensive identification of disinfection by-products and assessment of mutagenicity of chlorinated and brominated swimming pool water.&#8220;&#62;Link to article OBJECTIVES: We performed a comprehensive identification of DBPs and disinfectant species in waters from public swimming pools in Barcelona, Catalonia, Spain, that disinfect with either chlorine or bromine and we determined die mutagenicity [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=565&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>&lt;a href=&quot;<a href="//www.thefreelibrary.com/What%27s+in+the+pool%3F+A+comprehensive+identification+of+disinfection...-a0242848501&quot;">What&#8217;s in the pool? A comprehensive identification of disinfection by-products and assessment of mutagenicity of chlorinated and brominated swimming pool water.</a>&#8220;&gt;Link to article</a></p>
<p>OBJECTIVES: We performed a comprehensive identification of DBPs and disinfectant species in waters from public swimming pools in Barcelona, Catalonia, Spain, that <a href="http://encyclopedia2.thefreedictionary.com/disinfect">disinfect</a> with either chlorine or <a href="http://encyclopedia2.thefreedictionary.com/bromine">bromine</a> and we determined die mutagenicity of the waters to compare with the analytical results.</p>
<p>METHODS: We used gas chromatography/mass spectrometry (<a href="http://acronyms.thefreedictionary.com/GC%2fMS">GC/MS</a>) to measure trihalomethanes in water, GC with electron capture detection for air, low- and high-resolution GC/MS to comprehensively identify DBPs, <a href="http://encyclopedia2.thefreedictionary.com/Photometry">photometry</a> to measure disinfectant species (free chlorine, monochloro-amine, dichloraminc, and trichloramine) in the waters, and an ion chromatography method to measure trichloramine in air. We assessed mutagenicity with the Salmonella mutagenicity assay.</p>
<p>RESULTS: We identified &gt; 100 DBPs, including many nitrogen-containing DBPs that were likely formed from nitrogen-containing precursors from human inputs, such as urine, sweat, and skin cells. Many DBPs were new and have not been reported previously in either swimming pool or drinking waters. Bromoform levels were greater in brominated than in chlorinated pool waters, but we also identified many brominated DBPs in the chlorinated waters. The pool waters were <a href="http://medical-dictionary.thefreedictionary.com/mutagenic">mutagenic</a> at levels similar to that of <a href="http://medical-dictionary.thefreedictionary.com/drinking+water">drinking water</a> (~ 1,200 revertants/L-equivalents in strain TA100-S9 mix).</p>
<p>CONCLUSIONS: This study identified many new DBPs not identified previously in swimming pool or drinking water and found that swimming pool waters are as mutagenic as typical drinking waters.</p>
<p>KEY WORDS: bromination, bromine, <a href="http://medical-dictionary.thefreedictionary.com/Chlorination">chlorination</a>, chlorine, DBPs, disinfection by-products, mutagenicity, swimming pools, Salmonella, water. Environ Health Perspect 118:1523-1530 (2010). doi:10.1289/ehp.l001965 [Online 12 September 2010]</p>
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		<title>Ammonia/pH Aqua Sensor</title>
		<link>http://h2oblogged.wordpress.com/2011/10/14/ammoniaph-aqua-sensor/</link>
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		<pubDate>Fri, 14 Oct 2011 17:28:05 +0000</pubDate>
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		<description><![CDATA[Ammonia/pH Aqua Sensor The Ammonia/pH sensor enables visual monitoring of toxic ammonia (NH3) and pH levels in aquaria water on a continuous basis. Simply attach it in a visible location with both sensor pads completely immersed. With initial use, wait about 15 minutes for sensors to hydrate before first reading. Thereafter they respond quickly (1-5 [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=562&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<table width="475" border="0" cellspacing="0" cellpadding="0" align="center">
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<div align="center">Ammonia/pH Aqua Sensor</div>
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<td align="left" valign="top" height="334">The Ammonia/pH sensor enables visual monitoring of toxic ammonia (NH3) and pH levels in aquaria water on a <em>continuous</em> basis. Simply attach it in a visible location with both sensor pads completely immersed. With initial use, wait about 15 minutes for sensors to hydrate before first reading. Thereafter they respond quickly (1-5 minutes).</p>
<h3 align="center"><strong><span style="color:#3366cc;">&#8220;This sensor can show the presence of ammonia when other tests can&#8217;t.&#8221;</span></strong></h3>
<p>Match the sensors to the respective color-gradient indicator charts to readout the ammonia &amp; pH concentration. An included larger color-gradient card enables a color-match with more resolution. The ammonia sensor is accompanied with a pH sensor, which provides further valuable information about water quality &#8211; and the risk of NH3 toxicity your aquatic life is exposed to.  With pH measurements, the Total Ammonia in the water can be determined, thus supplying additional information about your water quality.</p>
<h3 align="center"><span style="color:#3366cc;">&#8220;Ammonia is the number one killer of all aquatic life.&#8221;</span></h3>
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<td align="left" height="22">Key Features</td>
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<ul>
<li><strong>Continuous monitoring </strong>- 24/7, the ammonia level can be determined with a quick glance.</li>
<li><strong>Fresh &amp; Saltwater </strong>- compatible in any aquatic environment.</li>
<li><strong>Ammonia detection </strong>- NH3 is directly measured, which is the toxic concern, rather than the ammonium (NH4+) ions in water commonly detected by other tests as an indirect indicator of the potential risk of NH3 poisoning.</li>
<li><strong>Long lasting </strong>- up to 1 year for ammonia sensor &amp; 1-3 months for pH sensor.</li>
<li><strong>Unaffected by chemicals </strong>- Ammonia &amp; pH stabilizers and other chemical agents won&#8217;t effect the performance of the sensor.</li>
<li><strong>Removable</strong> <strong>pH sensor </strong>- convenient, interchangeable pH sensors (2 included in package).</li>
<li><strong>NO</strong> chemicals, test kits, sampling of water, or procedures are needed.</li>
<li><strong>Highest NH3 sensitivity </strong>- capable of detecting extremely low concentrations (0.005 ppm), this sensor offers more protection of aquatic systems. Earlier indications of increasing levels enable better management of water quality, more time for corrective action, and less risk of exposures to injurious NH3 levels.</li>
<li><strong>Unobtrusive </strong>- won&#8217;t disrupt the aesthetic appeal of your aquarium (measures only 1.00&#8243; x 3.75&#8243;).</li>
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<td align="left" height="22">Discussion of NH3 &amp; NH4+</td>
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<td align="left" valign="top" height="359">Unlike most ammonia testing systems, the ammonia/pH aqua sensor measures only the toxic form or free-ammonia (NH3) in aquatic environments. Thus, it is the best direct indicator of the toxicity your aquatic life is subjected to. Ammonia (NH3), the toxic form, is normally in far lower concentrations than the much less harmful Ammonium ion (NH4+). The ratio of NH3 to NH4+ changes with temperature and pH; a rise in pH or water temperature causes increasing amounts of toxic NH3 (See <strong><a href="http://www.pacificsentry.com/ammoniatotal.html" target="_blank"><span style="text-decoration:underline;">Total Ammonia Calculation</span></a></strong> for further information).</p>
<p>Therefore, in addition to the ammonia, it is valuable to know the pH of the water and its ammonium NH4+ content. It&#8217;s important towards fully understanding your aquatic system&#8217;s potential risk level. Realize that a sudden rise in pH can cause a significant conversion of NH4+ into NH3 resulting in toxic levels. With an ammonia and pH measurement, one can derive the water&#8217;s Ammonium content, as well as Total Ammonia (NH3 plus NH4+).<br />
Note<em><strong>: </strong></em><strong><em>most other test kits actually measure Total Ammonium, even though they are routinely identified as ammonia tests.</em></strong></td>
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<td align="left" height="22">Ammonia</td>
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<td align="left" valign="top" height="183">The ammonia sensor is normally yellow when no ammonia is present (the desirable state). Exposure to increasing levels of ammonia change the sensor to shades of green, grey, and then violet. When ammonia decreases, the sensor color accordingly reverts back to yellow; but the change is often slower. Changes away from yellow indicate that potentially hazardous ammonia is present. Little, if any, ammonia is found in a healthy system. Even 0.01 ppm of ammonia can be lethal for some organisms. Take appropriate action to reduce ammonia and alleviate the toxic risk.</td>
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<td align="left" height="22">pH</td>
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<td align="left" valign="top" height="151">The pH (Potential of hydrogen) identifies the alkalinity of your aquaria&#8217;s water. The sensor&#8217;s range of sensitivity enables use with either freshwater or saltwater aquaria. Color-match the pH sensor with its respective color-gradient much like the NH3 sensor. The pH sensor is normally yellow when alkalinity is low. Consult your local fish expert to determine the proper pH range for your particular aquaria.</td>
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<td align="left" height="22">Ammonia Sensor Sensitivity</td>
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<td align="left" valign="top" height="238">This ammonia sensor is designed to be highly sensitive to ammonia. It can detect ammonia (NH3) at 0.005 ppm. This provides the earliest possible indication of ammonia increasing in your system; thus the highest level of protection, lowest risk of toxic injury, and the greatest margin of safety for taking corrective measures.</p>
<p>Pacific Sentry&#8217;s sensor can show the presence of ammonia when other products may not. Do not confuse the sensor&#8217;s ammonia indication with other test products that measure Total Ammonia. They will have much higher values in the ppm range.</td>
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<td align="left" height="22">Usage Information</td>
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<td align="left" valign="top" height="227">A goal of ours was to make the ammonia/pH sensor unobtrusive in your tank; the color indicators with the sensors are intentionally small. The separate hand-held color gradient card, with larger color indicators and additional values, permits more accurate sensor readouts. The in-tank indicator chart for the ammonia sensor can also be removed for absolute minimal disruption of aesthetic appeal to your aquarium.</p>
<p>Sensor-color perception and matching is influenced by the nature of the light used for viewing. Lighting for aquaria have different spectral outputs. We recommend viewing under fluorescent lighting.</td>
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<td align="left" height="22">Sensor Usage Life</td>
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<td align="left" valign="top" height="291">The useful lifetime of the sensors can be influenced by a number of factors that vary from system to system. Though unable to predict for your particular conditions, the pH sensor should be useful for 1-3 months before needing replacement and the ammonia sensor can last up to a year. Gradual fading of sensor colors over time is to be expected. Exposure to direct intense lighting can influence this, and is best avoided.</p>
<p>If colors lighten, you may prefer to use the gradient-color charts on the included color card. They show fading color gradations of diminishing intensity to aid in matching the sensors. The pH sensor can be easily replaced with the interchangeable pH sensor strips provided with the sensor. When its color appears too light after extended use, simply remove suction cup, push the old sensor up and out of its holder and then drop in the new pH sensor.</td>
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<td align="left" height="22">Sensor Care</td>
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<td align="left" valign="top" height="118">Avoid damaging the sensor by fingers, fish, or other types of physical contact. Touching with fingers may discolor the sensor and affect performance. Sensors can be taken out of water and even dried without harm. However, they need time to re-hydrate again when returned to use.</td>
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<td align="left" height="22">Get to know your system</td>
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<td align="left" valign="top" height="76">You will quickly become familiar with the sensors&#8217; typical colors for your system&#8217;s water quality. With a glance, you should be able to identify its status; whether it is in normal range, or if changes are occurring. Rising NH3 or pH changes indicate your water quality is changing; some environmental aspect is no longer in ideal balance. When setting up new aquaria, or working with large water changes, an increase in NH3 is expected. The system is undergoing conditioning. As the environment develops proper balance, NH3 declines and the pH will return to normal levels.</p>
<p>Disruptive changes in ideal water balance include: increasing the quantity of fish, overfeeding, reduced efficiency of the filter, changes in pH or salt content, water treatments, or anything affecting the balance of important bacteria. When the ammonia/pH detects rising NH3 and/or pH, giving warning of potential toxic risk, consult your local specialist or seek other professional advice for corrective action. Proper Ammonia and pH levels differ depending on your type of aquarium and organisms.</td>
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		<title>Chlorine Generators (salt systems)</title>
		<link>http://h2oblogged.wordpress.com/2011/06/15/chlorine-generators-salt-systems/</link>
		<comments>http://h2oblogged.wordpress.com/2011/06/15/chlorine-generators-salt-systems/#comments</comments>
		<pubDate>Wed, 15 Jun 2011 15:34:56 +0000</pubDate>
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		<description><![CDATA[It can be complicated deciding which pool is best for your family. Many questions revolve around salt-water pools or chlorine free pools. Salt-water pools are NOT chlorine free pools. A salt-water pool is simply one that utilizes a chlorine generator. Chlorine generators have been around for decades. As technology and materials continue to evolve, chlorine [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=h2oblogged.wordpress.com&amp;blog=10705224&amp;post=560&amp;subd=h2oblogged&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>It can be complicated deciding which pool is best for your family. Many questions revolve around salt-water pools or chlorine free pools. Salt-water pools are NOT chlorine free pools. A salt-water pool is simply one that utilizes a chlorine generator. Chlorine generators have been around for decades. As technology and materials continue to evolve, chlorine generators continue to improve in performance.</p>
<p><strong>Why Salt-Water?</strong></p>
<p>Ocean water has a salt content of around 35,000 parts per million (&#8220;ppm&#8221;). Humans have a salt taste threshold of around 3,500 ppm. Most chlorine generators require a salt content of 2500 &#8211; 6000 ppm in the pool. A unit that needs less than 3500 ppm to operate effectively is optimal. If the salt content is higher, that warm, salty water will be pretty distasteful!</p>
<p>Swimming in a mild saline solution is much like taking a shower in soft water. Generally, when people swim in a non-chlorine generator pool (a pool with no salt water in it) they feel like their skin dries quicker upon exiting the pool. They may feel and/or see a whitish residual, chlorine flaking, on the skin. In a salt-water pool (one with a chlorine generator) the water feels smooth, your skin feels smooth and many people feel more refreshed.</p>
<p><strong>What Does a Chlorine Generator Do?</strong></p>
<p>A chlorine generator&#8217;s main function is to produce chlorine for the pool so you do not have to buy it, store it or handle it. These are big advantages for many pool owners. Chlorine generators, when functioning correctly, produce chlorine constantly (when the pump is running) with most units. This keeps a residual of chlorine in the pool that prevents algae from growing. The secret is keeping the cell free of calcium and mineral deposits&#8211;the cell itself is made up of precious metals-it must be maintained so it can continue to make chlorine.</p>
<p>Through the process of electrolysis, water passing over the chlorine generator cell produces chlorine that is instantaneously transformed into Hypochlorous acid. When any type of chlorine is added to water it ALL makes the SAME thing: Hypochlorous acid. It does not matter if it is Sodium Hypochlorite (liquid chlorine), Tri-chlor and Di-chlor or Lithium based, Cal-hypo or even gas chlorine&#8211;it all makes Hypochlorous acid. Hypochlorous acid is the active sanitizer; this is what kills algae and other harmful stuff in the water. Its effectiveness is totally predicated on balanced water conditions and, more importantly, proper pH. So, with a salt water system or chlorine generator, <a href="http://phoenix.about.com/od/pools/a/15-Maintenance-Tips-For-Swimming-Pool-Owners.htm">you still must maintain your water balance (pool chemistry) properly</a>. As long as you do this, a chlorine generator is a good choice.</p>
<p>On the <a href="http://phoenix.about.com/cs/wet/a/saltpool01.htm">previous page</a>we introduced the concept of building salt-water pools using chlorine generators. Here is some additional information for consideration when selecting a chlorine generator for your swimming pool.</p>
<p><strong>Types of Chlorine Generators</strong></p>
<p>There are two types of chlorine generators in use today on residential pools. The first one is a brine unit. This unit does not require the pool to have salt added to it. A tank or chamber at the pool equipment area has a predetermined amount of salt in it. Through electrolysis, chlorine is produced and immediately injected into the pool circulation system. These units are messy and produce by-products that are not simple to dispose of. These are the less common of the two types.</p>
<p>The recommended unit is the type requiring that salt be added to the pool. There are two types of these units. One has the chlorine-producing cell and the electronics installed at the equipment while the other has the cell installed in the deck near the pool with the electronics usually located at the equipment. The deck unit works on the principle of convection. It makes chlorine even if the pump is off while the other more common unit makes chlorine as water is passed through the cell with the circulation system (pool pump on.) In both cases the cell <strong>must</strong> remain free of mineral deposits or it will not work properly. Of these two units, the inline unit with 24-hour circulation is the preferred choice. (Did you know that every commercial swimming pool in the United States requires 24-hour circulation?)</p>
<p><strong>What About Polarity?</strong></p>
<p>There are non-reverse polarity units and reverse polarity units. A reverse polarity unit reverses the electron flow through the cell causing mineral deposits to flake off. In some instances the now larger particles will get caught in the filtration system. So the claim that the units help keep calcium scum off the tile is partially correct. These cells do not require as much cleaning. (Don&#8217;t believe a claim that a unit doesn&#8217;t ever need to be cleaned.) A reverse polarity unit will cost nominally more than a non-reverse unit.</p>
<p><strong>Bottom Line</strong></p>
<p>Chlorine generators can help fight against waterline scum build-up. They create a better, healthier swimming experience for most people. It isn&#8217;t necessary to handle or buy chlorine, and, if the unit is functioning correctly, chlorine residual will always be present in the pool, eliminating algae. This makes it nearly impossible to get burning red eyes from chloramines, which is usually the culprit. Even with a chlorine generator, you still must maintain your pool. You still must maintain correct water balance, and you must maintain the chlorine generator. The best pool will have 24/7 circulation, correct hydraulic design with an in-floor cleaning system for bottom up cleaning and circulation, a quality ozone system, and a chlorine generator for sanitizer residual. You can expect to pay at least $1,000, and up to several thousand dollars, for a quality chlorine generator unit.</p>
<p>DISCLAIMER: If you do not maintain a chlorine generator or maintain your pool chemistry you can destroy your pool&#8217;s interior finish, decking and pool equipment. Chlorine generators and salt-water pools are great but they need care.</p>
<p>You now have the recipe for a low maintenance pool. Enjoy, and swim safe!</p>
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