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A Blow to the Head: Traumatic Brain Injuries at a Glance
Personal injuries such as a blow to the head lead to at least 1.4 million traumatic brain injuries each year in the U.S. Signs and symptoms of a traumatic brain injury or TBI can include: chronic neck pain, headaches, confusion, dizziness, memory loss, difficulty focusing or concentrating, extreme grogginess, fatigue, loss of balance, nausea, blurred vision, ringing in the head, sleeping too much or too little, loss of at least one of the five senses, seizures, aphasia (problems understanding and expressing language), loss of motor control or movement, uncontrollable jerking or twitching, and/or dysphasia (not being able to swallow or chew correctly). While some of these symptoms rarely occur, it is important to be able to identify them all and get treatment immediately.
There are many causes of TBI – car accidents, firearms, blows to the head, and falls are the most common causes. Because TBI cannot be cured, prevention is the best approach. According to the CDC, there are some groups of people at heightened risk of receiving a traumatic brain injury:
- Approximately 18% of all TBI-related emergency department visits involved children aged 0 to 4 years.
- Approximately 22% of all TBI-related hospitalizations involved adults aged 75 years and older.
- Males are more often diagnosed with a TBI (59% of traumatic brain injuries).
TBI Prevention Methods:
- Always wear a seatbelt in a motor vehicle
- Use an appropriate child safety seat or a booster
- Never drive under the influence of alcohol or drugs
- Always wear a helmet to prevent a blow to the head when on a bicycle, motorcycle, scooter, snowmobile, in contact sports, horseback riding, skiing, snowboarding, skating, and skateboarding
Fall Prevention Methods:
- Use the rails on stairways
- Provide adequate lighting, especially on stairs for people with poor vision or who have difficulty walking
- Place bars or safety locks on windows to prevent children from falling and receiving a blow to the head
- Do not leave obstacles on stairways or in walking pathways
Gun Safety:
- Keep guns locked in a cabinet and out of reach of children
- Store guns unloaded and apart from ammunition
There are many different kinds of treatments available for patients suffering from a TBI:
- Initial Treatment stabilizes the individual immediately following the initial injury
- Rehabilitative Care Center Treatment helps restore the patient to daily life
- Acute Treatment of a Traumatic Brain Injury is aimed at minimizing secondary injury and life support
- Surgical Treatment may be used to prevent secondary injury by helping to maintain blood flow and oxygen to the brain and minimize swelling and pressure
Traumatic brain injuries are complex and can manifest themselves with an array of symptoms and disabilities. The impact on an individual and their loved ones can be devastating. Vacardipane & Pinnis, PC is a law firm in New Jersey committed to helping personal injury victims. If you or a loved one has suffered a traumatic brain injury, contact us to request a Free Case Evaluation today.
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5 Questions to Ask Before Signing an IT Services Contract
Signing a managed IT services contract is a significant commitment. Whether you’re a small business bringing on external tech support for the first time or an established company switching providers, the fine print matters — a lot. Before you put pen to paper, here are five critical questions to ask.
1. What Exactly Is Covered — and What Isn’t?
Not all managed IT services are created equal. Some contracts cover network monitoring and helpdesk support but exclude hardware repairs or cloud management. Get a clear, written breakdown of every service included in the agreement. More importantly, ask what falls outside the scope of the contract. Understanding the exclusions upfront can prevent frustrating — and expensive — surprises down the line.
2. What Are the Response and Resolution Times?
When something breaks, speed matters. Ask the provider to define their Service Level Agreements (SLAs) clearly. How quickly will they respond to a critical outage? What’s the expected resolution window for lower-priority issues? A provider that can’t give you specific, measurable commitments around response time is a red flag. Your business can’t afford to sit idle while a tech issue drags on without accountability.
3. How Is Security Handled?
Cybersecurity should be a core component of any managed IT services agreement, not an add-on. Ask the provider how they handle threat monitoring, patch management, and incident response. Do they conduct regular security audits? Are they compliant with relevant industry regulations? If your business handles sensitive customer data, these questions aren’t optional — they’re essential. A provider that’s vague about security protocols isn’t a provider you want managing your infrastructure.
4. What Happens If We Need to Exit the Contract?
Business needs change. The provider you sign with today might not be the right fit two years from now. Before you commit, ask about contract length, renewal terms, and exit clauses. What are the penalties — if any — for early termination? Who owns the data, systems, and configurations if the relationship ends? These are uncomfortable questions, but they protect you if things go sideways. A trustworthy provider won’t hesitate to answer them honestly.
5. Who Will Actually Be Supporting My Business?
This one often gets overlooked. You might sign a contract with a polished sales team, but who handles your day-to-day support? Ask whether you’ll have a dedicated account manager or technician, how large the support team is, and whether support is handled in-house or outsourced to a third party. Consistency matters in managed IT services — you want a team that understands your environment, not a rotating roster of strangers starting from scratch every time you call.
Don’t Rush the Process
A managed IT services contract is more than a vendor relationship — it’s a partnership that affects how your business operates every day. Taking the time to ask hard questions before signing puts you in a far stronger position. The right provider will welcome the scrutiny. After all, if they’re confident in what they offer, they have nothing to hide.
Review the contract carefully, involve your legal team if needed, and make sure every commitment is documented in writing. That’s how you start a managed IT services relationship on solid ground.
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Your Guide to Spring Cleaning in Siloam Springs
Spring has a way of making you look around your home and wonder how everything got so out of hand. If you live in Siloam Springs, the season brings fresh energy — and a real opportunity to reset your space. Whether you’re tackling a cluttered garage, overstuffed closets, or an entire house that’s been collecting stuff since last year, a solid plan makes all the difference.
Here’s how to make your spring cleaning count this year.
Start With a Room-by-Room Strategy
Trying to clean everything at once is a fast track to burnout. Instead, move through your home one room at a time. Begin with the spaces that bother you most — often the garage, basement, or spare bedroom.
For each room, sort items into four categories:
- Keep and use regularly
- Keep but store elsewhere
- Donate or sell
- Throw away
This method keeps decision-making simple and helps you make real progress instead of just shuffling things around.
Don’t Overlook the Outdoor Spaces
Spring cleaning in Siloam Springs isn’t just an indoor job. After the colder months, your porch, backyard, and driveway likely need some attention too. Sweep away debris, inspect outdoor furniture for damage, and clean out gutters if needed. A tidy exterior sets the tone for the whole property.
What to Do With Items You’re Not Ready to Part With
This is where a lot of people get stuck. You find things you don’t need right now but aren’t ready to let go of permanently — seasonal décor, sentimental items, hobby equipment, or furniture between rooms. Hanging onto all of it can keep your home feeling cluttered even after a thorough clean.
A rented storage unit is one of the most practical solutions for this exact problem. Rather than cramming items into corners or filling up closets, you can move them offsite and free up your living space entirely. A rented storage unit gives you flexibility — your belongings stay accessible, but they’re no longer taking up valuable square footage in your home.
This is especially helpful if you’re staging your home for sale, downsizing, or simply working through a major declutter that takes time.
Tackle Cleaning Tasks After the Clutter Is Gone
Once you’ve sorted and removed what doesn’t belong, actual cleaning becomes far easier. Dust collects in spots you can’t reach when furniture and boxes are in the way. With open space, you can:
- Wipe down baseboards and window sills
- Clean behind appliances
- Wash windows from the inside
- Deep clean floors and carpets
These tasks feel manageable when you’re not working around piles of stuff.
Build Habits That Last Beyond Spring
The best outcome from any spring cleaning session is a home that’s easier to maintain going forward. A few habits that help:
- Do a quick 10-minute tidy each evening
- Bring in new items only when something old leaves
- Schedule a seasonal review of your rented storage unit to reassess what you’re keeping
Siloam Springs has a tight-knit community feel, and local donation centers, resale shops, and community groups are great places to rehome items that still have life in them. Selling locally or donating close to home keeps things simple and supports your neighbors.
Make This Season Count
Spring cleaning doesn’t have to be overwhelming. Break it into steps, use the right tools — including a rented storage unit when you need breathing room — and focus on progress over perfection. Your home will feel lighter, and so will you.
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5 Common Signs of Pelvic Floor Dysfunction
The pelvic floor is a group of muscles, ligaments, and connective tissues that support the bladder, bowel, and uterus (in women). When these muscles aren’t functioning properly — either too tight, too weak, or poorly coordinated — the result is pelvic floor dysfunction (PFD). It’s more common than most people realize, and yet it often goes unrecognized because the symptoms can feel embarrassing or easy to dismiss.
Here are five signs that your pelvic floor might not be working the way it should.
1. Leaking Urine When You Laugh, Sneeze, or Exercise
This is one of the most recognized signs of pelvic floor dysfunction — and one of the most commonly brushed off as “just normal.” It’s not. Leaking urine during physical activity, coughing, or sneezing (known as stress urinary incontinence) is a sign that the pelvic floor muscles aren’t generating enough support for the bladder. It can happen at any age and to any body, not just postpartum women or older adults.
2. Pelvic Pain or Pressure
A persistent ache, heaviness, or pressure in the pelvic region is a major red flag. This discomfort might feel like something is falling out, or it may present as a dull, nagging pain that worsens after long periods of standing or physical activity. Pelvic pain can stem from muscles that are too tight or in spasm, not just muscles that are weak — which is why generic Kegel advice doesn’t always help and can sometimes make things worse.
3. Pain During Intercourse
Painful sex — clinically known as dyspareunia — is a symptom that many people suffer through in silence. It can feel like burning, tearing, or a deep internal ache during or after intercourse. When the pelvic floor muscles are hypertonic (overly tense), penetration becomes painful. This symptom deserves attention and is very much treatable with the right approach, including pelvic floor physical therapy.
4. Difficulty Emptying the Bladder or Bowel
Pelvic floor dysfunction doesn’t always mean things are leaking out — sometimes it means things can’t get out at all. Straining to have a bowel movement, incomplete emptying, or a constant feeling of urgency without much output can all be signs that the pelvic floor muscles aren’t relaxing and coordinating properly. Chronic constipation is often linked to a hypertonic pelvic floor and is frequently overlooked as a muscular issue.
5. Lower Back or Hip Pain That Won’t Resolve
The pelvic floor works in close coordination with the deep core muscles, diaphragm, and hip stabilizers. When it’s dysfunctional, the ripple effect often shows up as persistent lower back pain, hip tightness, or even tailbone discomfort. If you’ve been working on your back pain through stretching and strengthening with limited results, the pelvic floor could be part of the picture that’s been overlooked.
What to Do If You Recognize These Signs
Pelvic floor dysfunction is not something you have to live with, and it’s not an inevitable part of aging or having children. A pelvic floor physical therapist can assess what’s actually happening — whether your muscles are too weak, too tight, or uncoordinated — and create a plan that addresses your specific needs.
The first step is simply acknowledging that what you’re experiencing is real and worth addressing. If any of these signs feel familiar, it may be time to reach out to a specialist who can help you get back to living without limits.
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