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“Stress is an emotional or physical response of the body to a change in its external or internal environment,” said Miss Anum Pasha, in a stress management session of CDA Training Academy that was held in Pak-China Friendship centre Islamabad in October 2014. Miss Anum Pasha, a clinical psychologist well known for her excellent psychological skills, practices and abilities, further added “In order to manage your stress, the first step is to identify your stressors. Many people have stress in their mind, but they don’t know. First of all, sit down and think about what causes you the most stress. Once you identify it, accept it and then decide, what can you do to minimize the negative effects of that stress”. In order to measure the level of your personal stress level. Amy C. Scholten, developed a Personal stress scale. This is a very useful scale, it will help you to identify your stressors, will help you to accept them and let you know that how much stressed you are! Interpretati...

Alvarado score if frequently used to assess the probability of the presence of acute appendicitis in a patient. In an emergency, patients may present to you with abdominal pain and tenderness that is confined to right iliac fossa. But these aren’t the definite signs of acute appendicitis. Many other conditions may also cause these signs. In order to evaluate the probability of acute appendicitis in an emergency, this score is used. The Component of Alvarado Score. Tenderness at right iliac fossa: When you touch (or press) the right iliac fossa, the patient feels pain. Rebound Tenderness : When you apply pressure on right iliac fossa with your fingers, and suddenly remove it. Patient feels more pain when you remove the pressure. This is called rebound tenderness. Elevated temperature: Temperature more than 99 F Migration of Pain to the right lower quadrant: When you ask the patient how your pain started. He may answer you that pain was first started around the umbilicus and t...