Treatment FAQ

what is the keelman treatment

by Prof. Troy Larkin Published 3 years ago Updated 2 years ago

Keelmen loaded coal into the keel's hold from a "spout" or riverside chute. The keel would then be taken down river on the ebb tide using oars, or sail if the wind was favourable, and taken alongside the waiting collier where the crew would shovel the coal into the collier, working even after darkness.

Full Answer

What is the history of the keelmen's hospital?

In 1699 the keelmen of Newcastle decided to build the Keelmen's Hospital, a charitable foundation for sick and aged keelmen and their families. The keelmen agreed to contribute one penny a tide from the wages of each keel's crew and Newcastle Corporation made land available in Sandgate. The hospital was completed in 1701 at a cost of £2,000.

What were the grievances of the keelmen?

One grievance held by the keelmen was that the Hostmen, in order to avoid custom duties, would deliberately overload the keels. Duty was paid on each keel-load, so that it paid the owner to load as much coal as possible. This meant that the keel-load gradually increased from 16 tons in 1600 to 21.25 tons in 1695.

What is the meaning of the keelman's name?

While it has been stated that the meaning of this title is unknown, it likely developed from an earlier use of 'peedee' meaning "footboy", or "groom", from Latin pede, "on foot". As the railways started to take away the keelmen's trade, most skippers discontinued the employment of a boy in order to save on their salary.

What are the treatment options for Castleman disease?

Treatment depends on the type of Castleman disease you have. Unicentric Castleman disease can be cured by surgically removing the diseased lymph node. If the lymph node is in your chest or abdomen — which is often the case — major surgery may be required.

What did a Keelman do?

The Keelmen of Tyne and Wear were a group of men who worked on the keels, large boats that carried the coal from the banks of both rivers to the waiting collier ships.

What does keel man?

Definition of keelman : a member of the crew of a keel.

How long is a keelboat?

50 to 80 feetMost of these keelboats were 50 to 80 feet (15 to 24 m) long and 15 feet (5 m) wide. They usually had a cabin in the middle or at the rear, but were sometimes constructed with an open deck.

How long has Jeff Winograd been in depression?

Jeff Winograd, who's lived with depression for 25 years, says ketamine treatment saved his life. Jeff Winograd didn’t know an adult life without depression. Since he was 20 years old, he had tried virtually every antidepressant on the market. But he says, “The depression was just a constant.”. By the time he was 45 years old, by then a father ...

What is the name of the medication that is used to treat depression?

The only one that the FDA has approved as a medication for depression is a nasal spray called esketamine (Spravato). It’s for adults who either haven’t been helped by antidepressant pills, have major depressive disorder, or are suicidal.

What is ketamine used for?

Some doctors also use ketamine to treat suicidal thoughts. Ketamine causes what doctors call a “dissociative experience” and what most anyone else would call a “trip.”. That’s how it became a club drug, called K, Special K, Super K, and Vitamin K among others.

When was ketamine first used?

The FDA approved it as an anesthetic for people in 1970. It was used in treating injured soldiers on the battlefields in the Vietnam War. Unlike other anesthetics, ketamine doesn’t slow breathing or heart rate, so patients don’t need to be on a ventilator to receive it.

How many antidepressants has Christa Coulter-Scott tried?

Coulter-Scott has tried 10 different antidepressants over the years. But the dark cloud of depression never budged. Christa Coulter-Scott says ketamine treatment eased the depression she's had for most of her life.

How long does it take for a dissociative drip to wear off?

The dissociative experience starts quickly and takes about 15 to 20 minutes to wear off after the drip ends. A doctor is always on site during the whole process. The doctor isn’t necessarily in the room with the person being treated but is available if they need anything or become anxious or confused.

What are the long term effects of a syringe?

The drug could also cause long-term problems, such as ulcers and pain in the bladder; kidney problems; stomach pain; depression; and poor memory.

How did the coal staiths work?

About 1750 a new development began to be used on the Tyne. New pits were being sunk further and further away from the river and coal was being brought to the riverbank via wagon ways. Once there, in places accessible by colliers, coal staiths were built to allow coal to be dropped directly into the holds of the colliers without the need for keels. The staiths were short piers that projected out over the river and allowed coal wagons to run on rails to the end. Colliers would moor alongside the end of the staiths and, initially, the coal from the wagons was emptied down chutes into the colliers’ holds. Later, to avoid breakage of the coal, the coal wagons were lowered onto the decks of the colliers and were unloaded there. This was the beginning of the end for the keelmen and they realised the threat that the coal staiths posed. Strikes and riots resulted whenever new staiths were opened. In 1794 the Tyneside keelmen went on strike against the use of staiths for loading coal.

Why did the Tyneside Keelmen go on strike?

In 1719 and 1744, the Tyneside keelmen went on strike in protest at this 'overmeasure'. The 1750 strike was also against 'overmeasure', as well as against 'can-money', the practice of paying part of the keelmen's wages in drink that had to be consumed at 'can-houses', pubs owned by the employers.

What was the purpose of the Keelmen of Tyne and Wear?

The Keelmen of Tyne and Wear were a group of men who worked on the keels, large boats that carried the coal from the banks of both rivers to the waiting collier ships. Because of the shallowness of both rivers, it was difficult for ships of any significant draught to move up river and load with coal from the place where the coal reached ...

What was the threat to the keelmen?

Another threat to the livelihood of the keelmen was the development of steam tugs. During a ten-week strike by the keelmen of both Tyne and Wear against the use of coal staiths, the keel owners installed one of the newly developed steam locomotives in a keel equipped with paddle wheels. The keel was not only able to propel itself, but was able to tow a string of other keels behind it. By 1830, Marshall's shipyard in South Shields had begun to manufacture steam tugs, for the Tyne and for further afield. This development did not threaten the livelihood of the keelmen as completely as the development of the coal staiths.

Why were keelmen important?

Because of their experience of handling boats, the keelmen were considered useful in times of war when the Royal Navy required seamen for its warships. During the French wars of the late eighteenth century, the Naval Impress Service would have liked to impress as many keelmen as possible, but the keelmen were officially protected from impressment. However, in 1803, during a time of crisis, the Tyne Regulating Officer captured 53 keelmen with the intention of impressing them into the navy despite their exemption. In retaliation, their wives took up whatever was handy (shovels, pans, rolling pins) and marched to North Shields intent on using any means to rescue their men, whilst the rest of the keelmen went on strike until the captured men were released. A compromise was reached so that 80 ‘volunteers’ (one in ten keelmen) would be accepted into the navy and the rest would be exempted from impressment. A levy was to be paid by the coal-owners and keelmen to provide a bounty for the keelmen who joined the navy. A similar situation existed on the Wear, except that the keelmen there were treated less generously. They had to provide a similar quota of recruits with two landsmen counting as one prime sailor.

How many keelmen were there in 1700?

Most men were unfit to continue the physically very demanding work into their forties. By 1700 there were 1,600 keelmen working on the Tyne in 400 keels. Not all were local: there was a significant number of Scottish keelmen who returned home in the winter when trade was slack.

How did the keelmen load coal?

Keelmen loaded coal into the keel's hold from a "spout" or riverside chute. The keel would then be taken down river on the ebb tide using oars, or sail if the wind was favourable, and taken alongside the waiting collier where the crew would shovel the coal into the collier, working even after darkness.

What is Angelman syndrome?

Your child's doctor may suspect Angelman syndrome if your child has developmental delays and other signs and symptoms of the disorder, such as problems with movement and balance, a small head size, flatness in the back of the head, and frequent laughter.

What test can reveal the chromosome defects related to Angelman syndrome?

A combination of genetic tests can reveal the chromosome defects related to Angelman syndrome. These tests may review: Parental DNA pattern. This test, known as a DNA methylation test, screens for three of the four known genetic abnormalities that cause Angelman syndrome. Missing chromosomes.

What to expect when you find out your child has Angelman syndrome?

Finding out that your child has Angelman syndrome can be overwhelming. You may not know what to expect. You may worry about your ability to care for your child's medical concerns and developmental disabilities. There are resources that can help.

What to do if your baby isn't reaching milestones?

Call your doctor if your baby or child isn't reaching expected developmental milestones or has other signs or symptoms common to Angelman syndrome. Your doctor may then refer you to a doctor who specializes in conditions that affect the brain and nervous system (neurologist).

How to help a child with developmental issues?

Write down signs or symptoms you've noticed in your child, and for how long they've been occurring. Bring baby books and other records of your child's development to the appointment . Photographs and video recordings can be helpful.

What is the best treatment for seizures?

Anti-seizure medication to control seizures. Physical therapy to help with walking and movement problems. Communication therapy, which may include sign language and picture communication. Behavior therapy to help overcome hyperactivity and a short attention span and to aid in development.

Can Angelman syndrome be mutated?

Rarely, Angelman syndrome may occur when a person's maternal copy of the UBE 3A gene is active, but mutated. If results from a DNA methylation test are normal, your child's doctor may order a UBE3A gene sequencing test to look for a maternal mutation.

How to remove a keloid from the earlobe?

It is often recommended after a dermatologist removes a keloid from an earlobe. Laser treatment: This can reduce the height and fade the color of a keloid. It’s often used along with another treatment like a series of corticosteroid injections or pressure.

How often do you get a keloid injection?

Patients usually receive a series of injections once every three to four weeks. On average, patients return about four times for these injections. The first injections tend to relieve symptoms and make the keloid feel softer. Between 50% and 80% of keloids shrink after being injected.

How to reduce keloid size?

It’s used to reduce the hardness and size of a keloid. Cryotherapy works best on small keloids. Having a few cryotherapy treatments before (or after) receiving injections of corticosteroids may reduce the size of a keloid. This can make the injections more effective.

What to do after keloid surgery?

Pressure earring, dressing, or garment: This is often used after keloid surgery. Putting pressure on the area reduces blood flow, which can stop a keloid from returning. Between 90% and 100% of patients who use this treatment as directed after keloid surgery can prevent another keloid.

What is the procedure to remove a keloid?

If a keloid looks like a worrisome skin growth, a dermatologist may perform a skin biopsy. This involves removing a small section so that it can studied under a microscope. A dermatologist can quickly and easily remove a small section during an office visit.

When to start radiation treatment after keloid surgery?

Patients may begin radiation treatments immediately after keloid surgery, the next day, or a week later. Radiation may also be used alone to reduce the size of a keloid. Results, however, tend to be better when it’s used after keloid surgery.

Can cryotherapy help a keloid?

Radiation treatments: Getting radiation therapy after your dermatologist surgically removes the keloid may prevent the keloid from returning.

Drugs Approved or Authorized for Use

The U.S. Food and Drug Administration (FDA) can issue emergency use authorizations external icon (EUAs) to allow healthcare providers to use products that are not yet approved, or that are approved for other uses, to treat patients with COVID-19 in the U.S. if certain legal requirements are met.

Treatment Outside of the Hospital

Your healthcare provider might recommend the following to relieve symptoms and support your body’s natural defenses:

Treatment in the Hospital

Treatments can be used for different reasons, depending on the severity of the illness, in order to:

What is the treatment for multicentric Castleman disease?

Treatment options for multicentric Castleman disease may include: Immunotherapy. The use of drugs such as siltuximab (Sylvant) or rituximab (Rituxan) can block the action of a protein that is produced in excess in people who have multicentric Castleman disease. Chemotherapy. This type of medication can slow the overgrowth of lymphatic cells.

How to cure unicentric Castleman disease?

Unicentric Castleman disease can be cured by surgically removing the diseased lymph node. If the lymph node is in your chest or abdomen — which is often the case — major surgery may be required. If surgical removal isn't possible, medication may be used to shrink the lymph node.

What is a lymph node biopsy?

Lymph node biopsy, to differentiate Castleman disease from other types of lymphatic tissue disorders, such as lymphoma. A tissue sample from an enlarged lymph node is removed and examined in the laboratory.

What is the best test for Castleman disease?

A CT scan or MRI of your neck, chest, abdomen and pelvis may be used. Positron emission tomography (PET) scans also may be used to diagnose Castleman disease and to assess whether a treatment is effective. Lymph node biopsy, to differentiate Castleman disease from other types of lymphatic tissue disorders, such as lymphoma.

What tests are used to diagnose Castleman disease?

Blood and urine tests, to help rule out other infections or diseases. These tests can also reveal anemia and abnormalities in blood proteins that are sometimes characteristic of Castleman disease. Imaging tests, to detect enlarged lymph nodes, liver or spleen.

What is the best treatment for lymphatic cancer?

Chemotherapy. This type of medication can slow the overgrowth of lymphatic cells. Your doctor may recommend adding chemotherapy if the disease doesn't respond to immunotherapy or if you have organ failure. Corticosteroids.

Overview

The Keelmen of Tyne and Wear were a group of men who worked on the keels, large boats that carried the coal from the banks of both rivers to the waiting collier ships. Because of the shallowness of both rivers, it was difficult for ships of any significant draught to move up river and load with coal from the place where the coal reached the riverside. Thus the need for shallow-draught keels to transport the coal to the waiting ships. The keelmen formed a close-knit and co…

Beginnings of the coal trade

Coal began to be exported from the River Tyne from the mid-thirteenth century onwards. The first recorded shipment of coal from the River Wear was in 1396. The pits from which coal was then exported were near the riverside so that as little effort as possible was required to load it. The coal was carried to London and elsewhere in colliers; small wooden sailing ships that sailed down the eas…

The keels

The keels were wooden boats with a pointed stern, so that the bow and stern looked almost the same. They were of shallow draught so that when fully loaded they drew only four and a half feet. The keels were forty feet long and at least 19 feet wide amidships: a very broad configuration. They were carvel-built (smooth sided) and generally of oak, often with elm used below the waterline. In 1266 the standard load of a keel was set at 20 chaldrons (wagonloads) or approxi…

Work and conditions

Keelmen loaded coal into the keel's hold from a "spout" or riverside chute. The keel would then be taken down river on the ebb tide using oars, or sail if the wind was favourable, and taken alongside the waiting collier where the crew would shovel the coal into the collier, working even after darkness. This could be arduous due to the difference in height between the keel's gunwale and the collier's deck. When keelmen struck in 1819 one of their demands was an extra shilling per ke…

Disputes with the Hostmen

The Tyneside keelmen were employed by the Newcastle Hostmen and were often in dispute with their employers. They went on strike in 1709, 1710, 1740 and 1750. One grievance held by the keelmen was that the Hostmen, in order to avoid custom duties, would deliberately overload the keels. Duty was paid on each keel-load, so that it paid the owner to load as much coal as possible. This meant that the keel-load gradually increased from 16 tons in 1600 to 21.25 tons in 1695. A…

Expansion of the Wear coal trade

The coal export trade from the Wear was slow to develop, but by the seventeenth century there was a thriving trade in exporting coal from the Durham coalfield via the River Wear. The tonnage however was much smaller than on the Tyne; in 1609, 11,648 tons were exported from the Wear compared with 239,000 tons exported from the Tyne. This imbalance changed dramatically during the English Civil War because of the Parliamentarian blockade of the Tyne and their encourageme…

The Keelmen's Hospital

In 1699 the keelmen of Newcastle decided to build the Keelmen's Hospital, a charitable foundation for sick and aged keelmen and their families. The keelmen agreed to contribute one penny a tide from the wages of each keel's crew and Newcastle Corporation made land available in Sandgate. The hospital was completed in 1701 at a cost of £2,000. It consisted of fifty chambers giving on…

Impressment in the Royal Navy

Because of their experience of handling boats, the keelmen were considered useful in times of war when the Royal Navy required seamen for its warships. During the French wars of the late eighteenth century, the Naval Impress Service would have liked to impress as many keelmen as possible, but the keelmen were officially protected from impressment. However, in 1803, during a time of crisis, the Tyne Regulating Officer captured 53 keelmen with the intention of impressing …

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