text:
Wednesday, October 29, 2008

Obama's 30 min Infomercial

I'm going to be watching this very closely tonight mainly because I'm not convinced that I want to vote for him. I am... (hushed silence)... an undecided voter. Yes, that's right the same undecided voter who the Daily Show referred to as "The Stupids," or as David Sedaris referred to as not being able to automatically pick between chicken or poopy-glass for dinner (immediately alienating vegetarians.) Still I am undecided.

But not between Obama and McCain. No, the political romance I once had with McCain when I was young and naive was lost when he hired Rove's underlings to run his campaign. And I knew it was gone for good when he picked Sarah "I-don't-actually-know-what-socialism-is" Palin for his running mate. The choice for me now is between Obama and someone else, and in that I am undecided.

You see, I am a fan of the write in vote. I believe that our votes should not be for a candidate because we hate the other person, but because we truly want the person we vote for to have the job. For that reason, I will often pick people I know and admire and write their names in, such as myself for sheriff. (Although it's true I do that mostly out of an Andy Griffith fantasy.) What I am not convinced of yet, is that Obama is worthy of my vote. I've posted in the past about some of the problems I have with him and Biden, and I am not convinced that those issues have changed. What I really want from him is a declaration that he will role back many of the unprecedented executive powers that Bush took, but I suppose that would be too good to be true.

So tonight is his night to sway me, convince me that he is not just the lesser of two evils, but rather someone I would actually want to lead the country of which I am a citizen.

Otherwise, I may be writing in your name.

The Rational Moderate

Tuesday, October 28, 2008

Ted Stevens found Guilty

Couldn't have happened to a nicer guy. Seriously, how did Alaska turn into this election's Florida? The best part of the article is the quote from Palin on how big oil has this corrupting influence on the government and that is why she was elected to root it out. Nevermind that under her the oil companies got even more in bed with Alaska when she negotiated an increase in their payouts to the local citizens.

Thursday, October 23, 2008

Thoughts on the Constitution (Part 1)

I’m starting this series of my examination of the Constitution of the United States for a couple of reasons. 1) This has been on my mind since I started this blog. The Constitution was written as a way to legitimize a country and a government in a way that hadn’t been done before. We talk of the President of being the leader of the USA, but he/she isn’t. The Constitution is the authority of this country. 2) The first thing I said when I heard that Obama was running for president was, “Well, I can finally feel confident that at least one person running has actually read the constitution.” I still feel that way. Palin’s continual responses to describing the job of the Vice President shows me that she doesn’t have a clue what’s in the constitution. And that is frustrating considering that section directly matters to her possible future. It might be excused if I don’t know specifically what the constitution says about the VP, but she is running for VP... 3) There is an ideology behind the Constitution that deserves to be explored. There is sometimes a divide between idealists and pragmatists, but the Constitution is really the best of both. An ideal of a government that is run by the rule of law and not the whims of power hungry maniacs that is tempered by pragmatic compromises and steps to make that ideal a reality. So, I’ll start at the beginning, giving the passage and then my thoughts and I would encourage anyone who has any comments to please add it to the comments section below. Think of it as like Oprah’s book club, only, you know, important. (At the very least let me know if you think I'm wasting my time.)

We the people of the United States, in order to form a more perfect union, establish justice, insure domestic tranquility, provide for the common defense, promote the general welfare, and secure the blessings of liberty to ourselves and our posterity, do ordain and establish this Constitution for the United States of America.

Right from the start we see the ultimate authority for this document: the people. Not, as past monarchies and such had, divine right or genetic lineage, but rather the people who will be ruled by this document allow themselves to be ruled by it. I recognize in this the ideals of the social contract theory most well known by Thomas Hobbes. The idea of a social contract theory works like this: Imagine a state of no government and no authority (so no family members in charge either). In this state of nature, as Hobbes refers to it, we would all ultimately be in a constant state of war against each other because we would all have wants and desires that would be limited by either resources or other’s wanting the exact same things. In this state we simply cannot trust one another to make deals or keep pacts. It is every person for themselves. What happens in this state of nature however is while we are free to pursue whatever end we need or want, we are simply never going to be able to get anywhere near all of the things we could possibly need or want. This is because no matter how strong or intelligent one person may be over others, they are never so far ahead that any other person can’t find a big enough rock to bash their brains out. Lucky for us we are capable of reason and recognizing that it is in our best interest to try and make peace with others to be able to have any chance of achieving our own ends. To achieve this peace requires us to give up some of our freedoms (at least as much as we expect everyone else to give up) to an authority whose sole purpose is to help ensure peace. The people, because it is rational and the only way to ensure we can achieve any of our ends, give their authority over themselves to a governing body.

Many politicians remark that their real boss is the American people, but that is only true to a certain degree. In one way it is true because we can vote, even a step removed, on offices of government and in another way it is true because we are the one who ultimately give up our authority to the Constitution. But once we give up that authority, as we did when the Constitution was ratified, we are no longer the main entity in charge. The Constitution itself becomes the sole authority of the government.

And the reasons why we would ratify the Constitution are given in a very social contract ideal way: to establish justice, to insure domestic peace, for common defense, for the promotion of general well being, and to keep ourselves as free as we can understanding that perfect freedom leads to us pragmatically having little to no freedom.

The Rational Moderate

Monday, October 20, 2008

And this is why McCain got his party's nomination...

... because there really are great people who are conservatives and/or Republicans who aren't like the idiots that made these bumper stickers or scream the obnoxious things from the earlier videos I posted. Let's face it, the people who are behaving the most obnoxiously are not the people who voted for McCain in the primaries but rather those who voted for Huckabee or Romney. McCain, just like Obama over Hillary, got his parties nod because the majority of members were sick and tired of the same old crap that we've had from the Bushes and Clintons and were ready for a more moderate fresh start.

And while both candidates are championing there ticket as the one of true change, McCain's actions, from his hiring the same bozos who trashed his campaign in 2000 to get W. in the white house, to his picking Palin who is simply not qualified and not intelligent enough to pick it up, to his campaign stunts such as suspending his campaign to help fix the economy, to his abandoning the economy as an issue to focus on Bill Ayers a domestic terrorist who has tenuous ties to Obama at best and that even McCain claims to not care about yet constantly bring up, to his using the same company and tacit of robo/auto calling that again smeared him so disgustingly in 2000, these actions do not point to the McCain that the Republican primary voters wanted nor voted for. McCain has let those people down and he should be ashamed of himself.

As I wrote in an earlier comment, some argue that he is ashamed and that is why he has come across so angry in that he really is an honorable person. All that says to me is if that is true, he is a terrible leader since he is the one who supposed to be in charge of his campaign. If he can't do that right, what hope do we have that he'll lead the nation right?

The people in this video deserve better from him. They're standing behind him, but I don't buy that he's standing behind them.

The Rational Moderate

Sunday, October 19, 2008

The Rational Moderate

Thursday, October 16, 2008

3rd Debate Wrap-up

CBS - Obama 53% to McCain’s 22% with undecided voters

CNN - Obama 58% to McCain’s 31%

MSNBC - Obama

Fox News - Obama

Media Curves - Obama 60% to McCain’s 30%

BBC - Their review of “expert” verdicts was 4 for Obama and 3 for McCain with no tie. Their analysts Kevin Connolly gave the win to the American Voters which is not only lame but proof that he hasn’t been paying attention.

I can’t believe I didn’t include ABC news before now - Oh, that’s because their web site stinks and I can’t find it despite a huge link to “Polls” and “Click Here For More Polls” - stupid disney network

My Take - First, Schieffer should moderate every debate. I’m a fan now. I’m getting the podcasts for Face the Nation right now.

Second, I thought McCain started well and then went into lala land with some ridiculous statements including talking about the “health” of women as code for “give me an abortion so I can go back to whoring around,” his incessant muttering that he knows how to do everything to fix every problem we face without ever telling anyone else despite his being in a position of authority already by being a senator, his stating that he’ll freeze every spending program except for three and then describing how he’ll spend money on these same problems, and, one more for abortion that made me feel like I had my own Life on Mars experience, how he wouldn’t use Roe v. Wade as a litmus test for the Supreme Court but thought that anyone who agrees with Roe v. Wade would not be qualified. (In fairness this isn’t a direct contradiction but rather he thinks there is a correlation between agreeing with Roe v. Wade and being wrong on a  host of other issues that would not make one qualified. I still found it jarring.)

Third, Obama was fine. Not spectacular, not making any mistakes that contradicted or confused his position. He seemed exactly the same as the last two debates so I guess I didn’t think he did too well, but the polls again disagree with me. It’s likely because of the reasons I gave about McCain. He does seem erratic. I know Schieffer was hammering them both of the negative comments, specifically Obama’s erratic comment, but that’s the way he looked to me. You can make a partisan comment and still be right. Obama, on the other hand, never had that nervous energy that McCain kept showing up in his odd quips, sarcastic lines, and laughing at his own jokes. As I said last time, I think this is done and Obama will be the next president. But there is one last chance for a turnaround for McCain - he finally appears on Letterman tonight. After canceling with Dave by saying he was suspending his campaign and flying immediately back to Washington to try and fix the problem, Dave got a feed into Katie Couric’s anchor booth to see McCain sitting there waiting to do an interview. Needless to say, Dave spent the better part of the episode and the weeks to follow calling out McCain about it, describing the move as “fishy.”

The Rational Moderate

Wednesday, October 15, 2008

The Argument From Authority Fallacy

I always love a reason to bring up and discuss a logical fallacy. Recently a letter has been signed by every winner of the 2008 Nobel Prize in science that endorses Barack Obama for president. At the face of it this looks like an example of the argument from authority fallacy which basically states that just because someone is in a position of authority does not mean that the views the express are correct.  So while it shouldn't be argued that these are individuals who excel in their chosen fields, it does not follow that their political arguments are sound.

There are some exceptions to this rule. One is if the individuals are describing something that is in their field of expertise. This letter specifically addresses the scientific issues that have been hurt by the Bush administration and which look to be better understood and appreciated under an Obama administration. In this sense, the fallacy is still true, we shouldn't just accept their conclusions because of their authority, but since it is their field of expertise we can give their opinion more weight than we would if it wasn't their field of expertise. In this case, the weight of their authority and the weight of the evidence of their position leads to accepting their position.

Now it is important to understand that their endorsement is really only about science and technology with a passing nod to the notion that these are the tools we must use to fix the other mounting problems we face. So, if the economy and national defense are more important to you, then you would have to decide if science and tech are more important than other factors such as diplomacy, military strategy, and invisible hands then you might agree with these Nobel Laureates. But their being Nobel Laureates isn't sufficient by itself to make the conclusion true.

The Rational Moderate

Sunday, October 12, 2008

Calling Someone a Terrorist is a Form of Terrorism

Falsely invoking terrorism is a form of terrorism. If the idea behind terrorism is to terrorize (use tactics to make others instantly and incredibly afraid) some group into doing either a) what the terrorist wants and/or b) something other than what the group would normally do, then the outcome of calling someone a terrorist is to get others to be afraid of being around or associating with that individual. Since 9/11, the US has been in the thrall of the word terrorism. It has been used over and over to make us afraid of “others” in the world who would do us harm. For some, such as myself, this can become numbing. I don’t tend to think much about anyone labeled a terrorist anymore since it is used so often and incorrectly.

Now the definition I am using to describe terrorism may be objected to as being too broad, as it may include such tactics as using fear to get someone to stop smoking, or brush their teeth, or be good or receive a lump of coal at Christmas, or worship one specific God or spend eternity listening to New Kids on the Block. I added the qualifiers instantly and incredibly to offset the difference between simple fear and the full blown terror that terrorism is attempting to invoke. The fear involved in terrorism arises from sudden and unexpected actions that is of a much grander scale than the examples of fear I gave earlier. And this leads to my conclusion that given the climate of our country and the rhetoric of its leaders since 9/11, calling someone a terrorist who has not done the actions of a terrorist is an act of terrorism. It is an attempt to make someone so suddenly afraid of that individual that they will abandon their previous way of living and thinking and adopt one more in line with the invoker or will at least stop what they were doing.

Lately, McCain/Palin supporters have gone in public and proclaimed Obama a terrorist (see last post.) Now I’m not saying this is representative of all of his supporters, nor am I disagreeing with my earlier post that most of these individuals are mostly saying these things to rile those they see on the other side of the ticket. But to use the term terrorist to describe a Senator who is running for President is to try and scare someone into either a) voting for the other party or b) getting them to not vote for someone else, or not at all.

I’m calling them out as terrorists.

The Rational Moderate

Friday, October 10, 2008

We're in the News, Bethlehem PA

Well, apparently McCain and Palin held a rally at Lehigh Uninversity the other day, right in the heart of southside Bethlehem. I'm sorry I didn't hear about this until it was too late, because I certainly would have gone down there to talk with some of the supporters. But that isn't what is making the news. Rather it, at first, was the head of the the Lehigh County Republican Chairman Bill Platt's asking the crowd, "Think about how you'll feel on Nov. 5 if you see the news that Barack Obama, Barack Hussein Obama, is president of the United States." Now, I don't actually have a problem with calling someone by their full name, but some are referring to this as a wink and a nod to Obama being a terrorist, or secret Muslim, or related to Saddam because middle names carry over.

But while McCain was here taking about his opponent he was interrupted by my neighbors shouting "socialist," "terrorist," and "liar." On top of that, there are some very interesting individuals on video making the same claims, only this time in Ohio:
But again, here are my neighbor's reactions:

Now, I really love living in Bethlehem and that's even knowing that an idiot like Michael Behe (intelligent design proponent who cannot come up with a new argument for his position and does not respond to the thousands of articles, experiments, and arguments that counter his views) is working over at Lehigh, but I'm really worried. I'm worried for two reasons. 1) These people are really like this and believe the things they are saying, or 2) They are so easily caught up in the crowd that they are saying things they don't really believe to get a rile out of those who disagree with them. I actually think it is the latter, but what worries me about that position is that it is counter to exactly what this country needs and to what I am sure a majority of people from all political positions want which is to actually have conversations about the things that matter. I don't think you should be uttering things you don't believe to get on the other's nerves. So cut it out Bethlehem, and Ohio, and every other place where this kind of nonsense is happening.

The Rational Moderate

Wednesday, October 8, 2008

Debate, Round 2

CBS - Uncommitted voters went with Obama 40% to 26%

CNN - Obama

MSNBC - Obama (but this one seems particularly skewed)

Fox News - Obama

Media Curves - Independents for Obama 52% to 34%

BBC - didn’t really have anything on their own but linked to Newsweek’s Richard Wolffe who called it a tie which gives it to Obama.

My Take -

I thought it was ugly. I thought Obama avoided answering some questions and he needs to stop doing that. It is a strength for him. While some politicians do better by moving the question into a direction better suited to what they want to talk about, it is worse when he does that because he can specifically answer the question and should.

I thought McCain attacked Obama too much with things that were easily responded to, such as his arguments about Obama “invading” Pakistan or his record on tax increases.

I thought McCain started off looking angry and ended up looking really flustered and nervous. The weird jokes he made, the dropping of the microphone into his hand when he finished a question... these are the actions of someone who is really nervous.

I think McCain’s really worried, and I think it’s going to get really, really ugly.

The Rational Moderate

Friday, October 3, 2008

VP Debate Wrap Up

Polling wrap up on last night’s VP debate. (Again, I’m not linking to these so if you doubt me check out a lovely thing called “google”)

CBS - Biden, as more uncommitted voters went his way. Though Palin’s numbers did increase as far as knowledge and preparedness (though I can’t imagine they could have gone down considering...)

CNN - Biden, though again Palin did better than expected.

MSNBC - Biden

Fox News - Biden - I could actually find the poll this time. Commentator Aaron Bruns gives it to Biden, but thinks it won’t have an effect on voters whereas Palin has reassured her base that she can handle the job.

Media Curves - Isn’t up, though commenters who saw their results said once again independents favored Biden.

BBC -  commentator Kevin Connolly gives it to Palin, but again prefacing that with the fact that she was expected to fall on her face and didn’t rather than on her making any decent points. If not for that he would have called it even.

My Take: Yeah, I admit that I was watching this for the same reason that millions of NASCAR fans watch cars driving around in circles - I wanted to see a fire ball explosion. And yeah that didn’t happen. But paying any attention to Palin’s answers to the questions compared to Biden, it is clear that she doesn’t know what she is talking about but just managed to hide it better than she has in her interviews. What I thought was interesting was that Biden never once attacked her on anything. He defended against attacks on him by her, but never attacked her directly on anything about her experience or her being a maverick. (I’m so sick of that word I could scream) This was clearly calculated and I think it worked as instead of getting bogged down into what is a monumentally bad decision by McCain, he basically ignored her while coming off as gracious. One of the biggest fears for Obama’s side was that Biden would come across as a big overbearing bully against Palin, but by ignoring her and her *ahem* experience, he avoided that trap.

The Rational Moderate

Thursday, October 2, 2008

Cracked Skepticism

Cracked has gone from a terrible revamped magazine to a pretty decent website.
In honor of the first word in the title of this blog, I really enjoyed this article on several mysterious non-mysteries.

When I was a child I was terrified by the Bermuda Triangle. The idea that there was a particular part of the ocean where boats and planes would just disappear made me wonder why someone wasn't stopping people from passing through that region.

Then I got a little older and read a little more and found out that the triangle was really more of a trapezoid of sorts and I thought, "Holy Crap! This is larger than I thought! Why isn't the Coast Guard doing something?"

Then I got a little older and read a little more and found out that the area of the ocean where the triangle is has about as many if not fewer disappearances as any other well traveled part of the ocean and I thought, "Holy Crap! The ocean is a death trap! Why would any one travel anywhere overseas?"

And then I got a little older and read a little more...

The Rational Moderate


Content-Type: application/http; msgtype=response

WARC-Identified-Payload-Type: text/html

WARC-Type: response

text:
We are proud to announce that the Conrad N. Hilton Foundation awarded the Trust a two-year, $400,000 grant to improve our wrap-around supportive services, allowing us to better address the long-term needs of residents who struggle with chronic health conditions. While the security of a permanent home is the first step towards safety, stability and wellness, ongoing access to essential health services is critical to a better quality of life that will last. For instance, the Trust has been developing “aging in place” strategies to help the increasing number of older residents continue living independently for as long as possible, including targeted workshops on depression, hypertension, heart disease, diabetes, and home safety. With the support of the Hilton Foundation, we will continue working to identify and fill gaps in our outreach, housing, and health services so that we can continue breaking the cycle of homelessness and hospitalization.

The Hilton Foundation was created in 1944 by international business pioneer Conrad N. Hilton, who founded Hilton Hotels and left his fortune to help the world’s disadvantaged and vulnerable people. The Foundation currently conducts strategic initiatives in six priority areas: providing safe water, ending chronic homelessness, preventing substance use, helping children affected by HIV and AIDS, supporting transition-age youth in foster care, and extending Conrad Hilton’s support for the work of Catholic Sisters. In addition, following selection by an independent international jury, the Foundation annually awards the $2 million Conrad N. Hilton Humanitarian Prize to a nonprofit organization doing extraordinary work to reduce human suffering. From its inception, the Foundation has awarded more than $1 billion in grants, distributing $100 million in the U.S. and around the world in 2014. The Foundation’s current assets are approximately $2.5 billion. For more information, please visit

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *

warcinfo:
robots: classic
hostname: ip-10-148-41-166.ec2.internal
software: Nutch 1.6 (CC)
isPartOf: CC-MAIN-2017-30
operator: Common Crawl Admin
description: Wide crawl of the web for July 2017
publisher: Common Crawl
format: WARC File Format 1.0
conformsTo: http://bibnum.bnf.fr/WARC/WARC_ISO_28500_version1_latestdraft.pdf


WARC-Identified-Payload-Type: application/xhtml+xml

text:
Sunday, December 5, 2010

Mediterranean Baked Lima Beans

This weekend we got rid of the microwave! and put up xmas decorations, the house is feeling good so it was time for a good cooked lunch.

This recipe is from Veganomicon- the ultimate cookbook- I've just got it and am loving reading it! (only about half way through atm) I have a feeling I will be trying many more.
I'm notorious for changing recipes I always seem to be missing something or have dried instead of fresh etc etc so I must admit I've omitted the onion/garlic/salt/pepper, used stevia instead of maple syrup, chopped instead of shredded the carrots, roughly chopped the herbs which I've used fresh instead of dried, used as little oil as I could get away with and made less than half the quantity... and pulled it out when it still had a fair bit of sauce with it because I wanted to use it on my veggies and rice. I really don't think they'll mind- it tasted amazing! I can't wait to try more of their genius recipes! But I'll put the proper recipe up here for those who can actually follow recipes.

Mediterranean Baked Lima Beans
ok my eyes are definitely bigger than my stomach- I could only finish half of this!
Serves 6-8, Time: 1.5hrs (not including soaking beans)
1 pound dried, large lima beans, soaked for 8 hrs
2 quarts water
2 bay leaves
1 vegetable bouillon cube
1/4 cup olive oil
4 cloves garlic, minced
1 med yellow onion, chopped finely
1 small carrot, shredded
1 (28oz) can diced or crushed tomatoes
2 tsp red wine vinegar
2 tbsp tomato paste
1 tbsp maple syrup
1 tbsp dried oregano
2 tsp dried thyme
1 1/2 tsp salt
Pinch of ground nutmeg
Black pepper
1/4 cup finely chopped fresh parsley
3 tbsp finely chopped fresh mint
  • Drain and rinse beans
  • Put in pot with 2 quarts of water and bay leaves
  • Bring to boil then simmer for 30 mins
  • Skim off any impurities (white foam)
  • Reserve 1 cup of the cooking water- dissolve bouillon cube into it
  • Heat oven to 375
  • Oil casserole dish or dutch oven
  • Prepare sauce in large pan or dutch oven
  • Heat garlic on medium till it sizzles
  • Add onion and stir till translucent and soft (3/4 mins)
  • Add carrot, stir, cook for another minute
  • Add the tomatoes, reserved bouillon, red wine vinegar, tomato paste, maple syrup, oregano, thyme, salt and nutmeg
  • Stir and bring to the boil, then lower and cook for 10-12 mins to reduce
  • Stir in beans, parsley, mint
  • Place in casserole dish/dutch oven, cover and place in oven for 30 mins- stirring occasionally until the beans are tender and the center is creamy
  • Uncover and bake for an additional 10-15 mins
  • Allow to cool for 10 mins before serving.
This sauce is amazing- I'm definitely adding it to my usual eats. It would taste great with other beans/lentils or rice/potato dishes or as a pasta/veggie sauce. A good all rounder. Enjoy- I know I did! xxx
Pin It

Watermelon Rind Tom Yum Soup

Quick and easy recipe- my first shot at a watermelon rind dish and I think it went quite well if I do say so myself. I cheated somewhat and used this paste, but it's yummy so I don't care!

Watermelon rind is surprisingly filling- yay for water and fiber! I have no idea of the calories but seriously whole watermelon is ridiculously low cal and this is the white bit not red bit so no sugar= less cals. Judging by the taste i'd say its calorie count would be comparable to green vegetables like celery/cucumber- it's seriously water and fiber with a hint of watermelon (but not sweet).

I'm so excited about finding this new ingredient! I hate waste so I'm kicking myself for all the times i've thrown it out when I could have eaten it but never again! I'm going to try it in stirfrys, soups, currys, stews, salads- you name it!

Watermelon Rind Tom Yum Soup
Serves 2
2 cups diced watermelon rind (only the white bit!)
4 tsp tom yum paste (less if you don't like it hot)
1 medium carrot
3 button mushrooms
coriander to garnish
  • fry off tom yum paste till it's fragrant and the oil splits out
  • add 5 cups water (I use the kettle to make it quicker)
  • add watermelon rind
  • add carrot
  • simmer until watermelon rind changes from hard and white to softer and a darker white with a hint of green (to your taste- just remember it will keep cooking in the soup whilst you're eating)
  • put mushrooms in the bowl raw (just being in the hot soup will cook them enough)
  • garnish with herbs
I'm making this one again for sure! You should all try it- don't throw out your watermelon rind!!!
Pin It
Related Posts Plugin for WordPress, Blogger...


text:
Thursday, September 29, 2005

Appointment today ....

Went in for the monthly visit today at 29 weeks 3 days.
Weight gain: 12 pounds
BP: 90/50 (she asked me if I had been drinking enough fluids becuase it was so low)
Baby's HB: 150's
And that was that.
Now I start every 2 week visits. I'm so ready to be on the 2-week cycle ... it means I'm getting closer and that is exciting news for me ;-)
I will get the 3 hour glucose test next Friday. They wished I would get it done sooner, but at the same time the midwife said it would be okay to wait that long since she's sure I'll pass it anyway. But htey would like me to limit carbs in the meantime and increase protein, which is fine with me honestly. No biggie really.
Baby is breech still, but no biggie. They won't care until 36 weeks and even then, not really care until 38 weeks. My second flipped late, so I'm not worried (but okay, I'm a tiny bit worried since I know I'm high risk for preterm labor).
And that about sums up my visit today.
So for the month of October, I have weekly PT visits (all on Wednesday), I will have 2 OB appointments, I need to make a dentist appointment for myself, we have my 5 year olds fine arts on Mondays, Ballet and Awana on Thursdays .... yeah, I get the feeling I'll be plenty busy for the next 4 weeks. So here's hoping the month of October just flies by. I would like to blink and be at Halloween really. That would be my ideal scenario ;-)
I have officially started Christmas shopping (one person is all the way done and several started). Okay, not much really, but enough that I'm excited about it LOL!
I'm also planning a big party for the end of October. I haven't done hardly anything for it yet :-(
I think tomorrow I may have to come on here and type out a huge to-do list. I have plenty to do for this party, plenty to try to do for Christmas (I would like to be done early this year), just general fall things around the house (i.e. summer things out of closets/dressers), I want to start getting things ready for baby (as a just in case), and then I would like to squeeze in some fun things for myself if at all possible.
But I am feeling tired just thinking about it all LOL!!! Oh well .. I will get through this month. Hopefully it will fly by. And before I know it, it will be November, and how exciting will November be? My dh will be done with his fall job, I believe the gp's will be leaving for Florida, Christmas will be out of the way, and life in general will settle down for a few weeks as we all wait baby's arrival.

No comments:


text:
Monday, April 16, 2007

What's your identity?

Today I heard something on the radio that I thought was interesting ... (later I'll try to link you to it, but need more time to find it).
So it really got me thinking, in a deep way. I'll probably struggle to explain it all, but I'll try ... it was specifically talking about those identities that aren't the best to have. It mentioned 5 of them:
1. The Past - your past is hanging over you. Most likely something bad happened during it or you behaved in a way that you think is shameful. You are either trying to hide your past from people, or it is holding you back because you can't move past it.
2. The Performance - you believe you are the sum total of how you perform. Therefore, you are trying to always be perfect and be successful and trying so hard to do everything right, because if you do things right than you are a good person. But if you screw up (which is going to happen eventually) then you feel like you must be worthless and no good, etc
3. The Problem - your life is whatever your problem is - you aren't pretty enough. You are too fat, whatever you feel is your problem is what you use to define your identity.
4. The Present - you are so caught up in the present - life is just the current crisis going on. Then you fly on to the next crisis and the next one and you are so caught up in the present moment that it is a HUGE CRISIS AND YOU FEEL SUCH A SENSE OF URGENCY about it
5. Prideful -just full of pride and thinking you are so grand and you know everything and usually, underneath it all, really you feel very unsure of yourself and so this is how you act to offset those feelings.

Interesting huh? I thought so. I see myself stuck in at least 4 of these identities, which I suppose means I have a lot of work to do to find a more healthy identity. I can definitely see these identities in a few people I know.

I suppose I have been told this same stuff, just in other ways before, but for some reason, hearing this today on the radio, in the way it was presented really hit home to me. I really understood it this time. I just don' t know how to change it. That's where I get stuck. It's easy to tell a person not to think a certain way, but I don't have a light switch in my head that I can switch off. There are things that have been in my subconscious for a long time. Most of the time I don't get what I'm doing. It's not like I sit here and think "Oh, well I have very low self-esteem because I'm stuck in my past and some not so pleasant things that happened to me and some bad memories I have. So if I could just learn to get over it and move on, things might change for the better"
No, most of the time I think "well life would be easier if I were smarter." or maybe if I was prettier or maybe if I just did x better or y better. Or if we had more money or if my dh was home from work more, or ......... I think you get the picture. And I'm busy ignoring the things I probably shouldn't be ignoring at all. I suppose, and maybe this is a silly analogy, but it's like I'm saying the house is too cold so I'll turn up the thermostat all the while ignoring the window that's wide open ...

Anyway, I guess it gives me a lot to think about truly .... I would have to say probably my biggest thing is my identity is stuck in the past which fuels me into performance, problems, and present.

So, do you think your identity is stuck somewhere it shouldn't be? Which one?

1 comment:

Damselfly said...

Interesting questions! I'll have to think about them....


text:
Sunday, December 30, 2012

Last sketch of the year, Sketch #191

A little bit late on this last Sunday in 2012, but hopefully this sketch will inspire you to make a wonderful creation at the end of this year.
We want to thank you all for your contributions throughout the year.
You all make this blog!
There will be some small changes next year (read:next week*lol*) that we hope you all will appreciate.

Papirdesign give this weeks winner a surprise present!!!

Here's Nabons sketch #191
Our SUS Marie's contribution
Lula: Followed the sketch

Broggis: I have followed the sketch:)

Brit: I have followed the sketch by placing things in the middle of the page.

 Arnlaug: "Followed the sketch pretty close. Just added a bit at the top and the bottom."

Thursday, December 27, 2012

Top 3 Sketch #189

Happy holiday everyone! Hope you all had a wonderful celebration with family and loved ones.
Its time to presentate our last weeks winners.

Michelle Looi, congratulation!!
Stunning work of art here. Fresh colors -love it! And the title, its sooo cute!
Please e-mail us your adress.

Next one up: Yvonne Yam!
Loved the colors and all the big bold flowers!

Last one: Skrebuka!
The picture is so sweet. Playful effects on the splatters and painting!

Congratulations everyone :)

Sunday, December 23, 2012

Sketch #190!

Here in Norway we open our gifts ar Christmas eve, and that's tomorrow!! Can't wait!!!

Papirdesign give this weeks winner a surprise present!!!

This weeks sketch is made by me, Nabon, hope you like it, and get some time this week to be creative with it!

Sketch #190
 Linda - followed the sketch
 Nabon - Followed the sketch, did use 3 photos in stead of 2!
 Scarlett - This week I followed the sketch and decided to use a 4x6 photo from our vacation to Disney World many moons ago, LOL.  I replaced the other photos with fun embellishments to create a jungle scene.

And to you all;

Merry Christmas!!!

Tuesday, December 18, 2012

Top 3 from sketch #188

Here is our top 3 from sketch #188.
We have chosen these three lovely pages:

First out, and the winner of our RAK this week, is:
Congratulation! Your page is gorgeous!
Love your colorful background, all the cute embellishments and off course
your sweet photos. Your little flag-banner is SO cute :)
A great take on the sketch!

The second one is this fresh page from Ulrika.
Take a look on how she has manage to capture the details in the photos.
 Beautiful! Congratulation Ulrika. A stunning page!

Last but not least is this cute layout from Elisabeth.
I love the way you solved this sketch! So smart to use all that text.
A really great page, Elisabeth! Congratulation!

Thanks to everybody that followed our sketch this week :) Hope to see
many great pages for the new sketch too!

Aida, please send us your adress, and you will get this RAK sent to you :)

Sunday, December 16, 2012

Sketch # 189

Its sunday and time for a new sketch.
Our talented Nabon made this lovely one!
Feel free to join us :)

I have followed the sketch and used metal dies as a mask to make the background.
The circles are colored with Promarker pens.
Followed the sketch, just moved the title.

I turned the sketch one step to the right,
so that the motive was a little bit further down on the page.

I followed the sketch.

I think I have followed the sketch pretty well.

I followed the sketch and was inspired to make a page in memory of the angels lost to the tragedy in our country this December.

This weeks RAK

Winners #187

Last but not least, we finally have a winner for you!
Thank you so much for your stunning work ladies :) A bunch of great work -once more!

Congratulation MARINA!
 We just love your layout. The cutest little picture, adorable CS style and lovely bright colors.
Fantastic :)
Please e-mail us for your price.

Kelly Foster made this lovely page!
Look at all the georgeous details -the cute little cupid, the masking, the paste and the color combo. Stunning!

Scrappa, we love your CS style!
There is no need for anything more added at this one :)
The print put that extra "touch" to the page!

Thank you all for your contributions!

Sunday, December 9, 2012

Sketch #188

It`s Sunday again, and time for a new sketch here at Skissedilla :)
We have now come to #188 !!!

It`s cold and snowy here, but nice to sit inside doing some scrapping ;)
I guess many of you are busy with Christmas preparations. But I hope you can
find some time and join us on this cool sketch that Linda made.

Marie (selected scrapper):
I mirrored the sketch.

" I have followed the sketch"

"I followed the sketch!"

"I guess I have followed the sketch pretty close ;)"

"Followed the sketch."

"Followed the sketch pretty close! Mirrored it, thats it! :-)"

This week I followed the sketch and decided to add a photo and journaling spot too!

This week`s RAK:

Thursday, December 6, 2012

Its that time! Last week we had a special price for the winner. It was to become a selected scrapper for february 2013. We are so exited to announce the winner!

We love your artsy style! All those contrasts blow us away, its sooo delicate. We also love your pictures.

Congratulations Kelly! Please email us and you will get more information.))

This week we also want to show you this pretty page  by MICHELLE.
You have captured a cool wintermoment! The way you have used different shades of white and beige, brings out the winter/frost feeling. Love the snowflakes!

LYNNDA has also caught our eyes this week. We are in love with theese colors! Such a playful layout, with the mushroom, skies and pelicans;)

Thank you all for your contribution!

Sunday, December 2, 2012

Sketch #187 and a new Selected Scrapper

We have a new Selected Scrapper for you this month! We are so proud to introduce
  Marie Nitteberg
for you today.
She has her own way of making the most georgeouss pages in a colorful and fresh clean & simple style.

Hi every Skissedilla fan.
 I concider this invitation to be a selected scrapper both an honor and a little "push" to get me started scrapping again. It's been over a year since i last touched paper, and my focus has been on changes in my life, family, work and friends. However it was good to get started again, and a sketch is always a good inspiration. Short about me: I'm 31 years old from Finnsnes in the north of Norway, have two beautiful kids who's 5 and 2. I started scrapping about 5 years ago and my style has evolved through finding lots of inspiration among scrappers all over the world. Somehow I mostly end up with something simple, with clean lines and a lot of color. An addiction is to use promarker pens to alter a decor. It can be almost anything; from beads, flowers, tissue tape and any kind of paper. I'm sorry for the very non-updated blog link, but I'll be happy if you have a look anyway :):) Thanks to all the talented girls in Skissedilla!

Mvh, Marie Nitteberg

This weeks sketch is made by our talented Brit.
We loved playing with it and hope you do too :)

I followed the sketch and used promakers to put contrast to the cut outs.

I have followed the sketch pretty close.

I was inspired by the tape and the splatters.

I followed the sketch.

Followed the sketch pretty close.

I mirrored the sketch.

I was inspired by the general design of sketch and had fun embellishing and creating a whimsical page from there.

are sponsing this weeks RAK!

"C'est Magnifique Kits is a US based company whose kits predominantly feature 'hard to find' international papers. You will find papers from Denmark, Poland, France, Sweden and many other countries. We have also featured embellishments from Australia, the UK and Poland.If you are looking for a kit club that serves something a little bit different - come check us out! And we would love it if you jumped right in on our forums and gallery!"

This months RAK sponoserd by our Selected Designer.


text:
Thursday, 10 November 2011

Year 2 Kitchen Fight Editorial

Kitchen Fight editorial..Not very happy..I will have to change it before I have to hand it in

Year 2 Night Milk Editorial

This is my favorite Editorial so far. The article was about a new patent called night milk, that helps insomniac people. I really enjoyed doing it because I used more than one media. I used pencils, watercolours, photoshop and whatever I could find and looked fun to work with.

Year 2 Electrical Appliances Editorial

So this was for an article about smart appliances that can be turned on and off from a computer or smart phone..After several attempts and different ideas, this is the one I submitted. I left the hands and background black, to emphasise the phone and all the "smart" applications.

Year 2 Tokyo Editorial

This is my first ever attempt to an editorial Illustration. We were given part of a "Lonely Planet" article about Tokyo as a holiday destination.. Not so crazy about the smiling sushi but loving the rest..
What do you think?

Uni work Year 1

Im currently studying Illustration in Wolverhampton... Im not head over heels about the course but I must admit some some of the projects are quite cool.. What do you think?

This was a project about a client who wanted covers for Childrens fashion books.. They didnt like it
I dont like it either, but it was fun doing it and sewing all the parts.

This one was an interpretation of a childrens poem called "the garden" if I remember correctly..
 Same poem as above...
 Lloyds TSB advert. They gave us some phrases that represent the bank. I chose, we act wisely. The next 2 pieces represent wisdom, with the 3 wise animals of the forest, and below that, a woman portrayed as an oak tree.

Blast from the past..

So I've been updating my portfolio for a job interview and I found these bad boys...dont even remember doing them... The New York ones a the bottom are my favorite I think..
 I might start doing stuff like that

The beginning...

So after jumping on the twitter train and all the other social media, I decided it was time to join the blog world as well. Dont worry I wont be writing my thoughts 'cause I'm sure it will scare people away. What I'm gonna do instead, is post some artwork that I've done through years and some uni work that I'm doing now and I'm also gonna post stuff that I like and inspire me....Hope you enjoy, and I would love some feedback :) Cheers


text:
Friday, 12 January 2007

NMC undergoing massive expansion

The New media Consortium islands, already an excellent port of call for anyone in education (NMC comprises over 200 colleges and universities), is undergoing yet another growth spurt.

Cornell and Princeton are the latest additions, though not open to the public. MIT is also here, but little seems to have progressed on this in the last couple of months. In addition, a cluster of new islands are being added. Many appear to be general teaching islands, while others are focused on specific disciplines: Maths; Sciences; Arts & Letters. This site is rapidly becoming - or has already become - the largest cluster of islands in SL! I make it 30 sims. Please Note: to go there you will need to join the NMC guest list here.

Team Mascot said...

Hi Alestair - some of the massive expansion of the NMC island may relate to NMC Connect - a Visual Symposium for artists: To quote the web site... "Join hundreds of artists, educators, designers and researchers in a visual symposium for Second Life: NMConnect. Structures of artistic expression in every medium will be linked and combined to tell new stories on how we bond within our shared new worlds."

There is a Call for Artists out now (11-31 Jan 07) in time for the symposium on 11-13 Feb 07.

Details at

Aleister Kronos said...

The expansion may be related to this Symposium. However, (1) there is relatively little time to get a stable, debugged set of islands up in time; (2) the island names do not indicate such usage and (3) there is already a stable group of around 6 islands that should be enough for NMC needs. But if they can get the new islands up, then that's even better!


WARC-Truncated: length

text:
Breast Enlargement Doctor In Moretown Vermont

Just what is breast enhancement surgical procedure in Moretown Vermont?

Breast enhancement surgery involves utilizing breast implants or fat, described as fat transfer boob job, to boost the size of your busts or recover breast quantity that has been shed after weight decrease or pregnancy.

Video: Breast Enlargement in Moretown

Breast enhancement is clinically described as augmentation mammaplasty.

Breast enhancement can:

Increase fullness and also projection of your busts
Enhance the equilibrium of your number
Boost your self-image and also self-confidence
Breast implants may also be made use of for bust repair after mastectomy or injury.

What breast augmentation surgical treatment will not do In Moretown VT

Breast enhancement does not proper badly drooping breasts. If you want your busts to look fuller and to be raised as a result of drooping, a breast lift might be needed along with breast augmentation.

Breast lifting could typically be done at the exact same time as your augmentation or may need a different procedure. Your plastic surgeon will assist you in making this choice.

Breast augmentation expense Moretown Vermont

The typical expense of breast augmentation surgical procedure is $3,708, according to 2014 statistics from the American Culture of Plastic Surgeons.

The average cost for elimination of breast augmentation was $2,330 in 2014.

If you are a breast enhancement prospect, please remember that expenses can vary. The average charges referenced above do not include anesthetic, operating space centers or other relevant expenses.

A surgeon’s cost for boob job surgical treatment could vary based on his or her experience, the type and price of breast enhancement made use of, along with geographical workplace place.

Numerous cosmetic surgeons use individual financing plans for boob job surgical treatment, so make sure to ask.

Breast enhancement cost might consist of:

Anesthetic charges
Hospital or medical facility costs
Clinical examinations
Post-surgery garments
Prescriptions for drug
Specialist’s cost

Your satisfication involves more than a fee. When choosing a board-certified plastic surgeon in your area for breast augmentation surgery, keep in mind that the surgeon’s experience with breast enhancement as well as your comfort with him or her are equally as vital as the last cost of the surgical treatment.

Moretown Vermont Breast augmentation surgery and health insurance protection

The majority of health insurance strategies will certainly not cover aesthetic breast enhancement expenses, relevant difficulties or an additional surgical procedure to revise the appearance of your busts.

Some carriers also leave out breast diseases in clients that have breast implants.

You must very carefully review your health insurance policy.

Boob job prospects
Breast enhancement is a very personal procedure as well as you should do it for yourself, not for somebody else.

You could be a prospect for boob job surgical procedure if:

You are physically healthy and balanced
You have realistic assumptions
Your busts are fully created
You are troubled by the feeling that your busts are too tiny
You are dissatisfied with your breasts losing form and volume after pregnancy, weight-loss, or with aging
You are miserable with the upper component of your bust showing up “vacant”.
Your busts are asymmetrical.
One or both busts cannot establish usually or have a lengthened shape.

Numerous patients locate it helpful to evaluate breast augmentation photos and learn more about what to anticipate throughout recovery as they navigate the decision-making procedure to have surgical treatment.

Boob job recuperation Moretown

During your breast enhancement recovery, you will certainly be taken into a recuperation area to be very closely monitored adhering to surgical procedure.

Your busts will certainly be covered in gauze dressings and a stretchable bandage or assistance bra will certainly decrease swelling and sustain the breasts as they recover.

You could be permitted to go house after a few hrs.

Before leaving, you will be offered details instructions that might include how to care for your busts complying with surgical procedure, medications to apply or take by mouth to aid healing and also reduce the risk of infection, and when to follow-up with your cosmetic surgeon.

You might be advised to use a support bra all the time for the very first week or more. It will certainly be important to clean the laceration websites as well as use ointment as directed. Make certain to follow all directions thoroughly.

After a post-surgical breast enhancement recuperation period of 24 to Two Days as well as an added reduced-activity duration of a few days, you will likely experience soreness and also swelling for a couple of weeks.

Exercise and also typical task can resume at the direction of your cosmetic surgeon.

previous next

  • Breast Enlargement Doctor In East Middlebury Vermont
  • Breast Enlargement Doctor In Belvidere Center Vermont
  • Breast Enlargement Doctor In Saxtons River Vermont
  • Breast Enlargement Doctor In East Dorset Vermont
  • Breast Enlargement Doctor In Fairlee Vermont
  • Breast Enlargement Doctor In Bellows Falls Vermont
  • Breast Enlargement Doctor In Wells River Vermont
  • Breast Enlargement Doctor In South Pomfret Vermont
  • Breast Enlargement Doctor In North Thetford Vermont
  • Breast Enlargement Doctor In East Poultney Vermont


text:
Breast Enlargement Doctor In Tony Wisconsin

Just what is breast enhancement surgery in Tony Wisconsin?

Breast augmentation surgical procedure includes making use of breast augmentation or fat, described as fat transfer boob job, to enhance the size of your breasts or restore breast quantity that has actually been shed after weight reduction or pregnancy.

Video: Breast Enlargement in Tony

Breast augmentation is clinically referred to as enhancement mammaplasty.

Breast augmentation could:

Rise fullness and forecast of your breasts
Enhance the equilibrium of your number
Enhance your self-image and also positive self-image
Breast implants could also be used for bust reconstruction after mastectomy or injury.

What breast enhancement surgical procedure won’t do In Tony WI

Boob job does not appropriate seriously sagging busts. If you desire your breasts to look fuller and also to be lifted as a result of sagging, a bust lift might be needed in conjunction with breast augmentation.

Bust lifting could usually be done at the same time as your augmentation or might call for a different operation. Your cosmetic surgeon will help you in making this choice.

Breast augmentation cost Tony Wisconsin

The typical cost of breast enhancement surgical treatment is $3,708, inning accordance with 2014 data from the American Culture of Plastic Surgeons.

The average expense for elimination of breast implants was $2,330 in 2014.

If you are a breast augmentation candidate, please keep in mind that expenses could differ. The typical fees referenced over do not consist of anesthesia, operating area centers or various other associated expenditures.

A doctor’s charge for boob job surgical treatment might vary based on his or her experience, the kind as well as expense of breast implants utilized, in addition to geographic office place.

Many cosmetic surgeons provide client funding plans for breast augmentation surgical treatment, so be sure to ask.

Breast augmentation price might include:

Anesthesia charges
Medical facility or medical center prices
Clinical tests
Post-surgery garments
Prescriptions for medication
Cosmetic surgeon’s cost

Your satisfication entails greater than a cost. When choosing a board-certified cosmetic surgeon in your area for breast augmentation surgical procedure, keep in mind that the cosmetic surgeon’s experience with breast implants and also your convenience with him or her are just as crucial as the final expense of the surgical treatment.

Tony Wisconsin Breast enhancement surgical procedure as well as medical insurance protection

Most health insurance strategies will not cover cosmetic breast enhancement costs, relevant difficulties or an additional surgical procedure to revise the appearance of your breasts.

Some carriers also leave out bust illness in patients that have breast augmentation.

You need to carefully evaluate your medical insurance plan.

Breast enhancement candidates
Boob job is a very individual treatment and you need to do it on your own, except another person.

You might be a prospect for breast augmentation surgery if:

You are literally healthy and balanced
You have sensible assumptions
Your breasts are fully developed
You are troubled by the feeling that your breasts are as well small
You are disappointed with your busts shedding shape and volume after pregnancy, fat burning, or with aging
You are unhappy with the upper component of your bust appearing “vacant”.
Your breasts are unbalanced.
One or both busts failed to create usually or have a lengthened form.

Lots of people locate it useful to evaluate boob job photos and also learn about exactly what to anticipate during healing as they navigate the decision-making process to have surgery.

Boob job healing Tony

Throughout your breast augmentation recuperation, you will be taken into a recuperation location to be carefully kept track of complying with surgical procedure.

Your busts will be covered in gauze dressings and a stretchable bandage or support bra will decrease swelling and also support the busts as they heal.

You could be permitted to go home after a couple of hrs.

Prior to leaving, you will certainly be offered specific instructions that might consist of how to care for your breasts following surgical treatment, medicines to apply or take by mouth to help healing as well as lower the threat of infection, when to follow-up with your cosmetic surgeon.

You might be instructed to use an assistance bra around the clock for the very first week or two. It will be necessary to clean the incision websites and also apply ointment as guided. Be sure to adhere to all directions meticulously.

After a post-surgical breast augmentation recovery period of 24 to 2 Days and an additional reduced-activity period of a couple of days, you will likely experience pain and swelling for a couple of weeks.

Exercise and also normal activity can resume at the instructions of your plastic surgeon.

previous next

  • Breast Enlargement Doctor In Ringle Wisconsin
  • Breast Enlargement Doctor In Odanah Wisconsin
  • Breast Enlargement Doctor In De Forest Wisconsin
  • Breast Enlargement Doctor In Suamico Wisconsin
  • Breast Enlargement Doctor In Conrath Wisconsin
  • Breast Enlargement Doctor In Winneconne Wisconsin
  • Breast Enlargement Doctor In Mequon Wisconsin
  • Breast Enlargement Doctor In Lannon Wisconsin
  • Breast Enlargement Doctor In Kaukauna Wisconsin
  • Breast Enlargement Doctor In Redgranite Wisconsin


text:
Breast Enlargement Doctor In Saint Georges Delaware

Exactly what is breast augmentation surgical procedure in Saint Georges Delaware?

Boob job surgical procedure involves making use of breast enhancement or fat, described as fat transfer boob job, to raise the size of your busts or bring back bust quantity that has actually been shed after weight reduction or maternity.

Video: Breat Enhancement in Saint Georges

Breast augmentation is medically described as augmentation mammaplasty.

Breast augmentation can:

Increase fullness as well as projection of your breasts
Improve the equilibrium of your number
Enhance your self-image as well as positive self-image
Breast implants may also be used for breast reconstruction after mastectomy or injury.

What breast augmentation surgical procedure won’t do In Saint Georges DE

Boob job does not proper significantly drooping busts. If you want your breasts to look fuller and also to be raised as a result of sagging, a breast lift may be needed along with breast augmentation.

Bust training could usually be done at the exact same time as your augmentation or might require a separate operation. Your cosmetic surgeon will help you in making this decision.

Boob job cost Saint Georges Delaware

The average expense of breast augmentation surgery is $3,708, according to 2014 statistics from the American Society of Plastic Surgeons.

The ordinary cost for elimination of breast augmentation was $2,330 in 2014.

If you are a breast enhancement candidate, please keep in mind that prices can vary. The ordinary charges referenced above do not include anesthesia, running area centers or other related expenditures.

A cosmetic surgeon’s fee for breast augmentation surgery may vary based upon his or her experience, the type as well as price of breast enhancement utilized, as well as geographic workplace area.

Lots of cosmetic surgeons supply individual financing prepare for breast enhancement surgical treatment, so be sure to ask.

Boob job price could consist of:

Anesthetic charges
Healthcare facility or medical facility costs
Medical tests
Post-surgery garments
Prescriptions for medication
Cosmetic surgeon’s charge

Your satisfication involves greater than a fee. When picking a board-certified plastic surgeon in your area for breast enhancement surgery, remember that the cosmetic surgeon’s experience with breast enhancement and also your comfort with them are equally as essential as the last cost of the surgical treatment.

Saint Georges Delaware Boob job surgical procedure and medical insurance coverage

Most health insurance plans will certainly not cover cosmetic boob job prices, related complications or another surgery to change the appearance of your breasts.

Some carriers even omit breast illness in people that have breast implants.

You should meticulously review your health insurance plan.

Boob job candidates
Breast augmentation is an extremely personal treatment as well as you should do it on your own, not for another person.

You may be a candidate for breast augmentation surgical treatment if:

You are physically healthy and balanced
You have practical expectations
Your breasts are completely developed
You are troubled by the sensation that your busts are as well tiny
You are dissatisfied with your busts losing shape and quantity after pregnancy, weight reduction, or with aging
You are miserable with the top component of your breast showing up “empty”.
Your busts are asymmetrical.
One or both busts failed to create usually or have an elongated shape.

Lots of individuals locate it valuable to evaluate breast enhancement images as well as discover what to expect throughout healing as they browse the decision-making procedure to have surgery.

Breast enhancement healing Saint Georges

Throughout your breast enhancement recovery, you will certainly be taken into a recuperation area to be very closely kept track of adhering to surgery.

Your busts will certainly be wrapped in gauze dressings and also an elastic bandage or support bra will reduce swelling and also sustain the busts as they recover.

You could be permitted to go residence after a few hrs.

Before leaving, you will be given particular instructions that could consist of how you can care for your breasts following surgical procedure, medications to use or take by mouth to aid recovery as well as decrease the threat of infection, and when to follow-up with your plastic surgeon.

You may be advised to use an assistance bra around the clock for the very first week or 2. It will certainly be important to cleanse the laceration websites and use ointment as routed. Make sure to adhere to all instructions thoroughly.

After a post-surgical breast enhancement recovery duration of 24 to Two Days as well as an added reduced-activity period of a couple of days, you will likely experience soreness as well as swelling for a few weeks.

Workout and also normal activity can resume at the instructions of your cosmetic surgeon.

previous next

  • Breast Enlargement Doctor In Milton Delaware
  • Breast Enlargement Doctor In Rockland Delaware
  • Breast Enlargement Doctor In Ellendale Delaware
  • Breast Enlargement Doctor In Delaware City Delaware
  • Breast Enlargement Doctor In Nassau Delaware
  • Breast Enlargement Doctor In Ocean View Delaware
  • Breast Enlargement Doctor In Hockessin Delaware
  • Breast Enlargement Doctor In Fenwick Island Delaware
  • Breast Enlargement Doctor In Seaford Delaware
  • Breast Enlargement Doctor In Bethany Beach Delaware


text:
Presentation is loading. Please wait.

Presentation is loading. Please wait.

NS-H0503-02/11041 IP Security. NS-H0503-02/11042 TCP/IP Example.

Similar presentations

Presentation on theme: "NS-H0503-02/11041 IP Security. NS-H0503-02/11042 TCP/IP Example."— Presentation transcript:

1 NS-H0503-02/11041 IP Security

2 NS-H0503-02/11042 TCP/IP Example

3 NS-H0503-02/11043 IPv4 Header

4 NS-H0503-02/11044 IPSec general IP Security mechanisms provides –authentication –confidentiality –key management applicable to use over LANs, across public & private WANs, & for the Internet

5 NS-H0503-02/11045 IP Security Overview IPSec is not a single protocol. Instead, IPSec provides a set of security algorithms plus a general framework that allows a pair of communicating entities to use whichever algorithms provide security appropriate for the communication.

6 NS-H0503-02/11046 IP Security Overview Applications of IPSec –Secure branch office connectivity over the Internet –Secure remote access over the Internet –Establsihing extranet and intranet connectivity with partners –Enhancing electronic commerce security

7 NS-H0503-02/11047 IP Security Overview Benefits of IPSec –Transparent to applications (below transport layer (TCP, UDP) –Provide security for individual users IPSec can assure that: –A router or neighbor advertisement comes from an authorized router –A redirect message comes from the router to which the initial packet was sent –A routing update is not forged

8 NS-H0503-02/11048 IP Security Architecture specification is quite complex defined in numerous RFC’s –incl. RFC 2401/2402/2406/2408 –many others, grouped by category mandatory in IPv6, optional in IPv4 IPSec documents: –RFC 2401: An overview of security architecture –RFC 2402: Description of a packet encryption extension to IPv4 and IPv6 –RFC 2406: Description of a packet emcryption extension to IPv4 and IPv6 –RFC 2408: Specification of key managament capabilities

9 NS-H0503-02/11049 IPSec Document Overview

10 NS-H0503-02/110410 IP Security Scenario

11 NS-H0503-02/110411 Benefits of IPSec in a firewall/router provides strong security to all traffic crossing the perimeter is resistant to bypass is below transport layer, hence transparent to applications can be transparent to end users can provide security for individual users if desired

12 NS-H0503-02/110412 IPSec Services Access control Connectionless integrity Data origin authentication Rejection of replayed packets –a form of partial sequence integrity Confidentiality (encryption) Limited traffic flow confidentiality

13 NS-H0503-02/110413 Authentication Header (AH) provides support for data integrity & authentication of IP packets –end system/router can authenticate user/app –prevents address spoofing attacks by tracking sequence numbers based on use of a MAC –HMAC-MD5-96 or HMAC-SHA-1-96 parties must share a secret key

14 NS-H0503-02/110414 Authentication Header

15 NS-H0503-02/110415 Security Associations a one-way relationship between sender & receiver that affords security for traffic flow defined by 3 parameters: –Security Parameters Index (SPI) –IP Destination Address –Security Protocol Identifier has a number of other parameters –seq no, AH & EH info, lifetime etc have a database of Security Associations

16 NS-H0503-02/110416 Transport Mode SA Tunnel Mode SA AH Authenticates IP payload and selected portions of IP header and IPv6 extension headers Authenticates entire inner IP packet plus selected portions of outer IP header ESP Encrypts IP payload and any IPv6 extesion header Encrypts inner IP packet ESP with authentication Encrypts IP payload and any IPv6 extesion header. Authenticates IP payload but no IP header Encrypts inner IP packet. Authenticates inner IP packet. Security Associations (SA)

17 NS-H0503-02/110417 Before applying AH

18 NS-H0503-02/110418 Authentication Header Provides support for data integrity and authentication (MAC code) of IP packets. Guards against replay attacks.

19 NS-H0503-02/110419 Tunnel Mode (AH Authentication)

20 NS-H0503-02/110420 E-to-E vs E-to-I Authentication

21 NS-H0503-02/110421 Encapsulating Security Payload (ESP) provides message content confidentiality & limited traffic flow confidentiality can optionally provide the same authentication services as AH supports range of ciphers, modes, padding –incl. DES, Triple-DES, RC5, IDEA, CAST etc –CBC most common –pad to meet blocksize, for traffic flow

22 NS-H0503-02/110422 Encapsulating Security Payload

23 NS-H0503-02/110423 Encryption&Authentication Algorithms Encryption: –Three-key triple DES –RC5 –IDEA –Three-key triple IDEA –CAST –Blowfish Authentication: –HMAC-MD5-96 –HMAC-SHA-1-96

24 NS-H0503-02/110424 ESP Encryption and Authentication

25 NS-H0503-02/110425 Combining Security Associations SA’s can implement either AH or ESP to implement both need to combine SA’s –form a security bundle have 4 cases (see next)

26 NS-H0503-02/110426 Combining Security Associations

27 NS-H0503-02/110427 Combinations of Security Associations

28 NS-H0503-02/110428 Combinations of Security Associations

29 NS-H0503-02/110429 Combinations of Security Associations

30 NS-H0503-02/110430 Combinations of Security Associations

31 NS-H0503-02/110431 Transport & Tunnel Modes

32 NS-H0503-02/110432 Transport vs Tunnel Mode ESP transport mode is used to encrypt & optionally authenticate IP data –data protected but header left in clear –can do traffic analysis but is efficient –good for ESP host to host traffic tunnel mode encrypts entire IP packet –add new header for next hop –good for VPNs, gateway to gateway security

33 NS-H0503-02/110433 Key Management Two types: –Manual –Automated Oakley Key Determination Protocol Internet Security Association and Key Management Protocol (ISAKMP)

34 NS-H0503-02/110434 Key Management handles key generation & distribution typically need 2 pairs of keys –2 per direction for AH & ESP manual key management –sysadmin manually configures every system automated key management –automated system for on demand creation of keys for SA’s in large systems –has Oakley & ISAKMP elements

35 NS-H0503-02/110435 Oakley Three authentication methods: –Digital signatures –Public-key encryption –Symmetric-key encryption

36 NS-H0503-02/110436 Oakley a key exchange protocol based on Diffie-Hellman key exchange adds features to address weaknesses –cookies, groups (global params), nonces, DH key exchange with authentication can use arithmetic in prime fields or elliptic curve fields

37 NS-H0503-02/110437 ISAKMP

38 NS-H0503-02/110438 ISAKMP Internet Security Association and Key Management Protocol provides framework for key management defines procedures and packet formats to establish, negotiate, modify, & delete SAs independent of key exchange protocol, encryption alg, & authentication method

Download ppt "NS-H0503-02/11041 IP Security. NS-H0503-02/11042 TCP/IP Example."

Similar presentations

Ads by Google


text:
Presentation is loading. Please wait.

Presentation is loading. Please wait.

Effort Estimation and Scheduling

Similar presentations

Presentation on theme: "Effort Estimation and Scheduling"— Presentation transcript:

1 Effort Estimation and Scheduling

2 Introduction A proper effort estimation method is a requirement for the software project planning KPA of CMM level 2 Effort estimation usually takes place during the early stages of project It relies on a gut feeling or on previous experience The desired approach is to use some estimation model for obtaining effort estimates

3 Effort Estimation Models
The basic activity of estimation is to get the input in the form of some values of software and using these input values, estimate the effort of the project A software estimation model defines which values it needs and how these values are used to compute the effort Effort estimation model is a function that takes some inputs and outputs the effort estimate With the estimate of size, an estimate of the effort can be obtained, frequently by using some equations One approach for estimating the size is to decompose the system into smaller parts and estimate the size of the system based on the size of the parts

4 Estimation Model Effort Estimate Extract Estimation Model
Knowledge about s/w project Effort Estimate Extract Estimation Model Values of some characteristics

5 Top-Down & Bottom-Up Approaches
A common approach is to use some simple equation to obtain an estimate of the overall effort from the size Once the overall effort for the project is known, then the effort for the different phases or activities are determined as percentages of total effort. This approach is called top-down approach for estimation. In this strategy, the overall effort is first estimated from size, then broke down for the activities and the phases in the project. Some top-down models have been proposed. They are COCOMO model In bottom-up approach, the estimates are first obtained for the parts of the project, then the overall estimate is obtained

6 Building Estimation Models
Top-down estimation models are built from data taken from completed projects. For the completed projects, the actual size of the software and the actual effort expended are known These values are then used to build a size-based effort model that best fits the data When using these models to estimate effort for a project, the size of the software must initially be estimated from whatever information is available at that time

7 Bottom-Up Estimation At infosys, estimation takes place after analysis
For a projects that are well defined and that may follow different types of processes for which a little past data may be available, a bottom up approach is a better choice

8 Estimation Approach In infosys’s bottom-up approach, the software under development is first divided into major programs This steps occurs during requirement analysis or HLD of the system Each program unit is then classified as simple, medium or complex based on some criteria For each classification unit, some standard effort for coding the unit and self testing is identified Once the number of units in three categories of complexity are known, and the estimated build effort for each program of selected, then the total effort for the build phase of the project is known This method estimates how much time it will take to code the programs Once the effort for coding is known, the effort required for the other phases and activities of the project is determined as a percentage of the coding effort

9 Continue… From the PCB or PDB, the distribution of effort in a project is known This distribution is used to determine the effort for the other phases and activities From these estimates, total effort for the project is obtained The procedure for estimation includes the following steps: Identify the programs and classify them as simple, medium or complex If a project specific baseline exists, get the average build effort for S/M/C programs from the baseline If a project specific baseline does not exist, use project type, technology, language, and other attributes to look for similar projects in PDB, use data from these projects to define the build effort of S/M/C programs. If no similar project exists in PDB and no project specific baseline exists, use average build effort for S/M/C programs from PCB

10 Continue… Use project specific factors to further refine the build effort for S/M/C programs Get the total build effort using the build effort of S/M/C programs and counts for them Use the effort distribution data in PCB or similar projects in PDB to estimate the effort for other tasks and the total effort Refine the estimates based on project specific factors

11 Criteria for classification of program units
The basic scheme of classifying units is simple, medium and complex

12 Effectiveness of the Approach
The common way to analyze the effectiveness of an estimation approach is to see how the estimated effort compares with the actual effort Use of bottom-up method requires a way to capture accurate effort data from projects For completed projects, the PDB includes information on the be estimated effort as well as actual effort.

13 Top-Down Estimation Although many projects use the bottom-up estimation method, a project can also use a top-down approach for estimation This approach is frequently used for conversion projects in which the size of the existing system to be converted is known precisely An approach starts with an estimated size An overall approach for top down estimation involves the following steps: Get the estimate of the total size of software in function points Use the productivity data in PCB for similar process type or the productivity data in PDB for similar projects to fix the productivity level for the project Obtain the overall effort estimate from productivity and size estimates Use effort distribution data from PCB to estimate the effort for different phases

14 Continue… Refine the estimates
This approach also allows the estimates to be refined This acknowledges that each project is unique and may have some characteristics that do not exists other projects

15 Scheduling Scheduling can be broken down into two activities:
determining the overall schedule with major milestones Deciding the detailed schedule of various tasks

16 Overall scheduling Developing guidelines for scheduling is somewhat difficult than building guidelines for effort estimation Once the effort is known various schedules are possible depending upon the number of resources of the project Generally there are fewer people in the starting and ending phases with the maximum people during build phase During the build phase, the peak time size (PTS) for the project is usually achieved

17 Continue… Peak team size Manpower buildup design build test

18 Effectiveness of the approach
One way of checking the schedule estimates is to plot the actual schedule against the estimated schedule and see how close the points are to the 45-degree line If they all fall very close to 45 degree line then the scheduling approach is very “effective”

19 Detailed Scheduling Once the high level schedule is fixed, then the overall project duration and the major milestones are known As the effort required for the various phases is also known, the resource requirements for the various phases can be determined easily Once the milestones and the resources are fixed, then the detailed scheduling is set In setting the detailed schedule, the tasks in the overall schedule are broken down into small schedulable activities in a hierarchical manner For detailed scheduling features of MSP are used

Download ppt "Effort Estimation and Scheduling"

Similar presentations

Ads by Google


text:
Presentation is loading. Please wait.

Presentation is loading. Please wait.

Development, Relationship, and Transitions. What factors influence food choices, eating behaviors, and acceptance?

Similar presentations

Presentation on theme: "Development, Relationship, and Transitions. What factors influence food choices, eating behaviors, and acceptance?"— Presentation transcript:

1 Development, Relationship, and Transitions

2 What factors influence food choices, eating behaviors, and acceptance?

3 Sociology of Food Hunger Social Status Social Norms Religion/Tradition Nutrition/Health

4 Sociology of Food Food Choices –Availability –Cost –Taste –Value –Marketing Forces –Health –Significance

5 Foods for infants and young children Nurturing Nourishing Learning Supports developmental tasks Relationship Development Emotion and temperament

6 Development

7 Stages of Development: Neurophysiological Homeostasis Attachment Separation and individuation

8 Stages AgeDevelopment 1-3 monthsHomeostasis* State regulation * Neurophysiologic stability 2-6 monthsAttachment* “falling in love” * Affective engagement and interaction 6-36 months Separation and individuation * Differentiation * Behavioral organization and control

9 Development of Infant Feeding Skills Birth –tongue is disproportionately large in comparison with the lower jaw: fills the oral cavity –lower jaw is moved back relative to the upper jaw, which protrudes over the lower by approximately 2 mm. –tongue tip lies between the upper and lower jaws. –"fat pad" in each of the cheeks: serves as prop for the muscles in the cheek, maintaining rigidity of the cheeks during suckling. –feeding pattern described as “suckling”

10 Developmental Changes Oral cavity enlarges and tongue fills up less Tongue grows differentially at the tip and attains motility in the larger oral cavity. Gag locus moves from mid-portion to posterior tongue (3-7 months) Elongated tongue can be protruded to receive and pass solids between the gum pads and erupting teeth for mastication. Mature feeding is characterized by separate movements of the lip, tongue, and gum pads or teeth

11 Feeding development Gessell A, Ilg FL

12 Relationship Feeding is a reciprocal process that depends on the abilities and characteristics of both caregiver and infant/child

13 Relationship The feeding relationship is both dependent on and supportive of infants development and temperament.

14 Maternal-Infant Feeding dyad Indicates hunger (I) Presents milk (M) Consumes milk by suckling (I) Indicates satiety, stops suckling (I) Ends feeding (M)

15 Tasks Infant –time –how much –speed –preferences Parent –food choices –support –nurturing –structure and limits –safety

16 Relationship Children do best with feeding when they have both control and support

17 Infant and Caregiver Interaction Readability Predictability Responsiveness

18 Emotion/Temperament Temperament theory categorizes enduring personality styles based on activity, adaptability, intensity, mood, persistence, distractibility, regularity, responsivity, approach/withdraw from novelty Chess and Thomas 1970

19 Play, Learning, Exploration

20 Feeding Practices and Obesity Birch et al Learning to overeat:maternal use of restrictive feeding practices promotes girls’ eating in absence of hunger, Am J Clin Nutr 2003;78: 215-20 Anzma and Birch, Low inhibitory control and Restrictive Feeding Practices Predict Weight Outcome J Pediatrics 2009:155:651-6

21 Problems established early in feeding persist into later life and generalize into other areas Ainsworth and Bell –feeding interactions in early months were replicated in play interactions after 1st year

22 Transitions: Non Milk feedings Solids Beikost Table foods Complimentary foods

23 Complementary Foods - definitions “Any energy-containing foods that displace breastfeeding and reduce the intake of breast milk.” (AAP) “any nutrient containing foods or liquids other than breastmilk given to young children during the periods of complementary feeding….[when] other foods or liquids are provided along with breastmilk.” (WHO) “any foods or liquids other than human milk or formula that are fed during the first 12 months of life.” (Healthy Start Guidelines)

24 Growth, nutritional, and developmental factors form the basis of feeding transitions and recommendations for complimetary foods.

25 Successful introduction of complementary foods presupposes the ability of the infant to be nourished by, safely ingest, and accept such foods. Key factors: digestion and absorbtion, neuromuscular development, taste and texture acceptance.

26 Development: Factors Oral motor changes Truncal stability Change in gag loci from midportion to posterior of tongue (3-7 months) Experiential Repeat exposure

27 Factors: Growth and Nutrition Growth –Growth faltering observed between 3-6 months –WHO/CDC deceleration in weight/length 3-12 months in breast fed infants –“Weanling dilemma” Nutrition –Energy, Iron, Zinc

28 Some Issues: Foman, 1993 “For the infant fed an iron-fortified formula, consumption of beikost is important in the transition from a liquid to a nonliquid diet, but not of major importance in providing essential nutrients.” Breastfed infants: nutritional role of beikost is to supplement intakes of energy, protein, perhaps Ca and P. Nutrient content of breastmilk is a compromise between maternal and infant needs. Most human societies supplement breastmilk early in life.

29 Growth and Energy Exclusive breastfeeding Complimentary foods replace breastmilk “weanling dilemma” described in 1970-80 in developing countries: –Risk of infection with intro of contaminated complimentary food vs suboptimal growth with exclusive breast feeding

30 Growth faltering in exclusively breastfed infants between 3-12 months Accelerated weight gain in the first few months associated with less deceleration in growth

31 Solids: Borrensen - (J Hum Lact. 1995) Some studies find exclusive breastfeeding for 9 months supports adequate growth. Iron needs have individual variation. Drop in breastmilk production and consequent inadequate intake may be due to management errors

32 Complementary Foods Energy Iron Zinc

33 Some Considerations in Complementary feedings Too Early diarrheal disease & risk of dehydration decreased breast-milk production Allergic sensitization? developmental concerns Too Late potential growth failure iron deficiency developmental concerns

34 Iron Iron Status –Maternal status –Stores at birth –Growth rate –Dietary source

35 Iron U.S. date estimates prevalence in 18 month old infant/toddler 8-11%

36 Zinc AI – 0-6 months: 2 mg/d –7 months-3 years: 3 mg/d Breast milk content declines from 8-12 mg/L in first month to 1-3 mg/L 4-6 months Bioavailability of Zn greater in breastmilk than formula Endowment at birth, birthweight, maternal status and growth rate

37 Foman S. Feeding Normal Infants: Rationale for Recommendations. JADA 101:1102 “It is desirable to introduce soft-cooked red meats by age 5 to 6 months. “ Iron used to fortify dry infant cereals in US are of low bioavailablity. (use wet pack or ferrous fumarate)

38 What? After 6 months most breastfed infants need complementary foods to meet DRIs for energy, iron, vitamin D, vitamin B6, niacin, zinc, vitamin E, and others In US Iron and vitamin D need special emphasis due to prevelance of deficiency. Little room for foods with low energy density in the diets of infants

39 Complimentary Foods –Respiratory/Allergy –Juice –Dental Health –Safety –other

40 Allergies: Areas of Recent Interest Early introduction of dietary allergens and atopic response –atopy is allergic reaction/especially associated with IgE antibody –examples: atopic dermatitis (eczema), recurrent wheezing, food allergy, urticaria (hives), rhinitis Prevention of adverse reactions in high risk children

41 Allergies: Early Introduction of Foods (Fergussson et al, Pediatrics, 1990) 10 year prospective study of 1265 children in NZ Outcome = chronic eczema Controlled for: family hx, HM, SES, ethnicity, birth order Rate of eczema with exposure to early solids was 10% Vs 5% without exposure Early exposure to antigens may lead to inappropriate antibody formation in susceptible children.

42 Allergies: Prevention by Avoidance (Marini, 1996) 359 infants with high atopic risk 279 in intervention group Intervention: breastfeeding strongly encouraged, no cow’s milk before one year, no solids before 5/6 months, highly allergenic foods avoided in infant and lactating mother

43 Allergies: Prevention by Avoidance (Marini, 1996)

44 Allergies: Prevention by Avoidance (Zeigler, Pediatr Allergy Immunol. 1994) High risk infants from atopic families, intervention group n=103, control n=185 Restricted diet in pregnancy, lactation, Nutramagen when weaned, delayed solids for 6 months, avoided highly allergenic foods Results: reduced age of onset of allergies

45 Allergies: Prevention by Avoidance (Zeigler, Pediatr Allergy Immunol. 1994)

46 What foods should be avoided to reduce food allergy risk? No restrictions if not at risk for allergy. If strong family history of food allergy: –Breastfeed as long as possible –No complementary foods until after 6 months –Delay introduction of foods with major allergens: eggs, milk, wheat, soy, peanuts, tree nuts, fish, shellfish.

47 The Use and Misuse of Fruit Juice in Pediatrics - AAP, May 2001

48 In the evaluation of children with malnutrition (overnutrition and undernutrition), the health care provider should determine the amount of juice being consumed. In the evaluation of children with chronic diarrhea, excessive flatulence, abdominal pain, and bloating, the health care provider should determine the amount of juice being consumed. In the evaluation of dental caries, the amount and means of juice consumption should be determined. Pediatricians should routinely discuss the use of fruit juice and fruit drinks and should educate parents about differences between the two.

49 The Use and Misuse of Fruit Juice in Pediatrics - AAP, May 2001 Juice should not be introduced into the diet of infants before 6 months of age. Infants should not be given juice from bottles or easily transportable covered cups that allow them to consume juice easily throughout the day. Infants should not be given juice at bedtime. Intake of fruit juice should be limited to 4 to 6 oz/d for children 1 to 6 years old. For children 7 to 18 years old, juice intake should be limited to 8 to 12 oz or 2 servings per day. Children should be encouraged to eat whole fruits to meet their recommended daily fruit intake. Infants, children, and adolescents should not consume unpasteurized juice.

50 The Use and Misuse of Fruit Juice in Pediatrics - AAP, May 2001 Excessive juice consumption may be associated with malnutrition (overnutrition and undernutrition). Excessive juice consumption may be associated with diarrhea, flatulence, abdominal distention, and tooth decay. Unpasteurized juice may contain pathogens that can cause serious illnesses. A variety of fruit juices, provided in appropriate amounts for a child's age, are not likely to cause any significant clinical symptoms. Calcium-fortified juices provide a bioavailable source of calcium but lack other nutrients present in breast milk, formula, or cow's milk.

51 The Use and Misuse of Fruit Juice in Pediatrics - AAP, May 2001 Fruit juice offers no nutritional benefit for infants younger than 6 months. Fruit juice offers no nutritional benefits over whole fruit for infants older than 6 months and children. One hundred percent fruit juice or reconstituted juice can be a healthy part of the diet when consumed as part of a well-balanced diet. Fruit drinks, however\ are not nutritionally equivalent to fruit juice. Juice is not appropriate in the treatment of dehydration or management of diarrhea.

52 Early Childhood Caries AKA Baby Bottle Tooth Decay Rampant infant caries that develop between one and three years of age

53 Early Childhood Caries: Etiology Bacterial fermentation of cho in the mouth produces acids that demineralize tooth structure Infectious and transmissible disease that usually involves mutans streptococci MS is 50% of total flora in dental plaque of infants with caries, 1% in caries free infants

54 Early Childhood Caries: Etiology Sleeping with a bottle enhances colonization and proliferation of MS Mothers are primary source of infection Mothers with high MS usually need extensive dental treatment

55 Early Childhood Caries: Pathogenesis Rapid progression Primary maxillary incisors develop white spot lesions Decalcified lesions advance to frank caries within 6 - 12 months because enamel layer on new teeth is thin May progress to upper primary molars

56 Early Childhood Caries: Prevalence US overall - 5% 53% American Indian/Alaska Native children 30% of Mexican American farmworkers children in Washington State Water fluoridation is protective Associated with sleep problems & later weaning

58 Complementary Foods: Healthy Start Guidelines for Infants and Toddlers (JADA, 2004) Based on an extensive evidence-based review of current science

59 Analytical framework for the Start Healthy Guidelines for Complementary foods (JADA, 2004)

60 The Start Healthy Feeding Guidelines for Infants and Toddlers (JADA, 2004)

61 How Introducing new foods –Repeated exposures may be needed (8-15) –No evidence for benefit to introducing foods in any sequence or rate –Meat and fortified cereals provide many nutrients identified as needed after 6 months.

62 How Safety issues: –Safe food handling for formula and expressed breast milk –Guidance about choking, lead poisoning, nonfood eating, high intakes of nitrates, nitrites and methylmurcury

63 How? Establish healthy feeding relationship –Recognize child’s developmental abilities –Balance child’s need for assistance with encouragement of self feeding –Allow the child to initiate and guide feeding interactions –Respond early and appropriately to hunger and satiety cues

64 Provide guidance consistent with family/child’s –Development –Temperament –Preferences –Culture –Nutritional needs

65 C-P-F: Possible Concerns Michaelsen et al. Eur J Clin Nutr. 1995 Dietary Fat is ~ 50% of Kcals with exclusive breastmilk or formula intake. Dietary fat contribution can drop to 20-30% with introduction of high carbohydrate infant foods. Infants receiving low fat milks are at risk of insufficient energy intake. Fat intake often increases with addition of high fat family foods.

66 C-P-F: Low Energy Density Low fat diet often means diet has low energy density Increased risk of poor growth Reduction in physical activity Energy density of 0.67 kcal/g recommended for first year of life (Michaelson et al.)

67 C-P-F: Recommendations No strong evidence for benefits from fat restriction early in life AAP recommends: –high carbohydrate infant foods may be appropriate for formula fed infants –no fat restriction in first year –a varied diet after the first year –after 2nd year, avoid extremes, total fat intake of 30-40% of kcal suggested

68 Methemoglobinemia in vegetables Nitrates in homemade baby food –Beets, carrots, pumpkin, green beans –Case reports of cyanosis, tachycardia, irritability, diarrhea, and vomiting

69 AAP: Specific Recommendations Home prepared spinach, beets, turnips, carrots, collard greens not recommended due to high nitrate levels Canned foods with high salt levels and added sugar are unsuitable for preparation of infant foods Honey not recommended for infants younger than 12 months

70 Vegan Infants ADA and AAP state that well planned vegan diet can meet the nutritional needs and support growth in infants and children Key issues –Adequate maternal diet to maintain adequate milk volume –B12 –Vitamin D –Zinc –Iron –Energy, adequate fat in diet

71 Feeding Infants and Toddlers Study (n=2,515) Journal of the American Dietetic Association, January 2006

72 Delayed Complementary Feeding Until 4 months 73% met guideline Those who met guideline more likely to: –Be married –Have higher income –Be college grads –Be white or Hispanic compared to African American –Live in an urban area and/or live in the west –Not be on WIC

73 Juice Recommendations (after age 6 mos, 100% juice, limit to 6 oz/d) 80% met guidelines Those who met guidelines more likely to: –Be college graduates –Have higher incomes –Live in the west and in urban areas –Not be on WIC –Note: no racial/ethnic differences

74 21% introduced solids <4 months 7% introduced solids >6 months 29% >3 new foods/week 5-10 months 20% gave juice before 6 months, cows milk before 12 months and 20% reduced fat milk 20% provided <5 meals/day after 5 months

75 15% chewed food for infant ½ added salt By 1 year of age 50% were consuming french fries, candy, cookies, or cake. (only) 15% sweetened drinks such as soda or juice drinks

76 The Basics from AAP: Timing of Introduction of Non-milk Feedings Based on individual development, growth, activity level as well as consideration of social, cultural, psychological and economic considerations Most infants ready at 4-6 months Introduction of solids after 6 months may delay developmental milestones. By 8-10 months most infants accept finely chopped foods.

77 AAP Recommendations Introduce 1 “single ingredient” new food at a time (3-5 days). –Allergy –Rice cereal least likely to cause allergic rx Choose 1 st foods that provide key nutrients and help meet energy needs –Iron fortified cereal, pureed meats Introduce a variety of foods by the end of the 1 st year –8-15 exposures for acceptance Withhold cows milk in 1 st year

78 AAP recommendations Ensure adequate calcium intake when transitioning to complimentary foods Avoid fat or cholesterol restrictions <2 years of age Do not introduce fruit juice during first 6 months. Upper limit 4-6 oz for 1-6 year olds Ensure safe ingestion and adequate nutrition when choosing and preparing homemade foods

79 Jackson 8 month old formula fed infant Takes 40 ounces of formula Weight gain appropriate. All growth parameters tracking at the 50-75 th percenile since birth. Attempt to introduce solids unsuccessful. Initially gagged on solids. After several attempts to introduce and move to more textures, Jackson, is showing food refusals.

80 Myra Exclusively breastfed 6 month old infant. Growth from birth to 4 months tracking at 25 th percentile for all parameters. At 6 months, weight decreased to between 5- 10 th percentile. Hct is 30. Mother is concerned about “decreasing milk supply”

Download ppt "Development, Relationship, and Transitions. What factors influence food choices, eating behaviors, and acceptance?"

Similar presentations

Ads by Google