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Tag Archives: childhood obesity prevention coalition

Medicaid payment for Diets – A Flawed Plan Based on Flawed Data

Obesity fears and inflated statistics have tipped the scales against sound judgment, leading West Virginia Medicaid program to use tax dollars to pay Weight Watchers weight loss services.

The methodology used to calculate the state government $ 100 million in annual costs linked to obesity is based on flawed methodology that leads to flawed data. Unfortunately, this unsound data has been used to justify paying Weight Watchers and contribute to increase the enrollment of health benefits group Unicare.

West Virginia has started a trend that will be followed by other countries, especially countries with higher obesity rates, such as Alabama. This plan categorize lifestyle-induced problems that disease, if successful, could lead to higher insurance premiums, more prescription and over-the-counter weight-loss drugs, increased harassment supplement and food manufacturers and marketers and the lawsuit against anything that contains calories.

Obesity contributes to social problems and health complications, but it is not a disease. And as such, measures to reverse the effects of poor lifestyle habits should not be paid for with taxpayer money. Taxpayers already pay the cost of treating diseases such as diabetes and heart disease worse by being obese; we should not have to pay for programs that are not medical treatment. There is no study that supports the hypothesis that obesity causes the disease. It is a fact that losing weight is not a cure for the disease.

The “more than $ 100 million in annual costs linked to obesity” is misleading and intended to justify the increase in Medicaid spending. Since the method used by the government and approved by the obesity industry to determine who is overweight or obese is illogical, it follows that the assertion that two-thirds of adult West Virginians are overweight or obese is also illogical. The $ 100 million in annual costs linked to obesity is misleading.

The Body Mass Index (BMI) is a measurement used to put people in the overweight and obese categories with only individual height and weight. A person is considered overweight if you have a BMI of 25 or higher; a BMI of 30 or more makes you obese, meaning that statistics over 65 percent of Americans overweight is processed.

method does not differentiate weight from muscle mass and weight from fat, nor where the fat is located on the body of the individual. For example, using this method, actor Tom Cruise who is 5 feet 7 inches and £ 201 will have a BMI of 31, which will make him obese. Actors Will Smith, who is 6-2 and 210 pounds with a BMI of 27 and Pierce Brosnan (6-2, 211 pounds, BMI 27) are overweight. Michael Jordan at 216 pounds and 6-6 with a BMI of 25 is also overweight

The Centers for Disease Control and Prevention (CDC) explains this counterintuitive results by saying: “. Overweight may or may not be due the increase in body fat. It can also be due to an increase in lean muscle. “The CDC changed the standard to measure and define overweight and obesity in 1998; it also abandoned the practice distinguish between men and women.

By the same flawed methodology, the government recently turned its attention to children, stating that “obesity is a concern because overweight rates have doubled among children and tripled among adolescents and this greatly increases the number of years over which they are exposed to the risks associated with obesity. “

Another flawed statistics, the number of deaths due to excess weight. The CDC recently lowered its program from 365,000 to 112, 000 deaths a year, citing “the general difficulty associated with attributing deaths to obesity, poor nutrition and physical inactivity and separate different methodology.” The methodology used is based on the assumption that if a person dies of overweight, the person died due to excess weight. Using this logic, the motorcycle is “overweight” and gets hit by a truck will be included in the number of deaths caused by excess weight.

The New England Journal of Medicine know that talk is flawed and that reported the number of deaths caused by excess weight “is by no means well established. Not only is it derived from weak or incomplete information, but it is also called questioned the methodology of the difficulty in determining which of the many factors contribute to premature death. “

cost of obesity in the United States, said that $ 117 billion, was based on a single study conducted in 1998. The authors acknowledge that methodology resulted in the “counting the cost” that “would blow the budget.” But even if they were able to control for double counting of costs, the result would still be wrong, because they use flawed definition of obesity.

Unfortunately, these are the numbers and methodology the government, drug, food and supplement industries use in their marketing. Organizations such as the Center for Science in the Public Interest, cure Committee for Responsible Medicine and the American Obesity Association use these flawed statistics to support the classification of obesity as a disease. The West Virginia government is using this flawed “science” as a basis for its decision to use Medicaid funds to pay Weight Watchers through Unicare, companies that want to increase their share of the 300,000 to 370,000 West Virginia residents covered by Medicaid.

It is the final movement among a cross-section of Americans to classify obesity as a disease. If successful, we can expect the pharmaceutical industry to develop more diet drugs like Xenical, Meridia, Acomplia and Alli have their serious side effects. Health insurance provided would be made to pay for treatment for obesity based on flawed statistics, would cause premiums to skyrocket. Medicaid and Medicare will be used to pay for questionable treatments of obesity.

There will be increased targeting supplement and food manufacturers and marketers to make the claim that certain foods can help to combat obesity. Gyms and other exercise programs will probably be banned to claim that exercise can prevent and reverse obesity. And we can expect an increase in lawsuits against party products and the market for offering products that cause obesity.

Benefits of a healthy lifestyle

here are 8 benefits of a healthy lifestyle.

This article is written to reach the public with simple and clear method to point and to reap the benefits of a healthy lifestyle and reduce the risk of chronic diseases such as diabetes.

With a better understanding of our bodies that we have gained from science in recent decades, the benefits of a healthy lifestyle are becoming more prominent, and the reasons why we should detoxify your body at least once a year to remove harmful bacteria and even worms from our digestive tract. For people of all ages, weight and capacity benefits of a healthy lifestyle are endless. But now let’s look at least eight simple healthy lifestyle.

1. Your health:

Good Health is not something that you buy from the pharmacy or department store, but can be achieved by practicing common pattern health behavior based on your choice from the available options. Following this logic, if you want to realize the benefits of a healthy lifestyle, you need to repeat some healthy pattern as a part of the daily or weekly activities, some patterns such as eating right and exercising. Other benefits include :. Reduced health care costs, reduce illness and injuries, visit my doctors, but the employed and relations improved employee / employer

2. Weight:

Managing your weight is key to achieving all of the health benefits of a healthy lifestyle. A diet of only 10 percent will significantly reduce the risk of heart disease and other obesity-related diseases. Obesity / overweight is the second leading cause for many diseases of childhood, such as orthopedic problems, sleep apnea, diabetes mellitus type II diabetes, asthma, high blood pressure and cholesterol, skin disorders, emotional and psychological problems (Spigel, 2002), and much more. Physical activity such as walking and strength training helps slow the onset and / or prevention of osteoporosis and some research shows that engaging in such activity can actually build bone density and begin to reverse the disease. Other benefits include: weight loss, reduced tension and stress, improve well-being, enhanced self-image and self-esteem and improve physical function

3 .. Exercise:

Although drugs alone often bring cholesterol down to normal goals, diet and exercise provide benefits that drugs do not. They lower blood pressure, reduce weight, and lower risk of developing diabetes. A sedentary lifestyle is a dangerous risk factor for the disease. Exercise and a balanced diet helps the body use insulin more efficiently and can help control, reduce and prevent many diseases. Exercise, stop using tobacco, eating a high-fiber, low-fat diet, controlling weight and learn to cope with stress, reduce the risk of heart disease.

4. Medical

We all want to trim and healthy body for various aesthetic, social and medical reasons. Healthy Living is truly the best medicine. In a study conducted by Tufts University’s New England Medical Center, patients with cardiovascular disease, exercise was shown to significantly reduce LDL cholesterol and other risk factors further is provided with drugs. Even a small weight loss can help reduce medical and pharmacy costs, help avoid bariatric surgery, and co-diseases such as asthma, hypertension and diabetes.

5. Wellness

Wellness is about being comfortable in bed, body, attitude and environment. A healthy lifestyle can increase the longevity of the individual. And even if catching something contagious as the common cold or flu is sometimes inevitable, to have the wisdom that feeling well is a better way to live to have you ask yourself why you are not taking action to live each day as real and possible. The issue with a lot of people nowadays is that they are so busy working and / or care all around them, so that they neglect their own health and wellness. Make sure your heart is healthy bones are strong and stay that way to see the benefits of a healthy lifestyle.

6. Care

The best way to ensure good health is to take care of yourself. The Care stake, but the potential rewards are great-preventing premature death, unnecessary illness and disability, controlling health care costs and maintain a high quality of life in old age. With a healthy lifestyle, you are who you are and you do not have to be self-conscious about the things that you would otherwise if you do not care about life

7. Control

With a healthy lifestyle , you have more control of your life as you work with your body against the elements of life that work to hold you back if you would let them. With a healthy lifestyle, you have control of your sleep patterns so that you feel well and rested during the day. With a healthy lifestyle, all working together to help other lifestyle factors make sense and benefit you. Science has proven that healthy weight loss, healthy eating and fitness habits make dramatic improvements in health care, and help manage common chronic diseases such as high cholesterol, high blood pressure, diabetes, stress and general lack of stamina.

8. Strength:

Another advantage of a healthy lifestyle is a constant flow of stamina and strength; you can perform operations and exercises that increase your flexibility. With a healthy lifestyle, you have a balanced and varied diet that provides the body with essential nutrients and energy as well. You need strength training to build muscle that supports the bones and joints, therefore reducing the risk of falls and fractures. Cardiovascular exercise, also known as aerobic exercise strengthens the heart muscle, it increases the efficiency of the heart. As we age, we lose biological bone mass and strength. Physical activity such as walking and strength training helps slow the onset and / or prevention of osteoporosis and some research shows that engaging in such activity can actually build bone density and begin to reverse the disease.

The good news is that you do not have to train like an athlete Olympic benefit of a healthy lifestyle. Secret and logic are the vowels healthy patterns as part of a daily or weekly activities. We hope this will get you to a healthy lifestyle if you’re not already there. Healthy living is a lifestyle.

What Career to Choose – 3 Tips to Recession Proof your future

Knowing what career to choose is difficult at best of times, but when the economy is not good, it is even harder.

Tip # 1

One of the most important steps when the career is to study what industries are currently recruiting. There are certain fields that are not affected by the economy, and these are usually a safe bet. Once you have established that industries are now growing, you can then look at the jobs available within them.

Let’s look at some examples. First of all, death and taxes will always be with us, no matter what is happening in the world. This does not necessarily mean that you need to consider a career as a funeral director or auditor, although they would both be an excellent choice if you have the aptitude and desire!

Think about these two areas in a much broader context and you will find that there are many people who work. Illness and accidents often occur before death and so there are possibilities in the field of prevention, treatment and research.

And if the idea of review procedures to you, you do not necessarily work with people who are dying. For example, obesity has become a problem, especially among children. If obesity is not a tool in youth, young people are more likely to become obese adults and at greater risk of early death. So working with children in the field of health or nursing would be a good option.

Anything that will help people to save money, pay off their debts or manage their finances are also options if you are good with numbers, but do not want to train in accounting.

And if you are not good at numbers, take a look at the large corporate auditors and see what other jobs are available. Large companies will always hire service and may be their secretary, administration, cleaning and working facilities. The same is seeking hospitals and schools, which are good examples of employers who will continue despite the downturn.

Tip # 2

Choose a career that you can develop transferable skills. This will allow you to move from one sector to another, if you want or need to.

Among the transferable skills that employers are looking for is the ability to communicate clearly, both written and spoken word. If you are good at spelling and grammar, able to write letters and create reports of high quality and give a polished presentation, you will be in demand.

So, if you do not already have these skills, choosing a career that allows you to work on that will stand you in good stead.

As technology moves forward rapidly, IT skills will always be in demand, and so if you’re in a job where you have the opportunity to learn to use a new computer program, you will build a solid core transferable skills .

Another important skill is the ability to work in teams and also work on their own initiative. So any career that offers both the opportunity to work as part of a team and the opportunity to take on responsibility will prepare you for many jobs.

Tip # 3

when deciding what career to choose, go for one that will give you the opportunity to learn. This may mean learning on the job, or are sent on courses in college or in the house. Even if you move to a completely different field, the fact that you have participated in the program, meaning that you can adapt more easily to new situations and if you have to retrain, you must use to learn.

Challenges in implementing Wellness Programs

A wellness program is a noble endeavor designed to improve the overall health of employees and other stakeholders within the organization. The general increase in health aliments and the social arena has been the center of intense scrutiny and debate in the last decade or so. Rampant levels of obesity, heart disease, cholesterol, high blood pressure and stroke in all age groups is a major concern. Even Many young adults are now falling prey to a lifestyle that is increasingly lacking concern for the health.

In many areas, the problems are not limited to physical health, and achieve a state of mental health, as well. Anxiety and stress are part of everyday life and have become protracted and incorporated as another ailment.

This is one of the main reasons behind the rise of the presentation and the subsequent adoption of programs including business organizations. These wellness programs aimed at encouraging physical activity among employees, which seeks to reduce the stress and emotional issues faced by employees. Not only for-profit companies, but also not-for-profit and non-business organizations are increasingly developing wellness programs on their own.

The primary focus of all corporate wellness program is on the employee, given the presence of a large part of unhealthy employees leads to loss of productivity and efficiency in the company itself.Most wellness programs include elements of exercise, education on nutrition, health evaluation and screening and training. These different elements are all designed to make employees aware of potential health-related issues and how to improve them.

Employee Concerns

Despite the growing popularity of these programs’ among companies, there are certain inherent challenges and obstacles in the successful adoption of. The biggest challenge is how to ensure a high level of employee participation. Without the proper implementation of the Company, participation in wellness programs at companies still usually quite low.

One of the biggest reasons for participating in wellness programs remain low has to do with the desire of employees to invest time in the program. Another common concern shared by many employees has to do with her privacy. For example, I wonder how many employees further details of their health will be used by the company.

Another challenge to keep participation high is that employees are not made sufficiently aware of the potential health benefits offered by the programs. Other employees simply lack the motivation to try to stay healthy.

The best way to overcome these problems is for the company to ensure that wellness programs are staffed and run by competent, energetic individuals who can make a personal connection with each employee. And, the benefits of engagement must be well explained to employees, and repeatedly so over time. Assuming that workers should just “get it” the first big mistake that employers make when they implement wellness programs.

Employer Concerns

Employers also face challenges in implementation. For example, companies considering starting a wellness program needs to be sure of their ability to commit the necessary resources to design, implementation and ongoing operation. Companies also need to be able to be ready to keep plans for a period of many months or even years before realizing the positive impact they have on the organization.

This is even more true for small and midsize businesses. Smaller companies may find it challenging to implement wellness programs for startup costs involved. For these companies to succeed in launching and then keep those programs, they need to create a clear model of how and when these programs will “pay for itself” by affecting the bottom line. By creating such a model, and monitor the development of the application, even small businesses can get the benefits of such programs.

Employee wellness programs offer a range of advantages to companies and employees alike. By ensuring challenges ahead of time, companies can be better prepared to implement them successfully.

Philippine – Filipino Values

Value can be defined as the standards group or community judges the desirability and importance of individuals, ideas, actions and goals. Values are shared conviction or belief in what constitutes contribute to the welfare of the group. From these definitions, we can clearly see how values are affected by the community and in turn, how the community can affect the value owned by its members.

Two of these properties are positive signs and the strength of the Filipino character: Katapatan and Pakikipagkapwa-Tao. The two seem to hinder the progress of Filipinos. These are “Bahala na” attitude and “Kanya-kanya” syndrome

Pakikipagkapwa-Tao and Family Orientation :. This indigenous Filipino trait is respect for the dignity of others and be with them. It consists of all levels of relations with neighbor people in times of crisis, such as illness and death. This involves the concept of neighborliness like mutual visits and exchange of food. Pleasant attitude is also shown to relatives and friends, such as extending moral and emotional support. This is also seen in the insertion of many light scenes where there is a light-hearted bantering, jokes among friends and relatives.

Due to the common nature of the Filipino, they have a deep sense of concern for the dignity of persons and respect. This pakikipagkapwa-Tao appeared in their sensitivity to the feelings of others. This is often seen in the relationship between the characters. Polite language, soft pleasing voices and meek behavior are employed to avoid disagreements with others. Personal relationships are also almost always important in any business including characters

Katapatan :. The Filipino virtue of righteousness in thought and action. In person, this virtue strengthens him against cheating and lying. It fosters cooperation and trust between neighbors, friends and colleagues. This positive character trait is dominant publication in Philippine movies and television of its leading characters. Viewers are attracted to nature and history because justice is considered rare trait nowadays, and the expression of this in front of the protagonist gives them hope in siding with the good

Bahala na :. Extreme rely on higher value or fate. Bahala na is a common expression among Filipinos which rests on a fatalistic outlook and strong dependence on spirits. It literally Bahala na means “Leave it to God.” An abundance of superstition can further encourage superstitiousness of Filipinos. This may contribute to the lack of initiative among Filipinos. Rather than relying on their own efforts people and industry to solve the problem, one leaves his fate to God or “spirit.” These characteristics also encourages Filipino to matiisin or be too patient tolerance

Kanya-kanya :. A negative Filipino trait is a selfish and self-serving attitude. This is often raised when peer people have had the honor or prestige. Most if not all conflicts in Filipino stories are the result of envy and jealousy. This “crab mentality” that characterizes many Filipinos is counter-productive.

Certain negative behavior may be picked up by the youth if they are constantly displayed and are not shown in the end to have a negative impact. At the same time, understand the strengths Filipino character would help in recognizing traditional and positive Filipino values that should be maintained.

Psychology food cravings and Emotional Eating

Why do we have food cravings?

One important factor that can affect appetite is the concept of food cravings. This overwhelming urge to eat a certain food seems strong overweight dieters, and many theories have deposited why this is so. Nutritional imbalances and the role of food cravings is described by physiological theories and explains why cravings could be more present in people who are deprived of food. The psychoactive abilities of certain foods trigger cravings are similar to self-medication behavior and thought to relieve a serotonin deficit. Psychological theories focus on the role of film emotions (such as anger) that calls the desire and learning theory argue that desire is a positive response to learned cues (perception, situational) and give the desire leads pleasurable result. What is obvious here is that food cravings are multi-dimensional and complex case, one that potentially involves all aspects of the proposed theories.

Whatever the reason, it is suggested that food cravings often lead to consumption craved food and increased Body Mass Index associated with food intake and preference for high-fat foods. Even in non-clinical samples, food cravings has been found to be related to body weight, suggesting a significant role in the consumption of food cravings. Starting at elevated body mass indexes (BMI), medical risks and unhealthy diet and exercise habits may be necessary for the future prevention of obesity. One important question is the role of food cravings can play in maintaining excessive eating patterns in other problems with eating behavior :. Binge eating, bulimia and obesity

food cravings and weight gain: The Missing Link

It is thorough and excellent data on the increase worldwide prevalence of obesity, and projected results if this is not addressed. Children in particular are noted as being particularly at risk of long-term health problems. While dietary restraint, more nutritious eating habits and exercise have always been purported to be the answer to the obesity crisis in adults, adolescents and children of long-term meta analysis and follow-up studies indicate that weight loss is not maintained (and indeed more time that passes between the end of the diet and follow, the more weight is back). Unfortunately, several other studies indicate that dieting is actually a consistent predictor of future weight gain.

A recent study conducted by Patricia Goodspeed Grant (2008) involved investigating the psychological, cultural and social contributions to overeating in obese people. She found that eating for comfort for the morbidly obese is rooted in using food to control the experience of emotional pain and difficult family and social relationships. Its participants reported that it had been missing from all the treatments they had tried the “opportunity to work on psychological issues concurrent weight loss.”

It seems that the missing link in the treatment of obesity is this concept and addressing the psychological version of the contributors or the emotional drivers that are leading people to overeat. Relying on willpower and education is clearly not enough.

Motivation Issues

Men are only motivated by feelings (ie perception). There are basically three types of emotions; pleasant, neutral and unpleasant. Motivation to get from an awkward feeling to bring a sense that we have not, but I will. We moved away from the uncomfortable feeling by replacing it with another pleasant (or neutral) feeling.

Hunger, is an uncomfortable feeling (for people) and is relieved by the pleasant sensation (for people) of eating and taste of food. Like other major features, this is so that we can live, individually and as a species. Most of us want a pleasant sensation of unpleasant sensations. But pleasant emotions do not always match the result for which they were designed. Many people eat, not because they need nutrition, but because they feel uncomfortable feeling, like rejection, loneliness, distress, depression, fear, fraud, worthless, defeat, helplessness or hopelessness. This emotional abuse of food often leads to fat-gain and other problems. This can then create a vicious circle of more emotional eating to manage the emotional consequences of overweight and unhealthy.

For children, excessive eating and binging are often the result of boredom and habit behavior. Food and drinks are used to reduce the monotony. They can also be used as a coping strategy to deal with the problems caused by anxiety, depression, stress and conflict. While they may feel comforted after consuming the amount of food, you have not dealt with the underlying cause of these problems. This sets up the award cycle with food to get a better feel. Consequently, there is no reason why they will not return in the future. This can become a vicious circle.

If a parent deals with their own emotional issues with eating and or over eating it is very likely that the child will also do it. This pattern for coping is based. Parents often find it difficult to tolerate disappointment and pain of the child and are motivated to take this away. If the food is regularly used as a way to do this, for example, “Never mind not getting invited Let’s go get a chocolate sundae,” a parent may install circuit soothing uncomfortable feelings of pleasure from food. This in turn can put up eating patterns to manage emotions. This is especially a problem when there is no real discussion of pain or disappointed child and instead food is just available

have thought now :. Why is it that you want to stop emotional eating? You may immediately, or you may need to think about some time. Finish this sentence out loud:

When I stopped eating in response to my feelings, I will …

answer / s will give you insight into how you are motivated

If you are encouraging pleasurable result, you may have said things like:

• When I stop eating in response to my feelings, I will be able to buy clothes “off the rack” in stores

• When I stop eating in response to my feelings, I will be happy

If you are motivated by the negative results of the answers reflect:

• When I stop eating in response to my feelings I will not be uncomfortable in my clothes anymore

• When I stop eating in response to my feelings, I will be able to throw my “fat” clothes

You’ve probably noticed a pattern here. Had a pleasant results or negative one, affects how we think, feel and behave. You might find that you have a combination of moving towards some conclusions and away from others. This is fine, too. More often than not, we are primarily subconsciously motivated in one direction.

has also been shown

The catalyst can be either internal or external factor symptoms in the general population. Internal motivation is linked to neurological channel in the left prefrontal lobe; feelings of accomplishment, passion for work, tension in our day all link to the left prefrontal cortex. It is this area of the brain governing motivating behavior. It reduces pessimistic emotions and inspires action. The fact is that some naturally create a high level this internal motivation; those who focus on inner feelings of pleasure that they want to achieve, despite the difficulties they face along the way. However, others need more than this.

External motivation is external influence or stimulus to create positive behavior. This could be monetary rewards such as bonuses, tangible recognition or honor, award, or other incentives. The fact is, despite such award motivating behavior in the short term, it has been shown that no amount of bonuses or recognition will encourage people to use their fullest potential to continue their goals. So what does it take?

You may have already begun to exercise no matter how many personal trainers you hire, how many motivational tapes practice you buy or classes you attend, you eventually lose interest and go back to your old behavior. This is because all these types are external motivation. There is nothing wrong with them – some thrive on external incentives and do very well with it. However, sometimes your behavior is falling off when you stop to get a drive from outside sources. Let’s face it, if you had a personal trainer at the door every single day for the rest of your life and a personal chef in the kitchen to prepare nutritious balanced meals forever, then yes, you would be motivated to lose weight and become fitter. Such full support is not a reality for most of us.

Sometimes people find internal motivation they need to lose weight from external sources and this can help them get started. Here is the history of Mercedes.

Mercedes had tried to lose weight for years. She was secretary of the library and thoroughly enjoyed her work and her food. She took over years of living a fairly sedentary lifestyle, with a little practice and a whole lot of reading in his spare time to pound had crept in. She was an accomplished chef and took pleasure in preparing meals for themselves out of Gourmet magazine in the library. She does not worry about her weight but it was always in the back of her mind that she should do something about it. It was not until she was a regular visitor to the library every night she paid attention.

Jon was studying for final exams in his books and because he still lived at home with restless younger siblings, he began to take the library every evening in peace and quiet. He found the Mercedes to be very knowledgeable and helpful in finding it necessary referral programs and they struck up a friendly rapport. Mercedes after it began to look forward to their time every night to chat with John and after the first compliments he made about her hair, she went to take more time with her appearance. Jon was actually the first person who had ever noticed her as a woman. Unbeknown to him, Mercedes started watching her meals and even began to make her car further from work to get some exercise every day, in the hope of slimming down.

Mercedes and Jon were good friends and while not particularly romantic ever happened between them, Mercedes felt inspired to continue grooming habits and eventually met his future husband while power walking weekend. He had lived two doors from her for many years and they had never noticed each other!

Are you motivated towards the prize? Or from the painful conclusion?

subconscious mind is actually created to guide you towards something you want, but not away from something you do not want.

The same happens when we need to achieve a goal like weight loss – we need to look where we are going. When focusing on losing weight, most are focused on wanting to move away from what they do not want, or negative balance. Rather than focus on wanting to lose weight to move away from your current position, focus on the positives become slim, healthy or fitter. This is a positive direction rather than moving away from negative

Here is a simple exercise that will prove you your subconscious is alert 24 hours a day :. On the way home today, choosing a make, model and color Auto anything done. Start thinking about it consciously. And then you start to look around and see how many you can count on the way home. Really look hard – you’ll find them everywhere! How did it on the way to work you did not take any? You were not set, that’s all.

What is driving your table?

Many people suffer from food cravings at times when they have a strong feeling. Other history report feeling criticized and condemned by important others for their choices or how they look, eat or feel. Feelings of shame and guilt about eating behavior, appearance or perceived lack of control are also common people. Others report anger and annoyance that a feature they want, they have to eat differently to others and feel deprived (violence / not normal). Many are afraid to change their shape because it has helped them to hide or protect them from harm or intimacy. Many have tried to change their shape so often that they do not believe they can succeed, or feel undeserving successful because they have a deeper sense of unworthiness.

Emotional Eating

Emotional eating is the practice of consuming quantities of food – usually “comfort” or junk foods – in response to feelings instead of hunger. Experts estimate that 75% of overeating is caused by emotions. Many of us learn that food can bring comfort, at least in the short term. Therefore, we seek often to food to heal emotional problems or take away the discomfort. Eat self soothe becomes a habit that prevents us from learning skills that can effectively resolve our emotional distress.

Depression, boredom, loneliness, chronic anger, anxiety, frustration, stress, problems with interpersonal relationships and poor self-image can lead to overeating and unwanted weight gain. There are 2 types of emotional eating where people participate

1. Deprivation sensitive binge eating, seems to be the result of weight loss diet or periods of restrictive eating (dieters Yoyo)

2. Addictive or dissociative binge eating (? Have you ever eaten whole pack of something, before you realized it was gone) process of self-medicating or self-soothing with food unrelated previous Limit

that identify what triggers emotional eating, we can substitute more appropriate strategies to manage our emotional problems and take food and weight gain out of the equation. Situations and feelings that trigger us to eat fall into five broad categories:

1. Social. Eating when around people. For example, excessive eating can result from encouraged by others to eat; eat to fit in; arguing; or feelings of inadequacy around other people.

2. Emotionally. Eating in response to boredom, stress, fatigue, tension, depression, anger, anxiety, loneliness as a way to “fill the void” or to respond to the emotions caused by memories of previous negative experiences.

3. Situational. Eating because the opportunity is there. For example, in a restaurant, see an ad for a particular food, passing by a bakery. Eating can also be associated with certain activities, such as watching television, going to the movies or a sporting event.

4. Thoughts. Eat due to negative self-esteem or excuses for eating. For example, scolding himself for appearance or lack of will power.

5. Physiological. Eating in response to physical cues. For example, increased hunger due to skipping meals or eating to cure headaches or other pain

Some useful questions to ask yourself that may help you find some of your views or concerns are .:

• Remember the times you ashamed of your body or had other people say things about you that you felt ashamed?

• When was the last time you were on the goal weight / shape? What was happening at the time?

• What beliefs about overweight people? What were the attitudes of significant others about overweight people?

• What patterns in the family for food? Was used to show love or punishment?

• What statements you say to yourself that are self-defeating, insensitive and keep you from getting what you want. Some examples are:

– It’s in the genes of my

– I’ve never been slim so I can not be

– I will always be fat

– I’m fat funny one

– If I let anyone get close to me that they want to hurt me

– My friends / family will not like me anymore

It is useful to ask yourself:

1. What are the advantages of staying overweight?

2. What you need to give up to achieve your goal?

3. Do you use food as the main prize, either for you or your children?

Read these questions out loud then sit quietly and listen to what you say to yourself. Write down the answers. Remember that you are honest with your thoughts and feelings, the deeper changes that you are able to achieve.

Recent studies Tackling food cravings

In a recent randomized clinical trial tested whether The Emotional! Freedom Technique (EFT) could reduce food cravings in participants under laboratory-controlled. Ninety-six overweight or obese adults who were posted at the EFT treatment or 4-week waitlist condition. The waitlist condition received treatment after the testing process. Longitude food cravings, feel the power of food, tightening capacity and psychological symptoms were assessed before and after the four-week EFT treatment, 6- and 12-month follow-up. EFT was significantly greater improvement in food cravings, the subjective power of food and craving restraint than waitlist from kindergarten to immediately after the test. At 6 months, improvement in food cravings and the subjective power of food after treatment was maintained and delayed effects observed restraint. 12 months favorable food cravings and the subjective power of food after treatment was maintained, and a significant reduction in Body Mass Index (BMI) came from pre- to 12 months.

EFT treatment group of treatments called ‘energy psychology “(EP) and similar treatments would include Thought Field Therapy (TFT), EMDR and Tapas Acupressure Technique (TAT). EFT was originally designed as a simplified version of TFT . Based on acupuncture principles, Callahan (2000), a brief strike method can be successfully used to treat almost any emotional disorder. Specific problems have tailored procedures and after analysis, the process involves tapping on certain meridian points on the body of a man while focusing the mind originates distressing situation. The strike is proposed to create energy.

It seems EFT can have an immediate effect on reducing food cravings, leading to maintain my desire time and impact on the body mass index in the overweight and obese subjects. This additional weight loss / diet program can cause helping people to achieve and maintain my food cravings and lose weight

References :.

Callahan, R. (2000) . Tapping healer within: Using treatment thought field instead conquer your fears, anxieties and emotional distress. New York: McGraw-Hill

Goodspeed Grant, P. (2008), Food for the soul :. Social and emotional development Beginning Comfort eating morbidly obese in Psychological Responses to eating disorders and obesity (pp 121- 138) Wiley and Sons, UK.

Dr Peta Stapleton

Terri Sheldon

Who is Responsible For the Health Crisis in America?

A baby born in the US in 2004 Will live an average of 77.9 years. That life expectancy ranks 42d in the world, down from 11th twenty years earlier.

– Source: Census Bureau and the National Center for Health Statistics

Blame-storming THE HEALTH CRISIS

Who is Responsible for the health crisis in America? Is it the government? The state of the economy? Parents? Schools? What about you and me? Restaurants? Grocery stores? Or is it our busy schedules? How about Those get-togethers and Parties you attend? Maybe the Presented food choices are to blame. Yes! “Blame.” That is the word I was looking for! We are looking for someone or some institution to blame for our health crisis.

Is there a government Conspiracy? If so, just WHO are the conspirators? Let us get one thing straight. You and I do not need anyone’s help in Creating a health crisis. There is a reason for this. You and I are the greatest conspirators of our own lives. We have received more than enough information to let us know what to do to our health and ENHANCE Yet we, in Many cases, do not act and make the changes. I think That clarifies the Conspiracy Theory in a Nutshell. When I speak of this health crisis, I am not talking about medical insurance or medical costs or treatment. True, this is an Important issue. Howeverwhole, this issue only Touches on the surface of the problem. How we think, eat and live is the real cause. So who or what is Responsible? Do you have an idea? Who is the villain or culprit?

YOU ARE Responsible For Your Health

You are Personally Responsible for all the decisions you make. Do not blame Any institution or anyone else for your poor choices That lead to disease, illness and poor health.

What has caused America to fall so far behind the statistics on Longevity in the world? The ranking went from 11th to 42d. Americans do live longer, but not as long as 41 other countries, according to the National Center on Health Statistics. Why is one of the richest countries in the world not Able to keep up with other countries? Some say it is Because the United States has no universal health care. I do not see That as the primary reason since we have never had universal health care. Here is what I think are some of the primary Reasons for this trend:

  • Adults in the United States have one of the Highest obesity rates in the world. One third of US adults 20 years and older are obese and about two third are overweight, according to the National Center for Health Statistics.

  • Americans are extremely sedentary in their lifestyles.

  • Americans do not exercise at all or very little.

  • Americans eat too much and They eat too much processed foods, sugar and fat.

  • As long as the health care Debate is limited to insurance, the health of Americans will not Improve.

Kids sometimes Will do the craziest things. Once upon a time, there were two brothers. We will call themself Sam and Jake. As school-aged brothers, Sam challenged Jake to climb a tree, and so he does. Then Jake is challenged, on a dare, to go farther out on a long, thin branch of the tree. He gets about half way out beforehand the limb breaks, and he comes falling to the earth with a thump. Jake broke his nose and got some cuts and bruises. Both kids report to Their mother and of course Mom asks Jake, “How did this happen?” Jake RESPOND, “Sam made me do it!”

There are Many complaints I hear about All That enticing processed food in the grocery stores. There are remarks about the special challenge of eating out: The portion sizes are too big, and there are all Those irresistible, unhealthy “choices” available. I see no difference between Jake’s response and complaining These adults’ reactions to Their plight – or, Should I say, dilemma. Jake said, “Sam made me do it.” Translation: Sam Ã¡byrgÃ Jake’s poor decisionmaking to go out on a limb. That is nonsense. Jake Ã¡byrgÃ his own decisionmaking to go out on a limb. We adults are too frequently “going out on a limb” with our health by making poor choices while laying the blame on external Circumstances or institutions – Whether commercial, social, or governmental. Such ceasefire with thoughts of Blaming external Circumstances or other people. Take charge. Be accountable for your own actions.

Are our institutions off the hook When it becomes to Responsibility? No, They are not. I use the term “institution” in a broad sense, to include the Following:

  • Federal, state and local governments

  • Political Parties and Politicians

  • Teachers and school boards

  • Physicians, Dentists, Nurses

  • Journalists, press and media

  • CEO’s and corporate Shareholders

  • Restaurateurs, marketers

  • School cafeterias

  • Workplace cafeterias

  • Clergy, little league coaches

  • Parents and caregivers

  • Law enforcement officers, parole officers

  • Military leaders (from the squad leader upward)

Institutions ARE Responsible TO LEAD BY EXAMPLE

What kind of leadership Responsibility do institutions have When it comes to healthy eating and exercise? Institutions, as well as all leaders, have a heightened level of Responsibility beyond rules and Regulations of the organization. Our institutions have the special Responsibility to “walk the talk,” clarify the goals of health and fitness, and assume a more visionary role to set and implementable standards for a solution to our health crisis. Our institutions are morally obligated to set the example by living by the Higher standard required of themself as leaders. This Can be accomplished through Legislation, executive orders and Both internal and public policy making. Our institutions need to deal with the problem directly and use special Their Influence to save lives and preventions suffering.

Health insurance will not accomplish this. Are you looking for true medical insurance? Make your premium payments in the form of living a healthy lifestyle void of dependence on a home pharmacy of medications. Most of our medications are prescribed Because of our lifestyles, not Because we simply got sick. I am talking about the overwhelming rule and not the exception.

There are exceptional cases where, despite a healthy lifestyle, serious disease or illness happens. Would you cease to drive a car simply Because someone had an automobile accident? In addition, you certainly should not cease to lead a healthy lifestyle just Because someone you know lived to be 100 years old as a smoker. That would be a fatal error in thinking. It is just this type of thinking That is killing and maiming Americans. Ban this type of thinking from your mind.

Take the educational institutions for America’s young people. Schools are Primarily Focused on delivering on Educating our youth with an Approved curriculum. Schools need to go beyond mere curriculum, to Consider the whole child, setting improved fitness and healthy eating as a priority. Fitness and healthy eating shouldnt be a part of the curriculum, as They play a major role in the development of a child.

Teachers are role models and leaders When it comes to eating and exercise habits and how They portrays Their attitudes about fitness and health in school. John Maxwell define leadership as “Influence – nothing more, nothing less.” Moving beyond the position of the teacher to assessing the portability of the teacher to Influence others as a leader is essential. This & quot; refers to Those WHO would Consider Themselves followers, and Those That outside circle.

Leadership build character, Because without maintaining integrity and trust worthiness, the Capability to positively Influence Will disappear. There are Many other definitions of leadership. They all point to a leader having Influence on others and providing to themself the guidance and direction Necessary to envision a long-term view of the future.

Policy is made from the top down through Legislation, executive order, mission and policy statements. Where there is a void in Such top-down leadership, the initiative must begin from the ground up. Educational institutions by Virtue of Their access to vast blocks of our children’s time, have a unique Responsibility to go beyond mere curriculum to Consider the whole child. By Offering and flow sing healthier choices, They are setting precedent for the rest of That child’s life.

Early in America’s pioneer history, school teachers were expected to be morally beyond reproach in every detail of Their own lifestyle. This REFLECTED how Those communities wanted to Influence Their children’s future and the future of the country as a whole. Today’s America like wise needs Today’s school teachers to be wholeheartedly health conscious for the Same reason. Our Future Depends on it.

That is not to say That all school teachers shouldnt be fashion-model thin or good-looking or in Any way shaped by the media’s image. An overweight teacher WHO is working to Improve army fitness would be preferable over the Size 4 WHO is proud to eat candy bars and drink sodas in front of army Pupils. Institutions are role models in all thatthey say and do or do not say or do. Their policies and actions set the standards.

Look at some statistics on childhood obesity in America. About 15 percent of children and adolescents ages 6-19 years are seriously overweight. The percentage of children and adolescents WHO are defined as overweight has tripled since Nearly the early 1970s.

  • Over 10 percent of preschool children between ages of two and five are overweight.

  • Another 15 percent of children and teens ages 6-19 are Considered at risk of Becoming overweight.

  • Researchers found That lowered self-esteem was Associated with being overweight in girls as young as five.

  • One in five children in the US is overweight.

  • Children ages 10-13 WHO are obese are expected to have a 70% likelihood of suffering from obesity as adults.

Centers for Disease Control and Prevention’s (CDC) , 1999-2000

National Health and Nutrition Examination Survey (NHANES)

Childhood obesity is only the indicator of an underlying problem of a sedentary lifestyle and unhealthy eating habits. Address These underlying issues, and childhood obesity Will be significantly reduced.

Our schools, teachers and parents have a heightened level of leadership Responsibility to That address the statistics are just a few of Many indicators of the direction of the state of health of our children. Once These children become adults, They, too, Will pass on their lifestyles to children and Their Will in all likelihood perpetuate poor eating and exercise habits. The Consequences Will manifest Themselves as learning disabilities, Increased crime, and socio economic problems-which our children’s generation can not afford to inheritable.

What is the number one excuse institutions use for not doing more to fight the poor state of health of Americans?

Answer: It is Each individual’s own decisionmaking as to how he or she wants to live, how he or she wants to eat and exercise or not. This is the mother of all institutional excuses. An institution using this excuse relinquishes its leadership Responsibility as a visionary to lead and guide by example and exercise That institutional Influence it possesses. The institutions need to ask the visionary question of what can They do to Influence, guide and inspire Each individual to make healthy lifestyle choices.

Dietary guidelines , pyramids and charts have all failed to make Americans healthier. Why are They not working? Institutions are made up of Individuals Who Are a cross-section of society WHO are therefore Personally dealing with the joint lifestyle issues about eating and exercise, as are all consumers.

Dietary guidelines do not work, Because the vast majority of the food and beverage industry does not incorporate Them Into food choices and portion sizes we see on the shelves. Remember, this is from the perspective of the institution and its Responsibility and in no way diminishes the personal Responsibility of the every individual to take charge of Their own lifestyle and choices. Our children need special guidance to Learn what personal Responsibility means. That guidance must come from adults.

Emission controls in the automobile industry have resulted in smaller, cleaner, and more fuel-efficient cars; though more work Remains to be done. These successes were accomplished through government regulation through the Clean Air Act and similar initiatives. We have another just as Pressing form of pollution going on in America: health pollution.

We have a health pollution crisis on our hands in America, and – as with automobile emission Regulations – the food and beverage industry needs to be regulated to meet improved standards for healthy eating through strict Labeling, reduced portion sizes, and regulation and disclosure of unhealthy ingredients in our country’s food supply.

The free market society needs some governmental fine-tuning in order to save American lives and preventions suffering. The cost of not doing so is enormous. Heart disease, cancer, stroke, and diabetes (the four leading Causes of death in the US), and obesity, hypertension, and osteoporosis are all linked to diet and exercise. Americans and their children are the most over-fed and under-Nouri shed group of people in the world.

One out of two Americans is overweight. One-third of Americans are obese. Being overweight is the second leading cause of preventable death in the US

Illness AND Disease IS Costing AMERICA BIG BUCKS

  • The total cost of stroke to the United States is Estimated at about $ 43 billion per year.

  • $ 28 billion per year direct costs for medical care and therapy.

  • $ 15,000 is the average cost of care for a patient for up to 90 days after a stroke.

  • $ 35,000 for 10% sjÃºklinga, the cost of care for the first 90 days after a stroke.

* Statistics compiled from the Pennsylvania Health Care Cost Containment Council ” Hospital Performance Report 28 Common Medical Procedures and Treatments “(December 2002)

The food and beverage industry as well as the health and wellness industry have a leadership Responsibility to clean up Their marketing. Misinformation and misleading claims are rampant. Observe carefully and you Will detect the emotion-laden words, sem are Associated with poor choices and portion sizes

  • Convenient (over-processed)

  • All natural (so is lard and corn syrup)

  • Lite or light (lots of added sugar)

  • Quick and easy (huge amounts of sodium)

  • Simple (check the label; not so simple, unpronounceable ingredients.)

In addition, the list goes on:

Fun, exciting, easy, time saver, feels great, low-carb, no sugar, no fat, healthy, look great.

Will the food and beverage industry have an economic price to pay for Such changes? Yes, the transitional period willhave some Associated costs, in the short term. In the end, the food and beverage industry as well as consumers and our country as a whole Will all benefit from a healthier America with healthier food choices. In fact, this Will result in innovation and new Areas of revenue for the food and beverage industry, all while Actively contributing to making Americans and America healthier and Stronger.

Disclosure is the law for government in Florida and Many other states and federal entities. The Sunshine Law of Florida establishe a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities:. It has led to not only a more informed public, but also Actually better government.

Full disclosure on food labels would like wise inform the public and result in healthier foods being produced and marketed. True full disclosure for the average consumer must be in the form of a simple “level of healthiness” and “level of nutrients” grade. The factors Determining the simple, easy-to-understand grade must be Clearly defined in easilyNavigation understand CD language.

The present health pollution of America is a national security issue Because the Consequences go much farther Into sociological issues, such as Increased crime and poor learning portability. An unhealthy America can not performaces or think as well.

Whatever challenges our country faces Will be better met if we are healthier in mind and body. Sick and unhealthy Americans are living longer and living with meds. These Americans need to be weaned back to health and off the meds, where skies. In most cases, lifestyle changes Will result in improved health, independent of meals. Our physicians are challenged with a special institutional leadership role in strategizing to prescribe lifestyle-based changes and not just medication so thatthey and not just medication so thatthey truly Can take on the role of healers, not only for the patient but also for the nation. Keep America strong. The medication mindset without healthy eating and exercise is killing Americans.

We have what it takes to change our culture for the betterment of all by personal Taking Responsibility for our lifestyles we lead. Our institutions have an equally Important role model Responsibility to set the tone and standard Necessary to keep America healthy. Regardless of political affiliation, there shouldnt be complete agreement about personal and institutional Responsibilities.

How to calculate the risk of breast cancer

Using the known risk factors for breast cancer, mathematical models can be developed to help answer important questions. These mathematical models are useful tools for researchers and patients as follows:

1. Research on risk factors – The Claus risk assessment model was used to detect subgroup who had inherited dominant genetic allele that increased their risk by 10% to 92%. This led to the discovery of BRCA genes associated with breast, ovarian, and prostate cancer.

2 clinical trial eligibility – The Gail risk model was developed to help researchers determine who to enroll in NSAPB Breast Cancer prevention trials

where chemoprevention was shown to reduce the risk of breast cancer.

3. Guidelines for doing BRCA testing – BRCA testing is very expensive and practically worthless if done at all (because it’s so rare to be homozygous for BRCA1 or BRCA2). Mathematical models such BRCAPRO, BOADICEA and Tyrer-Cuzick model can help determine which patients should undergo BRCA testing. The decision to test is usually done when one of these models predicts a 10% or greater probability that there is a mutation in BRCA1, BRCA2, or both genes.

4. Guidelines for doing MRI screening for breast cancer – MRI screening for breast cancer is not cost effective screening for the public, but in special populations, there are clear reasons cut to do it. In general, screening MRI is recommended for women with 20-25% or greater lifetime risk of breast cancer. The BRCAPRO and Tyrer-Cuzick models have been used to make clinical decisions about ordering MRIs for breast cancer screening.

5. Guidelines for the treatment of breast cancer – The Gail model is used clinically to help

decide who should be put on tamoxifen or raloxifene for chemoprevention. Other models have been used to make decisions about the breast cancer risk reduction with prophylactic mastectomy.

For these reasons, it is important to understand these models. These models are collectively referred to as “risk assessment tools”. The following paragraphs together the most popular and most used tools of risk assessment. Keep in mind that none of this risk assessment tool for breast cancer survivors. No mathematical model has been widely accepted to determine cancer risk of cancer survivors

General Risk Assessment Tools

Gail Model :. The Gail model is a validated risk assessment model that focuses primarily on nonhereditary risk factors, with limited information on genealogy. It was developed by researchers at the National Cancer Institute and the National Surgical Adjuvant treatment Breast and bowel Project (NSABP) to assist health care providers in discussing breast cancer risk to determine their eligibility for the Breast Cancer Prevention Trial. The tool allows one to shed a unique plan woman’s risk of breast cancer over five years and over a lifetime. It compares the risk premium for the calculation of the average woman’s risk of a woman of the same age. The Gail Model is in line quiz has 13 questions and is interactive. This calculator is based on published risk statistics and methods gathered from peer-reviewed journals, and has been extensively tested for its validity.

The major limitation Gail model is the inclusion of only first-degree relatives, which results in an underestimation of risk in 50% of families with cancer analyzes lineage and also takes no account of the age of onset of breast cancer. It may underestimate the risk in certain groups, such as obese

National Cancer Institute Model :. The NCI risk assessment tool is essentially a simplified Gail Model that also factors in the race. Race is a factor in determining the risk of breast cancer but are excluded when determining your eligibility for clinical trials. This tool is probably the most popular risk assessment tool available to the public that the line, interactive risk calculator. The online quiz is a shorter, nine-point questionnaire that includes more than one, giving the woman the future five-year risk of breast cancer and her lifetime her risk of breast cancer.

The NCI tool does not account for a lot of factors that can be changed. For this reason, it is difficult to use this test as a motivation tool to show people how life can change in breast cancer risk. It also can not be used in breast cancer survivors, patients with DCIS, LCIS, or people who carry one of the BRCA genes

BRCAPRO model :. This is a statistical model available as a computer program that uses two different algorithms to assess family history and help the doctor determine the probability of finding either a BRCA1 mutation or BRCA2 mutation in the family. Results can be used to determine if BRCA testing. This is very useful in view of the high cost of BRCA testing ($ 3,000). None of nonhereditary risk factors can still be incorporated into the model, however. In a comparison of four different methods to assess the risk of breast cancer in patients with a family history of breast cancer BRCAPRO model was the least accurate. It predicted only 49% of breast cancer that actually occurred in the screened group of patients with a family history of breast cancer

Harvard Center for Cancer Prevention Risk Assessment Tool :. This is another breast cancer risk assessment tool that includes more lifestyle factors, but the NCI or Gail Model tools. It has not been studied as much as the Gail Model or the simplified NCI model, but it is promising in that it involves many aspects of life that people can do to change the risk of cancer. There is also an online questionnaire that can be used both men and women to assess their risk of breast cancer.

Making all this realistic

Now, after a thorough and confusing discussion of all these statistical models, it’s time to take all this information practical. What is the best way to help the patient accurately assess the risk of her breast and, if possible, to show her what positive factors are reducing risk, and what negative factors can change to reduce the risk of her? If possible, it would also be great to show the patient and indications for testing, imaging, chemoprevention, and in some cases surgery. A discussion of the practical aspects of each of these is addressed in the Q & A format below:

Q: What (free) online applications can be used to help the patient to evaluate the risk of breast cancer

A : Several risk assessment tools above can be obtained for free by the public. Here are the tests and their websites:

1. Disease Risk Your – English version www.diseaseriskindex.harvard.edu

This is a great interactive questionnaire that calculates five years and the lifetime risk of breast cancer developed by the Harvard Center for Cancer Prevention and made public online in 2000. In 2005, they launched a Spanish version of the site, “Cuida de su Salud”. The risk calculator includes lifestyle factors such as weight, diet, vegetables, alcohol, as well as Jewish origin. It does not include other nationalities, however, and is not entitled to BRCA mutation carriers or breast cancer survivors. Despite these issues, this is by far the best free online risk calculator where it is highly interactive and gives you a personalized description of guarantee in the form of colored histogram, they can work electronically to experience “real” risk distribution. The bar graph is a seven-point scale that compares users to a typical man or woman of your age. Users learn where to focus prevention efforts and how to make lifestyle changes by “clicking” personal strategies. With each click, the bar graph shrinks, and the user from his / her predicted risk drop. This is a great idea to encourage people to participate and be consistent with measures lifestyle changes.

2. NCI Risk Assessment Tool -regular web: www.cancer.gov/bcrisktool

This is easy to use, on-line questionnaire based on the modified Gail a model that also includes ethnicity. It does not take into account their history of breast cancer, DCIS or LCIS. It does not take into account other factors, such as BRCA status, hormone replacement therapy, lifestyle factors, lactation, menopause, or breast tissue density. Despite these issues, it is a very useful tool that gives a woman five years and its lifetime risk of breast cancer. There is a risk assessment tool that can be used on mobile handheld devices (any type). A version of this is available for download PDAs with Windows Pocket PC operating system as well

Q:.? What programs can be used to help the doctor to take the decision to order a breast MRI

A: The American Cancer Society has developed excellent guidelines for breast cancer screening with MRI. It should be emphasized that MRI is a complement to mammography, not a replacement. Some programs can be used to help in clinical decision making. Please look up the American Cancer Society website.

Presentation titles that fill the room

You have the perfect material. You know exactly what you want to say. Now, you have to have a title that commands attention. What drives people to register for the workshop? Think of seminars or teleclasses that you have taken. What did you find compelling? Perhaps you would topic – or realize that there was something you needed to know. Maybe the title was so catchy that you could not resist finding out what this presenter might have to say.

be catchy, but be clear. Headlines should make it clear what the audience will learn and why it is important to know this. At the same time, you do not want a potential audience feel like they have gone back to school -.? Remind them that learning can be fun

Which of these would you sign up for

Learn Money Management from A to Z

– or –

Financial Freedom in 10 Easy Steps

Planning and Design Workshop

– or –

60 Minutes Special – Using a One-time Workshop to build Visibility

In all four titles, potential audience know what they want to learn, but in the second example in each pair, it sounds like they could have fun.

Keep the title short. If you have more than 10 words to explain what you will do, use the text. One formula often used in creating titles works well for the workshop as well. The first part of the title is attention-catch; the second part – by a hyphen or colon – says what the workshop is about. For example:

Getting Things Done: The Art of Stress-free Productivity

The Breaking Point: How Female Midlife Crisis is Transforming Women today

The One Thing You Need to Know … About Great controls, great leader, and sustained individual performance

Here are some tele class titles that make you want to sign

restore Health and Look and Feel Your Absolute Best!

Building thriving Network With masterful Connecting

create e-products today (Yes, today!)

Each of these could be a great one-hour workshop. And who is something that draws’ em in.

Lose Belly Fat and beautiful body

Many people want to know how to lose belly fat. As our society becomes more and more sedentary and more and more dependent on pre-packaged and processed fast foods and contemporary modes of transportation, this is a common concern. People are getting fatter and fatter and obesity is now considered the number one health problem in the United States, then as the cause of death only to tobacco deaths. With 33% of all Americans are considered obese, as reported by the Center for Disease Control and Prevention, what is even more shocking is that obesity is increasing for children too and obesity in children is said to have tripled in the last 30 years.

If you want to know how to lose belly fat you are not alone. But where to find information? While on the one hand, obesity is now considered a major health concern, the diet products and supplements, however, not control. As anyone who has gone shopping recently in Walmart can tell you, you will find shelves of shelf diet related products to choose from in stores. While all products must list ingredients by law, none of these products have undergone any tests and some may even contain harmful substances and cause long-term damage to health. These days more and more people are turning to the Internet for answers, but you will not find any there, none of which are clear-cut, however.

diet industry in the US is said to be worth about $ 35000000000 dollars. The industry is rife with people who claim to know how to lose belly fat and are more than willing to sell you their products, programs and books. While some of these programs will work, it is difficult to say which ones work and which ones are just websites designed to make money. With the advent of internet technology, it is very easy for anyone to set up a website, there are what appear to be credible stories, and offer to sell you books or answers to resolve belly fat case.

If you want to know how to lose belly fat, internet search may well provide the answers. You need to exercise common sense and good judgment though. It may well be that you need to reorganize your goals and set reasonable expectations, and be ready to make lifestyle changes and dietary changes. This does not jump on the low carb high protein bandwagon, but return to our trust in fast foods and fast foods to resolve what is largely a lifestyle problem.

Any successful diet program needs to take this into account, and will only work if it also contains a training component to lose belly fat. This does not mean that you have to make big spending exercise equipment, but you need to find a way to be able to incorporate a little exercise into your regular daily life. This could mean simply taking the stairs instead of the elevator, or walking the dog now and then.


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Old 10 April 2007, 01:13 PM
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Lainie Lainie is offline
Join Date: 29 August 2005
Location: Suburban Columbus, OH
Posts: 74,587

Originally Posted by Kutter View Post
I know when I was in high school in the 80s recruiters had no problems getting hold of student's info.
I graduated HS in 1980, and the school did not provide student information to recruiters. I know this, because no one in my circle of friends was interested in the military. The only one of us to be approached by them was the friend in whose name I submitted a number of response cards to various branches of the military.
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Old 10 April 2007, 01:46 PM
Vanilla Gorilla
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I graduated from HS in 1988 and I never received any sort of phone call from a recruiter. Though they did have military recruiter tables set up in the cafeteria during lunch, course they also had college recruiting tables too. I remember the summer that my brother graduated from the same High School(1991) he got a few calls from recruiters though. Course he played maybe they got his name from there. I remember getting a call from I think a Marine Recruiter asking for my brother. I politely told him that my brother was not interested since he was accepted into West Point(US Military Acadmey). The recruiter told me to pass on my congratulations to my brother(was very polite) and hung up.
And I hadn't even heard of the aforementioned military battery test and I went to school in Houston(i.e. it being a Southern thing to force kids to take the test).
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UNDEROATH Announces Their Upcoming Record & Releases A Brand New Track!

After waiting for over 7 years Underoath finally announced their eighth full album called ‘Erase Me’ which will get released April 6th, but that isn’t all. Just 1 day ago they released a new song named ”On My Teeth” via Fearless Records and it definitely marks a new direction for the band. Check it!

When I found out Underoath released something new after so long I was extremely excited and after listening to ”On My Teeth” just once I was instantly hooked. Even though it isn’t anything like ‘Act Of Depression’ or ‘The Changing Of Times’ I still think the song is incredibly good. Can’t wait for the full release!

Get your very own pre-order of ‘Erase Me’ here!

Aaron Gillespie
Christopher Dudley
Timothy McTague
Grant Brandell
James Smith
Spencer Chamberlain

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About Wessel

Hi there, I'm Wessel and I'm from Holland. From the moment I could hear I loved music and everything about it. You will see me either long boarding or doing something regarding music. Feel free to hit me up any time to talk about music. Hopefully you found my review interesting and I will see you soon! Stay sic \m/

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The Livonian-Finnish-Livonian Dictionaries of Neahttadigisánit

The dictionaries for Livonian and Finnish are based on the lexical materials and scientific research behind the Livonian-Estonian-Latvian dictionary by Tiit-Rein Viitso and Valts Ernštreits. Finnish translation work, content analysis and coordination is being continued in Helsinki by Renate Blumberga with funding from the Kone Foundation.

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Rating:Fund Shareholders to Weigh in on Sudan Investments
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Wednesday, March 12, 2008

Fund Shareholders to Weigh in on Sudan Investments

by: Armie Margaret Lee

In Wednesday's Wall Street Journal Fund Track column, Jennifer Levitz writes about the fund firms whose shareholders will be weighing in on whether to discourage investment in companies doing business in Sudan. Resolutions on Sudan-related investments will be included in the proxies of 12 Fidelity funds and at least four other investment managers including Wells Fargo, JPMorgan and Morgan Stanley. Sudan resolutions have also been filed by shareholder activists at dozens of other fund companies, but these have yet to decide whether to include them in the proxies.

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The NFL League Organization office environment Is made up of a Culture Difficulties

Any firm that actually works in isolation has a tendency to build into disconnected from their customers, which in turn, leaves them from connection with what is deemed repugnant perform. In addition they can be most likely to become more anxio     us with turning into ideal as an alternative to Super bowl Live Stream undertaking specifically precisely what is appropriate. In lieu of having ahead searching for and groundbreaking, they normally choose for being closed minded and thrust their issues beneath the rug until conditions generate them to be dealt with.

Provided that the net online video of Ray Rice’s assault on his now partner went viral preceding week, we’ve uncovered NFL Commissioner Roger Goodell demonstrate virtually all of the behaviors connected which has a man or woman residing within an ivory tower. In lieu of getting obligation, he denied obtaining found the net online video (a questionable assert) and afterwards blamed Ray Rice for supplying an outline of what transpired which was ambiguous (the many extra questionable). If his work is always to determine what occurred and get corrective movement, why would he take ambiguous solutions? He then did what prideful from contact people do, he went into hiding whilst his PR folks labored to come back back again up making use of a remedy and/or greater tale.

This reeks from the tradition caught inside the arrogant from call strategy of: “That’s how we do elements stated listed here; that is undoubtedly how we now have usually completed matters listed here.” Ray Rice is way from the preliminary NFL participant to receive accused of domestic violence. You can expect to obtain at the second 12 other avid gamers in the NFL that have been arrested for domestic abuse. Should the League unquestionably cared about executing what on earth is proper (rather than about its own image) it will eventually have intervened with the training program the instant they identified there was a problem. Recognize: the NFL did not take this for any huge trouble until your entire motion picture of Ray Rice’s steps arrived out.

It truly is a pattern in the NFL; they only deal with concerns right after there exists an important mass of shock. Through example, the concussion trouble has become regarded for decades, but it surely was not till following some large profile suicides amplified general public awareness, that the NFL established to obtain any proactive motion. I have claimed beforehand of that even that issue, in my humble viewpoint, was partly embraced to help keep the lid on a good even bigger (and costlier) problems inside of the NFL; depressive disease in former players.

The NFL ordinarily takes a troublesome stand throughout the use of Cannabis, suspending repeat offenders for roughly an individual year devoid of pay back. However the league turns a blind eye on the even bigger problems of discomfort tablet and narcotic addictions that end result in substantially much better troubles for its players. The main authority on THC, the main part in Cannabis, Raphael Mechoulam of Israel has unveiled numerous scientific tests in large healthcare journals displaying the potent (and far safer) struggling relieving consequences of THC.

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Michael Klotz is a dedicated teacher. As Senior Instructor of Viola and Chamber Music, and Artist-in-Residence at Florida International University, he maintains a high level of international students from the US, Ireland, South and Central America, Mexico, Canada, and Israel. For more information about studying with Michael Klotz at FIU please visit: www.carta.fiu.edu/music.

Michael Klotz also accepts a limited number of award-winning private violin and viola students. Recent high school students have been accepted to prestigious schools of music such as the Curtis Institute of Music, The Juilliard School, Cleveland Institute of Music, Indiana University Jacobs School of Music, and the University of Michigan School of Music.

Michael Klotz is regularly invited to give viola and chamber music master classes around the globe. His most recent master classes include the Cleveland Institute of Music, Texas Christian University, West Virginia University, Jerusalem Academy of Music and Drama, and during the summer, Michael Klotz regularly participates in leading festivals where he teaches private lessons and gives master classes. Since 2015, Michael serves as Director of Chamber Music and Viola Instructor for the Miami Music Festival. For more information about the MMF please visit www.miamimusicfestival.com

Featured Articles

Teaching Statement

Teaching is one of the most noble and rewarding professions. As Senior Instructor of Viola at Florida International University, I am charged with the task of imparting this glorious art form to music performance and music education majors, as well as non-music majors, at the undergraduate and graduate levels. I am also dedicated to teaching gifted pre-college student, who consistently garner awards, scholarships, and admission to the most competitive conservatories of music, universities, and music festivals.

I feel very fortunate to be able to share my lifelong passion for music with my students. As a child, growing up in Rochester, NY, I began attending the Eastman School of Music’s Preparatory Division at the age of eight. For the next fourteen years I studied music in the Preparatory and College Divisions at Eastman with some of the world’s most important performers and scholars. Subsequently, I moved to New York to further my education at The Juilliard School with other outstanding musicians and revered scholars. These individuals helped me develop my musicianship and also became important examples for me to follow in all aspects of life. For me, the true essence of the student-teacher relationship is that the teacher will bear an everlasting positive effect on the student artistically and morally speaking.

I teach my students to be their own teachers. Listening attentively, rather than passively, is s very difficult task. In one-on-one viola and violin lessons, I work tirelessly with students on technical points such as intonation, articulation, bow distribution, tone production, tone color, and dynamics, as well as musical style.

I believe that a student must possess technical and intellectual skill when approaching a work of music. For example, if a student of mine is studying a work of Mozart, I direct them to learn other works of Mozart by listening and following the score. They should be able to discuss the work they are studying from a historical standpoint (year the work was written, other significant works written around that time) and must be able to recognize and discuss any pertinent structural and theoretical elements of the work. When working on intonation, I often have the students sing a passage, paying close attention to the intervals and being able to temper the intervals ever so slightly to show tonal flexibility. This helps the expressive component of a work and indeed increases the student’s sensitivity toward their intonation.

Career guidance and mentoring are integral parts of the teacher’s responsibilities toward their students. At the graduate level, students are at a crucial point where they will soon enter the work force or continue their studies toward an advanced degree, or both. I draw from my vast network of contacts locally, nationally, and internationally to assist my students in any way I possibly can. My commitment to my students continues beyond their studies at FIU or in my private studio. I continue to mentor and guide my  students toward successful careers in music after graduation. I feel that my students’ success in the music world is essential for my continued success as a pedagogue.

Interested in scheduling a lesson with Michael?


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Regulation D – Membership

Application for membership

1. Conditions

According to the IMCCA Constitution, Art 5, only a Sports Association registered or approved by its National Yachting Federation may apply for IMCCA membership. Only one association is eligible for each nation. A national association may admit members from a non-member nation.

2. Application

a. The application for membership shall be made in writing to the IMCCA president. A copy of the application form should also be sent to the IMCCA executive committee by e-mail. See addresses on this Web site.

b. The application letter should be accompanied by:
the recognition or approval of the association by its ISAF Member National Authority (mandatory);
a translation in English of the constitution of the association (recommended);
a list of the members of the executive committee of the Class Association with addresses, phone number and e-mail address;
the nomination of a national representative to the General Assembly; knowledge of the English language is welcome; the national representative should be assisted by a technical advisor, with good knowledge of the measurement rules and the English language; he should be the national measurer of the Class;
general information about the activity in your country: number of existing boats, number of boats, active in racing (by division), manufacturers and information about the current market price for new Micro Class boats, location of main activities, existing Web site (recommended).

c. The IMCCA Small Executive Committee shall inform all member nations about the application and may decide a temporary admission or ask for additional information.
Application is submitted to the member National Micro Class Associations during the annual General Assembly before any discussion or decision about agenda points related to the future of the Class (international calendar, measurement rules,…).
Submissions made by candidates are received, but shall only be discussed if the membership is granted.

3. Rights

In addition to the right of vote and eligibility of their representatives, member nations have the right to apply for the organisation of the World Championship (see Regulation A) or one annual Euro-Micro regatta (see Regulation B), and request publication on the international Web site of the Micro Class of any information related to the international activity of the Class.

4. Obligations

Member nations are required to:

a. pay their annual and event fees to IMCCA;

b. appoint a national measurer within three years of admission;

c. give notification to IMCCA of any change in their status, regarding the conditions of membership;

d. send to IMCCA reports over the international regattas included in the IMCCA / Euro-Micro calendar;

e. provide information about the evolution of number of members and new productions in their country.

f. control the conformity of the productions to avoid abuse of any reference to the Micro Class in information provided by the manufacturers; this is made by making a full measurement of a reference boat and controlling the system of conformity documents issued by the manufacturers.


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Brian Blaise
Middlebury High Class of 1984

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Home / Beth Cox Reports / Beth Cox Report: August/September 2016
Home | Beth Cox Reports Index

Beth Cox Report: August/September 2016

Dear Loyal Readers, Authors, and Publishers,

Time constraints delayed August's Beth Cox Report until it was no longer August, so I would like to celebrate the Midwest Book Review's 40th anniversary with the August/September 2016 Beth Cox Report!

I'll start by addressing a problem that particularly threatens people in the ebook writing and publishing business: chargeback fraud, also colloquially known as "friendly fraud".

Chargebacks occur when a consumer makes a credit card purchase, then requests a transaction reversal from the bank that issued their credit card. The bank refunds the consumer their money, and the merchant must pay a chargeback fee (which may be as high as $20 or more) in addition to the refund. Chargebacks can and do happen for legitimate reasons: for example, if a product the consumer bought was defective, and the merchant refused to issue a refund.

However, merchants can be hit with chargebacks even if they provide excellent customer service and did nothing wrong. If the credit card used to make the purchase was a stolen, the merchant still suffers the loss of the transaction plus the chargeback fee. But perhaps the most frustrating type of chargeback fraud is when the consumer deliberately keeps their purchase and demands a chargeback anyway.

Essentially, it's the same as having a thief steal a valuable item, only with the added insult of a chargeback fee and possible damage to the merchant's credit rating.

Merchants who sell physical items in person have a number of measures to protect themselves against chargeback fraud, such as requesting to see photo ID and recording a signature for credit card transactions. Online merchants are substantially more vulnerable. But the merchants at greatest risk are the ones who sell digital goods or services over the internet.

The sale and delivery of a physical item can be tracked. Ebay sellers are strongly encouraged to use a tracking number service when they mail purchased items. PayPal has a "Seller Protection Policy" designed to help sellers of physical goods in possible disputes. (There have been criticisms of PayPal's Seller Protection Policy, but those are beyond the scope of this Beth Cox Report).

However, PayPal's Seller Protection Policy does NOT apply to the online sale of any digital or intangible goods or services... such as copyediting services; web design services; digitally delivered computer software and video games; or ebooks. On PayPal's own website at

the requirements specifically state "The item must be a physical, tangible good that can be shipped."

Furthermore, PayPal is notorious for almost always siding with the buyer in chargeback disputes over intangible goods or services. If a fraudster buys your $5.00 ebook through PayPal, then hits you with a chargeback, you will very likely just have to pay the $5.00 plus the $20.00 chargeback fee.

If you sell through Amazon, it's also worth noting that Amazon's Payment Protection Policy does not cover digital goods, as described on their website at

"The transaction must be for the sale of physical goods, for example books, DVDs, etc. The Payment Protection Policy does not apply to transactions that include intangible goods, including services, digital content, or cash equivalents such as gift cards."

How can a small-scale independent in the ebook publishing world protect themselves from chargeback fraud? I wish I had a solid, helpful answer. I don't. All I have are few suggestions of limited use:

* Be especially wary of a vast multitude of transactions from one individual, or of particularly large transactions.

* The window for chargebacks can be up to 120 days, so to avoid an unexpected overdraft of your PayPal account, leave a monetary "cushion" in it. Don't count money for digital goods or services as money in your pocket until four months have passed.

* Chargebacks cannot be performed through a cryptocurrency such as Bitcoin. However, Bitcoin is an extremely impractical currency for the vast majority of merchants, and has its own liabilities. Most people do not own, accept, or use it.

* Some merchants use alternatives to PayPal with lower chargeback fees. But since PayPal is so widely used, abandoning PayPal completely can be disadvantageous.

* There are a number of business that specialize chargeback protection services on the Internet. If you decide to pursue this option, then do your vetting carefully - do a Google search and read customer testimonies, learn to what extent they protect against chargebacks for digital goods, etc.

One such chargeback-fraud-protection business is Signifyd. I cannot endorse them because I have no personal experience with them, but I would like to share their blog article of tips for "Detecting Fraud in Digital Goods":

and I'm designating their blog one of two Links of the Month

since it features an assortment of free, helpful articles for online merchants. The second Link of the Month is a website my aunt introduced me to, Medium

Medium describes itself as "a community of readers and writers offering unique perspectives on ideas big and small." My aunt shared three internet articles with me, two of which are from Medium, that will prove especially enlightening to authors and publishers:

"How I Wrote and Published My Novel Using Only Open Source Tools" by Gabriel Gambetta:

Gambetta also explains "How I Wrote My First Novel During My Daily Commute":

and in, "Self-Publish, Don't Write for a Publisher", author Jeff Geerling makes a compelling case for why self-publishing is almost always the best choice for a beginning author, and challenges publishers to convince him otherwise:

Time to wrap this up with a double header Book of the Month! The August 2016 selection analyzes the notorious and ongoing drinking water crisis in the city of Flint, Michigan:

Poison on Tap
By the Staff of Bridge Magazine
Edited by Bob Campbell
Mission Point Press
9781943995080 $19.95

The Flint, Michigan water crisis is the disastrous result of governmental mismanagement. When the city of Flint switched water sources to Flint River as a cost-cutting measure, the river water corroded Flint's lead pipes, contaminating Flint's drinking water with poisonous lead. This corrosion cannot be undone by switching back to Flint's old water source; Flint's drinking water will likely remain unfit for human consumption until all its river-damaged pipes are replaced, an expensive endeavor unlikely to be completed anytime soon. Worst of all, the government refused to admit that the visibly foul drinking water was hazardous to human health for over a year. Poison on Tap: A Bridge Magazine Analysis is an in-depth account of the extreme, arguably criminal governmental negligence and cover-up that destroyed the drinking water of Flint, Michigan residents and poisoned their children with lead. Chapters describe how state-appointed "emergency managers" made a foolish cost-cutting decision to switch their water supply, without consulting experts; how federal regulators failed to warn the public for months about lead in the water; and how a few brave heroes refused to let the status quo lie, fighting back and sounding the alarm. A handful of black-and-white photographs illustrate this "must-read", highly recommended especially for public and college library social issues shelves.

and the September 2016 Book of the Month recommends lifesaving policy changes to battle deadly fires:

I Can't Save You But I'll Die Trying
Dr. Burton A. Clark, EFO
Premium Press America
PO Box 58995, Nashville, TN 37205
9781887654579 $29.95

I Can't Save You But I'll Die Trying: The American Fire Culture challenges the status quo inherent in American culture that is getting both firefighters and civilians killed. Every year, 3,250 people in America die from fires. Changes in attitude and policy are desperately needed to reduce the death toll, but they are too slow in coming. "The NIOSH [National Institute for Occupational Safety and Health] line-of-duty death studies report that we [professional firefighters] do not follow our own safety SOPs, national standards, and training doctrine. We do not use our safety equipment. We do not hold firefighters, officers, or chiefs responsible and accountable when it comes to safety." I Can't Save You But I'll Die Trying addresses one example after another, and proposed ways to change fundamentally problematic behaviors. I Can't Save You But I'll Die Trying is highly recommended, especially for public library collections, and an absolute "must-read" for every volunteer or professional firefighter.

That's all for the August/September 2016 Beth Cox Report. I'll try my best to finish future Beth Cox Reports well before the end-of-month deadline!

Bethany Cox
Managing Editor
The Midwest Book Review

James A. Cox
Midwest Book Review
278 Orchard Drive
Oregon, WI 53575-1129
phone: 1-608-835-7937

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