Author Archives: Nyla

The Best Hospitals in Rio De Janeiro

Rio de Janeiro is the second largest city of Brazil and was the capital of the country up to 1960. Rio is the third largest metropolitan area in South America. The headquarters of many international oil, telephone, media and communication companies in Brazil are located here. Rio will also host the final match for 2014 Football World Cup. Rio de Janeiro has been Brazil's primary tourist center by virtue of its world famous Mardi Gras parades, beaches and many world famous landmarks such as the giant statue of Christ the Redeemer, Corcovado Mountain.

Rio de Janeiro is a major center of research and development in the country and also houses many world-class hospitals that offer latest medical treatments. These well equipped private hospitals have special international patient sections and offer service of English speaking staff.

This is a short description of some of the popular hospitals in Rio de Janeiro.

Hospital Copa D'or located at Rua Figueiredo Magalhães, 875 – Copacabana, Rio de Janeiro is owned and operated by the Rede D'Or group. All of their hospitals are internationally accredited and follow international standards in their management.

Hospital Copa D'or, Rio has latest generation of equipment and eminent doctors providing care. The hospital offers the best possible service in their surgical center, post operative center, center for diagnostic imaging, neuro-intensive treatment center, out-patient hospital, adult and pediatric emergency rooms, physiotherapy, speech therapy, psychiatry, infectious diseases, hemodynamics, clinical nutrition, pediatrics and coronary care unit. The surgical centers of this hospital are state-of-the-art, they can perform the most complex surgeries.The hospital has centers for intensive care including intensive care unit, cardio intensive care unit, semi- intensive care unit and even a special pediatric ICU. The hospital accepts all major health insurances. Tel: e 21 2545-3600

Hospital Samaritano located at Rua Bambina, 98 -Botafogo, Rio de Janeiro is one of the well trusted, modern private hospitals in Brazil provided with state-of-the-art medical technology and service of eminent doctors. The hospital offers a complete range of medical and surgical service of global standard in all relevant departments. The well known cardiology department of this hospital has excellent coronary unit, hemodynamics laboratory and cardiac surgery center.

Hospital Samaritano 's specialized sections include imagery diagnostics department with computerized tomography, radiology unit, magnetic nuclear resonance and PET-CT and modern nuclear medicine department with scintilography, myocardial scintilography and sentinel linfonode research. The hospital has an accredited emergency room staffed by physicians approved by the American College of Surgeons for trauma care. All the beds in this section are provided with modern equipments for trauma care like portable monitors, breathers, defibrillator and artificial pacemakers.

The Intensive Care Unit of Hospital Samaritano is notable with newest facilities and has 10 beds, all provided with breathers, infusion pumps, artery pressure, oxygen level, and heart beat monitors. Hospital Samaritano is also a pioneer in medical education, research and training. This is a favorite hospital among the foreign communities and all major health insurance companies are accepted here. Phone (21) 2537-9722 • Emergency: (21) 2535-4000

Hospital Sao Jose is another reliable hospital in the city with modern health care facilities. This hospital founded by the Santa Catarina Congregation, a religious group with wide reputation, has been providing effective and modern medical service to the people at a reasonable cost since1923. This large hospital with an area of ​​more than 625 sq miles has full fledged departments in all major branches of medicine. The hospital's emergency department including a 5-bed special cardiac ward offers round the clock service. Sao Jose Hospital's international patient section with English speaking staff is also well known for providing complete medical service and best personal care. Tel: (21) 2741-4300.

Six Factors That Affect Our Body’s Immune System

The rainy season is identical with the arrival of various diseases, particularly influenza. Some people appear more immune to the flu virus, while others are frequently sneezing, coughing, and with runny nose.

According to experts, our body's immune system was affected by various unforeseen habits, for example, how much sugar is consumed. Let us find out the factors that affect our immune system.

1. Sugar consumption

Eating too much sugar was not only causing fat deposits. The study published in the American Journal of Clinical Nutrition mention, when you consume 100 grams of sugar (about 3 cans of soda) the ability of white blood cells in killing bacteria during the next 5 hours will be reduced.

2. Less drinking

Our bodies need water to remove toxins. More or less water should we drink each individual differently, depending on the activity and the environment. To find out if we drink enough, consider the color of urine. If the color is clear yellow, it means you have enough to drink.

3. Weight loss

Losing weight is too much is bad for the heart, brain, and immune system. Excessive weight will cause a disturbed hormone balance and disrupt the ability of inflammatory immune cells fight infection.

4. Often dry nose

Mucus / mucous in the nose serves to catch the virus and prevent entry into the body. If your nostrils are often dry, the viruses and bacteria will be free to enter.

5. Often stress

No coincidence that you suddenly got the flu after completing the important work deadlines. According to a study published in the American Psychological Association, prolonged stress weakens the immune system response. Stress will also make flu symptoms worse.

6. Frequent colds

The average adult will have a cold as much as one to three times a year. If you often have the flu, it means your immune system does not work optimally. Good quality sleep, exercise, and consumption of nutritious foods to boost your body immunity.

What Is Nursing Informatics?

Just 10 years ago if someone had told you their job title was a Nursing Informatics Clinical Project Manager or Clinical Informatics Specialist you probably would have starred at them and said "What?" This specialty in nursing has exploded over the past decade and will continue to grow as nursing moves into the information technology world.

What is Nursing Informatics?

The informatics nurse is someone who is involved in activities that focus on the methods and technologies of information for nurses, combining information science, computer science, and health care to create resources, devices, and methods required to optimize the securing, storage, retrieval and use of information in healthcare. This helps nurses to manage data effectively in the direct care of patients / clients.

What do nurses working in informatics do?

Their job responsibilities vary- they can include being a project manager, health information manager, helping or designing the software for nurses, educating nurses on how to use the software / program, writing training programs or implementing the clinical information systems for an organization. HIMSS and the American Nurses Informatics websites are two great places to go that will provides information on Nurse Informatics role, career guide, associations, project management center and much more.

Jobs in Health IT

  • Acute care facilities
  • Long Term Care organizations
  • Private Companies or Vendors
  • Education / Training programs
  • Self employed as an independent contractor in several different areas (just to name a few) – software designer, educator or writing continuing education or courses and consulting.

Here is a list of some job titles you may see that are a Nursing Informatics (NI) job.

  • Implementation Specialist
  • Clinical Analyst
  • Project Manager
  • RN – Information Systems
  • Nurse Specialist Informatics
  • Nurse Clinical Consultant
  • Systems Analyst

Salaries

Salaries start at $ 60,000 in Long Term Care facilities to $ 127,000 in Consulting. I see this field having great potential for nurse entrepreneurs.

If you have a background in HI technology and are interested in this field than Go for It! With the health care industry going to Electronic Health Records Nursing Informatics will continue to grow and be in high demand.

Nurses will be the best resource for this new age of technology.

They will play a huge role in Healthcare reform, developing the software we use and the equipment that is so important to our profession and the safety of our patients / clients. The more nurses learn about this new technology the better it will be to do our jobs effectively.

Juice Plus Review

Is Juice Plus a Scam?

Juice Plus is a supplement that has been in existence since 1993. I looked into the product at one time as a possible source of nutritional benefit for my family. I was even interested in becoming a distributor so that I could earn a residual income, since so many people are looking for ways to improve their nutrition just like you and I. I will not say outright that the Juice Plus is a scam. I have thoroughly looked into many business opportunities, especially health related companies, and I will say that there are many fraud companies out there. I think that Juice Plus is actually one of the better companies out there, but in my search for the best quality source of vitamins, minerals, antioxidants, and general nutritional supplements … a little bit of research let me know that Juice Plus + was not for me. Let me tell you why I decided that it was not for me.

The Juice Plus Company

Juice Plus is manufactured by a company called Natural Alternatives International in Santa Monica, California and distributed by National Safety Associates (NSA) in Tennessee. NSA was started in 1970 and before introducing Juice Plus, was known for other multilevel-marketed products. Juice Plus scam? No, they are just a smart company that seems to follow the business trends of the decades. Do you remember all of those water filter companies that were popular in the 1980s? Well this company sold home fire detectors when they were popular in the 70s, water filters in the early 80s, and air filters in the late 80s. They also sold educational games at one point.

While some companies in the past have made multilevel-marketing look bad, there is nothing wrong with using the method of sales distribution known as multilevel-marketing. If done right, it can benefit more people than traditional marketing, save people money and can also help get a product out to many who may have never learned about the product.

So from a business standpoint, it looks like they have the right idea. They follow the trends.

The Juice Plus Products

Their main products are the Juice Plus, which are not juice really, but powder in capsules. This is better than juice because juice supplements like the popular Acai berry juice, noni juice, Mona vie juice or Mangosteen juice products will begin to oxidate as soon as you open the bottle. This liquid oxidation is harmful to the body. The Juice Plus blend include great ingredients that come from fruits such as acerola berries, apples, cranberries, oranges, papaya, peaches, and pineapple. Their Juice Plus + contains vegetables that are sourced from barley, beets, broccoli, cabbage, carrots, kale, oats, parsley, spinach, and tomato. So to answer the question is Juice Plus fraud, I say that there is no Juice Plus scam, since they sell real products with decent ingredients.

It has become general knowledge that by increasing your fruit and vegetable intake on a daily basis, that you can improve your health and wellness. Eating more fruits and vegetables will actually help your body also get rid of free radical cells as well as a natural antioxidant in the body. I just do not feel that this product has enough fruits and vegetables in it for me is all.

A Few Juicy Problems

Their Juice Plus Gummies supplement for kids were found to have around 80% corn syrup and 10% beef gelatin, making the product almost without nutritional benefit. So these are not much better than the gummy vitamin / mineral bears that you can buy at your local store. Both are basically just candy!

I assume that their other products probably have a higher quality of nutrition than this but I saw some other problems that made me shy away.

The Biggest Problem

I could not find any of the product labels on their site.

The biggest problem that I saw was that in all of the poking around on their company website, I could not find any of the product labels for any of their products! What are they trying to hide? Sure they list a few fruits and vegetables, but they do not say how much of each fruit that they use. They do not show you the nutritional facts so you can see how much sugar and natural or artificial ingredients are in each product.

I did not like that I had to buy the product to see the product labels.

Some other problems that I saw …

1. The products were not unique enough

2. There was not enough research and science

3. The testimonials were lacking

4. The products were not manufactured to high enough standards to make me want to pay the extra money for them

5. Not all of their ingredients were organic and / or plant-based.

Juice Plus Research

One thing that caught my interest when first evaluating Juice Plus was that the product had at least been in scientific journals such as Asia Pacific Journal of Clinical Nutrition, Evidence-Based Complementary & Alternative Medicine, Nutrition Research, Journal of Human Nutrition and Dietetics and Integrative Medicine.

But wait a second! I soon discovered that of the the published peer-reviewed studies, only one was conducted independently! The others were all funded and / or authored by the manufacturer, the main distributor, or by individual Juice Plus distributors. That made me a little leery!

Juice Plus Testimonials

One serious mistake that was made, was in choosing former professional football player OJ Simpson to be celebrity endorser of the product. Simpson was given a multi-year six-figure contract to sign on with NSA as a icon for the company. I personally like to see a company that has a product that is so good that star athletes use the supplement on their own, simply because they like the added performance gain and benefits that they get while using them.

The testimonial of OJ Simpson was thrown even further out after he was charged with murdering his wife and her friend Ronald Goldman. In March of 1994, shortly before these murders took place, he was videotaped telling 4,000 Juice Plus distributors at a sales meeting that Juice Plus + had cured his arthritis, enhanced his golf game, and freed him from needing to use anti-arthritic drugs. However, his defense attorneys in the criminal trial in 1995 and civil trial in 1997 (and in his 2007 book If I Did It) all suggested that Simpson was so handicapped by arthritis that he could not have committed the murders. They also went on to say that Simpson was using a variety of potent anti-inflammatory drugs, such as sulfasalazine and ibuprofen. Well, these may have been what improved his arthritis enough to allow him to have an enhanced golf game.

My Conclusion

In conclusion, I looked into them as a health product and as a source for a second income, since they use the residual income model which I like. To answer the question is Juice Plus a Scam? No I do not believe Juice Plus is a scam, but Juice Plus was not for me. You should do your own research. I found an alternative that I am extremely happy with.

The Perfect Alternative

A supplement that is used by hundreds of Olympic athletes!

I found an alternative product to Juice Plus that I really like! While just looking for a health product to help my family with some health challenges, I happened across a great opportunity to get paid to share a product that I really love. Help others feel great about their health and energy. Become a wellness distributor! It is fun, rewarding and after a few years of hard work put in, can return you a nice residual income.

Everybody wants good health and more energy. Ever heard of glyconutrients? Improve your wellbeing. And since glyconutrients are so new, and are easy for anyone to start including into their diet on a regular basis, there is a huge growing demand for glyconutrients distributors. If you would like to become a local representative for an extra flow of residual income, then come talk to me. I have been consuming glyconutrients supplements for a few years now and am extremely happy with my energy, immune system, and wonderful health.

Can I Grow Taller If I Skip Breakfast? – Nutrition You Should Have to Grow Taller 4 Smarts

Do you prefer a hearty breakfast or a light morning bite to grow taller in good health? A big meal at lunchtime or at dinner? Snacks or no snacks? Three meals a day or several mini-meals? No approach is healthier than having breakfast if you follow your personal guidelines to grow taller 4 smart eating to and healthful living overall. That said, one meal, one snack, or one day of less healthful food choices or high-calorie eating will not make or break your health. Your food choices on most days, over the long term, count! Think about some changes you could make. You can start small, perhaps just add a bigger spoonful of vegetables to your plate, or order a carton of milk to go with a fast-food lunch. Like most of today's consumers, you may spend 45 minutes or less preparing a family meal (compared with 2 hours, 45 years ago).

In fact, marketing research shows that 60 percent of American women want to spend less than 15 minutes preparing a meal! Like others, you may not decide on the menu until the end of the workday. Sound familiar? When time is short, do not give up on healthful eating. Just take short cuts to save time and energy! "No time," "nothing to eat," "woke up too late," and "on a diet": people give many reasons for breakfast skipping or skimping. Despite its benefits, breakfast may the most neglected and skipped meal of the day. Some blame their body clock for not feeling hungry when they wake up. The excuse "not hungry" may instead be stress; stress hormones can affect hunger cues. With today's hectic lifestyles, others come up short on time and energy first thing in the morning. Some falsely believe that skipping breakfast is effective for weight control.

What is on today's menu for the whole family to grow taller? Yet breakfast is the healthful way to start the day. More than forty years of breakfast-related studies show that breakfast benefits children, teens, and adults. Breakfast is your body's early morning refueling stop. After 8 to 12 hours without a meal or snack, your body needs to replenish its glucose (blood sugar) with a new supply of food.

The brain needs a fresh supply of glucose, its main energy source, because it has no stored reserves you can not grow taller so easy. Sustained mental work-in school or at work-requires a large turnover of glucose in the brain. Your muscles also need a replenished blood glucose supply for physical activity-even walking from your desk to the printer-throughout the day. Breakfast for Better Health. Among breakfast benefits: a jump start on fitting enough fruits, vegetables, and whole grains into your day. Orange juice for breakfast offers more than vitamin C; it's also a good source of potassium. Whole-grain and other fiber-rich cereals and breads can boost your fiber and folate intake to grow taller. Studies suggest two other reasons for eating breakfast: growing taller in a healthy way and reduced risk for heart disease.

Breakfast eaters are less likely to be overly hungry for mid-morning snacks or lunch; overall they tend to eat less fat during the day, too. Compared to breakfast eaters, studies show that those who skipped breakfast tend to have higher blood cholesterol levels, a risk factor for heart disease. Further research on growing taller is needed to explore this link. For those who choose ready-to-eat breakfast cereals in the morning, their eating pattern typically has more vitamins and minerals, and less total fat, saturated fat, and cholesterol, and fewer calories. Why protein foods seem ideal to grow taller and to make meals more satisfying? For you, satisfaction may come in part from what you define as a meal, perhaps a protein food-such as meat, fish, poultry, eggs, or a soy burger-served with other foods (vegetables, fruit, whole-grain foods, and / or dairy foods)

But the benefits of protein to grow taller in meals extend beyond meal preferences. With their high-energy needs and small stomachs, most children need snacks. And so do teens. Three daily meals often are not enough to provide all the nutrients and food energy they need. The advice for parents: help children learn good snacking habits. And keep nutrient-rich food-group snacks that kids enjoy on hand and encourage kids to snack to satisfy hunger, without overeating. Make snack calories count within your personal healthful eating plan to grow taller without overspending your day's calorie budget. Think of snacks as mini-meals that can contribute nutrient-rich food-group foods. Refer to "A Food Group plan for you and" Two Food-Group Snacks ".

Go easy on energy-dense snacks (candy, juice drinks, soft drinks, others) with a lot of fat, especially saturated (solid) fat and / or added sugars; choose them appropriately so your day's food choices fit within your calorie budget. A little lean-protein food may add satiety. Use food labels to make snack decisions. Remember: If a snack package has two servings and you eat the whole amount, you double the calories, the saturated and trans fats, cholesterol, and sodium listed in one label serving, too! Check the ingredient list for added sugars …. if canned liquid supplements or meal replacements are good snacks for you?

Despite advertising messages, you do not need pricey liquid nutrition to supplement your meals if you're healthy and growing taller. Your kids do not, either. Food-fruit, smoothies, whole-grain crackers, yogurt-taste better, and they provide nutrients and other beneficial substances that canned liquid "meals" lack. If you think you need a supplement, stick with a multivitamin / mineral supplement tablet. For a fraction of the price, you get the same nutrient benefits to grow taller.

You Can Dissolve Kidney Stones Safely and Naturally – Here’s How

Kidney Stones Flush Safely and Naturally:

Kidney stones are accumulations of mineral salts that can lodge anywhere along the urinary tract. 80% of the time, they are calcium stones (calcium oxalate), a condition known as hypercalciuria. This is mainly due to a diet consisting of too much animal protein. The consumption of animal protein is strongly associated with oxalate production. The body reacts by producing an excess of acids to digest meat and other high protein animal and fish foods. The excess acids cause the pH balance of the blood to become too acidic. The body leeches calcium (an alkaline mineral) from the bones to restore the ph balance in the bloodstream. The remaining calcium is eliminated through the urine in the form of calcium oxalate. When there is a high enough concentration of calcium, it begins to crystallize and form small clumps, which eventually become stones.

A health-supporting vegetarian diet that emphasizes low protein foods help prevent the formation of Calcium Kidney Stones in most people and would be of particular benefit to those who suffer from recurrent stones.

Symptoms:

Pain radiating from the upper back to the lower abdomen and groin, frequent urination, pus and blood in the urine, absence of urine formation, and sometimes chills and fever. The size of the stones can range from a microscopic speck to a fingertip.

Recommendations:

  • Herbal detoxification products may be helpful in dissolving kidney stones nad flushing toxins, chemicals, heavy metals, and thousands of other poisons out of the body. We suggest using formulas that use organic, whole herbs.If interested, take a look at the Kidney Bladder Formula and Hot Cayenne Extract.
  • We suggest a high quality whole food supplement, like VITAFORCE that is complete and made from whole foods which corrects nutritional deficiencies and boosts the immune system.
  • In the morning, drink the consuming the Kidney Flush drink; 8-16 ounces of distilled water. The juice of one lemon and lime. 5-15 drops of the Hot Cayenne Extract, and a touch of maple syrup for taste (optional). This drink may help eliminate toxins and dissolve kidney stones.
  • Eat a diet containing raw fruits, vegetables, juices, and whole grains, legumes Particularly, eat watermelon, garlic, potatoes, asparagus, parsley, watercress, celery, cucumber, papaya, and bananas. Eat the watermelon by itself.
  • Drink an 8-16 ounce glass of distilled water every hour; essential for urinary tract function.
  • Take organic, unrefined, cold-pressed Flaxseed Oil everyday as it has been shown to have favorable results with Kidney disease. American Journal of Kidney Disease, 25 (2), February 1995, p. 320-329
  • Helpful herbs: Uva ursi, hydrangea, juniper berries, nettle, and marshmallow root.

Click Here for the Kidney Stones Detox Formula

Things to Avoid:

  • All Animal Foods: dairy foods (milk, cheese, butter, cream, ice cream), fish, meat, chicken, turkey, eggs, fried and greasy foods, margarine, and all other processed foods and animal derived products from your diet. These foods are laced with chemicals, pesticides, and toxins as well as high levels of saturated fats and excess protein which lead to kidney stones.
  • Salt, tobacco, caffeine, sodas, coffee, sugar, and refined white flour (breads, pastas, cereals- replace with whole wheat pastas, breads, and cereals). These products are extraordinarily destructive to the kidneys.

References:

1) James F. Balch, MD, Phyllis A. Balch, CNC, "Prescription for Nutritional Healing," (1997)

2) AJ Ingram, et al., "Effects of Flaxseed and Flax Oil Diets in a Rat- 5/6 Renal Ablation Model," American Journal of Kidney Disease, 25 (2), February 1995, p. 320-329

3) "Urinary Calcium and Dietary Protein," Nutr Rev 38 1980, p. 9

4) W. Robertson, "Should Recurrent Calcium Oxalate Stone Formers Become Vegetarians?" British Journal Urology 51 (1979), p. 427

5) "Diet and Urinary Calculi," Nutr Rev 38 (1980), p. 74

6) P. Shah, "Dietaryy Calcium and Idiopathic Hypercalcuria," Lancet 1 (1981), p. 786

7) J. McDougall, MD, "The McDougall Plan," (1983): p. 222-223

Pathological Eating Disorders and Poly-Behavioral Addiction

When considering that pathological eating disorders and their related diseases now afflict more people globally than malnutrition, some experts in the medical field are presently purporting that the world's number one health problem is no longer heart disease or cancer, but obesity. According to the World Health Organization (June, 2005), "obesity has reached epidemic proportions globally, with more than 1 billion adults overweight – at least 300 million of them clinically obese – and is a major contributor to the global burden of chronic disease and disability. Often coexisting in developing countries with under-nutrition, obesity is a complex condition, with serious social and psychological dimensions, affecting virtually all ages and socioeconomic groups. "The US Centers for Disease Control and Prevention (June, 2005), reports that" during the past 20 years, obesity among adults has risen significantly in the United States. The latest data from the National Center for Health Statistics show that 30 percent of US adults 20 years of age and older – over 60 million people – are obese. This increase is not limited to adults. The percentage of young people who are overweight has more than tripled since 1980. Among children and teens aged 6-19 years, 16 percent (over 9 million young people) are considered overweight. "

Morbid obesity is a condition that is described as being 100lbs. or more above ideal weight, or having a Body Mass Index (BMI) equal to or greater than 30. Being obese alone puts one at a much greater risk of suffering from a combination of several other metabolic factors such as having high blood pressure, being insulin resistant, and / or having abnormal cholesterol levels that are all related to a poor diet and a lack of exercise. The sum is greater than the parts. Each metabolic problem is a risk for other diseases separately, but together they multiply the chances of life-threatening illness such as heart disease, cancer, diabetes, and stroke, etc. Up to 30.5% of our Nations' adults suffer from morbid obesity, and two thirds or 66% of adults are overweight measured by having a Body Mass Index (BMI) greater than 25. Considering that the US population is now over 290,000,000, some estimate that up to 73,000,000 Americans could benefit from some type of education awareness and / or treatment for a pathological eating disorder or food addiction. Typically, eating patterns are considered pathological problems when issues concerning weight and / or eating habits, (eg, overeating, under eating, binging, purging, and / or obsessing over diets and calories, etc.) become the focus of a persons' life , causing them to feel shame, guilt, and embarrassment with related symptoms of depression and anxiety that cause significant maladaptive social and / or occupational impairment in functioning.

We must consider that some people develop dependencies on certain life-functioning activities such as eating that can be just as life threatening as drug addiction and just as socially and psychologically damaging as alcoholism. Some do suffer from hormonal or metabolic disorders, but most obese individuals simply consume more calories than they burn due to an out of control overeating Food Addiction. Hyper-obesity resulting from gross, habitual overeating is considered to be more like the problems found in those ingrained personality disorders that involve loss of control over appetite of some kind (Orford, 1985). Binge-eating Disorder episodes are characterized in part by a feeling that one can not stop or control how much or what one is eating (DSM-IV-TR, 2000). Lienard and Vamecq (2004) have proposed an "auto-addictive" hypothesis for pathological eating disorders. They report that, "eating disorders are associated with abnormal levels of endorphins and share clinical similarities with psychoactive drug abuse. The key role of endorphins has recently been demonstrated in animals with regard to certain aspects of normal, pathological and experimental eating habits (food restriction combined with stress, loco-motor hyperactivity). "They report that the" pathological management of eating disorders may lead to two extreme situations: the absence of ingestion (anorexia) and excessive ingestion (bulimia). "

Co-morbidity & Mortality

Addictions and other mental disorders as a rule do not develop in isolation. The National Co-morbidity Survey (NCS) that sampled the entire US population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey's results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the US population, or some 43 million people (Kessler, 1994).

McGinnis and Foege, (1994) report that, "the most prominent contributors to mortality in the United States in 1990 were tobacco (an estimated 400,000 deaths), diet and activity patterns (300,000), alcohol (100,000), microbial agents (90,000) , toxic agents (60,000), firearms (35,000), sexual behavior (30,000), motor vehicles (25,000), and illicit use of drugs (20,000). Acknowledging that the leading cause of preventable morbidity and mortality was risky behavior lifestyles, the US Prevention Services Task Force set out to research behavioral counseling interventions in health care settings (Williams & Wilkins, 1996).

Poor Prognosis

We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski, T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions?

Diagnostic Delineation

Thus far, the DSM-IV-TR has not delineated a diagnosis for the complexity of multiple behavioral and substance addictions. It has reserved the Poly-substance Dependence diagnosis for a person who is repeatedly using at least three groups of substances during the same 12-month period, but the criteria for this diagnosis do not involve any behavioral addiction symptoms. In the Psychological Factors Affecting Medical Condition's section (DSM-IV-TR, 2000); maladaptive health behaviors (eg, overeating, unsafe sexual practices, excessive alcohol and drug use, etc.) may be listed on Axis I only if they are significantly affecting the course of treatment of a medical or mental condition.

Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field, when the latest DSM-IV- TR does not even include a diagnosis for multiple addictive behavioral disorders. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictive and mental health disorders and related treatment needs and comprehensively provide education / awareness, prevention strategy groups, and / or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals' life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable.

New Proposed Diagnosis

To assist in resolving the limited DSM-IV-TRs' diagnostic capability, a multidimensional diagnosis of "Poly-behavioral Addiction," is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and / or sex / pornography, etc.). Behavioral addictions are just as damaging – psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences.

Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and / or spiritual / religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and / or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and / or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 – month period in which an individual is pathologically involved with three or more behavioral and / or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (eg, using / abusing substances – nicotine, alcohol, & drugs, and / or acting impulsively or obsessively compulsive in regards to gambling, food binging , sex, and / or religion, etc.) simultaneously.

New Proposed Theory

The Addictions Recovery Measurement System's (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (eg, family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (eg, physical withdrawal), cognitive processes (eg, self-efficacy, cravings , motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual's behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions.

The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual's develop to any one form of treatment to a single dimension of their lives, because the effects of an individual's addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (eg nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual's primary addiction. The ARMS 'theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual's life dimensions in addition to developing specific goals and objectives for each dimension.

The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory.

The ARMS continues to promote Twelve Step Recovery Groups such as Food Addicts and Alcoholics Anonymous along with spiritual and religious recovery activities as a necessary means to maintain outcome effectiveness. The beneficial effects of AA may be attributable in part to the replacement of the participant's social network of drinking friends with a fellowship of AA members who can provide motivation and support for maintaining abstinence (Humphreys, K .; Mankowski, ES, 1999) and ( Morgenstern, J .; Labouvie, E .; McCrady, BS; Kahler, CW; and Frey, RM, 1997). In addition, AA's approach often results in the development of coping skills, many of which are similar to those taught in more structured psychosocial treatment settings, thereby leading to reductions in alcohol consumption (NIAAA, June 2005).

Treatment Progress Dimensions

The American Society of Addiction Medicine's (2003), "Patient Placement Criteria for the Treatment of Substance-Related Disorders, 3rd Edition", has set the standard in the field of addiction treatment for recognizing the totality of the individual in his or her life situation . This includes the internal interconnection of multiple dimensions from biomedical to spiritual, as well as external relationships of the individual to the family and larger social groups. Life-style addictions may affect many domains of an individual's functioning and frequently require multi-modal treatment. Real progress however, requires appropriate interventions and motivating strategies for every dimension of an individual's life.

The Addictions Recovery Measurement System (ARMS) has identified the following seven treatment progress areas (dimensions) in an effort to: (1) assist clinicians with identifying additional motivational techniques that can increase an individual's awareness to make progress: (2) measure within treatment progress, and (3) measure after treatment outcome effectiveness:

PD- 1. Abstinence / Relapse: Progress Dimension

PD- 2. Bio-medical / Physical: Progress Dimension

PD- 3. Mental / Emotional: Progress Dimension

PD- 4. Social / Cultural: Progress Dimension

PD- 5. Educational / Occupational: Progress Dimension

PD- 6. Attitude / Behavioral: Progress Dimension

PD- 7. Spirituality / Religious: Progress Dimension

Considering that addictions involve unbalanced life-styles operating within semi-stable equilibrium force fields, the ARMS philosophy promotes that positive treatment effectiveness and successful outcomes are the result of a synergistic relationship with "The Higher Power," that spiritually elevates and connects an individuals' multiple life functioning dimensions by reducing chaos and increasing resilience to bring an individual harmony, wellness, and productivity.

Addictions Recovery Measurement – Subsystems

Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions can not be cured, but only managed – how should we effectively manage poly-behavioral addiction?

The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual's comprehensive life-functioning progress dimensions. The "ARMS" – systematically, methodically, interactively, & spiritually combines the following five versatile subsystems that may be utilized individually or incorporated together:

1) The Prognostication System – composed of twelve screening instruments developed to evaluate an individual's total life-functioning dimensions for a comprehensive bio-psychosocial assessment for an objective 5-Axis diagnosis with a point-based Global Assessment of Functioning score;

2) The Target Intervention System – that includes the Target Intervention Measure (TIM) and Target Progress Reports (A) & (B), for individualized goal-specific treatment planning;

3) The Progress Point System – a standardized performance-based motivational recovery point system utilized to produce in-treatment progress reports on six life-functioning individual dimensions;

4) The Multidimensional Tracking System – with its Tracking Team Surveys (A) & (B), along with the ARMS Discharge criteria guidelines utilizes a multidisciplinary tracking team to assist with discharge planning; and

5) The Treatment Outcome Measurement System – that utilizes the following two measurement instruments: (a) The Treatment Outcome Measure (TOM); and (b) the Global Assessment of Progress (GAP), to assist with aftercare treatment planning.

National Movement

With the end of the Cold War, the threat of a world nuclear war has diminished considerably. It may be hard to imagine that in the end, comedians may be exploiting the humor in the fact that it was not nuclear warheads, but "French fries" that annihilated the human race. On a more serious note, lifestyle diseases and addictions are the leading cause of preventable morbidity and mortality, yet brief preventive behavioral assessments and counseling interventions are under-utilized in health care settings (Whitlock, 2002).

The US Preventive Services Task Force concluded that effective behavioral counseling interventions that address personal health practices hold greater promise for improving overall health than many secondary preventive measures, such as routine screening for early disease (USPSTF, 1996). Common health-promoting behaviors include healthy diet, regular physical exercise, smoking cessation, appropriate alcohol / medication use, and responsible sexual practices to include use of condoms and contraceptives.

350 national organizations and 250 State public health, mental health, substance abuse, and environmental agencies support the US Department of Health and Human Services, "Healthy People 2010" program. This national initiative recommends that primary care clinicians utilize clinical preventive assessments and brief behavioral counseling for early detection, prevention, and treatment of lifestyle disease and addiction indicators for all patients' upon every healthcare visit.

Partnerships and coordination among service providers, government departments, and community organizations in providing treatment programs are a necessity in addressing the multi-task solution to poly-behavioral addiction. I encourage you to support the mental health and addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on pathological eating disorders within poly-behavioral addiction.

For more info see:
Poly-Behavioral Addiction and the Addictions Recovery Measurement System,
By James Slobodzien, Psy.D., CSAC at:

[Http://www.geocities.com/drslbdzn/Behavioral-Addictions.html]

Addicts Anonymous Food: Http://www.foodaddictsanonymous.org/
Anonymous Alcoholics: Http://www.alcoholics-anonymous.org/

References
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,
Text Revision. Washington, DC, American Psychiatric Association, 2000, p. 787 & p. 731.
American Society of Addiction Medicine's (2003), "Patient Placement Criteria for the
Treatment of Substance-Related Disorders, 3rd Edition ,. Retrieved, June 18, 2005, from:

http://www.asam.org/
Bandura, A. (1977), Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review,
84.191-215.
Brownell, KD, Marlatt, GA, Lichtenstein, E., & Wilson, GT (1986). Understanding and preventing relapse. American Psychologist, 41, 765-782.
Centers for Disease Control and Prevention (CDC). June 18 Retrieved, 2005, from: Http://www.cdc.gov/nccdphp/dnpa/obesity/
Gorski, T. (2001), Relapse Prevention In The Managed Care Environment. GORSKI-CENAPS Web
2010. Retrieved People Healthy June 20, 2005, from: Http://www.healthypeople.gov/
Publications. June 20 Retrieved, 2005, from: Http://www.tgorski.com
Lienard, J. & Vamecq, J. (2004), Presse Med, Oct 23; 33 (18 Suppl): 33-40.
Marlatt, GA (1985). Relapse prevention: Theoretical rationale and overview of the model. In GA
Marlatt & JR Gordon (Eds.), Relapse prevention (pp. 250-280). New York: Guilford Press.
McGinnis JM, Foege WH (1994). Actual causes of death in the United States. US Department of Health and Human Services, Washington, DC 20201
Humphreys, K .; Mankowski, ES; Moos, RH; and Finney, JW (1999). Do enhanced friendship networks and active coping mediate the effect of self-help groups on substance abuse? Ann Behav Med 21 (1): 54-60.
Kessler, RC, McGonagle, KA, Zhao, S., Nelson, CB, Hughes, M., Eshleman, S., Wittchen, H. H, -U, & Kendler, KS (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United
States: Results from the national co morbidity survey. Arch. Gen. Psychiat., 51, 8-19.
Morgenstern, J .; Labouvie, E .; McCrady, BS; Kahler, CW; and Frey, RM (1997). Affiliation with Alcoholics Anonymous after treatment: A study of its therapeutic effects and mechanisms of action. J Consult Clin Psychol 65 (5): 768-777.
Orford, J. (1985). Excessive appetites: A psychological view of addiction. New York: Wiley.
Prochaska, JO, & DiClemente, CC (1984). The transtheoretical approach: Crossing the boundaries of therapy. Malabar, FL: Krieger.
Slobodzien, J. (2005). Poly-behavioral Addiction and the Addictions Recovery Measurement System (ARMS), Booklocker.com, Inc., p. 5.
Whitlock, EP (1996). Evaluating Primary Care Behavioral Counseling Interventions: An Evidence-based Approach. Am J Prev Med 2002; 22 (4): 267-84.Williams & Wilkins. US Preventive Services Task Force. Guide to Clinical Preventive Services. 2nd ed. Alexandria, VA.
US Department of Health and Human Services. Healthy People 2010 (Conference Edition). Washington, DC: US ​​Government Printing Office; 2000.
World Health Organization, (WHO). June 18 Retrieved, 2005, from: Http://www.who.int/topics/obesity/en/

How Healthy is Popcorn? – Nutrition Facts For the Healthy Snack

Healthy eaters in the US continually turn to popcorn as a healthy replacement for the salty snacks that usually break a diet. Instead of snacks like potato chips, nuts or pretzels that may be high in calories, salt or fat content, popcorn provides the bite-sized mouth-popping ease of other snacks while also providing vitamins, minerals and fiber but not much fat! Here are some facts about the snack and the best way to eat it to get the most nutritive value.

Nutrition Facts for Popcorn

* Popcorn contains more than 40 different nutrients.
* It has more iron than eggs, peanuts or spinach.
* You can find B complex vitamins, vitamin E, Riboflavin and Thiamine in popcorn kernels.
* Popcorn has the most protein of any cereal grain.
* In the hull of the kernel, you'll find iron, phosphorous and protein.
* Popcorn has more fiber than potato chips or pretzels.

Additionally, popcorn is the recommended snack of many health and research organizations in the US. The American Dental Association recommends it as a good sugar free and fat free snack for kids. The National Cancer Institute, noting that fiber in your diet helps protect you from cancer, recommends popcorn as a great way to add fiber to your diet. The American Diabetes Association allows popcorn as a starchy snack on weight-control diets. The Feingold Diet for hyperactive children allows popcorn as a snack as well since it can be prepared with no additives or sugars.

The Best Way to Eat Popcorn

The best preparation for popcorn if you want it to be a healthy, low-cal snack is to air-pop it. Adding butter, salt or other toppings can lessen the nutritional impact of eating popcorn as a snack. 1 cup of air-popped popcorn has about 30 calories, 1 gram of dietary fiber and 1 gram of protein per serving. It has no no saturated fat, trans fats or cholesterol. You'll also find manganese, folate, niacin, vitamin A, iron, magnesium, phosphorus, potassium, zinc, copper and selenium in popcorn.

Whether you are dieting, trying to get your kids to eat healthy snacks or simply attempting to eat more healthily yourself, replacing fatty junk foods with freshly popped popcorn is an easy exchange. Eating popcorn to quell your snack cravings is a health-conscious choice that will help you control your weight and provide nutrition instead of just satisfying your snacking urges!

Healthy Ways and Some Unhealthy Ways to Cook Salmon

The health benefits of fish are well documented, as evidence by the American Heart Association recommendation of eating at least two servings of fish per week for a more healthy heart. Salmon has received accolades as one of the premier varieties of fish to eat for health reasons. It is at the top of the list of foods that burn fat.

Salmon has the added advantage of tasting very good and being easy to prepare. Because of its high demand farm-raised salmon does have some health risks that the industry has not been keen on addressing. Because practically all of the fresh salmon we consume is farm-raised, if we are going to reap the benefits of this delicious fish knowing the most healthy ways to prepare it are important.

The majority of the contaminants in farm-raised salmon are located in the fat of the fish and in its skin. Therefore, as we look toward its most healthful preparation we will look for ways to cook out or eliminate these contaminated areas. Also, some ways of cooking are inherently better than others, so we will look at these factors and come up with recommended ways of preparing salmon.

With this in mind, we will stay away from pan frying or deep frying, and oily fish like salmon do not steam well. In the preparation of salmon, because it has a bolder flavor than most varieties of fish, you will be able to use bold seasonings and marinades. There are literally hundreds of salmon recipes on the internet, so I will not get into favorite recipes, other than I happen to love dill with my salmon. But it is all personal choice.

1. Grilled. Fast and healthy, grilling works well for salmon because it is normally thick cut and is considered fatty. If you are concerned it may fall apart on the grill, cook it on a piece of foil.

2. Baking. As with grilling, the fish can be marinated prior to cooking, or sprinkle on some lemon and your favorite herbs and spices. You should avoid recipes that call for large amounts of mayonnaise, butter, oil, or cheese.

3. Poached. I'm not a big fan of poached salmon, but many people swear by this method. I think it works very well for tilapia and other light fish, but other methods of cooking better bring out the wonderful qualities of salmon.

One constant with fish is to not overcook it. Even salmon is much more delicate than meat and can easily dry out when overcooked, so grill, bake or broil over high heat for shorter periods of time. Also, overcooking will destroy a lot of its high nutritional value. The other constant is when buying fish, the fresher the better.

Granted, there is nothing quite like a wonderfully prepared piece of fresh salmon, but another safer and perhaps even more nutritious alternative is canned Alaska salmon. On the internet there are many recipes for salmon cakes, chowder, salads and many other alternatives. Just because it is canned does not mean it can not be delicious.

Medical Administrative Assistant

Most people may be inclined to think that the only jobs in the medical field are those of surgeons, doctors, and nurses, but there are also another wide variety of jobs open in the medical field. Positions can range from the medical scientist to the administrative assistants who are often the face of a doctor's office. The position of a medical assistant is an unlicensed, multi-skilled health professional who offers administrative, clerical and technical support to the physician assistant or the physician. Medical assistant provides services for front office, back office and other clinical laboratory areas. Medical assisting is a versatile career for men and women.

JOB FUNCTIONS OF A MEDICAL ADMINISTRATIVE ASSISTANT:

Medical assistants perform administrative and clinical tasks which help to keep the offices of physicians, pediatrics, chemotherapy, and other health professionals operating smoothly on a day-to-day basis. Some of the duties of a medical assistant will vary from office to office and depend on the location and size of the practice, as well as on the practitioner's specialty. In smaller offices, medical assistants may be required to handle both the administrative and clinical duties, as well as reporting directly to an office manager, doctor or other health practitioner. Medical administrative assistants who are in larger doctors offices are more likely to be specialized in a particular area of ​​the job. Medical assistants should not be confused with physician assistants, who examine, diagnose, and treat patients under the direct supervision of a physician.

Some of the job functions which an administrative medical assistants usually perform are: updating and filing patients' medical records, filling out insurance forms, arranging for hospital admissions and laboratory services, answering telephones, greeting and helping patients, scheduling appointments, and handling billing and bookkeeping

WORK ENVIRONMENT:

Most medical administrative assistants are employed in doctors offices. Some medical administrative assistance may also work in hospitals, medical clinics, or health maintenance organizations as well. Generally, a medical administrative assistant can expect to work a 40 hour week, and may include weekends. One can expect the working environment to be very clean and sterile because it will be in some form of a medical office. Additionally, the work environment is usually very pleasant in all seasons and will be air-conditioned or heated accordingly. Uniforms may be required, and are usually nurses scrubs, and in some offices they will give you a stipend to help cover the costs of the uniforms.Work schedules are often flexible and many employers are now offering excellent fringe benefits as well.

MEDICAL ADMINISTRATIVE ASSISTANT EDUCATION:

Most of the formal education of medical administrative assistants often takes place in vocational school or community colleges.The course length does vary depending upon the school you are enrolled in, but usually ranges from programs that are completed in one to two years and many of these programs also offer internships. The curriculum presented must always be accredited if upon graduation you plan to become either certified or registered as a medical administrative assistant.

Labor statistics have indicated the medical administrative assistant career will continue to grow, in number of job opportunities until 2018. If you are looking for a career that is in the medical field, is rewarding and where you can make a difference, you may have found the right career choice in the medical administrative assistant.