Tag: Essential

  • The 7-Point Trading Plan Template

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    One of the first things beginning traders are told to do is to create a trading plan that will spell out a trading strategy and a list of rules to follow in implementing that strategy. The only problem with that advice is that beginning traders don’t really have any trading experience, and thus are lost when attempting to craft a trading plan for their trading.

    Another problem with trading plans is that beginners are instructed to treat their plans as gospel and are told not to deviate from them. This prevents traders from adapting their strategies and rules to improve their performance, an essential step in every trader’s learning curve.

    Instead of a rigid document to be created early on in your trading career and never to be changed, you should instead view your trading plan as a living and breathing set of guidelines, capable of being modified as you gain trading experience. This article will teach you how to create a trading plan that will guide your trading efforts without stunting your progress.

    The 7-Point Trading Plan Template

    In creating your trading plan, here are the items you should include:

    1. Markets – What markets will you focus on? Be as specific as possible – if you’re trading stocks, what types of stocks will you concentrate on?

    2. Timeframe – How long will you hold your positions for? Will you be a day trader focusing on trades lasting a few minutes, or a swing trader holding trades for a few days?

    3. Time Period – What times of the day will you trade? You may have outside responsibilities that prevent you from trading an entire trading day. Pick which times of the day best suit your style.

    4. Trading Style – How would you characterize your trading style? Perhaps you are a momentum trader focusing on trending stocks? Or maybe you specialize in a particular sector? Again, this can and will change as you gain experience and learn from your results.

    5. Risk Management Rules – This is an absolutely essential and often overlooked component of your trading plan. How will you manage your risk, both on a per-trade basis and overall? You should have a “stop trading” point which is a fixed dollar amount that will force you to stop trading if you’re down by that much.

    6. Mentor – Who do you follow and learn from as a teacher? Attempting to learn trading all by yourself is not only lonely, but foolish as it ignores the hard-earned wisdom of other traders. You can either repeat the mistakes of other professionals and hope to eventually learn the lessons and techniques that they’ve learned, or you can simply learn from successful traders and bypass those initial frustrations.

    7. Learning Process – How will you structure your learning process as a trader? What steps will you take to ensure you’re always getting better? How will you structure your trading journal?

    Trading Plan Example

    To show you this trading plan template in action, I’m going to fill it out according to my own trading style:

    1. I trade the U.S. stock markets, focusing on volatile stocks with sufficient volume. These stocks are typically the focus of news items and are thus “in play.”

    2. I am a day trader and hold my positions anywhere from a few seconds to a few hours. I’m primarily a scalper and am looking to take advantage of short-term imbalances between supply and demand. I will stay in a trade as long as I can identify a supply/demand imbalance.

    3. I trade throughout the trading day, although I focus most of my activity at the open and close of the trading day.

    4. While I have multiple styles, I would characterize myself primarily as a momentum trader that relies on tape reading to identify favorable risk/reward situations to enter in the direction of a trend.

    5. I’m fanatical about managing my risk, both on a per-trade basis and overall. Every trade I enter has a predefined stop-loss and I have a daily stop-loss to stop trading when I’m having a rough day.

    6. I’ve had a variety of mentors throughout my career, and now I talk with a select group of traders at my firm with similar trading styles.

    7. I review every single trade I make, always looking for ways in which I can improve. This may be as simple as cutting down my risk when trading certain stocks or altering my execution patterns.

    Your trading plan can be as simple as that, just a series of statements answering those 7 questions. You also shouldn’t spend too much time creating your trading plan as it will frequently change throughout your career.

    Summary

    Your trading plan will crystallize exactly what you’re trying to accomplish, but don’t view it as set in stone. Rather, your plan will grow and change as you gain experience and develop your own trading style.

    Your trading plan also doesn’t need to be a complicated document spanning multiple pages. You simply need to define what markets you’re going to trade, how you’re going to trade them (how long you’ll hold positions, what times of day you’re going to trade, and your trading style), how you’re going to manage your risk, and how you’re going to continue developing as a trader. By clarifying and explicitly stating those 7 key points, your trading plan will serve and support you in your trading career.

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    Source by Matt A Nadell

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  • My Opinion on Sex and Love

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    Sex is not the perfect way to express your love: Rather it’s the perfect way to express love’s feelings. It’s perfect between a husband and a wife, a boy and a girl. It’s not only a physical activity, instead of it mostly a spiritual integration of two souls. It joints the spirit of the people involve. Sex is not love and love isn’t sex. Many often muddle the difference between sex and love. Most people don’t perceive that there’s a difference between them. In this note I’ll give my view on why these things are different from one another.

    Let’s start with sex. It’s something that does not often slump real feelings, real relationship or even a committed. There are few peoples who seek enjoyment from one-night stands. Often many have a ‘friend with benefits’, that’s what I would put under the sex’s category. There are never any real or deep feelings; it’s only about the enjoyment of the act. Usually when people only search to have sex, there’s very little opposite play and intimacy afterwards, the cuddling and holding of one another, well that doesn’t happen often.

    Many people are happy with having sex only for pleasure, never caring for the emotional circumstance of being in love. Often some will lope partner to partner because that’s all they’re searching that’s the instant rush and release in the sex’s pleasure. I’m one of the ones who have never been capable to do this thing. I could never jump into a one-night stand and I could never only have a “friend with benefits”. These parts are the values I’ve about lovemaking. It also, for me, means more that my friend is in love with me, and sex isn’t only about enjoyment. It’s where making love comes into play.

    When two people are in love, and who share the emotional bond with one another, they superintendence very much about making their partner feel desired and taken care of. When an individual is in love makes love to their partner, they give all their needs, not only sexually. They’ll take time by doing sex and making their lover happy. They’re careful to their partner’s every desires and needs. They get more pleasure out of tolerable them then they do themselves.

    Often times, they don’t always need to be glad while making love. Making love between couple who are in love is often intimate and slow. After lovemaking, many people that love one another will clasp and cuddle their lover like a deeper form of close affinity afterwards. It also brings the lovers together and they interconnect deeper on that soulful bond.

    Which is more essential to you in marriage?

    Love, sex or nothing…

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    Source by Sushil Chand

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  • How to Heal Vulvar Varicosities During Pregnancy and Postpartum

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    Vulvar varicose vein compression therapy treatment during pregnancy can relieve pain and reduce symptoms.

    You are not alone if you have vulvar varicosities. This may not be a hot topic of conversation, but many women during pregnancy experience swelling of veins in the vagina or vulva. This condition often occurs during pregnancy due to increased blood flow and pressure on the pelvic floor resulting in varicose veins of the vulva or vagina.

    The symptoms of vulvar varicosities are:

    • pain in the vulva area
    • feeling of fullness or pressure
    • swelling and discomfort

    In more extreme cases the full, dilated blood vessels can resemble dark purple, swollen veins (often really looking like large earthworms). There are several steps you can take to prevent this condition from worsening, reduce swelling, and potentially heal the varicosities.

    Take action to care for yourself so that your pregnancy will be comfortable and healthy.

    Treatment:

    #1 WEAR A COMPRESSION SUPPORT GARMENT

    Wearing an abdominal band with compression therapy groin bands is essential in supporting vulvar varicosities. Direct compression on the vulvar varicosities and/or vaginal varicosities help to prevent swelling, adds support to the swollen veins and helps move the blood along in the pelvic floor area to prevent pooling and varicosities. Some support wear products also provide shoulder straps to the system which is even more beneficial because they provide a lift to the abdomen further reducing pressure on the pelvic floor.

    #2 AVOID STANDING FOR LONG PERIODS OF TIME

    Avoid standing for long hours and try to take breaks to relieve the pressure on your pelvis with short intervals of sitting or lying down. If you have a job which requires standing, it is even more important to wear compression support during these hours to counter act the pressure from your added weight of the baby and gravity pulling downward on your varicosities. Ask your employer to provide intervals of time where you can change your standing position to sitting. Ideally lie down for 10 minutes here and there throughout the day. This is obviously not realistic for some jobs, however, you are pregnant and do have rights at your job relating to the safety of both you and your baby. Get a note from your obstetrician stating your needs and present this to your employer.

    #3 ELEVATE YOUR HIPS

    When you lie down, elevate your hips by putting a pillow underneath your bottom. This helps improve the blood flow in the pelvic floor area and reduce swelling in the veins.

    #4 COOL COMPRESS

    When you have a chance to lie down, place cool compresses on the vulvar varicosities to ease pain and reduce the swelling. Make sure the packs are refrigerator cool, not frozen so that the temperature feels comfortable and relieving.

    #5 AVOID LIFTING HEAVY OBJECTS

    If you have a toddler this is difficult, but try to avoid lifting heavy objects. Squat down to talk with your toddler, or sit down and ask him/her to sit on your lap to talk instead of lifting him/her. Ask for help lifting groceries or other heavy objects. ASK FOR HELP! I need to say this again because women are generally the ‘helpers’ and tend not to ask for help. As a pregnant woman you need to take care of yourself. Who knows, you may make another person’s day by reaching out and asking for their help.

    You can get even more information on vulvar varicosities or confirm the information in this short article by reading:

    Mayo Clinic article on Vulvar varicosities

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    Source by Caroline Christensen

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  • How Smoking (Drug Abuse) and Drinking (Alcohol) Affects Your Academic Performance

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    One day, Barack’s mother, Ann Dunham marched into his room, wanting to know the details of Pablo’s arrest. “Don’t you think you are a little casual about your future?” she asked. “What do you mean? he responded. “Bar, you know exactly what I mean. Your friend Pablo was just arrested for drug possession, and your grades are slipping. You haven’t even started on your college application.”

    Barack Obama was a serious and brilliant student before he gained admission into Punahou School, Honolulu. In this school, he joined the “Choom gang”. It was a self-named gang that spent time together drinking alcohol, smoking marijuana and sniffing cocaine. Drugs made the choom gang popular in school. His relationship with the choom gang prospered, but his academics suffered. Drugs and alcohol made him lose focus. All he thought about was how to get high. He and his friends Ray, Pablo, Mark and others exhausted their time devising simply ways of doing drugs, which include total absorption (TA), the antithesis and the choomwagon. Reading was difficult because he was always high and confused. Indeed, he was heading towards becoming a junkie.

    His performance in school was a mess. Barack’s mother was right. His grades were going down every term. He was not even bothered about admission to college. All he thought was drugs because it was part of him. Truly, his friend Pablo was arrested by the police for drug possession.

    When pressure from his mum and his poor performance became unbearable, he thought about not going to college. Nevertheless, Barack’s mother kept encouraging him. She always told him that he could get into any school in the country if he just put in a little effort. Within him, he knew that the “effort” he needed was to quit drugs.

    He managed to graduate without mishap and was admitted into Occidental College in Los Angeles. Even without the choom gang around, Barack continued his drug escapade. To continue his education, Barack was transferred to Columbia University, New York.

    In New York, he decided to stop getting high. For the first time in years, Barack applied himself to his studies. He regained his love and strength for reading. Reading and understanding became easy because he was focused and at alert always. Barack began to trace out his future. It became clear that he had been wasting his precious time on drugs. He attended class regularly and soon graduated with good grades.

    “Using drugs and alcohol was a seriously misguided mistake. It was my greatest moral failure that could have destroyed my future. Maybe if I had not stopped doing drugs, I might have dropped out of school and wouldn’t have become the 44th President of the United States”, he once said.

    Lesson

    Drug and alcohol use on campus is universal. Students articulate many reasons why they do it, but most neglect to consider the academic and long-time consequences of their actions. Some are compelled to use drugs at social gatherings either because everyone else seems to be doing it or they believe it’s the cool thing to do. Others feel that drug and alcohol abuse offers an escape away from school or work-related stress, financial worries or relationship problems. Some feel that alcohol and drug abuse provide a way to compensate for feelings of shyness or low esteem.

    According to one study, 90% of teens said they have used alcohol; 50% have used marijuana; 17% have used cocaine, and 13% have used some form of hallucinogenic drugs. Drug use has been classified as a major problem of students as early as in primary 4. A recent report published by the Substance Abuse and Mental Health Services Administration suggests that adolescents who receive grades of D or below are more likely than those in good academic standing to have recently used cigarettes, alcohol and/or other illicit drugs.

    The new research is part of a large-scale study of health and development conducted in New Zealand. Researchers administered IQ tests to over 1,000 individuals at age 13 (born in 1972 and 1973) and assessed their patterns of cannabis use at several points as they aged. Participants were again tested for IQ at age 38, and their two scores were compared as a function of their marijuana use. The results were striking: Participants who used cannabis heavily in their teens and continued through adulthood showed a significant drop in IQ between the ages of 13 and 38-an average of 8 points for those who met criteria for cannabis dependence. (For context, a loss of 8 IQ points could drop a person of average intelligence into the lowest third of the intelligence range.) Those who started using marijuana regularly or heavily after age 18 showed minor declines. By comparison, those who never used marijuana showed no declines in IQ.

    Researchers studying the effects of alcohol use on the brain are aided by advanced technology such as magnetic resonance imaging (MRI), diffusion tensor imaging (DTI), position emission tomography (PET) and electrophysiological brain mapping (EBM) showed that long-term heavy drinking lead to shrinking of the brain which impairs learning, memory formation and retrieval. That is why most times we read and forget within a short period.

    The process of generating new brain cells (i.e., neurons) is called neurogenesis. High level of alcohol leads to a disruption in the growth of brain cells. The decline of the number of brain cells leads to problems in learning and behaviour. The number of brain cell a student possesses determines his level of understanding. A student who has a higher amount of brain cells will do better academically.

    Thiamine, also known as vitamin B1, is an essential nutrient required by the brain. Up to 80% of alcoholics have a deficiency in thiamine, which may lead to memory loss and mental confusion. It might also affect your attention and concentration. Substance abusers easily get distracted; misplace things, forgetting to keep appointments and so on. As the brain continues to adapt to the presence of the drug, regions outside of the reward pathway are also affected. Brain regions responsible for judgment, learning, and memory begin to physically change or become “hardwired.” Learning, reading, and comprehension becomes difficult because the brain had been wired to focus on alcohol.

    Alcohol can produce detectable impairment in memory after only a few drinks and as the amount of alcohol increases so does the degree of impairment. Large quantity of alcohol can produce a blackout or an interval of time for which the intoxicated person cannot recall key details of events or even an entire event. Think about how much study time you have lost because you were too hung-over the next day to go to class. Drug abusers oversleep and are always tired.

    Severe Hallucination is another problem faced by drug users. Most times they lose touch with realities during lectures or examination. Physically they are in class but mentally they are somewhere else. Academics requires both physical and mental alertness. Therefore, a “high” students can attend lecture but will derive nothing because he was busy building castles in the air. Hallucination leads to academic failure.

    Everyone who became a drug or alcohol addict started with “let me taste or try it.” Smoking cigarette or Indian hemp or drinking alcohol is not a sign of “big boy or big girl”. It is not a sign of maturity but immaturity. You should not please your company by abusing drugs or alcohol. Drugs and alcohol are slow poisons. It solves no problem, if you get high because of financial stress, relationship problems, shyness or peer pressure, after some minute, you will get low and the problem will still be there.

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    Source by Anyaehie George Kelechi

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  • Aromatherapy – Nature’s Fragrant Medicine

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    We all know how fragrances make us feel. Some aromas make us euphoric, others have a more soothing effect, and specific familiar smells can transport us back in time and bring on feelings of nostalgia. The psychological and emotional effects of fragrance and the extreme importance of our sense of smell are obvious. But, did you know these same fragrances can also be used to heal your body and create well-being in your life? Aromatherapy is a well-known technique amongst healers from all parts of the world and all civilizations.

    What do they know that you don’t?

    As with Color Therapy, Sound Healing, Crystal Healing, and Energy Therapy, the aim of Aromatherapy, within the scope of healing, is to activate the senses of the body. The goal is to eliminate the conditioned, logical, and analytical mind, thus activating the wonderful reality of “feeling” and experiencing life in it most empirical and purest form. It is in this empirical state, that we are able to break the illusions of separation and connect on a deeper level with the energies that surround us. Dr. Richard Gerber MD, author of Vibrational Medicine, tells us that one of the best ways we can change dysfunctional patterns in our energy bodies is to administer therapeutic doses of frequency-specific energy. We do this by using herbs, crystals, sound, and energy also called vibrational medicines.

    It is common knowledge and practice, that scent can affect physical and psychological changes in living beings. We experience it regularly in our daily lives. When we smell a fragrance, it triggers an immediate emotion or feeling, that makes us happy, excited, calm or even nostalgic. Aromatherapy, practiced throughout thousands of years, dating back to the ancient Egyptians and the Vedic culture of India, where plant extracts and medicinal plants are still widely used.

    The term Aromatherapy was coined in 1937, by a French perfumer and chemist by the name of Rene-Maurice Gatterfosee. Aromatherapy is the holistic science of utilizing naturally extracted essences from plants to balance, harmonize and promote the health of body, mind, and spirit. Through the knowledgeable and controlled use of essential oils, we are able to achieve physical, emotional health, and overall well-being. As with other holistic practices, Aromatherapy is always used to treat the “whole” person and not just the symptom or the disease.The application of essential oils is historically mentioned countless times and throughout diverse civilizations (Egyptians, Greeks, Romans etc.) for a variety of health-related applications. Today, there are thousands of studies on essential oils. We know that their effectiveness is accurately merited by their composition of very small molecules, that are able to penetrate deeply and quickly into our cells (Transdermal delivery).

    The sense of smell is the most neglected of all the senses in humans. This is surprising when we consider that seventy to seventy-five percent of what we perceive as taste, actually comes from our sense of smell. The neurons that sense the odor molecules, lie deep within the nasal cavity, in a patch of cells called the olfactory epithelium. To understand how odor is humanly perceived, it is important to know why the limbic system allows us to behave differently when experiencing different odors. The Limbic system is a complex system of nerves and networks in the brain, involving several areas near the edge of the cortex, related to our instinct and mood. It also controls our most basic emotions (fear, pleasure, anger) and drives (hunger, sex, dominance, care of offspring). A very important aspect of smell is that olfactory neurons make up the only sensory pathway, that is in direct contact with the brain. Because of the close connection to the limbic center, feelings and emotions can naturally be regulated, as well as memory.

    The application and uses of Aromatherapy in healing, obey the same Universal Law that everything vibrates at different and specific frequencies. Every atom in the universe has a specific vibratory or periodic motion. Most plants (and animals,) use enzymes to break down molecular components during their life processes. And, each of these enzymes has a unique crystalline form with a specific vibratory frequency. The vibrational frequency of an oil reflects the innate integrity of these elements and the intrinsic enzymes embodied within its substance.

    The process of using Aromatherapy in healing treatments is to apply plant-derived oils with the correct matching frequency. Therefore, allowing the physical body to absorb these energetic vibrations and bring the body back to a state of well-being and equilibrium. Essential oils do not resonate with the toxins in our bodies; neither, do they resonate with negative emotions. This incompatibility is what naturally helps remove toxins and toxic energy from our systems. Aromatherapy, energetically speaking, can help dislodge forgotten traumas by surfacing them in our consciousness. For, it is in a state of consciousness that we can face, deal with them, and let them go. The therapeutic properties of this method, create exceptional vibrational remedies, capable of healing or rebalancing the body/mind/soul/spirit. Essential oils can regularly be used in body oils for massage, facial/body lotions and oils, baths, inhalation, diffusion, and on the energy points on your body.

    It is fairly simple to integrate Aromatherapy into your daily life. You do not need to be a master of plants and herbs. Choose a few. Learn about their energetic properties. Smell each oil. How do they make you feel? Once you have narrowed down your list and hand chosen your favorites, here are some DIY ideas:

    • Place a few drops on a tissue and place it in the air vents in your car. Enjoy Aromatherapy anywhere you go. No need to schedule extra time to enjoy the benefits of essential oils.
    • You can mix your favorite oils with coconut or jojoba oil (my favorites) and use them instead of your regular perfume.
    • Mix your essential oil in distilled water. Then, using a spray bottle, spray it as an air freshener around the house. You can also spray it on your favorite pillows and throws.

    Be Creative! You Are Unique!

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    Source by Susan Vilanova

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  • Better Customer Service Through Effective Time Management

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    Being able to manage and prioritize is an important skill when servicing customers. Planning events, activities, and tasks on a yearly, monthly, weekly, and daily basis-that is, prioritizing time-can be rewarding from the standpoint of allowing you to be more proactive in preparing to deal with situations. Such planning can reduce your need to be a crisis manager. It is important on and off the job because, if you do not manage your personal life well, you may carry over personal stress into the workplace. This is not only inefficient; it is also unfair to your employer, peers, coworkers, and external customers.

    After you have scheduled key events and tasks using some type of scheduling system (e.g., time management software, written planning system or calendar, or electronic scheduling device that can download information into your computer), review the information regularly to avoid forgetting something.

    One way to manage events, rather than having them manage you, is to create a list of activities each day and assign a value to each based on importance. The key is to be consistent and prioritize each day. Some people make planning the last activity of their workday. When they arrive to work the next morning, they are ready to begin rather than spending time preparing.

    Guidelines for Setting Priorities

    Three guidelines can help you in determining what tasks to do first. These can help you create a realistic and achievable list of daily tasks. As you learned when you read about goal setting in other chapters, goals must be attainable. Use the following standards as a guide when setting priorities.

    Judgment. You are the best judge of what you can accomplish in any given day. You know your strengths and what has to be done. When selecting priorities, remember that the ones having the most impact on customers and others should be placed high on your list. On the other hand, do not put so many priorities on a daily list that you will not get them done. If this happens, you might become discouraged and give up.

    When you find that you have more high priorities than you have time, you may need to ask for help or guidance from your boss. Many times, simply asking for assistance helps develop your relationship with others. They feel respected and trusted by your gesture, as long as you do not abuse their help or appear to be unloading your tasks onto them. Also, consider other resources that you might use to accomplish tasks (e.g., technology, outside vendors, or customers).

    Relativity. Assigning priorities is a matter of relativity. Some tasks and projects are readily rated higher than others. You should be guided by the question “What is the best use of my time?” Many people fill their daily schedule with frivolous or easy tasks and with tasks that they like to do. This produces a hollow feeling of accomplishment. They may get a lot done throughout the day and enjoy doing it, but they have not added a lot of value to customer service or aided in accomplishing organizational goals. Keep in mind when setting priorities in the workplace that your primary focus should be your customers and activities that support them.

    Timing. Reality and deadlines have a way of dictating priorities. The starting time of a project or task also may establish priorities. Once you begin a task, there must be enough time to finish it. If this is not possible, you may have to re prioritize or seek assistance.

    Be realistic about the time it will take to complete a task. Make sure that you schedule that much time, plus a little extra, on your daily planning sheet. Also, consider your peak time period for performance. Each person typically has a period of the day in which he or she has more energy and can get more done. Capitalize on your peak period and schedule high-priority tasks during that time, if possible.

    Prioritizing System

    To set up your own priority system, list all of your pending activities and then group them according to their level of importance. How you assign value to a task is not as important as long as you use the same format each day. Many people use an A, B, C system, and others use a 1, 2, 3 format. Here are suggested criteria for assignment:

    Priority A-Must do or critical items. Some things must be done because of management directives, local, state, or federal regulations, importance to customers or clients, deadlines, or opportunities they provide for your success or advancement (e.g., state tax reports, actions requested by a customer, or application for a position in the organization with a specific cutoff date for submission).

    Priority B-Should do. Items in this category are of medium value. Although they may contribute to customer satisfaction and improved performance, they are not essential or do not have critical deadlines (e.g., mailing an unsolicited information kit to a customer about a new product or developing a proposal for changing an existing system or process).

    Priority C-Nice to do. This is the lowest category and includes tasks that are not a direct link to customer satisfaction. They may even be fun or interesting, but could be omitted or left undone. Postponing or scheduling such priorities until a slower time period will likely have little or no impact on customer service (e.g., meeting with team members to brainstorm ideas for a more efficient layout of cubicles, cleaning old e-mail files, or neatly lining up the products on a shelf).

    Note: As you go through your e-mail and voice mail messages at the times you have scheduled throughout the day, prioritize them, and add them to your list of things to do.

    The key to effective time management is to have a plan and work that plan. If you control your time, you and your customers both stand to gain from your efforts.

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    Source by Bob Lucas

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  • Department Administrator Interference in the Doctor-Patient Relationship

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    I contacted a resident doctor in Internal Medicine at a teaching hospital and asked if he would be interested in becoming my primary care physician (PCP). My note briefly described my background in health outcomes research and two of my prescription drugs. He wrote back that he would be honored to be my PCP, and came across as professional, humble, and sincere. A new doctor-patient relationship was formed, and I contacted my existing doctor’s office to arrange for my medical records to be transferred, which immediately informed that office that I must be dissatisfied and going to a new doctor. I also shared with the resident doctor confidential information from my medical records and a copy of one of my professional presentations at a health care conference.

    A department administrator then contacted me to say the resident doctors are not available every day of the week for clinic and are not even here when they do their ICU rotation. Also, the Internal Medicine department protocol would not allow the resident doctor to write me a drug prescription for off label use. Finally, she was concerned that in the past I have ordered and correctly interpreted my own blood tests. The administrator’s attitude reflects one of the chief complaints Americans have with the health care system: the system is coming at them and requiring them to get health services in some predefined structure to which the facility is accustomed but which eliminate any potential for individualized treatment according to individual patients’ needs.

    Apparently the administrator did not spend enough “careful consideration” to get her facts straight. I do not need to see my PCP daily or even monthly. My track record shows I saw my existing doctor once in a calendar year, and the prior doctor before him I saw once in a 15-month period. So the administrator based her decision on her own ignorance of the facts.

    She also misstated facts concerning off-label prescriptions for drugs by resident doctors. One of the drugs we are talking about is Clomiphene. Both a resident doctor and an attending faculty physician at the teaching hospital advised me that they would be willing to write me (off-label) prescriptions for this drug, and the attending physician did indeed phone in a prescription for one of the drugs at my request. Similarly, the Dept. of Obstetrics and Gynecology (OB-GYN) advised me that their doctors, both resident and attending, have prescribed Clomiphene to patients. Therefore, residents in Family Medicine and OB-GYN (both primary care departments) can write prescriptions for Clomiphene, but “protocol” prevents residents in Internal Medicine (also primary care) from writing off-label prescriptions. What kind of a cockamamie rule is that? What, the residents in Internal Medicine are too dumb or too naive to understand off-label benefits of medicines?

    Finally, I had planned for my resident PCP to order and interpret blood tests each time I visited him. The administrator could have learned that fact if she had bothered to call or write me before jumping to conclusions and interfering in my doctor-patient relationship. I strongly reject the Director’s paternalistic view of medicine in which she feels she has to protect resident doctors from patients who order or interpret their own blood tests. These resident doctors are young professionals who have completed their medical degrees; they don’t need paternalistic oversight from a department administrator telling them who they can and cannot invite to be patients.

    Apparently, an overwhelming number of patients who visit this teaching hospital’s doctors want to be told what to do and how to feel. I am the exact opposite; I take personal responsibility for and manage my own health, which is strongly advocated under health care reform. Having a more equal, collaborative relationship with my PCP works for me, and that seems to be the true reason for the administrator’s interference. Studies show that medical malpractice rates drop with a non-paternalistic model of health care services. That fact of reducing litigation risks is pushing more health care systems across the country to migrate to a non-paternalistic model.

    LEGAL ANALYSIS

    I. Formation of Doctor-Patient Relationship

    The first question to address is whether, based on this fact pattern, a doctor-patient relationship was formed. When I gave the Internal Medicine resident doctor confidential information on two off-label drugs that I take, that act would be analogous to a prospective client approaching a lawyer with facts about his case to see if the lawyer will assist him. Contacting a lawyer this way does not create an attorney-client relationship. However, the lawyer is under an ethical duty to protect the confidentiality of the information shared by the prospective client. Similarly, the resident doctor was under an ethical duty to keep the information I shared with him confidential.

    When a lawyer responds to a prospective client, “I agree to take your case,” or “I will be your lawyer,” or words to that effect, then an attorney-client relationship is created, and the protection afforded to the client’s information rises to the level of constitutionally protected attorney-client privilege. In this case, when the resident doctor responded that he would be honored to be my PCP, we have offer and acceptance forming a contract. The offer-acceptance could be construed as my offering to be his patient, which he accepted, or his offer to be my PCP, which I accepted.

    But offer and acceptance are only two of the three required elements to form a contract. The third essential element is exchange of consideration, expressed in Latin as the quid pro quo. In this case, there were several separate exchanges of consideration that complete the formation of a contract and thereby render it enforceable in a court of law. Consideration is defined as some act or some transfer of an item from one party to the other, for which the receiving party had no legal right to otherwise obtain that consideration. There is no requirement that the consideration have intrisinc value. For example, the transfer of a scrap piece of paper can constitute valid consideration that renders a contract binding and enforceable.

    The initial disclosure of confidential information from my health history amounts to sufficient consideration. Second, the fact that both I and the doctor each began pursuing scheduling an appointment for me to see him is also consideration: neither of us had a prior legal right entitling us to that action by the other person. Third, when we continued to correspond after offer and acceptance, with additional information being shared back and forth, further consideration was exchanged. My sending the resident doctor a copy of one of my professional presentations was a fourth example of consideration. Finally, my request that my medical records be transferred to the resident doctor’s clinic constituted an obvious legal detriment based on reliance rendering the contract enforceable.

    If a lawsuit were filed for enforcement of this contract, I am confident that the plaintiff would overcome any attempt to dismiss the lawsuit by the teaching hospital’s attorneys based on the absence of a contract. Defendant might attempt to argue that no contract could be formed, because the resident doctor is not licensed. According to the website http://medical-dictionary.thefreedictionary.com/resident+physician, a “resident physician is a graduate and licensed physician receiving training in a specialty, usually in a hospital.” The resident’s licensing status would not prevent the formation of an enforceable contract, as we have in this fact pattern, for treatment in the supervised residents’ clinic.

    In court, we would pose a series of questions: 1) Is the resident a graduate of a medical school? Yes! 2) Was our conversation focused on health care treatment? Yes! 3) Does the resident see other patients (whether supervised or unsupervised) in the resident clinic? Yes! 4) Are the resident’s services billed to the U.S. government and to private insurers as the services of a doctor (not a student or a doctor’s aide)? Yes! 5) Did we both use the term PCP in describing our relationship? Yes. 6) Did the resident undertake to assist me in obtaining a medical appointment to see him? Yes! With these answers, any court of law is going to recognize if it looks like a duck, swims like a duck, and quacks like a duck, then it is a duck. Therefore, the defendant’s argument on licensing will be viewed as a red herring and will fail. In a similar vein, courts have noted “it is axiomatic that a doctor-patient relationship may arise from, briefly exist, and be limited by the unique circumstances presented in a transfer situation.” Sterling v. Johns Hopkins Hosp., 145 Md. App. 161 (Md. Ct. Spec. App. 2002). It does not matter how long the doctor has been seeing patients or how brief the contact with any given patient, a doctor-patient relationship can be formed.

    Selection of a PCP and other medical decisions are “core” private decisions. A fundamental tenet of privacy jurisprudence, as it has been applied to other types of personal matters, is that the individual most directly concerned is entitled to make and implement the protected decision autonomously and free from paternalistic government intrusion. See, e.g., Zablocki v. Redhail, 434 U.S. 374, 54 L. Ed. 2d 618, 98 S. Ct. 673 (1978) (decision to marry); Moore v. East Cleveland, 431 U.S. 494, 52 L. Ed. 2d 531, 97 S. Ct. 1932 (1977) (decision to live with extended family members); Griswold v. Connecticut, 381 U.S. 479, 14 L. Ed. 2d 510, 85 S. Ct. 1678 (1965)(reproductive choice). I would argue that the constitutional right to privacy also protects autonomy in selecting a PCP among a wide choice of available doctors, selecting which medications I want prescribed, and choosing what lab tests I want to order myself to monitor my health.

    In 2005, the Supreme Court of Arkansas provided the best statement in American jurisprudence on the elevated status of the doctor-patient relationship. The court noted the relationship of doctor-patient is unique. “The loss of this relationship, even temporarily, causes irreparable damage to the doctor and the patient. There is no adequate remedy at law because the loss is a loss of a one-time opportunity.” Baptist Health v. Murphy, 362 Ark. 506 (Ark. 2005)

    The court noted that the hospital had violated the Arkansas Department of Health rules and regulations for hospitals by failing to enforce policies that protected the doctor’s selection of patients and the patient’s choice of a physician. “We interpret this to mean that an otherwise qualified doctor must be granted access to his patient for the purpose of treating his patient, if that is what both the doctor and the patient want. Or, stated another way, a hospital cannot deny the services of a physician of the patient’s choice if the patient is already being seen by physicians at the hospital. Baptist Health v. Murphy, 362 Ark. 510-511 (Ark. 2005)

    Based on reading Baptist Health, I will now forward a copy of this article to the state Department of Health to determine whether the teaching hospital violated any of my state’s regulations requiring Tennessee-licensed medical centers to have policies or bylaws that respect the patient’s right to select his own physician. If so, then the teaching hospital is violating those regulations.

    II. Tennessee’s Tortious Interference Statute

    Tenn. Code Ann. § 47-50-109 is captioned, “Procurement of breach of contracts unlawful – Damages.” The administrator tortiously interfered in my doctor-patient relationship and prevented the resident doctor from performing his services under our contract. She therefore procured a breach of that contract. The administrator will argue that she was merely performing her duties, but that is no excuse for interfering in an existing doctor-patient relationship.

    Although Tennessee jurisprudence does not have a case on point, courts across the country have taken a dim view and expressed disapproval of employer interference in the doctor-patient relationship. For example, the U.S. Supreme Court stated, “The ethical objection has been that intervention by employer… makes a tripartite matter of the doctor-patient relation. Since the contract doctor owes his employment and looks for his pay to the employer… rather than to the patient, he serves two masters with conflicting interests.” United States v. Oregon State Medical Soc., 343 U.S. 326, 329 (U.S. 1952).

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    Source by Michael Guth

    Views: 0

  • Weight Loss – How I Went From 340 to 199 Pounds, Part 1

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    I spent two years losing over 140 pounds the old fashioned way: proper diet and exercise. No fads. No pills. No surgery. No crazy machines. I was 30 years old and 340 pounds. With a history of heart disease and obesity in my family, I decided it was time to shed the pounds.

    Almost every day I get people I haven’t seen in years coming up to me saying “Wow! You look great!” and then the next question… “What have you been doing?” That’s why I wrote this article.

    Disclaimer

    Now, of course, as a general disclaimer, I have to say that the tips I’m sharing with you here are just from my own personal experience. I’m not a professional health expert – although over the past couple of years I’ve read dozens of books, and hundreds of articles on nutrition, exercise, and weight lifting. I’m not a doctor. You should, of course, seek your own doctor’s advice before starting any kind of a weight-loss or exercise plan. I firmly believe that with the right diet and proper exercise, almost anyone should be able to lose weight and get fit safely.

    Tip 1. It’s All About Calories

    First, the bad news. Weight gain and loss is directly tied to the amount of calories you eat versus the calories you expend through exercise. What’s a calorie?

    A calorie is a unit of heat energy. Specifically, it’s the amount of heat energy required to raise 1 gram of water by 1 degree Celsius. How this relates to your body is that when you eat food, the food molecules are broken down chemically and that energy is either used by your body to perform work (like building muscle, or constructing new cells) or is stored (as fat). If you take in more calories than you burn, you will start to get fat.

    Now, in the world of calories, it takes 3500 calories to equal one pound of body weight. So, if you take in an extra 3500 calories in your diet this week without exercising, congratulations… you’ve just gained one pound (probably all body fat). The good news is that you can lose one pound of fat by either removing 3500 calories from your diet, or adding 3500 calories of exercise to your weekly schedule, or a combination of the two.

    What’s 3500 calories? It’s actually not much if you’re eating the wrong kinds of food. You can consume 3500 calories in one meal if you eat two Double Whoppers (1010 calories each), a King Size order of french fries (590), a King Size onion rings (600), and a chocolate shake (440). Don’t laugh… this is what I used to eat for dinner if my family went to Burger King… or something similarly outrageous.

    So the bottom line here is that if you want to lose weight, you have to create a calorie deficit. That means you have to burn off more calories than you eat. You had to eat more calories than you burned to get fat… now you have to reduce the calories to get lean. It’s that simple. In order to know how many calories you’re taking in and burning off, you need to write them down.

    Tip 2. Eat Frequently Throughout the Day

    Think of your body as a furnace. You want your furnace to burn fuel as efficiently as possible. In order for that to happen, you need to let it burn hot and steady throughout the day.

    You need to stoke your fire often to keep it burning. Keep your metabolism running all day long by eating every 3 to 4 hours. My personal tip: I eat on hours evenly divisible by 3. That means breakfast at 9am (if I’m up that early), lunch at noon, a snack at 3pm, dinner at 6pm, a snack at 9pm, and if I’m still up another snack at midnight.

    Now, I personally work late (I usually get most of my “real work” done between the hours of 10pm and 2am) but if you need to eat at different hours, that’s fine… Just take the total number of calories you’re going to eat throughout the day and divvy them up into 3-hour intervals. Keep that fire stoked! If you can’t take a break at work to eat every 3 hours, bring a protein bar with you.

    If you skip breakfast, then you’re extremely hungry by the time lunch comes around. Skip lunch, and you’re more likely to gorge yourself at dinner. Why? Your body is saying, “Hey! I need food badly!” If you feed yourself often, throughout the day, your body doesn’t go into shock, and you won’t get those wild cravings and hunger pangs when it’s time to eat.

    Tip 3. Start a Food & Exercise Journal

    Don’t just dismiss this section. I did! The first couple of times I read about doing this in fitness and weight-loss books, I said to myself, “I don’t have the time to do this.” But you know what – it really works!

    I cannot stress how important it is to write everything down that you eat. All you need is a little notebook. Make four columns: what you ate, how much of it you ate, how many calories were in it, and what time of the day you ate it. It’s that simple. Also write down any exercise or other activities that are more strenuous than just sitting around.

    Taking the time to recognize what you’re eating is the first step to losing weight. A lot of people truly don’t realize how much crap they’re eating. When I first started doing this – and writing down everything I was eating – it really opened my eyes to the volumes of junk food I was eating before. I was a slave to cookies, chocolate, chicken wings, and pizza. When I first took the time to look up the fact that a chicken wing has 150 calories in it (yes, one wing), I was astounded. I used to eat 20 wings and 2 or 3 slices of pizza for dinner.

    Now you can get yourself one of those little calorie counter booklets from your favorite book store. Sometimes you’ll even see them in the grocery store. They’re invaluable. Once you get to know the foods you eat on a regular basis, keeping track of what you eat is really quite simple. You will gain a better appreciation for what you’re putting in your body.

    So please, please, please, take my advice and journal everything you eat. You do NOT have to do this for the rest of your life… just until you hit your goal weight. By that time, you’ll be able to keep a good mental track of what you’re eating, and you’ll be more aware of what you should eat, and how much exercise you should be getting every week.

    Also, you do not have to obsess over every little calorie! Counting your calories can be as detailed as you like. If you want to track every last celery stick, by all means do so. However, you can just round your calories off to the nearest 10, or 20. Don’t worry whether or not something contains 24 or 26 calories. In the end, it doesn’t make that much of a difference… but whether something has 100 or 200 calories does.

    The important thing… and I cannot stress this enough… is write everything down!

    Tip 4. Eat The Right Amount of Calories

    We’re not going to starve ourselves! In fact, proper weight loss is best accomplished by eating more frequently than you’re probably used to! Let me say that again: you’re going to eat more food than you are right now. You’re going to eat better food, more often, but at a lower calorie intake. If you’re like I used to be, you’re probably skipping breakfast. This means that when lunchtime comes around, you’re starving, so you probably overeat the wrong kinds of food (like pizza, wings, Chinese, etc.) for lunch – and I’ll bet it’s fast food or takeout. Then, you don’t eat anything again for six to eight hours, and pack in a monster dinner.

    Now here’s what happens: your body isn’t getting any food first thing in the morning, so your metabolism isn’t getting started. Your “calorie-burning fire” doesn’t get started in the morning, so you’re not really burning as many calories as you should be. Also, your body is saying, “uh, oh – I’m not getting any food. I better hold on to whatever body fat I can because we’re starving!” This is bad. If you don’t eat enough food, often enough, your body will basically go into starvation mode and hang on to whatever body fat it can.

    The key to unlocking your stored fat is to feed yourself enough good food so that your body doesn’t need to store any additional fat, while at the same time getting plenty of exercise and strength training to burn whatever fat you currently have and build muscle.

    There are a bunch of factors that go into calculating metabolic rates and all that jazz, but you can use this chart as a basic measurement of how many calories you should be eating as part of your weight-loss diet. Notice it’s based on your current weight and your gender. Women need fewer calories then do men. Also, if you’re a smaller person, you need less energy than a larger person. Use this chart to determine how many calories you should be eating on a daily basis.

    WOMEN

    Under 130: 1000 Calories

    130-150: 1200 Calories

    151-200: 1400 Calories

    201-250: 1600 Calories

    251-300: 1800 Calories

    301-350: 2000 Calories

    351-400: 2200 Calories

    MEN

    Under 130: 1200 Calories

    130-150: 1400 Calories

    151-200: 1600 Calories

    201-250: 1800 Calories

    251-300: 2000 Calories

    301-350: 2200 Calories

    351-400: 2400 Calories

    Now here’s something that’s vitally important… you want to make sure you get enough calories every day, otherwise your body will go into “starvation” mode. You want to make sure that you eat your meals at least four times a day to keep your metabolism running. If you don’t eat, your body will go into starvation mode. It will realize that it’s not getting enough food, and will hold on to body fat. It’s important to get enough calories spaced throughout the day to keep your fire stoked. Don’t think that by starving yourself you’re going to lose weight. It will be the wrong kind of weight. Remember, your body will eat it’s own muscle tissue first before burning fat if it doesn’t have enough protein.

    Tip 5. Send Yourself to Boot Camp

    Now, if you want to jump start your body on its way to fast weight loss, here’s what you’re going to do. Ignore the charts above, and drop yourself right down to a 1000-calorie-per-day diet immediately. In addition, make sure you get at least 15 minutes of walking (or some other easy, basic, extra exercise) in every day as well.

    You will do this for exactly two weeks… no more… no less. Then, you will go back to eating the normal amount of calories as indicated on the chart above.

    It’s not going to be easy. You won’t be able to eat any junk food for these first two weeks. You can, however, eat plenty of good foods – chicken, salads, whole grain breads, etc. It won’t be easy, but once you get through it, you’ll be able to add lots of calories back in to your diet, and feel more normal again… in fact, after eating only 1000 calories for two weeks, you’ll probably have a hard time bringing yourself back up to 2000 calories (or whatever you should be at).

    Here’s why this works: dropping your calorie intake down to 1000 calories will shock your body into new eating habits. You will cleanse your body of toxins (like those monster grease burgers you’ve been eating) and get some good, healthy food in you. You will notice weight loss after the first couple of days, but you’ll be keeping your energy up by eating good foods at regular intervals. You can stop any cravings you’re having with water, or add some extra veggies in there – you can eat just about as much green vegetables as you want.

    Tip 6. Don’t Think “Fat Free” Means “Calorie Free”

    Everywhere you look, it seems that “low fat” foods abound. While there are certain low-fat or no-fat foods that we are going to eat, you don’t want to restrict yourself to a totally no-fat diet. There are certain fats that are good fats, and other that are bad fats. We’re going to want to eat good fats because they are necessary for proper health. Bad fats, however, will make you fat.

    There are tons of fad “no-fat” diets out there that have promoted the whole “low-fat” mentality. What’s happened? People are still continuing to get fat eating “fat-free” foods. They eat fat-free cookies, fat-free chips, and fat-free dairy products, yet they keep getting fatter. Why? Many fat-free foods have nearly as many calories as their full-fat versions.

    Now, you start eating “fat free” potato chips thinking to yourself that you can splurge… hey, why not? They’re “fat free.” Well, you still load on the calories with fat-free potato chips. It’s the calories that make you fat. In fact, when food manufacturers remove fat from their products, often times they replace the fat with sugar to improve the taste. Guess what… by adding sugar, they’re bringing the calorie count almost back up to where the full-fat product was.

    We need fat. Fat forms lining of the cell membranes in almost every cell of our bodies. Your brain is composed primarily of fat. If you don’t eat enough of the right kinds of fat, your brain will not get the proper nutrition to function. Eating too little fat can also reduce your testosterone levels (equally important for women as for men).

    Tip 7. Know Your Fats

    Saturated Fats are bad for you. They are found mostly in beef, milk, cheese, deli meats, butter, and some tropical oils. Saturated fats increase your risk of coronary artery disease, diabetes, and obesity. Avoid or minimize saturated fat intake. Try to eat low-fat meats like chicken and turkey without the skin, and reduced-fat dairy products. If you’re eating red mean, get the lowest-fat, leanest meat you can.

    Trans Fats are saturated fats that are extremely bad for you. You should completely eliminate all foods with trans fats in them from your diet. These types of unnatural fats are created during food manufacturing processes such as the hydrogenation of vegetable oil. They are usually found in pastries, buns, chips, doughnuts, shortening, and other such foods. If the label says “trans fat” put that product back on the shelf. If the ingredients of any product say “partially hydrogenated” anywhere on it – put it back. One example: margarine! It’s evil. It’s loaded with trans-fatty acids. Avoid it at all costs. Also avoid vegetable shortening, commercial pasties, deep-fried food, and most prepared snacks, mixes, and convenience foods.

    Studies have shown that saturated and trans fats are actually addictive and make you want to eat more. They have also been linked to all kinds of health problems from cancer and heart disease to diabetes.

    Unsaturated Fats, on the other hand, are generally good for you. These types of fats are usually found in nuts, seeds, fish, and grains. Mono-unsaturated fats, such as the types found in olive and canola oil, will actually protect your cardiovascular system from disease. These are the types of fats we’re going to load into our diet.

    – Good fats: almonds, avocado, cashews, flax oil, olive oil, olives, peanut butter, peanuts, fresh fish (salmon, mackerel, tuna)

    – Bad fats: butter, coconut, corn oil, cream cheese, half-and-half, lard, mayonnaise, shortening, sour cream

    Keep in mind that you need fats in your diet, but even the good fats listed above have a good amount of calories in them – so take it easy! A tablespoon of olive oil, for example, as 100 calories. Almonds (which I love to snack on) have 6 calories a piece. Nuts are a great, healthy-fat snack – but just make sure to take a small handful not the whole bag!

    Tip 8. Add Omega 3 Fatty Acids to Your Diet

    Omega fats are unsaturated fats that are not only good for you, but they’re essential for your health. Your body cannot create these fats, so you must get them totally from your diet. Omega fats are helpful for many reasons, plus they are necessary for normal cell growth and development.

    First, Omega fats are an excellent appetite suppressant. Part of the reason why people binge on “fat-free” foods is because fat is what makes your stomach “feel full.” If you aren’t eating any fat in your meal, your stomach never tells your brain that you’re full. Add a little good fat to your meal, and you’ll feel full with less food.

    Eating Omega fats helps your body to unlock stored fat so that you can use it for energy. Omega fat balances your body’s ratio of insulin to glucagon. When you eat sugary foods, your body releases insulin to remove the excess sugar from your system. If you do this too often, the insulin will block the hormone glucagon – which is another hormone that functions to help your body burn fat. Too much sugar = too much insulin = not enough glucagon = little fat burning. Plus, you are at risk for diabetes. Omega fats help to balance this ratio.

    Omega fats help to boost your body’s metabolic rate. This also helps you to burn more calories. Omega fats are the building blocks of your cells. Your cell membranes consist of Omega fats. Since they cannot be created by the body, you must get them from your diet.

    A specific fat, Omega 3 Fatty Acid, is obtained from flax seeds or flax seed oil. This will be the primary fat that we’ll add to our meals. You can use it on salads and in breads, add it to soups and yogurt. Don’t cook with it, however, as the heat will change it’s chemical properties. You will also find good doses of Omega 3 in most seafood, green leavy vegetables, fatty fish (salmon, tuna, trout, mackerel), walnuts, olive, and canola oil.

    Have fish for dinner at least twice a week – and I don’t mean your beer-battered, fried haddock that the local pub serves on Fridays. Pick a fish like salmon, tuna, or mackerel. Bake or grill them – don’t fry them. They have very high concentrations of Omega 3 fatty acids in them. Add flax oil to your salads instead of fatty dressings. Snack on walnuts or almonds instead of cookies and chocolate. You will feel full sooner, and you’ll be adding essential fatty acids to your diet to help burn calories!

    Tip 9. Get Plenty of Protein

    Proteins are the building blocks for your body. You need to eat lots of protein for your body to build, repair, and maintain your muscle and other lean tissues. If you don’t eat enough protein, your body will break down muscle tissue, which is bad, to maintain itself. As a result, your metabolism will slow, and you won’t burn body fat. Unlike fat or glucose, there’s nowhere in our bodies to store protein (aside from building muscle tissue) so you have to get a lot from your diet.

    How much protein should you eat? Most people should eat about 0.4 to 0.8 grams of protein per pound of body weight. Therefore, if you weigh 200 pounds, you should be eating between 80 and 160 grams of protein per day. This isn’t hard to do. Eat two eggs for breakfast, and an 8-ounce serving of chicken for dinner, and you’re at 60 grams of protein right there.

    What kinds of protein should you eat? I like fish, chicken (white meat), turkey (white meat), soy products, beans, legumes, and eggs (whites only – yokes have a lot of fat). Soy products are a great source of protein… once you get used to the taste. I have totally switched from regular milk to soy milk. It has all the calcium, much less of the saturated fat, and none of the cholesterol of normal milk (even skim milk!)

    Eat fish twice a week, chicken twice a week, turkey once a week, a vegetarian meal once a week, and then on that seventh day, go ahead and splurge with the pork or beef… just take it easy. Just make sure you choose lean sirloin cuts. Trim off any fat. Beef has a lot of saturated fat in it (it’s marbled throughout the meat so you can’t just cut it off). Beef is the worst meat for you – as compared to the other popular meats.

    – Good protein: beans (any kind), eggs (preferably whites – yolks have a lot of fat), chicken (white meat, no skin), turkey (white meat, no skin), salmon (preferably not farmed), tuna (packed in water, not oil), mahi mahi, any shellfish, any soy products.

    – Bad protein: bacon, ham, hot dogs, beef, pork, lamb, veal.

    In part 2 of this article, you’ll read about nine more tips to lose weight.

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    Source by Richard Rost

    Views: 0

  • The 7 Essential Characteristics Every Entrepreneur Needs

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    Discover the secrets to being a successful Entrepreneur…

    Becoming an entrepreneur is not an easy task! Around 45 percent of all new businesses fail to survive more than two years. There are certain qualities and characteristics that are absolutely necessary if you would like to become successful in your business ventures. Some of these qualities are built-in parts of your inherent personality, and some of them get developed over time. Knowing these characteristics and identifying your weaker ones – those which need strengthening – will, eventually, help you become a successful entrepreneur and ensure that you succeed in your business ventures.

    1. Common sense.

    Studies show that most successful businesspeople consider common sense as the foundation of their success. Good judgment depends on acquired knowledge and past experience. The combination of these two creates necessary prerequisites in developing common sense in a person. Common sense allows you to understand complex issues in simpler terms and get into the core of a problem.

    2. Specialised knowledge of your field and willingness to learn

    It is easier to start a successful business if you have deep knowledge of the business field that you decide to pursue. Having said that, studies show that most self-made millionaires have only average intelligence. Nonetheless, these people achieved their financial and personal goals in business because they are willing to learn. To succeed, you must be willing to ask questions, remain curious, interested and open to new knowledge.

    3. Self-confidence and the heart of a champion.

    Self-confidence is a key entrepreneurial skill for success. A successful entrepreneur believes in his abilities. He/she is not scared to take risks and make difficult decisions. You have to be determined to succeed at all costs. You have to anticipate resistance from your friends, family and loved ones. You must exercise unlimited persistence.

    4. Ability to work hard

    Every successful entrepreneur works hard. Ask any successful businessperson and they will tell you immediately that they had to work more than 60 hours per week at the start of their businesses. If you are in a start-up phase, you will have to breathe, eat and drink your business until it can stand on its own. . This requires a self-control that many people simply fail to develop in them.

    5. Passion

    Success comes easily if you love what you do. Why? Because we are more relentless in our pursuit of goals that we are passionate about. Entrepreneurs who succeed do not mind that they are putting in 15 or 18 hours a day to their business because they absolutely love what they do. Success in business is all about patience and hard work, which can only be attained if you are passionate about your tasks and activities.

    6. Think success

    To attain the kind of success that you want, you need to dream big. Every success story starts with big dreams! If you only aspire to survive, then you might just achieve that. Conversely, if you aspire to generate incredible wealth and happiness within your life, you might just achieve that too. You should actively visualise success in your mind. What does it feel to triple your current income? How will your life change? What will your business look like if you achieved the million-dollar mark? You must believe beyond a shadow of a doubt that you have the ability to recognize and fulfill your goals.

    7. Plan accordingly and stick to your plan

    You have a vision, and you have enough faith in yourself to believe that you can achieve your vision. You have to have a solid business plan and then stick to it. Put your goals in writing. You need to plan each day in such a way that your every action contributes to the attainment of your goals. Intense goal orientation is the characteristic of every successful entrepreneur. They have a vision, and they know how to get there.

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    Source by Bill Doyle

    Views: 0

  • Direct Marketing – 5 Essential Components of Successful Direct Marketing

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    Direct Marketing produced $2.05 trillion in sales in 2012. That represents about 8.7% of US GDP in 2013. This implies several key points.

    First, competition in direct marketing is stiff. With all those advertisement dollars being spent on direct marketing, you need to ensure your message is getting through and being heard. Second, with stiff competition, you need to craft compelling messages, not once, but repeatedly. You need to do this effectively and efficiently, if you want to do more than just tread water.

    Thus, it’s important to develop a marketing strategy that optimizes your budget spend by employing direct marketing more effectively. Here are 5 essential components of successful direct marketing.

    1) Deliver a Compelling Sales Message

    Several elements go into creating a compelling sales message. Successful sales letters and other marketing content must be relevant, useful, and persuasive. Marketing content that works grabs your prospect’s attention, shows uniqueness, and builds trust with your prospect. Employ these three elements in all your direct marketing content.

    · WIIFM – Tell your prospect exactly what’s in it for him or her.

    · Unique Selling Proposition (USP) – Clearly describe why your solution is the superior one.

    · Testimonials – Let your satisfied customers “sell” for you.

    2) Follow-up Leads Promptly to Attract and Engage Your Prospect’s Attention

    You might have a lead-generating sales letter, but if you don’t follow-up, valuable leads will slip through the cracks. Follow-up a live event with a phone call, an email, or a letter that invites the prospect to take the next step.

    Offer a free demonstration of your product or service. Set up an appointment with a subject matter expert who can go into greater detail on how your company’s solution works, and why it’s better than the competition’s. Then, before the scheduled demonstration, send a white paper that explains your product in detail.

    Follow-up, engage and spark your prospect’s interest in your solution.

    3) Promote Your Brand

    Benefits from branding give companies and edge over competitors that don’t brand. Branding helps position your product or service favorably. It also gives you pricing and distribution power. The takeaway is: never miss an opportunity to brand.

    Direct marketing affords you many online and off-line media to build brand awareness. Online media: (1) Banner advertising; (2) Blogs; (3) Email; and (4) Website. Off-line media: (1) Print advertising – sales letters, postcards, brochures; (2) Press Releases; and (3) Public Relations.

    4) Nurture the New Customer Relationship

    Lead nurturing is just as important as lead acquisition. Most companies want to develop long-term relationships with customers. That’s because they become repeat customers. And, over time, repeat customers generate more sales and profits to your bottom line.

    Outbound marketing provides many ways to build and maintain a thriving lead nurturing program. You can employ email, direct mail, social media, mobile, podcasts, seminars, phone calls, and videos.

    5) Integrate and Synchronize Online and Off-line Direct Marketing

    To optimize your message and direct marketing budget, success lies in finding the right mix of online and off-line methods. One method isn’t necessarily better than another. Instead, the secret sauce to successful direct marketing depends on how you weave these various methods together.

    You can integrate and synchronize these methods along the sales cycle beginning with message delivery. Start with a sales letter, follow-up with a phone call or email. Refer your prospect to your website for deeper marketing content, and don’t forget to brand throughout this process.

    Achieving the right marketing mix produces a “multiplier effect” that helps you close sales faster and easier. Employing different media in a consistent and coherent manner working towards the same goal optimizes your marketing efforts.

    Don’t Overlook the Value of Direct Marketing

    With so much attention focused on inbound marketing lately, it’s easy to overlook direct marketing’s benefits. However, as you can see, it still commands the lion’s share of sales. Therefore, it’s prudent to examine your marketing strategy’s focus and align your budget accordingly.

    Before you undertake a direct marketing campaign, employ these five essential components to compete effectively and efficiently for that $2.05 trillion market.

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    Source by Alex M Milo

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