Tag: Improve

  • Pregnancy and breastfeeding during an Ebola virus outbreak

    Pregnancy and breastfeeding during an Ebola virus outbreak

    Women who are pregnant or breastfeeding in an Ebola outbreak face similar challenges as other population groups, but they have specific health needs which must be met.

    As the second largest Ebola outbreak in history continues in the Democratic Republic of Congo, WHO has released new clinical guidelines for healthcare providers supporting pregnant or breastfeeding women in the context of Ebola virus disease.

    Improving clinical care and reducing mortality

    92-4-000138-1Clear and coherent guidance is needed to meet the combined needs of women requiring Ebola treatment, pregnancy care and management of complications.

    Information on how to protect breastfeeding children and other members in the community from transmission of the disease is also critical.

    Limited scientific evidence on how to best manage these needs has previously been a challenge for affected countries. In addition, misconceptions that pregnant women have a higher mortality rate than other populations with Ebola may in some contexts have put pregnant women at risk of not receiving standard care.

    WHO’s Guideline on the management of pregnant and breastfeeding women in the context of Ebola virus reviews existing evidence and provides a single set of recommendations on the care continuum for women exposed to, diagnosed with, or recovered from Ebola.

    This will enable healthcare providers, emergency response teams and health policy-makers to improve prevention and treatment measures in an Ebola outbreak.

    Obstetric care at an Ebola Treatment Centre

    Optimal supportive care should be offered to all pregnant women with Ebola. Likewise, they should be offered experimental treatment and vaccination under the same conditions as non-pregnant populations.

    Ebola virus disease does increase the risk of miscarriage and early labour, requiring close clinical management at Ebola treatment centres. It is important to engage both obstetric providers and those trained in Ebola response.

    This dual expertise is also important because early Ebola and pregnancy-related symptoms can overlap. Pregnant women should be prioritised for testing to confirm an Ebola infection.

    Ebola virus can persist in pregnancy related fluids as well as breastmilk. If healthcare providers are not clear on how to manage Ebola infection risk, they may be less willing to provide care. This stigma can be life-threatening for women who experience complications during delivery.

    The new WHO guidelines advise healthcare workers on how to protect themselves while caring for pregnant women with Ebola virus disease. This includes induced labour or surgical procedures, which carry greater risk of transmission in cases of acute infection. Any invasive treatments should be carried out in full personal protective equipment.

    Breastfeeding recommendations in an Ebola outbreak

    WHO recommends that women with suspected or confirmed Ebola immediately stop breastfeeding and are prioritised for diagnostic testing. Any child exposed to Ebola through breast milk should be placed into safe care, closely monitored for symptoms over a 21-day period and fed with an appropriate breast milk substitute.  

    The guidelines strongly recommend that breastfeeding is only restarted following two consecutive negative tests of breast milk, separated by 24 hours.

    A breast milk substitute should be used even if infection is confirmed for both the mother and her child. Exceptions can be made for infants under 6 months of age who are already infected, if breast milk substitutes are not feasible, affordable, sustainable or safe and separation cannot be implemented safely.

    Women’s health and rights in a disease outbreak

    A disease outbreak does not change women’s and adolescent girls’ fundamental human right to sexual and reproductive healthcare, including evidence-based care during pregnancy and childbirth.

    Women need support to make informed reproductive health care choices for themselves and their children. Women living in an Ebola outbreak should have access to all relevant reproductive options, regardless of economic, cultural, racial or religious status, including contraception and safe abortion to the full extent of the law.

    Pregnant and breastfeeding women across affected communities need equitable and respectful care that considers the risks they face and supports the choices they make.

    Accessing the guidelines and further research

    These guidelines are now available online and may be freely downloaded. The executive summary will be available in French.

    WHO will closely monitor new data as it emerges, as there is still a pressing need to prioritise ongoing research related to Ebola virus transmission.

     

     

     

    Pregnancy and breastfeeding during an Ebola virus outbreak
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    https://www.who.int/news-room/detail/10-02-2020-pregnancy-and-breastfeeding-during-an-ebola-virus-outbreak

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  • Researchers develop framework that improves Firefox security

    Researchers develop framework that improves Firefox security

    Researchers from the University of California San Diego, University of Texas at Austin, Stanford University and Mozilla have developed a new framework to improve web browser security. The framework, called RLBox, has been integrated into Firefox to complement Firefox’s other security-hardening efforts.

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  • Effective Restaurant Training Techniques: Jump-Start Your Training Program Today

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    I have seen different types of training techniques for restaurant staff. Some restaurants send new hires to their corporate training school; others hire experienced staff thinking they already know how to work that position. I think all new staff members should receive quality training regardless of previous experience.

    Each role in a restaurant is important for the restaurant’s success!

    Management must be able to work in every position. Their knowledge of each job is vital. Managers must step into those other roles to maintain customer service. Some reasons could be if there is a call-out, or if the sales are higher than projected.

    If people tell you that managing a restaurant is easy, they are dead wrong. In-fact it is the most difficult position in the restaurant. Running a restaurant is challenging; management needs to be able to multitask, give direction, and follow-up on that direction. Managers must be able to retain large amounts of information and make quick decisions and be ready to step into any position.

    Managers are not born to run a restaurant; they are developed into that position. The same goes for the rest of the staff. Train the management staff, then the trainers. Management will oversee the trainers as they train the rest of the staff.

    The most effective restaurant training techniques are:

    • Show-Do-Review: The trainer shows the staff member how to do the task. Then the trainer observes the trainee actually doing the task. After completion, they review the task together and the trainer gives feedback to the new hire. The Show-Do-Review technique is especially effective in learning recipes, kitchen duties, cleaning tasks, or service tasks.
    • The Memory Game: Once the new hire has some understanding of their new job, the trainer shadows the staff member and helps the new hire remember different key components of the job. Periodically the trainer will ask the trainee a question. If the trainee does not answer the question correctly, then the trainer will provide the answer. The trainer will continually repeat the question all throughout the day or night until the trainee answers it correctly. The purpose of the exercise is getting the staff member to retain the information. The Memory Game can be used to remember important food time and temperature, menu and recipe knowledge, service steps, or even manager responsibilities.
    • Role-Playing: Role-playing is one of the most effective training techniques to use in creating top-notch performers. Existing staff members and new hires experience real life situations and “learn by doing”. The trainees will experience “real life” situations in a simulated and controlled environment. This technique allows the trainer to evaluate the trainee’s strengths and areas to improve. This also helps to develop an action plan so that the trainee can overcome any obstacles to their success. “Practice make perfect.” This technique allows the employees to see different perspectives, build confidence, and form good habits. The trainer will observe the role-playing and my correct the staff members periodically to ensure they on the right path. Role-playing is a great technique for service staff and managers to learn the proper way to handle customer questions or complaints, how to approach a table, and the steps of service.
    • Shadowing: The trainee shadows the trainer, and the trainer shows the trainee the correct procedures in completing the assigned task. The trainer should ask open-ended questions in reference to the task. Once the trainee is more comfortable, then the trainer will shadow the employee. Communication between the staff members is crucial in developing the trainees. Shadowing could be used for nearly any role, especially on the first days and last days of training.

    Once the trainer evaluates the staff member and determines that the employee has mastered that position, then that person is ready to work independently.

    Management should observe or be involved in the training process to ensure that employee is receiving quality training. The general manager/owner oversees the managers. The general manager/owner may have the final say in whether a new employee is ready to work solo.

    Utilize any tool available to help achieve the training goals. During the training process using feedback or assessment forms can help track the quality of the training. Documenting the progress of the training and reviewing it with the employee will help the employee to know your expectations. It also gives you a paper trail of that particular employees training.

    Using a variety of training techniques for your restaurant is useful in getting all your staff on the same page. It also is more interesting than sitting down with someone and reading a scripted presentation. It will help you retain staff, because too many people are thrown into their jobs without the proper training and get frustrated and quit. Having a training program that is easy and effective is important in your restaurant’s success.

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    Source by Jeffrey Schim

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  • Ten Ways to Offer Better Customer Service

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    Today’s savvy customers not only want excellent service, they often expect it. Customer service was the main quality focus of growth and improvement for companies in the last few decades, which is why many now expect it. Companies can lose customers over bad customer service and may retain customers who feel treated respectfully. How well customer service works depends greatly on the attitude and training of company human resources, even those not in the service areas. Below are a few ways everyone can improve their customer service skills and attitudes. 

    1. Always smile when speaking with the customer, whether in person or on the phone. Smiling lifts your attitude and the positive ness can be heard in your voice. 
    2. Greet customers by saying hello, giving them your name, and asking them how you can help.
    3. Whenever possible, be empathetic. Let the customer know you understand their feelings and want to be of help in solving their problem.
    4. Be sure to ask for their name so you can call them by it when responding. This makes the conversation seem more one-on-one friendly rather than combative. If you are on the phone, get their phone number too in case you become disconnected or need to do research. With their phone number, you can call them back if necessary.
    5. If you must put a phone customer on hold or your computers are down, let them know how long the hold or downtime might be. If it will be more than a couple of minutes, you should give them the option of holding or having you calling them back when you have completed your research or when the computers come back up. The customer may choose to call you back, but never tell them that is what they must do. Be sure to call them back in the stated timeframe even if it is only to say you still do not have an answer. Lack of communication is often more frustrating for a customer than having to wait a little longer for results.
    6. If the customer is angry or determined to complain, stay calm and don’t take their criticism personally. Ask questions so you can get to the root of the problem or issue. However, do consider their criticism as suggestions for future improvement of your company processes and services.
    7. If you do not have an answer for the customer, do not make something up. Instead find someone who can give you the correct answer. Customers don’t like being lied to or patronized.
    8. Find the best way to resolve the problem and satisfy your customer without having to go through multiple levels of approval or breaking any rules. Multiple levels of approval only slow the process down and do not help the customer, so avoid them whenever possible. However, if you must get an approval, let the customer know the process and how long it may take and exactly when they can expect a result. You can often go the extra mile for the customer without breaking any rules or going against written policies. 
    9. Once the customer’s problem is resolved, ask if you can be of any help with anything else. Be sure to thank the customer before saying goodbye. 
    10. Always remember the golden rule is the best rule of thumb for customer service “Do unto others as you would have them do unto you.” 

    These are simple ideas to improve customer service skills and attitudes in employees. It is important to always remember that customers today expect excellent customer service and will go where they can find it. Companies lose customers over bad service. So offer great service instead to help retain customers.

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    Source by Shirley Lee

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  • Adult Children Come Home to Heal

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    Should you let an adult child come home again? Parents send their nearly grown children out to conquer the world and sometimes they bounce right back home. A parent’s goal is to teach their child to survive the best and the worst that life has to offer. Most young people are able to maintain a level of existence, sobriety and relationships that sustain them until they really know who they are and what they want to do with their lives.

    However, sometimes life throws them a curve and they falter. Circumstances can hurt them, even bring them to their knees. A devastating break-up with a lover, flunking their first semester, an unexpected death of a best friend, or getting fired from his or her first real job can knock your child out of the game and take months to a year to recover.

    Did you keep their childhood bedroom just the same? Perhaps this is the time to open the shades and prepare for a wounded visitor. Make it clear that the invitation is temporary but open your door widely and let them come home again. As irritating as they are to you and your spouse, remember that your little habits will irritate them, too. As they begin to recover their sea legs, they will want the freedom of their own place ASAP. If you want to encourages them to leave quickly after a few weeks recovery, begin to talk endlessly about developing a strong work ethic and new disciplined habits in place of blaming others for their situation or procrastination. Hopefully, they will soon be out seeking new adventures.

    Help them improve their diet and sleep patterns. Try including fish oil and B vitamins daily to help them recharge their nerves and bodies. Less coffee and colas and more vegetables will help them with their mood. If your child seems to be getting worse or rarely leaves the house, antidepressants may be indicated. Get medical help immediately if your child seems despondent or suicidal.

    Being mom or dad again may even heal your empty nest pain. Give them a safe haven for a little while away from the pressures of living fast and competitively. Soon, they will try to fly again, this time a little wiser, a little stronger and a bit more ready. Oh, and don’t redecorate that room just yet. They may be back.

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    Source by Molly Barrow

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  • I’m Afraid My Husband Has Moved On And That It’s Too Late To Get Him Back: Insights That Might Help

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    I often hear from wives who want to know when it’s too late to get their husband back. Some tell me that, in their minds, it is too late because their husband has seemed to “move on.” I often hear comments like “We’ve been separated for six months. I think my husband has started seeing someone else. I’m starting to think that this is the end and that it’s too late for us. If someone has moved on, does that mean the end of the marriage?”

    Another example is something like: “My husband keeps telling me that we’re over and that it’s too late to do anything to save this marriage. Yesterday, he told me that he was moving on and that I should do the same thing. But I’m not sure how I can do this when it’s never going to be over for me. What can I do?”

    The common denominator in all of these questions and comments is that what the person asking really wants to know is when is it too late to save your marriage. Do you reach that “too late” point when your spouse tells you they have moved on? Do you have to take their word for it?

    Of course, I can’t definitively answer these questions for anyone because the answer depends on the specific people involved and the situation that they are in. But, I can offer you a perspective from my experiences and observations, which I’ll do in the following article.

    Sometimes, Couples Do Reconcile After One Of Them Has “Moved On”: If there’s anything that I know for sure in this situation, it’s that it is possible for things to change. Feelings change. Perceptions change. Situations change also. Just because someone is proclaiming or insisting something today, this doesn’t mean that they can’t do a complete about face tomorrow.

    I have seen divorced couples reconcile. I’ve seen couples who have been remarried to other people (sometimes for decent periods of time) decide to get back together. This doesn’t happen in every case, of course. But it most certainly can happen. Sometimes, there’s a change in circumstances which bring about a change of feelings. Other times, it happens spontaneously. But, much of the time, it’s part of a master plan meant to bring about small, gradual, and yet dramatic changes.

    Why Hanging On Too Tightly Can Sometimes Backfire: Wives in this situation often tell me that they just can not accept that it’s over or that he has moved on. I do understand this as I was in these shoes and I know how frustrating and painful this whole process can be. However, I can also tell you that I hear from husbands in this situation too and it’s my experience and opinion that clinging too tightly or “refusing” to accept what he’s telling you will often make him feel less loving or receptive toward you rather than more so.

    I know that it can be difficult to take step back or to pause when you’re so afraid that the second you do, he really will be gone. But sometimes, you just have to ask yourself if clinging so tightly has been working for you. Take a long look to see if your previous methods have really gained you anything.

    Sometimes, if you are honest and can maintain a little distance, you can see that actually, you’ve only been making things worse. It’s really important to ask yourself if the attempts you’ve been making have been bringing him closer to you or improving things or if they’ve been pushing him further away and deteriorating things. If this is the case, sometimes, you come to realize that trying something new isn’t as risky as it may have first appeared.

    Backing Off Or Taking Pause Is Not The Same As your Moving On: I sometimes have wives tell me things like: “maybe he’s moved on, but I will never be able to. I just can’t give up on our marriage or let go no matter what he says.” Another example is: “his moving on doesn’t mean that I have to.” All of these points are valid, but nothing says that you have to broadcast this to him. Because, when you’re asserting that you are absolutely not going to move on, then sometimes he will come to oppose you even more and think that he needs to ratchet up his efforts to change your mind. This of course, makes him move further away from you.

    So, there are times when you are better off just telling yourself that, although you know full well how you feel, you’re no longer going to keep repeating this to him when he already knows it anyway. There’s nothing wrong with appearing to back off when you know all along that your plan is to gain some ground. And, sometimes you need a pause to gain some perspective and calm.

    Taking time for yourself and taking a break from all of the drama can sometimes actually improve the situation. And sometimes, when you are suddenly silent or absent, your husband suddenly becomes interested again. This is what happened in my case, although it wasn’t by design.

    No matter which way you chose to go, it’s my experience that you are almost always better off if you are able to maintain your respect and dignity. You want to portray yourself in the strongest way possible and this often requires you to act “as if” when you just aren’t feeling it or aren’t all that confident. Sometimes, it helps to remember the person your husband loved once upon a time and to show him that person when the opportunity genuinely presents itself.

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    Source by Leslie Cane

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  • The Health Benefits of Indoor Plants

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    When you think of a house plant, you probably think of a green plant that you water occasionally right? But did you know that those pretty green leaves can actually be beneficial to your health? Having indoor house plants can boost your physical, mental and spiritual health.

    Many people thing growing indoor house plants is too much trouble so they turn to the silk variety for green foliage in their homes. But there really is a different in how your home feels when the plants are real. Did you know that living plants can actually improve the air we breathe? Green plants are known for removing carbon dioxide from the air, but they can also filter harmful toxins and pollutants as well. This will make the air in your home healthier for your family, which in turn can help to keep your family healthier as well!

    In addition to helping to purify the air, having house plants in your home can actually help prevent allergies in children. If children are exposed early in life to things that typically cause allergy issues they will begin to develop a tolerance and immunity to the allergen. It works similar to custom allergy shots that people get from their allergist. The allergist does an allergy test then makes a serum of the things that the person is allergic to. The person gets weekly shots of this serum to help them build a tolerance. Exposing your family to house plants can work in the same way, by helping them build a tolerance to the plants in your home. It is important to note that if someone in your family has severe allergies you should talk to their doctor before introducing house plants into their environment.

    In addition to the physical health benefits of house plants, they help with mental health as well. When someone is depressed or lonely, caring for a living thing can help give them a purpose in life. Many people live in places where pets aren’t allowed, so a house plant is a good choice. The person becomes involved in watering, fertilizing and trimming the plant when needed. This is a great therapy for people with mental health issues.

    Being surrounded by living things is good for the soul, so having house plants is good for your spiritual health. Caring for another living thing and being exposed to the beauty can make you feel at peace with the world or at the very least your little corner of the world.

    There are so many advantages to having house plants. However, there is no health benefit in a sick or dead plant. Make sure you water your plants regularly and mix slow release fertilizer in the soil about every three months. If you care for your plants, they will give you years of beauty and the added benefit of clean air, better mental health and calming peace.

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    Source by Piper Cox

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  • Customer Service Tips – How to Handle Irate Customers

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    Are you ready to learn how to keep every guest happy? It starts with making sure that your managers are thoroughly trained in every position within your restaurant. They need to know all the jobs, so they can step in if someone calls off sick, or if sales are higher than expected.

    The manager needs to be highly trained in excellent customer service. This type of service is called “wow” service because your customers will say “Wow!” about their experience at your restaurant.

    One way to easily accomplish that “wow” experience is simply by telling your managers that every time they are in direct contact with any guest, that they are smiling, being friendly and attentive to the guests. If a famous person was coming to your restaurant, how would you treat that person? Every guest should be receive that same VIP treatment.

    In case of a dissatisfied, angry, or irate customers, we recommend applying the GLAD technique. This will dramatically decrease customer related matters, and lead to customer recovery.

    What is the GLAD Technique?

    1. Go to the guest
    2. Listen carefully to the guest
    3. Apologize to the guest
    4. Do what it takes to solve the problem

    When approaching the upset customer, always shows genuine concern. It is important to listen to the guest without cutting them off. Make sure that you take the time to fully understand their concerns. Remain calm. Responding to anger in a calm manner may help reduce the person’s anxiety. Don’t be fake, be real.

    Always apologize to the guest, even if the customer is wrong. Even when you are certain the person is wrong, go with the mindset that the person is right. Never offer excuses as to why the problem occurred, but offer solutions instead.

    Solutions will vary depending on the complaint and the circumstances. Offer a solution and ask if this will meet the customer’s needs. Go above and beyond. Remember, one angry customer leads to other lost customers. Keep in mind that for each customer you lose, you will lose 11 customers within the next few weeks. That number will compound because those 11 people will also repeat what they heard from the first customer. Ultimately you could be losing hundreds of customers because of one dissatisfied customer. If the matter is serious, you could even lose your restaurant’s reputation, and the restaurant could end up being shut down.

    Every customer that leaves your restaurant tells family, friends and co-workers about the experience at your restaurant. If the experience was mediocre they won’t say anything, but if it was very good experience at your restaurant they will tell others. If it was a negative experience and they walked out dissatisfied, then the reputation of your restaurant will be impacted. Negative feedback from your customers could mean the end of your business. Don’t underestimate the power of the word-of-mouth effect. Word-of-mouth will work with you or against you depending on the guest’s experience.

    Do you really want to lose business because of customer complaints? Teaching effective customer service techniques to your managers and staff should be at the top of your to-do list.

    Teach your managers to be proactive in preventing customer related matters. Manager presence in the dining room is a wonderful path to reduce customer complaints. The manager should spend at least 80% of his/her time in the dining room, and only 10% in the manager’s office.

    The manager also needs to physically approach each customer’s table to ensure that WOW guest service is in effect. The manager also needs to learn how to detect negative body language and how to express positive body language.

    How do customers show their dissatisfaction with their body language?

    • When you are in direct eye-to-eye contact, you can witness the anger in the customer’s eyes.
    • Seeing untouched food, especially when everybody at the table ate their food, except the one customer who barely touched his or her food.
    • The manager asks the customer, “So how was your meal and service tonight?” The customer replies, “It’s okay”. If the customer was fully satisfied with both the service and the meal they may say it was “terrific” or “great,” not just “okay.”
    • When you look at a guest and you get an uncomfortable “gut” feeling, act on that feeling.
    • You see a customer looking around as though they want someone to help them. You may even see them glaring at a server speaking with other customers.

    What is your body language saying?

    • Always use direct eye contact when talking to your guests. Never look away while you are talking to your guest. Looking away gives the impression that you are not interested in what the other person has to say.
    • Never cross your arms when talking to guests, this could be interpreted as shutting them out or anger.
    • Never roll your eyes, as this is very disrespectful and it appears that you are belittling their concerns.
    • Constantly listen to the guest even if they are angry. It may help to allow the person to vent their anger. Always acknowledge their feelings.
    • Ask the customer what would improve the visit to your restaurant.

    What do you do with Moody Customers?

    This is your opportunity to turn around the customer’s mood from a bad to good. Make certain that you are on top of things and pay attention to details. If you have any concerns about their experience, you may even offer the table a free appetizer or dessert. It may seem like you are losing money by “giving away” food or “discounting” their meals; however, you will lose more money from each lost customer than you will for that one food item or meal. If you successfully turn things around, then you may create repeat business. Kindness and consideration of their needs will often overcome their anger.

    A wise person said, “How you handle positive feedback is important, but it is more important to know how to handle negative feedback.” Make sure you tell the customers that you appreciate the fact that they took the time to tell you about their experience. Don’t make excuses, instead find solutions. Don’t disagree with the customer, even if you know the guest is wrong.

    If you don’t learn from your mistakes, you are doomed to repeat them again and again.

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    Source by Donna Schim

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