Pathways into and out of addiction Fitness

Summer holidays are here and the sunny, warm weather is in full swing. Now is not the time to get lazy about sun protection!
Sun: The good and the not-so-good

Sunlight is essential for many important bodily functions, including producing vitamin D and maintaining your circadian rhythm and mood. Yet too much sun exposure can also be harmful. Ultraviolet (UV) radiation may result in short-term and long-term skin damage, including sunburn, signs of aging, and even skin cancer. Approximately one out of five people in the United States may develop skin cancer in their lifetimes.

Approximately 95% of the UV radiation reaching our skin is ultraviolet A (UVA) light, which is primarily responsible for chronic effects such as photoaging, wrinkling, and age spots. Ultraviolet B (UVB) rays make up a smaller percentage but may be potentially even more harmful, as they are the primary cause of sunburns. Both UVA and UVB may cause skin cancer.

Even with all of these risks, many people still head to the beach with nothing more than their bathing suits, hoping to get tan. For some, a lobster-red burn is considered a badge of a successful beach day. This is absolutely not recommended. Any prolonged UV light exposure can put you at risk even if it isn’t summer, such as if you are out skiing in the winter with the sun reflected from the snow, or if you are indoors but using a tanning bed. So what can you do to protect yourself from these harmful rays?

There are many types of sunscreens available. Sunscreens work because they contain filters that reflect, scatter, or absorb UV radiation that otherwise would reach your skin. There are two main types of sunscreens available, separated into “organic filters” (aka chemical sunscreens) and “inorganic filters” (aka physical sunscreens).
Sun protection with chemical sunscreens (organic filters)

Organic filters absorb UV radiation and convert it into a small amount of heat. In the ingredients listed on the bottle, you may notice compounds such as oxybenzone, avobenzone, and octocrylene. Oxybenzone and avobenzone are relatively good filters for UVA radiation; however, they may be paired with other agents such as octocrylene, homosalate, and octisalate to stabilize them and provide UVB protection. In other countries, newer compounds including Tinosorb M/S, Mexoryl SX, and Mexoryl XL have been developed that are now being used as broad-spectrum sunscreens.
Sun protection with physical sunscreens (inorganic filters)

Inorganic filters are mineral compounds such as zinc oxide and titanium dioxide that theoretically work by reflecting and scattering UV light to protect your skin. However, some studies have shown that these compounds actually work by absorbing UV radiation and converting it into heat. These sunscreens tend to offer more broad-spectrum protection against both UVA and UVB light. They also tend to be the formulations used in children’s sunscreens, as they are easier on sensitive skin. These sunscreens tend to go on thicker and may appear whiter.
Use it correctly for effective sun protection

We recommend that everyone use sunscreen with sun protection factor (SPF) of 30 or higher when you spend time outdoors. SPF 30 will protect against approximately 97% of UVB rays. Sunscreens with SPF greater than 50 provide only a very small increase in protection against UV radiation.

Everyone, regardless of skin color, should wear sunscreen, because we are all at risk of the adverse effects of UV radiation and can benefit from protection. However, it is even more important for those with lighter skin shades who are more susceptible to these effects to wear sunscreen. The American Academy of Pediatrics recommends avoiding the use of sunscreen in children younger than six months, and instead emphasizes minimal sun exposure and to ensure adequate clothing and shade.

We recommend applying sunscreen using the “teaspoon and shot glass rule”: 1 teaspoon of sunscreen to the face and neck, and enough to fit a shot glass (approximately 1 ounce) for exposed areas of your body. You should apply sunscreen 15 to 30 minutes before sun exposure, then wait for 10 to 20 minutes before getting dressed. We recommend re-application of sunscreen at least every two hours, or after every water exposure or sweating even if they are labeled water-resistant.

In addition to wearing sunscreen, always wear appropriate protective clothing such as wide-brimmed hats, long-sleeved clothing, and pants when possible. Seek shade, wear sunglasses to protect your eyes, and avoid tanning beds. Remember to stay hydrated, and sunscreen up!
And what if you do get a sunburn?

If you get a sunburn, it is important to treat it right away. Seek shade and avoid being in the sun for any prolonged time.

One of the most important things in sunburn care is to drink extra water. When you have a sunburn, you actually lose more water from your body because the sunburn draws fluid to the skin surface, and the extra heat leads to increased evaporation. Topical therapies that may help with your symptoms include cool baths, gentle moisturizers, and even over-the-counter hydrocortisone cream, which may help ease the discomfort. If you have significant discomfort, you can also take aspirin or ibuprofen as directed. As always, if you ever have concerns, talk to your doctor. Why is it that despite so many interesting foods in the world, we sometimes fall into a dietary rut? For busy working families, lapsing into a boring menu routine may be due to a lack of time, planning, or know-how. Years ago, when I anchored the local TV news at dinnertime, my husband Jay made noodles with takeout meatballs so often that our three kids (even the baby) would tease him about it. “I didn’t know how to cook and I didn’t give much thought to dinner until everybody was hungry,” remembers Jay, my prince who would work all day, pick up the kids, and feed them before I got home. “We’d have leftovers of whatever you’d made or I’d go with the old standby.” (It could have been worse; Jay’s specialty in college was chili from a can.)

Unfortunately, a lack of variety and a reliance on convenience foods come with unappetizing pitfalls.
The risks of a dietary rut

Eating the same foods frequently deprives you and your kids of the flavors and textures that make meals adventures and turn your kids into healthy eaters. It also limits nutrient intake. “You need a wide variety of vitamins and minerals. In order to get them, you need to eat different types of fresh foods every day,” says Teresa Fung, adjunct professor in the nutrition department at the Harvard T.H. Chan School of Public Health.

Those nutrients should come from fresh vegetables and fruits, lean proteins, legumes (beans and lentils), nuts and seeds, healthy fats (avocados, olive oil), and low-fat dairy products.

Relying on prepackaged food or takeout meals can subject you to unhealthy ingredients like refined carbohydrates; saturated or trans fats; high amounts of salt; and lots of calories, preservatives, and additives. An unhealthy diet is associated with an increased risk for many chronic conditions, such as high blood pressure, heart disease, obesity, and cancer.
Easy ways to bust the dietary rut

Fortunately, breaking out of a dietary rut isn’t hard. Fung offers these suggestions:

1.   Get variety elsewhere. “A lot of grocery stores have a good number of healthy, prepared foods, and you can pay by the ounce,” Fung says. She recommends preparing the protein at home (like fish or chicken) and buying the side dishes — vegetables, whole grains, or salads — to bring home. “Make it something you wouldn’t normally eat,” she says.

2.  Be adventurous. “Try something unusual at least every other week. Make it yourself or get it from a restaurant,” Fung suggests. Caution: focus on vegetables or protein, and avoid anything with a lot of butter or cream. Need ideas? Pick a country and look up traditional dishes and recipes on the Internet.

3.  Try a subscription meal kit. You choose the menu on a website, and the premeasured, fresh ingredients arrive at your door. “Go for something with lots of vegetables and whole grains, and a chunk of protein,” Fung says. There are many meal kit services. Two of the biggest are Hello Fresh and Blue Apron. Prices per person, per meal, range from $10 to $12.

4.  Cook in batches. Cook once or twice a week and eat leftovers in between. Make a large entree (like white bean soup), broil several chicken breasts, or cook a few side dishes (like brown rice, quinoa, or cooked spinach) that can be eaten throughout the week. “It’s easier to cook 14 carrots in one day than two carrots per day for seven days in a row,” Fung points out.

5.  Get your kids in on it. They’ll be more inclined to eat it if they helped prepare it.
A few more tips

Jay and I finally realized that the key to variety in our family meals was planning. Now, in about half an hour on the weekend, we come up with healthy, interesting menus and shopping lists for the week.

We take turns making dinner, and we batch-cook a lot of meals.

Our other secret weapon: a gorgeous gas grill. It was a gift from Jay’s loving mom, and it turned my hubby into an inspired cook who can grill everything from salmon and veggies to dessert peaches. So there’s no more teasing about noodles when Jay makes dinner; you’ll only hear compliments to the chef! I am often asked, what is the best way to recover from addiction? There are as many pathways out of addiction as there are pathways into addiction. There is no single best or certain approach to recovery. For example, lapses and relapses are very common for any treatment approach. During the past four decades, this understanding has led me to develop clinical pragmatism.

As a clinician, my job has been to help people find an approach to dealing with addiction that is effective, possible, and sustainable. Early in my career, the struggle to find effective treatment approaches was played out against a backdrop of 12-step programs. This battle usually emerged as Alcoholics Anonymous versus professional treatment — a strictly abstinence approach versus something less strict and more mysterious. For example, recovering people battled with professionals who had little or no experience with the causes of addiction, total abstinence as a treatment outcome, or the use of medication during treatment.

Now, some of these battles still remain, but self-help groups and professionals have learned to work collaboratively in the best interest of recovering people — and argue less about what works best. A variety of research projects have demonstrated that there is no one best treatment. For example, new research shows that as Norman Zinberg, a seminal figure in the addiction field, often quipped, clinicians and self-help programs alike need to “meet people with addiction where they are and take them where they don’t want to go!”
There is no “best” or one-size-fits-all mutual-help approach

A new longitudinal study published in the Journal of Substance Abuse Treatment reminds us, for example, that a variety of mutual help approaches seem to work about the same. In this study, the investigators examined different types of mutual support groups for people with alcohol use disorder. These included Women for Sobriety, LifeRing, SMART Recovery, and 12-step groups. When the researchers controlled the participants’ alcohol recovery goals at baseline, there were no significant outcome differences between groups. The authors concluded that the findings “…tentatively suggest that clinicians, the courts, and others who assist and advise those with alcohol use disorder (AUD) consider referral to a broad array of mutual help options including WFS, LifeRing, and SMART.” Nevertheless, we need to interpret these results with caution.

Researchers must be careful to avoid interpreting the absence of treatment group difference as evidence that supports treatment parity. There are many reasons that research can fail to identify treatment group distinctions; for example, many different types of people in the groups, insufficient follow-up, and a variety of other technical issues can mask genuine differences among treatment groups. Science rarely advances by resting on a foundation of “no difference” findings.

Absent one specific treatment that best helps people to escape addiction, we need to work with the whole portfolio of change agents. Self-directed, other-directed, and mutual support approaches can influence people and their attempts to change. Medication assisted treatment works and should be considered for people who might benefit from this option.

People with addiction mostly change on their own. We see only a small segment of people with addiction in treatment or self/mutual-help groups. However, some people do change with the assistance of professional treatment. Sometimes people enter treatment after they have made some changes and want to understand how to maintain these changes. They often want to know what led to their addiction in the first place. Still others change with the help of mutual support groups. Ultimately these varied pathways out of addiction represent variations of personal responsibility.
Social support and self-help can sustain change

Research shows that people who escape addiction are usually motivated by one or more of the following losses: loss of health, loss of a loved one, loss of a job. Ultimately, professional treatment and 12-step programs shift attention from a loss focus — what not to do — to a system that emphasizes what to do. Treatment and self-help provide the social support to encourage the work of changing and maintaining change.

The brass ring of addiction treatment is to identify which person, with which intervention and treatment provider, at which moment in their addiction experience, will have the most favorable change outcomes. Treatment outcomes are explained in large part by the quality of the relationship between the person with addiction and their care provider (such as a therapist or sponsor) or 12-step group.

Participants in 12-step programs and psychotherapy alike must learn to shift their attention from what they have lost to a perspective that emphasizes what people in recovery can and need to do going forward. Importantly, 12-step programs provide the ever-present social support system to encourage the doing.

Read More »

Dog could be your heart’s best friend

We are educated to share at an early age, and sharing is energized and commended over the life expectancy. One zone in which there has been an absence of sharing is drug. Specialists have customarily settled on choices for their patients with almost no dialog about the inclinations of the individual who will at last need to live with the choice.

That is evolving. To an ever increasing extent, specialists are attempting to execute a model known as shared basic leadership or educated basic leadership. These terms allude to a procedure that incorporates a keen, educated discussion among you and your primary care physician planned for settling on a choice that is directly for you.

Common basic leadership is picking up acknowledgment as a restorative "best practice." Many examinations propose that it improves:

wellbeing results

accepting meds as coordinated and adhering to different directions

fulfillment with a treatment or strategy

In any case, it might likewise cost more. An examination simply distributed online in JAMA Internal Medicine found that among people who were hospitalized, the individuals who demonstrated a longing to have a state in their therapeutic choices invested more energy in the clinic the individuals who liked to simply pursue their PCPs' proposals. The lengthy visits converted into a normal $865 extra spent on the hospitalization.

I don't think shared basic leadership is the thing that caused the greater expense. The patients mentioning shared basic leadership had a larger amount of instruction, were bound to have private medical coverage, and were monetarily more secure than the individuals who were substance to depend on their primary care physicians' recommendation.

Individuals with advanced education, private protection and increasingly monetary solidness are known to have higher medicinal services costs when all is said in done. In this way, the common basic leadership process likely isn't the explanation behind the higher clinic expenses found in this examination.

Inclinations shape decisions

Rather than saying "You have a blocked conduit in your heart that causes chest torment when you are dynamic. Here is the thing that you have to do," a specialist who practice shared basic leadership would approach the issue in an unexpected way. The person in question would spread out the choices—prescription in addition to way of life changes, conduit opening angioplasty in addition to stent position, or sidestep medical procedure—and get some information about your inclinations. What you pick might be not the same as what another person encountering a similar chest torment for a similar explanation may pick. As portrayed in the article "Different Choice" in Harvard Medicine:

… diverse individual qualities lead to various decisions. One patient may decide on the sureness of an intrusive test while another inclines toward less mediation. Their decisions are formed by feelings, connections, and qualities. Recognizing the qualities, and fusing them in consideration choices, has turned into a basic precept of shared basic leadership.

Placing it into training

On the off chance that you aren't acquainted with shared basic leadership, it can feel wrong. At the point when your primary care physician asks what you need to do, you may believe, "You're the specialist. Shouldn't you instruct me?"

In such a situation, your primary care physician isn't really requesting that you settle on an official choice all alone. The person in question will portray various medications, reveal to you how successful they are, and spread out the possibly adverse reactions and their odds of occurring. Be that as it may, your primary care physician can't realize what you ask for from treatment, or what you dread about it. Those thoughts and sentiments assume significant jobs in the basic leadership process.

Let's assume you cherished riding bikes, lived to ski, or did different exercises that could cause damage. In any case, along comes a finding of atrial fibrillation, and your PCP prescribes that you take warfarin (Coumadin) for life to anticipate a stroke. Individuals who take warfarin are asked to maintain a strategic distance from such exercises on the grounds that the medication makes it difficult to quit draining after damage.

Options, for example, ibuprofen aren't as successful as forestalling stroke as warfarin, yet the danger of draining is considerably less. A few people would begin warfarin and stop their dangerous exercises. Others pick the headache medicine instead of surrendering their energy. In any case, an educated and shared choice has been made.

How would you know whether you have settled on the correct choice, or if nothing else a decent one? In the event that it depends on strong data and your own sentiments about advantages and dangers, it ought to be both right and great—for you. Summer is the prime time for flame broiling. From northern Maine to southern California, the lawn grill is a key piece of the period. Regardless of whether your menu incorporates basic burgers or something increasingly intricate, a little arrangement can enable you to present a sound supper.

Begin clean. Try not to give the burned development on your barbecue a chance to move to your dinner. Utilize a wire brush to give your flame broil a decent cleaning. At that point wipe it down with a material or wadded-up pack of paper towels to ensure that no flame broil cleaning fibers will get into your nourishment—or your visitors.

Smoke and fire. Uncovering protein-rich meat, poultry, and fish to high warmth and open blazes makes heterocyclic amines. At the point when fat trickles and consumes on the flame broil, the subsequent smoke contains polycyclic fragrant hydrocarbons. These two gatherings of synthetic substances have been connected to different sorts of malignant growth. You can lessen the development of heterocyclic amines and polycyclic sweet-smelling hydrocarbons a few different ways: Line the flame broil with foil punctured with openings. Cook for longer at a lower temperature. Have a splash container loaded up with water convenient to control greasy flare-ups.

Marinate. Marinating nourishment for some time before cooking limits the development of potential cancer-causing agents while flame broiling. Plans flourish for sound marinades that will add flavor to whatever you are flame broiling. On the off chance that you depend on packaged marinades, pick those that are low in salt.

Give veggies and natural product equivalent charging with meat. Flame broiling strengthens the kind of foods grown from the ground, similarly as it accomplishes for meat. Kebabs that substitute meat with bits of onion, pepper, or other produce, similar to hot chicken kebabs with Moorish flavors, are an extraordinary method to build vegetable and organic product consumption. Or then again skip meat by and large, with something like barbecued eggplant cutlets with tomato or portabella mushroom "steak" sandwiches.

Practice safe barbecuing. Keep crude meat, poultry, and fish separate from vegetables and different nourishments. Utilize a sustenance thermometer to check the interior temperature of flame broiled meat, poultry, and fish. Spot barbecued sustenances on clean plates. My twice-day by day strolls with my fringe collie, Clair DeNoon, are the features of my day. Another report from the American Heart Association will place an additional spring in my means on these strolls. Things being what they are, having a canine friend may help bring down my danger of coronary illness.

Studies connecting pet possession to better physical and psychological well-being have been springing up for a considerable length of time. The discoveries were generally promising to pet proprietors, yet none of these investigations offered definitive evidence. In spite of the fact that that is as yet inadequate with regards to, a board of specialists from the American Heart Association (AHA) has gauged all the accessible proof. The decision: Having a pet—a canine specifically—likely brings down the danger of coronary illness. Why?

"Individuals who have canines live longer than individuals who have felines, and the supposition has been that mutts normally cause their proprietors to be increasingly dynamic," proposes Dr. Thomas Lee, Co-Editor in Chief of the Harvard Heart Letter. "The enthusiastic advantages of having a friendly animal are additionally one of the hypotheses for why hound darlings live more."

The proof checked on by the AHA demonstrates that canine proprietors are bound to work out, have a superior cholesterol profile, have lower circulatory strain, be less powerless against the physical impacts of pressure, and be bound to endure a coronary failure.

Or then again it could be the a different way, Dr. Lee, a cardiologist and a teacher of drug at Harvard Medical School. It's conceivable that more beneficial individuals—or the individuals who are making the sorts of way of life changes that lessen heart chance—are bound to have a canine than are individuals in slight wellbeing.

The AHA board couldn't preclude this probability. It let it be known can't tell in the case of owning a pooch causes heart wellbeing or is only a marker for individuals bound to have sound hearts.

All things being equal, the board's careful suggestion favors hounds: "Pet possession, especially hound proprietorship, might be sensible for decrease in cardiovascular ailment chance." The announcement on pet proprietorship was distributed online in the diary Circulation.

The case for mutts

Clair DeNoon

Clair DeNoon

In the event that it were just about friendship, possibly pooches wouldn't beat felines. Yet, while the information demonstrate that canine proprietors get more physical movement than individuals who don't possess hounds, the proof is really persuading that proprietorship isn't sufficient. A 2008 investigation of 2,199 individuals found that the individuals who possessed a canine yet didn't walk it were in reality bound to be fat than individuals who didn't claim a pooch. Pooch walkers, then again, were considerably less liable to be stout – despite the fact that they were no less inclined to be overweight than their petless companions.

Be that as it may, it's not about physical action. A recent report took a gander at 48 individuals with hypertension and high-stress employments who consented to receive a pooch or a feline if so inquired. Half did, and a half year later the individuals who got a pooch or feline had fundamentally lower circulatory strain when pushed.

Getting a canine likewise appears to help regardless of whether you as of now have coronary illness. A recent report pursued 369 individuals with cardiovascular ailment. After a year, the individuals who claimed a canine were multiple times bound to be alive than the individuals who didn't have a pooch. Felines, be that as it may, didn't improve their proprietors' chances of endurance.

Would it be advisable for you to get a pooch to support your heart?

On the off chance that pooch proprietorship is heart solid, should everybody who thinks about heart wellbeing have a canine?

No. As indicated by the AHA board, "the basic role of receiving, safeguarding, or acquiring a pet ought not be to accomplish a decrease in cardiovascular hazard."

The insignificant demonstration of getting a pooch is not a viable alternative for an arrangement to get customary physical action, to eat a heart-solid eating regimen, and to get ordinary therapeutic consideration. All things considered, hounds do appear to be useful for your heart from numerous points of view.

"Forlornness can't be something worth being thankful for, either from a cardiovascular or a mental viewpoint," Dr. Lee notes. "I am not going to endorse hounds for patients with coronary illness, however I positively won't demoralize them—regardless of whether they view themselves as genuinely constrained by their therapeutic issues.

Read More »

Vegetarian diet is equally good for health

When you think about the Mediterranean nowadays, the district's sky blue waters, rich history, and exuberant societies may not ring a bell. Rather, you may initially think about the Mediterranean eating regimen. This heart-and mind sound eating regimen incorporates olive oil, organic products, vegetables, nuts and fish; intermittent red meat; and a moderate measure of cheddar and wine. Most specialists and nourishment specialists I meet for the Harvard Health Letter disclose to me that the proof focuses to a Mediterranean eating routine as the absolute best for our wellbeing. Yet, another eating routine seems, by all accounts, to be similarly great: a veggie lover diet.

An examination distributed for the current week in JAMA Internal Medicine found that individuals who ate a veggie lover diet were 12% more averse to have kicked the bucket through the span of the five-year study than nonvegetarians. The specialists, from Loma Linda University in California, noticed that the advantages of a veggie lover diet were particularly useful for men, who had a noteworthy decrease in coronary illness. Remember that the examination couldn't demonstrate that a vegan diet caused great wellbeing—it's conceivable that it was something different that veggie lovers did and nonvegetarians didn't do that had the effect.

The way that vegan diets are beneficial for you isn't new. They have for quite some time been connected to decreased hazard for hypertension, metabolic disorder, type 2 diabetes, and coronary illness. This one underscores that meat utilization impacts long haul wellbeing. "An eating routine with meat in it raises the danger of coronary illness and malignant growth, when contrasted and a veggie lover diet," says cardiologist Dr. Deepak Bhatt, a Harvard Medical School educator. Red meat and handled meats seem, by all accounts, to be the most exceedingly awful guilty parties similarly as boosting the danger of cardiovascular sickness or malignant growth.

Dr. Bhatt disclosed to me that he is a veggie lover—implying that he doesn't eat meat—and he by and by feels that a vegan diet is the best approach for ecological and moral reasons. He additionally feels it's a solid method to eat.

An individual choice

Would it be a good idea for you to consider overlooking the Mediterranean eating routine and turning into a veggie lover? There isn't much superb information from contrasting various sorts of solid weight control plans against one another. There is great proof that following either a Mediterranean eating regimen or a vegan diet—which offer numerous basic highlights—can bring down cardiovascular hazard. "Most importantly either sort of eating routine is more advantageous than the commonplace American eating regimen," says Dr. Bhatt. So it's extremely a matter of individual decision.

It's likewise a matter of figuring out what sort of vegan you need to be. A vegan diet can take various structures. A veggie lover diet rejects every single creature item (no meat, poultry, fish, eggs, dairy or gelatin). Other increasingly liberal elucidations incorporate a pesco-vegan diet, which incorporates fish; a lacto-ovo-veggie lover diet, which incorporates dairy and egg items; a lacto-veggie lover diet, which incorporates dairy items; and an ovo-vegan diet, which incorporates eggs.

With the majority of that assortment, you'll have to evaluate your eating style and figure out which fits in best with your way of life and individual convictions.

It's additionally essential to think about your nourishing needs, cautions Dr. Bhatt. Veggie lover counts calories that incorporate just crude products of the soil can prompt supplement insufficiencies. Without meat or dairy, you may risk not getting enough protein, calcium or nutrient B12. You can get all the protein you need from plant sources, for example, peas, beans, lentils, chickpeas, seeds, nuts, soy items, and entire grains, for example, wheat, oats, grain, and dark colored rice. You can get calcium from plant sources, for example, bok choy, broccoli, Chinese cabbage, collards, and kale. What's more, you can get nutrient B12 from soy and rice beverages, and invigorated breakfast oats.

It's additionally imperative to recollect that even with a vegan diet, calories still issue and devouring too much—regardless of whether they are sans meat—is awful for wellbeing.

Turning into a veggie lover will expect you to give more consideration to your nourishment, which is something worth being thankful for. But on the other hand it's a touch of work, so don't stop for a second to get some exhortation from your primary care physician or a dietitian before continuing. On the off chance that you need to go with a Mediterranean eating routine, that is something to be thankful for, as well, and most likely simpler for some individuals. Once more, it's an individual decision.

Future research on veggie lover, Mediterranean, and other advantageous weight control plans ought to look at what is it about these eating regimens that makes them bravo. As Dr. Robert Baron, educator of prescription at the University of California, San Francisco wrote in an article going with the Loma Linda study, "Our discussions about the predominance of one eating regimen over another have not served the open well. The time has come to recognize the normal highlights of eating regimens related with great clinical results." Over the most recent couple of years, entertainer Angelina Jolie opened up to the world about her twofold mastectomy to avert bosom malignant growth. Representative Chris Christie disclosed to us his purposes behind gastric detour medical procedure. Also, on-screen character Michael Douglas is sparkling the focus on the human papilloma infection (HPV)— the main source of mouth and throat disease. In a meeting distributed in The Guardian paper in London, Douglas referenced that his own throat malignant growth could have been expedited by oral sex, a typical strategy for HPV transmission.

There are around 200 distinct strains of HPV. Some reason basic moles when they attack the skin. Others are the reason for explicitly transmitted sicknesses. Indeed, HPV is the most widely recognized explicitly transmitted contamination in the United States.

HPV transmission by sexual contact regularly doesn't end up dynamic enough to cause manifestations. When it becomes dynamic, it will in general attack mucous layers, for example, those covering the coating of the vagina, cervix, rear-end, mouth, tongue, and throat. A HPV contamination can cause moles in and around these tissues.

The vast majority explicitly presented to HPV never create indications or medical issues, and most HPV contaminations leave independent from anyone else inside two years. Be that as it may, the disease can persevere and cause long haul issues. These incorporate cervical malignant growth in ladies, penis disease in men, and in both genders a few tumors of the butt and oropharyngeal malignancy (malignant growth in the back of throat, including the base of the tongue and tonsils).

Before, oropharyngeal malignancies were for the most part connected to smoking or liquor misuse. Today, oropharyngeal malignant growths identified with smoking and liquor are on the decrease while those brought about by HPV are rising drastically. A few specialists foresee that HPV-caused mouth and throat diseases will turn out to be more typical than cervical malignancy.

HPV anticipation and treatment

Sexual contact, including oral sex and profound kissing, can be a strategy for HPV transmissionfrom one individual to another. The probability of contracting oral HPV is straightforwardly connected with number of sexual accomplices an individual has had.

There are a couple of approaches to anticipate HPV-related oral disease, contingent upon your age.

Pre-teenagers, youngsters, and youthful grown-ups of both genders can get inoculated against HPV. The Centers for Disease Control suggests that young ladies get inoculated against the infection to anticipate cervical malignant growth. The CDC additionally suggests the inoculation for youngsters for two reasons: to help anticipate its transmission to ladies, and to help avoid a portion of the 7,000 HPV-related malignancies that happen in men every year. The two accessible antibodies give great insurance against explicitly transmitted HPV.

Inoculation won't support more established individuals (those past their mid 20s) or the a huge number of individuals effectively tainted with HPV. The utilization of condoms can avert the spread of the infection during penile-vaginal, penile-butt-centric, or penile-oral sex. The utilization of a dental dam (a slender bit of latex) can help anticipate the spread of the infection during oral-vaginal sex.

In the event that you've been tainted with the infection, diagnosing a HPV-related oral malignancy as ahead of schedule as conceivable enormously improves the opportunity of fix. See your PCP on the off chance that you have at least one of these side effects for more than a little while

Read More »

How to bulid the bvbody by eating good food

Hammer curls are a very popular routine and exercise with professional bodybuilders, but this exercise can also benefit everyone else as well. The reason that the professionals use this exercise is because of the way that the curls target the biceps and other arm muscles, while also working out the wrist and shoulder muscle groups as well. These curls are highly effective at targeting the biceps and increasing muscle mass, and this provides the bulge that most bodybuilders are aiming for.

If you are not a professional bodybuilder but you want to increase the strength, tone, and muscle mass in your arms and shoulders then these curls can be the perfect exercise pick. Many ordinary people use this type of curl for the benefits offered, and they get exceptional results. Women may also choose to include these curls in their fitness routine because of the excellent toning and strengthening that is offered. This exercise is known for the ability to provide biceps that bulge, but there are other advantages that the curls offer as well.

Anyone can see great results when they add hammer curls to their fitness routine. Ideally this exercise should be performed 3-5 times a week, but some professional bodybuilders may choose to do these curls every single day in an effort to achieve maximum bulk in the shortest time period possible. All of the muscles in the wrist, arm, and shoulder are worked out to some degree, although certain muscles may be targeted and worked out more effectively than others with this exercise.

This type of curl also offers grip benefits, and may be recommended for individuals who need to work on their grip strength. The position of the arms and hands along with the use of the weighted dumbbells will help to strengthen the grip and improve the stamina of the individual who is doing these curls. Any workout routine should include variety to work out the fullest range of muscles possible, and this type of curls can hold a very important place in the fitness workout schedule.

There are many different variations possible with hammer curls, and the exercise is flexible in many ways. The weight of the dumbbells used can be adjusted to provide more or less challenge during the routine, and the number of repetitions can also be changed to increase or decrease the effort needed for these curls. Professional bodybuilders use this exercise because it is highly effective, and this is also why many others have added the curls to their routines as well.
Have you've been living with a chronic health condition that hasn't been getting better? Are you dealing with a lot of stress in your life? If so, the culprit may be adrenal fatigue. Adrenal fatigue or stress can have a negative impact on your overall health. Perhaps the most important adrenal hormone is cortisol. Cortisol regulates key functions in your body, including glucose levels, blood pressure, immune system response, and sleep cycles. The more stress you are under in your daily life, the more cortisol your adrenal glands will have to produce. Prolonged exposure to low levels of stress can overwork the adrenal glands, causing them to become fatigued and secrete less cortisol. When this happens, your body becomes less able to deal with stress - a Catch-22 situation which can be detrimental to your health and well-being. Adrenal stress testing helps to identify adrenal fatigue, which lies at the root of numerous physical and mental health concerns.

Why Do I Need an Adrenal Stress Test?

Your body has two adrenal glands, which are located just above the kidneys. These tiny glands play a big role in the proper functioning of the body, responsible for the secretion of more than 50 hormones that are necessary for your health and well being. In fact, your adrenal glands produce many of the essential hormones you need to stay alive. When your adrenal glands are not functioning normally, you may experience a variety of symptoms, including:

Allergies

    Craving salty/sweet foods
    Decreased sex drive
    Fatigue
    Hypoglycemia
    Inability to deal with stress
    Lack of energy
    Lightheadedness
    Loss of body hair
    Low blood pressure
    Mood swings
    Muscle aches/joint pain
    Sensitivity to cold
    Thyroid issues
    Unexplained weight loss

People experiencing any of these symptoms should schedule an appointment for adrenal stress testing immediately.

Treatments for Adrenal Fatigue

If your adrenal stress assessment reveals an inappropriate hormonal stress response, it is necessary to begin stress reduction treatments. Treating adrenal fatigue typically involves taking supplements, such as Vitamins C and E, calcium, and magnesium; making dietary changes, such as an increased intake of vegetables and sea salt and an avoidance of junk foods; and getting regular exercise. These small changes to your lifestyle will improve adrenal functioning, making your body better prepared to deal with stress.

Doctors who practice conventional medicine are only trained to diagnose extreme adrenal dysfunction, such as Addison's disease or Cushing's disease. Naturopathic medicine, however, offers a solution for diagnosing less severe cases of adrenal exhaustion. Through saliva testing, naturopathic practitioners can evaluate adrenal functioning and provide natural treatment options to prevent stress-related diseases and to improve the overall functioning of your body. If you believe you may be suffering from adrenal fatigue, schedule an appointment for adrenal stress testing at a natural medicine clinic in your area today.

Read More »

The gender gap in sports injuries

D

The sun’s rays had not yet lit the sky in the early morning of August 10, 2008 when the lives of two people changed forever. Nineteen-year-old Candy Lynn Baldwin was driving home after having been awake for much of the previous day and night. While crossing the Chesapeake Bay Bridge, she fell asleep. Her car swerved over the median and crashed into a semi truck. It plummeted into the bay, killing its driver.

Ms. Baldwin suffered non–life-threatening injuries, but will have to live with her guilt for the rest of her life. The driver, John Short, became one of over 6,000 people per year who die as a result of drowsy driving. He joins an unfortunate list that includes the driver of comedian Tracy Morgan’s limousine (hit by a truck whose driver had been without sleep for 24 hours) and Maggie McDonnell (killed in a head-on collision by a truck driver who had been awake for 30 straight hours). Ms. McDonnell’s death has since inspired “Maggie’s Law,” which makes it illegal in New Jersey to drive a vehicle while knowingly impaired from sleep deprivation.
How low can you (technically) go?

Most likely, everyone has driven a car while feeling sleepy on at least one occasion. But how much sleep do you truly need before it is definitely unsafe to drive? Recently, the National Sleep Foundation, in consultation with experts from the field of sleep medicine and the transportation industry, convened a panel to answer this question. It’s a complex one because there are several other factors besides sleep duration that determine one’s level of sleepiness. For example, a large amount of pre-existing “sleep debt” will magnify the impact of acute sleep deficiency. In addition, the time of day makes a difference. At night, your natural body clock (circadian rhythm) is set for “sleep,” and therefore the reduction in alertness from acute sleep loss will be worse than during the day. This is why drowsy driving accidents occur mostly at night. And of course, the quality of one’s sleep is critical — which is why, for example, trying to pay back your sleep debt with a motel room next to railroad tracks is ill-advised!

After considering all these issues and the available evidence, the panel concluded that a driver is definitely impaired if he or she has had less than two hours of sleep in the preceding 24 hours.
Putting drowsy driving in perspective

Does this mean that it is safe to drive if you sleep for only two hours? The answer to this question is an emphatic no. Most people will still be impaired from sleep deficiency even if they sleep for more than twice this amount. As stated by the chair of the panel, Dr. Charles Czeisler, chief of the Division of Sleep and Circadian Disorders at Harvard-affiliated Brigham and Women’s Hospital and the Baldino Professor of Sleep Medicine at Harvard Medical School, “the two-hour threshold should serve as a red-flag warning for individuals and a guide for public policy makers.” In other words, in the development of future legal statutes such as “Maggie’s Law,” it should be the absolute lower limit used to define drowsy driving, similar to the way driving under the influence is defined as a blood alcohol content greater than .08%.

Are there ways to reduce the impact of sleep deficiency on driving performance? Stimulants such as caffeine can certainly reduce sleepiness for a short period of time, but not indefinitely. Other commonly employed methods have been shown to be ineffective. For example, turning up the volume on the radio and opening the car window are both useless. Furthermore, even if you do not feel sleepy, you may still be impaired because there is a poor correlation between sleepiness and performance. Only sleep can reverse the impact of sleep deficiency!

Drowsy driving is a significant public health hazard in the United States. According to an estimate from the Institute of Medicine, up to 20% of all motor vehicle crashes are related to drowsy driving. That means that drowsy driving causes more than 1 million crashes per year. And the actual number may be much larger because drowsy driving is often under-reported.

The only remedy is for people not to drive without adequate sleep. Two hours may be the lower limit, but you should not be fooled into thinking it is safe even if you’ve slept for longer. The bottom line: “Sleep-Deprived? Don’t Drive.” Yoga is a gentle and restorative way to wind down your day. A national survey found that over 55% of people who did yoga found that it helped them get better sleep. Over 85% said yoga helped reduce stress. You can use supportive props like bolsters, blankets, and blocks to make poses comfortable so that you can stay in the pose for longer and continue to breathe.

Your breath is key to be able to relax in these poses. Breath in yoga is equally important—if not more important—as the physical pose. Use a gentle and calming yoga breath technique called Ujjayi Breath, also known as Ocean Breath or Victorious Breath. Inhale deeply through the nose. With your mouth closed, exhale through your nose while constricting the back of your throat as if you are saying “ha” but keep your mouth closed. This exhalation should sound like the waves of the ocean (or like Darth Vader from Star Wars). Use this slow and steady breath to soothe yourself in each of these poses.

Practice these yoga poses right before bedtime and stay in them about 3 to 5 minutes each. Use your Ocean Breath in each pose, with the exception of Corpse Pose, where your breath returns to normal.

These seven restorative yoga poses relieve tension and stress at the end of the day. The more that you practice these poses regularly, the more you likely you can get a good night’s rest.
1. Wide-Knee Child’s Pose (Balasana)
Wide-Knee Child’s Pose (Balasana)

Image: iStock
Relaxing exercise

Image: iStock

This resting pose provides a sense of calm and stability. Be cautious if you have hip or knee injuries.

    Kneel on the floor and bring your big toes together.
    Separate your knees hips width apart or as wide as the edges of the mat.
    Exhale and sink your torso onto your thighs.
    Let your hands relax alongside your torso, so your arms are pointed to the back of the room, palms facing up. This should release shoulder tension by widening your shoulder blades away from each other.
    If you want a more active pose, reach your hands forward, palms down on the mat.
    Keep your forehead on the ground. Roll your head to each side gently. This releases tension in your brow.
    Take slow and steady breaths, in and out through your nose.

2. Standing Forward Bend (Uttanasana)
Profile of sporty young man on white background in uttanasana with elbow grab (intense stretch pose, forward bend, forward fold, head to knees), surya namaskar, sun salutation complex

Image: iStock

    Stand with your feet hips width apart. Inhale deeply.
    Exhale and extend your torso forward and over your legs to elongate your spine.
    Hold onto your elbows or let your hands rest on your shins or the floor.
    Do not strain to reach the floor—the purpose is not to achieve a perfect shape, but is to elongate the spine and relax your neck and shoulders.

doing variation of Ardha Uttanasana pose, studio three-quarters view on white background, isolated

Image: iStock

    This forward bend allows you to relax your neck tension and gently stretches your hamstrings, calves, and hips. Be careful if you have a back injury.

    If it is difficult for your hands to reach the floor or your back is uncomfortable, place blocks under each hand to provide more support.
    Breathe in and out through your nose slowly and smoothly.
    If you have tight hamstrings, keep your knees “soft” by bending them slightly so thatyour chest can relax on your thighs.
    Gently shake your head “yes” and “no” to relax and loosen your neck muscles.
    To come up, roll up slowly to standing to avoid getting light-headed.

3. Standing Half Forward Bend (Ardha Uttanasana) at the wall

This is another modification of the pose, standing forward bend. Video available here.
Standing Half Forward Bend (Ardha Uttanasana)

Image: iStock

    Place your mat perpendicular to the wall.
    Stand about a foot away from the wall.
    Your feet should be hips width apart and parallel to the edges of the mat.
    Press your hands against the wall with your palms spread at the height of your hips.
    Step back with your feet hips width apart and lower your torso until you come into a flat back position, so that your torso is perpendicular to the floor.
    Use your palms to press the wall away from you to lengthen your back.
    Press into all four corners of your feet.
    Keep your ears in line with your arms.
    Adjust your distance from the wall to make sure your body is at a 90-degree angle (L shape). If you are too close to the wall, your back and arms will not be able to be fully extended. If you are too far from the wall, you will not be able to bend forward enough.
    Continue to breathe deeply as you press the wall away from you with your palms.

4. Reclining Bound Angle (Supta Baddha Konasana)
Sporty girl on white background resting in Reclining Bound Angle yoga Pose, Supta Baddha Konasana, restorative, relaxing asana, using bolster

Image: iStock

This pose eases tension in your hips and groin area. Be cautious if you have knee, hip or groin injuries.

    Lie down on the mat.
    Bend your knees, and place your feet on the floor, close to your tailbone.
    Bring the soles of your feet together and allow your knees to relax away from each other, while placing blocks or firm cushions underneath your knees on each side to support your hips.
    If you have tight hips, you can adjust your feet so that they are further away from your tailbone or add more blocks or cushions under your knees for additional height.
    Relax your arms on the floor about 45 degrees away from your torso, palms facing the ceiling.
    Do not press down on knees to create additional tension. Gravity is already doing the work.
    You should feel a gentle stretch in your hips and groin, but it should not be painful.

5. Legs Up The Wall Pose (Viparita Karani )
Image: iStock

Image: iStock

At the end of the day, especially if your job involves staying on your feet, your feet and ankles can get swollen and tired. This simple pose helps recirculates your blood flow.

    Find an empty space on your wall and place your mat perpendicular to the wall.
    Sit down on the mat and bring your left or right side to the wall as close as possible, so your side body meets the wall.
    Lie back onto mat, and gently place your legs up the wall.
    Relax your arms by your sides.

Optional: You can add a rolled up mat or firm cushion underneath your tailbone to give your tailbone added support.
6. Corpse Pose (Savasana)
Corpse Pose (Savasana)

Image: iStock

Corpse pose is the traditional final resting pose of yoga practice. You can let your breath return to normal in this pose.

    Lie back on the mat.
    Hug your knees in towards your chest tightly and take a deep inhale.
    Exhale and stretch your legs out away from you while keeping your tailbone grounded on the mat.
    Your feet should be hips width apart and relaxed away from each other, toward the edges of the mat.
    Let your lower back soften and relax. You should not feel any pain or tightness in your lower back.
    Relax your arms at your sides, palms facing upward.
    Check to make sure your shoulders are not hunched, and, if so, relax your shoulders away from your ears.
    Optional: Place a folded towel over your eyes to block out any light.

7. Legs on a Chair Pose

This pose is useful for people who might have more difficulty fully extending their legs up the wall due to lower back, knee, or hip injuries. You can find a video of how to get into this pose here.

    Place a chair at the end of your yoga mat so that it faces you.
    Place a folded towel or blanket on the seat of the chair. Depending on the height of the chair, you may need a few folded blankets under your sacrum as well.
    Sit close on the mat, with your seat close to the front of the chair.
    Lie down on one side with knees bent in fetal position. Scoot onto the center of the mat.
    Roll onto your back with bent knees so that your calves can rest on the seat of the chair.
    Your thighs should be at a 90-degree angle to your shins.
    Keep your arms relaxed at your sides, palms facing up.
If you’ve watched any football this fall, you’ve probably seen some exciting games, some spectacular plays, and unfortunately, some major injuries. From what you see at the game or on television, you might think that sports injuries are more common among male than female athletes.

That may be true for college and NFL football players, since nearly all are male. But, women are actually more prone than men to suffer many of the most common sports-related injuries. There are a variety of reasons for this “gender gap,” and there is much about it that remains uncertain. But the recognition of this gap has led to innovative efforts to prevent injuries among women in sports.

Consider the anterior cruciate ligament (ACL). It’s a vital structure in the knee that provides stability under stress. Injuries of this ligament are up to 6 times more common among women than men. And a number of other sports-related injuries are also more common among women.
What injuries are most common among female athletes?

    Ankle sprain. This is the most common sports injury in both men and women, but it’s particularly common among women.
    Shoulder troubles. Examples include rotator cuff problems (including tendon inflammation, or tendinitis) and instability.ACL
    Knee injuries. These include irritation under theknee cap (called patellofemoral syndrome) and ligament damage (including tears to the ACL), which is especially common among soccer and basketball players.
    Stress fractures. These are especially common in the foot or lower leg (tibia) among women with the “female athlete triad,” a combination of inadequate calorie and nutrient intake, irregular menstrual periods, and bone loss. Eating disorders, including anorexia nervosa, contribute to this triad.
    Plantar fasciitis. Abnormal alignment of the foot and flat feet may contribute to these small tears in the supporting tissues along the arch and heel.

Why are women more prone to these injuries than men?

There is probably a combination of factors that contribute to the higher incidence of injuries among female athletes. And we have more theories than actual answers. The most common explanation is that it’s due to basic differences between the bodies of men and women. For example, the typical female athlete, as compared with her male counterpart, has:

    higher estrogen levels, along with less muscle mass and more body fat
    greater flexibility (due to looser ligaments) and less powerful muscles
    a wider pelvis, which alters the alignment of the knee and ankle
    a narrower space within the knee for the ACL to travel through
    a greater likelihood of inadequate calcium and vitamin D intake.

Women also tend to move differently than men. For example, when landing from a jump, women tend to land more upright and with the knees closer together. And when female athletes suddenly change direction, they tend to do so on one foot (perhaps due to their wider pelvis), while men tend to “cut” from both feet.

Another theory suggests that hormonal changes during the menstrual cycle make women particularly prone to injury. However, this has not been proven and research on the subject is inconclusive.
What can women do to avoid these injuries?

Fortunately, women can take steps to reduce the chances they’ll suffer these injuries. The rate of ACL injuries may go down if muscles are strengthened, especially the hamstrings (located at the back of the thigh) and the vastus medialis (a major muscle that lies along the inside of the thigh and knee). A 2012 analysis of the medical literature concluded that training programs to prevent ACL tears were highly effective, reducing them by more than 50% for women (and 85% for men).

Training to change direction from both feet (rather than one), training to land from jumps in a safer position, and weight-lifting programs that target specific muscles may also prove effective. Bracing can help limit ankle sprains. Orthotics (shoe inserts) may provide support and re-alignment for those prone to plantar fasciitis or other foot injuries. Counseling from nutritionists, primary care physicians, coaches, and psychologists can help address the “female athlete triad” and other challenges facing female athletes.
The bottom line

A female athlete may be just as fit (or more so) than her male counterpart, yet there appear to be different vulnerabilities among men and women for certain athletic injuries. Lack of recognition, an incomplete understanding of why injury risks are increased among women, and athletic training programs that don’t take these differences into account are all part of the problem. However, there are some ways to counter this. Even though anatomy and biology may not be easily modified, the difference in injury rates between male and female athletes is a reason to promote additional research so that we can understand these differences better and figure out how to prevent injuries in both genders.

Read More »

How to Read before Exam in High school

Over the last year, the general public has been inundated with a steady stream of reports about the dangers of opiates — pain medicines like codeine, Percocet, and OxyContin. The harm in terms of ruined lives and death from illicit drugs such as heroin is not news. But what is new, and concerning, are the risks of prescription pain medicines — those doctors prescribe for pain due to a range of causes, including musculoskeletal problems like low back pain.
The history of using opiates for chronic pain

Back pain isn’t a new problem either, but the history of how doctors have treated it is probably new to many. A “cliff notes” version of what changed goes something like this. Studies showed that doctors weren’t adequately treating the pain of people with advanced cancer. Research also showed that pain medicines such as opiates improved quality of life for these terminally ill patients. This realization led to recommendations that doctors monitor pain as they would any other vital sign (like temperature or blood pressure) for all their patients — and that all types of pain receive aggressive treatment, including long-term (chronic) pain, such as low back pain. At the same time, drug companies promoted new formulations of opioid medications with longer duration of activity that made it easier for patients to take on a regular basis.

The problem was that this fundamental change in practice was really devoid of any proof that it would help people better manage pain and minimize its effect on their lives. Prior reviews of the medical literature have documented that there is little evidence supporting the use of opiates for chronic low back pain. The modest benefits seen were with short-term use. The practice of using these medicines for long periods of time has not been carefully evaluated. Few risks were seen in these short-term studies, but tolerance to the effects of the medicine, side effects and dependence/addiction have become clearer with longer use.

A recent study published in JAMA Internal Medicine adds to this knowledge. Dr. Abdel Shaheed and colleagues performed an updated literature review, and their conclusions reinforce that only short-term benefits have been proven and the amount of that benefit is modest. Moreover, they examined the doses of pain medicines used in these studies and found that the pain relief people actually experienced was not that great.
Opiates for chronic low back pain carry big risks with uncertain benefits

This and prior studies clearly show that the leap to widespread use of opiates for non-cancer pain was premature. We didn’t know the long-term benefits and risks. We still don’t know the benefits, but this dramatic increase in use of pain medicines hasn’t helped people return to their previous level of activity, and rates of disability haven’t gone down. What is becoming clear are the risks, specifically rates of addiction, overdoses, and the rise of deaths attributed to prescription opiates. And people who have become addicted to their prescribed pain medicines often switch to heroin, which is cheaper and more readily available.

Now this doesn’t mean that we should stop treating pain. For many, the pain is real, chronic, disabling, and they need help managing it. And it doesn’t mean that everyone prescribed opiates becomes addicted. Nor does it suggest that opiate medicines have no benefits at all. But what it should do is give all of us pause. The bottom line is that simply taking a pill (or a handful of pills) doesn’t fix low back pain — and can lead to a whole lot of trouble.
What you can do for back pain

Fortunately, there is growing evidence for treatments that can help with chronic low-back pain, but they aren’t simple fixes in the form of pills, shots or surgery. Instead, treatments should focus on getting back pain sufferers active again and learning to manage, not cure, the pain. A range of therapies including exercise, education about how to care for your back, yoga, and mind-body techniques have been shown to help control back pain. Over the last year, the general public has been inundated with a steady stream of reports about the dangers of opiates — pain medicines like codeine, Percocet, and OxyContin. The harm in terms of ruined lives and death from illicit drugs such as heroin is not news. But what is new, and concerning, are the risks of prescription pain medicines — those doctors prescribe for pain due to a range of causes, including musculoskeletal problems like low back pain.
The history of using opiates for chronic pain

Back pain isn’t a new problem either, but the history of how doctors have treated it is probably new to many. A “cliff notes” version of what changed goes something like this. Studies showed that doctors weren’t adequately treating the pain of people with advanced cancer. Research also showed that pain medicines such as opiates improved quality of life for these terminally ill patients. This realization led to recommendations that doctors monitor pain as they would any other vital sign (like temperature or blood pressure) for all their patients — and that all types of pain receive aggressive treatment, including long-term (chronic) pain, such as low back pain. At the same time, drug companies promoted new formulations of opioid medications with longer duration of activity that made it easier for patients to take on a regular basis.

The problem was that this fundamental change in practice was really devoid of any proof that it would help people better manage pain and minimize its effect on their lives. Prior reviews of the medical literature have documented that there is little evidence supporting the use of opiates for chronic low back pain. The modest benefits seen were with short-term use. The practice of using these medicines for long periods of time has not been carefully evaluated. Few risks were seen in these short-term studies, but tolerance to the effects of the medicine, side effects and dependence/addiction have become clearer with longer use.

A recent study published in JAMA Internal Medicine adds to this knowledge. Dr. Abdel Shaheed and colleagues performed an updated literature review, and their conclusions reinforce that only short-term benefits have been proven and the amount of that benefit is modest. Moreover, they examined the doses of pain medicines used in these studies and found that the pain relief people actually experienced was not that great.
Opiates for chronic low back pain carry big risks with uncertain benefits

This and prior studies clearly show that the leap to widespread use of opiates for non-cancer pain was premature. We didn’t know the long-term benefits and risks. We still don’t know the benefits, but this dramatic increase in use of pain medicines hasn’t helped people return to their previous level of activity, and rates of disability haven’t gone down. What is becoming clear are the risks, specifically rates of addiction, overdoses, and the rise of deaths attributed to prescription opiates. And people who have become addicted to their prescribed pain medicines often switch to heroin, which is cheaper and more readily available.

Now this doesn’t mean that we should stop treating pain. For many, the pain is real, chronic, disabling, and they need help managing it. And it doesn’t mean that everyone prescribed opiates becomes addicted. Nor does it suggest that opiate medicines have no benefits at all. But what it should do is give all of us pause. The bottom line is that simply taking a pill (or a handful of pills) doesn’t fix low back pain — and can lead to a whole lot of trouble.
What you can do for back pain

Fortunately, there is growing evidence for treatments that can help with chronic low-back pain, but they aren’t simple fixes in the form of pills, shots or surgery. Instead, treatments should focus on getting back pain sufferers active again and learning to manage, not cure, the pain. A range of therapies including exercise, education about how to care for your back, yoga, and mind-body techniques have been shown to help control back pain.

So what do I tell my patients? For those with chronic back pain who aren’t on opiates, steer clear. For those who are already take them, you can’t go cold turkey. Your body has adjusted to these medicines and stopping them abruptly is a bad idea. With help, people on opiate pain relievers can try to wean themselves off these medicines gradually and replace them with other treatments. This isn’t easy, but for many people it starts a long process of regaining control over the pain that has taken over their lives and can help them avoid the terrible consequences of opiate addiction. At a recent meeting I offered a visitor lunch which she declined with obvious regret. She was hungry, and it was noon. But she was headed to her annual physical, and eating beforehand would mean returning another morning for a fasting cholesterol level. Most of us can relate to her annoyance, but thankfully this may soon be a thing of the past.

Doctors have traditionally ordered cholesterol tests to be drawn after an overnight fast. But this requirement causes a significant burden on both sides of the health care equation. Most people hate to fast. Skipping meals is particularly difficult for active people, people with diabetes, and children. Yet coming back for another visit is even more of a hassle, so many people just don’t bother. And it has been a drain for doctors, too, resulting in repeat test orders, phone calls, and patient visits.

International guidelines published last month in the European Heart Journal became the latest official recommendation against routine fasting for cholesterol tests. These guidelines defend what many health care systems and many doctors (including me) have been practicing for several years already. They should be met with universal acceptance, even if takes a while. There are several scientific reasons supporting this change.
The history behind fasting cholesterol tests

When doctors test for cholesterol, we almost always order a group of tests called a lipid panel (lipids are fat-containing molecules). This panel typically includes four separate measures:

    Total cholesterol concentration.
    Low-density lipoprotein* (LDL) – cholesterol, often called the “bad” cholesterol. The amount of LDL in your blood strongly predicts your risk of cardiovascular disease, as higher levels are associated with development of plaque in the arteries.
    High-density lipoprotein (HDL) – cholesterol, often called “good cholesterol” because higher levels protect against heart disease.
    Triglycerides (a different type of lipid molecule). High levels of triglycerides are also associated with vascular disease, although this relationship isn’t as well defined.

*Lipoproteins are the “packages” that transport cholesterol in the bloodstream.

Lipids have traditionally been drawn after a fast for two main reasons. The first was to minimize variation, since eating can affect some lipid levels. The second was to produce a better calculation of LDL-cholesterol, which is often derived from an equation thought to provide highly distorted results after eating. However, more recent studies have largely negated these concerns.

Scientists now agree that eating has only slight, clinically insignificant effects on three parts of the lipid profile: total cholesterol, and both HDL- and LDL-cholesterol. Food does raise triglyceride levels for several hours, usually to a modest degree. After a high fat meal these increases can be striking. Therefore, a doctor may still order a fasting test of triglycerides if non-fasting values are significantly elevated.

Perhaps more important, large-scale analyses have shown that non-fasting lipids don’t weaken the connection between cholesterol levels and harmful events like heart attack and stroke. In fact, post-meal measures are thought to strengthen the ability of lipid levels to predict cardiovascular risk. This observation may stem from the fact that most people eat several meals plus snacks during the day. That means we spend most of our time in a “fed” state, not a fasting state. So lipid levels after eating may best reflect our normal physiology.
An end to the dreaded overnight fast?

Guidelines for lipid panels have evolved over the past decade, supported by evidence from studies involving hundreds of thousands of people. Most recommendations now support non-fasting cholesterol tests for routine testing. (You can find a summary of these recommendations here.)

Some fasting lipids tests will remain necessary, especially in people with very high triglycerides. And some people will still need to fast for blood sugar levels, although an alternative test for diabetes (hemoglobin A1c) has replaced much of this testing. But for most, including those having routine cholesterol tests to weigh cardiovascular risk and for those taking drug therapy, this news is good news.

So ask your doctor if you really need to skip breakfast before your next blood draw. Traditions die hard, but both science and convenience may ultimately steer this one to its end. This is one change doctors and patients should celebrate together.

Hi clicks on this page, you’re probably a hard working student who wants to improve their study skills even further. Or maybe you’re someone who tries really hard or wants to try really hard, but you’re not really seeing that payoff in your numbers. But we’ve come to the right video because today we’re going to go over five ish study techniques to help you improve your study skills. I’m not going to go into the obvious ones, like do a bunch of practice problems. And always pay attention in class and don’t do homework in your bed. You know, make sure your desk is neat and your room is neat. I at least that helps me doing work in a clean environment. I feel a lot less messy.

When I feel less messy. I can be more productive. Write down all your work and make a plan or your notes or whatever works for you. When I say clearly do practice problems, pay attention in class, take notes, do your homework that will make the biggest difference. Honestly,

These are five things that you can do to sharpen your skills even further.

Number one, differentiate your study methods. Now, I’ve always found it really effective, especially in high school to study differently for different subjects. To me, this is a very similar idea to, you know, using different color binders for different subjects, or shooting the same flavor of gum while studying as when you’re taking the actual test.

I think it’s like the same effect. I think it just gets your brain used to different environmental conditions, different sensations when you’re doing a certain activity that allows you to switch between them more quickly and more efficiently. Now, there are an infinite number of study methods and everybody has their favorites. I’m going to quickly go over study methods that I use for different classes, especially when I was in high school. There were many for example, in math.

I always used whiteboards. I loved using whiteboards for math, because you can use different colors to visualize each step not only turns your map into a picture, but also allows you to

You clearly see each step. And you know, the colors make it a little more fun than just doing practice problems over and over again, on pencil on paper, what I would do is in the corner, I would write in small print the date of the test the name of the test, if there was one in beneath it, I would just quickly bullet the content that would be covered on the test. So it was like trig identities or you substitution or integrals or anything like that, I would just quickly bleed on here so I knew exactly what to cover and then I would keep that on there the whole time.

Related Post: Best Time Management Systems for Students

And then over here, I would do practice problems and practice problems over and over and over again history and social sciences in general government politics, all that I would mostly use quickly or Spanish or foreign language I was vocab I would like do piece of paper and fold it in half I’d have English on one side is finished on the other and I flipped through and check in quiz myself easily for economics I inserted picture right here I would do a bigger view on a whiteboard the day of the test just a few periods before my study hall because that’s just what worked well in my schedule in addition to making

My notes into a study guide or actually my notes already were a study guide. More on that in my how to take notes video and for science if it was like a physics or chemistry or something that and although the practice problems obviously I would do a lot of practice problems to study and look at all the questions and all tests and stuff like that but if it was more just like understanding concepts and memorizing material I would often use study song have a few of those on this channel and also listen to other people’s like ASAP science has some and yeah a lot of other people have some all you have to really do is go to the YouTube search bar and look up the topic and type the word song next to it. Something will come up this is YouTube.

Number two should be obvious, but if it’s not, I’m going to reiterate it. Always ask for help. Always ask for help. Always ask for help. Don’t be ashamed of asking for help. I did it all the time. The smartest people do they’re not ashamed to go to a teacher or go to a professor’s office hours or whatever to seek.

further explanation on a concept that’s totally normal is literally the teacher professors job, you’ll need more than just like a five minute conversation or five minute explanation see if your teacher will stay after school and work with you or if they have study sessions or if there is somewhere you can go to get further review or if they recommend reading certain chapters in your textbook doing practice problems or reviewing for a test and you really you’ve come across something you really don’t understand take some sticky notes and make a little note of it so that when you go and see your teacher professor to ask them about it leader you know exactly what to bring up you know exactly what your question will be.

Number three review easily review mindlessly review without straining your brain. This was one of my favorite tactics in high school because it was just so easy, no effort. Really what I’m talking about is just kind of always having information and knowledge and answers around you turn those mundane transitions of everyday life turn those mundane tasks into an opportunity.



To deeper you to further engage yourself intellectually listen to a podcast. When you’re in the car when that is relevant to what you’re learning or is related to something that you’re interested in, you can play sideshow Crash Course physics girl, very task to be sauce any educational content creators videos while you’re in the shower getting ready in the morning going to bed just having information constantly being read to you and explain to you in the background of your life I think is really helpful You don’t have to be focused in on what they’re saying but just having it there I think kind of shapes your mind to listen more as well as just learn more because you won’t pick up on all the information because you’re not in a situation where that’s your main focus but but you might learn something new or use it as an opportunity to review something that’s on coming test other methods you can employ that fall under this umbrella of number three is reading you can read I encourage you to read articles, books, even Twitter threads on topics that you’re interested about. I think that counts.

You can if you’re studying and you just want to always have the information around you again but physically you can take sticky notes and you can just put concepts and reminders of certain pieces of information all over your room all over your house so that you see them in your everyday life



Number four This one’s a big especially if you’re taking a college or AP class know the format of the exam that you’re taking know how many questions are going to be on it know how much time you have know if you need a pencil or pen know if you can bring a calculator know what kind of calculator you can use know how many sections there are no know if there’s going to be a break in between know it’s multiple choice short answer long essay, short essays and anything like that true false because that way you can practice problems like that you’ll feel so much more comfortable because you will have seen that material that style so much before and my fifth tip is to make it fun. This depending on the type of person you are fun means different things.

Like if you really like just bunker down and just silence desk, nothing but a desk light on just working for six straight hours that works for you go for it. You do you boo. I’m not judging you. But for me, especially when it comes to like math and science. I like to have fun while I do it.

I will listen to music if I’m doing those kinds if I’m doing a problem set, or I’ll watch Netflix really like this because I feel like if you have a good time when you’re doing your work, you all associate positive feelings and positive emotions with that work and it will make you enjoy learning more.

Obviously you can’t do that with all things like if you’re reading I definitely can’t watch Netflix. Well, I read but sometimes I listen to classical music and listen to an audio book. I can find that that helps say, Do whatever you need to do to trick yourself into thinking that homework is fun.

focus focus. espresso beans. help you do were like Adderall accepts just happy and not at all please don’t do trophies don’t do at all. Unless you’re subscribed to you. Please don’t. Please don’t don’t. I have never have never will. You won’t either. But we read on this thing. Yeah, that’s pretty much it. For me.

It all comes down really to preparing yourself ahead of time and making your work and you’re studying colorful and fun. Leave a comment down below about your favorite studies strategy or any one of these that you plan on trying out also let me know other content that you guys would maybe want to see.

Let me know if you guys would be down for like fitness and lifestyle videos because I totally be down to make those that hopefully really fun tips coming out in a few days. So stick around for that. Okay. Again, I’m Hannah and thank you so much for reading. I hope this helps. Hello everyone. We are now in 2019. And if you’re already feeling behind on your organization system for 2019, I’m here for you. I believe. And this is a mode of my year that if you want to achieve things in life, you need to start simple. And you need to go back to basics to achieve the perfect balance of what you need to be productive and organized.

This is why we are going to start with the free full organization system that will absolutely help you get your life together have everything seamlessly organized into one ecosystem.

So today we are going to talk of course, about the Google Apps for productivity and organization. Basically, this means that the Google ecosystem includes the calendar file, managing email, managing with productivity tools, text editors, and note taking app regarding the pros and cons of the Google ecosystem. I will start



By saying that it’s free. So as long as you have a compatible device, an internet connection and Google products aren’t blocked in your country, you’re able to access Google Apps. Also,



their synchronization between all the devices you use to access the same account and you have the ability to sign in into your organization system. In any computer or device. There’s also concept backing up of your information, so you’ll never be afraid of losing anything.

So there are simple tools that make your organization system that much easier to use and to manage for cons. We can also take simplicity because it can be a burden for some users who prefer complex tools to organize their lives. And also the digital environment may not be very convenient or the best start for some people.

I myself use a hybrid of an analog and digital system. There are some tests that I prefer to do on papers if that’s your case, and it prefer to all of your organization in paper that’s just fine. Also, you mostly need an internet connection.

If you live in an area where that’s hard to come by, you might have a lot of trouble making the most out of this ecosystem to build a foundation of our organization system.

We’re going to start with Google Keep and I believe that Google Keep is one of the most underrated organization apps out there yes we’ll keep is a very simple app but it’s really powerful because its simplicity ease transported to other types of Google apps like calendar in Gmail, but we will talk about that later.

So for now, what you need to know is that Google Keep acts as a dashboard where you can place post it notes with all kinds of to do’s of notes and reminders.

So in your main dashboard, you can see these little notes that you can color code and then click and drag according to your own priorities, your arrow key and even if you want, you can simply establish blocks of color so you can see how many tasks you have according to the topic you shows for each color. The best way to organize your notes with Google Keep is basically sabotaging a color for each kind of topic you are choosing for each node.

So for instance here I have yellow for every YouTube related task and I have blue for every school related.

Task wise tasks are personal tasks, including things like personal to do’s appointments, financial stuff, and so on. The second thing you can do to really organize your notes is using labels these act as tax so it can simply create a note, assign it a color, and then choose a label according to the topic of the notes.

So you can select the label on the left side of your screen to access all notes labeled with that name. Also, as I said before, you can click and drag every single note so you can have the order of notes that you prefer to get yourself organized. Also, since it’s a Google product. You can also download Google Keep to your phone, so it synchronizes with every

See: Best Study Tools for Medical Students – Top 5 Study Techniques

Everything you do on your computer when you migrate all of your to do’s all of your notes, all of your project notes into Google Keep, you can definitely go to Google Calendar and start managing your time, your appointments and your tasks. My basic tip for Google calendar to work is creating a calendar for each categorized sort of information you’re trying to place your calendar.

So for instance, in my particular case, I use for instance, rav4 family sharing tasks and appointments. I use purple for my history classes, I use orange for any YouTube related stuff. This is a really good way for you to understand which parts of your week are allotted to certain parts of your life, and so on.

The second tip I can give for Google Calendar users is using the upper part of your calendar to schedule daily tasks instead of hourly events. So even if you’re using a calendar blocking technique to manage your time and your digital calendar sometimes



Your events that are occur hourly, but instead they occur on a daily basis. This happens mostly with holidays, birthdays and things like that. So what I do in these cases is creating that event, then assign it to one of those specific color coded calendars and then drag the event up to the top of my calendar where it will be considered a daily event that do not need to assign an hour for the event to be completed are finished possible. calendar has a function of sinking with all of your devices and also inviting it also allows you to invite people to share your calendar This is really good for things like housework, your business, teamwork, or even scheduling meeting hours with the book clubs, work groups, and so on.

The power of your Google ecosystem really shows up here when you access it tools in the right tab in the right side you have these little app lets that you can access to open up different Google apps that can synchronize and can be used with your Google Calendar.



So for instance, we have already set up all of our tasks in Google Keep. And by clicking the respective button on your Google Calendar app, you can access all those tasks so you can better understand by looking at those tasks. Those color coded knows how you need to schedule your time better, what type of to do’s you need to integrate into your calendar, what kind of goals you need to project in your schedule, and so on. Also, if you set reminders, both in your Google Calendar and in your Google Keep apps, you can also get on track with your tasks and with your events by being smart with how establish those alarms go off in your phone.

After that, I think it’s time for you to manage all of your files with Google Drive. If you’ll basically be the only file manager you need in case you have a permanent internet connection. So Google Drive is free until 15 gigs which may definitely not be enough for you to keep all of your files but 100 gigs goes for less than $2.



A month. And if you’re a student, that’s what you’ll need in case you deal with PDF and text documents. Mostly just like any file manager on your computer. Google drive’s allows you to create folders and organize them according to name and color. So you can basically create a full fledged file managing system online.

That way, you never fear losing your files since Google Drive backs up your documents to the cloud. So they’re always there. Even if your computer crashes. There’s nothing really special about Google Drive in itself.

It’s a very simple and powerful tool for you to organize all of your files and being sure that that can be accessed anywhere. If you cannot rely on a specific device to do all of your work.

You also have sharing capabilities with other users. And the good thing is you do not need to share your whole files with your friends and family because you can select the specific folders or files you want to share. Also, the good thing is that when you are storing documents in Google Drive if they are text based



documents, you can quickly open them up in Google Docs and added them on the go. And Google Docs is actually pretty powerful text editor, although is not as powerful as Microsoft Word, but it definitely has all the tools you need, including an commenting interface, as well as sharing capabilities that make it a solid text editor. In case you need something a little bit more structured than Google Keep.

It also has constant cloud backup. So you’ll never worry about losing your files. And although the tools are nothing to elaborate, they will make the job just fine.

Finally, I want to talk about Gmail. And I’m not going to talk about Gmail in itself as a mailing service in comparison to other mailing services. But I want to talk about the organization tools inside Gmail that make it the perfect tool for you to organize your mail if you are into the Google ecosystem. So the first thing I love about Gmail is the ability to call her



code and label my emails effectively, just like I do with my calendars. I have very specific labels in my Gmail, things like answered, not answered sponsorship, inquiry blog post, any school related emails and so on. And every time I get an email, I will automatically label it according to one of those things.

And I will just label of those unanswered or an open emails with that label. So I know I need to get back to them as soon as I can.

The second thing I enjoy about Gmail is that integration with other Google apps like calendar, Google came and tasks. So basically, you can open that side on the right side of your screen.

And Gmail lets you peek into those apps and use them side by side to interconnect all the information from that same account. This really comes in handy for some instance you’re using a gmail to schedule a meeting and you need to access your calendar instead of having to access the calendar in another tab or even in another device.

If you prefer it that way, you can simply open the Calendar tab inside your Gmail account and see if you have a free slot of time to schedule that meeting and just type your mail right on the go. The third thing I really enjoy about Gmail is the ability to have different in boxes.

So for instance, I have a ton of social emails arriving every single day to my inbox, people who are messaging me on social media emails that are getting to my YouTube account, things related to my Instagram people replying to blog posts on my website and so on. And usually those emails are not a priority for me to answer.

So they’re all filtered into the social inbox so I can get them when I can get to them. Instead of having to constantly see my main inbox being floated with promotional emails with forum responses with social reminders and so on. I want to thank skill share for partnering with me today and being incredible at supporting more than 7 million people in your



learning journey skill share is an online learning community with more than 25,000 classes in dozens of different categories and they can help you build new skills develop new strategies and learn more about anything feel curious about skill shares portfolio includes productivity and business master classes, tutorials on how to work with different types of software language classes are some design courses and so on.

Here you are seeing a class on easy project management with Google which will be pretty useful in case you want to take what you’ve learned from this video further.

Also, premium membership gives you unlimited access to all these incredible classes. So no individual payments required and since skill share costs less than $10 a month for the yearly subscription.

It’s the perfect companion for the learning with us.

Yes. Also if you are one of the first 500 people to click the link in the description box you’ll get your first two months of unlimited classes for free. Don’t forget subscribe to the channel and I’ll see you next week with

Read More »

Rethinking a healthy sex life

Hey my friend. This is Darnell clock your industry leader in his career gang. Hey the answer man Hey, today’s topic is how to prep for a in person interview in today’s marketplace before I really get started I have something special for you I have a cheat sheet for interviewing is the interviewing cheat sheet is exactly what you need is perfect for anybody who really doesn’t have a good sense of what a interview is how you actually prep for I have a cheat sheet for you will love it. It is packed with information but you had stayed to the end to get it I promise you it is well worth so now how do you actually prep for an in person interview you know I have had opportunity to be on stages of conferences and workshops and seminars to thousands of people I have also done one on one consulting one on one contracting one on one clients that I have that I that I work with them one on one and



All the people that I have come across thousands of people on stage or workshops and seminars, hundreds of people want a little consulting and coaching. I have recognized that about 95% of people don’t really know how to prep for an interview. I asked people all the time, you know, are you ready for an interview as a yes. Well, how much and how long have you prep? Hey, I’ve only prefer to 1520 minutes or I didn’t prep at all. I’m just gonna go just talk off the cuff. Those type of people go to interviews. And don’t prep does not do well my friend so I’m not sure if you know me. See, I’m different than most career coaches. Most career coaches come from HR or recruiter cited off the side of the fence. Not me. I was the back in hiring authority working for IBM urging Yun Jie Coca Cola. I have a computer science degree and an MBA I was the back in hiring.

Related Post: How to Improve your Grades with Study Habits

These HR people will get with you. You have that discussion. You have to get through them before you get with me. But I was the backend hiring authority in my career. I have interview well over 300 people and I have personally hired over 250 people to work directly for me. I know what a good interview is. I know what a bad one is. I know exactly what I hire managers looking for.

Because I was one of all those many years. So now I’m going to tell you from the hiring managers perspective, what am I looking for? When I asked you certain questions, I’m going to give you the perspective of hiring authorities not HR, see if you can really think how a interview goes interview is really broken down in four stages. And if you can master those four stages, you will always be in a game for the interview those four stages is the stage number one is is is the introduction stage number two is the employer



Questions stays. Number three is the candidates questions and stays. Number four is the closing. And if you can understand those four stages and see what is expected of you, you will be able to have a high probability and high chance to be selected when you do an interview. So I’m going to break down the four stages and tell you exactly what it is how do you prep for it, and what do you need to do to master each stage stage one is in his introduction, the introduction is this is not the decision part where this this date is not where the employer or the interviewer will make a decision to hire you if that’s not that stage yet, but it is the stage if you patch it. If you blow this introduction stage. This is the stage where they will decide



Not to hire you is not the stage will they will they will decide to hire you but it is the stage will they decide not to hire you as a hiring authority I hired for two reasons to reason only one for likability and to fitness I will have to like you somewhere in this process of the interview, I would have to start liking you to see if I’m going to hire you.

I will never hire anybody I don’t like so that first introduction stage is all around into introducing yourself is the stage where the interview will ask you that question that freaks everybody out. Tell me about yourself, right? That’s the question that everybody starts with because we want to know a little bit about you. Now listen to me, my friend. When I asked you the question, tell me about yourself. I am not asking you where you from? What do you like to do? Do how many brothers and sisters you have are not efficient.

Interested in all that? I’m not. Also I’m not interested in hearing your 15 32nd

elevator pitch. You know the elevator pitch is a high level commercial or who you are a 15 2030

seconds high level general elevator pitch know when I asked you the question Tell me about yourself. I am looking for your value proposition. So what the heck is you have a value proposition in a nutshell your value proposition is a clear statement that explains how you will solve a company’s problem here, how you will improve their situation, what the liquid What do you deliver, what value and what strength Do you deliver to that organization as it connects to the job announcement and why should I hire you over someone else is specific. It is not general. Here’s the crust of it. When I asked you the question, why should I hire you?

See also: How to Learn Amazing Football Skills

You I’m looking for who you are, what are you have your strength, your benefits as it connects to the actual job and mouse. That’s the key. The elevator pitch is general. It’s a general introduction of yourself. The value proposition is not gender specific of who you are, what do you bring to the table as the connects to the actual job? And now that’s the key. So if you have no idea how to craft your value proposition, when somebody asks you the question, tell me about yourself. Go below in the description field. I have created one of my first YouTube videos of how to address and handle Tell me about yourself. Question The title is, tell me, tell me about yourself. It is not a rendition of your resume. So here’s my tell you tell me about yourself that you have proposition. All right, Darnell, tell me about yourself. Hey, I am a lawyer.



Long learner, I take what I have learned in the past and I transition it to what I do now. I learned from my mistakes and my successes and I’m make sure that it I put it in play. So I can always learn from everything I do. I’m a high say, do I say what I do, and I do what I say. And that will make me a great asset to you and your organization. I’m dependable, reliable, and accountable for getting things done. I love to get to work to get things done. Because I believe in results. It is results and execution that I love so much. Most people say I get things done faster than most there’s no substitution for speed I call the speed of business results.

I truly love getting things done on time and within budget. I am a leader and I believe in delegation of authority because that drives individual accountability and at the bottom line, it grows people and make them be able to handle things at this



level and I’m truly excited by the opportunity that this position presents. You hear that? That’s my value proposition. Did you hear anything about my resume? Did you even hear the word resume? I say anything about my resume. I didn’t say anything about my accomplishments. I see say anything about where I worked at. When I asked you the question, tell me about yourself. I am not asking you for rendition of your resume. Because the very next question I will ask you right now, take me your resume. So that’s stage one. Stage one you must be able to address. Tell me about yourself. Why should I hire you? What’s your differentiation? What’s your strengths and your weaknesses and where you see yourself in five years? Right. Those are the introduction questions. Remember, I hire for two reasons likability and fitness. It’s an 8020 split. 20% of my questions is for likeability and then 80%

My question for fitness and then it transitioned from stage one to stage to stage two is employers questions? Yeah, that’s what I asked the question. All right. Not take me through your resume. Now, I need you to understand this. My friend, I need you to understand and know your resume called when I asked you to take me through your resume. The worst thing I can honestly say, that I see people do is that when I say, all right, take me through your resume. They open up their portfolio and they start reading their resume. I need you to script your resume. What the, what the heck does that mean? Yeah, script your resume. I need you to be able to script it you like as a person as an actor or a a, a actress, you know, so when in the movies or sitcoms, whatever they tell you their lives no different I need to script your resume. So how does it work? So

When I sat down to take me through your resume, I say while working for IBM from 2005 to 2017, you know, I was the program manager director. My responsibility was that because people always want to hear numbers and percentages, I was responsible for 25 people. And my budget was about $15 million our disposal for p&l to the organization and I was driving roughly about 100 million dollars to our to our services are from our products and services to our customers and our clients worldwide. Then my responsibilities XYZ, ABC, you see that and then when I finished with that, I say what my next position was, was what what Gee, I was working for GE from this time to this time for this position, my responsibility that I have 45 people reporting up to me, I had a budget of $65 million I responsible for my p&l to the business over 100 to $200 million to the business.



My responsibility was program project management I built a pm or office either Nana Nana, Nana and when I get finished with that I did this position that’s how you script it right? Do not spend a lot of time on your resume I want you to spend no more than two to five minutes maximum on your resume. So your resume got you in the door. The resume got UNIDO. Your resume was submitted for one reason. And one reason to get a call back for the interview. Your resume worked, your resume will not get you higher. The interview will get you high. So don’t spend a lot of time on your resume my friend to the five minutes get through it as fast as you can. If they want more information. They’ll ask their answer the question but get through it. By scripting your resume. Do not commit it to chance that you know what’s on your resume. I freaked people out and doing I was in interviews you know, I will have my friends.



resume it’ll be my portfolio but I would never pulled it out this. All right, Darnell, take me through your resume. And I just scripted and there’ll be looking at the resume while I’m talking. I hit our numbers and is exactly what they need. So stage two stars, where the question is, take me through your resume. Now most interviewers have a standard set questions that they want to ask. Remember, the second part of me, heart is fitness. I am trying to ascertain that you can do the job by because you have done it already. In today’s marketplace. We don’t hire people to train I know the millennials are having issues with that for sure. But I don’t have a budget to train so we don’t train what we want to do is hire you hit the ground running, learn it on a job so on the job training and hit the ground running when you hear that that means we are not training you whatsoever and only way you can hit the ground running because you have done it.



Before so so most employers are most most interview have standard interview questions they are trying to attach that whatever you have done before you have done it again now in these second stage there’s a two part interview process is your traditional interview questions and behavioral interview questions the majority of the marketplace now is going to majority of is going to behavior interview question if you don’t know what behavioral interview questions is all about. I crafted a four part series of how to handle behavioral interview questions go below in the description field and you’ll see a four stage process of handling How do you handle behavior interview question and when you handle behavior. Any question is all about behavior interview question is is a predictor is a predictor of what you did in the



Past is a predictor of what you have can can do in the present interviewer does not want to know what you think you can do the interviewer note wants to know what you actually have done and prove it and the way you do it by using the behavioral interview using the star method st AR s for situation to attach a for action are for results and throw one more in their lessons learned. So when they ask you a question and you will always know a behavior interview question when they started out like this. Tell me about a time when you did x y z show me a time when you did this. How did you did this? How did you handle that? So a one interview question is Tell me about a time when you had a conflict with a co worker at work. How did you handle it you will have to use the star method s you must tell the situation innocent party is it isn’t here to

tardy, tardy it’s Eric Can you say the word out right? You must tell the situation T for task you must tell the task that you had to do a for action what action that you had to do to handle that task and are for result what results came from your actions and what lessons did you learn for that whole thing a normal traditional interview question if you talk in longer than 3545 seconds you’re talking too long but a behavior interview answer could be anywhere from a minute to two minutes, the three minutes the more detail you are the better it is for behavior interview question down below. Go find out how to do because they will ask you the question you know those behavioral interview questions and if you cannot handle it, it would destroy that part. This stage is the stage that it that the interviewer will decide if you are the person



That they want to hire. The first stage gives them the ability to who you are. Now I’m starting to like you. The second stage, which is the second part is a fitness. I am now trying to ascertain that you can do the job because you show me how to do it. That’s the fitness part. Listen, there is a big difference between traditional interview questions and the behavioral interview questions every time you open your mouth to add to answer any question, you must connect what you have done in the past to what the job announcement is. So I asked you the question, my friend when you see a job announcement to you, like how long and how often do you read it? I need you now to understand it is the job announcement that connects to your resume that connects what you do that you what you have done that will get you the job you spend at least 25 to 32 hour on that job description when I look at



job description. I spend roughly about two or three hours I get my markers, I get my pins, I carve it out. I try to find the what the requirements and I tried to get those requirements as it connects to something in my resume accomplishments, the things that I have done in my resume like connect the dots you must connect the dots. As a hiring manager we are looking for somebody that can get the job done you my friend must be in a solving problem business you must be able to solve businesses solve problems I’m hiring you not just because I want to hire you I’m hiring you because I got some problem that needed to get done and you my friend in the interview stage to the interview the employers questions you must connect what you have done in the past to the actual job announcement. So I can see you have done it already. I can’t tell you how many millennials have issues with that because they want training they want mentorship and in the month



marketplace we just don’t do that right now. I’m sorry millennials but we just don’t do that right now. So you will have to understand that whatever you have done in the past is a predictor of what you can do in the future that is stage to employers questions, you must be able to connect what you have done in the past to the actual job announcement. I need you to spin Elisa hour on that job announcement so they can so you can connect the dots so you can see the job announcement and you can see how it connects to the actual job And now’s your resume connected you must connected that stage three tours in of all of the interview. The interviewer will always say, all right, Daniel, I have everything I need by I have everything I need. And so now



Do you have any questions for Me and I can tell you how many times I have interview people remember I have interview over 300 people. I can’t tell you how many times an interview interview will come in. I said, Do you have any questions for me? And they say, No, listen, my friend



at this stage, the interviewer is trying to ascertain what



how do you determine how much interest do you have for this position? See, if you really wanted that position, you will spend some time and craft some interview questions. So when they said do you have some interview questions for me? I want you to say yes, and I want you to pick your portfolio up just like this. I want you to open it



I want you to pull your questions out there looks just like this



right here on in here on my interview questions. I want you to make sure they have the text



is large enough so so they can see that you have crafted up, I want you to put it back on your portfolio. I want you to take your input. And I want you to now read that first question. And the first question is, what kind of person? Are you looking to fill this position? And what is your ideal candidate looks like get ready, my friend, get ready to write down because the interviewer is getting ready to tell you exactly what they are looking for. They might have said it sometime in the interview. They might not. But now they’re getting ready to tell you exactly what they are looking for. You write it down because this is the beginning of your clothes, right? And so always be able to add that is the first question you ask. And then some of the other questions you can ask is on here. And then this last question the second from last question, I want you to always ask this question this guy



licenses. Now that you had a chance to meet and interview me, what reservations would you have for putting me in this position? Yeah, Margaret, you put them on the spot. Yes. You have put them on the spot. Hey, I need you to conquer your fear. Don’t worry about it. See, number question number one. If they say Yeah, well, we’re looking for XYZ, ABC. And then you hear Hey, that’s me. I have either done that before. It is part of my strength package. Never go to an interview. When you know the position is in your weakness package. You only go to interviews that you know as part of your strengths. That’s why you need to know what your strengths are what your weaknesses are. Never ever ever ever go to a interview when you know it’s not part of your strength package. Never go to interview when you know as part of your weaknesses. No, no, no, no,

you can never perform at a high level.

Doing things that you’re not good at, because it’s part of your weaknesses. No, don’t do that. So the first question is, will, hey, we’re looking for this. We’re looking for that. Hey, then you got to hear that. Is that part of me? That’s part of my strength packet. I have done that before. When you hear that, that question,

let’s, you know, you let you think that you are a good fit, you are a good fit for the position that ate that. That’s that question before. The last question is that hey, what



said you had a chance to meet and interview me? What reservation do you have? And put me in this position? Yeah, you put them on the spot. Listen to that. Because if the interview start talking to negative, well, you don’t have this. You don’t have that you don’t have this, hey,



you are not in the game. Wrap that interview up as fast as you can, and get the heck out of there because you are not going to get that job. But if they say, well, Darnell, I don’t have any



any reservations? We’re looking for x, y. z. You had that? Would you describe it? Pretty good. We are still interviewing but I don’t have no reservations. Now you know that they think you are a good fit. Remember, the first question is positive, it lets you know that you are a good fit. Now, that second question lets you know they think you are a good fit, and if it’s a good fit, and if is the position that you will love to do then transition into the fourth stage, which is closing, you ask this last question of what’s the next step? What’s the next step in the timeline, they’ll ask, they’ll tell you the next step. And then if they if you like it, it’s a good fit. Then I want you to transition into the clothing by asking for the job. Yes, my friend.

You ask for the job you have. Not because you ask not what shoot man what a job you do this So you asked what the next step. So you say, all right, Mr. Clark, I got the next step. I appreciate the opportunity this interview, right? I think I did a great job. I wait patiently for the next step. Because you say, in the next couple of weeks, you’ll have an answer. So now let me leave you with this. In closing, this is your clothes. Let me leave you with this.



Yeah, I am very interested what I have learned here today and the opportunity that this position present right I believe I will love working with working here and learning from you as well. Is there anything else you need to know about my background to determine that I go to the next step in the interview process? Because I want this job that strive you just ask for the job. Some people like okay as what a job I’m scared. Listen, I need you to conquer your fear. I need you to to feel the fear and do it. Anyway, conquer your fear. conquer your fear.

And if you conquer your fear, you’ll be the captain of your ship and a master your destiny. conquer your fear and ask that question and ask for the job. You ask for the job. Listen, listen. Listen. Listen. Listen. Listen.If you don’t hear me, listen now.

I have interviewed over 300 people and only one person at all those people ever asked for the job. And he’s the only one I hired on the spot. Those other over 250 people I hired I still took him through the whole process in made him an offer, but he’s the only one I interview and he asked for the job. He’s the only one I hired on the spot. I can’t tell you how many times I have used that since he did it to me. He did it to me early in my career. So cool. I start in doing it myself. Now. I told you on one side of the fence. I was a higher authority working

for IBM at Ernst young a GE and Coca Cola hire people but early in my career I got my computer science degree in an MBA and all these it certification and I became a perpetual job hopper I noticed right now the marketplace doesn’t mind that you job haha we have become a nation of job hoppers from the Bureau of Labor Statistics says for the first time in our nation’s history more people have quit their jobs thing got laid off. The average life cycle of a job is only five years every three to five years. My friend you’re going to be looking for we can be looking for a job but we are nation the job I don’t call them job hoppers. I call it free agent we are a free agent nation unbounded, untethered to one organization taken our talents to the whole marketplace instead of one boss in one one company. That’s what we do now. Right? But I was doing it before this was cool. I was going from job to job every 24 months every 18 to 24 months I would job hopping because I was trying to go get that K.

Every job opportunity came up to get more money. I left one company and went to another why I was in a job search mode.

Other side of the fence I submitted over 5000 resumes. What a dark, you know, up to 5000 resume because I keep track of everything I know who I submitted it to when I submitted to what information I got from it. What company I submitted you I know everything from those 5000 resume. I have had over 200 interviews. Yeah. Does that mean every interview possible that you know that it had a Skype interview in person interview a phone interview interview with HR interview as a group interview as a panel, I have interview all of it and mastered all of them. And early in my career. I recognize the ability to ask for the job. I can’t tell you how many times I’ve used it.

And it worked for me. You know, as a director, senior director over the past 1015 years in the marketplace, I was always interviewing when I go to an interview the person was interviewing me was either general managers, vice presidents, CIOs, CEOs, or see in a minute medium or small medium companies. They were big baller shot callers and I have used the each and every time Excuse me,

I can’t tell you how many people stopped and say, Wow, Darnell, you just asked me for the job. Outstanding Young man. I’m a man a vice president. She was so impressed that I asked for a job. She hired me on the spot. Yes, yes. Yes, sir. So I always use it. Now when you ask somebody for the job. One or two things are going to happen either they can like wow, I’m so impressed. That’s what a job or you’re going to have somebody like man is do just as before the job How dare he have enough.

goon is encouraged as for the job now I’m not giving you for a job when you come across those people who are put up because you asked for the job listen you don’t want to work for those type of people anyway they’re scared you have enough courage and fortitude to ask for what you want and they’re scared to hire you because you think you’re going to take their job you got all right I’m gonna take your job if you think that I’m going to be scared to not ask for the job and you’re not going to give it to cuz cuz you got scared that I’ve had enough fortitude and confident as for you better believe I’m going to ask I’m going to take your position Oh buster, it Hey, but don’t worry about it. So you ask for the job. And then I want you to give them your personal guarantee. Listen, my friend, I can’t tell you how many people scared to put them cell phone line. You give me a personal guarantee. And you say after you say I want this job. Listen, Mr. Clark.



If you hire me I give you my personal guarantee that if you select me

You will not be sorry or disappointed. You hired me. So when you go in the back and you start talking to your team, and you decide who is the best person for the job. Think of me. Mr. Clark. When you go on your team and say, who can hit the ground running because they’ve done it before, and they don’t need little to no supervision. Think of me. Best o’clock. Hi, my name is the clock because I want this job. That’s right. And you shut up and let them talk. Listen, my friend, that is your differentiation.

That right there will put you over the top with anybody. I’m telling you right here right now. My friend. nobody’s doing this. No one is going to be asking for the job because they told freaking scared but not you. You raise up your courage and boldness and you come before us for the job. I want that job if you hire me, Mr. Clark. I guarantee you won’t be sorry or unhappy that you hired me I promise you so there you go for it.

So let me recap. let me recap. There’s four stages of interview. The first day is introduction. This is where you must be able to answer the question. Tell me about yourself. Stage Two is the employers questions. Employers question will give you traditional interview questions and behavioral interview question you must be able to handle both. And stage three is the candidates question.

You always come with questions and you always ask the question what they’re looking for and you capture it. You always ask the question now you had a chance to interview me what reservation we have put me in this position. You always ask that question. And then the final question you always ask for next steps. And then you transition right into the closing by asking for the job which is days for my friend. So then you go, I told you in the beginning, I have something special for you. I have an interview cheat sheet. The interviewing cheat sheet is everything I talked about here. Plus

Much much more it tells you how you supposed to dress in today’s marketplace before in a bit and back in the day it was always suit and tie knot in more my friend you must understand the culture of the organization would tell you how you dress for interview it tells you about how to address and handle the question to tell me about yourself. It talks about the the ability to handle behavior interview questions, it gives you the top 20 most common asked questions in an interview and it gives you the answers to it gives you everything right. It also gives you the ability to understand that your salary it tells you how to find your salary. Never, ever ever go to an interview and you don’t know what the salary is for this position. Down below my friend. I made a video of how to address salary question is down there too. Now lastly,

I can’t tell you how. How many people that I know go to an interview it doesn’t go well any questions them this in my friend, you are not responsible to go to the interview to make somebody like you know what they’re going to do you don’t know why they’re going to hire you.

Why not you are not responsible to find out if they like you are not you are not responsible if they give you the job offer not your responsibility is my friend is to come to the interview and deliver the package What the heck is the package everything I taught you how to prep how to prep and prepare for an interview.

That’s the package your responsibility is to prep and practice everything I showed you here come to the interview and the liver what you practice that’s it you’re not responsible for if they like you. You’re not responsible for if they made your offer. That’s not what you’re supposed to do. Your responsibility is to get to that to the interview.

delivered a package if you get the offer great if you don’t so what is not your responsibility listen no man can open a door to anything any door closes and no man could close any door God opens in that position is for you is for you and there’s nothing they could do about it it will be for you my friend. So if you don’t get it, learn from it, go to another interview and keep learning and you keep doing it until you get hired my friend so there you go.

So if you like this video, click on the like button I truly love when you click on the like button and share with four or five friends I need you to share this with five friends this is how I get my content out I I do it. The way I get my content out is when you share it with five friends so I asking you to share with all five friends and more but minimum five friends in in the comment field. Give me a comment or your feedback or any questions you have.

Have because I’m Darnell clock the answer man there’s no question that you can ask me that I will not have an answer for and I answer every comment every feedback and every question down there I personally answer it and as always if you haven’t subscribed to my YouTube channel subscribe to my channel on the side is that bill click on that bail my friend so you can be notified every time I come out with fresh new content so there you go my friend this is how you prep for in person interview you spend hours so if the interview is four or five days out I want you to spend one hour a day prepping it will serve you well when you get into that interview. So this is Darnell Clark you your your your industry leader, your career coach say hey there’s one thing I recognized for sure that is whatever you want in life. You got to go get it now go get that interview because I showed you how to do it. I see you later. Today we’ve cooked up a video where we teach you know less than 50 wicked football skills and while you might have seen a few of them before you can still use the video as your personal skills Bible that you can pull out before training or match so sit back dealer number one the fake classical facing the defendant you saw him in by pushing the ball forward then you know quick scooping motion dragon away from it’s a bit like the elastic only done with inside of your step

number two the street running with speed you get ready to take on the defendant. And just before reaching in you slow down only to explode away. Again. Lowering the pace for a moment is key because the defendant will sleep the same

Number three, the fake shot. This is what you would call all school move probably the most effective dribble and football set yourself up for a shot and slide to all you have to do now is to not follow through all around the defense.

Step number four is the stop and go running down the line with the defender in your back. You stop the ball with the outside of your foot. Then do a quick body thing and drag the ball with you in the opposite direction. Great, simple and effective move.

Read also: How to Improve Study Skills and Memory

Number five the rollback. Roll the ball back to the side of your body and wait for the defendant to come rushing in. When the timing is right, quickly drag the fall back again and accelerate the way

number six is the outside touch receiving a pass with a defendant chasing you down. This is the perfect skill to send him for a hot dog. Just before touching the ball. There was more money fame tap the ball with the outside of your first in the opposite direction and seventh place is the stop and shop running with the defender on your side.

Do this step on the ball with one foot into a chop with your other it’s a great way to buy yourself some time number eight the zigzag if you’ve got some speeding you This move is even better. T

ake on the defendant and take a shop touch to one side. Now run a bit past the pool so you can top it again outside of your foot in the opposite direction. Thank You for reading
This past August, her exuberance, emotion and enthusiasm had already made Fu Yuanhui the most famous Chinese athlete at the Olympics. After winning a bronze medal in the women’s 100-meter backstroke with a personal best, she nearly exploded with excitement: “I was so fast! I’m really pleased! I’ve already… expended my primordial powers!” Her interview went viral with millions of hits worldwide.

Then she said something truly shocking: she was having her period. Noticing that the swimmer was grimacing after her relay team narrowly missed medaling, an interviewer asked if she had a stomachache. Yuanhui answered “It’s because I just got my period yesterday, so I’m still a bit weak and really tired. But this isn’t an excuse for not swimming well.”

When the New York Times, NPR and other media outlets covered the story of the Chinese swimmer who dared to mention that she was having her period as if it were the perfectly natural thing that it is, they focused on the fact that she’d violated a cultural taboo — indeed, it is virtually unheard of for women in China to publicly mention menstruation. But, they also missed an opportunity to counter the common misconception that menstruation impairs athletic performance or that it’s unsafe or inappropriate to swim while having your period.
Menstruation and athletics

I recall classmates in high school sitting out basketball practice because they had their periods. I assumed it was just because they weren’t feeling well. In fact, many girls have been told they are more likely to be injured, less likely to perform well, and that the best way to handle menses is to take it easy. Maybe. But the evidence for each of these is weak.
Injury

Much has been made about the apparent increased incidence of significant injuries — ankle sprains, anterior cruciate ligament (ACL) tears and others — in female athletes compared with their male counterparts. Blaming it on “hormones” is common. A 1989 study interviewed 84 female soccer players and found more reports of injuries during the premenstrual period and menstrual period, especially among those with premenstrual symptoms (such as irritability or breast discomfort). A 2007 study found that ACL injuries tended to occur more often during the first half of the menstrual cycle (in the week or two after the period). A 2009 study found that among eight healthy volunteers, hamstring flexibility increased at the mid-point of the menstrual cycle. That’s the point in the cycle that estrogen levels are rising or at their highest.

So it’s possible that variations in female hormones through the menstrual cycle change the function of bones, joints, tendons, or ligaments, and that these changes could have an impact on performance or likelihood of injury. Then again, these studies are simply observations of certain patterns — they don’t prove a connection between phases of the menstrual cycle and injury. In fact, we don’t know for sure whether the phase of the menstrual cycle truly has an important effect on tendency for injury. And if there is an effect, it’s not clear what to do about it.
Athletic performance

Studies find inconsistent effects on the impact of menstrual periods on athletic performance. For example:

    a group of swimmers were found to have poorer performance just before their periods started, and improved times during menstruation
    cross-country skiers were best just after their periods and after ovulation (which occurs midway between periods)

in yet another study, strength of handgrip and standing long jump distance were best during menstrual periods compared with other parts of the menstrual cycle.

A 1994 analysis reviewing the available research concluded that when it comes to having your period, “…for most women there is no significant effect… medals have been won and world records set in any phase of the menstrual cycle.”

Even so, many women don’t feel well just before or during their periods and it seems reasonable that this could affect athletic performance. Anyone who is in pain, tired, or just not as sharp as usual may not perform at their highest potential. And in elite athletics (such as Olympic events) in which the difference between a gold medal and last place may be fractions of a second, surely feeling poorly could make a big difference. A 2009 study concluded that taking an anti-inflammatory medication (called diclofenac, a drug that’s similar to ibuprofen) led to reduced menstrual cramps and improved exercise performance. In fact, some athletes try to avoid the issue altogether: they take oral contraceptive pills or other hormones to avoid having their periods during important athletic events.
The bottom line

There is much we don’t understand about the relationship between the menstrual cycle and athletic injuries or athletic performance in women. It’s probably true that individual factors, including overall health, type of exercise, degree of conditioning, and nutritional status matter more than the phase of the menstrual cycle.

Clearly, women with premenstrual or menstrual symptoms may not feel like exercising. But there is no compelling evidence that exercise or athletic activities should be avoided or altered based only on what part of the menstrual cycle you’re in. Good training may reduce the risks of injury and enhance performance much more than trying to time exercise around one’s periods.

Many have commended Fu Yuanhui for being so forthright about having her period even though it violated a longstanding taboo, but she could also be commended for avoiding the temptation to blame her period for a disappointing performance. “It’s a definite that you’re all going to screw up, but it’s not a definite that any of you will learn from that,” declared one of our medical school instructors, years ago. “Cultivate the attitude that allows you to own your mistakes, and then, not repeat them.”
How common are medical errors?

Medical errors are, frankly, rampant. A recent study used data analysis and extrapolation to estimate that “communication breakdowns, diagnostic errors, poor judgment, and inadequate skill” as well as systems failures in clinical care result in between 200,000 to 400,00 lives lost per year. What this means is that if medical error was a disease, it would be the third leading cause of death in the United States.

The article is specifically about fatalities secondary to medical errors, and how these are vastly underreported. They point out many reasons for this, the first being that cause of death on a certificate is usually listed as the physiologic cause of death. For example, “myocardial infarction” may be listed as cause of death for a patient who was sent home from the emergency room with chest pain and a diagnosis of acid reflux. We have no direct way of knowing that their fatal heart attack was due to misdiagnosis.

In the course of my training over a decade ago I saw many errors, such as a punctured lung during central intravenous line placement in the intensive care unit, postoperative morphine overdose requiring emergency intervention, cancer seen on an emergency room CT scan and never reported to the patient… I could go on. What was most common then was a culture of silence: there was not consistent nor complete disclosure to the patient. People would whisper about mistakes, never directly addressing the issue for fear of litigation, or even retaliation by the involved physician.
Preventing medical errors—and learning from the ones that do occur

As the BMJ article authors point out, we can’t develop safer healthcare without identifying and analyzing medical errors when they happen. They call for a national database of medical errors, so that the information can be compiled for quality improvement and prevention research.

Thankfully, I now work at an institution that recognizes this, and openly embraces errors reporting. We even have an easy-to-use online safety reporting system which my colleagues and I have used many times, for everything from blood test tubes being sent to the lab without labels, to the wrong vaccine being administered, to falls suffered by our patients while in the hospital.

Worried that these types of reports reflect more mistakes being made than normal? Think again: as the data supports, the vast majority of medical mistakes simply go unreported. The true number of medical errors, both fatal and non-fatal, is unknown. What we do know is that healthcare delivery cannot improve if these are not examined.

How does this work? I can pull an example easily from among my own recent mistakes:

A lovely patient of mine* in her late forties complained of fatigue, depression, and body aches, which I attributed to perimenopause and arthritis. She did have slightly elevated calcium levels, but I didn’t think much of it. I blamed it on her calcium supplements.

After more than a year, we finally discussed checking her calcium level OFF of supplements, and lo and behold, it was still high. We discovered that she had hyperparathyroidism, an overactive parathyroid gland that causes calcium to leach out of the bones. Indeed, hyperparathyroidism and high blood calcium levels can cause fatigue, depression, and body aches, among other things that she had, such as osteopenia (weak bones).

She asked for a referral to a surgeon and had her overactive parathyroid gland surgically removed. Her complaints resolved within a day after surgery.

I apologized for my error which had resulted in a delay of diagnosis of about two years, during which time she had not only felt awful, but also developed weakened bones. I offered to facilitate her transfer to a new primary care doctor. She declined, and said that she was appreciative of my honesty in discussing the error, and hoped it could serve as a valuable lesson.

I shared this error with my colleagues and in the system. I, for one, will never let any slight elevation in calcium go uninvestigated, and my colleagues have learned from my example.

My med school instructor was right: if we don’t own our errors, we are destined to repeat them. In medicine, honesty is truly the best policy.The 2016 summer Olympics had its share of exciting performances, upsets, and photo finishes. But for days after Michael Phelps’s first appearance at the games, it seemed all anyone could talk about was “cupping.” It’s an ancient therapy that left multiple circular discolorations on his skin. During “dry cupping,” suction is applied to the skin for several minutes; sometimes it is combined with massage, acupuncture, or other alternative therapies. (“Wet cupping” is similar except that blood is removed by making small cuts in the skin.)

Cupping is supposed to draw fluid into the area; the discoloration is due to broken blood vessels just beneath the skin, much like a bruise. Cupping has been popular in Egyptian, Chinese, and Middle Eastern cultures going back thousands of years, but increasing numbers of people worldwide have been adopting it. Celebrities and athletes have popularized it in the U.S. in recent years.
What is cupping supposed to do?

According to its advocates, cupping is supposed to promote healing and has been used extensively for sore muscles. But that’s only the beginning. Cupping has also been used for

    back and neck pain
    skin diseases such as acne and hives
    lowering cholesterol
    migraines
    knee arthritis
    improving immune function.

And there are many others. If cupping does help with these problems, it’s worth asking: how? From a biological perspective, it’s not clear how the application of suction and drawing blood into an area under the skin would provide all these benefits. A recent review of the treatment describes cupping as a treatment that can strengthen the body’s resistance, restore balance between positive and negative forces, remove disease-causing factors, and promote blood circulation. But exactly how is unclear.
Does cupping work?

A number of studies have examined this question, but unfortunately don’t seem to have  convincingly answered it. In fact, a 2015 review of the evidence found that cupping might provide some relief for chronic neck or back pain, but that the quality of the evidence was too limited to draw firm conclusions.

One problem is that it’s tough to perform a high-quality study on cupping. The best studies are “blinded placebo-controlled trials” in which neither the patient nor the researcher knows which treatment (real or placebo) has been given to a study subject. When medications are studied, coming up with a placebo pill is not difficult; it can be much more difficult to create a convincing placebo comparator for cupping. In addition, pain can be a difficult thing to measure and the placebo effect — improvement related to an expectation of benefit — can be quite powerful.

Still, there have been studies comparing actual acupuncture with convincing but fake (or “sham”) acupuncture.  Similar studies of cupping could be possible. And if cupping truly helped, you may not care if it’s due to the placebo effect.
Are there risks involved with cupping?

Most experts agree that cupping is safe. As long as those treated don’t mind the circular discolorations (which fade over a number of days or weeks), side effects tend to be limited to the pinch experienced during skin suction. It’s quite unusual that cupping causes any serious problems (though, rarely, skin infections have been reported).
So, what’s next?

If you want convincing evidence of effectiveness before trying a treatment, you may want to pass on cupping for now. But if you’d like to try something that’s safe and might help with certain aches and pains (and possibly other ailments), the main downsides seem to be the temporary skin discoloration and the cost — I found estimates online of $30 to $80 per treatment. Some people have it only “as needed” but others may have it monthly or even more often. Future research could prove that cupping is as good as the claims say it is — but we’ll have to wait for the results of high-quality studies to know if it’s true. Men have to accept many changes as they age — less hair, less muscle — but less sex doesn’t have to be one of them. In fact, 54% of men over age 70 are still sexually active, according to research in the January 2016 issue of Archives of Sexual Behavior.

What many men do need to change, however, is their mindset about this next phase of their sex lives. “Many continue to focus only on the physical aspect, so when issues like erectile dysfunction or unpredictable sex drives arise, it can trigger guilt, anxiety, and frustration,” says Dr. Sharon Bober, director of the Sexual Health Program at Harvard-affiliated Dana-Farber Cancer Center.

One way to overcome this barrier is to think less about intercourse and more about “outercourse.” This means to direct your attention and energy more on foreplay and manual stimulation with your partner. “The emphasis is on intimacy and closeness rather than performance,” says Dr. Bober. “This allows men to become less stressed and more engaged in connecting with their partner.”
What you can do

Here are some ways to better embrace outercourse:

Recreate date night. Make an effort to go out on a scheduled basis and experience something new together. It could be a hobby or an event you both have always wanted to check out, or even a quick day or overnight trip. “Doing something different can offer a sense of excitement that can bring you and your partner closer together,” says Dr. Bober. “Couples need to have romance and novelty to be emotionally, mentally, and physically stimulated.”

Focus on the nonsexual. When was the last time you and your partner just hugged, kissed, and explored each other’s bodies without the goal of sex? “Couples may say they don’t do that anymore because they are married, but do not underestimate the excitement of re-exploring the early rituals of courtship,” she says.

Mix up your sex routine. “Give each other a massage as part of foreplay, or try a different setting or time of day, like having sex in the morning when you both may be well rested,” says Dr. Bober. “Just having a conversation about how to change up the regular routine can be fun and exciting.”
Changes in desire

Men can lose interest in sex at times, but that is normal, says Dr. Bober. It often occurs because the sexual connection between your mind and body is out of sync. During these periods, it can be helpful to engage more in the mental side of sex, such as erotic thoughts, fantasy, and memories, says Dr. Bober. “This kind of mental engagement can be quite pleasurable for men without needing physical stimulation, and eventually it can help the mind and body reconnect.”

Desire also can wane if you are not involved with anyone. But again, do not feel under pressure to fill that part of your life. “You need to ask yourself if it bothers you,” says Dr. Bober. “If it is not something on your radar right now, no need to worry about it. You will know when you are ready for affection.”

Do not forget to take care of yourself so you can continue to enjoy your sex life. Many medical conditions can affect sexual drive and performance, such as obesity, diabetes, heart disease, high blood pressure, and high cholesterol. “If you want to be active, you have to stay active, and that means focusing on your exercise routine and being diligent about a proper diet and medical check-ups,” says Dr. Bober.
Hi clicks on this page, you’re probably a hard working student who wants to improve their study skills even further. Or maybe you’re someone who tries really hard or wants to try really hard, but you’re not really seeing that payoff in your numbers. But we’ve come to the right video because today we’re going to go over five ish study techniques to help you improve your study skills. I’m not going to go into the obvious ones, like do a bunch of practice problems. And always pay attention in class and don’t do homework in your bed. You know, make sure your desk is neat and your room is neat. I at least that helps me doing work in a clean environment. I feel a lot less messy.

When I feel less messy. I can be more productive. Write down all your work and make a plan or your notes or whatever works for you. When I say clearly do practice problems, pay attention in class, take notes, do your homework that will make the biggest difference. Honestly,

These are five things that you can do to sharpen your skills even further.

Number one, differentiate your study methods. Now, I’ve always found it really effective, especially in high school to study differently for different subjects. To me, this is a very similar idea to, you know, using different color binders for different subjects, or shooting the same flavor of gum while studying as when you’re taking the actual test.

I think it’s like the same effect. I think it just gets your brain used to different environmental conditions, different sensations when you’re doing a certain activity that allows you to switch between them more quickly and more efficiently. Now, there are an infinite number of study methods and everybody has their favorites. I’m going to quickly go over study methods that I use for different classes, especially when I was in high school. There were many for example, in math.

I always used whiteboards. I loved using whiteboards for math, because you can use different colors to visualize each step not only turns your map into a picture, but also allows you to

You clearly see each step. And you know, the colors make it a little more fun than just doing practice problems over and over again, on pencil on paper, what I would do is in the corner, I would write in small print the date of the test the name of the test, if there was one in beneath it, I would just quickly bullet the content that would be covered on the test. So it was like trig identities or you substitution or integrals or anything like that, I would just quickly bleed on here so I knew exactly what to cover and then I would keep that on there the whole time.

Related Post: Best Time Management Systems for Students

And then over here, I would do practice problems and practice problems over and over and over again history and social sciences in general government politics, all that I would mostly use quickly or Spanish or foreign language I was vocab I would like do piece of paper and fold it in half I’d have English on one side is finished on the other and I flipped through and check in quiz myself easily for economics I inserted picture right here I would do a bigger view on a whiteboard the day of the test just a few periods before my study hall because that’s just what worked well in my schedule in addition to making

My notes into a study guide or actually my notes already were a study guide. More on that in my how to take notes video and for science if it was like a physics or chemistry or something that and although the practice problems obviously I would do a lot of practice problems to study and look at all the questions and all tests and stuff like that but if it was more just like understanding concepts and memorizing material I would often use study song have a few of those on this channel and also listen to other people’s like ASAP science has some and yeah a lot of other people have some all you have to really do is go to the YouTube search bar and look up the topic and type the word song next to it. Something will come up this is YouTube.

Number two should be obvious, but if it’s not, I’m going to reiterate it. Always ask for help. Always ask for help. Always ask for help. Don’t be ashamed of asking for help. I did it all the time. The smartest people do they’re not ashamed to go to a teacher or go to a professor’s office hours or whatever to seek.

further explanation on a concept that’s totally normal is literally the teacher professors job, you’ll need more than just like a five minute conversation or five minute explanation see if your teacher will stay after school and work with you or if they have study sessions or if there is somewhere you can go to get further review or if they recommend reading certain chapters in your textbook doing practice problems or reviewing for a test and you really you’ve come across something you really don’t understand take some sticky notes and make a little note of it so that when you go and see your teacher professor to ask them about it leader you know exactly what to bring up you know exactly what your question will be.

Number three review easily review mindlessly review without straining your brain. This was one of my favorite tactics in high school because it was just so easy, no effort. Really what I’m talking about is just kind of always having information and knowledge and answers around you turn those mundane transitions of everyday life turn those mundane tasks into an opportunity.



To deeper you to further engage yourself intellectually listen to a podcast. When you’re in the car when that is relevant to what you’re learning or is related to something that you’re interested in, you can play sideshow Crash Course physics girl, very task to be sauce any educational content creators videos while you’re in the shower getting ready in the morning going to bed just having information constantly being read to you and explain to you in the background of your life I think is really helpful You don’t have to be focused in on what they’re saying but just having it there I think kind of shapes your mind to listen more as well as just learn more because you won’t pick up on all the information because you’re not in a situation where that’s your main focus but but you might learn something new or use it as an opportunity to review something that’s on coming test other methods you can employ that fall under this umbrella of number three is reading you can read I encourage you to read articles, books, even Twitter threads on topics that you’re interested about. I think that counts.

You can if you’re studying and you just want to always have the information around you again but physically you can take sticky notes and you can just put concepts and reminders of certain pieces of information all over your room all over your house so that you see them in your everyday life



Number four This one’s a big especially if you’re taking a college or AP class know the format of the exam that you’re taking know how many questions are going to be on it know how much time you have know if you need a pencil or pen know if you can bring a calculator know what kind of calculator you can use know how many sections there are no know if there’s going to be a break in between know it’s multiple choice short answer long essay, short essays and anything like that true false because that way you can practice problems like that you’ll feel so much more comfortable because you will have seen that material that style so much before and my fifth tip is to make it fun. This depending on the type of person you are fun means different things.

Like if you really like just bunker down and just silence desk, nothing but a desk light on just working for six straight hours that works for you go for it. You do you boo. I’m not judging you. But for me, especially when it comes to like math and science. I like to have fun while I do it.

I will listen to music if I’m doing those kinds if I’m doing a problem set, or I’ll watch Netflix really like this because I feel like if you have a good time when you’re doing your work, you all associate positive feelings and positive emotions with that work and it will make you enjoy learning more.

Obviously you can’t do that with all things like if you’re reading I definitely can’t watch Netflix. Well, I read but sometimes I listen to classical music and listen to an audio book. I can find that that helps say, Do whatever you need to do to trick yourself into thinking that homework is fun.

focus focus. espresso beans. help you do were like Adderall accepts just happy and not at all please don’t do trophies don’t do at all. Unless you’re subscribed to you. Please don’t. Please don’t don’t. I have never have never will. You won’t either. But we read on this thing. Yeah, that’s pretty much it. For me.

It all comes down really to preparing yourself ahead of time and making your work and you’re studying colorful and fun. Leave a comment down below about your favorite studies strategy or any one of these that you plan on trying out also let me know other content that you guys would maybe want to see.

Let me know if you guys would be down for like fitness and lifestyle videos because I totally be down to make those that hopefully really fun tips coming out in a few days. So stick around for that. Okay. Again, I’m Hannah and thank you so much for reading. I hope this helps. Hello everyone. We are now in 2019. And if you’re already feeling behind on your organization system for 2019, I’m here for you. I believe. And this is a mode of my year that if you want to achieve things in life, you need to start simple. And you need to go back to basics to achieve the perfect balance of what you need to be productive and organized.

This is why we are going to start with the free full organization system that will absolutely help you get your life together have everything seamlessly organized into one ecosystem.

So today we are going to talk of course, about the Google Apps for productivity and organization. Basically, this means that the Google ecosystem includes the calendar file, managing email, managing with productivity tools, text editors, and note taking app regarding the pros and cons of the Google ecosystem. I will start



By saying that it’s free. So as long as you have a compatible device, an internet connection and Google products aren’t blocked in your country, you’re able to access Google Apps. Also,



their synchronization between all the devices you use to access the same account and you have the ability to sign in into your organization system. In any computer or device. There’s also concept backing up of your information, so you’ll never be afraid of losing anything.

So there are simple tools that make your organization system that much easier to use and to manage for cons. We can also take simplicity because it can be a burden for some users who prefer complex tools to organize their lives. And also the digital environment may not be very convenient or the best start for some people.

I myself use a hybrid of an analog and digital system. There are some tests that I prefer to do on papers if that’s your case, and it prefer to all of your organization in paper that’s just fine. Also, you mostly need an internet connection.

If you live in an area where that’s hard to come by, you might have a lot of trouble making the most out of this ecosystem to build a foundation of our organization system.

We’re going to start with Google Keep and I believe that Google Keep is one of the most underrated organization apps out there yes we’ll keep is a very simple app but it’s really powerful because its simplicity ease transported to other types of Google apps like calendar in Gmail, but we will talk about that later.

So for now, what you need to know is that Google Keep acts as a dashboard where you can place post it notes with all kinds of to do’s of notes and reminders.

So in your main dashboard, you can see these little notes that you can color code and then click and drag according to your own priorities, your arrow key and even if you want, you can simply establish blocks of color so you can see how many tasks you have according to the topic you shows for each color. The best way to organize your notes with Google Keep is basically sabotaging a color for each kind of topic you are choosing for each node.

So for instance here I have yellow for every YouTube related task and I have blue for every school related.

Task wise tasks are personal tasks, including things like personal to do’s appointments, financial stuff, and so on. The second thing you can do to really organize your notes is using labels these act as tax so it can simply create a note, assign it a color, and then choose a label according to the topic of the notes.

So you can select the label on the left side of your screen to access all notes labeled with that name. Also, as I said before, you can click and drag every single note so you can have the order of notes that you prefer to get yourself organized. Also, since it’s a Google product. You can also download Google Keep to your phone, so it synchronizes with every

See: Best Study Tools for Medical Students – Top 5 Study Techniques

Everything you do on your computer when you migrate all of your to do’s all of your notes, all of your project notes into Google Keep, you can definitely go to Google Calendar and start managing your time, your appointments and your tasks. My basic tip for Google calendar to work is creating a calendar for each categorized sort of information you’re trying to place your calendar.

So for instance, in my particular case, I use for instance, rav4 family sharing tasks and appointments. I use purple for my history classes, I use orange for any YouTube related stuff. This is a really good way for you to understand which parts of your week are allotted to certain parts of your life, and so on.

The second tip I can give for Google Calendar users is using the upper part of your calendar to schedule daily tasks instead of hourly events. So even if you’re using a calendar blocking technique to manage your time and your digital calendar sometimes



Your events that are occur hourly, but instead they occur on a daily basis. This happens mostly with holidays, birthdays and things like that. So what I do in these cases is creating that event, then assign it to one of those specific color coded calendars and then drag the event up to the top of my calendar where it will be considered a daily event that do not need to assign an hour for the event to be completed are finished possible. calendar has a function of sinking with all of your devices and also inviting it also allows you to invite people to share your calendar This is really good for things like housework, your business, teamwork, or even scheduling meeting hours with the book clubs, work groups, and so on.

The power of your Google ecosystem really shows up here when you access it tools in the right tab in the right side you have these little app lets that you can access to open up different Google apps that can synchronize and can be used with your Google Calendar.



So for instance, we have already set up all of our tasks in Google Keep. And by clicking the respective button on your Google Calendar app, you can access all those tasks so you can better understand by looking at those tasks. Those color coded knows how you need to schedule your time better, what type of to do’s you need to integrate into your calendar, what kind of goals you need to project in your schedule, and so on. Also, if you set reminders, both in your Google Calendar and in your Google Keep apps, you can also get on track with your tasks and with your events by being smart with how establish those alarms go off in your phone.

After that, I think it’s time for you to manage all of your files with Google Drive. If you’ll basically be the only file manager you need in case you have a permanent internet connection. So Google Drive is free until 15 gigs which may definitely not be enough for you to keep all of your files but 100 gigs goes for less than $2.



A month. And if you’re a student, that’s what you’ll need in case you deal with PDF and text documents. Mostly just like any file manager on your computer. Google drive’s allows you to create folders and organize them according to name and color. So you can basically create a full fledged file managing system online.

That way, you never fear losing your files since Google Drive backs up your documents to the cloud. So they’re always there. Even if your computer crashes. There’s nothing really special about Google Drive in itself.

It’s a very simple and powerful tool for you to organize all of your files and being sure that that can be accessed anywhere. If you cannot rely on a specific device to do all of your work.

You also have sharing capabilities with other users. And the good thing is you do not need to share your whole files with your friends and family because you can select the specific folders or files you want to share. Also, the good thing is that when you are storing documents in Google Drive if they are text based



documents, you can quickly open them up in Google Docs and added them on the go. And Google Docs is actually pretty powerful text editor, although is not as powerful as Microsoft Word, but it definitely has all the tools you need, including an commenting interface, as well as sharing capabilities that make it a solid text editor. In case you need something a little bit more structured than Google Keep.

It also has constant cloud backup. So you’ll never worry about losing your files. And although the tools are nothing to elaborate, they will make the job just fine.

Finally, I want to talk about Gmail. And I’m not going to talk about Gmail in itself as a mailing service in comparison to other mailing services. But I want to talk about the organization tools inside Gmail that make it the perfect tool for you to organize your mail if you are into the Google ecosystem. So the first thing I love about Gmail is the ability to call her



code and label my emails effectively, just like I do with my calendars. I have very specific labels in my Gmail, things like answered, not answered sponsorship, inquiry blog post, any school related emails and so on. And every time I get an email, I will automatically label it according to one of those things.

And I will just label of those unanswered or an open emails with that label. So I know I need to get back to them as soon as I can.

The second thing I enjoy about Gmail is that integration with other Google apps like calendar, Google came and tasks. So basically, you can open that side on the right side of your screen.

And Gmail lets you peek into those apps and use them side by side to interconnect all the information from that same account. This really comes in handy for some instance you’re using a gmail to schedule a meeting and you need to access your calendar instead of having to access the calendar in another tab or even in another device.

If you prefer it that way, you can simply open the Calendar tab inside your Gmail account and see if you have a free slot of time to schedule that meeting and just type your mail right on the go. The third thing I really enjoy about Gmail is the ability to have different in boxes.

So for instance, I have a ton of social emails arriving every single day to my inbox, people who are messaging me on social media emails that are getting to my YouTube account, things related to my Instagram people replying to blog posts on my website and so on. And usually those emails are not a priority for me to answer.

So they’re all filtered into the social inbox so I can get them when I can get to them. Instead of having to constantly see my main inbox being floated with promotional emails with forum responses with social reminders and so on. I want to thank skill share for partnering with me today and being incredible at supporting more than 7 million people in your



learning journey skill share is an online learning community with more than 25,000 classes in dozens of different categories and they can help you build new skills develop new strategies and learn more about anything feel curious about skill shares portfolio includes productivity and business master classes, tutorials on how to work with different types of software language classes are some design courses and so on.

Here you are seeing a class on easy project management with Google which will be pretty useful in case you want to take what you’ve learned from this video further.

Also, premium membership gives you unlimited access to all these incredible classes. So no individual payments required and since skill share costs less than $10 a month for the yearly subscription.

It’s the perfect companion for the learning with us.

Yes. Also if you are one of the first 500 people to click the link in the description box you’ll get your first two months of unlimited classes for free. Don’t forget subscribe to the channel and I’ll see you next week with

More college, university and organization related articles
Hi clicks on this page, you’re probably a hard working student who wants to improve their study skills even further. Or maybe you’re someone who tries really hard or wants to try really hard, but you’re not really seeing that payoff in your numbers. But we’ve come to the right video because today we’re going to go over five ish study techniques to help you improve your study skills. I’m not going to go into the obvious ones, like do a bunch of practice problems. And always pay attention in class and don’t do homework in your bed. You know, make sure your desk is neat and your room is neat. I at least that helps me doing work in a clean environment. I feel a lot less messy.

When I feel less messy. I can be more productive. Write down all your work and make a plan or your notes or whatever works for you. When I say clearly do practice problems, pay attention in class, take notes, do your homework that will make the biggest difference. Honestly,

These are five things that you can do to sharpen your skills even further.

Number one, differentiate your study methods. Now, I’ve always found it really effective, especially in high school to study differently for different subjects. To me, this is a very similar idea to, you know, using different color binders for different subjects, or shooting the same flavor of gum while studying as when you’re taking the actual test.

I think it’s like the same effect. I think it just gets your brain used to different environmental conditions, different sensations when you’re doing a certain activity that allows you to switch between them more quickly and more efficiently. Now, there are an infinite number of study methods and everybody has their favorites. I’m going to quickly go over study methods that I use for different classes, especially when I was in high school. There were many for example, in math.

I always used whiteboards. I loved using whiteboards for math, because you can use different colors to visualize each step not only turns your map into a picture, but also allows you to

You clearly see each step. And you know, the colors make it a little more fun than just doing practice problems over and over again, on pencil on paper, what I would do is in the corner, I would write in small print the date of the test the name of the test, if there was one in beneath it, I would just quickly bullet the content that would be covered on the test. So it was like trig identities or you substitution or integrals or anything like that, I would just quickly bleed on here so I knew exactly what to cover and then I would keep that on there the whole time.

Related Post: Best Time Management Systems for Students

And then over here, I would do practice problems and practice problems over and over and over again history and social sciences in general government politics, all that I would mostly use quickly or Spanish or foreign language I was vocab I would like do piece of paper and fold it in half I’d have English on one side is finished on the other and I flipped through and check in quiz myself easily for economics I inserted picture right here I would do a bigger view on a whiteboard the day of the test just a few periods before my study hall because that’s just what worked well in my schedule in addition to making

My notes into a study guide or actually my notes already were a study guide. More on that in my how to take notes video and for science if it was like a physics or chemistry or something that and although the practice problems obviously I would do a lot of practice problems to study and look at all the questions and all tests and stuff like that but if it was more just like understanding concepts and memorizing material I would often use study song have a few of those on this channel and also listen to other people’s like ASAP science has some and yeah a lot of other people have some all you have to really do is go to the YouTube search bar and look up the topic and type the word song next to it. Something will come up this is YouTube.

Number two should be obvious, but if it’s not, I’m going to reiterate it. Always ask for help. Always ask for help. Always ask for help. Don’t be ashamed of asking for help. I did it all the time. The smartest people do they’re not ashamed to go to a teacher or go to a professor’s office hours or whatever to seek.

further explanation on a concept that’s totally normal is literally the teacher professors job, you’ll need more than just like a five minute conversation or five minute explanation see if your teacher will stay after school and work with you or if they have study sessions or if there is somewhere you can go to get further review or if they recommend reading certain chapters in your textbook doing practice problems or reviewing for a test and you really you’ve come across something you really don’t understand take some sticky notes and make a little note of it so that when you go and see your teacher professor to ask them about it leader you know exactly what to bring up you know exactly what your question will be.

Number three review easily review mindlessly review without straining your brain. This was one of my favorite tactics in high school because it was just so easy, no effort. Really what I’m talking about is just kind of always having information and knowledge and answers around you turn those mundane transitions of everyday life turn those mundane tasks into an opportunity.



To deeper you to further engage yourself intellectually listen to a podcast. When you’re in the car when that is relevant to what you’re learning or is related to something that you’re interested in, you can play sideshow Crash Course physics girl, very task to be sauce any educational content creators videos while you’re in the shower getting ready in the morning going to bed just having information constantly being read to you and explain to you in the background of your life I think is really helpful You don’t have to be focused in on what they’re saying but just having it there I think kind of shapes your mind to listen more as well as just learn more because you won’t pick up on all the information because you’re not in a situation where that’s your main focus but but you might learn something new or use it as an opportunity to review something that’s on coming test other methods you can employ that fall under this umbrella of number three is reading you can read I encourage you to read articles, books, even Twitter threads on topics that you’re interested about. I think that counts.

You can if you’re studying and you just want to always have the information around you again but physically you can take sticky notes and you can just put concepts and reminders of certain pieces of information all over your room all over your house so that you see them in your everyday life



Number four This one’s a big especially if you’re taking a college or AP class know the format of the exam that you’re taking know how many questions are going to be on it know how much time you have know if you need a pencil or pen know if you can bring a calculator know what kind of calculator you can use know how many sections there are no know if there’s going to be a break in between know it’s multiple choice short answer long essay, short essays and anything like that true false because that way you can practice problems like that you’ll feel so much more comfortable because you will have seen that material that style so much before and my fifth tip is to make it fun. This depending on the type of person you are fun means different things.

Like if you really like just bunker down and just silence desk, nothing but a desk light on just working for six straight hours that works for you go for it. You do you boo. I’m not judging you. But for me, especially when it comes to like math and science. I like to have fun while I do it.

I will listen to music if I’m doing those kinds if I’m doing a problem set, or I’ll watch Netflix really like this because I feel like if you have a good time when you’re doing your work, you all associate positive feelings and positive emotions with that work and it will make you enjoy learning more.

Obviously you can’t do that with all things like if you’re reading I definitely can’t watch Netflix. Well, I read but sometimes I listen to classical music and listen to an audio book. I can find that that helps say, Do whatever you need to do to trick yourself into thinking that homework is fun.

focus focus. espresso beans. help you do were like Adderall accepts just happy and not at all please don’t do trophies don’t do at all. Unless you’re subscribed to you. Please don’t. Please don’t don’t. I have never have never will. You won’t either. But we read on this thing. Yeah, that’s pretty much it. For me.

It all comes down really to preparing yourself ahead of time and making your work and you’re studying colorful and fun. Leave a comment down below about your favorite studies strategy or any one of these that you plan on trying out also let me know other content that you guys would maybe want to see.

Let me know if you guys would be down for like fitness and lifestyle videos because I totally be down to make those that hopefully really fun tips coming out in a few days. So stick around for that. Okay. Again, I’m Hannah and thank you so much for reading. I hope this helps. Hello everyone. We are now in 2019. And if you’re already feeling behind on your organization system for 2019, I’m here for you. I believe. And this is a mode of my year that if you want to achieve things in life, you need to start simple. And you need to go back to basics to achieve the perfect balance of what you need to be productive and organized.

This is why we are going to start with the free full organization system that will absolutely help you get your life together have everything seamlessly organized into one ecosystem.

So today we are going to talk of course, about the Google Apps for productivity and organization. Basically, this means that the Google ecosystem includes the calendar file, managing email, managing with productivity tools, text editors, and note taking app regarding the pros and cons of the Google ecosystem. I will start



By saying that it’s free. So as long as you have a compatible device, an internet connection and Google products aren’t blocked in your country, you’re able to access Google Apps. Also,



their synchronization between all the devices you use to access the same account and you have the ability to sign in into your organization system. In any computer or device. There’s also concept backing up of your information, so you’ll never be afraid of losing anything.

So there are simple tools that make your organization system that much easier to use and to manage for cons. We can also take simplicity because it can be a burden for some users who prefer complex tools to organize their lives. And also the digital environment may not be very convenient or the best start for some people.

I myself use a hybrid of an analog and digital system. There are some tests that I prefer to do on papers if that’s your case, and it prefer to all of your organization in paper that’s just fine. Also, you mostly need an internet connection.

If you live in an area where that’s hard to come by, you might have a lot of trouble making the most out of this ecosystem to build a foundation of our organization system.

We’re going to start with Google Keep and I believe that Google Keep is one of the most underrated organization apps out there yes we’ll keep is a very simple app but it’s really powerful because its simplicity ease transported to other types of Google apps like calendar in Gmail, but we will talk about that later.

So for now, what you need to know is that Google Keep acts as a dashboard where you can place post it notes with all kinds of to do’s of notes and reminders.

So in your main dashboard, you can see these little notes that you can color code and then click and drag according to your own priorities, your arrow key and even if you want, you can simply establish blocks of color so you can see how many tasks you have according to the topic you shows for each color. The best way to organize your notes with Google Keep is basically sabotaging a color for each kind of topic you are choosing for each node.

So for instance here I have yellow for every YouTube related task and I have blue for every school related.

Task wise tasks are personal tasks, including things like personal to do’s appointments, financial stuff, and so on. The second thing you can do to really organize your notes is using labels these act as tax so it can simply create a note, assign it a color, and then choose a label according to the topic of the notes.

So you can select the label on the left side of your screen to access all notes labeled with that name. Also, as I said before, you can click and drag every single note so you can have the order of notes that you prefer to get yourself organized. Also, since it’s a Google product. You can also download Google Keep to your phone, so it synchronizes with every

See: Best Study Tools for Medical Students – Top 5 Study Techniques

Everything you do on your computer when you migrate all of your to do’s all of your notes, all of your project notes into Google Keep, you can definitely go to Google Calendar and start managing your time, your appointments and your tasks. My basic tip for Google calendar to work is creating a calendar for each categorized sort of information you’re trying to place your calendar.

So for instance, in my particular case, I use for instance, rav4 family sharing tasks and appointments. I use purple for my history classes, I use orange for any YouTube related stuff. This is a really good way for you to understand which parts of your week are allotted to certain parts of your life, and so on.

The second tip I can give for Google Calendar users is using the upper part of your calendar to schedule daily tasks instead of hourly events. So even if you’re using a calendar blocking technique to manage your time and your digital calendar sometimes



Your events that are occur hourly, but instead they occur on a daily basis. This happens mostly with holidays, birthdays and things like that. So what I do in these cases is creating that event, then assign it to one of those specific color coded calendars and then drag the event up to the top of my calendar where it will be considered a daily event that do not need to assign an hour for the event to be completed are finished possible. calendar has a function of sinking with all of your devices and also inviting it also allows you to invite people to share your calendar This is really good for things like housework, your business, teamwork, or even scheduling meeting hours with the book clubs, work groups, and so on.

The power of your Google ecosystem really shows up here when you access it tools in the right tab in the right side you have these little app lets that you can access to open up different Google apps that can synchronize and can be used with your Google Calendar.



So for instance, we have already set up all of our tasks in Google Keep. And by clicking the respective button on your Google Calendar app, you can access all those tasks so you can better understand by looking at those tasks. Those color coded knows how you need to schedule your time better, what type of to do’s you need to integrate into your calendar, what kind of goals you need to project in your schedule, and so on. Also, if you set reminders, both in your Google Calendar and in your Google Keep apps, you can also get on track with your tasks and with your events by being smart with how establish those alarms go off in your phone.

After that, I think it’s time for you to manage all of your files with Google Drive. If you’ll basically be the only file manager you need in case you have a permanent internet connection. So Google Drive is free until 15 gigs which may definitely not be enough for you to keep all of your files but 100 gigs goes for less than $2.



A month. And if you’re a student, that’s what you’ll need in case you deal with PDF and text documents. Mostly just like any file manager on your computer. Google drive’s allows you to create folders and organize them according to name and color. So you can basically create a full fledged file managing system online.

That way, you never fear losing your files since Google Drive backs up your documents to the cloud. So they’re always there. Even if your computer crashes. There’s nothing really special about Google Drive in itself.

It’s a very simple and powerful tool for you to organize all of your files and being sure that that can be accessed anywhere. If you cannot rely on a specific device to do all of your work.

You also have sharing capabilities with other users. And the good thing is you do not need to share your whole files with your friends and family because you can select the specific folders or files you want to share. Also, the good thing is that when you are storing documents in Google Drive if they are text based



documents, you can quickly open them up in Google Docs and added them on the go. And Google Docs is actually pretty powerful text editor, although is not as powerful as Microsoft Word, but it definitely has all the tools you need, including an commenting interface, as well as sharing capabilities that make it a solid text editor. In case you need something a little bit more structured than Google Keep.

It also has constant cloud backup. So you’ll never worry about losing your files. And although the tools are nothing to elaborate, they will make the job just fine.

Finally, I want to talk about Gmail. And I’m not going to talk about Gmail in itself as a mailing service in comparison to other mailing services. But I want to talk about the organization tools inside Gmail that make it the perfect tool for you to organize your mail if you are into the Google ecosystem. So the first thing I love about Gmail is the ability to call her



code and label my emails effectively, just like I do with my calendars. I have very specific labels in my Gmail, things like answered, not answered sponsorship, inquiry blog post, any school related emails and so on. And every time I get an email, I will automatically label it according to one of those things.

And I will just label of those unanswered or an open emails with that label. So I know I need to get back to them as soon as I can.

The second thing I enjoy about Gmail is that integration with other Google apps like calendar, Google came and tasks. So basically, you can open that side on the right side of your screen.

And Gmail lets you peek into those apps and use them side by side to interconnect all the information from that same account. This really comes in handy for some instance you’re using a gmail to schedule a meeting and you need to access your calendar instead of having to access the calendar in another tab or even in another device.

If you prefer it that way, you can simply open the Calendar tab inside your Gmail account and see if you have a free slot of time to schedule that meeting and just type your mail right on the go. The third thing I really enjoy about Gmail is the ability to have different in boxes.

So for instance, I have a ton of social emails arriving every single day to my inbox, people who are messaging me on social media emails that are getting to my YouTube account, things related to my Instagram people replying to blog posts on my website and so on. And usually those emails are not a priority for me to answer.

So they’re all filtered into the social inbox so I can get them when I can get to them. Instead of having to constantly see my main inbox being floated with promotional emails with forum responses with social reminders and so on. I want to thank skill share for partnering with me today and being incredible at supporting more than 7 million people in your



learning journey skill share is an online learning community with more than 25,000 classes in dozens of different categories and they can help you build new skills develop new strategies and learn more about anything feel curious about skill shares portfolio includes productivity and business master classes, tutorials on how to work with different types of software language classes are some design courses and so on.

Here you are seeing a class on easy project management with Google which will be pretty useful in case you want to take what you’ve learned from this video further.

Also, premium membership gives you unlimited access to all these incredible classes. So no individual payments required and since skill share costs less than $10 a month for the yearly subscription.

It’s the perfect companion for the learning with us.

Yes. Also if you are one of the first 500 people to click the link in the description box you’ll get your first two months of unlimited classes for free. Don’t forget subscribe to the channel and I’ll see you next week with

More college, university and organization related articles

Read More »