...Driving down Pico boulevard one would think marijuana was the accepted medical practice in Los Angeles. The arrival of over 300 Marijuana clinic and dispensaries in Los Angeles was rapid, and brought the topic of medical marijuana to main stream media. In a poll done by the Washington Post 81 percent of people would accept a marijuana prescription form their doctor for an ailment compared to a 1997 poll where only 69 percent would be willing. All though the marijuana movement gained popularity psychologists are still weary of the possible negative effects. Scientist are currently researching marijuana’s addictive properties, its withdrawal effects and the medical value of delta-9-tetrahydrocannabinol (THC). The co-director of the Pearson center for alcoholism and Addiction Research and PhD Barbara Mason notes that ten percent of Marijuana users have a high risk of developing Marijuana dependence. Ninety percent of individuals will be able to use it in a way they find non problematic in terms of dependence but ten percent will run the risk of developing dependence, and for that, effective treatments should be available (Mason 2010). PhD Alan Marlatt, esteemed researcher, does not seem to be swayed by the support for the legalization of marijuana. He thinks it should be decriminalized not legalized, with decriminalization it does not make it legal but it would “open the door for more people to seek help.” Marlatt feels many marijuana dependences remain depend out of fear of getting...
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...“Fibromyalgia is a disorder of unknown etiology characterized by chronic widespread pain, abnormal pain processing, sleep disturbance, fatigue and often psychological distress” (Pain Physician, 2011). The central symptom of fibromyalgia, namely widespread pain appears to result from neuro-chemical imbalances including activation of inflammatory pathways in the brain which results in abnormalities in pain processing (Sept, 2011). The brains of fibromyalgia patients show functional and structural differences from those of healthy individuals, but it is unclear whether the brain anomalies cause fibromyalgia symptoms or are the product of an unknown underlying common cause. Some research suggests that these brain anomalies may be the result of childhood stress, or prolonged or severe stress (October 2008). Fibromyalgia (also known as FM or FMS) is estimated to affect 2-4 % of the population (October 2007) with a female to male incidence ratio of approximately 9:1 (2009). The pain associated with fibromyalgia is described as a constant dull ache, typically arising from muscles. FM is characterized by additional pain when firm pressure in applied to specific areas of your body. These are called tender points and include the back of the head, between shoulder blades, top of shoulders, front sides of neck, upper chest, outer elbows, upper hips, sides of hips, and inner knees. In order to be diagnosed you must have 11 out of the 18 total tender points. Not all Fibromyalgia patients are...
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...ISSN 0859-600X Volume XIII No. 2 April-June 2008 Vietnamese catfish Culture-based fisheries in Lao Changing face of carp culture Providing Claims Services to the Aquaculture Industry Algae blooms Disease Large scale Weather losses Mass escape Non-compliance Pollution & Environmental contamination Predators Super chill Theft Damage to equipment, cages, moorings A global network of offices in 63 countries, provides local expertise in a rapidly growing aquaculture industry. Specialists available in Australia, Canada, Chile, China, Greece, Holland, Hong Kong, Italy, Norway, Spain, South Africa, UAE, United Kingdom and United States. For more information contact Mark Vos, tel: + 31 6 21 544 344 or markvos@crawco.nl Aquaculture Asia is an autonomous publication that gives people in developing countries a voice. The views and opinions expressed herein are those of the contributors and do not represent the policies or position of NACA. Editorial Board Wing-Keong Ng M.C. Nandeesha Editor Simon Wilkinson simon@enaca.org Editorial Assistant Phinyada Sompuech Editorial Consultant Pedro Bueno NACA An intergovernmental organization that promotes rural development through sustainable aquaculture. NACA seeks to improve rural income, increase food production and foreign exchange earnings and to diversify farm production. The ultimate beneficiaries of NACA activities are farmers and rural communities. Contact The Editor, Aquaculture Asia PO Box 1040 Kasetsart Post Office Bangkok...
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...sprains, and sometimes small sores next to my tongue and in my oral cavity. I connected it to our daily meat diet and not so often greens. Later, we reduced the meat and ate more fish and poultry, depending on the price. I would rinse my mouth with salt water to see if it would not get better. With it came the terrible bloatedness, an unquenchable thirst, and burning feet, and my tongue was feeling thick and...
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...FOOD SAFETY KNOWLEDGE AND PRACTICES OF FOOD RECOVERY AGENCY WORKERS BEFORE AND AFTER FOOD SAFETY TRAINING A Thesis Submitted to the Graduate Faculty of the Louisiana State University and Agricultural and Mechanical College in partial fulfillment of the requirements for the degree of Master of Science in The School of Human Ecology by Sara Katherine Waggoner B.S., Texas Christian University, 2002 May 2004 ACKNOWLEDGEMENTS I would like to express my deep appreciation to Dr. Michael Keenan who served as one of my major professors on this project. His concern for his students and colleagues is extraordinary, and his enthusiasm regarding the field of nutrition is inspiring. A sincere expression of gratitude goes to my other major professor Dr. Elizabeth Reames. She is an excellent mentor, and it has truly been a blessing to work with such an amazing person. I would like to thank Dr. Maren Hegsted, a committee member who has been an incredible support to me during my time here at LSU. She has always been there to offer advice and to answer my endless questions. Also, I would like to show appreciation to Dr. Georgiana Tuuri, a committee member whose energy and smile were always sources of encouragement. A very special thank you is also extended to my family and friends for their patience, understanding, and support throughout this endeavor. Finally, thank you to the entire faculty, staff, and students of the School of Human Ecology for their thoughtfulness...
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...Obstructive Sleep Apnea in adults Demographic Paper Walter Pacheco HCS 490 Health Care Consumer trends and Marketing Tuesday 13, 2012 Melinda O'Brien Obstructive Sleep Apnea in adults Demographic Paper This paper is about the demographics on obstructive sleep apnea on adults comparing between Hispanic (Baldwin, Rernaga-Ornelas, Caudillo-Cisneros, Márquez-Gamiño, & Quan, 2012), African American, and Caucasian populations (Ram, Seirawan, Kumar, & Clark, 2009). Data shows how each of these groups are affected by obstructive sleep apnea and why income affects Hispanics, African Americans, and Caucasians differently. The impact obstructive sleep apnea has in the health care market (AlGhanim, Comondore, Fleetham, Marra, & Ayas, 2007). How and why the changes in demographics of these three populations affect health care (AlGhanim, Comondore, Fleetham, Marra, & Ayas, 2007). Two key health care related challenges Hispanics, African Americans, and Caucasians may experience with health care are costs, and in-home care (Hillman, Murphy, & Pezzullo, 2006). This paper will describe how a wellness program can affect the cost of health care and in-home care for the three groups, and the services available for any who suffer from obstructive sleep apnea (Downey III, Mosenifar, Gold, Rowley, Wickramasinghe, Sharma, Talavera, Ouellette, & Tino, 2012). Finally this paper will give examples on how an individual, the community, and society can address these...
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... All four papers in the forthcoming volume are available on the web at http://www.iucnus.org/publications.html. ECONOMIC VALUATION OF THE MANGROVE ECOSYSTEM ALONG THE KARACHI COASTAL AREAS Samina Khalil Applied Economics Research Institute, Karachi ABSTRACT The mangroves of the Indus River Delta in the Karachi, Pakistan coastal areas provide a wealth of goods and services to people who live and work among them. However, these products are not sold in established markets, so their economic importance goes unrecognized. As a result, the expansion of regional industry, agriculture, and population are permitted to threaten the sustainability of the mangrove ecosystems. This study describes the broad array of goods and services provided by the mangroves, and uses market data to estimate the economic value of a few of them. It then argues for the importance of more thorough mangrove valuation studies as a crucial input into policy decisions which will affect the viability of mangrove ecosystems in the future. INTRODUCTION This study focuses on economic valuation of the mangrove ecosystem along the Karachi coastal areas. The mangrove ecosystem of the Indus Delta coastal zone is a vital wetland area of great ecological and economic significance. The location...
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...Reducing Rehospitalizations Elizabeth A Goebel Drexel University Reducing Rehospitalizations Change has become a major buzz word in nursing; everything is changing on a daily basis. If it isn’t the evolution in technology, changes in the reimbursement process, it is introducing new initiatives to reduce rehospitalizations and ultimately improve patient outcomes. Hospitals are under tremendous pressure to reduce their avoidable rehospitalization rates. In October 2012, hospitals started being penalized for having higher readmission rates. Jenks estimates that readmissions within thirty days of discharge cost Medicare more than seventeen billion dollars annually (Jenks, Williams, and Coleman, 2009). There is no doubt that readmissions following a hospitalization are very costly. This issue is critical in nursing today because skyrocketing costs can affect salaries and poor outcomes can be blamed on poor care. The quest for better outcomes proves to be a collaborative effort between hospitals, physicians, case managers, therapists, social workers and caregivers. In May of 2008 St Luke’s Hospital in Cedar Rapids, Iowa implemented a transitions in care program. They understood that the hand off from hospital to home was not working effectively. They focused on being sure that the patient as well as the care givers understood the patients diagnosis, plan of care and plan for follow up care with their doctors. They used the “teach back” method, by having the patients...
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...independently and in association with the metabolic syndrome. Impaired insulin sensitivity has been documented in those known to be at risk for diabetes, such as normoglycemic first-degree relatives of people of T2DM, and women with history of gestational diabetes. Although present in most people who developed T2DM, insulin resistance is generally present for many years before changes in blood glucose concentrations are evident. Despite possible influences from genetic and perinatal factors, diet and physical activity are likely to have greater and overriding influence in generation of the metabolic syndrome and T2DM. Dietary intakes of vegetable fat, polyunsaturated fatty acid, dietary fiber (particularly cereal fiber), magnesium, and caffeine are significantly inversely correlated and intakes of trans fatty acid and heme-iron, glycemic index, and glycemic load are significantly positively correlated with the incidence of type 2 diabetes (Murakami K et al J Nutr Sci Vitaminol (Tokyo) 2005; 51:292-310). Studies have shown a significantly decreased risk for T2DM with the higher consumption of grain (particularly whole grain), and significantly increased risk with processed meat consumption (J Nutr Sci Vitaminol (Tokyo) 2005; 51:292-310). Increased obesity is associated with insulin resistance. Other important factors contributing to insulin resistance include accumulation of omental fat and fat in the myocellular compartment, both of which can exist independent of degree of generalized...
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...Preface The study attempts to evaluate the performance of the private life insurance companies of Bangladesh, mainly I highlight the delta life insurance company. Insurance is a technical device of risk management. Risk taking is the sixth function of marketing and marketing is an important insurance function. It is a total system of business activities designed to plan, price promote and distribute want satisfying products, services and ideas to target markets in order to achieve organizational objectives. In the United States about 87% of the business is service oriented. In our country about 65% business activities are service oriented. Development of Business depends on the degree of service provided by the companies. Retention of customer depends on the relationship and service of the companies. Customer Relationship management is the widely popular marketing term that has given tremendous impact among the modern customer. Delta Life insurance Co. Ltd. who is deals with insurance business has now turn into service oriented organization to meet the demand of the 21st century as the competition has got momentum. Insurance is one of the important sectors that are playing a vital role in the economic development of the country. An attempt has been made to discuss the whole topics in two distinctive sector- organization related matter and marketing strategy respectively. Insurance industry is one of the strategic sectors in the country Acknowledgement is due to Dr. Afjal Hossain...
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...environment and wellbeing of a local indigenous community: A case study of the Ogoni people of Nigeria. 1.0 Introduction Ogoni is an ethnic group in the Niger (fig. 1) Delta area of Nigeria. It is a high oil-rich area, populated by approximately 500,000 people (Global nonviolent action database 1995). Ogoni’s who are hardworking people are farmers and fisher men, producing food not only for themselves but for most of the Niger Deltan’s (Ebeh n.d). The region has been plagued with serious environmental degradation resulting from activities of oil and gas exploration and exploitation since Shell petroleum development company discovered oil in Ogoni land in 1958 (Global nonviolent action database 1995). However, contaminated lands in this region were not only through wells and pipelines, but by gas flares which produced intense heat and chemical gas fogs that polluted nearby homes and rendered farmlands barren ( Johansen 2010). Oil exploration and production have been carried out by Shell international at Ogoniland since 1950s, but its operations were stopped in the 1990s due to disputes between Shell and the Ogoni’s (Kadafa 2012). As a result, Ogoniland has been characterized by oilfields and installations that have remained dormant, past spills, lack of maintenance, oil trapping and damages to oil infrastructure for over fifteen years without remediation (Kadafa 2012). Figure 1: Niger Delta of Nigeria showing Ogoniland Source: United Nations...
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...Name Professor Course Date History of wine Introduction The earliest evidence of production of wine was found in Georgia and Iran. The altered conscious that is produced by wine is considered to be religious. The Greeks worshiped Bacchus and Dionysus, and the people of Rome carried on the cult. However, the consumption of wine was one part of practices of Jewish people even during the biblical times. In the last supper, the wine was used in commemorating Eucharist thus becoming a Christian church essential. Muslims forbade consumption as well as the production of wine. However, during the golden age, the Muslims were using wine for industrial purpose, for example in perfume production. Further, the distilled wine was used for the medicinal purpose (Shapin, 12). The information regarding the first wild grapevine cultivation is still uncertain (Brown, 145). Grapes grow in Azerbaijan, Armenia, Georgia, southeastern and coastal Turkey, the northern Levant and northern Iran. The fermenting of wild grape was easier due to the development of pottery in the Neolithic period. One of the oldest wineries discovered was in vayot dzor, in the Arena- 1 cave. In the site, there were fermentation vats, cups, jars and a wine press (Brown, 145). Wild grapes vines and seed were also found. In early Bronze Age, there were plenty of domesticated grapes in the near east. Further, there is an evidence of wine production in Egypt and Sumer (Shapin, 12). According to McGovern...
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...PFII/2007/WS.3/6 Original: English UNITED NATIONS NATIONS UNIES DEPARTMENT OF ECONOMIC AND SOCIAL AFFAIRS Division for Social Policy and Development Co-organizers Secretariat of the Permanent Forum on Indigenous Issues Government of Khabarovsk Krai and the Russian Association of Indigenous Peoples of the North (RAIPON) INTERNATIONAL EXPERT GROUP MEETING ON INDIGENOUS PEOPLES AND PROTECTION OF THE ENVIRONMENT KHABAROVSK, RUSSIAN FEDERATION AUGUST 27.-29, 2007 The Adverse Impacts of Oil Pollution on the Environment and Wellbeing of a Local Indigenous Community: The Experience of the Ogoni People of Nigeria Paper by LEGBORSI SARO PYAGBARA MOVEMENT FOR THE SURVIVAL OF THE OGONI PEOPLE (MOSOP) OF NIGERIA Introduction Crude oil has had profound impact on the world civilization than any single natural resource in recorded history. Oil has become a very decisive element in defining the politics, rhetoric and diplomacy of states. This fact is adumbrated in a public lecture entitled “Oil in World Politics” delivered by a former secretary of the Organization of the Petroleum Exporting Countries (OPEC), the late Chief M.O.Feyide, when he asserted that “All over the world, the lives of people are affected and the destiny of nations are determined by the result of oil explorations. Oil keeps the factors of the industrialized countries working and provides the revenues,...
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...Food Sensitivities 9 1.5.5 Heavy Metal Toxicity 9 1.5.6 Nutrient deficiencies 9 1.5.7 Pregnancy/birth trauma 10 1.5.8 Hypoglycaemia 10 1.5.9 Digestive 10 1.5.10 Thyroid 11 1.6 Clinical Management 11 1.7 Understanding the Role of Essential Fatty Acids 12 1.7.1 What are Essential Fatty Acids? 12 Figure 2. Major Food Sources of Essential Fatty Acids 12 Figure 3. Omega-3 and Omega-6 metabolic pathways 13 1.7.2 Essential Fatty Acids and Brain Function 13 1.7.3 Physical Signs of Fatty Acid Deficiency 14 2.0 Literature Review 15 2.1 DHA Supplementation 15 2.2 Combined DHA, EPA, GLA Supplementation 18 2.3 Combined EPA, DHA, ALA Supplementation 19 2.4 ALA Supplementation 22 2.5 Summary of studies reviewed 23 Figure 4. Summary of Studies Reviewed 23 3.0 Discussion 24 3.1 Future Research 27 4.0 Conclusion 28 5.0 Nutritional Strategy 29 5.1 Benchmarking 29 5.2 Dietary Strategy 29 5.3 Lifestyle Strategy 29 5.4 General Supplement programme 30 6.0 Acknowledgements 31 7.0 References and Bibliography 32 7.1 Primary References 32 7.2 Secondary References 34 7.3 Bibliography 35 8.0 Appendix 36 8.1 Glossary 36 Abstract Attention-Deficit Hyperactivity Disorder (ADHD) is a diagnostic label used to describe individuals, who display a wide range of behavioural symptoms broadly defined as inattention, hyperactivity...
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...negative attitudes can have major impacts on the overall health of these patients including; lowered self esteem, depression, increased stress and a lower quality of life when compared to a patient at a normal weight (Phelan et al., 2015). To dig deeper into this issue, it is important to find and examine studies and/or publications on the subject. The article that the author of this paper has chosen is called “Attitudes of Health Care Professionals toward Female Obese Patients”. This is a quantitative research article and experimental study to determine the common stigmatizing attitudes that health care professionals hold when caring for obese patients. The article hypothesizes that nurses show higher levels of negative attitudes toward obese patients. The research question that the author of this paper poses is as follows; does recognizing certain biases and attitudes that health care providers have toward obese patients help improve the overall quality of care for them (Phelan et al., 2015)? Methods of Study The study sampled 682 health care professionals (nurses, physicians, therapists and others) at a large German university hospital. The majority of the study participants were women with a mean age of 36 years. The participants were asked to fill out a questionnaire on stigmatizing attitudes, work related factors (lack of equipment to care for obese patients) and perceived causes of obesity. The questionnaire displayed a vignette of woman presented as being 42...
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