Generalized Anxiety Disorder During Pregnancy

Generalized Anxiety Disorder During Pregnancy GAD Coping Print Generalized Anxiety Disorder During Pregnancy By Arlin Cuncic Arlin Cuncic, MA, is the author of Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder and 7 Weeks to Reduce Anxiety. Learn about our editorial policy Arlin Cuncic Medically reviewed by Medically reviewed by Steven Gans, MD on October 06, 2017 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on February 09, 2020 Generalized Anxiety Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children Jose Luis Pelaez Inc?/Getty Images Living with an anxiety disorder while you are pregnant adds stress to an already challenging time of your life. In the case of generalized anxiety disorder (GAD), chronic worry associated with the disorder may prevent you from enjoying the experience of being pregnant â€" from the time you find out until long after your baby is born. If you find yourself experiencing chronic worry that feels out of your control, consider mentioning how you are feeling to your doctor or other healthcare professional. Prevalence We know that about 6 percent  of the population will experience GAD over their lifetime, and during any year, about 1 to 3 percent of individuals will be living with GAD.?? The disorder is twice as common in women as men, which makes it particularly relevant to pregnancy. The rate of GAD during pregnancy has been shown to be in the range of 8.5 percent to 10.5 percent. GAD tends to go underdiagnosed and may be difficult to tell apart from normal worrying. Along the same lines, a woman who was always a worrier may develop GAD during pregnancy, possibly related to changes to do with hormones, mental state, and social obligations (e.g., leaving work, preparing for raising a family). A 2011 study showed that anxiety symptoms tend to be highest in the first trimester and decrease throughout the pregnancy.?? However, many women have GAD overlapping with other disorders such as depression, which can make them, and their unborn children, extremely vulnerable. Risks and Complications A 2015 longitudinal study of women with major depressive disorder and GAD showed that those with GAD in addition to depression had a poorer quality of life and experienced more persistent worry.?? Untreated GAD may lead to pregnancy complications such as low birth weight, preterm delivery, high blood pressure, problems with neurodevelopment of the baby, and failure to progress during labor. Once your baby arrives, you may also have trouble managing the demands of a newborn and developing a bond with your baby. Treatment Options Treatment of GAD during pregnancy may involve psychoeducation, therapy, and/or medication. Typically treatment will be tailored to the unique situation of the mother, taking into account your severity of symptoms and history of anxiety: Psychoeducation is important in early stages and during diagnosis, to help reduce denial and stigma and lead to successful treatment.Therapy  such as cognitive-behavioral therapy (CBT) is most often used on its own in mild cases of GAD or in combination with medication in more severe cases. CBT may involve cognitive restructuring, exposures, relaxation training, and mindfulness therapy.Medication  may be used in more severe cases. Typically a selective serotonin reuptake inhibitor (SSRI) (e.g., Prozac, Cipralex) would be prescribed. Benzodiazepines may be used for the short-term management of anxiety.Support  is also an important component of coping. If you have GAD and are pregnant, seek out support from family, friends, and the community to help you cope. Can I Take Medication for GAD While Pregnant? If you have GAD and are pregnant, you may wonder whether it is safe for you to take medication. While this decision is best left to your doctor, typically medication is prescribed when the benefits are thought to outweigh the risks. In other words, if you suffer from crippling anxiety that will almost certainly negatively impact your pregnancy, medication may be a good option. SSRIs cross the placenta but are considered reasonably safe during pregnancy.?? Babies of mothers who took SSRIs during pregnancy may suffer from neonatal adaptation syndrome, with symptoms such as jitters, trouble feeding, and irritability. If youve taken benzodiazepines regularly during pregnancy, your baby will also be monitored for side effects of the medication. You may also wonder about breastfeeding. Certain SSRIs have a low concentration in breast milk â€" so breastfeeding while on these medications may not be contraindicated. However, the long-term effects of these drugs on the developing child is still not fully known. You should weigh the potential benefits and risks with your doctor. A Word From Verywell You may simply wonder whether it is responsible to become pregnant if you have GAD. When successfully treated, there isnt any reason why a woman with GAD should not have children. Make a plan with your doctor on how to manage symptoms if they arise and be in contact on a regular basis to keep your anxiety in check.

What Is the Economics and Geography of Brazil

Brazil is the fifth largest country in the world in terms of population (207.8 million in 2015) and well as land area. It is the economic leader of South America, with the ninth-largest economy in the world, and a large iron and aluminum ore reserve. Fast Facts: Brazil Official Name: Federative Republic of BrazilCapital: BrasiliaPopulation: 208,846,892Â  (2018)Official Language: PortugueseCurrency: Reals (BRL)Form of Government: Federal presidential republicClimate: Mostly tropical but temperate in southTotal Area: 3,287,957 square miles (8,515,770 square kilometers)Â  Highest Point: Pico da Neblina 9,823 feet (2,994 meters) Lowest Point: Atlantic Ocean 0 feet (0 meters) Physical Geography From the Amazon basin in the north and west to the Brazilian Highlands in the southeast, Brazils topography is quite diverse. The Amazon River system carries more water to the ocean than any other river system in the world. It is navigable for its entire 2,000-mile trip within Brazil. The basin is home to the most rapidly depleting rain forest in the world, losing about 52,000 square miles annually. The basin, occupying more than 60% of the entire country, receives more than 80 inches (about 200 cm) of rain a year in some areas. Almost all of Brazil is humid as well and has either has a tropical or subtropical climate. Brazils rainy season occurs during the summer months. Eastern Brazil suffers from regular drought. There is little seismic or volcanic activity due to Brazils position near the center of the South American Plate. The Brazilian Highlands and plateaus generally average less than 4,000 feet (1,220 meters) but the highest point in Brazil is Pico de Neblina at 9,888 feet (3,014 meters). Extensive uplands lie in the southeast and drop off quickly at the Atlantic Coast. Much of the coast is composed of the Great Escarpment, which looks like a wall from the ocean. Political Geography Brazil encompasses so much of South America that it shares borders with all South American nations except Ecuador and Chile. Brazil is divided into 26 states and a Federal District. The state of Amazonas has the largest area and the most populous is Sao Paulo. The capital city of Brazil is Brasilia, a master-planned city built in the late 1950s where nothing existed before in the Mato Grasso plateaus. Now, millions of people reside in the Federal District. Human Geography Two of the worlds 15 largest cities are in Brazil: Sao Paulo and Rio de Janeiro, and are only about 250 miles (400 km) apart. Rio de Janeiro surpassed Sao Paulos population in the 1950s. Rio de Janeiros status also suffered when it was replaced by Brasilia as the capital in 1960, a position Rio de Janeiro had held since 1763. However, Rio de Janeiro is still the undisputed cultural capital (and major international transportation hub) of Brazil. Sao Paulo is growing at an incredible rate. The population has doubled since 1977 when it was a metropolis of 11 million people. Both cities have a huge ever-expanding ring of shanty towns and squatter settlements on their periphery. Culture and History Portuguese colonization began in Northeastern Brazil after Pedro Alvares Cabrals accidental landing in 1500. Portugal established plantations in Brazil and brought slaves from Africa. In 1808, Rio de Janeiro became the home of the Portuguese royalty, which was ousted by Napoleons invasion. Portuguese Prime Regent John VI left Brazil in 1821. In 1822, Brazil proclaimed independence. Brazil is the only Portuguese-speaking nation in South America. A military coup detat of the civilian government in 1964 gave Brazil a military government for more than two decades. Since 1989, there has been a democratically elected civil leader. Though Brazil has the worlds largest Roman Catholic population, the birth rate has significantly decreased over the last 20 years. In 1980, Brazilian women gave birth to an average of 4.4 children each. In 1995, that rate dropped to 2.1 children. The annual rate of growth has also decreased from just over 3% in the 1960s to 1.7% today. An increase in contraceptive use, economic stagnation, and the diffusion of global ideas through television have all been explained as reasons for the downturn. The government has no formal program of birth control. There are fewer than 300,000 indigenous Amerindians living in the Amazon basin. Sixty-five million people in Brazil are of mixed European, African, and Amerindian descent. Economic Geography The state of Sao Paulo is responsible for about half of Brazils Gross Domestic Product as well as about two-thirds of its manufacturing. While only about 5% of the land is cultivated, Brazil leads the world in coffee production (about a third of the global total). Brazil also produces a quarter of the worlds citrus, has more than one-tenth of the cattle supply, and produces one-fifth of the iron ore. Most of Brazils sugar cane production (12% of the world total) is used to create gasohol, which powers a portion of Brazilian automobiles. The key industry of the country is automobile production.

health insurance matrix HCS/235 Essay - 637 Words

University of Phoenix Material Health Insurance Matrix As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care worker. Fill in the following matrix. Each box must contain responses between 50 and 100 words using complete sentences. Include APA citations for the content you provide. Origin: When was the model first used? What†¦show more content†¦According to Austin and Wetle (2012), employers covered 83% of premium costs for single coverage and 73% for family coverage in 2009. The employee, or beneficiary, paid the difference. Then, the health insurance company pays the provider directly. Example: HMOs have the strictest access structure, called a gatekeeper model, where patients must have a primary care physician (PCP) through whom all care is routed. PCPs decide which diagnostic tests are needed and control access to specialists through referrals, deciding when it is necessary for a patient to seek more expensive specialty care (Barsukiewicz, Raffel, Raffel, 2010). Example: HMOs are usually the least expensive health plans, offer predictable costs for health care, the least administrative paperwork, and cover preventive care (Barsukiewicz, Raffel, Raffel, 2010). However, HMOs also restrict direct access to specialists by requiring referrals by a PCP, requiring patients to see a provider in the HMO network, and often not covering more costly procedures or care options, because care is managed to control excessive or unnecessary care. Providers gain if they provide less care (Austin Wetle, 2012). This incentive could affect patient-provider trust. Example: Advantages of HMOs are that a known amount of revenue is guaranteed and the patient population number is fixed (Austin Wetle, 2012). In addition, if providers use less in services than the capitated fee,Show MoreRelated HCS 235 Week 2 Completed Health insurance matrix1163 Words   |  5 PagesMaterial Health Insurance Matrix As you learn about health care delivery in the United States, it is important to understand the various models of health insurance to develop a working knowledge as you progress through the course. The following matrix is designed to help you develop that knowledge and assist you in understanding how health care is financed and how health insurance influences patients and providers as important foundational information for your role as a future health care workerRead MoreExploring Corporate Strategy - Case164366 Words   |  658 Pagesdistribution and marketing of prescription drugs and issues of corporate responsibility are discussed. The case also looks at the different types of strategies that are followed by pharmaceutical companies. ââ€"  ââ€"  ââ€"  In late 2006, industry commentator IMS Health released its latest forecast, predicting pharmaceutical market growth at a 10-year low. 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Services and economies of scale Van Horne and Wachowicz:Read MoreMerger and Acquisition: Current Issues115629 Words   |  463 Pagestakeover wave of the 1980s, however, leverage and hostility were uncommon in the MA wave of the 1990s. Instead, takeover activity was dominated by cross-border mergers, and mergers in the service sectors, most notably telecommunications, broadcasting, health care and banking. In fact, these three industries accounted for one-third of worldwide mergers by value in 1999. Andrade et al. (2001) refer to this wave as ‘the decade of deregulation’. In contrast to the conglomerate mergers of the 1960s, much

Bubonic Plague Free Essays

I. Thesis Statement:The symptoms of the bubonic plague spread rapidly causing outbreaks and identifying the need for modern science to deal with epidemics. II. We will write a custom essay sample on Bubonic Plague or any similar topic only for you Order Now Topic Sentence: The bubonic plague or otherwise known as the black plague spread extremely fast and there were many symptoms of the disease. A. There are many initial symptoms and symptoms before death of the black plague. â€Å"The Bubonic Plague† E medicine. 24 December 2004. http://www. emedicine. com/emerg/topic428. htm , Velendzas, Demetres 1. Many initial symptoms were swollen lymph nodes, delirium, high fever, sore throat, cough, constipation, and shortness of breath. The Bubonic Plague† E medicine. 24 December 2004. http://www. emedicine. com/emerg/topic428. htm , Velendzas, Demetres 2. The symptoms before death are seizures, vomiting, chills, malaise, abdominal pain, weakness, and red spots that turn black. â€Å"The Bubonic Plague† E medicine. 24 December 2004. http://www. emedicine. com/emerg/topic428. htm , Velendzas, Demetres B. The plague was spread by both humans and animals. â€Å"The Black Plague† The Middle Ages. 1998, Oxford New York. Ox ford University Press (Hanawalt 128) 1. The plague was spread in a pneumonic form that was passed from person to person by sneezing, coughing, or talking. The Black Plague† The Middle Ages. 1998, Oxford New York. Oxford University Press (Hanawalt 128). 2. An infected rat would be bitten be a household tick that would later bite a human who would then pass it on in the pneumonic form. III. Topic Sentence: In the fourteenth century there were very few ways to control the outbreaks. A. When the plague began the ships that went to the black sea to trade with Chinese merchants were the first Europeans to get the black sea. â€Å"The Black Death: Bubonic Plague† The Middle Ages. 2006 http://www. themiddleages. net/life/blackdeath. html. Culatta, Richard 1. China was one of the world’s busiest nations and it was a matter of years before Europe and the rest of Asia caught it. â€Å"The Black Death: Bubonic Plague† The Middle Ages. 2006 http://www. themiddleages. net/life/blackdeath. html. Culatta, Richard 2. When the European merchants docked in Italy the crew was already dying of the plague within a few days the plague spread throughout the countryside. â€Å"The Black Death: Bubonic Plague† The Middle Ages. 2006 http://www. themiddleages. net/life/blackdeath. html. Culatta, Richard B. In the fourteen century people did not know how to deal with outbreaks. . When a person became infected with the Bubonic Plague the doctors tried aromatic woods, special diets, courses of bleeding, new postures for sleeping, and the rich had medicines made from gold and pearls, they fled, or prayed. â€Å"The Black Death: Bubonic Plague† The Middle Ages. 2006 http://www. themiddleages. net/life/blackdeath. html. Culatta, Richar d 2. Families of the sick rejected them or took them to the nuns and friars who tried to care for the sick but soon they too got sick. â€Å"The Black Death: Bubonic Plague† The Middle Ages. 2006 http://www. themiddleages. net/life/blackdeath. html. Culatta, Richard IV. Topic Sentence: Today scientists have new treatments and tests to deal with outbreaks of the plague. A. There are several new ways to deal with infected people. 1. When a person is diagnosed with being infected the hospital puts them in an isolation chamber and they burn all their clothes and belongings. â€Å"The Bubonic Plague† E medicine. 24 December 2004. http://www. emedicine. com/emerg/topic428. htm , Velendzas, Demetres 2. Then they consult an infectious disease specialist who decides what to do with the infected individual. The Bubonic Plague† E medicine. 24 December 2004. http://www. emedicine. com/emerg/topic428. htm , Velendzas, Demetres B. The tests that they perform are extensive and grueling on the patient in isolation. â€Å"The Bubonic Plague† E medicine. 24 December 2004. http://www. emedicine. com/emerg/topic428. htm , Velendzas, Demetres 1. They perform a chest radiograph, antibody titer, and an F1 antigen diagnostic test. à ¢â‚¬Å"The Bubonic Plague† E medicine. 24 December 2004. http://www. emedicine. com/emerg/topic428. htm , Velendzas, Demetres 2. The doctors also perform an empiric antibiotic coverage, crystalloid administration, and nemodynamic monitoring. â€Å"The Bubonic Plague† E medicine. 24 December 2004. http://www. emedicine. com/emerg/topic428. htm , Velendzas, Demetres V. The Bubonic Plague is a still ongoing problem that has many symptoms and on going outbreaks and the need for science is still needed. Works Cited â€Å"The Bubonic Plague† E medicine. 24 December 2004. , Velendzas, Demetres Culatta, Richard. â€Å"The Black Death: Bubonic Plague† The Middle Ages. 2006 . â€Å"The Black Plague† The Middle Ages. 1998, Oxford New York. Oxford University Press (Hanawalt 128). How to cite Bubonic Plague, Papers

Nutrition Assessment free essay sample

Briefly answer the following questions. †¢List your three favorite foods: *Salmon *Mac n cheese *Liver Why are these your favorite foods? I love fish, and salmon has the best taste for me. I love mac n cheese because I love cheese and pasta (so good combo) also when I was younger it was the easiest to make for me so I grew up eating it. I love liver because in my culture kebabs are a well known food, and liver kebab was always one of my favorites, its tender, also not as fattening as the other meats. List your three least favorite foods: ( this is a tough one, I love all food Im really not too picky) *Black Caviar *Pork *Russian Holodets (meat jelly) Why are these your least favorite foods? -I dislike black caviar because its a bit too salty for me. I dont eat pork mainly because of my religion (Jewish), also after learning more about the pig and what it consumes the idea began to disgust me. We will write a custom essay sample on Nutrition Assessment or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page I DESPISE Russian holodets, its basically frozen meat soup that forms into the texture of jelly, which is a texture that I dislike, the idea of eating frozen meat fat grosses me out. Using food records recorded for three days, detail how often you consumed your favorite foods—if you did nor consume , detail why these foods were not included in the 72 hour period. -Ive had salmon 3 times this week, once for dinner, and 3 times as lox on a bagel for breakfast. Ive had liver once this week for dinner. I havent eaten mac n cheese for almost 6 months because Im really trying hard to stay away from the combo of cheese and pasta. I love pasta therefore Ive been sticking to whole wheat, and I love cheese but it makes me breakout†¦its not really part of my diet plan. During the three day recording period, how many times did you eat solely because you were hungry? Now at days I only eat when Im hungry, I used to use eating as a way to stop boredom or when I was upset about somethi ng, this made me gain weight quicker than anything. Ive learned to control myself, it really is all psychological. I also have a set eating schedule which I follow. †¢What factors influenced your food choices during the three day recording period? Im currently trying to watch my weight, and live a healthy lifestyle by watching what I eat, I quit smoking, and I work on my fitness daily. What claims, advertisements or food labels influenced your intake? -I go on www. foodnetwork. com, under the Eat Healthy section, and choose certain recipes. Ive always been doing research through many different health and fitness blogs, but I dont always believe what I read on the internet. I do believe that the Food Network is a reliable source though. †¢Which of the five nutrition principles/factors/building blocks appear to be missing in your current eating pattern as highlighted by the three day recording? Missing: Explain: What two lifestyle factors could you change in order to improve eating habits? Explain how this will improve your eating habits. *Sleep schedule, and fitness. * Explain: If I went to sleep a bit earlier I would be able to wake u p earlier to pack food for myself, I work in the Bronx and the food around that area isnt all that healthy. Also had I began working on my fitness sooner, my eating habits would have improved drastically. †¢Go to the following website and complete the assignment as detailed. The results are for you and will not be seen by anyone. ttp://webquiz. iLrn. com/tutorials/B_holp07/P_hoeger1A/public †¢What did you learn about your lifestyle that was most interesting? From the results of the quiz in #9, identify health behaviors you would like to change and explain why it is important for you to address these factors. Irina Ilyayeva NUTRITION ASSESSMENT Part 2 –Assignment Using all the tools at your disposal, detail as best you can your recommended intakes for the following: *Calories: 1,200 calories/day *Protein: 100 grams/day *Fat: 50 grams/day *Fiber: 25 grams/day *Water: 72. 0 oz/day *Sodium: 180 milligrams/day *Vitamin C: 50 mg/day 2. Examine your average Food Guide Pyramid servings for each of the food groups and respond to the following: *What food groups were in the preferred range? Detail -Bread, cereal, rice, and pasta. *What food groups were in the less than preferred range? Detail. Fats, oils, and sweets. *What food groups exceeded range? Detail. 3. Detail why is it important to meet the correct number of servings from each food group represented on the Food Guide Pyramid. The pyramid calls for eating a variety of foods to get the nutrients you need and at the same time the right amount of calories to maintain a healthy weight. 4. Discuss ways you can change current eating habits to better meet pyramid guidelines. -Incorporate a few servings of each into your daily intake. 5. Using Exchanges Spreadsheet answer the following: *Total number of vegetable servings: 3-5 *Total number of bread/starch servings: 6-11 *Total number of fruit servings: 2-4 *Total number of meat servings: 2-3 *Total number of fat servings:Sparingly Total number of milk servings: 2-3 6. Explain why the spreadsheet highlights servings of meat from different categories— *Very Lean: More protein *Medium Fat: Less fat than lean *High Fat: most fat least protein 7. Which food groups were in the preferred range and which ones are in excess? Explain. *Preferred Range: Medium fat *Excess Range: high fat 8. Which food group was your biggest concern? Why? None, I include a variety of these foods in my diet. 9. Were there any surprises in completing this assignment? Detail. PART 3 Irina Ilyayeva Nutrition AssessmentDIGESTION List the foods in your diet that requires the most mastication and nutrient release upon ingestion. -Red meat. †¢Did you experience any episodes of indigestion during the recording (3-day recall) period? If yes explain foods that cause symptoms. Tomato’s, they give me severe heartburn. If no detail foods that have caused symptoms in the past. †¢What causes the symptoms from foods in #2? -the acid antidote in tomatoes. †¢How much alcohol did you consume during the three day recordi ng period? Types of Alcohol: Red whine. *Servings of alcohol- 1 glass of red wine. Grams of alcohol-9. 4 grams/100 mL †¢How did the foods in your 3-day recall period influence how your GI tract functioned? Explain -I mostly ate fish, whole grains, salads, fuits, and vegetables. I think my intake was very nutritional and helped the function of my GI tract. †¢Alcohol generates 7 calories – how many calories did alcohol contribute to your diet? 9. 4gm x 7 cal/gm =65. 8calories % of calories from alcohol †¢Which of the building blocks, balance, moderation, variety and adequacy helps prevent deficiencies associated with digestion difficulties? Explain -Eating too much too close to bedtime causes deficiency with digestion. †¢Discuss how you can improve your diet and lifestyle habits that could help the GI tract function more effectively. -I think I’m on the right track, i need to focus on staying away from meat and gluten, I can feel that my body doesn’t accept either. PART 4 CARBOHYDRATES Briefly answer the following questions. 1. List the three foods that contributed the most to your daily intake. †¢Tuna †¢Salad †¢Eggs Comments : 2. List the three foods that contributed most fiber to your daily intake. †¢Buckwheat Pasta (high on fiber) †¢Whole wheat toast Comments: 3. List three foods that were low in fiber or did not provide any fiber at all. †¢Eggs †¢Ground meat †¢Fish Comments: 4. What % of your calories on average came from carbohydrates? The Acceptable Macronutrient Distribution Range (AMDR) states that 45-65% of your calories should come from carbohydrates. How did your intake compare to this? Percentage: about 50% 5. How many grams of carbohydrate on average did you consume? The latest Dietary Reference Intake (DRIs) suggests that you should have a minimum of 130 grams/day of carbohydrate. Be aware of the variation as we discussed in class). How did your intake compare to recommendation? Grams: 150 g/day carbs Comparison: 20 more grams/day 6. What three foods contributed most to your carbohydrates ? †¢Bread †¢Pasta †¢Cereal 7. How many grams of fiber did you consume on average? How did this value compare to the fiber recommendations of 25 for women and 35 grams for men per day? Grams: about 20g of fiber Comparison 5 grams under 8. Did your average daily intake provide the minimum number of servings of foods from each of the fiber-containing food groups in the FOOD GUIDE PYRAMID? Which food group (s) fell short of the recommendations? Food Guide Minimums: I didn’t eat as much meat Food Groups that fell short: †¢Meat †¢fats †¢oils Comments: 9. What changes might you make among your vegetable, fruit, and grain choices to increase the fiber content of your diet? -I ate more buckwheat, and bought pasta high on fiber. 10. Did you use any sugar substitutes in your diet? What are the benefits and concerns associated with the use of sugar substitutes? Sugar substitutes used: Benefits: AGAVE, tastes great and is a natural sweetener. Irina Ilyayeva PART V – LIPID ASSIGNMENT . How many grams of total fat on the average do you consume? What part of the RDA do you consume? Explaingt; 45 g of total fat/day. Vitamins and k Calories 2. List the top three foods that contributed the most total fat to your intake. †¢Kibbeh †¢Salmon †¢Cheese †¢ 3. What percentage of your total calories come from fat? Recommendations suggest that 3 0% of your total calories should come from total fat. -About 34% 4. What percentage of calories come from saturated fat? Remember that recommendations suggest that lt;10% of your calories should come from saturated fats. -About 9% 5. List the top three foods that contributed the most saturated fat to your daily intake. †¢Whole wheat bagel with lox and cream cheese †¢Mediterranean Omelet †¢Kibbeh balls 6. What % of your total calories come from monounsaturated fats? How does it compare with the 10% recommendation? -About 8% not too high 7. What % of your total calories come from polyunsaturated fats? How does your intake compare to the 10% recommendation? -About 7% not too high. 8. How many milligrams of cholesterol did you consume on the average? How does it compare with the recommendation of less than 300 milligrams? 145 mg of cholesterol, I guess its ok compared to the recommendation. 9. List the top three foods that contributed the most cholesterol to your daily intake. †¢Salmon fillet †¢Mediterranean omelet †¢Bagel w/ lox and cream cheese 10. List three health issues associated with high fat, high saturated fat/or high cholesterol intakes. Recommend ways that you can or will chan ge your diet to improve your fat and cholesterol intakes. -I actually don’t consume too much cholesterol throughout the day, but high fat and cholesterol diets can lead to heart attacks, heart disease, atherosclerosis and much more.

Usage That Provokes Blackboard Moments

Usage That Provokes Blackboard Moments Usage That Provokes Blackboard Moments Usage That Provokes Blackboard Moments By Maeve Maddox The comments on my post about writing dates with or without terminals got me thinking about the way everyone who speaks English reacts strongly to at least one word or point of usage. The different ways that people write a date seem to excite curiosity without making anyone angry, but sometimes words or expressions evoke annoyance so intense as to constitute rabid aversion. (Im thinking of the responses provoked by my article on couldnt care less.) By a blackboard moment I mean a physical reaction similar to what we feel when the teachers hand slips and we hear a fingernail scrape against the board. Here are some of the words, pronunciations, spellings and expressions that produce blackboard moments of various intensities in me. (The preferred form is in parentheses.) standing on line (standing in line) light something on fire (set something on fire) Me and my friends swim. (My friends and I swim.) in hopes of (in the hope of) pronouncing the word pecan with a long e and a short a: /pee can/ (instead of with a schwa and the a of father: /pe kahn/) pronouncing the t in Bill Clinton (he pronounces his name with a glottal stop: /klin?n.) seperate (separate) dalmatien (dalmatian) shepard dog (shepherd dog) cemetary (cemetery) its tail (its tail) In that incidence he was right. (In that instance he was right.) Do you want some sandwich? (Do you want part of a sandwich?) How about you, Gentle Reader? What in the speaking or writing of English produces a blackboard moment for you? Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:The Yiddish Handbook: 40 Words You Should Know75 Idioms and Expressions That Include â€Å"Break†50 Tips on How to Write Good

Why Renting a Flat in Germany Is Totally Common

Why Renting a Flat in Germany Is Totally Common Although Germany has got the most successful economy in Europe and is basically a wealthy country, it has also got one of the lowest homeownership rates on the continent and is also way behind the US. But why do Germans rent flats instead of buying them or even build or buy a house? Buying their own accommodation is the goal of many people and especially families all around the world. For Germans, it might seem that there are things way more important than being a homeowner. Not even 50 percent of the Germans are homeowners, whereas over 80 percent of the Spanish are, only the Swiss are even renting more than their northern neighbors. Lets try to track the reasons for this German attitude. Influence of World War II Like many things in Germany, the tracking of the attitude to rent reaches back to the Second World War. As the war ended and Germany signed the unconditional surrender, the whole country was rubble. Almost every bigger city was destroyed by the British and American Air Raids and even the smaller village had suffered from the war. Cities like Hamburg, Berlin or Cologne where nothing but a big pile of ashes. Many civilians became homeless because their houses were bombed or collapsed after the fights in their cities, over 20 percent of all housing in Germany was destroyed. That was why it was one of the first priorities of the new built West-German government in 1949 to prove every German a safe place to stay and live. Therefore, big housing programs were started to rebuild the country. Because the economy was also laying on the ground, there was no other opportunity than having the government put in charge of new housings. For the newborn Bundesrepublik, it was also very important to give the people a new home to face the opportunities communism promised just on the other side of the country in the Soviet zone. But there was, of course, another opportunity coming with a public housing program: Those Germans who hadnt been killed or captured during the war were mostly unemployed. Building new flats for over two million families could create jobs that were urgently needed. All this lead to success, the lack of housings could be reduced during the first years of new Germany. Renting Can Just Be a Good Deal in Germany This leads to the fact that Germans today just as their parents and grandparents have reasonable experiences with renting a flat, not only from a public housing company. In the major cities of Germany like Berlin or Hamburg, most of the flats available are in public hand or at least managed by a public housing company. But besides the big cities, Germany has also given the private investors the opportunity to own properties and rent them out. There are many restrictions and laws for the landlords and tenants they have to follow which proves that their flats are in a good condition. In other countries, rental flats have the stigma of being run down and mainly for poor people who cant afford to own an accommodation. In Germany, there are none of those stigmas. Renting seems just as good as buying - both with advantages and disadvantages. The Laws and Regulations Made for Renters Talking about the laws and regulations, Germany has got some specials that make a difference. For instance, there is the so-called Mietpreisbremse, which passed the Parliament. In areas with a strained housing market the landlord is only permitted to increase the rent up to ten percent above the local average. There are a lot of other laws and regulations which lead to the fact that the rents in Germany - compared to those of other developed countries - are affordable. On the other side, German banks have high preconditions for getting a mortgage or a loan to buy or build a house. You just wont get one if you dont have the right sureties. For long term, renting a flat in a city can therefore be a better opportunity. But there are of course some negative sides of this development. Like in most other western countries, the so called gentrification can also be found in Germanys major cities. The good balance of public housing and private investment seemed to tip over more and more. Private investors buy old houses in the cities, renovate them and sell or rent them out for high prices only wealthy persons can afford. This leads to the fact that normal people can no longer afford living inside the big cities and especially young people and students are stressed to find a proper and affordable housing. But thats another story because they couldnt afford buying a house either.