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Struggling with Neck and back pain? Tips For Fighting Back
Everything throughout your day, from the way you sleep to what you eat, can have some sort of effect on the condition of your back. Making poor choices while you are young, could lead to back discomfort, later on in life. This can wind up being https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001706/ a serious condition that could put someone in the hospital or make them unable to work. That is why you should follow simple guidelines throughout your life, in order to help prevent an injury, later in life.
Put a towel behind your back. Your back discomfort might be caused, or at least exacerbated, by poor posture. If you find that you are sitting for long periods of time, try rolling up a towel. Place this behind the small of your back while you are sitting. It can improve posture and alleviate back discomfort.
Make sure you're maintaining a proper weight. If you're overweight, particularly if that weight is in your upper body, you'll be putting a lot more pressure on your back and spine. By keeping an optimum weight, you'll make sure you're not putting too much stress on your back and spine.
Strengthening your muscles is as important to healing from a back injury as it is to preventing future injury. That said, people already experiencing back discomfort should not engage in exercises that put undue strain on their injured muscles. For that reason, walking briskly every day is the best way to work through injuries while also working all the muscles in your body to prevent future injuries.
There are many different options to help relieve back discomfort and help gain back health. However, given the different situations and back problems and how vital the health of your back is to your well-being, a doctor should always be consulted before any other type of particular action is taken.
Having back discomfort? Get a massage. Getting a back massage will ease the sore tensed muscles in your back, and help to relieve the stress of back discomfort. Having a 30 minute massage either by a professional or a family member can produce long lasting relief from sore back muscles.
Relax your entire body and reduce back pain by lying down and going completely limp. The next step is to flex and relax various groups of muscles around your body, such as your shoulders or thighs. This method is very effective for total body relaxation.
If you suffer from back discomfort and you smoke, you need to quit as soon as possible. One of the nasty side effects of smoking is the intake of nicotine. Nicotine reduces blood flow throughout your body, including to your spine, and that increases your risk of back discomfort.
Obesity has been shown to be an important factor in chronic back discomfort. Losing pounds and keeping weight within normal ranges can greatly reduce pain and strain on the back. Regular exercise can also help strengthen back muscles. These are the top recommendations by doctors to obese patients suffering from back pain.
A lot of people https://drive.google.com/open?id=0ByPIlto5jUSrbUlTeGFQeVZKX1U who do not sleep on a regular schedule experience back pain, so try to get at least seven hours of sleep per night on a regular schedule. Staying awake and on your feet for prolonged hours puts a lot of stress on your back and can ultimately result in moderate to severe pain. Sleeping will help decrease this.
A lot of back discomfort sufferers, find that lying on their stomachs can help to relieve the pain. Most lower back discomfort comes from strain and stress, and lying on the back can actually intensify this due to the muscle tension. Lying on your stomach, however, can relax these muscles and relieve the pain.
In order to help reduce your back pain, try to eat a diet higher in potassium. Food items like bananas are great for your muscles. Potassium is a vital mineral that your body needs, and athletes have used potassium to keep from cramping for hundreds of years. It can certainly help to alleviate back pain.
Think a 135 degree angle instead of 90 degree angle while sitting. Many people think the proper angle for sitting is 90 degrees, but researchers have found that the most optimum angle for sitting is actually 135 degrees. Sitting at 135 degrees puts much less strain on your back, which in affect will lower your back pain.
As a back discomfort sufferer, a little bit of pain may actually make you feel better, so do not be afraid to exercise. The reason you feel pain is because the muscles are sore and stiff. If you can work through this and loosen the muscles up, you can do light exercise and help to get rid of the pain.
Giving birth can lead to back discomfort. If you find your self in this category, start exercising soon after your delivery. The faster you can get your abdominal and back muscles toned, the faster your pain will go away. Just make sure you wait until the doctor says it is okay for you to exercise.
Balance while exercising is a great way to strengthen your back, so try to exercise with equal weight in each hand if you're doing any type of lunges or similar exercises. This balance will ensure that one side of your body does not become stronger while the weaker side suffers.
Taking a long, brisk walk can help you to loosen up your muscles and eliminate the back pain you're dealing with. While walking might not actually cure the pain permanently, the exercise will help soothe the pain by stretching the muscles and keeping them warm. Take the dog around the block or walk to the store and back.
People with anxiety issues can become tense, this can lead to muscle strains and spasms and then lead to back discomfort. Work on various ways to overcome your anxiety with relaxation techniques and as an added bonus you can get rid of back pain.
If you're riding in the car for long periods, try putting a towel in the arch of your back for extra support. Also, make sure to move your seat a little forward or back every once in a while so that your spine has a chance to move and doesn't get stiff.
Build massage into your lifestyle. Studies have found that massage not only benefits you physically (by alleviating back pain), but also mentally. Massage therapy has been linked to lowering anxiety and depression, as well as, increasing the quality of the patient's sleep! All of which are stressors that can be triggers to back discomfort.
Back pain can be extremely inconvenient and extremely uncomfortable, and at its worst, it can affect virtually everything you do. Using tips like the above, however, you can effectively fight and deal with back discomfort and restore the quality of your life. Don't let back discomfort keep you down -- be smart and follow tips like these.
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Europe's largest African Caribbean bridal and lifestyle exhibition. The Mahogany Bridal fair is a stand out bridal show that not only caters for the traditional bride to be, but also focuses on fashion for the fashion conscious bride who is looking for something eclectic and unique for their special day.
For more information or to book an exhibition or showcasing space visit: www.mahoganybrides.com

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Paul Bunyan Communication is an equal opportunity provider and employer.


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Listings in Pawn Shop, Desserts and Mexican
Jewelry World and Loan
in Pawn Shop, Jewelry Store, Gold, Coins & Bullion, Music
Jewelry World and Loan has been proudly serving Ramona since 1985 for all your jewelry needs. Jewelry World offers many services. We feature a complete line of new and used platinum, silver and gold jewelry.
1668 Main Street, Suite F
Ramona, California 92065
Review this
The Par Lounge
in Pizza, Burgers, American, Sports Bar, Salads, Cocktails, Seafood, Steak, Pasta, Desserts, Live Music Venue
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1925 Main St
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The Oaks Grille
in American, Soups, Seafood, Steak, Breakfast, Brunch, Desserts
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632 Main St
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La Cocina
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About Our Board
Past President/STAR (State Access to Care Representative): William E. O'Malley, MD
- Bariatric & General/Laparoscopic Surgeon – Rochester, NY since 1996
- Highland Hospital / University of Rochester – Rochester, NY
- Assistant Professor of Surgery
University of Rochester
- Director of the Bariatric Surgery Center
Highland Hospital
- Program Director, Bariatric Surgery Fellowship
Highland Hospital/University of Rochester
He received a BA in Biology from the University of Rochester in 1985 and an MD from SUNY at Stony Brook in 1991. His surgical internship was at SUNY Buffalo and he completed his residency at the University of Rochester in 1996, when he joined the faculty of the Department of Surgery there.
Dr. O'Malley began his laparoscopic bariatric surgical practice in 2000 and has since performed over 5000 procedures and has performed live surgery demonstrations locally and in Europe and has presented discussion at conferences and teaching courses in Europe and the Middle East.
The Bariatric Surgery Center at Highland Hospital has grown to be one of the consistently busiest such practices in New York State. Dr. O'Malley offers patients laparoscopic gastric bypass, laparoscopic adjustable gastric banding, laparoscopic duodenal switch and laparoscopic revisional surgery. He has a particular interest in Single Incision Laparoscopic Surgery, particularly gastric banding and sleeve gastrectomy as well as cholecystectomy and colectomy.
As a Bariatric Fellowship Program Director, Dr. O'Malley's other professional interests involve training the next generation of surgeons to care for his growing patient population.
Contact Information:
Secretary: William A. Graber, MD, FACS
- Metabolic and Bariatric Surgery Director at St. Joseph's Hospital Health Center, Syracuse, NY
- Metabolic and Bariatric Surgery Director at Faxton-St. Luke's Healthcare, Utica/New Hartford, NY
Dr. William Graber recognized the need for a weight loss surgery program in Upstate New York in 2002 and has been performing bariatric surgery since then. His practice has performed over 6,000 bariatric surgeries on those affected by obesity, in both his Utica/New Hartford and Syracuse, NY locations. His practice specializes in the treatment of overweight/obesity with the use laparoscopic gastric bypass, gastric sleeve resections, adjustment of gastric bands, and revisional surgeries. Dr. Graber holds a bachelor's degree from Haverford College in Pennsylvania and a medical doctorate from SUNY Downstate Medical Center. He completed his residency at Boston University and is a Fellow of the American College of Surgeons (FACS) and a member of the American Society for Metabolic and Bariatric Surgery (ASMBS).
Contact Information:
o: 315-235-2540 or 315-235-2568
e: firstname.lastname@example.com
w: www.drgrabermd.com
Trustee: Manish Parikh, MD, FACS
Manish Parikh, MD is an Associate Professor of Surgery at New York University School of Medicine and Director of the Bariatric Surgery program at Bellevue Hospital, New York NY. Bellevue Hospital is the oldest public hospital in the United States and is the largest safety-net hospital in NYC.
He completed his surgical residency at NYU Medical Center and laparoscopic/bariatric fellowship at NY-Presbyterian Cornell/Columbia. He currently serves on the Clinical Issues Committee for the ASMBS. He is board certified in general surgery by the American Board of Surgery.
Dr Parikh is a Fellow of the American College of Surgeons (FACS), and a member of the American Society for Metabolic and Bariatric Surgery (ASMBS) and the Society for American Gastrointestinal and Endoscopic Surgeons (SAGES).
Contact Information:
Secretary: Dr Aurora Pryor, MD
Professor & Vice Chair for Clinical Affairs Division of General Surgery Department of Surgery, Health Sciences Center T18-040 Stony Brook Med Stonybrook, NY
Shawn Garber, MD
Past President: Dominick Gadaleta, MD, FACS, FASMBS
Associate Chair Department of Surgery Chief of General Surgery Co-Director Bariatric Surgery North Shore – LIJ Health Systems Dr. Gadaleta is a board certified surgeon with 20 years experience. He specializes in bariatric and laparoscopic surgery. He is an expert in the latest techniques in Bariatric Surgery, Laparoscopic Gastric Banding, Laparoscopic Gastric Bypass, Laparoscopic Sleeve Gastrectomy, and Endoscopic "Incisionless" Procedures. Dr. Gadaleta lectures extensively throughout the healthcare system to bring the special needs of the bariatric patient to the forefront. He has published numerous articles dealing with prejudice and the discrimination of obese patients within the medical community, as well as bariatric procedures and complication prevention. Dr. Gadaleta serves as the Division Chief of General Surgery as well as the Associate Chair of the Department of Surgery at North Shore University Hospital in Manhasset, NY. Education: Rutgers College B.A. with Honors,1982 The George Washington University Medical School, M.D.,1986 Internship and Residency, North Shore University Hospital, 1986-1991 Fellowship in Surgical Infection and Critical Care, North Shore University Hospital,1991-1992
Contact Information:
Treasurer: Dang Tuan Pham, MD
a Bariatricsurgeon in Buffalo, New York and is affiliated with Sisters of Charity Hospital
and has been in practice for more than 20 years.
Trustee: Allison Barrett, MD
Professor & Vice Chair for Clinical Affairs Division of General Surgery Department of Surgery, Health Sciences Center T18-040 Stony Brook Med Stonybrook, NY
Past President: Mitchell S. Roslin, MD, FACS
Chief, Bariatric Surgery Lenox Hill Hospital Access to Care Representative Dr Roslin has dedicated his professional career to the treatment of morbid obesity. He has been performing obesity surgery in New York City since 1994. In 1996, he was made the Director of Bariatric Surgery at the Maimonides Medical Center. In 2000 he was appointed the Chief of Obesity Surgery at Manhattan's Lenox Hill Hospital and has supervised its growth into one of the most prestigious programs in the United States. Considered one of the best bariatric surgeons in New York, Dr. Roslin is also the President of Manhattan Minimally Invasive and Bariatric Surgery P.C. Dr. Roslin was born in Brooklyn, New York. He graduated from Stuyvesant High School and did his undergraduate studies at the University of Pennsylvania. He attended medical school at New York University and did his surgical training at Maimonides Medical Center. Dr. Roslin has received numerous awards during his career. He was named one of New York's Best Minimally Invasive Surgeons by New York Magazine and has been on both Castle Connolly's and New York Magazine's Best Doctors lists. Additionally, he has been an innovator in the search for better treatments. He holds several patents in the emerging field of Pacing Technology for the treatment of obesity. Most recently he has designed a method for the endoscopic treatment of relapse following gastric bypass. Dr. Roslin has been performing laparoscopic obesity surgery in New York City since 2000. He was part of the LAP-BAND® System clinical trial and has expertise in duodenal switch and revisional bariatric surgery. He is frequently asked by private bariatric practices all over the country to teach established surgeons new techniques and procedures.
Contact Information:
- o: 212-434-3285
- c: 917-922-7569
- e: firstname.lastname@example.com
- www.nycbariatrics.com
Konstantino Spaniolas, MD
Dr. Garber
Top NYC bariatric surgeon Dr. Garber completed his general surgery training at Long Island Jewish Medical Center. He went on to complete one of the first advanced laparoscopic surgery fellowships in the country at the The George Washington University Medical Center with world famous laparoscopic surgeon Dr. Jonathan Sackier. Dr. Garber then trained with Dr. Alan Wittgrove (known for operating on singer Carnie Wilson) mastering the laparoscopic gastric bypass procedure for obesity.
Dr. Garber is the Founder and Director of the New York Bariatric Group as well as the Chief of Bariatric Surgery for the entire Catholic Health System. He is the Chief of Bariatric Surgery at St. Francis Hospital, Mercy Medical Center, and Hudson Valley Hospital Center.
Dr. Garber is the only bariatric surgeon on Long Island and Queens who has performed more than 3500 laparoscopic gastric bypass procedures and 3500 Lap-Band procedures and over 750 laparoscopic sleeve gastrectomies. Dr. Garber helped develop the single incision Lap-Band and sleeve gastrectomy techniques and teaches other weight loss surgeons around the country this virtually scarless technique which he helped develop. Dr. Garber has one of the largest experiences in the world with this virtually scarless technique for Lap-Band and sleeve gastrectomy. He has been seen on Good Morning America, ABC news, NBC news, NY55 news and featured in the New York Times as the premiere bariatric surgeon in the New York area. He was been on many talk shows discussing obesity and bariatric surgery including The Dr. Oz Show, and Montel Williams with Carnie Wilson. Click here to view the videos. Dr. Garber was the only surgeon on Long Island listed in New York Magazine as one of the top laparoscopic obesity surgeons in the New York area and has been nominated by Castle Connelly as one the top surgeons in the US for over 6 years. Dr. Garber is also the only bariatric surgeon listed in Newsday's Long Island Top Doctors Issue and performed the first laparoscopic gastric bypass and the first single incision Lap-Band and Sleeve Gastrectomy on Long Island. Dr. Garber is the only surgeon in the area performing virtually scarless single incision sleeve gastrectomy.
Dr. Garber has also received the "Patient Choice Award" as one of "New York State's Favorite Physicians" multiple times as well as having been voted one of the "Most Compassionate Doctors" in the country multiple times.Dr. Garber has been recognized as a Vitals Top 10 Doctor. He is also a New York State Trooper Police Surgeon.
Dr. Garber is on the medical advisory board of ObesityHelp.com.
Board Certifications:
Academic Titles and Affiliations:
Assistant Clinical Professor of Surgery at Albert Einstein College of Medicine
Fellow of American College of Surgeons
Medical Affiliations:
American Society of Metabolic and Bariatric Surgeons (ASMBS)
Society of American Gastrointestinal Endoscopic Surgeons
Society of Laparoendoscopic Surgeons
New York Medical Society
Diplomat of American Board of Surgery
American Medical Association
American College of Surgeons
American Society for Gastrointestinal Endoscopy
New York Medical College
OUR WEBSITE: www.stopobesityforlife.com
Trustee: Collin Brathwaite, MD, FACS
- Chairman, Department of Surgery
- Chief, Division of Minimally Invasive Surgery
- Director, Metabolic and Bariatric Surgery
- Winthrop-University Hospital, Mineola, New York
- Associate Professor of Surgery,
- Stony Brook School of Medicine, Stony Brook, New York
Dr Collin EM Brathwaite is Chairman of the Department of Surgery at Winthrop University Hospital on Long Island. He is also Chief of the Division of Minimally Invasive Surgery and Director of the Metabolic and Bariatric Surgery Program at Winthrop. Dr Brathwaite is an Associate Professor of Clinical Surgery at Stony Brook University.
He is a graduate of Howard University College of Medicine where he completed medical school in only three years, receiving the Lasalle D. Lefall Award with Honors in Surgery. His Internship and Residency in General Surgery, which included training in open bariatric surgery, were obtained at St Vincent's Hospital and Medical Center in New York City, where he finished in 1988.
Dr Brathwaite also attended advanced Fellowship training in Trauma and Critical Care at the Shock Trauma Center at the University of Maryland. He has actively practiced bariatric surgery since 1998. Dr Brathwaite has directed Bariatric Surgery programs at Stony Brook University as well as St Catherine of Siena Medical Center, both on Long Island.
He is an active member in the American Society for Metabolic and Bariatric Surgery, the Society for Surgery of the Alimentary Tract, the Society for Laparoendoscopic Surgery and the Alpha Omega Alpha Medical Honor Society to name a few.
He has been the recipient of several teaching awards, has authored or co-authored numerous publications on various aspects of surgery, and at present holds two patents.
His current research interests include clinical outcomes from various bariatric surgery procedures and investigations on the impact of gastric bypass on Type 2 diabetes and obesity using a laboratory model.
Dr Brathwaite has also been honored as a clinician by being listed as a "Top Doc" by Philadelphia Magazine, as well as citation by Best Doctors in America on several occasions and as one of America's Top Surgeons by Castle Connolly Medicine Ltd.
Dr Brathwaite has served on the Bariatric Surgery Review Committee, of the ASMBS and has served as a consultant to the Health Plan Association of New York and the New York State Department of Health in developing and implementing Guidelines for Bariatric Surgery in the state. He has established and directed Bariatric Surgery Center of Excellence programs in both the private practice and the academic practice setting.
Contact Information:
- c: 516-663-3913
- e: email@example.com
- www.winthropbariatrics.com
Immediate Past President: Terence Clarke, MD
Medical Director, Bariatric Surgery
Ellis Medicine Bariatric Care Center
Dr. Clarke completed his surgical residency at the Guthrie Clinic in Sayre, Pennsylvania. Drawn by all things laparoscopic, he finished his training at the New York Hospital of Queens fellowship in Bariatrics and Minimally Invasive Surgery.
After the post graduate years, he helped create a hospital based bariatric practice in Schenectady, New York. The growth and success of the Ellis Hospital Bariatric Care Center culminated with the designation of Center of Excellence status.
Through various committee participation, county medical society leadership, and developing a division in bariatric medicine, Dr. Clarke is steeply involved with the advancement of bariatric care locally. He welcomes the opportunity to tackle our patient's and colleague's issues on a state wide level.
Contact Information:
- o: 518-831-7001
- e: firstname.lastname@example.com
- www.ellismedicine.org
Past President: Dr. Ashutosh Kaul, MD, FACS, FRCS
Assistant Professor of Surgery Director of Minimally Invasive & Robotic Surgery Bariatric & General Surgery New York Medical College Dr. Kaul has been performing obesity surgery since 2000 and is a member of the Association for Metabolic & Bariatric Surgery. Dr. Kaul is a Board Certified general surgeon, a Fellow of the American College of Surgeons and a member of Royal College of Surgeons, Edinburgh. He graduated at the top of his class in medical school in India. After finishing his post-graduation in Surgery from a tertiary care center (PGIMER) in India, he worked as a registrar in the UK. He then finished his surgical residency from St. Barnabas Medical Center, New Jersey and completed a fellowship in minimally invasive surgery at the Institute of Minimally Invasive Surgery, New York. He was selected in the 2002 list of "Americas Top Minimally Invasive Surgeons" by Consumers Research Council of America and is an Honored member of Strathmore's Who's Who 2002-2003 Edition. In 1998 he was selected as an "Outstanding Young man of America" in their thirty first edition. Dr. Kaul has over 50 international presentations, book chapters and papers to his credit.
Contact Information:
- o: 914-347-0162
- e: firstname.lastname@example.com
- www.nygetfit.com


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On the surface, banks and credit score unions principally look alike. In case you are using a display reader or other auxiliary aid and are having problems using this website, please contact us at (800) 762-0047 or by clicking here All services and products accessible on this web site are available in any respect Wright-Patt Credit Union branches.
Frank- We're each now disabled and on social safety incapacity, although my husband turned sixty two so I think his is now common social security retirement revenue, anyway we managed to pay all the things else on time, have by no means paid the mortgage or utilities or anything late, but had no selection however to cease paying all of the credit cards last 12 months in April-May timeframe.
In case you are a former center class White American lady fallen on onerous times with a bad credit score card debt or a failed mortgage (Thank YOU Financial institution of America!) you can find it extremely exhausting to find a respectable job in order to dig your self out of debt.
If the Swedish Government alleged that you just were operating some kind of financial establishment like a financial institution taking deposits …


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I have been excited to share these lipsticks with you since I first saw them in July at Cosmoprof 2012! The only reason I've waited so long was so I could collect more of them to share with you, and I finally have almost the whole collection!
NYX Cosmetics introduced its new Glam Lipstick Aqua Luxe line late summer/early fall, with 12 high-shimmer colors! I love the intense shimmer and glitz of this new line. And at a SRP of $6, these are some seriously glam picks for the pout!
I wore these over the course of the last couple months for swatch photos, so my hair is all different colors and subtly different lengths – I like to think that makes it interesting LOL I have eight of the 12 shades to share with you today!
Pink Jewel:
Pink Jewel is pink with silver reflects – the perfect light pink – it's shimmery, but not frosty!
Aurora is a nude bronze with silver reflects. A neutral packed with shine!
Divine is a rusted plum with silver reflects.
Splendid is a deep pink with silver reflects.
Lotus is a light red bronze with silver reflects – this one is great for my fairer complexion
Holistic is lighter than Pink Jewel – a frosted pink with silver reflects. Unfortunately not a very good look for me. It's too light and frosty looking. I need a pop of color in my lipstick.
Jet Set:
Jet Set is a golden bronze with silver reflects.
Essential is a fuchsia with silver reflects.
Razzle Dazzle:
Razzle Dazzle is a pretty coral with silver reflects.
With the exception of Holistic, I LOVE these lipsticks! They wear for about three hours; the shimmer clings on but I am definitely ready for reapplication by lunch time. They are slick and easy to apply.
I found a lot of these on Urban Outfitters website, but I also found a few in the stores. There's also been a small display of NYX's Glam Aqua Luxe collection at Ulta, too. You can also get them on NYX's website.
Have you seen these lippies? Have you tried them? What do you think?! I'd love to hear your thoughts below!
Disclaimer: Razzle Dazzle and Pink Jewel were provided to me for review by the PR Firm/Manufacturer. Please visit my Disclosure tab for more information on how BeautyJudy.com keeps it real!


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Authors: George Rajna
But now, Shigehisa Akine and colleagues from Kanazawa University have shown that the reversed order is also possible: first, the host undergoes a chemical reaction, after which it recognizes and forms a complex with the guest ion. [35] In batteries, fuel cells or technical coatings, central chemical processes take place on the surface of electrodes which are in contact with liquids. During these processes, atoms move over the surface, but how this exactly happens has hardly been researched. [34] A team of scientists from across the U.S. has found a new way to create molecular interconnections that can give a certain class of materials exciting new properties, including improving their ability to catalyze chemical reactions or harvest energy from light. [33] A team of scientists including Carnegie's Tim Strobel and Venkata Bhadram now report unexpected quantum behavior of hydrogen molecules, H2, trapped within tiny cages made of organic molecules, demonstrating that the structure of the cage influences the behavior of the molecule imprisoned inside it. [32] A potential revolution in device engineering could be underway, thanks to the discovery of functional electronic interfaces in quantum materials that can self-assemble spontaneously. [31] Now, for the first time ever, researchers from Aalto University, Brazilian Center for Research in Physics (CBPF), Technical University of Braunschweig and Nagoya University have produced the superconductor-like quantum spin liquid predicted by Anderson. [30] Electrons in graphene-an atomically thin, flexible and incredibly strong substance that has captured the imagination of materials scientists and physicists alike-move at the speed of light, and behave like they have no mass. [29] In a series of exciting experiments, Cambridge researchers experienced weightlessness testing graphene's application in space. [28] Scientists from ITMO University have developed effective nanoscale light sources based on halide perovskite. [27] Physicists have developed a technique based on optical microscopy that can be used to create images of atoms on the nanoscale. [26] Researchers have designed a new type of laser called a quantum dot ring laser that emits red, orange, and green light. [25]
Comments: 49 Pages.
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Health care system in Japantype of health care system in japan, health care system in japan pdf
The health care system in Japan provides healthcare services, including screening examinations, prenatal care and infectious disease control, with the patient accepting responsibility for 30% of these costs while the government pays the remaining 70% Payment for personal medical services is offered by a universal health care insurance system that provides relative equality of access, with fees set by a government committee All residents of Japan are required by the law to have health insurance coverage People without insurance from employers can participate in a national health insurance programme, administered by local governments Patients are free to select physicians or facilities of their choice and cannot be denied coverage Hospitals, by law, must be run as non-profit and be managed by physicians For-profit corporations are not allowed to own or operate hospitals Clinics must be owned and operated by physicians
Japan's system is now being revamped by the current Prime Minister Shinzo Abe1 as popularized by Abenomics
Medical fees are strictly regulated by the government to keep them affordable Depending on the family income and the age of the insured, patients are responsible for paying 10%, 20%, or 30% of medical fees, with the government paying the remaining fee2 Also, monthly thresholds are set for each household, again depending on income and age, and medical fees exceeding the threshold are waived or reimbursed by the government
Uninsured patients are responsible for paying 100% of their medical fees, but fees are waived for low-income households receiving a government subsidy Fees are also waived for homeless people brought to the hospital by ambulance
- 1 Cost
- 2 Provision
- 21 Quality
- 3 Access
- 4 Insurance
- 5 History
- 6 See also
- 7 Bibliography
|Social Insurance
In 2008, Japan spent about 85% of the nation's gross domestic product GDP, or US$2,873 per capita, on health, ranking 20th among Organisation for Economic Co-operation and Development OECD countries That amount was less than the average of 96% across OECD countries in 2009, and about half as much as that in the United States4 In 2013 expenditure was $479 billion, 103% of GDP - about the midpoint of OECD countries5
The government has well controlled cost over decades by using the nationally uniform fee schedule for reimbursement The government is also able to reduce fees when the economy stagnates6 In the 1980s, health care spending was rapidly increasing as was the case with many industrialized nations While some countries like the US allowed costs to rise, Japan tightly regulated the health industry to rein in costs7 Fees for all health care services are set every two years by negotiations between the health ministry and physicians The negotiations determine the fee for every medical procedure and medication, and fees are identical across the country If physicians attempt to game the system by ordering more procedures to generate income, the government may lower the fees for those procedures at the next round of fee setting8 This was the case when the fee for an MRI was lowered by 35% in 2002 by the government8 Thus, as of 2009, in the US an MRI of the neck region could cost $1,500, but in Japan it cost US$989 Japan has had "catastrophic coverage" since 1973 Once a patient's monthly copayment reaches a cap, no further copayment is required10 The threshold for the monthly copayment amount is tiered into three levels according to income and age611
ProvisioneditPractising physicians per capita from 1960 to 2008
People in Japan have the longest life expectancy at birth of those in any country in the world Life expectancy at birth was 83 years in 2009 male 796 years, female 864 years4 This was achieved in a fairly short time through a rapid reduction in mortality rates secondary to communicable diseases from the 1950s to the early 1960s, followed by a large reduction in stroke mortality rates after the mid-60s12
In 2008 the number of acute care beds per 1000 total population was 81, which was higher than in other OECD countries such as the US 274 Comparisons based on this number may be difficult to make, however, since 34% of patients were admitted to hospitals for longer than 30 days even in beds that were classified as acute care13 Staffing per bed is very low There are four times more MRI scanners per head, and six times the number of CT scanners, compared with the average European provision The average patient visits a doctor 13 times a year - more than double the average for OECD countries14
In 2008 per 1000 population, the number of practicing physicians was 22, which was almost the same as that in US 24, and the number of practicing nurses was 95, which was a little lower than that in US 108, and almost the same as that in UK 95 or in Canada 924 Physicians and nurses are licensed for life with no requirement for license renewal, continuing medical or nursing education, and no peer or utilization review15 OECD data lists specialists and generalists together for Japan4 because these two are not officially differentiated Traditionally, physicians have been trained to become subspecialists,16 but once they have completed their training, only a few have continued to practice as subspecialists The rest have left the large hospitals to practice in small community hospitals or open their own clinics without any formal retraining as general practitioners6 The first general practitioner course was established in Saga Medical University in 1978
Japanese outcomes for high level medical treatment is generally competitive with that of the US A comparison of two reports in the New England Journal of Medicine by MacDonald et al17 and Sakuramoto et al18 suggest that outcomes for gastro-esophageal cancer is better in Japan than the US in both patients treated with surgery alone and surgery followed by chemotherapy Japan excels in the five-year survival rates of colon cancer, lung cancer, pancreatic cancer and liver cancer based on the comparison of a report by the American Association of Oncology and another report by the Japan Foundation for the Promotion of Cancer research19 The same comparison shows that the US excels in the five-year survival of rectal cancer, breast cancer, prostate cancer and malignant lymphoma Surgical outcomes tend to be better in Japan for most cancers while overall survival tend to be longer in the US due to the more aggressive use of chemotherapy in late stage cancers A comparison of the data from United States Renal Data System USRDS 2009 and Japan Renology Society 2009 shows that the annual mortality of patients undergoing dialysis in Japan is 13% compared to 224% in the US Five-year survival of patients under dialysis is 599% in Japan and 38% in the US
In an article titled "Does Japanese Coronary Artery Bypass Grafting Qualify as a Global Leader"20 Masami Ochi of Nippon Medical School points out that Japanese coronary bypass surgeries surpass those of other countries in multiple criteria According to the International Association of Heart and Lung Transplantation, the five-year survival of heart transplant recipients around the world who had their heart transplants between 1992 and 2009 was 719% ISHLT 20116 while the five-year survival of Japanese heart transplant recipients is 962% according to a report by Osaka University21 However, only 120 heart transplants have been performed domestically by 2011 due to a lack of donors
The 47 local government prefectures have some responsibility for overseeing the quality of health care, but there is no systematic collection of treatment or outcome data They oversee annual hospital inspections The Japan Council for Quality Health Care accredits about 25% of hospitals22
AccesseditJapanese Super Ambulance, Tokyo Fire Department
In Japan, services are provided either through regional/national public hospitals or through private hospitals/clinics, and patients have universal access to any facility, though hospitals tend to charge more to those patients without a referral As above, costs in Japan tends to be quite low compared to those in other developed countries, but utilization rates are much higher Most one doctor clinics do not require reservations and same day appointments are the rule rather than the exception Japanese patients favor medical technology such as CT scans and MRIs, and they receive MRIs at a per capita rate 8 times higher than the British and twice as high as Americans8 In most cases, CT scans, MRIs and many other tests do not require waiting periods Japan has about three times as many hospitals per capita as the US23 and, on average, Japanese people visit the hospital more than four times as often as the average American23 Due to large numbers of people visiting hospitals for relatively minor problems, shortage of medical resources can be an issue in some regions The problem has become a wide concern in Japan, particularly in Tokyo A report has shown that more than 14,000 emergency patients were rejected at least three times by hospitals in Japan before getting treatment A government survey for 2007, which got a lot of attention when it was released in 2009, cited several such incidents in the Tokyo area, including the case of an elderly man who was turned away by 14 hospitals before dying 90 minutes after being finally admitted,24 and that of a pregnant woman complaining of a severe headache being refused admission to seven Tokyo hospitals and later dying of an undiagnosed brain hemorrhage after giving birth25 The so-called "tarai mawashi" ambulances being rejected by multiple hospitals before an emergency patient is admitted has been attributed to several factors such as medical imbursements set so low that hospitals need to maintain very high occupancy rates in order to stay solvent, hospital stays being cheaper for the patient than low cost hotels, the shortage of specialist doctors and low risk patients with minimal need for treatment flooding the systemInterior of standard ambulance
Health insurance is, in principle, mandatory for residents of Japan, but there is no penalty for the 10% of individuals who choose not to comply, making it optional in practice2627 There are a total of eight health insurance systems in Japan,28 with around 3,500 health insurers According to Mark Britnell, it is widely recognised that there are too many small insurers29 They can be divided into two categories, Employees' Health Insurance 健康保険, Kenkō-Hoken and National Health Insurance 国民健康保険, Kokumin-Kenkō-Hoken Employees' Health Insurance is broken down into the following systems:28
- Union Managed Health Insurance
- Government Managed Health Insurance
- Seaman's Insurance
- National Public Workers Mutual Aid Association Insurance
- Local Public Workers Mutual Aid Association Insurance
- Private School Teachers' and Employees' Mutual Aid Association Insurance
National Health Insurance is generally reserved for self-employed people and students, and social insurance is normally for corporate employees National Health Insurance has two categories:28
- National Health Insurance for each city, town or village
- National Health Insurance Union
Public health insurance covers most citizens/residents and the system pays 70% or more of medical and prescription drug costs with the remainder being covered by the patient upper limits apply30 The monthly insurance premium is paid per household and scaled to annual income Supplementary private health insurance is available only to cover the co-payments or non-covered costs and has a fixed payment per days in hospital or per surgery performed, rather than per actual expenditure3132
There is a separate system of insurance Kaigo Hoken for long term care, run by the municipal governments People over 40 have contributions of around 2% of their income29
HistoryeditNational Cancer Center Hospital in the Tsukiji district of Tokyo
The beginning of the Japanese Health care system happened in 1927 when the first Employee Health Insurance plan was created33
In 1961, Japan achieved universal health insurance coverage, and almost everyone became insured However, the copayment rates differed greatly While those who enrolled in Employees' Health Insurance needed to pay only a nominal amount at the first physician visit, their dependents and those who enrolled in National Health Insurance had to pay 50% of the fee schedule price for all services and medications From 1961 to 1982, the copayment rate was gradually lowered to 30%34
Since 1983, all elderly persons have been covered by government-sponsored insurance35
In the late 1980s, government and professional circles were considering changing the system so that primary, secondary, and tertiary levels of care would be clearly distinguished within each geographical region Further, facilities would be designated by level of care and referrals would be required to obtain more complex care Policy makers and administrators also recognised the need to unify the various insurance systems and to control costs
By the early 1990s, there were more than 1,000 mental hospitals, 8,700 general hospitals, and 1,000 comprehensive hospitals with a total capacity of 15 million beds Hospitals provided both out-patient and in-patient care In addition, 79,000 clinics offered primarily out-patient services, and there were 48,000 dental clinics Most physicians and hospitals sold medication directly to patients, but there were 36,000 pharmacies where patients could purchase synthetic or herbal medication
National health expenditures rose from about 1 trillion yen in 1965 to nearly 20 trillion yen in 1989, or from slightly more than 5% to more than 6% of Japan's national income The system has been troubled with excessive paperwork, assembly-line care for out-patients few facilities made appointments, over medication, and abuse of the system because of apparent low out-of-pocket expenses to patientscitation needed
Another problem has been an uneven distribution of health personnel, with rural areas favored over cities36
In the early 1990s, there were nearly 191,400 physicians, 66,800 dentists, and 333,000 nurses, plus more than 200,000 people licensed to practice massage, acupuncture, moxibustion, and other East Asian therapeutic methods
See alsoedit
- Aging of Japan
- Erwin Bälz—a foreign government advisor and cofounder of modern medicine in Japan
- Birth in Japan
- Health care compared—tabular comparisons with the US, Canada, and other countries not shown above
- Public health centres in Japan
- Social welfare in Japan
- Timeline of healthcare in Japan
- ^ del Rosario, King 15 August 2013 "Abenomics and the Generic Threat" Retrieved 15 August 2013
- ^ 1
- ^ National health expenditures summary Report Ministry of Health, Labour, and Welfare 2010-09-27
- ^ a b c d e OECD "OECD Health Data" OECD Retrieved 2 February 2012
- ^ Britnell, Mark 2015 In Search of the Perfect Health System London: Palgrave p 15 ISBN 978-1-137-49661-4
- ^ a b c Hashimoto, Hideki 24 September 2011 "Cost containment and quality of care in Japan: is there a trade-off" The Lancet 378 9797: 1175 PMID 21885098 doi:101016/S0140-67361160987-2
- ^ Arnquist, Sarah August 25, 2009 "Health Care Abroad: Japan" The New York Times Retrieved January 28, 2010
- ^ a b c "Sick around the world" Frontline April 15, 2008 17 minutes in PBS
- ^ Reid, TR August 23, 2009 "5 Myths About Health Care Around the World" The Washington Post Retrieved January 28, 2010
- ^ Ito, Masanori December 2004 "Health insurance systems in Japan: a neurosurgeon's view" Neurologia medico-chirurgica 44 12: 624 PMID 15684593 doi:102176/nmc44617
- ^ "Catastrophic coverage" Ministry of Health, Labour and Welfare Retrieved 3 February 2012
- ^ Ikeda, Nayu 17 September 2011 "What has made the population of Japan healthy" The Lancet 378 9796: 1094–105 PMID 21885105 doi:101016/S0140-67361161055-6
- ^ "Patient survey 2008" Ministry of Health, Labour and Welfare Retrieved 3 February 2012
- ^ Britnell, Mark 2015 In Search of the Perfect Health System London: Palgrave p 17 ISBN 978-1-137-49661-4
- ^ Hirose, Masahiro October 2003 "How can we improve the quality of health care in Japan Learning from JCQHC hospital accreditation" Health Policy 66 1: 32 PMID 14499164
- ^ Matsumoto, Masatoshi August 2005 "Factors associated with rural doctors' intention to continue a rural career: a survey of 3072 doctors in Japan" The Australian journal of rural health 13 4: 219–220 PMID 16048463 doi:101111/j1440-1584200500705x
- ^ MacDonald 6 September 2001 "Chemoradiotherapy after surgery compared with surgery alone for adenocarcinoma of the stomach or gastroesophageal junction" NEJM 345: 725–30 PMID 11547741 doi:101056/nejmoa010187
- ^ Sakuramoto 1 November 2007 "Adjuvant chemotherapy for gastric cancer with S-1, an oral fluoropyrimidine" NEJM 357: 1810–20 PMID 17978289 doi:101056/nejmoa072252
- ^ http://wwwradiologyjp/content/files/680pdf
- ^ Ochi, Masami 2012 "日本の冠動脈外科は世界標準を超えているか?" 日外会誌 Journal of Japan Surgical Society 113 3: 273–277
- ^ http://wwwasasorjp/jst/pdf/factbook/factbook2011pdf
- ^ Britnell, Mark 2015 In Search of the Perfect Health System London: Palgrave p 18 ISBN 978-1-137-49661-4
- ^ a b Harden, Blaine September 7, 2009 "Health Care in Japan: Low-Cost, for Now Aging Population Could Strain System" The Washington Post Retrieved January 28, 2010
- ^ Yamaguchi, Mari February 4, 2009 "Injured man dies after rejection by 14 hospitals" Associated Press NBC News
- ^ Kyodo News Nov 6, 2008 "Another case emerges of pregnant woman rejected by Tokyo hospitals" The Japan Times Retrieved January 28, 2010
- ^ http://wwweurowhoint/__data/assets/pdf_file/0011/85466/E92927pdf
- ^ Reid, TR April 14, 2008 "Japanese Pay Less for More Health Care" NPR Retrieved January 28, 2010
- ^ a b c "Health Insurance" City of Kagoshima 2010 Retrieved January 28, 2010
- ^ a b Britnell, Mark 2015 In Search of the Perfect Health System London: Palgrave p 16 ISBN 978-1-137-49661-4
- ^ Yosomono November 28, 2009 "How to navigate the Japanese Health System" gaijinass Retrieved January 28, 2010
- ^ Rapoport-Jacobs-Jonsson 1973, p 157
- ^ Fukue, Natsuko, "National health insurance a basic universal safety net", Japan Times, May 25, 2010, p3
- ^ Kōdansha 1993, p 338
- ^ Ikegami, Naoki 17 September 2011 "Japanese universal health coverage: evolution, achievements, and challenges" The Lancet 378 9796: 1108 PMID 21885107 doi:101016/S0140-67361160828-3
- ^ 講談社インターナショナル 2003, p 183
- ^ Masatoshi Matsumoto, Masanobu Okayama, Kazuo Inoue, Eiji Kajii High-tech rural clinics and hospitals in Japan: a comparison to the Japanese average 2004
- 講談社インターナショナル 2003 Bairingaru Nihon jiten in Japanese 2003 ed 講談社インターナショナル ISBN 4-7700-2720-6 - Total pages: 798
- "employees' health insurance" Japan: An Illustrated Encyclopedia Tokyo: Kodansha Ltd 1993 OCLC 27812414 ISBN 4069310983 set, ISBN 4-06-206489-8 volume 1 - Total pages: 1924
- Rapoport, John; Jacobs, Philip ;Jonsson, Egon Cost Containment and Efficiency in National Health Systems: A Global Comparison Health Care and Disease Management 2009 ed Wiley-VCH ISBN 3-527-32110-1 CS1 maint: Multiple names: authors list link - Total pages: 247
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We've had a busy few weeks at Levain!
First our sticky buns on Oprah! Thank you Mark and Gail for your appreciation of, and your votes for our cinnamon raisin sticky buns.
Last week our Italian Bread class, last night our Levain Bakery Breakfast class.
Today a celebration of Alexis M's birthday!
And, last but not least, we are all loving this sunny taste of Spring today! The perfect weather to enjoy coffee and breakfast on the bench, in the sun before it gets too hot. Enjoy the day!


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Every month somewhere after the 20th I send a significant portion of my pay check to pay for a car I tolerate, but don't really like. I know I need the car. I have to get to work, and an hour long metro ride then 25 minute walk to work each way doesn't sound appealing.
I pay more than I would like to for this car. I got it from Carmax with zero money down and no co-signer. It felt nice to be able to walk in and get one given some of the financial chaos I went through after I graduated college, but I've always felt like I'm being ripped off to a degree with how much I'm paying. And yet, the car is still outside.
Goalies aren't much different. Goalie performance can be so variable from year to year that it's easy to get stuck with a lemon. Paying for a goalie is one of those necessary evils NHL clubs just accept. In a perfect world a mid-tier free agent will step up and save general managers some dough, but banking on it to happen is hit and miss. Then when you miss you take heat for not going after the bigger fish.
Enter Ben Bishop. The Dallas Stars inked him to a six year deal for a hair under thirty million. He's been ok, and with a cap hit under five per year it would be hard to really complain too much. I got into a Twitter conversation the other day discussing how Bishop is going to hold the Stars back from locking up younger guys and in general hold the franchise back.
My initial reaction to this was "that's bullshit", but in my past life I was often too quick to outright reject ideas that seemed silly to me. So, I decided to see if this idea is as silly as it initially seemed to me.
The initial premise here is that the Stars are paying too much for their average to solid goaltending. I can dig it. This year in particular they are paying more than you would like, but too much suggests there are other things right now that they could do with the money. The roster doesn't need much.
On their ledger you will find over 12 million in goalie salaries when you throw the Antti Niemi buyout in there, but for the sake of fairness lets just chalk Niemi up as a generic dead cap hit. Bishop and Kari Lehtonen combine for close to eleven millon this season. Most teams spend about six to seven million per season on their duo.
But, wait! Lehtonen is a free agent after this year which drops that total by almost six million. Bishop is paid near the league average for a starting goalie. Were the Stars to re-sign Lehtonen to a more reasonable total, say two million per year, the Stars come in at about seven million for their duo. Or, roughly league average.
Bishop's contract is structured in a way to make it VERY tradeable. He will take in 2/3 of the total value of his deal in the first three seasons. The final three seasons are low salary and have limited no trade protection. His contract is a very tradeable to a receiving team needing to soak up salary cap space without paying actual money.
Those three years will likely be years where you would reasonably expect him to be a backup caliber goalie, but also when you would expect one of the Stars top goaltending prospects to at least be in the NHL doing something. Colton Point and Jake Oettinger are legit and in college. Surely one of them is in the NHL by that point.
Who does Bishop keep the Stars from re-signing? Everyone is under contract through next year. Jason Spezza and Tyler Seguin are up simultaneously so the Stars will shift some of Spezza's money to Seguin, but outside of that? I don't see who is impacted. The core of the team is in tact. Even Esa Lindell, when he hits restricted free agency, likely soaks up Marc Methot's money. So, I don't know.
If anything I guess there's an argument to be made for a limited amount of cap space minimizing the Stars' activity in the trade market. As the year goes on and available space gets prorated to allow for teams to acquire higher salaried players without killing their cap I still don't see the impact.
The only real money problem I see with the current roster is paying an injury-prone fourth line center almost five million dollars a year to win faceoffs and stand statuesque in front of the opposing net while Brett Ritchie tries to will pucks on goal from five feet away.
Maybe sometimes silly positions really are just silly. Ben Bishop isn't much of a problem even if he falls off of a cliff. NHL clubs are always going to pay to feel secure in net because they would rather be caught with an average guy long term than with a mediocre job-killer for even a season.
Verdict: bullshit.
Hey, click these:
2/20/18 – Heiskanen Scored a Goal
2/18/18 – Trader's Village and Trade Deadlines
2/18/18 – Sundays With Miro, Game 3
2/17/18 – Another Night With Miro Heiskanen
2/16/18 – Jeep's Blues


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An energy or sustainability statement is a report document that confirms a development will meet and how it will meet any regional set energy targets or sustainability policies. The document is used to support planning applications as evidence and to aid a successful approval. The documents are now more commonly a mandatory requirement rather than an optional requirement.
Local Boroughs have their own energy policy statements and energy targets; they do vary and are not the same and are relevant to both new and refurbishment developments. Generally the targets depict an energy performance target as a percentage over and above building regulations to be achieved. For example The London Plan currently requires a 35% reduction on CO2 emissions over and above 2013 building regulations.
Typically an Energy statement will review the following items:
1. Energy efficiency of the building
2. Baseline annual predicted CO2 emissions & energy demand
3. Any improvements to fabric efficiency beyond building regulations
4. Demonstration of how the building will meet the required CO2 reductions with renewable technology
5. Estimated reduction of energy usage and CO2 emissions
Typically a sustainability statement will review the following items:
1. Energy efficiency of the building
2. Water
3. Flood & drainage risks
4. Waste
5. Materials & construction
6. Community Impacts
7. Transport
8. Health & Wellbeing
9. Materials
10. Pollution
11. Ecology
12. Management of the site
SAP or SBEM Assessments are utilised to determine CO2 emissions depending on the type of build. The statement will also need to highlight that a feasibility study has taken place regarding renewable energy solutions; this can range from ground or air source heat pumps, connection to district heating systems and Solar PV panels.
The key to ensuring a detailed and well thought approach to the energy of the new development is ensuring that an energy/sustainability consultant is appointed at an early stage. This allows for a thorough and detailed review of requirements, development detail and design proposals, it also allows for conversations to be had with the Local Authority if required.


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NHS Lanarkshire has urged people not to attend local hospitals unless it is "essential", as it battles a malware attack on its IT systems today.
Patients arriving at A&E who don't need emergency treatment could face a lengthy wait or "be sent away".
Procedures were put on hold yesterday as the health board took action to counter a cyber attack.
This morning a message on NHS Lanarkshire Facebook told staff to call a temporary number to check if they were required for shift cover over the next 72 hours.
That number is 01698 368713.
The hospitals affected include Wishaw General, Monklands and Hairmyres, and all local GP surgeries are also affected.
A spokeswoman for NHS Lanarkshire said this morning that anyone whose operation had to be postponed would be contacted directly.
She added that weekends were typically quieter, and that every effort had been made to keep disruption to a minumum.
NHS Lanarkshire hopes systems will be back to normal by tomorrow, and testing is currently ongoing to find if it will be safe to put them back online later today.
In a message to patients yesterday Dr Jane Burns, medical director for the acute division said: "I would ask that patients do not attend our hospitals unless it is essential.
"If you do turn up at A&E and do not require emergency care you may be sent away from the department or you may experience a lengthy wait.
"Emergency care will still be provided for those who do require to be seen."
The board's chief executive Calum Campbell said: "We have detected some incidences of malware and took immediate action to prevent this spreading while we carried out further investigations.
"We are currently putting in place a solution from our IT security provider.
"While the issue is being resolved, our staff have been working hard to minimise the impact on patients and we apologise to anyone who has been affected."
The next update on progress is expected around 4pm today.


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Low Carb Spinach and Ricotta Bake: ketogenic, healthy, mouth watering and easy to make.
Spinach and ricotta are a match made in heaven. Individually, these two ingredients are totally versatile and you can use them to make all sorts of healthy dishes, both savoury and sweet. Packaged ricotta usually has a long eat-before-date and frozen spinach is just as good as the fresh version. So I tend to have both lingering around as a backup for I-don't-know-what-to-cook days or I-can't-be-bothered-to-go-to-the-shops days.
Yesterday was one of those days. I looked in my fridge for inspiration and a tub of ricotta jumped at me. Immediately thinking of its perfect partner, I opened the freezer and there it was: an unopened bag of frozen spinach ready to be used. Then I went back to the fridge. Eggs? Check. Mozzarella? Check. Parmesan? Check. Cream? Check. Garlic and spices? Check.
Job done. No shopping list or trip to the stores. Hurray!
You can find the spinach and ricotta pairing in every recipe book and internet blogs everywhere, usually as a filling for cannelloni or as a sauce that accompanies pasta for a quick turn-around meal. In case you want to check out a delicious keto recipe for cannelloni, here is my yummy Low Carb Spinach and Ricotta Cannelloni. If you fancy having a go at making pasta, here is a Low Carb Pasta with Creamed Mushrooms version. However, for this Low Carb Spinach and Ricotta Bake you need neither pasta nor replacement pasta.
After a bit of improvisation, and in no time at all, I assembled the keto dish and I was baking away. The kitchen was filling with a lovely and inviting smell that stirred my senses….mmmmhhhh…..I hoped the taste would match that wonderful aroma.
40 minutes later my bake was ready to come out and rest.
A quick olive oil and vinegar dressing of some mixed salad leaves, cherry tomatoes, cucumber and avocado, and dinner was ready to serve. It didn't disappoint…
The Low Carb Spinach and Ricotta Bake turned out so good that my plan to have leftovers for today went out the window. Munch monster and I had second servings and ate the whole lot.
Since then, the dish has been a resounding success every time.
I hope you will enjoy it as much as we did!
- Yield: 4
- Serving: 1
- Calories: 402
- Fat: 31.4g
- Net Carbs: 8.9g
- Protein: 23.8g
- 600g frozen spinach
- 1 garlic clove (finely chopped)
- fine himalayan pink salt(U.S. option HERE)
- 20ml extra virgin olive oil (EVOO) (U.S. option HERE)
- nutmeg
- paprika
- freshly ground black pepper to taste
- sprinkle of organic broth granules
- 2 eggs
- 250g ricotta
- 1 (100g) mozzarella
- 50g (50ml) double cream
- 75g freshly grated Parmesan (I use Parmigiano Reggiano as it has a more intense flavour)
- splash extra virgin olive oil in a shallow pan or wok.
- add spinach, garlic, broth granules and a generous sprinkle of black pepper, nutmeg and paprika.
- stir and cook until dry and just beginning to crackle, then taste test and set aside to cool.
- pre-heat oven to 180ºC fan (200ºC static).
- whisk whole eggs until tripled in volume.
- add ricotta and whisk again.
- incorporate cream and whisk again.
- add ¼ tsp salt, a generous sprinkle of black pepper, the cooled down spinach, 50g Parmesan and the cubed mozzarella.
- stir everything and pour into a buttered oven dish about 20cm x 30cm.
- even it out with the back of a spoon and sprinkle the remaining Parmesan all over the top.
- bake for 30 mins then raise the oven temperature to 200ºC fan (220º static) and bake for a further 8-10 mins until golden brown on top.
Enjoyed this post? I really value your feedback! Please leave me a comment. If you make this recipe, make my day and post a photo on social media with the hashtag #queenketo. Thank you! 🙂
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After Slashing Tuition by 43 Percent, Rosemont College Applications Soar 64 Percent, Entering Class Grows by One Third
College Pleased by Success in Reaching 'Squeezed' Middle-Income Families and Demystifying Tuition for Them
PHILADELPHIA, Sept. 26, 2016 (GLOBE NEWSWIRE) -- When Rosemont College – a small, private liberal arts college in suburban Philadelphia – announced a dramatic 43 percent tuition reduction last year, it hoped to attract the attention of middle-income families who were overlooking a private school they considered too pricey.
A photo accompanying this announcement is available at http://www.globenewswire.com/NewsRoom/AttachmentNg/43eedc6a-8964-43d1-b389-fb52822ada6e
A year later, the College's decision appears to have paid off.
Applications to Rosemont this year soared by 64 percent – with more than a 60 percent increase in entering students from households with incomes between $75,000 and $125,000. The college enrolled 229 students this year, up from 175 last year.
"We achieved what we set out to do: We successfully got on the radar screen of middle-income families, for whom the published tuition price is the most confusing and who are the most 'squeezed' by the current tuition model," said Dr. Sharon Hirsh, president of Rosemont College.
In addition to its goal of especially reaching middle-income families who previously thought they could not afford Rosemont, the College was very clear about another motivation for its tuition reset – to restore clarity and simplicity to a tuition pricing model Dr. Hirsh termed "broken."
"College tuition has become an artificial sticker price that most students do not end up paying," she said. "Instead, colleges discount the price through a package of grants and scholarships, which are nothing more than discounts off of the sticker price.
"We moved from a high-price, high-discount model to a low-price, low-discount model. We not only got on families' radar screens, we also impressed them with our forthright, clear approach to pricing."
Rosemont's initiative, Our Tuition Promise, reduced tuition for the 2016-2017 academic year from $32,620 to $18,500 and room and board from $13,400 to $11,500.
Financial aid and merit scholarships are still offered to Rosemont students. But they are based on a new, "true" tuition price of $18,500 rather than $32,620.
The tuition reset proved beneficial to current and new students alike. According to a September 2016 survey sent to families of first-year and transfer students at Rosemont, the four most influential factors in the students' decisions to attend Rosemont were academic quality and selection, the expertise of faculty, the availability of student financial aid and the lowered tuition price.
"We are exceptionally pleased with the level of success we have seen with this initiative so far," said Maria Feeley, chair of Rosemont's Board of Trustees. "We have attracted a large number of students who may have initially ruled out Rosemont due to the price tag alone, but have since realized they can afford a Rosemont education. In fact, the price of tuition will remain the same for the 2017-2018 school year, as well."
Tuition for the 2017-2018 school year will remain $18,500. Room and board will see a slight 4 percent increase to accommodate the larger population of students.
The fall 2016 semester is represented by 143 schools, with students coming from 21 states, as well as five countries.
About Rosemont College
Rosemont College is a private, coeducational Catholic institution founded in 1921 by the Society of the Holy Child Jesus. Rosemont offers a comprehensive education through small group and experiential learning experiences while providing campus-wide academic, spiritual, and professional support. We respect and embrace diversity and individuality and promote students' lifelong success. For more information, visit www.rosemont.edu.
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Rosemont College
Rosemont, Pennsylvania, UNITED STATES
Contact: Megan Keohane Buchanan Public Relations email@example.com 610-228-0404
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Hey guys,
I just installed and setup Pro Sites on my Main site, Hoopsinstitute.com
Everything seems to be working correctly so far.
However, my services I'm offering with each website plan is pretty widespread.
So after a customer signs up with Pro Sites, I want to be able to redirect New users to a custom Welcome page that explains how everything works, offers a tour, etc, etc.
Currently, when someone signs up for a new blog, they are presented with the "Finalizing Your Site…" page/content as shown in the image attached.
With only the option to log into their site's dashboard after checkout via Pro-Sites.
I would rather they go to the Welcome page instead. How can I change this?
If I can edit/add to the "Finalizing Your Site…" page/content, that would actually work better.
Can I have some assistance with this?
I have granted Support Access,
Thanks a ton!


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- Study with CDU
Current students
Current Students
For further information please contact:Student Central
1800 061 963 (freecall)
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Student Central
Equity Services
Student Support
- International
- Research
Business & Government
Business & Government
For further information please contact the Office of Research and Innovation
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Community & Alumni
Community & Alumni
Charles Darwin University places a high priority in meeting best practice standards in corporate governance.
This is demonstrated by:
- reference to relevant Australian and International Standards
- reference to pronouncements and advice on governance from bodies such as the Universities Australia, University Chancellors' Council, Chartered Secretaries Australia, Australian Institute of Company Directors and the Australian Stock Exchange
- compliance with the Tertiary Education Quality and Standards Agency (TEQSA) and Australian Skills Quality Authority (ASQA) .
Two elements of good governance are:
- a systematic process of identifying and managing risk
- a robust and independent internal audit and compliance function.
Australian standards are published documents setting out specifications and procedures designed to ensure products, services and systems are safe, reliable and consistently perform the way they were intended. They establish a common language which defines quality and safety criteria.
These documents are based on sound industrial, scientific and consumer experience and are constantly reviewed to ensure they keep pace with new technologies. They cover everything from consumer products and services, records management, engineering, business, information technology, human services to energy and water utilities, the environment, risk management and more.
Each standard is developed by a committee made up of technical, business, academic, government and community experts who come together to debate how a product or system should perform and how it should be made. Before finalisation, every standard is subject to public comment to ensure everyone with an interest in the subject has the opportunity to input.
Australian Standards are developed by the non-government standards development body, Standards Australia. Australian standards are aligned to international standards.
International standards are standards developed by international standards organizations. International standards are available for consideration and use, worldwide. A prominent organisation developing and reviewing international standards is the International Organization for Standardization (ISO).
International standards may be used either by direct application or by a process of modifying an international standard to suit local conditions. The adoption of international standards results in the creation of equivalent, national standards that are substantially the same as international standards in technical content, but may have (i) editorial differences as to appearance, use of symbols and measurement units, substitution of a point for a comma as the decimal marker, and (ii) differences resulting from conflicts in government regulations or industry-specific requirements
|Standard Name
|Standard Number
|Australian/New Zealand Standard - In-service Safety Inspection and Testing of Electrical Equipment
(replaces 3760:2004)
|Australia and New Zealand
|Specifies procedures for the safety inspection and testing of low voltage single phase and polyphase electrical equipment, connected to the electrical supply by a flexible cord or connecting device.
|Australian/New Zealand Standard - Records Management – Physical Storage
|Australia and New Zealand
|Covers all types of storage media, e.g. paper, audio visual material, micro-forms and machine readable formats, but excludes electronic records on networks, hard-drives or in data centres.
|Australian/New Zealand Standard - Risk Management Principles and Guidelines
(replaces AS/NZS 4360:2004)
|Australia and New Zealand
|Provides a generic guide for managing risk. It may be applied to a wide range of activities or operations of any public, private or community enterprise, or group.
|Australian/New Zealand Standard – Information and Documentation – Implementation guidelines for digitization of records
|Australia and New Zealand
|Establishes guidelines for creating and maintaining records in digital format.
|Australian/New Zealand Standard - Safety in Laboratories Part 9: Recirculating Fume Cabinets
|Australia and New Zealand
|Specifies requirements and recommendations for the design, manufacture, selection and use of recirculating fume cabinets (sometimes referred to as 'ductless fume cupboards') for use in laboratories. Includes test methods to determine their performance.
|Australian/New Zealand Standards - Safety in Laboratories Part 10: Storage of Chemicals
|Australia and New Zealand
|Specifies procedures and requirements for the segregation and storage of chemicals in laboratories and stores associated with laboratories.
|ISO – Information and Documentation - Records Management Part 1: General
|This part of ISO 15489 provides guidance on managing records 1) of originating organizations, public or private, for internal and external clients.
|ISO - Information and Documentation – Records Management Processes – Metadata for Records - Part 1: Principles
|Covers the principles that underpin and govern records management metadata.
As part of the University's regular compliance regime reports are submitted regarding:
- Reviews by External Organisations
- Potential Conflicts of Interest
- External Sponsorships
- Corporate Gifts
- Potential Legal Disputes
- Policies and Procedures
Reviews by External Organisations
As part of our regular reporting to the Audit and Risk Committee we include a list of reviews conducted by external organisations on University operations. Examples of recent external agency compliance reviews include:
- The Department of Health conducted an inspection of the teaching kitchen facilities on the Palmerston and Alice Springs campuses.
- The Office of Human Resource Services was recently audited by the Department of Immigration checking on visa compliance with staff recruited from overseas.
- The IELTS testing centre of the Community Services, Health and Literacy Industry Division was recently audited by IELTS.
- Course accreditation by professional bodies.
- Statutory compliance testing.
Please send details and reports from external organisations that have undertaken audit or compliance testing to firstname.lastname@example.com
Potential Conflicts of Interest
Please inform us if you have been made aware of any potential or real conflicts of interest involving members of your portfolio area? If you have been made aware of an instance, was it handled in accordance with the Conflicts of Interest Policy?
The obligation to avoid potential conflicts of interest requires a staff member:
- Not to improperly use his or her position to gain a benefit;
- Always to act so as to avoid conflicts – actual, potential or perceived – between personal interests and the interests of the University; and
- To declare situations to a supervisor or other authorised person that might reasonably give rise to, or be perceived as, conflicts between interests or between personal interest and obligations to the University.
For further information regarding conflicts of interest please refer to Conflicts of Interest page. Please send brief details of any potential conflict of interest to email@example.com
External Sponsorships
As part of regular reporting to the Executive Leadership Group we include a list of those external activities where the organisational unit has agreed to be a sponsor. Sponsorship includes cash and/or in-kind support such as providing a venue free of charge for an external organisation, providing administrative support or providing equipment or material.
Please provide brief details (such as entity and activity being sponsored) of any new external sponsorship/s to email@example.com
Corporate Gifts
As part of our compliance regime, we need to record the receipt of gifts from external parties connected with the University where that gift is valued at $100 or more. Did you or any members of your portfolio area receive any form of a gift from an external party to the value of $100 or more? If so was this gift recorded in the official Gift Register?
Given recent high-profile incidents involving the non-declaration of the receipt of gifts, it is important that any gifts received, with a value of more than $100, by any member of the University community are reported and recorded. Examples of gifts provided by external parties would include:
- Free flights and accommodation;
- Sponsorship to attend conferences where the University does not have membership of the host organisation;
- Tickets to sporting events such as the V8 Supercars;
- Darwin Cup Carnival tickets
- Melbourne Cup Race Day tickets
- Australia Day Gala Ball tickets
- Ladies Day Race Tickets
- Bottles of wine, food and refreshments.
Please report corporate gifts to email@example.com
Potential Legal Disputes
A regular report is provided to Audit and Risk Committee relating to any dispute which has resulted in legal action or has the potential to escalate to legal action. Such disputes may be with CDU students, suppliers, contractors, consultants, businesses, organisations or institutions.
Please forward brief details of any issue which you believe may escalate to a dispute resulting in legal action, which has arisen from your portfolio area, to email@example.com
If you have previously reported a legal dispute or a potential legal dispute and the issue has been resolved please provide this information so that the entry can be removed from the list.
Policies and Procedures
As part of the University's compliance regime, governing documents are continuously reviewed and updated. If you have used any University policy or procedure which you believe:
- Does not conform with actual University practice;
- Contradicts other University policies and procedures; and/or
- Does not conform to Territory or Commonwealth Acts or Legislation.
Please report any problems with University Policies or Procedures to email@example.com


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UMBC at Binghamton Game Notes, Jan. 27, 2016
Due to the historic snowfall that hit the Baltimore area over the weekend, the UMBC Retrievers' men's basketball team travelled directly from Burlington, Vermont to Vestal, N.Y. where they will resume America East Conference play against the Binghamton Bearcats on Wednesday, Jan. 27. Tip-off time at the BU Events Center is slated for 7:00 p.m.
The contest will be broadcast on www.americaeast.tv and live stats will be available via www.umbcretrievers.com and fans can also follow via the men's basketball program's Twitter feed (UMBC_MBB). Access of live stats and video is also available via UMBC Front Row, UMBC Athletics' mobile website.
RETRIEVERS' UPDATE: UMBC (5-16, 1-5 AE) dropped its fourth straight as host Vermont edged the Retrievers, 79-72, at Patrick Gym on Sunday. UMBC sophomore guard Jairus Lyles scored a career-high 32 points and the Retrievers held a late lead at Vermont, but the Catamounts prevailed by virtue of a key 10-1 run down the stretch.
Lyles' 32 points is the most by a Retriever versus a Division I foe since Darryl Proctor netted 33 points versus Boston University on March 7, 2009. He also led UMBC with five rebounds and five assists and he added three steals.
Lyles (25.5 ppg) has scored 24 or more points in all but one of his ten outings and the Retrievers are averaging 80.1 points per game during Lyles' brief tenure.
However, America East foes have averaged 84.5 points per game and are shooting a combined 53.8 percent from the floor against the Retrievers through six league games.
In his return after missing the 2014-15 season due to injury, red-shirt sophomore guard Rodney Elliott is averaging 13.9 points and leads AE with 4.3 assists per game in league play. Freshman wing Joe Sherburne has scored in double figures in 16 of his first 21 intercollegiate games and averages 12.7 points per contest. Sherburne's 50 treys lead UMBC and he is already has sunk the fourth-most by a Retriever freshman in school history. Junior forward Will Darley is the fourth Retriever in double figures at 11.0 points per contest.
BINGHAMTON UPDATE: Visiting Binghamton (4-15, 1-5 America East) opened the second half with a decisive 19-4 run and then made seven free throws in the game's final minute to hold off UMass Lowell 64-57 Sunday afternoon at the Tsongas Center. Sophomore forward Willie Rodriguez led 14 of his game-high 17 points in the second and the Bearcats' pressure defense ran their turnover count up to 23 with nine steals in the period. Junior guard Marlon Beck netted 12 of his 17 points after intermission.
The win snapped a six-game slide for Binghamton. The Bearcats average a league-low 58.7 points per contest. Rodriguez leads the squad in scoring and rebounding at 14.2 points and 6.3 rebounds per game, while Beck has netted a team-best 46 treys on the campaign.
LAST YEAR'S MATCH-UPS AND THE SERIES: Binghamton has won three straight in the series after UMBC had evened the all-time mark at 11-all with a five-game streak. Last season, the Bearcats triumphed, 69-55 at the RAC Arena in January and held off UMBC, 76-69 in the penultimate game of the season a month later in Vestal. Retriever guards Jourdan Grant and Ben Grace excelled versus the Bearcats last season, averaging 19.5 and 17.0 points per game respectively
WHO'S UP NEXT: The Retrievers return home after parts of seven days on the road on Saturday, Jan. 30 when they host the New Hampshire Wildcats. Tip-off time is set for 1:00 p.m.


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There is no celebration of death only mourning. When someone close to us dies we feel sad and a part of our heart empty. We will never be able to see and talk to that person again. She/he is gone for forever. It's hurting. Isn't it?
Then why I am talking about celebrating death when from inside we are broken and wounded. We do not mourn on death we mourn the loss of life.
A celebration of death is correlated to the celebration of life. If you have never celebrated your life, you missed the only chance to celebrate death. The time we have on this planet is now.
Celebrate life every day. Be thankful, for giving you one more day. A day full of hope, endless opportunities and millions of smiles. A day you will never have again.
Celebrate life and life celebrates having you.


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Monthly Archives: December 2010
The Gift of Simple Things
Isaiah 42:1-9, John 1:1-14 In my mind, and in the mind of many Christians through the ages, there is no more profound part of the New Testament than these words that we read from John's gospel this morning, this … Continue reading
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Remember the Waiting
Isaiah 63:16-64:8, I Corinthians 1:3-9, Mark 13:33-37 At our dinner table the other night I took a poll. I asked those people present whether it is best to know everything you are going to get for Christmas or is it … Continue reading
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A Rumor of Angels
– Genesis 32:1-2, II Corinthians 5:16-6:2 Perhaps some of you saw the same two articles in the newspaper that I saw last weekend, on separate days. The first was a report gathered from local book sellers, people who own places … Continue reading
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Brie Larson and Naomi Watts attend "The Glass Castle" New York screening.
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Now Woody Harrelson and Brie Larson are sharing the screen in new film "The Glass Castle". An adaptation of Jeannette Walls' best-selling memoir, the film chronicles her poverty-stricken childhood in an eccentric and dysfunctional family, with Larson playing the central character and Harrelson her alcoholic father.Reuters: Woody, you directed a movie released this year.Reuters: Brie, what attracted you to play this character?Reuters: How similar are you to the character you play in this film?Reuters: Woody, would you play Donald Trump?


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"Camaraderie" & "Not Leaving Anyone Behind"
Vet-to-Vet is a peer driven support group where veterans can help one another work through the issues frequently experienced as they reintegrate into civilian life.
When: Tuesday Night, 6:30-8:30pm, Starting on 10/6/2015
Where: New England Veterans Liberty House 6th Floor Conference Room Suite 2 599 Canal Street Lawrence, MA 01841
Who: Open to all veterans, regardless of the years of their service, gender, or whether they were in combat or not. All that matters is that you served your country!
POC: J.T. Torress at 978-258-2331
Group Facilitator: Grace Chen, PhD, LMFT


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Getting Financing For A Business
Related Articles
Access to finance a new business is closely related to the ability of these companies to maintain a steady income from capital, since their savings margin does not allow them to operate for long without funding. Access to capital is an indispensable tool for emerging companies must properly handle as well as provide them capital this option allows them to ensure business continuity.
And although this year is perceived greater economic prosperity for the sector of entrepreneurs that are building their businesses in America, should take into account several aspects to know where and how to get the best credit available.
In US, known SMEs are of many columns supporting the national economy so its access to financing is key to the nation. To improve funding opportunities companies must improve business efficiency and maintain a basic organization through accounting.
Before choosing any option there are some basic tips that companies should take into account when selecting the best financial service and take advantage of the credit:
1. Clear Objectives:
Before beginning the search for sources of financing, SMEs should assess their financial needs based on business objectives. It is useful to ask: What do I need financing ?, how much do I need ?, how long? Experts recommend doing a detailed report on the current and future financial status of the company analysis, since this is the first step to getting the most convenient financial service.
2. Connect the needs in Financial Services:
There is a broad portfolio of financial services, so the comparison and knowledge are needed to find the right one, so resist the temptation to choose the first thing you check and see beyond.
3. Above All, the Order:
Once you have selected the financial service, the main thing is to put order in all financial operational documentation, tax, and credit. The companies offering credit generally look ups that show are very meticulous when handling your finances and fiscal obligations, showing professionalism throughout their operational history.
4. Select the Best Creditor:
Companies that constitute recently have to do much research on which company would be the best option that gives them the financial services they need. The aspects that must be taken into account are the time that the credit company operates in the market, its customer base rapidly in the process of loan approval and funding, and flexibility.
5. Make a Payment Plan before Acquiring Credit:
Once the financial service provider selected this, the company has to make a financial strategy to modify its budget so as to cover monthly, bimonthly or semiannual payments return to the credit purchased.
This prior planning is vital for a healthy balance sheet that provides scenarios short and long term in which entrepreneurs can clearly see the liquidity that their companies will begin once the payment of the purchased credit. That will, among many things, to make payments on time and thus strengthen the credit history of the company, which will allow more loans in the future.


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