#the difference between routines and preplanning

[cygnetbrown]

Why Are Routines Important?

A few days ago, I talked with a man on “X”. He asked, “Do you follow a routine or just go with the flow?” This post is based on that conversation. I do both. I pre-plan so I know what I intend to do the next day. By knowing what I will do, the decision is already made.  I follow a routine because I get so much more of what I really need done every day when I do. The conversation that we had…

[besteldercaremaryland]

Alzheimer Nursing Facilities as well as Alzheimer's Care Residences

The search of a Alzheimer's Nursing Homes for the individual dealing with Alzheimer's is a little bit considerable action. When there is seriousness for the facility, the decision taken in rash manner may lead to a scenario which is not favorable for long-term demands. There is no simple solution to the question which Alzheimer's Nursing Houses will fit the most effective? The Facilities available needs to be evaluated in a way that satisfies the requirements of the person and family members. There are numerous variables on which the well-chosen of the treatment facility depends. Several of these elements are listed below:

Capacity to Treatment: It must be made sure that the Alzheimer's Nursing Residences ought to be able to handle the private needs and offer treatment as necessary to the client.

Security: The Areas need to be fitted with an emergency situation call system to make sure that people can hire instance they need help. The facility team need to exist on routine rounds. Some keeping track of systems can additionally be installed at more suitable areas.

Sanitation: The homeowners, which are currently living in the treatment center, must be given an aim to examine the level of cleanliness and also treatment.

Expert as well as Conscientious Personnel: The staff should have know-how in specialized mental deterioration training. They should be able to diagnose each and every symptom that might take place at any time during the treatment and then provide the option to cure it

Plans of Therapy: The administration ought to have a preplanned procedure for healing the individuals relying on the intensity of condition. The treatments should be updated consistently.

Menu Choices: The nutritional menu must be such that it cater the requirements and preferences, if any, of every individual client.

Planned Arrange: The management should have an everyday schedule prepared with activities so as to make the people really feel much better.

Typical Locations: As some clients frequently have troubles with the reduced lying items so the usual locations need to be made to deal with all kind of issues. Some special areas may additionally be there viz. Peaceful space, Rest area etc. In order to deal different kind of clients.

Room Decor and lightening: The Illumination in the Alzheimers Care Home need to not be dark or uneven. The rugs, drapers and also the providing things ought to have the least layouts not to mistake for bugs. A clear marking method must be adhered to with the spaces as well as kitchen areas.

Outdoors Areas to be Secure: The people frequently like to utilize their time in exterior. The yards in the care center must be fenced to ensure that the residents don't go out of the limit.

The Alzheimers Treatment Home would certainly be extra rewarding if it positioned in a near by region. The relative would be able to get on to normal visits which might assist in patients recuperation. There are various sorts of centers available which are as adheres to:

Assisted Living is the most prevalent selection of treatment. It incorporates centers such as Residence Treatment and also Personal Assistance, housekeeping as well as transportation. This real estate offers the persons independent living between their peers.

External Links:

Best Eldercare Maryland

Penzu

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[rowanwhittington]

Michela Reghellin came in to do a life drawing class to her hula hoop routines. I found the class hard to keep up with at first as I had only ever done life drawing with a stationary model holding long poses but I enjoyed the challenge that came from an ever moving subject.

The first drawing was a warm up where we followed Jo's instructions, using fast paced mark making techniques to create a sense of motion. This also encouraged me to layer my drawings and not worry about everything looking perfect.

I then went on to focus only on documenting Michela's moving feet and the hoop spinning. I used a red pen to differentiate between the two, although I find the darker pencil marks with it look a little distracting.

From there I looked at the movement of the hoop on Michela's body, tracking it rotating through one continuous line. Working impulsively gave me some interesting results, such as that in the bottom right corner of the hoop spinning around her foot, that I know I would not have considered if I had preplanned the drawing or gone into it knowing what to expect.

I then drew onto tracing paper to see how a different background could affect my drawings. Although this piece is extremely simple, I think it's my favourite as the bold pen lines clearly convey the movement of the free flowing dance. They are human figures without looking too human, which somewhat links to what I've been exploring in the rest of my work.

For the final two drawing I worked on using what I had learned and refining it down to the successes. On the left is a layered drawing using a variety of line thicknesses and mediums to create an almost abstract scene. I really like how the figures seem to dance on top of each other and interact. The drawing on the left was a focussed look at her body in a more traditional life drawing technique. Although these are not the neatest or most accurate, I would never have been able to do them without having first studied the body through the prior drawing experiments.

[bearfeathers]

I've been treated for depression and anxiety for nearly 20 years - since I was 9 or 10 years old. While certain aspects of these got better with medication and therapy, something still always felt "not right." As a kid, it took me a while to catch on, but eventually I started to realize that the way I thought and the way my classmates thought was not the same. Not to say that I was ~SO UNIQUE~ just more like I couldn't relate to them. Or their motivations confused me. Or I just didn't realize that I was being jerked around. People even now describe me as being a little bit odd. Or different. In the past few years, I've been trying to figure out what this other thing, the "not right" part of me could be, instead of just settling for "I guess this is as good as it's gonna get." Reading and reflecting on my own lead me to wonder if it could be something on the autism spectrum or possibly AD/HD. I started seeing a new therapist a couple months ago and finally brought this up to her. While I really like her, I felt frustrated when she said I had neither after a few questions. I'm perfectly willing to accept that it was neither of those things, but I felt kind of off put when she asked why I thought there was something wrong other than my depression and anxiety. It wasn't so much that she told me it wasn't those things, but because she determined that in under five minutes. It just felt... Rushed? Dismissive? She said I was too aware to be on the autism spectrum and not distracted enough to have AD/HD and that it's not likely that the symptoms would have been missed in my childhood. I said I'd read about these online and that a lot of people said autism and ad/hd could present differently in girls since they were considered "boys conditions" and therefore most studies and research had been done with boys. She informed me I couldn't make an accurate diagnosis from web pages, which I know, but I thought it was supposed to be a good way to talk to your doctor/therapist/etc. about it. But the more I think about it, the more it feels like yes, I do have some of those things, just not your textbook examples. As a kid, I could never pay attention during lectures or "read out loud" portions in class; inevitably I would zone out and daydream, doodle, or flip ahead to more interesting parts of the text book. I have a bad habit of taking people literally or at face value, so when people are joking, sometimes I just don't catch on. Ditto for when people are being insincere. My time management is HORRENDOUS; despite waking up even an hour early, setting alarms, and making check lists, I always manage to get distracted by something or just can't grasp the passage of time, so I'm frequently late to things. If clothing is too tight or an uncomfortable material, I'm not able to focus on anything BUT that. I have difficulty finding my focus; it feels like there's a cork stuck in the bottle where all my focus and concentration is, but I don't have a corkscrew. Alternatively, sometimes I get TOO focused on things; and usually insignificant things at that. If my routine or preplanned schedule is disrupted, the whole day is basically a wash. It's like it knocks me off kilter and I can't get back up on the horse. It can even be something as simple as something coming up where I need to go out, when I had planned to stay in and do nothing. I often feel restless and like I should be doing something and this makes it difficult to do the things I enjoy. When I am doing things I enjoy, like using my laptop, it's like I can't stay focused on one thing. I find it difficult to finish a movie or TV episode without frequently switching to other tabs to do something else. One of the most frustrating things is what I call noise pollution; I work as a police dispatcher and if I've got the radio going and the tv on and people talking in the room, I can't differentiate between sounds. It all just becomes a single, flat noise and I can't pinpoint what is coming from where. I recently went to a friend's baby shower and it took me three days to recover because I was with a large group of people I didn't know and therefore didn't know how to act around, so I nearly had a panic attack. I don't get out of my seat when it's inappropriate... but I can't sit still in it either; rocking, rotating, knee bouncing, swaying, it just makes me feel better. Then there's the skin picking, the nail biting. Even when I know I should stop, I can't seem toz and frequently do it to the point of bleeding and scarring. There are scores of other examples but I feel like I should spare you if you've read this far lol. I don't want to push and say that she's wrong, because it makes me feel... idk kind of like I'm just begging for a diagnosis. But at the same time, SOMETHING is off and I still don't know what it is. I just want to know what the "not right" thing is so I can look into ways to manage it, not because I want people to pity me or because I'm trying to make excuses or anything. I really just want to put a name to this so I can help myself. I don't know if I should seek another mental health professional out? Or if there's some other kind of doctor I should look into seeing? Or if I'm completely off base with what I think this is? I feel like there's a really great person inside me somewhere, but this block is keeping me from being that person, as much as I try. Anyone ever have similar symptoms like I described? What did you do about it?

[shannrussell-blog1]

If you’re anything like me, no amount of time away is ever long enough. It starts with two-week-long trips, then stretches out to a month, maybe six weeks. But, it never suffices. I took the Dalai Lama’s, ‘once a year, go someplace you’ve never been’, quote as religion (with my passport my bible).

By now, you’ve probably done the group tours in Europe and package holidays in Bali. But, you know this is only just the beginning. Whether you’re going for a little longer this time, say three months, or you’re quitting your job and embarking on a year-long, culture-immersed sabbatical, your travel preparation will be a little different.

Coming from someone who spent one summer (our winter) eating my way across the Mediterranean, dedicated six months logistically (and emotionally) preparing for my big move to Bali, and went through a year-long journey to set up my second base in New York City, planning for longer trips requires a different mindset.

Staying longer in one place or taking a 3-month trip involves some preparation. 

Emotional and mental preparation

In my experiences, emotional and mental preparation is just as important as getting commitments in order, like work and your finances – especially if you’re embarking on a solo journey, which I’m a huge advocate for.

Once you get there, you can let go of ‘reality’ and let the free-spirited you emerge. But, until you step off that plan, take your preplanning seriously. This leads us into my first point – something I battled with at the start.

 Consider the mental preparation involved in your trip. 

Being flexible vs. following an itinerary

Should I plan every day out or leave room for spontaneity? Is it safer to have a set itinerary? The best way to answer this is by determining what you want from the experience. Is seeing a lot of places important to you? What about forging friendships and leaving things open, in case you fall in love with an unexpected place?

I’ve found the more I travel, the less I plan. But, I also found security in a loose plan, so that’s what I recommend if you’re setting out on your first long trip. Use Google Docs to colour code the weeks you plan to be in each country. Add your flights in there, any visa expiry dates, and other relevant information.

Set a loose itinerary so that you can still have unexpected adventures.

Consider slow travel as an option

You might not have experienced the luxury of slow travel before, so avoid the temptation of jam-packing your ‘schedule.’ How long you spend in one place depends on various factors – such as the length of time you’ll be away, your finances and work limitations, if you’re travelling alone, the continent you’re exploring. When making decisions, always come back to that important question: what do I want from this experience?

Leave room in your schedule so you can stay longer if you want to. 

Should I plan it myself or use a travel agent?

Oh, and last point here, plan it all yourself. This is the fun part. Google is your ‘travel agent’. I navigate between Google Flights and Skyskanner to find the best fares. There’s really no need to use a travel agent, unless you’re going somewhere you’re really concerned about.

Be your own travel agent and plan your trip yourself.

See more, without breaking the budget

Your money mindset will change the longer you travel, too. I used to budget $100 per day, no matter where I was. This was, of course, well beyond what I needed. The cool thing about leaving space in your ‘itinerary’ is that you can choose trains over planes, or cheap flights (with stopovers) over direct routes.

I always bring a credit card in case of emergency, but this is the general rule I follow with budgeting. If I’m travelling in a western country, I allocate $75 per day. This includes my AirBnb (which offer a discount the longer you stay, buying one meal out, and public transport.

You can explore a new city without breaking the bank.

I typically allow an extra $100-200 per week for groceries and bigger purchases, like an event ticket. I specifically stay in AirBnb’s so I can use the kitchen to prepare two out of three meals per day.

Travelling in somewhere like South-East Asia is a little different. I bought every meal but I only paid $15 per night in accommodation. If you’re moving around Asia, Eastern Europe or Central America, $50 per day is a realistic budget. Some days you’ll spend $30 but others will be $70. Set a weekly budget based on the affordability of the location, then you’ll know how much you have to play with.

Budget things like transport based on where you’re going in the world. 

Logistics of money

A quick word on the logistics of your money. I use the Qantas Frequent Flyer travel card because I get points for every dollar I load onto it. If you’re looking for a debit card with no international transaction or ATM withdrawal fees, the Citibank Plus is a great option.

Choose a debit card without international fees so you can avoid those costs. 

Travel insurance & health

While I’ve only ever used travel insurance once or twice before, I always get it. Always. My favourite provider is World Nomads. They’re Australian, independent, and super easy to deal with. Plus, part of their proceeds goes to charity, so that feels good.

The secret to constant travel

People often say to me, I don’t know how you constantly travel. My secret? Follow a routine. I get up at the same time most days, cook my meals, workout, speak to family, and try not to overdo it. Long-term travel isn’t sustainable without routine. It took me a long time to accept that it’s okay to not always be doing something, just because I was in a new country.

Sign up to a local gym (which usually offers one-month free), explore your surroundings by foot, go on nature adventures, and protect your sleep. Get your eight hours. Trust me.

If you don’t have access gym, keep up with your fitness routine by exploring your surroundings

Check in with yourself, and your friends and family

‘Check-in’ with yourself, as well as your friends and family back home. Buy a journal and use it to express your emotions, work through challenges, and document your journey. You’ll have days where everything goes wrong.

This is the other side of travel that no one talks about – the moments where you’re lying on your bed at 11.00pm wanting to go home. In hindsight, it was in these situations where I discovered my inner strength.

Make the time to check in with friends and family.

Learn, from the greatest teacher there is…travel

Embarking on a long overseas journey is equally exciting and unnerving. It’s totally okay to feel anxious in the lead-up to your departure. You’re going to learn important things about yourself that only slow travel can teach you.

Embrace the lessons, expect the ups and downs, and let this adventure be just as much as external one as it will be internal.

The post How to Plan for Your First Long Trip Abroad appeared first on Snowys Blog.

[verbam]

Ok, sorry but your last pic and the tags made me think about the bellarke sex. Of course, it's not going to happen in s4 but anyway. How do you picture their first time?

Never say never anon! There are a couple ways I can see it happening, but honestly, I think what the writers are setting up with bellarke is something quite different from the other relationships we’ve seen Clarke (and Bellamy, but his have been less prominent overall) have on the show. Both Finn and Lexa were desperate, in the heat of the moment types of intimacy. With Finn, it was trying to stem the feelings of loss of thinking they had no contact with the Ark, and with Lexa it was saying goodbye to the potential of another life and a safe haven. Both were relatively dramatic moments, that maybe Clarke had thought about vaguely, but certainly not preplanned.

I don’t think it’s going to be “preplanned” with Bellamy, but I think it’s going to be slower, gentler and they will be established as knowing they want each other. I’m hoping it’ll be after they’ve had their first kiss, and in a lull of action. I don’t think it’s going to be “this could be our last chance” type of sex, but like, “Jesus, I’m tired. Aren’t you tired too?” 

If you know me, you know I’m highkey about bed sharing (platonic bed sharing especially) but I can see it just sort of happening at the end of a long day, in the midst of a routine they’ve come to rely on. Clarke in Bellamy’s room, or Bellamy in hers, comfortable in their habit of being close, and instead of being stressed out, their exhaustion takes on a soft, light feeling. Maybe (probably, who are we kidding) cracking the stupid, not funny jokes they make, or comfortable, affectionate contact suddenly feels like possibility of more, that switch flicking between “I love you and I’m into you” to “Wow, I’m into you.” I think it’s going to be slow sex, and in contrast to everything before, happy sex. 

What I really want is cuddling post sex, with Bellamy’s hand in Clarke’s hair, or tracing her shoulder, and I want them to just be stupidly happy: Clarke’s head on Bellamy’s chest, his heartbeat under her ear, and we’re just left with the sense that this was right. 

[bountyofbeads]

With No Argument on Substance, Critics Take Aim at Americans’ Style https://www.nytimes.com/2019/07/06/sports/soccer/uswnt-world-cup-final.html

Sunday's Women's World Cup final will see the U.S., a three-time winner and the defending champion, face off against the Netherlands, playing in its first final. GO TEAM USA 🇺🇸 WE LOVE YOU ⚽💜⚽💙⚽💚⚽💛⚽❤️⚽🖤

Here's what to watch for – and how each team could win: https://t.co/RPDHrOV4oN

In the plainest terms, the U.S. will win because it’s better, @AndrewDasNYT says. The team's swagger is the Americans’ most dangerous weapon. https://t.co/MA3EyPzv4e

And the Netherlands? @AndrewDasNYT says the Netherlands is relatively new at this. New, but dangerous. And the Dutch also seem to be winning with something that can’t be coached: luck. https://t.co/MA3EyPzv4e

The starting lineups for the Women's World Cup final are out. Megan Rapinoe and Rose Lavelle will both start for the U.S. https://t.co/VxNeeFz68t #USAvNED

With No Argument on Substance, Critics Take Aim at U.S.’s Style

Attempts to police the joy the United States has taken in rampaging through the Women’s World Cup only confirm what should be clear: the team is different from everyone else.

By Rory Smith | Published July 6, 2019 | New York Times | Posted July 7, 2019 |

LYON, France — There was just enough edge in Ellen White’s voice to suggest she meant it. It was only a few minutes after the United States had eliminated White’s England team from the World Cup, though that is too simple a description of what she was going through.

She was still trying to process all that had happened, everything that had transpired in the previous two hours: the goal that was, and then was not; the penalty that appeared from nowhere and then went back the same way. White’s eyes were still rimmed red; her breath was still short. She kept worrying that she was going to cry, again.

Journalists are not (always) monsters. There had been enough questions asking her to go through all of her emotions, to list them so that our descriptions might be more accurate, to describe in great detail what had happened on the field. A kindly soul decided a more positive note might help.

There was still plenty to play for, she was told — a sympathizing statement dressed up as an inquiry. She could, after all, still leave France with the golden boot awarded to the tournament’s leading scorer; she was even with the United States’ Alex Morgan, and had a third-place match in which to add to her tally. White looked down. “Yeah,” she said, ruefully. “I’d quite like to take that off them.”

It has not been hard, these last few weeks in France, to find admiration for the United States women’s soccer team. Phil Neville, the England coach, admitted after his team’s defeat in the semifinals that he saw the United States as “the best” there is. His side’s aspiration, he said, was to reach the same level.

Corinne Diacre, the France coach, said that “playing the U.S.A. in the quarterfinal is not exactly a gift.” Several of the Dutch players who will face Coach Jill Ellis’s team in the final on Sunday described it as a “dream” to share a field with them. The Americans’ vanquished opponents from around the world, from Thailand and Chile and Sweden and Spain, all have said something similar: The United States’ women’s soccer program is a team, and perhaps a concept, that inspires something not far off awe.

Admiration is one thing; as White rather neatly demonstrated, affection is quite another. Scarcely a week has gone by without the Americans transgressing some theoretical, and often invisible, boundary; there has been little outright hostility, but over the last month it has been impossible not to notice an undercurrent of something approaching opprobrium, a sense that while the United States must be praised for winning, it can be condemned for not winning, somehow, in the right way.

It started, of course, with that rampage against Thailand, a team of world champions running up the score against a group of semiprofessionals, celebrating each and every one of their 13 goals with something approaching delirium. Some indistinct border of decency had been crossed, it was decided, even if the team had no idea whatsoever what the problem could possibly be.

A few days later, Ellis’s decision to rotate nearly her entire side against Chile was interpreted as an act rooted in presumption, an impression cemented when defender Ali Krieger declared afterward that the United States had not only the best team in the world, but the second-best, too.

The knockout stages brought yet more focus on how the players chose to celebrate. Piers Morgan’s objections to Megan Rapinoe’s striking a pose after scoring against France can probably be written off as a transparent attempt to ingratiate himself with President Trump. The response to Morgan’s tea-sipping celebration against England might easily be seen as confected outrage, that most valuable of currencies in the modern news media climate.

In between those two incidents, though, the English news media took exception to the news that the United States had scouted out the hotel England was using before the semifinal as a possible base for the final: the sort of forward-planning that pretty much every team in the world would undertake, but interpreted as yet more proof of the unthinking arrogance of the U.S. (Such was the paranoia, at that point, that a further minor storm brewed when it was briefly thought that the Americans had sent someone to spy on an England training session; it turned out — thankfully, for the sake of moral decency — that it was just a confused passer-by).

Individually, all of these incidents fall somewhere on the border between trivial and laughable. Taken together, though, they indicate a pattern; their frequency suggests a trend toward the policing of the behavior — and particularly the joy — of the American players. There is no question that this United States team is revered for its efficacy, its talent, its history; nobody would deny its claim to be the best in the world. It does not, though, seem to be especially well-liked.

Morgan, when asked to explain her celebration against England, offered a compelling explanation for why that might be: that women, unlike men, are expected to restrain themselves in celebration, in particular, to maintain a standard foisted upon them by others. “There is some sort of double standard for females in sports,” she said. They are encouraged “to feel like we have to be humble in our successes; we have to celebrate, but not too much; we have to do something, but in a limited fashion.” Such self-containment, she said, is not asked of men.

She is doubtless right to suggest that women’s behavior is monitored far more than men’s, but it is worth noting that it is only American women who have been criticized for going too far in their moments of euphoria in this tournament. Nobody has suggested White or Sam Kerr or Vivianne Miedema might like to tone it down. Kerr was broadly praised, indeed, for her bluntness in telling off her criticsafter Australia defeated Brazil in the group stage. That indicates that nationality, as well as gender, is a relevant factor in the censure.

It is not satisfactory, either, to put it down to the Americans’ penchant for preplanned celebrations.

Choreographed routines are not, it is fair to say, universally popular — it is a personal view that they feel too contrived to be genuine expressions of joy — but, again, non-American players with trademark routines, like White and her goggles, have gone largely unremarked.

What, then, might be at the root of it? Morgan also suggested that female athletes are expected to greet their triumphs demurely, diffidently, in a way that would not be expected of men.

That is not, though, this American team’s style, and nor should it be. Morgan and her teammates regard themselves — with abundant supporting evidence — as the best in the world. That they are willing to say so publicly speaks volumes not only of the standards they expect of themselves, but of their awareness that they are role models as much as athletes. They have a platform for empowerment, and do not intend to be discouraged from using it.

By the same token, though, it is perhaps understandable that opposing players, and opposing fans, might not especially appreciate finding themselves in the audience for a display of American greatness. This United States is the dominant force in women’s soccer, and has been for a decade or more; it has the air of a dynasty about it, an overweening, immutable empire. That comes with the inevitable consequence that rivals and challengers and usurpers tend to want to see it fall, to take pleasure in its perceived failings, to start to feel resentment alongside their reverence.

Perhaps, then, there is a compliment hidden in the criticism: If it is only the manner of the American victories that people can take issue with, some nebulous sense of a line being crossed, then that is proof of the scale of their dominance. Or perhaps not; perhaps it is cultural, that old trope of Europeans defining their own refinement through the prism of American brashness.

Either way, one thing has become increasingly clear over the last month in France. This United States team does not, when it comes down to it, care what other people think of it. It is here to win games, to claim a prize, to conquer the world. Whether it makes friends along the way is secondary. It is not in the business of inspiring affection. It is here to inspire awe, and it has done that rather nicely.

[nationalserviceyear]

December 8th, 2017

Today I wanted to take one of my favorite quotes in order to make a point about AmeriCorps. Don’t work yourself into a shoot, brother. Spoken by one of the megastar entertainers of the 20th century, Hulk Hogan, this quote illustrated a universal truth about life in general in such a succinct manner I had to include it. Your mindset is everything, and if you go into a situation determined to feel a certain way, you will succeed more often than not. A shoot, in professional wrestling parlance, is an unscripted and unplanned for event that happens during an event. A work is the opposite of a shoot, and refers to only the scripted and preplanned portions of the show. An example of working yourself into a shoot in professional wrestling is say two wrestlers were going to have a match and started trash talking on social media to promote that match and build a buzz around the scripted grudge match. Mudslinging would come back and forth, and the villain of the match would likely say some nasty things to the hero. These nasty things are necessary to get the crowd excited to see the villain get their comeuppance at the match, and to get people hate the villain enough to pay for tickets to see them get beaten to a pulp. That is part of the work, the scripted dance that has the end goal of making money for the wrestling promotion and by extension the wrestlers who work for that promotion. Working yourself into a shoot would be if the hero got extremely angry in real life about the mudslinging, and went against the script to actually attack the villain during the show. A scripted event became something completely different because negative emotions made an everyday situation terrible. I talk to other members of my unit in different teams and my own every single day, and the universal truth is that the members who come into their day at work with the mindset that everything is terrible and no matter what they do their day will be uniquely awful will be correct every single time. The members who go to work taking things as they come, or going one step further and being determined to see the positive in the daily grind are so much happier in my anecdotal experience than those who have the mindset to create and maintain their own misery. Take, for example, a slow day at work. There isn’t a lot to do in your regularly assigned duties, so you find yourself with a lot of free time. Someone who is determined to be miserable will stare blankly at their computer screen and sulk for the entire day. They will create this mindset that they are miserable to the point to where they make themselves miserable. There is nothing innately terrible about sitting down for a day at work, there is nothing terrible about physically doing that. There is nothing innately terrible about doing nothing for a little while and having time to breathe, either, but they come into the situation determined to make it terrible and they always succeed. They will spend the day festering and in many cases outright complaining about their lack of work, team dynamics, or whatever grinds their gears at the moment and quite frankly become an active negative influence to the people around them because they worked themselves into a shoot. They allowed a routine, day to day activity in going to work to become terrible due to their response to it. Someone who is determined to make the most out of their experience might go to their supervisor and ask for more work to do, which at least in External Affairs is almost always possible. There are some days where there is legitimately little to do, but these days are few and far in between. This person will actively seek out work to do, because they want to be useful and they want to help people. That’s why most people join this program, I think, to have the opportunity to help people. That’s certainly why I did it, and there is no reason to take an everyday, completely normal occurrence and then turn it terrible. Sometimes it turns terrible through circumstances out of your control, but that’s life. Every person on this Earth has a finite number of days in this world. Mindset is a huge factor in life, but especially in a high stress program like this. Working active disasters, to be frank, sometimes really sucks. Each member has the choice to come in determined to have a negative attitude and actively create a worse experience for both themselves and others or to come in with a positive attitude, determined to create a better experience for both themselves and others. You can also come in with a neutral attitude, and realize that you signed up for a national service program and take things as they come. There’s a reason why not everyone does service. Sometimes it sucks, and sometimes it is extremely difficult. Part of service is sacrificing part of yourself for the greater good of society, and every member needs to be willing to make those sacrifices in a time like this. Class 24 will have spent their entire service year working on the 2017 Atlantic Hurricane season, the costliest one in the history of the United States. We all signed up to work in emergency management, and we got a bunch of emergencies to assist in managing. At the end of the day, it’s our choice whether or not we rise to that immense challenge or shrink away from the enormous responsibility that we have to the survivors to go and do our part to assist in the recovery effort. A lot of this experience is what you make of it, and it’s hard enough without being your own worst enemy. Many people have had this program change their lives for the better, and that was because they allowed themselves to grow and become better people through the course of their service term. Don’t rob yourself of that personal growth by deciding every day to wake up and work yourself into a shoot.

[bodizwonder]

The Best Running Tips of All Time

At Outside, we write about operating. A lot. We’ve spent numerous hours speaking to the best athletes and brightest minds within the sport to look at each coaching and racing technique possible. We’ve even examined lots of these approaches ourselves. While we predict it’s all worthwhile information, we acknowledge that typically protecting it easy is finest. So we’ve distilled 40 years of recommendation into 1 complete record of the 27 items of recommendation that we contemplate most respected to your operating life.

1. Strengthen Your Whole Body

“Good runners condition their whole bodies. The arms drive the legs. Keep your upper body and core toned with a lot of push-ups, pull-ups, sit-ups, and back raises (don’t forget that the back is part of the core). Stay away from machine weights and stick to Pilates, climbing, and dynamic flexibility work like yoga.” —October 2013

2. Run More Hills

“One of the beauties of hills is that they really work on dynamic power, hip strength, and hip mobility because you need to be able to go and drive those hips really high to get up.” —June 2015

3. Quit Trying to Set Your PR

“Be process oriented, not outcome oriented. Get a little better with each training session—a stronger squat, a harder effort on intervals. Don’t obsess about race day.” —July 2015

4. Hydrate (Especially Before Trail Races)

“Due to their remote locations, many trail races have few (if any) water stations. Make sure to hydrate for days in advance, and—depending on the distance of the race—consider carrying a water bottle or hydration pack during the event.” —June 2013

5. Stretch and Refuel Immediately Post-Race

“There’s a natural temptation when you finish a race to collapse on the ground and bask in your own private glory. This is a bad idea.” —October 2014

6. Find a Routine, Then Stick to It

“I dialed in my race-day outfit and nutrition plan in advance to eliminate any surprises. I slept more, stopped drinking alcohol, and ate my vegetables. I put on the same clothes I had been training in for the past three weeks—black shorts, white top, gray socks—and ate my preplanned breakfast of one banana, half a Clif Bar, and half a cup of coffee.” —May 2013

7. Don’t Freak Out If You’re Undertrained

“A lot of people ruminate and freak out. Then they have all this nervous energy and are toast during the race. The key is to stay calm and not expend energy worrying about the race.” —March 2017

8. Fix Your Stride

“He had to change everything about his stride—from the way his feet were hitting the ground to the way he swung his arms as he ran. It was a difficult adjustment, but he had the benefit of knowing he’d already tried virtually everything else.” –February 2016

9. Eat Whole Foods

“Try to eat entire meals that look as near how they’re grown as doable. Avoid the processed meals—like meals that dominate most standard grocery chains. They’re filled with sodium, sugar, and empty energy and are a drain in your digestive system. —July 2012

10. It’s Not All About the Carbs

“Runners whose primary objective is to drop pounds can minimize the pasta, bread, and cereals and have sufficient vitality to finish lots of the straightforward runs in 30 to 60 minutes. Most wholesome diets will nonetheless present sufficient incidental carbs—byproducts of fruit and beans—to gas you.” —August 2014

11. Random Massages Are a Bad Idea

“Every athlete’s body responds differently to massage; you don’t want to find out the week before your race that deep tissue work makes you uncomfortably sore.” —September 2012

12. Layer Up When It’s Cold

“It’s easy to see the weather and darkness as a reason not to work out. The price tag might sting up front, but buying clothes like a moisture-wicking base layer, gloves, and a breathable wind-blocking top will make training outside a lot more enjoyable.” —January 2016

13. You Need to Sprint More

“Five percent of an athlete’s total weekly mileage should be taken up by sprints. Someone running 30 miles a week should run hill sprints for 1.5 of those miles. It’s similar in theory and practice to speedwork on a track.” —September 2013

14. Get a Hydration Pack (Especially for Ultras)

“Yes, there will be aid stations. But there’s no telling how much time will pass between them, so bring your own fluids in a handheld bottle, pack, or belt. Which one you choose is a matter of preference.” —May 2013

15. Patience Is a Virtue

“In distance running, you’ve got to learn to love the process. Whether it’s in training (it takes a lot of time to get better) or in racing (holding back for the first 20 miles of a marathon), patience is a virtue. There are no quick fixes. It’s about believing in the plan and executing.” —January 2016

16. Don’t Hydrate Too Much Right Before Running

“Sloshing in your stomach is a sign that water has not worked its way into your bloodstream, providing a full feeling that’s a ruse for hydration.” —August 2010

17. Take Recovery Days Seriously

“The day after a tough workout, the most you want to do is jog lightly or do some form of cross-training, like cycling. You need a recovery day after a hard day. No exceptions.” —October 2013

18. Make It Social

“Get a group together, or join a local running club. When you’re socially and emotionally invested in your workouts, it’ll be harder for you to skip them. Having running buddies will help keep you from burning out or slacking off.” —January 2012

19. Don’t Pick Just One Running Partner

“One of the most basic ways to add a little variety to your running life is finding different running partners. You don’t need to be monogamous about whom you run with. The same principle applies for those who always run alone: Try joining a group for long weekend runs and (re)discover the joys of exercising with your fellow homo sapiens.” —January 2017

20. Get Off Your Feet Before a Race

“Take it easy the day and night prior to race day. Race organizers don’t make that easy by scheduling interesting expos and panel discussions the day before, where you are on your feet, walking around, expending energy. Discipline yourself to keep that to a minimum, making a conscious effort to sit and rest with your feet up as much as possible. Don’t squander the good work you’ve done during your taper in the last day or two.” —August 2014

21. Visualize Success

“Begin by taping an audio narrative for yourself that recreates, in as much sensual detail as possible, the sensation of performing your sport. Take careful notes the next time you practice…and work those into the script. Then narrate the tape entirely in the first person, present tense…and choose crucial moments.” —September 1996

22. Use Technology (But Not Too Much)

“Apps from MapMyRun and the USATF can help you plot your training routes in less time (no more driving them beforehand). For trail running, figure out how long it takes you to run a mile—maybe two minutes longer than on roads—and go by time instead. Garmin GPS watches track your distance and pace. But don’t let your tools get in the way.” —April 2012

23. Know When Your Running Shoes Are Worn Out

“The typical lifespan of a shoe is between 300 and 600 miles. Shoes will start to feel a little different after about 200 miles—it’s a depreciation curve. Each company has a different point at which their shoes will feel really flat, but it’s important to know that shoes do have a lifespan. It might not be immediately clear when your shoes have bitten the dust, but there are a few indications that it’s time to invest in a new pair.” —April 2016

24. Do Not Run Drunk

“For one, alcohol’s a poison. Two, while it can increase aggression (a positive, depending on the sport), it can also adversely affect coordination, planning, and execution of movement. And three, it’s a powerful diuretic, so it depletes your water volume, much of which your body takes from your blood plasma.” —September 2014

25. First, Run Easy

“The problem with most people is they only care about getting fast and think that once they get fast, running will get easy. They got it backwards. First, focus on getting easy, because if that’s all you get, that ain’t so bad. Once you can run easy, focus on light. Once you get light, focus on smooth. By the time you’re easy, light, and smooth, you won’t have to worry about getting fast—you will be.” —November 2011

26. Try Skiing

Any time a runner can work on power, flexibility, steadiness, and/or use completely different muscle teams, it’s factor. Skiing checks all these containers after which some. “In addition to building coordination, core stability, and leg strength, alpine skiing works the leg muscles in many different planes, which is beneficial for runners. Your glutes, quads, hamstrings, and calves, as well as your abductor and adductor muscles, are all utilized in downhill skiing.” —February 2013

27. Don’t Run Injured

“It’s hard to sit it out while waiting for an injury to heal. You risk setting back training and racing goals, not to mention losing a sweet endorphin rush. But whatever ails you will take longer to heal—or get worse—if you run through the pain.” —May 2013

Source: fitnesscaster.com Source: Bodiz Wonder

[itsmedicinesfakianakis]

Harnessing Electronic Healthcare Data for Wound Care Research: Wound Registry Analytic Guidelines for Less-biased Analyses

Abstract

Publications based on large healthcare databases that contain data pertaining to wound-related outcomes are starting to appear more frequently. However, concern exists in regard to study design adequacy, the methodology used to minimize misclassifications, bias, and confounding, and lack of full reporting. The STROBE guidelines were published to encourage fuller reporting of observational studies and have now been extended using the RECORD statement to better document routinely collected healthcare data. In this paper, elements of the RECORD statement have been used to create guidelines for study design, cohort matching, reporting criteria, and analysis frameworks in regard to analyses of populations involving comparative effectiveness research. It is recommended that researchers present full data analysis with minimal inclusion and exclusion criteria and preplanned subgroups analyses rather than attempt to emulate randomized controlled trials, as patterns of product administration are likely to be vastly different to those using controlled trials; moreover, missing data are very common. Suggestions for creating better matched cohorts, classification of wound- and patient-related variables, and a rationale for reporting at a minimum a particular set of benchmarks to better characterize wound care populations is also presented. Adherence to these guidelines would improve the credibility of studies and make comparisons between studies much easier. Finally, an adaptation of the Cochrane risk of bias tool is presented in connection with the proposed guidelines for systematic reviewers to assess these kinds of retrospective studies. This article is protected by copyright. All rights reserved.

http://ift.tt/2tNOUlB from OtoRhinoLaryngology - Alexandros G. Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2tTYPKt

[bodizwonder]

The Best Running Tips of All Time

At Outside, we write about operating. A lot. We’ve spent numerous hours speaking to the best athletes and brightest minds within the sport to look at each coaching and racing technique possible. We’ve even examined lots of these approaches ourselves. While we predict it’s all worthwhile information, we acknowledge that typically protecting it easy is finest. So we’ve distilled 40 years of recommendation into 1 complete record of the 27 items of recommendation that we contemplate most respected to your operating life.

1. Strengthen Your Whole Body

“Good runners condition their whole bodies. The arms drive the legs. Keep your upper body and core toned with a lot of push-ups, pull-ups, sit-ups, and back raises (don’t forget that the back is part of the core). Stay away from machine weights and stick to Pilates, climbing, and dynamic flexibility work like yoga.” —October 2013

2. Run More Hills

“One of the beauties of hills is that they really work on dynamic power, hip strength, and hip mobility because you need to be able to go and drive those hips really high to get up.” —June 2015

3. Quit Trying to Set Your PR

“Be process oriented, not outcome oriented. Get a little better with each training session—a stronger squat, a harder effort on intervals. Don’t obsess about race day.” —July 2015

4. Hydrate (Especially Before Trail Races)

“Due to their remote locations, many trail races have few (if any) water stations. Make sure to hydrate for days in advance, and—depending on the distance of the race—consider carrying a water bottle or hydration pack during the event.” —June 2013

5. Stretch and Refuel Immediately Post-Race

“There’s a natural temptation when you finish a race to collapse on the ground and bask in your own private glory. This is a bad idea.” —October 2014

6. Find a Routine, Then Stick to It

“I dialed in my race-day outfit and nutrition plan in advance to eliminate any surprises. I slept more, stopped drinking alcohol, and ate my vegetables. I put on the same clothes I had been training in for the past three weeks—black shorts, white top, gray socks—and ate my preplanned breakfast of one banana, half a Clif Bar, and half a cup of coffee.” —May 2013

7. Don’t Freak Out If You’re Undertrained

“A lot of people ruminate and freak out. Then they have all this nervous energy and are toast during the race. The key is to stay calm and not expend energy worrying about the race.” —March 2017

8. Fix Your Stride

“He had to change everything about his stride—from the way his feet were hitting the ground to the way he swung his arms as he ran. It was a difficult adjustment, but he had the benefit of knowing he’d already tried virtually everything else.” –February 2016

9. Eat Whole Foods

“Try to eat entire meals that look as near how they’re grown as doable. Avoid the processed meals—like meals that dominate most standard grocery chains. They’re filled with sodium, sugar, and empty energy and are a drain in your digestive system. —July 2012

10. It’s Not All About the Carbs

“Runners whose primary objective is to drop pounds can minimize the pasta, bread, and cereals and have sufficient vitality to finish lots of the straightforward runs in 30 to 60 minutes. Most wholesome diets will nonetheless present sufficient incidental carbs—byproducts of fruit and beans—to gas you.” —August 2014

11. Random Massages Are a Bad Idea

“Every athlete’s body responds differently to massage; you don’t want to find out the week before your race that deep tissue work makes you uncomfortably sore.” —September 2012

12. Layer Up When It’s Cold

“It’s easy to see the weather and darkness as a reason not to work out. The price tag might sting up front, but buying clothes like a moisture-wicking base layer, gloves, and a breathable wind-blocking top will make training outside a lot more enjoyable.” —January 2016

13. You Need to Sprint More

“Five percent of an athlete’s total weekly mileage should be taken up by sprints. Someone running 30 miles a week should run hill sprints for 1.5 of those miles. It’s similar in theory and practice to speedwork on a track.” —September 2013

14. Get a Hydration Pack (Especially for Ultras)

“Yes, there will be aid stations. But there’s no telling how much time will pass between them, so bring your own fluids in a handheld bottle, pack, or belt. Which one you choose is a matter of preference.” —May 2013

15. Patience Is a Virtue

“In distance running, you’ve got to learn to love the process. Whether it’s in training (it takes a lot of time to get better) or in racing (holding back for the first 20 miles of a marathon), patience is a virtue. There are no quick fixes. It’s about believing in the plan and executing.” —January 2016

16. Don’t Hydrate Too Much Right Before Running

“Sloshing in your stomach is a sign that water has not worked its way into your bloodstream, providing a full feeling that’s a ruse for hydration.” —August 2010

17. Take Recovery Days Seriously

“The day after a tough workout, the most you want to do is jog lightly or do some form of cross-training, like cycling. You need a recovery day after a hard day. No exceptions.” —October 2013

18. Make It Social

“Get a group together, or join a local running club. When you’re socially and emotionally invested in your workouts, it’ll be harder for you to skip them. Having running buddies will help keep you from burning out or slacking off.” —January 2012

19. Don’t Pick Just One Running Partner

“One of the most basic ways to add a little variety to your running life is finding different running partners. You don’t need to be monogamous about whom you run with. The same principle applies for those who always run alone: Try joining a group for long weekend runs and (re)discover the joys of exercising with your fellow homo sapiens.” —January 2017

20. Get Off Your Feet Before a Race

“Take it easy the day and night prior to race day. Race organizers don’t make that easy by scheduling interesting expos and panel discussions the day before, where you are on your feet, walking around, expending energy. Discipline yourself to keep that to a minimum, making a conscious effort to sit and rest with your feet up as much as possible. Don’t squander the good work you’ve done during your taper in the last day or two.” —August 2014

21. Visualize Success

“Begin by taping an audio narrative for yourself that recreates, in as much sensual detail as possible, the sensation of performing your sport. Take careful notes the next time you practice…and work those into the script. Then narrate the tape entirely in the first person, present tense…and choose crucial moments.” —September 1996

22. Use Technology (But Not Too Much)

“Apps from MapMyRun and the USATF can help you plot your training routes in less time (no more driving them beforehand). For trail running, figure out how long it takes you to run a mile—maybe two minutes longer than on roads—and go by time instead. Garmin GPS watches track your distance and pace. But don’t let your tools get in the way.” —April 2012

23. Know When Your Running Shoes Are Worn Out

“The typical lifespan of a shoe is between 300 and 600 miles. Shoes will start to feel a little different after about 200 miles—it’s a depreciation curve. Each company has a different point at which their shoes will feel really flat, but it’s important to know that shoes do have a lifespan. It might not be immediately clear when your shoes have bitten the dust, but there are a few indications that it’s time to invest in a new pair.” —April 2016

24. Do Not Run Drunk

“For one, alcohol’s a poison. Two, while it can increase aggression (a positive, depending on the sport), it can also adversely affect coordination, planning, and execution of movement. And three, it’s a powerful diuretic, so it depletes your water volume, much of which your body takes from your blood plasma.” —September 2014

25. First, Run Easy

“The problem with most people is they only care about getting fast and think that once they get fast, running will get easy. They got it backwards. First, focus on getting easy, because if that’s all you get, that ain’t so bad. Once you can run easy, focus on light. Once you get light, focus on smooth. By the time you’re easy, light, and smooth, you won’t have to worry about getting fast—you will be.” —November 2011

26. Try Skiing

Any time a runner can work on power, flexibility, steadiness, and/or use completely different muscle teams, it’s factor. Skiing checks all these containers after which some. “In addition to building coordination, core stability, and leg strength, alpine skiing works the leg muscles in many different planes, which is beneficial for runners. Your glutes, quads, hamstrings, and calves, as well as your abductor and adductor muscles, are all utilized in downhill skiing.” —February 2013

27. Don’t Run Injured

“It’s hard to sit it out while waiting for an injury to heal. You risk setting back training and racing goals, not to mention losing a sweet endorphin rush. But whatever ails you will take longer to heal—or get worse—if you run through the pain.” —May 2013

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Source: fitnesscaster.com Source: Bodiz Wonder