Sex Positions – How To Give Your Woman Better Sex And More Sexual Satisfaction Using ‘The Longbow’

If you want to give your woman BETTER SEX and inject some extra passion and excitement into your sex-life — this article is for you.

You are going to discover a new SEX POSITION that will be highly rewarding for both you and your woman. So if you want to give her a ton of sexual satisfaction (so that she keeps coming back for more), please read on carefully

The sex position I’m going to talk to you about is called ‘The Longbow’.

Here’s the technique…

How To Use ‘The Longbow’ Sex Position With Your Woman

To start off, have your woman lie on her back, on your bed.

Have her keep her left leg straight, but have her bend her right leg at the knee. Her right foot will be flat on the bed and her right knee will be pointing towards the ceiling.

Now that she is in the correct position, it is time for you to penetrate her.

Put your right knee over her straight left leg and your left hand on her right knee.

From here, it is time to give her what she wants… So be a gentleman and start thrusting.

‘The Longbow’ Sex Position puts you in a very SEXUALLY DOMINANT position because you are on top and your woman really can’t go anywhere. You are also in control of the depth and pace of your thrusting.

This dominant position is something that your woman will love. After-all, most women are sexually submissive most of the time — so this is exactly what she wants… for you to be IN CONTROL and taking her as you please.

If you want to give her total sexual satisfaction as you ‘do her’ in this position, you are going to need to ‘get her off’.

Said differently — you are going to need to give her at least one ORGASM.

How do you do this?

Well, you already have the physical stimulation taken care of — your penis thrusting in and out of her vagina will see to that.

But something is missing.

What could that be?

AHA, of course — the mental stimulation.

Remember, for women, sex is a very mental experience.

Therefore, if you want to give her those all important orgasms as you make-love to her in ‘The Longbow’ position — you need to start TALKING DIRTY to her.

This combination of you taking her vagina as you please and relentlessly talking dirty to her will drive her crazy and ‘get her off’. Guaranteed.



Source by Adam A Armstrong

Hypercholesterolemia Statistics For The U.S.

Hypercholesterolemia statistics tell us about the number of adults in the United States with levels of total blood cholesterol above 200 mg/dL, the beginning level for high risk hypercholesterolemia.

This information is the latest on hypercholesterolemia statistics from the National Center For Health Statistics, 1999-2004.

Over 105 million adults in the United States have total blood cholesterol levels higher than 200 mg/dL. About one out of every three people are at high risk. Of this group, more than 36 million adults have extremely high risk cholesterol levels over 240 mg/dL.

For men over the age of 20 years, approximately 48% of white men, 45% of black men, and 50% of Hispanic men have hypercholesterolemia, or high blood cholesterol.

For women over the age of 20, approximately 50% of Hispanic women, 42% of black women, and 50% of white women have hypercholesterolemia, or high blood cholesterol.

High risk levels of LDL cholesterol, the so-called “bad cholesterol,” runs around 30-40% for both men and women. But when it comes to HDL, or “good cholesterol,” more than twice as many men as women have high risk levels.

Men between the age of 35-74 have more than twice the prevalence of hypercholesterolemia as men under age 34. Women, age 45 to 74 have more than twice the prevalence of hypercholesterolemia as women under age 44, and women age 65 to 74 actually have four times the prevalence as the younger women under age 44.

High blood cholesterol levels are consistently associated with higher risk of coronary heart disease, and other life-threatening cardiovascular and cerebrovascular damage, including fatal strokes.

While successful treatments are available, prevention is always the most cost-effective solution to health problems. In addition, prevention provides broad-spectrum benefits that enhance both the physical and psychological areas of our lives.

Lifetime habits of weight control, eating nutritious food, daily exercise, addiction control including tobacco, and stress management can take a while to learn but the benefits can add many healthy and useful years to your life. Research also shows that one easy habit that may help manage cholesterol is adding daily green tea. Here’s information about green tea and cholesterol, including 7 important ways to protect against cholesterol damage

If we want to help protect ourselves from dangerously high blood cholesterol levels, we all must start early with regular preventive habits. Hypercholesterolemia statistics show us that preventive action should be encouraged as early as the 20s for men and the 30s for women, if not before.



Source by Sharon A Jones

Weight Loss For Women Over 45 – Tips For 45 Plus Women to Lose 4 to 5 Pounds of Weight in 7 Days

There are many ways to execute weight loss for women over 45. Lack of activities, menopause and hormonal imbalances cause obesity in older women. The slow rate of metabolism in the body due to aging is also one of the main factor for weight gain at this age. The diet plans and exercises for older women will differ from younger women. Combining a healthy nutrition plan with some soft cardio workouts can be extremely beneficial.

Oprah Winfrey epitomizes women over 45. She had recently gone through a dramatic transformation by consuming a special diet called Acai berry. This diet plan can generate metabolism in your body, which consequently stimulates fat burning. Women over 45 should practice Yoga for weight loss. There are different types of Yoga postures, which help your body to gain metabolism and lose weight. You can also relieve stress and anxiety by performing these exercises.

Tips For 45 Plus Women To Lose 4 To 5 Pounds Of Weight In 7 Days:

* In order to lose 4 to 5 pounds of weight in 7 days, you should combine Acai berry diet, colon cleansing and cardio workouts. The process of detoxification is very important for rejuvenating your digestive system and your entire health. You should take up colon cleansing diet for eliminating those harmful toxins, which consequently helps your body to shed those stubborn abdominal fats easily.

* Women over 45 can perform cardio workouts such as brisk walking. You should drink lots of water throughout the weight loss session. You should at least drink 10-12 glasses of water for maintaining the body temperature.

* Weight loss for women over 45 is incomplete without Acai berry diet. This diet plan generates metabolism and stimulates fat burning in your body. The process focuses mainly on fat loss. It is the permanent technique for shedding those extra pounds.



Source by Anna Holman

A Complete Treatment and Management Plan for Groin Strain

The following is a very thorough and detailed management plan for the full recovery and rehabilitation of a groin strain.

Considering this management plan was written over ten years ago, my only addition would be the reduction of ice therapy and the addition of massage and heat therapy during the 2nd, 3rd, and 4th phase. Regardless of my suggestions, the following will be extremely useful for anyone who is, or has suffered from a groin strain.

Injury Situation:

A women varsity basketball player had a history of tightness in her groin. During a game she suddenly rotated her trunk while also stretching to the right side. There was a sudden sharp pain and a sense of “giving way” in the left side of the groin that caused the athlete to immediately stop play and limp to the sidelines.

Symptoms & Signs:

As the athlete described it to the athletic trainer, there was severe pain when rotating her trunk to the right and flexing her left hip. Inspection revealed the following:

  • There was major point tenderness in the groin, especially in the region of the adductor magnus muscle.
  • There was no pain during passive movement of the hip, but severe pain did occur during both active and resistive motion.
  • When the groin and hip were tested for injury, the hip joint, illiopsoas, and rectus femoris muscles were ruled out as having been injured; however, when the athlete adducted the hip from a stretch position, it caused here extreme discomfort.

Management Plan:

This detailed management plan comes from one of my old university text books, called Modern Principles of Athletic Training by Daniel D. Arnheim. It’s one of those 900 page door-stoppers, but it’s the book I refer to most for information on sports injury prevention and rehabilitation. It’s extremely detailed and a valuable resource for anyone who works in the health and fitness industry. So…

Based on the athletic trainer’s inspection, with findings confirmed by the physician, it was determined that the athlete had sustained a second-degree strain of the groin, particularly to the adductor magnus muscle.

Phase 1

Management Phase: Goals: To control haemorrhage, pain and spasms. Estimated Length of Time (ELT): 2 to 3 days.

Therapy: Immediate Care: ICE-R (20 min) intermittently, six to eight times daily. The athlete wears a 6-inch elastic hip spica.

Exercise Rehabilitation: No Exercise – as complete rest as possible.

Phase 2

Management Phase: Goals: To reduce pain, spasm and restore full ability to contract without stretching the muscle. ELT: 4 to 6 days.

Therapy: Follow up care: Ice massage (1 min) three to four times daily. Bipolar muscle stimulation above and below pain site (7 min).

Exercise Rehabilitation: PNF for hip rehabilitation three to four times daily (beginning approx. 6 days after injury)

Optional: Jogging in chest level water (10 to 20 min) one or two times daily. Must be done within pain free limits. General body maintenance exercises are conducted three times a week as long as they do not aggravate the injury.

Phase 3

Management Phase: Goals: To reduce inflammation and return strength and flexibility.

Therapy: Muscle stimulation using the surge current at 7 or 8, depending on athlete’s tolerance, together with ultrasound once daily and cold therapy in the form of ice massage or ice packs (7 min) followed by light exercise, two to three times daily.

Exercise Rehabilitation: PNF hip patterns two to three times daily following cold applications, progressing to progressive-resistance exercise using pulley, isokinetic, or free weight (10 reps, 3 sets) once daily.

Optional: Flutter kick swimming once daily.

General body maintenance exercises are conducted three times a week as long as they do not aggravate the injury.

Phase 4

Management Phase: Goals: To restore full power, endurance, speed and extensibility.

Therapy: If symptom free, precede exercise with ice massage (7 min) or ice pack.

Exercise Rehabilitation: Added to phase 3 program, jogging on flat course slowly progressing to a 3-mile run once daily and then progressing to figure-8s, starting with obstacles 10 feet apart and gradually shortening distance to 5 feet, at full speed.

Phase 5

Management Phase: Goals: To return to sport competition.

Exercise Rehabilitation: Athlete gradually returns to pre-competition exercise and a gradual return to competition while wearing a figure-8 elastic hip spica bandage for protection.

Criteria for Returning to Competitive Basketball:

  1. As measured by an isokinetic dynamometer, the athlete’s injured hip and groin should have equal strength to that of the uninjured hip.
  2. Hip and groin has full range of motion.
  3. The athlete is able to run figure-8s around obstacles set 5 feet apart at full speed.



Source by Brad Walker

Type 2 Diabetes – Does Telemedicine Have a Place In Treating Diabetes?

Investigators at the University Hospital in Tours and several other research institutions in France have determined telemedicine is useful in dealing with both Type 1 and Type 2 diabetes. Their work was reported on in August 2018 in the Telemedicine Journal and E-Health.

The investigators combined 42 trials of the technique and analyzed them as if they were one large study with 6,170 participants…

  • a total of 34 studies used devices for telemonitoring blood sugar levels while the other
  • 8 used teleconsultation.

The participants using telemedicine experienced a more significant reduction in their HbA1c levels than those who were treated with the usual care, and the difference was more significant in those with Type 2 diabetes than those with Type 1 diabetes. Those aged between 41 and 50 years showed more significant improvement than the younger participants, and telemedicine programs lasting over six months reduced HbA1c levels further than shorter programs.

Another investigation, reported on in January 2018 in the Journal of Telemedicine and Telecare, showed telemedicine to be effective at preventing low blood sugar levels as well. Researchers at Huzhou University and several other research institutions in China combined 14 studies in their analysis. They found telemedicine reduced the risk of low blood sugar by an average of 58 percent in 1324 diabetic participants.

Obesity is a concern for those with Type 2 diabetes and Gestational diabetes. According to an article published in the Journal of Telemedicine and Telecare in January of 2018, scientists at the National Yang-Ming University Hospital in Yilan and other research institutions in Taiwan found telemedicine helpful for the control of the body mass index (BMI). A total of 25 trials that included 6253 individuals were involved. Telemedicine was more effective than the usual care alone in reducing the BMI in those treated for…

  • obesity alone,
  • being overweight,
  • having diabetes, or
  • high blood pressure.

Continuing their care for at least six months and follow-up care afterward, was also helpful

Telemedicine also has its place in Gestational or pregnancy-related diabetes. In August of 2018, the journal Diabetes Research and Clinical Practice reported on a study performed at the University of Melbourne and some other research facilities in Australia. A total of 95 pregnant women who had been diagnosed with Gestational diabetes were included…

  • 61 received telemedical care as well as the usual care, while
  • 34 received general attention only.

The cost of care for both groups cost the same amount. Those receiving the telemedical care needed fewer changes to their insulin dosage and achieved their targeted HbA1c levels in an average of 4.3 weeks, while the women receiving the usual care reached their goals after an average of 7.6 weeks.



Source by Beverleigh H Piepers

Reveal Your Natural Beauty With Top Beauty Products

Women the world over knows that beautiful skin is a great asset. Even if heredity hasn’t given you the kind of skin you’d like, quality beauty products can work at giving your skin a smooth, fresh look. Thanks to scientists putting their knowledge to work in beauty research, there are products to suit all kinds of skin, hair, lips, complexion, your feet as well as for your personal hygiene. Beauty is not static, it needs constant care, and the question is, what beauty products would you reach for first if you had to present your best image?

Some of the Top Beauty Care Products

OLAY – Created by chemist, Graham Wulff for his wife Dinah, the instantly recognizable fragrance and pale pink shade of Oil of Olay Beauty Fluid has been making women look and feel beautiful since the 1950s. In 1985, Procter & Gamble gained the Olay brand and today all products are safety- and quality tested. From their dermatologist formulated Pro-X skin care products to their Regenerist skincare to their Total Effects, Fresh Effects, Complete, Classics and Body range collection of products, Olay’s cleansers, anti-aging products, moisturizisers and body treatments are an essential part of a woman’s grooming.

L’OREAL – Every woman concerned about beauty and style appreciates the cosmetics, skincare products, hair color and self tan products which L’Oreal offers. For more than a century, the multi-award winning company has been providing men and women with safe beauty products and their research and innovation allows them to continuously bring out products which are fresh, new and original. Their skincare products are rigorously tested with leading scientists, whether its their Youthcode for up to 35 year olds, their Revitalift for up to 45 year olds, their Age Perfect for up to 55 year olds and their Age Re-perfect for those over the age of 55.

NEUTROGENA – This American brand of skin, hair care and cosmetics was founded in 1930 by Emanuel Stolaroff. Today the company offers a broad range of beauty products, from their cleaners, body and bath products to cosmetics, anti-wrinkle and anti-acne products, hair products and their men’s skin care range. Renowned for their water-soluble cleansers, retinol, AHAs and sunscreen products, their Healthy Skin lineup offers moisturizers with glycolic acid.

ESTEE LAUDER – with its headquarters in New York, this manufacturer of skincare, makeup and hair care products started in 1946. The company has more than 25 brands such as Aramis, Bobbi Brown and Clinique, and they have confidence in the safety of all the ingredients and formulas of their products which set the right pH balance for skin and hair. It was Estee Lauder who started the very popular idea of giving a free gift with a purchase.

AVON – a leading global beauty product company and one of the world’s largest direct sellers. Avon’s beauty products include their quality, scientifically proven color cosmetics which provide superior performance, from the lipsticks to the foundations, powders and lip products; all designed to make women look and feel their best. Their fantastic ANEW skincare brand with transformative, anti-aging technology helps women to look much younger. This range has different lines to target a particular age group.

The Trade Secret for Beautiful Skin and Hair

Research on the Internet will help you to select the best beauty products to encourage each man and woman to make their own beauty routine the most pleasurable. These products have all been developed to take just a few minutes each day to apply, but which will affect your looks for a lifetime.



Source by Stephanie Hu

Using A Reverse Mortgage To Pay for Long-term Care and Avoid A Nursing Home

Alternatives to Long Term Care Insurance: Using a Reverse Mortgage and Other Methods to Pay for Long-term Care Costs

Because long-term care insurance requires you to be in good health, this planning option is not available to everyone, especially older applicants for whom the premiums may also be prohibitive. If you are at least 62 years of age and you own your home, you could use a reverse mortgage to pay for care at home or for a long-term care insurance policy that otherwise may be unaffordable.

A reverse mortgage is a means of borrowing money from the amount you have already paid for your house. You are freeing up money that would otherwise only be available to you if you sold the house. You can stay in the house until you die, without making monthly payments. The loan is repaid when the borrower dies or sells the home. The balance of the equity in the home will go to the homeowner’s estate.

Payments can be received monthly, in a lump sum or the money can be used as a line of credit. The funds received from a reverse mortgage are tax-free.

While the eligibility age is 62, it is best to wait until your early 70’s or later. The older the borrower, the larger the amount of equity available. There are maximum limits set by the federal government each year as to how much of the equity can be borrowed. Usually only about 50% of the value of the home is made available in the form of a reverse mortgage.

You can use the funds from a reverse mortgage to cover the cost of home-health care. Because the loan must be repaid if you cease to live in the home, long-term care outside the home can’t be paid for with a reverse equity mortgage unless a co-owner of the property who qualifies continues to live in the home.

Use Your Home to Stay at Home Program

The National Council on the Aging, with the support of both the Centers for Medicare and Medicaid Services (CMS) and the Robert Wood Johnson Foundation, is laying the groundwork for a powerful public-private partnership to increase the use of reverse mortgages to help pay for long-term care. The ultimate goal of the Use Your Home to Stay at Home(TM) program is to increase the appropriate use of reverse mortgages so that millions of homeowners can tap home equity to pay for long-term care services or insurance.

Reverse Mortgages Can Help with Long-Term Care Expenses, Study Says

A new study by The National Council on the Aging (NCOA) shows that using reverse mortgages to pay for long-term care at home has real potential in addressing what remains a serious problem for many older Americans and their families.

In 2000, the nation spent $123 billion a year on long-term care for those age 65 and older, with the amount likely to double in the next 30 years. Nearly half of those expenses are paid out of pocket by individuals and only 3 percent are paid for by private insurance; government health programs pay the rest.

According to the study, of the 13.2 million who are candidates for reverse mortgages, about 5.2 million are either already receiving Medicaid or are at financial risk of needing Medicaid if they were faced with paying the high cost of long-term care at home. This economically vulnerable segment of the nation’s older population would be able to get $309 billion in total from reverse mortgages that could help pay for long-term care. These results are based on data from the 2000 University of Michigan Health and Retirement Study.

“There’s been a lot of speculation whether reverse mortgages could be part of the solution to the nation’s long-term care financing dilemma,” said NCOA President and CEO James Firman. “It’s clear that reverse mortgages have significant potential to help many seniors to pay for long term care services at home.”

According to the study, out of the nearly 28 million households age 62 and older, some 13.2 million are good candidates for reverse mortgages.

“We’ve found that seniors who are good candidates for a reverse mortgage could get, on average, $72,128. These funds could be used to pay for a wide range of direct services to help seniors age in place, including home care, respite care or for retrofitting their homes,” said Project Manager Barbara Stucki, Ph.D. “Using reverse mortgages for many can mean the difference between staying at home or going to a nursing home.”

Seniors can choose to take the cash from a reverse mortgage as a lump sum, in a line of credit or in monthly payments. If they choose a lump sum, for example, they could pay to retrofit their home to make kitchens and bathrooms safer and more accessible – especially important to those who are becoming frail and in danger of falling. If they choose a line of credit or monthly payments, an average reverse mortgage candidate could use the funds to pay for nearly three years of daily home health care, over six years of adult day care five days a week, or to help family caregivers with out-of-pocket expenses and weekly respite care for 14 years. They could also use it to purchase long-term care insurance if they qualify.

“Up until now, though, most of these seniors have not tapped the equity in their homes — estimated at some $1.9 trillion — to pay for either preventive maintenance or for services at home,” noted Peter Bell, executive director of the National Reverse Mortgage Lenders Association. Noting that the average income of men aged 65 and over is $28,000 and $15,000 for women, he added, “This study shows that unlocking these resources can help millions of ‘house rich, cash poor’ seniors purchase the long-term care services they feel best suit their needs.”

What is it about Reverse Mortgages that instills apprehension in some Older Americans?

Fears persist despite the enthusiastic endorsement of groups such as AARP and the National Council on Aging.

A major reason is likely to be the fact that a lot of misinformation has been circulating about this very attractive financial tool for those that qualify. Older Americans often consult friends and relatives who are likely to be misinformed themselves.

Since the Reverse Mortgage can be a beneficial and safe alternative for Older Americans, it’s important to correct the major misconceptions associated with them and allow older homeowners to make an informed decision about whether a Reverse Mortgage makes sense for them.

Probably the most common misconception is ” If I obtain a reverse mortgage I might lose my home”. I frequently hear this when I’m advising elders about planning options related to long-term care. The fact is that the federal government requires that the home must stay in the name of the borrowers only. Since the Reverse Mortgage is a mortgage, a lien is placed on the property like all other mortgages. This assures that the lender will eventually be repaid but for only the amount owed which is principle, interests, and closing costs, just like any other mortgage.

The great advantage of this type of mortgage is that -unlike traditional mortgages-there are no monthly payments. Not having to worry about monthly bills has to be one of the greatest gifts one could wish for in retirement.

More than ninety-five (95) percent of Reverse Mortgages approved are the Federal Housing Administration (FHA) Home Equity Conversion Mortgage (HECM) loans. These loans are guaranteed the full protection of the United States Government through use of a two (2) percent insurance fee paid on all FHA Reverse mortgages.

Another misconception is that Reverse Mortgages are costlier than other mortgages. The truth is that closing costs average only about one (1) percent more than a traditional FHA mortgage would be on the same property. The Reverse Mortgage may even be lower in cost due to the fact that conventional mortgages can charge more than the two (2) percent origination fee allowed on all Reverse Mortgages.

Another cost factor is of course, the interest rate. The FHA Reverse Mortgage interest rate is based on the one (1) year United States Treasury note instead of the prime rate, which most conventional mortgages use as their base. This gives the FHA Reverse Mortgage an interest rate LOWER than most adjustable conventional mortgages.

Another myth about reverse mortgages is that the home goes to the lender after the loan becomes due at death or when the last survivor permanently leaves the home. In my experience, the loan amount of approved is generally about half of the appraised value of the home. (The older the homeowner, the greater the amount available for borrowing because it’s assumed that the funds will be available for a shorter period.

All of the equity left after payment to the lender, goes to the estate or heirs of the borrower. This is exactly the same procedure followed with regular conventional mortgages.

Since the Reverse Mortgage is a “non-recourse” loan the most the estate will be required to pay to the lender is the value of the home at the time of repayment. This is true even if the home value decreased or the borrower lived to an unusually old age.

Another attractive feature of this financing tool is that the requirements for getting a Reverse Mortgage are not nearly as restrictive as other loans. Since no re-payment is made as long as one (1) surviving borrower remains in the home, there are NO income or credit requirements. Another requirement is that both spouses must be sixty-two (62) or older with no upper age restriction. The only other requirement is that the borrowers alone must own the home with no others on the deed. The home may also be in a revocable trust as long as the eligible borrowers are the only trustees.

All property types are Reverse Mortgage eligible except manufactured (mobile) homes built before June 15, 1976 and co-operatives (Co-ops). Co-ops are expected to be eligible in the future when FHA issues final approval. Homes with existing mortgages that can be paid from the equity can obtain Reverse Mortgages.

Still another misconception is that a Reverse Mortgage is taxable and affects Social Security and Medicare. That is NOT the case. Reverse Mortgage proceeds are not taxable because they are not considered income but is, in fact, a loan.

It should be noted that Supplemental Security Income (SSI) and Medicaid might be affected if you exceed certain liquid asset amounts. We can show you how to structure the loan so that a Reverse Mortgage will not affect these benefits.

Now that the myths of Reverse Mortgage have been removed, a qualified homeowner may ask, how can I get more comprehensive information? Is your local bank the answer? Only a few lenders have been approved for participation by the federal department of Housing and Urban Development, which oversees the program. Most local and regional banks do not offer Reverse Mortgages.

AARP, the Federal National Mortgage Association, American Bar Association (ABA) and the National Council On Aging provide consumer information about reverse mortgages. The ABA passed a resolution supporting Reverse Mortgages in August of 1995.

If you would like to get specific information on a Reverse Mortgage for yourself or a family member, contact Bob O’Toole at 1-800-375-0595 or send me an e-mail to bob@elderlifeplanning.com



Source by Bob O’Toole

How Much Weight Should You Gain During Pregnancy

Typically women obsess about their size, regardless of health ramifications and when they fall pregnant, these attitudes persist. Society at large fears fat, even during pregnancy. But a healthy weight gain plays a huge role in a healthy pregnancy.

On no account cut back on eating as it deprives you of good nutrition and results in a small, sickly baby suffering from persistent health problems.

With almost two-thirds of women at childbearing age in the U.S. being overweight or obese, be sure to reduce your weight before you conceive.

How much weight should you gain during pregnancy? Start with your Body Mass Index (BMI), a ratio between your height and weight at the time of conception and for most people a reliable indicator of their body fat.

Google ‘BMI calculator’, select one of the sites, specify English or metric, enter your height and weight, and out pops your BMI. Less than 18.5 is considered underweight, 18.5 to 24.9 normal, 25 to 29.9 overweight, and 30 plus obese.

To give you an idea, a 5-foot-6-inch woman weighing between 115 and 154 pounds is considered normal.

Recommended weight gain guidelines during pregnancy

Following these guidelines issued by the Institute of Medicine (IOM) in May 2009, lowers health risks for both mothers and their babies.

If your pre-pregnancy weight was in the healthy range for your height (a BMI of 18.5 to 24.9), you should gain between 25 and 35 pounds. In the first trimester your gain will be 3 or 4 pounds, partly water weight and partly materials to help your very tiny baby grow. Thereafter gain 1 pound a week for the rest of your pregnancy to ensure optimal baby growth, a more comfortable pregnancy and a safe delivery.

Underweight women (a BMI of below 18.5) may be less fertile because of their low body fat, but if you conceived, gain a total of 28 to 40 pounds; 5 to 6 pounds in the first trimester and slightly more than 1 pound a week for the second and third.

If you were overweight for your height (a BMI of 25 to 29.9), gain a total of 15 to 25 pounds; 2 to 3 pounds in the first trimester and slightly more than 1/2 pound per week for the second and third trimesters.

If you were obese (a BMI of 30 or higher), gain between 11 and 20 pounds; 1 pound in the first trimester and slightly less than 1/2 pound per week for the second and third trimesters.

If you are expecting twins, gain 37 to 54 pounds if you started at a healthy weight; 31 to 50 pounds if you were overweight; and 25 to 42 pounds if you were obese, gaining roughly 1 1/2 pounds a week in the second and third trimesters.

Some obstetricians and gynecologists would like to see these figures shift downwards, with women in the healthy range gaining 20 to 25 pounds instead of 25 to 35. The lower figures were recommended in the 1970s and are considered sufficient for a healthy baby yet also make it easier for women to get back to their pre-pregnancy weight.

Chart your weight gains

If you suffer from morning sickness and nausea in your first trimester, food may not appeal to you and any weight gain will be negligible. Not to worry. Later on in your pregnancy is when the growing baby especially needs calories and nutrients for proper development and by then your morning sickness will be long gone.

Toward the end of your pregnancy you may gain a little more, stop, or even notice a slight weight loss at the very end. Plus-sized women have reserves in their stored fat and may actually lose a little weight during their pregnancy.

Restricting your food intake and trying to lose weight while expecting is not recommended because the fat stores you burn may contain substances dangerous to the baby. Gaining muscle is permitted, though first discuss exercising with your doctor beforehand.

Should you have one or two ‘growth spurts’ gaining several pounds over a short period and then level off, do not be concerned.

But if you suddenly gain more than five pounds a week during the second half of your pregnancy, beware; this could be a sign of pre-eclampsia, a serious condition threatening both you and your baby.

Contact your doctor too if you fail to gain weight for more than two weeks between the fourth and eighth month of your pregnancy.

How to stay within the recommended range

Eating healthily while pregnant is best for you and the developing baby. Your doctor will determine what constitutes a healthy weight gain for you. He will also educate you as to what to eat and how to exercise.

The old maxim ‘eating for two’ does not give you free reign to eat double what you normally do.

If your weight at conception falls in the normal range of BMI, during the first 12 weeks of your pregnancy you need 100 to 200 extra calories a day; for the remainder 200 to 300, with underweight women needing 300 to 500 extra calories a day.

300 calories is not a lot. For example, an extra snack of four fig bars and a glass of skim milk covers it.

Dangers of gaining too much weight or being overweight at conception

Although most overweight women enjoy healthy pregnancies and deliver without complications, there are potential risks. You could miscarry, it may be difficult to hear the baby’s heartbeat and measure the size of the uterus, after the birth you will find it difficult to lose weight and most probably will weigh more in later pregnancies. You risk complications such as high blood pressure, gestational diabetes and pre-eclampsia. Your baby may be too large at birth, making vaginal delivery long and painful, increasing the likelihood of you needing a cesarean delivery, and the child will probably become overweight or obese himself. Moreover you will probably have trouble breastfeeding, partly because of poor milk production and partly because you find it difficult to position the baby for nursing.

In order to lower your risks, medical tests such as ultrasounds to measure the size of your baby and a glucose tolerance test to screen for gestational diabetes, may be advised during your pregnancy.

Dangers of gaining too little weight

Those who start pregnancy underweight or who do not gain enough during pregnancy, risk stunted fetal growth, delivering a low-birth-weight baby weighing less than 5.5 pounds, and preterm delivery which can cause severe health problems for the infant, even death, if birth is too premature.

Obeying these guidelines

Women are strongly advised to comply with these recommended weight gains. Admittedly your metabolism, activity level and genetics play a role, but with regular visits to your doctor, you can both ensure your pregnancy progresses smoothly.

Gaining weight gradually means your baby has a steady supply of nutrients, some of which are stored for breastfeeding, lowering your chances of hemorrhoids, varicose veins, stretch marks, backache, fatigue, indigestion, and shortness of breath during pregnancy.

Guidelines to gain healthy weight

Eat five to six small meals a day comprising nutrient dense food which nourishes you and your baby. Seek foods like fresh fruit, vegetables, nuts, dried fruit, peanut butter, yogurt, cheese, whole grains, lean protein, fatty fish, and dairy products. Limit junk food, candy, cookies, donuts, cake, pie, potato chips soda and coffee, loaded with calories but no nutrition. Avoid smoking and alcohol.

If you need to gain weight faster, add butter, cream cheese and sour cream to meals, and nonfat powdered milk to mashed potatoes, scrambled eggs and hot cereal.

What to do if you need to slow down your weight gain during pregnancy

Instead of restricting your eating, make healthier choices. Substitute high calorie fried foods and whole milk products with foods mentioned above and you will feel satiated. Limit sweetened drinks and drink water, club soda or diluted fresh fruit juice instead.

Regular moderate exercise, such as walking, swimming or yoga, is effective both during your pregnancy and once your baby is born.

You need to tread a fine line between eating extra calories, staying active without burning them all, and gradually gaining weight.

If you feel anxious about your increasing weight

If in the past you carefully watched your weight, you will feel uncomfortable seeing it creep upwards. Remind yourself that some weight gain is important for a healthy pregnancy and will disappear after the birth.

Losing those extra pounds after you give birth

A 25 pound weight gain during your pregnancy is distributed in the following way: the baby 7.5 pounds, amniotic fluid 2.0 pounds, placenta 1.0 pound, breast tissue 1.5 pounds, uterus increase 2.0 pounds, extra blood supply 3.0 pounds, retained water 2.0 pounds, and protein and fat stores for delivery and breastfeeding 6.0 pounds.

You will lose roughly half your pregnancy weight in the first six weeks after delivery. The rest took nine months to put on so allow that length of time to lose it. Do so by eating healthily and exercising sensibly and it may well come off sooner.

Do not drastically reduce your calorie intake in an attempt to speed up your weight loss since you need energy to cope with being the mother of a newborn baby. When you breastfeed weight comes off faster because you burn 1000 to 1500 calories a day producing milk.

Exercise also plays a valuable role after the birth of your infant. It helps you lose weight, build muscle, become more flexible, relieves depression and increases your self esteem.

Remember a pregnancy is all about carrying a growing baby inside you, a real miracle of nature. Eating the right amount of quality food rewards you with not only a healthy baby, but also rapid weight loss after the birth.



Source by Sharon Dell

Women Empowerment Programmes

Women empowerment programmes need a holistic approach so that rather than focusing on just one symptom problem we focus on a wide range of issues which are closely associated with women’s marginalization and discrimination. Addressing these issues in an integrated manner will help us to find a wholesome solution towards total empowerment of women in all respects.

We very well know that women have always been marginalized and relegated to the status of subjugated class in the society. This has been happening from thousands of years now. The legacy of discrimination and oppression of women is seen in the economic system, culture and social norms and political systems around the world. Gender equality and women’s empowerment need action at the government and legal level where repealing of discriminatory laws and passing of new laws needs to be done to give genuine equal rights to women. Further empowering women economically, socially and politically should be a priority. Above all aggressive mass movements, mobilizations and campaigns are needed towards creating awareness and ending woman abuse and transforming gender relations.

Women empowerment programmes: Empowerment through multiple channels

So the key lies in women empowerment through economic self-sufficiency and higher awareness levels on social, political and legal issues through mobilization. There is also a need to recognize and emphasize the diverse roles of women such as reproductive, productive and community management. The contribution of women towards the growth and development of the society has to be highlighted and emphasised through various means and medium.

Women empowerment programmes: Empowerment of women at the grass root level

In fact true and real women empowerment can only take place when women are organized and strengthened at the grass root level. The women’s movement and a wide-spread network of social Organisations which have strong grass-roots presence and deep insight into women’s concerns have contributed in inspiring initiatives for the empowerment of women and their role becomes even more important today and in the days to come because of the various forms of direct and indirect discrimination against women that still exist in the society.

Women Empowerment Programmes: The holistic Goals and Objectives of total women empowerment:

1. Advancement and development of women in every walk of life.

2. Creating an environment through positive economic and social policies for development of women and realization of their full potential.

3. The enjoyment of all human rights and fundamental freedom by women on equal basis with men in all spheres of life that is political, economic, social, cultural and civil.

4. Equal access to participation and decision making of women in social, political and economic life of the nation and the world.

5. Equal access to women to health care, quality education at all levels, career and vocational guidance, employment, equal remuneration, occupational health and safety, social security and public office etc.

6. Strengthening legal systems aimed at elimination of all forms of discrimination against women.

7. Changing discriminatory societal attitudes and community practices by active participation and involvement of both men and women.

8. Mainstreaming a gender perspective in the development process.

9. Elimination of discrimination and all forms of violence against women and the girl child; and

10. Building and strengthening partnerships with civil society, particularly women’s organizations.

Women empowerment programmes: Gender perspective

Further for total women empowerment programmes we need mainstreaming of a Gender Perspective in the Development Process of the nation and the world. In this regard the following below mentioned topics and issues become paramount in terms of understanding and execution at various levels:

1. Economic Empowerment of women-This includes issues like Poverty Eradication, Micro Credit, Women and Economy, Globalization, Women and Agriculture, Women and Industry & Support Services

2. Social Empowerment of Women- This includes issues like Education, Health, Nutrition, Drinking Water and Sanitation, Housing and Shelter, Environment & Science and Technology

3. Women in Difficult Circumstances-This includes issues like Violence against women, Rights of the Girl Child & Mass Media

Women empowerment programmes: Gender disparity and gender discrimination

Gender disparity manifests itself in various forms, the most obvious being the trend of continuously declining female ratio in the population in the last few decades in India. Social stereotyping and violence at the domestic and societal levels are some of the other manifestations of discrimination against women that can be seen in one or the other way in most parts of the world.

Women empowerment programmes: Life of dependence

Most importantly we need to recognize the fact that women are still economically very weak and majority of them are forced to live an existence of economic dependence across the world. Therefore conception and execution of total women empowerment programmes at every level and at every sphere of life is a must.



Source by Sanjay Kali

And If I Perish Book Review

And If I Perish, by Evelyn M. Monahan and Rosemary Neidel-Greenlee, tells the stories of U.S. Army nurses stationed on the frontline in World War II from the beginning of the war in North Africa to Italy and finally to its last days when the Allies were closing on Berlin. The campaigns in North Africa and Italy gave the American military their baptism by fire but inflicted relatively less casualties on invasion troops compared to the possible consequences of an assault on Hitler’s Fortress Europe. Although most readers believe that women did not serve on the frontline in WWII, closer examinations show that women did serve on the frontline providing life-saving care to wounded troops. Lastly, military medicine at the beginning of the war was woefully inept at handling wounds inflicted by combat, but eventually caught up to save a majority of wounded troops.

The campaigns in North Africa and Italy is a testament to the courage and ingenuity of American troops but it also revealed major discrepancies of Allied planning. At the onset of the war for Americans, medical personnel quickly became skilled at improvisation because the lack of medical supplies demanded it. At the beginning of Operation Torch in Arzew, Algeria with supplies running low, Lt. Helen M. Molony of the 48th Surgical Hospital “… out of suture material… got a spool of white thread from her musette bag and they sewed up his bladder with that (P. 47).” After exhausting whatever thread available, the nurses of the 48th began using their own strands of hair sterilized with alcohol to suture the wounds of the G.I.s under their care. Before entering the war, the War Department did not foresee the need for large amounts of basic medical equipment such as the Wangensteen apparatus used to treat abdominal and gastrointestinal wounds, or even stands to hold IV fluids for recovering patients. Although North Africa and Italy showed the Allies their shortcomings, the lessons learned were included in later planning of military operations.

Subsequent Operations such as Overlord and Dragoon were planned with the lessons learned from Operations Torch and Shingle. Forward-thinking nurses like First Lieutenant Marsha Nash required her staff to visit “… the seasoned 128th Evacuation Hospital at Tortworth Castle to observe and learn the process of setting up and tearing down a tent hospital, and how to improvise in combat areas when necessary medical and surgical equipment was not delivered with supplies as scheduled,” to gain as much information in training before learning lessons the hard way through combat (P. 333). In preparation for casualties resulting from D-Day, military planners undertook Operation Neptune where “… the Eighty-second and 101st Airborne Divisions dropped special canisters of medical and surgical supplies at various locations in Normandy… soldiers going ashore on D-Day carried medical supplies and equipment along with his regular field pack and weapons… dropped the medical supplies and equipment on the beachhead, to be picked up later… ,” allowing medics set up impromptu aid stations to care for the wounded until hospitals could be brought ashore (P. 323-324). The lack of basic medical equipment will be at least addressed by military planners in an entirely separate medical logistic operation on D-Day, but will never fully be remedied as the nature of war will forever prevent it. Unfortunately, the fresh troops invading Normandy did not heed all the lessons learned from the Mediterranean Theater where “5,700 combat troops had fallen victim to trench foot… losing toes, a foot, or even both feet,” and D-Day troops eventually lose “… a grand total of 29,389 casualties in the European theater.” (P.425-426)

American women played an indispensable role in the Second World War. Army nurses saved countless lives and “… the survival rate for wounded soldiers who made it to a battalion aid station was a remarkable 95.86 percent; 85.71 percent were able to return to duty.” (P.258)

Army nurses also served as a psychological boost for wounded troops who “gauged how their own sweethearts, wives, and families might respond to them by the way these women reacted to their wounds (P. 106-107).” The army nurses, only one or two years in an age difference, gave the injured men the confidence to write to their loved ones about their disfigurement. Volunteer nurses were expected to flee in the face of combat, but they displayed the same valor and commitment to duty as the men they cared for. For example at the Anzio beachhead, when the “… shelling began, Roe and Rourke refused to leave their patients, though the latter kept urging them to get out and seek safety… not a single nurse who will let this shelling of hospitals chase her off the beach… ” staying behind to provide care for the wounded and at times sacrificing themselves to protect their patients (P. 271). Nurses did give their lives in the line of duty, “… the bombing of the 95th Evacuation Hospital caused twenty-eight deaths; twenty-two were hospital personnel-three nurses, two officers, sixteen enlisted men, and one Red Cross worker… ” earning the respect and admiration of the men they served with (P. 261). Although primarily female, army nurses “… spent hours working together in the OR, coping with difficult living conditions and surviving the ever present dangers of war, they forged a strong bond of friendship,” with the treating each other as equals in the face of war (P. 367-368). Female nurses played an invaluable role in the invasions of North Africa and Italy providing physical and psychological care for troops carrying the hopes of the world.

Military medicine in World War II jumped forward by leaps and bounds to handle even the most devastating wounds inflicted on troops in battle. Private Berchard Lamar “Glant” suffered wounds so terrible, it forcibly amputated part of his right arm and half of his left leg. Glant was evacuated to a battalion aid station and “… saved due to the remarkably quick and effective medical protocols set up and honed in North Africa and now being put to the test in Italy: first, the immediate ministrations to the wounded on the battlefields by medics and soldiers; next, the quick transport of the wounded to a battalion aid station where medical teams could work to further stabilize patients; then the transport to evacuation hospitals for more extensive treatments and surgery; and finally, the return of a healed soldier to the front, or his transfer to a hospital farther to the rear for a longer period of recuperation.” (P. 258)

Military hospitals and their planners developed an effective chain of care for wounded soldiers ensuring life-saving treatment for those who survived long enough to reach the battalion aid station. World War II also developed solutions to age-old problems plaguing both allied and axis armies. Malaria-afflicted troops in North Africa refused to take Atabrine because the side-effects were worse than the symptoms of the disease, but doctors by the Mediterranean campaign learned the proper dosages to negate the debilitating side-effects freeing troops for combat. As with any war, Allied troops suffered from sexually-transmitted diseases from locals providing their services and military hospitals were “… loaded with sulfonamide-resistant venereal disease… ,” the ever-mounting number of afflicted troops forced the movement of penicillin production from England to the United States and increasing output by the billions to cure troops (P. 215). For troops suffering from facial injuries resulting in the loss of an eye, they tended to be outfitted with glass eyes prone to causing irritation and infection but doctors started turning towards the alternative acrylic prosthetic eye that caused less irritation and only taking three weeks to produce compared to the three month production time of a glass eye.

Operation Torch and Shingle provided American forces with their first large-scale combat experience in World War II learning lessons invaluable to the eventual invasion of Europe. Women provided life-saving care to wounded troops and boosted the confidence of servicemen to reach out to their loved ones about their physical and psychological wounds. Army nurses also willingly placed themselves in the same danger faced by troops in order to heal those very same troops. Medicine and products progressed rapidly to address the multitude of troops suffering from almost every wound possible. And If I Perish is an all-encompassing story about the relatively unknown struggles of Army nurses in World War II.



Source by Phong J Nguyen

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