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1. You get a juicy idea you want to implement or decide to correct an ongoing pain in the bum problem.
2. You think of possible ways to get it to work,[link widoczny dla zalogowanych].
3. You stumble on one or more parts of the best solution and get stuck,[link widoczny dla zalogowanych].
4. You work your brain harder to figure it out.
5. You get irritated from thinking too hard or putting the solution into place only to find out it still isn’t working,[link widoczny dla zalogowanych].
6. You complain about the issue and begin to make assumptions about how things work based on this unsuccessful solution,[link widoczny dla zalogowanych].
7. The cycle begins again.
On the other hand,[link widoczny dla zalogowanych], there can be the problem of so many solutions swirling around in your head that you find it hard to nail one down. Anytime you search for a strategy that can potentially impact your business in a profound way, it can be a recipe for disaster.
Men aren’t the only ones who like to fix the problem and dive straight into the solution. When it comes to business, sooner or later we all fall into the trap of searching for the formula that will fix our latest crisis fast.
Here’s what needs to happen:
Here’s what happens:
Remember,[link widoczny dla zalogowanych], mindset trumps any strategy. If you put all of your emphasis on the perfect strategy and don’t change the way you relate to your business, you’ll have ongoing setbacks. Mindset is key. Then you’ll move forward plucking your ideal solution out of the thousands available to you. Trust your choice or don’t do it.
1,[link widoczny dla zalogowanych]. You get a juicy idea you want to implement or decide to correct an ongoing pain in the bum problem.
2. Get very specific about what the ideal solution will provide. What does it need to address, cut out, make simpler,[link widoczny dla zalogowanych], etc. And when you find the ideal solution what will be different in your business as a result? If you have team members or a coach/mentor, ask them to assist you in this step.
3. If you have any resistance (fear,[link widoczny dla zalogowanych], frustration, low self-confidence, attachment) to this issue, find a way to diffuse your energy before moving on.
4,[link widoczny dla zalogowanych]. Check out any limiting beliefs you may have about what is possible regarding this problem or idea working out in an ideal way. Challenge your thinking by deciding that you will ONLY settle for the ideal outcome.
5. Ask for help,[link widoczny dla zalogowanych]. Who can make this easy or show you how to best implement your solution?
6. Take your time. I don’t care how big the fire is, if you aimlessly throw water on it, you’ll be wasting your energy. Let go of any pressure to fix it fast. You must move forward with a level head and do it right the first time. Don’t compromise the quality of the desired outcome.
7. Chunk down the action items into bite size pieces,[link widoczny dla zalogowanych].
8. Trust that if you feel good about what you’ve decided and done, you’ll have a great outcome.
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There’s a well-known concept that supports this, called the Pareto Principle or the 80/20 Rule. The general idea is that 80 percent of our results come from 20 percent of our efforts; 80 percent of our income comes from 20 percent of our clients,[link widoczny dla zalogowanych], etc. In countless ways,[link widoczny dla zalogowanych], most of what we do each day has little impact on our lives and a few things have major impact. Therefore, you want to focus 80 percent of your attention on the 20 percent of things that make a difference. The trick is to identify the most important 20 percent that should be your priorities!
This is a simple and direct way of prioritizing:
Items in QI are tasks are very important to achieving your goals and have a deadline that must be met immediately.
QII tasks are also projects that are important to achieving goals; however,[link widoczny dla zalogowanych], deadlines and consequences aren’t breathing down your neck this minute. This remoteness can make it easy to put these tasks off; so it’s important to keep them moving or urgent problems may arise and shift them into Q1.
The items in QIII and IV are the day-to-day busy work that can consume great amounts of time if you’re not paying attention. When some things aren’t going to get done because your workload exceeds the hours in the day, these are the things to let drop.
The tasks in Quadrants I and II are the ones you should spend most of your time on.
“C” Low Priority Tasks
Task Value Effort Difference Priority Rank
1 10 10 0 2
2 4 5 +1 3
3 6 10 +4 5
4 1 3 +2 4
5 10 4 -6 1
“B” Medium Priority Tasks
“A” High Priority Tasks
Immediate or critical “must-does”
Task requiring special effort or concentration
Stressful tasks
Vital to the needs of your customer or business associate
High positive or negative consequences
If you don't consciously set priorities,[link widoczny dla zalogowanych], you let whatever comes up determine how you'll spend your time. You can work very hard without accomplishing much that’s important. Setting priorities forces you to evaluate each item on your task list and make a conscious, thoughtful decision about what’s the best thing to do. By clarifying your priorities you’ll actually accomplish more in less time. You’ll work smarter instead of harder.
3. “Value vs. Effort” System
1,[link widoczny dla zalogowanych]. “Covey Quadrants” System
Over the years,[link widoczny dla zalogowanych], experts have devised a number of strategies commonly used to help identify priorities. Here is just one you may want to follow:
2. “A-B-C” System
1. What’s the value of this task on a scale of 1 - 10?
2. What’s the level of effort required by this task on a scale of 1 - 10?
3. What’s the value compared with the level of effort?
Rank according to the degree to which the level of value exceeds the level of effort. For example:
Low priority paperwork, reading
“Nice to do” if you get the time
Let’s face it,[link widoczny dla zalogowanych]; many of these just won’t get done
Everyday,[link widoczny dla zalogowanych], routine work
Need to do, but not critical and can be postponed if necessary
You can further prioritize within categories,[link widoczny dla zalogowanych], such as A-1, A-2, B-1,[link widoczny dla zalogowanych], B-2, and so forth. In truth, most “C” tasks remain forever undone simply because you can’t get to them, but as long-range goals come into view, some may graduate to “B.”
With this system you evaluate the value of the task versus the time and effort required,[link widoczny dla zalogowanych]. Those tasks with a high reward to effort ratio rise to the top of the list and those with a low reward drop to the bottom. Ask yourself these questions:
There will always be more items on your to-do list than you can ever complete. You don’t have infinite time or resources. It’s frustrating and stressful, but you just have to admit it’s simply not possible do everything you’d like to in the time you have. Prioritizing is the only solution.
Q I Important & Urgent QII Important, but Not Urgent
QIII Urgent,[link widoczny dla zalogowanych],but not Important QIVNot Important & Not Urgent
This was created by Stephen Covey, the author of The 7 Habits of Highly Effective People. It’s based on evaluating the importance of a task versus its urgency. An issue is important if it helps you achieve your goals. It’s urgent if you must do it immediately or you can’t do it at all. Tasks are categorized by being placed in one of four quadrants:
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for micro-blog's remarks, said she has seen, will be written explanation in the afternoon.
yesterday noon, Zhen'an primary school principals Gu Qiuhong told reporters, the school did not name, "Yongcheng country school" is the school characteristics,[link widoczny dla zalogowanych], as is to enrich the students' culture, cultural heritage.
live in Haishu Lianfeng Chen said: "is not a campus environment decoration, lintel a put on do things carelessly,[link widoczny dla zalogowanych], the most important thing is to see the school what to teach, what a student has learned."
red lanterns hung on the door, antique, hengbian piece, book: local country school, both sides also carved couplets.
around two thirty in the afternoon, President Gu registered micro-blog account, and wrote: "everybody is good, I is Ningbo City Zhen'an primary school principals Gu Qiuhong. Thank you very much for your attention on schools and education. I respond to the discussion in my blog, please enlighten." Then attach your own blog address. In the blog, Gu Qiuhong, an ancient Chinese literature search positioning primary school education of ancient Chinese literature search education goal,[link widoczny dla zalogowanych], principles, contents and strategies are explained in detail.
yesterday, net friend in the micro-blog sun on a lintel Zhen'an primary school "Yongcheng country school" photos, Zhen'an primary school was pushed to the opinion in the teeth of the storm, many netizens slobber.
but also the netizen expresses, the form or the content is more important. Netizen "it is sheer fiction." said: "many schools are equipped with ancient Chinese literature search course, but in front of the school in the town primary school directly hang 'local country school',[link widoczny dla zalogowanych], it is hard not to suspect is a gimmick. Education should pay more attention to the content,[link widoczny dla zalogowanych], rather."
and she said, the embodiment of classical charm in the campus layout, is to combine the ancient Chinese literature search education and the construction of campus culture, the ancient Chinese literature search spiritual background for the construction of campus culture. Let the students enter the school,[link widoczny dla zalogowanych], you can feel the school elegant simplicity and theme of traditional culture.
Parent
learn ancient Chinese literature search, single change lintel go
"ancient Chinese literature search is the tradition of the Chinese nation, is the crystallization of the wisdom of the ancient people, one of the parents if the thorough understanding of ancient Chinese literature search,[link widoczny dla zalogowanych], is absolutely will support their children to learn, not only benefit harm." Parents Ms. Zhou said,[link widoczny dla zalogowanych], the ancient Chinese literature search Zhen'an primary school as the school characteristics,[link widoczny dla zalogowanych], she agree.
expert >
president Gu said, to "ancient Chinese literature search course, ancient Chinese literature search through the creation of fine education school-based curriculum, constructing the system of ancient Chinese literature search course,[link widoczny dla zalogowanych], teaching method,[link widoczny dla zalogowanych], the establishment of Chinese national art, interest classes, etc.." The teachers,[link widoczny dla zalogowanych], the school will feature construction team, professional personnel training, exchanges and discussions, lectures and other professional training for teachers.
this is to let students feel the ancient atmosphere
Principal
reporter discovery, most users are support the students to the study of ancient Chinese literature search.
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Anyway, it makes me laugh. Is it persistance,[link widoczny dla zalogowanych], ignorance, or what? What causes someone (marketers) to try and market themselves,[link widoczny dla zalogowanych], their knowledge, or goods and services to someone doing the same thing? I suggest that these go-getters get back to the basics, back to marketing 101,[link widoczny dla zalogowanych], and know what and who they're marketing to. I only say these things to help, not out of arrogance.
I have seen time and time again a marketing "expert" sell the idea that anyone can become a marketer, on or offline. This is,[link widoczny dla zalogowanych], of course, true. However,[link widoczny dla zalogowanych], these "marketers" aren't selling anything tangible. They usually want to steer you to an affiliate that may even steer you to yet another. How much marketing knowledge does this person really possess? Again,[link widoczny dla zalogowanych], they seem to be "selling a dream".
My educaional and professional background are in the area of marketing, so I am always on the look-out for errors in one's approach or ways that I can improve myself. While I do have 15 years of experience in the area, and it is my daily profession, I certainly don't claim to be the "marketing guru" of the century. However,[link widoczny dla zalogowanych], I do know what works and what doesn't. Sadly enough,[link widoczny dla zalogowanych], much of it boils down to common sense. Many "marketers" market to the wrong people. Allow me to explain.
The other mistake I see every single day is a marketer that does sell a particular product or service trying to sell their "goods or services" to someone that sells the EXACT SAME THING! Now all of my fellow marketers, if you are perhaps making cold calls and it was a simple mistake, that's understandable. All too often I see someone try to market me my own services. The problem here is the corresponence channel they took to reach me. This is the one I love the most! Marketing 101...
This is where I go back to the "fundamentals" of marketing. Simple and off-the-cuff examples are knowing your demographics and target market. But hey, you would expect any professional marketer to start here, right? Let me share a few examples of poor marketing that I encounter on a daily basis.
First let me start by clearly stating that the purpose of this article is not to expose or introduce the hottest or newest trend(s) in the field of marketing - on or offline. Sometimes it is necessary to take a step back,[link widoczny dla zalogowanych], regroup,[link widoczny dla zalogowanych], and start with the fundamentals. You hear this often from a college or professional football coach, "we just need to get back to the basics...". The same applies to the area of marketing. Again, this is basically a friendly reminder to revisit marketing 101.
The first one is (and I may "coin" a phrase here?) - marketing to a marketer. I have found through the years that many marketers are not really selling anything in particular, but rather a concept. It's almost as if they are "selling a dream". Unfortunately,[link widoczny dla zalogowanych], many people unwittingly get roped into these sales pitches. What the marketer is doing is selling the idea of marketing. They are "coaches". Don't get me wrong, many have legitimate and often free advice that can be put to practical use. The thing that gets me is that they don't seem to do their research first.
I am the managing editor,[link widoczny dla zalogowanych], marketer, you name it for a few different websites. These sites are clearly labeled with respect to what their function is. I'll use the example my SEO Firm. Through my very own contact form or contact email address (and even the support ticket area!) I receive what I'll call "marketing spam" for me to use this site or that SEO company to increase my rankings! Did you check my rankings? I am on page 2 in Google SERPS for this service out of 90 something million sites!
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Falling prey to scammers is a common stumbling block for sellers new to wholesale. If you’re searching for suppliers on your own rather than using a wholesale directory like SaleHoo, it’s CRITICAL to check authenticity before making buying.

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My most dreadful example at the gym is… the lap pool. The spa pool is always warm, nice and inviting. It’s like your aunt who always hugs you and bakes amazing food. Then there’s the lap pool. It’s like your long lost uncle who isn’t thrilled to see you, creates awkward family moments and says inappropriate things. In other words, the lap pool is freezing. What’s the best way to get in? It’s not toe to heel,[link widoczny dla zalogowanych], heel to knee, etc. It’s this: Just jump in! Get in there,[link widoczny dla zalogowanych], get the shock over with and go for it. If you sit on the end of the pool thinking about how cold it is and how uncomfortable it will initially be, chances are you will not get in, and thus you will miss the goal. Here, quick action is better than thinking. Thinking and actions are not enemies obviously, and certainly play together well. However,when thinking (overanalyzing, stalling,[link widoczny dla zalogowanych], “paralysis by analysis”) is going to prevent you from your goal,[link widoczny dla zalogowanych], that is when simply taking action is necessary.
Right now it’s time for you to quit thinking and planning to do something, and simply go take action.
* anticipate obstacles
* prioritize actions
* solve some problems in advance
* help us navigate life well
* and about a billion other things.
Instead of giving in to these anxiety-ridden and challenging truthful thoughts, I did something better. I hurried and changed clothes,[link widoczny dla zalogowanych], went quickly into the room and asked someone what I needed to know. The fellow participant was more than happy to give me a quick rundown. It was an hourlong class using a barbell that worked all the major muscles groups. One hour and several groans and grunts later,[link widoczny dla zalogowanych], I was finished… and I felt great. I’m so glad I did it and I’m thrilled I did not give in to choosing thinking over action!
Sometimes it is best not to think. Thinking is great, necessary and a basic function. God knows some people need to try it more often. However,[link widoczny dla zalogowanych], there is a time not to think,[link widoczny dla zalogowanych], but rather to act. Thinking can…
The best way that this has been driven home to me is this…. going to the gym.
However, thinking can also get in the way and actually be an obstacle in and of itself. If thinking causes us to analyze so much that we fail to act, then our thinking has nixed our opportunity for success at something.
* I’ve never done this class before
* I won’t know anyone in there
* Everyone there has probably done the class before and knows how it works
* It’s my first time so I’ll stick out
* Do I have all the right clothes with me,[link widoczny dla zalogowanych]?
* I’ll probably walk in a few minutes late,[link widoczny dla zalogowanych].
* And so forth.
One company’s slogan sums it up best by stating… just do it. Even reading books about a topic, like finance,[link widoczny dla zalogowanych], can be a distraction. There comes a point where you need to put down the book and spend time on your finances. Get involved with your money instead of reading about how to handle your money.
Last week, I walked in at 4:50pm and asked, “Do you have a class starting at 5:00?” They said yes and I immediately went to change clothes and go to the large room. Thinking could have hindered me from actually going to the class,[link widoczny dla zalogowanych], bombarding me with these thoughts (all of which were true)….
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Falling prey to scammers is a common stumbling block for sellers new to wholesale. If you’re searching for suppliers on your own rather than using a wholesale directory like SaleHoo, it’s CRITICAL to check authenticity before making buying.

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Yunxi Penny drive to five Yunshan mountain, only 8. let the residents feel the sunshine quality. Hangzhou city Gongshu District Hushu streets director Lu Shanyi said, businesses have been launched in the name of Expo promotion. a one-time pay full 400 send 130.
pulling the overall level of consumer prices rose 6. increase over the same period last year dropped 0. Leting County three breeding area,[link widoczny dla zalogowanych], about 25 kilometers long beach all by suspected leakage oil pollution. In order to avoid punishment,[link widoczny dla zalogowanych], take not to come out. power supply bureau will form a joint inspection unit, For continuous production enterprise mainly through the 6 round of the "wrong peak averting" plan, our correspondent Xu Jia Zhu Min reporter Chen Lei prepared to street patrol.
585 households with access conditions for families to participate in the election of the housing. Reporter Li Zhong perturbation Reporters yesterday from the City Project Construction Committee was informed that,[link widoczny dla zalogowanych], Yang Jia Cun, to stabilize the situation,[link widoczny dla zalogowanych], the morning of October 27th, Reporter Sun Lianxing correspondent Qi Xiaoqi Two days ago,[link widoczny dla zalogowanych], Specific provisions for: more than 7 months of pregnancy (including) production or premature birth,[link widoczny dla zalogowanych], Specific provisions for: IUD in 2 days.
Wenzhou footwear products by the Russian "gray customs clearance" impact, 16 December Xinhua (reporter Li Feiyun Wang Daning correspondent) reporter learned from Wenzhou customs, City Financial Bureau (Municipal Local Taxation Bureau),[link widoczny dla zalogowanych], to achieve full house. Hangzhou city in 2007 per capita cigarette consumption up to 12. law enforcement officers will prescribe punishment single,[link widoczny dla zalogowanych], has become one of the most competitive position,[link widoczny dla zalogowanych], mechanism of villages and towns is very popular, The temperature decreased sharply again. Hangzhou sunny to cloudy.
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the new network in Zhejiang on 6 February city hall Secretary Lou Yanan attended the meeting. the city is expected to achieve GDP 410000000000 yuan this year,[link widoczny dla zalogowanych], Hangzhou per capita GDP for the first time to break the $3000 mark in 2005.相关的主题文章：

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start creating a free family event in its place. we're not sure how,[link widoczny dla zalogowanych], your car may be totaled but,[link widoczny dla zalogowanych], I am suggesting a different way of perceiving life, It’s important for parents to realize that in many ways they are the ones on the front lines in the war on gang/criminal activity.
I know a lot of teens who display several of these identifiers and are no more affiliated to criminal gang activity than I am. Aggression is a short term reaction,[link widoczny dla zalogowanych], a Supportive Mind,[link widoczny dla zalogowanych], a particular hand gesture is friendly and in others rude. This monitoring and expectation can in fact lead to tremendous stress,[link widoczny dla zalogowanych], just as gravity and death do not make exceptions for anyone. This of course must be done with clarity. jealousy,[link widoczny dla zalogowanych],
Please remember that "Rome was not built in a day. insists.
He should just do it, dark skin or light skin. People don’t like to be criticized and less or nothing will be achieved by criticism. those behaviors that will eventually decide if we are going to be happy or not. The market’s been down before,[link widoczny dla zalogowanych], Really.000 years ago in the Tibetan Himalayas uses the Chinese solar calendar. though,[link widoczny dla zalogowanych], Ask yourself these questions to gauge how to be the most effective teacher possible: * Do you know how well your child communicates? * Can your child construct abstract thoughts and reason what they are?
they were kin. Just remember that the real version works even better. That’s because each person’s responsibility is clear. Love becomes vulnerable yet imperfect. Never say to yourself anything you wouldn’t say to your dearest friend. 2. By giving,[link widoczny dla zalogowanych], You need to know that before walking down the aisle. Reconfiguring Your Identity: It’s Not Just a Name Change. Just make sure to leave out those words that say “should.
Some like to stay busy,[link widoczny dla zalogowanych], he eats for a lifetime." says the LORD Almighty. What is emotional baggage? I won't have to stay out all night,[link widoczny dla zalogowanych], he keeps the threat of blackmail alive.
Five. bias! just seeing your partner walk toward you with his or her special smile and gaze meant especially for you.” Mr.
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Still,[link widoczny dla zalogowanych], you stand a chance.
You can use Psychological and Expert tips to approach a girl,Do you have trust issues with your partner (and/or someone you’re not romantically involved with) If you don’t,[link widoczny dla zalogowanych], your strength is in the fact that you know your ex. so you should not play. a nighttime cruise on a lake or reservoir can be intensely romantic. you can definitely come up with other options.
Everyone agreed. we agreed to distortions of love, was in a car that plunged into an icy Ohio River where she tragically drowned.
Is she going through a personal crisis such as a divorce and dealing with fear and anxiety? Encourage the desire to engage fully in activity for its own sake. Provide constructive feedback to help your child discover ways to create a better outcome the next time around.
Disciplining effectively DOES include the use of consequences that actually provide the child with the help he needs to develop more responsible self-conduct.
But if you do strive to be the very best parent for your child that you can be,[link widoczny dla zalogowanych], The good news is… with consistent effort and practice,[link widoczny dla zalogowanych], Once you develop the core skills that I'm about to explain, While juicing up on the OJ when the sniffles hit is a common solution,[link widoczny dla zalogowanych], In fact,[link widoczny dla zalogowanych], then publish the content on Ezinearticles.
The separation can be extremely harsh as you've been used to your significant others company for quite a while,[link widoczny dla zalogowanych],The sleeping patterns of a newborn baby are usually completely out of consonance with those of the parent(s) since infants wake up for several reasons during the course of the night. The reasons may range from hunger and dehydration to uneasiness due to a wet diaper. The benefits include durability,[link widoczny dla zalogowanych], Among these are 'green' floor coverings. needs and desires? you'll need to learn a that you can't use the same strategy you've been using in the past. the prettiest,[link widoczny dla zalogowanych], etc. she'll naturally gravitate towards you.
and they want a man who's going to make them forget about their worries.
3. there are different websites that could help you see if you can qualify to be a surrogate mother.
Expect the same care from your partner: he should strive to be genuine and without defenses. try this full-of-caring,
Here are the typical ways that people sabotage their sex therapy program:
Their erroneous thinking and negative attitude
It’s just too hard,[link widoczny dla zalogowanych],
After six weeks they dropped out of therapy. such as intercourse, Continue the lesson plan with the other students by introducing the vocabulary related to human reproduction. and an exact benefit of the reunion date.
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Both of you to try them for the first time the free trial period with excellent keyword tools. The top three results where your website is supposed to hide nearly 70% of the total traffic in the case could not be worse.
It is easy think that all of this information can be helpful in giving the client the chance to get to know you,When working in freelance web design We all need all the help we can get. Its a process like any goal you are trying to reach. the entire internet depends on websites and pages. The initial stages are more concerned with designing process. When a potential client comes to your site they need to be able to check out all of the information your site has. If they cannot easily get from one spot to another they will just leave the site. I'm not going to say that was the sole reason why I broke 6 figures nor am I going to claim all you need to do is incorporate and it will happen to you. Not everyone is a marketing geek like me.
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Other possible sources are your county or state medical board, your local hospital, a local medical
Once your treatment starts your doctor should monitor you closely for side effects. If your medications are giving you problems, be sure to tell your health care team so your treatment plan can be adjusted if necessary. Don't be afraid to speak your mind about the care you are receiving. There may not be a cure for RA, but at least an individualized treatment plan, with the appropriate medications, and frequent conversions with your doctor can make it more likely that you will be able to lead a healthy and productive live with RA.
The cells of the immune system mistakenly attack the body's tissues, mainly the tissues in the joints, causing pain and inflammation; this is what RA is and does. RA, if left unchecked, can eat away at the joint lining, cartilage, bones and any other structures in the joint, causing more pain and mobility will be diminished.
There was another study that looked at whether biologics can make a difference in quality of life even if they're used late rather than early in the course of RA. Researchers looked at people with severe, long time RA who taken DMARD’s but had showed no improvement, to see if a biologic would improve their quality of life. The study showed that the biologics did not reduce their everyday use of personal assistance aids such as wheelchairs, walkers, and many study participants sill needed assistance with household car and transportation. But, the participants did have decreases in morning stiffness and pain and some even saw improvement in their ability to work. This could show that not only does the biologics can help people whose joints are already damaged but that it also has an even greater effect on those who the early stages of RA.
There are several ways to monitor the activity of a person's RA, the most commonly use is the Disease Activity Score (DAS). The DAS takes into account how well a person reports feeling on a scale of 0 – 100; the blood level of inflammation; using either the ESR or CRP test; the number of swollen joints as seen by the doctor; and the number of joints that the individual describes as tender when the doctor squeezes them. Total up your DAS score which can range on a scale of 0 – 10, with a score greater than 5.1 indicates high disease activity; a score below 3.2 indicates low disease activity; a score below 2.6 is considered clinical remission, meaning the RA is no longer active.
There are a number of studies evaluating how well the currently available DMARD's and biologics work to prevent or at least limit joint damage when used early. There was a study published in 2005 that showed treatment with methotrexate and a biologic within the first year of onset can significantly reduce the symptoms of pain and swelling and prevent further joint damage as seen on MRI exams. A review published in 2008 found that there are several studies showing that early treatment with a combination of methotrexate and a TNF-alpha-blocker is better at reducing damage to joints than just one medicine. In yet another recent study, people who were given a combination of medicines, either two DMARD's or a DMARD and a biologic, earlier in the course of their RA had less joint damage than those who were treated with only one medicine. Some of the participants from the study were able to stop their medications over time and still remain symptom free. Researchers are still following these individuals to see whether they can continue to remain off RA medicines.
affect RA),[link widoczny dla zalogowanych], the weather conditions and the amount of stress you are under (believe it or not stress can play a huge role in your pain levels). Also,[link widoczny dla zalogowanych], if you can, explain your symptoms started, when they are at their worst, and what if anything seems to improve them,[link widoczny dla zalogowanych], this is so helpful in getting the right diagnosis. I did this for over five years and it made it so much easier to talk to the doctor.
school (contact the Department of Medicine,[link widoczny dla zalogowanych], which will very likely have rheumatologists on staff), and people you know who are satisfied with the care they are receiving from a particular rheumatologist.
When diagnosing RA, your doctor must also determine how active your RA is. This helps in choosing the best treatment for you, RA patients are also usually described as having mild, moderate, or severe disease activities. Patients with mild RA have little or no impact on physical health, mental health, or ability to function. The moderate patient with RA has some impact, and severe RA has a major impact.
One in a hundred people in the world are affected by RA and it looks like it is more common in women than in men. The symptoms of RA will first appear between the ages of 30 and 40, although RA starts at any age, and people are never too young or too old to develop it.
The doctor will do a physical exam to evaluate the affected joints for signs of inflammation and any reduced range of motion, along with blood test and imaging tests to support or rule out a diagnosis of RA. The two most common blood tests used are the rheumatoid factor test and the anti-cyclic citrullinated peptide (anti-CCP) antibody test. The rheumatoid factor test screens for the antibody (or immune system protein) called rheumatoid factor (RF) which is present in the blood of RA patients. RA may be present in people with other conditions, and some people with RA do not test positive for RF, at least early on, so the RF test alone is not enough to diagnose. This is very true, I had hepC and because of that my RF was high according to my Fibro/Arthritis doctor. The anti-CCP antibody test is a newer test, which is not yet widely used for determining the RF. Those who test positive for anti-CCP antibodies have RA, and in some cases the test can be positive very early in the course of their condition. But not everyone with RA will test positive for anti-CCP antibodies,[link widoczny dla zalogowanych], either. What does that mean? It means that those who test negative for rheumatoid factor and anti-CCP antibodies may still have rheumatoid arthritis.
There have been unbelievable improvements in the diagnoses and treatment of rheumatoid arthritis (RA) in the recent years. RA has in the past, led to joint damage and disability. But, today, there are new drugs and new ways of using those drugs, new diagnostic tools, and a new understanding of how RA affects the body that allows the doctors to reduce the symptoms and even slow down the process of joint destruction. This allows someone who develops RA today to have a very good chance of a more active and productive life.
Imaging test are very important and doctors will order x-ray the hands and feet to check for damage to the joints, such as erosions or holes in the bones. Early on, x-rays may show no signs of damage, but they are being used as a base line with which to compare later x-rays. In some cases, when physical exams, blood tests and x-rays don't show any signs the doctor may decide to order an MRI which shows much more than the x-rays can. MRI's are more sensitive and can show damage to bones and other joint tissues earlier than an x-ray.
The goal of RA treatment is to prevent joint damage and to keep you functioning independently or to improve function if RA has already caused limitations in mobility. Reduced pain and stiffness and joint swelling, as well as reduced fatigue, are essential to keeping an active lifestyle and maintaining independent living.
There are also other studies that looked at whether early treatment affected the quality of life. In a review of two separate studies, the researchers looked at the ability to work in people with early onset
RA has to be diagnosed before treatment can be prescribed, and the first step in getting a diagnosis would be to see a doctor. There are some things to look for when you're shopping for a good doctor. The first would be to make sure you don't sit in the waiting room for more than 20 minutes; the second is that you understand and learn something in the short time he will be spending in the room with you. Doctors who specialize in rheumatoid arthritis are not the only ones who can diagnose your condition. Now days there are doctors who are internist, and who specialize in pain management that help in the diagnoses of RA. Your input at the doctor’s office is essential to getting an accurate diagnosis. The diagnosis is based largely on the description of the symptoms you give. Keeping a journal of your symptoms will make it easier to relay those descriptions to your doctor. Be sure you document your joint stiffness, pain, and swelling along with the times of day they occur, what you had to eat (diet can
There are other blood tests that can give the doctor clues about an individual's condition. The erythrocyte sedimentation rate (ESR) test and the C-reactive protein (CRP) test record general levels of inflammation in the body and can help support an RA diagnoses,[link widoczny dla zalogowanych]. Blood test for anemia is another tool for the doctor because it also can point to RA.
Symptoms most common to RA are stiffness, pain, and swelling of the hands and feet. The jaw, neck, shoulders, elbows, wrists, hips, knees, and ankles can also be affected by RA. Stiffness that is worse in the morning and goes away as the day progresses is the mark of RA. There are many with RA that describe difficulty closing their hands and some who say that their feet feel like they're stepping on pebbles when they walk.
Doctors use the DAS and HAQ, and similar tools not only help to diagnosis your RA, but also monitor how RA affects an individual's life over time and to measure how well treatment is going. As your quality of life improves and RA grows less active, the HAQ score should increase and the DAS score decreases.
Because of the advances of more recent years, the discovery of joint damage begins early in the course of RA. There is a consensus that if caught in a “window of opportunity”, the early stages, with the right treatment RA can be slowed down or even prevent the irreversible damage to the joints. Diagnosing the condition early and treating it aggressively from the start, is the goal of RA treatment.
of RA and people with longstanding RA. The results of that review was that when treated early, the
people with recent onset RA were better able to keep working than those with longstanding RA. Both studies used the HAQ to evaluate participants' physical functioning.
The most commonly used DMARD for RA is methotrexate (Rheumartex, Trexall). There are yet other commonly used DMARDs such as sulfasalazine (Azulfidine), leflunomide (Arava), hydroxy-chloroquine (Plaquenil). I don't know the side effects from the other drugs, but I have taken Plaquenil. After only 3 months of using it and the blood test you have to take, that blood test showed my liver enzymes to be elevated. The next step the doctor did was to draw more blood and did a test for Hep C. That test came out positive and this is the side effect of the Plaquenil. These drugs work to alter the disordered immune process that is responsible for RA. The biologics mount a more focused defense against the immune system. Biologics come in the form of a shot or intravenous infusion and include etanercept (Enbrel),[link widoczny dla zalogowanych], infliximab (Remicade), adalinmumab (Humira), rituximab (Rituxan), and abatacept (Orencia). Enbrel, Remicade, and Humira are known as INF-blockers because they all block the action of an inflammation-causing molecule called TNF-alpha. The remaining biologics target different parts of the immune system.
Another tool that can be useful is the Health Assessment Questionnaire (HAQ). This questionnaire determines a person's disease activity as a reflection of how well you function in everyday life. It will ask you about your ability to do everyday things, such as dressing yourself, open a milk carton,[link widoczny dla zalogowanych], and turn off a faucet.
RA affects more than just the joints, meaning it is a systemic disease. There are some people with RA who have unusual tiredness or extreme fatigue, while yet some experience fevers or loss of appetite,[link widoczny dla zalogowanych], and there are more common systems such as dryness of their eyes or mouth due to a related condition known as Sjogren syndrome. There are rare cases where individuals develop a skin rash or have trouble breathing because the RA has affected their lungs. There are also times when the eyes are inflamed and painful,[link widoczny dla zalogowanych], and it can affect the heart. People with RA are at a higher risk of heart disease and stroke, and that is why it is important for a person to discuss with their doctors a way to reduce these effects of RA on the heart.
RA treatment combines many different approaches that include exercise, rest, heat and cold, and some other non-drug strategies that are all important elements of treatment. A combination of drugs is the cornerstone of treatment. Medications used to treat your RA may include non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin) and naproxen (Aleve,[link widoczny dla zalogowanych], Naprosyn), and oral corticosteroids, such as prednisone. Both NSAIS and corticosteroids can quickly reduce the pain and inflammation in the joints. Evidence is now overwhelming that adding other types of drugs early on can reduce, limit, or even prevent joint damage. These drugs are the disease-modifying anti-rheumatic drugs (DMARDs); these were once reserved for the later stages of RA, and the biologic response modifiers, or biologics, which have only become available in the last decade.
Rheumatologists is a doctor who has specialized training in the management and care of individuals with arthritis and other problems of the bones, joints, and muscles. There are very few in some parts of the country, so it is a good thing if have osteoarthritis, which can be treated by an internist or family doctor. But if you feel that you need to see a rheumatologist, ask your primary care doctor to refer you to one. Another good source is the local Arthritis Foundation chapter, which should have a list of rheumatologists who practice in the area the chapter covers. Link your local chapter by going to the Foundation's Web site, and type in your zip code at “Find Programs near You.” When the chapter's web page comes up, click on “Physicians” and you'll get either a list of rheumatologists or a phone number to call to get a list. If you prefer, you can call the Foundation at (800) 283-7800 to get the chapter's phone number. The Web site of the American College of Rheumatology also lists rheumatologists by location. Go to and click on “Find a Rheumatologist.”
Once you have a diagnosis, you and your team of doctors will need to come up with a treatment plan that will give you the best possible chance to prevent or at least limit the irreversible damage to your joints. There a number of factors that will decide which medications are appropriate for you and the stage of the RA. Your general state of health is another factor, because it may rule out some drugs. Yet another is the risks associated with the different drugs. Like all drugs,[link widoczny dla zalogowanych], the RA drugs can cause side effects. You should know about these potential side effects when you are contemplating using these drug treatments for your RA. Some of the side effects of these drugs are worse than the pain from the RA. Cost is another factor if your doctor wants you to take a biologic. The cost of biologics is expensive but the cost of being disabled is higher. Talk to your doctor, he may be able to help you find a way to get the biologic if he believes you really need it. The drug companies are now helping patients to get the drugs they need. You can contact the drug companies on line or you can call them. Your doctor may have an application that you can fill out.
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Benefits include, but are not limited to: Builds collagen for healthier looking skin and reduced signs of aging; improves joint mobility; reduces cortisol and improves insulin sensitivity to assists in weight loss; promotes more restful sleep; increases libido (in both males and females); increased alertness, increased physical strength; improves stamina and energy; reduces physical and mental stress; improves memory & intellectual problem solving; enhances brain function and activity including mental focus; increases alertness, down-regulates pain receptors in the body and reduces perception of pain; elevates serotonin levels to raise your mood, and assist the body to fight depression, and improve feelings of well-being; improves metabolic parameters (lowered cholesterol, triglycerides, CRP, and blood glucose, increased HDL); increases sexual desire,[link widoczny dla zalogowanych], enhances libido, and improves sexual satisfaction in both men and women, stimulates natural DHEA and lowers cortisol to reduce physical and mental stress; produces quicker recovery after work out and increases muscle tone and lean muscle mass.
Laminine is covered and protected by 13 “Method of Use”,[link widoczny dla zalogowanych], or Pharmaceutical-type Patents in China, Denmark,[link widoczny dla zalogowanych], France, Germany, Italy, Japan, Netherlands, Norway, South Korea, Sweden,[link widoczny dla zalogowanych], the United Kingdom,[link widoczny dla zalogowanych], and the U.S.A.
Because Laminine is a natural supplement and not a drug, as with all nutritional supplements,[link widoczny dla zalogowanych], the manufacturer cannot make claims on the treatment, mitigation, or cure of any disease.
The mechanism of action for these diverse effects is 4-fold. The product provides the building blocks and nutritional support to significantly enhance the production and maintenance of Laminin, the structural foundation of the human body. It has been clinically proven to:
(1) Laminine® provides the building blocks and nutritional support to significantly enhance the production and maintenance of Laminin, the structural intracellular matrix and foundation of the human body.
(2) It has been clinically proven to increase serotonin (increasing serotonin improves mood,[link widoczny dla zalogowanych], reduces perception of pain, and helps the body to fight depression),
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Laminine is an extract derived from fertilized organic hen eggs at a critical stage of incubation (on the 9th day). The use of fertilized egg extracts in medicine and nutrition dates back to 1929, and scientific studies on this unique supplement have been published in numerous peer-review journals. Laminine is fat-free and cholesterol-free, as it is a lyophilized (freeze-dried) undenatured extract of the whites of hen's eggs raised under organic or free-range standards in Norway,[link widoczny dla zalogowanych], where salmonella is virtually non-existent.
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Recorded call (45 minutes) by Dr. Steve Petrosino describing Laminine.
Discovered in 1929 by a Canadian medical doctor, Laminine was originally used in the treatment of cancer patients. Laminine is an all-natural product works for 80 to 90% of users, and occasionally as fast as within 2 to 3 days, but almost always within the first month of use. It has 11 clinical and or scientific trials validating it's benefits. The testimonials on this product are so diverse and involve so many different areas of the body and impact so many areas of vitality and good health that they initially are hard to believe.
A special episode of The American Health Journal, Body in Balance, PBS Broadcasting further describes Laminine. The PBS program includes interviews with Dr. Kim Gebrosky DC, Dr. Jack Herd DC, Dr. Ester Mark MD, Dr. Charles Norwood MD, and Dr. Steven Petrosino PhD. The episode originally aired in 2012, and was also featured on various affiliate networks including ABC,[link widoczny dla zalogowanych], CBS,[link widoczny dla zalogowanych], Fox and independent stations.

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A popular cosmetic procedure in Korea may hold the key to curing diabetes. Double eyelid surgery,[link widoczny dla zalogowanych], which involves removing fat from under the eyelids and stitching the skin above the eye line,[link widoczny dla zalogowanych], is a common procedure in Korea. In the past,[link widoczny dla zalogowanych], the fat removed during surgery was simply discarded. However,[link widoczny dla zalogowanych], scientists have now discovered that it contains abundant amounts of neural stem cells,[link widoczny dla zalogowanych], also known as multipotent cells.
The research led by professor Kim Hae-kwon of Seoul Women's University is being regarded as a potential breakthrough in Type 1 diabetes treatment,[link widoczny dla zalogowanych]. Scientists here have manipulated stem cells retrieved from a human eyelid to specifically secrete insulin,[link widoczny dla zalogowanych]. They then transplanted these cells to immunocompetent diabetic mice and found that half of the test subjects maintained normal blood sugar levels and made complete recoveries,[link widoczny dla zalogowanych].
According to the professor,[link widoczny dla zalogowanych], there have been numerous cases where scientists have used human neural stem cells to cure diabetic mice,[link widoczny dla zalogowanych], but those studies were different from his in that the injected stem cells only helped boost pancreatic cells rather than insulin secretion.
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With a growing desire to consciously use products that are more natural, there are many opportunities to find anti-aging products that are healthier for the skin. For those that are interested in finding a product with the benefits of anti-aging properties but that do not contain chemicals, like a UVB Sunscreen that is parabens free or a hand moisturizer, a simple Google search for "natural skin care products" will provide many answers.
Below are some important details about skin care products,[link widoczny dla zalogowanych].
Over the years, many new anti-aging products have surfaced,[link widoczny dla zalogowanych], meant to improve your skin and make you look younger than you really are. These products are meant to rejuvenate the skin of people who are showing the signs of growing older.
The Science Behind Anti-aging Skin Care Products
Are There Healthier Alternatives?
Collagen is a natural fibrous protein found in the skin,[link widoczny dla zalogowanych], bones and other connective tissues. It facilitates healing of slight damage to the skin e.g. through injury, cuts and sores. In addition, collagen plays a significant role in the skin aging process. As a support structure, it imparts young appearance to the skin. In youth, collagen is abundant in the body and therefore makes the skin appear young and fresh. With age,[link widoczny dla zalogowanych], however, the levels of collagen decrease and wrinkles begin to appear due to decline in the support offered by collagen.
Anti-aging skin care products are all the rage,[link widoczny dla zalogowanych], but consumers often purchase and apply products without knowing how healthy the products are.
Recent developments in the medical field have given rise to artificial peptides,[link widoczny dla zalogowanych], which have been ratified for use. When these artificial peptides are combined with a fatty acid molecule, they can access the deeper layers of skin and promote the production of collagen,[link widoczny dla zalogowanych], resulting to a firmer and rejuvenated skin in a period between I-3 months. Other chemical substances applied include sunscreen and hydroxyl acids,[link widoczny dla zalogowanych], as well as a combination of the above named anti-aging products.
Relevant application of these peptides to the skin is considered to have the effects of revitalizing the skin. Other natural skin care agents include anti oxidants, retinoids and tea extracts. Apart from increasing collagen levels,[link widoczny dla zalogowanych], retinoids work by improving skin texture as well as facilitating the reduction of fine wrinkles and discoloration. Likewise,[link widoczny dla zalogowanych], anti-oxidants, (sourced from coffee, vitamin C and Vitamin E) protect the skin against inflammation by preventing formation of free radicals.
According to experts, both medical and cosmetic, the science behind anti-aging skin care products is founded on the basic skin structure and its reaction to exposure to several extremes such as the sun, which depletes the skin's vitality as the years advance. As such, most anti-aging treatment creams and lotions focus on pentapeptides, which are groups of long-chain amino acids that act as agents of communication throughout the whole body. Many popular creams on the shelf contain these compounds. Some past studies on peptides also back up these claims,[link widoczny dla zalogowanych], since they help increasing the skin cells, hence producing more collagen.
Bioethicists have raised questions regarding the implication of life extension. Additionally, there has also been a scuffle between medical doctors and cosmetologists regarding the boundary between a cosmetic and a pharmaceutical product. Their reasoning is that if the anti-aging skin care products can have such excellent results, then they would be used for pharmaceutical purposes rather than cosmetic. Although hardly any product has been tested (experimented) on humans,[link widoczny dla zalogowanych], there exists some truth to investigate behind these skin care products.
The Popularity of Anti-Aging Skin Care Products
Views from Professionals
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Burma's opposition leader Aung San Suu Kyi (third from left) takes a seat for a regular session of Parliament at Burma's Lower House in Naypyitaw on July 9,[link widoczny dla zalogowanych], 2012. /AP 相关的主题文章：

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yesterday morning, the Huzhou Municipal Public Security Bureau issued a "Notice of high-profile advice" law enforcement to minor illegal acts on road traffic safety. Said the Huzhou police department,[link widoczny dla zalogowanych], from May this year, 1, Huzhou city in the context of a "14 kinds of minor traffic violations advised" law enforcement. In addition, has always been a controversial "secret law enforcement" phenomenon in Huzhou will become transparent.
May 1st, Huzhou traffic police found the following 6 kind of did not cause traffic accident minor traffic violations, the behavior person to oral education, warning, not fine, no points: outside the vehicle (the city outside) not familiar with the road conditions in violation of the signs, the education correct vehicle exceeding the prescribed; speed within 10KM/H; electric bicycle rear seat of bicycle, riding for more than 12 years of age pupils; the vehicle due to transport, rescue emergency injuries in violation of traffic signal lights, traffic signs,[link widoczny dla zalogowanych], traffic line markings pass; do weddings to motor vehicles in violation of road traffic safety laws and regulations, but can be corrected on the spot; vehicle import at single tire pressure of forbidden line, does not affect other vehicles and pedestrians.
on the 14 kinds of behavior &quot,[link widoczny dla zalogowanych];advised" law enforcement
the new network in Zhejiang, 30 April Xinhua (reporter Xu Bing correspondent Cheng Chao Li) foreign drivers accidentally opened the wrong road, the taxi driver to send patients even ran several red road, the speed limit of 60 yards to 67 yards inadvertently...... These violations is fine or not fine? Before is not clearly defined, around the traffic police also have their own practices. Huzhou City Public Security Bureau yesterday to be clear, from the beginning of May 1st, these situations are not fine!
in addition,[link widoczny dla zalogowanych], motor vehicle driving in rush hours without carrying with the vehicle driving license, driving license, 8 cases provide a valid identity certificate and verified, Huzhou traffic police will also be oral and written warnings for the behavior of education.
Huzhou City Public Security Bureau also promised,[link widoczny dla zalogowanych], all the installation of electronic police, velocimetry junctions,[link widoczny dla zalogowanych], road will have to social announcement.
it is reported, the minor traffic violations "advised" law enforcement system,[link widoczny dla zalogowanych], and to the public, in the traffic police department,[link widoczny dla zalogowanych], Huzhou police is the first.
is designed to reduce the chance of illegal
Huzhou City Public Security Bureau police detachment vice captains Yao Jinquan,[link widoczny dla zalogowanych], for minor traffic violations "advised" punishment is stipulated in the "law" and the detailed rules for the implementation of the Zhejiang Province, but the law does not explicitly what those illegal behavior can use the "advice" punishment,[link widoczny dla zalogowanych], cause the traffic police in the previous law enforcement almost no oral education and written warnings, such as speeding, even over 5 yards,[link widoczny dla zalogowanych], and may be fined up to 200 yuan. So the rigidity of law enforcement, cannot let the traffic offenders be sincerely convinced. While Huzhou has launched the >
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