Tiffany Dining Room Lighting – Classic & Colorful!

Tiffany light fixtures, made from pieces of colored glass bound together, adds vitality, color and charm to any room. Named after celebrated artist Louis Comfort Tiffany, who also designed stained glass windows, lamps, and mosaics,Tiffany lighting is a wonderful choice for creating a festive atmosphere in the dining room.Tiffany lighting has been around since the late Nineteenth Century, and the style is not going away any time soon! Add one of these pieces to your dining room, and you’ll make a statement that is truly timeless. Whether you’re undergoing a dramatic room makeover or looking to quickly spruce up a space, Tiffany lighting will enhance your entertaining space wonderfully. Here are a few suggestions:

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Tiffany Lamps. An ever-popular way to change up the look of a room, no electrical knowledge required! Consider using Tiffany style table lamps on your buffet for an upscale look. If you simply need to brighten up a dark corner or add visual interest to a bare wall, consider a Tiffany torchiere/ floor lamp.
Tiffany Chandeliers. These designs include multiple “arms” and colorful glass shades designed in Tiffany style. For a formal look in your dining room, choose one with upward-facing lights. For more direct lighting (and a less formal look), choose a downlight version.
Tiffany Bowl Pendants. Extremely popular in contemporary dining dining room settings! Because of their casual elegance, Tiffany bowl pendants work particularly well in smaller dining rooms, or dining areas that open up to the kitchen or other rooms of the home.  

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While traditional styles are available (like the “Harvest” design), non-traditional versions are rising in popularity. Look for new, natural materials like shells or natural stone. We love the “Pomez” bowl pendant from Quoizel, made from genuine agate stone.

Driving Traffic Using Google Adwords

To a great degree coordinated movement is among the most significant substances in the web world. Any site proprietor or director understands the significance of directing people to a site. The accomplishment from any site doesn’t trust totally on the site itself. You may have a fabulous thought for a site, offer a top notch stock or benefit, or have an outstandingly arranged site with prevalent substance, essentially in the event that you don’t have any significant bearing the best possible procedures to promote, your site would not draw the high movement you require. Engaging focused on movement is work that would do well to be taken seriously for any site to succeed or have a wage. Luckily, there is web advertising instruments that help the site advertiser to direct people to his site. Among the most imperative, and viable, of these apparatuses is Google’s Adwords. Adwords is one of Google’s promoting administrations.

How does Google Adwords function? Google involves the greatest web crawler on the web getting more than 200 million questions each day through its few administrations. Since Google is the most loved web search tool today, website admins are sharp on having their sites achieve a higher positioning in the web index drives it gives. A high positioning could mean high movement for that site. The web search tool comes about page is too a remarkable setting for publicists to advance an item or administration through promotions and connections. Therefore, Google set up its Adwords benefit, as a route for organizations to promote items and administrations to a focused on group of onlookers. Google Adwords can guarantee moment activity. In this administration, Google indicates important content based advertisements inside its web index comes about page named as “Supported Links”. At whatever point a particular watchword is sought on, these applicable connections turn out in a different area giving great presentation to the locales recorded.

How would you utilize Google Adwords? Most importantly, you need to open a record with the Google Adwords Service. At that point, you ought to propose your protest dialect and nation. This is immensely imperative for you would not require your items promoted in nations where your stock or administration can’t be sold. Subsequently, you ought to quickly make an advertisement gathering. This calls for outlining the advertisement, picking catchphrases and deciding most noteworthy cost per click that you will spend and characterizing offer sums. The most essential stride in creating a fruitful Adwords crusade is picking a powerful title label that will get the consideration of your goal group of onlookers. The title tag, by and large a short expression, is the most vital piece of your Adwords crusade so ensure that it is alluring and snappy. You ought to portray the site unmistakably and exactly. The best promoting conveys an unmistakable message to the intended interest group. With an unmistakable message, you will be pulling in qualified leads, which can inevitably turn into a deal. Along these lines, the significance by picking the correct catchphrases can’t be overemphasized.

There are watchword varieties you’ll have the capacity to adjust to achieve more prospects. Applying these assortments, incorrect spellings and subordinates can help pick up the shot of your advertisements being served. Expansive match is focusing on watchwords in an approximately characterized way. Here, the advertisements seem in light of the catchphrases that have been questioned by different clients rather than correct match, which requires the watchword to coordinate the inquiry precisely. In the interim, a watchword expression set to state match will just show up when the correct expression is sought on. A negative catchphrase is useful in separating random pages.

After you have picked on what title tag to use in your promotion, you should now characterize a financial plan so as to augment introduction. Google Adwords prescribe an every day spending plan for each crusade. In any case, you ought to decide a spending that is appropriate and moderate. You ought to too choose the most extreme CPC. Google will propose a prescribed cost for every snap, except you don’t need to stay with this. More often than not, a main position is not perfect as it can likewise draw in undesirable movement and pointless snaps. A number two position is more favored as it can channel pointless snaps and furnish activity with a higher transformation rate.

To close, Google Adwords is a fantastic procedure and apparatus in building up your site greatest presentation. Be that as it may, Google Adwords shouldn’t be your sole publicizing effort. It will enable you to locate the fundamental, exceptionally focused on activity you require.

Vitamins Are Organic Compounds That Are Necessary In Small Amounts To Sustain Life And Health

Vitamins are nutrients essential for health. Vitamins are organic compounds that are necessary in small amounts in animal and human diets to sustain life and health. Vitamins are organic compounds which are needed in small quantities to sustain life. Vitamins are organic substances, essential for maintaining life functions and preventing disease among humans and animals and even some plants. Vitamins are complex organic compounds that occur naturally in plants and animals.

Vitamins are named by letters – vitamin A, vitamin C, D, E, K, and the group of B vitamins. Vitamins are organic components in food that are needed in very small amounts for growth and for maintaining good health. Vitamins are compounds that are essential in small amounts for proper body function and growth. Vitamins are organic substances that are required in small amounts for normal functioning of the body. Vitamins are substances that the human body requires but is unable to synthesize and therefore, must obtain externally.

Vitamins are not individual molecular compounds. Vitamins were not discovered until early in the twentieth century. Vitamins are of two type’s water soluble and fat soluble. Vitamins are required in the diet in only tiny amounts, in contrast to the energy components of the diet. Supplements can be beneficial, but the key to vitamin and mineral success is eating a balanced diet.

Vitamins cannot be synthesized by the cells of an animal but are vital for normal cell function. Vitamins cannot be isolated from their complexes and still perform their specific life functions within the cells.

Persons already experiencing coronary health issues should consider having their vitamin D levels checked and take action if a lack of vitamin D detected. I’ve cited the review, “Is US Health Really the Best in the world?”, by Dr. Barbara Starfield (Journal of the American Medical Association, July 26, 2000), in which Starfield reveals the American medical system kills 225,000 people per year–106,000 as a direct result of pharmacological drugs. Berries come in many shapes and sizes, but they are all healthy sources of fiber, potassium and vitamin C. Strawberries, blueberries and blackberries are low in fat and calories, and contain compounds that might protect you from certain health conditions. B 12 deficiencies cause a host of health problems, including potentially irreversible nerve damage that can occur before symptoms are noticed. The easiest way for most people to avoid a deficiency is to take a B 12 supplement containing at least 1000 micro grams of B 12 two or three times a week. The Health Organization Founded by Dr. Rath is Unique in the world: All the Profits it Makes Go to a Non-profit Foundation. Vitamins and minerals are essential to life-and we mean essential. The early human diet was largely vegetarian, humans have adapted to utilize nutrients and vitamins from plant sou.

3 Foods to Avoid While Constipated

Most people have bowel movements every day or every second day depending on their diet and lifestyle. Constipation is having difficulty trying to empty your bowels for more than 3 or 4 days, or having extremely hard stools that cause pain when you try to expel them from your body. You must eat food that softens your stools to relieve constipation. Eating food that makes them harden will make the condition worse.

Heavy foods like red meat, deep-fried foods like battered fish and chips, bakery products with like pastries, cakes and bread generally take a long time to digest. Food must pass through the stomach, large intestine, small intestine, colon then the bowels before the waste products are passed out of the body as waste. Along the way different nutrients and water are extracted and delivered to the part of the body that requires it. The longer the process takes the more water is extracted, the drier or harder the stools become. Also if food is relatively dry to start with or inadequate liquid (excluding caffine products and alcohol which may be dyhydrating) is consumed the end product (the stools) will subsequently be dry or hard. [“Water is the best drink for a wise man.” said the French philosopher Henry David Thoreau.]

Red meat comes from large strong animals so it’s meat is tougher compared with the animals that white meat comes from. Therefore its meat takes longer to break down in our bodies because the muscles are stronger. White meat is easier to digest because fish and poultry have smaller muscles compared with cattle and pigs.

Fried food is generally oily. Oil makes the food tasty and softer in most cases but it is something the body doesn’t really need. The body must work harder to extract oil and fats from food so that they can be expelled. If the body’s digestive system is busy trying to neutralise other toxins that have entered the system the fat will be placed in “storage areas” around the body until it has resources to process it. When these “store rooms” are too crowded we feel bloated and uncomfortable.

Products which contain a lot of wheat flour and oil which have little nutritional value. Flour is basically a carrier for other foods. For example, the pastry shell of a pie is a “bag” or edible packaging for the meat, vegetables or fruit inside it, bread is what holds a sandwich together. The crust or bread simply make the filling more palatable and easier to digest. But most breads and pastries are simply flour, oil and air which contain no nutrients. Consuming more of the pastry rather than the filling will just clog up your digestive system, especially if you are constipated.

As my title promised I need to nominate the 3 top foods to avoid that someone with constipation should avoid. To narrow down the candidates we should consider foods that fall into two or all of the above three categories then pick out the ones that are consumed the most. The nominations are:

  • Meat pies and sausage rolls contain red meat and flour.
  • Fish and Chips are fried and the batter contains flour.
  • Barbecued or grilled steak – meat that is cooked relatively quickly doesn’t break down the fatty tissue and muscles as well as slow cooked meat so when it enters your stomach it has to be broken down more by your digestive juices.
  • Potato chips or crisps are fried and very dry. Your body must use more water to digest this so your stools will become harder if you are already constipated.
  • Hard cheeses as they have most of their moisture content pressed out in their production process. As well they contain fat and protein from a large animal.
  • Deep fried meat like schnitzel, sweet and sour pork, fried chicken.
  • Bacon and eggs or sausages and eggs.
  • Salami and other processed meats.

My pick for the top three are meat pies, deep-fried battered fish ‘n chips and potato crisps. What are yours?

The Importance of Physical Fitness

In its most general meaning, physical fitness is a general state of good physical health. Obtaining and maintaining physical fitness is a result of physical activity, proper diet and nutrition and of course proper rest for physical recovery. In its simplest terms, physical fitness is to the human body what fine-tuning is to an engine. It enables people to perform up to their potential. Regardless of age, fitness can be described as a condition that helps individuals look, feel and do their best. Thus, physical fitness trainers, describe it as the ability to perform daily tasks vigorously and alertly, with left over energy to enjoy leisure-time activities and meet emergency demands. Specifically true for senior citizens, physical fitness is the ability to endure, bear up, withstand stress and carry on in circumstances where an unfit person could not continue.

In order for one to be considered physically fit, the heart, lungs, and muscles have to perform at a certain level for the individual to continue feeling capable of performing an activity. At the same time, since what humans do with their bodies directly affects the state of mind, fitness influences to some degree qualities such as mental alertness and emotional expression.

Physical fitness is often divided into the following categories in order for people to be able examine its components or parts. Particularly, physical fitness is judged by:

1. Cardiovascular endurance: This is the ability of the body to deliver oxygen and nutrients to tissues and to remove wastes over sustained periods of time.

2. Muscular strength & endurance: Strength deals with the ability of the muscle to exert force for a brief time period, while endurance is the ability of a muscle, or group of muscles, to sustain repeated contractions or to continue to apply force against an inert object.

3. Flexibility: This denotes the ability to move joints and use muscles through their full range of motion.

4. Body composition: Considered as one of the components of fitness, composition refers to the body in terms of lean mass (muscle, bone, vital tissue, and organs) and fat mass. Actually, the optimal ratio of fat to lean mass is an indication of fitness. Performing the right set of exercises can help people get rid off body fat and increase or maintain muscle mass.

Pathological Eating Disorders and Poly-Behavioral Addiction

When considering that pathological eating disorders and their related diseases now afflict more people globally than malnutrition, some experts in the medical field are presently purporting that the world’s number one health problem is no longer heart disease or cancer, but obesity. According to the World Health Organization (June, 2005), “obesity has reached epidemic proportions globally, with more than 1 billion adults overweight – at least 300 million of them clinically obese – and is a major contributor to the global burden of chronic disease and disability. Often coexisting in developing countries with under-nutrition, obesity is a complex condition, with serious social and psychological dimensions, affecting virtually all ages and socioeconomic groups.” The U.S. Centers for Disease Control and Prevention (June, 2005), reports that “during the past 20 years, obesity among adults has risen significantly in the United States. The latest data from the National Center for Health Statistics show that 30 percent of U.S. adults 20 years of age and older – over 60 million people – are obese. This increase is not limited to adults. The percentage of young people who are overweight has more than tripled since 1980. Among children and teens aged 6-19 years, 16 percent (over 9 million young people) are considered overweight.”

Morbid obesity is a condition that is described as being 100lbs. or more above ideal weight, or having a Body Mass Index (BMI) equal to or greater than 30. Being obese alone puts one at a much greater risk of suffering from a combination of several other metabolic factors such as having high blood pressure, being insulin resistant, and/ or having abnormal cholesterol levels that are all related to a poor diet and a lack of exercise. The sum is greater than the parts. Each metabolic problem is a risk for other diseases separately, but together they multiply the chances of life-threatening illness such as heart disease, cancer, diabetes, and stroke, etc. Up to 30.5% of our Nations’ adults suffer from morbid obesity, and two thirds or 66% of adults are overweight measured by having a Body Mass Index (BMI) greater than 25. Considering that the U.S. population is now over 290,000,000, some estimate that up to 73,000,000 Americans could benefit from some type of education awareness and/ or treatment for a pathological eating disorder or food addiction. Typically, eating patterns are considered pathological problems when issues concerning weight and/ or eating habits, (e.g., overeating, under eating, binging, purging, and/ or obsessing over diets and calories, etc.) become the focus of a persons’ life, causing them to feel shame, guilt, and embarrassment with related symptoms of depression and anxiety that cause significant maladaptive social and/ or occupational impairment in functioning.

We must consider that some people develop dependencies on certain life-functioning activities such as eating that can be just as life threatening as drug addiction and just as socially and psychologically damaging as alcoholism. Some do suffer from hormonal or metabolic disorders, but most obese individuals simply consume more calories than they burn due to an out of control overeating Food Addiction. Hyper-obesity resulting from gross, habitual overeating is considered to be more like the problems found in those ingrained personality disorders that involve loss of control over appetite of some kind (Orford, 1985). Binge-eating Disorder episodes are characterized in part by a feeling that one cannot stop or control how much or what one is eating (DSM-IV-TR, 2000). Lienard and Vamecq (2004) have proposed an “auto-addictive” hypothesis for pathological eating disorders. They report that, “eating disorders are associated with abnormal levels of endorphins and share clinical similarities with psychoactive drug abuse. The key role of endorphins has recently been demonstrated in animals with regard to certain aspects of normal, pathological and experimental eating habits (food restriction combined with stress, loco-motor hyperactivity).” They report that the “pathological management of eating disorders may lead to two extreme situations: the absence of ingestion (anorexia) and excessive ingestion (bulimia).”

Co-morbidity & Mortality

Addictions and other mental disorders as a rule do not develop in isolation. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994).

McGinnis and Foege, (1994) report that, “the most prominent contributors to mortality in the United States in 1990 were tobacco (an estimated 400,000 deaths), diet and activity patterns (300,000), alcohol (100,000), microbial agents (90,000), toxic agents (60,000), firearms (35,000), sexual behavior (30,000), motor vehicles (25,000), and illicit use of drugs (20,000). Acknowledging that the leading cause of preventable morbidity and mortality was risky behavior lifestyles, the U.S. Prevention Services Task Force set out to research behavioral counseling interventions in health care settings (Williams & Wilkins, 1996).

Poor Prognosis

We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions?

Diagnostic Delineation

Thus far, the DSM-IV-TR has not delineated a diagnosis for the complexity of multiple behavioral and substance addictions. It has reserved the Poly-substance Dependence diagnosis for a person who is repeatedly using at least three groups of substances during the same 12-month period, but the criteria for this diagnosis do not involve any behavioral addiction symptoms. In the Psychological Factors Affecting Medical Condition’s section (DSM-IV-TR, 2000); maladaptive health behaviors (e.g., overeating, unsafe sexual practices, excessive alcohol and drug use, etc.) may be listed on Axis I only if they are significantly affecting the course of treatment of a medical or mental condition.

Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field, when the latest DSM-IV-TR does not even include a diagnosis for multiple addictive behavioral disorders. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictive and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable.

New Proposed Diagnosis

To assist in resolving the limited DSM-IV-TRs’ diagnostic capability, a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging – psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences.

Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 – month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances – nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously.

New Proposed Theory

The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions.

The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension.

The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory.

The ARMS continues to promote Twelve Step Recovery Groups such as Food Addicts and Alcoholics Anonymous along with spiritual and religious recovery activities as a necessary means to maintain outcome effectiveness. The beneficial effects of AA may be attributable in part to the replacement of the participant’s social network of drinking friends with a fellowship of AA members who can provide motivation and support for maintaining abstinence (Humphreys, K.; Mankowski, E.S, 1999) and (Morgenstern, J.; Labouvie, E.; McCrady, B.S.; Kahler, C.W.; and Frey, R.M., 1997). In addition, AA’s approach often results in the development of coping skills, many of which are similar to those taught in more structured psychosocial treatment settings, thereby leading to reductions in alcohol consumption (NIAAA, June 2005).

Treatment Progress Dimensions

The American Society of Addiction Medicine’s (2003), “Patient Placement Criteria for the Treatment of Substance-Related Disorders, 3rd Edition”, has set the standard in the field of addiction treatment for recognizing the totality of the individual in his or her life situation. This includes the internal interconnection of multiple dimensions from biomedical to spiritual, as well as external relationships of the individual to the family and larger social groups. Life-style addictions may affect many domains of an individual’s functioning and frequently require multi-modal treatment. Real progress however, requires appropriate interventions and motivating strategies for every dimension of an individual’s life.

The Addictions Recovery Measurement System (ARMS) has identified the following seven treatment progress areas (dimensions) in an effort to: (1) assist clinicians with identifying additional motivational techniques that can increase an individual’s awareness to make progress: (2) measure within treatment progress, and (3) measure after treatment outcome effectiveness:

PD- 1. Abstinence/ Relapse: Progress Dimension

PD- 2. Bio-medical/ Physical: Progress Dimension

PD- 3. Mental/ Emotional: Progress Dimension

PD- 4. Social/ Cultural: Progress Dimension

PD- 5. Educational/ Occupational: Progress Dimension

PD- 6. Attitude/ Behavioral: Progress Dimension

PD- 7. Spirituality/ Religious: Progress Dimension

Considering that addictions involve unbalanced life-styles operating within semi-stable equilibrium force fields, the ARMS philosophy promotes that positive treatment effectiveness and successful outcomes are the result of a synergistic relationship with “The Higher Power,” that spiritually elevates and connects an individuals’ multiple life functioning dimensions by reducing chaos and increasing resilience to bring an individual harmony, wellness, and productivity.

Addictions Recovery Measurement – Subsystems

Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed – how should we effectively manage poly-behavioral addiction?

The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The “ARMS”- systematically, methodically, interactively, & spiritually combines the following five versatile subsystems that may be utilized individually or incorporated together:

1) The Prognostication System – composed of twelve screening instruments developed to evaluate an individual’s total life-functioning dimensions for a comprehensive bio-psychosocial assessment for an objective 5-Axis diagnosis with a point-based Global Assessment of Functioning score;

2) The Target Intervention System – that includes the Target Intervention Measure (TIM) and Target Progress Reports (A) & (B), for individualized goal-specific treatment planning;

3) The Progress Point System – a standardized performance-based motivational recovery point system utilized to produce in-treatment progress reports on six life-functioning individual dimensions;

4) The Multidimensional Tracking System – with its Tracking Team Surveys (A) & (B), along with the ARMS Discharge criteria guidelines utilizes a multidisciplinary tracking team to assist with discharge planning; and

5) The Treatment Outcome Measurement System – that utilizes the following two measurement instruments: (a) The Treatment Outcome Measure (TOM); and (b) the Global Assessment of Progress (GAP), to assist with aftercare treatment planning.

National Movement

With the end of the Cold War, the threat of a world nuclear war has diminished considerably. It may be hard to imagine that in the end, comedians may be exploiting the humor in the fact that it wasn’t nuclear warheads, but “French fries” that annihilated the human race. On a more serious note, lifestyle diseases and addictions are the leading cause of preventable morbidity and mortality, yet brief preventive behavioral assessments and counseling interventions are under-utilized in health care settings (Whitlock, 2002).

The U.S. Preventive Services Task Force concluded that effective behavioral counseling interventions that address personal health practices hold greater promise for improving overall health than many secondary preventive measures, such as routine screening for early disease (USPSTF, 1996). Common health-promoting behaviors include healthy diet, regular physical exercise, smoking cessation, appropriate alcohol/ medication use, and responsible sexual practices to include use of condoms and contraceptives.

350 national organizations and 250 State public health, mental health, substance abuse, and environmental agencies support the U.S. Department of Health and Human Services, “Healthy People 2010” program. This national initiative recommends that primary care clinicians utilize clinical preventive assessments and brief behavioral counseling for early detection, prevention, and treatment of lifestyle disease and addiction indicators for all patients’ upon every healthcare visit.

Partnerships and coordination among service providers, government departments, and community organizations in providing treatment programs are a necessity in addressing the multi-task solution to poly-behavioral addiction. I encourage you to support the mental health and addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on pathological eating disorders within poly-behavioral addiction.

For more info see:

Poly-Behavioral Addiction and the Addictions Recovery Measurement System,

By James Slobodzien, Psy.D., CSAC at:

[http://www.geocities.com/drslbdzn/Behavioral-Addictions.html]

Food Addicts Anonymous: http://www.foodaddictsanonymous.org/

Alcoholics Anonymous: http://www.alcoholics-anonymous.org/

References

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,

Text Revision. Washington, DC, American Psychiatric Association, 2000, p. 787 & p. 731.

American Society of Addiction Medicine’s (2003), “Patient Placement Criteria for the

Treatment of Substance-Related Disorders, 3rd Edition,. Retrieved, June 18, 2005, from:

http://www.asam.org/

Bandura, A. (1977), Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review,

84, 191-215.

Brownell, K. D., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765-782.

Centers for Disease Control and Prevention (CDC). Retrieved June 18, 2005, from: http://www.cdc.gov/nccdphp/dnpa/obesity/

Gorski, T. (2001), Relapse Prevention In The Managed Care Environment. GORSKI-CENAPS Web

Healthy People 2010. Retrieved June 20, 2005, from: http://www.healthypeople.gov/

Publications. Retrieved June 20, 2005, from: http://www.tgorski.com

Lienard, J. & Vamecq, J. (2004), Presse Med, Oct 23;33(18 Suppl):33-40.

Marlatt, G. A. (1985). Relapse prevention: Theoretical rationale and overview of the model. In G. A.

Marlatt & J. R. Gordon (Eds.), Relapse prevention (pp. 250-280). New York: Guilford Press.

McGinnis JM, Foege WH (1994). Actual causes of death in the United States. US Department of Health and Human Services, Washington, DC 20201

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Advantages to Computers in the Food & Beverage Industry

Computers have revolutionized the food and beverage industry as they have nearly every other industry. Computers have had positive, measurable effects on the front end and back end of hospitality operations. Computers systems have improved employee performance, and food and beverage quality and consistency. Within the food and beverage industry there is no longer a question of should technology be used, but rather a question of which technology to use? In the food and beverage business, computers are here to stay.

In the hospitality industry, customer service is an absolute critical factor for success. Computers are helping in this area in several ways. In many restaurants, the wait staff can process various forms of payment at guest tables, which allows guest to leave directly from their table without the need to stop at a centralized checkout station. This has removed long unsightly lines, which annoy customers, and disrupt the flow of traffic in food and beverage businesses. This service is made possible by either small hand held computers which handle credit card transactions using wireless technology, or via remote point of sale systems that interact with a central computer system. This improves the customers dining experience, which should be the goal of any food service business.

A key management concern of any food and beverage business is the profit margin. In this vital area of business, computers have also proven to be an indispensable tool. Computer systems help manage the entire food service process from ordering the ingredients needed to produce menu items, to forecasting the amount of items to prepare for each dining period based on historical patterns. This helps to reduce wasted food, which is very expensive and comes out of the businesses profit. It also helps in preparing menu items before hand, which reduces customer wait time. Computer can also forecast with high accuracy rates the volume of business to be expected which allows managers to properly staff their business. This is vital because having too much staff on hand can consume unnecessary amounts of payroll, and not having enough staff on hand will cause customer service problems.

Computers are also being used in very innovative ways by some food and beverage businesses. For instance, Darden Restaurants that owns and operates the Red lobster and Olive Garden chains uses computers to help choose new building sites. This computer system uses a software program called the Darden Site Analyzer. The software gathers critical information needed to select a site, such as demographics, distance to other restaurants and customer information specific to the Darden business model. The program then analyzes the site and provides a series of reports to help Darden make the final decision. Darden plans to improve the software so that it can evaluate things such as whether a new Darden restaurant will negatively effect other Darden restaurants in the same area.

Computer systems have become a vital part of all aspects of the food and beverage industry, they help with purchasing decisions, inventory control, employee scheduling and training, and customer acquisition and retention. A leading indicator of this growing trend is the fact that many hospitality training programs now include computer and technology courses in the curriculum.

Each year innovators are creating more unique ways that technology can be used to enhance the overall commercial dining experience. Computers make out of home dining a more enjoyable experience for the consumer and a more profitable manageable experience for business managers and owners.

(c) 2006, Marcus Barber