Banana Bread Recipes for Diabetics

Back-to-school and the upcoming fall season call for bringing out fruit bread recipes.  Following are some recipes for banana breads and muffins.  All are suitable for diabetics.


1 cup egg substitute or 4 eggs

2 cups Equal Sugar-Lite or Splenda Blend

3/4 cup canola oil

1/4 cup unsweetened applesauce

2 medium sized ripe bananas, mashed (1 cup)

2 cups all-purpose flour

1 cup whole-wheat flour

1 1/2 tsp baking powder

1 1/2 tsp baking soda

1 1/2 tsp ground cinnamon

1/2 tsp salt

1 1/2 cups shredded unpeeled zucchini

1 cup chopped pecans

In a large mixing bowl, beat eggs.  Blend Equal, applesauce and oil into eggs.  Add banana and mix well.  Combine flours, baking powder, baking soda, cinnamon and salt.  Stir flour mixture into egg mixture.  Stir in zucchini and pecans just until combined.  Pour mixture into two greased 9-inch loaf pans.  Bake at 350 degrees for 50 minutes or until a toothpick inserted in the center comes out clean.  Cool in pan 10 minutes.  Remove from pans and cool completely on wire racks.


3 large well-ripened bananas

1 egg or 1/4 cup egg substitute

1/2 cup sugar-free applesauce

1/3 cup low-fat milk

1/3 cup  Splenda Blend

1 tsp. salt, optional

1 tsp. baking soda

1/2 tsp. baking powder

1 cup all-purpose flour

1/2 cup whole-wheat flour

(or you can use 1 1/2 cups all-purpose flour)

1/2 cup chopped walnuts or pecans

Preheat oven to 350 degrees.  Mash bananas with a fork.  Add egg, applesauce, milk, sugar or Splenda, salt, baking soda and baking powder to bananas.  Mix well with fork.  Slowly stir in the flour.  Stir only until flour is moistened.  Fold in chopped nuts.  Lightly grease a loaf pan with cooking spray.  Pour batter into pan.  Bake 45 minutes or until a toothpick inserted near center comes out clean.  Cool in pan for 5 minutes before removing to a cooling rack.


3-4 large bananas, ripe and mashed

3/4 cup Splenda granular

1/4 cup egg substitute or 1 egg

1 1/2 cups flour

1 tsp baking soda

1 tsp baking powder

1/4 tsp salt, optional

1/3 cup butter, melted

1/4 cup mini chocolate chips

Preheat oven to 375 degrees.  In a large mixing bowl, blend together bananas, sugar and egg or egg substitute.  Add flour, baking soda, baking powder and salt.  Blend well.  Stir in the butter and chocolate chips.  Fill paper-lined muffin tins 2/3 full.  Bake at 375 degrees for 15-20 minutes.


Where Are The Best Hospitals in Amman, Jordan?

Amman is the capital of Jordan and it is a city where the ancient culture and modern day amenities blend. The city is an attractive tourist destination; it has been built on a series of hills and the famous Dead Sea is just a short distance from here. Jordan features among the top healthcare centers in Middle East and the World Bank ranks it as the best destination for medical tourism in the region. The city has a host of clinics and hospital that offer good services to the people.

King Hussein Medical Center is a leading and prominent multidisciplinary medical institution in Jordan. This center comprises of five hospitals and provides advanced medical care to its patients. Al-Hussein Hospital set up in 1973 is oldest of the five hospitals that form the groups. It is also one of the busiest hospitals in the country and is equipped with state of art technology. The surgery department at the hospital provides latest technology treatment like the minimal invasive and endoscopic surgery. Other services offered are comprehensive diagnostic and therapeutic treatment for internal medicine, nephrology, respiratory medicine, hematology and oncology, neurology, endocrinology, gastroenterology, dermatology and venerealogy. The hospital also has well equipped ophthalmology, E.N.T, pediatrics, dental and obstetrics and gynecology departments.

Queen Alia Heart Institute was set up in 1983 dedicated to providing comprehensive cardiac care to the patients. It is also a part of the King Hussein Medical Center. The hospital has a coronary care unit, an intensive care unit and post surgery care unit. The procedures carried out at the hospital are mainly open heart surgeries and cardiac transplants. There is an advanced laboratory at the center that carries out no-invasive advanced investigations. Queen Rania Paediatrics Hospital, part of the same group is the first hospital in the country that specializes in pediatric care. The hospital is equipped with the latest technology and co-ordinates with hospitals from US and UK for cooperation and consultation.

Jordan Hospital at Amman is a JCI accredited hospital that offers advanced healthcare services. It is also compliant with ISQua (International Society for quality in Health Care) standards and is ISO 9002-2000 certified. The hospital is a major healthcare destination in North Africa and Middle East. Quite a few doctors at the hospital have trained in Europe, Britain or United States. The multidisciplinary hospital offers treatments in the fields of neurosurgery, cardiac care, organ transplant, pediatric, orthopedics, cardiac and vascular surgery, urology, nephrology and orthopedics. Other departments at the hospital are an emergency department, nuclear medicine unit, renal dialysis unit, lithotripsy unit, physiotherapy unit, an ICU and a radiology department.

The Al-Essra Hospital is a JCIA accredited hospital and is located at the Queen Rania Al Abdallah Street, Opposite Jordian University Mosque. The emergency at the hospital is operational day and night and is the most advanced and sophisticated emergency departments in Jordan at both public and private level. The hospital has set up a hotline telephone number (530-0333) for requesting an ambulance at any time of the day. There are facilities at the hospital both for small and major surgeries, heart and lung ailments, maternity care, orthopedic problems and kidney troubles. Besides these there is are IVF, physiotherapy, endoscopy and respiratory departments at the hospital.

Specialty Hospital is located in the central part of Amman and has been operational since 1993. The specialties at the hospital are successful organs transplantation especially for kidney transplants, open heart surgeries, cures for musculoskeletal disorders and eye related problems. The emergency department at the hospital is operational 24 hours and is equipped with modern medical technology.

Al Khalidi Medical Center, A Heart & Comprehensive Specialty Hospital was set by Dr. Ibrahim Al Khalidi in 1978. It offers a number of highly specialized medical and surgical procedures. The Emergency and Trauma Center that is operational round the clock and the ambulances are also available around the clock. The hospital offers pathology services, IVF procedures, advanced diagnostic and therapeutic services, IVF, dental services and it has a dialysis unit, a pain clinic, an eye center and a pathology department.

Top 5 Physical Therapy Customer Relationship Management Tips

As practice owners and many times new business owners, we are thrown into the worlds of marketing and advertising to bring new customers into our practice. This includes patients but it also includes physicians, DME providers and relationships with community resources. These customers are necessary compliments to the services provided in rehabilitation including local fitness centers, community centers and programs to provide continued education and support to our patients.

Once a client base is established, it is vital to continue to bring new clients into a practice but to also show appreciation for their loyalty and continued support. Customer relations management can be the difference between practice sustainability and high volume turnover which takes a large amount of staff and time to manage. By developing a plan for customer loyalty, the basis of a company is not only acquiring patients but continuing to provide them with updated service and quality care. An ongoing CRM plan can include many activities to assure customers are happy with the services they have received and to assure they will continue to seek your services in the future. A plan may include:

1. Be honest: A customer must know what they are purchasing, whether it is a tangible item such as a piece of equipment, or a service such as Physical Therapy treatment. By having a discussion about covered benefits and non-covered services in advance, a plan of care can be established and agreed upon prior to initiating services.

2. Don’t surprise the individual with additional/hidden costs: Customers appreciate your honesty and value having all information necessary to make an informed decision. Surprise costs will lead the customer to think there are other items they are not aware of which will lead to distrust over time. This perceived deception will ultimately ruin a customer-provider relationship.

3. Help find what the customer needs: Assisting a customer access necessary service is a vital part of being a Physical Therapist. Whether the customer needs to access local community programs or to access services closer to their home to increase compliance, these acts of good service will lead to improved customer relations. These acts will come back to the practice by having the customer then share their positive experience with others they come in contact with reinforcing your marketing strategy. Providing bridges of access to necessary services is a responsible cornerstone of practice management.

4. Add personal touches to the care: Send a simple handwritten Thank you note after a client enrolls with your service/practice or a congratulations card once they achieve their goals. The note is a gesture which states your true appreciation of the customer choosing your service in a competitive market. Thanking someone for their effort in choosing your service establishes a basis of mutual respect and appreciation.

5. Call the customer/Solicit Feedback: Taking time to call patients and customers to ask what they think is an extremely valuable tool. This provides an opportunity to check on patients after discharge to see if they have maintained their goals and exercise programs, assure they have accessed the appropriate community services to support their rehabilitation, as well as assess their level of satisfaction with services provided. The phone call is an opportunity for open discussion as well as gaining targeted information from that consumer. This can head off future problems and work towards establishing an ongoing relationship with the customer. This will again lead to customer satisfaction and loyalty.

Customer Relationship Management (CRM) and developing consumer loyalty is achieved through simple, calculated tasks. By showing customers you are loyal to and honest with them, they will be satisfied with your services and be loyal in return. Feedback in any format will help you understand how your services and attempts at consumer satisfaction are perceived. Consumer perception is vital to the long term growth and sustainability of your practice. Without it you operate in a vacuum implementing strategies which may be unnecessary or unwanted. Loyal customers are your biggest asset in the maintenance and growth of your company.

Food For Penis Enlargement – Can 3 Sex Foods Help Grow Your Penis?

This article aims to give an honest view on whether food for penis enlargement really does make any difference or not.

Is there any natural food for making your member bigger?

While there are not any foods to eat that will actually cause bigger penile growth, your diet can have an effect on your penis enlargement efforts and even your erection strength. That said, foods we eat can influence penis enlargement because, the nutrition is the deciding factor of correct blood flow. Your erections will be bigger and more powerful than usual if your circulatory system is in good working order and if the blood vessels are allowing more blood to pass through the penis.

The main thing to look for in food is for those ingredients in food that will increase your blood flow. The substances contained in these foods are called vasodilators and they work by relaxing the smooth muscles making up the walls of blood vessels.

Some examples of really good foods are seafood, salmon, tuna. Eggs, milk, liver and green vegetables like broccoli, carrots, sweet potatoes and tomatoes are also very beneficial in your diet.

A healthy diet for your body will be healthy diet for your penis. If you eat fatty type foods that lead to clogged arteries, not only will your heart will suffer, your manhood will also. The penis depends on blood flow to enlarge it and it will not reach its full size if the arteries that supply it are blocked.

96% of men said that dietary supplements along with the correct diet actually did the trick!

100% natural herbal pills have easy to obtain formulas and active natural ingredients. They are commonly known as male enhancement pills. Using one of the most effective and well-known herbal penis enlargement pills on the market with food for penis enlargement and a healthy lifestyle will significantly improve your male enhancement results.

What to do next?

– Fill your grocery trolley with lots of fruits and vegetables, lean meats such as fish and grains like whole wheat or oats. Stay away from processed sugar white flour products and fast foods.

– Take a quality multivitamin and mineral supplement daily.

– Consider using the number one most successful, fast acting herbal supplement for a few months.

– Quit smoking. Studies have shown that smoking may lead to a smaller penis size this habit has a lot to do with decreased blood flow.

How To Avoid The Hot Tub Rash

Installing new hot tubs in your back garden is a nice thing to back home to after a hard day’s work. Nothing feels better than sitting in a warm bubbling tub with a small beverage in one hand and the added benefit of being able to look at the stars. Unless of course you live in the UK whereby the weather is unpredictable and you may well need to keep the hot tub under a gazebo. It is always nice at first once this has been installed, but then comes the annoying part of maintenance.

All hot tubs need to be fitted in by a professional who knows exactly what they are doing. Even if you are a dab hand at DIY work and manual labour, you will need to have someone experienced to build this in for you. You will need to take their advice and always read the instructional pamphlet that provides information on how to clean the hot tub and how to keep it in good condition. If however, you overlook this important part then you will suffer the consequences.

It is essential that hot tubs are kept clean and hygienic, prolonged usage without draining out the water can result in a fair few health implications. One of which includes something known as the hot tub skin rash. This can cause red bumpy rash that develops on the skin, the skin will become very itchy and can develop into pus-filled boils around the hair follicle area.

The infection is caused by the germ Pseudomonas aeruginosa that resides in contaminated water, such as lakes, swimming pools or even hot tubs. Those who are wearing swimsuits may suffer from a worse case as the water is trapped in between the clothing and the skin, and so has had a longer point of contact with the skin. People will not know whether the water is contaminated or not as the germ itself is microscopic, therefore it cannot be seen by the human eye.

However, there are ways to avoid this skin infection. One obvious way is to avoid swimming waters that appear to be unclean and unhygienic. This would seem obvious in lakes, but young people like to jump into lakes during the hot summer months, therefore, they will be unaware of the dangers themselves. Keeping your hot tub water clean, by draining it regularly and checking on the chemical Ph balance will prevent the water from becoming contaminated.

The best way you can tell whether the Ph balance on hot tubs are off, is by looking at the hot tub itself. You will see that it smells a bit like bacteria (other than chlorine) and will have things festering/growing within. When the water becomes mirky, this means that the Ph balance is not correct and will need draining.

Regular cleaning and checks will prevent you from ever getting a skin rash after usage. Always keep the chemical balance right as this is the most important part of keeping the water fresh and hygienic.

How to Get Pregnant – Even With a Blocked Fallopian Tube

So, you’ve been diagnosed with blocked fallopian tubes, or you’re trying to conceive and you suspect you have a tubal blockdage (or two). What can you do to help yourself?

Let’s look at what exactly the fallopian tubes are, and how they get blocked in the first place:

They are a pair of small tubes that link the ovaries to the uterus, and are sometimes called uterine tubes, salpinges or oviducts. They’re approximately 7 to 14 cm long, and start at the top corner of the uterus and move outwards to form a structure called the fibria. The fallopian tubes are vital for conception to take place, but they are extremely fragile and as such must be given due importance.

The fallopian tubes consist of strong muscle tissue, covered by ciliated cells. Ciliated cells are cells that have microscopic hair-like projections that push objects towards the uterus. The ciliated cells are protected with a thin mucus to keep the fallopian tubes soft and pliable, and to sustain optimal survival conditions for sperm and eggs.

Fallopian tubes can become blocked because of inflammation, infections, liquids, or scarring and adhesions.

Salpingitis is when the they are swollen due to an infection. Usually, the cause of salpingitis is pelvic inflammatory disease (or PID for short). Salpingitis can result in the walls of the tubes sticking together, which causes them to become blocked, thereby greatly reducing the chances of conception. Salpingitis can cause nausea, vomiting, fever, abdominal pains or lower back pains. If left untreated, it causes infertility or tubal pregnancies.

The next reason behind fallopian tube blockage is hydrosalpinx. A hydrosalpinx takes place when the fluid accumulates in them. This fluid is secreted by the the cellular lining as lubricant. In a healthy woman, this lubricant runs from the fimbria- the part of the oviducts nearest to the ovaries, in the direction of the uterus.

The primary reason women develop a hydrosalpinx is pelvic inflammatory disease, alternatively it is also the result of foreign bacteria overgrowth, endometriosis, or even scars left from surgery. For years a hydrosalpinx can go undetected because it often does not cause any symptoms. In some cases you might feel a dull pelvic pain, but most of the time it is undetected because of the lack of symptoms.

Conditions similar to a hydrosalpinx include:

Pyosalpinx – this is when a fallopian tube is filled with pus and starts to expand from within

Hematosalpinx – This the state when it is filled with blood and causes the tubes to become distended.

Additionally, blocked fallopian tubes are caused by an adhesion. This is when tissues are abnormally connected by bands of fibrous tissue, as a result of injury, surgery, endometriosis or scarring after inflammation. When adhesions grow in or around these delicate organs, they can result in the salpinges becoming twisted, or the lining of the fallopian tubes becoming stuck together.

Fallopian tube blockage is one of the most common causes of female infertility. Thankfully, blocked fallopian tubes can be opened up, because of medical technology. While medicine and surgery work for numerous women, there are risks relating to these procedures. Some surgeries can perforate the bowel or other organs, or cause irreversible damage to the oviducts, which can leave you with the most expensive option for getting pregnant: IVF.

If you’re looking to avoid surgery and all the risks and side effects associated with surgery, you may wish to consider other options. Natural remedies offer a safe, holistic way to open up your tubes while improving your overall health. Examples of these natural remedies include herbal tampons, fallopian tube massage and body cleansing for fertility.

Do these natural ways to unblock the fallopian tube work? Yes, they do. In my clinic, I see women every day who have fertility challenges, such as blocked fallopian tubes, and have had excellent success rates in helping them to conceive. All it takes really, is time, effort and commitment.

Goat Diseases – Protecting Your Goats From Common Illnesses

Like other farm animals, goats also suffer from various diseases especially if they fail to take occasional vaccination. These goat diseases may be bacterial, viral, or parasitic among others. As most of these diseases can be hardly determined due to their identical symptoms, it would be advisable for owners to have them checked up every once in a while for the benefit of the goat and for the safety of your farm.

Ketosis (Acetonemia) is one of the most common goat diseases because of the animal’s inclination to concentrated food. Another problem that farmers deal with is when the goat becomes profoundly infested with worms. This goat disease is known as ‘big head.’ You can tell when the goat has big head if it suddenly develops a swollen head accompanied by paleness of skin. This should not be confused with bloating, another common problem with goats. By observing your goat, you will notice that it frequently urinates, appears anxious, and behaves differently from the rest. At this point, the goat should be taken for consultation to avoid complications.

Goat diseases can be prevented with regular check-up. A once-a-month visit to the veterinarian would be advisable. Being on the lookout for possible trouble occurring within the herd would contribute in preventing loss of a goat. There are ways to know whether something is wrong with one of the goats.

– Observe which among the herd often isolates itself. Goats are naturally sociable and friendly that is why they pass for a pet nowadays and separation from the herd would mean a sign of problem

– Watch for abnormalities in feces and droppings. Usually, one suffering from a disease would have irregularity in droppings or urine. Among the most recognizable symptoms for goat diseases are diarrhea (with blood), pus from the ears, mouth, vulva or any part of the goat’s body

– Swelling of the chin is also another sign your goat is ailing

– Notice defects in movements besides the behavior

Meanwhile, you can do your own goat check as well to make sure that the herd is in the pink. The main areas that you have to secure are the rectal temperature with at least 39 degrees and the pulse rate that must be at 80 or less beats per minute.

It is important for every farmer to know the various goat diseases that may affect a member of the herd. Learning about the symptoms and first aid treatments would also help to minimize the risk. Give them proper goat care and you will only have to worry less.

Cold Sores – First Aid For Treating A Cold Sore

Cold sores and oral herpes can be resolved easily and safely with proper first aid methods. In this short article, I will share with you the most effective first aid tactics for your cold sores.

Discomfort and embarrassment are the main reasons for trying to heal a cold sore quickly and permanently. But there are other reasons worth noting here.


It is very easy to spread the herpes simplex virus to your eyes while treating one on your lip. Every time you get a cold sore you are at risk of infecting and damaging your eyes. Use extreme caution with contaminated fingers or towels.


Scientists have found similarities between Alzheimer’s and cold sores. It does not mean that cold sores could cause Alzheimer’s, but it is interesting that they do share similar protein activity. Preventing cold sores before they happen may become more important as the facts unfold.

Here are top first aid techniques you can use for quickly healing your cold sores. The quicker you can get rid of a cold sore, the sooner you can get on with your life.


Applying ice is one of the best and quickest ways to reduce the pain of a cold sore. A frozen tea bag is even better for this purpose since the tea contains some anti-viral properties.

Some of the drug store cold sore remedies contain ingredients – such as benzocaine – that will numb the area. These remedies generally do not work as well as ice, but are much more convenient at work or travel.

You can reduce the headaches, fever and swollen lymph glands with your usual medicines for these purposes – such as aspirin or Advil.


First aid for any sore requires constant cleansing with an antiseptic solution. In the case of cold sores, alcohol or peroxide are the treatments of choice. Not only will you be sterilizing the area but also wiping away millions of herpes virus particles.

Use throwaway cotton balls or tissues for convenience and safety. You do not want to spread this highly contagious virus.

At the drug store, you can get individual use alcohol packets that are very convenient. Just wipe and throw away. Keep them in your desk, pocket or purse.


A lot of skin cells are destroyed in the creation of a cold sore. Your body will heal itself but you can speed it along with the application of Aloe Vera gel.

Aloe Vera is an amazing remedy for healing. For best results, you must use living gel from a live plant. The bottled stuff is not nearly as good because the enzymes are killed in the bottling process.

The following remedy combination will give good results also, with or without the Aloe Vera cold sore treatment.

Apply a warm, wet tea bag for 10 to 15 minute sessions. After each session, apply a zinc-based salve or gel. Some of the drug store remedies contain zinc. By itself, these salves do not do much but, in combination with the tea bag application, they seem to really help.


Start taking a good quality multi-vitamin every day. You will find your sores are not as bad and they will heal much faster. Often people find they get fewer and fewer cold sores the longer they take vitamins.

Ice has always been one of the best remedies for cold sores if used prior to the sore opening up. Once this happens, your sore is in the healing mode and ice will slow down this phase. Ice is still good for the pain but fast healing depends on the application of heat.

Using one of those numbing remedies now will not interfere with healing and will give you some relief from the discomfort.

One very painful part of a cold sore event is the cracking of the scab when you smile or chew. It also slows down the healing process.

Applying oil to keep the scab soft will reduce painful cracking. You can use any vegetable oil but olive oil and garlic oil are exceptional for this.

Avoid the need for first aid of your cold sores by making an effort to prevent them in the first place. With what we know about cold sores today, it is relatively easy to reduce cold sore occurrences by 50% or more. For many folks, just taking a daily vitamin will achieve this.

You are unique. No one is quite like you. As such, some remedies will work for you that do not work for other people. You will need to keep trying different things. If you do, you will soon discover the best way to prevent your cold sores.

7 Health Benefits For Senior Citizens Who Take Line Dancing Instructions

Line Dancing is the Second Most Popular Thing Seniors Like to Do!

Line dancing is very popular among Senior Citizens. It’s fun, there is great camaraderie among the Seniors, and you don’t need a partner, and it’s an easy way to stay healthy, both mentally and physically.

An Activity Director at a Retirement/Convalescent Home in California told me that line dancing is only second in popularity to square dancing and only because square dancing is an older form of dancing and more Seniors are familiar with it. Also, many Seniors were in square dance clubs and went to meetings each week when they were younger.

At almost any class in line dance instructions, you will see many Seniors. There are several dances suitable for people with limited mobility, such as  “Tush Push”, “Electric Slide”, “Country Walkin'”, “Dancin’ with You” and the ever beautiful, “Waltz Across Texas”, which I love to do to Collin Raye’s “Dreamin’ My Dreams of You.” There is even a “sit down” tongue-in-cheek line dance by Knox Rhine called “Take A Break” which doesn’t even need music! Most classes feature easy line dances as well as more advanced.

Health Benefits

The health benefits of line dancing are obvious. Everyone benefits from exercise and line dancing is so much fun, it doesn’t seem like exercise. I read a report that said that people who line dance could possibly live an extra ten years. This may or may not be true, but it’s certainly something to consider.

Here is a list of some of the health benefits you will enjoy if you line dance on a regular basis:

* Cardiovascular and muscular strength and flexibility become better;

* High blood pressure, high cholesterol levels and high triglyceride levels, as well as high blood sugar levels can all improve;

* Coordination improves as you work through the different movements;

* Lung capacity can increase;

* Bone strength can increase; bone loss can be stopped or slowed down

* Help with weight control – half an hour of continuous line dancing can burn an average of 300 calories

* The social aspects of  line dancing are obvious. Your sense of well-being and the camaraderie you have with the other dancers is wonderful for your health.

Line Dance Videos are available everywhere

There are many line dance DVDs and videos that Seniors can purchase and use to practice in the privacy of their homes. This is especially good if they are shy about going to a regular class or don’t have a class in their community that teaches line dancing for seniors.

Scooter Lee and Jo Thompson

The lovely and talented singer/songwriter Scooter Lee has many classes targeted towards Seniors through her non-profit organization, Dancing for the Dream®, which she started with choreographer Jo Thompson.

As popular as her music was for line dancing, at first Scooter Lee didn’t line dance herself, even after being diagnosed with numerous health issues and being overweight.  Finally, after learning to eat right, exercise, and create good habits in her life with positive thinking and positive people, she included line dancing in her routine for good health.  Though the damage to her joints and organs was not reversible, Lee started to pay attention to her own health, eventually losing approximately 150 pounds in five years.

Where to Find Classes for Line Dancin’ Fun

You can find many classes for line dance instructions just for Senior Citizens at Community Centers, Parks and Recreation Departments, and Church Groups all over America, as well as at classes at dance studios.

If you live in the Eastern part of America, check out the classes available through Step In the Name of Life(TM).  They have classes in at least 32 cities.  Jamie Gant started the first group in Florida so his grandmother would have a place to go to line dance for her health.  After going with her, he was ready to start classes for everyone.  Their goal:  Stepping Away Diabetes, High Cholesterol, High Blood Pressure & More(TM).

The Significance Of BOD In Wastewater Treatment

Wastewater contains chemicals in the form of organics as well as inorganics, apart from gases.

The biological oxygen demand, ie, BOD in wastewater, is a measure of the quantity of bio-organic substances in wastewater. These can be in the form of fat, oils, carbohydrates and proteins. BOD also helps determine the quantum of organic chemicals contained in wastewater that are synthetic and biodegradable.

Does your effluent treatment plant stabilize organic matter efficiently? You can find out by comparing the BOD of the treated wastewater with the BOD in wastewater that is untreated.

Another useful measure of biological oxygen demand is chemical oxygen demand, or COD. COD can help gauge the quantum of both biodegradable and non-biodegradable organics.

Find out the BOD5 of the wastewater (the BOD of wastewater that is five days old). When you divide BOD5 by COD, you get a measure of how easily your treatment plant is able to treat wastewater.

A BOD5/COD ratio that is equal to or higher than 0.5 indicates fast biological decomposition.

Any ratio above 0.2 indicates that the biological treatment of the wastewater influent is possible. But when the ratio is less than 0.5, the process will be relatively slow, as the acclimatization of the microorganisms that help in the degradation process takes time.

Industrial wastewater usually has a BOD5/COD ratio of less than 0.5. An exception to the rule can be found in industries that manufacture/ process food or beverages, where the said ratio is much higher.

Best Psoriasis Treatment Approaches

Individuals suffering from psoriasis deserve all the support they need from their families as well as the best psoriasis treatment available nowadays. Having to deal with psoriasis can be very frustrating. However, with the right treatment approach, lifestyle and attitude, the condition can be managed well.

It should be understood that psoriasis is a chronic skin disease that varies in severity and has no known cure at present. There are some mild cases that affect only small portions of the skin around the body, usually in patches, and there are also some that can affect the entire body. Severe cases can be very painful and can cause disfigurement.

The level of medical attention depends upon the severity and type of psoriasis that a person has. Some respond well to prescription topical steroid creams and ointments. The only possible drawback with regards to the use of steroids for a prolonged period of time is the potential side effects. Still, steroid creams and ointments prove to be effective in a lot of cases just as long as the patient has no allergies to any of its active components.

Moisturizers are an important element of managing psoriasis. Keeping the skin, particularly the affected areas, moisturized is one of the best psoriasis treatment approaches. Although they will not cure the condition or lessen its severity, moisturizers can soothe the skin thereby relieving discomfort and extreme flaking.

Hypoallergenic moisturizers which are fragrance free are good options. When choosing a product, it is important to opt for the ones which are dermatologist recommended and the ones that are clinically proven to relieve dry skin for longer periods. Moisturizers that contain natural ingredients such as natural colloidal oatmeal may also be beneficial.

Mineral oils are also considered as one of the best psoriasis treatment because they can help retain moisture to the skin, minimize itchiness and discomfort and control skin chapping. A lot of patients feel a lot more comfortable after a mineral oil bath because it can soothe the entire skin area.

Phototherapy is also one of the most widely used treatment options for psoriasis. With the use of special equipment, the affected areas are exposed to selected parts of the solar spectrum for a short period of time. Dermatologists, physical therapists and other health professionals facilitate in the process. Phototherapy or brief exposure to solar radiation had been proven to be a best psoriasis treatment because majority of the patients experience a favourable outcome after several treatment sessions.

There are some patients who also believe in alternative methods of treating psoriasis. There is nothing to lose in trying out some of the options available as most of them are actually good for the body and promote wellness. Some of the most widely used alternative treatment methods include meditation and relaxation, homeopathy, diet modification, osteopathy and hypnosis.

Those who believe in traditional Chinese medicine also try out various products but there are no clinical studies or medical data that support the use of these Chinese herbal products.

Allergic reactions to certain products can worsen the discomfort and further aggravate the problem. Sticking to the best psoriasis treatment that is proven safe, effective and does not have harmful side effects is very important to manage the condition.

Four Quadrant Sorts: How to Group Students for Instruction After Administering Universal Screening

Today in education, more than ever before, teachers have to know how to analyze data. For the most part teachers have mastered the art of administering assessments. There is no shortage of assessments. We use screeners, diagnostics, progress monitors, and outcome assessments. And let’s not forget the good old test prep. Test prep is probably the most-used assessment of any other. One of the more useful ways to analyze data and sort kids into groups that I have used is the “Four Quadrant Sort”. The purpose of this article is to explore several different reading and math four quadrant sorts.

Sort #1 – Reading – Accuracy vs. Fluency

The first sort I like to use is the sort for reading fluency. We use the data from our universal screener AIMSweb RCBM (oral reading fluency). The sort is completed using both fluency (words per minute) and accuracy (percent correct) data. You could also use data from the DIBELS Oral Reading Fluency measure, or any other assessment that gives you results in words per minute and accuracy percentages. You could even take whatever reading passage you want to use, have all your students read it orally for one minute. Mark their errors. Use the total number of words, number of errors and words read correctly to calculate their accuracy. All you would need then is a chart of suggested words per minute.

The first quadrant of the sort is for students that are both accurate and fluent. Accurate means the student has an accuracy percentage correct of at least 95% (meaning that 95% of the words they read were correct). You may choose to use 98% as your accuracy cutoff score. Fluent means the student is above the 25th percentile in words per minute. This is according to the national norms table provided by AIMSweb. You may decide to make your fluency cutoff be above the 50th percentile. These are your “enrichment” students. The second quadrant is for the students that are accurate, but not fluent. In other words, these students have accuracy percentages of at least 95% (or 98%, if you choose). However, their fluency scores are not above the 25th percentile (or 50th percentile). These are most likely your “benchmark” students. The third quadrant is for the students that are not accurate or fluent. They have an accuracy percentage correct below 95% (or 98%). These students also have a fluency score at the 25th percentile or below (or 50th percentile or below) in words per minute. These are the real “intervention” kids. These are the kids we choose assess using a diagnostic. The fourth quadrant is for the students that are fluent, but not accurate. This is normally not a very big group of kids. These students read enough words per minute to place them above the 25th percentile (or 50th percentile). Their accuracy scores however, are not at the required 95% (or 98%). These students are most likely to be grouped with your “enrichment” or “benchmark” students, depending on the number of words per minute they read. If there are enough students in this quadrant and you have the resources, they can be their own group.

Sort #2 – Reading – Fluency vs. Comprehension

Another sort for reading is one that focuses on fluency and comprehension. The comprehension measure we use for this sort is the AIMSweb MAZE measure. It is a sentence-level comprehension assessment. It is essentially a written version of a cloze test. Accuracy is not considered in this sort. You may want to look at or add accuracy into this sort if you have large groupings. For example, you may want to split each quadrant into two parts: one part is accurate at 95% and above (or 98% and above), the other part of the quadrant would be those that are below 95% (or 98%). Essentially you would be taking the four quadrants and turning them into 8 quadrants. This is assuming, of course, that you have the personnel to have eight groups of students.

The first quadrant is for those students that are adequate in both fluency and comprehension. Thus, their words per minute are above the 25th percentile (or 50th percentile), and their comprehension score is above the 25th percentile (or 50th percentile). These are your “enrichment” students. [Remember, these students can be divided into two groups: One group would be those that are adequate in fluency, comprehension and accuracy. The other group will be those that are adequate in fluency and comprehension, but not accuracy]. The second quadrant is for those students that are adequate in fluency, but not in comprehension. Their scores in fluency place them above the 25th (or 50th percentile). Their scores in comprehension are below the 25th (or 50th) percentile. [You can also split this quadrant into two groups: Those that are adequate in fluency, not adequate in comprehension, but adequate in accuracy. Those in the other group will be those that are adequate in fluency, not adequate in comprehension, and not adequate in accuracy]. The third quadrant is for those students that are not adequate in fluency or comprehension. They score below the 25th (or 50th) percentile on both the oral reading test and the MAZE test. [If dividing this group into two, one group would be those that are not adequate in fluency, comprehension or accuracy. The other group would be comprised of those that are not adequate in fluency or comprehension, but adequate in accuracy]. The fourth quadrant is for those students that are adequate in comprehension, but not fluency. So their scores on the MAZE comprehension tests place them above the 25th (or 50th) percentile. However, their score on the fluency measure place them below the 25th (or 50th) percentile. [A further division of this quadrant would mean that one group is adequate in comprehension, but not fluency and they are adequate in accuracy. The other group would be those that are adequate in comprehension, not adequate in fluency and not adequate in accuracy].

Sort #3 – Math – Computation vs. Concepts & Application

For this particular sort, we use the data from the AIMSweb mathematical measures. DIBELS currently has a math test. I have not used it, so I am not sure if you can use it for this sort. If there is a computation score and a concepts & application score, you can use it for this sort.

The first quadrant is for those students that are adequate in both computation and concepts & application. That is, the scores are above the 25th percentile (or 50th) in both computation and concepts & application. The second quadrant is for those students that are adequate in computation, but not adequate in concepts & applications. So they were able to score above the 25th percentile (or 50th) in computation. They were not able, however, to score above the 25th (or 50th) percentile on the concepts & application measure. The third quadrant is for those students that are not adequate in computation or concepts & applications. So these students scored at the 25th (or 50th) percentile or below on both computation and concepts & application. The fourth quadrant is for those students that are adequate in concepts & application, but not computation. This should be one of the smaller groups. These are students whose scores on the concept & applications are above the 25th (50th) percentile. Their scores on the computation portion are at the 25th (or 50th) percentile and below.

Sort #4 – Phoneme Segmentation

For those of you who teach kindergarten and first grade students the sort for phoneme segmentation will be an important one. It’s a little different from the previously discussed sorts, but is still easy to use to determine grouping of students. The two factors to consider are the fluency with which the student segments the words into phonemes and whether or not they pass the assessment according to the criteria. Two of the most common assessments for this skill are AIMSweb and DIBELS.

The first quadrant is for those students who can segment all phonemes fluently (meaning they meet the criteria for passing the assessment) and they are accurate at 95% or higher. The second quadrant is for those students that segment phonemes with 95% or higher accuracy. However, they do not pass the phoneme segmentation fluency assessment. The third quadrant is for those students that segment phonemes, sounds, word parts, but their accuracy is less than 95%. They do not pass the phoneme segmentation fluency assessment. The fourth quadrant is for those students that are very quick, but not accurate. Their accuracy is below 95%, but they are fluent in the phoneme segmentation fluency assessment. They pass the assessment, but their accuracy is low.

Sort #5 – Nonsense Word Fluency

This sort is especially useful for those of you who teach primary level students. We will discuss two different NWF sorts: one for word reading fluency and one for phonics. The first one I will discuss is the one where the students are reading words.

The first quadrant is for those students that are reading whole words. They are not sounding them out. Some call this unitization. The second quadrant is for those students that are reading words a sound at a time, then reading the whole word. The third quadrant is for those students that are doing some blending. Perhaps they are reading them as onset and rime. The fourth quadrant is for those who are decoding the words a sound at a time. The next Nonsense Word Fluency sort is the one for phonics or alphabetic principle. In this case the students are not yet reading whole words.

The first quadrant is for the students that can read the initial and final sounds. Maybe they will only read initial sounds or final sounds. The second quadrant is for the students that have repeated substitution errors for consonant and vowel sounds. The third quadrant is for those students who have errors on the middle or medial vowels, usually deletions. The fourth quadrant is for students who are unable to read the whole word or recode.

Where do you go from here?

My take on this whole four quadrant sort for instructional groupings strategy is very simple. You could take any two pieces of data that you have obtained through assessment. Identify which one of the skills you assessed is the more basic, prerequisite, fundamental of the two. This is the one that needs to be adequate in quadrant 1, adequate in quadrant 2, not adequate in quadrant 3 and adequate in quadrant 4. The next thing to do is to take the next skill you assessed, the higher level one, the one that builds upon the previous one, etc. This is the skill that is adequate in quadrant 1, not adequate in quadrant 2, not adequate in quadrant 3 and adequate in quadrant 4.

This may seem oversimplified, but I came to this conclusion through comparing the sort for accuracy vs. fluency in reading and the sort for fluency vs. comprehension and also the sort for computation vs. concepts & applications in math. In all of these sorts, the skill listed first is the more prerequisite of the two skills in the sort. For example, accuracy comes before fluency. Fluency is essential in order to be able to comprehend. Being able to compute is essential for those working on concepts & application.

Let me give you an example of what I’m talking about here. I have not seen a sort for this particular set of skills: vocabulary and comprehension. Since it is widely believed that vocabulary skill is a prerequisite to comprehension skill, I have chosen these two skills for this sort. Take your vocabulary and comprehension assessment results. Determine what adequate scores are on both of these skills. If you use a published assessment, rather than one that you created, you won’t have to determine what an adequate score is. That information will be provided for you.

The first quadrant would be those who are adequate in both vocabulary and comprehension. The second quadrant would be those students who are adequate in vocabulary, but not comprehension. The third quadrant would be those students who are not adequate in vocabulary or comprehension. The fourth quadrant would be those students who are adequate in comprehension, but not vocabulary.

I imagine this particular sort would be useful for those teachers who have kids that are adequate in both accuracy and fluency. If there is an accuracy or fluency deficit, you most likely won’t even bother doing this vocabulary and comprehension sort. Remember, accuracy comes first. Four Quadrant Sort for Accuracy and Fluency

For more information regarding quadrant sorting, assessment or intervention see my website at

How to Write Your KSA Answers to Get That Government Job

Today’s volatile economic environment and expected layoffs means that many people will be searching for a new job. For many of you, a U.S. government job can offer security, excellent benefits, and interesting work. But be aware: competition for these jobs is intense and you have to stand out from all the other applicants to get a placement – that is where the KSA becomes a key opportunity you can use to get that government job.

What is a KSA?

The U.S. Office of Personnel Management maintains a searchable database, called USAJOBS that lists government job openings. Once you have signed up on line, you will find that specific position openings often require completion of a detailed description of your Knowledge, Skills, and Abilities (KSA) in addition to your resume.

Each job that requires a KSA will have specific KSA questions for you to answer usually in about a page of written content. This is not an optional task. You must do it and you must do it well. Each KSA answer is scored by human resources personnel on a 0-20 scale that reflects how closely your knowledge, skills, and abilities match the complexity, impact, variety, circumstances, and interactions that characterize the job for which you are applying. KSAs are frequently the deciding factor in your evaluation for employment in the U.S. government. So, what are KSAs? According to the CDC’s Help Page on KSAs:

Knowledge statements refer to an organized body of information usually of a factual or procedural nature which, if applied, makes adequate performance on the job possible. A body of information applied directly to the performance of a function.

Skill statements refer to the proficient manual, verbal or mental manipulation of data or things. Skills can be readily measured by a performance test where quantity and quality of performance are tested, usually within an established time limit. Examples of proficient manipulation of things are skill in typing or skill in operating a vehicle. Examples of proficient manipulation of data are skill in computation using decimals; skill in editing for transposed numbers, etc.

Ability statements refer to the power to perform an observable activity at the present time. This means that abilities have been evidenced through activities or behaviors that are similar to those required on the job, e.g., ability to plan and organize work. Abilities are different from aptitudes. Aptitudes are only the potential for performing the activity.

How should you answer KSA questions to improve your chances of getting a government job?

The most effective answers to the KSA questions reflect your understanding of the job requirements based on detailed analysis of the job description and typical tasking. You should pay careful attention to the key words used in the job description and use those words in describing your knowledge, skills and abilities.

In general, knowledge is more abstract than skills and therefore can be generalized over many different tasks and responsibilities. Knowledge comes from academic and life experiences including, but not limited to, education and employment. Any knowledge that you possess that is pertinent to the job you are seeking is something you should include in your the KSA response.

It is a good idea to brainstorm by yourself and with others, what “knowledge” you should claim because you can demonstrate it via your written answers. For example let’s say the position requires “being able to organize a project”. Although your work experience did not provide the opportunity to manage a project, your experience running the PTA’s funding raising for a year, although an unpaid activity, could legitimately be claimed as “experience managing a project”. It is up to you to describe the knowledge you acquired in a way that translates to the job for which you are applying.

Think of skills as capabilities that can be tested i.e., understanding how a spreadsheet program can help manage a budget is knowledge; being able to create an Excel spreadsheet to track expenses is a skill. Extract skill requirements from the job posting and offer evidence that you possess those skills. For example, the position of Pharmacy Assistant requires knowledge demonstrated by certified training and skills acquired from previous experience handing drugs and working with customers.

How to write an effective KSA response

In responding to KSA questions, you are making assertions about your knowledge, skills, and abilities. You must then backup those assertions with believable evidence. You need to develop your KSA responses with an eye on two key variables: relevance of content and quality of presentation. The National Forest Service provides an excellent tutorial on do’s and don’ts of writing effective KSA responses.

Describe your knowledge, skills, and abilities in terms that tie directly to the job using keywords that you extract from the job posting. Then “prove” by specific examples what you can do because of what you did in the past and the context in which you did it. Put your compliance with key job requirements at the beginning of the appropriate KSA answer or the beginning of a paragraph. For example: If the job requires a degree in accounting, the first place you can say clearly, “I completed my accounting degree at XYZ University” do it; then continue to describe your experience in accounting tasks.

Numbers can be your friend when it comes to providing proof to your reviewers. Instead of saying, “I wrote reports” consider saying, “I prepared monthly reports on six field trials with a lead time of two days”.

Knowledge and skills can also be demonstrated by using an overview of your previous responsibilities with examples of specific tasks, by describing training or certifications you received, and by citing awards or recognition for accomplishments. Reviewers like to see action words in your KSA answers and that requires that you write in an active versus a passive voice. You should say: “I analyzed data …” not “Data was analyzed”. You can find a great list of action verbs at Job Skills – Power verbs.

In conclusion your KSA answers must:

  • Be concise
  • Be relevant
  • Be specific
  • Have quantitative examples
  • Make it easy for reviewers to find your compliance with key job requirements
  • Be action and accomplishment oriented
  • Be well written with NO TYPOs and good sentence construction. It is a good idea to have someone else look over your answers before you send them because it is sometimes difficult to see your own mistakes.

Remember, KSA answers separate those who are qualified for a job from those who are most qualified.

Tropical Treatments for Toenail Fungus Natural Cure

There are a few infections that may scatter through the frames of your nail. A good example of a toenail fungus that may take place is called an Onychomycosis. Although their visibility is not rare, these infections still seem to be very hard to treat that is why tropical treatments are used as a toenail fungus natural cure.

There are more than 14% reported cases of this fungus infection; but it may still not be exact. Non-dermatophytic molds such as a Scytalidium Dimidatum, and Dermatophytes are the ones that could be responsible for certain infections in the nails. Among the four clinical presentations, the Distal and Lateral Subungual Onychomycosis is the more common.

A really life-threatening type of infection is a Proxymal Subungual Onychomycosis. This is because they tend to be affiliated with AIDS. After your nails become infected with Onychomycosis, they tend to be thick, dull, flimsy, and weak. When the fungus begins to lift the entire toenail off the patient, they will begin to experience the painful sensation.

As it passes off to each of the nails, this will finally lead to additional loss. There have been several methods developed to treat the toenail fungus, and these include surgical operation and the use of chemicals across the infected areas of the nails by Topical Anti fungal Solutions. Normally, you would have to use the product for approximately six months to see the result. Surgeries have a high success rate.

However there are still probabilities of permanent nail loss, and the patient could find the operations painful. Most products have instructions such as, while applying Topical Treatment on their infections: apply every day on the area infected. Every morning, the debris that stays on must be removed using a spatula. Generally, the treatment lasts for two to four weeks. After going through the Topical technique, and if there are still fungal infections, it may have to be removed surgically. Or, they will also recommend a extended treatment.

In some cases, an Oral Treatment may already be needed. This may take up to 6 months and might even have certain side effects. As you can see there are several different forms of toenail fungus, using tropical treatments as toenail fungus natural cure can help your situation. Keep reading below to find out more about tropical treatments.

Importance of Urine Analysis Drug Test

With increasing drug abusing population day by day, it is very much necessary to identify the drug abusers and make them stay away from harmful drugs of abuse. Drug testing helps in detecting the drug abusers by tracing the elevated levels of illicit drugs and their metabolites in the specimen provided. There are many types of drug testing methods which use samples like urine, blood, hair, saliva or sweat for detecting the drug concentration.

Of them, urine tests are commonly used for detecting the drug abusers as they are inexpensive, easy to handle, provide quick results and less intrusive (compared to blood tests). Urine drug testing is generally used to evaluate the recent illicit drug abuse. It is a process of chemical analysis designed to test the suspect using urine sample. With the scientific advancement in drug testing methods, there is a rapid development in commercial urine testing kits which are often reliable and inexpensive (generally cost around $2 to $10).

Can detect drugs like alcohol, marijuana, cocaine, amphetamines etc.
Urine testing kits available today can detect different types of illicit drugs of abuse. Some of the common drugs that can be detected using urine tests are alcohol, marijuana, cocaine, amphetamines, opiates, benzodiazepines, ecstasy, methadone etc.

When a drug is smoked or taken intravenously, it gets absorbed into the body and its excretion in urine begins almost instantaneously. Detection of a drug in the urine is mostly dependent on the detection period and will differ from drug to drug. For example, alcohol in urine can be detected between 6 to 24 hours. Marijuana use can be detected in urine between 2 to 3 days (in habitual user, it can be detected up to 30 days); Cocaine – 4 to 5 days; amphetamines – 1 to 4 days and heroin – 2 to 4 days.

Can check for multiple drugs with multi-panel kits
Urine drug tests can detect the elevated levels of a single drug as well as a combination of drugs. Today, multi-panel test kits are available in the market, which can detect a number of drugs at a shot with a single urine sample. Multi panel urine test kits are easy to use and provide accurate results. They provide results within minutes which are very easy to read. Multi Panel urine testing kits detect commonly abused drugs such as Cocaine, Amphetamine, Methamphemine, Marijuana(THC), Methadone, Opiates, Phencyclidine, Barbiturate, Benzodiazepine, Tricyclics, Propoxyphene and Oxycodone in urine. They can detect the presence of up to 12 drugs in urine in a single attempt.

Can be easily used at homes, schools and workplaces
The ease of use and accurate results in minutes made urine testing kits more popular for using at homes, schools and workplaces. Employers can use urine test kits to detect employees at various levels, such as: pre-employment testing – before offering appointment letter to the candidate, makes sure that only drug free employees enter the organization; random testing – to identify current drug abusing employees by conducting drug tests randomly by picking one or two employees to take test; post accident testing – to check whether the drug or alcohol abuse is the main reason behind the accident at workplace.

Similarly, schools can use urine tests to detect the drug abusing students by conducting scheduled and random tests. Parents, in order to make sure that their kids stay away from drugs can use these tests at the comforts of their home.

Drug testing helps to identify the drug abusers at homes, schools and workplaces. Therefore, it is very necessary for the concerned people to perform urine testing, which is considered as an easy, convenient, and reliable testing method.