171 Chapters
Medium 9781626560604

1 A Joint Commitment

Blanchard, Ken Berrett-Koehler Publishers ePub

1

Ken’s Story

Think about an exciting story. Doesn’t it always have an interesting character who wants to make something important happen in their life, but first has to overcome conflict to accomplish the goal? Well, the interesting character in this story is me. What I want to accomplish that is important is to become fit again so I will feel better and live longer. To do that, I have to overcome conflict—my past patterns of behavior and how I dealt with the ups and downs of life.

As I tell you my story, I’m probably going to tell you more about the ups and downs of my life than you want to hear. Why? I’ve found that a lot of people think that because I’ve been fairly successful in my life, everything has gone along smoothly and all the breaks went my way. This was not always the case.

I was born in 1939 and grew up in New Rochelle, New York. My mom was a very nurturing person. Unfortunately, one of the ways she nurtured us best was by feeding us. If we were happy, we ate. If we were sad, we ate. If we were worried, we ate. Whatever happened, we ate. One of the ways Mom self-actualized was through the food she gave my father, my sister, and me. As I grew up, I used to fantasize about being locked in our local Jewish delicatessen overnight. I can smell a piece of cheese-cake a mile away.

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Medium 9781574413335

SECRET 10: TRANSFORM LIFE’S CHALLENGES

Kalena Cook, Margaret Christensen University of North Texas Press ePub

SECRET 10:
Transform Life’s Challenges

Twins, Breech, VBAC, Episiotomy,Wanting Normal,
When Natural Doesn’t Work Out, and Down Syndrome

Twins Born Naturally

Kimberly’s Story

On a Tuesday night I went to a friend’s house to play Bunco.“Oh, I can have wine tonight because on Saturday I’m getting pregnant,” I said. And just like that I was. I used the rhythm method.

My husband,Bob,and I have a four-year-old son,Max. With this second pregnancy beginning, I said to the ladies that I walk with one morning, “You know I better not be having twins ‘cause that’s not okay with me.” I was worried.

I called the birth center where Max was born.“I’m pregnant,” I said. Since it’s not my first they said,“We’ll see you at thirteen weeks.”They assume you know how to take care of yourself through the first trimester during your second pregnancy.

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Medium 9781780643960

29: Nontuberculous Mycobacterial Infections

Edited by H Mukundan, Los Alamos National Laboratory CAB International PDF

29 

Nontuberculous Mycobacterial

Infections

Joseph O. Falkinham III*

Virginia Polytechnic Institute and State University, Blacksburg, USA

Introduction

Nontuberculous mycobacteria (NTM) are opportunistic pathogens that share environments with animals, poultry and humans. The causative agent of Johne’s disease in cattle, Mycobacterium avium subspecies paratuberculosis, is the only classic pathogen of the group; all other subspecies are opportunistic pathogens. For the opportunists, disease follows exposure to the portion of the population that is transiently susceptible. Quite possibly the major sources of

NTM infection for humans are drinking water distribution systems and premise plumbing (Falkinham et  al., 2001; Falkinham, 2011). As NTM are natural inhabitants of soils (Iivanainen et al.,

1997; De Groote et al., 2006), soil is a source of infection for both humans and animals (via dusts). NTM are quite hardy; their wax-rich outer membrane contributes to their resistance to disinfection and antibiotics (Brennan and Nikaido, 1995). As the NTM are innately resistant to anti-tuberculosis agents, drug therapy is problematic, even in humans and companion animals. For agronomic animals, for example pigs, it is more cost effective to reduce levels of NTM in the animal’s environment.

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Medium 9781574411584

Chapter Four: Pierced ears

Gloria Feldt with Carol Trickett Jennings University of North Texas Press PDF

difference between parental authority in theory—where the rules are made—and in the real world. Yes, they needed my consent to have their ears professionally pierced. But just as my daughter and her friend went on to do it themselves, today, without our permission, our adultsin-training are making adult-type decisions about sex.

Because they can, and do, have sex without our consent or knowledge, the issue of their access to the related health care is an important one. This issue was on the agenda at the very first board meeting I attended at Permian Basin Planned Parenthood in 1971 in Odessa,

Texas. The board members argued long and loudly about whether to require parental consent for a minor to get birth control. They reached a very foolish compromise to dispense birth control to teenagers who already had what they called an “illegitimate” child. Whereupon the wise county judge, a board member on the losing side of the vote, exclaimed, “Now if that ain’t shuttin’ the barn door after the cow’s got out!”

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Medium 9781786392848

10 Attaining a Healthy and Sustainable Diet

Burlingame, B.; Dernini, S. CABI PDF

10 

Attaining a Healthy and Sustainable

Diet

Jessica Fanzo and Haley Swartz

Abstract

The world continues to struggle with the multiple burdens of malnutrition that affect billions of individuals and the countries in which they live. One major contributor to nutrition outcomes is the consumption of diverse, safe and high-quality diets. However, diets are not static – they are changing, and rapidly so, with income growth, migration and urbanization. Unhealthy diets (those high in salt, unhealthy fats, sugar, processed red meats, and highly processed packaged foods and sugar-sweetened beverages) are considered to be one of the major risk factors for the global burden of disease, of which more people are dying of diet-related non-communicable diseases everywhere including low- and middle-income countries. Food systems and food environments serve to provide the foods that make up the diets that people eat; however, both barriers and opportunities exist across those systems and environments to accessing healthy diets. Physical proximity, affordability, marketing and acceptability all play roles in the decision-making process of consumers when purchasing and consuming food. The foods that are consumed not only impact health, but also the environment. While food choices affect the environment, the environment also impacts food choices making the consumption of sustainable diets – those diets with low environmental impacts which contribute to food security and nutrition and to healthy life for present and future generations – all the more challenging. But there are solutions by way of individual, community and institutional levels that can move us towards healthy, sustainable diets for ourselves and for the planet.

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