Insurance

Tips For Purchasing An Auto Policy From Insurance Companies In Houston, Tx

byAlma Abell

Most people realize the importance of having auto insurance coverage. Not only is it important, but it is also required by law. Failure to carry auto insurance on your vehicle can cause you to amass serious fines and even lose your driving privileges. Not only are you breaking the law if you drive without insurance coverage, if you get into an accident, you could be facing thousands of dollars in damages. This means you would be paying out of your own pocket for the damages and injuries you caused in the accident.

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With so many ways to save on insurance policies, it is in your best interest to purchase the coverage you need from Insurance companies in Houston, TX.

What Is the Best Way to Search for an Auto Insurance Policy?

When you begin your search for auto insurance, it can be helpful to shop around for different rates. One of the easiest ways to begin a search for insurance quotes is to search online. Many insurance carriers now now only offer free rate quotes for new customers, but also offer information on the rates of their competitors. This can save you time in your search and assist you in finding the least expensive policy to meet your needs. Searching online can also allow you to read up on customer reviews for the different carriers so you can get a good idea of what to expect from their customer service. This can tell you if an insurance carrier is going to be helpful or problematic.

To truly find assistance in purchasing your auto insurance from Insurance companies in Houston, TX, you should plan on sitting down with an insurance agent. An agent is a valuable resource in helping you to find the coverage you need and getting you a policy that is within your budget. You should feel free to ask your agent any questions you may have and ask for clarification on areas of the policy you do not understand. This will prepare you in making the right decision on your policy.

If you are in need of an insurance policy, Contact ASAP Insurance. They will be glad to assist you through purchasing your insurance policy, so your coverage needs can be fully met.

Parking

What To Look For When Choosing A Commercial Property For Rent In Derby

What to Look for When Choosing a Commercial Property for Rent in Derby

by

Charlie Myers

Trying to find your ideal office space can be a complex process. Researching every available commercial space within a certain area can be a very long and boring task. Comparing prices of rent for office space can be impossible when they all offer different things, so it is always advisable to make a list. Work out what is most important to you when searching for commercial property for rent in Derby, and you can then start to prioritise your search results.

Budget

Work out what you can spend each month on your rent, and stick to it.

Location

Offices in the heart of Derby will be more expensive than those on the outskirts of the city. City centre accommodation is also less likely to have adequate (or free) parking facilities, and more prone to traffic congestion.

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Proximity of transportation

If you are driving in to your office you may not be concerned about the closest transport, but if you will be having other office staff or clients visiting, you will need to consider that they may need to catch the train or bus. How far the motorway or major A roads coming into Derby are from the office will be a consideration for drivers too.

Car parking

If you will be driving, this is important as you will save a fortune in parking charges in Derby city centre with onsite parking. Also, clients driving in will expect a car park facility.

Extra facilities

Work out what you expect and need on site and what is a bonus. Consider things like use of meeting rooms, refreshments and catering facilities, broadband, telephone lines, fax facility, security and a reception area.

Fully inclusive

Do you need a serviced office? Make sure when comparing prices, you take into account serviced versus non-serviced. If you rent an office that is serviced your rent will normally include bills like heating, maintenance and cleaning, which can all help keep your monthly costs down

Contract

How long do you need to sign up for? If you choose a smaller office space, can you upgrade at any point (or downgrade in the opposite scenario)?

Consider the actual office space

Is it light and airy? Does it have air conditioning or radiators? Are these things important to you?

Litchurch Plaza

is an ideal commercial rental property offering quality offices at an affordable price. The offices are located in a commercial area on the fringe of Derby city which can be easily accessed via car, train or bus. Full details of the facilities they offer are available via this

link

.

Article Source:

ArticleRich.com

Dentistry

Los Angeles Cosmetic Dentist And Prosthodontic Expert Offers Top Level Dentistry To Greater Los Angeles Area

Los Angeles Cosmetic Dentist and Prosthodontic Expert Offers Top-Level Dentistry to Greater Los Angeles Area

by

David Holmes

Those seeking the services of an expert-level cosmetic dentist in Los Angeles and surrounding areas need look no further than the services of this specialty Los Angeles Cosmetic Dentist.

Dr. Parviz Azar-Mehr’s educational resume has seen him travel all over the world. As a post-doctoral student continuing his education, Azar-Mehr furthered his dental expertise by attending London University, New York University and the University of Michigan, all in different intervals in time.

Practicing from an office located within the Los Angeles area, Dr. Azar-Mehr reaches out to those in need of cosmetic dentistry and prosthetics, and performs at a caliber that other dentists in his region someday hope to achieve themselves.

[youtube]http://www.youtube.com/watch?v=qK1SnrRXyXY[/youtube]

Dr. Parviz Azar-Mehr currently maintains a prestigious role in the University of Southern California’s Clinical Dentistry Program. As Professor of Clinical Dentistry in USC’s Post-Doctoral Education, Advanced Prosthodontics Department, Azar-Mehr continues to lend his knowledge and technique to students decades after his own educational goals have been fulfilled.

A Los Angeles-based Cosmetic Dentist, Parviz Azar-Mehr has traveled the world abroad, teaching students and further educating understudying hopeful practitioners of dentistry via his lectures and seminars on prosthodontics and advanced dentistry.

Dr. Azar-Mehr reaches out to the students of USC, as well as the world over, spreading the knowledge of effective and proper cosmetic dentistry and prosthodontic techniques. He does this in an effort to shape the better dentists of tomorrow, and leave behind his legacy of quality prosthodontics and expert cosmetic dentistry to entirely new generation of future prosthodontic specialists, and cosmetic dentists in Los Angeles.

His innovative and tactical methods of properly treating the teeth sets him apart from other dentists doing dental implants in Los Angeles, as well as other Los Angeles prosthodontic dentists, which are of rare breed, and of even rarer acumen.

Dr. Azar-Mehr stakes his claim in serving patients who’ve come upon a need for prosthodontic dentistry in and around Los Angeles, serving areas such as Westwood, West Hollywood, Hollywood, Burbank, Los Feliz, and other areas regional within Los Angeles County.

When it comes to choosing a dentist within Los Angeles, prosthodontic dentists can be hard to come by. Often times, implants are installed to the tune of some kind of discomfort, and partials and crowns end up fitted incorrectly, which can result in breakage or discomfort within the mouth.

While these steps require detail and precision, sometimes even the touch of a precise and intricate hand, often times these measures are completed far too quickly, and to the detriment of the treated in time.

Dr. Azar-Mehr has not only practiced, but has also taught varied facets of dentistry to his students and future dentists for the last 25 years of his life, dedicating his knowledge, his hand and his mind to shaping not only the future dentists of Los Angeles, but also the betterment of the mouths of those he treats.

Thanks to the expertise of Los Angeles Cosmetic Dentist Dr. Parviz Azar-Mehr, those in the L.A. area are smiling a little more brightly.

Los Angeles Prosthodontic DentistLos Angeles Dental Implant

Article Source:

ArticleRich.com

Caravans

The Convenience Of Long Beach Airport Transportation

byAlma Abell

There is nothing quite as exciting as taking a vacation to beautiful Long Beach, CA. This area is known for its vast beautiful beaches and huge selection of great attractions. Long Beach has been a family vacation spot favorite for many years and thousands of people visit it every year. However, with all the great places to visit, it is a must to have reliable transportation during your stay. If you prefer to fly to this location, renting a car to have for the entire time you are there may be a bit more expensive than you like. This is where the services of Long Beach Airport Transportation is very beneficial. You will have your transportation needs met at any time, but do not have to pay for the time that you have an automobile parked like with a rental car.

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The moment your plane arrives in Long Beach, you will have access to Long Beach Airport Transportation Services. The Long Beach Yellow Cab company will be available to take you directly to your hotel to get settled in. Then, any time you want to go out to dinner, go shopping or do lots of sightseeing, you can call the cab service to take you there. This is particularly convenient to senior vacationers who no longer drive for themselves. It is also very helpful for those who want to vacation on a budget and do not plan on needing frequent transportation during their visit to Long Beach. The only time you pay for transportation is when you actually use these services.

The Long Beach Airport Transportation company has been providing these services to vacationers for many years. This company takes pride in making transportation quick, easy and affordable for their customers. By having these services available when you arrive, during your stay and on your way back to the airport to fly home, there are never any worries about needing your own car on your vacation. With the help of the Long Beach Yellow Cab, it is easy to get anywhere you want to go at any time you want to be there.

Workplace Policy

Understanding The People Risks In Brazil, Russia, India And China (Bric): The Risk Associat

Understanding the People Risks in Brazil, Russia, India and China (BRIC): The Risk Associat

by

Dr. Awie Foong, Tabitha Lim

A decade ago, when the BRIC acronym was coined, Brazil, Russia, India, and China were touted as the big four of the emerging markets, overtaking the G7 and shifting the economic power from the developed to the developing economies. Over the last decade, BRIC countries have indeed made their mark in the global economic landscape. BRICs share of the world gross domestic product (GDP) has increased by 7.1% between 2000 and 2009 and IMF estimates put their share of world GDP at 29.1% in 2015. Their economic growth is further evidenced by the foreign direct investment (FDI) net inflows into these countries.

What is it that drives economic growth and FDI? While there are many factors underpinning economic prosperity, the importance of human capital as a driver of economic growth is often overlooked. Empirical findings have shown that human capital is not just statistically significant, but rather is the most important determinant of FDI inflows to developing countries. An informative study by Professor Edward Glaeser and Filipe Campante of Harvard University highlights the strong linkage between educational investments and future economic growth.

Growth potential is often accompanied by high risk; and investors attracted to BRIC countries may well have recognized the financial and political risks. However, considering the critical impact of human capital on economic success, companies should not overlook the human capital risks that these countries pose to their business.

More specifically, the Aon Hewitt People Risk research points to three major human capital risks that are present at every stage of the employment cycle recruitment risk, employment risk, and redeployment risk.

In this three-part series, we will discuss these three types of human capital risk in relation to the BRIC countries. In the first part of the series, the risk related to recruitment will be analyzed.Recruitment Risk

The risk in recruiting people is primarily due to the lack of workforce and talent supply. As our People Risk research reveals, some locations have an oversupply of manual labor but a shortage of professional talents. Whereas some locations are faced with the inherent limitations of a small population, others are facing a shrinking workforce due to an ageing population.

Among the eighteen BRIC cities analyzed in our research, the Russian cities present the highest overall risk compared to major cities in other BRIC countries.The overall recruitment risk for the major cities in each of the BRIC countries. Demographic Issues

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Workforce supply is important for companies in labor-intensive industries such as manufacturing, as they generally require a large proportion of labor to sustain their massive production numbers. Emerging markets, such as BRIC, have been a popular choice for businesses as their labor is generally cheaper than in the developed markets of their home countries.

In the broadest sense, the availability of workforce supply can be determined by looking at the demographics of the country. In terms of the population in the metropolitan areas, the BRIC countries generally do not have a high risk, which indicates a big enough pool of human resources supply available. However, mobility and migration factors can affect the size of the local pool of human resources. After the Soviet Union collapsed, Russia faced a brain drain, the outflow of talent, when Russian professionals, such as scientists, moved to the West to seek better career development and opportunities. This was also the case in India when many Indian professionals left in the 1960s to seek better opportunities in the more industrially advanced Western countries, such as the United Kingdom. In our People Risk study, we found that Russia currently has the highest brain drain risk compared to the other three countries.

The issue of an ageing population is also an important factor for companies to consider as it can, and will, impact the companys workforce planning and costs in the future. Russia poses the highest risk of an ageing population, with close to 18% of its population above the age of 60, as compared to Brazil (9.9%), India (7.4%) and China (11.9%).

The aforementioned factors of population size, brain drain and an ageing population all impact the available workforce supply. To further illustrate the risks of such a shortage, particularly in Russia, a joint study by the World Federation of People Management Associations (WFPMA) and The Boston Consulting Group has projected severe skill shortages in Russia across all industries for the next two decades. In comparison, skill shortages in India and China are limited to certain sectors such as manufacturing, construction and trade; and talent shortages are not yet a major concern in Brazil. Thus, companies should expect to face a big challenge in recruiting the right people in Russia, and to a lesser extent, China and India.Government Support

Evidently, government support plays a vital role in reducing human capital risk. Although it may be challenging to address the issues of an ageing population and a small population size, countries have embarked on initiatives to combat brain drain in a period when its economies are advancing and where talent is crucial in bringing more growth.

China and India have developed schemes to reverse the outflow of talent. China launched the thousand talent program in 2008, aimed at attracting overseas Chinese and foreign academics from the worlds best institutions. This year, China released an outline on talent development for the medium- and long-term to underscore the countrys drive to increase its talent pool, enabling the countrys transition from a labor-intensive to a talent-driven nation.

Similarly, the Non-Resident Indian (NRI) Institute aims to keep Indians well informed about the achievements and problems of NRIs as well as to promote NRI investment in India. Annual gatherings are also organized by the Ministry of Overseas Indians which tries to foster loyalty to the home country and encourage people of Indian origin to contribute to the economy. Although it may not be as orchestrated an effort as in China, these initiatives seek to connect India with its diaspora.

In comparison, Russia seems to have lagged behind in its reverse brain drain efforts. The Russian government has only recently announced that it is ready to implement policies to attract more qualified professionals from abroad.Education System

Having ample workforce supply, though, does not necessarily mean that a company can easily find a suitable candidate from the local talent pool. To a large extent, the quality of the workforce depends on the formal education system in a country.

The overall education risk is highest for India and lowest for Russia. This can be partially explained by the amount of investment in education made by the government. With more investments in the education system, one can expect to have better talent quality as the education will have the capacity to provide for sufficient skilled workers. Among the BRIC, Russia is doing relatively well in this aspect as it has the highest education spending per capita, an education system that has the highest capacity to supply skilled workers and therefore, the lowest overall education risk. Nevertheless, a general perception is that the quality of the Russian education system is declining; so this could become a major source of risk in the near future.

In China, the education system has, in the past, overemphasized the study of theoretical concepts, while neglecting practical skills training. This limited the number of qualified talents despite producing large numbers of university graduates. On the other hand, Indias education system is one of elitism, where a few world-class universities coexist with a large illiterate population. Indias adult literacy rate of 66% is one of the lowest in the world, and is substantially lower than in the other BRIC countries.

Brazils education system, too, faces the problem of providing an insufficient supply of skilled workers. A decentralized structure with many educational units that is mostly run by the states and municipalities is both expensive and inefficient. A study by the Economist Intelligence Unit pointed out the waste in Brazilian schools, such as the large number of students who repeat whole school years time after time before dropping out. Teachers are also poorly trained and teacher absenteeism can reach 30%, at its worst. In addition, Brazil channels much of its expenditure to its universities, rather than toward the lower rungs of the education system. Yet it is the people at these levels that generally make up a large part of the workforce. As such, the education expenditure by the federal government does not trickle down to the students who should most benefit from it.

The poor education system directly affects both the quantity and quality of talent in the country. Educational deficiencies present in Brazil threaten to hamper its growth — more than 22% of people available to join the workforce are not considered to be qualified. Finding people with basic skills for low-skilled jobs is proving to be a challenge in Brazil, let alone finding people for higher-skilled jobs. The suitability of available candidates in China and India also did not fare better. A study by the Mckinsey Global Institute showed that for an engineering position, only 10% of Chinese and Russian, 13% of Brazil, and 25% of Indian graduates with the correct degree are deemed qualified to be employed.

This lack of qualified and suitable candidates in BRIC countries indicates a mismatch between the talent pool available and companies’ recruitment needs. Companies cannot assume that a large talent pool in BRIC countries will render their recruitment efforts smooth sailing.

Facing a depletion of talent, it is no wonder that even a Nobel prize failed to bring a smile to Russian President Dmitry Medvedev. Instead, he responded to the recent win by two Russian scientists who left Russia and are now based out of the UK, by criticizing the lack of governmental efforts to improve the retention of Russian talent at home. This says a lot about a country that was once hailed as the pinnacle of scientific training. Companies should always keep in mind the people risks associated with hiring the right people in Russia and the other BRIC countries.Reference:

1. Brazils Poor Schools: Still a lot to learn. Jun 4th 2009. The Economist.

2. Creating People Advantage 2010. Boston Consulting Group and the World Federation of People Management Association.

3. Glaeser, E. & Campante, F. (2009). Yet Another Tale of Two Cities: Buenos Aires and Chicago. National Bureau of Economic Research, Working Paper 15104.

4. Noorbakhsh, F., Paloni, A. & Youssef, A. (2001). Human Capital and FDI Inflows to Developing Countries: New Empirical Evidence. World Development, 29, 1593 1610.

5. The Emerging Global Labor Market: Part II The Supply of Offshore Talent in Services. McKinsey Global Institute.

6. World Development Indicators. World Bank. http://data.worldbank.org/indicator. Last accessed on 30 Nov 2010.Contact

Alan Pang is Director of Aon Hewitts Global Research Center, which is based in Singapore. Please contact Alan Pang at alan.pang@aon.com For more information, visit our People Risk Portal at aonpeoplerisk.com.

Article Source:

ArticleRich.com

Forex Trading

Forex Trading Software Or Forex Trading System Which One To Choose?

Forex Trading Software Or Forex Trading System – Which One to Choose?

by

venkatsiddhu

In the recent time many forex trading systems and forex trading software have been evolved. For the new comers it is difficult to know the differences between a forex trading system and a forex trading software and how to choose system or a software that is suitable for the beginners. Now I will give you the differences and usage of both forex trading systems and forex trading software to gain more profits in forex trading use them.

Forex trading software

Forex trading software also called as ‘forex robots’, which allows everyone to trade automatically in online. Some clever mathematicians worked out program software with many trading formulas to the predict the forex market and make the trades for you. Most of the forex robots use Fibonacci formula, which determines the most profitable time to enter and exit the trade. The caution for new comers is that before you start trading with forex robots, it is a good idea to practice them on a demo account and learn the in and outs of it. If you do know the in and outs of it then you will waste large amounts of money. So you must have an idea of how a forex trading software works.

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Forex Trading Systems

These are the formulas developed by the trader’s. These can predict the fluctuations in market, learn from swings and need to take the guess work out of trading. Some systems make predictions on currencies and emailed to user. Other are essentially ‘live platforms’ which plug straight into the market and feeds data back to user. So forex trading systems are safer in trading-which reduces the risk. In the recent times, all the formula’s of forex trading systems have been embedded as program to automate the trading process. And these programs are called as “forex trading system software”.

These are the most powerful tools now a days. Using forex trading system software ant beginner can make profits with ease in forex trading. This software really plays a vital role in forex trading.

They are very intellectual. They always try to minimize your losses and increases the profitable trades to make get more profits.

Conclusion

Its not a matter that you are choosing a system or software to assist your trade, make sure that you have a understanding of trading and risks involved in it. The recent down turn has made foreign exchange a more attractive form of investment. Having a forex trading system software can simply reduce the risk and increases the ongoing profits.

Warning: Double Your Money Every Single Month!

Earning consistent profits through Forex while you are away from your computer is possible only with Beginners will have the ability to earn without any knowledge of how Forex works!

For more information, Visit =>

forextradingsystempro.blogspot.com

Venkat Sidhu is forex trader and trading since 1999.

Article Source:

ArticleRich.com

Insurance

Everything You Need To Know About Motorcycle Insurance Quote Online

Submitted by: Theinsurance Quotes

When you are in search for a possible insurance coverage for your motorcycle, it is extremely essential for you to practice wisdom. It is very important that you compare motorcycle insurance quotes from different insurance providers for you to get a good evaluation of what they do offer. Doing so enables you to have a side-by-side look of the various motorcycle insurance quotes and what you may get when you acquire one.

There are many ways in which you need to have in order to get those motorcycle insurance quotes. First is to know those numerous motorcycle insurance providers and compare the motorcycle insurance quotes they offer. You should also narrow down the list of motorcycle insurance providers as well as the motorcycle insurance quotes they do offer. One good tip for this is to ask some bits of advice from your insurance agent or ask your family and friends for some recommendation. You can also do a self research. The Internet is a big help for this step.

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The first step typically gives you benefits like getting more monetary savings or its value as well as saving much time especially when at the end the motorcycle insurance provider you chose did not give you what it offered at first.

Inquiring people like you are future clients of these motorcycle insurance providers and they would be very glad to answer your questions. They would be happy to give you some motorcycle insurance quotes based on the information they asked from you. Some of the information usually asked include the model/make of your motorcycle, the age or when it was acquired and the other pertinent details of the ownership or how you get to own the motorcycle unit. There are some motorcycle insurance providers who would readily give you some list of the policies they offer or some motorcycle insurance quotes they do have. There are also some who would give you recommendations first. You can get all of these when you visit their office or through checking their website in the Internet. Usually, you will be given an ample amount of time to study their offers. Several things you need to consider when choosing an insurance policy bracket is the payment premium and its guidelines especially that of the claims. Having the aforementioned information and quotations makes it possible for you to study the best motorcycle insurance quotes that suit you.

But looking at it, when you get motorcycle insurance, you do not just really save money or its value that you may get at the end. More than this, you get peace of mind that the coverage you chose would give you security. You are guaranteed that you will be liability-free from a few motoring offense that may take place while you are on the road.

There are many people who are tired of looking for new auto insurance company that can give them the best deal. Many of these people got tired of searching for better auto insurance rates since they usually have to deal with the local agents. But these problems can now be solved. Motorists can now search the web for auto insurance companies which they think will give them the best value and rates for their money. With this technology, motorists are not limited anymore to their local agents when looking for better auto insurance rates.

Though the web offers a wide range of auto insurance companies which offers different rates and values for a client s money, online shopping of for auto insurance involves more work or it has a longer process compared to simply asking one of your friends which local agent they are working with or what their auto insurance company is. Even though it involves a lot of work, it will pay off in the end. What you just need to do is to research on their background, their history, their reputation in the business, their credibility, etc. Also, you need to study their policies. You can request for a free auto insurance quote from Better Business Bureau.

About the Author: We suggest our customers immediate Motorcycle Insurance Quotes. Motorcycle insurance generally has lower premiums. Compare Motor Cycle Insurance Quotes now.

theinsurancequotes.com/motorcycle-insurance-quotes.html

Source:

isnare.com

Permanent Link:

isnare.com/?aid=1161350&ca=Finances

Puppies For Sale

Dog Daycare Services In Chicago: A Happy Experience For Any Pet

byAlma Abell

In a majority of dog-friendly households these animals are not pets, they are a member of the family. Of course, they are a member that never needs to run their own errands, got to school or find a job. Instead, they remain behind while their human companions attend to their own responsibilities. This often means that the family dog is left alone for hours every day, a situation that leaves some pets unhappy and less healthy than they should be.

[youtube]http://www.youtube.com/watch?v=FcMRkyoHKeA[/youtube]

Dog Daycare Services in Chicago are the best method for preventing the bad behavior and depression dogs experience when left alone. An active dog can become destructive when boredom strikes. This frequently leads to expensive damage to the home and the possessions in the home and it can be dangerous to the dog.

Older or less active dogs can become overweight and depressed when they are lying in a kennel or on the sofa all day. Any dog can begin to develop separation anxiety, a condition that often leads to relentless barking while they are alone or, despite already being housebroken, making messes and marking territory inside. It is these behaviors that are some of the leading reasons people eventually abandon their pets at shelters. Many cannot afford to continue to repair the damage pets leave behind, or they are in danger of eviction because of complaints regarding the behavior.

What daycare provides is a way to release excess energy, the ability to stay properly socialized with other dogs and people, and possibly even learn a few new skills. The animals are carefully looked after and given personalized care according to their needs. Elderly dogs, those that have special medical needs and pets in homes without air conditioning during heat waves will all benefit from this type of care. Owners can feel more comfortable as well, knowing that their best friends are in a safe place.

The Chicago Canine Academy is an example of what the best of Dog Daycare Services in Chicago have to offer. The academy has a list of available services including daycare, boarding, and training. The daycare providers are certified trainers, so every customer can feel secure that their loved one is in the hands of a professional.

Speech Therapy

The Need To Feel Special

The following article is offered for free use in your ezine, print publication or on your web site, so long as the author resource box at the end is included, with hyperlinks. Notification of publication would be appreciated.For other articles which you are free to use, see http://www.innerbonding.comTitle: The Need to Feel SpecialAuthor: Margaret Paul, Ph.D.E-mail: mailto:margaret@innerbonding.com Copyright: © 2004 by Margaret PaulURL: http://www.innerbonding.comWord Count: 739Category: Self ImprovementThe Need to Feel SpecialMargaret Paul, Ph.D.From the time Jennifer was a little child, she was demanding of attention, especially from her mother, Sarah. With two older brothers, Jennifer had a “special” place in the family as the baby and the only girl. She made sure to establish a “special” relationship with her mother, who relished the connection since she didn’t have much of a relationship with her emotionally distant husband. It was easy for Jennifer to control her mother’s attention. Because her mother was needy for emotional connection and afraid of not being liked, all Jennifer had to do was get angry at her mother and Sarah would capitulate, giving Jennifer the attention she craved. Jennifer learned early to control her mother by becoming angry, critical and withholding love when her mother didn’t do what she wanted. Unwittingly, Sarah contributed to Jennifer’s neediness, entitlement issues, and the belief that happiness was dependent on approval and attention from others.Jennifer, now in her late 30’s, finds herself continuing the pattern she started with her mother – attaching to others in needy and demanding ways. The result is she has not been able to have a successful relationship with any of the men she has dated. We all have a need to feel special. It is not the need that is dysfunctional, it is how we go about getting the need met that can be either dysfunctional or healthy. It is dysfunctional when we make others responsible for making us feel special. When others have to give us attention, compliment us, seek us out, and attend to our wants and needs in order for us to feel special, our behavior is dysfunctional.HEALTHY SPECIAL-NESS You will stop pulling on others to make you special only when you accept the full responsibility of making yourself feel special. This means learning to give yourself all that you may be trying to get from others – treating yourself in the loving ways you desire from others. There are many ways of making ourselves feel special. Instead of trying to get others to give you what you want, you can:• TAKE EMOTIONAL RESPONSIBILITY:* Attend to your feelings throughout the day and explore what you may be doing that is causing painful feelings, rather than making others responsible for your feelings.* Attend to your own needs rather than expecting others to meet your needs.* Accept yourself rather than judge yourself. Validate yourself, approve of yourself – tell yourself the things you want to hear from others. Value your talents and gifts.* Value your intrinsic worth rather than just your looks or performance – your kindness, compassion, creativity, caring.* Behave in ways that you value – being loving, kind, integreous, compassionate, understanding, caring. * Pursue work you love, work that fulfills you, if possible.• TAKE PHYSICAL RESPONSIBILITY: * Feed yourself well to maintain health and appropriate weight.* Get enough rest and exercise.* Create balance between work and play and creative time.* Make sure you are physically safe such as when riding a motorcycle.• TAKE FINANCIAL RESPONSIBILITY:* Make sure you are financially independent rather than dependent upon another, if physically able to do so.* Spend within your means to avoid the fear and stress of debt.• TAKE RELATIONSHIP RESPONSIBILITY:* Stand up for yourself and speak your truth rather than complying, defending or resisting in the face of others’ demands or criticism. Don’t be a victim.* Refrain from blaming others, with anger and criticism, for your feelings and behavior. Don’t be a victim.• TAKE ORGANIZATIONAL RESPONSIBILITY:* Do what you say you are going to do regarding time and chores.* Make sure your living space and work environment are clean and tidy, and esthetically pleasing.• TAKE SPIRITUAL RESPONSIBILITY: * Take the time to connect with the love and truth of God/Higher Power.* Take time throughout the day to bring the love down to the level of your feeling self – your Inner Child. Treating yourself in these loving ways will eventually result in feeling internally special rather than needing others to make you feel special. As Jennifer practiced making herself special, she discovered that her relationships with others were becoming stronger and more fulfilling. People were no longer pulling away from her, resisting her, or defending themselves against her demands for attention. Her behavior naturally and gradually changed with others when she was treat herself as a special person.

Dentist

I Have Arthritis In My Ankle What Can I Do?

By Nathan Wei

Ankle arthritis is one of the most common problems seen in a rheumatology office. While it is a relatively small joint complex, it is subjected to a great deal of stress because of the weight-bearing required with standing and walking.

Throw in the need to make forward and backward movements as well as side to side movements, it becomes clear that the stress placed on the bones, ligaments and tendons is tremendous. And that doesnt even account for the twisting and [pivoting motions that are often required during a typical day.

Because of this responsibility and location, ankles are probably injured more than any other joint complex.

Many different kinds of arthritis can affect the ankle. The most common are osteoarthritis. Osteoarthritis is a wear and tear type of arthritis. The cartilage that cushions the joint begins to wear away prematurely as a result of trauma and localized inflammation. This type of osteoarthritis that occurs following injury is referred to as post-traumatic osteoarthritis. A common scenario is someone who sprains their ankle as an adolescent or young adult and then develops ankle arthritis years later.

Rheumatoid arthritis comprises about 15 per cent of ankle arthritis. Rheumatoid arthritis is a chronic systemic autoimmune disease that affects virtually all joints. The chronic inflammation leads to progressive deterioration of cartilage, bone, and ligaments.

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Other types of arthritis that can attack the ankle include psoriatic arthritis, Reiters disease, gout, pseudogout, sarcoidosis, juvenile arthritis, and ankylosing spondylitis.

Treatment of ankle arthritis first consists of making the correct diagnosis. That takes a careful history and physical examination. Laboratory testing and imaging studies such as x-ray, ultrasound, and magnetic resonance imaging are useful.

Treatment for mild discomfort is straightforward. Limit activities that cause pain. That means high impact sports like running, soccer, and basketball. If excess weight is an issue, then weight loss is mandatory. Over-the-counter anti-inflammatory medicines can also provide symptomatic relief.

Various ankle braces can be a lifesaver. These come in different varieties and shapes. They can fasten using laces or Velcro. Braces may be soft or may contain a hard synthetic shell. It is best to consult with your rheumatologist or orthopedist before purchasing a brace.

Orthotics are shoe inserts that tilt the ankle and relieve pain by altering the direction of stress forces. These should be custom-made for optimal results.

Rocker bottom shoes reduce pain with walking because they limit the amount of motion the joint has to go through. People who have had ankle fusion surgery 9where the joijt is fused together) often find rocker bottom shoes helpful.

When ankle pain is severe due to inflammation and/or fluid accumulation, then aspirating the joint with a needle and injecting a long-acting glucocorticoid (steroid) may be very useful. Following a procedure like this, it is a good idea for the patient to have their ankle braced for at least three days to rest the joint.

Physical therapy is also an excellent adjunctive therapeutic approach. The therapist can help the patient with different modalities that can reduce edema (soft tissue swelling0 as well as inflammation and also teach a patient exercises to strengthen and stabilize the ankle so that future ankle sprains and strains are less likely.

Patients who have severe ankle arthritis due to osteoarthritis may benefit from viscosupplementation. This is a procedure where a lubricant is injected into the joint. Viscosupplements have been used successfully in many joints including the knee, hip, and shoulder, as well as the ankle.

Surgery is an option for patients who have failed more conservative measures. Arthroscopy, which is a procedure where a small telescope is inserted into the ankle joint through a tiny incision. Small instruments are used to remove loose pieces of cartilage. This procedure can also be incorporated with simultaneous cartilage transplant where healthy cartilage is inserted in place of damaged cartilage at the time of the procedure. Cartilage transplant procedures are very time intensive and require limited weight bearing for several weeks to months afterward.

Joint realignment is a procedure where a wedge of bone is removed from one side of the ankle so that stress forces are transferred to the healthy part of the ankle. While this is a temporary fix, it is useful for some patients.

Ankle fusion is a surgical procedure where the tibia (leg bone) is screwed to the talus (upper ankle bone). This restores alignment and reduces pain. Unfortunately, the patient loses about half of the plantar and dorsiflexion (toe down and toe up) movement in the ankle. The ability to walk without pain is restored to the ankle; however, there is more stress placed on other weight-bearing joints such as the knee, which can lead to the development of osteoarthritis in these joints.

Ankle replacement is an increasingly popular option. In the past, ankle replacements werent that effective but technological advances have improved their success. Good candidates for ankle replacement are those who are older than 55 years of age, in good medial condition, have their weight in the normal range, and who dont engage in high impact activities either at work or during their leisure time.

About the Author: Nathan Wei, MD FACP FACR is a rheumatologist and Director of the Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine. For more info:

Arthritis Treatment

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