Evolving Healthcare Trends

May 12, 2017

The model trends in the healthcare system have been changing over the period of time. The old trend gave importance to the individual patients and the emphasis was on treating illness. The goal of the hospitals was to do inpatient admissions, fill up the beds and more emphasis was given to acute inpatient care. The role of managers in the old paradigm was to run the organization and coordinate services. In the old system, all providers were essentially the same. The hospitals, physicians and health plans were separate and not integrated.The newer trends that evolved gave importance to the population as a whole. It not only treated illness, but emphasized on promoting the wellness of the people. The goals of the healthcare system after being transformed over the years is to provide care at all levels which is continued. The role of managers in the new paradigm is more broad. They see the market and help in quality and continued improvement. They not only run the organization, but also go beyond the organizational boundaries. In the evolving system, the providers are differentiated according to their ability. The hospitals, physicians and health plans have formed an integrated delivery system.One of the current trend in the healthcare delivery model is that continued care is emphasized. The key professionals are not only treating patients for their illness, but they are promoting and managing quality of health. For example, a patient with high cholesterol visits a doctor. He is not only given one-on-one medical treatment, but he is also offered to attend a group session where information is provided on how lifestyle and behavioral change can help. The patients learn from the clinicians and also from each other. Another current trend is to take care of the health of the defined population and not only individual patients. All the health needs of the population as a whole are identified and served. It is emphasized that the community uses the health and social services provided. Healthcare has become more population-based. Another trend that has evolved is that the hospitals, physicians and health plans have got connected and have formed an integrated delivery system. More investments are being made with a goal of providing services to the customers and retaining them.There is a beneficial impact in the transformation of healthcare towards emphasizing continued health. The way healthcare has been viewed in the past has been changing. The shifting of care from treating acute illnesses to providing continued care is resulting in enhancement of the health of the people. The only appropriate and feasible model is to provide a continuum of care with the emphasis firmly on the family and community. The health of the population and community is considered as a whole. This is advantageous as it creates value in the healthcare delivery system. The healthcare providers work with the community as a whole and consider to improve the health of the general population. Even though this requires new kinds of ways of organizing and managing healthcare services, it helps in understanding the health needs of the target population. By studying their needs, the right health and social services could be provided to them. Examples of promoting wellness of the whole community are organizing health campaigns and providing preventive education to the people in general. Another example is providing awareness about flu vaccines and encouraging people to get the vaccination.

Integrating the healthcare delivery system has led to certain advantages to the patients. For example, they can be offered alternative sites of care depending on their convenience. It helps in meeting the needs of the customers and their preferences which is taken into account. The number of providers are expanded and the patients get to have a choice. The relationship between providers and health plans are organized in the current trend and this ensures that the right care is provided in a convenient way to the customers.There are defined budgets and expenditure targets for the populations which implies that there is a need to be efficient and productive. The formation of strategic alliances, networks, systems and physician groups can also add value. There are capitated payments and budgets allotted to the healthcare organizations. These are used to provide care to the defined population. The organization might like to improve on the payments and budgets as the expenditures of the companies increase. This results in the management to make decisions like forming strategic alliances with other organizations and increase the total resources. The growth of such networks will help in providing better care to the customers. Financial resources greatly influence the efficiency and productivity of the organization.The aging population is influencing the healthcare delivery. There is increased demand for primary care of people over 65 years and for chronic care of people over 75. The ethnic and cultural diversity is also influencing the healthcare delivery. This provides a challenge in meeting patient expectations on one hand and diverse workforce on the other. Biological and clinical sciences have met with technological advances and have led to new treatment modalities. This has led to open new treatment sites and manage across the organization. External forces change the supply of certain areas of health professionals like physical therapy and some areas of nursing. The management needs to compensate for such shortages and they need to develop different teams of caregivers at different work sites. Changes in education of health professionals implies that the management be more creative in offering healthcare services. With an increase in diseases like AIDS and morbidity from drugs and violence, there is more and more need to work with community agencies, form social support systems and there is a need for more chronic care management. Advances in information technology is another area where there is a need to train the healthcare employees in new advances. They also need to manage issues of confidentiality and rapid information transfer. Increasing expansion of world economy has led to more competitive management of strategic alliances, care of patients across the nations and of different cultures.Current environmental trends impact the healthcare delivery model. Organization’s success depends on its external and internal environment. The complex environments made up of uncertainties and heterogeneity of components leads to different organizational designs. The current environmental trends influence managerial and organizational decision making. The unique challenges facing the healthcare delivery organizations should be analyzed in order to develop and implement new and effective operational processes and strategies. As an impact of current environmental trends, the healthcare delivery system needs to improve individual, team, and organizational accountability and performance. The impact of advances in medical knowledge and information technology on the process of healthcare delivery should also be examined, and it should be leveraged to improve quality of care, process and cost controls, and revenue. New strategies would need to be identified and implemented for learning and performance improvement to create a culture that supports accountability, safety, and high-quality care. Innovative models in healthcare delivery would also be required in order to develop and implement strategies that promote organizational success and competitiveness.Due to the current environmental trends, more emphasis is given to the customers and there is more of a patient-focused care. The healthcare delivery model has been shifting to the community based care. There has been an increased modification in care processes. The traditional ways are being challenged and more experiments are being performed to fulfill the demands to improve the quality of care. Due to the shift in the environmental trends in the healthcare delivery model, more emphasis is given to quality improvement. This will help improve the performance levels of key processes in the organization. The performance levels are being measured, the defects are eliminated and new features are being added to meet the customer’s need efficiently.There is a new emerging contemporary trend in the U.S. healthcare system. Presently, the management research and assessment have been offered increased recognition. The emerging trend seen is that this is slowly forming an integral part of managerial and organizational effectiveness. With the emerging efforts in information management, it is leading towards clinical and financial networking. The trend seen among the physicians and nurses is that they are being increasingly involved in managerial activities. The managerial trends are also changing with respect to role performance and changing values. The managers role is getting more and more recognized in managing finance and human resources. Management training, lifelong and distance learning is being offered in preparing future managers.The healthcare executives and managers will be faced with the major responsibility and challenge in the years ahead. They will be working with other healthcare providers and will be creating a competitive future for their organizations. They will not only be managing organizations but also a network of markets, services and joint ventures. Formation of more and more strategic alliances and partnerships will lead the management to manage across boundaries. The management will change from managing a department to managing the continuum of care. The management will be following a community-based approach. Trend in management is also shifting from just coordinating services to providing improvements in quality.As the demands in healthcare are increasing, the management is responsible for forming performance standards. The management is also challenged to maximize the productivity and quality to serve the health needs of the community. The management is looking after the demands of the external environment as well as attending to the performance of the internal environment. The management is responsible for the performance of the organization.Healthcare organization leadership will be responding to new trends and competitive forces. It will respond to continuum of care, overall health status of the population and more complex organizational structures. These emerging trends in the healthcare system will effect the organization’s leadership. The future managers would need leadership skills and vision to integrate the organizations and help in providing the best care. The managers will have to be committed to leadership and work on giving their organizations the best place and help their organizations adapt to the changing circumstances. More value will be given to leaders who will be able to lead the change process. As changes are inevitable for the betterment of the organization, the leaders should be able to identify how the change is to be received and how it is to be communicated at all levels of the organization without damaging the implementation process. The leaders might have to deal with increased pressures due to organizational complexity.

The leader in the organization provides strategic direction to the organization, manages diverse stakeholders, becomes mentors for management, is willing to take risks, helps the organization interact with the external environment and attends to the internal needs as well. Where required the leader will involve physicians in governance process and align physician and organizational interests. There will be a need for formation of learning organizations. Transformational leadership will create the required vision for the organization. Leaders will have a greater role complexity and they themselves will have to adjust rapidly to new situations. The healthcare organization leadership will have to live up to the values of the organization and will help in fulfilling the mission of the organization.Individuals and groups within the healthcare organizations require more and more competencies. An enhanced lifelong learning is required due to the fast, changing environment. The individuals and groups within the healthcare organizations will be benefitted as there will be rapidly developing medical technologies which will result in increased services. More sophisticated health services will be provided to the consumers. The range and quality of services provided will be regulated for the benefit of people requiring home care, long term care and ambulatory care. The anticipated future development will also result in the increased competition among the health services organization. The individuals and groups will be involved more and more with the community for issues like drug abuse, teenage pregnancy and violence.Individuals and groups will be faced with increased strategic planning and management in the healthcare organizations as there will be ever increasing involvement by the trustees and physicians. As the future environment in the organizations will be more complex, the individuals and groups in the healthcare organizations might feel more pressurized. They will need to serve the changing demands of the community as the population of elderly patients will increase. These individuals will require more professional training, increased levels of education and should be taking part in continuing education programs.Due to the anticipated future development in the healthcare organizations, those individuals and groups will be valued, who are adaptable, committed, are able to add value and embrace change. These individuals will be required to experiment more and help in redefining the mission and goals of the healthcare organizations.

Natural Health Sciences

May 20, 2017

Natural health sciences have taken on a whole new dimension with the creation and expansion of the large assortment of healing arts schools and colleges available today. For example, students can invest time and tuition to achieve a Bachelor’s or Master’s Degree in Science in Nutrition. Natural health studies that are provided in these degree programs involve anatomy, physiology, whole foods, organic chemistry and biochemistry, food science, nutritional supplements and herbal medicine, physical fitness, and related natural health sciences. However, be prepared — most degree programs in these and other natural health sciences require prerequisite education from an accredited school or university; and may take up to four years to complete.If you choose to pursue an education in herbology, there are a number of degree programs in natural health sciences that cover this field of study as well. Currently, candidates can apply to a Bachelor of Science Degree program with a major in herbal sciences, and earn a solid educational foundation to become an herbal instructor, herbalist, wellness practitioner, herbal medicine researcher, or holistic health practitioner, among others. Common natural health sciences that are offered in this course of study include herbal sciences, anatomy, pathology, pharmacology, physiology, biochemistry and organic chemistry, microbiology, Materia Medica, herbal preparation and formulas, and more.

Home herbal gardeners, don’t dismay — there are a number of holistic workshops and seminars that offer natural health sciences and studies in home herbal remedies, organic gardening, iridology, and introductory classes in supplements, vitamins, and flower essences, among others.Some certificate and/or diploma programs in natural health sciences are also accessible. If you like working with people and enjoy the healing art of massage, there are numerous natural health programs that emphasis bodywork modalities like deep tissue massage, Swedish massage, sports massage, aromatherapy, hydrotherapy, and associated studies.Because natural health sciences reflect the growing demand for natural health care and complementary medicine in lieu of often invasive and risky conventional health treatments, now is the perfect time to enlist your energy and talents in the ever-expanding fields of the healing arts.

If you (or someone you know) are interested in learning more about these or other programs in natural health sciences, let professional training within fast-growing industries like massage therapy, naturopathy, acupuncture, oriental medicine, Reiki, and others get you started! Explore natural health sciences [http://school.holisticjunction.com/clickcount.php?id=6634739&goto=http://www.holisticjunction.com/search.cfm] and similar studies near you.Natural Health Sciences© Copyright 2008The CollegeBound NetworkAll Rights ReservedNOTICE: Article(s) may be republished free of charge to relevant websites, as long as Copyright and Author Resource Box are included; and ALL Hyperlinks REMAIN intact and active.

Systems Thinking in ‘ORGAN’-Izations

April 28, 2017

What is systems thinking? Systems thinking is the process of understanding how things influence one another within a whole. That definition and many like it are found all around the internet, but do we know what it looks like in action? I found it confusing in many cases due to these same resources stating that a systems thinking approach is the opposite of breaking a larger system down into its parts to be analyzed and/or improved. It is my opinion that using a systems thinking approach in an organization is a balance of both.I’ve read a lot about tearing down these functional areas as if they are some kind of barrier standing in the way of a systems approach. I am going to disagree with this and state that we simply need to work with them differently. I strongly agree with the need for these teams, but the information within should be openly available to all other teams and the communication paths should be directly available.In every business we have a product, service, solution, etc… to provide to someone and in many it is important to have expertise organized into functional teams within the organization. These functional teams need to be in place for organizations to provide important pieces such as expertise, accountability and responsibility. Building a culture of relating these functional teams to systems that are part of a larger system and promoting collaboration between these systems is how I would describe getting your organization to a systems thinking approach.A systems approach provides many things from efficiencies and cost savings to feedback loops and product improvements. It can even have a positive influence over morale.After recent discussions on systems thinking I was looking for an example of an organization that utilizes a systems approach effectively. What I realized is that not only is the human body a great example of many things working together for a common goal, but that we study and teach on this subject recognizing each of these parts as systems working together.If you were to look up the Human Organism and write down the highlights, you are probably going to write something like skeletal system, muscular system, nervous system, etc… See the common factor?

Now hold that thought and let’s look at the human body as we look at our own organizations. Imagine a standard org chart with organ systems breaking down into each system (nervous, muscular, digestive, etc… ), then to the organs themselves (heart, lung, liver, etc… )From atoms to molecules to organelles that form cells which form tissue which leads to organs that make up an organ system and results in an organism.If the body worked vertically it probably wouldn’t function let alone be what it is today. The body maintains our functional groups that allows for expertise, responsibility and accountability; but still has many interworking systems.Notice that when we speak of the functional teams that make up the body, we refer to them as systems. The body has 11 major organ systems, but what you cannot display in such a standard org chart representing the body is the overlapping of these systems. Nearly all of the major organs of the major systems have other organs from other systems connected to them. Notice that I said there are 11 ‘major’ systems. Choose your belief here, but whether fantastic evolution or a genius creator, the need for interworking systems was obviously not overlooked. I listed some organs that fall under their organ system, but what happens when I ask you where the hypothalamus resides? It is a gland so let’s say its functional area is the endocrine system, but it’s function is being responsible for the activities of the autonomic nervous system. This happens to us everyday right? Your software developers are not writing software to develop software.We’ve decided that with the org chart of the human body if you will, it needs a system to link the system, hence we have what is known as the neuroendocrine system. This is found again and again throughout the human body where functional areas overlap. The muscular and skeletal systems work so closely and are dependent on each other for optimization of movement and support that we have a musculoskeletal system. Genius right?The musculoskeletal system is not a whole new functional area of the business with new management, etc… Consider instead that it is a space where representatives from both systems come to collaborate on their ideas of how to reach the common goal and then returns to their own system.Aside from not addressing dependencies from multiple functional areas to optimize the outcome, silos cause other issues in the organization. Regardless what your functional area is, it is better than the others right? If you are an installation tech, you could meet your goals if development had it together and if you are in development your product is fine if only your installation guys were smart enough to implement it.We’ve got to tear down these silos and interact. Every decision made in a functional system is going to change the overall system. If your change is not matched and/or countered by other changes the result has changed. What a standard org chart (silos) doesn’t do is help us identify where a problem is or visually instill the idea that what one does has a greater consequence to the common goal. As an example, let’s assume you have hypoglycemia.Well, hypoglycemia is a condition that occurs when your blood sugar (glucose) is too low. Now you have double vision, fast heart, nervous, shaking, sweating, etc… Each system is reacting. If you take medicine to rectify the symptoms without understanding the true cause you could damage your pancreas or cause other systems to work harder to counter the new effects while not actually curing the problem.Hypoglycemia can be caused by medications or alcohol so it could be the fault of the mouth. If not the mouth maybe the overall digestive system for not breaking down the carbohydrates or back down in that functional system to the pancreas for not producing insulin. Maybe it’s the blood stream and maybe it’s that the liver and/or muscles aren’t storing glucose properly. It very well might be a digestive system problem, but unless we understand how systems overlap you might of just replaced your director of digestion when in fact the problem could of been any one of circulatory, muscular, or endocrine systems.Similarly, defects in the muscles and bones can be the result of neurological problems, metabolic or vascular disorders, nutritional imbalances, etc… If any one of the systems that make up the human body were to over/under produce or change what it does all together, it can drastically change every other system and the overall result of what they were previously working together to do.

The body has 5 vital organs being the brain, heart, lungs, kidneys, liver, and pancreas. Scroll up if you need to, but I’ll just tell you that the blocks are red and each resides inside of a functional system. What?! The brain isn’t higher than bones? All of these systems work together and due to this the information uses the nervous, muscular, circulatory, and other systems to share information where they overlap and transport it to another system it interacts with. If you were to put your hand on a hot surface the body reacts by sending signals to other parts of the body. Your muscles contract to pull away, it notifies your brain of the incident, your blood pressure increases while you breath heavier, your pupils dilate, and you start releasing hormones like adrenaline.Many systems in the body just worked together to notify, react and rectify and it did so by communicating within interworking systems rather than all information leaving the critical areas and coming back via the same point it went it out. Good thing or you might just still have your hand on a hot surface waiting for that single point of communication to be available.Any living organism is amazing, but remove any one system or even tamper with it without proper communication to the others and if you are still alive, you’ve just caused cancer.To do this an organization needs to instill a culture of collaboration and team building so that the vital organs can work together while the functional manager acts as a servant leader to keep his experts focused, trained, and with the tools they need to do what they do.With all of the communication that the body has going on, you can provide it with the right nutrients and not only is it healthy, it becomes self healing when the unknown arises. Shouldn’t your organization be self healing?

A Brief History of Female Sexuality – Part 1

May 24, 2017

Sexuality is a “condition” that is characterized and distinguished by sex and passion. It is, again, according to American Heritage Dictionary, “the quality of possessing a sexual character or potency.”I really like that one. Potency. That means power.Where “sex” is an act that has a beginning and end, “sexuality” is a quality, a sexual character and power. It has no beginning and end, no more than your personality does or your sense of aesthetics does. Sexuality is essential to your nature. It is you. It is your vitality. It is a wonderful thing.Of course, the two – sex and sexuality – are related, and very often delightfully intertwined. However, I would argue that while it is possible to be sexual without having sex it is pretty close to impossible to truly enjoy sex without being in touch with your own sexuality. Which, in and of itself, is a pretty good reason to want to embrace your sexuality.Too many women in the 21st century are divorced from their sexuality even as they participate in sexual acts. They may be having sexual intercourse with their partner or partners multiple times and reaching multiple orgasms but what they are engaged in is about as meaningful and deeply satisfying as riding an exercise bike. As a result, they come away from sex acts with a sense of “what’s the big deal?” or that felt good for the moment. Or, worse, they feel degraded and/or diminished; reduced to an object. For many of them, a good session at the gym would be more fulfilling – and might even provide a more satisfying release.My dear, let me be very clear – that is not the way it is supposed to be.Sex without sexuality is too often demeaning, it reduces the sexual act to little more than a heaving, grunting, often-sloppy and sweaty physical endeavor. It is not called the “beast with two backs” for nothing. If all you’re focused on is the “beast” part, the physical act, you cannot possibly be truly engaged in your own sexuality. Your sexuality is not engaged. And, when your sexuality is not engaged, you are removed from the power of the act.However, with your genuine sexuality engaged, there is nothing you cannot do alone or with a partner that is not uplifting, satisfying and consistent with the person your are – whether that’s a twenty year old college student or a fifty-two year old church volunteer. With your sexuality engaged, that heaving, humping beast with two backs is an explosion of wonderful passion.In short, it is and can be exotic and mind blowing. And when sex is emotionally deep and erotic, you and your partner are truly bonded together – rather than being the sexual equivalent of opposing and competing wrestlers, with you invariably being the one pinned down for the count, you are in control. You can be more or less dominant and be thrilled by either because no matter how you behave in a sexual encounter, it is true to who you are; it is true to your sense of your sexuality.Unfortunately, history has rarely embraced this uplifting view of female sexuality. It has long viewed male and female sexuality as opposing forces, in opposition and in competition to one another. Not as it should be.In ancient China, men who engaged in masturbation risked a complete loss of vital yang essence. As such, it was strictly forbidden. Women did not risk the same loss of their vital essence. The rules about female masturbation were much more specific and focused on a particular concern; women were free to masturbate as much as they liked, as they possessed an unlimited yin, however, they were warned against masturbating with foreign objects which could injure the womb and internal sexual organs.Because women were understood to have an inexhaustible yin essence, they could keep on having orgasms long after their male partners had been reduced to shrunken, limp lumps of flesh snoring alongside them, while female sexuality was expressed in multiple ways. In addition to masturbation, lesbian relations were encouraged. Male homosexuality was forbidden, however as such behavior was thought to result in a complete loss of yang essence. In this Chinese understanding, sexual relationships between men could only result in the net loss of the yang without any possibility of regaining it, which was possible with heterosexual relationships.Although a bit at odds with our modern sensibility, at least sexuality in ancient China was deeply rooted to a sense of essential essences. Sex was never just a physical act. Sexuality had everything to do with something basic in the nature of what it meant to be a man or a woman. Therefore, any sexual act was understood in the context of their fundamental essences – yin and yang.For this reason, prostitution was very much accepted in ancient China. Men seemed to think that engaging with prostitutes gave them the opportunity to gain additional yin from them, more than from “normal” women. Men could “gain” some of that essence from women. In particular, the belief was that a woman who had sex with many men began to acquire some of the yang essence from her customers, yang essence that could then be “shared.” Consequently, it was possible for a man to gain more yang from a sexual encounter with a prostitute than he lost and more than he could gain from relations with his wife who, presumably, only had sexual relations with him.This somewhat balanced the understanding of what essential male and female sexuality meant and began to change during the Ch’in Dynasty (221 b.c.e to 24 c.e.) when the role and place of women shifted from one of sexual energy to one of more familiar modern gender roles.When the Ch’in Dynasty shifted from the Taoist culture that had predominated China to a Confusianist culture, women’s roles and the understanding of sexuality and sexual behavior then shifted dramatically. No longer was sexuality and behavior determined by essential nature, by the yin and the yang. Instead, there was a more “traditional” – patriarchal cultural dynamic. The dynamic many of us are currently familiar with. Women were not just possessing of a different essence than men but they were considered inferior to men. Physical relations between men and women were found mostly in marriage and were only to take place in the bedroom. At the conclusion of such “contact,” all physical contact was to end – there was to be no contact even between husband and wife.In a way that is only too familiar to those of us in Western Civilization, sex itself came to be considered sinful and tolerated solely for the process of procreation.Even at the conclusion of the Ch’in Dynasty, when the Han Dynasty embraced a return to a Taoist worldview, new perspectives on sexuality and sex had taken hold. Taoism had become a more structured and organized religion, with its own churches and priests. So too, sexuality and sexual behavior had become more rigidly structured. Sexual behavior was formalized, even finding expression in written texts. Two of the most famous of these texts were The Handbook of the Plain Girl and The Art of the Bedchamber.In both, a “Yellow Emperor” sought to live a long, healthy life and to attain some degree or form of immortality through sex. In order to accomplish his lofty goal he needed to become an expert at techniques that would prolong his orgasm and allow his sexual partner to orgasm several times. By doing so, he would maximize the amount of her yin essence that he would gain from their encounter while minimizing his own loss of yang essence.While concerns about yin and yang are foreign to our understanding, one valuable insight we can gain from these perspectives is that sexuality was considered essential to who we are and that sexual mores change. This Eastern view is consistent with our understanding that one is a dynamic, constant sexuality fluidity and the other is defined by the times and circumstances of sexual behavior and roles. During times when the two were balanced, there was a sensible and satisfying cultural norm that blends sex and sexuality.Unfortunately, there have been too many other times when the two were in conflict. This back and forth seems to have defined much of Western culture and history, as well as the role of women and sex in our society. And, as frustrating as it is to find ourselves at the dawn of the 21st century still sorting out the power and need for sexual awareness and the ability to embrace sexuality. Fortunately, we are in a better place than women have been through most of history. We still have a long way to go for women to feel comfortable and confident with their sexuality and know the difference between sex and sexuality.In Medieval times people’s fears focused on three things: the Devil, Jews, and women. The fear of women was completely tied into the perceived threat of female sexuality. In the “dark, moist heat” of women’s sexuality, men became prostrate with fear and trembling, a fear and trembling that have continued to the beginning of the twentieth century and, in far too many places across the globe, to the dawn of the twenty-first century.Ironically, texts from the time display an astonishing detail of female anatomy and function. Men seemed to get the physical component right but when it came to understanding and embracing a woman’s essence, they fell far short. And these were not mere “common” men. As seems to be the case over and over again, the hysteria that punished women for being women came from the very minds and men who were capable of understanding physicality. The condemnation of doctors, “physics” and ministers might seem astonishing to us now – the stuff of witch hunts and fiction – but it continues to inform our sensibilities.The times taught that female sexuality was a serpent that was secretly guided into the heart. Goethe, writing about syphilis, used similar imagery when he demonized the disease as a beast and warning of “a serpent which lurks in the loveliest of gardens and strikes us at our pleasures”.In this poetic turn, Goethe captured the true “horror” of female sexuality and gets at the heart of men’s fear – it ensnares men in that “loveliest” of gardens, striking them at their “pleasures,” when they are most vulnerable.In the last half of the nineteenth century, when more “rational” thinking took over, the female disorders of nymphomania, masturbation, moral insanity, hysteria and neurasthenia were almost universally believed to be a serious threat to health and life and civilization. Most “experts” presumed these dire maladies were the inevitable result of reading inappropriate novels or playing romantic music.Novels and music?!As irrational as this might seem, there are still large, mainstream religious institutions which separate boys and girls, prohibit music and dancing, and discourage any contact with modern culture.Are we so very different than those who lived in the Victorian age?Then, there were instances of mass hysteria much like the Salem witch episodes in which women were taken with something called “menstrual madness” and insanity, diseases which required an immediate response and often a very radical “cure.” Menstrual madness was often “cured” by laparotomy and bilateral “normal ovariotomy.” This is the removal of normal ovaries known as “Battey’s Operation”.One professor of psychology, Charcot, gave public demonstrations of hysteria in women in the 1870′s that emphasized his belief that most mental disease in women resulted from abnormalities or excitation of the female external genitalia. Or, to put it bluntly, he masturbated these women in public!Now, these public demonstrations may strike you a bit pornographic because… well, according to our standards today, they were!You could be sure that these “clinical tutorials” were very well attended by scores of men who were only too pleased to witness – in the most graphic detail – the demonic role of the vulva and clitoris in the causation of hysterical attacks in Charcot’s young and, not incidentally, attractive patients.The Internet does not deliver anything any more graphic or pornographic.In an historical note, one of Charcot’s pupils was none other than Sigmund Freud, who attended these demonstrations at the La Salpêtrière for five months, repeated this fashionable view in his writings and lectures while also stressing the effect of the mind on gynecological and mental disease.There is reasonable evidence that Freud modified his case histories – excluding the realities of deviant sexuality and sexual abuse and replacing them with sexual fantasies which would be much more acceptable to the Viennese upper middle class who were his audience.I trust you are beginning to recognize a pattern here. There is a very clear thematic trend in the history of female sex and sexuality.During Victorian times, when much of our “modern” understanding of women’s sexuality found its voice, women were taught not to enjoy sexual activity. They were taught to actively repress their passions. They were actually taught – in so many words – that their enjoyment of sex existed in direct proportion to the moral decline of society.With that kind of burden, it is not surprising that few women felt any sexual desire and satisfaction. How could a woman embrace her lover in full joy when, in the back – or front – of her mind she held the belief, a belief imposed upon her by her teachers, her clergy and her family, that by doing so she was contributing to the destruction of all that was good in the world.Talk about a surefire way to inhibit pleasure and orgasm!For the Victorian woman, sex had one purpose and one purpose alone – to procreate. Ugh! Makes it sound like an unpleasant chore, doesn’t it? It followed from this that a girl or woman’s worth prior to marriage (the only social structure in which this procreation could take place) had worth only if she remained chaste and pure.Once married, she could expect to be engaged by her husband in conjugal acts only when “necessary.”Let’s pause for a moment just to parse the profoundly disturbing truths in that last observation. The first, of course, is that sex was reduced to an act that was engaged in only when “necessary” – presumably for the relief and release of the husband and to further the goal of procreation. The second, however, is more subtle and even more damaging. “She could expect to be engaged by her husband…” In regards to sex acts, and her sexuality, the woman was to be passive. She was nothing more than the recipient of someone else’s sexual wants, needs and demands – for purposes that she did not demand. She had no control over, no rights to, and indeed, was meant to remain ignorant and disapproving of her own sexuality.It is impossible to examine the nineteenth-century medical attitude to female sexuality and come away with the feeling that it was anything but cruel and heartless. We would be kind to call it ignorant. But it was too malicious to be merely ignorant. It was damaging and malevolent. With professionals, gynecologists and psychiatrists, leading the charge, the medical professions designed treatments designed to “cure” those serious contemporary disorders, masturbation and nymphomania.The gynecologist, Isaac Baker Brown (1811-1873), and the distinguished endocrinologist, Charles Brown-Séquard (1817-1894) advocated clitoridectomy to prevent the progression to masturbatory melancholia, paralysis, blindness and even death! A rational person might think that these professionals would have been tarred and feathered for their cruel views.A rational person would have been wrong.Society as a whole embraced their horrific view of women.Before becoming self-righteous in our judgments, however, we must ask ourselves, Have we changed so much? Compare the perspective and behavior of those Victorians to our modern world where this same operation is still being forced upon women and girls in Asia and Africa and certain religious communities throughout the world!Look at our own communities where young girls and women are made to feel ashamed and “dirty” for having sexual thoughts and desires.Still, things are much better than our Victorian past, when the medical contempt for normal female sexual development was reflected in public and literary attitudes. Consider that there existed virtually no novel or opera in the last half of the 19th century where the heroine with “a past” managed to survive to the end.The Victorian woman was reduced to simply a vessel. Oh, she was a highly-valued and a necessary “vessel”. After all, sex was necessary to further the biological imperative. (Imagine someone using a line like that in a bar! “Hello, my dear, would you consider furthering the biological imperative?” My guess is that someone using that line wouldn’t be getting laid that night!)Any sexual desire that a Victorian woman experienced was, by definition, contradictory to her virtue. According to The Physician and Sexuality in Victorian America (1974) by John S. Haller Jr., and Robin M. Haller, sexual promiscuity was an “ominous indication of national decay,” and not a sign of women’s liberation at that time.This was the dominant perspective during Victorian times. As bad as it was, Victorian times were not Medieval times. Even against this bleak backdrop, there were other points of view being expressed. Many early “love manuals” actually emphasized sex for pleasure also. These manuals took the position that there could be equality in the marriage bed. An early indication that for sexuality to flourish, there has to be an acknowledgement of the equal needs and value of the partners in the sex act. There has to be respect and value on the needs, wants and desires of each partner.These manuals took the revolutionary position that a women’s interest in sex depended upon her ability to seek satisfaction along with her partner. Sex could be an enjoyable act separate from its procreative imperative alone.Joy of joys!Of course, even these enlightened views were tempered by the presumption that indulging in sex too frequently was likely not a healthy thing and indicative of moral shortcomings.So, there were other, “quieter voices” that spoke out in favor of greater sexual expression and enjoyment. Unfortunately, the dominant view took the more powerful grip on the culture’s defining morals. During the 1840′s there was a greater emphasis on the health aspects of “conjugal discourse” and less on the enjoyment aspects. There was a tendency to advocate for even less frequency in sex than earlier years. William Acton wrote in his text, Functions and Disorders of the Reproductive Organs (1888), that women experienced “no need for sex.”No need for sex!? Certainly the idiocy of his position would have been disputed on its face.Of course it wasn’t. Not only was it not disputed but it was actually applauded by others, including women. Acton’s belief that women were apathetic to the notion of sex in marriage had a great ally in Mary Wood Allen, M.D., Superintendent of the Purity Department of the Women’s Christian Temperance Union. She held that “the most genuine love between a husband and a wife existed in the lofty sphere of platonic embrace.”Thanks for nothing, Mary! I guess her idea of a successful marriage was a husband and wife having a “sleepover” together, perhaps going so far as to hold hands and gaze warmly at one another as the night deepened around them.As if to prove that when it comes to silly ideas no degree of extremism is impossible, other manuals of the time embraced the idea of marital continence, which referred to the ” voluntary and entire absence from sexual indulgence in any form.”People who took this position pointed their boney, self-righteous fingers at women who deigned to seek sexual satisfaction and accused them of not leading “God-filled lives.” We have evolved remarkably since then. We tend only to call them names like “slut” or “nymphomaniac.”Thankfully, there were also sensible voices shouting to be heard. Sometimes, the arguments seemed to build on the foundation that women did not desire sexual satisfaction, as the argument of Elizabeth Blackwell, a physician who believed that female’s lack of sexual lust came from a fear of injury in childbirth. Implicit in her belief was that women lacked sexual desire or lust. So too when she noted that women were passive because men would be rushed to perform quickly, leaving them without gratification.At least her observations hold true in one fundamental aspect – women have consistently blunted their sexuality and sexual desires in order to maximize the “gratification” of men.There were enlightened voices crying out. Not everyone was blind to the truth of women’s sexuality. There were physicians who argued that a women’s capacity for sexual gratification was at times more intense and prolonged than the males. These physicians viewed ignorance as the root of the problem women had with sexuality. They argued that women’s lack of sensible sexual education had taught them to believe that any sexual feeling was “indecent and immoral.” As a result, women had become a race of sexless creatures, little more than “married nuns,” who experienced no pleasurable feeling during sex.But no matter how loudly these voices cried out; no matter how reasonable and rational their arguments, they did not carry the day. Acton’s view remained the dominant articulation of women’s sexuality from the late 1800′s through the middle of the 20th century.

Free Internet Marketing Software Keyword Generator

May 11, 2017

As you begin your search for new free internet marketing software and free keyword generator programs there are certain things that you must do to maximize your efforts. Remember that time is your most valuable commodity as an internet marketer and simply put we as marketers do not have time to waste looking at, reading about and testing new software programs that offer the following;1.) Trial Use2.) Limited Use3.) Timed Use4.) Demo Only5.) Light VersionI’m sure that from time to time you will find a truly wonderful program that defies all of the odds, but let’s look at this from a practical point of view here. How much time was spent getting to the point where you found that software program? Was it really worth all the hassles? More often than not I’m sure that you’ll agree that it would be better if you could simply find a website that reviewed these so called “free internet marketing software programs” and “free keyword generators”. And of course finding such a site that also offered a blog or forum for viewer comments would be even better.To prove this let’s do a brief study on free internet marketing software and high quality free keyword generators. For the sake of argument let’s run a search on Google for a “free keyword generator”.Case Study #1:Free Keyword List Generator by Stomper Net – My first thoughts were WOW another GREAT free or low cost promotional tool being offered by Stomper Net! Then I realized that I had to sign up for their email list AGAIN and register to use the tool. Once I’d jumped through these initial proverbial hoops I was shocked to find that I’d overlooked the fact that this software uses Word Tracker Keywords.

This means that my software would need to be upgraded to unlock it’s full potential, which of course would cost money. Worse than that I might need to sign up for the Word Tracker Keywords program and that means I could possibly end up paying for a monthly or annual subscription to their service.* Before I offend anyone I do realize that Stomper Net and the Word Tracker Keyword program are both well respected staples in the internet marketing niche. However, in this case it is my goal to help people find completely FREE full version internet marketing software and keyword generator software that they can use to promote their products, services and affiliate programs with.Case Study #2:Good Keywords – At first site their website looks very well organized and professional. They offer free full version keyword research tools and keyword generator software that looks like it will do exactly what we’ve all be looking for. At one time this may have been a state of the art program back when Yahoo’s Overture worked reliably on a consistent basis.The problem with this free internet marketing software group is that it is completely reliant on a program that is so over used that the mere traffic to the Yahoo Overture website alone bogs down their system so badly that you’re lucky if you can even get their website pages to load from one visit to the next.* Also sadly in this internet marketer’s humble opinion the results that are pulled with the free Yahoo Overture tool has proven to be unreliable and unstable at best. Again, I don’t mean to offend anyone and I’m sure that at one time this was a GREAT program, but there are newer and better things.Case Study #3:Global Promoter – The first thing I noticed on their website was this;”Please be patient. This may take up to 2 minutes because it compiles the results of 6 major search engines. Sometimes no results are returned even though there are queries performed on the keywords you typed in during the given month. If this occurs, just hit submit again until the correct results are returned.”In theory this looks GREAT if they’re really using this free internet marketing software program, or in this case, free keyword generator software, to search on SIX major search engines! However, what I found next really bothered me.
“No Searches Done in March 2008 on the Overture network of search engines for your keyword.”This only left me thinking that there I was again using a program that was completely reliant on Yahoo’s Overture, which again in my humble opinion was outdated, unreliable and inconsistent.Case Study #4:Google AdWords Free Keyword Generator Tool – With this free internet marketing software program I thought that I’d finally struck oil. After all no website is more revered, searched and used online for things of this nature than the mighty Google themselves! With that in mind I typed in my favorite set of keyword search terms;”free internet marketing software”Unfortunately the results that were returned consisted of 3 targeted keyword phrases and 11 other keyword phrases that had NOTHING to do with any form of internet marketing software.Case Study #5:Traffic Zap’s Free Keyword Generator – Let me cut this one short by telling you that when I tried to use it the first thing I got was a POP UP with something that looked mildly semi-pornographic. It then appeared to be processing for some time only to return an error message that once again leads back to problems that we’ve already discussed regarding the long list of free internet marketing software programs that rely on Yahoo’s Overture.

At this point we’ve researched ALL of the top 5 unique listings on Google for “free keyword generator” and we have yet to find a truly reliable free internet marketing software program that we can use to promote our products, services or affiliate marketing programs…..other than ones that we would most likely have to PAY to upgrade, such as the program by Stomper Net mentioned above.Final Case Study:Free Keyword Generator by IM Software 4 Free – This program checks for a list of popular keywords by searching on Google, Yahoo and MSN combined to come up with a more complete starting point for internet marketers to use. It also runs a search on these 3 major search engines to find out how many competitor posts show up for each of the chosen keywords.While no free internet marketing software or free keyword generator is going to be perfect this tool is truly a GREAT program to use and best of all it’s completely FREE to download and use. There is no trial use, limited use, timed use, demo or light version that leads to a paid upgrade or leaves you out hanging in the wind to PAY if you want to use the software after a specific time frame.

Womens Health – The Secret Behind Good Health

May 6, 2017

Maintaining good health is important for women as they have to do many activities in the daily life. Lots of women have been suffering from many types of Womens Health related problems due to the lack of essential vitamins and minerals in the body. Vitamins are very important and essential ingredients for the body because the help the body organs function properly and due to this reason they need to keep themselves in a good health. Good quality vitamins help the women in slowing ageing process, strengthen the immune system, improve the energy levels and also support the hormones. But before looking for vitamins, a medical consultation is very essential as the medical professional will be able too find out the most suitable vitamins as per the body formation and functionality of vital organs.

Physicians can provide better guidance when it comes to the Womens Health care as lots of studies in the medical field have proven that the body of women needs lots of anti ageing substances which are natural and provide specific benefits to their health. Fresh fruits and vegetables always help in supplementing for the vitamins and minerals required for the body. Apart from vitamins and minerals, women also require nutrients like amino acid, antioxidants and so on.Nutrients are important for both the genders but some nutrients are specially required for Womens Health because they are much important in balancing their female hormones. It is a fact that the women who are between 25 and 45 years of age need extra bit of care for the maintenance of their good health. Osteoporosis is a significant situation in women which begins when they attain 30 years of age so a diet of calcium and magnesium supplements and other necessary nutrients regularly are specially recommended to those who attain the age of 40.

It’s important for the Womens to give proper care to their health and get the regular checkup done to keep them fit and disease free.

Equestrian Style in Your Home

April 25, 2017

Your love for horses doesn’t need stop at the barn. Horse people enjoy having decorative horse elements in the home. Whether you are a lifelong equestrian, an admirer of horse sport, or someone who loves the equestrian look, having equestrian style in your home adds character and tradition. How you bring equestrian elements together can make the difference in telling a story or having your items overlooked.Equestrian style was popularized when Ralph Lauren hit the fashion world by storm. He made both nautical and equestrian styles livable for mainstream people. It became possible and affordable to have the sporting lifestyle look. And while many people took up stirrup pants and hacking jackets, decorating with equestrian style has been around for hundreds of years. Look no further than the English countryside. Whether you have acquired equestrian pieces from the barn, or you are just starting out, giving your home or space an equestrian estate feel is not difficult. As with any design, the key is to start with a plan that includes well-thought-out furniture placement and a good color scheme. Traditional furniture works best when designing an equestrian style space. Dark, substantial wood furniture with good quality upholstery or leather gives mind to the English countryside, where most equestrian trends originated. Steeped in custom and tradition, equestrian elements have changed little through the centuries. Garner ideas from books and magazines, or search the internet for ideas.

Once furniture placement has been established, anchor the space with a good rug. Vintage rugs protected fine wood floors from muddy hunting boots, numerous hounds, and country parties. These rugs were handmade and vegetable dyed. Today’s production rugs lack some of the character of the older rugs, but can still lend the style and are always a smart choice to bring a space together.Equestrians love art, and art that includes the horse is always a favorite. Some equestrian artists have stood out through the years, with George Stubbs being immensely popular during England’s sporting days. His works are traditional, beautiful, and have color schemes that are easy with which to work. Reproductions of his paintings are available on the internet.No equestrian space would be complete without horse tack, the equipment leather goods used in riding and training horses. Whether you choose stainless steel stirrups or bits, old horseshoes, or leather strap goods, these pieces strategically placed are key elements to bring your space to life. A favorite of ours is a silver mint julep cup used to hold pens or flowers. Stirrups make good bookends. Harness brasses can be framed or mounted cleverly over light plates. Snaffle bits can serve as window panel tie backs. Equestrian books are another design element that is readily available and brings authenticity to your space. These books are available as novels, training books, or picture books.

To add softness and comfort to your space, yet still maintain style, consider adding needlepoint or horse themed equestrian pillows. Throw pillows come in many styles and colors. Look for traditional fabrics and authentic embellishments like fox hunt buttons, harness brasses, or other pieces of horse equipment.Bringing equestrian style to your home or space adds character. Horses have had a close relationship with man for most of human history. Only since the invention of the automobile have we been so distanced from him. Bring equestrian style to your home by using these design ideas, and bring horses into your decor.

Franchise Agreements, Governing Law and Jurisdiction Issues

May 13, 2017

In franchising franchisors can end up spending huge monies on attorney fees and worse off find them selves simultaneously fighting legal battles in multiple jurisdictions over often frivolous lawsuits brought on by non-performing franchisees and their professional parasites.After watching other franchisors become legally embattled it became apparent to me that our company needed a hedge in this issue. Although we never had this problem I witnessed other franchise get off their game and lose focus on the market and their companies. So, I decided to add this clause to our franchise agreements;

7. MISCELLANEOUS7.1 Governing LawThis Agreement has been accepted and made in the State of ________, United States and all rights hereunder will be governed by and interpreted under the internal laws (and not the law of conflict of laws) of the State of Arizona.7.3 WaiverA waiver of any default or breach of any provision, term, covenant, or condition of this
Franchise Agreement will not be a waiver of any subsequent breach of the same or any
other provision, term, covenant, or condition.Any waiver of any provision of this Agreement must be set forth in writing and signed by the party granting the waiver. Any waiver Franchisor grants will not prejudice any other rights Franchisor may have, and will be subject to Franchisor’s continuing review. Franchisor may revoke any waiver, in its sole discretion, at any time and for any reason, effective upon delivery to Franchisee of ten (10) days prior written notice of revocation.By written notice, Franchisor unilaterally may waive any obligation of Franchisee, their principals, or the guarantors.

Our consent, whenever required, may be arbitrarily withheld if Franchisee are in default under this Franchise Agreement.——— ———— ———–If you are a franchisor perhaps you should run this by your attorney [professional over billing parasite-opinion] to see if such a concept would be right for you. Often these clauses are not allowed in many jurisdictions, but if you’re a dealing with International Interests or regions in country where such clauses are allowed it might be something to ask your lawyer about, who knows? Consider all this in 2006.

Budget Travel and Hotel Considerations – Travel Industry Making Changes To Compete For Consumers

April 27, 2017

If you are like most Americans, you having difficulty saving money while prices are rapidly increasing; things like college tuition, food and fuel. So, when it comes to traveling you are looking to shave off costs and find ways to travel on a budget, and well, no one can blame you for that. What you may not be aware of or have not considered is that in the travel business; everything from airlines and rent-a-cars to tourist destinations and hotels are trying to find better ways to accommodate the budget traveler.

For instance, many airlines have had their fuel prices boosted to record costs and many family budget and business travel hotels are making changes in management and in their operations. Recently, Choice Hotels named a new COO and President; Stephen P. Joyce, 48. Additionally they named a new Executive VP of Global Branding. Why, because they know that they must hold their American clientele and find ways to cut costs, while still attracting their overseas travelers who are paying in high valued currencies.There are many ways to cut costs in traveling and staying on a budget and hotels, rental car agencies and airlines are working very hard to compete for fewer travelers with fewer dollars, while still retaining a profit. Easier said than done, especially when jet fuel has almost tripled in cost since 2000 and recently the number of families traveling on vacation is being cut by a good 35% this summer, all due to cash strapped consumers, credit crisis and outrageous fuel costs. Airline Industry analysts are predicting one or maybe two major airlines filing bankruptcy in 2009 and some hotel chains have pulled back construction of new hotels in many locations.

Employment Working From Home – The Good News and the Bad News

May 8, 2017

Employment working from home can cost you a fortune and incur massive risk, traditional business models have the person working from home become effectively employed by their own business and trading their hours for dollars. Risks include, large start up costs that may never be recouped, huge quantities of certain stock that may never be sold, debt (if you manage to obtain it) keeping your stress and risk levels high.Knowing this I spent a lot of my time reading books and searching for a way to achieve employment working from home. This is when I stumbled upon Rich Dad Poor Dad by Robert Kiyosaki. He explains a very important concept called the cash flow quadrant. It basically categorises people into 4 types: E – for employed, trading hours for dollars and having their big boss earn the real money, S – for self employed, a restaurant owner or even someone achieving employment working from home without a system that detaches themselves from the concept of hours worked equals dollars made, I – the investor who has large amounts of money which in turn makes them more money and finally B – for business, that is people who have a business system that works for them and has them earning residual income – that is income that continues to flow to us after we have stopped working.

So how do we achieve this business system without having any huge risk, cash outlay or even initially having to quit our jobs? It is called network marketing. It allows you to achieve employment working from home with little cost and little time commitment. Let’s take an example. I go to the movies to see Inception or Avatar and I love the film. I then tell 5 of my friends how much I loved the film and they all go and see the film. Am I going to get paid for recommending the film to them? No. Network marketing however cuts out the middle men and allows you to recommend products and services to your friends and family and people you meet every day and get paid for it. Employment working from home can definitely be achieved here.

Network marketing has really come of age and is recommended by Robert Kiyosaki, a world renowned financial expert, as the business of the 21st century. But even still, how do we know which company is the best? How do we know that our products will be loved and that we will be paid well for our efforts? Research! Renowned magazine Network Marketing Today every year gives out awards for the top network marketing companies helping people achieve employment working from home.

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