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A friend of mine (we’ll call him Al) was out looking at daycare centers with his wife. Their two year old daughter was ready to expand her horizons and learn the intricacies of social behavior and all the risks inherent in her new world. To Al’s dismay, no daycare center met the standards of control he would have expected in a daycare. This new world was fraught with risk. Doors weren’t locked and children could escape. Gates were not on the stairwell and children could fall and injure themselves. Peanut butter was in the fridge and children could access it. Al wasn’t willing to run the risk of introducing his daughter to this environment. Oddly enough, Al didn’t have similar controls in his own house. No childproof door locks, no stair gates, and peanut butter in his fridge – sometimes on the counter!!

It was clear to me that a person will hold an unknown environment to a higher level of scrutiny than a person who is familiar with the same environment. It also became clear that a person’s experience will determine the amount of risk they are willing to tolerate. For example, if I put three people in Al’s deficient daycare and put a jar of peanut butter on the counter, the first person with no children may shrug their shoulders. The second person with a child may say, “Maybe we should remove the jar of peanut butter.” While the third person who has a child with a peanut allergy may say, “I need a peanut free environment for my child. This is unacceptable.” This dependency on individual experience and individual risk tolerance becomes a greater issue to organizations. When trying to ascertain the level of risk inherent in a project portfolio at an enterprise level, it is difficult to compare like with like without a risk management process and model that will represent the enterprise’s willingness to accept risk.

The Problem

Risks that are not identified cannot be assessed. While an organization is dependent on a project manager to identify risks associated with a point in time project, there is no clear way to determine inherent risks to the organization. Organizations that have made the move to portfolio management have been successful at time management, resource management and time and budget status reporting at the portfolio level. While each of these advancements is a major achievement on its own, an organization that makes decisions on this data does so without a sense of risk associated with the performance of the portfolio. Decisions get made and risks are reacted to. Many issues are created due to unforeseen risks.

So what is wrong with this picture? After all, risk is an accepted part of business and life for pretty much everyone.

Risk is inherently a function of value and as such the more value at stake the more risk one is exposed to. Therefore, the notion that risk is a negative situation to be entirely avoided is a flawed argument, as this can only be guaranteed if/when an organization invests in cash cow initiatives where high value can be attained with no risk. We all know that cash cow initiatives are not sustainable and are the exception, not the rule.

The ultimate argument is found in the financial market where stocks and bonds are valued by level of risk tolerance. Bonds are considered safer bets and therefore yield lower returns while stocks are considered risky investments and are expected to yield higher returns. Over the past 100 years the financial market has designed numerous mechanisms to manage the dynamics of risk and reward with continued lessons learned along the way.

Independent of industry, size and source of funding (i.e. capital market, private equity, tax dollars), organizations must be well versed in balancing risk and reward if they are to survive and succeed in the competitive and volatile economy of the 21st century.

With Risk Comes Opportunity

The old saying that “the apple does not fall far from the tree” rings true when one takes a moment to reflect on why risk management practices are at such an elementary level. The answer lies in what organizations have come to believe to be good project management.

So what happens to managing risk? Risks become issues, issues become actions, and actions get managed using the same project management processes designed to manage the value line. The problem is that project management practices designed to deliver value are based on nomenclatures such as deliverables, milestones, performance indicators, quality, timeline, budget, approval, benefit realization, etc. These notions work perfectly for the value line where the lingo describes value-based characteristics.

To manage risks, organizations need to invest in elevating their risk management practices to the project portfolio level, to attain the same level of maturity as project management practices. Otherwise, risk management will continue to be at the mercy of an individual project manager’s experience and will be managed well by a few and missed by most. This key concept drives the requirement for organizations to baseline their risk tolerance and provide their project management team with a consistent set of risk management standards and practices. Absence of risk management standards and practices will result in an environment of inconsistent risk tolerance and management, since project managers’ personal tolerance for risk will driver their approach for managing project risk. The danger of such a notion is that some project managers will have high tolerance for project risks while some will have lower tolerance, which might or might not be applicable to the priorities of the organization.

We have all come to appreciate the necessities of standardized project management tools and methodology, and there are very few organizations that allow a project manager to use his/her own favorite project management tool and methodology. Risk management is no different, and organizations need to invest the same level of diligence in their risk management practices as they do in project management practices.

The Framework

The identification of potential risks within a project portfolio is of major importance to a proactive risk assessment process. It provides the opportunities, indicators, and information that allows for identifying all risks, major and/or minor, before they adversely impact an organization. An aggregate view of project risks within a portfolio will provide organizations with a holistic assessment of all risks, provided that the risk identification

framework at the project level is comprehensive.

The first step in risk assessment is to clearly and concisely express the risk in the form of a risk statement. A risk statement can be defined in the following terms:

o The risk assessment statement outlines a state of affairs or attributes known as conditions that the

project members feel may adversely impact the project.

o The risk assessment statement also articulates the possibility of negative consequences resulting from

the undesirable attribute or state of affairs.

o This two-part formulation process for risk assessment statements has the advantage of coupling the

idea of risk consequences with observable (and potentially controllable) risk conditions.

When formulating a risk assessment statement, it is helpful to categorize the risk statement within categories that best reflect the priorities of the organization. The project portfolio Risk Registry (Table 1) outlines the risk statement associated with “strategy” risk category. The project portfolio Risk Registry will have most value when customized to reflect organization risk categories and corresponding risk statements.

Once the project portfolio Risk Registry is vetted to reflect business priorities and challenges, the risk statements need to be evaluated against the probability and impact of actualization. The variable chosen to measure probability and impact of risk actualization reflects an organization language, as it is critical that baseline assessment is understood internally and represents organizational risk and exposure.

A quadrant analysis of risk category actualization in terms of probability and impact provides the organization with transparent disclosure of risk at the project and portfolio level. This assessment enables an organization to attain a baseline understanding of project portfolio risk based on the organization’s own internal knowledge and experience.

The risk analysis model is designed to expand and normalize project management judgment, used in the risk assessment model, and apply a consistent baseline for the probability and impact of all risk categories. It is composed of the following steps:

1. Industry sources are used to establish a complete repository of threats that are applicable to the organizations.

2. Industry sources are used to determine the organization’s vulnerability to industry threats. Then, the organization uses internal knowledge to narrow the list of vulnerabilities to those most applicable to the organization.

3. To further validate the applicability and relevance of threats and vulnerabilities, a processes of “so what” analysis is conducted where the probability and impact of identified threats and vulnerabilities are further validated. The “so what” analysis utilizes metrics similar to the probability and impact metrics used in the risk assessment model.

4. COBIT control statements are used to determine the level of controls that an organization has in place or could have in place in order to effectively manage the risk associated with outlined threats and vulnerabilities. Although COBIT controls are mostly designed for IT, indepth testing has revealed that COBIT controls are applicable to both IT and non-IT threats and vulnerabilities.

The outcome of the analysis phase is a repository of threats, vulnerabilities and controls assessed and validated through a series of workshops, where project and portfolio managers input is given the same weight as industry best practices. This ensures that the analysis result is applicable to the organization rather than a hypothetical environment.

An organization’s risk tolerance is directly influenced by its ability and desire to invest in controls designed to adjust risk tolerance. The action model provides the framework to operationalize risk assessment and risk analysis findings based on the implementation of controls that provide the best level of risk mitigation for project portfolio priorities.

The action model leverages “so what” analysis to determine which controls provide the optimal mitigation results for threats/vulnerabilities with the highest probability of actualization and/or most implications. Furthermore, the action model provides the ability to assess the utility of existing controls in order to determine portability/reusability opportunities.

The action model also enhances the reliability of the quadrant report produced in the risk assessment and risk analysis phases, and specifically identifies the value of investment in controls as a means to mitigate threat probability and vulnerability impact.

In conclusion, the action model enables organizations to improve the effectiveness of processes used to deliver projects through investment in controls. The action model also develops roles, responsibilities and processes required to operationalize the risk assessment and risk analysis models in the form of specific actions. Roles such as Risk Manager and Risk Analyst are defined and incorporated into the business process. Each role in the risk management process has responsibility and accountability, and specific tasks within the risk assessment, risk analysis and risk action model. Finally, the action model enables organizations to establish pragmatic risk management processes.

Summary

Organizations are expected to manage risks and deliver high value capital projects. Anything else is considered sub-optimal performance. Delivering high-value projects requires a project management workforce with significant talent for effectively managing both the value line and risk line.

Managing project risk is no different than managing investment risk. In both cases, the “customer” who provides the capital demands that the investment is managed by professionals who understand and leverage risks to maximize return on investment. Failing to do so ends in the “customer” finding other alternatives, as capital investment is a precious commodity.

Tools designed to automate risk management become extremely valuable once organizations have understood and implemented the appropriate level of management processes for risk management. Unfortunately, many organizations fall into trap of buying pieces of technology, without having an in-depth understanding of the requirements and processes to use the technology.

Organizations have the technology and talent to deliver high value projects through effective and transparent management of risks and need to establish the supporting risk management processes. Start with a framework designed to build an enabling risk management process to manage project portfolio risk relative to organizational requirements. If we can all agree on the tenants of risk in our respective organizations, we won’t have to suffer through miscalculation and mismanagement of risk.

After my friend Al communicated his concerns to his wife, they together created a framework to identify acceptable risk for a daycare provider. They discussed why they didn’t hold their own home (the primary daycare) to the same standard. They determined how much they were willing to spend to mitigate certain risks and the likelihood of acceptable risk they were willing to bare. In the end, Al and his wife were able to select a daycare provider that provided the most reasonably safe environment for their child. In addition, they were able to develop a clear picture of some of the deficiencies in their own home environment and addressed them accordingly. The framework was critical in defining the conversation and providing them with a basis for discussion that ultimately enabled them to make an important choice. If only all organizations were run that way.

Will O’Brien is a partner in the Manta Group, a management consulting firm that focuses on IT Governance solutions encompassing Project Portfolio Management, Service Management, Risk and Compliance. His solid business acumen, coupled with extensive experience in consulting, management, sales and business development at senior levels in regional and international arenas has created a dynamic thought leader. Throughout his career, he has achieved success through strong communication skills, understanding of business principles and ability to align IT investments with business priorities.

Why do many consumers take dietary supplements to grow taller? The reasons are varied-many times medically valid, sometimes not. In low or appropriate dosages, some supplements offer health benefits under some circumstances. Some people use supplements with good intention: perhaps in search of protection from or a remedy for health problems such as depression, aging skin, cancer, or arthritis. Still others seek added benefits: perhaps better athletic performance or sexual prowess. Too often, supplement use is based on scientifically unfounded marketing promises. But, some people still claim to undeniable scientific proofs.

It would be great, but boosting your nutrient intake won’t cause your cells to produce extra energy or more brain power. Only three nutrients carbohydrates, fats, and proteins supply energy or calories to grow taller. Vitamins don’t. Although B vitamins do help body cells produce energy from the three energy nutrients, they don’t produce energy themselves. Many powerful drugs and toxic chemicals are plant-based. Varieties of mushrooms can be classified as “culinary delicious” or “deadly dangerous.” In the same vein, herbal supplements should be used with caution! Any healthy natural supplements to grow taller, without proper doctor acknowledgement and governement authority approbation sounds really fishy to me.

Athletes and other physically active people need about the same amount of nutrients as others do to grow taller just more energy, or calories, for the increased demands of exercise. The extra amount of food that active people eat supplies the very small amount of extra vitamins needed to grow taller and have more energy production, too.

Although protein needs are somewhat higher for some athletes, especially for those in strength-training sports, food can easily provide the extra. On another note, physical activity, not extra amino acids (protein), builds muscle. For more on nutrition for athletes and ergogenic aids.

Dietary supplements to grow taller won’t protect you from the harmful effects of smoking or alcohol abuse. Here’s the real scoop: Smoking does increase the body’s need for vitamin C; drinking excessive amounts of alcoholic beverages can interfere with the body’s use of most nutrients. If soil can grow crops, the food produced is nutritious. When soil lacks minerals, plants don’t grow properly and may not produce their potential yield. Growing area does affect a food’s iodine and selenium contents.

Supplements won’t give you instant grow taller results, it would take at least a 2-3 months training for instance. For vitamins and minerals to do their work, they need several hours or several days to interact and do their work in your body. For any benefits from other dietary supplements to grow taller, you likely need to take them even longer. Supplements to grow taller are easy to spot. By law, they must be labeled “dietary supplements.” About eighty thousand dietary supplements are marketed in the United States with multivitamin/mineral supplements being the biggest product category-and with an average of 500 new products launched each year. They’re sold in many forms-for example, tablets, capsules, softgels, gelcaps, liquids, powders, and bars.

Do you consume a varied, balanced diet to grow taller? With some exceptions, supplements usually aren’t necessary. If you’re healthy and if you’re able and willing to eat a balanced, varied diet. You probably can get the vitamins and minerals you need from smart food choices. According to national studies, most Americans have enough healthful foods available to do that, yet they may not. Under some circumstances, vitamin/mineral supplements offer benefits and are advised; like those for growing taller.

A woman with heavy menstrual bleeding? You may need an iron supplement to replace iron from blood loss. To enhance absorption, take iron supplements with water or juice on an empty stomach. If nausea or constipation are problems, take iron supplements with food. Absorption may be decreased by as much as 50 percent when taken with a meal or a snack. A woman who’s pregnant or breast-feeding? You need more of some nutrients, especially folate and iron-and perhaps calcium if you don’t consume enough calcium-rich foods. Check the label’s Supplement Facts to make sure you get enough for a healthy pregnancy. Ask about a prenatal vitamin/mineral supplement.

Someone unable or unwilling to regularly consume a healthful diet to grow taller? You likely need a dietary supplement to fill in the nutrient gaps. However, eating smarter would be better if you don’t have food-related health problems! Take a supplement with the advice of a doctor or a registered dietitian. For example, pre-menopausal women who don’t consume enough calcium to grow taller and stronger bones from food likely need a calcium supplement-unless they’re willing to improve their diet. Some babies after age six months, children, and teens may need a fluoride supplement to grow taller and perhaps iron or vitamin D.

If you are not able to meet your calcium and vitamin D recommendations with foods to grow taller, you may need calcium or vitamin D supplements to grow taller. Ask a dietitian or your doctor about the right dosage and type. And enhance their absorption by taking them with food. Only food can provide the mixture of vitamins, minerals, phytonutrients, and other substances for a health quality that can’t be duplicated with dietary supplements to grow taller alone. Fortunately for most Americans growing taller, there’s plenty of quality, quantity, and variety in the food marketplace.

Enjoy plenty of calcium and vitamin D-rich foods. They provide more for bone health calcium, phosphorus, vitamin D and overall health than supplements do. And a varied, well-balanced eating plan offers other nutrients that appear to promote bone density, including magnesium, potassium, and vitamin K

Supplements to grow taller carry labeling, showing the amounts of vitamins and minerals in a single dosage. If you already eat a healthful diet, you probably don’t need any more than a low-dose supplement. Taking a multivitamin/mineral supplement, with no more than 100 percent of the Daily Values (DVs) as a safety net, is generally considered safe. Most nutrient supplements are produced in low dosages.

Supplements with water-soluble vitamins or minerals can be risky if taken in excess, over time. For example, taking extra vitamin B6 has been suggested to help relieve premenstrual tension. Yet there’s limited evidence to support large vitamin B6 doses for relief of premenstrual syndrome (PMS). Many women have viewed large vitamin B6 doses as harmless, since they are water-soluble. Instead, they may cause irreversible nerve damage when taken in very large doses above the Tolerable Upper Intake Level (UL): 500 to 5,000 mg vitamin B6 per day.

That said, can you overdose on vitamins or minerals naturally as you grow taller with food? That’s highly unlikely. As we mentioned, taking very high doses of dietary supplements or taking too many, too often can be dangerous. The vitamin and mineral content of food is much more balanced fortunately. In amounts normally consumed, even if you enjoy extra helpings, you won’t consume toxic levels of nutrients. So eat a variety of foods-and enjoy! Note: Nutrient amounts to grow taller can add up if you consume a lot of highly fortified foods.

You may take dietary supplements to grow taller for potential health benefits. It’s not uncommon for people diagnosed with cancer, AIDS, or other life-threatening health problems, who are desperate for a cure, to put their hopes and healthcare dollars in alternative treatments, including dietary supplements. However, supplements may offer a false sense of security-and a serious problem if you neglect well-proven approaches to health or delay medical attention.

Drink plenty of fluids with calcium supplements to avoid constipation. The lactose and vitamin D in the milk help to enhance calcium absorption. If you don’t drink milk and want an alternative to calcium pills, consider calcium-fortified juice or soy beverage. One cup of calcium-fortified juice or soy beverage can contain about 300 milligrams of calcium, the same amount as in a cup of milk, and provides vitamin C, folate, and other nutrients. Still, you need a vitamin D source to aid absorption; some calcium-fortified juices and soy beverages are also fortified with vitamin D.

Calcium supplements help to protect against osteoporosis (brittle-bone disease) It can’t make up for your lifestyle choices or poor health habits. Regular weight-bearing physical activity is important to grow taller and obtain healthy bones. For healthy bones, avoid smoking, too.

Vitamin nasal sprays or patches are effective to grow taller? No research evidence says so, even though they’re promoted for faster, more efficient absorption. In fact, they may not be absorbed at all. Here’s the reality check: Fat-soluble vitamins need fat from food to aid absorption. Vitamin C in your intestine aids iron absorption-a problem if vitamin C comes from a spray. Vitamin B12 binds with intrinsic factor made in the stomach during digestion. That cannot happen with a spray or a patch! So that means all the place that try to claim that you could grow taller with that are just scam.

Indeed, herbals and other botanicals have known medicinal qualities helping us grow taller; 30 percent of today’s drugs come from plants. Yet, herbals and other botanical supplements also are sold as dietary supplements rather than regulated as drugs. Like many plant-derived pharmaceuticals, these supplements can offer both positive health benefits and harmful side effects.

On the up side, enough scientific evidence has been collected on a handful of botanical supplements to support their limited use. For example, under a doctor’s guidance, gingko biloba may be used to help treat the symptoms of age-related memory loss and dementia (including Alzheimer’s disease); green tea extract may help reduce cancer risk. A growing body of research evidence is being gathered about their safety and effectiveness, as well as their limitations and dangers.

On the down side, like other supplements to grow taller, herbal and other botanical supplements are regulated differently from pharmaceuticals, which are meant to cure or prevent disease. You aren’t as protected from misleading claims as you might think. When you think about the quality and effectiveness of these grow taller methods; you can see that the marketer’s are absolutely in control of the quality…

According to current law and regulations, herbal and botanical remedies to grow taller and other dietary supplements to grow taller can enter the marketplace without FDA approval. The burden is on the FDA to remove a dangerous dietary supplements to grow taller from the marketplace. Currently dosages of herbal remedies aren’t standardized, so dosages vary among products. Some are even copies of the actual real-product that is made by legitimate herbal company; they put the same product name change what is inside and put the same label. Be very careful, you can look up grow taller 4 smarts free scam alerts to be ahead of scammers.

Although packaging claims can’t say that a supplement to grow taller cures or prevents disease, it may carry claims for its purported health role. Many claims have only limited scientific evidence. Are herbal supplements or botanicals are safe during pregnancy and nursing? There’s not enough scientific evidence yet to recommend safe levels for herbal supplements for pregnant or nursing moms. However, some are known to be harmful to a baby.

The effects of substance abuse in teens are not only individual; they can also be seen on the society. They may face problems at school or college and may involve in criminal activities. It is therefore very important to detect drug abusing teenagers. Drug testing should be conducted on a regular basis at schools and homes to identify and save them from harmful drugs of abuse.

Signs of drug abuse
Identifying certain signs helps you to detect if the kid is addicted to the drugs. Some of the common physical and emotional signs are:

• Change in sleep patterns
• Poor motor coordination
• Poor hygiene and illness including nausea and excessive sweating
• Irregular heartbeat
• Impaired thinking
• Mood swings
• Hyperactivity or overtired
• Depression

Drug abusing teens lose their interest in family activities, often abuse verbally and physically at home or school, and disrespect the family or school. In addition, abrupt decrease in grades, memory and attention loss, and lack of interest and concentration on studies are some of the signs at school. The moment you observe any of the above mentioned signs, you need to immediately check if the kid is abusing drugs. Drug testing is one of the safest and easiest ways to detect the drug abuse among teens.

Types of drug tests
There are different types of methods to detect the teens who are using drugs. Some of the common ones are urine, saliva, hair, and blood tests.

Urine drug test
Of all the types, urine testing is used most commonly as it is inexpensive method used to detect a drug user. You can use urine test kits at home or school to check if the child is addicted to illegal drugs. Quick and accurate results are obtained by these test kits.

Saliva drug test
It is more advantageous as it is relatively non-intrusive. Saliva from the mouth is taken through a swab and is checked for the presence of drugs. Most recent drug abuse can be detected by saliva tests. Conducting saliva test is very easy and also provides accurate and immediate results.

Hair drug test
This method is also non-intrusive. A hair sample of 1.5 inches in length is enough for conducting the test. Drug or its metabolites deposited at the hair shaft are detected by hair tests. You can get very reliable and accurate results by this method.

Blood drug test
You can also use a blood sample of the teen to detect illegal drug usage. It is however expensive and you need to approach laboratory as you cannot conduct it at your home.

Detection periods
The detection period depends on the method of test conducted. These detection periods vary from the type, dosage, and frequency of drug used.

Urine drug test can detect drug or its metabolites for 30 days in frequent users and for 2-3 days in occasional users. The test detects Cocaine for 4-5 days, Heroin for 2-4 days, Methamphetamine for 3-5 days, PCP for 3-7 days, and Codeine for 2-4 days.

A saliva test is mostly used to detect recent drug usage. However, it can also detect drugs consumed 3 days back. Of all the methods, hair drug test has a longer detection period. It detects illegal drug consumption for about 90 days.

What if results are positive?
Once the kid is tested positive by drug test kit, talk to him/her about the result. You can get a confirmatory result through laboratory tests. Communicate with him regularly regarding the effects of drug abuse. Ask him to leave companions or friends who are habituated to drugs. If necessary, send him/her to substance abuse treatment program.

Importance of intervention
Detection and intervention of drug abuse at primitive stages can prevent further damage. Drug intervention is an attempt made by family members or school authorities to help the teen get out of drug abuse or addiction. The main objective of intervention is to make the teen understand the physical and mental destruction caused by drug abuse. If you are not able to speak to the kid on this, you can take help of your friends or relatives. You can also consult specialists who counsel drug abusers and help them get back to their normal life.

Parents and school authorities should always keep an eye on the behavior and activities of the teens. Necessary measures have to be taken in order to prevent them from taking drugs.

Teen drug abuse became a serious health problem in United States. It is hurting the healthcare system, burdening the economy, and causing millions of deaths every year. Of the many causes that promote drug abuse among teens, lack of parental supervision is a major one. Teens should be guarded properly by their parents as they are still immature.

Since, early intervention leads to effective prevention of this unhealthy habit, parents should identify drug abusing habits in teens and take preventive measures. Parents can take help of home drug testing kits which are effective and easy to use.

In this article, we will discuss about teens and their vulnerability to drug abuse; how to identify teen drug abuse and how important are drug testing programs at home to prevent teen drug abuse.

Teens – vulnerable to drugs abuse: Many scientific studies have already proved that teenagers are more prone to risk taking and are vulnerable to drug abuse when compared to adults. This typical behavior of teens during adolescence is because of the major changes in parts of the brain that are responsible for functions such as self-control, judgment, planning, organization, and emotions. Since teen brains are not yet fully developed, they cannot take proper decisions and fall victims to unhealthy habits like drug and alcohol abuse.

Signs and symptoms of drug abuse: The primary step towards prevention of drug abuse in teens is to identify their unhealthy habits. Prominent changes, both in their behavior and in physical appearance can be noticed even at the early stages of abuse. Following are the warning signs:

Physical and emotional changes:
• Red eyes
• Finding difficulty to speak
• Sudden fall or rise in weight
• Lack of hygiene and showing less interest in personal grooming
• Aggression and arrogance
• Depression and irritation

Social and behavioral changes:
• Dissociation from old friends and acquiring new social group
• Sudden anger or depression
• Poor attendance and academics at school
• Spending time lonely
• Abnormal odor in breath or clothing
• Pipes, needles and other suspicious substances in their room

Importance of home drug test kits: The moment you see the signs that indicate drug abuse in your teen, it is the time to confirm drug abusing habits using reliable methods. They are useful devices for the parents to confirm these unhealthy habits in teens. They are simple, easy to use, provide instant and accurate results, cost-effective and above all ensure privacy. Some multi-panel drug testing kits can detect multiple drugs of abuse at a shot.

Best drug test methods to implement: When it comes to home drug testing, urine and saliva tests are considered to be the best methods. There are two other methods – blood and hair tests also, but they need special devices and expert supervision, hence are not recommended for home testing.

Urine test can detect the drugs in your teen’s system up to three days after use. If you believe that your teen has taken drugs during the last few days, then this method is effective in offering accurate results. However, it is necessary to check that your teen is not providing fake urine sample which can lead to false results.

Saliva drug testing is an ideal drug test if you suspect that your teen abused drugs on that particular day. These kits can detect drug use up to 48 hours.

Need for random drug testing: If you are conducting drug tests on your teens at regular intervals, following a regular pattern, your teen may notice the pattern and either try to manipulate the sample before the test or stop abusing drugs few days before the test. Hence, practicing random drug tests is always an ideal way to identify the drug use which effectively helps in detecting the drug abuse among your teens. Random testing makes teens say ‘NO’ to drugs as they know that you can conduct drug testing any time at home.

Home drug testing kits can be considered as effective solutions in controlling and preventing drug abuse in your teens. So, make sure that you have some of them at home to test your teen to help him stay away from drugs.

Even businesspeople that have been running their own enterprises for decades may not know everything they need to know about employer law. They could have a good basic knowledge of state and federal employment laws, but still be unaware of recent changes in these laws. After all, if they’re preoccupied with keeping their companies afloat during these perilous economic times, they might not have time to stay current with all issues related to employment law. That’s why even the most ethical, experienced, and canny business owners need to retain quality legal counsel with experience in employer law. One way to do this is to keep a lawyer on retainer, but that can get prohibitively expensive. A better alternative for small to medium-sized businesses is to work with a legal service that does nothing else but provide counsel and legal assistance for employment law problems.

There is an old saying that forewarned is forearmed. Running a business with multiple employees can be a complex and difficult undertaking, fraught with many perils to that company’s continued profitability, and even its very existence. Many well-meaning, basically honest employers have unwittingly fallen foul of employment law issues because they did not have good legal counsel. Don’t let that happen to you! Protect your personal assets, including your business, from anyone who might try to sue you over perceived violations of employer law. Being the boss means you sometimes have to make tough calls that some of your employees might not be happy with. These days people are so litigious that they will sue at the drop of a hat, so you need to be armed against potentially damaging lawsuits with the best legal advice that you can afford.

The good news is that you don’t have to keep an expensive law firm on permanent retainer to get the advice of experienced, ethical lawyers with experience in employer law cases. The best alternative is to retain the services of a firm that handles nothing but employer law cases and keeps abreast of the rapidly changing network of laws governing how employees must be treated in the workplace. The right employment law firm for you will provide 24-hour-a-day access to a real lawyer to address all of your legal questions and deal with any legal problems that can spring up for a business owner with frightening speed. You should also seek out an employer law service that can either tailor its legal services to your precise needs or offers a variety of service packages at reasonable prices. Your business is too important for it not to be protected against the possibility of a lawsuit that could wipe it out. Having good legal advisors will also help you protect your company’s reputation against efforts to besmirch it. After all, any company’s reputation is one of its most valuable assets.

So, whatever the size of your business, whether you employ 20 employees or 20,000, you need the benefits of the best advice about employer law that you can get. In the case of small or medium-sized businesses, the best thing you can do is partner with an employer law service that can call on experienced, knowledgeable lawyers to defend your interests. In tough economic times like these when employers must make hard decisions regarding their employees, it’s good to know that you have top-shelf legal advisors to back you up. Face it, some of your employees may not be happy with what you have to do in terms of layoffs, scheduling or changes in working conditions, so if they decide to sue you, you’ll be prepared. Don’t be caught off guard. Be sure that you have already retained the services of a firm that specializes in employment law and can go to bat for you in court if necessary.

It is possible to improve eye vision in a way that is natural. In this way, you will be able to return to a life without glasses or contacts, and give yourself excellent vision without needing to undergo expensive and dangerous surgery. This is accomplished through the use of eye exercises. These can be used in order to combat the effects of nearsightedness and other vision issues.

By finding a way to naturally improve vision, you will feel better about yourself and your independence. By reclaiming your 20/20 vision, you will also reduce your risk of experiencing eye diseases in the future.

Eye exercises work by getting to the root of the problem that is causing the vision issues in the first place. The eye muscles that cause the problem are trained in such a way that they become more relaxed, and more precise. In this way, the lens of the eye returns to its proper shape, which will naturally improve vision.

When you wear glasses, they may improve eye vision in the short term, but they actually put strain on your eyes. There have been several studies demonstrating that, over time, glasses actually cause your vision to become worse. This is why it is important to improve eye vision the right way. Not only do eyeglasses and contacts come to a common inconvenience, but they are also damaging to the eye.

Briefly testing these simple exercises are a lot healthier and successful. Studies conducted on monkeys showed that a monkey who wore nearsighted glasses became nearsighted within a short period of time. The reverse was true for farsighted glasses.

The first simple exercise is to find a period or comma on a page and focus on it, making it as clear as possible. Stare at the period until it comes into focus. Chances are after a few seconds the period will actually became less clear and blurry. Perform eye exercises on a regular basis. This gives your muscles the full control over your eyes that they are supposed to have. Try relaxing your eyes. Close them for a minute and let them relax. Now look at the period without straining. Don’t stare; instead, let your eyes slowly move around the page, over and around the period. Don’t focus only on the period, the eyes need movement. Make sure to blink a bit. Try closing your eyes and picturing the dot and then look at it again. Once the eyes are relaxed it should be easier to see the period. This also allows your eyes to relax so that they are not placed under strain.

The second exercise is the Word exercise. Find a word on the page that is five or more letters long. Stare at the word so that all the letters are in view, but don’t move the eyes. Focus entirely on the whole word trying to get the best image in your head. Again, staring and concentrating hard is going to cause the word to blur. These methods used to naturally improve vision are much safer than LASIK eye surgery as well.

These exercises can be used to fight problems associated with nearsightedness, farsightedness, blurred vision, and aging vision.

The former FDA chief, Morris Waxler, admitted that he thinks they made a mistake when they approved the surgery. It may improve eye vision, but there are several risks associated with it that aren’t worth it. The possibility that you will have vision problems after getting LASIK surgery is surprisingly high. One in every thirty-three people who undergo the surgery will experience vision problems afterward.

Some big, unfounded rumors are circulating about nutritional supplements.

And they’re circulating under the guise of science and experience. But instead of helping you make wiser choices for your health, they do the opposite. They make it harder.

Because these false tales ignore volumes of research and several thousands of years of human healing practices using food, herbs and minerals.

What fallacies am I talking about?

A December 2013 editorial published in The Annals Of Internal Medicine, titled “Enough Is Enough: Stop Wasting Money on Vitamin and Mineral Supplements” concluded:

“We believe that the case is closed- supplementing the diet of well-nourished adults with (most) mineral or vitamin supplements has no clear benefit and might even be harmful. These vitamins should not be used for chronic disease prevention. Enough is enough.”[1]

Now here’s the thing… I agree we need to pay attention to results of the studies the authors referred to when they came to this conclusion. This editorial refers to several recent studies. Each of these studies underscores some important reasons why nutritional supplements don’t work in specific situations.

But other than that, they’re dead wrong.

Because if anything these studies only highlight the mistakes people and doctors make when it comes to using supplements. Simply put, when people choose poor quality supplements and use the wrong supplement for the wrong reasons, supplements don’t do much good.

In contrast, as hundreds of people who have consulted with me as a doctor have discovered, when you choose the right, high quality supplement for the right health concern, you’ll see the benefits.

The key is to make knowledgeable choices.

A single article is too limited to cover 40 plus years of knowledge I draw from in recommending supplements to my patients. But I can offer some basic guidelines that will help you make better choices when you use supplements.

Here’s what you need to look out for in order to ensure the nutritional supplements you use work.

Get The Right Dose Of Nutrition

Three of the studies the editorial team used to make their case showed multivitamins did little to change the risk of brain problems, cardiovascular issues after a heart attack or overall health risks for older people.

I wasn’t surprised by this.

In trying to cover the whole spectrum of nutrition without overdoing it in any one area, multivitamins usually only offer a small percentage of the nutrients you need to take care of a specific health concern. And often enough they include nutrients you don’t even need depending on how you eat.

For example, most multivitamins contain 400 IU or less of vitamin D. While this is the official recommended daily allowance for vitamin D, most holistic doctors would consider this a drop in the bucket when it comes to raising your blood vitamin D levels.

I have my patients get blood tests to assess vitamin D levels and then recommend supplements accordingly. Often enough, I recommend at least 1000 IU – sometimes as much as 5000 IU – to get them to healthy vitamin D levels in the blood.

Multivitamins provide a baseline for nutrition. Not strategic intervention that can really make a difference.

And this brings me to the next issue…

Choose The Best Nutritional Supplements For Your Specific Needs

Just because vitamin A supplementation worked for your neighbor, doesn’t mean it will work for you.

Perhaps you eat lots of winter squash and chlorella, rich in this vitamin. You don’t need a supplement.

Not everyone needs the same amount of supplementation.

Supplementation works best when it’s tailored to your individual health concerns, eating habits, lifestyle and genetic makeup. When adding supplements to your diet, start with you – with what you’re struggling with and what you know are your weak points.

This is why studies involving people without any nutritional deficiencies to assess the effectiveness of supplements may have had less significant results.

It’s also why multivitamins have limited effectiveness. The higher quality ones may give you a nice nutritional base. But they do little to offer you the strategic nutrition that thousands of studies have shown can make a difference with specific health concerns.

But it doesn’t matter what dose of supplement you choose, if you don’t pay attention to this next issue, you won’t get what you need…

Choose Natural Supplements

Synthetic versions of vitamins can not only be less effective, they can be dangerous. As the Annals of Internal Medicine editorial team correctly pointed out, some research has shown that vitamin A supplementation can in fact increase your risk of lung cancer.

However, if you get the precursor for vitamin A that’s found in chlorella and other whole foods – beta carotene – you don’t have to worry. Unlike with vitamin A, your body only converts the beta-carotene it needs and gets rid of the rest.

Natural substances are hard to mimic in a chemistry lab. We may do a pretty good job, but several different vitamin studies have shown that synthetic forms of vitamins – like the ones used in several vitamin A and E studies – can disrupt the way your body uses nutrition.

But even if you go natural, you still need to pay keen attention to the next criterion…

Make Quality A Priority

Listen, do you think some wilted spinach that’s been sitting in your fridge for 2 weeks will give you the same nourishment as that spinach picked from your garden minutes ago? Of course not!

So why would you assume all supplement ingredients are of the same quality?

Sure they may be natural ingredients. But natural doesn’t necessarily mean quality.

Plenty of manufacturers scoot by with ingredients your body can’t use – or contain little concentration of the active compounds you’re seeking. Multivitamins are particularly notorious in this area. If you pick one up at random from the local pharmacy, I can just about guarantee that many of the nutrients in the multivitamin you selected will be hard for your body to use and offer limited benefits.

For example, calcium carbonate – found in many multivitamins as well as calcium supplements – is much harder for your body to breakdown and absorb than calcium citrate.[2]

When it comes to botanical supplements, their quality depends heavily on how they were sourced and processed. For example, if eleuthero root is harvested in the winter months, when much of the plant’s energy is stored in its roots, you’ll get a much higher concentration of active ingredients, eleutherosides. However, not every eleuthero producer takes care to harvest at this time, leading to a range of potency when it comes to eleuthero supplements on the market.

However, as good as a high quality extract or isolated ingredient is, rarely can they compete with the best form of supplementation.

The Best Nutritional Supplements Are Made With Whole Foods

While we’ve discovered some applications for isolated vitamins and plant compounds… and while I sometimes suggest my patients use certain extracts or isolated vitamins… when it comes down to it, nothing beats the complex chemistry of food for giving your body the best nutrition.

Nutrients found in food work together to nourish you in incredibly complex ways. It’s like a symphony with hundreds of players. And often enough, when we try to isolate nutrients, we miss out on powerful health benefits.

For example, when it comes to the supplement, eleuthero, scientists have found that some of the isolated compounds, eleutherosides, seem to increase immune health. But they also found that none of the isolated eleutherosides worked as well for strengthening your immune health as taking whole eleuthero.[3]

3 Tips For Finding Nutritional Supplements That Work

As a doctor who’s witnessed hundreds of people recovering excellent health thanks to the use of nutritional supplements, I know this widely publicized editorial from the Annals of Internal Medicine has the potential to cause tremendous damage. By referring to a few non-representative and poorly designed studies to condemn nutritional supplements as a whole, the authors have robbed people of health options that can make all the difference.

But I also understand the need, highlighted by the studies referred to in the editorial, for better understanding of how to choose and use supplements more effectively.

Here are a few suggestions:

Do your research. Go beyond the headlines and ask questions. Get information that addresses all the questions I raised in this post. Learn more about the health concern you have, the nutrient you’re considering using and the company that produces supplements that provide this nutrition.
When in doubt, consult with a professional like a holistic doctor. As part of our professional work, we keep up with the research. In addition, we have our years of practice to draw on in seeing how supplements work on a case by case basis. A holistic doctor can help you determine the quality of a supplement. And they can help you decide if it’s the right one for your needs.
Consider using supplements that have already gone through rigorous quality assessments. For example, supplement distribution companies like Emerson Ecologics set high standards for the supplements they carry in order to help practitioners like me make good choices more easily. While you will need an official practitioner recommendation for purchasing from them, you will know that the supplements they carry are well vetted.
Become The Expert: Know The Best Supplements For You

The most important thing you can do to use supplements effectively is to know yourself. Get to know your body and note how supplements work for you.

And keep this in mind: Studies are important. But they also only capture a snapshot of the reality. Your unique biochemistry may not fit into this.

Because of this, you can know better than any doctor or researcher what supplement works for you. When it comes down to it, no one else can do as good a job as you in making the final decision about which are the best nutritional supplements for you.

Home Health Care Nursing Information and Overview

Home health care is allowing the patient and their family to maintain dignity and independence. According to the National Association for Home Care, there are more than 7 million individuals in the United States in need of home health care nurse services because of acute illness, long term health problems, permanent disability or terminal illness.

Home Health Care Basics

Nurses practice in a number of venues: Hospital settings, nursing homes, assisted living centers, and home health care. Home health care nursing is a growing phenomenon as more patients and their families desire to receive care in their homes. The history of home health care stems from Public Health Nursing where public health nurses made home visits to promote health education and provide treatment as part of community outreach programs. Today academic programs train nurses in home care and agencies place home health care nurses with ailing individuals and their families depending on the nurse’s experience and qualifications. In many cases there is a shared relationship between the agency and the academic institution.

Many changes have taken place in the area of home health care. These include Medicare and Medicaid, and Long Term Care insurance reimbursement and documentation. It is important for the nurse and nursing agency to be aware of the many factors involved for these rules and regulations resulting from these organizations. Population and demographic changes are taking place as well. Baby boomers approaching retirement and will present new challenges for the home health care industry. Technology and medical care in hospitals has lead to shorter inpatient stay and more at-home rehabilitation. Increases in medical outpatient procedures are also taking place with follow-up home care. This has resulted in the decrease of mortality rate from these technologies and medical care has lead to increases in morbidity and chronic illness that makes the need for home health care nursing a greater priority.

Home Health Care Nurse Job Description

Through an array of skills and experience, home health care nurses specialize in a wide range of treatments; emotional support, education of patients who are recovering from illnesses and injury for young children and adults, to women who have experienced recent childbirth, to the elderly who need palliative care for chronic illness.

A practicing nurse must have the skills to provide care in a unique setting such as someone’s home. The nurse is working with the patient and the family and must understand the communication skills for such dynamics. Rapport is evident in all nursing positions, but working in a patient’s own living space needs a different level of skill and understanding. There is autonomous decision making as the nurse is no longer working as a team with other nurses in a structured environment, but is now as a member of the “family” team. The host family has cultural values that are important and are different for every patient and must be treated with extreme sensitivity. Other skills include critical thinking, coordination, assessment, communication, and documentation.

Home health care nurses also specialize in the care of children with disabilities that requires additional skills such as patience and understanding of the needs of the family. Children are living with disabilities today that would have resulted in mortality just twenty years ago. Genetic disorders, congenital physical impairments, and injury are just a few. Many families are familiar with managing the needs of the child, but still need expert care that only a home health care nurse can provide. It is important that a home health care nurse is aware of the expertise of the family about the child’s condition for proper care of the child. There are many complexities involved, but most important, a positive attitude and positive reinforcement is of utmost importance for the development of the child.

Medication coordination between the home health care nurse, doctor, and pharmacist, ensures proper management of the exact science behind giving the patient the correct dose, time of administration, and combinations. Home health care nurses should be familiar with pharmacology and taught in training about different medications used by patients in the clinical setting.

Many advanced practicing nurses are familiar with medication regiments. They have completed graduate level programs. Home health care agencies believe that a nurse should have at least one year of clinical experience before entering home health care. Advanced practicing nurses can expedite that training by helping new nurses understand the home health care market and teaching.

Employment and Salary

According to the United States Department of Labor, there were 2.4 million nurses in America, the largest healthcare occupation, yet many academic and hospital organizations believe there is a gross shortage in nursing staff. The shortage of nurses was 6% in 2000 and is expected to be 10% in 2010. The average salary for hospital nursing is $53,450 with 3 out of 5 nursing jobs are in the hospital. For home health care, the salary is $49,000. For nursing care facilities, they were the lowest at $48,200.

Training and continuing education

Most home health care nurses gain their education through accredited nursing schools throughout the country with an associate degree in nursing (ADN), a Bachelor of Science degree in nursing (BSN), or a master’s degree in nursing (MSN). According to the United States Department of Labor, in 2004 there were 674 BSN nursing programs, 846 ADN programs. Also, in 2004, there were 417 master’s degree programs, 93 doctoral programs, and 46 joint BSN-doctoral programs. The associate degree program takes 2 to 3 years to complete, while bachelors degrees take 4 years to complete. Nurses can also earn specialized professional certificates online in Geriatric Care or Life Care Planning.

In addition, for those nurses who choose to pursue advancement into administrative positions or research, consulting, and teaching, a bachelor’s degree is often essential. A bachelor’s degree is also important for becoming a clinical nurse specialist, nurse anesthetists, nurse midwives, and nurse practitioners (U.S. Department of Labor, 2004).

All home health care nurses have supervised clinical experience during their training, but as stated earlier advanced practicing nurses hold master’s degrees and unlike bachelor and associate degrees, they have a minimum of two years of post clinical experience. Course work includes anatomy, physiology, chemistry, microbiology, nutrition, psychology, and behavioral sciences and liberal arts. Many of these programs have training in nursing homes, public health departments, home health agencies, and ambulatory clinics. (U.S. Dep. of Labor, 2004).

Whether a nurse is training in a hospital, nursing facility, or home care, continuing education is necessary. Health care is changing rapidly and staying abreast with the latest developments enhances patient care and health procedures. Universities, continuing education programs, and internet sites, all offer continuing education. One such organization that provides continuing education is the American Nurses Association (ANA) or through the American Nurses Credentialing Center (ANCC).

Conclusion

There are many rewards to becoming a home health care nurse. Some rewards include the relationship with a patient and their family, autonomy, independence, and engaging in critical thinking. The 21st Century brings with it many opportunities and challenges. We must meet these challenges head on – there is an aging baby boomer population, a growing morbidity factor due to increased medical technology and patient care, and the growing shortage in nursing care.

Becoming a home health care nurse today is exciting and an opportunity to make a difference one life at a time. With clinical experience and proper education, a home health care nurse will lead the future of medical care.