Ever since the FDA approved the HPV vaccine two years ago, its introduction into the health community has been embroiled in a medical, social, cultural and political controversy. At first glance, the debut of a vaccine to fight most cervical cancers looks like an exciting advance in the history of women’s health. However, many people are unable to separate the ethics from the basic scientific facts: the virus is transmitted through sexual contact and hence the vaccine is recommended for 11 or 12-year-old girls, before they first become sexually active. The perceived possibility that administering such a vaccine to prevent a sexually transmitted disease could promote sexual promiscuity has trumped all other ethical debates, leading some people to cast its benefits aside. As a mother, I can understand why many parents are concerned about this issue and put off vaccinating their daughters. However, in addition to being a mother, I am a physician, and I therefore believe that by putting off vaccination, we effectively strip our daughters from their chances of protecting themselves from the two major cancer causing HPV types. According to a Newsweek article from February 25, 2008, only two out of every 10 women in the U.S. in the approved age group have received the vaccine so far. In another new survey of almost 10,000 parents, only 49 percent said they would get their daughters vaccinated with the HPV vaccine at the recommended age of 9 to 12 years. Even though 68 percent planned to vaccinate their daughters at 13 to 15 years of age, and 86 percent said they would vaccinate at 16 to 18 years of age, they might be too late — because the vaccine can only prevent and not cure HPV. The National Survey of Family Growth (NSFG), an agency that collects data on the sexual behavior of American teenagers, reports that teenage girls are already sexually active: 13 percent of them by the time they are 15, 43 percent of them by age 17, and 70 percent of them by age 19. Of the sexually active 13-21 year age group, 70 percent show evidence of HPV infections within a few to several months of when they start having sex — most of which could easily be prevented by vaccinating preadolescent girls. In addition, many parents are uncomfortable talking to their preadolescents about sexual issues; meaning uneducated teens could make problematic sexual choices not only without realizing the consequences of their actions, but also without the protection from HPV that the vaccine provides. Again, bear in mind that the vaccine is preventive — it is only effective if administered prior to exposure to the virus. Therefore, the vaccine will not treat the existing infections. This is why it’s so crucial to administer the vaccine when girls are young, before any chance of sexual activity, including sexual contact without intercourse. In addition, there are several other scientific reasons why the vaccine is recommended in the 11-12 year old groups. Unfortunately, it is beyond the scope of this article to discuss those facts. But, won’t vaccinating young girls against a STD cause them to become less sexually inhibited and more promiscuous by giving them a license not to worry about the consequences of sex? Won’t it eliminate a deterrent to teenage sex and therefore encourage it? Highly unlikely: because teens rarely factor the possibility of getting HPV into their decisions to have sex. Current research in adolescent sexual behavior shows that not one, but a variety of factors influence teenage sexual behavior, such as their socio-economic status, their moral and religious values, their sexual attitudes, and the influence of family, friends, and the society they live in. Therefore, it is highly unlikely that a vaccine against a single kind of STD would play a more significant role in adolescent decision making than these factors paired with their responsibility, good judgment, and the boundaries of accepted sexual behavior. According to NSFG, the top two factors influencing teenagers who choose to remain virgins are fear of pregnancy (94 percent) and contracting HIV/AIDS (92 percent). Since knowledge and awareness of HPV in this age group is poor to begin with, teens will not view this vaccine as a reason to become sexually active at an age sooner than intended. And parents who worry about the vaccine causing promiscuity should remind themselves of the two most dangerous and important factors that influence teenagers to become sexually active and engage in high-risk behaviors: peer pressure and the use of alcohol and/or drugs. Parents who worry about their teens becoming promiscuous can also focus on a crucial method to keep them from becoming sexually active too soon: raising their awareness. Research has shown that parental guidance is one of the most important factors in delaying teenage sexual activity — teenagers who do not have involved parents are most likely to engage in high-risk behaviors. The HPV vaccine can actually help parents guide their teens’ sexual decisions by giving them a window of opportunity to talk about the topic, and to get health care providers involved in the discussion. There is no reason why parents cannot, without any hypocrisy, inform their daughters that the vaccine is not a green light for them to immediately have sex. Rather, it is a strong message that you, their parents, care about their health, and that it’s important to take proactive steps to become a healthy adult. Think of it this way: Getting a car with an airbag, traction control and anti-lock brakes means that the car is safer in the long-run, but these features aren’t a reason to drive recklessly — accidents are still possible. No matter what, the vaccine will not, cannot and should not take the place of good, solid parental guidance. The bottom line is we as we as parents want to do what is best for our children. We all want to teach them well while they are still in our protective cocoon so that we can trust them with their own judgment when they become independent. If they always followed our best wishes, we wouldn’t need to worry about administering the vaccine at all. However, even teens with the best judgment can face peer pressure and fall victim to bad decisions or other reasons that may cause them to engage in risky sexual behavior, and this makes the case for vaccinating all the more compelling. ©2008 Dr. Shobha S. Krishnan, M.D. Author Bio Dr. Shobha S. Krishnan, M.D., is a Staff Physician at Columbia University’s Barnard College Health Services. A board certified gynecologist and family practice physician, she has also worked as a surveillance physician for the federal Centers for Disease Control and Prevention. Prior to joining Barnard, she was in private practice for 10 years. In addition, Dr. Krishnan has worked as a physician at the Institute on Aging and as Chief Resident in the Family Practice Department at St.Vincent Hospital, Indianapolis. Her new book: The HPV Vaccine Controversy: Sex, Cancer, God and Politics — A Guide to parents, women, men and teenagers is scheduled to be published on August 30, 2008 by Greenwood Publications. The book presents the most up to date information about the vaccine without the influence of pharmaceutical companies or other interest groups. Borders.com.
Tom Challan is arguably the master of telephone recruitment. He is one of the most successful MLM recruiters of all time—he personally recruited over 500 distributors in one year into his primary business, working a mere 20 hours per week and adding an average of 40 new members each month.
Tom has achieved so much in phone recruiting that other MLM trainers are beginning to reconsider their own attitude toward phone recruitment.
Who is Tom Challan? Not too long ago (2003) Tom was a nondescript employee at AMS Health Services Inc., a network marketing firm.
After starting and failing at several businesses, Tom Challan and family finally chanced upon the AMS opportunity. With his unique recruiting skills and marketing savvy, it didn’t take long before Tom became a hit at AMS. His family grossed over $250,000 within their first year at AMS. In recognition of his immense contribution to the company’s growth, Tom now sits on the advisory board of AMS Health Services Inc. as chairman.
Until recently, Tom Challan coached prospecting and closing class at Dani Johnson conventions and workshops, which cost $297 per class. Tom distinguished himself at Dani Johnson as a trainer and mentor of repute. His approach to recruiting has worked so well that people line up to be part of his training and mentorship programs. He currently owns and runs a Lead and Contact management company known as Earn Pro Leads.
Here he organizes four-week training courses (for a fee) which focus on prospecting, deal closing, and network marketing outsourcing.
Tom Challan focuses on 3 core areas in his training: prospecting, closing, and outsourcing. He prospects in ways that make people (prospects) feel befriended.
He uses unpretentious questions to draw out a prospect’s innermost feelings and goals EVER BEFORE pitching his business opportunity. Tom endeavors to build strong rapport with a prospect. Avoiding a one-size-fits-all approach to discussions, he adapts the style of conversation to the personality type of a prospect.
Tom Challan has a revolutionary approach to MLM training which involves less theory and more practical actions. He doesn’t merely tell prospects what to do to be successful in their business; he invites them to listen in while he personally prospects over the phone. Most prospects attest to the effectiveness of this method of coaching.
Many have reported a jump in their recruitment efforts after listening in to Tom’s prospecting and deal-closing techniques.
Can you make money using Tom Challan’s method? If you are ever going to make money in MLM, then you must be able to get people to join your business opportunity—recruiting. Thus, by helping you focus on this most important aspect of network marketing, Tom Challan’s method can obviously make you money.
There’s just one more thing I’d like to point out. If you’re new to network marketing and would like to copy Tom’s recruiting method, you need to evolve ways to create your own leads. Tom Challan recommends the use of purchased leads—he uses it almost exclusively.
And there’s no doubt that purchased leads (leads generated through paid ad campaigns) are more directed and of better quality compared to free leads. But they don’t come cheap. An MLM newbie with a lean purse is going to have a problem with that. Recruiting from purchased leads is also much more complicated than own-generated leads.
Spending five hours or so per week creating your own leads will save you lots of money. It may even prove to be more effective for your network business in the long run. For example, self-generated leads have been proven to be a faster way to establish some relationship with potential customers than purchased leads.
That means when you eventually have to bring in Tom Challan’s strategy by calling these self generated leads, you’ll be talking to someone who’s already interested in both you and your business opportunity. Recruiting is always easier that way.
To learn how you can create your own leads so as to maximize the benefits of Tom Challan’s recruiting techniques, please visit my blog and website for excellent resources.
Looking up public records such as California Divorce Records is a challenge for most people. If you are able to succeed in finding the divorce record you are looking for in a long time, it can either mean that you have been persistent enough or that you do not know of other means. There are several steps that are needed to obtain a file regardless of what type they are. In 2007, the California Department of Health Services (CDHS) was reorganized into two separate departments. These were the California Department of Public Health (CDPH) and the Department of Health Care Services (DHCS). Licenses and certificates are under the former. Among its functions is keeping the records on birth, death, marriages and divorces at its Vital Records Office.
There are four states that do not keep track of divorces within the state. These are California, Colorado, Louisiana and Indiana. When it comes to supplying divorce records, the Office of Vital Records in Sacramento, California can only provide a Certificate of Record for divorces between 1962 and 1984. You can get the more detailed information on divorce records from the actual county offices where the divorces occurred.
A Certificate of Record consists of the names of the involved parties, the court case number and the county where the divorce was filed. It is not the same as a divorce decree and it does not state whether the divorce was finalized in court. A fee of $13 is needed and the certificate’s processing time takes more than six months. It is advised that anybody who wants to request must submit the request to the County Recorder’s Office in the county where they filed the divorce.
The Supreme Court in the county where the divorce was filed is the only one that can supply certified copies of divorce decrees. The document specifies the complete details of the divorce settlement. These characteristically include the declaration on matrimonial assets, child support and alimony order, visitation rights and custody. The divorce decree also contains the disposition on all other conflicts between the divorce parties.
Record of Marriage Dissolution is another term for divorce records. Marriage and divorce records mostly appear side by side in a search regardless of what the primary record it is you are looking for. Both of these records are often merged in government and commercial files. California is one of the states that require a certified copy of Divorce Records that contains the proper dissolution of past marriages when a divorcee needs to re-marry and applies for a marriage license.
California has a huge amount of residents and also a lot of Free Public Divorce Records. Although county divorce records are somewhat scattered, these can add up to heaps. The good thing is that there is another way of obtaining records from online records providers. There are even sites that provide free divorce records when you do a search in their site. These commercial record providers mostly offer cheap but good services for people who request important records conveniently and faster that processing of government agencies.
Art therapy is simply the professional therapeutic ability to use artwork that has been done by individuals who desire personal development. This development has not been able to be achieved, due to trauma, personal crisis, illness, and certain challenges that have affected their life. People of all ages use art therapy, done by a professional art therapist who has been trained extensively about the human development, artistic traditions in a multitude of cultures, psychological theories, and the healing abilities regarding the use of art. Services are provided to these individuals through art therapy because they cannot articulate through words, emotions, and feelings about their true state of mind. The professional settings that participate with art therapy methods are mental health services, rehabilitation, medical institutions, education services, nursing homes, corporations, forensic agencies, community outreach, and independent practices. Strict standards for art therapy have been established by the American Art Therapy Association, Inc. (AATA) and The Art Therapy Credentials Board, Inc. (ATCB). Some individual states regulate their own practices of art therapy, while other states allow art therapists to become licensed counselors or mental health therapists. These art therapists utilize art-based assessment instruments to determine their client’s level of functioning. From this they are able to formulate a certain level of treatment objectives, decide what strengths and weaknesses their client has, gaining a better understanding of who their client is and the problems they have, and be able to evaluate their client’s progress. The Master level of training and education for an art therapist is mandatory, as ensuring the appropriate usage and application of drawing tests, evaluation of the instrument validity, and its reliability is extremely important to better serve the client. According to Donna J. Betts, Ph.D., ATR-BC, in her 2005 Doctoral Dissertation, some of the top art therapy tests that can be used are: Favorite Kind of Day (AFKOD) Person Picking an Apple from a Tree (PPAT) Birds Nest Drawing (BND) Bridge Drawing Diagnostic Drawing Series (DDS) Child Diagnostic Drawing Series (CDDS)Rating instruments are also investigated, which can include: Descriptive Assessment of Psychiatric Art (DAPA) DDS Rating Guide and Drawing Analysis Form (DAF) Formal Elements Art Therapy Scale (FEATS). These are just a few of the art therapy assessment tools that can be used by art therapists, in clinical settings or in research. Each art therapy tool is a structured assessment that are collected under standardized conditions. Most are developed to provide a compatibility with psychological testing and psychiatric evaluations: Art Therapy-Projective Imagery Assessment (ATPIA) Draw-A-Story Screening for Depression (DAS) Used to identify children and adolescents at risk for harming others or themselves. Through the artwork, it can be seen that significant differences will emerge between aggressive and non-aggressive groups in its emotional content and self-image, in addition to
The continuing shortage of skilled labor in the western world is leaving human resources (HR) professionals scrambling to find ways to attract and retain employees. One way HR is dealing with the increasing competition for workers is by offering employee health benefits that go beyond the traditional staples of medical, dental and life insurance.
After a recent study of over 500 US companies, Jim Winkler, leader of Hewitt Associates health management consulting practice, says, “…companies are moving beyond their traditional role as a provider of healthcare benefits to develop holistic programs that pinpoint the specific health needs of their employee populations, drive employee behavior change and eliminate barriers to healthcare.”
Companies that help employees live well are viewed as favorable employers: socially responsible, progressive and employee-centred. For employees, living well involves not just physical health, but also emotional, psychological and relationship health, healthy eating and lifestyle choices, work/life balance and community involvement.
Exan Wellness is one of a growing number of corporate wellness product and service suppliers offering more than a fitness program. Through in-house and web-based delivered programs such as Health Tracker, as well as the corporate wellness report card, Exan is delivering what employers and, increasingly, employees are looking for.
“Companies are really looking at the full spectrum of their workforce health needs now, not just high risk individuals,” says Vic Lebouthillier, president of Exan Wellness, “…wanting to provide support for workers that need help with a fitness program, information about eating better, and generally being more proactive in order to anticipate chronic disease or reliance on health benefits.”
Not surprisingly, with employees looking for more from their benefits packages, the popularity of health, wellness and lifestyle programs such as Exan’s has exploded. With the new employee health programs comes a variety of options for workers. They might look at hiring personal trainers to help them get in shape. Nutritional counselors could be at their disposal to provide advice and customize a diet that works for them. They might even have the option of pampering themselves with spa services.
There are also secondary benefits to employers in offering these health services to employees. Workers develop a greater sense of loyalty to the company, work better when they are healthier and happier, and, in the long run, cost less when you consider the price of lost productivity due to absenteeism, disability claims and unhealthy workers.
With health as a focus, employers are also offering incentives that include cash and wellness dollars for employees who take part in health risk assessments. The idea here being if employers can find out what health factors need attention for a given employee, they can offer products or services to meet those needs. Keeping workers healthy is good business for everyone involved.
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