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29.07.2014
Some schools drop out of new healthy federal lunch program, citing small portions and foods kids won't eat The transition towards healthier school lunches isn't sitting easy with some schools. After just one year, some schools around the country are dropping out of the healthier new federal lunch program, complaining that so many students turned up their noses at meals packed with whole grains, fruits and vegetables that the cafeterias were losing money. Federal officials say they don't have exact numbers but have seen isolated reports of schools cutting ties with the $11 billion National School Lunch Program, which reimburses schools for meals served and gives them access to lower-priced food. Districts that rejected the program say the reimbursement was not enough to offset losses from students who began avoiding the lunch line and bringing food from home or, in some cases, going hungry.
In upstate New York, a few districts have quit the program, including the Schenectady-area Burnt Hills Ballston Lake system, whose five lunchrooms ended the year $100,000 in the red. Near Albany, Voorheesville Superintendent Teresa Thayer Snyder said her district lost $30,000 in the first three months. In Catlin, soups and fish sticks will return to the menu this year, and the hamburger lunch will come with yogurt and a banana a€” not one or the other, like last year.
Nationally, about 31 million students participated in the guidelines that took effect last fall under the 2010 Healthy, Hunger-Free Kids Act. The School Nutrition Association found that 1 percent of 521 district nutrition directors surveyed over the summer planned to drop out of the program in the 2013-14 school year and about 3 percent were considering the move. The new guidelines set limits on calories and salt, phase in more whole grains and require that fruit and vegetables be served daily. In December, the Agriculture Department, responding to complaints that kids weren't getting enough to eat, relaxed the 2-ounce-per-day limit on grains and meats while keeping the calorie limits.
At Wallace County High in Sharon Springs, Kan., football player Callahan Grund said the revision helped, but he and his friends still weren't thrilled by the calorie limits (750-850 for high school) when they had hours of calorie-burning practice after school. Knowledge of appropriate foods and beverages needed for weight loss and diet of patients in an obesity clinic Kaufer-Horwitz, M., et al. If someone you love is trying to lose weight, you want to support their efforts to get healthy. Oh Halloween – what a fun time: Parties and costumes and trick-or-treaters and brightly colored sweets everywhere! A recent study reported in the Journal of the American Medical Association found that weight loss results from low carb and low fat diets were similar after one year. National physical activity experts report that workers today are burning an average of 120 to 140 fewer calories a day than workers in the 1960s. Your body can absorb the nutrients in the food more readily, since it is broken down better.
A British study shows taking a short, brisk walk can reduce the amount of snacking you do at work.
February is Heart Health Month, which makes it a great time for individuals to evaluate their lifestyle and how it may be contributing to or harming their heart’s wellbeing. We Minnesotans are used to the snow and cold of winter, but this season has seemed especially brutal, hasn't it? The below-zero windchills and heavy snow make it feel easier to stay indoors and eat at our desk than to go out or go home for lunch. Dieting can be frustrating when the scale is not showing a decrease in pounds or the weight is not staying off.
Here's another great OPTIFAST success story!In her late twenties, Elizabeth began taking a new medication which caused her to rapidly gain weight. Researchers have found that people who are overweight have an increased risk of loss in brain volume, which could translate to decreased mental function later in life. If you need a little extra help keeping track of your daily food intake and planning meals, we have some technology suggestions that can help!
The habit of snacking appears to be more common now than several decades ago, and it could be affecting people's waistlines. A study found that if you are over the age of 35, drinking two cups of water before every meal is an effective weight management tool.
You may have heard in the news recently that the American Medical Association designated obesity as a disease.
Patients and friends have been telling me about using these "milks" for their morning shakes. Are you noshing at lunch in front of your computer?  It is interesting to note that, people who eat lunch at in front of a computer are likely to eat more within 30 minutes vs. Join us this Saturday to discuss the different strategies about what to do in those tough scenarios like eating out whether you are on full fast or modified fast. Learn from members of the National Weight Control Registry who have lost at least 30 pounds and maintained the loss more than a year. I originally put these memories on paper to share with my two sons when they become mature enough to comprehend more fully the events described. As long as I live, I will never forget my secretary, Kathy informing me on Tuesday, September 11, 2001, that an airplane had just struck one of the Twin Towers of the World Trade Center. That moment had an exceptional impact on me, as my nearly seven and nearly four and a half year old sons and I had been studying skyscraper history and construction for the past several months. I ran out to the lobby of my office building, where there was a television and watched in horror as the black smoke billowed out of gaping holes in Tower 1. My heart sank as any doubts about this being a terrorist attack went up in the very smoke that I was now horrifiedly watching along with my colleagues. I resumed seeing the shocked patients in my office, when my secretary informed me that one of the Towers (Tower 2) had just fallen. My mind was now miles away from my office, with those innocent victims of the ultimate in hate.
I called both of my hospitals, Manhattan, Eye, Ear and Throat and New York-Presbyterian to learn that their emergency rooms had a€?adequate staffing for the time beinga€?.
I now knew that if I were to make a significant contribution to the relief effort, I had to get a slit lamp downtown to treat the rescuers and victims with eye problems on-site. I called the assistant administrator at the Manhattan Eye, Ear and Throat Hospital, Craig Ugoretz, who combed the building and found the one slit lamp microscope that was not bolted to a floor-mounted stand. Not knowing when my next meal would be, or when I would return home, I grabbed a quick bite in a local restaurant. When I arrived at the hospital, the slit lamp was in the lobby, waiting for me at the security desk. On our way it was suggested that I first stop at One Police Plaza to treat the eyes of injured police officers. The police officers that I cared for were still so debris-laden, that their uniforms appeared more khaki than blue from the concrete dust and ash. On the first day alone, I had the honor of caring for the eyes of more than one hundred heroes in every sense of the word. Fortunately, most of the eye injuries were not severe, but were nonetheless incapacitating.
During the night, when the steady flow of the injured slowed to a trickle I walked into the Command and Control Center next door to try to learn what was going on outside this fortress. Still later when the flow of injured officers stopped, I wanted to take the slit-lamp to a€?Ground Zeroa€? itself to care for injured members of the other uniformed services. I went uptown during the night for a few hours to check on my family, clean up and possibly get a nap to prepare for the next day. It wasna€™t until my second day downtown, during a break, that I first opened the blinds of my improvised emergency room at One Police Plaza to discover that the windows faced out over the devastation.
After my final visit to One Police Plaza to render follow-up care on September 20th, I was escorted to a€?the sitea€? by Sergeant Giuzio from the Office of the Chief of Police.
As we went through multiple checkpoints, I began to see large groups of rescue workers walking through the streets. We walked the blocks of lower Manhattan, through several more checkpoints, to an NYPD a€?staging areaa€?.
The road on which we were walking (West Street), just days before, was under high piles of debris, left by the Towersa€™ collapses. We were now standing adjacent to a€?Ground Zeroa€? on West Street between Building 6 and the World Financial Center. While I was transfixed by the overwhelming spectacle of this tragedy, the sergeant asked me to stay where I was as he walked up to a tall thin man. As we walked around the corner to the Hudson River side of the World Financial Center both the lights and the clatter of the rescue work faded, somewhat.


Going down Albany Street, we passed a restaurant, where people must have been sitting until the windows were blown in by falling debris. As we walked onward toward the site of the Tower 7 collapse, there were many tents and tables set up to provide the workers with the essentials of life during their mission. We passed buildings that looked as if they had been spray-painted gray because of their coating of concrete dust.
After the address we said farewell, feeling a sense of comradeship, which was disproportionate to the time we spent together.
As we approached Liberty Street we saw a large group of rescue workers gathered under one of many gasoline-powered floodlights. Taking Douglasa€™ design from concept stage to a scale model rendered in Plexiglas became a year-long father and son project. Victimsa€™ names are an entirely appropriate means of remembering the dead in all memorials. It must be noted that there were no recovered or identifiable remains belonging to over one thousand victims of the World Trade Center tragedy. Albeit not universally praised for their architecture, the Twin Towers were an integral part of New York City, which no longer grace our skyline. Both the names of the victims and a reincarnation of the World Trade Center icons could be represented simultaneously by the memorial, as there is no fundamental incompatibility between memorializing both human and material loss.
Relics and rubble from the disaster site represent significant and tangible ties to the actual tragic event and location.A  Relics of the disaster should not solely be housed in a museum or off-site (as they are now) in an airplane hangar. The design evolved into a pair of transparent towers with rectangular areas missing where the airplane impacts occurred, containing standing faA§ade relics inside one Tower and the recovered American flag inside the other.
After studying the photo for pensively for several minutes, he said, a€?You have to do something with thisa€?. Within a few weeks, I received not just one, but two letters from the General Counsel of the Lower Manhattan Development Corporation (the organization empowered with the rebuilding of the Ground Zero area).
Not knowing where to start, I casually asked an architect, Mark Mascheroni, who has a son at my sonsa€™ school, how much a set of architectural renderings might cost.
We met face to face for only the second and final time at a very busy architectural printing shop, Esteban & Co at 139 West 31 Street. As I handed Mansion a check for his work, I asked him to sign the official LMDC release, required for all submission team members. One appropriately placed 3-dimensional rectangular space, devoid of its glass faA§ade, representing the a€?impact voida€? in each Tower (floors 93-98 of the North Tower and floors 78-84 of the South Tower) symbolize the loss from, and location of, the damage from each initial airplane impact. The difference between life and death for thousands of people inside the Twin Towers was the ability or inability to find an intact stairway by which to escape. Each of the two Memorial towers has a footprint of 40 x 40 ft., and is situated in the space in between the two 200 x 200 ft.
The glass panels making up the curtain-walls are inscribed with each victima€™s name, date of birth, occupation, nationality and, when from a uniformed service, the appropriate shield (FDNY, EMS, NYPD, PAPD) (Image 1, Section E). The glass curtain wall is supported by an internal, open stainless steel frame, reminiscent of the Twin Towersa€™ metal infrastructure whose melting under the intense heat of the jet fuel fires resulted in the Towersa€™ ultimate collapse. 1)The inspiring American flag recovered from the World Trade Center rubble that was solemnly raised by rescuers. A patient of mine, who saw the submission to the contest, was so impressed with Dougiea€™s concept that she arranged a meeting with the world-renowned architect, A. William Stratas, a website developer from Toronto created a wonderful website for contestants to share news of the competition and to discuss their personal experiences. Stratas and I began to communicate on a regular basis and became long-distance comrades in architecture. After office hours, I took Dougie to the party followed by a trip to the exhibition of the eight finalists at the Winter Garden of the World Financial Center. After talking to Dougie for a while, she informed me that the man standing directly behind me was Kevin Rampe, the President of the Lower Manhattan Development Corporation.
At the Forum, Dougie was interviewed by Georgett Roberts of the New York Post and by Alan Feuer of the New York Times. After the photo session and the presentation of the Certificate of Merit to Doug, we were escorted to a locked room called a€?The Family Rooma€?.
Doug was introduced to the winner, Michael Arad, and his associate, Peter Walker, in a conference room.
Aptly stated about the competitors by New York Times reporter Julie Iovine was, a€?Working on their own initiative and against lousy odds, determined to express themselves and to keep memory alive, they spent countless thousands of hours conceiving, drafting, revising and explaining their visionsa€?. As an ophthalmic surgeon, I expressed my personal need to do something constructive in the aftermath of the WTC tragedy by obtaining a portable slit lamp microscope and using it to treat the eye injuries of rescue workers at Ground Zero. I reflected on how many renowned architects begin their creative processes with Lego blocks (or equivalents), or perhaps with rough sketches on cocktail napkins.
I discussed my feelings about these comments with a patient, who is an editor of the New York Times. Our teama€™s memorial design now proudly resides on the LMDC website along with the other 5200 entries. One final note is that, several years later, a patient came into my office and informed me that he had just been hired as the General Counsel of an insurance company in Philadelphia, by, of all people, Kevin Rampe. As I wrote in the beginning, I originally put these memories on paper to share with my two sons when they become mature enough to comprehend more fully the events that I have just described.
One of the most difficult things that I have ever been called upon to do, was to address the Connecticut Society of Eye Physicians on my experiences and on emergency preparedness, only a few months after the disaster, on December 7, 2001. I think about the tragedy every day, and particularly my personal memories of experiences that have changed the course of history. A total of 5,193 World Trade Center memorial proposals have been given the heave-ho, but the people who created them aren't slinking quietly back to their day jobs. On December 6, hundreds of teachers, architects, and engineers that didn't make it will gather at New York University to display their work and discuss their discarded ideas.
Another participant, Barry Belgorod, plans to bring his 6-year-old son, Doug, to the all-day event. William Stratas, the Canadian Web developer organizing the forum, said the event wouldn't be a rally or a session dedicated to critiquing the eight designs that made it past the 13-member jury. Only one session is dedicated to discussing the finalist designs, and he said he's anticipating some thoughtful but harsh critique. December 7, 2003 -- Some 60 people, including a 6-year-old boy, who were among the 5,000 entrants who submitted Ground Zero memorial designs, and lost, met in lower Manhattan yesterday to protest the closed-door judging process that produced the eight finalist proposals. Contestant Douglas Belgorod, 6, of Manhattan said he used his Lego building set to construct the two towers and had pulled out the blocks to leave a space where the hijacked planes hit. Brian McConnell, 33, an engineer from San Francisco, said he was glad he made the effort to see other people's work. New York heart surgeon Robert Jarvik, 57, said the finalists lacked passion and imagination.
The losers -- no, not the losers, the ones who did not win -- stood around doing what they had done for many months online, which is to say they thought, talked, argued, vented, ranted, complained and basically obsessed to the point of meltdown over how to build the best possible World Trade Center memorial.
Naturally, there was a bit of surprise when Adrienne Austermann, who goes by the name of Trinity online, turned out to be a woman since many people thought she was a man, and there was more than pleasant applause when Eric Gibbons, also known as Lovsart, took his own turn at the lectern since people really liked the absence of public benches in his plan, benches that might encourage loiterers to hang out eating hot dogs -- not exactly what Mr. All in all, it was a remarkably diverse group, which had among its ranks a financial analyst, an engineer, a graphic designer, a schoolteacher, a sculptor, a union electrician, an ophthalmologist and his 6-year-old boy, and Robert Jarvick, the inventor of the artificial heart.
There was also a very simple replica of the towers done in glass that was conceived by Dougie Belgorod, the 6-year-old, who constructed the initial model out of Legoes. At any rate, the idea did not attract the interest of the competition's jury, which -- whenever it was mentioned -- seemed to produce in the crowd of nonwinners the kind of forced affability and small uncontrollable tics one often finds in people trying to suppress great rage.
They spent the morning sharing their designs with one another, and in the afternoon set out to draft a Declaration (''Capital D,'' Mr. Later in the afternoon, the nonwinners went down to ground zero, where they stopped off at the World Financial Center to look at the eight designs that had defeated theirs. It smarted having lost, no doubt about it, but all the nonwinners said they would not give up. As long as I live, I will never forget my secretary, Kathy informing me on Tuesday, September 11, 2001, that an airplane had just struck one of the Twin Towers of the World Trade Center.A  Prior to this, it seemed like a normal Tuesday morning, seeing patients in my ophthalmology office on the Upper East Side of Manhattan. Fortunately, most of the eye injuries were not severe, but were nonetheless incapacitating.A  When the Towers collapsed, there was a cascade of enormous quantities of pulverized concrete and sheetrock, wisps of fiberglass, asbestos dust (the buildings were not asbestos free) and splinters of glass.


Still later when the flow of injured officers stopped, I wanted to take the slit-lamp to a€?Ground Zeroa€? itself to care for injured members of the other uniformed services.A  I was emphatically discouraged from doing this by the staff of the office of the Chief of Police, until buildings stopped collapsing and the ground beneath was more stable. Superintendents and parents say kids don't like the new menus and aren't full enough, causing the cafeterias to lose money. The program didn't even make it through the school year after students repeatedly complained about the small portions and apples and pears went from the tray to the trash untouched.
Voorheesville's chef began serving such dishes as salad topped with flank steak and crumbled cheese, pasta with chicken and mushrooms, and a panini with chicken, red peppers and cheese. Janey Thornton, deputy undersecretary for USDA's Food, Nutrition and Consumer Services, which oversees the program, said she is aware of reports of districts quitting but is still optimistic about the program's long-term prospects. A typical elementary school meal under the program consisted of whole-wheat cheese pizza, baked sweet potato fries, grape tomatoes with low-fat ranch dip, applesauce and 1 percent milk.
The idea of dropping the program has come up at board meetings, but the district is sticking with it for now. The holiday season is no exception and is actually a great opportunity to show them how much you care.
It is easy to make poor food choices when faced with all those sugar-covered treats — especially at Halloween parties. Also, the food is exposed for a longer period of time to enzymes in your mouth that help break down fat, improving digestion. The Framingham Cohort Study looked at the health of 5,036 people living in the United States.
If you are planning a vacation, do you map out the route or program it into your GPS before you get in the car? Croix Orthopaedics, every 15 pounds of excess weight puts 100 pounds more pressure on the body's joints.
Be mindful, though, that eating your lunch at your desk can have negative consequences for your diet.When we eat at our desks, we are often distracted by email, phone calls and other interruptions.
They claim this forces the body to use its fat reserves for fuel instead of the carbohydrates quickly available from a pre-workout meal or snack. Focus instead on getting a much more manageable 30 minutes of exercise, five times per week. The problem is that we consume most of our protein at dinner time when we should be eating the most protein during breakfast to start off our day. The study included a control group, a group of subjects who ate three high-protein meals each day, and a third group who ate high-protein meals six times a day. We have all been in that situation where we have been invited out to go celebrate a birthday party, anniversary, you name it. Charles Mango, from New York-Presbyterian Hospital, had managed to get downtown near the disaster site. Lester, a detention-center designer, is flying in from Kansas City, Mo., to show his design, which involves a kinetic polycarbonate sphere etched with the names of the victims. McConnell used mathematical equations to design his plan for a spire that creates the illusion of infinite height. Stratas posted registration forms online Wednesday morning, as the Lower Manhattan Development Corporation was announcing the finalists. Stratas insists the forum isn't about political action, some people say they'd like to find power in numbers.
Stratas was standing at the lectern, on the fourth floor of the student center at New York University, talking to a group of peers whom he knew intimately but had never met before. Mango said: ''You see, when I came up with my idea, I really thought that I was going to win. Stratas said), which will lay out their displeasure with the competition's eight finalists and which could be released to the public as early as today.
Heys's comment, Zane Kinney, who had flown all the way from Ellensburg, Wash., felt compelled to correct the record. Vincenta€™s (which is not one of my hospital affiliations), which was closer to the scene, but they too had a€?enough medical personnela€? for the task.A  I was referred to a triage center at Chelsea Piers where medical volunteers could go to see a€?if they were neededa€?. But sometimes your name or some of your personal information is so similar to someone else's that doctors' offices or hospitals can have a hard time identifying your records correctly. That takes the option of quitting off the table for schools with large numbers of poor youngsters.
But it’s still completely possible to enjoy yourself at the party, without going overboard on empty calories.
Often we consume our meals quickly without thinking about them, enjoying them or even really tasting them.
After years of being confined to a wheelchair due to her weight, she was able to reclaim her life. The review found that consuming dairy products was related to increased insulin production, a healthier body weight and decreased body fat. The carbohydrate is partly from lactose (milk sugar), which is digested differently than sucrose. If you skip it, your body can go into conservation mode, and hold onto fat instead of burning it. Their design was a glass replica of the twin towers with rectangular holes where the airplanes struck.
His design includes uniformed honor guards, firefighters and cops watching over a tomb in defense of the nation. It's a dangerous and costly problem that can lead to missed diagnoses, inappropriate treatments or unnecessary tests, as well as making it difficult for your doctor to share information with your other health care providers.A solution? Here are some of the best (and worst) gift ideas for your loved ones working towards a healthier lifestyle. These include irregular sleep patterns and unhealthful diets in addition to extended periods of inactivity. You also may feel sluggish and have a hard time getting your brain to process and store information properly. There was a 70-foot glass sculpture of a pair of hands cupped together reaching for the heavens, and a sort of paddle-wheel thing that people pushed, and when they pushed it, it generated energy, and the energy was used to power spotlights, and the spotlights shone up into the sky, and the intensity of the shine, well, it depended on how many people were pushing the wheel.
After just one year, some schools across the nation are dropping out of what was touted as a healthier federal lunch program, complaining that so many students refused the meals that their cafeterias were losing money. A study in an obesity clinic examined the relationship between knowledge of appropriate foods and beverages needed for weight loss and the actual diet of patients seeking obesity treatment. The worldwide impact of the tragedy is emphasized by recognizing the international scope of the loss.
Still, they wanted to remain involved and to contribute something -- anything, please -- because their energies and passions, the collective vat of their creative juices, really, could you throw it all away? That's why the American Health Information Management Association (AHIMA), the national organization of health information management professionals, has started an online petition asking for a voluntary patient safety identifier. The study found that although the patients recognized what an appropriate diet plan included, they did not consume an appropriate diet for weight loss. A voluntary patient safety identifier is something you could create and would allow medical systems to recognize you quickly and accurately when accessing your information. Treatment approaches should include tools that help patients implement their nutrition knowledge. It will help ensure all your health information is kept together and is complete, all the while remaining under your control.The petition will encourage our leaders in the federal government to engage with experts in the private sector who have experience in accurately identifying people, as they do in banking and other financial businesses, along with security experts. With 80 percent of doctors and 97 percent of hospitals currently using an electronic health record, having a way to accurately and safely exchange information can make health care more safe and effective."The voluntary patient safety identifier - created and controlled by patients - will be a complete and positive game-changer in health care in terms of patient safety, quality of care and financial consequences," says AHIMA CEO Lynne Thomas Gordon, MBA, RHIA, CAE, FACHE, FAHIMA. Among these were 2,488 different patients named Maria Garcia and 231 of those shared the same birth date.That's why people from across the country are supporting a petition that asks the Obama administration to join with the private sector to discuss a voluntary patient safety identifier. Seven World Trade Center was not actually on the same plot of land as the rest of the World, Trace Center complex.



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