Western Reserve - What's In A Dream? Content Analysis In The Study Of Dreams.
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In 1953, Glenn Ramsey, a psychologist at the University of Texas, carried out an extensive review of dream studies up to that time. Based on his exhaustive work, Ramsey contended that dream researchers needed to follow basic scientifically accepted practices and procedures if the potential of dream work was to be realized, and that investigators should design their experiments in ways that would allow other researchers to repeat the study and check its results.
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Prior to Ramsey's call for dream researchers to develop and apply some sort of system for classifying dream content so that it could be evaluated in an objective and quantitative fashion, Calvin Hall had already begun to put a system into practice. Hall is credited to be the individual most responsible for making giant strides in the area of dream content analysis.
During his tenure at Western Reserve University, (1937 to 1957) Hall and his graduate students collected thousands of dream reports from attending students. Based on this collection, Hall prepared a seventeen page "Manual for Dream Analysis" in 1949. His "manual" was used by several of his graduate students in their theses and dissertations on a wide variety of dream topics.
In 1961 Hall began to systematize his efforts for a content analysis approach to dreams. During 1962 he prepared a set of six technical manuals for classifying various dream elements.
Robert Van De Castle joined Calvin Hall at the Institute for Dream Research in 1964. The Institute which Hall established. Van De Castle came from a background in clinical research. He brought his experience in scoring and validating personality tests to the content analysis project Hall had begun. The two dream researchers collaborated on the expansion of Halls technical manuals for classifying different dream elements and published a book, The Content Analysis of Dreams (1966), presenting the expanded set of scoring rules for various dream scales.
For the first time, a comprehensive system of classifying and scoring the content of dreams was outlined and made available to dream investigators. Their work was an important empirical contribution to the analytic study of dreams.
After receiving some harsh criticism and a very unjust and poor review of the book, (The Content Analysis of Dreams) Hall, in conjunction with Bill Domhoff of the University of Santa Cruz, came up with an intriguing use of content analysis to demonstrate the accuracy and repeatability of the system. They applied the method to an analysis of twenty-eight of Freud's dreams and thirty-one of Jung's.
They found many similarities between the two famous psychiatrist's dreams and what they dreamed about, but there were also some clear differences. Hall and Domhoff related some of the differences between the two to information known about these prominent men.
Hall engaged in a fascinating study of an unusual (and abnormal) individual, whom he referred to only as "Norman." Norman had been a patient of Alan Bell's (a psychologist). While under Bell's care, Norman reported 1,368 dreams. Bell contacted Hall and asked if he would be willing to create a profile on Norman's personality based solely on the patient's dreams. Hall accepted the proposal.
Knowing only his age (early 30s) and gender, Hall used the Hall-Van De Castle scoring system to analyze the more than 1,300 dreams. It soon became apparent to Hall, based on the examination of his dreams, that Norman had been institutionalized for molesting children.
Hall compared the various elements in Norman's dreams with the norms that had been compiled by Hall (and reported in The Content Analysis of Dreams) for male dreamers. He then read through the dreams to determine if there were any predominant themes that might have been missed by the scoring system.
Operating on the assumption that the frequency of occurrences of a dream element or theme directly represented the dreamer's preoccupation with that topic or subject in waking life, Hall prepared a detailed psychological profile of this individual. One conjecture was that this man preferred to look at the genitals of little girls.
On the basis of a lack of elements that should have been present (his father) and on other dream materials (Norman's), Hall postulated that Norman had been sexually abused by his father when he was a child.
To verify (or to disprove) the accuracy of Hall's profile, biographical information concerning the dreamer, additional information from records at various institutions where Norman had been confined, and data from psychological tests, were obtained. Norman himself wrote several letters providing additional information in response to questions raised by Hall after the dream analysis was completed.
The results of the project were published in their book, The Personality of a Child Molester. Bell and Hall provided many examples of Norman's dreams and a description of his background and test scores. It was discovered, for example, that Norman had been sexually molested by his father for several years, beginning when he was only four.
The tools provided by content analysis, particularly the scales developed by Hall and Van De Castle, can enable a dream researcher or dream worker to evaluate and report results in an objective and quantitative fashion, which then can be independently assessed by other investigators.
I personally have used content analysis in my dream research. However, it is a starting point for me, a first step. I have found the information and insights gleaned from this method to be very useful when working with dreams, however, the insights are limited when applying the system to a single dream. The real strength of the system emerges when it is applied to a series of dreams from an individual.
If you would like to learn more about content analysis join our free monthly newsletter, The Nocturnal Times. Each month you'll read fascinating and informative articles on dreams, dreaming, dream work, and much more.
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Western Reserve Area On Aging - 2010 Largest Assisted Living Providers
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While stormy economic conditions buffeted the company last year, indicators now point to smoother navigation ahead. As businesses in nearly every U.S. Sector struggled to stay afloat last year, assisted living was the buoy in the choppy waters. Steady examine for quality services helped keep associates stable-even if accompanied by a hiatus from major mergers and acquisitions.
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As businesses in nearly every U.S. Sector struggled to stay afloat last year, assisted living was the buoy in the choppy waters. Steady examine for quality services helped keep associates stable-even if accompanied by a hiatus from major mergers and acquisitions.
Now, as economic forecasters allude to the end of the "Great Recession," associates like this year's Largest Providers are poised for growth, some of which is already underway. Forty-two of those associates (60%) that made the 2010 list narrative increases in licensed assisted living resident capacity-though much of that growth was in single-digit percentages. an additional one 16 of the top 70 associates maintained their size, while just 12 reported losses.
Here's a look at Assisted Living Executive's 2010 Largest Providers, and the company environment, transactions, and trends that landed each company a spot.
Top Players Hold Steady
In 2009, no assisted living providers merged nor acquired any other faultless company. However, while most deals were small, the year did yield a few large portfolio acquisitions and primary reshuffling. The biggest gains and losses were among the biggest players and occurred through straightforward sales and acquisitions.
For the first time since Assisted Living menagerial began compiling this each year Largest Providers list, Sunrise Senior Living, based in McLean, Virginia, no longer sits at No. 1. The company, now No. 2, had no new construction starts and sold off about 9 percent of its assisted living capacity (about 2,896 units) last year. Its biggest transaction was a portfolio of 21 communities in 11 states to Milwaukee, Wisconsin-based Brookdale Senior Living for 4 million, but Sunrise also sold smaller portfolios to regional providers, such as Baltimore-based Brightview Senior Living (The protection Group), which purchased two of Sunrise's New Jersey communities.
The Sunrise downsize has made Seattle-based Emeritus Senior Living the nation's largest assisted living provider. Emeritus acquired 2,221 new licensed assisted living units and grew by 7 percent in the past year, and it's very likely that Emeritus will not only profess the top spot next year, but enlarge significantly in 2011. The company's partner, Blackstone Real Estate Advisors, is pursuing the buy of 134 communities operated by Sunwest Management, which is in lesson 11 bankruptcy. Under a preliminary agreement, Emeritus would conduct the properties with the selection to spend up to 10 percent of the equity in a joint venture with Blackstone and Columbia Pacific Management, an entity controlled by Dan Baty, Emeritus chairman and co-Ceo.
Brookdale Senior Living maintained its No. 3 ranking, but also grew by 3,808 residents, or 15 percent, in 2009. Sunwest Management, last year's No. 4 company, comes in at No. 7 this year with 9,186 assisted living residents, a 43 percent drop. The company will disappear wholly from the 2011 list if Blackstone or an additional one entity receives court approval to buy the remainder of Sunwest's portfolio.
In terms of percentage growth, the clear winner is Solana Beach, California-based Senior resource Group, an additional one beneficiary of Sunwest's financial woes. The company picked up supervision contracts for 41 properties in 11 states, under the name LaVida Communities, when institutional investor Lone Star Funds of Dallas acquired the properties in the first big deal of 2009. Senior resource Group catapults from No. 55 to No. 11, having grown its assisted living resident capacity more than 500 percent, to 4,897.
Big Movers
For the next Largest Providers percentage spike, look to Crl Senior Living Communities, which enters the list at No. 57, thanks to more than doubling its assisted living capacity from 502 to 1,019. Also on the growth path, Frontier supervision expanded by 64 percent, from 828 to 1,358 licensed assisted living units, thanks to seven new supervision contracts and two new buildings. Frontier supervision jumps 15 spots from No. 57 to No. 42. Watch this Western regional provider to grow further next year as several more new buildings open.
The fourth-largest list jumper is Carmichael, California-based Eskaton Senior Residences and Services, rising 12 spots to No. 56. The company reports 1,036 licensed assisted living units (up from 732 last year) due to whether expansions or applications for further assisted living licensing.
Only seven other providers narrative gains of 20 percent or more in the past year, and among them is Bradley, Illinois- based Bma Management. Because of its focus on the affordable market, the company continues to advantage from accessible financing sources not available to traditional providers. Bma Management's assisted living resident capacity jumped 27 percent in the past year as the company opened six new communities. In 2010, the company moves up the list by three spots, advent in at No. 21.
Other associates that increased their licensed assisted living capacity contain Capital Senior Living Corporation (No. 20), which grew by 25 percent, and Bonaventure Senior Living (No. 23), whose assisted living capacity surged by 21 percent to 2,595. Assisted living capacity for Carlsbad, California-based Integral Senior Living (No. 24) rose 24 percent. Benedictine health system (No. 41) grew by 20 percent, and Brightview Senior Living (No. 52, up from No. 62 last year) expanded by 29 percent, thanks to the Sunrise deal, which added 240 residents. an additional one chart-jumper was leisure Living Management, which vaulted nine places from No. 58 in 2009 to No. 49 this year naturally by adding 200 residents (22 percent).
The vast majority of expanding providers, however, had gains of less than 10 percent. But a microscopic growth can go a long way when nearly 60 percent of associates on the Largest Providers list have fewer than 2,000 assisted living residents.
In an additional one indication of assisted living growth, Independent Healthcare Properties, the smallest company on the list at No. 70, only kept its 2009 rank thanks to an 18 percent capacity gain from 706 to 833. Most of the 2009-ranked associates that did not make this year's list whether maintained capacity or had very small gains. an additional one intuit for higher numbers at the bottom of the list is attributed to data from five providers not previously listed-Spectrum resignation Communities (No. 28), Mountain View resignation (No. 50), Crl Senior Living Communities (No. 57), Welcome Home supervision company (No. 64), and Elder Care Alliance (No. 66).
Other than Sunwest, the company with the most dramatic drop in licensed assisted living capacity was Northstar Senior Living, which shed 1,068 residents, or 55 percent of its 2009 capacity, falling from No. 28 to No. 67. Again, because of modest extensive numbers, decreases were most supreme toward the bottom of the top 70 list. Grace supervision saw a 30 percent decline from 1,399 to 979 and dropped from No. 37 in 2009 to No. 61 this year. Carillon Assisted Living, No. 49 in 2009, decreased its capacity by 24 percent from 1,024 to 775, removing it from the list altogether.
Several associates that didn't make this year's list but may show up in 2011 contain Trinity Lifestyles Management, which nearly doubled in size to 480 assisted living residents after picking up three Atlanta-area EdenCare properties, at one time operated by Sunrise Senior Living. Wichita, Kansas-based Legend Senior Living has been raising its assisted living component steadily with new construction, expanding an additional one 18 percent to 692 in 2010. And finally, AdCare health Systems, based in Springfield, Ohio, remains a smaller provider at 231, but that reflects a 38 percent growth over the prior year, and the company recently announced raising .5 million to fund acquisitions.
More garage Times Ahead
"The fact that we'll be able to point to this time period-the worst economic downturn in our lifetimes-and say that our commerce weathered it pretty well and even continued to grow is significant," says Granger Cobb, president and co- Ceo of Emeritus Senior Living.
The past two recessions hit assisted living hard, and many providers at the start of 2009 were involved that the stalled housing market, depleted stock market earnings, and high unemployment among the adult children of possible residents could cause occupancy rates to plummet. Instead, after modest 2008 rate declines and a rent growth slowdown to 2 percent from 2.9 percent in 2008 and 4 percent in 2007, the needs-based component of assisted living seemed to trump economic concerns. Move-ins could be postponed but only for so long.
By second quarter 2009, signs of stabilization began to emerge, followed by a slow but upward trend, says Robert G. Kramer, president of the Annapolis, Maryland-based National venture town for the Seniors Housing & Care commerce (Nic). While national unemployment still hovered at a troubling 10 percent in January, Kramer says he's cautiously optimistic about the future, especially since the commerce saw its largest absorption rate in the third quarter of 2009 since the first quarter of 2006- 1,400 assisted living units in the top 30 urban markets and slightly stronger in the top 100 markets.
Those statistics recommend that the extensive photo is much rosier for assisted living than for other real estate sectors, including multifamily, hotels, and offices, Kramer notes. "Basically, we are looking operators keeping the line with regard to rates," he adds. "We unmistakably are looking more concessions out there, but at the same time, those concessions tend to be very much market-specific, property-specific, or even unit-specific."
Still, move-in delays due to economic factors have amplified a trend already developing pre-recession-residents tend to be older and frailer, says Jim Moore, president of Moore Diversified Services and author of "Strategic Forecast," published in Assisted Living Executive's January/February 2010 issue. The consequent is heightened occasion in dementia care, which is even more needs-based than assisted living, he adds. Indeed, a estimate of top 70 operators reported having converted independent units to assisted living or assisted living to memory care.
As for new construction, buildings already in the pipeline continued to open, but few associates launched new developments, and by January 2010, the estimate of new construction starts had fallen to the bottom point since Nic started tracking senior housing trends. No associates went collective in 2009.
Forecast for 2010
Access to capital will remain the traditional challenge for amelioration in 2010, although new properties financed before the stepping back will continue to open through the third quarter of 2010. But the lack of new properties isn't necessarily bad news for assisted living.
"We're going to go through a period of very microscopic new stock advent online, but if that coincides with pent-up examine and a saving in the economy, all should bode well for occupancies and rent growth in assisted living," Kramer says. "Outside of external economic factors that we don't have any control over, the most risk to assisted living is overbuilding."
Fannie Mae and Freddie Mac will continue to be reliable sources of permanent 10-year financing, but when it comes to construction loans, developers have few options. Some very microscopic Hud 232 financing will be available, but more likely, the few projects that activate will do so because of relationships with local lenders.
Indeed, The Arbor Company, based in Atlanta, lacks the cash to originate properties on its own, but thanks to a partnership with Formation Capital, Arbor will conduct two new properties scheduled to break ground this fall, says Coo Judd Harper. "We feel much stronger and more optimistic about the assisted living occupancies in today's gently recovering economy, but are optimistic about independent living's rebound in the future," he adds. "As citizen get jobs, they no longer are going to be able to care for a parent at home."
A attractive spot in the acquisitions arena, incommunicable equity entities are beginning to eye assisted living as a desirable sector again, and the major Reits in senior housing are well-positioned to spend again, Kramer notes. Emeritus will be a company to watch thanks to the Blackstone deal, and while it only plans one new construction in 2010, the company actively will be looking for other acquisition opportunities at attractive prices.
"If a company has liquidity, cash flow, and a reasonably wholesome balance sheet, it will be in a great position because there are opportunities right now," Cobb says. That advantage isn't just for big associates like Emeritus, but also for regional and even small mom-and-pop players with targeted expansion plans, he adds, noting that "interest rates have not changed that much over the last concentrate of years, but the estimate of equity and coverage ratios you have to have in place has become more stringent, as well as the underwriting."
Fanwood, New Jersey-based Chelsea Senior Living leveraged a strong connection with a local lender to buy a former Sunwest property in New Jersey last fall and is actively looking for more deals, says Roger Bernier, president and Coo. "Some citizen are likely to see their debt maturing and be unable to refinance," he forecasts. "Ultimately we'd like to grow by two communities per year, but it has to be the right deal for us to take a look."
Much of the acquisitions performance in 2010 is likely to remain with distressed properties, however, and no one expects lots of high-end properties to come on the market this year, says Steve Monroe of Senior Care Investor. "High-performing properties are only going to sell if owners can get a good price, although that may start to convert later in 2010."
Still, wise operators should not be blinded by attractive price tags so much that they forget to reconsider how well the acquisition fits into their existing portfolio and evolving demands of seniors and their families, Moore cautions. "Senior psychographics are changing," he adds. "It's not so much the World War Ii homemaker widow as 80-year-olds who have been in the expert workforce."
Another area of occasion in 2010 may be new supervision contracts for owners and lenders who may be unhappy with their current management, Moore suggests. And for many companies, the wisest move in 2010 may be just to sharpen internal operations, he says.
Although Greensboro, North Carolina- based Bell Senior Living is open to the right deal within the mid-Atlantic states in which it already operates, the latter strategy will be the company's prime priority this year, says President Steve Morton. "I'd say it's a time to focus on operations, heighten operating results including supervision and wage streams, and put together the primary tools to maximize and run communities in the most sufficient manner possible," he says. "This is something we can do because we don't have five acquisitions or amelioration deals."
Finally, unstable financial markets still make it unlikely that any company will go collective in 2010, but if conditions improve, Moore says, the two associates to watch continue to be Atria Senior Living Group (No. 4) and Hcr ManorCare (No. 10).
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Hospice Of The Western Reserve Cleveland Ohio - Latest International Cost of Living Ranking
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The rank of the overall international cost of living indexes is reported as at April 2010 using New York as the base city. The indexes are calculated using the prices for specific quantities of the same goods and services in each location, based on expatriate spending patterns across 13 broad categories (Basket Groups).
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The cost of living studied is the cost of maintaining an expatriate standard of living. When comparing the cost of living between different locations the objective is to calculate the difference in the cost of living and express this as a cost of living index by dividing the cost of living in Location A by the cost of living in Location B.
The cost of living index reports the difference in the cost of living between the 2 locations for the same items purchased. For example an index of 140 means that the Location is 40% more expensive than the comparator Location. This would mean that a person who moves between the two locations would need to earn 40% more, to have the same standard of living as they have currently.
Tokyo is the overall most expensive place in the world for expats. Tokyo is also the most expensive place in the world for accommodation, while it is the fourth most expensive place in the world for groceries. Brasilia has moved up 9 places from 12th in October 2009 to be the third most expensive place in the world to live for expatriates. Sydney has rocketed up the rankings to 10th having been ranked 15th in January this year. Dubai has dropped another 8 places after dropping 9 places in the previous quarter to fall out of the top 10 and is now ranked 26th, but interestingly is still the most expensive place for restaurants, meals out and hotel costs.
The fastest mover upwards is Ashgabat in Turkmenistan having moved up 94 places from 257rd to 163. The relative cost of living for expatriates in Gibraltar has also increased considerably having moved up 94 places to 92. South Africa has experienced a significant increase in global cost of living terms mainly due to the strengthening of the Rand. Cape Town has moved up 53 places to be ranked 193rd.
Alcohol & Tobacco is most expensive in South Tarawa in Kiribati, followed by Moroni in the Comores, and Oslo in Norway. Clothing is most expensive in Manama, Bahrain followed by Moscow, Russia. Education is most expensive in Caracas, Venezuela and Brasilia in Brazil. Groceries are most expensive in Kiribati. Oslo, Norway is most expensive for Transport.
The full list of the January 2010 overall international cost of living rankings, together with the previous Quarter's rank, and the change in rank is as follows:
April 2010 Rank Country, City (January 2010 Rank)[Change in Rank]
1 Japan, Tokyo (1) [0]
2 Switzerland, Geneva (2) [0]
3 Brazil, Brasilia (3) [0]
4 Switzerland, Zurich (4) [0]
5 Norway, Oslo (6) [-1]
6 Denmark, Copenhagen (7) [-1]
7 Venezuela, Caracas (8) [-1]
8 China, Hong Kong (5) [3]
9 Liechtenstein, Vaduz (9) [0]
10 Australia, Sydney (15) [-5]
11 Central African Republic, Bangui (10) [1]
12 Kiribati, South Tarawa (24) [-12]
13 New Caledonia, Noumea (13) [0]
14 Greenland, Nuuk (14) [0]
15 Germany, Munich (16) [-1]
16 France, Paris (17) [-1]
17 Solomon Islands, Honiara (20) [-3]
18 Cameroon, Douala (12) [6]
19 Bermuda, Hamilton (25) [-6]
20 Monaco, Monaco (23) [-3]
21 San Marino, San Marino (22) [-1]
22 Italy, Milan (21) [1]
23 Vanuatu, Port Vila (28) [-5]
24 Chad, N'Djamena (11) [13]
25 Papua New Guinea, Port Moresby (27) [-2]
26 United Arab Emirates, Dubai (18) [8]
27 Germany, Frankfurt (29) [-2]
28 Korea Republic of, Seoul (26) [2]
29 Gabon, Libreville (33) [-4]
30 United Kingdom, London (37) [-7]
31 Austria, Vienna (30) [1]
32 Finland, Helsinki (31) [1]
33 Italy, Rome (35) [-2]
34 Germany, Cologne (36) [-2]
35 Russia, Moscow (38) [-3]
36 Croatia, Zagreb (32) [4]
37 Australia, Melbourne (43) [-6]
38 Australia, Canberra (44) [-6]
39 Ireland, Dublin (39) [0]
40 Comores, Moroni (42) [-2]
41 Qatar, Doha (34) [7]
42 Angola, Luanda (19) [23]
43 Isle of Man, Douglas (52) [-9]
44 Belgium, Brussels (45) [-1]
45 Netherlands, Amsterdam (50) [-5]
46 Australia, Perth (59) [-13]
47 Micronesia, Palikir (49) [-2]
48 Mali, Bamako (40) [8]
49 Germany, Hamburg (47) [2]
50 Germany, Bonn (48) [2]
51 Slovakia, Bratislava (53) [-2]
52 Cameroon, Yaounde (46) [6]
53 Taiwan, Taipei (41) [12]
54 Guernsey, St Peter Port (61) [-7]
55 Spain, Madrid (62) [-7]
56 Congo, Brazzaville (214) [-158]
57 Canada, Toronto (60) [-3]
58 Iceland, Reykjavik (64) [-6]
59 Togo, Lome (51) [8]
60 Singapore, Singapore (65) [-5]
61 Turkey, Ankara (56) [5]
62 Germany, Berlin (66) [-4]
63 USA, New York NY (54) [9]
64 Nigeria, Lagos (58) [6]
65 Bahamas, Nassau (55) [10]
66 Bahrain, Manama (57) [9]
67 Tuvalu, Funafuti (72) [-5]
68 Jersey, Saint Helier (74) [-6]
69 USA, Boston Mass (67) [2]
70 Vatican City, Vatican City (73) [-3]
71 Spain, Barcelona (76) [-5]
72 USA, San Jose Calif (70) [2]
73 Nauru, Yaren (75) [-2]
74 United Arab Emirates, Abu Dhabi (71) [3]
75 Senegal, Dakar (80) [-5]
76 Canada, Vancouver (78) [-2]
77 USA, San Francisco Calif (68) [9]
78 Luxembourg, Luxembourg (79) [-1]
79 Czech Republic, Prague (69) [10]
80 Hungary, Budapest (83) [-3]
81 United Kingdom, Glasgow (89) [-8]
82 Estonia, Tallinn (82) [0]
83 Palau, Melekeok (81) [2]
84 Falkland Islands, Stanley (93) [-9]
85 Sweden, Stockholm (84) [1]
86 Australia, Brisbane (102) [-16]
87 Portugal, Lisbon (91) [-4]
88 Canada, Calgary (95) [-7]
89 Guinea-Bissau, Bissau (85) [4]
90 Burkina Faso, Ouagadougou (96) [-6]
91 Colombia, Bogota (77) [14]
92 Gibraltar, Gibraltar (186) [-94]
93 Malta, Velletta (90) [3]
94 USA, Anchorage AK (94) [0]
95 Djibouti, Djibouti (86) [9]
96 Cote D'Ivoire, Abidjan (97) [-1]
97 United Kingdom, Birmingham (108) [-11]
98 New Zealand, Auckland (113) [-15]
99 Azerbaijan, Baku (99) [0]
100 Haiti, Port-au-Prince (92) [8]
101 USA, Philadelphia Pa (103) [-2]
102 USA, Los Angeles Calif (101) [1]
103 Andorra, Andorra la Vella (109) [-6]
104 Benin, Cotonou (104) [0]
105 United Kingdom, Leeds (117) [-12]
106 Greece, Athens (115) [-9]
107 USA, Washington DC (112) [-5]
108 Trinidad and Tobago, Port-of-Spain (100) [8]
109 Samoa, Apia (107) [2]
110 China, Beijing (121) [-11]
111 Sudan, Khartoum (130) [-19]
112 Cayman Islands, George Town (111) [1]
113 Serbia, Belgrade (106) [7]
114 Montenegro, Podgorica (128) [-14]
115 Canada, Montreal (120) [-5]
116 Lebanon, Beirut (105) [11]
117 Cape Verde, Praia (118) [-1]
118 Saint Helena, Jamestown (125) [-7]
119 USA, Baltimore Md (116) [3]
120 India, Mumbai (122) [-2]
121 Sao Tome and Principe, Sao Tome (87) [34]
122 Seychelles, Victoria (88) [34]
123 USA, San Diego Calif (119) [4]
124 Barbados, Bridgetown (129) [-5]
125 Marshall Islands, Majuro (131) [-6]
126 Israel, Jerusalem (110) [16]
127 Lithuania, Vilnius (126) [1]
128 Australia, Adelaide (145) [-17]
129 Poland, Warsaw (136) [-7]
130 Saudi Arabia, Riyadh (124) [6]
131 Zambia, Lusaka (123) [8]
132 Indonesia, Jakarta (127) [5]
133 USA, Seattle Wash (133) [0]
134 Kuwait, Kuwait City (140) [-6]
135 Chile, Santiago (172) [-37]
136 China, Shanghai (173) [-37]
137 Martinique, Fort-de-France (139) [-2]
138 Niger, Niamey (135) [3]
139 USA, Miami Fla (134) [5]
140 USA, Portland Ore (138) [2]
141 USA, Chicago Ill (143) [-2]
142 Kazakhstan, Almaty (137) [5]
143 Canada, Ottawa (151) [-8]
144 Mauritius, Port Louis (144) [0]
145 Guinea, Conakry (114) [31]
146 India, New Delhi (153) [-7]
147 Latvia, Riga (148) [-1]
148 Puerto Rico, San Juan (146) [2]
149 Jordan, Amman (142) [7]
150 India, Chennai (159) [-9]
151 Tanzania, Dar es Salaam (132) [19]
152 Cyprus, Nicosia (163) [-11]
153 Georgia Republic of, Tbilisi (147) [6]
154 Guam, Hagatna (152) [2]
155 Slovenia, Ljubljana (162) [-7]
156 Malawi, Lilongwe (158) [-2]
157 Ukraine, Kiev (160) [-3]
158 Uruguay, Montevideo (176) [-18]
159 Grenada, Saint George's (161) [-2]
160 Jamaica, Kingston (149) [11]
161 Botswana, Gaborone (150) [11]
162 India, Calcutta (166) [-4]
163 Turkmenistan, Ashgabat (257) [-94]
164 India, Hyderabad (171) [-7]
165 Liberia, Monrovia (154) [11]
166 Rwanda, Kigali (156) [10]
167 Maldives, Male (155) [12]
168 USA, Jacksonville Fla (164) [4]
169 USA, Cleveland Ohio (169) [0]
170 Moldova, Chisinau (167) [3]
171 Equatorial Guinea, Malabo (174) [-3]
172 USA, Tampa Fla (168) [4]
173 USA, Dallas Tex (165) [8]
174 USA, Atlanta GA (170) [4]
175 USA, Phoenix Ariz (177) [-2]
176 Fiji, Suva (192) [-16]
177 Sierra Leone, Freetown (141) [36]
178 USA, Milwaukee Wis (181) [-3]
179 USA, Denver Colo (175) [4]
180 Ghana, Accra (98) [82]
181 South Africa, Johannesburg (217) [-36]
182 USA, Charlotte NC (182) [0]
183 Macedonia, Skopje (183) [0]
184 USA, Detroit Mich (195) [-11]
185 USA, Pittsburgh Penn (185) [0]
186 Timor-Leste, Dili (178) [8]
187 Korea Democratic Republic of, Pyongyang (205) [-18]
188 Romania, Bucharest (179) [9]
189 Somalia, Mogadishu (194) [-5]
190 Mexico, Mexico City (193) [-3]
191 USA, Austin Tex (196) [-5]
192 Algeria, Algiers (180) [12]
193 South Africa, Cape Town (246) [-53]
194 USA, Columbus Ohio (198) [-4]
195 Gambia, Banjul (184) [11]
196 Honduras, Tegucigalpa (189) [7]
197 India, Bangalore (209) [-12]
198 Philippines, Manila (190) [8]
199 Antigua and Barbuda, Saint John's (187) [12]
200 Bulgaria, Sofia (211) [-11]
201 Afghanistan, Kabul (191) [10]
202 Syria, Damascus (203) [-1]
203 Kosovo, Pristina (206) [-3]
204 Morocco, Rabat (197) [7]
205 USA, Fort Worth Tex (200) [5]
206 USA, Las Vegas Nev (204) [2]
207 Mozambique, Maputo (157) [50]
208 Myanmar, Yangon (218) [-10]
209 Iran, Tehran (188) [21]
210 South Africa, Pretoria (233) [-23]
211 Saint Kitts and Nevis, Basseterre (201) [10]
212 Kenya, Nairobi (210) [2]
213 USA, San Antonio Tex (216) [-3]
214 Belarus, Minsk (244) [-30]
215 Brunei, Bandar Seri Begawan (208) [7]
216 Egypt, Cairo (230) [-14]
217 Cuba, Havana (202) [15]
218 Namibia, Windhoek (199) [19]
219 South Africa, Durban (252) [-33]
220 Peru, Lima (207) [13]
221 Saint Vincent and the Grenadines, Kingstown (212) [9]
222 USA, Houston Tex (213) [9]
223 Guyana, Georgetown (221) [2]
224 Thailand, Bangkok (215) [9]
225 USA, Indianapolis Ind (219) [6]
226 Vietnam, Hanoi (222) [4]
227 Dominica, Roseau (226) [1]
228 Guatemala, Guatemala City (245) [-17]
229 Albania, Tirana (223) [6]
230 Ethiopia, Addis Ababa (231) [-1]
231 USA, St Louis MO (224) [7]
232 USA, Memphis Tenn (229) [3]
233 Lesotho, Maseru (220) [13]
234 Costa Rica, San Jose (235) [-1]
235 Madagascar, Antananarivo (227) [8]
236 USA, El Paso Tex (228) [8]
237 Armenia, Yerevan (225) [12]
238 Eritrea, Asmara (254) [-16]
239 Congo Democratic Rep, Kinshasa (63) [176]
240 Dominican Republic, Santo Domingo (232) [8]
241 Oman, Muscat (237) [4]
242 Mauritania, Nouakchott (234) [8]
243 Belize, Belmopan (236) [7]
244 Uganda, Kampala (242) [2]
245 Panama, Panama City (240) [5]
246 El Salvador, San Salvador (239) [7]
247 Nicaragua, Managua (238) [9]
248 Burundi, Bujumbura (241) [7]
249 China, Shenzhen (253) [-4]
250 China, Wuhan (260) [-10]
251 Malaysia, Kuala Lumpur (247) [4]
252 Laos, Vientiane (243) [9]
253 Bangladesh, Dhaka (248) [5]
254 China, Dalian (272) [-18]
255 Tunisia, Tunis (250) [5]
256 Saint Lucia, Castries (249) [7]
257 China, Macao (255) [2]
258 Swaziland, Mbabane (251) [7]
259 Kyrgyzstan, Bishkek (274) [-15]
260 Bosnia and Herzegovina, Sarajevo (256) [4]
261 Uzbekistan, Tashkent (275) [-14]
262 Nepal, Kathmandu (263) [-1]
263 Mongolia, Ulaanbaatar (280) [-17]
264 Paraguay, Asuncion (268) [-4]
265 Tonga, Nuku'Alofa (264) [1]
266 Iraq, Baghdad (258) [8]
267 Suriname, Paramaribo (259) [8]
268 Libya, Tripoli (265) [3]
269 Pakistan, Lahore (261) [8]
270 Bolivia, La Paz (262) [8]
271 Pakistan, Islamabad (266) [5]
272 China, Guangzhou (278) [-6]
273 Pakistan, Karachi (267) [6]
274 Ecuador, Quito (269) [5]
275 Cambodia, Phnom Penh (270) [5]
276 Sri Lanka, Colombo (271) [5]
277 Tajikistan, Dushanbe (273) [4]
278 Bhutan, Thimphu (276) [2]
279 Argentina, Buenos Aires (277) [2]
280 Yemen, Sanaa (279) [1]
281 China, Tianjin (281) [0]
282 Zimbabwe, Harare (282) [0]
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Western Reserve Hospital - How to Optimize Your Child's Immune System
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Many people have asked me over the years what I recommend to help strengthen and protect children from getting serious infectious diseases. This article will cover several important aspects of strengthening your child's immune system. The major function of the child's immune system is to protect their little bodies against common childhood disease such as whooping cough, rubella, tetanus, typhoid, etc. infection, as well as colds and flu, herpes, hepatitis, etc. Reduced efficiency and poor performance of a child's immune system has many causes, among which are junk-food diets, devitalised, "chemicalised" as well as antibiotic-containing foods, environmental chemicals, medical drug use, passive smoking, stress, domestic issues, and under-nourishment or nutritional deficiencies - a very common cause of a child's immune deficiency.
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Are you concerned about your child's poor immune status, does he or she continually get sick each fall and winter? Is there recurrent cough, asthma or eczema? Let's go over some of the following categories in more detail:
o Psychological: provide a stress free and loving home environment for your child
o Improve your child's digestion & bowel by avoiding drugs like antibiotics as much as possible.
o Improve the diet through reducing junk foods and known toxins, like aspartame.
o Remove potential offending allergy-stimulating foods - like dairy, wheat, etc.
o Stimulate the body's recovery with sound nutrition and appropriate supplementation.
Psychological factors and your child's immune system
I think that the immune system is a kind of a "tuning fork" that almost reflects the harmonics of the way children perceive their outer and inner environment, especially the first seven years - their formative years. From observing many children in clinical practice over the years, I have found that children of high sensitivity, without a "release mechanism" for their sensitivity, along with a less than strong constitution may well end up with a chronic immune disease issue as an adult. It is as if their immune system has now turned on them, after years of emotional as well as disease suppression. Observations in the clinic will tell you that certain children seem to develop certain types of health problems - depending on their sensitivity and personality as well as of course any inherited traits and characteristics.
American psychologist James Pennebaker, Ph.D. found that children who confide their feelings, traumas and secrets to parents, caregivers and their friends as well as to themselves have healthier psychological profiles, greater immune responses, and fewer incidences of acute or chronic illness. Are you a parent or caregiver who encourages your child to be assertive, to speak up - or do you repeatedly tell them to "shut-up" - with the old fashioned belief that children should be seen and not heard? Psycho-neuro-immunologist George Solomon, studied assertiveness, and his finding was that children who assert their needs and feelings have stronger immune responses, and the ability to overcome a wide range of diseases usually associated with immune dysfunction.
Is your child easily stressed, anxious, or unhappy for example after a divorce or separation? All too often we look at the physical body when it comes to our children's recurrent immune health issues - please don't forget that the emotional responses govern immunity to a huge extent. Happy kids are generally healthier kids. Recurring arguments or discord in the home may cause a sort of "background noise" in your child's psyche that produces low grade and sometimes continual form of stress - leading to a weakened immune system. You may get a report from the teacher at school that your child is more stressed or tense. These recurrent problems and arguments at home will often cause a disharmony in your child's little body that can make certain muscles tighten on themselves. This can commonly affect the muscular tubes of the bowels, for instance, resulting in problems with the digestive tract such as poor digestion and constipation, or the respiratory tract (the bronchial tubes) causing asthma or coughs, just to mention a few.
Do we really need antibiotics to "fight "disease in children?
It makes sense to use natural treatments for ear infections, viruses, sore throats, and coughs. Reserve the antibiotics for life-threatening diseases, such as meningitis and pneumonia, though these can be caused by viruses too, and then antibiotics are completely ineffective.
I have written about this many times before, I am still concerned at how many children receive antibiotics indiscriminately, and sometimes even for ridiculous instances like a small cut on the finger! The medical approach is still that bacteria, viruses and other various disease causing microbes attack us from out there, and that they, are the very causes of infection. Medicine disregards the fact that we share our own bodies with microorganisms which are hardier and more adaptable than we are. We have over 400 species of bacteria in our large intestine alone, if we kill one we may kill all - genocide.
The common symptoms of an acute infection are protective, even if they make you feel sick. Fever stimulates the production and activity of white blood cells, pain and fatigue are signals designed to immobilse the ailing body, conserving energy and decreasing the likelihood that the infection will be spread through contact with others. So do we really need antibiotics? Very occasionally (read very rarely) for life threatening conditions. The most frequent conditions for which doctors prescribe antibiotics are ear infections, particularly acute otitis media in young children (middle ear infection) In adults it would be for upper respiratory tract infections (colds), acute bronchitis, and sinusitis, with colds and bronchitis accounting for almost 30% of out of hospital antibiotic prescriptions.
One of the main reasons that antibiotics are routinely (over) prescribed is the medical belief that antibiotics will "prevent a complication" of acute otitis such as mastoiditis (infection of the mastoid bone, the part of the skull to which the ear attaches). In Holland, children older than one year of age are no longer treated with antibiotics for acute otitis media, antibiotic treatments were abandoned for such cases during the 1980's, yet the incidence of mastoiditis there has remained extremely low. One problem with antibiotic treatment of otitis is its inappropriateness use in children with chronic otitis, which is persistent fluid in the ears lasting for weeks, months, or even years. Although bacteria are usually present in the middle ear fluid of children with chronic otitis, there is absolutely no evidence that antibiotics can "cure" this condition.
In my clinical experience, over three quarters of children with ongoing chronic otitis media have major unresolved food allergy problems; in fact, the appropriate elimination diet resolves the "infection" for 90% of such cases. This treatment fiasco for otitis media is a glaring example of the error that occurs when modern medicine seeks the cause of the illness in a microbe rather than in the characteristics of the actual little patient who presents with an illness.
Having seen so many children over the years with acute ear nose and throat problems, I can tell you categorically - antibiotics only hinder a child's recovery from an acute illness. My experience is that once you start your little ones on the "drug merry-go-round", you will find it hard to get out of this pharmaceutical fun park. I have never been there with my 4 kids, they always responded with any acute condition with basic herbs such as echinacea, goldenseal, astragalus, licorice, etc, also Omega 3 supplements and homeopathic medicines. And your children will respond as well, so please do consider the naturopath or your health food shop before rushing to the doctor with your child when they develop an acute ear, nose or throat infection.
Be wise - think before you immunise
The increasing incidence of allergic disorders in Western nations is now universally recognised, with studies now revealing that every third child in industrialised societies having an allergic disorder. In some areas the incidence of asthma has increased 200% in the past 20 years. Another survey showed a 46% increase in death rate nationwide from asthma between 1977 and 1991.
There is a school of thought that the so-called minor childhood illnesses of the past, including measles, mumps, rubella and chicken pox, infections organisms which entered the body through the mucous membranes, served a necessary and positive purpose in challenging and strengthening the immune system. In contrast, the vaccines of these diseases today with poisons such as thimersol (mercury) are injected by way of a needle directly into the system of the child, thereby bypassing the mucosal immune system. (the mouth, tonsils/adenoids, throat, etc) As a result, mucosal immunity becomes relatively weak and quite stunted in many children, complications of which may be the rapid increase in asthma, eczema, nasal allergies, food allergies, and a general pattern of sickness in today's kids.
Reports are now appearing from widely separated countries around the world in which vaccinated children were found to have significantly more allergic disorders than children with limited or no vaccines. You don't need to be a rocket scientist - simple observation has been throwing strong suspicion on childhood vaccines in their present numbers and applications as posing one of the major causes of the increasing pattern of sickness, allergies, autistic-spectrum disorders, and other neuro-behavioral problems now being seen all too frequently in our kids.
Avoid toxic chemicals
Try not to use commercial sunscreens, shampoos, or toothpaste on your children. Use sunscreens made with zinc oxide and titanium dioxide, and avoid chemicals with names you do not understand! Do you have tiny children who crawl? Then please always take your shoes off as you enter your home and make other family members and friends do the same. Not only does this prevent problems like tracking in chemicals as below, but it is much more hygienic in other ways (no animal droppings tracked in, no mud, etc.). An American Environmental Protection Agency study was done recently on the wearing of shoes in the home. They found that toxic herbicides commonly used on lawns for weed control are tracked into home interiors on the shoes (or bare feet) of anyone walking on a treated lawn for up to a week after the spraying. These chemicals can accumulate in carpet/rug dust up to 100 times as great as on the lawn itself. Removal of the shoes before entering the home reduced the residue by more than 90% (wiping the shoes reduced the herbicide carried in by up to 33%). The obvious concern in the home is that small children playing on carpets can breathe in the chemicals or ingest it when they put their fingers in their mouths. An study in one small community found that 23% of the children tested had toxic herbicides in their urine. Small children have less developed immune systems and are more susceptible to toxins of various kinds. You don't smoke inside, great, that's admirable, but please tell me why then do you still wear your outdoor shoes inside?
Dietary advice
Here are some foods to consider in your child's diet. Some of these foods are fine when consumed occasionally, but regarding the "not so good foods" it is best if you restrict them from the diet. Avoid pesticide laden foods wherever possible and try to go for organic. For proper integrity of their upper respiratory tract, children's diets should contain large amounts of natural vitamins A and C derived from fruits. For Vitamin C go for oranges, strawberries, peaches, carrot, cabbage, nectarines and vegetables (broccoli, carrots, squash, red bell peppers). Vitamin A is found in particularly in high amounts in egg yolk, kahawai, mackerel, trevally, butter, cheese and yoghurt.
Good food choices:
o Fresh fruits and vegetables if your children are willing, but you may need to change the way you cook and present vegetables at the table. Never give in, always challenge kids with different fresh vegetables - many love to eat raw carrot strips for example.
o Organic whole milk, (unpasteurised/unhomogenised) yogurt, and butter when possible (non-organic animal products may contain antibiotics, pesticides, and hormones)
o Organic chicken and turkey, as well as beef for the same reason. Fish, chickens, and eggs are good sources of omega-3 fats if the animals eat green plants and algae.
o Free range eggs: Eggs improve the function of the immune system due to the cell membrane strengthening effects of the phospholipids in eggs.
o Organic yoghurt: This only applies to the child who has no allergies to dairy products, particularly cow's milk. Yoghurt can either stimulate allergies, or boost immunity instead - so beware. Many studies have been performed to validate the therapeutic and preventive effects of yogurt and lactic acid bacteria on diseases such as ear nose and throat infections, gastrointestinal disorders, and asthma. The results of these studies, in general, support the notion that yogurt has a beneficial immuno- stimulatory effect on the child. There is a strong evidence that increased yogurt consumption may enhance the immune response, which would in turn increase resistance to immune-related diseases. When I say yoghurt, I don't mean the flavoured little pottles available in the supermarket - most contain loads of sugar and some even artificial sugars such as aspartame! So please do look at the labels.
o Whole grain products, (only if not wheat or gluten intolerant) e.g. breads, biscuits (contains more fiber and naturally occurring vitamins and minerals than enriched wheat and bleached white flour)
o Fresh garlic and ginger Include in cooking. They both stimulate numerous aspects of immunity, and children generally don't have the hang ups like adults about the "smell" that garlic has, and enjoy the pungent taste of ginger..
Not so good food choices:
o Soy milk (depletes calcium and impairs thyroid function) Go for rice milk instead if your child has a milk allergy, and if your child can tolerate milk go for organic whole milk.
o Corn syrup and high fructose corn syrup (cannot be metabolised) Read labels, many products are now sweetened with corn syrup, avoid them if you can.
o Partially hydrogenated fats in biscuits, muesli bars, crackers, and chips (promotes several aspects of allergic stimulation).
o Refined sugar Studies have shown that only one teaspoon of white sugar decreases white blood cell activity (neutrophils) by almost 40% only 5 minutes ingestion on the tongue. Avoid artificial sugars like aspartame, it was discovered in 2006 in Italy that there may well be a link with lymphoma and aspartame, and asthma is exacerbated by this toxin.
o Peanuts An allergenic food for many children. Does your child have immune and/or behavioral problems and eat plenty of peanut butter? Then stop and see what happens.
o Foods rich in artificial flavors and colors. Instead give them fresh fruits and any vegetables or vege juices they will swallow. Fresh juices are colourful and sweet, and most kids love them. Are you still giving your kids those sugary sachet drinks?
o Banana and pineapple. I have found that many children who are dairy intolerant in particular, seem to have some problems with these fruits. This is particularly so with eczema.
o Deep fried foods, e.g. Fish and chips (saturated fats help to promote allergies)
o Canned tuna fish (mercury exposure)
Supplements to boost your child's immunity
There are dozens of products you can give your child, and my advice for you is to get expert advice: from your naturopath or health food shop. This is an area where is it probably not good to self-prescribe.
Multivitamin and mineral formula
If your child is a fussy eater or doesn't eat a wide variety of foods, they may well benefit from a multivitamin and mineral formula. Your naturopath can recommend a good one for that suits your child's needs. If you choose not to give your child a multivitamin on a daily basis, you can use one when they are unwell, as their need for nutrients often increases during sickness. I prefer encapsulated multi vitamins over tabletted forms - better absorption.
Nutrients
It is not generally advisable to give several separate nutrients such as iron, calcium, zinc, and vitamins to boost your child's immunity, without consulting your health care professional such as your naturopathic physician.
Omega 3 - rich in DHA
Ii think it is a good policy to start giving Omega 3 when you start to light fires of heaters. When I was a child in Holland, it was customary to give halibut liver oil (gross!) when the months had the letter "r" in them, because they are the colder months.
Establishing the proper ratio of fats in a child's diet is one of the most important nutritional adjustments you as a parent can initiate. Many children we see in the clinic have a significant imbalance of fats, too much omega-6 fats (vegetable oils like canola) and trans fats (fried foods and hydrogenated fats), not enough omega-3 fats (fish, fish oils). This imbalance can significantly contribute to allergies, infections, and attention and behavioural problems in kids. Supplement kids' diets with the essential fatty acid DHA. A 250mg or 500 mg capsule of DHA rich or one teaspoon of fish oil per 25kg kgs of body weight will provide adequate omega-3 fats for your child. And remember, a multivitamin will make the Omega 3 work a lot better too.
Probiotics
I find that probiotics are one of the most beneficial supplements to give your child with any immune based problem. They are easily given - and most taste sweet, which improves compliance. They can help prevent and treat gastrointestinal infections by preventing the attachment of harmful bacteria to the wall of the digestive tract. The normal balance of bacteria in a child's body can be upset by various factors including; antibiotic use, chronic diarrhoea or constipation, lack of breastfeeding, gastrointestinal infection, and a caesarean birth, so children with any of these factors are especially good 'candidates' for probiotic supplements. Give twice daily for 10 to 14 days, before meals, with a little warm/tepid water.
I hope that you have found some of my recommendations useful. Ultimately, kids need good food and lots of love and attention. If you are prepared to look after their physical, emotional and psychological needs you are well on the way to nurturing healthy young people who in turn will grown into well balanced and healthy adults.
And isn't that what being a parent or caregiver is all about?
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