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Jun 1, Having recently completed my first FAQ ever (Time Ace - Nintendo DS), I've self promotion* That being said, I'll get the other necessary FAQ. There is also a high turnover for cashiers, and the store wants to train newly hired staff by letting them watch DVD recordings when there aren't many customers. finalising the contractual negotiations and completing the [. in particular following the appearance in a third country of any problem likely to affect the health of.

For example, a patient newly diagnosed with persistent asthma might learn about taking an oral medicine for daily management, control of chronic symptoms and prevention of an asthma attack.

However, there may come a time when the patient might be exposed to an environmental trigger or stress that causes an asthma attack.

The patient starts to experience shortness of breath, chest tightness or wheezing. When this unexpected symptom occurs, the skill of taking daily medicines and the medicine that is taken may change.

Rather than taking an oral medicine daily, a different medication is needed for quick rescue and relief of symptoms.

The rescue medication works quickly with an inhaler. Knowing to choose the right medication and knowing how to take the medicine with an inhaler is a skill that is learned for the self-care management of asthma.

Here is a source on how to safely use a rescue inhaler: In skills teaching, it is important for the patient and provider to discuss skills and address any lingering questions.

It is important for the patient to know when and how a skill is to be implemented, and how the skill may need to be changed when the symptom is different from normal.

Learning self-care management skills for the first time in the care of a chronic illness is not easy, but with patience, practice, persistence and experience, personal mastery of self-care skills can be achieved.

Self-care practices are shaped by what are seen as the proper lifestyle choices of local communities. Health -related self-care topics include;.

A lack of self-care in terms of personal health, hygiene and living conditions is referred to as self-neglect. The use of caregivers and Personal Care Assistants may be needed.

An aging population is seeking greater self-care knowledge primarily within families connections and with responsibility usually belonging to the mother.

Michel Foucault understood the art of living French art de vivre , Latin ars vivendi and the care of self French le souci de soi to be central to philosophy.

The third volume of his three-volume study The History of Sexuality is dedicated to this notion. For Foucault, the notion of care of self epimeleia heautou of Ancient Greek and Roman philosophy comprises an attitude towards the self, others and the world, as well as a certain form of attention.

Around the same time that Foucault developed his notion of care of the self, the notion of self-care as a revolutionary act in the context of social trauma was developed as a social justice practice in Black feminist thought in the US.

The self-care deficit nursing theory was developed by Dorothea Orem between and The positively viewed theory explores the use professional care and an orientation towards resources.

These deficits in self-care are seen as shaping the best role a nurse may provide. From Wikipedia, the free encyclopedia. Redirected from Self care.

Activities of daily living. Health portal Nursing portal. Health and Canadian Society: University of Toronto Press.

Retrieved 29 August Supporting Self Care in Primary Care. Retrieved 30 August Conceptual and Philosophical Foundations. Retrieved 31 August Retrieved 25 August Office of Disease Prevention and Health Promotion.

Retrieved 13 April Centers for Disease Control and Prevention. Measures in daily practice". The Immunization Action Coalition.

National Heart, Lung, and Blood Institute. A scientific statement from the American Heart Association". Advances in Nursing Science. Annals of Family Medicine.

Evidence from the Caerphilly Cohort Study". Self-care in Later Life: Research, Program, and Policy Issues. Retrieved 28 August Retrieved 5 March A conceptual and empirical review".

Health and Social Care in the Community. Journal of Cardiovascular Nursing. Enhancing patient and family education". Journal of Nursing Administration.

Journal of Health Communication. An exploratory study of the psychological determinants of habit formation". The British Journal of Health Psychology.

Illustrative examples and promising directions". American Journal of Preventive Medicine. Synergistic approaches to behavior change in healthcare".

Global Advances in Health and Medicine. The role of human factors in home health care. Journal of Cardiac Failure. Patient Preference and Adherence.

The Journal of Acute and Critical Care. Journal of Advanced Nursing. A randomized controlled trial". Journal of Consulting and Clinical Psychology.

A narrative review of literature". International Journal of Nursing Studies. Journal of General Internal Medicine. When a single carriageway road is converted into dual carriageway by building a second separate carriageway alongside the first, it is usually referred to as duplication , [42] twinning or doubling.

The original carriageway is changed from two-way to become one-way, while the new carriageway is one-way in the opposite direction.

In the same way as converting railway lines from single track to double track , the new carriageway is not always constructed directly alongside the existing carriageway.

Like all structures, roads deteriorate over time. Deterioration is primarily due to accumulated damage from vehicles, however environmental effects such as frost heaves , thermal cracking and oxidation often contribute.

Potholes on roads are caused by rain damage and vehicle braking or related construction works. Pavements are designed for an expected service life or design life.

In some parts of the United Kingdom the standard design life is 40 years for new bitumen and concrete pavement.

Maintenance is considered in the whole life cost of the road with service at 10, 20 and 30 year milestones. When pavement lasts longer than its intended life, it may have been overbuilt, and the original costs may have been too high.

When a pavement fails before its intended design life, the owner may have excessive repair and rehabilitation costs.

Some asphalt pavements are designed as perpetual pavements with an expected structural life in excess of 50 years. Many asphalt pavements built over 35 years ago, despite not being specifically designed as a perpetual pavement, have remained in good condition long past their design life.

Virtually all roads require some form of maintenance before they come to the end of their service life. Pro-active agencies use pavement management techniques to continually monitor road conditions and schedule preventive maintenance treatments as needed to prolong the lifespan of their roads.

These measurements include road curvature , cross slope , asperity , roughness , rutting and texture. Software algorithms use this data to recommend maintenance or new construction.

Maintenance treatments for asphalt concrete generally include thin asphalt overlays, crack sealing, surface rejuvenating, fog sealingfo, micro milling or diamond grinding and surface treatments.

Thin surfacing preserves, protects and improves the functional condition of the road while reducing the need for routing maintenance, leading to extended service life without increasing structural capacity.

Older concrete pavements that develop faults can be repaired with a dowel bar retrofit , in which slots are cut in the pavement at each joint, and dowel bars are placed in the slots, which are then filled with concrete patching material.

This can extend the life of the concrete pavement for 15 years. Distress and serviceability loss on concrete roads can be caused by loss of support due to voids beneath the concrete pavement slabs.

The voids usually occur near cracks or joints due to surface water infiltration. The most common causes of voids are pumping, consolidation, subgrade failure and bridge approach failure.

Slab stabilization is a non-destructive method of solving this problem and is usually employed with other Concrete Pavement Restoration CPR methods including patching and diamond grinding.

The technique restores support to concrete slabs by filing small voids that develop underneath the concrete slab at joints, cracks or the pavement edge.

The process consists of pumping a cementitous grout or polyurethane mixture through holes drilled through the slab. The grout also displaces free water and helps keep water from saturating and weakening support under the joints and slab edge after stabilization is complete.

The three steps for this method after finding the voids are locating and drilling holes, grout injection and post-testing the stabilized slabs.

Slab stabilization does not correct depressions, increase the design structural capacity, stop erosion or eliminate faulting.

It does, however, restore the slab support, therefore, decreasing deflections under the load. Stabilization should only be performed at joints and cracks where loss of support exists.

Visual inspection is the simplest manner to find voids. Signs that repair is needed are transverse joint faulting, corner breaks and shoulder drop off and lines at or near joints and cracks.

Deflection testing is another common procedure utilized to locate voids. It is recommended to do this testing at night as during cooler temperatures, joints open, aggregate interlock diminishes and load deflections are at their highest.

Ground penetrating radar pulses electromagnetic waves into the pavement and measures and graphically displays the reflected signal.

This can reveal voids and other defects. It consists of drilling a 25 to 50 millimeter hole through the pavement into the sub-base with a dry-bit roto-hammer.

Next, a two-part epoxy is poured into the hole — dyed for visual clarity. Once the epoxy hardens, technicians drill through the hole.

If a void is present, the epoxy will stick to the core and provide physical evidence. Common stabilization materials include pozzolan -cement grout and polyurethane.

The requirements for slab stabilization are strength and the ability to flow into or expand to fill small voids.

Colloidal mixing equipment is necessary to use the pozzolan-cement grouts. The contractor must place the grout using a positive-displacement injection pump or a non-pulsing progressive cavity pump.

A drill is also necessary but it must produce a clean hole with no surface spalling or breakouts. The injection devices must include a grout packer capable of sealing the hole.

The injection device must also have a return hose or a fast-control reverse switch, in case workers detect slab movement on the uplift gauge.

The uplift beam helps to monitor the slab deflection and has to have sensitive dial gauges. Successful resealing consists of old sealant removal, shaping and cleaning the reservoir, installing the backer rod and installing the sealant.

Sawing, manual removal, plowing and cutting are methods used to remove the old sealant. Saws are used to shape the reservoir.

When cleaning the reservoir, no dust, dirt or traces of old sealant should remain. Thus, it is recommended to water wash, sand-blast and then air blow to remove any sand, dirt or dust.

The backer rod installation requires a double-wheeled, steel roller to insert the rod to the desired depth. After inserting the backer rod, the sealant is placed into the joint.

There are various materials to choose for this method including hot pour bituminous liquid, silicone and preformed compression seals.

Careful design and construction of roads can increase road traffic safety and reduce the harm deaths, injuries, and property damage on the highway system from traffic collisions.

On neighborhood roads traffic calming , safety barriers , pedestrian crossings and cycle lanes can help protect pedestrians, cyclists, and drivers. Botts dots are not used where it is icy in the winter, because frost and snowplows can break the glue that holds them to the road, although they can be embedded in short, shallow trenches carved in the roadway, as is done in the mountainous regions of California.

For major roads risk can be reduced by providing limited access from properties and local roads, grade separated junctions and median dividers between opposite-direction traffic to reduce likelihood of head-on collisions.

The placement of energy attenuation devices e. Some road fixtures such as road signs and fire hydrants are designed to collapse on impact.

Light poles are designed to break at the base rather than violently stop a car that hits them. Highway authorities may also remove larger trees from the immediate vicinity of the road.

Speed limits can improve road traffic safety and reduce the number of road traffic casualties from traffic collisions. In their World report on road traffic injury prevention report, the World Health Organization WHO identify speed control as one of various interventions likely to contribute to a reduction in road casualties.

Road conditions are the collection of factors describing the ease of driving on a particular stretch of road, or on the roads of a particular locality, including the quality of the pavement surface , potholes , road markings, and weather.

It has been reported that "[p]roblems of transportation participants and road conditions are the main factors that lead to road traffic accidents".

For example, for autonomous vehicles such as self-driving cars , significant road conditions can include "shadowing and lighting changes, road surface texture changes, and road markings consisting of circular reflectors, dashed lines, and solid lines".

Various government agencies and private entities, including local news services, track and report on road conditions to the public, so that drivers going through a particular area can be aware of hazards that may exist in that area.

News agencies, in turn, rely on tips from area residents with respect to certain aspects of road conditions in their coverage area.

Water management systems can be used to reduce the effect of pollutants from roads. Road runoff is a major source of nickel , copper, zinc , cadmium , lead and polycyclic aromatic hydrocarbons PAHs , which are created as combustion byproducts of gasoline and other fossil fuels.

De-icing chemicals and sand can run off into roadsides, contaminate groundwater and pollute surface waters ; [65] and road salts can be toxic to sensitive plants and animals.

Roads are a chief source of noise pollution. In the early s it was recognized [ by whom? Regulations can restrict the use of engine braking.

Motor vehicle emissions contribute air pollution. Concentrations of air pollutants and adverse respiratory health effects are greater near the road than at some distance away from the road.

Traffic flows on the right or on the left side of the road depending on the country. Losing more weight during weight loss, monitoring weight, and choosing healthy foods are supposed to be important factors for successful weight maintenance.

Perceived hunger and cognitive control is different among weight regainers compaired to others. This diet includes consuming more vegetables, fruits, and low-fat dairy products.

Following this diet helps patients to achieve[ 35 , 36 ] and maintain weight loss and this effect has been related to dairy products rather than fiber.

Although gelatin has a short effect on hunger suppression, in comparison with milk protein it has no further effect on preventing weight gain.

It seems that a six-week re-feeding period after weight loss is more efficient in weight maintenance and improves dietary restraint in comparison to four weeks.

Some studies have assessed the effects of special foods on weight maintenance. For example, weight regain did not occur in individuals who had consumed green tea and caffeine mixture with an adequate or high-protein diet.

Only, in the group with an adequate protein intake, a higher hunger score and lower satiety was seen. Weight changes after capsaicin consumption was not significantly different from a placebo.

Respiratory quotient and resting energy expenditure was higher in the capsaicin group, but it had no relationship with weight regain and after treatment it returned to the normal level.

The findings from this review show that neither meal replacement nor macronutrient composition manipulation, have any positive effects on weight maintenance.

Sustaining lost weight needs some dietary pattern changes, including, healthy food choices and healthy lifestyle behaviors. The relevant mechanisms consist of reducing the appetite and hunger by virtue of hormonal signals, improvement in body composition, and making individuals more satiated.

Meal replacement has been used for weight loss as a successful strategy. It can be the consequence of a different macronutrient composition or the number of meals that were replaced.

Dietary composition may have a role in preventing weight regain after weight loss. Low carbohydrate diets have been used a lot for weight loss, but their effects in long-term weight control are controversial.

Poor dietary compliance is one of the most common problems associated with these diets. They also have to be supplemented because of nutrient deficiency.

It has been shown that micronutrient dietary supplement consumption results in a lower body weight and resting metabolic rate in men and lower hunger level in females,[ 51 ] but there are no sufficient studies to assess their roles in preventing weight regain after weight loss.

Only the Nachtigal cohort study revealed that long-term use of vitamins B6 and B12, and chromium were significantly associated with lower weight gain.

Whether more dairy intake is a predictor of successful weight maintenance, is unclear. Dietary habits that can help obese persons to keep their lost weight are self-efficiency, cognitive control, monitoring weight, correct dietary choices, high levels of physical activity, eating more low calorie-dense foods, and lower portion size.

Soy products are foods with a high amount of isoflavones. Therefore, it is suggested to be considered in future researches.

Some specific behavior also may be effective in weight maintenance. Previous publications have shown that sleep deprivation may be associated with obesity and central adiposity.

Other behaviors also need to be assessed in this regard. Diets such as DASH or addition of components like gelatin, capsaicin, and green tea have been tried for weight maintenance, but they need more investigation to clarify their long-term effects.

Although the DASH diet has numerous health results, its effect on weight loss and maintaining it is still under dispute. As its recommended servings are similar to those that have been discussed earlier, a lot more research is needed in this area.

Diets with a meal replacement approach have some limitations, which have been mentioned previously. Nutritional counseling can help overweight subjects to learn dietary behaviors for weight gain prevention.

It is more effective when a kind of healthy diet such as DASH is followed. We should note the limitation of these studies such as self-reported data, more proportion of men than women in the study, their design, no representative sample, dropout rate, motivated participants, and low dietary compliance.

Long-term maintenance of the lost body weight can be described as a success. Although meal replacement has beneficial effects on weight loss, it cannot guarantee weight maintenance.

It seems that consuming fewer calories helps people to maintain the weight loss. Some special behaviors are also associated with better weight loss maintenance.

Consuming a lower amount of sugar sweetened beverages, not being awake late at night, and consuming more healthy foods are some examples of such behaviors.

No special food can definitely promote weight maintenance. Therefore, there is a necessity to develop further research to find strategies in obesity management, focusing on the successful maintenance of weight loss.

All authors have read and approved the content of the manuscript. National Center for Biotechnology Information , U.

J Res Med Sci. Fatemeh Azizi Soeliman and Leila Azadbakht. Author information Article notes Copyright and License information Disclaimer.

Box , Isfahan, Iran. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.

This article has been cited by other articles in PMC. Diet, feeding behavior, weight loss. Meal replacement One of methods that have been used a lot for preventing weight gain is meal replacement.

Table 1 Meal replacement and weight maintenance. Open in a separate window. Different macronutrient compositions in the diet Some researchers have tried changing macronutrient percents to find the most effective dietary mixture for weight maintenance.

Table 2 Macronutrient component and weight maintenance. Dietary behaviors Comparison of patients who have maintained their weight loss more than re-gainers shows that the subjects in first group stay late less at night, have increased physical activity after weight loss, drink less sugar sweetened beverages, eat less calorie from protein, and they have more emotional support.

Special foods Some studies have assessed the effects of special foods on weight maintenance. Table 3 Diet, Food, and weight maintenance.

Footnotes Source of Support: Do mental disorders and eating patterns affect long-term weight loss maintenance?

A comparison of meal replacements and medication in weight maintenance after weight loss. J Am Coll Nutr. The definition of weight maintenance.

Human biology of weight maintenance after weight loss. The effect of eating behavior on weight loss and maintenance during a lifestyle intervention.

Taking control of your personal eating and exercise environment: A weight maintenance program. Predictors of long-term weight maintenance.

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