Guilt Free Desserts
Advertorial Articles that look like objective text, but are in fact paid for by an advertiser. They appear more frequently in smaller, local publications, and can usually be recognized by the large number of favourable adjectives 'elegant surroundings', 'friendly staff', 'mouthwatering desserts'. Editors should make it clear that these are advertising features but, alas, do not always do so.
And boy, those fat calories can add up quickly. A measly chocolate bar contains 240 calories by contrast, so does an entire plateful of low-fat foods such as an apple, a banana, and a handful of pretzels. There is no comparison you get a lot more quantity for the same amount of calories when you go low-fat. Sure, the candy bar might sound more appealing, but consider the other fats you may have consumed that same day salad dressings, fried foods, whole milk dairy, and fatty meats. That's a lot of fat, which means a tremendous amount of calories. Filling up on fatty foods might also crowd out the healthy stuff that keeps us fit. Great chubby and malnourished Believe me, I sympathize. It's tough limiting all those delicious donuts, cakes, and gooey, chocolate treats. I'm certainly not one of those genetic lean machines who can eat whatever he wants and not gain an ounce. (I hate every one of them.) For most people, maintaining an ideal weight means watching total fat intake.
Another manifestation of loss aversion is a general reluctance to trade, illustrated in a study in which one-half of the subjects were given a decorated mug, whereas the others were given a bar of Swiss chocolate (Knetsch, 1989). Later, each subject was shown the alternative gift and offered the opportunity to trade his or her gift for the other. Because the initial allocation of gifts was arbitrary and transaction costs minimal, economic theory predicts that about one-half the participants would exchange their gifts. Loss aversion, however, predicts that most participants would be reluctant to give up a gift in their possession (a loss) to obtain the other (a gain). Indeed, only 10 of the participants chose to trade. This contrasts sharply with standard analysis in which the value of a good does not change when it becomes part of one's endowment.
The two versions used different toy animals and different colored boxes. In one story, participants were introduced to Charlie the Crocodile, and told that his favorite food was chocolate. A chocolate was placed into one of two small boxes - one red and the other blue. The child was told that Charlie was hiding his chocolate while he went for a swim. Charlie was removed from the scene, and a puppet, Cheeky Monkey, was introduced to the child. The experimenter announced that Cheeky Monkey was going to play a trick on Charlie. Cheeky Monkey then took the chocolate out of the box in which it had been hidden and placed it in the other box, closing both lids. The child was told that Charlie was about to return from his swim, and that he would want his chocolate. Two control questions were asked 'Where was the chocolate in the beginning ' (memory control), and 'Where is the chocolate now ' (reality control). If a child answered either of these questions incorrectly, the story was briefly...
Labradors come in three basic colours - black, chocolate and yellow. Chocolates can vary from light to dark in colour. Two alleles of the same gene are responsible for the black and chocolate colours. Black is dominant and is represented by the upper case letter B and chocolate is recessive to black and is represented by the lower case letter b. Therefore a dog with a black coat (phenotype) may be genetically either homozygous BB or heterozygous Bb. If a dog and bitch are both homozygous all their puppies will be black BB, as shown in the first Punnett square below.
Jorge puts some chocolate in a blue cupboard and goes out to play. In his absence, his mother moves the chocolate to a green cupboard. When Jorge returns he wants his chocolate. Where does Jorge look for it Egocentric 3-year-olds say the green cupboard. Why Because they know that's where the chocolate is, never mind Jorge. What about a 4- or 5-year-old The slightly older child who displays what is called a belief-desire theory of mind will say the blue cupboard. This reflects their understanding that beliefs determine behavior so Jorge will look in the blue cupboard because, not having seen Jorge's mother move it, that's where Jorge believes his chocolate is still located.
Divide a piece of notebook paper into four horizontal sections with the top one labeled Safest Foods (or Least Forbidden Foods ), followed by Somewhat Forbidden Foods, Extremely Forbidden Foods, and Unsafe Foods (or Most Forbidden Foods ). Fill in each section. You may be surprised to discover that the foods you list as unsafe are actually foods you used to prefer and even ate with pleasure (instead of with guilt or fear) such as French fries, pizza, fried chicken, or chocolate cake.
This behavior can be easily adapted to a formal laboratory test by designating demonstrator (forager) and observer (subject) rats, and reproducing the elements of the foraging and social communication events (Fig. 5-8). Initially, the demonstrator rat is given rat chow tainted with a food spice, such as cinnamon or chocolate powder. Then the demonstrator is placed in the home cage of the subject for several minutes, during
If you order a pasta entree, pass up the bread. If you know that you like to splurge on dessert, order a lean grilled fish for your main dish with a lot of vegetables. If the bread basket is your thing, skip the side starch that comes with your main meal and enjoy a few slices of fresh bread instead. If you like to use up calories on a few glasses of wine, skip the bread and get fresh fruit for dessert.
Of experiments, Ross, Perkins, and Tenpenny found that attributes are used by the subjects as generalizations that produce a reminding effect during the learning of a category (Ross, Perkins, and Tenpenny 1990). Their experiments include three phases. In the study phase, subjects learn about a small number of imaginary individuals and their features, such as an individual with features BUYS NAILS and LIKES ICE CREAM. Then in the first test phase, subjects are asked to categorize new imaginary individuals according to their similarities to the examples that they have learned in the study phase, such as an individual with features like BUYS WOOD and LIKES SHERBET. Ross and his collaborators found that, due to the similarities between the examples used in the study phase and the test phase, subjects place these two imaginary individuals in the same category and generalize that its members BUY CARPENTRY SUPPLIES and LIKE DESSERT. By functioning as attributes that can take different...
The content of a creative menu should not only be expressed in a language the customer understands, but also introduce creative concepts which fulfill the customer's needs, such as functional foods (environmental or healthy foods), introduction of new eating methods, and foods with rich stories or symbolism. The layout of a creative menu can be arranged in order of the courses, such as appetizer-entree-dessert, aperitif-appetizer-entree, or entree-beverage, etc. Another layout method is to create new combination dishes, such as a wine dine menu.
Out of a department store while pushing a baby carriage carrying her one-year-old daughter. After stabbing the woman 13 times, Mr. C walks to the food court a few feet away to buy a chocolate-chip ice cream cone. He is arrested within minutes and fully cooperates with the arresting officers. The officers learn that Mr. C recently traveled across country after leaving a psychiatric facility against medical advice. Mr. C is appointed a public defender, who interviews Mr. C the next morning. During his attorney's visit, Mr. C is virtually mute and provides only minimal answers to his attorney's questions. Mr. C demonstrates odd facial grimaces and is observed by his attorney to whisper incomprehensible statements. At other times, he stares in a bizarre manner at his attorney while clenching his jaw. Over the next several months, Mr. C's appointed attorney repeatedly attempts to interview his client, who refuses to provide any information about his thoughts or actions related to this...
Over time, Mitchell started to think that Connie organized her experience in a way that kept her sadness alive and perpetuated her chronic feeling that something was missing from her life. He tells us that somehow we, probably because it is one of my favorite subjects, had gotten into speaking about her approach to food and eating (Mitchell 2000, p. 93). There is something that feels personally spontaneous and playful about the quality of Mitchell's exchange with Connie. Mitchell considers how the patient's association relates to his own experience, although he does not tell us if this thought was disclosed to the patient. Although Connie ate very well, she told him that she did allow herself to eat one bag of M&Ms every day. Mitchell was struck with her choice of candy, because he preferred the richer, more self-indulgent Milky Way. This discrepancy in taste between them led to his clinical choice to inquire further, which ultimately served to illuminate a deeper understanding of...
But can it really be true Is the best design - the only design - that which best fulfills its function Form, as just shown, is also influenced by materials in the case of architecture, the influence is strong in product design, though sometimes less obvious, it is certainly present. A case could be made for the dictum form follows material - it doesn't sound as good but it may be closer to reality. It seems to be a general rule that good design uses materials in ways that make the most efficient, and often visible, use of their properties and the way they can be shaped. Rules, of course, have their exceptions incongruous use of materials can convey the surreal (a furry watch) or the ridiculous (a knife blade made of rubber) or transfer an association from one object to another (chocolate Eiffel Towers). All have their small place. But at the center of the stage are forms that use materials elegantly, efficiently and economically.
Some interesting facts about CVS include a 2 prevalence rate among school-age children, with a slight female predominance a median age of onset of 4.8 years a median number of episodes of vomiting per bout of 15 an average of 2024 absentee days from school yearly and average estimated direct and indirect costs per case of 17,035 in 2003 (Li and Misiewicz 2003). The disorder is often considered a migraine precursor, with nearly one-third of children developing migraine headaches by age 9 years and three-quarters by age 18 years (Li and Misiewicz 2003). Specific triggers for episodes of CVS are in keeping with those observed for migraine and may include menstruation (22 ) dietary exposure to cheese, chocolate, or MSG (23 ) fatigue (24 ) car sickness (12 ) infection (31 -41 ) and stress (34 -77 ), including positive stressors such as family celebrations or vacations (Li and Misiewicz 2003).
The treatment of CVS is complicated by a limited understanding of its pathophysiology and the lack of large systematic randomized, controlled trials. Given the absence of conclusive scientifically proven treatments, empirical guidelines have been developed (Li et al. 2008). Known precipitating factors such as chocolate, cheese, or MSG should be avoided when possible (Chow and Goldman 2007 Li and Misiewicz 2003). When anxiety or stress has been identified as a precipitant, the following may be preventive psychotherapeutic treatment, the use of relaxation training and related self-management strategies, and the use of anxiolytics (Chow and Goldman 2007). When attacks occur more than once per month, prophylactic medication is also rec
Understanding of mental states is even more complicated (Astington, 1993 Wellman, 1990, 2002). Here children must learn that they themselves have mental states, such as thoughts, beliefs, desires, and emotions, that direct their behavior, and that others also have mental states that may be the same or different as one's own (e.g., I like chocolate icecream but you prefer vanilla I like going on roller coasters, but you are scared of them). Even more complicated for recollection, children must learn that their own mental states can change over time (e.g., Iused to be sad when Mommy left me at daycare, now I am happy because I get to play with my friends I used to be scared of dogs, but now I like dogs), as well as that other people's mental states can change over time, and different people can remember the same event in different ways (e.g., I remember seeing the giraffe at the zoo, but you do not I remember Mommy was happy seeing Santa, but I was scared). In essence, children must...
When my son is frustrated or upset he scratches the side of his facesometimes to the point where he bleeds What can I
Some discipline techniques that work for typical children may work for children with ASDs as well, such as sending the child to his room or giving him a time-out. These techniques work well for some children, but you must be aware of your child's specific needs to determine whether or not the techniques will be effective. Sending a child with an ASD to his room may be exactly what he wants to avoid social interaction. A time-out may encourage stimming behaviors. The best way to find out what is right for your child is to try different techniques and observe your child's resulting behavior. For example, if you notice that your child is no longer hitting his sister, or that his misbehavior has decreased, you have found the right discipline strategy. Other strategies include removing a reward or a special treat such as TV or computer privileges, dessert, or anything else that your child values. Be aware that, over time, you may have to reconsider which reward gets withheld. For instance,...
The most common gram-positive bacteria that are causative agents of conjunctivitis include Staphylococcus aureus, Streptococcus pneumoniae, and group A and B streptococci (Fig. 41-3). Gram-negative organisms include Haemophilus influenzae, Escherichia coli, and Pseudomonas aeruginosa. Bacterial conjunctivitis can occur at any age from the first day of life. Chemosis (edema of bulbar conjunctiva), purulent discharge, lid edema, and injection are common signs. Associated systemic septicemia can occur, especially with Pseudomonas infection. Cultures should be prepared on blood and chocolate agar.
(Chocolate Dansant) carries no special critique of racism. Similarly, in the Dreyfuss affair, Lautrec took no sides at all. And although he illustrated the work of Jewish authors, he had no qualms about contributing illustrations to antisemitic novels as well. Social issues per se did not interest him. What concerned him was solving the formal and technical problems of portraying the inhabitants of the demimonde. Lacking both an aesthetic and a social agenda, he was a voluptuary. If he had a grand project at all, it was to be the engineer of his own psychological survival-and his art along with his gregarious activities was the principal means he used to achieve this end.
Although the idea is to increase your calories, you also want to keep your diet well balanced and nutritious. The last thing you want to do is shovel in chocolate bars, donuts, cakes, cookies, and other nutrient-less stuff that will pad you with fat and supply zippo in the nutrition department. Instead, eat more of the good stuff and stick with foods that are calorically dense. Here are some examples
Electronic cigarettes (e-cigarettes), first developed in China in 2003, consist of a metal tube resembling a normal cigarette, a battery, an atomizer, and a replaceable cartridge containing liquid nicotine, propylene glycol, and flavoring. Examples of flavorings are chocolate, cherry, and bubblegum, all of which can be enticing to children. When a user puffs on the e-cigarette, an indicator light at the tip glows and the heating element vaporizes the solution from the cartridge containing nicotine and other substances. A mist is produced that is similar to cigarette smoke and contains the propylene glycol, a known pulmonary irritant used in antifreeze.
Jenison et al. (1994) selected an RNA aptamer that binds to the alkaloid theophyl-line with high sensitivity and high specificity. Theophylline is used as bronchodi-lator in the treatment of asthma, bronchitis, and emphysema, but because of its narrow therapeutic index, serum levels must be monitored carefully to avoid serious poisoning. Theophylline is also chemically similar to theobromine and caffeine (Fig. 4.5), which may be present in serum samples due to consumption of coffee or chocolate. Thus, diagnostic methods must discriminate efficiently among these compounds. A counterselection with caffeine was performed during the SELEX process. The dissociation constant of the selected aptamer was 100nmol L and its affinity to theophylline was remarkably 10 000 times higher than to caffeine, which differs only from theophylline by a single methyl group at nitrogen atom N7. Antibodies against theophylline show a discrimination factor of only 1000. This demonstrates that RNA molecules...
Other options are considered in the Healing Foods Pyramid (Figure 11-6). While developing the best nutrition advice for the diverse people seen at the University of Michigan's Inte-grative Medicine Clinic, family physician Monica Myklebust found various recommendations for the prevention and treatment of obesity, mood disorders, heart disease, diabetes, chronic pain, and inflammation. The result of her work is a user-friendly tool that brings all of these data together. Omega-3 fatty acids, antioxidants, medicinal seasonings, soy, chocolate, and tea are all considered. For example, green tea offers a variety of health benefits, with emerging evidence for prevention of cancer, stroke, and cardiovascular disease (Schneider and Segre, 2009). Health concerns regarding the sources of U.S. food and recommendations for organic and wild food are discussed. The Healing Foods Pyramid is available as a web-based interactive version (www.med. umich.edu umim clinical pyramid). The top is left open...
Foods Diet Alcohol, MSG, nitrites, chocolate, caffeine, etc. Educate patients that dietary triggers do not mean that a patient is allergic to that food item. This should eliminate the need for patients to seek a consultation with an allergist for expensive allergy testing, when no treatment is beneficial outside of elimination. Assure patients that not every item on a dietary list needs to be eliminated from their diet. Dietary lists are just guidelines for common triggers, but not all-inclusive. Remind patients that regular meals, not skipping meals, and maintaining hydration remain just as important as eliminating triggering potential foods from their diets.
Ding, chocolate syrup, or applesauce immediately before administration of individual doses. Honey, although capable of masking unpleasant taste of medication, may contain spores of Clostridium botulinum and should not be given to infants less than 1 year of age due to increased risk for developing illness. Most hospitals caring for pe-diatric patients compound formulations in their inpatient pharmacy. Limited accessibility to compounded oral liquids in community pharmacies poses a greater challenge. A list of community pharmacies with compounding capabilities should be maintained and provided to the parents and caregivers before discharge from the hospital.
Sandra was a 30-year-old woman from a religious background. Over the past 4 or 5 years she had come to see her thighs as disgusting because they always seemed to be fat. She had periods, however, of feeling extremely alone and miserable, in which she felt loathsome and believed that everyone else found her loathsome too. During these times, she increasingly comforted herself by eating large quantities of cakes and chocolate, foods that she reacted with disgust towards at other times. After these binges she felt ashamed of herself and worried that her thighs would get fatter therefore, she would either vomit or take large quantities of laxatives, or even on bad days do both.
Some beverages have more alcohol content than others (beer has about 4.5 alcohol table wines average from 11 to 14 fortified, or dessert, wines have 16 to 20 distilled spirits range from 40 to 50 ). However, in a normal portion, each drink (i.e., 12 ounces of beer, 5 ounces of wine, and 1V2 ounces of distilled spirits) contains approximately the same amount of alcohol.
If you have anorexia, you hate fat (maybe even fear it) and deny yourself the right to eat the way most people do. You may ban red meats and processed meats (such as bologna and hot dogs) from your diet altogether and restrict yourself to eating small amounts of white meat, poultry, and non-fatty fish. You cut out foods such as mayonnaise, peanut butter, hard cheeses, butter and margarine, and avoid sweets and desserts, processed breads and sugary cereals. If confronted, you justify your food choices by saying you know a lot about nutrition and you're just eating healthy by cutting down on fats and cholesterol in your diet. You probably allow yourself certain safe foods such as low-calorie vegetables, crunchy fruits such as apples, salads with vinegar (balsamic is a favorite) or no-oil salad dressings, plain popcorn, unsalted rice cakes, low-fat cottage cheese, and nonfat yogurt, but only in limited amounts.
For a quick nutritious snack, a deliriously healthy dessert, or even part of a creative meal, fruit rules. Similar to its neighbor in the produce section, fruit is naturally low in calories and fat (except for avocado and coconut), while chock-full of nutrients and fiber. Get in the habit of keeping a stash of fresh fruit. Although dried fruit is another tasty option, keep in mind that it is more concentrated in calories because it has less water than its fresh counterparts. Also, beware of canned (and sometimes frozen) fruit with heavy syrup added they are packed with calories and sugar. When buying canned or frozen fruit, read labels and look for key phrases such as no added sugar, packed in its own juice, packed in 100 fruit juice, or unsweetened.
If a dog and bitch are both heterozygous Bb, three of their puppies will be black and only one chocolate, as shown in Punnett square 2. One of the black puppies will be homozygous BB, two will be heterozygous Bb. The chocolate puppy will be homozygous for the recessive gene bb.
To figure out how quickly a carbohydrate will raise your blood sugar, nutrition experts use something called the Glycemic Index (GI), a numerical rating based on how quickly a carbohydrate raises blood sugar. The higher the number, the greater the blood-sugar response to a certain food, which means the quicker an increase in your blood sugar. Believe it or not, certain healthy foods, like carrots and potatoes, may cause a sharper increase in blood glucose than some candy bars. Often, a healthy food has a higher GI than a less healthy food. For instance, watermelon has a GI of 72, while cheese tortellini has a GI of 50. Many factors affect the GI of a food how you prepare it, for instance, and what other foods are consumed along with it. If you have watermelon for dessert right after eating a peanut butter sandwich, for example, the fat in the peanut butter will lower the GI of the watermelon. So far, the ADAs position on the use of low GI diets is that there's simply not enough...
Caffeine is called a mild stimulant and is found in coffee, tea, sodas, chocolate, and some medicines. It increases alertness and wakefulness, and it produces feelings of increased energy. It improves reactions and reaction time and enhances cognitive functioning. Within reasonable limits, it is considered safe, and you wouldn't mind if your pilot was taking it However, if a high dose perhaps more than three cups is taken, unpleasant symptoms appear that include restlessness, nervousness, anxiety, insomnia, high blood pressure, frequent urination, and stomach complaints. Yet higher doses can produce muscle twitching, rapid heartbeat, abnormal heart rhythms, and a rambling thought pattern. There is some concern that the current trend among energy drinks to increase caffeine to higher levels may be somewhat dangerous.
Showed that children as young as three years could use analogies for both learning and problem solving if they understood the relevant relations, were able to retrieve them from memory, and understood the aims of the task. This was borne out by Goswami (1989), who showed that three-, four-, and six-year old children could perform analogies based on relations they understood, such as cutting or melting (e.g., chocolate melted chocolate snowman melted snowman). In a less tightly structured context, Gentner (1977) showed that four- to six-year-old children could map human body parts to inanimate objects such as trees (e.g., if a tree had a knee it would be on the trunk a short distance above the ground). There appears to be consensus now that young children can perform analogies with simple relations if they have the relevant domain knowledge and if the test format is appropriate to the age of the children.
Migraine is a biphasic type of headache associated with a prodromal phase, called the aura, followed by the headache phase. During the aura, one or more physiologic events may occur. These include transient experiences of autonomic, visual, motor, or sensory phenomena. Common visual symptoms are photophobia, blurred vision, and scotomata. As the aura fades, the headache begins. It is usually unilateral and is often described as pulsating it can last for hours to days. Migraine headaches are often triggered by stress, anxiety, the use of birth control pills, and hormonal changes. Many patients experience migraine headaches after a period of excitement. Other important triggers are hunger and the ingestion of certain foods such as chocolate, cheese, cured meats, and highly spiced foods. There is often a family history of migraine.
Migraine headache management includes acute analgesia, pharmacologic prophylaxis, and nonpharmacologic management. Factors to consider before starting prophylactic medications include frequency, severity, and lack of response or contraindications to analgesic medications. Nonpharma-cologic management includes identification and avoidance of triggering factors, stress management, regular sleep and exercise, and physical therapy. Factors that can aggravate or trigger migraines include alcohol, oral contraceptives, hormonal replacement, caffeine or caffeine withdrawal, stress, changes in weather, strong scents, foods (nitrates, dairy products, chocolate, aged cheese), and fasting or missing meals.
- 100 g chocolate couverture with 5-8 drops CAPRI or MAGIC ORANGE intermixture. Preparation Caramelize the sugar, then stir in the bourbon vanilla, butter until the sugar has been melted, then stir in almonds and flour. Preheat the oven to 180 C, then spoon the mixture on a baking tray and bake for 10 min. Do not worry, it is in their nature to melt. To serve, just cut them into diamonds after cooling down and remove them from the pan. Dive them halfway into the chocolate couverture only (the lower smooth side) then let them dry. Serve chilled or iced.
Monoamine oxidase is an intramitochondrial enzyme responsible for the breakdown of intracellular dopamine, norepinephrine, and serotonin. MAOIs inhibit monoamine oxidase, resulting in an increase in the concentration of monoamines in the synapse. Therefore, when patients taking MAOIs ingest vasoactive amines in foods and beverages (cheese, chocolate, pickled herring, chicken livers, caviar, broad beans, wine, beer), or take certain medications (amphetamines, ephedrine, reserpine, L-dopa, tryptophan), the vasoactive amines are not catabolized but enter the bloodstream and are taken up by the nerve terminals ( I ble 55 4 ). The result is a cataclysmic syndrome consisting of sudden severe headache, stiff neck, profuse sweating, mydriasis, neuromuscular irritability, extreme hypertension, and cardiac arrhythmias. The most effective treatment is phentolamine, or sodium nitroprusside, and for less severe cases, chlorpromazine. , '5 , '7' , 'a' When MAOIs are taken in combination with TCAs...
Nonpharmacologic recommendations for the treatment of heartburn during pregnancy do not differ from recommendations for nonpregnant patients. Small and frequent meals, remaining upright after eating, elevating the head of the bed, and avoiding foods known to decrease lower esophageal sphincter tone (such as chocolate, coffee, fatty foods, and peppermint) are recommended.
Treatment of an acute episode involves vestibular suppressants and antiemetics. As with any vestibular disorder, vestibular suppressants should be limited for use during acute symptoms because of their addictive potential and impairment of central compensation. Maintenance therapy includes reduction of sodium intake to less than 1500 mg day and a diuretic such as hydrochlorothiazide-triamterene (Dyazide). Patients are also instructed to minimize caffeine, alcohol, nicotine, and chocolate. Allergy treatment may be helpful in some patients. Most patients have adequate control of symptoms with this regimen.
Classification of endometriosis (rear view). The stage is determined by the severity of the endometriosis. Stage I (minimal) Stage II (mild) with peritoneal implants Stage III (moderate) with peritoneal implants and endo-metriotic cysts (endometriomas) Stage IV (severe) with extensive peritoneal implants, large endometriomas, and dense adhesions (a chocolate cyst is pictured on the right ovary).
Most patients presenting with decreased taste function actually have decreased smell function. The perception of decreased ability to taste during deglutition is usually due to a loss of flavor sensations derived from retronasal stimulation of the olfactory receptors rather than to a loss of taste bud-mediated sensations per se. Thus, such flavors as coffee, chocolate, vanilla, strawberry, pizza, licorice, steak sauce, root beer, and cola disappear when CN I is markedly damaged, leaving intact only sweet, sour, salty, bitter, and umami (monosodium glutamate-like) sensations. Whole-mouth taste function is much more resilient to pathological or trauma-related alterations than is olfactory function, in large part because the taste buds have redundant innervation from several cranial nerves (i.e., CN VII, IX, and X).
The correct diagnosis is often initially overlooked. Constant throat clearing may be the only presenting symptom. Other manifestations include a feeling of a lump in the throat with a choking sensation (globus pharyngeus), odynophagia, dysphagia, chronic cough, and hoarseness. The patient may also complain of postnasal drainage. Spicy foods, fats, caffeine, chocolate, beer, milk, and orange juice are known to exacerbate the condition by lowering LES pressure. Several medications increase reflux of acid into the esophagus, such as beta blockers, calcium channel blockers, diazepam, and progesterone. Obesity and sleep apnea also predispose the patient to GERD and reflux laryngitis.
The physician's role in caring for the dementia patient in the nursing home includes direct patient care and IDT communication. The physician and family can help the nursing home staff learn the patient's premorbid status and personality to identify any idiosyncrasies that could be helpful when providing care (e.g., She always calms down if she has chocolate milk ). Open and efficient communication with nursing home staff enhances patient care and promotes creative problem solving.
A related pattern was documented using tasting booths in an upscale grocery store, where shoppers were offered the opportunity to taste any of 6 jams in one condition, or any of 24 jams in the second (Iyengar & Lepper, 2000). In the 6-jams condition, 40 of shoppers stopped to have a taste and, of those, 30 proceeded to purchase a jam. In the 24-jam condition, a full 60 stopped to taste, but only 3 purchased. Presumably, the conflict between so many attractive options proved hard to resolve. Further studies found that those choosing goods (e.g., chocolate) from a larger set later reported lower satisfaction with their selections than those choosing from a smaller set. Conflict among options thus appears to make people less happy about choosing, as well as less happy with their eventual choices.
600 Chocolate Recipes
Within this in cookbook full of chocolate recipes you will find over 600 Chocolate Recipes For Chocolate Lovers.