Tuesday, October 6, 2015
Sunday, January 18, 2015
This child is experiencing simple breath holding spells, a relatively common and benign condition that usually begins in children between the ages of 6 months and 6 years. The cause is uncertain but seems to be related to overactivity of the autonomic nervous system in association with emotions such as fear, anger, and frustration. The episodes are self limited and may be associated with pallor, cyanosis, and loss of conciousness if prolonged. There may be an association with iron deficiency anemia, but this child had a recent normal hemoglobin level.
These events are not volitional, so disciplinary methods are neither effective nor warranted. While children may experience a loss of consciousness and even exhibit some twitching behavior, the episodes are not seizures so neither EEG evaluation nor anticonvulsant therapy is indicated. No additional laboratory studies are indicated. Parents should be reassured that the episodes are benign and will resolve without treatment.
Ref: Rudolph CD, Rudolph AM, Lister G, et al (eds): Rudolph's Pediatrics, ed 22. McGraw Hill, 2011, p 2223.
These events are not volitional, so disciplinary methods are neither effective nor warranted. While children may experience a loss of consciousness and even exhibit some twitching behavior, the episodes are not seizures so neither EEG evaluation nor anticonvulsant therapy is indicated. No additional laboratory studies are indicated. Parents should be reassured that the episodes are benign and will resolve without treatment.
Ref: Rudolph CD, Rudolph AM, Lister G, et al (eds): Rudolph's Pediatrics, ed 22. McGraw Hill, 2011, p 2223.
Tuesday, January 13, 2015
Lets start with smoking .....
Tobacco use is a major preventable cause of premature death and disease worldwide. Approximately 6 million deaths related to tobacco use occur each year, including 600,000 from secondhand smoke. In the United States, an estimated 45.3 million people – about one in five adults – currently smoke, and an estimated 443,000 people die prematurely from diseases caused by smoking or secondhand smoke exposure.
CDC has identified reducing tobacco use as a Winnable Battle. With additional effort and support for evidence-based, cost-effective strategies that we can implement now, we will have a significant impact on our nation's health.
There is some evidence, at least anecdotally, that smoking is related to an increased risk in suicide... (those old "coffin nails"... but no one disagrees smoking is bad for you...not really.....
How about alcohol?.... of course, more serious impact with over-drinking, but even..."moderate alcohol intake ...is associated with increased risk of breast cancer, violence, drowning, and injuries from falls and motor vehicle crashes."
and alcohol has been linked, at least anecdotally (? sp), to depression and suicide...
" Alcohol and drug abuse are second
only to depression and other mood disorders as
the most frequent risk factors for suicidal behavior
(2, 3). Alcohol and some drugs can result in a loss
of inhibition, may increase impulsive behavior,
can lead to changes in the brain that result in
depression over time, and can be disruptive to
relationships—resulting in alienation and a loss
of social connection (4). Furthermore, excessive
acute drug and/or alcohol ingestion could result in
death. According to data from a recent National
Violent Death Reporting System (NVDRS) report,
in 2007 alcohol was a factor in approximately onethird
of the reported suicides, and 62% of these
decedents had a Blood Alcohol Content (BAC) of
>0.08 g/dL at the time of death (5).
how about nutrition? (namely Over-nutrition, given the obesity stats...)
bullying, obesity, and suicide
even just believing you are overweight...
bullying also has immediate and long-term health impacts...
cuts across social class
increases with age,
(you get the idea...)
and obese adults aren't spared, even the ones who have surgery....
obesity and suicide
so there are no quick fixes there, either....
So where is all this coming from?
(my background makes me familiar with it.... but recent series of events are as follows:)
---------- recently sent me this article, asking if I had read it:
I hadn't read kevin md's post, but had been aware of the physician suicides, though not the exact numbers...
Following up on this, I gathered a huge pile of materials, research, programs, etc...
(Dr. Wible's work is fascinating--I also found some good information about programs addressing burnout in residents, including one at UNC:
Motivational Interviewing--(which I do, have read some books, been to some workshops, and essentially espouse the philosophy in my dealings with people, including clients--namely, people do what they are doing because it works for them, and until they decide it isn't, there is no changing their mind, let alone their behavior.
I think it also applies to MOC, CME, etc.... anything like this where you get so much push-back.
Until someone recognizes something as a problem, and is willing to address it, nothing changes...
So, suicide is a huge problem in the general population...
and also in physicians.
If physicians don't acknowledge suicide in their own community (http://www.washingtonpost.
physicians certainly won't get help...
If physicians don't ask their patients, http://www.ncbi.nlm.
even if there are models:
Who will intervene?
Primary care is certainly positioned for intervention, whether they like it or not...
Primary Care: A Crucial Setting for Suicide Prevention
Jerry Reed, PhD, MSW, Director, Suicide Prevention Resource Center
Up to 45% of individuals who die by suicide have visited their primary care physician within a month of their death; additional research suggests that up to 67% of those who attempt suicide receive medical attention as a result of their attempt. Given these statistics, primary care has enormous potential to prevent suicides and connect people to needed specialty care — especially when they collaborate or formally partner with behavioral healthcare providers.
but a good share of what you read about physicians and suicide is not about suicide per se, or suicide by physicians, but just what the role of physician's should be in supporting/aiding people who approach their physician about suicide....
This bit is meant to address the issue of physician assisted suicide.....
What are physician's responsibilities when it comes to garden-variety suicide?
Don't these patients (colleagues, students, family members, etc...) deserve every bit as much?
Is it less understandable, or less tragic, somehow?
(emphasis above and below, mine)...
Opinion 2.211 - Physician-Assisted Suicide
Physician-assisted suicide occurs when a physician facilitates a patient’s death by providing the necessary means and/or information to enable the patient to perform the life-ending act (eg, the physician provides sleeping pills and information about the lethal dose, while aware that the patient may commit suicide).
It is understandable, though tragic, that some patients in extreme duress--such as those suffering from a terminal, painful, debilitating illness--may come to decide that death is preferable to life. However, allowing physicians to participate in assisted suicide would cause more harm than good. Physician-assisted suicide is fundamentally incompatible with the physician’s role as healer, would be difficult or impossible to control, and would pose serious societal risks.
Instead of participating in assisted suicide, physicians must aggressively respond to the needs of patients at the end of life. Patients should not be abandoned once it is determined that cure is impossible. Multidisciplinary interventions should be sought including specialty consultation, hospice care, pastoral support, family counseling, and other modalities. Patients near the end of life must continue to receive emotional support, comfort care, adequate pain control, respect for patient autonomy, and good communication. (I, IV)
Issued June 1994 based on the reports "Decisions Near the End of Life
," adopted June 1991, and "Physician-Assisted Suicide," adopted December 1993 (JAMA. 1992; 267: 2229-33); Updated June 1996.
," adopted June 1991, and "Physician-Assisted Suicide," adopted December 1993 (JAMA. 1992; 267: 2229-33); Updated June 1996.
So anyway.....
How are physicians to help themselves and each other, let alone their patients, if no one will own the situation?
I thought, maybe a Quality Improvement effort on the education of and screening for depression/suicidal ideation in our community might really be a good starting place....
Back to KevinMD... this article was published on 1-9-2015...
MOC is medicine’s self-inflicted wound
Again, the imagery is vivid enough, and the message pretty clear:
"Really? Of all the issues we face in health care, this is the one where we collectively draw a line in the sand?
Pardon me, but that’s just stupid.
While it’s encouraging that professional organizations like the ACP are actively responding to the concerns of their members, it’s also taking away from efforts that matter more in the long-term.
We’ve taken our eyes off the ball. Fighting among ourselves on MOC means that more concerning problems that threaten our profession are left unchecked."
“A person in difficulties wants in the first place the help of another person on
whom he can rely as a friend—someone with knowledge of what is feasible but
also with good judgment on what is desirable in the particular circumstances, and
an understanding of what the circumstances are. The more complex medicine
becomes, the stronger are the reasons why everyone should have a personal doctor
who will take continuous responsibility for him, and, knowing how he lives, will
keep things in proportion…”1,p752
--TF Fox, 1960 in The Lancet
anyway...
there are obviously lots of resources....
some incredibly simple and user friendly (there is a mental health "first aid" model called QPR--Question, Persuade, and Refer... essentially you ask if someone is thinking about killing themself, persuade them to get help, and refer them to an appropriate source...
It should really be taught like self-defense, or first aid... because it isn't dangerous, and really gives people a format to intervene when they are concerned about someone.
but why do physicians need to train on this?
physician personality can impact ability to assess depression
so knowing that, instruments are even more important....
analyzing clinic notes...
The military thinks it is a good idea...
and even a virtual patient, denise, to help train physicians!
anyway....lots of random stuff...
Thursday, May 22, 2014
An Online Spaced-Education Game Among Clinicians Improves Their Patients’ Time to Blood Pressure Control A Randomized Controlled Trial
That's the gist of an online game tested at eight Boston-area hospitals to see if it could improve treatment of high blood pressure by getting practitioners to follow recommended treatment guidelines.
Patients of the doctors and nurses who played the game over the course of a year got their blood pressure under control faster than those whose primary care providers were told to read educational materials instead, a "modest but significant" improvement, the researchers say. The results were published Tuesday in the journal Circulation.
An Online Spaced-Education Game Among Clinicians
Improves Their Patients’ Time to Blood Pressure Control
A Randomized Controlled Trial
Monday, April 28, 2014
Sunday, December 30, 2012
http://www.ibrarian.net/navon/
http://www.ibrarian.net/navon/ibrapedia_frames.jsp?phrase=medical+librarians
http://www.healthsciences.okstate.edu/medlibrary/ebm.cfm
This is a review of the master’s-level
curricula of the fifty-eight America Library
Association–accredited library and information
science programs and iSchools for evidence of
coursework and content related to library instruction.
Special emphasis is placed on the schools and
programs that also offer coursework in medical or
health sciences librarianship.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484960/pdf/mlab-100-04-244.pdf
Informationists
http://www.mlanet.org/research/informationist/
Lancaster E prints
http://eprints.lancs.ac.uk/view/year/2008.type.html
ways to ace medical school
http://blogs.einstein.yu.edu/5-ways-to-ace-medical-school-exams-by-maximizing-study-time/
med student research posters
http://einstein.yu.edu/features/around-campus/310/einsteins-main-street-lined-with-research-posters/
daily writing tips
http://www.dailywritingtips.com/forgo-vs-forego/
Data sharing
http://www.nsf.gov/bfa/dias/policy/dmpfaqs.jsp
Wednesday, June 6, 2012
The
Purpose Driven Life: What on Earth Am I Here For?
Author: Rick Warren
Publisher: Zondervan; 1st edition (October 1, 2002)
Review:
An interesting read--Warren's work is accessible, applicable to a wide audience. Familiarity with Christian doctrine is helpful, but not necessary, as the author interlaces scripture passages with illustrative quotations ("God doesn't play dice"-- Albert Einstein.) Religious anecdotes are appropriate and explanatory in context. "Nearly a thousand" scripture quotations from documented translations of the Bible exemplify Warren's goal to "guide you through a personal 40-day spiritual journey that will transform your answer to life's most important question: what on earth am I here for?"
Warren correctly and cleverly identifies the power of the "40 days"--a period of time God considers "spiritually significant." There is implicit power in beginning this ritual journey--signified with a "covenant."
Dictionary.com defines a covenant as "A binding agreement; a compact. See synonyms at bargain, law. A formal sealed agreement or contract. A suit to recover damages for violation of such a contract. In the Bible, God's promise to the human race.
Warren encourages involving others, building a spiritual team--with Warren's signature the reader has the requisite number to begin the program.
"Wherever two or more are gathered in My name, there I am with them, also." Matthew 18:20.
Warren's book is well-written, process-oriented, designed for individual study and small group work, and apparently identified with a larger church movement (Saddleback Churches) and publication (The Purpose Driven Church.) As a self-identified skeptic with regards to organized religion I was intrigued by the acceptance and apparent success of Warren's work. Warren states, "A great commitment to the Great Commandment and the Great Commission will make you a Great Christian." (pg. 306.) (So, who wouldn't want to be a great Christian, right?)
Warren explains complex subjects--Life's "Five Greatest Questions" (and answers), God's purpose(s) for our lives--in seemingly simplistic language given that these topics have baffled scholars, philosophers, and lay people alike for centuries. Quoting Buddha, "When the student is ready, the teacher will appear." The source of this critical awareness? Dissatisfaction, disbelief, disenchantment, disenfranchisement, despair, depression, (we skeptics can alliterate as well...:o)
Self-selection is evident here--as with most self-help literature these resources are most often chosen by people looking for answers, solutions. Most of us don't read diet books for the recipes--we want an answer to weight loss. Perhaps the "purpose" we seek is a "spiritual Atkinism" of sorts--we read the book, follow the program, because we are looking for a purpose for our life, a reason for our existence.
Warren establishes connection with the reader immediately--stating that God planned "this moment," and "longs" for you to discover the life he created you to live. Warren lays open the path--God has been waiting for your attention, in His infinite wisdom and patience. Any experience up to this point--positive, negative, generative, destructive--all are part of the plan. God, if sought, will provide the map for the rest of our journey--sort of the AAA of spiritual guidance, complete with roadside assistance--He comes to us.
(tbc)
Author: Rick Warren
Review:
An interesting read--Warren's work is accessible, applicable to a wide audience. Familiarity with Christian doctrine is helpful, but not necessary, as the author interlaces scripture passages with illustrative quotations ("God doesn't play dice"-- Albert Einstein.) Religious anecdotes are appropriate and explanatory in context. "Nearly a thousand" scripture quotations from documented translations of the Bible exemplify Warren's goal to "guide you through a personal 40-day spiritual journey that will transform your answer to life's most important question: what on earth am I here for?"
Warren correctly and cleverly identifies the power of the "40 days"--a period of time God considers "spiritually significant." There is implicit power in beginning this ritual journey--signified with a "covenant."
Dictionary.com defines a covenant as "A binding agreement; a compact. See synonyms at bargain, law. A formal sealed agreement or contract. A suit to recover damages for violation of such a contract. In the Bible, God's promise to the human race.
Warren encourages involving others, building a spiritual team--with Warren's signature the reader has the requisite number to begin the program.
"Wherever two or more are gathered in My name, there I am with them, also." Matthew 18:20.
Warren's book is well-written, process-oriented, designed for individual study and small group work, and apparently identified with a larger church movement (Saddleback Churches) and publication (The Purpose Driven Church.) As a self-identified skeptic with regards to organized religion I was intrigued by the acceptance and apparent success of Warren's work. Warren states, "A great commitment to the Great Commandment and the Great Commission will make you a Great Christian." (pg. 306.) (So, who wouldn't want to be a great Christian, right?)
Warren explains complex subjects--Life's "Five Greatest Questions" (and answers), God's purpose(s) for our lives--in seemingly simplistic language given that these topics have baffled scholars, philosophers, and lay people alike for centuries. Quoting Buddha, "When the student is ready, the teacher will appear." The source of this critical awareness? Dissatisfaction, disbelief, disenchantment, disenfranchisement, despair, depression, (we skeptics can alliterate as well...:o)
Self-selection is evident here--as with most self-help literature these resources are most often chosen by people looking for answers, solutions. Most of us don't read diet books for the recipes--we want an answer to weight loss. Perhaps the "purpose" we seek is a "spiritual Atkinism" of sorts--we read the book, follow the program, because we are looking for a purpose for our life, a reason for our existence.
Warren establishes connection with the reader immediately--stating that God planned "this moment," and "longs" for you to discover the life he created you to live. Warren lays open the path--God has been waiting for your attention, in His infinite wisdom and patience. Any experience up to this point--positive, negative, generative, destructive--all are part of the plan. God, if sought, will provide the map for the rest of our journey--sort of the AAA of spiritual guidance, complete with roadside assistance--He comes to us.
(tbc)
Thursday, January 26, 2012
Thursday, January 5, 2012
The Red Shoes
Several weeks ago I fell in love with the image of the above shoes, online.....<3
I saw these shoes yesterday at a local discount store. Tried on. Didn't buy. Regretted all evening (cute shoes that fit for $7.99???? even if I never wear them I love them!)
Went back this morning, and they were still there! Either these are awful shoes that no one (else) would buy, or it is fate--we are meant to be together. I'm voting for fate... and yes, I bought them... :D
Went back this morning, and they were still there! Either these are awful shoes that no one (else) would buy, or it is fate--we are meant to be together. I'm voting for fate... and yes, I bought them... :D
Friday, December 23, 2011
Monday, October 31, 2011
Friday, April 24, 2009
Wednesday, March 25, 2009
Tuesday, February 10, 2009
Wednesday, October 15, 2008
Magazine Review:
Parenting magazine
Well-written, organized, and presented. Addressed a range of appropriate and interesting topics relevant to "parents" --noted direction toward "moms" realistic and reflective of most "parenting" experiences. With due respect to involved, active dads a large percentage of parenting is done by mothers--and the content is reflective of this reality.
Integration, balance of the role of parent and the parent themselves--health, relationships, style....underscores the value of maintaining identity as a person, outside of the role as caregiver. Parents often focus on the child's development and differentiation--to the neglect of their own lives--while some of this is inevitable--a healthy balance is possible and desirable for the benefit of parent and child--great info and suggestions here as noted. I love the positive approach and attitude presented--scanning covers of many popular magazines one might assume that all children hate to read, loathe their siblings, etc... dire outcomes seem to be the norm, not the exception. While these distressing and dramatics headlines certainly draw attention and inspire fear (not intentionally, of course!)
It is refreshing to hear, for example, that not only do some children learn to read--(one does begin to wonder, considering national headlines and test results) it is possible to help your child love to read! Educational research indicates:
Of all academic subjects, reading has been found to be the most sensitive to family influence. In 1994, the College Board established a correlation between reading and family support for their children's efforts. Reading achievement is felt to be more dependent on learning activities in the home than is either math or science. Moreover, success in reading appears to be the gateway to success in other academic areas as well.
(source: Family Involvement: A Key Ingredient in Children's Reading Success
Author: Laura J. Colker, Ed.D.
Source: RIF Exchange Show #403 - "Literacy a Family Matter"
http://www.rif.org/parents/articles/FamInvolvement.mspx
Accessible, relevant articles effectively combine standard educational concepts of children's developmental stages with informative examples--ie object permanence as displayed in games of peek-a-boo and the phenomenon of separation anxiety. For new parents, these concepts may be unfamiliar or difficult to recognize in the context of a child's behavior. (For that matter--though thoroughly familiar with the concepts--it was still nerve-wracking and guilt-inducing to have a screaming child peeled off of me at the door of the daycare--I for one would probably have cut out this particular article and taped it to my steering wheel!)
Excellent article on learning styles in children--an incredible opportunity to recognize a child's preferences and abilities, and create a learning environment and tasks designed to maximize the effectiveness of their educational experiences. Working with a child with "style" in mind enables parents, teachers, caretakers, and eventually children themselves to adapt and develop different educational experiences and opportunities to maximize learning, encourage creativity, and reduce unnecessary frustration.
This publication is appropriate for a wide range of parents, teachers, caregivers--inexperienced, experienced---providing accurate information in sufficient amounts to be useful, informative, encouraging,and empowering. Parenting successfully negotiates the difficult and delicate balance of providing sufficient information to inspire confidence and independence with approachable accessibility--to ask questions, seek further information, confirmation when necessary or desired. There is no such thing as perfection--but there are no really serious gaffs here--difficulties with some of the advertisements are noted, (and realistically to be expected in any publication--it is advertising, after all!) Interesting, informative--a nice balance of shorter articles to accommodate the frequently interruptive, often chaotic environment many parents experience on a regular basis!
Helpful, appropriate product and availability information--there are many creative and useful inventions on the market that are beneficial, educational, and fun! Health and beauty information was attractive, relevant, and useful--I was charmed not to read any articles emphasizing losing those "last stubborn baby pounds"-- :o)
Publishing a parenting (or Parenting, in this case!) magazine seems to parallel some challenges parents face--and this one does it well! Excellent! :o)
Parenting magazine
Well-written, organized, and presented. Addressed a range of appropriate and interesting topics relevant to "parents" --noted direction toward "moms" realistic and reflective of most "parenting" experiences. With due respect to involved, active dads a large percentage of parenting is done by mothers--and the content is reflective of this reality.
Integration, balance of the role of parent and the parent themselves--health, relationships, style....underscores the value of maintaining identity as a person, outside of the role as caregiver. Parents often focus on the child's development and differentiation--to the neglect of their own lives--while some of this is inevitable--a healthy balance is possible and desirable for the benefit of parent and child--great info and suggestions here as noted. I love the positive approach and attitude presented--scanning covers of many popular magazines one might assume that all children hate to read, loathe their siblings, etc... dire outcomes seem to be the norm, not the exception. While these distressing and dramatics headlines certainly draw attention and inspire fear (not intentionally, of course!)
It is refreshing to hear, for example, that not only do some children learn to read--(one does begin to wonder, considering national headlines and test results) it is possible to help your child love to read! Educational research indicates:
Of all academic subjects, reading has been found to be the most sensitive to family influence. In 1994, the College Board established a correlation between reading and family support for their children's efforts. Reading achievement is felt to be more dependent on learning activities in the home than is either math or science. Moreover, success in reading appears to be the gateway to success in other academic areas as well.
(source: Family Involvement: A Key Ingredient in Children's Reading Success
Author: Laura J. Colker, Ed.D.
Source: RIF Exchange Show #403 - "Literacy a Family Matter"
http://www.rif.org/parents/articles/FamInvolvement.mspx
Accessible, relevant articles effectively combine standard educational concepts of children's developmental stages with informative examples--ie object permanence as displayed in games of peek-a-boo and the phenomenon of separation anxiety. For new parents, these concepts may be unfamiliar or difficult to recognize in the context of a child's behavior. (For that matter--though thoroughly familiar with the concepts--it was still nerve-wracking and guilt-inducing to have a screaming child peeled off of me at the door of the daycare--I for one would probably have cut out this particular article and taped it to my steering wheel!)
Excellent article on learning styles in children--an incredible opportunity to recognize a child's preferences and abilities, and create a learning environment and tasks designed to maximize the effectiveness of their educational experiences. Working with a child with "style" in mind enables parents, teachers, caretakers, and eventually children themselves to adapt and develop different educational experiences and opportunities to maximize learning, encourage creativity, and reduce unnecessary frustration.
This publication is appropriate for a wide range of parents, teachers, caregivers--inexperienced, experienced---providing accurate information in sufficient amounts to be useful, informative, encouraging,and empowering. Parenting successfully negotiates the difficult and delicate balance of providing sufficient information to inspire confidence and independence with approachable accessibility--to ask questions, seek further information, confirmation when necessary or desired. There is no such thing as perfection--but there are no really serious gaffs here--difficulties with some of the advertisements are noted, (and realistically to be expected in any publication--it is advertising, after all!) Interesting, informative--a nice balance of shorter articles to accommodate the frequently interruptive, often chaotic environment many parents experience on a regular basis!
Helpful, appropriate product and availability information--there are many creative and useful inventions on the market that are beneficial, educational, and fun! Health and beauty information was attractive, relevant, and useful--I was charmed not to read any articles emphasizing losing those "last stubborn baby pounds"-- :o)
Publishing a parenting (or Parenting, in this case!) magazine seems to parallel some challenges parents face--and this one does it well! Excellent! :o)
Magazine Review:
Real Simple: Life Made Easier
Interesting reading. Bright, attractive presentation--publication is visually appealing, with creative use of cover photo to illustrate the "experience" the magazine apparently seeks to promote--whiter-than-white laundry, in some timely fashion.... Ahhhhh.... :o)
Logical, appropriate presentation of featured contents--illustrative titles that appear to address a variety of goals for the target reader.
Well-organized, easy-to-read guide to contents--easy for readers to find content of interest, use magazine as a resource guide in future--**on the cover**--helpful feature--scanning the table of contents trying to match the prose with the items described on the cover--particularly if I am purchasing a new publication on the newsstand--this may tip the decision on whether I will buy the magazine or put it back!)
Topics featured provide an interesting insight into what constitutes "life"--it came as no real surprise to find the editor inspired by a 1958 publication designed to make housework "easier". [Firmly entrenched in what Arlie Hochschild named "The Second Shift", a large number of us may understand the appeal of "life made easier".] I would argue that 'simple' is relative, and 'easier' is wide open for interpretation--but perhaps that "lion" (referencing the Tonga proverb on the magazine spine) should remain behind the closed door for purpose of this review :o) Interesting choice of quote source, as from brief Internet research it appears that Tongan society is by-and-large strict, conservative, with questionable gender equality (anecdotal evidence that at least as of 2004, women may not own land--although widows may inherit )
http://www.tonga-now.to/Article.aspx?ID=588
Contents, with noted exceptions, follow expectations created by the cover and table of contents. Articles and advertisements echo standard "women's magazine" fare, for the most part, with some differences. The "right-hand" diamond ad is an interesting perspective--contrasting the Happily Ever After with the Happily Here And Now...something about the power to make your dreams come true (by purchasing a diamond...:o) An IRA as a woman's best friend provides nice balance, and different take on "ever after"!
(For those Happily Ever Afters, at least two ads are designed specifically for "marrieds"--beefy entrees and bathroom wipes...that's simple enough, isn't it?) Advertisements focus on grooming, shopping, cooking... enhancing our appearance and surroundings. Advertisements clearly identified--providing adequate product information, availability, as noted.
The article on "Meddle Management" presented some difficulties--thought-provoking, as noted. The piece seemed an amalgam of advice drawn from parenting magazines and The Dr. Phil show--with due respect to the good doctor, of course. The scenarios were common enough--solutions and explanations are simplistic at best. (Blending families is a challenging and ongoing effort--with no guarantee of success. Advising couples to confront a critical parent--"We don't want you to say these things. If you do so, you won't be allowed to visit" sounds more like setting the rules for a preschool play date--the behaviors may be childish--but the persons involved are adults--a frank discussion about the situation may not solve it, but it is certainly a more appropriate first step towards conflict resolution.) "Secrets" of thin people--the "biggest" difference "may be", as revealed in the article: "Those who don't gain (or regain) have come up with effective, specific, and often personal ways to keep their weight in check". (Doctor, I gain weight when I eat chocolate cake..... Well, you know the punchline....:o) "Simple"? Yes, this is certainly simple... To paraphrase Einstein, "Things should be made as simple as possible, but no simpler...." I think we are near this line....
Advertising content ranged from enlightened and informed to offensive and inappropriate, as noted in the text. I don't question the items advertised--these are predictable--but the presentation of individual ads, as included in the overall publication--(apparently a matter of individual taste--a "visual joke" about flat lining and mold killers may not offend all readers--but is questionable, in my mind. An automobile ad with "rockin" motion, women fighting over handbags, are "simply" in poor taste. As the automobiles "rock" in my neighborhood, the exact source of the disturbance makes it no less troubling or bothersome. As persons are injured in stores fighting over PlayStation games--Christmas mobs, etc, the trivialization of fighting over merchandise is unnecessary and in poor taste. I did get a laugh (sorry!) at the inclusion of a free gift with subscription to the magazine Real Simple--"A Guide To Cut Paper Clutter" (not just clutter, Paper Clutter!!) How about a digital subscription, for starters!
Writers and editors obviously put great effort into creating an attractive, personable, well-groomed, well-rounded publication. Polished, clean-- a genuine attempt to contribute to the "women's magazine" offering on newsstand, in subscription. A magazine I would buy on the newsstand if a particular article or feature was appealing--I would not subscribe as the contents are uneven, unpredictable. In the "Meddle Management" piece, the article simply ends, abruptly--there is no wrap-up, no concluding paragraph, no referrals for further information (even a reiteration of the sources mentioned in the article would be helpful to provide some closure).
Some outstanding elements as noted--excellent writing, relevant subjects--I found the piece on the decision to have children genuine, thought-provoking. The article on the choir for the terminally ill was both informative and inspiring. On the lighter side, features on cleaning, shopping, getting and keeping a great haircut were well presented, organized, helpful, and appropriate--well-done.
A good magazine will provide features and content relevant to their reading audience. A great magazine will provide features and content interesting, educational, informative, and enjoyable to those who flip through their pages on the newsstand--and make the decision to buy!
Perhaps the best way to qualify the publication is in "real simple" terms--when it is good, it can be good, very good, (even great!) and when it is bad, well, ...it's not good.
Real Simple: Life Made Easier
Interesting reading. Bright, attractive presentation--publication is visually appealing, with creative use of cover photo to illustrate the "experience" the magazine apparently seeks to promote--whiter-than-white laundry, in some timely fashion.... Ahhhhh.... :o)
Logical, appropriate presentation of featured contents--illustrative titles that appear to address a variety of goals for the target reader.
Well-organized, easy-to-read guide to contents--easy for readers to find content of interest, use magazine as a resource guide in future--**on the cover**--helpful feature--scanning the table of contents trying to match the prose with the items described on the cover--particularly if I am purchasing a new publication on the newsstand--this may tip the decision on whether I will buy the magazine or put it back!)
Topics featured provide an interesting insight into what constitutes "life"--it came as no real surprise to find the editor inspired by a 1958 publication designed to make housework "easier". [Firmly entrenched in what Arlie Hochschild named "The Second Shift", a large number of us may understand the appeal of "life made easier".] I would argue that 'simple' is relative, and 'easier' is wide open for interpretation--but perhaps that "lion" (referencing the Tonga proverb on the magazine spine) should remain behind the closed door for purpose of this review :o) Interesting choice of quote source, as from brief Internet research it appears that Tongan society is by-and-large strict, conservative, with questionable gender equality (anecdotal evidence that at least as of 2004, women may not own land--although widows may inherit )
http://www.tonga-now.to/Article.aspx?ID=588
Contents, with noted exceptions, follow expectations created by the cover and table of contents. Articles and advertisements echo standard "women's magazine" fare, for the most part, with some differences. The "right-hand" diamond ad is an interesting perspective--contrasting the Happily Ever After with the Happily Here And Now...something about the power to make your dreams come true (by purchasing a diamond...:o) An IRA as a woman's best friend provides nice balance, and different take on "ever after"!
(For those Happily Ever Afters, at least two ads are designed specifically for "marrieds"--beefy entrees and bathroom wipes...that's simple enough, isn't it?) Advertisements focus on grooming, shopping, cooking... enhancing our appearance and surroundings. Advertisements clearly identified--providing adequate product information, availability, as noted.
The article on "Meddle Management" presented some difficulties--thought-provoking, as noted. The piece seemed an amalgam of advice drawn from parenting magazines and The Dr. Phil show--with due respect to the good doctor, of course. The scenarios were common enough--solutions and explanations are simplistic at best. (Blending families is a challenging and ongoing effort--with no guarantee of success. Advising couples to confront a critical parent--"We don't want you to say these things. If you do so, you won't be allowed to visit" sounds more like setting the rules for a preschool play date--the behaviors may be childish--but the persons involved are adults--a frank discussion about the situation may not solve it, but it is certainly a more appropriate first step towards conflict resolution.) "Secrets" of thin people--the "biggest" difference "may be", as revealed in the article: "Those who don't gain (or regain) have come up with effective, specific, and often personal ways to keep their weight in check". (Doctor, I gain weight when I eat chocolate cake..... Well, you know the punchline....:o) "Simple"? Yes, this is certainly simple... To paraphrase Einstein, "Things should be made as simple as possible, but no simpler...." I think we are near this line....
Advertising content ranged from enlightened and informed to offensive and inappropriate, as noted in the text. I don't question the items advertised--these are predictable--but the presentation of individual ads, as included in the overall publication--(apparently a matter of individual taste--a "visual joke" about flat lining and mold killers may not offend all readers--but is questionable, in my mind. An automobile ad with "rockin" motion, women fighting over handbags, are "simply" in poor taste. As the automobiles "rock" in my neighborhood, the exact source of the disturbance makes it no less troubling or bothersome. As persons are injured in stores fighting over PlayStation games--Christmas mobs, etc, the trivialization of fighting over merchandise is unnecessary and in poor taste. I did get a laugh (sorry!) at the inclusion of a free gift with subscription to the magazine Real Simple--"A Guide To Cut Paper Clutter" (not just clutter, Paper Clutter!!) How about a digital subscription, for starters!
Writers and editors obviously put great effort into creating an attractive, personable, well-groomed, well-rounded publication. Polished, clean-- a genuine attempt to contribute to the "women's magazine" offering on newsstand, in subscription. A magazine I would buy on the newsstand if a particular article or feature was appealing--I would not subscribe as the contents are uneven, unpredictable. In the "Meddle Management" piece, the article simply ends, abruptly--there is no wrap-up, no concluding paragraph, no referrals for further information (even a reiteration of the sources mentioned in the article would be helpful to provide some closure).
Some outstanding elements as noted--excellent writing, relevant subjects--I found the piece on the decision to have children genuine, thought-provoking. The article on the choir for the terminally ill was both informative and inspiring. On the lighter side, features on cleaning, shopping, getting and keeping a great haircut were well presented, organized, helpful, and appropriate--well-done.
A good magazine will provide features and content relevant to their reading audience. A great magazine will provide features and content interesting, educational, informative, and enjoyable to those who flip through their pages on the newsstand--and make the decision to buy!
Perhaps the best way to qualify the publication is in "real simple" terms--when it is good, it can be good, very good, (even great!) and when it is bad, well, ...it's not good.
Review: The Martha Rules
The Martha Rules:
10 Essentials For Achieving Success As You Start, Build, Or Manage A Business
Publisher: Rodale International Ltd (April 7, 2006)
An exceptionally "readable" book--logical, organized, balanced presentation. Intelligent, appropriate for readers across the spectrum of experience. Stewart's "rules" format--a nod to current publishing trends--provide an accessible source of guidelines, resources, and suggestions for readers interested in applying her business model to new or current endeavors.
Excellent reading! Stewart provides glimpses into her family and career history--highlighting values instilled, lessons learned. Throughout this framework of experiences, Stewart weaves a now familiar tale with new insight and perspective.
Stewart's self-transformation from caterer to entertainment expert characterizes the development of her business and approach to consumers: to educate and be educated. Learning, teaching, interdependence between the producer and the customer combine to create an emphasis on quality and service--an attitude of mutual respect. (David Ogilvy states "The consumer is not a moron; she is your wife.") Stewart identifies herself and her company as the consumer--a simple but far from simplistic approach to content, presentation, and direction--we love Martha--we like who we are when we are "with" her--what we may become.
Stewart brings a remarkable and apparently unflagging optimism to her work--her enthusiasm is contagious, inspiring...She effectively communicates core values--their particular relevance during personal and professional decisions. Teacher and student, Stewart discusses her highly-publicized legal affairs in only the most general terms--focusing on appreciation for expressions of support from her family, friends, and fans.
Whatever your position, (or opposition) to the phenomena that is Martha--it is impossible to deny the perseverance, resilience, empathy, and empowerment that characterizes Stewart.
She refers to Thomas Edison early in her book--focus on serving the needs of the customer, from the customer's perspective. Edison also said "who you are will show in what you do"--and in Stewart's case, all indications are a future characterized by innovation and inspiration---excellent as always, Martha! It's a very, very good thing! :o)
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