|Photophobia||Fear of light|
|Hydrophobia||Fear of water|
|Claustrophobia||Fear of confined spaces|
|Agorophobia||Fear of open spaces|
|Arachnaphobia||Fear of spiders|
|Telefonophobia||Fear of telephones|
|Bibliophobia||Fear of books|
|Ailurophobia||Fear of cats|
|Acrophobia||Fear of heights|
|Noctiphobia||Fear of night|
|Categelophobia||Fear of ridicule|
|Opthalmophobia||Fear of being stared at|
|Xenophobia||Fear of foreigners|
|Triskaidekaphobia||Fear of the number 13|
|Ergophobia||Fear of work|
|Linonophobia||Fear of string|
Engaging Pupils On Another Level WAS part of a conversation among a few high school teachers a few weeks ago. There were murmurs of admiration from the other teachers. Miss Kai took pride in what she termed “classroom management skills” and was indeed well known for her absolute pin-drop silent classes whenever she was teaching.
“How I wish I had some of your ability, Miss Kai,” said another younger teacher in the group almost wistfully with a hint of defeat in her voice.
“It is so difficult to control the class whenever I teach them English. They make so much noise, talking all at once. And language activities are a nightmare. They start shouting at the top of their voices and are all over the classroom. I feel so embarrassed about what the teacher in the classroom next to mine must be thinking.”
In a strange way what the second teacher said reminded me of an experience many years ago. I hadn’t been really keen on the idea at first but as usual my friend Dilla managed to persuade me to go with her to watch a newly released popular movie. Everybody she knew had seen it and if I didn’t she assured me that I would regret it for the rest of my life.
Watching it at home on TV, no matter how big the screen, was not the same, she said, “No, no, no. It’s all about the experience of watching it in a theater.”
I opened my mouth to protest, but she shushed me saying we were already late and if I wanted to watch the movie we had better leave.
We arrived at the rather run-down theater and Dilla rushed in to get the tickets.
“Last two tickets,” she said, emerging rather ruffled from the long queue in front of the ticket booth. I was a little surprised at that because the movie had been screening for three weeks and I reasoned that anybody who had wanted to watch it would have watched it by now.
“Is that a cockroach,” I asked feeling something scuttling past the floor as I lowered myself into the sad, sinking seat. “Quiet,” said Dilla, “No talking in the ‘cinema.”
Before long all the seats were full, the movie was about to begin and my earlier guess proved right.
Almost everybody at the cinema except for me and Dilla had watched the movie before. The whole row in front of us was engaged in a loud, running commentary and recounts of their favorite parts throughout the movie. A hearty argument about the best actor, broke out midway between the family sitting on my right and the couple in front of them. I thought things would get better once the movie started but I couldn’t have been more wrong.
The back-row boys who had obviously seen it enough times to memorize the entire script took great pleasure in mouthing out every line before the actors did. Scattered all over the cinema hall were exclamations and loudly expressed opinions at almost every point.
During a climactic scene some of the audience issued loud cries of warning to the hero on the screen who was in danger of being harmed. “look out, he’s got a gun.”
When the heroine was being sweet talked to by her two-timing boyfriend, offers of advice poured in from the concerned audience. “Don’t trust him,- yelled a middle-aged woman from the third row. “He’s leading you on.”
The audience in the cinema was totally engaged, totally riveted and completely absorbed as if what was happening on the screen was a part of their own life. They cheered loudly for the hero, booed the villain and murmured loud sympathetic responses for characters who were having a tough time. When the song sequences started, most of them sang along and several groups got up to dance.
When the movie finally ended, I wasn’t sure how I felt. Although the behavior of the audience was to a large extent disruptive and generally undesirable in a theater setting, looking back, I could understand their responses based on the level of engagement they felt with the story.
How much of behavior that is perceived as “disruptive” in our classes is really “disruptive’ and how much of it is considered engagement?
No teacher wants her class to be disorderly with pupils running all over, but is a classroom full of passive “well-managed attentive students” like the one that Miss Kai described, the one we should aim for? And how do we assess their level of attentiveness or engagement in the first place? Why do our pupils “switch off” during one teacher’s lesson and “switch on” for the next?
Perhaps our classroom teaching and learning experiences need to be more like the feeling some people get when they are watching a movie – the feeling that they are part of the lesson, part of the
learning, the experience and the life it belongs to. Perhaps our lessons should aim to be so powerful that some part of our pupils could feel like dancing to it. Perhaps someday they will.
Bullying in healthcare inevitably leads to a dysfunctional work environment, medical errors and preventable adverse outcomes, with patients suffering ultimately.
Bullying occur in healthcare organizations globally. In an analysis of 24 countries, prevalence rates of 11-18% were reported.
THE report on bullying of junior doctors last month embarrassed, at best, and at worst, shamed the medical profession. The factors associated with bullying were “younger age group, shorter length of service, shifting work, non-managerial position and designation as a doctor”
There are various terms used, often indiscriminately, but they are different.
Bullying has to be distinguished from admonishments when there are mistakes or errors in healthcare delivery that affect patient safety and quality of care.
The World Medical Association states: “Bullying is behavior that is repeated over time or occurs as part of a pattern of behavior, rather than a single episode.
“‘Unreasonable behavior is what a reasonable person in the same circumstances would see as unreasonable.
“It includes behavior that intimidates, offends, victimizes, threatens, degrades, insults or humiliates. Bullying can take psychological, social and physical forms.
“Harassment is unwanted, unwelcome or uninvited behavior that makes a person feel humiliated, intimidated or offended.
“Harassment can be related to a person’s ethnicity, gender, sexual orientation, disability or other factors such as whether a person has made a complaint.”
Bullying may be by an individual against an individual or groups of individuals.
It may be obvious or insidious, and takes one or more of these forms: verbal abuse; threatening, intimidating or humiliating behaviors (including non-verbal); and work interference, which prevents work from getting done (Workplace Bullying Institute).
Consequences of Bullying
The links between bullying, patient safety and quality of care are universally recognized. Effective teamwork and communication, and a collaborative work environment are critical to quality healthcare.
Bullying is associated with disruptive and corrosive behaviors that inevitably lead to a dysfunctional work environment, medical errors and preventable adverse outcomes with patients suffering ultimately.
According to the Royal College of Surgeons of Edinburgh, healthcare professionals have attributed disruptive behavior in the perioperative area alone to 67% of adverse events, 71% of medical errors and 27% of perioperative deaths.
The effect of bullying on a healthcare facility include lower morale and productivity, increased absenteeism, rapid and increased staff turnover, which compromises patient safety, and a negative impact on the facility’s reputation.
It also exposes the facility to litigation by its staff and actions in negligence by patients.
The estimated annual cost of bullying to organizations in the United Kingdom was 4:13.75bi1 (RM71.86bil).
Employers have a legal duty to ensure the health, safety and welfare of their employees. The underlying principle has to be zero tolerance for bullying.
According to Clare Marx, past president of the Royal College of Surgeons of England, the bullying culture in the UK National Health Service starts at the top.
She said: “I think attitudes and behaviours in healthcare come from the top. We all hear about bullying cultures. Fm ashamed to say that I don’t know a chief executive who isn’t bullied from the top. and I think that is passed down.” (BMJ 2017)
Is the local situation different, and if so, how different? Unfortunately, the deafening silence leads to negative perceptions. A compassionate leadership is critical for building a culture of improvement and empowering staff to raise concerns.
The statement by Martin Bromiley, Chair of the Clinical Human Factors Group, is relevant for leaders at all levels:
“Think about this: Am I creating the right conditions for people to speak up to me? Am I reacting to people in a way that tells them I want to hear what they have to say?’ Remember it’s what’s right – not who’s right – that counts.
“By all means be decisive – be a leader, push and challenge those around you – but make sure you listen and acknowledge people. and NEVER frighten or devalue those around you.
“You’ll have already lost the respect of those same people. and your situational ‘awareness will never be complete again.”
That there is a trust deficit between junior doctors, and their seniors and employer, is reflected in the media disclosure of bullying.
An independent, accountable and fair system is required to address bullying of junior doctors, nurses and other healthcare professions.
There are good global practices that have reduced the prevalence of bullying in health-care organizations.
It is useful to learn from the UK General Medical Council who, following a review of bullying and undermining in medical education and training in 2014, reported that the key factors contributing to positive work-place behavior and a supportive training environment were valuing doctors in training; departmental cohesion and leadership: workload and stress for doctors in training and consultants; communication with doc-tors in training and recognizing undermining and bullying; and the need for effective senior leadership.
YOU’VE got a long way to go by car and your child is already feeling sick after the second curve?
It’s an unfortunate start to any holiday. But parents can try to curb their child’s travel sickness somewhat with a few tips.
For starters, the middle of the backseat is the best spot for children, as they have an unobstructed view facing forward here. Looking out of the side windows won’t help anything. The landscape will race by too fast from these windows to focus on anything.
Before the car ride, children should best eat something light like bread, fruit, or raw vegetables.
Distractions can also help, but watching films, reading or playing video games is not advised, because these can make children feel sick even faster. Instead, it’s better to listen to music or audiobooks and play games like “I spy with my little eye”.
An anticipatory driving style is also important. Drivers who head into curves too fast risk making children nauseous. Drivers should move at a consistent speed and repeatedly take short breaks.
Children are usually good at noticing themselves if they aren’t feeling well. Parents should always take this seriously, stop at the next opportunity and wait until the sickness passes. – dpa
After 60, what remains?
I HAVE been 60 for two years now, and feel blessed to still be around. Given the madness and mayhem of modern day living, there are many who do not make it to 60.
My own mother died of a heart attack when she was 54. I lost a close friend to cancer and she was only 51. A favorite uncle died at age 50 of cancer. Sooner or later we will all meet this eventuality that underscores the brevity of life.
And so it was that when I was 57, I felt a compulsion to write my own epitaph:
“Here lies Mary, sweet and still,
“Dreams and wishes all fulfilled;
“Just like her to go in style,
“Never wasted a moment’s while;
“She lived just as she believed,
“Joy and mirth in each day lived.”
Simplicity being the theme in my life, I crafted my epitaph to the tune of Twinkle, Twinkle Little Star. With the help of technology, the tune will be played softly when someone stands within 2m of my tombstone. So as the visitor reads the poem, there is automatic music accompaniment!
I do not feel the least morbid about writing this, as an examined death is as important as an examined life. It is good to have an irreverent sense of humor towards death; to have the courage to look it in the eye, and recognize it as an intrinsic part of human experience.
Ironically, it is when we talk about death, therein lies the richness of life. It is when we realize the fragility and vulnerability of being human, particularly in the 21st century, that we appreciate life more.
My husband has managed his colorectal cancer most brilliantly just by having faith and hope that things will get better. For one who has overcome the dual onslaughts of radiotherapy and chemotherapy, he looks cheerful and positive.
Cancer is debilitating, financially draining, energy-sapping and has the force to shake up one’s routine and plans. That’s what it can do. But what it cannot do is weaken one’s will to live or remove the joy of living. With his cancer now stable and with a promising prognosis, he has resolved to cherish every moment of family time together.
No one tells you that after 60, dizzying changes and challenges will come unbidden. Words that creep into the senior’s conversation include macular degeneration, cataracts, cholesterol, diabetes, colonoscopy and angiogram. Acronyms such as MRI, HDL, AMD and BMI become common. It has also become normal practice to Google for further information on whatever discomfort or disease one is battling. In other words, we become more aware of our own mortality as the years add up.
However healthy you are at mid-life, there comes a time when you realize that age has caught up with you. You catch sight of a time-ravaged face in the fitting-room mirror and you notice other unforgiving signs-of-the-times as well, in that unforgiving three-panelled mirror. It is an age epiphany moment when you find it hard to recall names, and words become elusive in a conversation.
I do not contrive to reach the age of 62 without acknowledging that Higher Hands are leading me. My youth is gone and I cannot keep up with the relentless march of time. And now, I am more than halfway through my time on Earth, and each birthday marks a new bonus of time. No maternal dean’s list for me; no monument marks my existence; and definitely there are no roads named after me.
There is no blueprint on how one should live one’s life, simply because life itself is capricious, ever-changing and unyielding. In my own simplistic way, I think that loving someone every day, getting some love in return, fostering honest friendships, being generous and kind; will get you through the day.
With six decades of life behind me, I believe that having personal integrity and staying true to oneself, pulling off one’s mask, is the key to living a meaningful life. So much of who I am, my actions, my decisions, and my choices, are guided by this touchstone in life. I feel that there are moments in time when people need to be open and bare their soul. This appears to be one.
An innovation developed by researchers from Merck,
the vitamins, minerals and probiotics are packaged in a special three-layer tablet to offer optimal health benefits.
BION®3 tablets have a special protective coating that protects the probiotics from the acidic environment of the stomach, enabling the probiotics to stay alive throughout their journey to the gut.
Once released in the gut, the probiotics work to support the body, keeping you strong on the inside.
The distinctive blend of energy-yielding metabolizing B vitamins in BION 3 is specifically designed to help support your natural inner strength and keep you energetic, so you have the ability to cope with a hectic modern lifestyle.
BION®3 helps you maintain your vitality throughout the day, and find the energy to reconnect with the things you love:
No more feeling fatigued or feeling tired, you can carry on with your day feeling energized.
One of the most significant ways to control your blood sugar is to keep your total calories for the day at a low and healthy level. That is achieved through diet and the foods you choose.
The foods listed below contain almost no calories, or even end up in the negative when you burn them for energy. This means you can enjoy as much of each of these foods as you like!
Apples are nutritious, and a cup of a sliced apple contains 57 calories and three grams of dietary fiber.
Carrots are mainly orange but are also found in white, purple, yellow and red colors.
They contain high amounts of beta-carotene that converts to vitamin A (essential for good eyesight). There are only 53 calories in one cup and more than 400% of the daily value for vitamin A.
Mushrooms are often used as a meat substitute by vegans and vegetarians.
One cup contains just 15 calories along with vital nutrients.
Tomatoes are known as one of the world’s most popular vegetables for taste and versatility.
Containing lycopene, a beneficial compound, tomatoes can protect against inflammation, heart disease, and cancer.
Strawberries are delicious, versatile and fashionable.
Consuming berries can protect against chronic illnesses such as heart disease and cancer. Strawberries have fewer than 50 calories in a single cup.
Spinach is full of minerals and vitamins including vitamins A and K, as well as folate. Spinach contains a lot more protein than many other vegetables of the leafy green variety. Digesting one cup is only seven calories, so it is most likely to be a negative-calorie food.
Water is the best drink as it has zero calories.
Most of the herbal teas have very few or no calories.
A cup of black coffee only has two calories.
These are the best liquids to drink as everything else has more calories so read the labels if you don’t know.
Cucumbers are often used in salads.
They are mainly water, so half a cup of cucumber is only eight calories.
Watermelon is a fruit well-known for its hydrating ability.
It is loaded with vitamin C and has a certain amount of nearly all nutrients. A cup of diced watermelon only has 46 calories.
Celery is widely acknowledged as one of the best low-calorie foods.
It is high in water and has insoluble fiber, meaning it generally goes through your body without being digested. One cup of chopped celery only contains 18 calories.
There are plenty of other foods also in this category, including cabbage, Brussels sprouts, garlic, grapefruit, lettuce, lime, lemon, turnips, zucchini and so on.
Among this list of low-to-no-calorie foods, there are sure to be some you enjoy. Make the most of them instead of eating high-calorie processed foods that do not help you control your Type 2 diabetes and overall health.
Although managing your disease can be very challenging, Type 2 diabetes is not a condition you must just live with. You can make simple changes to your daily routine and lower both your weight and your blood sugar levels. Hang in there, the longer you do it, the easier it gets.