How to quit smoking : Take one step at a time

Smoking cessation is a challenge. Here's why it matters, what to expect, and how to stick with it.

For most people, smoking cessation is difficult. In fact, quitting smoking might be one of the most challenging things you've ever done — but it's the best way to improve your health.

Considering the benefit of quitting smoking

• The benefits are extraordinary. Once you quit smoking, it may be easier to breathe, your sense of taste and smell may improve. Your risk of heart disease, lung disease, stroke and cancer will drop.
• You're not in it alone. Counseling and other types of support have made smoking cessation easier.
• Previous attempts to quit boost your odds of success. Each time you try to quit smoking, you learn what works and what doesn't .

Getting started

Identify reasons you may want to quit, such as improving your health or setting a good example for your children.

Consult your local physician. Ask about nicotine replacement therapy or other stop-smoking medications. Nicotine patches, nicotine gum and other types of nicotine replacement therapy can help you manage cravings and withdrawal symptoms.

To do list:

• Spread the word. Tell your family, friends and co-workers that you're planning to quit smoking. Ask anyone in your household who smokes to quit with you.
• Make it inconvenient to smoke. Keep your cigarettes in the car when you're in the house or working. Smoke with the "opposite" hand. Buy only one pack of cigarettes at a time. Switch to brands you don't like.
• Cut back. Delay your first cigarette of the day. Smoke only half the cigarette. Trade one smoking break a day for a brisk walk or other physical activity.
• Change your habits. Avoid anything that tempts you to smoke. You might switch to water or soda instead of coffee or alcohol, go places where smoking isn't allowed, or hang out with people who don't smoke.
• Count down to a quit date. Pick a date to quit smoking. Clearly mark it on the calendar. Give yourself a few days or weeks to prepare, but don't postpone the date too far.
• Toss your smoking gear. As your quit date approaches, get rid of your lighters, ashtrays and stashed cigarettes.
• Learn from your mistakes. If you've tried to quit before, think about what went wrong and what you could do differently this time.

Taking the plunge

Once you've decided to quit smoking, focus on your healthier lifestyle. It might help to:

• Take it one day at a time. Don't worry about next week or next month. Focus on today. Every hour without a cigarette brings you one step closer to quitting for good.
• Distract yourself when a craving strikes. When you want to smoke, call a friend, take a brisk walk or run in place. To keep your mouth busy, chew sugarless gum, cinnamon sticks, toothpicks or straws. If you can hold just a few minutes — the craving will pass.
• Consider treatment options. Remember the medications you discussed with your doctor? Don't be afraid to use them. Experiment until you find which medication — or combination of medications — works best for you.
• Join a support group.
• Remember why you're quitting.
• Celebrate your success. Made it through the day / week without a cigarette? Treat yourself to your favorite movie. Count how much you've saved by not buying cigarettes.

Keeping it up – The most important part

Once you've stopped smoking, your focus may change to preventing a relapse. Identify what's been helpful so far, and beware of potential problems. If you slip — whether you have one cigarette or you slide back into your old smoking pattern — don't give up. Consider it a learning experience on the path to your smoke-free future. Identify what may have triggered your smoking. Then consider what you learned from the experience, and what you'll do differently next time.

Good luck for quitting...

Types of medical students

THE OVERLY ACADEMIC
You will recognise this subspecies by the typical look that would characterise most of the intellectually inclined. They will question your knowledge and your suitability as a doctor if you do not know your medicine well. They have an air of intellectual superiority, the proud step of arrogance and the temerity to even question the significance of the p-value of the randomised clinical trial quoted by their professors. They snap at the very chairs of these professors, waiting to one day unseat and claim the places for their own.

THE HARDWORKERS
This subspecies is a common sight in its white coat and is always happily preparing needles and drip sets. They are famous prowlers and constantly cannibalise the HO species to provide them with cases. Always eager, they can be seen 24/7 waiting for the next baby to deliver or the next patient to clerk. They do not eat, sleep or drink but only require constant night calls to survive. Some of the subspecies are famously known to exhaust their patients so that no other can take a history.

THE GUNNER
Some people would think that they are part of The Painfully Enthusiastic. But they are different – they tend to be only painfully enthusiastic when posted to the discipline of their choice. They display clenched fists of determination as well as clenched buttocks of anality. They too love procedures and journal clubs. Unlike The Painfully Enthusiastic who attends and does all these mindlessly, The Gunner, however, goes for these activities to be inspired.

THE MISSING
The most elusive of them all and the rarest subspecies – not in number but because you do not even spot them. They are famously invisible, only appearing on command or on direct order by the Dean’s Office. They are usually not to be found. Even if they appear, they are either late or arrive to fall asleep. You might find them outside the hospital having recreational activities but they are known to be able to dodge the attendance lists as their signatures magically appear on the lists despite their absence. Perhaps they did visit the hospital after all.

THE WEAK
The Weak are not just haemophobic. Some just have a very huge vasovagal response. They can be spotted occasionally dropping into the arms of their male colleagues, and for some, into their female colleagues’ arms. This loss of consciousness is usually precipitated by either the first anatomy dissection or surgery, sight of blood, perception of pain, delivery, dead body or seeing a forensic pathology dissection.

THE QUESTIONABLE ADMISSION
This is a subspecies that usually the doctors recognise. It is characterised by the obvious inadequacy in medical knowledge. They are more interested in their myriad of extracurricular activities. Tutorials are impeded by this subspecies. Some have suspect values, others are genuinely slow learners, some cannot think on their feet, most are uninterested. Rare are the ones who are just embarrassed to show their intelligence. But most are definitely questionable.

THE SENSITIVE SOUL
The Mother Teresa Subspecies − “I have come to save the world from HIV/cancer and so on.” It is quite hard to differentiate them from psychotic patients as both have delusions of grandeur. Willing candidate for nongovernmental organisations and Medicine Sans Frontieres, and Chronic Third World Country Medical Aid Helper. They are quite tormented by the sight of suffering and pain, fanatically caring for the patient and even going beyond the bounds of duty. Buddha and Jesus Christ would agree with them taking on the pain in the world on themselves. Some are highly religious and their dedication to serving patients border on fanaticism. These tormented souls thrive on “Thank yous”, low pay and idealism.

THE ONE-TRACK MIND
The One-Track Mind knows only one thing and nothing else. The latter is famous for not really trying to excel overall but only excelling in the discipline of choice which is mostly related to surgery, for The One-Track Mind feels that the best way to cure people is to saw off the diseased afflicted part of the body. A significant percentage prefers to just do the bones. This subspecies also has the tendency to not bother about a patient’s other medical conditions, unless they significantly affect their marks in just-know-every-single-syndrome . In the adult world, they only care about how to ensure that diabetic patients can be shunted to medical wards so that their surgical wards are free of long-staying patients, on the pretext of “I do not know how to treat the disease.”

THE JUVENILE
This is not a student who will only crumble under pressure or faint on sight. Also congenitally has a high vasomotor tone, prone to blushing and being embarrassed. Some pee or pass motion in their pants. Has a tendency to ask silly questions and would also frustrate the examiners. Classically related to encounters of the opposite sex, specifically guys in breast/O&G clinics and
girls in urology/hernia clinics. Classical triad of blushing, silence/stammer and trepidation. Frequently insulted by consultants who tell the student to not forget the patient’s own nakedness and awkwardness before the disappearance of the triad. Also pathologically afraid of per rectal examinations or any contact with bodily secretions, blood notwithstanding.

THE SLACKER
This subspecies is famous for falling asleep in school or sometimes going missing in the day, but still getting their distinctions despite minimal studying. Others, however, do not possess the intelligence but still get by. Another similar subspecies is The Joker. He also is a slacker but his predominant energies are concentrated on entertaining.Always pulling pranks on people and getting into the occasional trouble.

THE INSPIRATIONAL
These are the ones who you know are destined to be doctors. They live and breathe medicine. Characterised by perfect manners, great conduct and superb service. Also has a healthy dose of idealism .They are an inspiration to all especially the ones who are Juvenile and Weak, for they are seemingly so confident and unafraid to approach a patient and take a history. In addition, they have other impressive extra-curricular commitments that heighten the level of respect. They do not feel fear and they ease away patient fears. They give hope and courage to patients.

THE JOCK
Famously athletic, and famously slack. They could not have entered medical school with less than stellar results. Will respond to the call of duty when any intrafaculty, interfaculty or staff versus student games are being held. Quite the sportsman, always participating in some triathlon, marathon or sporting event held on weekends. Can be spotted in the mornings or evenings around the hospital jogging and never seems to stop. Inspires stares from student nurses, who hope that the jock is single and available.

THE ARTISTIC
“All the world’s a stage” – and The Artistic loves the tragedies that play out in the hospital.What more with the issues of life, death, suffering and all the kaleidoscope of feelings that mankind has. They say medicine is an art and this sense of idealism inspires the artist in them. The Artistic is a lot more optimistic and channels negative energies into creativity and works of art.

THE UNSCRUPULOUS
The bad sheep of the flock. They are definitely a Questionable Admission and a bad nut. Usually one of the rarest – a mistake in upbringing and selection criteria – some are motivated by money, others are unmotivated by patients and suffering. Have suspicious values and often sabotage and take advantage of others. If their goals cannot be achieved legitimately, there is always the hook or crook method. Only detectable if they let their guard down.

THE SANE ONE
Quits Medical School.

Off Beat >>

This post is off topic but i wanted to post it because i wanted to put up how i learned some blogging. Before i started to have an idea to blog, i was a regular visitor to john chow who runs a blog on making money online. At first sight i thought it was a blog about cars, then i thought it was about technology and later i came to know that he deals mostly about how to make money online from blogging. Though my purpose of reading his blog was not to learn how to make money, but i learned a lot of etiquette on blogging, the how to's on good blogging. He does respond well to all his visitors and i wonder how he manages to keep 24/7 interaction with the visitors to his site. He seems to put himself on duty infront of his computer like a intern.

He offers a link back to any visitor who review's his blog , some of his evil ways to get to the top on google search. Hope i start to make use of his evil ways for SEO. I never knew someone can make a cool 7000$ out of just blogging in such a short period of 2 years. Thats a fantastic work on his part to make it happen, though it comes out of his extra gracious flair for writing.

Artificial Vein : A boon to Surgery

Results from human trials into the new plastic vein -- which is being developed for use in bypass operations -- have shown a 100 per cent success rate in the first six months.

The artificial artery is different from those currently in use because it is "rifled" inside, like a gun barrel, and encourages blood to spiral as it moves along.

Until recently it was assumed that blood flowed in a straight line, and artificial veins were manufactured with smooth insides to reflect that. However it was discovered that blood corkscrews as it flows, causing less friction or damage to arteries and helping to clear away potential blockages. Based on this scientists developed an artificial vein to mimic the natural spiralling movement of human blood.

The simple adjustment from a smooth to a "rifled" vein has produced "remarkable" results in human trials.

The findings represent a breakthrough in the future treatment offered to the 10.7 million people who suffer from peripheral arterial diseases, including those that lead to amputations, heart attacks and strokes.

But so far all the grafts have stayed open and bloodflow speed has remained constant.

How it works :

The new artificial vein mimics naturally occurring spiral laminar flow (SLF) of blood in healthy human arteries

The spiralling motion is started by the pumping action of the heart and continues in human veins, which expand and contract and also twist slightly to 'spin' blood as it flows around the body

SLF evolved in humans as the most efficient way of transporting blood, because it reduces turbulence and friction in arteries, causing less damage. It also naturally sweeps

In diseased veins, caused for example by smoking, obesity and diabetes, the spiralling motion breaks down and veins become sluggish. Blockages then occur that cause areas of turbulence in the vein and result in pain

The new artificial vein, used in bypass operations to replace diseased sections of vein, is a plastic tube with an internal groove that encourages blood to spiral again

Because the new vein makes blood spiral, the implant suffers less friction and less damage. As a result the implants are expected to have a lifespan of at least twice as long as smooth artificial veins currently in use

It is indeed a big leap forward in surgery.

If only all doc's are like this, i would constantly fall ill

Beauty do exist in medical field too....!!

GM mosquito 'could fight malaria'

A genetically modified (GM) strain of malaria-resistant mosquito has been created that is better able to survive than disease-carrying insects.

The insect carries a gene that prevents infection by the malaria parasite.

Surival of the fittest :

The approach exploits the fact that the health of infected mosquitoes is itself compromised by the parasite they spread. Insects that cannot be invaded by the parasite are therefore likely to be fitter and out-compete their disease-carrying counterparts.

The scientists also inserted the gene for green fluorescent protein (GFP) into the transgenic mosquitoes which made their eyes glow green.

With the ethical issues to be resolved, it may take another 10 years for these mosquitos are releaseds into nature..

No more side Effects from drugs : Nanotech to the rescue

The list of side effects on your prescription bottle may one day be a lot shorter.That's because instead of taking a conventional medication, you may swallow tiny "nanofactories," biochemical machines that act like cells.

For example, these ingested nanofactories, using magnetism, could detect a bacterial infection, produce a medication using the body's own materials, and deliver a dose directly to the bacteria. The drug would do its work only at the infection site, and thus not cause the side effects that may arise when an antibiotic travels throughout the body in search of infections.

It is to produce a tiny nanofactory and attach it to a target cell magnetically. The nanofactory then makes small molecules from surrounding materials and delivers the molecules--potentially drug molecules--to the targeted cell.

The researchers attached the nanofactories to E. coli cells, targeting them with the help of a mixture of iron particles and chitosan, a substance derived from the shells of crustaceans like crabs and shrimp. The nanofactories then produced a signaling molecule that could render the E. coli harmless. Nanofactories could be designed to produce the needed drug molecules over an extended period of time.

Few challenges before they can be used in humans.

1. Nanofactories must be cloaked so that the body does not react to them as a foreign substance and try to attack them.

2. Another goal is to find a method to shut down the nanofactory once it has produced the needed substance(type of off-switch) that could be activated from outside the body.

Soon u can see nanofactories in the prescriptions from your doctor...

Brain tumours shrink with cannabis extract

The cannabis extracts block a key chemical needed for tumours to sprout blood vessels – a process called angiogenesis. For the first time, scientists has shown that cannabinoids impede this chemical in people with the most aggressive form of brain cancer - Glioblastoma multiforme.

Cannabis extracts may shrink brain tumours and other cancers by blocking the growth of the blood vessels which feed them. When the tumour doesnt have a blood supply it eventually doesn't grow and if we can target therapy for the tumour cells that are formed already, we sure can find a therapy for cancer.

How it works ?

Marijuana extract(delta-9-tetrahydrocannabinol) inhibited the expression of several genes related to the production of a chemical called vascular endothelial growth factor (VEGF).

VEGF is critical for angiogenesis, which allows tumours to grow a network of blood vessels to supply their growth. The cannabinoid significantly lowered the activity of VEGF in two human brain cancer patients. The drug did this by increasing the activity of a fat molecule called ceramide.

On treating the brain tumour patients with cannabinoid, the tumour became pale and small reflecting the loss of blood supply to the tumour. Its in the early stages of the research.

Now to put good use of cannabis in Neurosurgical field into reality...

Doc's : Problem of plenty

There has been a recent news of hundreds of junior british doctors have applied for jobs in India, Australia, New Zealand, Canada and the US. There has been a shortage of jobs in National Health Services, UK which before used to be a lucrative destination for doctors.

The National Health Service had recently advertised for 22,000 junior doctors’ posts for which it received over 30,000 applications. Even if 22,000 vacancies are filled, there will be about 8,000 unemployed doctors. Thousands of British doctors face the prospect of emigrating to various countries due to uncertainties caused by procedural flaws in the recruitment system called Modernising Medical Careers (MMC), an online application system. Following criticism from experts in the field, the British Government has ordered a review of the system.

Many Indian private hospitals have been advertising for British doctors as India is currently experiencing a boom in medical tourism. There is ever growing population of doctors in India, with more coming in there comes the problem of plenty.

Is there anyplace in the world where doctors are in short service?

NicStic: A battery powered smokeless ciggy

The NicStic is a cigarette-size plastic tube with a rechargeable heating coil that vaporizes tobacco instead of burning it.

Pop a filter on the end of the tube, and in seconds it is warmed up enough for a nicotine fix without the smoke. Because it has no smoke, it also has none of the tar, arsenic, cadmium and formaldehyde of regular cigarettes.

The NicStic kit comes with a small plastic heating case, three voltage adapters and a carton of filters in boxes that resemble standard cigarette packs. The heating case is powered by a 3.7-volt lithium battery like those found in cell phones or digital cameras; once charged, it can fire up about 20 fume-free smokes.

It may seem to give smokers another crutch to maintain their nic addiction. But the device is a way to help smokers who want to kick the habit.

Enjoyment without discrimination !!

Would u knock or ring the bell ?

Believe it or not, the deer doorbell ringer in this picture is 100% real.

I wonder if the head of the deer is on the other side acting as a coat rack for patients?

Electrical Muscle Stimulation Mouse

Being worried about body shape but there is no time for training. "EMS Muscle Mouse" is designed to help such people to exercise, tone up muscles even while using a computer. Though it shaped as a normal mouse, EMS(Electrical Muscle Stimulation) system powered by USB is built-in in addition to normal mouse functions. So even while using as a normal mouse, just strap pads on your body and you can get EMS exercise at the same time.

It functions as high spec optical mouse of 800dpi resolution. While it looks exactly like standard mouse, once you connect a cable attached, EMS system works as well simultaneously. EMS power on/off and 3 modes can be controlled by the mouse. You are able to tone up or refreshes your body even without getting attention to others.

Also safe design of auto-power-off feature is built-in. If you forget to turn the power off, the power is automatically shut off in one hour.

Sure, it was designed to help you exercise while you're playing video games, but maybe if we put it on our calves we'll ward off those DVTs . . .

Hair growth cycle

You have to understand the fact that shedding of hairs is a natural process and anything from 100 to 300 hairs normally shed each day. But to understand this process clearly you should know two distinct aspects of normal hair loss - what involves the hair growth cycle and assessing the natural progression of hair loss.

Hair composes of long and twisted keratin fibers, which are protected by coating of keratinised cells. A cluster of active cells called as the dermal papilla lie just below the surface of the skin. The hair grows into its follicle from dermal papilla. Eventually this growing fiber hardens and grows out from scalp. At this stage hair fiber will die and only the root tip contains living cells.

The hair growth cycle consists of three stages:

Anagen stage
This stage lasts between two and seven years. Each hair grows on average about six inches (15cm) per year.

Catagen stage
This phase of transition lasts roughly for two to four weeks. During this phase the hair shaft gets detached from the dermal papilla. Then it moves up within a shrinking follicle.

Telogen stage
This is a resting period that lasts for about three months. It allows the hair to detach itself from the hair follicle before falling out. After this, the cycle repeats itself if any other factor won’t intervene to prevent repetition of cycle.

Time plays an important role in the development of hair loss in case of both men and women. Normally human beings are born with different amounts of soft and fine body hair. Through time some part of this hair becomes stronger and further develops various characteristics like color and texture. Normally up to the onset of puberty one’s hairline spreads at a low pace across the forehead. In case of men, it continues only for few more years.

When men progress through their twenties their hairline gets a more mature look with recessions to the frontal temporal regions. It will also get accompanied by slight thinning elsewhere. One need not equate this concave appearance to premature balding as it is all about a question of degree.

The following hormones affect the hair growth cycle as follows:

1. High levels of the 5-alpha-reductase enzyme are found in some cells of hair follicle and sebaceous glands.
2. 5-alpha-reductase helps in converting testosterone into DHT.
3. DHT causes the miniaturisation of terminal hairs.
4. It leaves short, soft, fluffy vellus hairs that provide inadequate scalp coverage.
5. Gradually the growth phases become shorter until these hairs are lost for good.

In case of normal hair loss it does not require any remedial action. But in case of more extreme loss it calls for immediate action.

Why Intelligent People Tend To Be Unhappy?

Education systems in countries whose primary interest is in wealth accumulation encourage heroes in movies, war and sports, but not in intellectual development. Super intelligent people manage, but few reach the top of the business or social ladder.

Children develop along four streams: intellectual, physical, emotional (psychological) and social. In classrooms, the smartest kids tend to be left out of more activities by other children than they are included in. They are "odd," they are the geeks, they are social outsiders. In other words, they do not develop socially as well as they may develop intellectually or even physically where opportunities may exist for more progress.

Their emotional development, characterized by their ability to cope with risky or stressful situations, especially over long periods of time, also lags behind that of the average person.

Adults tend to believe that intelligent kids can deal with anything because they are intellectually superior. This inevitably includes situations where the intelligent kids have neither knowledge nor skills to support their experience. They go through the tough times alone. Adults don't understand that they need help and other kids don't want to associate with kids the social leaders say are outsiders.

As a result we have many highly intelligent people whose social development progresses much slower than that of most people and they have trouble coping with the stressors of life that present themselves to everyone. It should come as no surprise that the vast majority of prison inmates are socially and emotionally underdeveloped or maldeveloped and a larger than average percentage of them are more intelligent than the norm.

What Does 200 Calories Look Like?

The average adult needs to consume about 2000 - 2500 Calories to maintain their weight. You have a fixed amount of Calories to "spend" each day; based on the following pictures, which would you eat?
Each of the photographs below represents 200 Calories of the particular type of food.



Celery
1425 grams = 200 Calories


Snickers chocolate Bar
41 grams = 200 Calories



Puffed Rice Cereal
54 grams = 200 Calories


Fiber One Cereal
100 grams = 200 Calories


Carrots
570 grams = 200 Calories


Brown Sugar
53 grams = 200 Calories


Apples
385 grams = 200 Calories


Sweet Corn
308 grams = 200 Calories


Red Onions
475 grams = 200 Calories


Coca Cola
496 ml = 200 Calories

I didn't get that, doc

Pop that question when in doubt, ask the doctor before popping the pill.

Researchers have found that poor health literacy, which is specially prevalent among elderly results in poor adherence to prescription instructions. Consequence of which is poorer health and greater medical costs. This happens when doctors fail to explain to the patients in plain and simple terms and fail to make sure patients understand what they are told and what they are supposed to do and why.

Doctors should :
1. assess the patient's baseline understanding before providing extensive information
2. should use plain language, not medical jargons, vague terms. Like saying chest pain instead of angina
3. should confirm the patient's understanding by asking the patients to repeat things back what they are told.
4. provide written statement as a fail-safe measure.

The importance of knowing what the doctor is talking about...

Cell phones in hospitals cause no harm

In a study published in the March issue of Mayo Clinic Proceedings, researchers say normal use of cell phones results in no noticeable interference with patient care equipment. Three hundred tests were performed over a five-month period in 2006, without a single problem incurred.

Involved in the study were two cellular phones which used different technologies from different carriers and 192 medical devices. Tests were performed at Mayo Clinic campus in Rochester.

The study's authors say the findings should prompt hospitals to alter or abandon their bans on cell phone use.
Cell phone bans inconvenience patients and their families who must exit hospitals to place calls, the study's authors say.

The latest study revisits two earlier studies that were done 'in vitro' (i.e., the equipment wasn't connected to the patients), which also found minimal interaction from cell phones used in health care facilities. The latest study bolsters the notion that cells phones are safe to use in hospitals.

This study is designed to combat the superstitions of hospital administrators to disallow cell phones in hospital premises.

You can read full article here.

Obesity makes you even obese

Developed countries are plagued by Obesity which is mainly due to high fat foods, low exercise and luxurious life style.

The research has uncovered a biological mechanism that helps explain obesity. This mechanism isn't an inborne genetic effect; instead, it is triggered by an unhealthy lifestyle.

The key find is hormone leptin, which is secreted by fat cells. Leptin works to suppress food intake by signaling the portion of the brain that controls appetite, telling it if the body needs more food. What was found was that high levels of leptin in a body—as would be found in severely overweight people—can lead to a leptin resistance in the brain. This in turn, leads to the body to stop responding to the hormone's appetite suppressing effect. In essence, by becoming overly obese, the body can no longer regulate appetite, leading to further obesity.

What the research is saying is that the more overweight people get, the less able they are to control being overweight, and the less overweight a person gets, the more able they are to control it?


An interesting conundrum!!

Ways to Learn Faster, Deeper, and Better

It's been said that the average adult only uses 10% of his/her brain. Imagine what we may be capable of with more advanced learning techniques. Here are few tips related to knowledge and learning to help you on your quest.

1. Shake a leg : Lack of blood flow is a common reason for lack of concentration. If you've been sitting in one place for awhile, bounce one of your legs for a minute or two. It gets your blood flowing and sharpens both concentration and recall.

2. Food for thought: Eat breakfast and have a light lunch. Heavy lunches have a tendency to make people drowsy.

3. Take a short nap on a couch.

4. Take a break : Have a 20 minute ultradian break for every 90 minute cycle.

5. Listen to music : Sometime music helps u recall memories.

6. Take a shower.

7. Use mneumonics.

8. Write, dont type.

9. Use post it notes.

10. Organise your work and think positive about what you have organised.

11. Teach yourself.

You can have a brief look at some 77 learning techniques decribed