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Nicotine
Replacement Therapy

nicotine
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SPRING
Home Care
9

615 605-0309

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Nashville International
Center for Employment
417 Welshwood Drive M
Suite 100
Tel : 615 315 9681




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20
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LETS LEARN ENGLISH

At a doctor

Paul Ryeield:Thats
right. I feel like
vomiting. And right now
I feel dizzy, too.
Doctor:When did the
I have a terrible
symptoms start?
stomachache.
Paul Ryeield:This
Doctor:- Good morning. morning. Yesterday
Please have a seat here. evening I ate something
raw.
Whats the problem?
Paul Ryeield: I have a Doctor:All right. Please
take off your clothes to
terrible stomachache.
the waist and lie down
Doctor:Do you have
there. ... Just tell me if it
diarrhea?
Paul Ryeield:Yes, I do. hurts when I do this.
Doctor:Do you have any Paul Ryeield:It doesnt
hurt. ... Ouch. It hurts
other symptoms?
Paul Ryeield:Yes, I feel there.
Doctor:Okay. Lets hope
sick.
its just indigestion, but
well need to run some
diagnostic tests to be
sure. Well run a blood
test and well also need a
urine sample.
Paul Ryeield: Can you
give me something for
the time being?
Doctor:Yes, Ill give
you a prescription for
indigestion tablets.
Doctor:You mean you
feel nauseous?

lie down

Tell me if it hurt ouch
it just indigestion


need to run diagnostic
tests
blood test

urine sample


something for the time
being
prescription


indigestion tablets

I have
Terrible

stomac achache

Have a seat


what is the problem


diarrhea

any other symptoms


something row

I feel siek



nauseous

vomiting

dizzy
what did the symptoms
start

Take off clothes to the


waiest

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1.If you change your
address, Tennessee law
requires you to notify the
Department of Safety
within:
45 days
6 months
10 days
2.Slowing down just to
look at collisions or anything else out of the ordinary:
Prevents rear-end collisions
Causes trafic congestion
Improves trafic low by
preventing collisions
3.If you have trouble seeing other vehicles because
of dust or smoke blowing
across the roadway, you
should drive slower and
turn on your:
Parking lights
Headlights.
Emergency lashers
4.A major cause of fatal
trafic accidents in Tennessee is:
speeding
turning into the wrong
lane
following too closely
5.Tennessee was the irst
state to pass a child restraint law. This law
requires that children under the age of ________
must be placed in an
approved child restraint
device.
2 years
3 years
4 years
6.The DUI law states that
upon irst conviction the
penalty will be:
a $350.00 ine, 48 hours
in jail and 1 year revocation
a $500.00 ine, 12 hours

in jail and 3 months revocation


a $100.00 ine, 24 hours in
jail and 6 months revocation
7.You may cross a double,
yellow line to pass another
vehicle, if the yellow line
next to:
The other side of the road
is a broken line.
Your side of the road is a
broken line.
The other side of the road
is a solid line.
8.This sign means:
a left turn can be made
only after stopping
all trafic must turn right
at next intersection
no left turn can be made
here
9.This sign is a warning
that you are approaching

A railroad crossing.
An intersection.
A crosswalk.
10.This sign means

Merging trafic from the


right.
One-way trafic
Intersection ahead.
11.It is night. A vehicle
coming towards you has its
high beams on which make
it hard to see the road
ahead, you should:
Look straight ahead in
your lane
Look ahead towards the
left edge of your lane
Look ahead towards the
right edge of your lane

12.If you have a BAC of


.10%, you are _______
times more likely to cause
an accident than if you
were sober.
3
5
7
5.
13.There are two trafic
lanes in your direction.
You are driving in the left
lane and many vehicles are
passing you on the right.
If the driver behind you
wishes to drive faster, you
should:
Stay in your lane so you
dont impede the trafic
low
Move over into the right
lane when it is safe
Drive onto the left shoulder to let the other vehicles
pass
14.Emergency crossovers
on the interstate are legal
in Tennessee for:
Turning around when no
others are present.
Emergency vehicles and
highway maintenance
crews only.
Making a U-Turn when
you missed your exit.

15.To avoid glare from


headlights of an approaching car:
Stay focused on the center
line on the road
Flash your high beams
Keep looking briely to the
side of the road
16.Collisions can happen
more often when:
One lane of trafic is traveling faster than the other
lanes.
One vehicle is traveling
faster or slower than the
low of trafic.
All vehicles are traveling
about the same speed.
17.If the light turns red
when you are in the middle
of an intersection about to
turn left, you should:
stop until the light changes
to green
complete the turn when
trafic clears
back out of the intersection, if possible
18.This road sign means

school crossing
pedestrian crossing


450


.2016
150


25
100
.

150
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The 4 Best Nutrition Tips Ever


The 4 Best Nutrition Tips Ever
Diet advice is a lot like fashion.
Trends comewedge sneakers,
drop-crotch pants, those skirts
that are short in the front and
long in the backand a year or
two later they seem hopelessly
out of date. But the truly stylish
always look smart; youll never
see a photo of Pharrell Williams
wearing crocs or Victoria
Beckham in a meat dress. Here
at Eat This, Not That! we see
the same thing with the lean and
it: Those who stay slim dont
follow diets or nutrition trends.
They follow common sense eating
strategies that keep them looking
it for life.
Giving up gluten, throwing back
shots of apple cider vinegar,
juicing everything in sighttry
them if you think they make
sense. (And if you need a little
boost to get you back on track,
try our Ultimate One Day Detox.)
But when those of-the-moment
diet fads are gathering dust in
the back of your metaphorical
closet, the simple, smart, sensible
approaches will be there like a
favorite pair of jeans or a perfect
little black dresslook-great
staples guaranteed to never go
out of style.

Ofice managers discovered that


placing the chocolate candies in
opaque containers as opposed to
glass ones, and giving healthier
snacks like nuts and igs more
prominent shelf space, curbed
M&M intake by 3.1 million
calories in just seven weeks. A
similar study published in the
Journal of Marketing found that
people are more likely to overeat
small treats from transparent
packages than from opaque ones.
Out of sight, out of mind, out of
mouth.

NUTRITION TIP #2. Use


the 1 in 10 rule.
For every 10 grams of
carbohydrate listed on the label,
look for at least one gram of iber.
Why 10:1? Thats the ratio of
carbohydrate to iber in a genuine,
unprocessed whole grain. The
recommendation comes from a
study published in the journal
Public Health Nutrition that
evaluated hundreds of grain
products; foods that met the
10:1 ratio had have less sugar,
sodium, and trans fats than those
that didnt. Getting your iberrich whole grains is one of these
indispensible 5 Daily Habits That
Blast Belly Fat.

NUTRITION TIP #1. Hide NUTRITION TIP #3.


Boost lavor to cut calories.
your weakness.
If you see it, youll eat it. If you
dont see it, youll still eat itbut
not so much. Thats what a study
at Googles New York ofice,
dubbed Project M&M found.

Ever notice how everything inside


a McDonaldsthe burgers, the
fries, the shakessmells exactly
the same? That sameness of scent
is actually a tactic that can inspire

you to consume more calories.


A study in the journal Flavour
found that the less distinctive
the scent of a particular food,
the more youll eat of it. Adding
herbs and sodium-free spice
blends is an easy take advantage
of sensory illusion that youre
indulging in something rich
without adding any fat or calories
to your plate. Furthermore,
a recent behavioralstudy that
taught adults to spruce up meals
with herbs instead of salt led to a
decrease in sodium consumption
by nearly 1000 mg a day (thats
more salt than youll ind in 5
bags of Doritos!). Double down
on the delicious health beneits
by using The 5 Best Spices for
Weight Loss.

NUTRITION TIP #4. Chill


pasta to melt fat.

a serving of pasta simply by


putting it in the fridge. The
drop in temperature changes
the nature of the noodles into
something called resistant
starch, meaning your body
has to work harder to digest it.
Cold pasta is closer in structure
to natural resistant starches
like lentils, peas, beans, and
oatmeal, which pass through
the small intestine intact
and are digested in the large
intestine, wherewell, it gets
kinda gross from there on out. A
study in the journal Nutrition &
Metabolism found that adding
resistant starch to a meal may
also promote fat oxidation.
Sufice it say, colder noodles =
hotter you. But youve got to
eat it cold: Once you heat the
pasta up again, you destroy the
resistant starch.

You can gain less weight from

Do You Have a ColdOr The Flu?


By Nadia Arumugam
You swear its a cold, your
friend thinks its the lu, and
the dozens of meds at the pharmacy that promise to make
you feel human again claim to
target both. So does the difference matter?
Absolutely, says Susan Rehm,
MD, medical director of the
National Foundation for Infectious Diseases. The inluenza virus causes the lu, and
since just a few variants of the
virus exist, its become relatively easy to prevent, with a
lu shot, or treat once youve
got it.
Colds can be trickier. The rhinovirus is often responsible,

but more than 200 other viruses can trigger the common
coldwhich means anti-viral
prescriptions arent typically
an option. Instead, over-thecounter
symptom-relievers
and home remedies are your
best bet, but you still need to
tread carefully. To get the last
word on how to treatand
how not to treatthe common
cold and the lu, we consulted
experts from the ield. Here
are their tips:
Its the lu if
It hits you like a bolt of lightning, say Steven Lamm, MD,
internist and faculty member
at NYU School of Medicine
and a frequent guest doctor on

The View. Youll likely run a


fever of above 101F, and youll
be lat out, says Dr. Lamm.
Chills, fatigue, muscle aches,
and tightness of the chest are
also characteristic of the lu.
You might have a cough, or
a runny nose, but youre less
likely to suffer from upper respiratory symptoms than you
are with the cold.

What to do
Get to the doctorand fast.
The prescription-only antiviral meds Tamilu and Relenza must be taken within
48 hours of the onset of the
symptoms, says Karen Hill,
MD, the founder of Internal
Medicine
and
Pediatric
Associates in Houston.

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