Ms. Denise Ryan Lenihan

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ABSENCE:
When a student is absent, her parent/guardian must telephone the Main Office, 
973-226-0660, Extension 1110 prior to 8:00a.m. The parent/guardian must 
indicate why the student is absent.  Please be specific, example: sore 
throat, stomach virus, head cold, etc. DO NOT state "sick."  It is important 
that the Health Office keep an accurate record of absenteeism.

DROP-OFF:

Only students having a medical issue with written permission from a physician 
may be dropped-off and picked-up at the top of the hill, in front of Mount 
Saint Dominic Academy. The physician order must be brought to the Health 
Office.

MEDICATIONS:

The Health Office must receive written notification of all medications the 
student is currently taking.  For emergency purpose a 3 day supply should be 
maintained in the Health Office.

WHAT TO DO ABOUT THE HEAVY SCHOOL BOOKS:

In the back of the hard covered school books is an ISBN number.  One may 
obtain a second set of hard covered books by going to Amazon.com with the 
ISBN number.  Some of the books are as low as $12.00 - $30.00.  Your 
daughter would have two sets of books, home and school.  The school books 
could remain in the designated class, allowing your daughter to only carry  
her notebooks.

ICE YOUR CELL PHONE

Put ice on your cell phone.  ICE means: "in case of emergency."  
 Put ICE by the names of the people you want to be called in case of an 
 emergency.  
 The purpose is to let rescue workers, police or doctors check your cell
 phone and reach the people you would want contacted if you are in an
 accident or emergency.

May:

Allergy season:

Little Tip:

Wash hair and take a warm shower prior to going to bed.  Change the pillow 
case each night.  You will have a good nights sleep and decrease the amount 
of pollen in your environment.

World "No Tobacco Day" - May 31st, 2009

The World Health Organization sponsors World No Tobacco Day and brings 
attention to the seriousness of the impact of tobacco on health.  Global 
event where smokers around the world unite to break free their dependance on 
tobacco.

APRIL

WORLD HEALTH DAY:

World Health Day is April 7, 2008.  The purpose is to bring international 
attention to global health issues.  The theme is "protecting health from 
climate change."  The earth is warming, the warming is increasing, resulting 
in the glaciers melting, natural disasters, heatwaves, increased foodborne 
and waterborne illness.                                                    
It is important that everyone take an active role in protecting mother 
earth. Some simple tasks are to recycle, use less paper, avoid plastic 
supplies, sanitize with Green supplies, conserve on energy, gasoline, and 
water.
The World Health Day will also focus on a safe enviornment. Maintaining 
clean water and sanitation, safe and adequate food, immunizations and 
disease surveillance.
The World Health Organization monitors the global health by strengthening 
surveillance and control of infectious diseases, ensuring safer use of 
diminishing water supplies, and coordinating health action in emergencies.

March: National Nutrition Month

Foods that build the immune system:
berries, nuts, beans, fish, green leafy vegtables and chickens strengthen  
the immune system.

Super Foods: spinach, yogurt, tomatoes, black beans, walnuts, carrots, 
blueberries and oats.

Think color/think healthy
GRAINS: Whole Grains, such as whole wheat pasta and bread, brown rice and 
oats. These foods have nutrients, fiber which protect health and provide 
eating satisfaction._
EAT at least 3 ounces of whole grains per day, 6 ounces of grains per day.

VEGTABLES and FRUITS:  Eat at 5 servings of vegtables and fruits each day. 
They provide fiber, minerals, and nutrients.
EAT at least 2.5 cups of veg. per day, 2 cups of fruits per day.

MILK: Low fat and fat free dairy products. Maintain 3 cups of skim milk or 
yogurt per day. Calcium builds strong bones.

PROTEIN - MEAT and BEANS:  fISH , LEGUMES, NUTS, white poultry, soy and 
seeds. Protein rich foods excellent sources of iron, zinc, and B vitamins.
EAT 5.5 ounces of protein rich food per day.

TOPIC: THE HEART TRUTH/RED DRESS

Heart disease is the # 1 killer of American women, one in three.
The centerpiece of The Heart truth is the Red Dress, it is the national 
symbol for women and heart disease awareness.

The dress reminds women to protect their heart health and inspire them to 
take action in living a healthy lifestyle.

National Wear Red Day is Friday February 6,2009.

DECEMBER:

Checklist and Tips for Safe Winter Driving

1.)   Get your car serviced.
2.)   Check your battery.
3.)   Check your cooling system.
4.)   Fill the washer reservoir.
5.)   Check your windshield wipers and defroster.
6.)   Inspect your tires.
7.)   Know your car and where everything is located.
8.)   Plan your travel and route.
9.)   Stock your vehicle (blankets, lights, snacks and battery chargers.)
10.)  Know what to do in an winter emergency.

November:

DIABETES MYTHS:

Myth #1  You can catch diabetes from someone else.
No.  Although we dont know exactly why some people develop diabetes, we 
know diabetes is not contagious.  It cant be caught like a cold or flu.  
There seems to be some genetic link in diabetes, particularly type 2 
diabetes.  Lifestyle factors also play a part.

Myth #2  People with diabetes can't eat sweets or chocolate.
If eaten as part of a healthy meal plan, or combined with exercise, sweets 
and desserts can be eaten by people with diabetes.  They are no more off 
limits to people with diabetes, than they are to people without diabetes.

Myth #3  Eating too much sugar causes diabetes.  
No.  Diabetes is caused by a combination of genetic and lifestyle factors.  
However, being overweight does increase your risk for developing type 2 
diabetes.  If you have a history of diabetes in your family, eating a 
healthy meal plan and regular exercise are recommended to manage your weight.

Myth #4  People with diabetes should eat special diabetic foods. 
A healthy meal plan for people with diabetes is the same as that for 
everyone  low in fat (especially saturated and trans fat), moderate in salt 
and sugar, with meals based on whole grain foods, vegetables and fruit.  
Diabetic and dietetic versions of sugar-containing foods offer no special 
benefit. They still raise blood glucose levels, are usually more expensive 
and can also have a laxative effect if they contain sugar alcohols.

Myth #5  If you have diabetes, you should only eat small amounts of starchy 
foods, such as bread, potatoes and pasta.  
Starchy foods are part of a healthy meal plan.  What is important is the 
portion size.  Whole grain breads, cereals, pasta, rice and starchy 
vegetables like potatoes, yams, peas and corn can be included in your meals 
and snacks.  The key is portions.  For most people with diabetes, having 3-4 
servings of carbohydrate-containing foods is about right.  Whole grain 
starchy foods are also a good source of fiber, which helps keep your gut 
healthy.

Myth #6  People with diabetes are more likely to get colds and other 
illnesses.  
No.  You are no more likely to get a cold or another illness if you have 
diabetes.  However, people with diabetes are advised to get flu shots. This 
is because any infection interferes with your blood glucose management, 
putting you at risk of high blood glucose levels and, for those with type 1 
diabetes, an increased risk of ketoacidosis.

Myth #7  Insulin causes atherosclerosis (hardening of the arteries) and high 
blood pressure.
No, insulin does not cause atherosclerosis.  In the laboratory, there is 
evidence that insulin can initiate some of the early processes associated 
with atherosclerosis.  Therefore, some physicians were fearful that insulin 
might aggravate the development of high blood pressure and hardening of the 
arteries.  But it doesnt.

Myth #8  Insulin causes weight gain, and because obesity is bad for you, 
insulin should not be taken.  
Both the UKPDS (United Kingdom Prospective Diabetes Study) and the DCCT 
(Diabetes Control & Complications Trial) have shown that the benefit of 
glucose management with insulin far outweighs (no pun intended) the risk of 
weight gain.

Myth #9  Fruit is a healthy food.  Therefore, it is ok to eat as much of it 
as you wish.  
Fruit is a healthy food.  It contains fiber and lots of vitamins and 
minerals.  Because fruit contains carbohydrate, it needs to be included in 
your meal plan.  Talk to your dietitian about the amount, frequency and 
types of fruits you should eat.

Myth #10  You dont need to change your diabetes regimen unless your A1C is 
greater than 8 percent.
The better your glucose control, the less likely you are to develop 
complications of diabetes.  An A1C in the sevens (7s), however, does not 
represent good control.  The ADA goal is less than 7 percent.  The closer 
your A1C is to the normal range (less than 6 percent), the lower your 
chances of complications.  However, you increase your risk of hypoglycemia, 
especially if you have type 1 diabetes.  Talk with your health care provider 
about the best goal for you.

OCTOBER

Fire Prevention Week Quiz (October 5-11)

""It's Fire Prevention Week: Prevent Home Fires!" - that's the message for 
Fire Prevention Week 2008. Your home should be a safe haven. But do you 
regularly check for home fire hazards? If not, there is the potential for 
danger. Take this new Fire Prevention Week quiz and see how many questions 
you can answer correctly. Good luck!

1. The leading causes of home fire deaths are: 
    a.) Cooking and heating. 
    b.) Cooking and electrical. 
    c.) Smoking and electrical. 
    d.) Smoking and heating. 
2. You should stay in the kitchen when you are: 
    a.) Baking. 
    b.) Frying. 
    c.) Simmering. 
    d.) Steaming. 
3. Most heating fire deaths are caused by: 
    a.) Chimneys. 
    b.) Furnaces. 
    c.) Space heaters. 
    d.) Wood stoves. 
4. You should never smoke in a home with: 
    a.) Gas heat. 
    b.) Older adults. 
    c.) Oxygen in use. 
    d.) Paper clutter. 
5. When you leave a room in which there is a candle burning you should? 
    a.) Blow out the candle. 
    b.) Move the candle away from anything that can burn. 
    c.) Take children and pets with you. 
    d.) Check the candle frequently. 
6. Smoke alarms should be replaced every? 
    a.) 5 years. 
    b.) 10 years. 
    c.) 15 years. 
    d.) 20 years. 
7. Smoke alarms should be placed in? 
    a.) Bedrooms, outside sleeping areas and kitchens. 
    b.) Bedrooms, outside sleeping areas and on every level of the home. 
    c.) Kitchens, outside sleeping areas and on every level of the home. 
    d.) Outside sleeping areas and on every level of the home including
        the attic. 
8. Space heaters should be how many feet from things that can burn? 
    a.) 1 
    b.) 2 
    c.) 3 
    d.) 4 
9. To prevent electrical shocks in the bathroom you should have? 
    a.) Arc Fault Circuit Interrupters. 
    b.) Circuit Breakers. 
    c.) Ground Fault Circuit Interrupters. 
    d.) Tamper Resistant Receptacles. 
10. You should call a professional electrician when? 
    a.) Your circuit breaker trips. 
    b.) You lose your electricity. 
    c.) You purchase a home. 
    d.) Your outlets are warm. 
11. A home fire escape plan must show? 
    a.) Two fire escapes from each level and an outside meeting place. 
    b.) Two outside meeting places and the fire department phone number. 
    c.) Two ways out of the home and an outside meeting place. 
    d.) Two ways out of each room and an outside meeting place. 
12. If there are smokers in your home, they should smoke 
    a.) In the kitchen. 
    b.) In the basement. 
    c.) In the garage. 
    d.) Outside the home. 
13. Extension cords should be 
    a.) Used only if it has the label of a recognized testing laboratory and
        following instructions provided. 
    b.) Secured under furniture so it is out of the way. 
    c.) Placed under a carpet so it doesn't get damaged. 
    d.) All of the above. 
14. Heating equipment should be inspected 
    a.) Every year. 
    b.) When you move into a house. 
    c.) When it's not working properly. 
    d.) All of the above. 
15. If the oil catches fire in a pan while cooking, you should? 
    a.) Carry the pan to the sink. 
    b.) Put the fire out with baking soda and turn the burner off. 
    c.) Throw water on the pan and turn the burner off. 
    d.) Slide a lid over the pan and turn off the burner off.  
 
 
ANSWERS:

1. Smoking and heating
    2. Frying
    3. Space heaters
    4. Oxygen in use
    5. Blow out the candle
    6. 10 years
    7. Bedrooms, outside sleeping areas and on every level of the home
    8. 3
    9. Ground Fault Circuit Interrupters
   10. Your outlets are warm
   11. Two ways out of each room and an outside meeting place
   12. Outside the home
   13. Used only if it has the label of a recognized testing laboratory 
       and following instructions provided
   14. All of the above
   15. Slide a lid over the pan and turn off the burner off

May:

SHINY LIP GLOSS

Some dermatologists say that slathering on shiny lip glosses can actually 
increase your risk of developing skin cancer. Of course, wearing any lip 
product without SPF doesnt exactly shield the thin skin from sun damage. 
But the slick, shiny nature of the gloss could be making the suns UV rays 
hit harder, some experts say.

These lip glosses can make more of the light rays penetrate directly 
through the skin instead of getting reflected off of the skins surface, 
says Dr. Christine Brown, a dermatologist at Baylor University Medical 
Center in Dallas. (You're covered, however, if you wear lip gloss with SPF.)

APRIL

WORLD HEALTH DAY:

March: National Nutrition Month

Foods that build the immune system:
berries, nuts, beans, fish, green leafy vegtables and chickens strengthen  
the immune system.

Super Foods: spinach, yogurt, tomatoes, black beans, walnuts, carrots, 
blueberries and oats.

VEGTABLES and FRUITS:  Eat at 5 servings of vegtables and fruits each day. 
They provide fiber, minerals, and nutrients.
EAT at least 2.5 cups of veg. per day, 2 cups of fruits per day.

MILK: Low fat and fat free dairy products. Maintain 3 cups of skim milk or 
yogurt per day. Calcium builds strong bones.

PROTEIN - MEAT and BEANS:  fISH , LEGUMES, NUTS, white poultry, soy and 
seeds. Protein rich foods excellent sources of iron, zinc, and B vitamins.
EAT 5.5 ounces of protein rich food per day.

January:

Healthy weight week (1/20/08)

Healthy eating enhances:

Balanced nutrition
Good health
Improves energy
Clear thinking
Improves good stabilty
Lowers stress levels
Improves sleep
Improves bone strength
Increases resistance to illness
Over-all feeling of well being

November:

1.) Facts about Diabetes:
2.) Healthy food choices:

Diabetes is a disease in which the body does not produce or properly use 
insulin. Insulin is a hormone that is needed to convert sugar, starches and 
other food into energy needed for daily life. The cause of diabetes 
continues to be a mystery, although both genetics and environmental factors 
such as obesity and lack of exercise appear to play roles.

There are 20.8 million children and adults in the United States, or 7% of 
the population, who have diabetes. While an estimated 14.6 million have been 
diagnosed with diabetes, unfortunately, 6.2 million people (or nearly one-
third) are unaware that they have diabetes.
 
Major Types of Diabetes:

Type 1 diabetes
Results from the body's failure to produce insulin, the hormone 
that "unlocks" the cells of the body, allowing glucose to enter and fuel 
them. It is estimated that 5-10% of Americans who are diagnosed with 
diabetes have type 1 diabetes.

Type 2 diabetes 
Results from insulin resistance (a condition in which the body fails to 
properly use insulin), combined with relative insulin deficiency. Most 
Americans who are diagnosed with diabetes have type 2 diabetes.

Gestational diabetes 
Gestational diabetes affects about 4% of all pregnant women - about 135,000 
cases in the United States each year.

Pre-diabetes 
Pre-diabetes is a condition that occurs when a person's blood glucose levels 
are higher than normal but not high enough for a diagnosis of type 2 
diabetes. There are 54 million Americans who have pre-diabetes, in addition 
to the 20.8 million with diabetes.

Eating Healthy:
Eat lots of vegetables and fruits. Eat non-starchy vegetables such as 
spinach, carrots, broccoli or green beans with meals.

Choose whole grain foods over processed grain products. Try brown rice with 
your stir fry or whole wheat spaghetti with your favorite pasta sauce.
 
Include dried beans (like kidney or pinto beans) and lentils into your 
meals. 
Include fish in your meals 2-3 times a week.

Choose lean meats like cuts of beef and pork that end in "loin" such as pork 
loin and sirloin. Remove the skin from chicken and turkey.
 
Choose non-fat dairy such as skim milk, non-fat yogurt and non-fat cheese.
 
Choose water and calorie-free "diet" drinks instead of regular soda, fruit 
punch, sweet tea and other sugar-sweetened drinks.

Choose liquid oils for cooking instead of solid fats that can be high in 
saturated and trans fats.

Cut back on high calorie snack foods and desserts like chips, cookies, 
cakes, and full-fat ice cream.

Eating too much of even healthful foods can lead to weight gain. Watch your 
portion sizes.

Weight Loss:
Losing weight and keeping it off is a real challenge for most people. That's 
why it's important to begin a weight loss program with the help of your 
health care team, including, if possible, a dietitian. They can help you 
find ways to decrease calories but still consume the foods you enjoy. And 
they can suggest strategies to help you change old habits for new ones. It's 
important to remember that losing even a relatively small amount of weight 
can make a real improvement in reducing your risk for diabetes and other 
serious conditions.

Exercise:
Exercise is also known as physical activity and includes anything that gets 
you moving, such as walking, dancing, or working in the yard. You can earn 
the benefits of being physically active without going to a gym, playing 
sports, or using fancy equipment. When you're physically fit, you have the 
strength, flexibility, and endurance needed for your daily activities. Being 
physically active helps you feel better physically and mentally.

OCTOBER:

RED RIBBON CAMPAIGN- "SAY NO TO DRUGS"
 
The Red Ribbon Campaign is now the oldest and largest drug prevention 
program in the nation reaching millions of young people during Red Ribbon 
Week, October 23-October 31 each year. Wear your Red Badge proudly and have 
the courage to say no to drugs!!!
 
WHAT IS RED RIBBON WEEK?
It is an ideal way for everyone to unite and take a visible stand against 
drugs. Show your personal commitment to a drug-free lifestyle through the 
symbol of the Red Ribbon, October 23 - 31st.

HISTORY:
The Red Ribbon Campaign was started when drug traffickers in Mexico City 
murdered DEA agent Kiki Camarena in 1985. This began the continuing 
tradition of displaying Red Ribbons as a symbol of intolerance towards the 
use of drugs. The mission of the Red Ribbon Campaign is to present a unified 
and visible commitment towards the creation of a DRUG-FREE AMERICA.

Friday October 26 is National Red Ribbon Wear Red Day.  This represents 
making a commitment and wanting a DRUG-FREE environment.

SEPTEMBER:

"POPCORN LUNG CANCER"

Yes, what you have just read is correct.  The medical community has 
stated, microwave butter popcorn causes lung cancer.  The chemical(diacetly) 
in the butter causes lung cancer. It is transmitted by smelling the buttered 
popcorn.  Inhaling the chemical diacetly causes airway obstruction and 
scarring of the lung resulting in diminished lung capacity.
    It is time to find a NEW snack.

May:

Allergy season:

Little Tip:

Wash hair and take a warm shower prior to going to bed.  Change the pillow 
case each night.  You will have a good nights sleep and decrease the amount 
of pollen in your environment.

World "No Tobacco Day" - May 31st, 2007

Pediatric Cardiac Screening for Athletes

DATE:  SATURDAY, MARCH 31, 2007
TIME:  1:00 p.m. to 5:00 p.m.
LOCATION:  Saint Barnabas Ambulatory Care Center
           200 South Orange Aveenue, Livingston, NJ 07039
REGISTRATION:  call 1-888-SBHS-123
(SCREENING IS LIMITED TO THE FIRST 125 ATHLETES)

TOPIC: THE HEART TRUTH / RED DRESS

Heart disease is the # 1 killer of American women, one in three.
The centerpiece of The Heart truth is the Red Dress, it is the national 
symbol for women and heart disease awareness.

The dress reminds women to protect their heart health and inspire them to 
take action in living a healthy lifestyle.

Topics: RED RIBBON CAMPAIGN
        HYPERTROPHIC CARDIOMYOPATHY
        ICE YOUR CELL PHONE

THE RED RIBBON CAMPAIGN  
    
The Red Ribbon Campaign is now the oldest and largest drug prevention 
program in the nation reaching millions of young people during Red Ribbon 
Week, October 23-October 31 each year. Wear your Red Badge proudly and have 
the courage to say no to drugs!!!
 
WHAT IS RED RIBBON WEEK?
It is an ideal way for people and communities to unite and take a visible 
stand against drugs. Show your personal commitment to a drug-free lifestyle 
through the symbol of the Red Ribbon, October 23 - 31st..

WHY?
The Red Ribbon Campaign was started when drug traffickers in Mexico City 
murdered Kiki Camarena, a DEA agent, in 1985. This began the continuing 
tradition and displaying Red Ribbons as a symbol of intolerance towards the 
use of drugs. The mission of the Red Ribbon Campaign is to present a unified 
and visible commitment toward the creation of a DRUG-FREE AMERICA.

WHO?
The National Family Partnership was created in 1980 by parents across 
America in response to the rising level of youth drug use. The mission of 
the National Family Partnership is to lead and support our nations 
families and communities to nurture the full potential of a healthy, drug-
free youth. The National Family Partnership works to accomplish its mission 
through parent training, networking and sponsoring the National Red Ribbon 
Campaign.
 
 
Topic: HYPERTROPHIC CARDIOMYOPATHY

I recently have been asked to inform the members of the Mount St. Dominic 
community / family of the disease, Hypertrophic Cardiomyopathy. The purpose 
of this article is not to alarm; but to inform.

In the last two years, teenagers, E.J. Smeltz and John Babbit of Chatham had 
lost their lives to Hypertrophic Cardiomyopathy.

Hypertrophic Cardiomyopathy is a congenital of acquired disorder associated 
with a thick cardio ventricle wall. Many individuals are unaware they have 
this heart disease.

The Left Ventricle wall and Septal region of the heart are enlarged.  The 
normal size left ventricle wall and septal are 1.2cm or less.  A teenager 
with Hypertrophic Cardiomyopathy, the left ventricle and septal are 1.3 cm 
or greater.

The following are symptoms of the disease.  If a teenager is experiencing 
these symptoms, one may want to contact and follow-up with a medical visit.

1.)  Fainting during exercise.
   2.)  Fainting after exercise.
   3.)  Extreme fatigue associated with exercise.
   4.)  Extreme shortness of breath with exercise.
   5.)  Extreme pressure in chest with exercise, heart "racing."
   6.)  High blood pressure or high cholesterol.

The fact that one is experiencing the above symptoms does not mean the 
individual has Hypertrophic Cardiomyopathy. It is always wise to follow-up 
with all discomfort and to have the physiological problems ruled out.

4/11/06   BAUSCH & LOMB EYE SOLUTION - PLEASE NOTE:

The Centers for Disease Control and Prevention is investigating 109 reports 
of Fusarium keratitis infection in patients in 17 states. This is due to a 
fungal eye infection. The infection has been known to cause temporary 
blindness.  Bausch & Lomb has suspended shipments of ReNu Moisture Loc 
Contact Lens Solution from their Greenville, S.C. plant.

Humor Rx for Alleviating Stress in the 21st Century

by Larry Wilde

Stress seems to be part of everybody's life. The United Nations 
International Labor Organization recently issued a report that 
states, "Stress has become one of the most serious health issues of our 
times."

There are many ways to contend with stress -- everything from jogging and 
paddle ball to biofeedback, aerobics and herbal tea. All these methods work 
to some extent but they take up precious time. The quickest, most effective 
way to beat stress is literally to laugh.

Why use humor in daily life? The answer is simple.

You get immediate results. It takes no special talent or ability, no 
physical prowess or skill, it makes you feel good, it's fun, fat-free and 
you don't need batteries.

A good laugh may be good for the heart.

A team of Maryland medical researchers found that people with heart disease 
were 40 percent less likely to laugh in humorous situations than those with 
healthy hearts.

"The old saying that laughter is the best medicine definitely appears to be 
true when it comes to protecting your heart," says Michael Miller, director 
of the Center of Preventive Cardiology at the University of Maryland Medical 
Center.

The healthful benefits of laughter are cause for great celebration among 
psychologists. They now recognize the therapeutic value of humor in the 
workplace and have begun to prescribe it for their patients.

Daniel Goleman, writing in The New York Times, states that "humor can aid 
problem-solving as well as contribute to creativity in the business 
environment."

The Times article quotes David Abramis, a psychologist in the School of 
Business Administration at California State University (Long Beach) on his 
survey of 382 people from a wide variety of workplaces. Abramis found 
that "those who felt their work was fun performed better and got along 
better with co-workers than did those who were satisfied with their jobs but 
did not see them as fun."

The knowledge that it is possible to cope more easily with stress by 
emphasizing humor has already had a profound effect on the international 
business community.

Now companies are profiting from lessons in laughter. Corporations are 
hiring humor consultants for training sessions to help execs loosen up, so 
they can take their work seriously without taking themselves too seriously.

Mark H. McCormick, the premier sports business manager and author of What 
They Don't Teach You At Harvard Business School, writes "Laughter is the 
most potent, constructive force for diffusing business tension. If you can 
point out what is humorous or absurd about a situation or confrontation, you 
will be guaranteed the upper hand."

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