Saturday, September 7, 2019

4 Ways to Sustain Tourism Industry Essay Example for Free

4 Ways to Sustain Tourism Industry Essay Sustainable destinations have achieved balance. They have balanced the long-term economic needs of residents with the short and medium term needs of businesses. They have done this by creating a diverse and value-laden tourism product that attracts a mix of domestic and international guests, many of whom are repeat visitors and have made a personal financial commitment to the destination. Sustainable destinations are managed by well-trained and committed staff. They have an up-to-date tourism plan which focuses on sustainable tourism. They have the personnel, resources, and political commitment to implement and monitor the plan. Achievements are tracked and made public. Tourists are consulted and their opinions are considered in plans. Safety is taken seriously and plans and policies exist for crisis, security, fire, health and safety. See more: Defining research problem and setting objectives Essay Sustainable destinations reinvest the profits from their tourism activities in environmental conservation and historic restoration and preservation. They demonstrate a thriving culture, strong social networks and increasing biodiversity. They show effective planning, substantial land and marine protection, increased energy and water conservation, and a reduction in solid waste per guest over time. They have an effective recycling and wastewater sanitation program that is carefully managed. They have taken steps to reduce the carbon footprint of their activities. Sustainable destinations are internationally recognized, valued by tourists for their environmental quality, and receive increasing value from tourist stays. Assessment We start by working together to establish a long-term view of the destination landscape, identifying sustainability risks and strategic growth opportunities. We facilitate discussions with stakeholders, while utilizing our innovative tools and expertise to develop a clear plan of action. Planning As we design and implement initiatives, we’ll prioritize critical impacts, build local capacity and set achievable benchmarks. Over time, we’ll help you implement these programs, track their progress, and monitor your results. Standards and Monitoring Sustainable tourism standards are the genesis of quality tourism planning. Our place-based solutions focus on the needs of the destination, while assuring that local tourism businesses meet third-party verified levels of quality and sustainability.

Friday, September 6, 2019

Philippines Essay Example for Free

Philippines Essay Aquino evoked the people of the phili to awaken their senses that freedom is possible. I guess it means that he was willing to die in order for the Filipinos to stand up to the Marcos dictatorship. He believed that Filipinos are worth dying for because he is the future of this nation. Ninoys death one incident that had brought so many changes in our society. It was the turning point because a few years later, Marcos was thrown out by a peaceful and popular revolt How would the Philippines look today, if it wasn’t for Ninoy’s love for freedom and for the people that he went against Marcos. Instead of putting our country at a battle, he chose to suffer long years of solitary confinement. Because he much value human life especially those Filipinos who would be sacrificed at the altar of revolution. we should also ask ourselves whether Ninoy’ death have made us worthy as Filipinos. In sacrificing his own life for Filipinos, Ninoy made the ultimate noble act nobody among us could ever repay. Death for the love of the country is the highest form of personal sacrifice only heroes are destined for. This is the land of our birth, the only place we Filipinos could truly call our home. If only, we understood well and took these words of Ninoy into our hearts and minds, †The Filipinos are worth dying forâ€Å", perhaps, our country would have been the greatest nation on earth. I think the death of Ninoy we were all to blame. If only we fought earlier for our freedom. Does it takes a mans life to be sacrificed for us to be awaken to the truth and fight for justice?

Thursday, September 5, 2019

Management of Pain in Trigeminal Neuralgia

Management of Pain in Trigeminal Neuralgia Percutaneous management of pain in Trigeminal Neuralgia under computed tomography guidance Corersponding Author Dr. Mitesh Kumar Main Author Dr. Roy Santosham Co Authors Dr. Bhawna Dev Dr. Deepti Morais Dr. Rupesh Mandava Dr. R. Jeffrey Abstract Trigeminal Neuralgia (TN) is a brief, excruciating and perhaps the most severe pain known to man affecting the hemifacial region. It occurs mainly due to tortuous vessel compressing the trigeminal nerves, though in many cases, the exact etiology and pathogenesis remain undetermined. The first line therapeutic option for patients affected by TN is the medical line of management and patients refractory to the same, are offered various invasive procedures like balloon compression, gamma knife surgery, radiofrequency ablation, etc. In this paper, we present percutaneous management of the pain by injecting neurolytic drugs in the foramen ovale under Computed Tomography (CT) guidance as the new and promising technique of treatment in TN. Keywords Trigeminal Neuralgia, percutaneous management, CT guidance, neurolytic drugs Objective To evaluate the efficacy and safety of Computed Tomography guided percutaneous management of pain in trigeminal neuralgia using neurolytic drugs. Introduction Trigeminal Neuralgia is also known as tic douloureux, a term given to this painful disease by Nicolaus Andre in 1756 [1] . TN is a pain which typically is intense, brief, usually unilateral, recurrent shock like involving the branches of fifth cranial nerve [2]. It can be mainly classified into two types. First being, the classical TN (Type I), which is due to neurovascular compression, the most common vessel causing the same being superior cerebellar artery followed by anterior inferior cerebellar artery [3]. Second type is atypical TN (Type II), secondary to causes like trauma, tumor, multiple sclerosis or herpetic infections. The distinction between these two types is mainly based on clinical symptoms [4, 5] as Type I pain is episodic in nature whereas Type II pain is more constant. TN is often called by many as â€Å"the suicide disease† [6] as the patients who suffer from it would rather take their lives than bear the pain. The initial line of treatment for TN is medical management by drugs like Carbamazepine, Gabapentin, Oxcarbazepine among others. Patients of type I TN may also be advised microvascular decompression. Those patients who do not respond or have contraindications to the above mentioned drugs or experience no change in the intensity of the pain are called Refractory TN [7]. Such patients are advised invasive procedures like trigeminal nerve block neurolytic block, radiofrequency ablation, gamma knife surgery and balloon compression. We describe our experience in percutaneous management of pain by injecting neurolytic drugs in the foramen ovale under CT guidance in six patients, suffering from TN. Method and Materials used Pre procedural work up The pre procedural work up included clinical evaluation and thorough reading of the Magnetic Resonance Imaging (MRI) scans of all the patients to rule out any neurovascular conflict. Any patient with neurovascular conflict was considered an exclusion criterion in our study. These patients were reported taking the drugs for TN for over three months with no improvement in the pain. The pain score evaluation was done using Numeric Rating Scale [8] and Wong-Baker Faces Pain Rating Scale [9] as a baseline evaluating point to be compared to the same scoring system after the procedure. Routine investigations such as coagulation profile, liver function test, renal function test, HIV and HbsAg were done before the procedure. Numeric Rating Scale Patients rate pain on a number scale from 0-10, 0 being a depiction for no pain and 10 being the worst pain imaginable. Wong-Baker Faces Pain Rating Scale The Wong-Baker Faces Pain Rating Scale is a pain scale that was developed by Donna Wong and Connie Baker. The scale shows a series of faces ranging from a happy face at 0 (No Pain) to a crying face at 10 (Worst Pain Possible). The patient must choose the face that best describes how they are feeling. In our study, we use the Wong Bakers scale to assess the patients’ pain before and after the procedure. The neurolytic drugs and materials used in the procedure were 22 G spinal needle for block, 25 G needle for skin infiltration, 2% xylocaine , Iohexol Non ionic contrast medium, 100% alcohol, 1ml syringe and normal saline solution. The patient was put in the supine position with head placed in reverse occipitomental position (chin up and neck extended), turned 30 ° to the opposite side of the block. The foramen ovale was identified under CT guidance and a virtual track was made starting from a point which was 2-3cms lateral to the angle of mouth on the skin to foramen ovale (Figure 1). Once the trajectory of the needle and the foramen ovale was confirmed on CT scan, the skin at the point of entry was infiltrated by 2ml of 2% xylocaine using a 25G needle. Then, a 22G spinal needle was inserted at the same point and aimed in the direction of planned trajectory towards the foramen ovale (Figure 2). To prevent the needle from entering the oral cavity, a finger from inside the mouth can be used to guide the same [10]. Though, we did not apply this in any of our patients. Following this, negative aspiration was attempted to check for Cerebro Spinal Fluid (CSF) or blood aspirate. If the aspirate contained CSF or blood then the needle had to be readjusted. Then 0.5ml of mixture made from 1ml of iohexol and 2ml of 2% xylocaine was injected into the target site in order to check the spread of injectant and exact needle tip position. Once the tip of the needle touches the mandibular nerve root, the patient might complain of the exact similar pain which he/she has been suffering, thus confirming the accurate needle tip location. This injectant acts as a diagnostic block if the trigeminal ganglion is the pain generator with xylocaine providing anesthesia prior to alcohol injection. A mixture containing 3ml of 100% alcohol, 1ml of iohexol and 1 ml of saline was made. Of this 1ml of the mixture was injected into the foramen ovale (Figure 3 and 4). Post procedure check scan was performed to rule out any complication. Result Exact position of the needle tip in the foramen ovale was seen in all the six patients thus achieving 100% technical success. All these patients achieved a significant level of relief with an average pain score of two immediately after the procedure. Twenty four hours after the procedure, they rated their reduction of pain at an average pain score of one. Four out of the six patients ie Patient No. 1, 2, 4 and 6 were completely relieved of their pain with one year follow up without taking any medication. In Patient No. 3, the procedure was abandoned as during the diagnostic block, the injectant was seen tracking into CSF cistern and fourth ventricle. Patient No. 5 reported with a similar pain of TN within three months with a pain score of five, little less than the pre-procedure pain score of six. The pain was more severe in the pterygopalatine segment, hence a pterygopalatine block was carried out and the patient had a pain score of one twenty four hours after the procedure. Hence, the initial trigeminal neurolysis was partially successful in this patient. No post procedural complication was seen in any of our patients. Discussion The trigeminal nerve arises from the lateral pons at its superior to mid portion. It travels forward in posterior fossa and merges with the trigeminal ganglion in the Meckels cave. The trigeminal ganglion is located lateral to the cavernous sinus. It gives three divisions ophthalmic (V1) segment which emerges from superior orbital fissure, maxillary (V2) from foramen rotundum and mandibular (V3) from foramen ovale. The trigeminal nerve provides sensation for the face, mouth and supplies the muscles of mastication. TN mostly involves maxillary division and mandibular division of trigeminal nerve though it may also involve the ophthalmic division as well. The reported annual incidence rate of TN is about 4.5 per 100,000 persons [11] but the actual figures may be even much higher because of diagnostic challenges associated with the disease. TN is more common in females than males with a ratio of 3:2 and is usually seen after 50 years of age [11]. Trigeminal nerve block is an upcoming treatment in TN patients who are refractory to medical line of management. It relieves the pain and also reduces the side effects of drugs which are used for the treatment. Earlier studies were mainly done using x-ray or fluoroscopic guidance which had its own limitations in terms of image quality and two dimensional views. In contrast to this, CT scan provides excellent and direct visualization of foramen ovale leading to correct placement of needle [12] and thus scoring over fluoroscopy. This reduces the chances of injecting neurolytic agents at improper locations and thereby reduces the side effects. In our cases, initial check CT scan was done by injecting 1ml of iohexol to determine whether the needle is in exact location. This doubly ensured us about the location as well as the spread of injectant. This was different from previous studies done using fluoroscopy where a diagnostic block using xylocaine had to be given in order to confirm the location of the needle tip. We used a mixture of 3ml of 100% alcohol, 1ml of iohexol and 1ml of saline for trigeminal neurolysis however, Han et al stated that trigeminal nerve block with high concentration of lidocaine (10%) is capable of achieving an intermediate period of pain relief, particularly in patients with lower pain and shorter duration of pain prior to the procedure [13]. Alcohol spreads easily and should be used cautiously. The other agents which can be used but were not used in our study are phenol and glycerol. The side effects that may follow the procedure are numbness and hypoesthesia in the entire trigeminal nerve distribution. There can be abolition of corneal reflexes which can produce exposure keratitis and dryness of eyes. Improper injection of alcohol into CSF space can lead to arachnoiditis/ meningitis. CASE 1, 2, 4 and 6 These patients were suffering from trigeminal neuralgia with pain score ranging from six to eight before the procedure. All these patients have been taking carbamazepine for more than three months with no relief from pain. MRI showed no neurovascular conflict. These patients had a significant relief of pain with pain score at three months and twelve months being zero. None of these patients had to take oral medicines after the procedures. Fig 1: Site marked for needle Fig 2: Tip of the needle in foramen insertion ovale Fig 3: Dispersion of injectant in Fig 4: 3D reconstruction showing the foramen ovale needle tip in foramen ovale. Case 3 This eighty year old male came with complains of left sided trigeminal neuralgia. He had been taking carbamazepine for four months with no change in pain intensity. The procedure had to be abandoned as after injecting the diagnostic block, the injectant was seen tracking into the CSF cistern in the cerebello pontine angle and fourth ventricle (Figure 5). Fig 5: CT scan showing needle tip in the left foramen ovale Case 5 This forty seven year old female came with complains of right sided trigeminal neuralgia. She had been taking carbamazepine for three months without any relief in pain. MRI scans showed no neurovascular conflict. The procedure was successful with pain score of one immediately after and at twenty four hours after the procedure (Figure 6). However, this patient came back within three months of the procedure complaining of pain, which was more in the pterygopalatine segment. A pterygopalatine block was done with resultant pain score of one at twenty four hours after the procedure and two at nine months of the procedure. Hence, this patient showed partial response to trigeminal neurolysis carried out initially. Fig 6: CT scan showing the tip of the needle in right foramen ovale. Conclusion Percutaneous injection of alcohol, iohexol and saline mixture at the verge of foramen ovale under CT guidance is an effective and promising method to relieve pain in patients of TN refractory to medical line of management. This technique is inexpensive, cost effective and a relatively painless procedure. Being a minimally invasive technique, the chances of any infection and other post operative complications are less. Since our study involved only six patients, this technique needs to be further evaluated on a large sample size to substantiate the result of this procedure. Having said the above, we would like to emphasize that our initial experience of this procedure was quite impressing. Abbreviations TN Trigeminal Neuralgia CT Computed Tomography CSF Cerebro Spinal Fluid MRI – Magnetic Resonance Imaging References Andre ´ N. Traite ´ sur les maladies de l’ure`thre. Paris: Delaguette, 1756 Merskey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Seattle: IASP Press; 1994. P. 59-71 Jannetta PJ. Microvascular decompression of the trigeminal nerve for tic doloreux. In: Youmans ed. Neurological surgery 4th edn. WB Saunders Co. Philadelphia. 1996: 3404-15 Cruccu G, Gronseth G, Alksne J, et al. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008; 15 (10): 1013-28 Gronseth G, Cruccu G, Alksne J, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology. 2008; 71 (15): 1183-90 Michael D. Chan, Edward G. Shaw, Stephen B. Tatter. Radiosurgical Management of Trigeminal Neuralgia. In: editor Pollock Bruce, Intracranial Stereotactic Radiosurgery, an Issue of Neurosurgery Clinics. Elseiver Health Sciences. 2013. pp. 613-621 Cruccu G, Truini A. Refractory Trigeminal Neuralgia. Non-surgical treatment options. CNS Drugs. 2013 Feb;27(2):91-6. doi: 10.1007/s40263-012-0023-0. Hartrick CT, Kovan JP, Shapiro S (December 2003). The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract 3 (4): 310–6. doi:10.1111/j.1530-7085.2003.03034.x. PMID 17166126. Wong-Baker FACES Pain Rating Scale Foundation: Retrieved 6 December 2009. Michael J. Cousins In: trigeminal nerve block. Cousins and Bridenbaughs Neural Blockade in Clinical Anesthesia and Pain Medicine. Lippincott Williams Wilkins, 29-Mar-2012, 410 Allan B. Wolfson, Gregory W. Hendey, Louis J. Ling, Carlo L. Rosen, Jeffrey J. Schaider, Ghazala Q. Sharieff. In: Bell’s palsy and trigeminal neuralgia. Harwood-Nuss Clinical Practice of Emergency Medicine. Lippincott Williams Wilkins. June 23, 2009, 786 Và ­ctor Whizar-Lugo MD, Francisco Anzorena-Vallarino MD, Roberto Cisneros-Corral MD, Ricardo Valdez-Jeres MD, Rogelio Hernà ¡ndez-Velazco DDS. Use of Computed Tomography Guide for Trigeminal Alcohol Neurolysis. Anestesia en Mexico: Volume 20 No. 1 (January-April 2008) Han KR, Kim C, Chae YJ, Kim DW. Efficacy and safety of high concentration lidocaine for trigeminal nerve block in patients with trigeminal neuralgia. Int J Clin Pract. 2008 Feb;62 (2):248-54. Epub 2007 Nov 23.

Wednesday, September 4, 2019

molecular structure :: essays research papers

Molecular Structure Lab Objective: For this experiment we took two different molecule and virtually dissected them finding everything about them including: bond length, bond angles, the charge on each atom, the non bonded distances between atoms and the energy difference between the highest and lowest molecular orbital. Procedure: The procedure is to use HyperChem Lite to get the information needed from each molecule. But explained in full on page 16 and 17 in the lab manual. Data: The following data was found about CH4 (methane). †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The bond length from Carbon to all four Hydrogen atom was the same measurement that came to be about 1.113Ã… †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Not only are the lengths between all the Hydrogen atoms to the Carbon atoms the same so are the angles between the hydrogen atoms, all coming out to be about 109.47 °. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The non-bonded distances between all the parts of the molecule are 1.818Ã…. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The charge on the Carbon atom is -.143 †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  All of the hydrogen atoms have the same charge being .036 The following data was collected by HyperChem Lite for C2H5OH (ethanol). †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  All the distances between bonded Carbon and Hydrogen atoms were 1.115Ã…. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The distance of the bonded oxygen (3) to hydrogen (9) was .942Ã…. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The distance between bonded Carbon (1) to Oxygen (3) was 1.40Ã…. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Bond angle 5,1,4 was 109.8 ° †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Bond angle 3,1,2 was 108.9 ° †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Bond angle 6,2,8 was 107.9 ° †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The smallest non-bonded distance was between atoms 9 (hydrogen) and 6 (hydrogen) it was 4.067Ã…. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The largest distance between two atoms was from 6 to 8 1.802Ã…. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The charge on the Carbon atoms were: Carbon 1=.466, and Carbon 2=-.076 †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Hydrogen charges were as follows: Hydrogen’s 4,5=-.004, 6=.021, 7,8=.020, and the charge of hydrogen 9=.447 †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  And lastly the charge on the oxygen atom was -.891 Calculations: Formulas used in the lab†¦ E = hv = hc/ 1 ev = 1.6022E-19 Joules E is the energy difference between the highest occupied and lowest unoccupied molecular orbital (HOMO and LUMO). h = Plank’s constant = 6.63E-34 Js c = speed of light = 3.00E8 m/s formal charge = number of valence electrons – (# of unshared electrons + # of bonds) Volume of an ellipsoid is V = /6 (a + 1Ã…)(b+1Ã…)(c+1Ã…) = xÃ…3 A,b,and c are the skeletal lengths of the molecule. CH4 E = (-15.51ev)-(-24.49ev) = 8.98ev = 1.44E-18 J  = hc/E = (6.63E-34 Js)(3.00E8 m/s)/(1.44E-18 J) = 1.38E-7 m = 138nm The wavelength of CH4 is 138nm and this resides in the ultra-violet spectrum and is not visible to the naked eye. Formal charge of Carbon = 4-(0+4) = 0 Formal Charge of Hydrogen’s = 1-(0+1) = 0

Tuesday, September 3, 2019

Ayashi no Ceres :: essays research papers

Ayashi No Ceres (Suspicious Ceres)   Ã‚  Ã‚  Ã‚  Ã‚  Aya Mikage and Aki Mikage are hanging out with their friends and they make Aya go and get her fortune told. Her fortune is about how when she turns 16, her life will be turned upside down and a dark star will effect her fate. She doesn’t know what the woman was talking about but she was right. Then when they are walking across a bridge a man steals an old lady’s purse and Aya runs after the man. When she gets the purse she falls over the edge of the bridge and then is saved by a mysterious force. The night before her and Aki’s birthday their parents tell them that they are to come straight home from school because they’re going to their grandpa’s house to celebrate their birthday. When Aki and Aya arrive their whole family is there and they are all sitting around a table. A man gives them a box and Aya is cautious in opening it. Aki takes it from her and opens it. Once he does Aya feels a mysterious presence over her and then she sees images in her head. Once she comes to, she looks at Aki and he’s shaking. Then he gets a bunch of slashes all over his skin and he’s bleeding everywhere. The test that Aya’s family put her up to is true. The celestial being named Ceres is in Aya. The rest of the family leaves and Aya and her grandpa and her father are still in the room. Aya’s father is suppose to shoot her, yet as he struggles, he tells her to fight her fate and her grandpa’s hit man shoots her father in the head. Aya screams and Ceres takes over her body and kills almost everyone in the room with a large energy blast. Aya doesn’t remember what happens and wakes up in a tree. Tooya, a man who saved her from getting hit by a car, finds her there and kisses her to stop her from screaming when hit men are walking around looking for Aya to kill her. Suzumi sends her brother-in-law, Yuuhi to go and get Aya. He does and Yuuhi brings her back to the Aogiri household. Suzumi e xplains to Aya what’s going on. Aya is of the bloodline that has a Tennyo (Angel/Fairy) blood. She tells how the Mikage have killed countless women in the family who show signs of Ceres being in them.

Monday, September 2, 2019

Graduation Speech: We are Prepared for the Challenges that Await Us :: Graduation Speech, Commencement Address

Today completes the chapter of our lives that we have been comfortable with for the past 13 years. High school may be over, but we still have a long exciting way to go in life. From our four-year experience we will take with us the memories, good and bad, and relationships we have made with each other and the County High School staff. From these experiences we have learned and grown and will continue to do so. Growing up and moving on will be a huge part of our lives in the next few months. The decisions we will make come in-part from the choices we have already made. The past four years have been fun and easy for some and a struggle for others. When I reflect on my high school experience, I think of watching football games, playing softball, homecoming weeks, school trips, parties and time with my friends. Others have spent their time in drama, band, community service, part-time jobs and all sorts of other activities. We have all watched Mr. LHS grow along with us until it became a big part of the high school year. I enjoyed laughing with and at the guys as they showed off their talents. This year’s homecoming football game was one of the most exciting ones we have had, with four quarters and three overtimes when we beat Jackson 48 to 42 for a homecoming victory. No matter what types of experiences we have had, I think they are important to remember and grow from. Through these fun and challenging times each one of us has built strong relationships. Whether it was with friends or a teacher, we have developed connections and memories that will be with us forever, even if we lose contact with those individuals. Some students have discovered they have a passion for writing through a creative writing class or want to have a career in business from taking Mr. Ide’s inspirational marketing classes. Others have participated in CLIP or summer school to catch up and make it possible for them to be here today. I went to Heights Elementary and have spent the last 12 years with the same group of people. Attending school with the people I’ve known since elementary and middle school, and making homecoming posters with them for four years in a row, has given me a chance to get to know the people around me better than I ever thought I would.

Sunday, September 1, 2019

Cooking at Home and Eating in a Restaurant Essay

Modern life becomes more and more comfortable, but we are busier and busier with our job, with our business. We don’t have time to prepare and cook meals at home. Someone prefers to eat fast- food or eat food in a restaurant, but some one still prefer to eat at home. Eating out or eating at home has also advantages and disadvantages, so which one is better? Cooking at home is similar to eating in a restaurant in many ways. Despite of cooking at home or eating out, we have to pay money for our food or spend our time to cook or to go to the restaurant to eat. For example, instead of spending your time to cook, you have to drive to go to the restaurant or sometimes you waste of time to looking for the parking. We also can taste the dishes we like even though we eat at home or at a restaurant. That is a period of time which your family enjoy eating after a long day with hard worked. With your family’s meal, everybody can talk together, tell some funny stories, or share their jobs. However, there are several differences between eating at home and eating out. Home-cooked meals are always healthy. The food at the restaurant may contain high in fat, high calories and other ingredients which are very harmful for the health. If you cook food at home, you have more control over the ingredients, and you can select the ingredients that you like. Furthermore, eating at home saves you so much money compared to eating in restaurants. Eating out are usually more expensive than cooking at home. In restaurants, they often serve big plates of food. They are too much more food than you need to eat at one meal and the money you spend can add up. For instance, with the money for a meal in a restaurant, you can buy food for the whole week for home-cooking. You can shop at cheapest markets, and look for sale items. Eating in a restaurant is also advantage way. Many people are very busy with their jobs outside the house, so they don’t always have time to cook. They like the convenience of eating out. For many reasons such as some one is not very good at cooking, or they like international cuisines or different meals, eating out is the best thing. Cooking at home has a disadvantage that is cooking at home also requires your time. You spend your time to prepare everything like you choose and buy ingredients for cooking your meals. After that, you have to wash dishes and clean up the kitchen. However, eating at home is one of the best ways to enhance the relationship inside your family. Life is busier and people don’t have much time to share their time together, even though they are in a family. Eating at home is all members of your family sit around the table and enjoy the dishes that your mother and you prepared and cooked. In your family, when all you prepare and cook meals at home together, you feel warmer and happier. Eating at home and eating in a restaurant are different in many ways, but they have several things in common. It is difficult for us to prefer to. Both eating at restaurants and cooking at home can be satisfying. Both of them can taste good and be enjoyed with your family and friends. I prefer cooking at home because of the money and health issues, but people will make the choice that fits their lifestyle best.