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Breast Augmentation in Macon, GA
Women often notice a reduction in breast volume over time. Many of them visit the Georgia Center for Plastic & Reconstructive Surgery, led by board-certified plastic surgeon Dr. Joshua R. Groves. Over the years, Dr. Groves has helped women in Macon, Warner Robins, Houston County, Bibb County and the surrounding area regain lost volume through breast augmentation procedures performed at our clinic.
What is a Breast Augmentation?
A breast augmentation involves adding implants to enhance the size or shape of the breasts. Pregnancy, fluctuating hormones, breastfeeding, and excessive weight loss can result in reduced breast volume that becomes more pronounced over time. This causes a self-esteem issue for many women, as a voluptuous bosom is generally considered a sign of femininity.
Benefits of Breast Augmentation
A breast augmentation can:
- Correct differences in size
- Restore lost volume
- Enhance the chest area after a full or partial mastectomy
- Improve self-esteem
Requirements for Breast Augmentation
To have a breast augmentation, you should not have any underlying medical conditions that might cause complications with anesthesia. If you smoke or take certain medications, Dr. Groves may ask to you stop temporarily in the weeks leading up to your surgery. If you are currently undergoing chemotherapy or radiation for breast cancer, Dr. Groves will work with your primary care physician to develop a timeline for treatment.
Is a Breast Augmentation Right for Me?
You should have realistic expectations for your breast augmentation procedure. The increase in volume you experience will be based on your anatomy and the amount of existing breast tissue you have. Therefore, if you currently have very small breasts, it is unlikely that breast augmentation surgery will make you overly voluptuous. It can, however, increase volume and give your breasts a fuller, more youthful appearance.
How Involved is a Breast Augmentation Procedure?
A breast augmentation procedure is one of the most involved surgeries performed here at the Georgia Center for Plastic & Reconstructive Surgery. Under general or local anesthesia, Dr. Groves will make one of the following incisions in each of your breasts:
- Along the inframammary crease, which is the area where the bottom of your breast meets the chest wall
- A periareolar incision around the bottom edge of the areola
Next, Dr. Groves will create a pocket for your implants. He may create this pocket underneath the pectoral muscle (submuscular placement), or on top of the pectoral muscle but behind your breast tissue (subglandular placement.) Sutures are then used to close the skin and breast tissue. A complete breast augmentation procedure can take up to two hours.
How Long is the Recovery After a Breast Augmentation?
You may feel very sore after a breast augmentation, which is why we recommend having someone available to drive you home from your appointment and to help you around the house for a few days afterward. You may need to limit yourself to only light activity for four to six weeks following your surgery, and may also need to wear a compression garment and take medication to help alleviate swelling.
How Much Does a Breast Augmentation Cost?
Breast augmentation procedures are customized for each patient, so giving you an exact cost up front is not possible. During your consultation, we will discuss the cost, and go over our payment options to find one that best suits your needs.
Some procedures may be covered by medical insurance. Our staff is experienced in matters pertaining to insurance, and will work with your carrier to get you maximum coverage. In the event a procedure is not covered, we offer financing through CareCredit® and Alphaeon™Credit. We will be happy to assist in filling out the necessary application, or you may apply on the CareCredit® website prior to your appointment. We work with SunTrust Bank to offer low, fixed interest rate loans to patients with good to excellent credit for all cosmetic procedures, and also accept cash, personal checks, MasterCard®, Visa®, American Express®, and Discover® Card.
What Should I Do Next?
If you live in Macon, Warner Robins, Houston County, Bibb County or surrounding communities and have always wished for larger, more voluptuous breasts, consider breast augmentation at Georgia Center for Plastic & Reconstructive Surgery. Contact Dr. Groves today for your breast augmentation consultation.


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I actually don't have a lot to say, but I did feel that a post was in order since I've just upgraded to a paid account - 105 user pics, wheeeeee! -snickers- Using a spanky new 'Taker icon in honour of the event XD
Mostly, I'm just glad to be home - spent the last 72 hours on a retreat with my colleagues. Don't get me wrong, I love them (and fortunately, the only one I really can't get along with couldn't come, gee, what a pity, so sad, moving on!), but I'm the kind of person who needs considerable amounts of personal space and solitude.
So being stuck in a car with three of them for two hours to drive to this god-forsaken wilderness was one thing. Then discovering that I was sharing the cabin that I thought I was getting to myself (due to another no-show) with someone else . . . blah. Even if I had my own room and bathroom.
Then dinner with everyone and conversation and all that shit - man, I was fried the first night.
Add to that the fact that this afore-mentioned god-forsaken wilderness had fuck all cell phone reception for anyone on other than the priciest of providers networks, and of course no fucking wifi access anywhere, and I was really cut off. Finding out they had no cable TV was just the icing on the cake, after that.
Day 1 was miserable because I could have sworn I had a Valium in my purse, but do you think I could find the damn thing? It was there - I found it the next morning. But no, I had to just hang in there without my chemical crutch, feeling myself winding tighter and tighter.
Everyone was going back to one of the other cabins for drinks before dinner - I booked and fled back to my cabin by myself, found the bottle of Valium and spent an hour in the dark under a throw rug listening to my MP3 player and losing myself in my music.
Did I mention that it was not only god-forsaken and cut off from the rest of the world but also absolutely fucking freezing? I mean, I was prepared for it to be cold, but not cold and raining, interspersed with hail and sleet, and then capped off by bitterly cold winds.
Thank god for the Valium - once I had a few of those under my belt, I coped much better. But by the time we were ready to come home, I was tying a knot in the end of my rope and hanging on for dear life. Once again escaped into my music on the drive back, and refused to apologise for it either.
Then of course I felt unsettled even though I was home - my routines were all out of whack, so I'm still relying on Valium - which I don't like to do, because it fucks with my head big time, but if it's a choice between that and feeling shaky and on the verge of a panic attack the whole time, then sorry, brain, you lose.
It was good to dive back into my flist this morning and get back up to date. Yay for Jeff picspams, even the ones that make me go all "WTF?" -gigglefits- Yay for RAW discussions - gonna be diving into RAW in a few hours myself. Oh and Yay Yay Yay for 'Taker being reinstated - man, I knew about that 12 hours earlier than everyone else, and I was soooooo dying to tell everyone and enjoy the shared squeeeee-fest!
And thankies to
Hey, still utterly captivated by 'Taker, have no fear, specially since I know he's gonna be back on TV real soon, but please - black nail polish, and that chunky wristwatch, and let's not forget that forearm muscle definition . . . mmmm, forearms. Yummy!

subset: commoncrawl


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This article takes a step back and looks at the bigger picture related to gold including long-term trends, and sets out some key characteristics of gold which are worth considering when (or if) allocating some part of an investment portfolio to the world's favorite precious metal.
By Matthew Salter (http://int-markets.com) as originally posted on SeekingAlpha.com under the title* Gold: Some Interesting Graphs To Round Off 2014.
Graph number 1 – returns since the 2001 bull market
Th graph above shows quite clearly how the spectacular 12 year bull market of 2001-2012 came to a grinding halt in 2013 with losses of a magnitude not seen since over 30 years previously and, while there were fears that these losses would continue into 2014, the maximum loss seen during the year involved a loss of about 5% as gold traded below $1,150 in November. On the flip side gold also looked like it was reversing course as it surged towards $1,400 much earlier in the year, with gains of about 15%.[Editor's Note: The above statistics convey that:
- during the 14 year period from 2000 to 2014 gold appreciated an average of 24.5% per annum on a compounded basis,
- for the past 10 years gold appreciated an average of 19.0% per annum on a compounded basis,
- for the past 7 years gold appreciated 6.3% per annum on a compounded basis, and
- for the past 5 years, in spite of the 27% decline in 2013, gold still appreciated albeit only 2.2% per annum on a compounded basis.]
In the end neither the bulls nor the bears could claim victory as gold closed out the year almost bang on $1,200, with a negligible change from a year previously.
Graph number 2 – long term returns
The longer term picture of gold is very instructive for reminding the investor of how unusual the recent bull market in gold was when considered next to historical trends.
The years before 2001 can be characterized very approximately into 2 different and distinct time periods:
- a period of 'extremely volatile returns' (roughly corresponding to the 1980s) and
- a period of 'extremely poor returns' (roughly corresponding to the 1990s).
Being a gold investor at almost any period between 1980 and 2001 would have been a deeply unsatisfying experience. In fact, except for 1985-87, there was not a single time when gold saw positive returns in 2 consecutive years. Set alongside the returns of the recent decade, the contrast is quite dramatic and puts into question whether the bull run of the 2000s was an exception to the general trend of gold.[Editor's Note: The above statistics convey that gold appreciated:
- an average of 6.8% per annum on a compounded basis over the past 35 years (1980 to 2014 gold),
- an average of 7.3% per annum on a compounded basis over the past 30 years,
- an average of 10.2% per annum on a compounded basis over the past 20 years,
- an average of 24.5% per annum on a compounded basis over the past 14 years,
- an average of 19.0% per annum on a compounded basis over the past 10 years,
- an average of 6.3% per annum on a compounded basis over the past 7 years, and
- an average of 2.2% per annum on a compounded basis, in spite of the 27% decline in 2013, over the past 5 years.]
Graph 3 – volatility of gold
One reassuring aspect of gold in 2014 for investors was the fact that after several years of high volatility (compared to the historical average) the volatility of gold fell to lows not seen for about 10 years. The volatility of gold fell to just under 13%, following 8 consecutive years where volatility has been above the long term average of 15%.
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This may not sound like a big difference, but another way of looking at the volatility is to see how many individual days the closing gold price varied by more than 2% from the previous day's close. This is perhaps a more tangible way of getting a feel for the volatility of an asset class for the retail investor…
Indeed as the above diagram shows, the number of 'extreme' days in 2014 was positively sedate with the number of days where gold moved by more than 2% numbering just 5 days. This was the lowest number of days in a single year for almost 20 years and made gold look dreadfully boring compared to the experience over the last 8 years or so.
Graph 4 – correlation with equities
One final thing interesting thing I look at is the correlation of gold with equities. While it is difficult to justify buying gold on a valuation basis (in my opinion) it has been argued that gold acts as a good diversifier in a portfolio, specifically providing 'insurance' in times of financial market stress…[as exemplified as follows:]
- In the financial crisis of 2008, when the S&P 500 lost a whopping 37%, gold eked out a gain of 4%.
- In 2002 the S&P 500 lost an impressive 22% and the safe haven of gold provided a comforting 26% return.
On the face of it, gold looks like it may have an important role to play in a diversified portfolio at times of financial market turbulence – but not so fast.
- In 2008, at perhaps the height of the financial crisis (in terms of shocks to the markets), the S&P 500 lost over 23% over the course of a three month period from August to October.
- Over the same three month period, gold lost over 12%.
Conclusion: despite the fact that over the whole of the 2008 calendar year gold managed to act as an insurance policy against equity losses, it had to sustain a bumpy (or possibly ineffective) ride in the short term.
The following graph plots the monthly returns of the S&P 500 against the monthly returns of gold, over the last 35 years.
The trendline, shown in dotted black, is indeed negative as we would expect but the relationship is hardly a strong one. Indeed, the correlation of the monthly returns over the whole data set is only just negative…
Concluding comments
What does all the above mean for gold in 2015? Well, most major investment banks are forecasting 'more of the same' with the 2014 price action to continue…throughout 2015 in the $1,100 – $1,300 range…
[The above article is presented by Lorimer Wilson, editor of www.munKNEE.com and the FREE Market Intelligence Report newsletter (sample here) and may have been edited ([ ]), abridged (…) and/or reformatted (some sub-titles and bold/italics emphases) for the sake of clarity and brevity to ensure a fast and easy read. The author's views and conclusions are unaltered and no personal comments have been included to maintain the integrity of the original article. This paragraph must be included in any article re-posting to avoid copyright infringement.]
*Original source: http://seekingalpha.com/article/2791255-gold-some-interesting-graphs-to-round-off-2014?ifp=0 (© 2015 Seeking Alpha)
Related Articles:
1. Gold & Silver Volatility & Diversification Myths Debunked
The commercial investment industry – from Wall Street to your personal financial advisor/planner – is more interested in milking its clients for fees and spreading lies, deception and propaganda than in actually acting to preserve and build their clients' wealth. In my opinion, "safe diversification" and "less volatile" strategies are nothing but pure absolute rubbish invented by and regurgitated from the mouths of such consultants. Let me explain and show you some graphs to make my case. Words: 1680 Read More »
2. The Merits of Using Gold as a Portfolio Diversifier
Although not perfect (nothing is), gold has a tendency to go up in the face of external shocks…[and] tends to have a low and sometimes negative correlation to US equities. As such, with stocks up, gold being down is not a terrible outcome for the investor using gold as a diversifier. Let me explain further below. Read More »
3. Physical Gold and Gold Stocks Should be in Your Portfolio – Here's Why
4. Don't Laugh – Invest At Least 65% of Your Portfolio In Precious Metals!
There is such a "fear of gold" amongst most people that it must be due to statist indoctrination and propaganda because it makes no rational sense to have such a fear of such a time tested and true store of wealth. After all, we are talking about time tested and true money – the only money that has lasted for thousands of years and is still fully accepted worldwide as a store of wealth….What would you rather hold "for eternity" gold [or] US dollars [which are nothing more than] a paper debt obligation of a bankrupt nation state? Words: 450
5. Your Portfolio Isn't Adequately Diversified Without 7-15% in Precious Metals – Here's Why
The traditional view of portfolio management is that three asset classes, stocks, bonds and cash, are sufficient to achieve diversification. This view is, quite simply, wrong because over the past 10 years gold, silver and platinum have singularly outperformed virtually all major widely accepted investment indexes. Precious metals should be considered an independent asset class and an allocation to precious metals, as the most uncorrelated asset group, is essential for proper portfolio diversification. [Let me explain.] Words: 2137
6. It is Imperative to Invest in Physical Gold and/or Silver NOW – Here's Why
Asset allocation is one of the most crucial aspects of building a diversified and sustainable portfolio that not only preserves and grows wealth, but also weathers the twists and turns that ever-changing market conditions can throw at it. However, while the average [financial] advisor or investor spends a great deal of time carefully analyzing and picking the right stocks or sectors, the basic and primary task of asset allocation is often overlooked. [According to research by both Wainwright Economics and Ibbotson Associates and the current Dow:gold ratio, allocating a portion of one's portfolio to gold and/or silver and/or platinum is imperative to protect and grow one's financial assets. Let me explain.] Words: 1060
7. Protect Your Portfolio By Including 15% Gold Bullion – Here's Why
We are reading a lot of hype these days about gold and the necessity to own it but only about 2% of 'investors' actually have gold in their portfolios and those that have done so have insufficient quantities to offset the future impact of inflation and to maximize their portfolio returns. New research, however, has determined a specific percentage to accomplish such objectives. Words: 1063
8. Believe It or Not: Only 1 Fund Has Outperformed Physical Gold Since 2007!
Out of the 7,500 separate mutual funds available, and with 22,000 shares classes to choose from, only 1 fund – just ONE fund – actually managed to achieve a greater percentage return than gold bullion since the alarm bells rang out at the turn of 2007! [That being said, are you still one of the 99% of investors who, for whatever reason (are you foolishly listening to the "advice" provided by your stock broker/securities salesman going under the guise of a financial "advisor"), is still without any physical gold or silver?] Words: 395
9. Does What Happened in 2014 Refute, Or Just Delay, the Gold-bug Case?
12 short months ago, the immediate future looked like a lock yet 2014 turned out to be a pretty good year for the powers that be and the economic theories that animate their behavior. 2014 should not have happened, but it did, and now the sound money community is left trying to figure out what it missed and, crucially, whether what happened refutes the sound-money/gold-bug case, or simply delays it. This article has the answer. Read More »
10. Gold, Stocks & Bonds: What % Should You Have of Each?
What would the optimal portfolio allocation in gold have been according to Modern Portfolio Theory over several different periods of time? This article has a look at how an investor could have combined gold and equities to enhance risk-adjusted returns. Read More »


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Co-working Space in Clayton
Choose from over 8 locations in Clayton.
A Regus co-working space is ideal for those requiring maximum flexibility.Our hot desking solutions in Clayton are designed for agile working, allowing you to choose between a reserved or unreserved workspace, depending on your needs. A great option for freelancers, start-ups or SMEs, Regus co-working space in Clayton helps you to maximise productivity.
Pricing information
Office, co-working and virtual office prices shown are per person, per day.
All prices shown are the minimum price, based on a 24 month contract or lowest rates available.
Meeting room prices shown are per room per hour at minimum rate.
See centers in…
Hyde Park
The residential suburb of Hyde Park is one of the most historic parts of Austin and hosts numerous graduates at a top ranking university.View centres
O Hare
Home of the city's international airport, O Hare is a major hub and it also forms part of the bustling Golden Corridor commercial district.View centres
Lincoln Park
The community district of Lincoln Park is notable for its nightlife and a la carte dining while it is also the home of Lincoln Park Zoo.View centres
Uptown Dallas
Recognised as a commercial hub, Uptown Dallas also benefits from being only 20 minutes from Dallas-Fort Worth International Airport.View centres
About co-working space in Clayton
If you need a professional workspace in Clayton, Missouri, without going over budget, coworking is the perfect solution. A shared office space grants you a spot in a professional working environment, while only paying for the desks you use, with options to rent by the hour, day or month for increased flexibility. Whether you want to reserve your own personal desk with a phone line or move around the office daily with a hot desk, you can find what you need in our shared offices. Whilst you will find additional facilities include a shared kitchen and meeting rooms, available by the hour, and what's more you can move your desk to any other Regus location at no extra cost.
Clayton sits on the western edge of St. Louis and enjoys easy access to downtown via the Forest Park Parkway. Interstate 170 and nearby Interstate 64 offer access to the rest of Missouri, while 20 minutes away sits the St. Louis Lambert International Airport, which offers global flight connections for travellers. Clayton's own business centre boasts a thriving economy and the presence of companies such as Forbes, Enterprise Holdings, Belden and Olin. While residents enjoy the benefits of their business district's success, they can also enjoy a public school system that is one of the best in the nation, a high quality of living, and a parks and recreation department that provides a multitude of options for local entertainment.
What's available
Unreserved co-working (hot-desking)
Desk space whenever you need on a first come, first served basis.
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Your own dedicated desk, with all the benefits of a full-time office in a shared office space.
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American Hope Personal Success Tips – Use our search function to find an interview with an expert who has faced the same difficulty you face with great success! Our guests agree to share the real truth about weight loss, raising children or grandchildren, how to care for an elderly parent and much more.
Is there an area you don't find what you need? Call or send an email. Our staff will search for the help you need and air an interview with individuals who have the answers you are looking for. Don't hesitate to contact us, it is likely you are not alone in your quest for answers and solutions. The number is 303-217-8660 or email email@example.com


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Halloween Costume Hair and Makeup Ideas 2013
All the Halloween Inspiration, Tips, and Tricks You Need!
Costume Ideas
- Give your blunt bob wig new life with these five adorable costumes.
- Your friends will hear you roar when you dress up as Katy Perry this Halloween.
- ShopStyle has everything you need to create this spooky vampire costume.
- Go part retro and part modern with this Janelle Monáe costume this Halloween.
- Paint up your face with these last-minute ideas.
- These simple no-prep Halloween makeup ideas are fun and fast.
- While Wes Anderson movies are a bevy of inspiration, dressing up like Margot Tenenbaum is a win in our book.
- Channel the '80s with this Molly Ringwald as Claire costume from The Breakfast Club.
- This Nicki Minaj costume all but creates itself.
- Going as a group this year? Pick your favorite Orange Is the New Black character, and have at it!
- Grab a blue lipstick and dress up like Rihanna this Thursday.
- Give yourself the cartoon treatment with this Betty Boop costume. Don't forget Pudgy!
- Why not go this year as everyone's favorite quirky girl, Zooey Deschanel?
- The ladies of Mad Men can inspire your Halloween look this year.
- The ever-popular Miley Cyrus costume is easy to do at home . . . just get your twerk right.
Tips and Tricks
- From primer to shadow base, keep your makeup on all night with these easy tricks.
- These amazing makeup brands will get you through Halloween.
- The easy way to add some pizzazz to your costume? Add some ears!
- Ace your Gatsby-era costume by rolling up a faux bob and skipping the wig.
- Mix yourself up some spooky fake blood to add to your costume's gore factor.
- Give yourself a pumpkin facial once the Halloween festivities are over.
- Your go-to guide to applying — and removing — Halloween makeup.
Get more Halloween inspiration when you keep reading.
Makeup Tutorials
- These 10 makeup tutorials will make your last-minute costume a snap.
- A fun way to upgrade your fairy costume? This makeup tutorial.
- Get superspooky this Halloween with this zombie makeup look, courtesy of MAC Cosmetics.
- What do you get when you mix Taylor Swift and a zombie? This amazingly hilarious costume.
- Your step-by-step guide to mastering this sexy Cleopatra look . . . cool hair not included.
- You can master this spooky skeleton look with only three products!
- You've never seen fairy makeup like we create here.
- Try this gorgeous Veronica Lake tutorial for Halloween and beyond!
- This new take on Twiggy makeup is fun and modern.
- Get three different makeup looks from a MAC Cosmetics professional.
- Try a new take on the classic devil makeup look.
- A makeup tutorial you absolutely can't mess up: Lady Gaga's "Applause" makeup is cute and colorful.
Nail and Makeup Inspiration
- Skip the cheese factor with this adorable cat nail art tutorial.
- Let Fashion Week inspire your Halloween with these ripped-from-the-runway looks.
- Use these iconic hairstyles to inspire your costume this year.
- Swing by Etsy for these beautiful Halloween accents to heighten your look.
- Let Heidi Klum's epic Halloween makeup influence your All Hallows' Eve ensemble.
- Add a temporary face tattoo to your costume this year.
- Pick your nail art adventure in this fun, interactive video.
- Satiate your sweet tooth with these candy and makeup pairings so you can skip the trick-or-treating.
- Top your nails with this 3D skull manicure.
- These DIY Halloween nail art looks are fun and creepy.
- Add a red splatter to your manicure, and nail this dripping-blood nail art.
- These Halloween nail polish kits will give your polish a jump start.


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Two typical old-school cabins passing one another in a steep hill – that's the highlight of this charming narrow street with river view in the distance.
Why to go: Yellow cars of Lisbon trams are famous attraction, but some of the most characteristic scenes featuring these photogenic means of transport actually come from the streets occupied not by trams, but funiculars.
Tourists usually discover Elevador da Glória, funicular going up to popular Miradouro de Sao Pedro, but there are more of them. And thanks to its pictoresque setting, Ascensor da Bica is very often the one you have seen on the front pages of guide books.
Going up and down in surprisingly hilly street, bordered by typical 18th century houses, this electric lift connects the upper part of the old city centre (reaching almost to Bairro Alto) with the streets near very close to Cais do Sodre.
The lower station of the lift is hidden behind facade of one of the buildings, but the sign "Ascensor da Bica" above the entrance will show you where to find it (anyway, if you just want to walk along the street, you can go around the building and ascend the slope without taking the lift).
The funicular goes every 10 or 15 minutes during the day and is operated by Carris (the Lisbon public transport company), so if you have your Lisbon transport card with monthly pass (or any other one), you can use the lift for free just like any other kind of transport.
However, if you would like to fully enjoy the atmosphere of the street, also take a walk along the track of the lift. The colorful buildings surrounding the line offer not only the feeling of typical Lisbon street (the area is still inhabited mostly by local portuguese people, looking out of the windows and to talking to each other in front of the shops), but with a closer look, you can also find there very little bistro with reasonable prices, luxury barber saloon and some other shops.
Not to forget, while waiting for the funiculars to meet each other in the middle of the hill, notice that you also have a nice view over the river Tejo from the upper part of the street.
And when you fully enjoyed discovering this part of the centre, what about having a beer at Miradouro Santa Catarina nearby, popular viewpoint for watching the sunset? :-)


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There are many options in the world of TV. There are three main categories under the umbrella of TV- cable, satellite, and fiber optic. Cable TV is dependent on your zip code, and there are a few companies in every area to choose from. Satellite TV offers more channels, recording options, and packages that standard cable services cannot offer. Fiber Optic TV offers similar packages to Cable and Satellite but has incredible speed and clarity. Fiber Optic TV is limited geographically.
There are basically four options for your tv service but each option must be carefully selected depending on your location and personal needs.
Cable TV
Satellite TV


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How to Make a Flowchart of Payroll Slips
A flowchart is a graphical illustration of a process that allows its designers to see the inner workings and influences that can have a negative or positive effect on how the system works. Observing the illustration of the process enables you to immediately identify those areas in the mechanism that are functional, versus nonfunctional. Designing a flowchart of payroll slips requires a few basic steps to customize it to suit your needs.
Identify the Purpose
Determining the purpose, scope and intent of your flowchart entails considering what areas of the payroll process you want to incorporate. This could mean determining whether it is simply a representation of employees' roles and responsibilities in completing and submitting payroll slips or if the flowchart is to display the entire process from the time employees submit payroll slips through the human resources department until they're paid. Once you decide what areas of payroll to include, determine the extent of those inclusions. Examine how much depth to use in displaying the separate process segments. For instance, decide if the human resources department will have only a cursory representation or if its different duties will be displayed in depth. The more thoroughly you identify what you want represented about payroll slips, the easier the next phases in your flowchart development are.
Select Signage
Using signs, symbols and other graphic depictions allows you to streamline the flowchart for better and uncluttered identification of the process. Common shapes such as rectangles depict a process or function in the progression, whereas diamonds normally symbolize junctions where decisions need to be made. Symbols such as arrows are commonly used to assist the viewer with understanding the direction of flow within the different phases of the process.
Develop Scratch Outline
Producing a rough draft is beneficial with all presentation materials. A flowchart of payroll slips is no different. Sketching out or roughing out an outline of the flowchart enables you to review and decide the accuracy of the steps and the extent of phases and gives you an estimate on areas that require an adjustment. This is an opportune time to examine the steps in your chart and decide if further elaboration or a possible reduction in details is needed.
Design Flowchart
This last phase is often the easiest in comparison to the tasks of gathering and assimilating information needed to develop the chart itself. Various software and computer programs allow you to create and print a flowchart. Creating the flowchart simply requires you to organize and display the payroll process you chose to demonstrate in a sequential order from beginning to end.
Photo Credits
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Barbour Lifestyle Collection
Barbour Rothwell Scarf
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The solicitation phase of the Forward in Faith, Hope, and Love effort has been conducted at all 92 parishes and missions across the Diocese of Charlotte. If you have any changes that need to be made to your pledge, please contact the Diocesan Campaign Office at (704) 370-3348.
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Article Text
Limber tail is a condition that typically affects larger working breeds causing tail limpness and pain, resolving without veterinary intervention. It is poorly understood and the disease burden has not been well characterised. Data collected from owners of the Dogslife cohort of Labrador Retrievers have been used to describe incidents and a case–control study was undertaken to elucidate risk factors with 38 cases and 86 controls. The cumulative incidence of unexplained tail limpness was 9.7 per cent. Swimming is not a necessary precursor for limber tail, but it is a risk factor (OR=4.7) and working dogs were more susceptible than non-working dogs (OR=5.1). Higher latitudes were shown to be a risk factor for developing the condition and the case dogs were more related to each other than might be expected by chance. This suggests that dogs may have an underlying genetic predisposition to developing the condition. This study is the first, large-scale investigation of limber tail and the findings reveal an unexpectedly high illness burden. Anecdotally, accepted risk factors have been confirmed and the extent of their impact has been quantified. Identifying latitude and a potential underlying genetic predisposition suggests avenues for future work on this painful and distressing condition.
- Dogs
- Case-control studies
- Epidemiology
- Welfare
This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
Statistics from Altmetric.com
Limber tail in dogs is a condition characterised by a flaccid tail, often with a stiff tail base. There is no clear case definition for the condition and it is diagnosed on the basis of signalment (being reported in larger working breeds), the clinical signs and their rapid self-resolution, which excludes other likely causes of tail flaccidity and stiffness. Dogs often show signs of pain and distress when they develop limber tail, although these resolve with the other clinical signs.
Limber tail was initially described in 1997 in the Veterinary Record as "acute onset paralysis of the tail (frozen tail or limber tail)" with onset following "swimming in, or showering with, cold water" (Hewison 1997). Subsequent letters described similar cases (Jeffels 1997, Steiss 1997a, Wilkins 1997) and Wilkins was the first to mention that the signs included a 'painful tailbase'. The consensus was that the signs typically followed exercising in cold water and that they resolved after a period of as much as 10 days.
The authors of a Norwegian study (Bredal and Thoresen 1999) suggested that limber tail was caused by myositis. This theory was consistent with the findings of a small clinical and pathological study of English Pointers (Steiss and others 1999) comparing four case dogs with three controls from the same kennels. All affected dogs had flaccidity of the tail, raised creatine kinase levels indicative of myopathy and histological evidence of coccygeal muscle damage.
In a wider report on muscle disorders in working dogs (Steiss 2002), limber tail was described as a condition characterised by a flaccid tail which either hung from the base or extended horizontally for a short distance before hanging. Dogs would typically recover spontaneously within a few days to two weeks and anecdotal evidence indicated that NSAIDs minimised distress. The author referred to previous studies (Steiss and Wright 1995, Steiss 1996, 1997b,c), which included a survey of 113 owners of over 3000 hunting dogs in the Southeastern USA. The findings from this study have been widely paraphrased online but were originally published in magazines that are now unavailable.
In the academic literature, the first prevalence estimate for the condition was reported in 2008 from a convenience survey of lameness and injury involving over 1300 working dogs across two hunting seasons in 2005–2007 in Great Britain (Houlton 2008). Just three of 613 Labrador Retrievers (LRs) and one of 66 Flat-Coat Retrievers were reported to suffer from 'cold tail' in the study, resulting in an estimated risk of 0.49 per cent (95 per cent CI 0.1 to 1.4 per cent) in this group of working LRs. Thus this condition, which will henceforth be referred to as limber tail, appeared to have a low prevalence. In addition to the observation that limber tail is self-limiting, this might explain why there is a paucity of literature regarding the condition.
The Dogslife project is an ongoing cohort study of LRs in the UK (Clements and others 2013). Data are collected online directly from owners regarding the lifestyle, morphology and health of the dogs. The Dogslife database currently comprises information about over 6300 dogs. As such, it is ideally suited to investigate the prevalence and risk factors of conditions that may not be presented to veterinarians, such as limber tail. The purpose of this study was to describe the incidents of limber tail reported to Dogslife and undertake a case–control study to elucidate the risk factors associated with the condition.
Materials and methods
The study was approved by the Veterinary Ethical Review Committee of the University of Edinburgh.
Dogslife participants are asked to complete an online questionnaire every month until the dog is one year of age and then quarterly after that. A description of the lifestyle and morphological data collected in the first three and a half years of Dogslife is available in Pugh and others (2015b). In addition to lifestyle information, owners are asked to report whether their dog has had any of six clinical signs indicative of illness such as diarrhoea or lameness and then "Did [dog's name] have any other illnesses or problems?" [yes/no]. If they answer [yes], then a free text box appears for them to detail the issue. They are asked for the dates when the clinical sign started and ended and whether they took the dog to their veterinarian with the problem. The details of the illness section of the online questionnaire were reported by Pugh and others (2015a).
Stage 1
Dog-specific data were extracted from the Dogslife database based on owner descriptions of tail problems. The descriptions had to include the word 'tail' and any of the following words 'cold', 'dead', 'droopy', 'drop', 'limb', 'limber', 'limp', 'rudder', 'staved', 'stiff', 'stride', 'swim' or 'swimmers'. Where tail was found without the additional keywords, the full text was examined. For example, "She had a problem with her tail, she couldn't wag it for 5 days" was included as a possible case. The details of these incidents were collated.
Stage 2
A case–control study was undertaken whereby provisional controls were chosen from those that had spent at least as much time in the Dogslife project as the case dogs identified above but had no report of signs of limber tail. They were chosen at random from 479 members of the Dogslife cohort whose owners had previously supplied saliva samples for DNA analysis, as this would facilitate future investigations of potential genetic predispositions. The saliva samples were originally collected from owners who had completed the Dogslife questionnaire at least three times.
Contemporaneously collected data for morphology and lifestyle were available for all Dogslife dogs. Additionally, the owners of the dogs in the case–control study were contacted and asked to complete one of two tail-specific questionnaires (see online supplementary materials 1 and 2). The questionnaires asked about swimming, which is not addressed in the online Dogslife questionnaire. In addition, information was collected about tail-related signs and about perceived pain levels and the impact on quality of life of potential limber tail incidents. In accordance with Steiss and others (1999), case and control status was determined using the following case definition: the dog had some degree of tail flaccidity but no report of tail injury or other cause. This was ascertained by asking about the following five signs relating to the tail:
It looks abnormally limp at the end
It looks abnormally limp along the entire length
It looks abnormally stiff at the base (near the body)
The hair on the top of it stands on end
It appears painful for no reason
Supplementary material 1
Supplementary material 2
All analyses were performed using R 3.2.2 (R Core Team. R: A language and environment for statistical computing. 2013. www.r-project.org/). The age, sex, coat colour, neuter status, household type, postcode location as country within the UK, owner smoking status, dog purpose and swimming activity were compared between the cases and controls using Fisher's exact tests (CIs were calculated using the exact2×2 package (Fay 2010)). Using postcode locations to generate latitude and longitude coordinates as dependent variables, binary logistic regression models were used to compare case and control status as the response variable. Similarly, height, weight and exercise as reported to Dogslife (all scaled using R's scale function) were modelled as independent variables but in these instances, dog ID was included as a random effect to take into account repeated measures using the lme4 package (Bates and others 2014). Risks and incidence rates are presented with exact binomial CIs.
In order to assess whether there was a difference in the relatedness of the cases and controls, permutation testing was undertaken whereby 10,000 samples the same size as the number of cases and controls were chosen at random from all Dogslife dogs and the number of different sires and dams contributing to these samples was determined. The dogs that contributed more than one offspring were weighted and averaged such that if N dogs were chosen at random and, of the sires or dams, one contributed three offspring, two contributed two and 31 contributed one, the value would equal
These values were treated as a distribution and compared with the number of sires and dams that contributed to the cases and controls.
Between July 2010 and October 2015, there were 53 possible incidents of limber tail reported to Dogslife, associated with 43 dogs. There were approximately 6000 Dogslife dogs enrolled in the study at this time. This would give a conservative cumulative incidence of 0.7 per cent (assuming owners of all dogs were reporting and all dogs were old enough to experience limber tail). This is similar to the previous value of 0.49 per cent (Houlton 2008). One dog had four reported episodes of limber tail, one had three, five had two and 36 had one. The mean age of the dogs at the first report was 2.13 years (95 per cent CI 1.75 to 2.50 years), median=1.64 years, range 8.6 months–5.0 years.
The owners described the incidents in 31 different ways and they can be summarised as follows: limp or limber tail (24), swim or swimmer's tail (3), frozen tail (3), cold tail (2), any combination of limber, swim, frozen or cold tail (9) and other (11). Of the owners who reported more than one incident, only one used the same phrasing for all incidents. Of all 53 incidents, only 11 prompted a veterinary visit and these 11 visits all related to different dogs. By implication, investigations using data collected at veterinary practices would miss 74 per cent of dogs exhibiting signs of the condition (95 per cent CI 58.8 to 86.5 per cent).
Between June and October 2015, the Dogslife project administrator attempted to contact 170 owners to ask them to complete a tail health questionnaire. The number of responses and how the dogs were categorised as cases or controls are shown in Fig 1. Questionnaires were returned by 124 owners (72.9 per cent). The questionnaires related to 31 of the 43 dogs provisionally identified as cases via routine reporting to Dogslife and 93 provisional controls. Responses to the detailed questionnaire indicated that two of the 31 provisional cases had no tail limpness so were excluded. The 93 provisional controls had a minimum age of 2.0 years and, in total, their lifetimes comprised 419 years at risk. Fourteen of them had one or more of the five signs that were identified as possibly indicative of limber tail. Of these 14, three owners reported that they suspected the signs (stiff base: two dogs, limp length: two dogs) were related to impacted anal glands and an additional two dogs had signs that did not include tail limpness. On this basis, nine of the provisional controls became cases. Although nine dogs were not identified as affected with limber tail by routine reporting, this was not unexpected as previous validation indicated under-reporting of illnesses to Dogslife (Pugh and others 2015c). The cumulative incidence of limber tail in these 93 dogs chosen randomly from a subset of the Dogslife cohort was 9.7 per cent (95 per cent CI 4.5 to 17.6 per cent), which is considerably higher than any previously reported estimate.
For the 38 cases for which questionnaires were completed, the signs reported by owners are shown in Fig 2. It should be noted that 11 of the 12 owners who answered no to the pain question and two of the three who were unsure then gave non-zero answers on the pain scale. The mean pain score was 6.0 out of 10 (95 per cent CI 4.4 to 7.5) and in terms of quality of life where 0 referred to no impact and 10 implied the worst possible quality of life, the mean score was 4.1 (95 per cent CI 2.6 to 5.8). For both pain and quality of life, the reported range was 0–10. There was a strong correlation between pain and quality of life scores (Pearson's correlation coefficient=0.72).
Twenty-two of the dogs had a single incident, eight had two incidents, five had three, two had four and one dog was reported to have had approximately 30 incidents of limber tail. In terms of duration, there was considerable variation, both between dogs and between incidents for individual dogs. In all four cases where the owner gave different durations for different episodes, the later episodes were shorter. Overall, the shortest episode lasted just a few hours and the longest was reported to last about 10 days. If just the first incident for each dog was considered and 'a few days' was taken as three days, 'a week or more' was taken as eight days and a few hours was taken as three hours, then the mean duration was 3.5 days (95 per cent CI 2.9 to 4.2 days).
Owners reported that the incidents followed: swimming (yes 29, no 9); exposure to cold weather (yes 19, no 19); vigorous exercise (yes 18, no 18, unsure 2); exposure to wet weather (yes 11, no 26, unsure 1) and/or confinement (crate 5, car 1, no 31, unsure 1). Fig 3, which is dominated by swimming and cold weather, shows how the precursors co-occurred. The owners of two case dogs could not recall their dog undertaking any of the five activities. To paraphrase, they suggested that limber tail had followed 'over-excited wagging' and 'suspected banged tail when wagging vigorously'.
While it was clear that swimming was not a necessary precursor to limber tail, it still appeared to be a risk factor. When the swimming habits of the cases (36 swimmers, 2 non-swimmers) and controls (68 swimmers, 18 non-swimmers) were compared, the OR of a case swimming compared with a control was 4.7 (95 per cent CI 1.1 to 29.9), P=0.03.
Data were extracted from the Dogslife database relating to the cases and controls assigned according to the questionnaire as discussed above. The cases comprised 18 females and 20 males compared with 40 female and 46 male controls. The controls were slightly older than the cases, which was expected as they were chosen to have spent at least as much time in the Dogslife project as the cases. Otherwise, the cases and controls had similar distributions of neuter status, coat colour, height, weight, exercise levels, household type (eg 'retired') and whether anyone in the household smoked (see online supplementary Tables S1 and S2).
Supplementary tables
By contrast, there were a disproportionately high number of working dogs among the cases. The cases and controls were described, respectively, as household pets (32 and 82), working dogs (5 and 3), gundog and pet (1 and 0) and co-counsellor (0 and 1). The OR of a case being a working dog (including the dog that was a gundog and pet) compared with not being a working dog was 5.1 (95 per cent CI 1.1 to 24.9; Fisher's exact test, P=0.02). It also appeared that there was a geographical association. Using the postcode of their household, the dogs came from England (28 and 72), Scotland (9 and 12), Wales (1 and 0) and Northern Ireland (0 and 2) for cases and controls, respectively. The results of a binary logistic regression model indicated that the cases were disproportionately from higher latitudes with an OR of 1.47 (95 per cent CI 1.12 to 1.98) for each unit increase in latitude (regression parameters given in online supplementary Table S1).
The results of permutation testing indicated that, in terms of sires, the cases were more related than the controls and more related than would be expected from random selection from the cohort. Fig 4 shows the distribution of sire contributions for randomly generated samples of the same number as the cases and controls. The 2.5 per cent and 97.5 per cent percentiles are shown in red for each distribution and the contributions of sires to the cases and controls are shown in blue. The contribution of sires to the case dogs lies at the extreme right of the distribution (well beyond the 97.5th centile) and is significantly different from the randomly sampled distribution (P=0.0002).
This case–control study demonstrates the utility of owner-reported information regarding illnesses that are often not presented to veterinarians. It provides more information about a condition that has been underestimated and is poorly understood. Swimming has been confirmed as a risk factor but, despite prior suggestions that limber tail is caused by swimming (Hewison 1997, Jeffels 1997, Wilkins 1997, Houlton 2008), one-quarter of affected dogs did not swim prior to the onset of signs. In addition, working dogs have been shown to be more likely to suffer from the condition.
Increasing latitude has been newly identified as a risk factor for limber tail. The condition has also been called 'cold tail' (Houlton 2008) and given that temperature is intrinsically linked with latitude, this is the first evidence to support the anecdotal accounts of association with colder temperatures.
Under-reporting of limber tail was confirmed in the cohort. Indeed, an initial cumulative incidence of 0.7 per cent was rapidly superseded by the cumulative incidence in the provisional controls of 9.7 per cent. It is possible that the 93 provisional controls that chose to answer the questionnaire were disproportionately likely to have suffered from tail-related signs, making this an over-estimate. However, even if the 34 non-responders are treated as controls, that still leaves a cumulative incidence of 7.1 per cent (9/127). The potential controls were considerably older than the wider cohort that contributed to the 0.7 per cent cumulative incidence, which included dogs of just a few months of age but 9.7 per cent (or even 7.1 per cent) was an unexpectedly high value. This may be due to ambiguity regarding diagnosis; as mentioned previously, limber tail is a diagnosis of exclusion. Furthermore, given that there appears to be an environmental component to limber tail, this new estimate may also be an under-estimate in terms of susceptibility because many more dogs may never be exposed to triggering environmental risk factors.
While it is surprising that so many of the controls were actually cases that owners had not mentioned previously, routine reporting to Dogslife identified more potential cases than were presented to veterinarians. The study reveals a previously unsuspected burden of the condition. This fits with the phenomenon known as the 'symptom iceberg' described in people (Last and Adelaide 1963) whereby symptoms of illness presented to doctors are just a small proportion of all symptoms of illness suffered.
Owner perception of the pain caused and impact on the dog's quality of life was quantified with a relatively high mean of 6.3 out of 10 for pain levels. The subjectivity of both measures makes the results interesting because while only two owners reported a zero pain score, five owners, including two owners who gave pain scores greater than seven, gave zero for the impact on quality of life. The difference was not obviously explained by the reported number of episodes and duration of signs. There was a strong correlation between the two measures, but some owners perceived high pain levels to have no impact on the dog's quality of life. This finding is similar to previous work indicating that, when considering quality of life, owners do not consider just pain but also the dog's ability to perform its normal daily activities (Brown and others 2013).
Of all 53 incidents, only 11 prompted a veterinary visit and all 11 visits related to different dogs. The perception of some owners that the condition has minimal impact on quality of life may be one underlying reason for not seeking veterinary advice. It may also reflect owner familiarity with the condition. Once encountered, an owner would likely recognise future incidents and be aware that the signs will resolve without intervention. Nevertheless, by implication, investigations using data collected at veterinary practices would miss nearly three-quarters of dogs exhibiting signs consistent with the condition.
This study has shown that aspects of lifestyle are associated with limber tail incidence but no associations were found with dog height, weight, coat colour, household type, owner smoking status and reported exercise levels in this cohort. Initial comparisons of the pedigrees of the cases and controls indicate that there may be an underlying genetic risk factor, which should be investigated further to give a better overall picture of disease aetiology. Given the environmental risks, the data suggest that a gene–environment interaction is responsible for mediating the disease.
The study demonstrates that it is possible to collect condition-specific information from Dogslife contributors via a specific questionnaire. The data were not collected contemporaneously so they may be subject to recall bias but the extra information collated was invaluable for better characterising the condition and the risks for its development. It enabled tail-related signs associated with limber tail to be described.
The authors highlight the need for further such investigations. It is hoped that future work by the Dogslife project team will enable the identification of genes associated with limber tail. Such an investigation would be complicated by environmental risk factors because it will be difficult to determine whether dogs that had no report of limber tail were truly not susceptible to the condition or had simply not been exposed to factors which might lead to the development of signs. Nevertheless, it appears that the extent of limber tail has been underestimated and if a genetic predisposition could be identified, breeding stock could be selected to reduce the prevalence of the condition, particularly in working dogs.
The Dogslife project team is grateful to the thousands of Dogslife members who contributed data about their dogs and specifically the members who completed the tail health questionnaires. The project was set up with funding from the Kennel Club Charitable Trust and has ongoing financial support for the Roslin Foundation. The Roslin Institute is supported by an Institute Strategic Programme Grant from the BBSRC (BB/J004235/1) and the first author was funded by a BBSRC Doctoral Training Grant PhD scholarship.
Supplementary data
Provenance: Not commissioned; externally peer reviewed
▸ Additional material is available. To view please visit the journal online (http://dx.doi.org/10.1136/vr.103729).
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Postfeast of Pentecost — 3rd Day of the Trinity
Many of the hymns of Pentecost are repeated in the postfestal services of this week, and references to the Holy Spirit, and to fire, abound. In particular, we are reminded of the Unburnt Bush (Exodus 3:2), the zealous Prophet Elias who ascended to Heaven in a chariot of fire, the three youths in the fiery furnace, and the Lord descending on Mt. Sinai in fire (Exodus 19:18).
As we commemorate the Holy Spirit this week, we look forward to the Sunday of All Saints, those righteous men and women of all nations and in every age, who were perfected and sanctified by the same Holy Spirit.


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Nissan Motorsport Limited AKA NISMO was founded in 1984, but it has taken 29 years for them to release a fully blown, fully developed and supported road car into the UK market.
The Juke NISMO.
Powered by the 1.6 DiG-T engine it's tuned to produce 200 HP and 250 Nm of torque.
0-60 is 7.8 seconds, not bad for such a stocky upright vehicle.
All that performance will cost you £20,395.
Ours was finished in metallic Storm White paint at an extra £700, bringing the total to £21,095.
Nissan took a brave move with the Juke, it will always be a 'marmite' car. Some love it, some hate it.
With the amount I see on the road it looks as though that brave design move has paid off!
The NISMO variant adds new bumpers front and rear, side skirts and a rather mean looking spoiler.
Up front you find yet more lights in the form of daytime LED's, beneath them sits a low front splitter in gunmetal grey.
A red pinstripe runs right around the car, separating the lower sills from the bodywork.
Wheel arch extensions are found along the sides, whilst at the back a deep rear diffuser houses a singular large exhaust tip.
I much prefer the look of the NISMO than the standard Juke, it just looks more finished off and completed.
The dark 18 inch alloys fill the arches much better too, the only thing I would change is to add an extra exhaust tip…it currently looks a little lopsided for such a powerful beast.
Onto the drive…this thing handles incredibly for such a big car! Plant that right foot to the floor and you are pulled onward with so much torque, it has some real grunt about it.
So much so that it sometimes struggles to get all that power down through just the front wheels.
Nail the throttle on the exit of a corner and you can find the inside tyre scrabbling, the revs climbing and then ESP cutting in to calm it all down.
Granted this only happens in first and second whilst in Sport mode…but maybe a diff would have helped up front?
Through the twisties the Juke is very well controlled considering its height and mass.
The stiff suspension helps this a lot, and makes it really feel like a hatchback rather than a crossover.
Push it to the limits and the weight will catch up with you, but when driving at speed through B roads it stays well settled.
Now the springs are fairly stiff, you will feel bumps and potholes, along more cratered roads this can become tiresome.
But it's the price you pay for having such agile handling.
Steering is direct, instantaneous and nicely weighted; changes in direction feel well connected.
And the brakes, well…they are just superb!
You can leave it stupidly late before letting the anchors fly into a corner, they have excellent bite to them slowing you quickly without the ABS cutting in at all.
They give great confidence, corner after corner they still felt sharp and responsive.
We left the NISMO Juke in Sport mode the whole time, consequently over 180 miles of brisk town driving we only managed 24.5 MPG.
Nissan claim Urban MPG at 31, on a good run it should achieve that; expect middling 30's.
But around town, and driving it like it should be driven don't be surprised with low 20's!
The exhaust tone is rather underwhelming to say the least, you cant hear it at all from the cabin…the only thing you can hear when putting your foot down is the rather thrashy sounding engine.
Inside the Juke you find a very smart set of NISMO sports seats finished in suede with red stitching, these are ultra-comfy.
They are simply bliss on long journeys!
A little more lateral support would be nice as they were still a tad too wide, and not as hugging as id have liked in a car of this ilk.
A black headlining makes for a cosy interior, there are a few NISMO splashes here and there – like the half Alcantara clad wheel – but apart from that it's standard Juke inside.
The top half of the dash is made from hard scratchy plastic, I was expecting something a bit more premium but it looks better than it feels, and is easy on the eye.
In the middle you find smarter gloss black plastic surrounding the centre console.
To keep clutter to a minimum Nissan have doubled up each button, press 'Climate' and you get a temperature display on the LCD screen, and all the surrounding buttons change to air vents and the like.
Press D-Mode and the buttons change to Normal, Eco, and Sport as well as vehicle setup buttons. It's a very neat touch and works well.
Rear seat leg room is a little on the tight side, ok for kids but 4 average sized adults would struggle on longer journeys.
Head room is reasonable but would again be a little tight for anyone nearing 6 foot.
Boot space is slightly pokey at 251 litres (less than a Peugeot 208 GTi), but there is a lower section that could be taken out as there isn't a spare if extra room is needed.
Nissan's NISMO Juke shows that crossovers don't all have to be boring family luggers.
200 HP makes the Juke a pocket rocket, and NISMO's tweaks to the handling setup mean it's a pretty darn good drivers car for a B road blast.
Priced £20,395 it puts it squarely in the realms of other hot hatches, want more practicality for the school run and a higher driving position? You know what one choose!
Carwitter Summary:
Nissan Juke NISMO – Awesome brakes, astonishing handling, great looks, needs a front diff!


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'Custerology' Is Free eBook Today
Custerology: The Enduring Legacy of the Indian Wars & George Armstrong Custer by Michael A. Elliot is today's Free eBook of the Day.
The book is for history buffs. It delves into Custer's battle at Little Bighorn. Check it out: "On a hot summer day in 1876, George Armstrong Custer led the Seventh Cavalry to the most famous defeat in U.S. military history. Outnumbered and exhausted, the Seventh Cavalry lost more than half of its 400 men, and every soldier under Custer's direct command was killed."
The University of Chicago has the free download for the month of December.
For more free eBooks, check out our Free eBook of the Day archive.


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Give and Go: Kobe Bryant retires, Kristaps Porzingis shines and more
In the latest episode of Give and Go, SI.com's Chris Mannix and The Washington Post's Tim Bontemps talk about the biggest NBA storylines, including ...
JENKINS: Kobe takes cue from Father Time | Power Rankings: OKC surges
• Kobe calls it a career. The Lakers legend announced his intention to retire at the end of the 2015–16 season. What comes next for Bryant and the Lakers?
• The new king of New York.Knicks rookie Kristaps Porzingis has come a long way since being booed on draft night, and is impressing on a nightly basis. What's his ceiling?
• The surging Indiana Pacers. Little was expected from the Pacers, but a rejuvenated Paul George has paired with his teammates to become an early surprise. Is Indiana for real?


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Happy Block: Free + Fun New GameMay 1, 2013 1 Comment
Here is a fun new game for your Windows Phone device.
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- Black block is an Obstacle.Make it become a big block and then clear it.
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App Info:
Happy Block comes to your phone now!
Try this game and you won't be sorry!


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Register your interest for our retreats in Sardinia, Italy
We have an amazing range of retreats on offer, and you can register your interest in next season's retreats here to get your name at the top of the waiting list! Just complete the form below and we'll contact you when we have more information for you.
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Ogliastra, Sardinia
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When using the older version I am able to get a directory listing. But when I am using the new version I am not able to get the directory listing. I changed the time out value but no luck with that either. I am connecting to the same server with the same parameters. Here is the error message for the new 9.3.1 version.
ChilkatLog: NumFilesAndDirs: DllDate: Jun 4 2012 UnlockPrefix: * Username: Architecture: Little Endian; 32-bit Language: .NET 2.0 FTP directory cache not fresh. Fetching dir listing... checkDirCache_listPattern: supportsMLSD: 0 MLSD is only used for full directory listings. Using LIST instead... ListDir: Passive transfer mode EPSV_reply: 229 ENTERING EXTENDED PASSIVE MODE (|||*|) hostAddr: DataConnect: hostname: * port: ConnectTimeoutMs_1: 60000 calling ConnectSocket2 IPV6 enabled connect with NO heartbeat. This is an IPV4 numeric address... AddrInfoList: AddrInfo: ai_flags: 4 ai_family: 2 ai_socktype: 1 ai_protocol: 0 ai_addrlen: 16 ai_canonname: (NULL) --AddrInfo --AddrInfoList Connect using IPV4. ipAddress1: *** timeout waiting for connect to complete numSec: 15 numMicroSec: 532000 Connect function failed.. SocketError: WSAEWOULDBLOCK The socket would block. For more information see this Chilkat Blog post: http://www.cknotes.com/?p=210 --DataConnect Failed to setup passive data socket for LIST. --ListDir --checkDirCache_listPattern N: -1 Failed. --NumFilesAndDirs --ChilkatLog
Whenever a data connection fails because of a timeout, it's because of a firewall blocking the connection. It could be a firewall on the client-side and/or server-side. The typical solution is: If using passive mode, then switch to active (non-passive) mode by setting the ftp.Passive property = false. If using active mode, then switch to passive mode. To understand passive/active modes for FTP, see this: FTP Passive and Active Modes Explained.
The default mode for Chilkat FTP2 was changed from active to passive in v9.3.1. The reason is that it's more common for passive to be the non-blocked FTP mode vs. active.
If setting the Passive property to the opposite value does not solve the problem, see this Chilkat blog post about additional settings: Determining FTP2 Connection Settings


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Stretching 118 miles on a narrow swath of land, Long Island offers a diverse setting for travelers to explore, from white sand beaches along the Atlantic Ocean, to affluent towns in the Hamptons, to brick streets in Brooklyn dotted with hipster bars. While the island is home to numerous luxury hotels and cozy B&Bs, it also caters to tourists who prefer to travel on four wheels, with its array of RV campgrounds. If you plan to park your RV for an extended period, you'll find a handful of campgrounds with long-term rates tucked away in the island's northeastern region.
Beach Adjacent
Nestled in the little town of Greenport, the Hamptons Campground offers basic facilities and is open to the public from May through October. Household pets are permitted but if they become a nuisance, such as instances of barking or biting, you may be asked to leave the premises. Each campsite is limited to four people with an extra charge for each additional person. Discounted monthly rates are available if you're camping with a trailer, as well as even cheaper seasonal rates. Make sure you arrive prior to 8 p.m., as check-ins are not allowed in the dark. It's a 15-minute walk to the Inlet Pond County Park, a 55-acre green space with hiking trails, a demonstration garden and a small beach.
Crafty Campgrounds
Also based in Greenport, the Eastern Long Island Kampground is operational from May through early November. The campground offers scores of amenities, including a swimming pool, playground and game room, plus a store and laundry facilities. The venue also hosts craft activities and special theme days throughout the year, such as pirate, Mardi Gras and Mother's Day celebrations. Eastern Long Island Kampground is located across the street from Inlet Pond County Park and its beach, and is a short-drive from a host of attractions, including various wineries, golf courses and museums. Discounted 30-day rates are available, but the costs vary based on available hook-ups. Reservations can only be made by phone.
Family-Friendly and Fruit Farms
Located in the quaint hamlet of Cutchogue, Cliff and Ed's Campground is open from April through October. The cozy campground offers just 24 sites, all of which have full hook-ups and cable and satellite services available for an added fee. Amenities include bathrooms and laundry facilities. The family-owned complex provides monthly rates at a discounted cost. Set in the heart of town, the campground places you within walking distance to a host of restaurants, coffeehouses and shops, as well as Wickham's Fruit Farm, where you can pick your own berries or purchase fresh produce. You'll also find numerous vineyards, wineries and golf courses in the surrounding region.
Leaf Group is a USA TODAY content partner providing general travel information. Its content is produced independently of USA TODAY.
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From Dog
Bleomycin is a glycopeptide antibiotic produced by the bacterium Streptomyces verticillus.
This drug inhibits incorporation of thymidine into DNA strands and has been effective as a chemotherapy adjunct in lymphoma and ameloblastoma.
Recommended dose is weekly injections at 10 - 20 U/m2[1].
- ↑ Kelly JM et al (2010) Acanthomatous ameloblastoma in dogs treated with intralesional bleomycin. Vet Comp Oncol 8(2):81-86


text: Efficient delivery of drugs to the eye can be challenging. It requires either high systemic doses or frequent topical doses. A team led by Peng Chen, Xiaomeng Wang, and Chenjie Xu of Nanyang Technological University reports a flexible eye patch with detachable microneedles that easily delivers drugs to the eye (Nat. Commun. 2018, DOI: 10.1038/s41467-018-06981-w). The microneedles have two reservoirs, an inner one made of hyaluronic acid, which dissolves quickly, allowing rapid release of one drug, and an outer one made of cross-linked methacrylated hyaluronic acid, which dissolves more slowly, enabling sustained release of a second drug. When the patch is applied to the eye, the microneedles penetrate the surface. They start dissolving almost immediately and detach from the substrate. In less than a minute, the substrate can be peeled away, leaving the microneedles implanted in the eye. The researchers used the patch to deliver drugs to mice to treat the formation of new blood vessels in response to trauma. They delivered diclofenac, a nonsteroidal anti-inflammatory drug, in the inner layer and an antibody drug targeting abnormal blood vessel formation in the outer layer. The drugs worked together to provide more effective treatment than either drug alone.


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Investing abroad is one of the most daunting ventures for one to undertake. With the added obstacles of different languages and currencies to deal with, it's no wonder that most people think twice before attempting such an endeavor.
Fortunately, there are many good-enough reasons for anyone to invest abroad. International stocks have an added opportunity; for instance, U.S. stocks represent approximately 30% of the total value of global markets. The majority of companies that make and sell electronics or consumer appliances are based outside of the United States, in countries such as South Korea and Brazil.
From a management perspective, investing in foreign markets is a way to diversify. For example, international and U.S. shares do not always move in sync. When one is up, the other might be down, and vice versa.
That does not mean, however, that foreign shares always move in opposite directions. Many countries rely heavily on America for imports and exports and can be susceptible to the U.S. market shifts. In today's economy, stocks often move in the same direction, especially when the U.S. is experiencing pressure on the bull market. Recent academic research shows that foreign shares, nevertheless, are sufficiently independent so that investing abroad can smoothen portfolio returns over a long-term period.
Mentioned below are seven ways to diversify your financial portfolio:
Diversify Mutual Funds
One of the most common means of investing in foreign markets it to purchase exchange-traded funds (ETFs) that hold a basket of international bonds and stocks. ETFs along with mutual funds provide investors with a highly diversified international component to their portfolio in just one simple transaction, while carrying foreign holdings across multiple countries and industries.
Investors have a choice to pick between many different types of ETFs or mutual funds, including:
- Country Funds: invest in specific countries like Spain or Russia
- International Funds: invest in many countries outside America
- Regional Funds: invest in specific regions like Middle East, Asia, or Europe
Long Distance Research
Compared to individual companies like Samsung or Italy-based UniCredito Italiano, it is easier to gauge how the broad market will fare in both South Korea and Italy though internet-based "long distance" research.
Many countries have a benchmark index such as DAX in Germany or the Nikkei 225 in Japan. Additionally, many international investors tend to use the MSCI set of global indices as guiding factors for foreign investing.
The Depository Receipts
American depository receipts – mostly known as ADRs – suit not only the investor gimmick but the non-U.S. company dynamic as well. ADRs offer investors a rather convenient way to hold international stocks while providing an opportunity to organizations outside America to establish a U.S. presence and raise capital in the country's stock markets. For example, the Alibaba Group Holding Limited (BABA) is currently raising capital via an IPO and trading in the U.S. as an ADR.
The ADRs – sponsored or unsponsored – have three different levels, depending on the requirements by the foreign companies' access to U.S. markets. Level 1 ADRs are only traded over the counter, while level 2 and 3 ADRs are both listed on an established stock exchange like AMEX or NASDAQ. Only level 3 can be used to raise capital.
Direct Investing
There are two main ways by which investors can directly invest in foreign stocks. The first involves opening a global account with a broker in their own country, providing the ability to buy foreign shares. Another alternative is to open an account with a local broker in the target country that offers services to international investors; for instance, the Boom's Trading Platform in Hong Kong or OCBC Securities in Singapore.
Based on interest and individual investing style, investors need to pick the right trading platform in addition to the facilities provided by the brokerage firm. However, the system is complicated, and it isn't advised going directly to casual investors.
Exchange Traded Funds
For investors, international exchange-traded funds are often a convenient way to access foreign markets. Choosing the right exchange-traded fund is easier for investors than building up a portfolio of stocks by themselves. Some ETFs offer more concentrated bets – on a particular country – than just being a source of global investment. There are many international ETFs within various categories like investment style, geographical region, and sectors.
Foreign Companies
In case you are comfortable with investing in individual foreign-based companies, you must understand how the markets for international stocks operate. Foreign stocks are usually traded on a home-country exchange and referred to as ordinary shares. The latter is denominated in the home-country currency. Many foreign stock companies list this stock in the U.S. security banks; also known as ADRs.
Index Style Funds
Even though some foreign issues are traded in the United States, most experts say that ordinary American investors should rely on mutual funds and exchange-traded funds.
Some experts suggest index-style funds, with allocations reflecting foreign market shares of global stock assets. Some of the index funds focus primarily on countries and specific regions, while others specialize in developed markets or emerging ones.
All in All
Investors should know about the product or market before investing. Moreover, knowledge about the economic and political conditions in the place of investment is essential to understand the factors that directly or indirectly impact investment returns. Investors must focus on the costs and objectives, balancing it with their risk tolerance.
You can search for discounts, online coupons, and promo codes on Couponobox.com to save money on your online shopping sprees.
Want more information about traveling abroad in Italy? Contact us below:
Wayne Terrysson is a marketing manager at CouponoBox, a daily deals and coupons providing website. He is a thought leader in the realm of content marketing and strategy and relishes inditing about technology, marketing, and perpetual industry trends. He's a techy geek and loves to explore latest happenings.
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#A01. AA Medallion Glow in Dark w Transition Pink Bling Crystals (Years 1-50)
Regular price $ 21.95
$ 0.00
Brand New! Swarovski Crystal Medallion with 21 gorgeous genuine Swarovski Crystals!
To see the GLOW effect, take the coin out of the pouch, put it up to a light bulb (it can touch the lightbulb) hold for 10 seconds and watch it GLOW!
This gorgeous tricolor enamel AA medallion features the time-honored Twelve Step program phrase "To Thine Own Self Be True," with the anniversary year and "Unity, Service, Recovery" on one side, and the Serenity prayer on the other. 38mm round, gold plated red coin.
Note: Comes with velvet pouch.
This medallion is copyright protected by Choices ©2009 and Patented. All rights Reserved.


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How a community shares declining resources may ultimately be more important to the group's well-being than resource abundance. Those are findings of a recent study conducted by an interdisciplinary team including Utah State University researcher Jacopo Baggio.
The findings are intriguing, but even more novel, he says, is the collaborative nature of the process that led to the discovery. With colleagues Alex Arenas and Manlio De Domenico of Spain's Rovira i Virgili University and Shauna BurnSilver of Arizona State University, Baggio, a social-ecological systems modeler, integrated "an amazing data set with very nuanced and advanced mathematical tools."
The team, with anthropologists James Magdanz and Gary Kofinas of the University of Alaska Fairbanks, published research findings in the Nov. 16, 2016, Early Edition of the Proceedings of the National Academy of Sciences. Their work was supported by the National Science Foundation, the U.S. Department of the Interior and the European Commission on Future and Emerging Technologies-Proactive project.
"Understanding human interactions with the environment is a challenge, but mathematical tools that have emerged in the last decade are helping us decipher the complex, multi-layered web of relationships," says Baggio, assistant professor in USU's Department of Environment and Society and the USU Ecology Center, who was lead author on the paper.
The study focused on three indigenous Alaskan coastal communities, which rely on subsistence hunting and fishing, along with the cash economy. The researchers found households within the communities depend on complex networks of social relationships to share food, labor and equipment.
BurnSilver, Magdanz and Kofinas carefully studied the communities for more than three years and amassed critical data, but they needed to reach beyond their expertise to analyze it. Baggio and physicists De Domenico and Arenas designed and implemented a model that preserved the complexity of multiple relationships within the study's communities and allowed the researchers to examine the effect of social changes versus climatic and resource abundance changes on community connectivity.
"All parts of our study benefitted from this interdisciplinary collaboration," De Domenico says. "Our daily discussions often switched from applied mathematics to the real impact of climate change on humankind."
The innovative approach opens the door to new knowledge about the impacts of climatic and environmental change on communities, he says. "Our model and our methodology have been able to face some theoretical challenges in the study of how social and ecological systems interact with and affect each other. Our work has the potential to foster more quantitative analyses in the future."
Baggio says the project demonstrates how an interdisciplinary approach allows researchers to "push the boundaries of science."
"We can document, for example, loss of land or key animal species," he says. "But this level of interdisciplinary integration sheds light on complex interdependencies between people and their rapidly changing environment."
Related Links
USU Department of Environment and Society
USU Ecology Center
USU Quinney College of Natural Resources
Contact: Jacopo Baggio, 435-797-5747, firstname.lastname@example.com
Writer: Mary-Ann Muffoletto, 435-797-3517, firstname.lastname@example.com


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THE CANADIAN PRESS -- MANAMA, Bahrain - Bahrain's Shiite clerics on Tuesday criticized the Gulf kingdom's police for attacking religious processions just days after emergency rule was lifted.
Five clerics said in a statement that the force police committed "a flagrant violation of freedom of religious practice" against Shiite pilgrims on Sunday, when they attacked a procession commemorating the death of a revered saint, when Shiites were marching around the tiny island and thumping their chests in mourning.
Bahrain's majority Shiites were complaining of discrimination by the nation's Sunni rulers long before they started a wave of protests earlier this year, demanding greater political freedoms, more rights and an elected government in Bahrain, the home of the U.S. Navy's 5th Fleet.
Bahrain imposed martial law in March to quell the revolt that was inspired by uprisings against autocratic rulers around the Middle East. Hundreds of opposition supporters, political figures and Shiite professionals like doctors and lawyers were arrested during the emergency rule that expired last week.
"The targeting of processions ... forces us to express our strong rejection and to assert that there is no justification whatsoever for the practice," the clerics' statement said.
The head of Bahrain's Public Security, Brig. Gen. Tariq bin Mubarak bin Dayna, defended the action, saying the police advanced on several processions because some pilgrims broke the law by chanting political slogans during the commemoration of Imam Hadi's death.
"Action against these groups were undertaken utilizing legal procedures," bin Dayna told the state-run Bahrain News Agency. Several people were detained during Sunday's unrest, he said.
Emergency rule was lifted on Wednesday, and on Friday protesters again marched on the Pearl Square in the capital, Manama. They were met with tear gas and rubber bullets from Bahraini police as they tried to regain control of the original centre of the anti-government protests.
At least 31 people have been killed since the protests began in mid-February.


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SoCal Women's Cancer Conference
Riverside Convention Center
3637 5th Street, Riverside, CA 92501
The Pink Ribbon Place was established in 2006 and adopted by Riverside Community Health Foundation in 2013. Since its inception, the program has served families impacted by cancers throughout the Inland Empire by offering services and resources at no-cost.
Learn how others have found help and support while going through this difficult time and how the Pink Ribbon Place was there to help them.
The Pink Ribbon offers a variety of resources, such as: counseling, support groups, wigs and much more!
From nutrition classes to a 5k Walk (Pink on Parade), The Pink Ribbon Place has something for the entire family!
Riverside Convention Center
3637 5th Street, Riverside, CA 92501


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|Top Online Data Backup Rankings
Top 25 Features of New Cloud Disaster Recovery Services
Servosity releases two new cloud based disaster recovery solutions. These online backup services meet or exceed each of the 25 key indicators of tier one disaster recovery services.
Greenville, South Carolina, November 17, 2011 –/BackupReview.info/– Servosity, provider of Backup and Disaster Recovery for MSPs (Managed Service Providers) and IT Resellers, announced today DR Server and DR Desktop. DR Server and DR Desktop are Disaster Recovery solutions that allow you to perform a Bare Metal Recovery to dis-similar physical hardware or recover VMware or Microsoft Hyper-V virtual machines.
DR Desktop is designed for computers running desktop operating systems and DR Server is designed for server operating systems. Both provide the ability to backup physical and virtual machines and recover to any physical or virtual machine. Prior to the release of DR Desktop and DR Server, Disaster Recovery was too costly and/or too complex for MSPs and IT Resellers serving small and midsize businesses. Now they have a simple and cost-effective solution that not only works on Physical Machines, but works with VMware, Microsoft Hyper-V, and more. With no hardware required, and pay as you go pricing, the cost and capital barrier to entry is removed for small and midsize businesses.
Take the test; does your current disaster recovery provider measure up?
Disaster Recovery Service Checklist for Managed Service Providers:
2. Can you recover to anything? Dissimilar hardware, recover virtual to physical, vice versa?
3. Backup to Local Device, Network, and Cloud?
4. RPO (Recovery Point Objective) for Images of 15 minutes (local and in the Cloud)
5. RPO for data of less than 1 minute
6. RTO (Recovery Time Objective)less than 1 hour for entire server
7. Can you restore individual files instead of the entire server?
8. Can you restore Exchange mail items in addition to Exchange?
9. Cross platform – Windows, Mac, Linux
10. Physical or Virtual — Physical, VMware, Hyper-V, Xen, Virtual Box
11. Do you have a product designed for desktops/laptops?
12. Can it be setup, download, installed, and configured in 5 minutes or less?
13. Do you have a web-services API to integrate with anything we desire?
14. Can we do bulk/push installs?
15. Can we manage everything online, or do we have to remote-in to change backup schedules?
16. Does the software auto-update or do we have to install upgrades?
17. Are ALL your Data Centers SAS-70 Type-II Audited?
18. Do you store ALL my data in 2 or more data centers located at least 100 miles apart?
19. Do you offer 24×7 Support? Does that cost extra?
20. Where is your support team located?
21. Do you sell Directly to Businesses?
22. Priced for Small and Midsize Business (S in SMB), under $20/month for starters?
23. Do I have to buy software or storage in blocks or is it pay as you go?
24. What are you monthly/annual minimums as a partner?
25. Is there any hardware required?
Managed Service Providers and IT Resellers interested in Servosity's Backup and Disaster Recovery services can visit http://www.servosity.com or call 1-800-429-0500.
# # #
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Weddings & Honeymoons
Destination Weddings
Here comes the bride!
If you dream of having a destination wedding Voyageur Travel can help you make that dream come true!
Whether on the beach or in Europe we have on location contacts we can work with to make sure your day goes off without a hitch. We have the ability and expertise to handle your bridal couple wants and needs as well as the needs of your guests. Worry less knowing you have a Destination Wedding Specialists on your side.
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We specialize in Honeymoons and can offer you customized itineraries as well as offers and amenities to ensure you have the most memorable trip. We handle every detail so you don't have to!
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within 30 days
Our latest range of products include Magnetic Whiteboards, Chalkboards, Pinboards, Cork Boards, Acrylic Frames, Snap Frames and an extensive assortment of Magnets. Because we source our products direct from manufacturers around the world our prices are unbeatable, and our product offer is constantly updated so please come and visit again soon.
SKIN SILVER magnetic whiteboard panels have all of the functionality of a regular SKIN whiteboard, but with a beautifully powder coated and lacquered silver surface which provides such an astonishing dry-erase performance, we're able to offer a ten year guarantee on the boards surface. With flat edges and no frame, multiple panels can be placed above, below or next to each other.
Our best selling whiteboard is now available in three vibrant colours and with all of the dry-wipe practicality and five year guarantee of our standard SKIN Whiteboard. Our SKIN magnetic whiteboard system is a multi-functional and modular whiteboard. With flat edges and no frame, multiple panels can be placed above, below or next to each other.
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