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971 Butternut Dr., Holland, MI 49424, (616) 399-3600
Call: (616) 399-3600
It is our goal to keep your mouth healthy, your teeth fully functional, and your smile bright — and we are proud of all the services we offer to do exactly that. At the same time, we want you to understand all that modern dentistry in general has to offer you. To that end, we have assembled a first-rate dental library in which you can find a wealth of information on various dental topics, including:
From a thorough professional cleaning to a full smile makeover, there is an amazing array of services that cosmetic and general dentists offer to make sure your teeth stay healthy, function well and look great. If your smile is not all you want it to be, this is the place to start. Read more about Cosmetic & General Dentistry.
When you have a dental emergency — whether it's caused by a sudden accident or chronic disease — your teeth and/or the tissues of the mouth that surround them need to receive proper care right away. It's also important to be aware, before you're actually in the situation, of what you can do to ensure the best outcome. Read more about Emergency Dental Care.
This is the branch of dentistry that focuses on the inside of the tooth — specifically the root canals and sensitive, inner pulp (nerve) tissue. When this tissue becomes inflamed or infected, a root canal procedure may become necessary. But contrary to the popular myth, a root canal doesn't cause pain, it relives it. Read more about Endodontics.
If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions just like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that naturally deteriorates when even one tooth is lost. Read more about Implant Dentistry.
Oral health is an essential component of general health and well-being. Good oral health means a mouth that's free of disease; a bite that functions well enough for you to eat without pain and get ample nutrition; and a smile that lets you express your happiest emotions with confidence. Read more about Oral Health.
A major goal of modern dentistry is to help you keep your teeth and gums healthy for a lifetime. By following a conscientious program of oral hygiene at home, and coming to the dental office for routine cleanings and exams, you have the best chance of making this goal a reality. Read more about Oral Hygiene.
The word "surgery" often brings to mind a stay in the hospital, general anesthesia, and perhaps a lengthy recovery period. However, the experience of having oral surgery is usually very different from that. Some common oral surgery procedures include: tooth extractions, dental implant placement, and biopsies of suspicious oral lesions. Read more about Oral Surgery.
Adults and kids alike can benefit from the boost in self-confidence that comes from having a great-looking smile with beautifully aligned teeth. Orthodontic treatment can even improve chewing, speaking and oral hygiene in certain cases. And with today's virtually invisible orthodontic appliances, it's possible to keep your treatment a private matter… until your new smile is unveiled, of course! Read more about Orthodontics.
It's never too early to get your child started on the path toward a lifetime of good oral health, and there are many services to do exactly that. Monitoring your child's dental growth and development, and preventing and intercepting dental diseases along the way, is the primary focus of pediatric dentistry. Read more about Pediatric Dentistry.
If you want to keep your teeth for life — a completely reasonable goal in this day and age — you need to make sure the tissues that surround them are also healthy. Should gum problems arise, you may need periodontal therapy to restore diseased tissues to health. Read more about Periodontal Therapy.
In the field of dentistry, new technology is constantly changing the way diseases are diagnosed, routine procedures are performed, and illnesses are prevented. Although they may seem unfamiliar at first, new and improved dental technologies offer plenty of real benefits for patients. Read more about Technology.
In most people, the third set of molars, generally called "wisdom teeth," start coming in around age 17-25. However, the arrival of these teeth is often far from trouble-free. The extraction (removal) of one or more third molars is a relatively common procedure, performed on some 5 million patients every year. After a thorough examination and diagnostic tests such as x-rays or a CT scan, you may be told that you should have your wisdom teeth extracted. Here are some typical reasons why:
Whether it is aimed at preventing future problems or needed to alleviate a condition you already have, the extraction of wisdom teeth can be an effective treatment. But, as with all medical procedures, its benefits must be weighed against the small risk of complications, and should be discussed in detail.
Wisdom tooth extraction is usually an in-office procedure which may be performed by a dentist or an oral surgeon. It's quite possible to have the treatment done with only a local anesthetic (numbing shot) to keep you from experiencing any pain; however, if multiple teeth are being extracted at one time (as is often the case), a general anesthetic or conscious sedation may be administered. The type of anesthesia that's best for you will be determined before the procedure.
Once you have been appropriately anesthetized, the gum tissue at the extraction site may need to be opened if the tooth is impacted. The tooth itself will then be gently removed. When the extraction is complete, you may need to have the site sutured (stitched) to aid healing. After the procedure is over, you will rest for a short time before going home. Depending on what type of anesthesia you have had, you may need another person to drive.
The recovery period after wisdom tooth extraction generally lasts only a few days. During this time, you should rest when possible to encourage healing, and take any pain medication as prescribed. It's normal to experience some bleeding at the extraction site; this can be controlled by gently biting on gauze pads, changing them as needed, and resting with the head elevated on pillows rather than flat.
Holding an ice pack on the outside of your cheek for a few minutes at a time (for example, 5 minutes on / 5 minutes off) may help reduce swelling on the first day after the procedure. Starting on day 2, the warm moist heat of a washcloth placed on the cheek may make you more comfortable. Rinsing the mouth with warm salt water a few times a day can also help relieve discomfort.
You may want to eat soft foods for a few days after the extraction; likewise, be careful when brushing or putting anything in your mouth until your healing is complete. Be sure to follow the postoperative instructions you are given, as each situation is a little different; this will help you to be as comfortable as possible.
Wisdom Teeth – To Be Or Not To Be Wisdom teeth, which typically make their appearance between the ages of 17 and 25, can cause significant problems when there is not enough room for them to grow in properly. As a person ages, the effects of retained and impacted wisdom teeth can be more consequential. This article reviews the issues associated with wisdom teeth and whether or not they should be removed... Read Article


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I'd like to start my tenure here at Hack Library School with a dose of brutal honesty: I'm not a huge fan of people.
Ok, to be fair, it's not that I don't LIKE people. It's just that, as an introvert, I find them exhausting, and the prospect of seemingly endless conversations with strangers gives me serious anxiety.
As a grad student who would, one day, like to find a full-time, paying job, I realize the importance of networking. I know that going to conferences and seeking out new connections in the library field is an excellent way to learn new things and perhaps even procure gainful employment. I also know that I rarely have the desire to walk up to strangers, awkwardly introduce myself, and attempt to make library-related small talk. So what's a library student to do?
Enter Twitter (or Tumblr, or Facebook, or the social media of your choosing). I know it seems like a cliché to extoll the virtues of the internet for quiet people, but social media is becoming an increasingly valuable tool for networking and professional development. It allows you to make connections and share your own knowledge, all while avoiding the dreaded small talk.
This past weekend, for example, I had the opportunity to attend the annual conference of the New York Library Association (NYLA). The conference was a great opportunity to connect with and learn from all types of librarians in New York state, and to do some networking.
Because I'm not so great at the small talk, I decided to focus my efforts at the conference on my online presence. I tweeted throughout the sessions I attended, followed the conference hashtag to find out what was going on in other sessions (#nyla12 if you're interested in catching up on the conversation), and made sure to reply to and re-tweet information I found valuable.
My presence on Twitter throughout the conference allowed me to connect with librarians despite my discomfort with networking. I found new people to follow, gained new followers, and saw, through re-tweets, tweets marked as favorites, and responses, that people appreciated the information I was generating. It may not be a traditional form of networking, but Twitter enabled me to have a more fulfilling conference experience.
I'm not saying that we should cease all human interaction and communicate solely through social networks. I had my share of "normal" conversations at the conference as well. I am saying, though, that social media provides an extra layer of communication that can actually enhance our networking and professional development experiences.
Twitter isn't the only way to enrich your library school experience. I use Tumblr to see what's happening in some of my favorite libraries. I read a number of blogs written by fellow library school students as well as working librarians. I also love Pinterest for a visual representation of cool library ideas. I think the wide variety of social media tools can really help us be better librarians (particularly those of us who are introverts).
So, what's your social media poison? How do you deal with being an introvert in a field that requires so much communication and connection? Let us know in the comments, or find Alison on Twitter @AlisonJane0306.
P.S. Want to know more? Read more about Twitter in library school here, learn more about networking at conferences here, and find out about curating information in the age of social media here.
Categories: Honesty, Social Media

subset: commoncrawl


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[email protected]'s Club – PJ/Hooded Robe Set LotJanuary 10, 2021
[email protected]'s Club – Kids Mixed LotJanuary 20, 2021
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[email protected]'s Club – Men's Mixed Lot
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Sometimes when I research a family line, I am struck by just how often families stayed in the same county for generations, without straying far. Of course, the generations of the 21st century, with the ease of travel and with the Internet making the world so much smaller, do not seem to follow the same patterns.
I wonder sometimes what advice will be given to beginning genealogists in the 22nd century. How will the genealogists of the future find us?
My life, to use an example, might be unnecessarily difficult for my descendants to research, by today's standards.
1. I was born in Washington, D. C., in 1976, as were both of my parents. I never actually lived in Washington.
2. In the 1980 census, I would probably show up in College Park, Prince George's County, Maryland. This census, under the current laws, will be available to researchers in 2052.
3. In the 1990 census, I would show up in Laurel, Prince George's County, Maryland. This census will be opened in 2062.
4. I may not show up at all in the 2000 census. I don't remember filling out the form, and I moved in with family members around this time. At the time of the census, I was living in College Park. Guess I will know for sure in 2072.
5. I was married in 2005, in Howard County, Maryland. I never lived there either.
6. My daughter was born in Montgomery County, Maryland. Never lived there either.
7. In 2010, I lived in Laurel, Prince George's County, at the time of the census, but moved to Harrington, Kent County, Delaware, in August of that year. Presumably, I will still be living in Delaware in 2020.
My parents won't be much easier. As mentioned above, both were born in Washington, D. C., but never actually lived in the city. Both lived in Prince George's County. My parents were legally separated (and later divorced) a year or two after the 1990 census.
In 2001, my mother moved to Euless, Tarrant County, Texas. In 2006, she moved to Littleton, Colorado, a Home Rule Municipality in Arapahoe, Douglas, and Jefferson counties. I am not sure which county her house falls in. But her entire life in Texas falls in between the 2000 and 2010 censuses. She had no family in Texas–she just fell in love with the area while on a 6-month work rotation there in 1999.
I know all of this history, but a researcher 100 or 200 years from now, will not have the knowledge that I do. Hopefully, the census databases that they use in the future will be much better indexed than the ones we use now.
The thought of this emphasizes the importance that genealogists write about their own personal histories, and record the lives of their living family as diligently as those who have already passed.
If you would like to cite this post: Michael Hait, "I feel sorry for my descendants…," Planting the Seeds: Genealogy as a Profession blog, posted 27 Jun 2011 (https://michaelhait.wordpress.com : accessed [access date]).


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Today's News: Our Take - X Factor Winner Tate Stevens: I'm Happy to Be a Late Bloomer
When Tate Stevens' wife told him that she had signed him up to audition for The X Factor in Kansas City last year without his knowledge, he was less than enthusiastic about the idea, even telling her flat-out that he wasn't going to go.
"We'd watched the first season," Stevens tells TVGuide.com. "We watched American Idol, The Voice. We watched all those shows. And you see, 15, 20,000 people standing outside in lines. I'm like, 'There's no way I'm going to stand in those lines. No. Not gonna happen.'"
But his wife wouldn't take no for an answer. "She said, 'I'll go stand in line with you if you go,'" Stevens recalled. "So we went."
Get the scoop on 39 must-watch finales
As much as Stevens may hate to admit it now, his wife made the right call. Less than a year after that first audition, Stevens is in the middle of promoting his self-titled major-label debut, which was released last week as part of his prize package for winning The X Factor last December.
It's a resurgence of sorts for Stevens, who pursued a career in music several years ago as a member of several bands before giving it up in order to spend more time with his wife and kids. This time around, of course, it's on a much larger scale.
"Then, we were playing music and making a living at it, but we weren't going anywhere," he explains. "You do this show, you do that show. But ... I wasn't selling records. I didn't have songs on the radio, things like that. So, for lack of a better term, it's for real this time."
TV Scorecard: What's renewed? What's canceled?
Though it's been a long time coming, Stevens said he's grateful that things are starting to happen for him now that he's spent several years paying his dues.
"I don't know if I would have been able to handle much success when I was in my 20s," the 38-year-old tells TVGuide.com. "You guys might have been writing about me running down the street naked, doing crazy stuff. Who knows? But we're here and we're going to make the best of it."
Stevens said he started writing immediately after he arrived in Nashville after his X Factor run, pairing up with some of the top songwriters in the city and regularly attending two or three writing sessions per day. In the end, three of the songs he penned made it onto the 11-song album, which was released last week.
Could Jennifer Love Hewitt join The X Factor?
The whole journey's been a whirlwind, Stevens says, and one that he never expected to happen in the first place, even as his wife dragged him to that audition nearly a year ago.
"I was really waiting for the bottom to drop out," Stevens says of his mindset throughout his X Factor run - even though he found himself in first or second place nearly every week heading into the finale. "'Oh hey, look at the country guy. Oh, there he went. See you later.' That's kind of what I was thinking through the thing. ... It's a crazy, crazy thing. It's really stressful, emotionally and mentally stressful, to be in that situation."
Save these shows! 25 bubble shows we hope will survive
Of course all the stress was alleviated when host Mario Lopez announced that Stevens had beaten 13-year-old Carly Rose Sonenclar to win the competition.
"I couldn't really hear very well," Stevens recalled of his moment of victory. "He said my name, I looked at [mentor L.A. Reid], and then L.A. just looked at me and smiled. And I was like, oh my God, we did it. ... Do I roll around and scream? I didn't really know what to do. It was very emotional."
The main difference in his life now, according to Stevens? "I'm doing what I love doing," he says simply. "I have a little freedom now, financially. But really just doing what I love is the main difference. I'm the same guy as I was before I was on the show, and I'll continue to be that guy. I'm a dad and a husband and an artist, and that's what I am."
Check out Stevens' single "Power of a Love Song" below:
View original X Factor Winner Tate Stevens: I'm Happy to Be a Late Bloomer at TVGuide.com
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Online Dental Education Library
Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.
Fixed bridges and implants are often used to replace missing teeth and to correct some kinds of bite problems.
Crowns and bridges are the most effective procedure for replacing missing teeth or bite problems.


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Woman walking among wild grasses
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Surnames and Family Research Forum
Welcome to the Surnames and Family Research Forum. This is the place for surnames queries, for asking all those questions about "getting started", planning a research strategy, evaluating findings, making a change of direction, requesting lookups and sharing information, knowledge and tips.
If this is your first time here, before you post a question, make sure you have read the detailed information in Guidelines for Beginners. You will gain a good research footing and can learn how to frame your questions. This Family Group Sheet may also help in getting started.
If you are asking for help finding ancestors or living relatives please put the surname you are researching in your SUBJECT line when you post a message. Give us as much information as you know about the TIME PERIOD they were living in a SPECIFIC state, what COUNTY they lived in, and if possible the name of the CITY or TOWN. If you don't know how old they were give us a good "guesstimate". For example: GREEN, Henry, Chester County PA, born abt.1900. If you need help with a specific research area make that clear. Ask for "Help with Military Records" instead of just hollering HELP!!! You will get much better results that way. And we won't have to try to figure out how to help you, we will know.
We look forward to getting to know about you and your research, and hope you will become a regular member of the AfriGeneas family.
Please read the Terms of Use before you post.


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Sealing Attic Hatches
Research points to some surprising recommendations for attic hatch installation - thin is not in.
September 04, 2007
A version of this article appears in the September/October 2007 issue of Home Energy Magazine.
The International Energy Conservation Code (IECC) requires that all sources of air leakage through a building's thermal envelope in new construction be air sealed. This includes attic hatches. But unfortunately, most attic hatches in existing buildings do not have gasketed doors or caulked frames.
Attic hatches are commonly constructed simply by laying a piece of plywood on a frame formed by wood molding (see Figure 1). This plywood is frequently thin, to make it easy to open the hatch door by pushing it up and out of the way. In a survey of several attic hatches, we found plywood thicknesses ranging from 3/16 inch to 3/4 inch. All of these hatches leaked, as evidenced by the accumulation of dust deposited by leaking air.
In order to understand air leakage through attic hatches in existing buildings, and to come up with some solutions, Taitem Engineering (where Ian Shapiro is president and Timothy Lambert was an intern in 2007) performed leakage testing on a typical residential attic hatch. We tested a variety of gasketing configurations and attic hatch door thicknesses. Results show that air leakage depends heavily on the thickness—or in other words, on the weight—of the attic hatch door. In fact, we found that the weight of the attic hatch door has more of an impact on air leakage than gasketing.
Test Approach
The test rig that we used consisted of eight pieces (see Figure 2):
- The upper chamber was made of foam board insulation.
- The exhaust fan was a single-speed, stock-style model.
- The flow damper, which was fastened to the discharge of the exhaust fan, was made of plastic.
- The hatch frame was constructed of 2 x 4s, with a 24-inch square inside dimension.
- The hatch frame held the attic hatch door, with four pieces of 3/4-inch plywood secured around the lower rim to act as rests.
- The shroud was made of 3-mil low-density polyethylene, which was sealed and trimmed to fit the frame. The shroud was also sealed to the upper rubber edge of the balometer.
- The balometer is a device for measuring low flow air, using an orifice plate.
- A digital micromanometer was used to measure both the air flow (by measuring the pressure across the balometer orifice plate), and separately, to measure the pressure drop across the attic hatch door.
The molding and frame around the attic hatch was air sealed, to prevent leakage through the frame from effecting test results.
We tested three thicknesses of attic hatch door:
- a thin door, 3/16 inch thick;
- a medium door, 1/2 inch thick; and
- a thick door, 3/4 inch thick.
All three of these doors were made of plywood.
We conducted our tests on unsealed hatches and on sealed hatches. We conducted the tests on the unsealed hatches without gasketing, laying the hatch door loosely in the hatch frame. We conducted the tests on the sealed hatches by first sealing the hatch with 5/16-inch-thick gasketing. Tests were run at different air flows in each configuration, by dampering the air flow at the fan.
Best Sealing Strategies
We found that the thicker hatch doors consistently leaked less air than the thinner doors, both for configurations with gasketing and for those without it (see Figures 3 and 4). In fact, the 3/4-inch-thick hatch door without gasketing had less leakage than the 3/16-inch and 1/2-inch hatch doors with gasketing. Gasketing with a thin hatch door is relatively ineffective. But gasketing reduces air leakage significantly when it is used in combination with a thick attic hatch door—one that provides a good seal around the gasket. We found that the best performance (lowest air leakage) was provided by a thick attic hatch door used in combination with a gasket.
We measured some air leakage even with the best-performing (thickest) hatch door used in combination with the best gasket. To ensure airtightness, further steps are required. These might include
- installing a latch, to ensure compression of the gasket, and to avoid mispositioning the attic hatch door;
- caulking the molding that is used to support the attic hatch door; and
- using a prefabricated gasketed attic hatch door.
We made an interesting note when observing the test results for the 3/16-inch hatch without weatherstripping. The air flow increases with little increase in pressure. This may be because the hatch is being lifted off its frame by the air pressure of the test, especially at higher pressures. This observation points to another cause for concern for lighter hatch doors and hatch doors that are not secured with a latch. The hatches may lift off, especially in taller buildings where stack effect comes into play. This may give false readings of house air leakage during blower door tests.
Based on our study, we would make the following recommendations:
- Attic hatches should be gasketed.
- If loose (gravity-held) plywood hatch doors are used, they should be a minimum of 3/4 inches thick. If other hatch materials are used, they should be of equivalent weight and strength, to prevent bowing and to ensure that the gasketing is sufficiently compressed.
- The IECC might be revised to ensure an adequate seal—for example, by compression of gasketing—preferably by requiring that attic hatches be latched.
- The molding that is used to support attic hatch doors provides another path for air leakage and should be caulked.
We believe these recommendations would lead to energy savings, many fewer ice dams in cold climates, and more comfortable homes.
Ian Shapiro, PE, founded Taitem Engineering in 1989. Prior to that, he worked for seven years at Carrier Corporation in Syracuse, New York. Since he founded Taitem Engineering, he has worked on over 150 design projects, published several articles, and given workshops on energy and ventilation.
Timothy Lambert is a senior at the Lehman Alternative Community School, Ithaca, New York, and will be attending the University of Guelph, Ontario, to study physics. He interned at Taitem Engineering in 2007.
The authors thank Rod Lambert, for assistance in constructing the attic hatches; Jan Schwartzberg, for assistance in procuring test equipment; and Jason Christopher, for drawings. The Taitem Engineering C-NEW Energy Conservation Applied Research Initiative supported the work described in this article.
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BioTek's Application Starter kits contain everything you'll need to implement the latest assays for a particular application, quickly and with minimal training. Kits contain hardware, software, consumables and reagents all in a convenient kit.
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Bacterial endotoxins are lipopolysaccharides (LPS) generally found in the outer membrane of gram-negative bacteria, such as E.coli, and are widely present in our environment. Because of the pyrogenic nature of endotoxins, with human effects from fever to hemorrhagic stroke, FDA regulations require that raw materials (e.g. water) used in parenteral drugs be tested for endotoxin levels.
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At BioTek we feel passionately and genuinely that our employees are our greatest asset. We continue to build our already impressive team having doubled our global workforce in the last five years. With our headquarters in the beautiful Green Mountains of Vermont, USA, we also have regional offices around the world.
If you're interested in becoming part of our amazing team, check out our list of job openings today!
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Best Practices in Catheter Care
- Preventing Catheter-Related Infections
- Other Catheter-Related Emergencies
Helpful Hints for Preventing Catheter-Related Infections
Two of the treatments available for pulmonary hypertension, epoprostenol (Flolan and Veletri) and treprostinil (Remodulin), are delivered by continuous infusion into the body. Flolan and Veletri are administered via a special catheter that delivers medication directly into the vein (intravenously), and Remodulin is administered beneath the skin (subcutaneously) or intravenously. For intravenous administration, a soft hollow tube, or central venous catheter (CVC), is placed into a large vein leading to the heart which comes out through a small opening in the chest area. Three types of CVCs are available: Hickman, Groshong and Broviac.
Unfortunately, catheter site infections and blood infections (bacteremia) are some of the risks associated with having a CVC and continuous infusion therapy. Infections can cause serious illness, require hospitalization for antibiotic therapy for several weeks, and require replacement of the CVC. In addition, infections may worsen pulmonary hypertension and can be fatal. Patients, caregivers and health care providers must be constantly mindful of following appropriate procedures and practices and strive to prevent CVC infections and emergencies.
Hand Hygiene
One of the best ways to prevent CVC infections is through regular and thorough hand washing. Our hands come in contact with bacteria constantly throughout the day. So hands and nails must be washed thoroughly with antibacterial soap and dried with a new clean cloth or paper towel prior to CVC care, medication preparation or changing the infusion system. Wearing gloves can also be helpful but does not eliminate the necessity of excellent hand hygiene.
Catheter Hub
The catheter hub, or the end of the CVC, is a place where microorganisms can enter the catheter and cause infection in the blood. One method of protecting the end of the catheter is to consider a closed hub system, or a needleless end-cap on the end of the CVC. With the closed hub system, the catheter hub is only opened and exposed to the environment weekly when the endcap device is changed. In contrast, without a closed hub system, the CVC is opened to the environment with every tubing change. When using a closed hub system, it is very important to thoroughly cleanse the end-cap with alcohol and allow the alcohol to dry before connecting new tubing.
All infusion system connections may be exposed to water-borne organisms during showering. A recent increase in catheter related blood stream infections (CR-BSI) at The Children's Hospital in Denver prompted the consultation of a plastics engineer regarding the possible way in which the bacteria were entering the infusion system. It was discovered that when any connection to the catheter hub is exposed to water (e.g., showering), water is able to track along the threads of the connection. If the catheter hub is disconnected from a needleless device or tubing while the threads are wet, water migrates to the end of the catheter hub allowing bacteria from the water to enter the catheter. Therefore, it is strongly recommended that connections be protected from water at all times, and it is critical that the connections are never opened if wet. While many impermeable covers for the connections have been tried, most patients find Glad Press and Seal to be the easiest, cheapest and most effective.
Catheter Insertion Site
The catheter insertion site is also a potential entry point for microorganisms. There are many options for central line dressings and cleaning solutions for the skin. The goal is to keep the catheter site clean, dry and free of any skin reactions and infection at all times. ChloraPrep is the preferred antiseptic. However, Betadine and alcohol can also be used. The use of a semi-permeable dressing such as Tagaderm (changed every seven days) or sterile gauze (changed every two days) is also recommended. Many patients face unique challenges with skin sensitivities to cleaning solutions and dressings. Since skin reactions and rashes can lead to skin and CVC-site infections, it is critical that patients report any skin reactions immediately to their PH nurses.
Infusion Solution
The medication and mixed infusion solution must remain sterile within the reservoir or cassette. Thus, it is critical to precisely follow the mixing and administration protocol taught by your PH center. If an accidental contamination occurs during the mixing of the medication, the solution should be discarded. Maintaining the integrity of the vial of medication is also essential. If accessing the vial with a needle, it is important to insert the needle with the bevel (needle opening) up at a 45% degree angle to the top of the vial to avoid coring the rubber diaphragm. For needleless access using a vial adaptor, it is important to use a vial adaptor with a flat surface that can be thoroughly disinfected with alcohol prior to access. In addition, it is now recommended that all open vials be stored in a refrigerator.
Recognition of CVC Infections
Early recognition of catheter site infections or blood infections is crucial since early recognition and treatment can impact the severity of the infection and survival. Notify your PH physician or nurse immediately if you experience any of the following signs of infection:
- Drainage, warmth or odor around the catheter site.
- Redness or tenderness at the catheter site and/or extending under the skin along the CVC track.
- Fever of 100.5° F (38° C) or greater or chills.
- Unexplained malaise or flu-like symptoms. While CVC infections are generally rare, even one infection can have serious consequences.
Other Catheter-Related Emergencies
In addition to infections, patients on intravenous medication and their caregivers should also know what to do in the event of the following catheter-related emergencies.
If the Catheter Comes Out
If the catheter falls out or is pulled out, call 911 immediately. Flolan and Veletri each have a half-life of between two and six minutes. If you stop the medicine for more than a few minutes, it can be fatal. Remodulin has a half-life of between two and four hours. Although the half-life is longer, you must still treat this as an emergency. Tell 911 you have a life-threatening emergency and ask them to dispatch an ambulance immediately. While waiting for help to arrive, minimize physical activity and put oxygen on if you have it at home. Cover the area where the catheter came out (with your hand) and apply pressure if bleeding. When help arrives, advise emergency personnel of your condition and that they must start an IV in your arm to ensure that you continue to receive your life-sustaining medication. Learn more about what you need to know when working with emergency personnel
If the Catheter is Leaking or Cracked
If the catheter is leaking or cracked, call 911 immediately. Your medicine may be leaking out, and a doctor must repair or replace the catheter as soon as possible. Tell 911 you have a life-threatening emergency and ask them to dispatch an ambulance immediately. If blood is backing up the catheter or leaking out, use the clamp to close off the catheter to stop blood from backing up. Try to wrap the crack or hole tightly with tape, but if it is still leaking you must clamp off the line. When help arrives, advise emergency personnel of your condition and that they must start an IV in your arm to ensure that you continue to receive your life-sustaining medication. Learn more about what you need to know when working with emergency personnel
If the Catheter is Loose
If you notice a fuzzy raised area where your catheter comes out of the skin, call your PH doctor immediately. The catheter has a small "cuff" under the skin that is designed to hold the catheter in place. Over time, this cuff sits under the skin and forms a bond between the skin and muscle. Sometimes the catheter can come loose, and you will see this cuff start to appear outside the skin. The catheter cannot safely be "pushed" back in. A doctor must repair or replace it. If this happens to you, secure the catheter with dressing, using extra tape, and make several "safety loops" to prevent the catheter from accidentally pulling out. Call your PH doctor or clinic and ask how you should proceed.
PHA is grateful to Aimee Doran, MS, RN, CPNP, Pulmonary Hypertension Program, The Children's Hospital, Aurora, Colo., and Traci Stewart, RN, MSN, CHFN, Cardiomyopathy Treatment Program, University of Iowa, for their contributions and medical review.
To review Conflict of Interest Disclosures for PHA's medical leadership, visit: Disclosures
Last reviewed: February 2012


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SOUTH EL MONTE, Calif. (AP) — Authorities in Southern California say a boy and a girl had fingers torn off during a game of tug-of-war at their high school.
Los Angeles County Fire Capt. Miguel Garcia told the San Gabriel Valley Tribune (http://bit.ly/WpolN8 ) that doctors will try to reattach the fingers belonging to two South El Monte High School students.
School district official Edward Zuniga declined to identify the students, but the Tribune reports the girl is a senior on the soccer team and the boy is a football player.
Zuniga says the students were participating in a lunchtime activity celebrating homecoming Monday.
Authorities didn't say how many fingers were lost or provide details on how the game resulted in the injuries.


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Greetings from New York,
This is my first official post as a new contributing writer for Hack Library School and I'm psyched to share a bit of my experience from the past week (08/20/11 to 08/27/11) both as a new library school student at Pratt Institute School of Information and Library Science (SILS) and as a transplant to New York City.
Now that I've completed the first hurdle of moving from California to New York, things have gotten progressively interesting. I've tried to expect the unexpected, which is why I tried not to be so unsettled (even though I was) when I experienced the earthquake in Brooklyn on Tuesday. Being a Californian, I've witnessed earthquakes before but to witness one in New York was unanticipated. Then to be followed by a hurricane, which according to the Wall Street Journal hasn't occurred since 1893. Truly, New York has surprised me. Years from now when I look back and recount my first week of living in New York I will have much to say.
The best part of the week was attending my program's graduate student orientation on Wednesday. I received information about who to contact for internships, job opportunities, student organizations in the library and information field, financial aid, and the many campus resources that are available to students. Everything that Turner said in our collaborative post is correct. It is overwhelming; at the end of the orientation I had complete brain drain.
After the orientation I attended a happy hour meet up sponsored by Pratt SILS Student Association (SILSSA), which is the ALA student chapter of my school. Being in a more relaxed atmosphere I met both first and second year students. Where the commonly questions asked were: What made you come to library school? What concentration are you interested in? Where are you from? Being able to listen to different perspectives of students and what led them to pursue graduate school in LIS further fostered my decision to attend school.
Lastly, another notable event to happen this week was the resignation of Steve Jobs as CEO of Apple. I read this article from NPR that included his commencement speech at Stanford University and thought this was a perfect fit to library school newbies. What resonated for me was the point at 7:24 where he discusses being fired from the company he helped create to once again be a beginner. His departure from Apple led him to a path of creativity. Near the end of his speech he goes on to say "the only way to do great work is to love what you do." I believe those of us entering library school are once again "beginners" and what I'd like most is to do GREAT work because this is something that I love.
How about you? Is this your first year of library school? How is your first week going? I invite you to comment about your experience so far. If you are a returning school, let HLS know how your first week was. Tell us your stories.
Find out how I weathered the hurricane on my blog or tweet me @bibliotree.
Categories: Hellos & Goodbyes


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Pope, in final message, says he's a simple pilgrim
CASTEL GANDOLFO, Italy (AP) -- Benedict XVI greeted the faithful for the last time as pope on Thursday, telling tearful well-wishers that he is beginning the final stage of his life as "simply a pilgrim," hours before he becomes the first pontiff...
CASTEL GANDOLFO, Italy (AP) -- Benedict XVI greeted the faithful for the last time as pope on Thursday, telling tearful well-wishers that he is beginning the final stage of his life as "simply a pilgrim," hours before he becomes the first pontiff in 600 years to resign.
By NICOLE WINFIELD and FRANCES D'EMILIO
Associated Press
CASTEL GANDOLFO, Italy (AP) -- Benedict XVI greeted the faithful for the last time as pope on Thursday, telling tearful well-wishers that he is beginning the final stage of his life as "simply a pilgrim," hours before he becomes the first pontiff in 600 years to resign.
The pope's journey into retirement began with an emotion-drenched sendoff from the Vatican, with Swiss Guards in full regalia standing in attention and prelates kneeling to kiss the papal ring - Benedict's closest aide weeping by his side.
Bells tolled as the pope left the Vatican by helicopter and circled St. Peter's Square, where banners reading "Thank You" were held up skyward for him to see. The bells tolled anew as he arrived in Castel Gandolfo, whose central piazza was jammed with people eager to catch the last glimpse of Benedict as pope.
His arms raised, the aging Benedict appeared at the balcony of the palazzo where he will spend the first few months of his retirement. The crowds cheering wildly, he said he was happy to be "surrounded by the beauty of creation" on this unique day.
As of 8 p.m., he said to applause, he would no longer be pope.
"I am simply a pilgrim beginning the last leg of his pilgrimage on this Earth," Benedict said, as well-wishers wiped tears from their eyes.
Benedict, 85, reached out to the wider world electronically, sending a final tweet from his Twitter account, (at)Pontifex, shortly before his departure from the Vatican: "Thank you for your love and support. May you always experience the joy that comes from putting Christ at the centre of your lives."
The day began with Benedict's final audience with his cardinals, where he pledged his "unconditional reverence and obedience" to his successor, a poignant and powerful message to close out his eight-year pontificate.
In an unexpected address inside the Vatican's frescoed Clementine Hall, the pope appeared to be trying to defuse concerns about his future role and the possible conflicts arising from the peculiar situation of having both a reigning pope and a retired one.
Benedict also gave a final set of instructions to the "princes" of the church who will elect his successor, urging them to be united as they huddle to choose the 266th leader of the world's 1.2 billion Catholics.
"May the College of Cardinals work like an orchestra, where diversity - an expression of the universal church - always works toward a higher and harmonious agreement," he said.
It was seen as a clear reference to the deep internal divisions that have come to the fore in recent months following the leaks of sensitive Vatican documents that exposed power struggles and allegations of corruption inside the Vatican.
The audience inside the Apostolic Palace was as unique as Benedict's decision to quit, with the pope, wearing his crimson velvet cape and using a cane, bidding farewell to his closest advisers and the cardinals themselves bowing to kiss his fisherman's ring for the last time.
Some seemed to choke up at that moment, and a few lingered on to chat with the pope for as long as they could. But the scene seemed otherwise almost normal, with cardinals chatting on the sidelines waiting their turn to say goodbye.
Benedict said he would pray for the cardinals in coming days as they discuss the issues facing the church, the qualities needed in a new pope, and as they prepare to enter into the secret conclave to elect him.
"Among you is also the future pope, whom I today promise my unconditional reverence and obedience," Benedict told the cardinals.
Benedict's decision to live at the Vatican in retirement, be called "emeritus pope" and "Your Holiness" and wear the white cassock associated with the papacy has deepened concerns about the shadow he might cast over the next papacy.
But Benedict has tried to address those worries over the past two weeks, saying that once retired he would be "hidden from the world" and living a life of prayer.
In his final speech in St. Peter's Square on Wednesday, he said he wasn't returning to private life exactly, but rather to a new form of service to the church through prayer.
And on Thursday he went even further with his own public pledge of obedience to the new pontiff.
The Vatican spokesman, the Rev. Federico Lombardi, said the pope's pledge was in keeping with this effort to "explain how he intends to live this unprecedented situation of an emeritus pope."
"He has no intention of interfering in the position or the decisions or the activity of his successor," Lombardi said. "But as every member of the church, he says fully that he recognizes the authority of the supreme pastor of the church who will be elected to succeed him."
The issue of papal obedience is important for Benedict. In his last legal document, he made new provisions for cardinals to make a formal, public pledge of obedience to the new pope at his installation Mass, in addition to the private one they traditionally make inside the Sistine Chapel immediately after he is elected.
Benedict's resignation will be a moment of quiet theater.
At 8 p.m. sharp, the Swiss Guards standing at attention at Castel Gandolfo will go into the palazzo and shut the doors behind them and go off duty, their service protecting the head of the Catholic Church over - for now.
Lombardi said the guards would change into civilian clothes and return to the Vatican barracks Thursday night. They will continue to guard the entrances of Vatican City and the pope's palace, "even if he's not there," said Cpl. Urs Breitenmoser, a Swiss Guard spokesman.
And on Monday, the cardinals are expected to begin meeting to set the date for the conclave.
Benedict's decision has been met for the most part with praise and understanding. Cardinals, Vatican officials and ordinary Catholics have rallied around him in acknowledgment of his frail state and the church's need for a strong leader.
But Sydney Cardinal George Pell has caused a stir by openly saying the resignation has been "slightly destabilizing" for the church.
In an interview with Australian Broadcasting Corp., Pell noted that Benedict himself had acknowledged the shift in tradition; Benedict said Wednesday that he appreciated his decision was not only serious but "a novelty" for the church.
Pell also said the church was in sore need of a strong manager - comments echoed by several cardinals who have noted the 30-year reign of two popes who paid scant attention to the internal governance of the church.
The Vatican tried to downplay Pell's comments, saying it wouldn't respond to individual cardinals and urging the media not to take advantage of churchmen who, it said, aren't necessarily media savvy.
Winfield reported from Vatican City.
Follow Nicole Winfield at http://www.twitter.com/nwinfield


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Stealing Honey From Bees, Substituting Corn Syrup Leaves Bees Vulnerable To Colony Collapse
Honey Revs Up Their Immune And Detox Systems, Corn Syrup Just Empty Calories
by Diana Gitig – May 3 2013, 10:30am CDT via ARS Technia via PNAS
When incorporated into honey, the pollen covering this bee may help protect the bee from environmental insults.
Apis mellifera, the western honeybee, is big business; the pollination services the bees provide to US agriculture are valued at roughly $14 million. Unfortunately, bees the world over are suffering from colony collapse disorder (CCD), in which worker bees go out foraging and then disappear instead of returning to the hive and tending to the queen like they are supposed to. The causes of CCD are not clear, but pathogens, parasites, and pesticides have all been implicated. Neonicotinoids, a class of pesticides that have been shown to alter bees' navigation, foraging, communication, and reproduction, have just been banned in Europe in an attempt to help the bees.
New research suggests yet another potential contributor to CCD. The problem? We've been stealing the bees' honey and instead feeding them high fructose corn syrup. The problem isn't so much the fructose as the absence of chemicals in the honey.
Bees are exposed to a huge variety of plants because they gather nectar from the spring through the fall. The honey they make from these diverse nectar sources varies according to locality (leading to the unsubstantiated belief that eating local honey can alleviate seasonal hay fever). And bees' "immune systems"—detoxification enzymes used to rid the body of foreign chemicals, like pesticides—are known to be induced by different stimuli than those of other insects. So scientists decided to check whether any components of honey can induce bees' detoxification enzymes.
They started by separating honey into four different fractions and feeding each individually to different sets of bees to determine whether any induced a known detoxifying gene. The most active fraction contained p-coumaric acid, a structural component in the outer wall of pollen grains. Then they looked to see what other genes p-coumaric acid might induce and found twelve more detoxifying genes as well as two antimicrobials.
Commercial beekeepers feed bees high fructose corn syrup instead of honey for the same reason that commercial food manufacturers feed it to us: it's cheaper. But it's only one of the problems the bees face. In the 1980s the varroa mite, Varroa destructor, started attacking bees in the US, so pesticides were introduced into beehives to kill the mites. This research suggests that swapping out honey robbed the bees of things they need to rev up their detoxification systems just when they needed it most—as they were exposed to an increased load of both pathogens and pesticides.
PNAS, 2013. DOI: 10.1073/pnas.1303884110 (About DOIs).
Filed under: Crime, Critters, Environment, Food, Nature, Science |


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A circular issued by the ministry on Friday ordered health authorities at all level of government to guarantee treatment for HIV-AIDS sufferers.
The order covers both sufferers already known to have the condition and those whose infection is discovered while undergoing treatment. It requires authorities to ensure protective measures for health care professionals.
It comes two days after Vice Premier Li Keqiang intervened to demand a hospital in the northeastern city of Tianjin provide treatment for a 25-year-old lung cancer patient after the man was turned away for being HIV-positive.
A decade ago, Li helped cover up China's initial AIDS outbreak in the central province of Henan caused by illegal blood buying syndicates.


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1349 Woking Air Cadets
Air Cadets is for boys and girls aged 13 to 18. Provides opportunity to participate in a large range of stimulating and rewarding activities. Where else could you learn to fly aerobatics, visit Royal Air Force Stations, tour foreign countries, play sports from local to International level,… Read more
Woking ParkKingfield RoadGU22 9BA
1st Cuddington (Warspite) Sea Scout Group
Cuddington (Warspite) Sea Scout Group is for boys and girls from 5¾ to 18. It offers opportunities of traditional scouting, but also extensive experience in a variety of water activities Read more
Fancourt HallCunliffe RoadEpsomSurreyKT19 0RJ
1st Lightwater Scouts
Large and active group in Lightwater consisting of five sections, one Beaver Colony, two Cub Packs and two Scout Troops. The members have fun learning new skills, taking part in outdoor activities, participating in village activities, visiting places of interest, going on pack holidays, camping… Read more
Lightwater Country ParkThe AvenueLightwaterSurreyGU18 5RG
1st Molesey (Jaguar) Sea Scouts
We're a fantastic group of young people and adult volunteers offering fun and adventure in Surrey. Read more
Walton RoadWest MoleseySurreyKT8 2HY
1st Windlesham Scout Group
1st Windlesham Scout Group is located in the District of Surrey Heath and is open to children between the ages of 6-18. It has Beavers, Cub, Scouts & Explorers groups where a range of activities and chances to learn new skills are provided. During the… Read more
25% ME Group
The 25% M.E. Group is a registered charity which supports all who have the severe form of M.E. and those who care for them. This includes people who are housebound, bedbound and wheelchair users. The 25% M.E. Group provide Practical and Emotional Support through a telephone helpline, as… Read more
25% ME Group21 Church StreetTroonAyrshireKA10 6HT
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7 Photos That Are NOT Hurricane Sandy
Don't always believe everything Facebook tells you. If it was all true, do you have any idea how many dollars would've been donated to charity for liking that picture of a kitten? It can't be all true, and it's not. Here are some pictures of "Hurricane Sandy" circulating around that most certainly are NOT pictures of Hurricane Sandy. You're welcome.


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Estimated read time: 5-6 minutes
This archived news story is available only for your personal, non-commercial use. Information in the story may be outdated or superseded by additional information. Reading or replaying the story in its archived form does not constitute a republication of the story.
Associated Press
WENCHI, Ethiopia (AP) - The kids in this volcano-rim village wear filthy, ragged clothes. They sleep beside cows and sheep in huts made of sticks and mud. They don't go to school. Yet they all can chant the English alphabet, and some can spell words.
The key to their success: 20 tablet computers dropped off in their Ethiopian village in February by a group called One Laptop Per Child.
The goal is to find out whether children using today's new technology can teach themselves to read in places where no schools or teachers exist. The Massachusetts Institute of Technology researchers analyzing the project data say they're already startled.
"What I think has already happened is that the kids have already learned more than they would have in one year of kindergarten," said Matt Keller, who runs the Ethiopia program.
The fastest learner is 8-year-old Kelbesa Negusse, the first to turn on one of the Motorola Xoom tablets last February. Its camera was disabled to save memory, yet within weeks Kelbesa had figured out the tablet's workings and made the camera work.
He proclaimed himself a lion, a marker of accomplishment in Ethiopia.
On a recent sunny weekday, nine months into the project, the kids sat in a dark hut with a hay floor. At 3,380 meters (11,000) feet above sea level, the air at night here is chilly, and the youngsters coughed and wiped runny noses. Many were barefoot. But they all eagerly tapped and swiped away on their tablets.
The apps encouraged them to click on colors _ green, red, yellow. "Awesome," one app said aloud. Kelbesa rearranged the letters HSROE into one of the many English animal names he knows. Then he spelled words on his own, tracing the English letters into his tablet in a thick red line.
"He just spelled the word `bird'!" exclaimed Keller. "Seven months ago he didn't know any English. That's unbelievable. That's a quantum leap forward."
"If we prove that kids can teach themselves how to read, and then read to learn, then the world is going to look at technology as a way to change the world's poorest and most remote kids," he said.
"We will have proven you can actually reach these kids and change the way that they think and look at the world. And this is the promise that this technology holds."
Maryanne Wolf, a Tufts University professor, studies the origins of reading and language learning and is a consultant to the One Laptop project. She was an early critic of the experiment in Ethiopia but was amazed by the disabled-camera incident.
"It's crazy. I can't do that. I couldn't hack into anything," she said. "But they learned. And the learning that's gone on, that's very impressive to me, the critic, because I did not assume they would gravitate toward the more literacy-oriented apps that they have."
Wenchi's 60 families grow potatoes and produce honey. None of the adults can read. They broadly support the laptop project and express amazement their children were lucky enough to be chosen.
"I think if you gave them food and water they would never leave the computer room," said Teka Kumula, who charges the tablets from a solar station built by One Laptop. "They would spend day and night here."
Kumula Misgana, 70, walked into the hut that One Laptop built to watch the kids. Three of them had started a hay fight. "I'm fascinated by the technology," Misgana said. "There are pictures of animals I didn't even know existed."
He added: "We are a bit jealous. Everyone would love this opportunity, but we are happy for the kids."
Kelbesa, the boy lion, said: "I prefer the computer over my friends because I learn things with the computer." Asked what English words he knows, he rattled off a barnyard: "Dog, donkey, horse, sheep, cow, pig, cat."
Kelbesa, one of four children, is being raised by his widowed mother, Abelbech Wagari, who dreams the tablet is his gateway to higher education.
While the adults appeared grateful for the One Laptop opportunity, they wished the village had a teacher.
Keller said that Nicholas Negroponte, the MIT pioneer in computer science who founded One Laptop, is designing a program for the 100 million children worldwide who don't get to attend school. Wolf said Negroponte wants to tap into children's "very extraordinary capacity to teach themselves," though she said she has no desire to see teachers replaced.
The goal of the project is to get kids to a stage called "deep reading," where they can read to learn. It won't be in Amharic, Ethiopia's first language, but English, which is widely seen as the ticket to higher paying jobs.
Keller and Wolf say they are only at the beginning of understanding the significance of how fast the kids of Wenchi have mastered the English ABCs. The experiment will be replicated in other villages in other countries, using more targeted apps.
One might wonder whether the children of Wenchi need good nutrition and warm clothes rather than a second language and no teacher _ a question Wolf said has given her some sleepless nights.
She thinks she has arrived at an answer.
In remote regions of Africa and elsewhere, she said, "the mother who has one year of literacy has a far better chance to make sure her child can live to five years of age. They are savvier when it comes to medicine, to basic health, to economic development."
"So at 3 a.m. when I'm thinking, if I can do one thing ... using my particular knowledge, which is in reading and brain development and thinking _ this is my shot; this is my contribution to the nutrition and health of a child."
(Copyright 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.)


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boys 100 breaststroke final 8696
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The image you see on the screen is a low resolution preview that has little or no editing which allows me to upload quickly and make available for purchase, the final image you receive will be hand edited to straighten, crop and correct any colour or exposure issues, this takes a little while but will normally be done within 24 hours of your purchase. The final image will then be emailed to you.


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Small scale grand Christmas roast
My family has always insisted that the centerpiece of our Christmas feast be some kind of show-stopping roast. We're talking a standing rib roast or whole beef tenderloin. And, as if these prizes were not already rich enough in themselves, we tend to pair them with an extravagant sauce, usually bearnaise. Hey, it's Christmas.
My challenge for this column was to come up with a Christmas dinner showstopper just as glamorous as the usual stars, but somehow leaner. It couldn't be pork because my parents don't love pork. It might've been turkey, but we just featured it at Thanksgiving. And roast chicken - much as I love it - just seemed too prosaic for a once-a-year holiday feast.
Then it occurred to me that Cornish game hens might fit the bill. You can say that they're small, or at least small-ish, but I prefer to think about them as individual. They were created during the '50s, after all, by a French couple in Connecticut who wanted something that didn't exist at the time - a succulent bird suitable for a single serving.
They realized their dream by crossing a Cornish game chicken with a White Rock (or Plymouth) chicken. Despite the name, there is nothing gamy about this bird. On the contrary, it tastes like what it is - really moist and delicious chicken that is sized just right to serve one per customer.
To make sure the white meat stays moist, I pre-seasoned the birds with some salt. Then I flavored the little guys by stuffing some of everyone's favorite poultry herbs - thyme and sage - under the skin. They're plenty delicious as is, straight out of the oven, so don't fret if you don't have time to make the sauce.
Then again, it is Christmas dinner, so you might want to budget the time to do it up right. This particular sauce is based on an ingredient I wish I always had on hand - a brown poultry stock. It's a happy cross between a chicken stock and a beef stock, boasting a much deeper flavor than the former, but taking less time to make than the latter.
You can make a regular chicken stock from any part of the chicken. Typically, the necks and backs are recruited, but I prefer to base mine on the wings, which boast the ideal ratio of bone (which provides gelatin) to meat and skin (both of which provide flavor). The wings get browned first, as do the vegetables, which is the key to deep flavor. I then simmer the ingredients for several hours, strain the stock, and boil.
Still, how to make the sauce creamy without cream? By reaching for evaporated skim milk, which is low in fat but thick in texture. Add a little Dijon mustard and you've masked any persistent skim milk taste.
I tested this recipe on The Husband and our kids, and none of them could even tell that it was low-fat. As far as they knew, it was a full-fat, full-flavor French mustard sauce.
As you digest this marvel, you may settle into a pleased and meditative mood. Think then of Charles Dickens, who prescribed the following mental exercise for the conclusion of Christmas dinner: "Reflect upon your present blessings - of which every man has many - not on your past misfortunes, of which all men have some. Fill your glass again, with a merry face and contented heart. Our life on it, but your Christmas shall be merry, and your new year a happy one!"
Cornish Game Hens with Creamy Mustard Sauce
Start to finish: 3 hours 20 minutes (30 minutes active)
Servings: 4
1/4 cup finely chopped fresh sage, plus extra to garnish
1/4 cup finely chopped fresh thyme leaves, plus 1 large sprig for the stock, and extra to garnish
1 tbsp. plus 1 teaspoon lemon zest
1 1/2 tsp. salt
Four 1 1/4-pound Cornish game hens
1 pound chicken wings, separated into joints
1 cup coarsely chopped yellow onion
1/2 cup coarsely chopped carrot
2 garlic cloves, smashed
1 tbsp. tomato paste
1/2 cup red wine
1 1/2 cups low-sodium chicken broth
1 tbsp. cornstarch
1/2 cup evaporated skim milk
2 tbsp. Dijon mustard
Ground black pepper
Heat the oven to 400 F.
In a small bowl, combine the sage, thyme leaves, lemon zest and salt.
Very carefully separate the skin from the meat on the breast and thighs of each hen, lifting it lightly from the meat without removing it. Rub a quarter of the herb blend directly onto the breast and thigh meat (under the skin) of each hen. Cover and chill the hens. This step can be done up to 8 hours ahead.
Meanwhile, in a large saucepan or Dutch oven arrange the chicken wings in a single layer. Roast the wings on the oven's middle rack for 15 minutes, then turn them and roast for another 15 minutes, or until they are golden. Add the onion, carrot, garlic, tomato paste and the thyme sprig, then roast for another 15 minutes, or until the vegetables are slightly caramelized. Turn off the oven.
Set the pan of wings and vegetables over medium heat on the stovetop. Add the wine and bring to a simmer, scraping the bottom to release the browned bits. Simmer until the wine is reduced by half. Add the chicken broth and enough cold water to cover the wings by 1 inch. Bring the liquid to a boil and simmer for 2 hours, adding water as necessary to keep the wings covered.
After the liquid has simmered for 1 1/2 hours, heat the oven to 475 F.
Remove the hens from the refrigerator and use paper towels to pat them dry. Coat them lightly with olive oil cooking spray, then use cooking twine to tie the legs together. Arrange the hens on a rack in a shallow roasting pan. Roast them in the middle of the oven for 30 minutes, or until a thermometer inserted at the leg thigh joint registers 165 F.
Transfer the hens to a platter, and let them rest, loosely covered with foil, for 10 minutes.
Meanwhile, when the chicken stock has simmered for 2 hours, strain the mixture into a large bowl, discarding the solids. Skim off and discard any fat on top of the stock. Wipe clean the pot used to make the stock, then pour the stock back into it. Return it to the stovetop over high heat and boil until reduced to 1 cup, about 10 minutes.
In a small cup, whisk together the cornstarch and the evaporated skim milk. While whisking constantly, add the cornstarch mixture to the simmering stock. Continue whisking until thickened, then whisk in the mustard. Season with salt and pepper. Add the juices from the resting hens to the sauce. Transfer the hens to plates and pour some of the sauce over each one. Garnish with fresh thyme and sage.
Nutrition information per serving: 510 calories; 160 calories from fat (31 percent of total calories); 17 g fat (4.5 g saturated; 0 g trans fats); 265 mg cholesterol; 14 g carbohydrate; 2 g fiber; 6 g sugar; 63 g protein; 1220mg sodium.


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Canadian 1 gram Gold Maplegrams™
2022 1 gram Gold Maple Leafs Maplegram25™ (In Assay)
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BOBST, through its Bobst Lyon product line, has been at the forefront of developing technology to help users exploit these growing markets, including the introduction of independent drives and closed inking circuits. BOBST production lines are designed to deliver accuracy, flexibility, performance, and ease of use, while the wide variety of sizes and levels of automation available suit the needs of a range of users.


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Johnny Gaddar – Movie Review
Johnny Gaddar is not exactly a blockbuster, but it's fast-paced and entertaining. I wasn't disappointed even though I had expectations from this movie after seeing Ek Hasina Thi, which was director Sriram Raghavan's first movie.
This movie has a similar theme, as the story is about a gang of thugs, but it's centered around a guy this time, a young and brash gangster Vikram (Niel Nitin Mukesh) who is the youngest member of a gang of criminals. The leader of the gang is a seemingly innocent looking elderly gentleman – Sheshadri (Dharmendra). I don't know why Dharmendra was chosen for this role because he didn't look mean enough and his acting was average. Two other members of the gang…Prakash (played by Vinay Pathak) and Shardul (Zakir Hussain) stole the show where acting was concerned. There's Shiva as well, who plays the thug Daya Shetty, but he did not have much of a role. Vikram is the protagonist, but his acting was average too and pretty below average in parts. He is paired with Rimi Sen. She doesn't have a meaty role and basically plays the pretty helpless girl-friend, Mini.
The story? Well, the gang is about to strike a deal which will make them millionaires and this loot is to be shared amongst the five gang members. But thugs will be thugs…and as the title suggests, there is a Johnny Gaddar (Gaddar means treacherous in Hindi).
Reminds one of Reservoir dogs but Johnny G is different and it is interesting to read what Raghavan has to say about which movies influenced him during the making of this one. You read his interview here.
Raghavan has paid tribute to some of his favorite Hindi movies in the story. He shows various characters watching interesting scenes from old movies…there's mention of Amitabh's Parivartan and Dev Anand's Johnny Mera Naam. I thought this was done very skillfully as these incidents (movie-watching) were kind of interwoven into the story.
Another thing I liked was that as the story unfolded (with increasing suspense) the characters came alive – we get to know the god-fearing man but inveterate gambler Prakash, the godfatherly but astute crook Sheshadri, the ambitious Vikram who wants to get rich quick, the nasty goon Shardul and tough guy Daya. The director manages this characterization vividly enough, without wasting much cinematic time, and not compromising on the pace of the movie..
I don't want to give away too much of the story as the enjoyment comes from not knowing what happens next. There were surprises at every turn, right up to the last 20 minutes. There were several women in the film. Besides the pretty Rimi there is Prakash's wife (Ashwini Kalsekar) and her acting was quite good. She played a pivotal role in the film…
The dialogues were not anything to write about home about, but the camera work was good and the editing too.
Inspite of the obvious faults, the movie succeeds as an entertainer. It's clumsy in parts, but it has a fresh feel. If you like a dark sort of movie, you'll like this one.
Unfortunately the theater we chose to go to was pretty dirty and noisy, even though it was a multiplex. The seats were stinking and some kids were bawling – don't know how parents can allow their kids to watch all that blood and gore! There were torture scenes, and one of them was pretty sick! But one thing the stink in the theater helped with…the scene in the train toilet came across vividly!
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Hypothesis Testing For Known and Unkown Population with T-test and ANOVA
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September 29, 2021
Last Updated on September 29, 2021 by Editorial Team
Author(s): Amit Chauhan
Two and more than two independent samples with standard deviations
Published via Towards AI
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Crawford's 24 saves help Blackhawks (5-0-0) match best start with 3-2 win over Blue Jackets
COLUMBUS, Ohio - This was supposed to be the weekend for the NHL All-Star Game at Nationwide Arena.
Instead, the Chicago Blackhawks flaunted their own constellation of stars.
Patrick Kane had yet another multipoint game with two assists, Jonathan Toews scored the game-winner early in the third period and Corey Crawford had 24 saves to help Chicago match the best start in franchise history with a 3-2 victory Saturday night over the Columbus Blue Jackets.
The only other time the Blackhawks began a season 5-0-0 was 1971-72.
"That was one of those games where maybe we didn't play our best hockey like we've seen in the last five games, but as a team it doesn't matter who goes out there you've got to find a way to win," Toews said. "And we did that."
Crawford, who won for the fourth time this season, was solid all night but particularly when the Blackhawks were a man down. They killed all five penalties.
"I feel good, I feel focused," Crawford said. "The puck looks pretty big right now. Also, everyone's making the effort to play defence. It's showing in the first bunch of games—guys are coming back to help out and that helps us get to offence after that."
Badly outplayed at the outset, the Blackhawks played methodical, poised and unhurried hockey all night. Even when down 1-0, it seemed only a matter of time before they collected themselves and took control.
"Finding ways to win is important," coach Joel Quenneville said. "You're not going to be great every night or your best every night. Columbus played a hard-working game, working harder than us tonight. But we got key saves from (Crawford) tonight and that helped us."
The All-Star Game, of course, was cancelled by the 119-day lockout that reduced the season to 48 games for each team over 99 days.
Steve Mason held his own with 21 saves for the Blue Jackets, who lost their third in a row. A goal by Derick Brassard was waved off in the second period when the officials ruled Nick Foligno interfered with Crawford. That decision caused a sellout crowd of 18,381 to boo throughout the game.
"You never know how a game's going to end up," Blue Jackets coach Todd Richards said. "(The goal being disallowed) certainly changed the course of the game. At the time, we were down 2-1. It's a huge play. He (referee Dan O'Rourke) makes the call, he saw what he saw. There's nothing we can do once he makes the call."
On the power play after Jamal Mayers went to the penalty box for unsportsmanlike conduct, Brassard's slap shot from the point beat Crawford. But O'Rourke immediately waved off the goal. Replays showed Foligno's right skate was in the crease, although there was no apparent contact between him and Crawford.
Between periods, Foligno said O'Rourke told him that the goal was disallowed because "I had bumped (Crawford) and didn't give him time to reset."
The crowd booed lustily at every opportunity the rest of the night.
Quenneville said later that replays showed clearly that it should have been a tying goal.
Mark Letestu gave Columbus a 1-0 lead and Artem Anisimov scored late to make it interesting for the Blue Jackets, who have been outscored 12-3 in their losing skid.
Toews, off of Kane's second assist of the night, put the Blackhawks up two goals 6:35 into the third after a turnover in the Chicago zone. Letestu's pass was deflected by Marian Hossa with Kane retrieving it. He fired a blind, quick pass to Toews who was all alone behind the defence. Toews faked left, then right, before flipping the puck past Mason for his third of the year and a 3-1 lead.
Anisimov backhanded in Brandon Dubinsky's wraparound attempt with 2:19 left in regulation, but the Blue Jackets could not get the equalizer.
Kane now has more than one point in four of the five Chicago games and has two goals and seven assists.
"You can tell he's good ol' Kaner," Toews said. "He's going to work hard and make plays."
The Blue Jackets could only think about the goal that didn't count.
"Overall everybody worked hard," Mason said. "It's unfortunate. I'm not sure what the call was on that second goal for us but the guys kept working and we just came up a little short."
NOTES: Chicago won all six meetings against the Blue Jackets last season and is now 20-12-4 all-time at Nationwide Arena. ... The Blackhawks improved to 4-0-0 on the road this season. ... The Blue Jackets were without RW Cam Atkinson, who suffered a lower-body injury in camp. He may be out at least a week. ... Hossa has 35 points (17 goals, 18 assists) in 29 career games against Columbus while Kane has 34 points (12 goals, 22 assists) and Toews 33 (14 goals, 20 assists) in 31 games against the Blue Jackets.
Follow Rusty Miller on Twitter: www.twitter.com/rustymillerAP


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"I must emphasize again that merely thinking that compassion and reason and patience are good will not be enough to develop them. We must wait for difficulties to arise and then attempt to practice them.
And who creates such opportunities? Not our friends, of course, but our enemies. They are the ones who give us the most trouble, So if we truly wish to learn, we should consider enemies to be our best teacher!" ~ His Holiness, The 14th Dalai Lama
This quote really struck home this week/weekend! I was really surprised at the little things that really set me off, I'm ashamed to admit. But every time I'm in a situation like that, I think about this quote. I spent literally hours on the phone with DirecTv over bill issues/an extreme amount of money being taken out of my bank account- each person I talked to was seemingly unhelpful, rude, and transferring me purposely to the wrong departments. I was almost in tears, and almost extremely unkind, and definitely thinking MORE than unkind thoughts. Even went so far as to "revenge" thoughts towards the company. Just little things I could do to annoy them. Automated phone systems, and large corporations where I can't talk to someone who knows what's up really get to me, to the core, the minute a robot voice comes on. I was definitely not very compassionate! Opportunity to practice #1. I took a step back, and was extremely polite to the next few people, and had some results. Not the best, but not bad.
Sometimes your enemies are closer to home, too, though. For instance my dogs. They destroyed an impressive amount when left alone for only a few hours. My first feelings was concern, and the minute I saw they were okay, I became so angry, which was so pointless as they don't even understand what they did! I didn't take it out on them at all, of course, but what an uncomfortable feeling to be going through my head. I did not roll with the situation well and was definitely overcome. Opportunity to practice #2. I went into the bedroom, sat for some time, let things go, then went out and gave the dogs love. After all, my initial concern was their health- did they eat anything in the garbage that could poison them?? I had just cleaned out the fridge, after all. The one dog locked himself in the bathroom- did he drink the mop water I had left in haste? How the heck he did that I won't figure out- I had made sure the door was securely closed when I left the house (due to mop water/cleaning supplies being around.) My initial reaction to the situation was fine, just worry, but the following anger was not. So I sat, and after I was calm reflected on my initial emotion. I then acted off of that, not the anger, which led to RELIEF- no one was harmed! Left the mess to clean up until today.
Then there are the myriad little things- in a social situation, my husband accidentally cut me off twice in about 30 seconds, and I snapped at him (which is unlike him and rather unlike me, to the contrary of this confession post.) To through in a little funny aside, I had posted on Facebook that I was undertaking the precepts, and a few friends joked that I forgot the "Lloyd factor." He's the one super close friend that enjoys pushing my buttons- and he was in the car when I snapped. They joked that he would be a trigger and a test!!!
But really, aren't all these big and little scenarios that we face in daily life incredible blessings? I remember hearing a story about TNH torching a student's hut because they were too attached to their solitude. Things were too easy there! Don't know the truth to that story, but the point is there.
http://www.ted.com/talks/robert_thur...ompassion.html Robert Thurman rather wittily tells the story here of Asanga (the whole video is more than worth watching, but that story starts at 03:05.) He goes on retreat, for multiple long periods of time, but because he is living in a cave and not actually practicing and understanding he just isn't getting it right, despite the devotion!
Anyone else have confessions to make on trigger situations?? Those wonderful opportunities to practice?
To throw in a positive, my job has been an awesome opportunity to practice- I work in detox with the mental health group out here, and I get called in to work at all hours. It is so EASY to be grumpy at 2am when you are shaking off sleep to go to.. dun dun dun... WORK, but I look at my job as helping people and worked on changing that outlook. When I did that, I was more engaged, and better able to get people in to treatment for their addictions- voila! Awesome opportunity, that happened to come with an immense reward!
Okay gonna wrap up this long post now,
PS. I'm rather new to Treeleaf so please don't get the impression that I am an angry person. These situations are few and far between, which is why they stand out so much to me and worry me. I know the exact date of the last time I acted so.. icky! Just a disclaimer


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Dwarf Scroll II Item ID
Dwarf Scroll II item info
|A yellowed scroll of parchment filled with dwarven script. This one's tied with a green ribbon.
|ID Information
|Dwarf Scroll II Item ID – 97
|Sell price
|Dwarf Scroll II Item Value – 1
|If you here to know what is the Dwarf Scroll II item id in Stardew valley game, so you are in the right place.
|ID code – [97]
|Cheats listed below are available on all game platforms, which include PC/Mac, PS4, Xbox One and Nintendo Switch.
How to spawn Dwarf Scroll II
To spawn items like Dwarf Scroll II in Stardew Valley instead of using console commands, a secret in-game cheat can be exploited. Items can be spawned by using one of two available methods listed below.
Spawn Dwarf Scroll II Using Animal Name
To spawn Dwarf Scroll II item by using animals name, travel to northeast area of Cindersap Forest and find Marnie's Ranch, then talk to Marnie and buy any animal (chicken is best for it's cheapest price). Set animals name to [97] and hit OK. The Dwarf Scroll II item should be acquired.
Spawn Dwarf Scroll II Using Character Name
To use this method, at the beginning of the game, create your character as usual, then name your character [97] and press OK to save. In game, approach and speak to any villager, if during dialog villager mentions your name, which now is set to [97], you will receive a Dwarf Scroll II item to your inventory.
Be aware that your character's name can only be set once, at the beginning of the game (when creating in-game world), and you cannot change character's name later in the game.
However, on PC/Mac versions of the game, there is a workaround to rename your character, by manually editing game save files. If you want to know more how to manually edit game save files, check out our guide on How to Change Your Name in Stardew Valley.
If you are not sure about manually editing game files, or you are playing Stardew Valley on other platforms than PC/Mac, we recommend using the first method listed above.
Read more about how to spawn items: here