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Nambudiri, Vinod E. MD, MBA; Newman, Lori R. MEd; Haynes, Harley A. MD; Schur, Peter MD; Vleugels, Ruth Ann MD, MPH
Dr. Nambudiri is a resident, internal medicine and dermatology, Brigham and Women's Hospital Department of Medicine and Harvard Combined Dermatology Program, Boston, Massachusetts.
Ms. Newman is principal associate in medicine, Harvard Medical School; and director, Office of Professional Development, the Center for Education, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Dr. Haynes is professor of dermatology, Harvard Medical School; and vice chairman of dermatology, Brigham and Women's Hospital, Boston, Massachusetts.
Dr. Schur is professor of medicine, Harvard Medical School; and codirector, Lupus Center, Division of Rheumatology, Allergy, and Immunology, Brigham and Women's Hospital, Boston, Massachusetts.
Dr. Vleugels is assistant professor of dermatology, Harvard Medical School; associate director for education and director, Connective Tissue Disease Clinic, Brigham and Women's Department of Dermatology; and codirector, Rheumatology-Dermatology Clinic, Boston Children's Hospital, Boston, Massachusetts.
Funding/Support: The support of the Rabkin Fellowship in Medical Education at Beth Israel Deaconess Medical Center and Harvard Medical School is acknowledged for aid in the development of this course curriculum. Dr. Vleugels' career has been supported by a Medical Dermatology Career Development Award from the Dermatology Foundation.
Other disclosures: None reported.
Ethical approval: The Harvard Medical School institutional review board granted a waiver of IRB exemption for the use of deidentified student quotations for use in publication.
Previous presentations: This work was presented in part at the HMS Medical Education Day, October 26, 2010, Boston, Massachusetts; the Dermatology Teachers Exchange Group Meeting, October 14, 2011, Chicago, Illinois; and the American Academy of Dermatology Annual Meeting March, 17, 2012, San Diego, California.
Correspondence should be addressed to Dr. Vleugels, Department of Dermatology, Brigham and Women's Hospital, 221 Longwood Ave., Boston, MA 02115; fax: (617) 582-6060; telephone: (617) 732-4918; e-mail: firstname.lastname@example.com.
Few medical school electives include longitudinal patient care across clinical specialties and environments. Systemic lupus erythematosus represents a disease process with complex pathophysiology for students to learn from providers across medical fields, including dermatology, rheumatology, nephrology, and cardiology, in both pediatric and adult patients. Diagnosis, understanding, and management of lupus also rely heavily on basic science and clinical immunology, providing a link to the preclinical curriculum. In 2009, Harvard Medical School introduced a one-month elective course "Understanding Lupus: A Multidisciplinary Approach to Systemic Disease," designed to provide students with both outpatient and inpatient care experiences in dermatology, rheumatology, and multidisciplinary clinics at Brigham and Women's Hospital and Boston Children's Hospital. Core components of the elective include a continuity experience that allows students to attend one patient's multiple specialist visits; didactics from dermatology, rheumatology, and immunology covering evidence-based medicine and basic sciences; and clinical immunology laboratory exposure to teach serologic and auto-antibody testing methods. The authors provide lessons learned in the development of this interdisciplinary, multi-institution elective rotation, which may serve as a model at other medical schools for incorporating basic sciences into the clinical curriculum and using multidisciplinary care and varied educational settings.
Systemic lupus erythematosus (SLE) represents a chronic autoimmune mediated disease with a spectrum of manifestations involving the cutaneous, rheumatologic, neurologic, renal, hematologic, cardiovascular, and pulmonary systems. The presence of any 4 of the 11 criteria outlined by the American College of Rheumatology is often used to make a clinical diagnosis of SLE.1 Multiple clinicians are frequently required to coordinate the care of individuals with lupus, given the potential extent of organ involvement.
Although the range of clinical manifestations of SLE is wide, cutaneous findings are often noted. Retrospective analyses of patients diagnosed with SLE have estimated that 72% to 85% of SLE patients have some form of skin involvement, and up to 25% may have a cutaneous manifestation as their first presenting sign of disease.2 Lupus may also manifest as a purely cutaneous condition without systemic involvement, whereas the cutaneous manifestations in some cases foreshadow the development of future systemic symptoms.3 Patients with skin involvement often require systemic treatments to achieve disease control in addition to topical anti-inflammatory agents.4 The impact of cutaneous manifestations of lupus on a patient's quality of life is noteworthy. Patients report a significant emotional impact of their disease, particularly with symptoms of photosensitivity, rash, and hair loss.5
Systemic lupus patients also report a significantly decreased health-related quality of life comparable to that of patients with other medical conditions affecting multiple organ systems, such as those with human immunodeficiency virus (HIV) infection.6 The breadth of clinical manifestations and underlying complex molecular pathophysiology in lupus provide a novel mechanism for integrating several fundamental concepts in medical education.
The conventional paradigm in U.S. medical education initiated near the turn of the last century has divided the four-year course of undergraduate medical education into two basic science or "preclinical" years, followed by two years of clinical clerkships during which students rotate through different clinical fields (e.g., internal medicine, pediatrics, surgery, obstetrics–gynecology, neurology, and psychiatry) and gain exposure to the practice of each specialty.7 The fourth and final year of undergraduate medical education often includes opportunities for students to participate in elective rotations that may complement their chosen field of graduate medical education.
Undergraduate curriculum reform efforts over the last decade have explored innovations to integrate basic sciences into the clinical years to reinforce the links between pathophysiology and patient care.8 Common methods for integration include lectures, seminars, and laboratory experiences provided in conjunction with clinical rotations for fourth-year medical students. An additional concept gaining interest in curricular reform is the increasingly interdisciplinary nature of modern medical practice. As patients often rely on multiple physicians and associated practitioners across a variety of specialties for the integrated management of complex illnesses such as breast cancer or chronic conditions such as renal disease,9–12 educating medical students in this collaborative environment becomes increasingly important. At present, few medical student elective rotations include longitudinal patient care across multiple clinical specialties and environments. As noted above, lupus represents a disease process with complex pathophysiology for students to learn from providers across several fields, including dermatology, rheumatology, nephrology, and cardiology, in both pediatric and adult patient populations. Moreover, as the diagnosis and management of lupus rely heavily on basic science and clinical immunology, a strong connection to the basic science curriculum can be easily established. We report here on the development, implementation, and results of a novel interdisciplinary, multisite clerkship centered on patients with a single disease: lupus.
Two of the authors (R.A.V., P.S.) con ceived the idea for the course. During the 2008–2009 academic year, we held focus groups with medical students at Harvard Medical School (HMS) to solicit feedback regarding curricular options for fourth-year elective rotations. Table 1 presents selected feedback from the focus groups. A total of 16 students participated in the focus groups. We used these student viewpoints to design a one-month course elective entitled "Understanding Lupus: A Multidisciplinary Approach to Systemic Disease."
On the basis of our learners' needs and taking into account the diagnostic and therapeutic challenges of caring for patients with lupus such as the ever-changing spectrum of complex medication management, we designed a monthlong course with several key goals and objectives. List 1 outlines the primary course learning goals and objectives.
One author (L.N.), an HMS educator whose expertise is in undergraduate and graduate medical education, reviewed the course structure, curricular requirements, and assessment methodologies. The concept and design of the elective were built using constructivist and social context learning theories as well as a spiral curriculum framework. Incorporating direct clinical care experiences into the elective was based on Dewey's constructivist writings that stress the importance of students' active involvement in the learning process and argue that educators must provide experiences that are immediately valuable and may be carried forward and influence future learning.13 By applying Bandura's14 social context learning theory, we understood that the elective needed to provide exposure to the diverse clinical environments of rheumatology, dermatology, and immunology to allow students to observe and learn from varied clinical role models in order to develop an integrated understanding and approach to the management of systemic lupus. Inclusion of didactic seminars emphasizing basic science as well as integration of basic science principles in the elective's clinical experiences represent application of Bruner's15 spiral curriculum model. Applying the spiral curriculum model to the elective allowed for continuity and vertical integration between the preclinical and fourth-year medical school curricula.16
We submitted the course to the HMS Curriculum Committee for approval, and following enthusiastic endorsement, we offered the course to students for the first time in 2009. The HMS institutional review board granted a waiver of IRB exemption for the use of deidentified student comments obtained from student feedback for publication in the medical education literature.
Chart 1 presents a sample student rotation schedule for "Understanding Lupus." Over the course of four weeks, each student is able to participate in several required core components of the rotation. In addition, they are able to supplement their time with individualized exposures tailored to their laboratory and clinical interests, allowing them to maximize their personal educational value from the rotation.
The standard core experiences in the rotation include several weekly clinics in both rheumatology and dermatology. Students see patients with lupus independently and present their assessments to faculty and fellows in both adult and pediatric specialty clinics. During patient encounters, students and faculty highlight review of clinical histories, laboratory values, medication management, and physical exam findings.
Students also participate in outpatient, interdisciplinary connective-tissue disorder clinics staffed jointly by specialists from both dermatology and rheumatology. Time spent in this particular clinic exposes students to the management of patients with challenging systemic conditions such as psoriasis with psoriatic arthritis, systemic sclerosis, and dermatomyositis, in addition to patients with both cutaneous lupus and SLE. Supplementing these experiences, students spend time in nephrology and neurology specialty clinics focusing on the management of patients with systemic involvement of lupus.
Students gain additional clinical exposure through participation on the inpatient consult services for both rheumatology and dermatology. They spend selected half-days seeing inpatients whose primary teams request urgent dermatologic or rheumatologic intervention, and they are able to track their patients' progress through regular daily follow-up rounds with the fellows and faculty.
A novel educational experience incorporated into the four-week block is the opportunity for students to witness multidisciplinary, longitudinal care of an individual patient. During the first week of the monthlong rotation, students identify a patient whom they would like to follow during their subsequent time on the rotation. Once a suitable patient is identified, and patient permission granted, the student arranges to accompany the patient to other clinical encounters, such as infusion appointments for immunosuppressive therapy, blood work encounters, outpatient testing (such as radiologic, ophthalmologic, or neurologic testing), and other clinical visits related to the management of lupus or other comorbid conditions. Given the chronic and incurable nature of SLE, this course component was designed to specifically raise students' awareness of the known significant impact of SLE on health-related quality of life.
Both the diagnosis and management of lupus involve the understanding and interpretation of clinical laboratory data, particularly related to autoantibody testing and complement levels. To enhance student familiarity and comfort with these measures, students spend a day in the Brigham and Women's Hospital Clinical Immunology Laboratory working with the physicians and technicians to understand the requisite steps in processing samples for autoantibody interpretation and the visualization of immunofluorescence patterns. Supplemental required reading on the evolution of these techniques is also supplied and formally discussed with the course directors to further student understanding of the historical perspective on autoantibody testing as well as newer developments in the field. Clinical encounters routinely stress practical implementation of such tests, and students are asked to follow-up on laboratory tests ordered for patients seen to reinforce the clinical correlation of such testing.
Students are exposed to current advances in the medical field through weekly seminars incorporated into the "Understanding Lupus" rotation. Students attend a weekly rheumatology journal club and a weekly Harvard University immunology seminar. The journal club focuses on review of current, evidence-based literature presenting advancements in clinical care, whereas the seminar emphasizes translational basic science research in the field of immunology and its impact on approaches to patient care for individuals with lupus or other autoimmune diseases. Additionally, students attend grand rounds conferences during their time on the rotation, including grand rounds in dermatology, rheumatology, and internal medicine, during which clinical case presentations and challenging diagnoses are discussed and new research advances are reviewed.
During the elective, students are encouraged to read from textbooks including Lupus Erythematosus: Clinical Evaluation and Treatment,17 Dubois' Lupus Erythematosus,18 and Dermatological Signs of Internal Disease.19 They may also access primary literature sources using online resources available to them through HMS.
Drawing on the breadth of clinical and research resources available at HMS, multiple institutions and departments have been recruited to participate in this educational undertaking. Members from the Brigham and Women's Hospital faculties in dermatology, rheumatology, neurology, and nephrology, as well as members of the Boston Children's Hospital faculties in pediatric dermatology and pediatric rheumatology, welcome students into their clinics as part of this elective. Residents and fellows from the Harvard combined dermatology residency program, the Brigham and Women's Hospital rheumatology/immunology fellowship program, the Boston Children's Hospital pediatric allergy/immunology and rheumatology fellowship program, and the Brigham and Women's Hospital dermatology–rheumatology fellowship precept students in the outpatient clinics and on the inpatient consult services.
Medical students participating in the course are assessed in several ways. Direct observation of students performing patient care activities including both histories and physical exams, with particular emphasis on musculoskeletal and skin exams, allows for a thorough evaluation of clinical skills relevant to the management of patients with lupus. Faculty members also evaluate the medical students' practice-based learning and improvement skills in their ability to obtain and apply research or scientific evidence to situations influencing patient care. The supervising residents, fellows, and faculty assess students' understanding of therapeutic interventions and management.
Communication and presentation skills are also critically evaluated for each student, with particular attention paid to history-taking and physical examination skills as well as clinical case presentation skills. Additionally, given that the course is both interdepartmental and interdisciplinary, the student's ability to participate effectively and professionally within a multidisciplinary team is assessed. All faculty members who interact with the students complete a written evaluation. Individual preceptors give medical students immediate feedback after each clinic session, and the course directors provide formal evaluation at the completion of the elective based on HMS evaluation and assessment standards.
By the end of the course, students must submit a final paper or lead a case-based presentation. Assessment of this final project focuses on the student's ability to apply critical thinking to his or her work in addition to using knowledge and clinical experience gained during the rotation. Trainees must give an oral presentation of the final project to the course directors and other participants on the elective for successful completion of the rotation. Submission of final projects for scholarly publication or poster presentation is encouraged, and faculty provide guidance for such activities. At the completion of the course, standardized HMS course surveys are used to collect student feedback.
After completion of all course requirements, students receive an overall course grade in a format consistent with HMS registrar guidelines for elective rotations—namely, "high honors," "honors," "satisfactory," or "unsatisfactory." The grade becomes part of their medical school transcript. The course directors present verbal feedback to students on the final day of the four-week elective. The HMS registrar provides compiled written evaluative comments and a final grade to the student at the completion of the course. Longitudinal patient follow-up activities are not formally evaluated; however, throughout the remaining academic year, students communicate with one of the course directors (R.A.V.) after various follow-up visits with their patients. In addition, the students' experiences are described in letters of recommendation requested for their residency applications.
Since the launch of the course in 2009, a total of 14 fourth-year students have elected to enroll in the elective. All students who have expressed interest have been given the opportunity to participate in this course. Feedback from students participating in the course has been positive. Student comments have identified the integrated nature of the course and the approach to coordinated disease management as particular strengths. Several selected comments from student evaluations are:
* "The first course I have participated in that allowed me to think about all aspects of a patient's disease, including every organ system and the psychosocial burden of having a disease like lupus."
* "An amazing exposure to comprehensive disease management with outstanding clinical and laboratory experiences."
* "This elective truly allowed me to envision a career in medical dermatology, including not only understanding the systemic medications utilized, but also appreciating the close relationships fostered with patients."
Suggestions for course improvements mentioned in the student feedback have led directly to modifications in the elective. For example, as a direct result of a prior participant's suggestion, students now have the opportunity to present a challenging case from the rotation at grand rounds for discussion with multiple faculty and trainees. An additional modification to the elective arising from learner feedback is to have students follow a specific inpatient during the course to be able to track closely the patient's in-hospital clinical course. Finally, to address the participants' request to experience enhanced continuity of care and to understand further the impact of lupus on an individual's quality of life as well as that of his or her family members, students now follow their patients longitudinally through clinical appointments during their final year of medical school. This has been a successful course modification. On the basis of our collective experiences designing, implementing, and gathering feedback from course participants, we urge other curriculum designers to include these changes at the outset of similar courses.
Of the 14 students who have completed the course to date, 4 have pursued residency training in internal medicine (29%), 6 in dermatology (43%), and 2 in combined internal medicine–dermatology residency programs (14%). The remaining individuals have pursued residency training in pediatrics (7%) and combined internal medicine–pediatrics (7%). During the same time period, 27% of all HMS students have pursued residency training in internal medicine, and 3.5% have pursued dermatology. Nationally, 22% of U.S. medical school graduates matched into internal medicine residency and 2% into dermatology during the same time period. Multiple course participants commented in postcourse feedback that their experience in "Understanding Lupus" had a meaningful impact on their residency selection.
Faculty impressions of the course have been extremely positive, with particular feedback on the opportunity to mentor students in an educationally integrative fashion. Notably, cross-disciplinary collaborations have been enhanced by working together to develop and consistently improve the elective's curriculum. A novel monthly multidisciplinary conference has been established to incorporate the students' final presentations. Moreover, patients who have been paired with the elective students have commented on their appreciation for having a medical provider "care about all aspects" of their disease and on their enjoyment in helping to educate future physicians about their experience with lupus.
Diagnosis and management of lupus remains challenging given the multitude of specialists often involved in a single patient's care. Evidence suggesting a lack of concordance between how rheumatologists and dermatologists approach the care of patients with systemic lupus argues for multidisciplinary evaluation and management to provide effective, patient-centered care.20 It is our impression that early exposure of medical students to integrated management of a single disease enhances their clinical experience as they embark on their graduate medical education training. In our review of the literature on undergraduate medical education, we have not found any other published descriptions of courses focused on long-term conditions that are structured in a similar manner as "Understanding Lupus." Whereas other courses on chronic diseases may use a problem-based learning model or a case-based discussion format, this course directly places students in the active care of such patients. Furthermore, "Understanding Lupus" blends the clinical experiences with a return to and integration of the basic science curriculum. To our knowledge, the course elective "Understanding Lupus: A Multidisciplinary Approach to Systemic Disease" represents a unique offering for fourth-year medical students to engage in a multi-institutional, multidisciplinary rotation dedicated to the exploration of a single disease process.
Connecting graduating medical students back to the basic sciences represents a challenge of integration and curricular innovations. A review of fourth-year course offerings conducted in 2007 identified that only 19% of U.S. medical schools and 24% of Canadian medical schools incorporate a basic sciences requirement for students during their clinical years.8 Educational approaches adopted by the medical schools include mandatory classroom-based seminars, elective rotations, and capstone courses. Recently described curricular innovations have also explored a similar reinfusion of basic science principles such as comparative physiology into internal medicine residency training.21
Curricular innovations in the final year of many medical school curricula have been lacking relative to other aspects of undergraduate medical education, despite recognition by residency program directors of this crucial juncture in the training of future physicians.22,23 Efforts are under way to introduce radically new approaches to medical education during this formative time, such as a recently piloted longitudinal program designed around a diagnostic technology—ultrasound—across multiple clinical specialties.24 On the basis of our experiences with "Understanding Lupus," we believe that offering elective rotations to students that allow exposure to both clinical and laboratory experiences, as well as didactic conferences focusing on basic and translational research, is a particularly well-suited model for individuals making the transition from final-year medical student to first-year practitioner. Other conditions that rely on laboratory diagnostic skills and require the involvement of multiple medical practitioners for the management of systemic disease complications, such as diabetes and HIV, are chronic diseases around which similar courses may be constructed. Coordinated clinical approaches to multidisciplinary care in such settings offer opportunities to significantly enhance student learning.25 A key lesson learned from our experience has been the medical students' enthusiasm for integrating basic science education in the elective's clinical encounters, which echoes sentiments from our course planning focus groups.
The relatively small number of student enrollees to date in the "Understanding Lupus" course limits the broad generalizability of our experience. Currently, there has not been a formal assessment of the impact of this course on the patients involved in the longitudinal experience, though this remains a focus for us going forward. It is our belief that a longitudinal and multidisciplinary approach will allow students to enhance their learning experience and be better prepared for care delivery in an increasingly integrated health care delivery system. The need for further data and assessment to better understand the effect of continuity experiences on student learning and the impact on patients are also warranted.
The varied structure of fourth-year curricula across medical schools may pose challenges to the implementation of similar efforts at other institutions. We continue to solicit both student and faculty input and feedback on refining and expanding the course structure to meet the learning needs of course participants.
To date, the postcourse trajectory of participants in the "Understanding Lupus" course reflects a desire for those who enroll to pursue future training in fields related to the care of patients with lupus. Presenting students with a final-year elective to reinforce their clinical interests is an important mechanism to foster future clinicians dedicated to the care of patients with this complex and challenging disease. We hope this innovative educational undertaking may serve as a model for other multidisciplinary offerings across a spectrum of disease processes for the next generation of physicians.
Acknowledgments: The authors are grateful for the assistance of Mackenzie Leonard and Cathy Hounsell, the two course administrators.
© 2014 by the Association of American Medical Colleges
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FRIONA - Friona's Joseph Bandy exploded for 248 yards on 19 carries and three touchdowns as the Chieftains pasted Shallowater, 32-7, Friday night in a District 2-3A opener.
Bandy scored on runs of 7 and 70 yards and also caught a 22-yard touchdown pass from Nathan King.
Noel Grajeda added 85 yards on 21 carries and two touchdowns for Friona. The Chieftains also were impressive on the defensive side, limiting Shallowater to 179 total yards and eight first downs.
Friona upped its record to 5-1 overall and 1-0 in district, while Shallowater dropped to 1-5, 0-1.
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Story Center
Series - Exploring God-honoring Work: by Nathan Hitchcock
Dr. Nathan Hitchcock, Associate Professor of Church History and Theology, was featured as a guest writer for the online journal Die Evangelischen Theologen. Hitchcock explored how, as Christians, our knowledge of God's final work informs our work in the here and now.
Join Us: Participating in God's Mission
Over the next few months, we are going to focus on what it means to participate in God's mission, to join God in the work he is doing. 1 Corinthians 9:23 will serve as our launch point for this conversation. In the New English Translation (NET), it reads, "I do all these things because of the Gospel, so that I can be a participant in it."
Faith, Family, Work: The Kingdom and Corporate Culture
We've been exploring the Kingdom of God in our midst and how work and business can be a reflection of the kingdom. Today, we are excited talk about the Kingdom of God in our community. Our friends at Click Rain have found success by placing people before profits.
The Desire to Understand Kingdom and Context
The Doctor of Ministry at Sioux Falls Seminary is a practical, professional program that enables individuals to reflect critically upon their vocations, engage in rigorous theological reflection and advanced learning experiences, and grow in ministry competence.
SFS Student Finds God's Joy in Chaos
Many students at Sioux Falls Seminary discover God at work in various places in their lives as they balance ministry service, study, family, and work. Master of Divinity student Jeff Lathrop experienced God's kingdom in his midst in a very profound and life-changing way over the last year. It began in November 2013.
In Trust Contribution: From Data to Decision
In the New Year 2015 edition of In Trust Magazine, President Greg Henson provided some snapshots of data about theological education and some insights and actions that seminaries can take based on the data. What should Sioux Falls Seminary and others consider as we move from data to decision?
Called To Be Salt and Light in the World
Dr. Sid Webb was on campus in November to share some of the entrepreneurial ways that individuals and ministries are serving in God's kingdom. Today, he continues that conversation by exploring the topic of redeeming work and what it means to be the salt and the light within God's kingdom.
An Invitation to Draw Closer to Christ
In many ways, God is at work all around us! Through Sioux Falls Psychological Services, we have the privilege of offering people a journey founded on God's hope. We meet them in the joys and struggles of life and are reminded of the ways in which God works in and through our lives. One Christmas, during . . .
Christmas Devotional: The Light of the World
As Christmas draws near, we rejoice that our Lord and Savior Jesus Christ reigns! King Jesus ushers in the Kingdom of God and everything that comes with it. We've been talking how Jesus meets us in our lives and ministries. This week, we are reflecting on Christ as the light of our world.
Week 4 Advent Devotional: The Good Shepherd
Our discussion on the Kingdom of God continues as we reflect on who Jesus is and how he impacts our lives and ministries. Throughout Advent, we are examining texts in John's Gospel. This week, we are exploring how Jesus is present in our lives as the Good Shepherd.


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Windows Store Weekly: Toy Story, Hallmark, Outfitzy, Draw & guess, Sleep Bug
- Posted: Aug 30, 2013 at 11:44AM
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Windows Store Weekly highlights 5 of the coolest apps in the Windows Store each week. In just 5 minutes you'll get to know what's new, what's hot and what you should be checking out in every app category out there.
Please add your suggestions for awesome Windows 8 apps in the comments section. This week we take a look at:
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Thank you for the review Laura! Follow us on Facebook to keep up with the drawing of the day winners
Toy story 2 is a fun game, if any one want to download it free, here is the link
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Autauga County authorities rescue nearly a dozen dogs believed to have been used in fights.
Investigators say the dogs were thin and malnourished.
Police say they were scarred up and some were injured.
Two of the animals were dead.
Officers found the dogs after getting a tip about four wheelers disturbing the peace in the area.
No one was arrested.


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The sunflower seeds are now the same color as the Cardinal on the bag. Google and chat rooms have told me birds can neither smell nor taste this stuff. Sounds right to me -- on a diet of worms, I'm not sure I would want those senses to be highly evolved either.
Up goes the bird feeder with red seed. For good measure, I sprinkle the entire branch leading to the tree with the one leftover emergency can.
Birch trees look good in red.
Back on the deck, crouched behind the Char-Broil grill, I wait. Let the sneezing begin.
A tap on the window. My wife is pointing toward the white and red birch. Peering around the propane tank, I watch three bounding squirrels approach.
Knowing I've beaten the rodents with the business part of a burrito, I look back at my wife, proud hunter I am. She's laughing.
Not good.
One squirrel is on the branch, two are hanging from the feeder. Not a sneeze to be heard.
To my horror, squirrels like it hot.
SQUIRREL DEFENSE FUND: $45.98 (add 12 cans of pepper)
ADVANCED SEARCH 2: Same as before minus pepper, spicy, burn, sneeze.
Up comes ... soap.
I'm thinking, great, now I've got to wash them. I read on.
People, who actually use the word varmint in a sentence, say soap works. Slivers of it.
From what I'm reading, squirrels think we stink. Especially so when we put on the soap that's supposed to make us NOT stink. Dial will do it for my squirrel problem.
The family is asleep. I make bathroom raids.
Unfortunately, we must not stink too much. Every bar of soap is brand new. Not a sliver in sight. Sneaking back into my wife's bathroom, I see, in all its pink glory, a half-filled bottle of Estee Lauder BEAUTIFUL bath lotion.
Lotion ... soap ... same thing. And it has an easy pour spout.
Down the stairs, out the door, to the bird feeder. At dawn, I walk around the tree, using the easy pour spout to make a big, smelly circle of BEAUTIFUL. I rub some on the branch; the cayenne pepper helps it stick.
Back on the deck, I wait. In time, bearing coffee and the morning paper, my wife joins me. Leaving out some of the key details, I tell her that the squirrels are mine.
And here they come. Four today. Bounding toward what must be a circle of stink to them.
And right through it. Two up the tree, two running around on the ground. Four very sexy-sexy smelling Estee Lauder squirrels eating my bird seed.
SQUIRREL DEFENSE FUND: $90.98 (add in $45 replacement bottle of wife's favorite shower lotion)
ADVANCED SEARCH: Same as above minus Eau de, perfume, Macy's.
Duh ... put something between them, the tree, and the food. Block the squirrel-through lane.
This I get. "Barb, I need your Home Depot card."
An hour later, I'm back with a huge, gray, plastic dome-like thing that conveniently fits between the squirrels and their dinner. And it's guaranteed to keep them hungry.
Since this is serious, I skim the directions. This goes here, that goes there, and the squirrels go flying off. Breaking only one key plastic part, I mount it above the bird feeder. I'm so sure it'll work, I even add a little seed. Come and get it, squirrel boys.
Back on the deck, smelling of peppery perfume, I wait.
And for not long.
Two squirrels up, one squirrel down. I get the sinking feeling they've seen this before. The squirrels are now triple-teaming me.
Suddenly, the dome tips, left, right, big dip, and then, sliding down the squirrel-proof dome, comes a squirrel.
One paw grabs the squirrel-proof feeder cage, swings around, and the squirrel clamps on with all four legs. Hanging upside down, he starts dishing out the seed.
I need a bigger baffle.
And it's sitting on my neighbor's front yard -- a big, plastic, replacement-window home remodeling sign. Hey the windows are in, they don't need the sign.
And even better, they're at the Cape.
So in my best, neighborly head-down-scanning-the-lawn-for-dog-poop walk, I walk over, lean on the sign, look, rest, and then calmly walk away with the home improvement sign in my hand. Slick.
In my backyard, I stick a screwdriver through it, and then hang it over the squirrel-proof dome, which hangs over the squirrel-proof bird feeder.


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DPP-4 Inhibitors for Diabetes Can Cause Severe Joint Pain »
"Dipeptidyl peptidase-4 (DPP-4) inhibitors for type 2 diabetes may cause joint pain so intense it is disabling, the US Food and Drug Administration (FDA) warned today.
Fortunately, the pain goes away, usually in less than a month, once"...
Read the DPP-4 Inhibitors for Diabetes Can Cause Severe Joint Pain article »
No reports of overdosage with GlucaGen® have been reported. If overdosage occurs, the patient may experience nausea, vomiting, inhibition of GI tract motility, increase in blood pressure and pulse rate. In case of suspected overdosing, the serum potassium may decrease and should be monitored and corrected if needed. If the patient develops a dramatic increase in blood pressure, phentolamine mesylate has been shown to be effective in lowering blood pressure for the short time that control would be needed.
GlucaGen® is contraindicated in patients with:
- Known hypersensitivity to glucagon, lactose or any other constituent in GlucaGen®
- Pheochromocytoma [see WARNINGS AND PRECAUTIONS]
- Insulinoma [see WARNINGS AND PRECAUTIONS]
Last reviewed on RxList: 2/16/2016
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Chiney Ogwumike said, "I've never played a team that played like that," after her Cy-Fair Shock Nike Elite I had finished with the Cal Sparks Gold at the End of the Oregon Trail Tournament -- and that, of course, is one of the reasons summer basketball is so much fun.
In fact, a lot of Tuesday's action in Oregon City featured intra-regional matchups. Giving West Coast teams and players an opportunity to prove that the widely held belief that the East is the beast in women's basketball was at least an exaggeration, if not flat-out wrong.
Unfortunately, it didn't quite play out that way. Cy-Fair's come-from-behind win over the Cal Sparks Gold -- which featured several players from California high school power Long Beach Poly -- was just one of several results that did nothing to improve the Left Coast's reputation.
Colorado's Mile High Gold thumped a pair of Pacific teams (Category 5 from Seattle and the Bay Area Warriors from, not surprisingly, the San Francisco Bay Area), and New Heights out of New York and New Jersey outlasted a game NorCal Elite team (from, not surprisingly, Northern California) early in the day, despite the best efforts of Afure Jemerigbe (2010).
The Warriors, though, did salvage some Bay pride by upsetting North Tartan of Minnesota -- and its four Big 10 commits -- to get to the Gold bracket finals, and the East Bay Xplosion, another Bay Area team, surprised the Boulder Rockies in the Silver division semis. That set up an all-California final that the Pacific teams couldn't lose, and West Coast Premier, led by the best defensive backcourt in the country -- Eliza Pierre (2009) and Kiyana Stamps (2009)-- wore down EBX to advance to the first game of the four-team playoff that will determine the overall End of the Trail champion.
Cal Swish Black #1 also moved on, surviving a football game without pads in what the scoreboard would say was an "easy" win over New Heights. But despite the final margin, Cal Swish has the bruises to prove that even a rare win over an East Coast team didn't come without a cost. In fact, if not for Kelsey Harris (2010) catching fire from beyond the arc, this one would have been even an tougher test for the Southern Californians.
The biggest test, though, came in the Cy-Fair vs. Cal Sparks Gold matchup in the semis of the Gold Division. The Sparks fell behind early, but quickly righted themselves. They built a 10-point lead just before halftime, and were coasting along with a six- to eight-point lead when Ogwumike, a rising junior, simply took over the game midway through the second half. After drawing a fourth foul on 6-foot-4 Cierra Warren with 13:15 left, Ogwumike stole an entry pass and finished at the other end to make it 33-32. Monique Smalls (who finished with 10) hit the 3 that put the Texans up for good and when Ogwumike powered in a follow shot, and drew another foul, with 5:43 to go, the Sparks were all but extinguished.
"We started to push the ball and things fell into place," said Ogwumike, but she was puzzled by her team's up-and-down play. "It almost felt like a morning game."
"She really put the team on her shoulders," coach Rob Amboree said afterward about Ogwumike, who wound up scoring 14 of her game-high 21 points in the second half.
Ogwumike did all that while wearing a mask to protect a nose she broke in the Texas state playoffs -- and then re-injured at the USA Basketball U18 trials in June.
"Sometimes I don't play with the mask, but my nose got bumped in the first game here. I'm going to wear it the rest of the summer season," she said.
Even though it's the second mask she's tried, it's still not perfect. Against the Sparks, she was dribbling downcourt with her right hand and adjusting the clear plastic with her left, but of course didn't turn the ball over. In fact, she made very few mistakes and more than a few outstanding plays to cast Cy-Fair in the favorite's role on Wednesday.
There are two California teams left, though, and it's possible both could win and face each other in the finals -- but then again, if both lose Wednesday morning, in their own time zone, it will be even harder for Pacific Coast fans to make any sort of claim that the West is really better than people think.
Clay Kallam is a contributor to ESPN HoopGurlz. He is the founder of Full Court Press, an online magazine devoted to women's basketball; the author of "Girls Basketball: Building a Winning Program" and a voter for several national awards, including McDonald's and Parade All-Americans and the Wooden Award.


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The Journal of the American School of Classical Studies at Athens
Frequency: Quarterly
Subscribe Now | JSTOR Access | Friends of Hesperia
Hesperia is published quarterly by the American School of Classical Studies at Athens. Founded in 1932 to publish the work of the School, the journal now welcomes submissions from all scholars working in the fields of Greek archaeology, art, epigraphy, history, materials science, ethnography, and literature, from earliest prehistoric times onward. Hesperia is a refereed journal, available in both print and electronic formats. Some current articles and online-only supplementary material are freely available for downloading here.
Contents of the current issue (85.2)
- Early Bronze Age Burial Deposits at the Ayia Triada Cave, Karystos, Euboia: Tentative Interpretations, by Fanis Mavridis and Žarko Tankosić
- Middle Helladic Fine Gray Burnished (Gray Minyan) Sequence at Mitrou, East Lokris, by Christopher M. Hale
- "With a Little Help from My Wheel": Wheel-Coiled Pottery in Protogeometric Greece, by Štěpán Rückl and Loe Jacobs
- Posts, Kurbeis, Metopes: The Origins of the Athenian "Documentary" Stele, by Elizabeth A. Meyer
- Euergetism, Agonism, and Democracy: The Hortatory Intention in Late Classical and Early Hellenistic Athenian Honorific Decrees, by Jacob Miler
Upcoming Articles
Issue 85.3:
- A Foreign Potter in the Pylian Kingdom?: A Reanalysis of the Ceramic Assemblage of Room 60 at the Palace of Nestor in Pylos, by Bartłomiej Lis
- Old Excavations, New Interpretations: The 2008–2012 Seasons of the Ohio State University Excavations at Isthmia, by Jon M. Frey and Timothy E. Gregory
- The Dedicatory Inscription of the Stoa of Attalos in th Athenian Agora: Public Property, Commercial Space, and Hellenistic Kings, by Noah Kaye
- The Borghese Ares Revisited: New Evidence for the Identity and Purpose of the Original, an Augustan Copy from the Athenian Agora, and the Augustan Cult Group in the Temple of Ares, by Andrew Stewart
- The Battle Scene on Aemilius Paullus's Pydna Monument: A Reevaluation, by Michael J. Taylor
More than 1,500 Hesperia articles are available for free use. Click here to access.
Information for Subscribers
Although similar in design and appearance to the journal, Hesperia Supplements are treated as monographs. Customers should order from our book distributor.


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Hatoyama Quitting Dims Allure of Japan for ING, AMP
Yukio Hatoyama's resignation has added to Japan's political instability, blunting the appeal of equities at their cheapest in 17 months, fund managers at ING Investment Management and AMP Capital Investors Ltd. said.
Prime Minister Hatoyama quit yesterday, less than nine months after a landslide election victory, as funding scandals and a broken promise to relocate U.S. troops cost him the support of four in five voters. The Nikkei 225 Stock Average sank 1.1 percent, the most in a week yesterday, while the yen depreciated to a two-week low versus the dollar.
"The political instability has made Japan less attractive," said ING's Philip Schwartz, who manages about $1.2 billion of international equities in New York for the firm. "I've been gradually reducing exposure to Japan due to both economic and leadership issues. I'm not so sure what will drive the market higher."
The Nikkei 225 climbed 3.2 percent today, the most since Dec. 3. The gauge has fallen 5.9 percent since the end of August, when Hatoyama's Democratic Party of Japan ousted the Liberal Democratic Party, ending almost 50 years of rule. Hatoyama's term was the shortest for a Japanese leader since 1994, and his resignation forces parliament to select the nation's fifth prime minister in four years.
The DPJ may choose a new head on June 4, legislator Yoshimitsu Takashima told reporters yesterday, and the new leader would become prime minister because of the party's majority in the lower house of parliament. Deputy Premier and Finance Minister Naoto Kan has said he will run for the party leadership.
'Structural Problems'
"For a while there's been an atmosphere of political instability," said Nader Naeimi, a Sydney-based strategist at AMP Capital, which holds $90 billion. "There were hopes this new government would address the country's structural economic problems, but still you're not seeing enough in terms of improving domestic demand because people are afraid about their jobs and salaries."
The Nikkei has tumbled 13 percent from its high this year on April 5 on concern Europe's debt crisis will spread and on signs Japan's economic recovery is losing momentum. Companies on the Nikkei 225 were priced at an average 17.7 times estimated earnings on May 25, the cheapest since Dec. 24, 2008. They were valued today at 18.5 times.
The country's industrial production grew in April by less than economists forecast, according to a May 31 Trade Ministry report. Data last week showed the nation's export-led revival has been slow to spread to consumers -- the nation's unemployment rate rose in April, job prospects worsened, and household spending and consumer prices fell.
Government Debt
Japan's public debt is approaching 200 percent of gross domestic product, the biggest among the 30-member Organization for Economic Cooperation and Development. Takao Komine, a professor at Hosei University and a former bureaucrat, has said the government may suffer fiscal collapse in 10 to 15 years if the DPJ maintains its expansionary spending policy.
"We're waiting for more clarity on the political landscape before making any new investment decisions even though valuations are looking pretty attractive," said AMP Capital's Naeimi. "We're looking to see improvements in household spending, alongside a clear economic roadmap for moving forward."
The cost of insuring corporate bonds from non-payment in Japan rose yesterday, according to Morgan Stanley prices, while the yen weakened against all of its most-traded counterparts.
Weaker Yen
Any weakness in the yen will give little more than a short-term boost to companies reliant on overseas sales such as Toyota Motor Corp., the world's largest carmaker, and electronics maker Sony Corp., said ING's Schwartz. Japan's currency has risen 1.5 percent versus the dollar and 19 percent against the euro this year through yesterday, curbing the appeal of export stocks.
"If the yen stays weak, that's great," Schwartz said. "I'm just not sure it can stay weak."
Hatoyama's resignation makes him the shortest-serving Japanese Prime Minister since Tsutomu Hata led a minority government for two months in 1994. He would also make way for the country's fifth leader since Junichiro Koizumi stood down in September 2006.
Besides Kan, other candidates that may succeed Hatoyama include Transportation Minister Seiji Maehara and Foreign Minister Katsuya Okada, said Jeff Kingston, head of Asian Studies at Temple University's Tokyo campus.
"We won't majorly change our investment strategy," said Ayako Sera, a strategist at Tokyo-based Sumitomo Trust & Banking Co., which manages the equivalent of $307 billion. "The only change we would make is if we get a more coherent group of policymakers."


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Think you know everything there is about the Office's cast of off-beat characters? Like the time Jim dresses and acts exactly like Dwight, Michael does CPR while singing "Staying Alive" or when he offends every member of the staff with his rendition of a Chris Rock routine. We'll even go into the more heart-wrenching moments like when Jim confesses his true feelings for Pam in Casino Night.... There are 201 amazing episodes and your wonderful hosts Scott Marleau and Shawna…Find out more »
Summer Pop Up Market & Mingle: A Fundraiser for Toronto Queer Zine Fair
The Toronto Queer Zine Fair is hosting a summer pop up market and mingle! Buy work from some of your favourite zinesters, enter a raffle to win fun prizes, and catch up with all your zinester and creative pals. Sliding scale tarot readings will also be available by Clementine Morrigan. This event is a fundraiser to help the TQZF pay for accessibility costs including ASL interpretation, an accessible venue, and extra space for a quiet room for the fair in…Find out more »
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WINE NOT come to the cafe on a Monday? We've got Open Cellar Mondays with half priced bottles of select wine all night long! That's right, we're slashing the prices in half on some of our favourite bottles so you can start your week off right! See you there from 4 - 10 pm and check out the menu for food and drink!Find out more »
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Start your Thirsty Thursday off right every week with our Confit Duck Wing + Steamwhistle pint special for $12 from 5-8pm! Sauced in a savoury peking sauce, our delicious duck wings literally melt off the bone. Wash 'em down with the best beer around before free live music takes over at 8pm in the Melody Bar. Whether you like to plan in advance or "wing it", come down every Thursday for food, drinks and live music!Find out more »
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There's something about growing up in the 90s that only 90s kids can relate to. How crazy bones killed our fingers but we played them anyways. How we took our Tamagochis everywhere and kept them alive–no matter what. That moment when you realized your mom packed Dunkaroos in your lunchbox. The true love between Zack Morris and Kelly Kapowski–even when times got tough. And the day the Spice Girls released their debut CD–changing us forever. If you were lucky to…Find out more »
Humpback Yoga | 7-8am | $5
Get through the mid-week slump with Humpback Yoga every Wednesday in the 2nd floor gallery space of the Gladstone Hotel. Will it be hard to wake up that early? Yes. Will there be whale music? Probably not. Will you feel really good about yourself and be able to brag about it to all your work friends? Definitely. RSVP on Facebook here!Find out more »


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On Tap Today: No Joy in this live show dilemma
The Last Bison, pictured above, is performing Tuesday at Club Garibaldi. But the Joy Formidable is also playing Tuesday at Turner Hall Ballroom. Decisions, decisions. »Read Full Blog Post
A classic performance by youth for Milwaukee Symphony Orchestra
If you're worried about the future of classical music, you should really hear this weekend's Milwaukee Symphony Orchestra concert, which features both a conductor and soloist of the under-30 set.
Guest conductor Santtu-Matias Rouvali led the orchestra through beautifully crafted interpretations of music by Carl Nielsen and Jean Sibelius on Friday evening. He and the orchestra were joined by cellist Andreas Brantelid in a deeply musical rendering of Dmitri Shostakovich's Concerto No. 1 for Cello and Orchestra. »Read Full Article
Chamber Theatre faces tragedy in 'October, Before I Was Born'
Late on a Tuesday afternoon in October 1960, a deadly explosion at the Tennessee Eastman Co. plant left employees' loved ones in the dark, desperately waiting for news in a prewired era of shared phone lines and radio stations that signed off at dusk.
In Lori Matthews' "October, Before I Was Born" — which opened at Milwaukee Chamber Theatre Friday, under C. Michael Wright's direction — we spend 90 anxiously unfolding, real-time minutes waiting alongside three of them. »Read Full Article
Larry the Cable Guy's favorite NASCAR driver? Dick Trickle, of course
Daytona Beach, Fla. — Turns out Larry the Cable Guy was a fan of Wisconsin stock-car legend Dick Trickle.
And not just for the easy joke. »Read Full Blog Post(4)


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Please send me your reviews, suggestions, advice, and feedback for youandthekids.com. I am still in the beginning stages and would love feedback during these beginning stages prior to full release.
Hi, looks like a good start. However there seems to be a problem with the placement of the search box, and it all seems a bit grey and dull. Maybe white backgrounds would give it a cleaner, fresh appearance and make your logo and images pop.
@premiumwp...the search box placement is actually a defualt from the theme. If I were to change the placement, where would you suggest would be a good spot? Since I am pretty novice with all this still, would you be able to please tell me how to move it?
Any other feedback from anyone? Any other feedback from anyone on the background color?
It looks like the search box is supposed to be in the right of the navigation menu, however because you have too many items in the menu it's being pushed down into the content. I guess you can restructure your nav menu items so the search box will fit, or find where it is in your theme files and remove it.
thanks premiumwp!
alt attribute and value on your logo
<img> element, therefore discriminating against those with visual impairment.
Andrew...thanks so much for the needed feedback. I am pretty novice with coding since I never took a class on it ever. I have a few questions:
1. I checked the link out that you attached. There are plenty of warning, error, and info icons with the suggested solutions. I do not know if they are from the original code from the theme and or from code that WP forum helpers suggested for me to insert in helping me build my site. Are there one's I need to be very critical about in trying to fix somehow with my lack of programming/coding skills?
2. Home page took 4.3 seconds to load. How can I have my site load quicker? What speed would generally be ideal for the home page to load?
3. Color scheme. Where spcefically within the editor can I change the color scheme. I would like to change the two gray tones on the slide and where the articles are too.
4. Hyperlinks are not cons. styled. Can you explain this a litte more for me please?
If you need help, please post in a different forum section. This section is not frequented by the volunteers who help out.
1. Remove calendar
2. Change theme
3. Perform on SEO
4. Learn little bit CSS
5. Update sitemap
6. Use twitter
7. Remove ads for now
8. Try to update your site daily
9. You can try video blogging
10. i like logo :)
blograzzi...Thanks for the advice!
I agree with Blograzzi , you should do all that and it will improuve
This topic has been closed to new replies.


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Enjoy Coca-Cola
For the bar back, the couple agreed to wait until they found an original from the era rather than make a reproduction. "A local antiques dealer had just what we needed," says Thomas. "Salvaged from the old soda fountain in Vaughn's Pharmacy on Main, the bar even has a vintage 'Enjoy Coca-Cola' sticker still stuck to the mirror." They plan to have the sticker professionally cleaned and restored.


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Gucci Guilty for men...Very fruity. People always tell me I smell like a watermelon etc with this scent.
.....Let's here'em folks
Gucci Guilty for men...Very fruity. People always tell me I smell like a watermelon etc with this scent.
Why. Why oh why oh why. I don't know--Badgley Mischka?
Pretty Fruity by Montale
Creed Millisime Imperiale might work for you.
Sean Jean Unforgivable.
The sense of smell, like a faithful counsellor, foretells its character.
The occasional cK One Summer release.
Le Dandy D`Orsay for men - fruity, boozy and spicy.
Escape for Men by Calvin Klein - Wearing this is like drinking a tropical fruit cocktail mixed with soda water, while sitting at the edge of a rainforest, overlooking the ocean!
My current top 10 (subject to change) in no particular order:
Rive Gauche Pour Homme, Armani Prive' Nuances & Sable Or, Ermenegildo Zegna Indonesian Oud, Essenza de Zegna, Fahrenheit Le Parfum, Dior Homme, Dior La Collection Couturier Vetiver & Cuir Cannage, and Chanel Jersey
Whenever i think of fruity i always think of Byredo - Pulp
Creed Jardin d'Amalfi
L'Artisan Batucada
Allure homme for men. smells like berries, but then cocktail would apply too
seeking mitsouko 50ml's cap....desperately!!
i am awaiting for someone to photoshop an atomizer on top of a del monte fruit cocktail can..lol
Del monte pour homme
14 sprays of DRAKKAR NOIR should do it
Would have to say Pure Havanne or Pure Malt.
Allesandro Dell Acqua ...
SALES JANUARY 2013 ..http://community.basenotes.net/showthread.php?t=232133
*** SPECIAL - LUI ROCHAS , 3.3oz Sealed ***
FLACON .. Updating Soon flacon.ambaric.net/viewtopic.php?t=43
Enchanted Forest by The Vagabond Prince
Current Top Favorites:
1) Portrait of a Lady original formula (EdP Frédéric Malle)
2) Giorgio for Men vintage/V.I.P. for Men (Giorgio Beverly Hills)
3) Dia Man vintage edt (Amouage)
4) Anat Fritz Original Formula and Classical (Anat Fritz) - tie
4) Lalfeorosa (O'driù) - tie
6) Les Nombres d'Or Vetyver (Mona di Orio)
7) Captain vintage (Molyneux)
8) Tzora (Anat Fritz)
9) Javanese Patchouli (Zegna) - tie
9) Monsieur de Givenchy vintage (Givenchy) - tie
9) Coeur de Vetiver Sacré (L'Artisan) - tie
9) Polo vintage (Ralph Lauren) - tie
9) Patou pour Homme Privé (Jean Patou) - tie
9) Oud Shamash (The Different Company) - tie
"When you become comfortable with uncertainty. infinite possibilities open up in your life"
-- Eckhart Tolle
Joop Nightflight
Ed Hardy Love and Luck
The sense of smell, like a faithful counsellor, foretells its character.


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I just upgraded to WP 2.1. I was/am running the Executable PHP Widget (http://ottodestruct.com/) and had three instances in my sidebars all working fine before the upgrade, but only one of them works now that I've upgraded. The two bits of code that don't work are pretty basic PHP. Post-upgrade, they are not producing errors, but neither are they working the way that did before the upgrade, and I can't understand what would be wrong. I'd appreciate any advice. Here are the details:
1) This bit of code gave me a list of all my top-level categories with no subcategories.
<?php wp_list_cats('sort_column=ID&children=0&list=1&hide_empty=0'); ?>
But now, I get my full, hierarchicalized category list!
2) This bit of code put a logo on the particular pages noted, while putting nothing in that widget spot on any other posts/pages:
<?php if (is_page('140')||is_page('141')||is_page('142')||is_page('143')||is_page('156')||is_page('234')) { echo "

"; } ?>
Now, nothing shows up even on the indicated pages!


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A new method for the diagnosis of pulmonary embolism and infarction is provided by serial measurements of the serum LDH (lactic dehydrogenase) activity, SGOT (serum glutamic oxalacetic transaminase) activity, and serum bilirubin concentration. The serum LDH activity was consistently elevated and the SGOT activity was consistently normal in a series of 17 patients with pulmonary embolism or infarction. In 12 of these 17 patients the serum bilirubin was significantly increased. Using this triad permits the recognition of pulmonary embolism and infarction and makes it possible to differentiate them from acute myocardial infarction and pneumonia, the 2 diseases with which they are most often confused.
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I have an Olivetti d-copia 150d multifunctional printer and I recently updated to Windows 7 on my computer, but I can't seem to find the printer's drivers for Win7.
Their webpage does have Windows Vista (and older) drivers, though. I've read that some people got their printers to work under Win7 by running the Vista drivers in compatibility mode, but that didn't work for me (it says I'm not running a compatible OS).
The only way I've found to use it so far is to install a Windows XP inside a virtual machine and, every time I need to print something, copy it to the VM and print from there. (As you can imagine, it's quite an impractical solution.)
Is there any other way around this problem? Or am I out of luck? I can't imagine Windows Vista and 7 being so different drivers-wise, and I'd really like to avoid downgrading to Vista.


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Shiny Things by Orin Drake | Shiny Things Gallery | Fandom | Final Fantasy | Chocobos
So. Many. Chocobos. And all shiny.
KaisaiJan 21, 2012 13:01
"Kaisai" is Japanese for "jubilation", and that's quite fitting. There's never a time when Kaisai isn't chipper and ready to bring a smile to someone's face. Sure that can make her personality a bit... overwhelming at times, but she has a big heart and is always willing to lend an ear.
Well. Certainly the most demanding chocobo I have ever encountered. Not only did she make the demand to have her own decorative armor, but to have bead accents as well. She encompasses well over a week of work, and that armor is surprisingly heavy. Of course she's worth it, just look at her! Utterly fabulous.
Yes, of course I made that armor. Link by link. Then embellished it with AB siam Swarovski crystals. For clearly that makes everything a million times more awesome. Kaisai herself is embellished with the same AB siam Swarovski crystals, and dozens of little tiny size 11 peacock-hued seed beads.Her body and beak are crocheted, legs are incredibly strong (read: annoying to work with) wire wrapped with yarn. She stands at about 8 inches high, and all of it fabulous.
Jamari and LeifJan 21, 2012 13:00
Jamari (left) is more than likely growing up to be a natural-born leader. At least, most of the other young chocobos would agree with the way that they follow her around. It's good, then, that she uses her power and influence for good... and the occasional "see if the handlers brought sugar cubes" raids. But you know, that doesn't happen too often.
Leif (right) has quite possibly taken nothing seriously over the whole of his life. That's not to say he's flippant about anything; it's only to say that he never lets a negative moment pass without making it positive. Quite a nice thing, that.
IvyJan 21, 2012 13:00
Likes: summer days, the smell of the forest, digging for the sake of digging
Dislikes: getting bathed after digging, when the seasons turn cold
My camera will never capture that particular shade of dark green just right. Ah well. Ivy's pretty easy-going.
HollyJan 21, 2012 13:00
Likes: crisp mornings, fresh snow, celebrations
Dislikes: "scrooges", people shaking presents
My camera will never capture that particular shade of dark green just right. Ah well. Green, red, holly!
HarveyJan 21, 2012 13:00
Likes: marshmallows, plush things, big soft patches of grass
Dislikes: loud noises, the term "wingdings"
Well, I don't know... he just looks like a Harvey.
Gavin and GuinevereJan 21, 2012 13:00
Gavin is the younger, and freely willing to indulge in it. Oh, he'll mind what he's told... he just likes to push the limits and respond with that big-eyed adorable look. Works every time.
Guinevere is definitely the "kindly mother-type". She tends to act that way with all ages of chocobos and handlers alike--meaning that if you mess with any of them, you will be in very deep trouble.
Galina and IzzyJan 21, 2012 12:59
Galina (left) is a quiet, unassuming little ray of sunshine... until the handlers turn their backs. Now, I'm not saying she's a trouble maker, but I am saying... be careful when you turn your back. If you have any candy on you at all, it may go missing.
Izzy (left) is... simply... Izzy. She's a very unique personality, to say the least; a little spastic, a little manic... but she's full of a lot of love. And may also respond extremely favorably to sugar.
FranciscoJan 21, 2012 12:59
It's Francisco, the giant rainbow chocobo! He's a bit of a show-off, I must say--but he's a sweetheart and would take any poor chick under his wing if they ever needed his help. He's extra soft and an astounding 14 inches to the top of his crest. Crocheted, like the others--with larger plush yarn and a lot more stuffing. I'm currently of the belief that there is a conspiracy theory centered around why his left side refuses to photograph at all well, but I'm sure his fabulousness comes through regardless.
I will not go into the complications I ran into while trying to make a giant crocheted chocobo, but I will say that it's been a learning experience. And very worthwhile.


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Busy weekend for holiday travelers
Officials say more than two and a half million people in NC are hitting the roads this holiday season
Jon: Seriously, think about this, not just the novelty of having a woman as a president, think about the ramifications of your vote. Think on who you want to run this country, there are only two choices you have at this point that will win. Think on morality issues, think on honesty issues, think on what is really at stake. Put aside all of the political lines and rhetoric, the bickering and lies being told on both sides, weigh your choices and also do your homework into the pasts of these two candidates and then make an educated choice rather than a political guideline or emotional choice. Really look into what has happened in the past and the dealings and choices of the two candidates.


text: On Wed, Jul 13, 2011 at 12:55 PM, Nikodemus Siivola <nikodemus@...> wrote: > Tail-merging has no effect on whether TRACE shows the call or not. > What you're seeing is the effect of self-calls being optimized to > local calls, instead of going through the FDEFINITION -- which TRACE > has instrumented. Does this mean SBCL functions defined with FLET or LABELS? Or, from SBCL point of view, there is no effect, it is just stylistic? -- Gaby


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下面是英文的干活: Second, whenever input is requested through the standard I/O library from either (a)an unbuffered stream or (b)a line-buffered stream (that requires data to be requested from the kernel),all line-buffered output streams are flushed. The reason for the qualifier on (b) is that the requested data may already be in the buffer, which doesn't require data to be read from the kernel. Obviously, any input from an unbuffered stream, item (a), requires data to be obtained from the kernel 这段话是《Advanced Programming in the UNIX Environment 3rd Edition》的Standard I/O Library那一章的一段话,学渣表示完全不能理解。求大神帮着理解一下。
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closed as off-topic by deutschZuid, xiaohouzi79♦ Nov 18 '13 at 23:10
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Born Free, Soft Silicone Teether, 4 Months+ (Discontinued Item)
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Shipping Weight:?0.53 lbs (0.24 kg)
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- Product Code: BRF-46840
- UPC Code: 012914468401
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- Dimensions: 1.5 x 4.4 x 8.2 in, 0.1 lbs (0.05 kg)
- Natural Feeding
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- Soothes and Stimulates Sore Gums
- Made From Medical Grade Silicone
- Helps the Transition to Solid Foods
- Can be Chilled or Frozen for Extra Soothing
- Teething Gel Reservoir
- Made From Medical Grade Silicone
- Free From BPA and PVC
- Five Different Chewy Textures
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Can be Chilled or Frozen for Extra Soothing
Cleaning and Sterilizing:
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- After each use, wash teether in hot soapy water.
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- Do a Wear Test. Go through your closet item by item. If you haven't worn an outfit in a year, or hope to fit into it again someday, it's time to donate it to someone who can wear it today.
- Avoid the Munchies. Never store wool sweaters in cardboard boxes, which offer no protection against hungry moths. Clear plastic or canvas containers with tight lids are best. If your space is limited, enlist an empty suitcase.
- Give and Take. When you buy a new piece of clothing, donate an old one to charity.
- Don't be a Basket Case. Wire drawers allow air to circulate and let you see what's at the bottom of the pile; components for a double-drawer system cost $43 at Bed Bath & Beyond.
- Get On a Roll. Keep belts tidy by storing them coiled in an open, divided tray; $13 at Bed Bath & Beyond.
- See It All Clearly. Shoes are simple to find in these transparent plastic stacking boxes with drawers; $7 and $10 from The Container Store.
Browse the five best hangers.


text:
Top Definition
The act of grabbing one's unit at the base and swinging it in a circular motion.
That kid was up there giving himself a malespin instead of working.
ayon kay JoeNavy ika-26 ng Pebrero, 2008
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Ang mga sulat are galing sa email@example.com. Kailanma'y hindi kami magpapadala ng spam sa inyo.×


text:
Comfortable outdoor bathing this weekend
Ocean temps peaking
9 a.m., July 23
Reading and book signing by Zohreh Ghahremani, author of Sky of Red Poppies and The Moon Daughter. Part of the Eighth Annual San Diego City College International Book Fair. Held in room V-101. 619-388-3596.
1313 Park Boulevard, San Diego
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Hi, my old twitter plugin was disconnected and stop working. So I just installed the Pro one. Unfortunatelly can't make it work - nothing is showing up on the page. I add it to the right sidebar, twitter name - fxfreelance. I tried to change the number of feeded tweets like in one of the threads here, but it doesn't help. Number of API rewuests far from limits, I don't know what else to check. Any typical things I can do wrong, or is the problem not with me?
It should be below "@fxfreelance tweets" and above the next time-zone widget.


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, Volume 51, Issue 3, pp 663-678
First online:
The Importance of Place Names in the Search for Ecosystem-Like Concepts in Indigenous Societies: An Example from the Bolivian Andes
- Sébastien BoillatAffiliated withNatural Resources Institute, University of Manitoba Email author
- , Elvira SerranoAffiliated withFacultad de Ciencias Agrícolas y Pecuarias, Universidad Mayor de San Simón
- , Stephan RistAffiliated withCentre for Development and Environment, University of Bern
- , Fikret BerkesAffiliated withNatural Resources Institute, University of Manitoba
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This paper aims to deepen the search for ecosystem-like concepts in indigenous societies by highlighting the importance of place names used by Quechua indigenous farmers from the central Bolivian Andes. Villagers from two communities in the Tunari Mountain Range were asked to list, describe, map and categorize the places they knew on their community's territory. Results show that place names capture spatially explicit units which integrate biotic and abiotic nature and humans, and that there is an emphasis on topographic terms, highlighting the importance of geodiversity. Farmers' perspectives differ from the classical view of ecosystems because they 'humanize' places, considering them as living beings with agency. Consequently, they do not make a distinction between natural and cultural heritage. Their perspective of the environment is that of a personalized, dynamic relationship with the elements of the natural world that are perceived as living entities. A practical implication of the findings for sustainable development is that since places names make the links between people and the elements of the landscape, toponymy is a tool for ecosystem management rooted in indigenous knowledge. Because place names refer to holistic units linked with people's experience and spatially explicit, they can be used as an entry point to implement an intercultural dialogue for more sustainable land management.
KeywordsToponyms Ecosystem Traditional knowledge Land use Sense of place Bolivia Andes
Reference tools
- Title
- The Importance of Place Names in the Search for Ecosystem-Like Concepts in Indigenous Societies: An Example from the Bolivian Andes
- Journal
Environmental Management
Volume 51, Issue 3 , pp 663-678
- Cover Date
- 2013-03
- 10.1007/s00267-012-9969-4
- Print ISSN
- Online ISSN
- 1432-1009
- Publisher
- Springer-Verlag
- Additional Links
- Topics
- Keywords
- Toponyms
- Ecosystem
- Traditional knowledge
- Land use
- Sense of place
- Bolivia
- Andes
- Industry Sectors
- Authors
- Sébastien Boillat (1) (4)
- Elvira Serrano (2)
- Stephan Rist (3)
- Fikret Berkes (1)
- Author Affiliations
- 1. Natural Resources Institute, University of Manitoba, 303-70 Dysart Road, Winnipeg, MB, R3T 2M6, Canada
- 4. Parque Homero esq. Giovanni Boccaccio, Cochabamba, Bolivia
- 2. Facultad de Ciencias Agrícolas y Pecuarias, Universidad Mayor de San Simón, Av. Petrolera km. 4 1/2, Cochabamba, Bolivia
- 3. Centre for Development and Environment, University of Bern, Hallerstrasse 10, CH-3012, Bern, Switzerland


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(Sashiko) Greetings Cards
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Bring a touch of the Orient to your greetings cards with sashiko, the Japanese method of decorative stitching to create striking patterns on fabric with lines of simple running stitch. They are ideal for small pictorial sashiko samples, allowing you to practice the technique and also experiment with different thread and fabric colour combinations. These two cards feature a maple leaf and a simple flower – both easy to stitch but so stylish and effective.
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Title: (Sashiko) Greetings Cards
Author: Editors of D&C
Title: (Sashiko) Greetings Cards
Author: Editors of D&C
Buy, download and read (Sashiko) Greetings Cards (eBook) by Editors of D&C today!
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