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quote:I'm in the market for a 3d printer.. I've allocated 5-10 grand for this purchase and was wondering if anyone knows a good place to gain some knowledge and reviews of those currently available or soon to be, with full specs and capabilities.
quote:This is an awesome idea. 3D printing will change the world.
quote:He needs to stay away from so much philosophical verbiage when he is speaking to the media. If he uses simpler language, then it will resonate his points much easier.
quote:I personally really enjoy his philosophical ramblings, but I think you make a good point. Philosophy is rarely a good method for selling an idea.
quote:Wouldn't it be interesting if somebody drew up a 3d printer design for a gun that deliberately blew up in somebody's face?
quote:Defcad.org is quite the popular stop for government.
quote:Where did that list come from?
quote:Wouldn't it be interesting if somebody drew up a 3d printer design for buttplug that purposely breaks itself off in your ass?
quote:3D printers are definitely the wave of the future... and I believe I was the first to report on them here about four years ago. I'm a visionary, you see.


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Please select a state for your search.
Colorectal cancer can be prevented. Learn the signs.
Get healthy and stay healthy! Find a doctor today.
Delivering coordinated care throughout Iowa, western Illinois and southern Wisconsin. Find a location.
MyUnityPoint is in transition. For a period of time we will have two separate places to access your medical information.
The hospitals of UnityPoint Health solve complex problems and are just as focused on your return home as you are. Your stay will be effective, efficient and as pleasant as possible. Your transition home will be made at the appropriate time and with all necessary support.
Whether you are learning to manage a chronic disease, transitioning home from the hospital, or rehabilitating after an injury or surgery, UnityPoint at Home allows you to continue the level of care necessary to help restore health, well-being and independence all from the comfort of home.
UnityPoint Health has a vision for health care, and it starts with you: "Best outcome for every patient every time."

subset: commoncrawl


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Roll Over Image to Zoom
Wooden Shopping Cart
- Overview
Gather up groceries and head to checkout with this playful kid-sized cart. Crafted of wood with a cotton basket, this simple design helps little ones practice their balancing and push-and-pull skills.
- 12" wide x 17" deep x 20" high
- Crafted of solid wood with a painted white finish.
- Features a cotton bag and rubber rings on wheels.
- Increases balancing, push and pull skills.
- Use to cart our play food (sold separately).
- Sabrina Basket Chalkboard Label sold separately.
- Ages 2 years and up.
- Dimensions & Care
- Wipe with a damp cloth; air dry.
- Shipping Info
Please allow 5-7 business days for delivery. Delivery estimate includes monogrammed and gift-wrapped items.<br>
This item is only available to customers within the 50 United States.
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Chapter 13: The Master of Time
Danny floated through the Ghost Zone feeling both disturbed and at ease. He had always felt more relaxed while in the Ghost Zone (well, when he wasn't being hunted). His powers reacted more turbulent in the Human World, even when not active. In here though, they were calm and more controllable. He felt at home, and so did his spore.
Behind Danny flew Dani. Being an imperfect clone of a ghost-human hybrid led her to be greatly instable in the human world. This being her first real trip to the Ghost Zone, she felt surprisingly normal. Even while taping into her ghost powers, she felt solid and stable. "I never want to leave" she thought to herself.
Behind them floated Blossom, Bubbles and Buttercup, all of whom had followed Danny through the portal opened by the cloaked figure were less impressed by the eerie nature of the Ghost Zone. The Ghost Zone, home of many of the creatures that go Bump in the Night was like a living nightmare for the three young girls.
The portal had placed the 5 of them just outside of a large castle made of gears with a large clock face. Danny had visited this place twice before, once during his dealings with his evil future self and again when trying to prevent Vlad's ghost powers from manifesting. Clockwork, ghost master of time, resided in this castle.
As Danny got closer he noticed a large hole in the clock face. Someone or something had been here not long ago as the edges of the hole continued to smolder. The remainder of the castle was covered in the green spectral spores. Flying in his fears were confirmed. The grand time chamber of Clockwork had been reduced to a pile of rubble. Under one pile, Danny noticed a small piece of purple fabric sticking out. Danny called to the girls and they quickly freed an ancient looking ghost with a long white beard and a smashed glass clock oh his chest.
"Clockwork, are you ok?" Asked Danny
"Uhh...", moaned the ancient ghost. "I need to rest a bit but I'll be fine"
"What happened here?" asked Dani.
"I was assaulted by a young ghost-girl with jet black hair and the most vacant eyes. Her powers were so great I was unable to warp her time-space. She shattered my stalf and stole the Sands of Time. A powerful being she once was to have gained that much additional that she could have hidden herself from me."
"The what?" questioned Buttercup with a lost look on her face
"The Sands of Time. In all representations of me designed by your kind, I am an old man who carried an hourglass of time. As you can see the old man part is true and the hourglass was an archaic vessel for those powers. Well the Sand of Time are the sands that once flowed through the hourglass. Ive kept them in my clock", he said pointing to his cracked chest, " which gave me more direct control over my powers and also caused my age to shift. Being old gets tiring."
"What could she do with the Sands? " Asked Blossom concerned, piecing together the identity of the mysterious female.
"Alone, nothing." Everyone sighed a breath of relief. "The Sands take eons to master. No, the true purpose of the Sands is to unlock the Vault of the Damned. Articles that are deemed too powerful for the flow of time are removed from the time stream and locked in a separate dimension at the far end of the Ghost Zone."
"No!" cried Danny. "Vlad must be after some lost artifact."
"Not even close" came a cold voice from outside the hole in the tower.
Turning around, the five heroes saw the tech-suited Skulker floating next to the cloaked stranger that led them down this rabbit hole. The cloaked figure reached up and pulled her hood back, revealing her long flowing jet black hair and glowing red eyes. "Hey there Red. Remember me" she said smugly. "Or maybe this will help jog your memory" Tilting her head back, her body began to shimmer and became encased in a glowing green aura. When the field dispersed, the body of the White Powerpuff, Bell, remained floating.
"YOU!" Cried Blossom.


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25 Amazing Custom Wedding Cakes
After the wedding gown, what tops the bride's checklist? The wedding cake, of course! We rounded up some of the most amazing creations from bakers who labor over these decorative and decadent custom cakes. If you're a bride-to-be on the hunt for your own wedding cake, or just a fan of incredibly intricate cake designs, you will be amazed at these beautiful and creative custom wedding cakes.
Are these cakes just a bit too girlie for your groom-to-be? Then be sure to check out our eye-catching roundup of astounding groom's cakes.
By Sara Schwartz
Retro Charm
Yes, you too can have Ace of Cakes star Duff Goldman design your wedding cake. His unconventional style is perfect for those brides looking for the wild imaginings of a pastry rebel.
Charm City Cakes, Baltimore, MD
(410) 235-9229
Indian Chic
Rick Reichart, who co-owns cakelava with his wife, Sasha, designed this colorful sculpted-pillow wedding cake with handcrafted accent pieces for a yoga instructor's tropical wedding. To tie in the Hawaiian component, the bride chose guava and mango flavors for her cake.
cakelava, Kailua, HI
(808) 263-2868
Bananas for Victorian
With a keen eye for architectural detail, Confetti Cakes modeled this chocolate ganache-layered banana cake after the wedding venue: a Victorian mansion. The colored frosting on the shutters and accents matches the paint chips used in remodeling the real thing.
Confetti Cakes, New York, NY
(212) 877-9580
Violet and Gold Lace
Cakemaker Yvette Humbert covered each tier of this intricate bohemian-style cake with a layer of purple fondant, followed by a pattern of appliqué fondant lace brushed in gold luster dust. She crafted the crowning gold dome topper of the same edible lace.
Amazing Cakes of Austin, Austin, TX
(512) 619-6765
Wedding Wonder of the World
A confectionary wonder, the entirely edible Taj Mahal cake was created over a two-week period to honor the bride and groom's Indian heritage. Cardboard mailing tubes provided the form for the brick-patterned gum-paste towers that surround this 65-pound white velvet cake with fresh key lime filling.
Creative Celebrations, Ft. Walton Beach, FL
(850) 315-0969
From Russia with Love
With a nod to the bride's Russian ancestry, cakemaker Yvette Humbert crafted this confection in blue, white, and gold. Each tier represents a plate from the bride's antique Russian china set with blue fondant-covered dummy tiers in between.
Amazing Cakes of Austin, Austin, TX
(512) 619-6765
Pretty as a Peacock
This stunner features five stacked tiers of vanilla and chocolate cake with floral separators of sugar flowers that include deep coral peonies and white cherry blossoms. The sugar peacock perched on the top tier was inspired by the motif of the wedding reception.
Ron Ben-Israel Cakes, New York, NY
(212) 625-3369
Runway Bride
Thirty-four hours of handiwork and a 500-mile commute from San Francisco to Palm Springs, CA, made this dream wedding cake a reality for the founder of San Francisco Fashion Week. The four-tiered, 20-foot, 50-pound, Moroccan-Chic cake was created for her runway-themed nuptials.
I Dream of Cake, San Francisco, CA
Matt Lewis of Matty Cakes Bakery created this frosted feat of alternative angles known as the Topsy Turvy Cake. Four tiers defy gravity while displaying intricate surface sugar designs and fluffy frosting detailing.
Matty Cakes Bakery, Atlanta, GA
(404) 917-2253
Please note: Matty Cakes Bakery is no longer in business
Make Mine Moroccan
A Moroccan-born bride who loves bright colors inspired this cheerful wedding cake created by Cakes by Sam, a 2009 Brides Choice Award-winner on WeddingWire.com. Every adornment on this pink-and orange stunner is handcrafted from fondant.
Cakes by Sam, Cabot, AR
(501) 988-2400
Clock Tower of Love
The bride and groom were musicians who met in London and moved there after the wedding. They wanted the cake to display their love of music and the city that brought them together.
Mike's Amazing Cakes, Redmond, WA
(425) 869-2992
Something Spooky?
Colette Peters, who earned a master's degree in painting and worked as a designer for Tiffany & Co., started Colette's Cakes in 1989. Her artistic background is evident in this whimsical nod to Tim Burton's haunting classic animated film, The Nightmare Before Christmas.
Colette's Cakes, New York, NY 10014
(212) 366-6530
X's and O's are worth a thousand words. Or so says Suzy of Cakes by Suzy, who designed the 100-serving XOXO cake for a Valentine's Day bridal show. Suzy thought it would be fun to explore the Valentine's Day theme and so came up with this pink-and-brown ode to lovers' code.
Cakes by Suzy has now become Truly Custom Cakery, Philadelphia, PA
(215) 441-0111
Must Love Travel
What kind of wedding cake do you get when an air traffic controller marries a C-130 aircraft navigator? An aviation-themed compass cake, of course! It took Rick Reichart of cakelava 10 hours to create this strawberries-chantilly confection, presented on a map of significant destinations of the bride and groom.
cakelava, Kailua, HI
(808) 263-2868
Autumn Splendor
As a natural extension of the season's beauty, Dianne Rockwell created this pumpkin buttercream tiered cake tiled in chocolate mosaic. The edible display of autumn splendor features handmade sugar-paste fall leaves and pumpkins.
Dianne Rockwell (The Cake Lady), Lancaster, MA
(978) 365-5092
Mountain Adventure
This outdoorsy couple requested a mountainous cake for their wedding reception on Bear Mountain in upstate New York. Embracing the nature theme, sugar artist Penny Stankiewicz decorated the pumpkin cake with caramel buttercream in autumn mountain colors, sugar-paste flowers and ivy, and blue sugar shards.
Sugar Couture, New York, NY
(917) 992-4955
Iridescent in Orchid
Edible iridescent orchid pink pearl dust and a hand-piped floral design give this cake its unique beauty. The tiers feature Tahitian vanilla cake with strawberry, white chocolate, and lemon mousseline and dark chocolate cake with espresso, bittersweet chocolate, and hazelnut mousseline.
Ana Parzych Custom Cakes, Cheshire, CT
(203) 439-7979
The "Wow!" Cake
For the bride (and her mother) who wanted an ooh-and-ahh-producing cake comes this romantic, eight-tiered colossus. Sam and her helper spent more than 1 1/2 hours applying the pink gum-paste roses once they'd delivered the cake to the reception venue.
Cakes by Sam, Cabot, AR
(501) 988-2400
Edible Adobe
Designed for lovers of the Southwest, this unique wedding cake depicts traditional Pueblo dwellings. Iced in sunbaked adobe-colored buttercream with desert turquoise buttercream accents, the multitiered cake features realistic gum-paste wooden ladders and stick structures.
Classic Cakes, Carmel, IN
(317) 844-6901
Romantic and Rosy
Kristine Bender's Bride and Groom Silhouette Cake features a fondant-covered almond cake with custom silhouette plaque, black and white ribbons, and sugar sweet peas, anemones, and ranunculus. To complement the pink theme, the cake is layered with strawberry cream.
K. Rose Cakes, Washington, D.C.
(202) 255-8709
Sugar Blooms and Branches
In homage to the hydrangeas, cabbage roses, and calla lilies the bride chose for her wedding decor, Amy Beck re-created the blooms out of sugar, as well as an intricate system of sugar branches to anchor them.
Amy Beck Cake Design, Chicago, IL
(312) 545-3655
Luck o' the Irish
Cakes by Suzy entered this Celtic stained-glass-style wedding cake into the "Let Them Eat Cake" charity competition in 2009, benefiting City of Hope. The top tier, complete with a handmade, edible gold cross topper, was auctioned off, along with her accompanying leprechaun groom's cake.
Cakes by Suzy has now become Truly Custom Cakery, Philadelphia, PA
(215) 441-0111
Lucky in Love
A Vegas couple scored the jackpot with this popular Freed's Bakery's cake originally designed for July 7, 2007. Get it? Lucky number 7/7/7. The flashy cake, which includes edible poker chips and a "Married in Fabulous Las Vegas" sign, can be ordered in a variety of flavors including Light White Cake with Bavarian Cream and Sun Lemon with Raspberry Mousse.
Freed's Bakery of Las Vegas, Las Vegas, NV
(866) 933-5253
Hawaii Ink
Bride and groom tattoo artists requested this stylized koi fish- and wave-tattoo cake for their 70-person wedding. Cakelava's Rick Reichart designed the Kona Toffee Crunch-flavored cake in white, black, and gray to mimic the inky colors of the profession the couple shares.
cakelava, Kailua, HI
(808) 263-2868
Bedazzled Beauty
In her quest for the ultimate wedding cake, the bride requested that each tier of her cake be a different shape and that the entire confection be dripping with crystals and jewels. Mission accomplished! The cake is iced in buttercream, and the flowers are all hand-molded gum paste.
Classic Cakes, Carmel, IN
(317) 844-6901


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Melodie Decal
No longer available
- Overview
Add bright blooms to the room with this collection of fanciful flowers. The pink and lavender decals are easy to apply, remove and reposition, so you can update the look anytime.
- Smallest Flower: 2" diameter
- Largest Flower: 8" diameter
- Our peel-and-stick decals are easy to apply, reposition and remove.
- Decals make a fast, no-fuss alternative to messy paint and stencils.
- For best results, mount to a smooth surface.
- Artwork is created by our in-house designers.
- Set of 12 decals.
- Dimensions & Care
- Wipe using a damp, white cloth with cold water and a mild soap.
- Shipping Info
- Please allow 5-7 business days for delivery. Delivery estimate includes monogrammed and gift-wrapped items.


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Drug Notes
UPMC Patient Education Materials
Calculators and Assessment Tools
Anatomy Navigator
Conditions Navigator
Brachial plexopathy is pain, decreased movement, or decreased sensation in the arm and shoulder due to a nerve problem.
Neuropathy - brachial plexus; Brachial plexus dysfunction; Parsonage Turner syndrome; Pancoast syndrome
Brachial plexus dysfunction (brachial plexopathy) is a form of peripheral neuropathy . It occurs when there is damage to the brachial plexus , an area on each side of the neck where nerve roots from the spinal cord split into each arm's nerves.
Damage to the brachial plexus is usually related to direct injury to the nerve, stretching injuries (including birth trauma), pressure from tumors in the area (especially from lung tumors), or damage that results from radiation therapy .
Brachial plexus dysfunction may also be associated with:
In some cases, no cause can be identified.
An exam of the arm, hand and wrist can reveal a problem with the nerves of the brachial plexus. Signs may include:
A detailed history may help determine the cause of the brachial plexopathy. Age and gender are important, because some brachial plexus problems are more common in certain groups. For example, young men more often have inflammatory or postviral brachial plexus disease called Parsonage Turner syndrome.
Tests that may be done to diagnose this condition may include:
Treatment is aimed at correcting the underlying cause and allowing you to use your hand and arm as much as possible. In some cases, no treatment is required and recovery happens on its own.
Over-the-counter or prescription pain medications may be needed to control pain. Anticonvulsants (phenytoin, carbamazepine, gabapentin, and pregabalin), tricyclic antidepressants (amitriptyline and nortriptyline), or other medications (duloxetine) may be prescribed. Use the recommended dose possible to avoid side effects.
Some patients with brachial plexopathy may benefit from local nerve blocks. Surgery may be needed if nerve compression is the cause of the symptoms.
If other nerves are also affected, an underlying medical problem that can affect nerves should be considered. Medical conditions such as diabetes and kidney disease can damage nerves. In these cases, treatment is also directed at the underlying medical condition.
The likely outcome depends on the cause. A good recovery is possible if the cause is identified and properly treated. In some cases, there may be a partial or complete loss of movement or sensation. Nerve pain may be severe and may persist for a long time.
Call your health care provider if you experience pain, numbness, tingling, or weakness in the shoulder, arm, or hand.
Prevention is varied, depending on the cause.
Ensrud E, King JC. Plexopathy--brachial. In: Frontera WR, Silver JK, Rizzo TD, eds. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 134.
Chad DA. Disorders of nerve roots and plexuses. In: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, eds. Bradley's Neurology in Clinical Practice. 6th ed. Philadelphia, Pa: Saunders Elsevier; 2012:chap 75.
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Luc Jasmin, MD, PhD, Department of Neurosurgery at Cedars-Sinai Medical Center, Los Angeles, and Department of Anatomy at UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.
UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, gender identity, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.
Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.
For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.
© UPMC Pittsburgh, PA, USA UPMC.com


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Fall Mighty Mites & Turbo Tots
Rush Pikes Peak will be offering two recreational programs this fall, Mighty Mites and Turbo Tots.
Mighty Mites is a program for 3 & 4 year olds and Turbo Tots is a program for 5 & 6 year olds interested in having fun through soccer.
Both programs introduce children to the game of soccer by developing their motor skills, ball skills, and concepts of small sided games. The emphasis is very firmly on FUN!
Mighty Mites – 5:15 - 5:45 pm
Turbo Tots – 6:00 - 6:45 pm
Boddington Park (2050 Wood Avenue)
Week 1: Friday, September 5
Week 2: Friday, September 12
Week 3: Friday, September 19
Week 4: Friday, September 26
Week 5: Friday, October 3
Week 6: Friday, October 10
Mighty Mites: $45 (includes a t-shirt)
Turbo Tots: $65 (includes a t-shirt)
All dates are subject to change. No refunds, credits, or pro-rates.
For any questions, please contact Lauren Meehan - Director of Micro Programs at firstname.lastname@example.com.


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Greenlite brand 9 Watt plug-in compact fluorescent bulb with G23 base.
Neutral white color very popular with many businesses
Value - light interior spaces efficiently and at a competitive price
5-Pack Only (multi-pack priced per each bulb)
That's why we make the process as easy as possible and pledge to never leave you in the dark when it comes to buying replacement bulbs and lighting accessories.
Receive special offers and information from Bulbs.com.


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The countries of Eastern and Southern Africa host a vast variety and abundance of the world's biological and natural resources, including seven of the world's biodiversity 'hotspots'. From Ethiopia to the Cape, the region contains several centres of endemism where species of birds, mammals and plants reside nowhere else in the world. One of the most globally important centres of endemism is the coastal mountain range in the eastern part of Madagascar.
Read more


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DHHS → SAMHS → Substance Abuse → Home
Providing leadership in substance abuse prevention, intervention, treatment, and recovery.
Substance Abuse
Whether you are someone seeking services for yourself or a loved one, an employer looking for workplace solutions, a school system looking at your community's latest student data, or a student doing research for a paper, we hope you will find this web site useful and informative.
Please email us at email@example.com if you need assistance accessing any information. We are here to assist you.
What's New:
- Alcohol Use Fact Sheet (PDF)
- Marijuana Fact Sheet (PDF)
- Marijuana: 5 Key Messages for Parents
- Academic Performance and Student Health Risk: Technical Report (PDF)
- Strategic Prevention Plan 2013-2018 (PDF)
- Office Of Substance Abuse Annual Report, 2012 (PDF)
- Problem Gambling Brochures
- Substance Abuse Trends in Maine: State Epidemiological Profile 2014 (PDF)
- Substance Abuse Block Grant Behavioral Health Assessment Plan 2014 (PDF)
- Substance Abuse Services Commission Report on: LD 1501 Resolve (PDF)
- 2010 Report Card on Maine Substance Abuse Services (PDF) from the Maine Substance Abuse Services Commission
- Evaluation of the Impact of Medication Assisted Treatment in Maine, March 2010 (Word | PDF)
- Prescription Drug Abuse: Strategies to Stop the Epidemic, 2013, (PDF) -By Trust for America's Health.
- National Survey on Drug Use and Health (NSDUH): State-level data from the NSDUH shows that Maine residents did not report significantly more misuse of prescription pain relievers than either the national or the northeast population. Map Additionally,
- Maine had declines in the percent of persons 12 and older that needed but did not receive treatment for illicit drug abuse between 2008-2009 and 2011-2012 (from 2.73% to 2.23%).
- Maine had a decrease in underage past month alcohol use between 2008-2009 and 2011-2012 (from 26.61% to 24.72% among 12-20 year olds).
- Maine is in the top 30% of states for past month marijuana use among persons 12 and older, and top 25% for persons 18-25 year olds.
The full report is available at: http://www.samhsa.gov/data/NSDUH/2k10State/NSDUHsae2010/NSDUHsaeTOC2010.pdf
- Survey Shows Youth Alcohol Use Continues to Decrease in Maine Press Release
- The Cost of Alcohol and Drug Abuse in Maine, 2010 (PDF 1.41 MB)
- One-page Summary: Cost, 2010 PDF
- Funding the Efficient and Effective Delivery of Substance Abuse Prevention and Treatment Programs LD 1838/RESOLVE Chapter 142.
Full Report (81 pages) Word | PDF | Executive Summary Publisher | PDF
*Documents in PDF format require the free Adobe Acrobat Reader to view them. Printed copies of these documents may be available upon request.
Sheldon Wheeler,
Acting Director


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Emma Gene Sargent, 70, of Galesburg, died at 7:35 p.m. Friday, August 22, 2014 in the emergency room of OSF St. Mary Medical Center.
Burns, Donald A.
Donald A. Burns, 69, of Galesburg, died at 2:40 p.m. Sunday, August 24, 2014 at OSF St. Francis Medical Center in Peoria.
Bailey, Richard A.
Richard A. Bailey, 87,of Knoxville, formerly of Alexis, died 12:50 P.M. Friday, August 22, 2014 at Heartland Health Care Center, Galesburg.
Elliott, John R.
John R. Elliott, 61, of Monmouth, Ill. passed away at 5:12 p.m. Friday, August 22, 2014 at his home.
Eyler, Glennis Irene
Glennis Irene Eyler, 86, of Monmouth, Illinois, passed away at 1:05 a.m., Thursday, August 21, 2014 at her home after a brief illness.
Pierce, Mark D.
Mark D. Pierce, 51, of Galesburg, Illinois died at 5:52 p.m. Tuesday, August 19, 2014 at OSF St. Francis Medical Center, Peoria, Illinois.
Johnson, Barbara Joan
Barbara Joan (Teel) Johnson, 79, passed away on Wednesday August 20, 2014 at 12:58 a.m. at the Knox County Nursing Home in Knoxville IL after a 4-year battle with cancer.
Anderson, Tressia June
Tressia June Anderson, 62, of Galesburg died at 7:15 a.m. Wednesday, August 20, 2014 at her home.
Justus, Dolores Marie
GALVA – Dolores Marie Justus, 97, of Galesburg, formerly of Galva, died at 3:35 AM, Saturday, August 16, 2014 at Heartland Health Care Center in Galesburg.
VanDeVelde, Mark J
GALVA – Mark J. VanDeVelde, 58, of Galva, died at 11:50 AM, Sunday, August 17, 2014 at his home.


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Kendall Fixed Gate Crib, White
- Overview
Beautifully made and incredibly versatile, our Kendall crib features Craftsman-inspired details.
- 57" wide x 32" long x 44" high
- Height from teething rail to the floor is 39"
- Expertly crafted of solid wood.
- Mattress platform offers three height options to accommodate your growing baby.
- Easily adapts from crib to cozy toddler bed. (Conversion Kit sold separately.)
- Rigorously tested to meet or exceed all required and voluntary safety standards enacted by the US Product Safety Commission, the American Society of Testing Manufacturers and the Canadian Cribs and Cradles Regulations. See our crib safety tips.
- View and compare all available finishes at Furniture Finish Guide.
- Get tips on how to measure for furniture.
- Assembly required.
- Dimensions & Care
- Overall: 57" wide x 32" deep x 44" high
- Height from teething rail to the floor: 39"
- Clearance to floor: 11"
- Crib Ends: 2" thick
- Crib Sides: 1.5" thick
- Crib features fixed side rails.
- Distance between slats: 2"
- Settings for mattress platform from floor: 25", 20", 15"
- Weight: 77 pounds
- Conversion Kit: 48" long x 5" high x 1" thick
- Dust often using a clean, soft, dry cloth.
- Blot spills immediately, and wipe with a clean, damp cloth.
- We do not recommend the use of chemical cleansers, abrasives or furniture polish.
- Parents should ensure a safe environment for the child by checking regularly to see that every component is properly fastened and securely in place.
- Do not over tighten fasteners, as this may cause distortion or breakage.
- Carefully package all original hardware to protect from loss or damage.
- Store assembly instructions in the envelope attached to the mattress base for future reference.
- Shipping Info
Shipping Information
Please allow 5–7 business days for delivery. Delivery estimate includes monogrammed and gift-wrapped items.
Shipping Rates
The shipping rate varies depending on your order total and shipping options. View Shipping Info.
Rush Delivery
For an extra charge of $15 per address, we can arrange for rush delivery to most destinations. Excludes In-Home delivery.
Return Policy
At Pottery Barn Kids, we take great pride in the quality and craftsmanship of our products. Attention to design, materials, safety and construction is our priority. We carefully inspect your order prior to shipment; upon receipt, please inspect your purchase and notify us of any damage. We will arrange for a prompt replacement. If, within 7 days for Quick Ship upholstery and 30 days for all other products, you are dissatisfied for any reason, you may return your purchase for a refund of the merchandise value. Please note we cannot accept returns on monogrammed, personalized, special-order items, or on items damaged through normal wear and tear. We also cannot accept returns of final-sale items, which are identified by a price that ends in $0.99. For returns of items purchased from your Pottery Barn Kids registry, we will gladly provide a refund or exchange for the merchandise within 90 days of your event or within 90 days of purchase, whichever date is later. View Full Return Policy.
For assistance, please contact Customer Service at 1.800.993.4923, 7 days a week, 5:00 a.m. - 9:00 p.m. PST.


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Morpheus wrote:It looks better better and I do like that you're using a more open environment.
Now I would suggest avoiding the dodge, burn and smudge tool when making anything realistic.
Also, play around with your line weight.
Mad-Mutt wrote:Why? Is that bad? If it is I'll just remove it.
Mad-Mutt wrote:I heard that threads that don't gets posts too often are closed down.
Tom E. Gemcity wrote:nostalgia tears bro...
Exodis wrote:Wow, great job on drawing those cartoon characters in your art style. Nicely done
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Live like a tourist in Cape Town
Maxwell Rani
Most people know of Long Street and its sleepless nights, the lovely scenery of Camps bay and its wonderful restaurants, but have you ever felt like a tourist in your own city? I did when I was recently invited to Jonkershoek Nature Reserve in Stellenbosch. -
Cape Town Fire: How You Can Help
The wildfires in Cape Town continue to rage with firefighters working around the clock to put them out. The fire began above Boyes Drive on Sunday morning and has spread to Muizenberg, Hout Bay and Noordhoek. Here are some ways you can help these brave men and women as they battle tirelessly against the blaze. -
Paarl Ommiberg Round the Rock festival
When it comes to wine routes in and around Cape Town, we are spoilt for choice. There are so many right on our doorstop. Admittedly, an area that often gets overlooked in favour of the more popular ones is Paarl. And to give everyone a taste of what the Paarl farms offer, there's the Ommiberg Festival happening this Saturday. Here's what you can expect from all the various farms. -
Travel like a local: Your neighbourhood guide to Muizenberg
Coleen van Staden
Ok, so Surf rules in Muizenberg, or "Muizies" as it's affectionately known to locals. For many locals like me though, it's more than just a Summer destination where shallow waters offer great family fun and learning to surf has become the number one activity on the jam-packed beachfront. If you move away from the beach you will discover some quirky characters in this distinctly bohemian seaside village.
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CNN world's 10 most loved cities: Cape Town is there
CNNGo, the travel wing of CNN International, has listed Cape Town as one of the World's 10 Most Loved Cities, adding to the Mother City's long list of accolades.


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Arealstrasse 6
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The gallery is open by appointment only.
AB Gallery represents contemporary art and current positions from the MENA region, which encompasses the countries of North Africa, the Middle East and Iran. AB stands for "across borders": supporting the exchange of art and ideas beyond cultural borders is AB Gallery's primary aim. Follow our activities on Facebook.
Nina Huber, reporter of the SI Style Magazine talked to Nastaran Safaei from Iran about her stay as artist in residence in Lucerne. Please read here.
Exchange Challenges. Please read here the recent essay about the Artist-in-Residence program by the ORYX Foundation and AB GALLERY. In the art magazine Contemporary Practices - Visual Arts from the Middle East Anna Fech writes vividly about experiences of Middle East artists in Switzerland and the background of the program.
March 18 – March 21, 2015
Ali Bakhtiari visited Samira Hodaei in her studio in Tehran, Iran to talk about her current work series «And the dance goes on». The interview was now published in the latest edition of the HARPER'S BAZAAR ART, Nov-Dec 2014. Please read here
Please read here the recent interview with Omani artist and curator Hassan Meer published by the magazin "Reorient". In the interview entitled "Echoes of the Past" the artist talks about his work and the state of Oman's contemporary art scene.


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Anastasia Soare has achieved iconic status in the beauty industry as The Definitive Brow and Eye Expert. After opening her first salon, Anastasia Beverly Hills, in 1997, it quickly became the go-to beauty destination for supermodels and actresses alike. In the years following, Anastasia reached mainstream notoriety by creating the largest assortment of award winning eyebrow products and the world's best-selling brow pencils on the market today. A technical master and an amazing teacher, pro artists, beauty editors, and the biggest bloggers look to her as the authority in eyebrow and eye beauty.
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Silhouette Girl Necklace
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This retro-styled silhouette necklace makes a fun addition to any jewelry collection. It's crafted of sterling silver and can be engraved with a letter or name.
- 14–16" long
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Barack Obama's Economic Recovery Plan is needed for the short term and needed in the worst way, but will it solve the long term crisis our country faces?
We have serious problems here in the United States of America not because of the the Democrats or Republicans, but because of the Democrats and the Republicans.
The Washington politicians working hand in hand with folks like the NAM and the Chamber of Commerce in their never ending quest for cheap labor have created a climate to help Corporate America outsource American jobs and move manufacturing facilities to places like India, China and Mexico where the labor is cheap and the regulations are few. Bill Clinton, a Democrat with the support of folks like Republican Senator Mitch McConnell, signed the NAFTA agreement and just as Ross Perot predicted we are still hearing the "giant sucking sound" of that deal.
Now our country is in a mess, we don't make anything, import nearly everything, hire illegal aliens to keep labor cost down and outsource everything possible.
When my wife was in the hospital last week I was told by a person that wishes to remain anonymous that her x-ray was being read by a person in India, they call it teleradiology. Hell some folks are even outsourcing their elderly parents to foriegn countries like India. What's next, who knows but don't be surprised when you find out your children are outsourcing their home work!
In conclusion, will the Obama Economic Recovery Plan Work? Yes in the short term. No in the long term, unless of course we decide as a country to make what we consume. Or we can continue printing money until a dollar ain't worth a penny.


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Positive Health, Dignity, and Prevention (PHDP)
I. Definition of Positive Health, Dignity, and Prevention
Positive health, dignity, and prevention (PHDP) helps people living with HIV lead a complete and healthy life and reduce the risk of transmission of the virus to others. PHDP is characterized by its systematic delivery of a range of combination, behavioral, and sociocultural services within local communities.
II. Epidemiological Justification for the Prevention Area
As of 2008, an estimated 33 million people worldwide were living with HIV. Advances in HIV treatment have dramatically improved the life expectancy and quality of life of people living with HIV (PLWH). In some settings, expanded access to HIV testing and antiretroviral therapy (ART) has helped to transform HIV into a chronic disease. These advances magnify the urgent need to decrease HIV transmission, including for serodiscordant couples in which one partner is infected with HIV and the other is not. According to a 2008 study in Uganda, 40 percent of the cohabitating PLWH had an HIV-negative spouse. Most of the HIV-infected adults had been sexually active in the last year, and the overwhelming majority reported having unprotected sex with their married or cohabiting partner. Well over half of new HIV infections occurred among serodiscordant marital or cohabiting relationships. As PLWH live longer, it becomes increasingly important to promote safer sex and drug injection practices and to reinforce the role of every individual, HIV-positive or HIV-negative, in preventing the spread of HIV. In order to best use limited resources, prevention efforts should focus on intensive efforts with smaller groups and should be integrated into clinical care for PLWH.
III. Core Programmatic Components
Behavioral interventions for PLWH include individual and community-level education and skills-building programs. The following interventions constitute the minimum package of services for PHDP:
- Condoms (and lubricant) and risk-reduction counseling
- Assessment of partner status and provision of partner testing or referral for partner testing
- Assessment for sexually transmitted infections (STIs) and provision of or referral for STI treatment (if indicated, and partner treatment if indicated)
- Assessment of family planning needs and provision of contraception or safer pregnancy counseling or referral for family planning services
- Assessment of adherence and support or referral for adherence counseling
- Referral or enrollment of PLWH to community-based programs, such as home-based care, support groups, and post-test clubs.
PHDP programs will also include alcohol counseling, psychosocial support services, and integration of prevention messages into routine clinical care. At the community level, programs will focus on HIV stigma reduction, support communication about HIV and sex, disclosure to partners, and access to services. Structural factors will include efforts to reduce and eliminate legal and regulatory barriers to care and support for PLWH. Combination interventions are also critical, such as prevention of unintended pregnancies among HIV-infected women, prevention of mother-to-child transmission, STI assessment and management, and male circumcision. Discordant couples should be identified and provided with appropriate prevention counseling and services. Effective programs for PLWH must ensure meaningful involvement of PLWH in program design, implementation, and evaluation. Prevention programs should be part of a comprehensive set of HIV prevention efforts that target both HIV-negative and HIV-positive individuals. All interventions should be approached with utmost respect and sensitivity, and must be accompanied by efforts to combat stigma against PLWH.
IV. Current Status of Implementation Experience
Although PHDP implementation experience is limited, a number of pilot and qualitative studies support the effectiveness of these interventions. A recent study in Uganda found that individuals who learned they were HIV-positive were three times as likely to use condoms as those who did not know their HIV status, suggesting that testing can aid in reducing HIV transmission. Early studies show that interventions targeted to injecting drug users and to preventing mother-to-child transmission also reduce transmission.
Updated: June 2011
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In-depth interviews with 47 HIV-infected men and women in Uganda revealed that participants feel a sense of responsibility for preventing transmission of HIV. They believe that conscious transmission of HIV equals murder and could leave children orphaned. Respondents said their sense of responsibility led them to encourage partner testing and disclosure of the test results; and to be an HIV/AIDS educator to others. Obstacles to safer sex practices included sexual desire; inconsistent condom use; fear of disclosure of one's HIV status; gender-related power dynamics; and social and financial pressures. The authors state that altruism plays an important role in motivating preventive behaviors among HIV-infected persons in Uganda.
Interviews with 7 women and 20 men (no couples) in Uganda who were HIV-positive found that the participants increased condom use, reduced intercourse frequency, and had fewer sexual partners after testing HIV-positive. Interviewees said they were motivated by concerns for personal health and the health of others. Decreased libido also accounted for some of the behavioral changes. Factors contributing to risk taking included gender-power inequities (sometimes manifested by forced sex), pain experienced by women while using condoms, decreased pleasure for men while using condoms, lack of social support, and desire for children. The authors recommend interventions to address domestic violence, partner negotiation, use of lubricants and alternative sexual activities could increase condom use, and/or partner reduction.
This national cross-sectional study examined factors associated with HIV transmission risk among HIV-infected Ugandan adults. Of the approximately 1,092 HIV-infected adults in the study, 79 percent did not know they were infected; three quarters were sexually active; and most reported their last sex act as unprotected. Forty percent of those who were living with HIV and cohabiting had an HIV-negative spouse. Only 21 percent knew that it was possible to have HIV discordance within a couple. Those who knew their HIV status were three times more likely to use a condom at their last sex act than were those who did not know their status.
A pilot intervention in 2004/05 in KwaZulu Natal assessed prevention messages by specially trained counselors who used motivational interview techniques to help people living with HIV to reduce their HIV-transmission risk behavior. Discussions were tailored to a specific patient's HIV risk reduction (or maintenance of safer behavior) needs. Those who received the intervention reported a significant decrease over time in the number of unprotected sexual events, compared to individuals receiving standard counseling. The authors conclude that a counselor-delivered HIV prevention intervention for people living with HIV is feasible and can reduce unprotected sexual behaviors.
Most HIV transmission in sub-Saharan Africa is heterosexually acquired. The degree to which HIV transmission occurs within married or cohabiting relationships is uncertain. Using data from demographic and health surveys in Zambia and Rwanda of married or cohabiting couples or non-cohabiting couples from a voluntary counseling and testing service, the study estimates that 55 to 93 percent of new, heterosexually acquired HIV infections among adults occurred within serodiscordant marital or cohabiting relationships. The authors conclude that since most heterosexual HIV transmission in urban Zambia and Rwanda takes place within marriage or cohabitation, voluntary counseling and testing for couples should be promoted.
The authors of this report argue for a strategic approach to controlling the HIV and AIDS epidemic involving continued expansion and integration of care, treatment, and prevention programs. The paper includes suggestions on how to better utilize opportunities created by the antiretroviral roll-out to achieve more effective prevention, particularly in sub-Saharan Africa.
This systematic review of quantitative studies in developing countries examined psychosocial support services for HIV-infected clients as a behavioral risk reduction intervention. Only one randomized controlled trial had an evaluation component, thereby meeting inclusion criteria for the review. The study, conducted in Tanzania, randomized people living with HIV to receive standard care or standard care with individual counseling by trained staff. Both arms improved equally from baseline with regard to disclosure of HIV-positive status to anyone, condom negotiation, use of condoms, extramarital sex, and sexually transmitted infections. The authors recommend further efficacy evaluations.
Individuals who simultaneously have high viral loads and multiple sex or needle-sharing partners pose a disproportionate risk of transmitting HIV to others compared to individuals with chronic HIV infection and low viral loads. Yet, according to the authors, most prevention programs focus on those with chronic infection. The authors outline a variety of testing strategies to identify people with high viral loads who pose the greatest risk of transmitting HIV. They review programs in North Carolina and Malawi that use testing to identify high-risk transmitters and they review financial feasibility issues in developed and developing nations.
This meta-analysis (a study of studies) identified 12 studies conducted in the United States that tested the efficacy of interventions to reduce HIV risk behaviors. The interventions included efforts to eliminate or reduce risky drug use and/or sexual practices. Interventions that significantly reduced sexual risk behaviors were: (1) based on behavioral theory; (2) designed to change HIV transmission risk behaviors; (3) delivered by health-care providers or counselors; (4) delivered to individuals; (5) delivered in an intensive manner; (6) delivered in settings where people living with HIV receive routine services or medical care; (7) provided skills building, or (8) focused on issues related to mental health, medication adherence, and HIV-risk behavior.
The authors assess the efficacy of behavioral interventions to increase use and acceptability of sexual barrier products, including vaginal chemical barriers, among HIV-positive women in Lusaka, Zambia. Women were divided into group or individual intervention arms. They attended a baseline assessment; three intervention sessions; and follow up assessments at 6 and 12 months. The study reported that all participants increased their acceptance and use of female condoms and vaginal products. Both intervention arms sustained male condom use at 6 and 12 months. The authors conclude that group interventions are likely to be acceptable and cost-effective.
A demonstration project in Bangkok, Thailand, provided screening and treatment of sexually transmitted infections (STIs) for HIV-infected women during a six month period from 2003 to 2004. Just over half of the women were sexually active during the previous three months. STI prevalence varied greatly depending on where women obtained care: 8% of HIV-positive women at infectious disease clinics had STIs, whereas 30% of such women did at the STI clinic. Over one-third of the sexually active women reported not using condoms. However, women receiving antiretroviral treatment had a higher reported use of condoms than women not receiving antiretroviral treatment. The authors report that STI services for HIV-infected people was expanded in Thailand as a result of the findings.
This study examined 393 serodiscordant heterosexual couples to determine the effects of highly active antiretroviral therapy (HAART) on preventing transmission of HIV. The study was conducted in Madrid, Spain, between 1991 and 2003. It found that when the HIV-positive partner had not been treated with antiretroviral therapy over 8 percent of their partners became infected. By contrast, no partner of an individual who received antiretroviral therapy became infected. The authors report that when HAART became widely available, heterosexual transmission of HIV declined by 80 percent.
This paper describes how public access to antiretroviral treatment in South Africa has contributed to improvements in HIV prevention. The report is based on work by Doctors Without Borders/ Médecins Sans Frontières in resource-poor clinics in the Western Cape township of South Africa. In-depth interviews and clinic data were used to gather the information. The authors state that the introduction of mother-to-child-transmission prevention programs in 1999 and three HIV treatment clinics in 2000 were turning points in the region's response to the HIV epidemic. Each of the programs provided incentives for HIV testing; expanded prevention messages and outreach to people most at risk; and contributed to reductions in HIV incidence rates compared to other areas in the province.
This article reviews experiences in integrating family planning services with services for prevention of mother-to-child transmission (PMTCT) of HIV in ten countries in Africa, Asia, and Latin America. Community openness about HIV, fertility norms, and knowledge of PMTCT programs can affect the willingness of women living with HIV to seek family planning services. No differences were observed in use of contraceptives between HIV-positive and HIV-negative women in Kenya and Zambia, but the former were more willing to use condoms. In three countries where HIV prevalence was low and sterilization rates were high, women living with HIV often accepted sterilization. The authors conclude that the rights of HIV-positive women to informed reproductive choice should be respected.
Interviews with 104 HIV-positive men in India examined risk factors associated with HIV transmission. A majority of the men were migrant workers. Over one-third of the men had sex with men. Other risk categories included drug users, truck drivers, sex workers, and, in high prevalence areas, monogamous wives. Fewer than half of men living with HIV disclosed their status to their wives. Disclosure was even lower to health care providers, family members, friends and co-workers. The authors report that stigma and discrimination were the most common barriers to disclosure and they contributed to a reluctance to use condoms; seek counseling and testing; or to obtain care and treatment services.
This paper is an introduction to a set of articles arising from a 2003 meeting in the United States to examine state-of-the-science behavioral risk reduction with HIV-positive persons and to outline immediate research needs. The authors state that although most people who learn they are HIV-seropositive will take steps to reduce risk for themselves and others, safer sex practices are difficult to maintain long term. However, most studies last only 12 months, suggesting a need for longer term studies. Challenges and progress in specific programs are overviewed. The authors comment that while researchers are increasingly consulting with consumer/community members to inform research projects, the quality of consumer-informed research varies widely.
The authors review data from 1990 to 2001 regarding disclosure of HIV status. Rates, barriers, and outcomes of disclosure by people living with HIV are examined through a review of published literature and commentary from researchers and program implementers. Major barriers to discordant-partner disclosure are identified. Policy and programmatic approaches to address those barriers are discussed. Recommendations to enhance disclosure rates and to provide support for women who have (or would like to) disclose their HIV status to their sexual partners are provided.
This authors review 17 studies of rates, barriers, and outcomes of serostatus disclosure and its effects on prevention of mother-to-child transmission in developing countries. Disclosure rates varied greatly. In general, women who attended voluntary counseling and testing (VCT) clinics were more likely to disclose than women who were tested as a part of antenatal care. Fear of discrimination; accusations of infidelity by a partner; and abandonment or violence by a partner were barriers to women's disclosure of their serostatus. The authors recommend broader access to VCT; targeting women most at risk of negative outcomes of disclosure; and greater involvement of communities to reduce the stigma and fear associated with HIV serostatus.
The authors assert that family planning clinics are a "weak platform" for the integration of HIV prevention services in developing nations for several reasons: clients tend to be older married women who are less likely to transmit HIV; the clinics do not serve men; and the addition of HIV prevention services to family planning services strains staff that are already stretched thin and programs that have few resources. The authors suggest that mass media messages can be more effective and can reach a wider audience. They state that existing HIV treatment and prevention programs can be effective platforms to assist with family planning.
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This report of a consultation on positive health, dignity, and prevention held in Tunisia in 2009 included participants from around the globe who developed an international consensus on the meaning of positive health, dignity, and prevention (PHDP) with participation by people living with HIV (PLWH) who worked with civil society, government agencies, international development agencies, UNAIDS co-sponsors, and donor agencies. They agreed that PHDP "requires a human rights approach based on legal protections and a policy environment free of stigma and discrimination for PLHIV" and that "programmes must promote holistic health and wellness, including access to HIV treatment." The report concludes with recommendations for networks of PLWH, civil society, and public sector organizations and donors.
This brief from the President's Emergency Program for AIDS Relief (PEPFAR) highlights the importance of involving people living with HIV (PLWH) in program efforts and notes that PLWH are "vital contributors to the success of prevention efforts; important partners in health care delivery; sources of care and support for their communities; and effective advocates who can help build in-country capacity, local ownership, and accountability to promote sustainable efforts."
The President's Emergency Program for AIDS Relief (PEPFAR) expanded from a focus on HIV-negative individuals to include interventions for people living with HIV (PLWH). Prevention efforts with PLWH include efforts to mitigate the spread of HIV to sex partners; injecting drug use partners; and infants born to HIV-infected mothers, as well as efforts to protect the health of infected individuals. The adoption of healthy living and reduction in risk behaviors among PLWH can lead to substantial improvements in the quality of life and a reduction in HIV transmission rates.
This discussion paper was prepared for the LIVING 2008 partnership summit, held in Canada in 2008. The paper calls for leadership by people living with HIV in linking prevention and treatment; working to end stigma and discrimination; and advocacy and policy changes to address social vulnerabilities of people who are living with HIV. The paper outlines a range of programmatic issues and interventions, such as clinical and biomedical issues (including antiretroviral therapy and the risk of re-infection); psychosocial and social determinants of health; community participation; and policy and advocacy.
This short statement from the Summit outlines the issues of living positively, including strong prevention elements. It includes messages and targets for advocacy to advance the issue with policy makers.
To promote health and reduce transmission, this report puts forward a set of "essential" prevention and care services for adults and adolescents living with HIV. Descriptions of each service include country-specific considerations. Recommendations, which include psychosocial support, vaccination, family planning, and hygiene, among others, are scored for the strength of their scientific grounding.
The journal AIDS and Behavior released this special supplemental issue focusing on prevention with people living with HIV. The articles summarize programmatic responses in the United States. While programs highlighted have not undergone outcome evaluation, the peer-reviewed articles summarize the intervention development experience, intervention content, and implementation experiences/lessons learned.
This study examines changes in risky sexual behavior among HIV-infected Ugandan adults following initiation of antiretroviral therapy (ART) and its effects on HIV transmission to stable partners. Other prevention measures were also provided, including voluntary counseling and testing for cohabitating partners and free condoms. Nearly 900 ART-naïve people living with HIV were evaluated at baseline and quarterly following initiation of ART. Six months after initiating ART, risky sexual behavior fell by 70 percent. Over 85 percent of risky sexual acts occurred within married couples. Estimated risk of HIV transmission from cohort members declined by 98 percent. The researchers conclude that ART combined with other risk-reduction measures reduces the risk of HIV transmission. However, they acknowledged that it would be difficult to distinguish whether all, or only some, of the interventions contributed to the reduction.
This advocacy article urges strong emphasis on HIV prevention efforts; the authors point to the enormous human tragedy represented by more than 2.4 million deaths and 3.2 million incident HIV infections in sub-Saharan Africa in 2005. The authors emphasize the inadequacy of current HIV prevention efforts in sub-Saharan Africa and state that despite considerable expansion of antiretroviral therapy (ART) programs, prevention efforts have not kept pace. In low-income countries, investment in prevention may be cost-effective, since future care and treatment costs will be averted. New approaches and new resources might reinvigorate underfinanced HIV prevention efforts and avoid a widening gap between the numbers of individuals needing and receiving ART.
Healthy Relationships, a small-group, skills-based behavioral intervention for men and women living with HIV, is comprised of five sessions delivered over two-and-a-half weeks. Although male and female groups are conducted separately, all sessions are facilitated by one male and one female, one of whom is an HIV-positive peer counselor. The intervention was developed and tested among people living with HIV in Atlanta, Georgia. At six-month follow-ups, participants showed significant reductions in the number of unprotected vaginal/anal sex acts with HIV-negative partners; overall and unprotected vaginal/anal sex acts; and had fewer non-HIV-positive partners than the comparison group. Participants were also more likely to use condoms for vaginal/anal sex and more likely to refuse unsafe sexual practices than comparison group participants.
Partnership for Health (PfH) is a brief (3-5 minute), provider-delivered counseling program for individual men and women living with HIV in California, USA. The program is designed to improve patient-provider communication about safer sex, disclosure of serostatus, and HIV prevention. The model supports clinic staff "buy-in" and training. The intervention study found that patients who had two or more sex partners or at least one casual partner and who received consequences-framed messages were significantly less likely to engage in unprotected anal or vaginal sex. There was no change among those with only one partner or a main partner at baseline.
Choosing Life: Empowerment, Actions, Results (CLEAR) is an intervention comprised of three modules that is delivered individually to youth living with HIV in two major U.S. cities. Modules address physical health and antiretroviral adherence; reduction of risky sexual and substance use behaviors; and condom use and safer sex negotiation skills. Study participants received either in-person intervention, telephone-delivered intervention, or served as waitlist controls. At 15-months, intervention participants reported significantly greater increases in the proportion of protected sex acts with all sex partners and HIV-negative partners than did control participants. Participants who received the in-person intervention reported significantly greater risk reduction behaviors at 15 months compared to participants who received the telephone-delivered intervention.
The Women Involved in Life Learning from Other Women (WiLLOW) intervention is a small group, skill-training for women living with HIV. Rooted in gender and power theory, the four, four-hour sessions delivered over four weeks focus on HIV awareness, safer sex communication skills, and relationship decision-making. The study was conducted among African-American women in Alabama and Georgia, USA. At 6- and 12-month follow-ups, women who participated in WiLLOW reported significantly fewer acts of unprotected vaginal sex and were significantly less likely to report never using condoms than women in the comparison group. Additionally, over 12 months, women in the WiLLOW intervention were significantly less likely to acquire new bacterial sexually transmitted infections than women in the comparison group.
The authors examine the sexual behavior of 963 serodiscordant couples in Lusaka, Zambia, following voluntary HIV counseling and testing (VCT) through self-reports and biomarkers. It was found that condom use was the primary method to reduce HIV transmission to the non-infected partner. Prior to VCT, less than 3 percent of couples reported using condoms. During follow-up in the year after VCT, 80 percent used condoms. Individuals who reported always using condoms, had a 39 to 70 percent decline in sexually transmitted infection rates, including HIV. However, under-reporting of unprotected sex was common. For example, couples who reported to always use a condom still had sperm detected in vaginal smears and pregnancy was common.
This set of recommendations from the United States Centers for the Disease Control and Prevention proposes a role for medical providers in screening HIV-positive patients for sexual and drug-related risk behaviors; engaging them in risk-reduction; notifying and testing partners; and screening for and treating sexually transmitted infections. A table presents the relative risk of a spectrum of sexual behaviors. Patient scenarios are discussed, and tools are offered to guide screening and messaging. Ratings are given for the strength of the evidence underpinning each recommendation.
Home-based care services for people living with HIV (PLWH) can contribute to HIV prevention efforts. Home visitors can: promote safer sex; refer PLWH and partners for services related to HIV, sexually transmitted infections, and preventing mother-to-child transmission. They can also help to decrease stigma and discrimination by supporting community response and acceptance of PLWH. In this evaluation of the Khana Home Care Program for PLWH in Cambodia, nearly half of PLWH said home-care teams increased their comfort in disclosing their HIV status to others and nearly 30 percent of PLWH reported using condoms as a result of their increased knowledge about HIV.
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This comprehensive 63-page guide addresses key clinical, structural, legal, and policy issues to serve people living with HIV and strengthen HIV prevention efforts. Specific recommendations are offered around each of the issues, providing actionable points for planning and implementation.
The package includes both a facilitator's and a participant's guide.
The 81-page package on integrating HIV prevention in a care setting includes a facilitator's guide.
This guide offers positive prevention strategies in the areas of individual health education and support. It provides an overview of the controversy regarding the term "positive prevention" and its implications. Guidelines are provided to ensure access to care; improving service delivery; assist with community mobilization; and to enhance advocacy and policy change.
This training module for healthcare providers provides information on how to integrate HIV prevention into clinical settings in resource-constrained settings. Materials include a guide for health managers on integrating HIV prevention in the healthcare setting and a facilitator's manual and PowerPoint presentation on prevention for positives.
WHO's 128-page comprehensive curriculum. See specifically the section discussing "Adult Illness-Chronic HIV Care with ARV Therapy and Prevention."
Prevention Resources for People Living with HIV Web site
This website, created by the PEPFAR Prevention with People Living with HIV Task Force, includes a database of scholarly articles, curricula, and guidelines, policies, frameworks to help program and policy planners design, develop, and deliver effective clinic or community-based HIV prevention programs to ensure that all HIV-positive persons have access to evidence-based, comprehensive HIV prevention services in order to protect their own health and the health of their partner(s) and families.
Ryan White Prevention Project: Patient Exit Interview
This 17-page document features a sample survey tool used by clinicians at government-funded clinics across the U.S. to assess the frequency and variation of prevention services among people living with HIV.
View Full Text (PDF, 276 KB)
The Global Network of People Living with HIV (GNP+)
This website offers extensive discussion of issues and current documents under four general categories: empowerment; human rights; positive health, dignity, and prevention; and sexual and reproductive health and rights.
View Website


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Unveiling History
Over the history of the game, ballplayers have gotten bigger and stronger, the equipment used for protection has improved and the skills that are considered important have changed.
Today, greater emphasis is put on players getting on base and driving in runs rather than walking or stealing bases like a hundred years ago. But Hall of Famer Joe Morgan doesn't think these differences matter too much when it comes to the level of play in the major leagues.
"If you were a great player in the past, you'd be a great player today – and if you're a great player today, you'd be a great player in the past," he said.
Morgan visited Cooperstown Saturday along with fellow Hall of Famers Cal Ripken Jr. and Phil Niekro to celebrate the opening of the National Baseball Hall of Fame and Museum's brand new exhibit One for the Books: Baseball Records and the Stories Behind Them.
"Numbers give us something to compare players of different eras – something for players to chase," said Morgan. "They serve as a measuring stick, but they don't tell the whole story."
That is true for Phil Niekro.
Niekro earned his 3,000th strikeout while with the New York Yankees on July 4, 1984. His strike-three knuckleball flew by a swinging Rangers hitter, Larry Parrish, and also by his catcher Butch Wynegar. Parrish reached base safely on a drop-third strike, but the K still counted. The cap Niekro was wearing is on display in One for the Books.
Stories like these are told in the third-floor exhibit that features more than 200 artifacts representing records in batting, home runs, pitching, base running, fielding, team records and a seventh category that includes tallest, oldest, most seasons played and records held by umpires.
"It's all here," said Niekro. "It blows my mind to see what the exhibit really is. To know that these guys actually did this and set these records. I don't know if guys try to break records until they get real close to it and say: 'Gee, I've really got a chance to break this.'"
The exhibit is the most technologically advanced in the Museum's history and is the first to be funded by a wide-spread capital campaign. The majority of records that are represented are from the Major Leagues, but also celebrated are records from the minor leagues, Negro leagues, All American Girls Professional Baseball League, Nippon Professional Baseball in Japan and even Little League Baseball.
"I'm not a big record guy," Niekro said. "But when you come and see them all like this, you really see what these guys accomplished."
Samantha Carr is the manager of web and digital media for the National Baseball Hall of Fame and Museum.
- Posted on May 28, 2011 at 4:15 pm
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- 1 Comment
- Filed in: Dailies
- Tags: All-American Girls Professional Baseball League, Butch Wynegar, Cal Ripken Jr., Joe Morgan, Larry Parrish, New York Yankees, One for the Books, One for the Books: Baseball Records and the Stories Behind Them, Phil Niekro, Texas Rangers
1 Comment
Great seeing a photo of Phil Niekro and happy to see him involved in this event…But I never would have recognized him…I thought it was Leslie Nielsen before I read the caption


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quote:Who took his place when Shula yanked him in the SB?
quote: He shared time with Steve Eminsinger (spelling)
quote:A three year starter for LSU, LSU hall of fame,and started for the Miami Dolphins in Super Bowl 17. Why does no one ever talk about this guy?
quote:quote: Fricking love that book. ------------------ If that's the case, I suggest you read more.
quote:I had that very article in mind when I made my post. It's so eerie to me, because on so many levels, I used to be just like that. Or maybe I still am. I don't know.
quote: Old-timers seem to all say that Ensminger was the more consistent passer, but that Woodley was the better athlete.


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Attending Embedded World in Nuremberg later this month? Prior to visiting the Germanisches National Museum, check out Mentor Embedded at Hall 4, Booth 4-422. We'll have two Power Management focused presentations based on papers done by Colin Walls and Andrew Caples:
Power Management in Embedded Systems – by Colin Walls, 14:00
"We will discuss design considerations that should be made when starting a new power sensitive embedded design, which include choosing the hardware with desired capabilities, defining a hardware architecture that will allow software to dynamically control power consumption, defining appropriate power usage profiles, making the appropriate choice of an operating system and drivers, choosing measurable power goals and providing these goals to the software development team to track throughout the development process." To see a short video on designing for Low Power, visit this page and click play on the big box: http://www.mentor.com/embedded-software/nucleus/power-management
Explore Hardware and Software Strategies to Design Smart Energy Profile (SEP) 2.0 Compliance Devices – By Andrew Caples, 16:00
SEP 2.0 is quickly becoming the go-to standard for developing innovative connected products and services for the smart grid. In this session you will learn about the requirements to develop a SEP 2.0 compliant device and explore the hardware and software strategies you can apply to address the connectivity and security requirements laid out by the SEP 2.0 specification. Another of our colleagues, Srinath Balaraman, did a web seminar on this same topic which is available on-demand which you can check out here: http://www.mentor.com/embedded-software/events/explore-hardware-and-software-strategies-to-design-smart-energy-profile–sep–2-0-compliant-embedded-devices?clp=1
We have other exciting presentations scheduled for Tuesday and Wednesday at Embedded World as well as a handful of demos– stay tuned for more details on those. In the meantime, you can click here to learn more about everything Mentor Embedded is doing at Embedded World: http://www.mentor.com/embedded-software/events/embedded-world
Safe travels.


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About the authors
Darren Peacock
Head of Marketing and Intermediaries
I started at Avis in June 2007 and to say the time has gone quickly is an understatement. Our business is very fast moving with changes on a daily basis from new fleet, locations through to new products in to the market.
I have spent my whole career in the travel industry in a number of different companies including my last role at United Airlines.
I hope to be able to help customers on the blog with questions about Avis and to bring some of my previous travel experience and passion.
Outside of Avis I love travelling, exploring new places and visiting old favourites including Barcelona and Chicago.
Jonathan Bowman
Ecommerce Marketing Manager
I've worked in the travel and leisure industry for most of my career, but only joined Avis in the last year. For me blogging is not only a fantastic way for Avis to share our passion for travel and car hire, but also for readers to express their opinions too.
In this business it helps if you love to travel… and I definitely do! Whether it's sunbathing in Jamaica, shark diving in Cape Town or drinking coffee in Paris, I'm always looking for that next destination to enjoy.
When I'm not at work my time is focussed on my wife and baby daughter. Although I try and make time to watch a little football too!
What car would you be and why?!
I'd be a MG MGB Convertible – traditional, British and loves to cruise around on a sunny day.
Marketing Executive
As a recent employee and with a passion for cars it was a pleasure to join the Marketing team. Over a space of 5 months, the knowledge gained regarding the world of car rental is extraordinary. Being a part of the blogging team gives me a great opportunity to share this and experienced gained.
I have a background in customer services in the retail industry and graduated from Bournemouth University in 2011 with a BSc (Hons) in Computer Aided Product Design. Going from 3D modelling to marketing was quite a change but has given me the chance to use my skills in customer perception and problem solving.
When I'm not working I enjoy going to the gym, reading and with being half Scottish and half Portuguese I am currently attending an evening class to learn Portuguese! *clears throat* Onde está a estação de aluguer de automóveis?
What car would you be and why?!
Ford Mustang Shelby GT500 in dark blue with the two white racing stripes. It is like a pair of good stilettos, it'll never go out of fashion.
Social Media Executive
I've been at Avis for just over two months now, having spent 3 years working in an agency. I love all the change that has come with joining Avis and I love working here!
As you can probably imagine, I love Social Media and in my spare time run my own fashion blog. I consider myself a digital hoarder and I love finding stuff that gives you an insight into a whole new world (my current favourite being this twitter account @Cmdr_Hadfield – which belongs to an astronaut who tweets as he goes about his business in space – lots of cool pictures!)
What car would you be and why?!
I've been told I'd be a Fiat 500, which I'm assured is because they're sweet and little, and not because they're difficult to get along with.
Echannel Manager
I joined Avis in 2007 on the web development team and have been involved in the website ever since. I now work in the Marketing Department but am still focused on the website and trying to make it as easy to use as possible. I joined Avis because of my love of cars and driving, and have made full use of the rental fleet to drive a wide selection of cars for holidays in Europe and the USA. Before Avis I worked for an ecommerce agency writing online shops for a number of high street names.
What car would you be and why?!
I would be an Audi RS6. Most of the time I'm sensible and useful, but when once I get going you can't stop me!