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text:
Pre game notes:
- Oregon
State won the toss and deferred to the second half. The Beavers won
the toss against TCU and chose to receive.
- Captains for the game
were WR James Rodgers, DT
Stephen Paea, LB Dwight
Roberson and C Alex Linnenkohl.
- Oregon State wore all
black uniforms while Louisville was
clad in all white.
- Attendance for the game
was 45,379. The attendance figure is the largest ever at Reser Stadium for
a non-conference game. It is the fourth-largest mark at an OSU home game (trailing
11/29/08 vs. Oregon, 11/15/08 vs. California
and 11/10/07 against Washington).
- Game time weather was
cloudy at 63 degrees and raining. Wind was 1 mph from the South, Southwest.
- OSU improved to 27-1 in the last 28 nonconference home games.
Series notes:
- The series is now even
at 1-1
- Oregon State was a 21-point
- OSU is now 7-8 against current Big East competition
Miscellaneous notes:
- The game took three hours
and 12 minutes to play. Seven minutes longer than the TCU game.
- Oregon State was penalized
seven times for 65 yards while Louisville had yellow flags thrown on them
eight times for 65 yards. There were just 10 penalties for 75 yards in the
entire TCU/OSU game.
- Louisville ran 77 plays,
Oregon State 61 - that's 10 more then OSU ran against TCU.
- The Beavers' victory
gives Oregon State a victory in their last nine home openers.
- Head coach Mike
Riley improved his all-time record to 65-48. The 65 wins is nine
shy of tying Lon Stiner's school record 74.
- The Beavers came into
the game ranked 25th in the Associated Press Top 25 poll. It is the latest
in the month of September that the Beavers have been ranked since 2001.
- Oregon State improved
to 27-1 in its last 28 non-conference games at Reser Stadium dating back to
1996. OSU's only loss during that stretch was at the hands of Cincinnati
in 2009.
- Oregon State's average
field position: OS31 | Louisville's: L29
|Hekker's inconsistency hurts, but Rodgers was electric.
- P Johnny Hekker
averaged 43.0 yards per punt in seven attempts with a long of 54. Two of his
punts were downed inside the 20. He averaged 43.4 yards against TCU.
Hekker did have a couple of bad punts shanking one in the second half that gave Louisville excellent field position.
- K Justin
Kahut connected on all five on his extra points making him 8
of 8 on the year. He did not attempt a field goal.
- Kahut averaged 64.8 yards
per kickoff - two yards less than his average versus the Horned Frogs.
- KR/PR James Rodgers
returned four kickoffs for 161 yards, with a long of 63, for a 40.2 average.
Quon also fielded two punts for 43 yards, with a long of 28.
Just on kick and punt returns he had 204 yards averaging 34 yards every time he fielded a punt.
Rodgers leads the nation in all-purpose yards averaging 226.5 yards per game.
- KR Jordan Poyer
returned one kickoff for 21 yards.
- S Rashaad Reynolds made three tackles - all on special teams. He is a gunner on punt coverage.


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Tornado Strikes Oklahoma
Possibly the most vague title ever. Fortunately, I knew which tornado it was about anyways.
Reaction: Whatever. It's Oklahoma. There's tornadoes all the time. Not to mention Joplin had a tornado that was far worse a couple years ago.
Feel bad for them...
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Hi guys, I live literally blocks away from that tornado.
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Delaware Afternoon Book Discussion
June 2 - The Good Lord Bird by James McBride
July 7 - Making An Exit by Elinor Fuchs
August 4 - Cloud Atlas by David Mitchell
June 2 - The Good Lord Bird by James McBride
July 7 - Making An Exit by Elinor Fuchs
August 4 - Cloud Atlas by David Mitchell
Adults and Teens
June 23 - Where'd You Go Bernadette by Maria Semple
July 28 - Is Everyone Hanging Out Without Me? (and, other concerns) by Mindy Kaling
Enjoy a thirty minute one-on-one mobile device help session with a librarian. Learn how to video chat, utilize apps, camera tricks, and more!
The Friends of the Library (FOL) Bargain Book Fair offers hundreds of gently used books, movies and more for members and public to explore and discover. Upon finding that perfect pile of materials, visitors may make a donation to the FOL, which goes back to buy more books and support library programs and events.
The FOL gladly accept donations of gently used books for future FOL book fairs. Drop your donations off at any of our four DCDL locations.
Book Club at the Powell Village Winery. Starts at 3pm.
Yoga Instructor Stella Estep will lead an introductory Yoga class. Perfect time to try it out!
June 23 - The All-Girl Filling Station's Last Reunion by Fannie Flagg
July 28 - Reader's Party - Bring your favorite recommended read of the year!
August 25 - The Chaperone by Laura Moriarty
June 16 - Attendees will be challenged to write a one page description of their favorite summer past time.
August 18 - Attendees are encouraged to bring in a book review of 150 words or less.


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Rockets guard Patrick Beverley was arrested, paid a fine and was released today because of an open warrant for a traffic violation, Ch. 13 reported. The Harris County Precinct 8 Constable's Office told the TV station that Beverley was stopped this morning on Beltway 8 at Telephone Road by Pearland police. Beverley had an open warrant for a Class C misdemeanor for "Operating a Motor Vehicle on Toll Road When Prohibited" issued out of Harris County. Beverley was arrested at the scene and transported to the Clear Lake substation. He paid a fine and was released at around 11 a.m.
Patrick Beverley arrested
September 24, 2016 | 8:40 pm EDT Update
"Last year was frustrating, numbers individually was pretty solid, but just the love and excitement wasn't there," he said. "So I had to look in the mirror this summer and realize that I got to change and I got to get back to how I was." To that end, he refocused this offseason and put an emphasis on becoming a better leader. He organized players-only training and outings in both Miami and Las Vegas in an attempt to create cohesiveness within the group before camp. "Just getting to know somebody and hanging out … it was really good," he said. "That's going to carry over onto the court."
When Sam Dekker began his career with the Rockets a year ago, he was already trying to make up for lost time and battling back problems. He had sat out most of the summer and never could get over the back issues that put him out until opting for the surgery that cost him most of his rookie season. After just one practice of the Rockets training camp on Saturday, Dekker felt as he never did last season. "It feels really good," Dekker said. "I've had a great summer. This is the best I've ever felt in my life. Really good energy with the team. We have a lot to be optimistic about."
Fred Katz: Oladipo on Russell Westbrook singing to him: "Some days at night I can't sleep, and I just call him, and he sings me to sleep."
September 24, 2016 | 5:50 pm EDT Update
Wolves waive Kevin Garnett
Shams Charania: Vertical Sources: Kevin Garnett has been released by Minnesota on NBA waivers. Official end to an iconic 21-year career.


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Apr 11, 2011 11:01AM PST
After almost a decade since the relevance of Sega's last home console, the Dreamcast, Sega returns to the hardware market again with a game designed around a urinal, controlled by a man's pee. These wonderful devices have been implemented in several Tokyo metro-stations, but sadly there hasn't been a word yet of a Stateside release. The Toylet includes 4 mini games; a game that tells you how much you've peed, a game where you clean graffiti with your pee, a game where you try to pee more than the guy before you did, and a game where your pee is wind and you try to blow womens skirts up. Sega hopes to make money with paid advertising on the devices.
Sega, always the mother of innovation, has done it again, folks.
Comments (1)


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|Reviews for You're Not Hallucinating, Sasuke!
| jj chapter 1 . 8/26
oh boy
| Alta-Lemur chapter 1 . 7/18
i know you wrote this some time ago, but i wanted to thank you for writing. it was hilarious.
| Black' Victor Cachat chapter 1 . 5/27
...that is a very good point that canon assumes that Sasuke knew utterly nothing about his brother and his goals before the Coup even became an issue
| The One Who Reads Too Much chapter 1 . 3/5
"You can't tell me what to do," he declared childishly before immediately disregarding his brother's warning and entering his parent's bedroom.
Just the image of Sasuke doing that, despite the dead bodies outside, was absolutely hilarious.
"So…you had a fight with dad, neither of you would apologize, so you killed everyone?" Sasuke asked, raising his eyebrow. "That's a little drastic, don't you think?"
"No, it was to test my capacity," Itachi corrected.
"To test your-? Right, because that makes so much more sense," Sasuke said sarcastically. "Ah, well, I suppose my hallucination can't provide an adequate reason for why you'd kill everyone since I can't think of anything."
I really wish this was the actual dialogue, it's just too funny.
"Outside it looked like there were signs of a battle and in here there don't. That means that at some point in time people realized what was happening and tried to fight back. If mom and dad were still alive by that point, they would have heard the alarm and wouldn't have been so obviously taken by surprise. Also, I saw you standing on a telephone pole earlier, so why would you come back here? You couldn't possibly have killed everyone in the two minutes it took me to get home after that. Were you waiting for me or something? And why wait in here if you didn't want me to see their bodies?" Sasuke asked reasonably.
Itachi didn't answer.
It's okay Itachi, I can't think of a reasonable excuse for that either. Maybe you should ask Kakashi? He's emulating Obito by now, right? I'm sure he can come up with a good excuse about rearranging the garden gnomes because a black cat broke a mirror in your garden or something.
| Guest chapter 1 . 3/4
| Storm chapter 1 . 1/15
Oh my gawd. This was amazing.
| beulah2013 chapter 1 . 11/18/2015
this is so funny! it's super weird and i really wish that this actually happened but that itachi had to leave before anbu came and couldn't modify his memory. or if he did that sasuke was examined by inochi and his memory restored.
| DUH BOMB chapter 1 . 11/17/2015
That would be crazy if Sasuke thought it was a hallucination. Very good "what if"
| Guest chapter 1 . 10/17/2015
OH MY GOD. that was hilarious!
| warpterror chapter 1 . 10/4/2015
Well Sasuke IS supposed to be a genius even if not at Itachi's level. This version of him certainly acts like one more than his cannon counterpart. After all it WOULD be easier to believe the massacre to be a hallucination as well as that being the more rational possibility given all the evidence Sasuke has accumulated against Itachi killing their whole clan "out of the blue". I get that he is wrong but from a rational point of view he did come to the one logical conclusion (especially given that he drank some random liquid earlier that day) :) I wish there was a full length fic like this out there somewhere... The closest I ever came to finding one was "Not Sick" by Ser Serendipity and "Lighting up the Dark" by Velorien.
| mutecebu chapter 1 . 8/15/2015
With a little brother like that, it's no wonder Itachi snapped.
| D chapter 1 . 7/7/2015
| Miss WorldOfImagination chapter 1 . 5/29/2015
Haha woww this was hilarious
| Dazzle chapter 1 . 5/7/2015
Ahahaha, lovely.
| FujiwaraKuro chapter 1 . 5/2/2015
OH KIRA-SAMA PLEASE WRITE MORE TO THIS! Sorry for the caps but this is just so awesome an funny


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On Food Network
Original Aired On 08/05/2011
Episode: Sante Fe
smokin' hot Santa Fe red and green chili
Get the blue corn enchiladas with green chile and cheese (no meat) and an over-easy egg on top. Be sure to get a bite of the sopapillas with honey butter as soon as they get to the table piping hot.
Great place for dinner and drinks. Try one of the frozen maragaritas. Ask for either a frog or a swirl. I personally like the frog better.
Awesome swirls
Try the margaritas and the chalupas are amazing. The whole menu is true New Mexican be prepared for spicy hott food YUM!
Wifi password is tomasitas
Best margaritas!
Don't bother trying to have more than one drink here. One drink MAX! Save ur time and money - go elsewhere.
Chicken stuffed sopaipilla is delicious! Red chile!
I heard lots of good things about Tomasita's, so when my co-workers said they'd like to go there this week for lunch, I was very excited. However, the service was VERY SLOW!


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[Intro x3]
East Timorese, Guatemala and Mumia
The beast seems to reach where they've got a walletful of wealth
So COINTELPRO police goin' to hell
"No Justice, No Peace" is the onomatopoeia
[Verse 1: Jonny 5]
Well, anyway, hip-hop's no fun now
It's all been done now
So I stall my puns (wow)
But then I recall
My one vow is to bust this
Bubble of injustice
Subtly. What'll we muddle up
If we bum rush this plush system?
I'm good if we crush this one
Puddles of blood'll
Be the rebuttal
I stood in the huddle
But would I risk lung trouble?
Could I lift guns that'll take lives?
Cause there isn't a stunt double or a fake knife
Should I just run and
Cuddle up with a great wife?
And make life
Erotically perpetuating paradise on the late night
Methodically, US invading places
Like we gotta key to every door
The people never see the war
When they plan to slaughter smaller villages
Killing woman to man to daughter
All of us'd really feel ill if we knew
Who we hand a lot of our dollars
So my soliloquy is bananas, like Guatemala
Hands off Assata!
While ya'll feast
In the belly of the hairy beast
Somebody better free Mumia at the very least
Release Leonard Peltier
Try to keep the peace by yourself
Where can we police the police?
East Timorese healthcare fees increased
I wonder how it felt there
When bombs scorched the nation?
With Tomahawk contracts from Textron
Checks for the next welfare mom corporation


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Real news. Real funny.
Real news. Real funny.
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Brynja Ingadottir was an invited speaker at the 8th Joint Scandinavian Conference in Cardiothoracic Surgery which was held 17-19 August 2016 in Reykjavik Iceland. She presented in the session of SATNU (Scandinavian Association of Thoracic Nurses) about the use of technology in patient education with special focus on the serious game on pain management after surgery which is a part of her Ph.D thesis. The game has been developed in collaboration with Linköping University (Tiny Jaarsma and Ingela Thylén), Reykjavik University, University of Iceland and Landspitali University Hospital, Reykjavik, Iceland.
Nana Waldréus dissertation
The D-day on the 18th of April 2016 was finally here! D as for dissertation. Four and a half years is quite a long time working hard with your studies and manuscripts. Doing your courses and attending seminars, as well as participating on congresses. Although the work was hard many times, I will always remember these years as so rewarding. Not only that I learned so much, but I also grew as a human being. I thought I had prepared my "mind" for the upcoming defense of my dissertation. When preparing myself the last months, I realized that it is impossible to be prepared for everything. One just has to be in the present moment and trust yourself. So, only two days before the D-day, I went to the EuroHeartCare congress in Athen with CESAR´s, having a doctoral students' abstract presentation about thirst in patients with heart failure! Being in the present moment.
Professor Anna Forsberg, from Lunds University, was the faculty opponent and did a great work asking me all kinds of relevant and interesting questions about my thesis. The grading committee did also a great work highlighting significant aspects of my research. I was so in the present moment, that when there were no more questions, I realized that three hours had passed! It felt like one hour…. The D-day ended with a nice dinner with my dear friends whom I had the good fortune to get to know during these years!
My thesis has the title "Thirst in Patients with Heart Failure: Description of thirst dimensions and associated factors with thirst". The aim of the thesis was to describe the thirst experience of patients with heart failure and describe the relationship of thirst with physiologic, psychologic and situational factors. The goal was to contribute to the improvement of the care by identifying needs and possible approaches to prevent and relieve thirst in patients with heart failure.
The main results of the four studies in the thesis were:
- Thirst was prevalent in 1 out of 5 patients with stable heart failure
- 63% of patients with worsening of heart failure symptoms experienced moderate to severe thirst distress at hospital admission
- Thirst intensity was significantly higher in patients hospitalized with decompensated heart failure compared to patients with no HF (median 75 vs. 25 mm, visual analogue scale [VAS] 0-100 mm; P < 0.001)
- Patients at an outpatient heart failure clinic who reported thirst at the first visit were more often thirsty at the follow-up visits compared to patients who did not report thirst at the first visit
- Patients with heart failure who were admitted to the hospital with high thirst distress continued to have high thirst distress over time
- Patients with heart failure who had a fluid restriction had high thirst distress over time
- Patients with heart failure who were feeling depressed had high thirst intensity over time
- Thirst was associated with fluid restriction, a higher serum urea, and depressive symptoms
In conclusion, patients with heart failure experience thirst intensity and thirst distress. Nurses should ask patients with heart failure if they are thirsty and measure the thirst intensity and thirst distress, and ask if thirst is bothering them. Each patient should be critically evaluated if a fluid restriction really is needed, if the patient might be dehydrated or needs to be treated for depression.
The thesis can be accessed at http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-126151
Nana Waldréus, PhD, RN
A short report from the 18th Cardiovascular Spring Meeting, Gothenburg – 2016
This year's spring meeting had a great attendance with about 1500 persons. The program was composed by a rich number of interesting sessions, free lectures, posters and research projects. A new prize was also given out "Mona Schlyter clinical prize".
The Werkö lecture: "Taking the congestion out of heart failure" was held by Prof Lynne Warner Stevenson from Boston, USA. Here main point was that congestion is a central feature of HF. Readmission of patients with HF is common, about 50% seeks hospitals for worsened HF. Studies have showed that RV diastolic pressure is central prior an event and monitoring pressure could might be a better indicator than weight to predict hospitalizations.
Session: Secondary prevention in cardiovascular diseases
Joep Perk, Kalmar. A new secondary prevention model for IHD is developed. Five steps are considered to be of importance to reduce the risk for further cardiovascular events. The goal is to have regular follow up the first year and to advice patients to stop smoking, be physical active and eat health food, be careful with alcohol and keep blood pressure under 140/90 mmHg. LDL-kolesterol should be lower than 1,8 mmol/l. If patient succeed, the best points will be 5.
Session: A paradigm shift in the treatment of heart failure
Lars Lund, Stockholm gave an inspiring talk about Sakubitril/valsartan (Entresto). This is a new combination medicine for use in heart failure that decrease both mortality and morbidity up to 20%.
Treatment will be given to those who follow the criteria for the study population.
Sessions: Heart failure in elderly, what to do when there is lack of evidence?
Kurt Boman, Skellefteå held a speech about what guidelines tells about acute HF in elderly. In fact, as most studies in HF has been done in people under 75 there is no evidence for how to treat elderly with HF. Guidelines describes briefly that it is important to take age, comorbidity in considering in HF treatment. Kurt says that it is challenge to extrapolate data from younger to older patients and that we need studies that are designed for elderly patients' as well.
Session: Challenge of adherence to treatment of heart failure
Tiny Jaarsma, Linköping talked about technology in heart failure and that technology are an important source for self-care management. Carina Hjelm, Linköping talked about the importance of cognition in heart failure.
Session: Technology to improve self-care management
Maria Liljeroos, Linköping held a speech about the website www.heartfailurematters.com in which help patients' with heart failure to get fast and clear self-care advice.
Leonie Klompstra, Norrköping visualized that Gamification help patients with heart failure to be more active and thereby having better outcomes. Please visit the website http://www.hf-wii.com/index.php
Congrats to all of you who awarded prizes!
- The Fridlunds prize was given to Peter Johansson, Linköping
- Mona Schlyter prize was given to Nina Lahti, Stockholm for the project to optimize the care for patients with heart failure.
- Ulla Walfridsson, Linköping awarded prize for best free lecture and got also travel grants from The Swedish Heart Association travel grants.
Some of the Cesar members standing from left:
Carina Hjelm, Leonie Klompstra, Maria Liljeroos, Christina Andreae
More information about the spring meeting is available by https://www.malmokongressbyra.se/varmotet
Written by Christina Andreae
EuroHeartCare 2016 in Athens
Many Cesars participated in this year's Congress, both with posters and presentations.
Why is it so difficult to talk about prognosis? T. Jaarsma (Norrkoping, SE)
How can we best deliver effective cardiac rehabilitation for people with Heart Failure. M. Back (Gothenburg, SE)
Managing the challenge of polypharmacy in heart failure patients for further development. M. Liljeroos (Eskilstuna, SE)
Arrhythmia: nurse-led management. J. M. L. Hendriks (Sittard, NL)
Fluid restriction predicts thirst distress in patients with heart failure. N. Waldreus, M.H.L. Van Der Wal, M.L. Chung, T. Jaarsma (Linkoping, SE; Groningen, NL; Lexington, US)
To telemonitoring or not to telemonitor: that is the question. Underlying thoughts from nurses and physicians in Japan and Sweden.N. Kato, P. Johansson, I. Okada, K. Kinugawa, A. Stromberg, T. Jaarsma (Linkoping, SE; Tokyo and Toyama, JP)
Participation in the care encounter among patients with heart failure receiving home-care. L. Nasstrom, J. Martensson, E. Idvall, A. Stromberg (Linköping, Jönköping and Malmö, SE)
Patients and caregivers symptoms of depressive symptoms mediate the relationship between perceived control and well-being. M. Liljeroos, A. Stromberg, M. Chung (Linkoping, SE; Lexington, US)
Using co-design to develop communication interventions in heart failure care. A.-L. Hjelmfors, A.S. Stromberg, M.F. Friedrichsen, A.S. Sandgren, J.M. Martensson, T.J. Jaarsma (Linkoping, Kalmar and Jonkoping, SE)
Octo-nonagenerians outlook on life and death when living with an implantable cardioverter defibrillator. A cross-sectional study. I. Thylen, A. Stromberg, D. Moser (Linköping, SE; Lexington, US)
Guided Internet-delivered cognitive behavioural therapy in patients with non-cardiac chest pain a pilot randomized controlled study. G. Mourad, A. Stromberg, E. Jonsbu, M. Gustafsson, P. Johansson, T. Jaarsma (Norrköping and Linköping, SE; Molde, NO)
The virtual Swedish bowling competition. T.J. Jaarsma, L.K. Klompstra, L.H. Hjelmfors, A.S. Stromberg (Linkoping, SE)
Exploring partners' perspectives on participation in heart failure home-care – a mixed method design. L. Nasstrom, M.L. Luttik, E. Idvall, A. Stromberg (Linköping and Malmö, SE; Groningen, NL)
Do patients and caregivers perceived control impact depression and well-being in patients with heart failure and partners? M. Liljeroos, K.A. Arestedt, A.S. Stromberg, M.C. Chung (Uppsala and Linkoping, SE; Lexington, US)
Self-efficacy, motivation and physical activity in heart failure patients. L. Klompstra, T. Jaarsma, A. Stromberg (Norrkoping and Linkoping, SE)
Disease severity is related to psychosocial distress in chronic heart failure patients, but not in caregivers: results from an observational study. A. Stromberg, M.L. Chung, T. Jaarsma, M.L. Luttik, E. Lewis, F. Calado, R. Lahoz, E. Hudson, C. Deschaseaux (Linkoping, SE; Lexington and Boston, US; Groningen, NL; Basel, CH; Dublin,IE)
Cesar Network hope to see you all in Jönköping next year!
Tiny Jaarsma as Adjunct Visiting professor at Mary MacKillop Institute for Health Research, ACU, Melbourne
Since June 2105 I have been appointed at the Mary MacKillop Institute for Health Research http://mmihr.acu.edu.au/ as Adjunct Visiting professor. The Mary MacKillop Institute aims to identify critical gaps within community and healthcare services, with an explicit goal to improve health outcomes via innovative individual, community and health service-focused programs.
In this collaboration I work together with researchers in different areas, expanding on my current research that I perform at LiU and exploring new fields of research collaboration. This collaboration takes place during regular visits and also more virtual contacts, like skype and email. During a recent visit in March 2016 I presented my work in a lunchtime symposium (http://mmihr.acu.edu.au/events/lunchtime-seminar-professor-tiny-jaarsma/) : During the same visit I also presented on the anniversary celebration where the impressive work of the institute was presented. Here on the picture I pose as international jury member (with dr M Piano from the US and dr ML Lochen from Norway) and 2 prize winners of the best research idea.
The Mary MacKillop Institute has different active institutes that perform research in a lot of areas related to the subject the CESAR- network members are involved. I hope that we can set up an exchange between our groups in the near future.
Scholar visit at University of California, Irvine 9-21 March 2016
For my last article of my dissertation I visited my second supervisor, Anna Strömberg, to learn more about qualitative content analysis.
This University of Calafornia Irvine was founded in 1965 and unlike most other University of California campuses, UCI was not named at the city it was built in, but after James Irvine, a landowner. The city Irvine is later built around the campus (see picture below).
Anna Strömberg and me worked for almost 2 weeks very close together to analyze interviews within the HF-Wii study (www.HF-Wii.com) on experiences of patients with heart failure in exergaming.
At the end of my visit we made a first draft of the article and I learned a lot about qualitative research and analyzing interviews.
Outside of work we also participated in whale watching: where we saw whales, dolphins, sea lions and seals (see pictures below).
We also had a great medieval dinner party (see pictures below) on invitation of professor Lorraine S. Evangelista.
The two weeks were really great and I learned a lot! Therefore I also want to thank Anna Strömberg, her family (Tomas, David and especially Jonatan for learning me the American way) and Lorraine Evangelista.
//Leonie Klompstra
New publication: Do Self-Management Interventions Work in Patients With Heart Failure?
Several Cesar member are authors in this publication in Circulation;
Video games improves patients health
Tiny Jaarsma, believes that all people should play video games. It is especially important for heart failure patients who have difficulty getting out and exercising. An initial study in patients with heart failure have shown positive results.
Watch Tiny on TV- UR Samtiden – Tvärvetenskap i praktiken.
Ghassan Mourad dissertation
Friday the 4th of December 2015 was the day I had been preparing for…for several year. This was the day for my dissertation. The day when I had to defend all the work I had performed during my doctoral studies. It was with mixed emotions that I looked forward to this day. From being far away it was suddenly time to roll up my sleeves and tackle the trickiest part of the doctoral studies.
The faculty opponent, Siv Söderberg, and the grading committee did a great job and made me feel that I had done a great piece of work. I really enjoyed discussing my thesis with all of them and I felt a bit disappointed when time was over…not really what I thought that I would feel. Off-course, passing this exam felt great and was a huge success. Looking back at it, dissertation day was a really good day that ended with a great party. I shared it with close friends and colleagues. This day was filled with a lot of nice speeches, song and dance performances, and I received a lot of nice gifts. It was a real ego boost hearing a lot of nice words about yourself, wow I could do that again!
Here is a short summary of my thesis:
This thesis presents results from four quantitative studies. Studies I and II had a longitudinal descriptive and comparative design. In study I, 267 patients participated. Out of these, 199 patients participated in study II. Participants in these studies were predominantly male (about 60 %) with a mean age of 67 years. Study III had a cross-sectional explorative and descriptive design including 552 patients (51 % women, mean age 64 years). Study IV was a pilot randomized controlled study including nine men and six women with a median age of 66 years. The intervention group received a four-session guided Internet-delivered cognitive behavioural therapy (CBT) and the control group received usual care.
The overall aim of this thesis was to improve care for patients with non-cardiac chest pain (NCCP) by describing related psychological distress, healthcare utilization and societal costs, and by evaluating an Internet-delivered cognitive behavioural intervention.
The specific aims for the four studies were:
Aim I: To compare depressive symptoms and healthcare utilization in patients admitted for later proven NCCP, compared to patients with ischemic heart disease presenting with acute myocardial infarction (AMI) and angina pectoris (AP) during a 1-year follow-up after an acute chest pain event.
Aim II: To present a detailed description of the costs of patients with NCCP compared to patients with AMI and AP from a societal perspective.
Aim III: To explore the prevalence of depressive symptoms, cardiac anxiety, and fear of body sensations in patients who were admitted to hospital because of chest pain and discharged with a NCCP diagnosis. Further, we aimed to describe how depressive symptoms, cardiac anxiety and fear of body sensations are related to each other and to healthcare-seeking behavior.
Aim IV: To test the feasibility of a short guided Internet-delivered CBT intervention and the effects on chest pain, cardiac anxiety, fear of body sensations, and depressive symptoms in patients with NCCP compared to usual care.
The main findings were that patients with NCCP experienced recurrent and persistent chest pain and psychological distress in terms of depressive symptoms, cardiac anxiety and fear of body sensations. The prevalence and severity of depressive symptoms in patients with NCCP did not differ from patients with AMI and patients with AP. NCCP was significantly associated with healthcare utilization and patients had similar amount of primary care and outpatient clinic contacts as patients with AMI. The estimated cumulative annual national societal cost for patients with NCCP was more than double that of patients with AMI and patients with AP, due to a larger number of patients with NCCP. Depressive symptoms, cardiac anxiety and fear of body sensations were related to increased healthcare utilization, but cardiac anxiety was the only variable independently associated with healthcare utilization. The short guided Internet-delivered CBT program seemed to be feasible and was perceived as easy to manage, with comprehensible language, adequate and varied content, and manageable homework assignments. Patients improved with regard to chest pain frequency, cardiac anxiety, fear of body sensations, and depressive symptoms, but this did not differ from the patients in the control group who received usual care. These findings imply that screening and treatment of psychological distress should be considered for implementation in the care of patients with NCCP. By reducing cardiac anxiety, patients may be better prepared to handle chest pain.
You can access the whole framework at http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122592. Please do not hesitate to contact me in case of any queries.
Thank you for your attention.
Ghassan Mourad, PhD, RN


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Wine Details
Wine Description
(From 2013 Vintage) Bright cherry colour with violet rims. A rich expression of fresh red fruit, with spicy nuances and a nice mineral touch. Very tasty and enjoyable with good balance. Well-integrated woody flavours and a fruity finish that encourages another sip.
Winemaker's Notes
(From 2012 Vintage) Inky ruby. Aromas of blackberry, cola and spicy oak. Sweet and intense in the mouth, offering weighty dark berry flavors complicated by Asian spices. The fleshy, broad finish features smooth tannins and appealingly sweet black and blue fruit qualities.
Above medium boldness,good aroma, clean finish.
Wine Advocate"The 2009 Camins del Priorat is more perfumed than the 2008 as well as more structured. Alvaro Palacios established his namesake winery in 1989. The flagship L'Ermita made its debut in 1993. Finca Dofi and L'Ermita vineyards are farmed biodynamically. All of the wines are bottled without filtration. In 2008 Palacios was the last grower in Priorat to harvest, waiting out rains that diluted other growers' fruit. It appears that 2009 was a slightly more successful vintage for Alvaro Palacios (and ...


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Biofuels, Bioproducts and Biorefining
© Society of Chemical Industry and John Wiley & Sons Ltd
Edited By: Professor Bruce E. Dale
Impact Factor: 4.416
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Orzo Salad With Salmon, Herbs, and Yogurt Vinaigrette
Total Time
Prep 15 mins
Cook 15 mins
The rice-shaped pasta known as "orzo" is a favorite for salads. Here, it's topped with a low-fat yogurt dressing that's also delicious on grilled chicken or a green salad.
Ingredients Nutrition
- 106.31 g can pink salmon or 106.31 g can red salmon
- 236.59 ml cherry tomatoes, cut in half
- 236.59 ml peeled and diced English cucumber (about 1/2 cucumber, regular cucumber works as a substitute, but the flavor is slightly different)
- 7.39 ml fresh chives, finely minced
- 7.39 ml fresh dill, finely minced
- 14.79 ml fresh flat-leaf parsley, finely minced
- 29.58 ml fresh lemon juice
- 78.07 ml plain low-fat yogurt
- 4.92 ml lemon zest
- 14.79 ml honey
- 28.39 ml extra-virgin olive oil
- 1.23 ml coarse salt
- 0.59 ml fresh ground pepper
- Cook the orzo according to package directions; drain. In a small bowl, whisk together the vinaigrette ingredients.
- Transfer the orzo to a large bowl. Add the remaining ingredients and toss gently with the dressing.
- Makes 4 to 6 servings.


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A couple days ago, we rolled out our Fall Restaurant Preview. In it, we talked about the opening of Scarpetta–the fancy-pants, double-decker modern Italian restaurant coming to the former Smith & Wollensky space at the Rittenhouse Hotel–and said that it was looking to open "in a couple weeks."
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Hand-Foot-and-Mouth Disease in Emergency Medicine Clinical Presentation
- Author: Pamela L Dyne, MD; Chief Editor: Russell W Steele, MD more...
The usual incubation period of hand-foot-and-mouth (HFM) disease is 4-6 days.
The prodrome is associated with the following:
- Low-grade fever
- Malaise
- Anorexia
- Abdominal pain
- Sore mouth
The prodrome precedes the development of oral lesions, followed shortly by skin lesions, primarily on the hands and feet and occasionally on the buttocks.
Hand-foot-and-mouth disease is the most common cause of mouth sores in pediatric patients.
Yellow ulcers surrounded by red halos characterize the oral lesions. These primarily occur on the labial and buccal mucosal surfaces but may be observed on the tongue, palate, uvula, anterior tonsillar pillars, or gums. Unlike herpetic gingivostomatitis, perioral lesions are uncommon. Coxsackie A virus also causes herpangina, mostly described as palatal and posterior oropharyngeal lesions without any associated exanthem. The oral ulcers are painful. Children younger than 5 years are predominately more symptomatic than older patients.[5]
The exanthem typically involves the dorsal surfaces but frequently may include the palmar, plantar, and interdigital surfaces of the hands and feet. These lesions may be asymptomatic or pruritic. They usually begin as erythematous macules that rapidly progress to thick-walled grey vesicles with an erythematous base. In young infants, these lesions may also be observed on the trunk, thighs, and buttocks. The rash is usually self-limited, lasting approximately 3-6 days. Case reports have documented subacute, chronic, and recurring skin lesions.
See the list below:
- The enteroviruses, specifically coxsackievirus A16, A-10, and A-5 predominate.
Suzuki Y, Taya K, Nakashima K, et al. Study on Risk Factors for Severe Hand-foot-and-mouth Disease. Pediatr Int. 2009 Aug 3. [Medline].
Wolff K, Johnson RA, Suurmond D. Viral infections of skin and mucosa. Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology. 5th ed. New York, NY: McGraw-Hill; 2005. 790-92.
Xing W, Liao Q, Viboud C, Zhang J, Sun J, Wu JT, et al. Hand, foot, and mouth disease in China, 2008-12: an epidemiological study. Lancet Infect Dis. 2014 Apr. 14(4):308-18. [Medline]. [Full Text].
Wang SM, Lei HY, Liu CC. Cytokine immunopathogenesis of enterovirus 71 brain stem encephalitis. Clin Dev Immunol. 2012. 2012:876241. [Medline]. [Full Text].
Lott JP, Liu K, Landry ML, Nix WA, Oberste MS, Bolognia J, et al. Atypical hand-foot-and-mouth disease associated with coxsackievirus A6 infection. J Am Acad Dermatol. 2013 Nov. 69(5):736-41. [Medline].
Nassef C, Ziemer C, Morrell DS. Hand-foot-and-mouth disease: a new look at a classic viral rash. Curr Opin Pediatr. 2015 Aug. 27 (4):486-91. [Medline].
Hopper SM, McCarthy M, Tancharoen C, Lee KJ, Davidson A, Babl FE. Topical Lidocaine to Improve Oral Intake in Children With Painful Infectious Mouth Ulcers: A Blinded, Randomized, Placebo-Controlled Trial. Ann Emerg Med. 2013 Nov 7. [Medline].
Chang LY, Tsao KC, Hsia SH, et al. Transmission and clinical features of enterovirus 71 infections in household contacts in Taiwan. JAMA. 2004 Jan 14. 291(2):222-7. [Medline].
Chen KT, Chang HL, Wang ST, Cheng YT, Yang JY. Epidemiologic features of hand-foot-mouth disease and herpangina caused by enterovirus 71 in Taiwan, 1998-2005. Pediatrics. 2007 Aug. 120(2):e244-52. [Medline].
Cherry JD. Enteroviruses: polioviruses, coxsackieviruses, echoviruses and enteroviruses. Textbook of Pediatric Infectious Diseases. 5th ed. 2005. 2007.
Cherry JD. Viral exanthems. Curr Probl Pediatr. 1983 Apr. 13(6):1-44. [Medline].
Davis H, Karasic R. Pediatric infectious disease. Atlas of Pediatric Physical Diagnosis. 3rd ed. 1997. 347-8.
Marks M. Viral and presumably viral syndromes. Pediatric Infectious Diseases for the Practitioner. 1985. 494-6.
Sasidharan CK, Sugathan P, Agarwal R, et al. Hand-foot-and-mouth disease in Calicut. Indian J Pediatr. 2005 Jan. 72(1):17-21. [Medline].
Wang CY, Li Lu F, Wu MH, et al. Fatal coxsackievirus A16 infection. Pediatr Infect Dis J. 2004 Mar. 23(3):275-6. [Medline].
Ask a question about Hand-Foot-and-Mouth Disease in Emergency Medicine: Consult with other physicians on Medscape Consult


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Sasha reports on Llewellyn King's campaign to find a lone Congress member to do the right thing ...
Discuss the article on the Forums.
When methylation is corrected... Does it release stored toxins? How do we "mop-up"?
Discussion in 'Detox: Methylation; B12; Glutathione; Chelation' started by treefrog, Mar 18, 2012.
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Boy Senior Pictures
high school senior pictures for guys | KJay Photography in Madison ...
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50 Back to School Photography Tips and Ideas
Senior-Boy-Photography-Poses-Kneeling.jpg (550×1434) More
senior boy pictures. Going to start this summer to get some in every season...Got a Senior boy coming up fast!!!
Photographing young men can be challenging....you can't always stick them in a field of flowers and make it work
pose a guy? I've found its actually easier than you think! First, find out what they like. What are their hobbies, interests, extra-curricular activities? If there is something they are really in to, incorporate it into the shoot. It really makes it more personal and fun for them. Tell them to relax and just be themselves. What I mean is, if I'm having him stand somewher...
Guys - try a button-front shirt and make it more casual by rolling up the sleeves
Posing Basics For Senior Boys
senior pictures - like the long grass and slightly faded coloring
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