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A day for giving: Bemidji participates in Give to the Max Day
BEMIDJI — Before opening their wallets for Black Friday sales, local residents are being asked to first support local nonprofits.
Today marks Give to the Max Day, a now-annual tradition held Nov. 14 through GiveMN, a statewide venture that aims to raise funds for nonprofits.
This year, the statewide effort is getting more prominent local exposure.
Today, as shoppers visit downtown businesses, they will also have the chance to visit with and donate to local nonprofits represented within those businesses. Businesses will have GiveMN signage indicating their participation.
For example, the Village of Hope will be highlighted within Tutto Bene.
This year, the Northwest Minnesota Foundation has partnered with the Bemidji Area Chamber of Commerce and Community Resource Connection to present "Bemidji Gives — Give Local, Shop Local."
"(Today) will be a day dedicated to promote philanthropy in the Bemidji area," said Nancy Vyskocil, foundation president, in a press release. "The mission of Bemidji Gives is to inspire individuals to donate to participating nonprofits with the goal of raising as much money as possible within a 24-hour period."
Twenty businesses have partnered with 20 nonprofits. Representatives from those nonprofits will be on hand from 11 a.m. to 1 p.m. at those businesses to encourage donations, field questions from shoppers and simply share information about their mission and operations.
But for those who don't want to venture out, they can go online to GiveMN.org and make a donation electronically. A quick search of their database on Tuesday resulted in 135 nonprofits registered with the 56601 zip code.
Every hour, GiveMN.org will give out a "golden ticket" — a $1,000 gift — to a randomly selected donor's charity of choice.
Give to the Max participating businesses
- Iverson Corner Drug; will feature Hope House
-Greater Bemidji Area Joint Planning Office (City Hall); Lutheran Social Service of Minnesota
- Minnesota Nice Cafe; Beltrami Humane Society
- Book World; Beltrami County Historical Society
-Herington's Shoes; Friends of Bemidji Public Library
-Senior Activity Center; Senior Activity Center
-Cantabria Coffee; Kindred Family Services
-Pine Country Insurance; Northwoods Habitat for Humanity
-Headwaters Science Center; Headwaters Science Center
-Patterson's Menswear; Bemidji Community Food Shelf
-Keg and Cork; Northwoods Caregivers
-Tutto Bene; Village of Hope
-Wild Hare; Peacemaker Resources
-Bar 209; United Way of Bemidji Area
-Ben Franklin; Boys & Girls Club of the Bemidji Area
-Harmony Co-op; Nymore Dog Park
-Cabin Coffee House and Cafe; Paul Bunyan Inclusive Playground
-Kelsey's Jewelry; First City of Lights
-Shannon's Art & Soul; Bemidji Area Arts Endowment
-Raphael's Bakery; Northwest Technical College Foundation


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A state-of-the-art facility for a growing community.
To meet the healthcare needs of Greater Issaquah/Sammamish, Swedish has opened a new medical center in the new and vibrant community of Issaquah Highlands. Swedish/Issaquah – the first hospital to be built in Washington in 25 years – was developed in two stages. This innovative, patient-centric facility is one of the most energy-efficient facilities in the region. It features a wide range of amenities for our staff, including walking trails, bike storage, retail shops and a Starbucks!
Before the Swedish/Issaquah Ambulatory Care Center moved to the new hospital in Issaquah, it maintained patient satisfaction scores in the 95th percentile or above for at least three years, resulting in its being awarded the Summit Award from Press Ganey Associates, the most coveted symbol of achievement in the health care satisfaction industry.
Our new Issaquah facilities are creating career opportunities in Issaquah and in other Swedish locations throughout Greater Seattle.

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It is my DD's birthday today. It should be a happy, exciting day. Instead I sit her in tears at the mound of CRAP that is lying on the floor - from opening gifts fro, just ONE person (my mother). I just.can't take it anymore. I seriously feel on the verge of a nervous breakdown. I am drowning in all of this stuff. I've been decluttering - but most of it has been my stuff or household stuff no one else can stand.to get rid of anything. We still have a birthday party and more gifts from friends and family coming. I just want everything in this house gone. Or to run away by myself with one suitcase of clothing... What has happened with society? Where has this maniacal need for stuff, stuff and more stuff come from???
Your feelings are completely understandable. Not sure what else to say that will help. Maybe someone else will have some ideas or more comforting words.
Homeschooling mama to 6 year old DD.
Just keep getting rid of it as you have been. It is tough but it completely is worth it. I have a box always ready in a spare area in my home that I constantly add too, especially when new things come into the house. There was a thread here awhile back that challenged and inspired me to purge 50 things in a week. I challenged DH to do it (he is the pack-rat) and his response was "50? We won't have anything!" but he was surprised to see how easy it was and how much crap we still have.
I have been working on de-cluttering for quite some time and we have 1 closet and a outside storage closet left. We took 2 totes to the local shelter (mainly new stuff) that DS just doesn't play with. He has just a few things now and seems to play more now with his things.
I too feel that our society is CRAZY! The need to BUY, BUY, BUY is nuts to me but I was one of those folks not too long ago (prior to DS). I think folks that tend to buy to much for their kids or themselves are making up for something they are neglecting or needing in their lives... KWIM?
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I completely understand. This Christmas, my kids got tons of gifts from my ILs. So many that they didn't care that I'd stashed several of them in a closet. I'm still deciding what to do with them. I'll either save some to give as birthday gifts to little friends or I'll sell them.
IDK how old your DD is but if she is still 'little' you can put the toys up for later and do a toy rotation type of thing. My son is 10 and he is great about getting rid of things. For the holidays some of the stuff went right to the donation bins. He also asks for activitys, memberships and things like that. For awhile, probably ages 5-8 or so art supplies were a huge present, they were consumable and didnt last very long.
Honestly- its a present, if you dont want it around, dont keep it, donate the toy, take it to a resale shoppe, list it on craigslist etc... you dont owe the giver anything.
BTW happy birthday to your DD>
Mom to J and never ending
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2017 the year of peace and tranquility.
I just went through this at Christmas.
Many of the gifts went straight in a 'return' pile. Things that were already opened went in a donate pile. Things we wanted DS to keep (he's not quite 2, so he doesn't really care yet), we kept, but we got rid of old toys in their place so everything could remain organized.
It's tough because it feels rude/wasteful/ungrateful -- at least that's how I felt -- but we were all much happier when we were done and we had our house back. I decided that my family's happiness in our own home was more important than someone seeing DS play with their gift during their once-every-few-months visit. Maybe that makes me cruel, but I didn't see any other options.
Of course, his birthday is around the corner (and we have requested no gifts so I'm crossing my fingers that we don't have to do the whole purge thing again!!)
I wish I understood why everyone feels the need to BUY BUY BUY... *sigh* it makes me so sad.
I understand. I just went through my daughters' room and purged a big garbage bag full. My main gripe is items with little pieces. They constantly get lost. I ended up sweeping a bunch of little pieces strait into the trash. My husband is a big packrat, so I have to be careful that he doesn't see what gets thrown away. I usually tie up the trash and take it outside before he starts taking things out.
I have talked to grandparents before about not getting them too much for christmas, but they love seeing the kids open things up. so, the buy little junky trinkets so they can open lots of things. A lot of it was makeup that we ended up trashing. The ingredients were horrible.
Jenna ~ mommy to Sophia Elise (1/06), Oliver Matthew (7/07) and Avery Michael (3/10)
Wading slowly and nervously into this homeschooling thing.
I know how you feel! We have 3 people in a small one bedroom apartment and how much STUFF we have drives me crazy sometimes. DS has an absurd number of toys from his grandparents. A lot of them are mainstream brand name toys, or noise making toys purchased before DSs hearing loss was diagnosed. I've decided recently to list and try to sell most of them on ebay and craigslist, and use the $ we make from the sales to buy DS needed things like diapers (and a couple waldorf toys that will actually be played with.)
Mummy to DS1, 3, twins DD and DS2, and wife to DH
Sounds like we have the same ILs!! I'm a very minimalist type and my MIL has the mentality that "more is better." We have done the toy rotation and we still have too many to keep. I feel bad about getting rid of so many toys she has given us, but we simply don't have room for them all. DH and I stopped buying the kids stuff for gifts and instead we do experiences, but there's still too much. I just set aside 2 HUGE boxes of toys to give away. If neither child asks for a toy in the box in the next couple weeks they are all getting donated (and I think I could still get rid of more!).
I keep trying to hint that we don't need more stuff, but I think that only encourages her to buy more.
My IL are the same way but I think I found away to stop it. I have now started to keep the massive amount of toys they buy for my daughter at their house for when we visits. After Easter I heard a mummbled complaint about how many toys there were but I just explained that our house is even smaller so we cant keep bringing the toys home. I personally dont think kids should even get toys for Easter. By keeping the toys at the IL's house it also makes them see how much they are actually buying a 1year old!
My IL are the same way but I think I found away to stop it. I have now started to keep the massive amount of toys they buy for my daughter at their house for when we visits. After Easter I heard a mummbled complaint about how many toys there were but I just explained that our house is even smaller so we cant keep bringing the toys home. I personally dont think kids should even get toys for Easter. By keeping the toys at the IL's house it also makes them see how much they are actually buying a 1year old!
This is what I am going to start doing. I told my MIL that I was getting rid of some toys and she said to let her have some at her house. Hopefully she will see that the things I'm getting rid of are the cheap, plastic crap that she gets for them! Maybe that will make her think twice about what to get for them next time. I mean, if they play with it, I'll keep it, but they don't, so out it goes!
My kids both have summer birthdays just a couple of weeks apart so twice a year at Christmas and their birthdays we have a huge influx of toys and such. What I have done the past three years is right before those times I cull, donate, and trash big time. I literally put every toy in the living room after bedtime and get rid of anything that does not get played with or drives me bonkers. Then it is not so overwhelming when the stuff starts coming in. Then again about a week after the gift receiving I sit down again and put away anything that they received that would be better at a later date and donate things they received I know they will never play with. I have also been pushing the memberships and experiences vs toys with the grandparents.
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Have you ever wanted to make phone calls privately without having to *67 in pre-dial? Whether you are calling a business or a landline/cell phone, people often find that they wish that their personal numbers were kept private. Here is a quick trick on how to restrict your caller ID from appearing on the receiving end without paying extra charges through your mobile provider.
*Note that on all phones, the default setting has it programmed automatically by standard to be ON. In order to have your number blocked when making calls, it must be marked as OFF.
3. Tap the switch and set to OFF


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When it comes to women and business in Los Altos, words like "progressive" and "opportunity" come to mind for heads of business associations.
Some communities have seen dramatic increases in women-owned business in recent years. But Los Altos, some say, has had strong women representation in business - and leadership - going back at least two decades.
"I think (discrimination against women) still exists, but this community is more progressive," said Kathleen Byrne, executive director of the 160-member Los Altos Village Association.
Byrne said approximately half the membership of the downtown association involves businesses owned or managed by women.
Many of the major banks in Los Altos, such as Sanwa, Bank of the West and Wells Fargo, all have women managers, Byrne pointed out. She also noted leadership among business women was prevalent in Los Altos even 20 years ago, through such business owners as the late Marion Jackston. It was through her efforts that the annual Festival of Lights Parade - one of the biggest attractions in Los Altos - came about.
Another prominent figure is Jane Reed, a former Los Altos mayor, whose vision of a community plaza resulted in the building of the plaza, at State and Main streets. Reed, a former executive director of the association, is regarded as playing a pivotal role in the group's growth.
Julie Rose, executive director of the 425-member Los Altos Chamber of Commerce, said she has not heard of any negative comments from the women business owners about feeling underrepresented in the community. In fact, of the 21 voting members on the Board of Directors of the Los Altos Chamber of Commerce, there is an almost equal division of women to men. Voting members must be local business owners.
Myrna Hayes, owner of A La Carte Staffing, is a prime example of acceptance of local woman-owned businesses. Her company has been owned by women for 20 years. Hayes took it over five years ago. Hayes said she's experienced no negative gender-awareness, and credits this to doors being opened by women before her.
Jean Newton Public Relations, another woman-owned company in Los Altos, was started by Jean Newton in her home in 1984. She moved into her first office in 1993, and then into her current office across from the post office in 1996. Like Hayes, she enjoys doing business in downtown Los Altos. She mentioned "the friendly, warm atmosphere of the town that supports creativity."
Newton feels that being involved in the local community is important to her and her business.
Jane Bigelow, manager of Seville Properties for more than 20 years, said the Los Altos real estate company was founded by women.
Although Bigelow is the only woman manager of a real estate company in Los Altos, she said that female representation in retail is much better.
Bigelow spoke of the positive representation of women involved in retail in the community. In fact, women retail entrepreneurs are not the exception in Los Altos, she said.
Los Altos doesn't have a specific group for women owning their businesses. Mountain View, however, has a group for professional women called, "Women in Business" that meets the second Tuesday of every month at Michael's at Shoreline Restaurant, 2960 N. Shoreline Blvd., Mountain View.


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Police Academy Benefits
Officers who successfully complete the program receive accreditation from the Indiana Law Enforcement Training Board as having completed the basic law enforcement officer's course. In addition, graduates of the University receive a certificate from the IU Police Academy as well as the baccalaureate degree earned by the officer. The graduate then enters the criminal justice employment field in the enviable position of having a college degree, academy training, and actual work experience. Finally, the officer, while working with the Police Department may establish career opportunities and contacts with other agencies.
Graduates of the program hold positions with National agencies such as the FBI, US Secret Service, US Marshal's office, DEA, and ATF. Many state agencies also hire IU Police Academy graduates such as the Indiana State Police, Indianapolis Police Department, LAPD, Columbus PD, Noblesville PD, South Bend PD, Fort Wayne PD, and many other police departments in the state of Indiana and the United States.


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Hello! My surgeon suggested 270 cc implants for me (under the muscle), but I afraid that I chose too small. I keep hearing that most people wish they had gone bigger after surgery, and I'd like to avoid this mistake. My goals are to be a full C, to be fuller and a little rounder with nice cleavage, and to avoid looking too "fake". I trust my surgeon's expertise but I would like to hear some extra input. Thanks in advance!
Will 270 Cc Give Me a Full C Cup? I Am Currently a Small B, 5'8'' and 117 Lbs.
Doctor Answers 10
Choosing implant size
While it may be true that many patients wish they had chosen slightly larger implants, most are quite pleased with their decision and outcome. Those women who feel that their implant choice was too large on the other hand are more often very dissatisfied and feel an urgency to have another operation to get smaller implants.
As a rule (and this is a "soft rule") a 270 cc implant will increase the breast by about one cup size. Better than choosing a size, since there are no fixed standards and definitions, is to try the implant on and see what looks attractive to you. Usually I will recommend an implant 5 to 10% larger, since the trial implants look larger when placed over the breast than the same size inserted surgically.
Good luck and best wishes.
Breast Implant size - starting with a B cup and interested in a full C cup
A good general rule of thumb is to think that each 200cc will give you approximately 1 cup size. If you are under 5'5" 300cc is very consistent in my hands to deliver a full C but avoid looking fake. The smaller you go, obviously the less risk of looking fake.
Learn more: http://www.mychicagoplasticsurgeons.com/breast-augmentation/
B to C cup with 270 cc implants
Usual caveat, you need an in-person examination with a BCPS. Photos indicate you are full A/small B (smaller on left side). I say around 200 cc will increase a cup size. You are looking at going up about 1.5-2 cup sizes, so I'd guess about 325 cc, maybe larger. Best of luck to you.
You might also like...
Implant Size to achieve goal of move from B to C cup
There is not a direct correlation between breast implant size and cup size as the cup size varies greatly among companies and even within the same company. Moreover, cup size can vary based on who is performing the measurement.
The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.
Learn more: http://www.drkrisreddy.com/west_palm_beach_breast_augmentation_palm_beach.html
Implant Selection Process
In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill
Learn more: http://www.drpaulgill.com
Will 270 Cc Give Me a Full C Cup?
One of the other surgeons discussed the lack of correllation between implant size and cup size along with the fact bra manufacterers have no standard. Those are the facts. So I usually suggest to my patients to forget about the breast implant number and look in the mirror. What implant size do you like the best. If you want to fit into a particular size bra, bring the bra in and try on implant sizers. Find out what size implant sizer makes you fit that bra. Then you got it!
You want to get it right the first time. Use the mirror. Only you know what is the look you want.
Confusing cup sizes
Unfortunately there is no direct correlation between implant size and cup size. You may have noticed that some of your friends have the same size implant as others but have a different appearance and bra size. Moreover there is no "standard' among bra manufacturing companies to insure consistency. The best recommendation that I may suggest is to visit with your plastic surgeon and have he or she examine you thoroughly. Then try different size and style implant sizers to get comfortable with a "look" that you may correlate with a cup size that you are content.
Choose surgeon carefully, communicate well, then trust your surgeon to get best outcome from implants
Hi there-
I'm glad you are confident in your surgeon- you have hopefully chosen them carefully, and for all of the right reasons.
As long as this is the case, the best way to maximize your chances of ending up as happy as you can be is to carefully communicate your desired appearance to him (photos are very helpful) and then trust him to do what is necessary to achieve that appearance for you.
I have always felt that committing to an implant before surgery is a grave mistake and greatly increases the chances that patients will be unhappy, because it requires the patient and surgeon to assume (guess) how the implant is going to look when placed- but every patient's tissues and muscles are different- so this guess sometimes works out, and sometimes it doesn't.
While there are excellent plastic surgeons who do do things this way, I have always felt it is more appropriate to discuss goals and outcomes in terms of appearance.
Truthfully, when you embarked on this journey, you weren't dreaming of the number of cc's you wanted to have in an implant, or the letter you wanted to see on your bras, right? You were dreaming of how you would look in certain articles of clothing (and possibly even of how good you would look out of clothing).
In other words, the number on the implant and the letter on your bra should be secondary to the appearance you dream of having.
If that's not already clear- ask yourself this... If your surgeon puts in EXACTLY the implant you thought you wanted, but because of what I've described, you don't look the way you were hoping to look, are you going to be happy? Probably not.
You are much better off carefully communicating the appearance you want and then trusting the excellent surgeon you chose to get you there- with whatever implant is necessary.
Learn more: http://www.DrArmandoSoto.com
Will 270 cc give me a full C cup? I am currently a small B, 5'8" and 117 lbs.
Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, etc). Your height, weight, breast width, and body habitus will make a difference for which implant style/projection to choose. Implant profile will also make a difference on the projection, which will influence overall breast/cup size. I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you of results. Sizers are helpful during an in-office consultation. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. This is the most important determinant for the sizing of implants, which will provide the optimal result and most aesthetically-pleasing result for you.
Consult with a board-certified plastic surgeon well-versed in breast procedures who will examine and discuss with you the various options and factors to consider and help you decide which one will be the right one for you. Hope me that this helps! Best wishes for a wonderful result!
Starting at a B cup and wanting to go to a full C cup 270cc sounds like you're in the range. In our practice we tell our patients that 225 cc is equal to one cup size. If you're afraid on going to small I would go just a bit bigger to hopefully not go to small. It has a lot to do with your body proportion too not just breast size. I would look in 290 cc to 320 cc range. Good luck. Without examine you it's hard to be more specific.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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Note : Your Quotation Request will be directed to MCLI.
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It only takes a minute to get started. Fill out our simple sign up form and login to the site.
This step is up to you but will seriously increase your chances of your profile getting read by other members. Write a little something about yourself, your hobbies and upload your nicest photo of yourself.
Use our website's sophisticated search to pinpoint members who suit your criteria. Or just flip through listings and pinpoint daters that pique your interest.
Identified someone who looks right? Send them a word or two or just a wink and see what comes of it. With a little luck you'll be on your way to an amazing adventure.
It's really quick


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Ulster are still unbeaten in the RaboDirect Pro12 after victory in Italy on Friday night.
A week after an unimpressive success over Zebre, Mark Anscombe's side turned an interval deficit into a narrow victory over Benetton Treviso.
A fine try from Peter Nelson's and consistent kicking from Niall O'Connor enabled them to prevail by a single point.
Wing Andrew Trimble and scrum-half Paul Marshall returned for Ulster.
Treviso took the lead in the sixth minute when fluid movement from the Italian backs end in a try for Brendan Williams, which was converted by Alberto di Bernardo.
Ulster's Nick Williams was denied a 17th-minute try thanks to an inconclusive video replay, before O'Connor got the visitors on the board with a penalty after Treviso had collapsed a scrum.
Six minutes later, Marshall's quickly-tapped penalty caught out the home defence and he supplied Court, who in turn fed Nelson to cross in the corner.
Outhalf O'Connor's conversion from wide had the visitors 10-7 ahead.
However, the hosts hit back with Di Bernardo's penalty squaring the scores after half an hour.
Then eight minutes later Ludovico Nitoglia exposed another post-scrum gap down the Ulster right to slide over in the corner.
A conversion from Bernardo was wide but the Italian side went into the interval with a 15-10 lead.
Ulster started the second slowly but were given hope when a Treviso offside gave O'Connor the chance to despatch his second short-range penalty of the encounter, which he accepted.
And they were denied a try when the TMO was faced with the impossible task of determining whether Nick Williams had grounded amid a mass of bodies.
The lead changed hands decisively in the 58th minute when O'Connor got his angles right from wide out.
Treviso rallied but a 72nd-minute penalty proved well out of Di Bernardo's range.
Aand five minutes later he squandered a great chance from a more promising position, after Afoa had been pulled up for coming in from the side.
The result means the home side only had a losing bonus point to show from the game.
And Ulster were just grateful for a win from a game they struggled to win.


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Microsoft Office
Microsoft Office Questions? Ask a IT Expert for Support ASAP
I'm Rachel, and I'm moderator for this topic. It seems the professional has left this conversation. This happens occasionally, and it's usually because the professional thinks that someone else might be a better match for your question. I've been working hard to find a new professional to assist you right away, but sometimes finding the right professional can take a little longer than expected.
I was checking to see if you had already found your answer or if you still needing assistance from another one of the professionals? Please let me know if you wish to continue waiting or if you would like for us to close your question. Also remember that JustAnswer has a multitude of categories to help you with all your needs from Health, Pets, Computers, Taxes, Cars, Finance, Law, to Home Improvement, and more.
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Surname List
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Fourth Generation
27. Claybourne JONES2,71 was born on 6 September 1826 in Illinois.19,24 He died in 1859 at the age of 33 in Rolla, Phelps County, Missouri.19
Isaac Brown appointed administrator of estate of Clabourn Jones 4 Oct 1859.
Claybourne JONES and Nancy Ann BROWN were married about 1843.42 Nancy Ann BROWN2, daughter of Isaac Neely BROWN and Elizabeth STATON, was born in 1825 in Kentucky.2,72
In the minutes of the Dry Fork Church, we find that Nancy Jones joined on 20 Oct 1843 and was dismissed on 19 Nov 1846. If this is Nancy, she had already married Clayborn before October of 1843. Her brothers Isaac, James, John, Moses, Thomas, are cited often in the church minutes and probably her father - but since her father and a brother were both Isaac Neely Browns, it's impossible to tell. Her sister Rebecca also may be in the minutes.
Nancy Jones, widow, not found in 1860 Phelps Co Census.
1880 Census. Cold Spring Twp, Phelps Co MO, p.312b. Robert was still living at home with his mother. Also three granddaughters with the surname Hargis: Maggie age 13, Mary age 9, & Kitty age 2.
Claybourne JONES and Nancy Ann BROWN had the following children:
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Gov. Tim Pawlenty's new plan to erase the state budget deficit would cancel state-subsidized health insurance for as many as 21,000 Minnesotans. Another 20,000 people would have their health benefits reduced.
Health and Human Services spending bore the biggest share of cuts in the governor's supplemental budget plan, which was released Monday. More than 25 percent of the spending reductions were aimed at social service programs, including long-term care.
Most childless adults on the state's MinnesotaCare program would lose their health coverage under the governor's plan. Only those at 75 percent of the federal poverty level -- an annual income of about $8,100 -- could keep their insurance.
Currently MinnesotaCare covers people with incomes as great as 250 percent of the poverty level, which is about $27,000 a year. The governor said the insurance program's benefit is too generous, and out of sync with the rest of the nation.
"There's only three or four states in the country that even have a program like that," Pawlenty said. "Both on the GAMC side and on the MinnesotaCare side, single adults without children are typically not covered much or at all, certainly not at Minnesota's levels."
Long-term care providers also found themselves on the governor's chopping block. He proposes cutting their payments by 2.5 percent.
But Pawlenty also offered them an olive branch, saying he will support their bid to repeal the state's equalization law. That law prevents facilities from charging private-paying residents more than those who are on public programs.
Pawlenty said repealing the law would give providers a way to recoup some of the revenue they are losing through state payment cuts.
"So that will help. I don't want to say it's going to offset it perfectly. But it will help soften the impacts," Pawlenty said.
"We're grateful that he's given us a little. But it's nowhere close to making up the losses," responded Patti Cullen, president and CEO of Care Providers of Minnesota, a long-term care trade association.
Cullen said most providers don't have enough private-pay clients to make a dent in their bottom line. "We have some inner city facilities that have 85 percent Medicaid and maybe 2 percent private pay. You know you can't charge $8,000 a day to make up the differences," Cullen said.
Spending cuts account for most of the governor's deficit reduction plan. But his budget fix also relies on $387 million in federal Medicaid funding. The U.S. House has agreed to extend the funds into next year. But the Senate has not yet approved the measure.
Rep. Tom Huntley, DFL-Duluth, chairs the Health Care and Human Services Finance Division and the Policy and Oversight committee. He thinks the governor's strategy is risky. "It's the funny money, smoke and mirrors. If he can assume that the feds are going to do something in the future, then I guess we can assume that, too. I could assume that they're going to give us $1.2 billion and then we don't have a deficit," Huntley said.
If the federal Medicaid allowance doesn't materialize, the governor will have to find a way to make up that $387 million in federal spending. He acknowledged that more changes to the proposal are possible in the weeks ahead, when a new economic forecast is released in March.
One area of the governor's plan that's still a little hazy is his proposal to replace General Assistance with short-term emergency grants.
Approximately 19,000 people a month receive General Assistance payments. Sen. John Marty, DFL-Roseville, said it appears that most of them will lose their monthly allowance.
"These are often people trying to live on $203 a month, which means they're usually homeless, they're extremely down and out," said Marty, who is also a candidate for governor. "It's an attempt to make the poorest and sickest people bear the brunt of the economic problem."
Lawmakers will have a say on the Pawlenty's proposed budget plan. But the governor warned them against a protracted debate. He says for every day the state doesn't deal with the deficit, it spends another $2 million.


text:
AN ANGLESEY lifeboat crew was called twice in two hours to incidents on the Menai Strait.
The Beaumaris RNLI volunteer inshore lifeboat launched at 2.55pm on Thursday, April 17 to help a women whose kayak had capsized near Puffin Island, at the entrance to the strait.
An RNLI spokesman said: "She appeared to be showing signs of mild hypothermia; the lifeboat with the casualty aboard returned immediately to the lifeboat station where an ambulance was waiting to transport the young lady to Ysbyty Gwynedd for further treatment."
A mobile coastguard team was at Penmon Point to assist if it had been required.
The team broke from a training session at 6.50pm after a vessel ran aground near Abermenai Point.
The spokesman added: "Following a check of the craft it was ascertained that she was able to continue under her own power to a place of safety consequently the lifeboat returned to Beaumaris arriving at 9pm."


text:
Calendar of Events
The Keck School of Medicine of USC
Department of Cardiothoracic Surgery presents
An Evening Dinner Symposium
Surgical Therapy for Emphysema
Michael Smith, MD
Surgical Director of Lung Transplantation
and Lung Volume Reduction Surgery
Tony Hodges, MD
Medical Director of Lung Transplantation
and Lung Volume Reduction Surgery
Program Description
This program is designed for pulmonologists, primary care physicians, and surgeons. Attendees will hear multimedia presentations regarding the current status of surgical therapy for emphysema. Specifically, the roles of lung volume reduction surgery and lung transplantation will be discussed.
Date and Location
Thursday, June 30, 2005 at 6:30pm
Derek's Bistro
181 Glenarm Avenue
Pasadena, California
Faculty and Staff | Patient's Guide | Areas of Expertise | Diseases & Treatments | Contact Us
Home | What's New | Videos | Articles | Downloads | Calendar | Web Links | Site Map
University of Southern California, 1520 San Pablo Street, HCC2 Suite 4300, Los Angeles, CA 90033
Phone: 323.442.5849 Fax: 323.442.5956 E-mail: email@example.com
Copyright © USC Cardiothoracic Surgery


text:
Oakland beat writer Jerry McDonald was busy talking to coaches and players yesterday for interviews and were able to put together a number of interesting articles that start to show what the 2012 Raiders team will look like.
First, Jerry McDonald of the Contra Costa Times spoke to Dennis Allen. There is a transcript here.
There isn't anything too amazing in there but it is interesting how many restrictions the team has at this time of year with the players. The Raiders are allowed to have two hours worth of meetings per day and the only coaches that can be on the field with the players are strength/conditioning.
He also said that the time on the field must be videotaped and kept by the team in case there is a complaint through the NFLPA to the league office.
McDonald also spoke to QB Carson Palmer who seemed very enthusiastic about the next year and the offensive schemes. Here is a link to the article.
Palmer talked about the new zone blocking scheme that is coming in. He thinks that it's a great fit for the two speedy runners, Darren McFadden and Taiwan Jones because they'll be able to make one cut and then burst through into the second level.
He also thinks the zone blocking scheme has some ability to help out the passing game.
In a zone blocking scheme, all of the linemen move one direction and take on the players that attack their area and try to move the defense in one direction so that the offense can creat cutback lanes on runs or know that the defense is moving in one direction and isolate receivers or backs in a passing lane.
Palmer elaborated, "Defensive players are taught to read, not to put their eyes in the backfield and get caught by the quarterback. But from the film I've been watching, it looks like a run to the first five guys. They don't know for a few second after the ball is snapped that the quarterback has already gone into his first read."
Palmer's point is that because pass and run blocking is operating approximately the same in the zone blocking scheme the defense cannot simply know if it's a run or pass play based upon how the lineman react at the snap. So they may guess that the play is a run and by the time they realize it was a pass play, Palmer has already been able to get the ball out to his primary read.
Another interesting nugget was that Palmer thinks that the new schemes uses the speed the Raiders have at receiver to their advantage. He told McDonald, "All the play-action stuff really utilizes what we have on the outside. There's not a lot of routes where guys are stopping. They're using their speed, they're on the move. It's going to fit the strong suits of a lot of guys we have on offense, including myself."
Raiders fans should also expect a lot more dump passes to running back designed to move the chains, a philosophy that may not be as exciting as a quick strike but one that most of the best franchises use.
Palmer stated, "The good thing with all this play-action stuff and move-the-pocket stuff is that some of the best plays are the screens and checkdowns to running backs. When you cover Jacoby (Ford) downfield and Denarius downfield, one of the positives is the checkdown, the easy throw, the dumpoff to the running back. When Darren McFadden and Taiwan Jones have five, six or seven yards separation between them between the next defender, they rarely get tackled by the first defender."
Finally, McDonald spoke to DT Tommy Kelly. Kelly said that he's excited about the new staff but it's obvious he's been around a number of new coaches because he added a caveat, saying, "We're in the honeymoon stage. You've got to be around a person, get down to training came and game time to know what you've got."
When asked if they will be running a 4-3 or a 3-4, he said he believes it will be a 4-3.
"We're going to do what we always do: run four man," Kelly said. "I'm just assuming. Heard he's a guy that mixes it up, so you never know."
This guess seems likely to be true. Further confimation was provided via Twitter when Raiders NT Travis Ivey tweeted, "I like 3-4 because that's grown man football…But each has it's perks."
There was a final article that was published that talked about some of the CBA restrictions on the team, here. It seems fairly self explanatory, so if you're interested, I recommend reading it.
What I took away from it is that Allen is a detail oriented, structured coach who is strong on discipline as an organization. That's a definite plus because Hue Jackson, who I liked as a head coach, was more an emotional leader than a detailed one. I think that was partially why the team was so undisciplined on the field with penalties – teams reflect the head coaches personality in many ways.
For Raiders news and analysis throughout the day, or to ask me a question or tell me what you think, follow me on Twitter @AsherMathews


text:
Ahmad, Maizah Hura and Yaziz, Siti Roslindar and Muhammad, Noryanti and Lee, Chee Nian (2010) A comparative study on box-jenkins and garch models in forecasting crude oil prices. In: International Conference on Fundamental and Applied Sciences (ICFAS2010), 2010, Kuala Lumpur, Malaysia.
Full text not available from this repository.
Official URL: http://dx.doi.org/10.3923/jas.2011.1129.1135
Crude oil is an important energy commodity to mankind. The fluctuation of crude oil prices has affected many related sectors and stock market indices. Hence, forecasting the crude oil prices is essential to avoid the future prices of the non-renewable natural resources to raise sky-rocket. In this study, daily West Texas Intermediate (WTI) crude oil prices data is obtained from Energy Information Administration (EIA) from 2nd January 1986 to 30th September 2009. This study uses the Box-Jenkins methodology and Generalized Autoregressive Conditional Heteroscedasticity (GARCH) approach in analyzing the crude oil prices. ARIMA(1,2,1) and GARCH(1,1) are found to be the appropriate models under model identification, parameter estimation, diagnostic checking and forecasting future prices. In this study, the analyses are done with the aid of EViews software where the potential of this software in forecasting daily crude oil prices time series data is explored. Finally, using several measures, comparison performances between ARIMA(1, 2, 1) and GARCH(1,1) models are made. GARCH(1,1) is found to be a better model than ARIMA(1, 2, 1) model. Based on the study, it is concluded that ARIMA(1,2,1) model is able to produce good forecast based on a description of history patterns in crude oil prices. However, the GARCH(1,1) is the better model for daily crude oil prices due to its ability to capture the volatility by the non-constant of conditional variance.
|Item Type:
|Conference or Workshop Item (Paper)
|Uncontrolled Keywords:
|Box-jenkins model, ARIMA, GARCH, crude oil prices
|Q Science
|ID Code:
|Deposited By:
|Mrs Liza Porijo
|Deposited On:
|12 Jun 2012 04:55
|Last Modified:
|12 Jun 2012 06:22
Repository Staff Only: item control page


text:
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Wealth and Population Data in Africa
National and UN/World Bank estimates of African GDP/capita are seriously flawed
Brian Sturgess - May 2012
There are very good grounds for challenging much of the conventionally accepted UN and World Bank economic data relating to both the absolute and relative per capita income of many African countries and to their growth rates over time. A recent paper by Morton Jerven published in World Economics demonstrated the unreliability of much if not most African GDP data and a new paper published in this issue by Deborah Potts challenges the accuracy of African population estimates"
Key Points
Most sub-Saharan African GDP data is of very poor quality, and in most cases probably significantly under-estimates the real level of economic activity.
Most African population data is of equally poor quality, and may over estimate population in many cases.
Due to the persistent underestimation of GDP and the likely overestimation of population , real income per capita in Africa may be significantly higher than previously assumed.
As a result almost all UN, World Bank , Aid Agency or similar data based on African income per capita statistics should be viewed as extremely unreliable.
Last year we published an article by Morton
of the University of British Colombia in Vancouver who demonstrated based on his own in-depth research and country visits to national statistical offices that faith in the accuracy of most sub-Saharan African country's national accounts was little more than folly.
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text:
This column will try to outline ideas for you to use when looking for a death and/or burial record for ancestors born before 1895, and those known to be deceased, regardless of their birth date. If you are fortunate enough to have an ancestor or two born in 1895 or earlier, and still living, thank your lucky genes and go interview them in person as fast as you can!
On the serious side, we want to leave no doubt about the fate of our ancestors, and the easiest way to ensure this is to locate some kind of death or burial record for each individual in our pedigree who is known, thought, believed, regarded or assumed to be deceased.
Let's prove our claim by following well established genealogy research methods. These will include, but are not limited to:
You may need to travel to the last known residence of some ancestor(s) to talk with old timers in the area, or the town historian, for clues. You may need to use your best correspondence skills; "how-to" books; maps (especially to locate most of the above)!
Who said proving someone was dead was the easiest part of genealogy?
Text for this article was adapted from the West Virginia Research Outline, by The Church of Jesus Christ of Latter-day Saints, Salt Lake City, UT, and this article first appeared in "The DIGGINS" newsletter of the Mother Lode PAF User Group, Jun 1997.
The Family History Library, Salt Lake City, Utah, Research Outline headings for WV are: (1)Records at the FHL; (2)FHL Catalog; (3)Archives and Libraries; (4)Bible Records; (5)Biography; (6)Cemeteries; (7)Census; (8)Church Records; (9)Court Records; (10)Directories; (11)Gazetteers; (12)Genealogy; (13)History; (14)Maps; (15)Military; (16)Naturalization and Citizenship; (17)Newspapers; (18)Periodicals; (19)Probate Records; (20)Taxation; (21)Vital Records; (22)For Further Reading; and (23)Comments and Suggestions.
Based on the above, the best places to begin your West Virginia research are the WV Research Outline and the U.S. Research Outline.
In reading the brief historical facts column in this outline, WV seemed to suffer from the grabs or give-aways of their lands. Its history was affected politically by its boundaries with Virginia and Pennsylvania. There were many land disputes through 1865, when "fifty western counties" broke off from the "restored government of VA." The state of WV was finally admitted to the Union in 1863. In the Civil War, about 32,000 WV soldiers enlisted in the Union Army, and 9,000 enlised with the Confederacy. Excellent sources for studying WV history are listed on page 7 of the WV Research Outline.
WV marriages began to be recorded as early as 1780 in existing counties. As other counties organized, marriage records were kept. The FHL has copies of "all available" marriage records from 1780 to about 1900, and to about 1970 for some counties. Write to the applicable County Clerk to obtain copies.
By reading this research outline, you will learn the availability of other records in West Virginia, too.
Bye for now/pjr.
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text:
NewswireToday - /newswire/ -
Sebastian, FL, United States, 2009/01/15 - Cumberland Distribution, Inc. is deploying XStream Systems XT250 Materials Identification System to provide its customers with access to the safest and most verified pharmaceutical products available - CumberlandCare.com.
XStream Systems, Inc., today announced that Cumberland Distribution, Inc., located in Nashville, Tennessee, has selected XStreams XT250 Materials Authentication Solution in an effort to advance its supply chain safety process by authenticating and verifying products throughout the receiving, stocking, and fulfillment process.
In its Nashville distribution center, Cumberland is deploying XStreams authentication solution in order to provide its customers with access to the safest and most verified pharmaceutical products available, and protect it from the growing threat of counterfeit, tampered, and adulterated pharmaceuticals.
By integrating Cumberlands CareTrac inventory management system with XStreams SPN (Secure Pharma Network), Cumberland will be in a unique position to provide its customers online access to the individual molecular signature of each product distributed.
We are moving beyond the current standard of pharmaceutical pedigrees, which relies on a sometimes convoluted process of recording transactions from point to point, said Jerrod Smith, President of Cumberland Distribution. With the XStream XT250 and SPN solution, we can individually pinpoint each bottle of medication, verify, and authenticate the product inside its sealed container, and provide the molecular fingerprint of that product along with the lot number and expiration all the way from the receiving dock to the pharmacy customer.
We exhausted research on other products and technologies, and determined that XStreams system was the best solution to protect our inventories and provide our pharmacy customers with the greatest assurance of safe medications for their patients. It gives us the confidence to live up to our companys motto, Cumberland Distribution, Keeping Americas Pharmacies Healthy.
According to Alan Clock, XStreams Senior Vice President, Cumberland Distribution exemplifies why many pharmaceutical distributors are seeking out solutions beyond RFID and Pedigrees and are looking to XStream for help. Like many within the pharmaceutical supply chain, Cumberland Distribution recognizes the many threats that currently exist globally to its source of supply, he said. As a result of these threats, it is vital for pharmaceutical distributors to have an effective process to verify and authenticate their products as they receive and ship them to their customers.
About Cumberland Distribution
Cumberland Distribution, Inc., (cumberlandcare.com) is a nationwide pharmaceutical wholesaler whose mission is to distribute pharmaceutical products to underserved independent pharmacy providers. Cumberland is dedicated to Keeping Americas Pharmacies Healthy.
About XStream Systems
XStream Systems (xstreamsystems.net) produces next-generation equipment for material identification. Their patented systems are based on Energy-Dispersive X-Ray Diffraction (EDXRD) technology. The companys XT250 System enables testing of powders, pills AND entire sealed bottles. The equipments superior sample penetration allows the identification of contents inside opaque plastic, cardboard and even metal packaging. XStreams SPN (Secure Pharma Network) integrates testing data into a real time supply chain safety management solution.
About the XT250
The XT250 Material Identification System, based on Energy Dispersive X-Ray Diffraction (EDXRD), is an easy to use, checkpoint screening device that matches a pharmaceuticals molecular crystalline structure against its standard profile to determine its authenticity and quality. The XT250 Systems superior penetration allows it to scan directly through the manufacturers packaging allowing wholesales to ensure safety beyond current pedigree methods by verifying their inventory at receiving points.
About the Secure Pharma Network
Secure Pharma Network (SPN) is a network suite of functionalities for verification data and system updates. Customizable and scaleable, it can be integrated with inventory control and e-pedigree systems. Critical data on substandard medication can be monitored by manufacturers, distributors, dispensers, re-packagers, and government agencies giving vital up-to-date information to help protect the supply chain across the globe.
Written by / Agency / Source: XStream Systems, Inc.
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text:
UGA HEROs: Kids' Day at Zoo Atlanta
If you've never heard of UGA HEROs and what they do, get ready to be educated on one of the most enthusiastic and big-hearted student organizations at The University of Georgia. HERO is one of the largest student-run philanthropies on the UGA campus, and it is the only one of its size to have been founded here. HEROs has spent the last 11 years partnering with H.E.R.O. for Children in Atlanta as their main fundraiser. The mission statement: to improve the Quality of Life of children infected with and affected by HIV/AIDS in the state of Georgia through student support. A pretty tall order, but this high-profile philanthropy seems to be doing rather well. HERO was voted campus organization of the year in 2005, 2007, 2008, and 2009, and has raised well over $1 million since their impetus in 2003. They're basically EVERYWHERE, and you can bet that exciting things are afoot any time you see their logo. This year's motto is "New Team. Bigger Dream. All In." and those big dreams are just getting started.
This Sunday, April 6th at Zoo Atlanta is the first "kid event" of the year. This is the first time that many HERO members will meet the amazing kids that they're working so very hard to help. Ninety percent of these Atlanta-area kids, aged 6-18, live below the poverty line, so a trip to Zoo Atlanta is a pretty big deal. With the registration fee paid by each HEROs member, they and one child will receive admission, lunch, a t-shirt, and a train ride around the zoo. Other kid events scheduled for this year include their annual Braves Game Celebration, Paint the Town Red, and the big finale, the HERO Olympics. For more information and to donate, visit UGAHEROs.org, facebook.com/UGAHEROs, or email email@example.com.


text:
By Brian Robins, director of business development for managed services, Bentley Systems
During the last 18 months we have seen a steady increase in the number of requests that we have received from architecture, engineering, and constructions companies to manage their software applications. The scope includes project design collaboration and work-sharing applications through to construction work packaging and asset management. The inquiries have come from brand name "starchitects," global engineering companies, and local design/build firms, as well as state and local government agencies. What is motivating them is the increasing complexity of the information technology environment and the realization that while IT is an essential driver of efficiency and productivity, at the end of the day, it is in fact not their core competence.
At the same time, the megatrends of consumer technology, such as social, mobile, cloud, and Big Data, are being felt in the business-to-business world and especially enterprise IT. The consequences of this "consumerization of IT" are that expectations of usability and accessibility have been raised to levels that are beyond the reach of many, if not most, firms and that IT organizations are stretched so thin that they really need to refocus their scarce resources on the strategic issues that are truly mission-critical to the business.
Hence, CIOs and IT managers are increasingly looking to their software providers to not only sell and install software but also to manage it. More than that, CIOs and IT managers are asking how to get the most value out of the software, what are the best practices, and what are the benchmarks for their peer group? They want to pay for results not time and materials. In certain situations, architecture, engineering, and construction companies are going a step further and asking for help with document control, data quality management, and project information management and reporting. It all adds up to a strong trend towards managed services, namely the outsourcing of IT services management and project administration workflows and business processes.
Please log in or register below to continue reading.


text:
What to TiVo Monday 2008-05-11 23:50:47
What to TiVo: Monday
- Fox is new with Bones and House
- NBC is new with the season premiere of American Gladiators and the season finale of Medium
- CBS is new with The Big Bang Theory, How I Met Your Mother, Two and a Half Men, Rules of Engagement, and CSI: Miami
- ABC is new with Dancing With the Stars, Samantha Who? and the season finale of The Bachelor
- The CW is new with Gossip Girl and One Tree Hill
- MTV is new with the season finale of The Hills and The Paper
- VH1 is new with Sex: The Revolution and Flavor of Love 3
- ABC Family is new with Greek
- TLC is new with Little People, Big World and Jon & Kate Plus 8
- Comedy Central is new with The Daily Show with Jon Stewart and The Colbert Report
- Late-night highlights include Shia LaBeouf and N.E.R.D. on Late Show with David Letterman on CBS, Jack Black and Clay Aiken on The Tonight Show with Jay Leno on NBC, and Jimmy Fallon on Late Night with Conan O'Brien on NBC


text:
Introduction to next sequence/story.
Original artwork was in Art Saaf's possession according to his son Steve (see error report June 2009). From this statement the credits were changed to Art Saaf. Original indexer credited Mike Roy on pencils and Mike Peppe on inks, while DC credits Mike Royer on pencils and Peppe on inks in Showcase Presents: The House of Secrets (DC, 2008 series) #1. Giacoia inks per Nick Caputo, September 2013.
Text article with illustration.


text:
are we who are you
Credits & Info
- Uploaded
- Jan 23, 2009 | 5:55 PM EST
- File Info
- Song
- 1 min 49 sec
- Score
- 3.96 / 5.00
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Please contact me if you would like to use this in a project. We can discuss the details.
- Score:
- Rated 3.96 / 5 stars
- Plays & Downloads:
- 1,251 Plays | 96 Downloads
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Author Comments
Rated 3.5 / 5 stars
not the best
BUt i kindof like it
Yeah.. Mediocre at best. But it does have some strange quality to it.,.
Rated 4 / 5 stars
" are we who are you "
I like it. It's unique.
make more!
Thanks :) But don't to much of this stuff to come from my hand. I still very much prefer to do things "manually" so to speak.
Rated 2.5 / 5 stars
you can do much better
Yeah a good and easy sound, but not enough spirit and rage to be a good DNB song anyhow I think it's a good misc song ^^
Keep it up
For French reader:
Une chanson avec un petit rythme bien sympa et agréable à écouter, seulement ça manque de de péche, on se voit plus se baladant sur un nuage que dans un bon gros Doom bien violent et pour moi le DNB c'est violent rythmique puissant. Malgré le petit air de Daft Punk qui traine derriére la chanson, je ne suis pas bien convaincu.
Hehe.. Truth is I don't know anything about the "techno" genres.. Im into rock 'n' roll.. I just figured; it has drums.. It has bass.. Drum n bass.. "Well that makes sence.." hehe.. Thanks for the critiqe :)


text:
Location: Forage-animal Production ResearchTitle: Chemical Suppression of Seedhead Emergence in Endohyte-Infested Tall Fescue for Improving Steer Weight Gain and Physiology Author
|Aiken, Glen
|Witt, William
|Kagan, Isabelle
Submitted to: Agronomy Society of America, Crop Science Society of America, Soil Science Society of America Meeting
Publication Type: Abstract Only
Publication Acceptance Date: 4/26/2010
Publication Date: N/A
Citation: N/A Interpretive Summary:
Technical Abstract: Chaparral® herbicide has shown in small-plot experiments to suppress seedhead emergence in tall fescue. A grazing experiment was conducted with steers grazed on endophyte-infected tall fescue that were either treated or untreated with Chaparral® herbicide. The objective of the experiment was to determine if suppression of seedhead emergence and maturation can increase average daily gain (ADG) and alleviate fescue toxicosis. Herbicide treatments were assigned to six, 3.0-ha pastures of toxic tall fescue pastures in a randomized complete block design with 3 replications. Pastures were grazed from 9 April to 1 July, 2009 with 48 steers (8 per pasture). Treated pastures were practically void of seedheads, whereas untreated pastures had 113 seedheads m-2. Concentrations of ergovaline plus its epimer, ergovalanine, were 4-fold greater in seedheads than in leaf blades. Whole tillers and leaf blades in treated pastures had higher (P < 0.10) crude protein (CP) and water soluble carbohydrates (WSC) than those in untreated pastures. Mean average daily gain of steers grazing treated pastures (0.91 kg d-1) was higher (P < 0.05) than those grazing untreated pastures (0.55 kg d-1). Rectal temperatures measured in the late afternoon were lower in steers grazing treated pastures than those grazing untreated pastures (40.5 vs. 41.2°C). Further, serum prolactin concentrations were higher in steers grazing treated pastures than those grazing untreated pastures (58 vs. 9 ng mL-1). Results in 2009 indicated that Chaparral® herbicide treatment suppressed seed head emergence and maturity of tall fescue pastures to increase weight gain and reduce the severity of fescue toxicosis, if not alleviate the malady


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Using Drug Augmentation to Treat Obsessive Compulsive Disorder Patients Who Did Not Respond to Previous Treatment (EPMTOC)
This study has been completed.
University of Sao Paulo
Fundação de Amparo à Pesquisa do Estado de São Paulo
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Information provided by:
University of Sao Paulo
ClinicalTrials.gov Identifier:
First received: April 26, 2007
Last updated: May 12, 2010
Last verified: May 2010
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Detailed Description:
This will be a controlled, randomized, double-blind and double-dummy study on the treatment augmentation strategy for obsessive compulsive disorder patients non-respondent to first line pharmacological treatment. The investigators will compare: fluoxetine maintenance at maximum dosage for additional 12 weeks; the association of fluoxetine with quetiapine; and the association of fluoxetine with clomipramine.
|Obsessive Compulsive Disorder
|Drug: clomipramine and fluoxetine Drug: quetiapine and fluoxetine Drug: placebo and fluoxetine
|Phase 4
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:
|Pharmacological Augmentation Strategies for Obsessive Compulsive Disorder Patients Non-respondent to First Line Medication Treatment: a Double Blind Placebo Controlled Study
Resource links provided by NLM:
MedlinePlus related topics: Obsessive-Compulsive Disorder
Drug Information available for: Clomipramine Clomipramine hydrochloride Fluoxetine Quetiapine Quetiapine fumarateU.S. FDA Resources
Further study details as provided by University of Sao Paulo:
Primary Outcome Measures:
- Rates of improvement after 12 weeks of treatment based on the difference of initial and final Yale Brown Obsessive Compulsive Scale (YBOCS) scores for obsessions and compulsions [ Time Frame: 12 weeks ]
Secondary Outcome Measures:
- Improvement of quality of life (QOL) will be assessed through SF-36 administered on weeks 0 and 12; [ Time Frame: 12 weeks ]
- Improvement of social adaptation using the Social Adaptation Scale (SAS) (Weissman & Payket, 1974) administered on weeks 0 and 12 [ Time Frame: 12 weeks ]
- Tolerability of the proposed treatments through adverse events follow-up performed each visit (emphasis in serotonergic syndrome) [ Time Frame: weeks 0,1,2,3,4,8,12 ]
- Score obtained with Beck depression inventory (BDI) [ Time Frame: 12 weeks ]
- Score obtained with Beck´s anxiety inventory (BAI) [ Time Frame: 12 weeks ]
- Clinical global impression measure of improvement [ Time Frame: 12 weeks ]
- Change from baseline EKG regarding QT interval [ Time Frame: 2 weeks ]
- Fluoxetine dosage and Clomipramine dosage (when applies) [ Time Frame: weeks 2 and 12 ]
|Study Start Date:
|May 2007
|Study Completion Date:
|April 2010
|Primary Completion Date:
|March 2010 (Final data collection date for primary outcome measure)
|Assigned Interventions
Experimental: Quetiapine augmentation
fluoxetine up to 40mg once a day plus Quetiapine up to 200mg once a day, during 12 weeks
Drug: quetiapine and fluoxetine
Quetiapine at maximum tolerated dosage of 200mg per day plus fluoxetine at maximum dosage of 40mg per day
Other Name: Seroquel
Experimental: Clomipramine augmentation
Fluoxetine up to 40mg once a day plus clomipramine up to 75mg once a day, during 12 weeks
Drug: clomipramine and fluoxetine
Clomipramine at maximum dosage of 75mg per day plus fluoxetine at maximum dosage of 40mg per day
Other Name: Anafranil
Placebo Comparator: Placebo
Fluoxetine up to 80 mg once a day plus placebo 3 pills once a day, during 12 weeks
Drug: placebo and fluoxetine
Placebo plus fluoxetine at maximum dosage of 80mg per day
Other Names:
Detailed Description:
Arm 1: SSRI (Fluoxetine 40mg* once a day) + Clomipramine 75mg* once a day.
Arm 2: SSRI (Fluoxetine 40mg* once a day) + Quetiapine 200mg* once a day.
Arm 3: SSRI (Fluoxetine 80mg* once a day) + Placebo once a day.
*or maximum tolerated dose
We hypothesize that quetiapine and clomipramine will be effective augmentation strategies for resistant OCD patients in comparison to placebo.
|Ages Eligible for Study:
|18 Years to 65 Years (Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- OCD diagnosis
- YBOCS score ≥ 16 (for patients with both obsessions and compulsions) or ≥ 10 (for patients with only obsessions or compulsions)
- Previously signed informed consent to participate in this clinical trial
Exclusion Criteria:
- Patients with clinical or neurological diseases that may be worsen by the medications included in treatment protocol
- Current substance dependence or abuse
- Current psychotic symptoms
- Current suicide risk
- Current pregnancy or intention to get pregnant before the end of the treatment protocol
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00466609
Please refer to this study by its ClinicalTrials.gov identifier: NCT00466609
|Institute of Psychiatry
|Sao Paulo, SP, Brazil, 05403-010
Sponsors and Collaborators
University of Sao Paulo
Fundação de Amparo à Pesquisa do Estado de São Paulo
Conselho Nacional de Desenvolvimento Científico e Tecnológico
|Principal Investigator:
|Juliana B Diniz, MD
|University of Sao Paulo Medical School
More Information
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Keywords provided by University of Sao Paulo:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Diniz JB, Shavitt RG, Fossaluza V, Koran L, Pereira CA, Miguel EC. A double-blind, randomized, controlled trial of fluoxetine plus quetiapine or clomipramine versus fluoxetine plus placebo for obsessive-compulsive disorder. J Clin Psychopharmacol. 2011 Dec;31(6):763-8. doi: 10.1097/JCP.0b013e3182367aee.
|Responsible Party:
|Juliana Belo Diniz, University of São Paulo
|ClinicalTrials.gov Identifier:
|NCT00466609 History of Changes
|Other Study ID Numbers:
|Study First Received:
|April 26, 2007
|Last Updated:
|May 12, 2010
Keywords provided by University of Sao Paulo:
obsessive compulsive disorder
Additional relevant MeSH terms:
Compulsive Personality Disorder
Obsessive-Compulsive Disorder
Pathologic Processes
Personality Disorders
Mental Disorders
Anxiety Disorders
Quetiapine Fumarate
Antipsychotic Agents
Tranquilizing Agents
Central Nervous System Depressants
Physiological Effects of Drugs
Psychotropic Drugs
Serotonin Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Neurotransmitter Agents
Serotonin Agents
Antidepressive Agents, Second-Generation
Antidepressive Agents
Cytochrome P-450 CYP2D6 Inhibitors
Cytochrome P-450 Enzyme Inhibitors
Enzyme Inhibitors
Antidepressive Agents, Tricyclic
ClinicalTrials.gov processed this record on September 21, 2017


text:
Gone, Gone, the Form of Man...
DC Comics All Access: Ian Sattler
I was worried I'd never see daylight again. That's seriously a concern I had while playing Batman: Arkham City over the holidays this year. We all love comics (obviously) and we all love video games, so the amazing combination of Batman and brutality that was Arkham City had a lot of us spending quite a bit of time sitting inside with our game consoles.
Tomorrow's DC COMICS-THE NEW 52 Releases
Earlier today, we linked to all of the exclusive previews of the first batch of sixth issues from DC COMICS-THE NEW 52, on sale tomorrow.
JUSTICE LEAGUE #4 has sold out, and will be going back to press for its second printing. The fourth issue joins JUSTICE LEAGUE #1 as the second installment of the flagship series to go back to press. The second printing of JUSTICE LEAGUE #4 will be on sale in comic book stores on February 29, 2012.
It's official. BEFORE WATCHMEN has officially been announced. To see the covers and read exclusive interviews with the writers of the seven mini-series, as well as the CURSE OF THE CRIMSON CORSAIR back-up story to be featured in each issue, visit the following media outlets.
This summer, DC Entertainment will publish all-new stories expanding on the acclaimed WATCHMEN universe. As highly anticipated as they are controversial, the seven inter-connected prequel mini-series will build on the foundation of the original WATCHMEN, the bestselling graphic novel of all time. BEFORE WATCHMEN will be the collective banner for all seven titles, from DC Comics.
Previews of Wednesday's DC COMICS-THE NEW 52 Releases
Here's a round up of the exclusive previews from this week's DC COMICS-THE NEW 52 releases, on sale tomorrow.
Matt Kindt debuts as series writer of FRANKENSTEIN: Agent of S.H.A.D.E.
It was announced earlier today that Jeff Lemire will be writing JUSTICE LEAGUE DARK. Well, Jeff is super talented, but writing four ongoing series is a tough gig, so he'll be leaving FRANKENSTEIN: AGENT OF S.H.A.D.E.
THE HOLLYWOOD REPORTER's first look at the ANIMAL MAN movie
Before he was the Animal Man you know in DC COMICS-THE NEW 52, Buddy Baker starred in an independent movie. THE HOLLYWOOD REPORTER has your exclusive first look at this film, as shown in ANIMAL MAN #6.


text:
NEWLY engaged MARY-KATE OLSEN is getting not just a husband – she's gaining a type of father figure, according to relationship experts.
The former "Full House" star's parents split up when she was just 9, and experts agree that trauma may have influenced the 27-year-old's decision to wed Frenchman Olivier Sarkozy, the 44-year-old banker she's been dating since 2012.
"When couples divorce, children most often live with their mothers, so they have an emotional need to find daddy in their lives," psychotherapist Dr. Jamie Turndorf, aka Dr. Love, told The ENQUIRER.
For Mary-Kate, Sarmkozy "represents a father figure – a man who's safe and trustworthy and can protect her," added Dr. Turndorf, author of the best-seller "Kiss Your Fights Good-bye," who has not treated Olsen.
Such May-December relationships between young women and older men have been around for centuries, added another expert. "Young women are attracted to older men because they appear wiser and can offer them protection," Dr. Gilda Carle, the "30-Second Therapist" on NBC's "Today" show who also has not treated Mary-Kate, told The ENQUIRER.
As for Mary-Kate, she's apparently chosen a man "who offers her security and assurance that she is loved for herself and not her fame or fortune," said Dr. Carle.
Mary-Kate and twin sister Ashley have parlayed their "Full House" fame into a billion-dollar business empire. Sources say Ashley supports her sister's marriage to Sarkozy, a divorced father of two and the half brother of former French president Nicolas Sarkozy.
"He's definitely a father figure for Mary-Kate," added an insider. "But Mary-Kate is sure she's found Mr. Right – despite their age difference."


text:
KHAR, Pakistan - A key anti-Taliban tribal leader was assassinated yesterday in a roadside bombing, the latest in a series of attacks against pro-government militias in the Afghan border area of northwestern Pakistan.
Elsewhere, authorities found the bullet-riddled body of another tribal elder who was seized from his home late Thursday in an attack that also left his son dead.
Violence has increased in Bajur and other northwestern tribal regions since the army launched an offensive in South Waziristan in mid-October. Fifteen Taliban fighters were killed in operations over the past 24 hours in South Waziristan, a military statement said yesterday.
Pakistani troops took control of three important militant strongholds in the Bara area of Khyber tribal region, killing another 15 insurgents.
The famed Khyber region is the main route for ferrying supplies to US and NATO forces in Afghanistan.
It has been the focus of several counterinsurgency operations but militants often resurface with fresh attacks.
Pakistan's government has supplemented its military efforts by helping tribal leaders and local militias battle the Taliban.


text:
Biographical Notes
David Broderick
David Colbreth Broderick was born in Washington D.C. on February 4, 1820. His father was an Irish stone mason who had come to the United States to work on the construction of the Capitol building. He is said to have carved the marble pillars on the east face of the building. After stone work on the Capitol was finished the family moved to New York City. David was a teenager when his father died and he went to work as a stone mason to help support his mother, his younger brother, and himself. The family was poor, life was hard, and David became skilled in fighting with his fists. His social life revolved around his membership in a volunteer fire company - Howard Engine Company #24. He became foreman of the company and attracted the attention of a patron who set him up as bartender of a saloon named the "Subterranean.
Broderick's saloon was named after a radical newspaper of the same name. The editor of the paper was Mike Walsh, the paramour of Kate Ridgeley who operated a bordello in the neighborhood. Broderick and Walsh became good friends and Broderick adopted much of his political philosophy from Walsh. Walsh believed that the source of crime and misery in the world was rooted in the inequality of society. Honest working people were being cheated by dishonest capitalists. Walsh thought that most workers were not much better off than slaves. Broderick joined the Democratic Party and slowly worked his way up until eventually Tammany Hall agreed to offer him as a candidate for Congress in 1846. Broderick angered the party leaders by being too forward during a reception for newly elected James K. Polk, President of the United States. Tammany Hall withdrew its support and Broderick was not elected to Congress.
Broderick's mother and his younger brother both died about the same time that he lost the favor of Tammany Hall. Although he had no interest in the mines he went to California in 1849 in search of a political career in the Democratic party. He traveled by ship from New York to Chagres and crossed by mule to Panama City where he was stranded for a month before he could get on a ship to San Francisco. In San Francisco he reestablished an earlier acquaintanceship with Jonathan Stevenson, the leader of the now disbanded New York Regiment which had been formed in New York to participate in the Mexican War. Stevenson, Broderick and Frederick Kohler set up a private mint in San Francisco to help meet the need for coins in California. They produced five and ten dollar gold pieces which had respectively four and eight dollars worth of gold in them. It was a very profitable business and he invested his proceeds in San Francisco real estate.
Soon after arriving in the city, Broderick joined a volunteer fire company and quickly rose to captain it. San Francisco had a lot of fires and popular opinion assumed that the cause of the fires were thieves and hoodlums. Broderick concluded that although the arsonists might be hoodlums they appeared to be acting on the orders of the merchants of the city. As he saw it the major fires always happened when the warehouses of the city were overstocked and prices were depressed. After a fire destroyed the excess merchandise, prices skyrocketed, profits shot up, and the underclass was blamed. He also saw the vigilantism that occasionally swept through San Francisco as part of the process by which the economic elite of the city maintained their control. This explanation fit his basic belief that capitalists were taking advantage of the working man.
Broderick distinguished himself in fighting the Christmas fire of 1849 and became the talk of the town. In January 1850 the incumbent State Senator from San Francisco was appointed Chief of the State Supreme Court. Broderick was elected to fill the vacancy by an overwhelming landslide of votes. At the end of that year the Governor of California, Peter Burnett resigned. The Lieutenant Governor, John McDougal, assumed the governorship thus vacating the position of President of the Senate. Broderick was elected president pro tempore in his place. Vigilantism reappeared in San Francisco in 1851 and on one occasion Broderick led a group of supporters into the heart of a large vigilante gathering to try and break it up by force. He failed and his opposition to the vigilantes attracted the ire of many of the city's leading citizens.


text:
In today's world early childhood education is more important then ever.
Experts report that by kindergarten students are expected to be able to write their name, know their letters and know some numbers. Sunday begins the week of the young child which stressed the importance of educating pre-school aged children whether it's in a classroom or at home.
"Even the littlest things are important. If you are working on numbers and counting people to sit down at the dinner table say please get out four forks for me, please get out four plates for me. Of course read to your child 20 minutes a day. It will increase their vocabulary, their questioning skills and you will just set them up to open a whole new world to them," said Early Childhood Coordinator for the MVESC Elaine Dodson.
Dodson said as they learn more about child development they find that these years are the most important to set them up for success. If you're looking for a pre-school Dodson offers some tips.
"Just look for a program that does stress the Ohio Early Learning and Development Standards so that you know that your child is learning what they're supposed to be learning to be ready for kindergarten," said Dodson.
To celebrate Week of the Young Child schools within the Muskingum Valley Educational Service Center are setting up displays and artwork in their neighborhoods.


text:
Clear Creek Church (Christian) Cemetery, Stantonville, McNairy County, Tennessee
We are standing inside the mid-left quadrant looking south. This is a sprawling cemetery with several areas laid out for graves and some open space.
Standing in area 1 looking east toward Shiloh Battle Grounds several miles away.
Looking north in area 3.
Photos & info by Wayne Austin 7 Jul 2008.
Census Records | Vital Records | Family Trees & Communities | Immigration Records | Military Records Directories & Member Lists | Family & Local Histories | Newspapers & Periodicals | Court, Land & Probate | Finding Aids


text:
I keep steeping this too long to get more spiciness and end up instead with bitter Assam and a few bits of cardamom. The anise ruins it for me — I strongly dislike anise. Otherwise a bland chai. Expensive. Not sure this one is worth the retail price, though other Numi Teas definitely are.
Boiling 5 min, 0 sec


text: There are several trails winding through the forest covering Prospect Hill. These trail winds through some mature hardwood forest, mixed conifer and hardwood forest, and Hemlock stands. The main trail can be entered by the guard rail behind Prospect Hall. This path winds up the hill in front of a Hemlock and Pine stand and then curves around where the trail diverges. At the point where the trail sharply turns go right to the field behind Mandelle Hall. If you bear left and stay on the main trail you will shortly encounter another split in the trail. Bear right here to stay on the main loop and continue your ascent of Prospect Hill or bear left for a trail that parallels the top of the Hemlock stand. The main loop will take you to the crest of Prospect Hill and though some grassy/herbaceous openings and past one of the two town water supply tanks. On either side of the water tank are areas of blowdown (trees toppled during windstorm). This trail and the trail parallel to the Hemlock stand exit in the opening by the Ham Hall parking lot.


text:
Initially a sensual industrial design study, the 'OPHONE' was conceived in 1999 before the technical and social conditions that make such a device feasible matured. However Tecterran is now working to transform what were once innovative concepts into an intuitive social communications device with a difference or two. The 'OPHONE' will be a genuine original based upon ground breaking technology, mostly natural materials and a fabulous user interface displayed on a stunning high resolution circular touch screen display we conceived in 2001.
Although the default functionality will be based on our own user experience, as its name suggests, the 'OPHONE' will welcome open source creativity.
Since it's inception, Tecterran has been researching Android as a foundation OS due to the potential it offers when it comes to multi-form factor scalability and creative 3rd party application development.
*As of 2007 the OPHONE is now codenamed 'TUiT'.
Rear and side elevation 3d conceptual rendering
(© 1999-2004 Tecterran)


text:
# #
Ever since the Hollywood Foreign Press Association announced that Ricky Gervais would be back to host the Golden Globes, everyone wanted to know who the host would rip in his opening monologue. Well, he started out making a joke about Sean Penn being in hiding, but then he played it rather safe. Well, at least he was nicer to the celebrities than he was to nominationless NBC and was brutally honest about the HFPA being BS.
All in all, it was a good start to the awards show, just not a great one.
BTW I liked his ending better, he closed the show by saying, "From myself and Mel Gibson, shalom!" Shalom!
Ricky Gervais was on Conan tonight and he gave new meaning to the expression, "You don't know your ass from your elbow!" How? He took a Selfie of his elbow and it looked like an a$$. If that is not enough for you, he started adding random things between the bend of his upper arm and forearm which made it look even more realistic and disgusting.
The host of the Golden Globes said he learned this trick from a Classical musician and they spent three hours taking many many many photos of his assbow.
So now that he has taught you this fun little game, why are you still reading this. Shouldn't you be taking photos of your assbow? If you have Reese's Peanut Butter Chocolate Spread, make sure to smear it around there because it creates the perfect photo to post on Facebook to shock your friends and family. You could be caption it as, "Just had Chipolte." Too soon?
Ricky Gervais was on The Ellen DeGeneres Show and she asked him about his cat Ollie. He went on and on about her as all proud pops do.
The Office boss also explained to her why he only has a cat and doesn't have a dog. He said that since he travels a lot, the feline couldn't care that he's gone but a canine would be like can I go, can I go. There are even more characteristics that he described that any cat staff member can tell you are so spot on.
The main reason why I posted this is because there is nothing sexier than a man talking about his pussy.
Ricky Gervais was on The Tonight Show last week, and Jimmy Fallon asked him if he had ever been to the White House. He had been once and of course there was an interesting bed time story to go with it.
He was in Washington DC for the premiere of one the Night at the Museum movies and he was getting his suit cleaned. The phone rang and it was Ben Stiller informing him that they were invited to go to the White House right then and there. Since he didn't have anything to wear but the clothes on his back, he went in them. Only problem it was his pajamas. Thankfully for him, they were a nice black pair and no one noticed. At least they didn't tell him they did.
Too bad, they weren't cotton ones with pink bunnies on them. How awesome would that have been?
Oh and he also told a story about how he peed on his girlfriend the first time he slept over at her house.
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Had a near incident today
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October 21, 2011, 10:23 AM
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Join Date: February 15, 2005
Location: Vernors and orange barrels.
Posts: 661
Thank you all for your comments. "Over re-act?" I apologize and went to the back of the line. How is that over reacting? I move the gun and holster from view on the counsel and hid them. That was a positive reaction. Keeping the gun hidden in my right hand behind seat was a safety preventitive, not confrontational action. Also, if this "man" would have grabbed the door open he would have been right on me. I'm sure he wouldn't have wanted to shake hands. I wasn't going to wait until he crushed my skull. There would have been no legal, logical reason for him to breach my vehicle! Any reasoable person would have had reasonable fear of great bodily harm considering his size, anger and ability. But still I would not at all wanted to be forced to shoot and deal with all that anymore.
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I am hoping you can help me with a somewhat confusing situation. I have two children - one who just turned 2 and the other who is 3 months old. For the last two years, give or take a few months, we have been consumed with figuring out what has been causing stomach troubles in our 2 year old. It started off as gas, then when he was about 4 months old, he would have a BM every week or so. The older he got, the more difficult it became for him to pass stools. There would be times we would both sit on the floor crying because he was in so much pain. Sometimes suppositories worked, sometimes they didn't. Sometimes karo syrup worked, sometimes it didn't. Up until he was about 6 months old, his diet was 90% breast milk, 10% formula (cow's milk then eventually soy). After realizing that our pediatrician wasn't helpful at all we decided to assign a naturopathic doctor as his primary care doctor. She advised us to put him on a dairy-free diet, which we did (at this point he was off breast milk and formula and was drinking coconut milk). After several months, we realized that a dairy-intolerance was not the culprit as his bm's were still very irregular and he was always constipated. (He drinks a ton of fluid throughout the day.) So, we stopped the dairy-free diet, kept him on coconut milk (he won't drink cow's milk or eat cheese or anything like that....) and used Miralax, as needed. (He has also been given high quality cod liver oil and probiotics every night.) Right around this time his doctor ran a stool sample (I think it was the CDSA 2.0) which showed a PH imbalance and dysbiosis. She recommended using Grapefruit seed extract. Today, things seem to be working themselves out for him. I wouldn't say that he's regular but he is not dealing with constipation or anything like that anymore.
Now, onto our 3 month old. Just like our 2 year old, his diet is almost all breast milk with the exception of maybe 4oz a day of formula while he is at daycare - I've not been able to pump enough of a supply to keep him exclusively breastfed. When he was a newborn he was constantly looking to eat so he was always fed on demand. It never seemed like he was satisfied so when he was ~4 weeks old, I tried giving him 2 oz of formula after I breast fed him. He seemed full and satisfied. We rarely gave him formula unless he seemed unsatisfied. He wasn't getting formula daily until about 3 weeks ago when he started at daycare. Anyway, his awful gas started BEFORE the formula was introduced so my guess is that the formula has nothing to do with it. The other trouble is that for the last 5 weeks or so, he has only had 3 bm's - all of which were helped along from using a suppository. If his diet was all breast milk (and he wasn't so gassy) I wouldn't be as concerned but he is also drinking formula.
I've been working with the same naturopath and she has suggested dairy avoidance for both of us along with a high quality probiotic. I haven't tried it just yet - and I'm wondering if dairy is even the issue.
My reason for writing today is to ask if you think that, given the history of both children, do you think that this could be a problem with my breast milk? Meaning - could I be producing too much foremilk and not enough hind milk? Could this have caused long-term effects in our 2 year old after we had stopped breast feeding (constipation, dysbiosis)? Could this be what is causing the awful gas in our 3 month old? (Is it the formula that is keeping him from having a BM more regularly?)
I look forward to your response. I have done so much research on my own but I really need the thoughts from someone who has more experience.
Thank you
I'm glad things are working out better for your older child. You are right that clues from one should help us diagnose the other. The infrequency of stools in your older child is not a concern by itself but when you mention the pain, that's certainly an indicator that something's not right. It could have been that more foods besides or instead of dairy were the culprits. The cod liver oil and probiotics sound excellent. The dysbiosis is a rather vague finding but grapefruit seed extract is great for all kinds of things so it sounds like a good plan. Stick with plenty of high fiber foods.
Formula can be constipating but it's a small portion of your youngster's diet, and you said the gas came before the formula. Iron supplements can constipate but I assume you are not giving these. Again, having infrequent stools is rather common in babies and if they're not painful to pass, or not associated with other problems, it should be no concern.
Usually a foremilk-hindmilk problem is associated with diarrhea, thinking that excessive lactose is consumed. No I don't think your milk caused any long-term intestinal problem after weaning. I'm sure your milk is just right.
I would give the same advice as your naturopath has for your 3 month old – try 100% milk product avoidance, including whey, casein, cheese, yogurt, butter, etc. – for both you and baby. It only takes a little while and can tell you whether this is your answer or whether you should be looking elsewhere. It's always possible that there is more than one food that's the problem, and it's always possible that food sensitivity is not the problem at all. I would encourage you strongly to try a more complete elimination diet if the symptoms were more serious, but at this point, I leave it up to you. If you do try even just a week of non-dairy, I would then go ahead and challenge with a very high-dairy couple of days – especially liquid milk for you and milk formula for baby. If things go south quickly, you'll have your answer.
Either way, probiotics are a great recommendation as well. They may be enough to balance out the flora and rid the symptoms, if you wish to try just these first. If you think your baby is very uncomfortable with constipation, I don't think the suppositories are bad.
Linda F. Palmer, DC
"The Baby Bond"
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