text:
High Dose BAYA1040_Nifedipine: a Dose-comparative Study
This study has been completed.
Information provided by (Responsible Party):
ClinicalTrials.gov Identifier:
First received: January 30, 2011
Last updated: January 28, 2014
Last verified: January 2014
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
This is a clinical study evaluating the superiority in efficacy and assess safety and tolerability of BAYA1040_Nifedipine 80 mg/day (40 mg twice daily) compared with BAYA1040_Nifedipine 40 mg/day (40 mg once daily) in patients with essential hypertension who are not at target blood pressure by BAYA1040_Nifedipine 40 mg once daily treatment.
|Drug: Nifedipine (Adalat, BAYA1040)
|Phase 3
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
|Official Title:
|A Multicenter, Double-blind, Parallel-group Comparative Study Between Oral BAYA1040_CR 80 mg and 40 mg for 8 Weeks in Patients With Essential Hypertension for Whom Oral BAYA1040_CR 40 mg is Insufficient
Resource links provided by NLM:
Drug Information available for: NifedipineU.S. FDA Resources
Further study details as provided by Bayer:
Primary Outcome Measures:
- Efficacy changes measured by sitting diastolic blood pressure (DBP) [ Time Frame: Up to 8 weeks ]
Secondary Outcome Measures:
- Efficacy changes measured by sitting systolic blood pressure (SBP) [ Time Frame: Up to 8 weeks ]
- Achievement rate: Proportion of subjects achieving a target BP based on the Japanese Society of Hypertension (JSH) 2009 guidelines [ Time Frame: Up to 8 weeks ]
- Responder rate: Proportion of subjects achieving a target DBP and SBP based on JSH 2009 guidelines or a >10 mmHg reduction of DBP [ Time Frame: Up to 8 weeks ]
|Study Start Date:
|January 2011
|Study Completion Date:
|August 2011
|Primary Completion Date:
|August 2011 (Final data collection date for primary outcome measure)
|Assigned Interventions
|Experimental: Arm1
Drug: Nifedipine (Adalat, BAYA1040)
BAYA1040_Nifedipine 40mg twice daily (BID)
|Active Comparator: Arm 2
Drug: Nifedipine (Adalat, BAYA1040)
BAYA1040_Nifedipine 40mg once daily (OD)
|Ages Eligible for Study:
|20 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- 20 years or older
- Japanese male or female
- Outpatient with essential hypertension
- Patients whose sitting diastolic blood pressure (DBP) is 90 mmHg or more despite more than 4 weeks of treatment with antihypertensive drug
Exclusion Criteria:
- Sitting diastolic blood pressure (DBP) is 110 mmHg or more or sitting systolic blood pressure (SBP) is 180 mmHg or more
- Patients with secondary hypertension or hypertensive emergency
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: NCT01287260
Please refer to this study by its ClinicalTrials.gov identifier: NCT01287260
|Hirosaki, Aomori, Japan, 036-8082
|Kamagaya, Chiba, Japan, 273-0100
|Asahikawa, Hokkaido, Japan, 070-0061
|Asahikawa, Hokkaido, Japan, 078-8214
|Sapporo, Hokkaido, Japan, 003-0026
|Sapporo, Hokkaido, Japan, 003-0825
|Sapporo, Hokkaido, Japan, 004-0004
|Sapporo, Hokkaido, Japan, 007-0841
|Sapporo, Hokkaido, Japan, 062-0053
|Sapporo, Hokkaido, Japan, 063-0841
|Sapporo, Hokkaido, Japan, 064-0803
|Sapporo, Hokkaido, Japan, 064-0807
|Kawasaki, Kanagawa, Japan, 210-0852
|Daito, Osaka, Japan, 574-0074
|Kishiwada, Osaka, Japan, 596-8522
|Yao, Osaka, Japan, 581-0011
|Tokorozawa, Saitama, Japan, 359-1141
|Hachioji, Tokyo, Japan, 192-0046
|Meguro, Tokyo, Japan, 152-0031
|Minato, Tokyo, Japan, 105-7390
|Minato, Tokyo, Japan, 108-0075
|Shizuoka, Japan, 421-0193
Sponsors and Collaborators
|Study Director:
|Bayer Study Director
More Information
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Keywords provided by Bayer:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
Additional Information:
Click here and search for information on any recalls, market or product safety alerts by the FDA which might have occurred with this product.
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Shimamoto K, Hasebe N, Ito S, Kario K, Kimura K, Dohi Y, Kawano Y, Rakugi H, Horiuchi M, Imaizumi T, Ohya Y. Nifedipine controlled-release 40 mg b.i.d. in Japanese patients with essential hypertension who responded insufficiently to nifedipine controlled-release 40 mg q.d.: a phase III, randomized, double-blind and parallel-group study. Hypertens Res. 2014 Jan;37(1):69-75. doi: 10.1038/hr.2013.80. Epub 2013 Aug 15.
|Responsible Party:
|ClinicalTrials.gov Identifier:
|NCT01287260 History of Changes
|Other Study ID Numbers:
|Study First Received:
|January 30, 2011
|Last Updated:
|January 28, 2014
Keywords provided by Bayer:
Essential hypertension
Japanese Patients
Phase III
Additional relevant MeSH terms:
Vascular Diseases
Cardiovascular Diseases
Calcium Channel Blockers
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Vasodilator Agents
Tocolytic Agents
Reproductive Control Agents
Physiological Effects of Drugs
ClinicalTrials.gov processed this record on September 21, 2017


text:
Feds' budget cuts start to impact senior services
The federal government's across-the board spending cuts are starting to have an impact on some of the services used by Indiana's senior citizens.
A van service used by many older residents in the Lafayette area called Care-A-Van has three vehicles which serve seniors in Lafayette, but those vans will stop service Friday because of the automatic federal spending cuts.
The service is one more victim of the cuts that began in March and have been slowly accumulating.
The Journal & Courier reports that Indiana's Area IV Agency on Aging and Community Action Programs are receiving $362,000 less during the July through September period.
A $288,000 state grant will offset cuts to programs such as home-delivered meals, transportation and group meals, but local officials say more funding is needed.
(Copyright 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.)

subset: commoncrawl


text:
Once someone experiences the loss of data from any digital storage device, his or her first is quite understandable. When you rely badly on the information stored on a digital media, its crash can be simply devastating. Sometimes you can be responsible for deleting some of the data from it, but the end result is the same. Don't panic, the solution is near! ACE Data Recovery, a company with over 30 years of experience, has a Service Center near West Palm Beach and is ready to help you with any type of data recovery issue you might have.
No matter what the source of your problem is, the care you'll get at ACE Data Recovery will be exceptional. People working there will treat every situation you might have with patience. Close attention to the problem and focus on every detail is what experts from ACE are the best at. Using the equipment they make themselves, they will find the source of your problem and fix it in no time.
Your account manager will email you the assessment of the issue and the costs for its resolution. If you approve the quote, engineers will recover the data and transfer it to a new portable device that you will get for free. Your data will be delivered to you within few days and securely destroyed in 5 business days.
The most important part of retrieving your data is in finding a reliable partner that can meet your expectations and offer you high quality services. Thousands of satisfied clients all over the United States are there to confirm that you'll get the best service possible. Three decades in business are there to justify that ACE Data Recovery takes every job very seriously. No matter if you are having a problem with your hard drive, SSD, flash memory card, tape or you can't recover critical data from your RAID, ACE Data Recovery is the place for you. With the office literally at your doorstep, data recovery has never been easier.


text:
American Airlines fined for giving incorrect information abouts fees, surcharges
(WJLA) - American Airlines has been fined by the U.S. Department of Transportation{ }for violating an advertising rule regarding full fares.
According to a DOT{ }release, American Airlines was fined $60,000 after the airline's agents told consumers that surcharges{ }imposed by the{ }carrier were government-imposed taxes.{ }
"We expect airlines to be truthful to their customers when they provide information about their fares," said U.S. Transportation Secretary Anthony Foxx. "We will continue to take enforcement action when airlines fail to disclose their fares fully and accurately."
Under the full-fare advertising rule, the first price an airline or ticket agent quotes for air travel must state the entire cost the consumer pays, including all mandatory taxes, fees and airline surcharges.{ }
An investigation found that on a number of occasions in 2012 and 2013, American's telephone reservation agents "mistakenly" told consumers that a variety of additional taxes and carrier-imposed surcharges were collectively "taxes." Many of the charges were not taxes but airline fees.
The Department of Transportation also{ }found information on the airline's website also claimed the surcharges were taxes.{ }
American{ }has since corrected its website and provided additional training to its agents.


text:
Pure Encapsulations offers a line of hypoallergenic formulas that are designed to support total body wellness as well as specific areas of health such as heart health, bone health, digestive health and anti-aging. All Pure Encapsulation products are non-GMO and contain no wheat, gluten, egg, peanuts, coatings, artificial colors, artificial flavors, artificial sweeteners or preservatives. Their formulas are GMP Certified to ensure quality and the best possible product.
You're now signed up to receive exclusive deals and savings opportunities!
Thank you for your interest and be assured that you will continue to receive our emails at this address.
We are having trouble processing your request. Our apologies! Please try again later.


text:
Poetry is considered by many to
be one of the most highly stylistic
forms of artistic expression,
which typically maintains a particular
structure and rhythm and seemingly
more imaginative than ordinary
speech. During this four week
course, several poems are discussed
from many different time periods
in attempt to understand the moods
and thoughts of the men and women
who wrote them. At the end of
the course, the program participant
will have an opportunity to write
a poem and share their poem with
the class. All poems will be typed
on special paper. The purpose
of the course is to give its participants
a creative way to express themselves.


text:
Global technology distributor Avnet has skyrocketed up 24 places on the Fortune 500 list thanks to sales of $26.5bn worldwide in the last fiscal year.
The revenue jump represents a 38 percent increase on 2010. Profit also grew significantly, up 63 percent on the previous year to $669m.
The company now sits at number 108 on the 2012 list of largest US companies.
Rival distributors Ingram Micro and Synnex were also named in the top 500, coming in at 81 and 253 respectively.
Synnex echoed Avnet's success, rising 28 spots as a result of a 21 percent jump in revenue to $10.4bn. Profit was also up 17 percent to $150m.
Ingram Micro fell six spots from its previous ranking of 75 to 81, corresponding with a 23 percent drop in profit to $244m. Revenue rose five percent to $36bn.
Avnet's fiscal success in 2011 earned it a mention as Fortune's most admired in the electronics wholesaler category, for the fourth straight year.
"We are proud that our long-term, disciplined approach to profitable growth, both organically and through value-creating acquisitions, is reflected in our 2012 ranking," Avnet CEO Rick Hamada, said in a statement.
"Avnet's continued rise on the FORTUNE 500 list is a direct result of our team's commitment to accelerating the success of our valued customer and supplier partners around the globe."


text:
Japan Corporate Survey Finds Optimism Is Up
By TODD ZAUN
Published: July 2, 2005
Japanese corporate leaders were more optimistic about their prospects in June than they were three months earlier despite signs of a slowdown in exports, according to a quarterly business survey by the Bank of Japan.
The unexpectedly upbeat result of the central bank's closely watched Tankan survey of about 10,000 companies suggests that the economy continues to recover from a shallow recession last year as domestic demand grows.
Confidence improved in most categories of businesses, though large companies remained significantly more upbeat than small ones.
The benchmark index of large manufacturers, which includes about 1,200 of Japan's biggest companies, rose to 18 in June, from 14 in March. The index is calculated by subtracting the percentage of companies that say conditions are unfavorable from those that say they are favorable. A positive score means the optimists outnumber the pessimists.
Economists said one of the most encouraging parts of the report was a strong improvement in confidence among service companies, like banks and department stores. Confidence among large service companies rose to 15 in June, the highest level since 1992, from 11 in March.
The fact that a wide range of companies are becoming more optimistic even as exports remain relatively weak shows that businesses think that consumption may be strengthening after years of stagnation.
For much of the last decade, growth in the Japanese economy has been driven primarily by exports. Though robust export growth has generated a series of relatively strong recoveries in recent years, each has been short-lived because demand at home has lagged.
But in the last year, the economy has shown new signs of life. Banks have cleaned up the bad loans that once saddled their industry, and many big companies are hiring again.
''The economy is coming back onto a normal footing,'' said Stefan Worrall, an economist in Tokyo for Credit Suisse First Boston Securities. ''This is obviously feeding into the confidence we are seeing. Sentiment among manufacturers has been surprisingly resilient.''
Japan's unemployment rate remained at a six-year low of 4.4 percent in May, unchanged from April, according to a separate government report. Another report released Friday showed vehicle sales rose 8.6 percent in June from a year earlier.


text:
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When little Greta Gustafsson : Greta Gustafsson at 17
Swedish actress Greta Garbo, shown at the age of 17 (circa 1922) and as an adult (circa 1931).
19.2 x 8.6 cm
Tribune Company
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text:
Six years ago I,ve had a chin implant. Sometimes it feels thight and tingling.The recent years I developed a bad health condition, consisting of fatigue and poor endurance. I,ve had my blood tested on several items but nothing was found. Also I have no fevers. Could it still be possible that the implant is causing a constant triggering of the immunesystem causing these complaints?
Could my Chin Implant be Causing Fatigue and Low Endurance if it Were Infected?
Doctor Answers 1
Fatigue and Low Endurance Secondary to Chin Infection
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
A chronic infection could cause fatigue and low endurance, but there is no physical sign or symptom that indicates you have a problem with your chin implant. For example, there is no pain, tenderness, or swelling of the chin. I'm sorry, but a thorough medical examination is the best way to make a diagnosis.
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.


text:
A consultant has been hired by the Anoka County Highway Department to perform a grade separation study at the railroad crossing on Hanson Boulevard, Coon Rapids.
But there is no money to pay for a grade separation project once the study has been completed, according to Doug Fischer, county highway engineer and division manager for transportation.
The purpose of the study will be to determine the viability of a grade-separation at the railroad crossing, whether it be a bridge or tunnel, and select a preferred alternative.
Once the preferred option is chosen, the consultant will develop a preliminary design, estimate construction costs and identify steps for advancing the project, according to a staff report to the Anoka County Board's Public Works Committee.
In picking a consultant for the feasibility study, the highway department issued a request for proposal and set a budget of $50,000.
Bolton-Menk was the consultant selected for the study in the amount of $44,541.64.
The study is scheduled to be completed in August.
According to Fischer, the Hanson grade separation project has been in the county's five-year capital improvement program for some time.
And the need for a grade separation at the Hanson railroad crossing on the double-line tracks of the Burlington-Northern Santa Fe Railroad has been become even more of a priority, Hanson said.
Rail traffic has increased, not only because of the Northstar Commuter Rail line, but also from the "explosion of oil cars from North Dakota," he said.
And Hanson has a high traffic volume as one of the county's main north/south routes, Fischer said.
"Motorists can sit a long time at that crossing," he said.
Ideally, the county would like grade separations at all rail crossings on county highways, according to Fischer.
But Hanson is a top priority, along with the Foley Boulevard railroad crossing, Fischer said.
In the case of Foley there is a plan on the shelf for an overpass when money becomes available, he said.
Once the Hanson study is completed and the choice of an overpass or tunnel is made with a cost estimate, the county can start looking for funding to construct the project, according to Fischer.
Peter Bodley is at [email protected]


text:
By Glamsham Editorial
If they can make the likes of Saroj Khan, Prabhu Dheva, Ganesh Acharya dance on their tunes, with Remo D'Souza being a bonus, the musical duo Sachin and Jigar are here to create musical rave and one can say they have arrived full time with ABCD, an upcoming 3D Bollywood dance film. With nine powerful tracks, ABCD will be in top slot of their work done till date.
Sachin-Jigar's experiment with new-age music to sound fresh and balanced with their fusion of Western and Indian beats has done wonders. Music of ABCD is attracting dance lovers for its fresh, urban yet Indian feel.
Even for the much awaited item number by Sonakshi Sinha in HIMMATWALA, the duo Sachin and Jigar has been roped in.
In 2013, their kitty is full with films like JAYANTABHAI KI LUV STORY starring Vivek Oberoi and Neha Sharma, RAMAIYA VASTAVAIYA, again a Tips film, which also marks debut of Girish Kumar Taurani and film being directed by Prabhu Dheva himself, Maneesh Sharma's next with Yash Raj Films starring Parineeti and Sushant Singh Rajput and many more interesting Bollywood projects.
Their music will also be heard down South, with film DOPPIDI, by Ranjan DK.
The duo is surely to look out for!


text:
About Us
Why Elegant Agile?
The best chance for successfully implementing an agile transformation in an organization, a team, or with an individual, is by utilizing coaches and experienced experts that can help guide, facilitate, mentor and teach agile methodologies, good business practices, and product ownership.
What we offer:
Agile and Scrum coaching (team, executive, and organization)
Scrum Training (2 Day)
Product Owner Training (1 Day)
Agile Portfolio Management Training (1 Day)
Agile assessments - how agile is your team, your organization, you?
Agile tool setup and training (Rally, Version One, GreenHopper, etc.)
We are a small team of highly trained and experience agile coaches. We are not just trainers; we are experts who are active in our fields, and work hands-on with our clients. Many big-name training companies offer a wide range of classes on agile project management, product ownership and agile training, but do not necessarily have trainers actively using agile in real-world situations. Elegant Agile staff is constantly involved and embedded with private and public organizations, we are able to stay abreast of the latest agile trends, techniques and current market challenges.
Our clients greatly benefit from our combination of real-life agile and Scrum experiences coupled with a background and understanding of business strategy, program and project management, portfolio management and business analysis.
Don't believe us? Ask us for a reference, and we'll be happy to do so!
Pat Guariglia is the founder of Elegant Agile
Pat is an agile coach for Elegant Agile, Inc. He is certified as a PMP with the Project Management Institute, a Certified Scrum Practitioner (CSP) and Certified Scrum Master (CSM) with the Scrum Alliance. Pat has been leading information technology projects and coaching agile teams for the last twelve years. Pat continues to champion agile practices and Scrum in the Upstate New York and New York City areas. He speaks at conferences, seminars and holds workshops across the Northeast and worldwide. Pat contributes articles to the ScrumAlliance.org web site, is the organizer for the Agile Albany user group, participates in the organization and networking of regional northeast US agile groups and is an editor for the Agile Record.


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Billy Bob Thornton's daughter Amanda Brumfield guilty of killing 1-year-old
While everyone is transfixed by the Casey Anthony trial, Billy Bob Thornton's daughter was convicted of aggravated manslaughter in the death of a 1-year-old Orlando girl last Friday, E! reports. You may not have heard of the connection, since Billy Bob hasn't talked to Amanda Brumfield in years.
The 32-year-old Brumfield was accused of killing her best friend's baby girl, Olivia Madison Garcia, who suffered a 3.5-inch fracture of her skull, while babysitting her in October 2008. Brumfield's defense argued the child fell from a playpen but appeared fine, explaining why Brumfield waited two hours to call for help. The jury didn't buy that explanation, but she did beat charges of first-degree murder and aggravated child abuse. She will be sentenced in July.
Brumfield was born in 1979 to Melissa Lee Gatlin, who was Thornton's first wife. He's been married five times and he has something like four kids by three different women, so it's no surprise they haven't spoken in ages. Heck, it took us a week to even find out, so imagine when Billy Bob will hear about it.
[Photo: AP]


text:
The Apes of wrath
Fri, 11 Jul 2014 08:07:37 GMT —
COLUMBIA (WACH) --- The sequel to the Rise of the Planet of the Apes is here.
According to theDawn of the Planet of the Apes website, the film features genetically evolved apes who are threatened by a group of human survivors. This after a devastating virus was released years ago.
The film features Andy Serkis, Jason Clarke of Zero Dark Thirty and Keri Russell.
Good Day Columbiaâ??s movie critic Brandon Davis has a preview.


text:
I'M A Glasgow expat now living in Australia.
I lived in Govanhill from 1967 until 1986 and two years ago I went back and was completely appalled at how much the area has changed.
Walking around, at the lights between Allison Street and Victoria Road, I was approached by two young children who asked me for money.
The atmosphere of the area had changed dramatically and for the worse.
I have been looking at photos online of the fly-tipping that is currently going on in the area and reading what locals there have to say.
It is clear that the current situation in Govanhill is causing mental health issues, a risk of disease, accidents and a devaluation of surrounding properties.
I hope to visit Govanhill again at the end of the year, I would love to feel safe to show my children and husband the area where I grew up.
Lucy Browne Via e-mail
Respect is due
IS RICHARD Young (Letters, February 19) suggesting Catholic schools are the cause of divisions? If he is, then he is wrong. Children in Catholic schools are taught too respect all creeds, regardless of faith.
John Paul McGurk Glasgow
Take a bow
Evening Times readers of a certain age will have heaved a deep sigh of sadness on hearing the news that Hollywood's greatest child movie star, the unforgettable Shirley Temple, had died.
How well I remember my mother dressing up my wee sister in a frilly Shirley Temple dress she had bought at the Barras, before setting off to the cinema to see Shirley starring in Baby Take A Bow.
Never again will Hollywood see a child star with the movie magic of Shirley Temple.
Phil McCusker South Side
Not so fine
well done to The Evening Times, and reporter Linzi Watson, for keeping Glasgow City Council's bus lane fines in the headlines.
The council have chosen a most deliberate, and pre-planned policy of targeting motorists who enter these craftily sited bus lanes.
Many of our city's motorists have been branded criminals.
The total figure means that 67,651 motorists were fined. In reality that means that there are a lots of criminals, driving about Glasgow.
John Watcher Posted online
Street of shame
The BBC programme on Sauchiehall Street did as much for our image as the razor gangs. The throngs of foul-mouthed violent drunks were dreadful and that was just the girls. The shop owners were little better.
The violent attack on the busker, Melo, was the lowlight.
Where were the police? Probably fining some drunk.
Glasgow is not as bad as was painted. The show was sensationalist, with very little balance to the programme.
Tom Kent Glasgow


text:
Forward Thinking
The smartphone ecosystem is in a strange place right now. Android manufacturers seem dead set on making phones larger and larger, with everyone focused on providing an experience that you can only get through that specific manufacturer. It feels like Apple's approach is more general, specifically targeting as many people as possible with their experience. In six months, I have no trouble believing that Apple's competition will be ready to offer individual features that compete with the iPhone 5S in very specific ways within that time. The question will ultimately fall to whether or not anyone will be able to offer an overall better experience, especially for existing iOS users, and the answer is likely no.
Apple built new things into the iPhone 5S that will culture a very specific new ecosystem, and tools that will allow the iOS experience to grow beyond what it is on day one without software updates from Apple. They have an army of dedicated developers who have made creating things for iOS their business, ready to wield those tools to offer the next "must have" app. If anything I think the iPhone 5S has the potential to be more relevant in six months, and Apple's competitors should be far busier reacting to that reality than pointing and laughing at what looks like an incremental upgrade to the iPhone line.


text:
In addition to the usual Unlit, Clear and Multi lighting options, the delightful Kennedy Fir offers our new LED Color Changing Technology. This option provides 4 lighting choices, all into one tree: 1) clear LED lights, 2) multi colored LED lights, 3) alternating from clear to multi, and 4) off. The breakthrough is that the same LED light bulb changes from a clear light to a colored light (yellow, red, blue or green) so that all of the tree's lights stay shining and bright.
This gorgeous Kennedy Fir slim tree has been designed with the perfect combination of realistic-looking Real-Feel™ PE and PVC needles to give it the lushness of a genuine tree. Gracefully descending branches create a breathtaking scene that draws everyone together on Christmas Eve. Clear lights weave in and out of the branches for a starlight effect that spells enchantment for the whole family. Our exclusive Real Feel® needles made from 60% PE exhibit qualities similar to true evergreen foliage, from the color to the texture.
Nothing radiates the feeling of a traditional New England Christmas like our unparalleled Kennedy Fir Narrow Tree. With its round-shaped tips and yellow-green hue, this extraordinary tree looks as though it were plucked straight from the mountains of New England solely to serve as your holiday centerpiece. For homes that have minimal space, the beautiful and verdant artificial Kennedy Fir Christmas tree is the ideal way to usher in holiday cheer and warmth.


text:
If I ever get rid of my Harman TLC 2000 I would consider getting a stoker. I was looking at the Harman Magun Stoker with interest in the optional 6" air duct connection. The owner's manual says it's only for connecting to one register (within 20') but has anyone tried connecting it up to the main hot air plenum of their house & letting the warm air trickle through the house?
( the warm air plenum runs almost directly above the stove (above a suspended ceiling) while the cold air return plenum is about 25 ft away)
Wondering how effective this may be.


text: EPIX HD is a great addition that DISH Network brought to the table. They are always adding new HD channels and that makes me extremely happy to be a DISH employee and customer! The movies shown on EPIX are great and that their in HD makes it even better. It's like you're in the movie, there really is nothing greater than that. Also like me, new and existing qualified customers can enjoy HD Free for Life. It's a sweet deal for some pretty awesome channels!


text:
ABC News' Jenna Harrison reports:
LOS ANGELES – Call it the case of crime-solving technology.
Months after Dr. Jeffery Plotkin's 3-D camera vanished from his chiropractic office in Canoga Park, Calif., in March, images from the camera began appearing on his computer.
Plotkin says the camera disappeared after a man came to his office inquiring about appointments. When the doctor turned around, he believes, his briefcase disappeared and with it, the $700 Fujifilm camera inside.
"I thought it was unfortunate, but I thought if this crook turns on the camera, there's a slim chance I can get this camera back," Plotkin told ABC News.
The slim chance came from the Eye-Fi wireless memory card inside the camera. The memory card allows users to connect to wireless networks to transmit photos from the camera directly to a home computer without connecting a cord.
Two months after the theft, pictures of men flashing gang signs began appearing on Plotkin's computer.
"I was astounded to see these pictures coming from my camera," he said.
Plotkin immediately contacted the Los Angeles Police Department.
"I know they thought I was a nut," he said. "They were definitely not interested in a case of a missing camera."
However, when Plotkin described the odd pictures he was receiving on his computer, the LAPD began investigating.
"The officer was excited like a little kid," he said. "He had never seen pictures like this."
The doctor turned the pictures over the LAPD gang unit in hopes of someone recognizing the men. When no one could identify them, Plotkin remembered the card was equipped with geo-location tagging.
"Most people use the feature to remember where they took the picture, not to find criminals," Randhir Vieira, vice president of product marketing for Eye-Fi, told ABC News.
However, as soon as Plotkin turned on the feature, the pictures stopped coming.
"I figured the battery died because I had the battery charger," he said. "I thought that was the end of the pictures."'
Then in late August, it all changed.
"A new batch of pictures just popped up. I was shocked," Plotkin said.
With the geo-tagging enabled, an LAPD detective was able to trace the location of the camera to a house in Van Nuys, Calif., Plotkin said.
When the detective arrived at the house, the people denied any knowledge about the camera, Plotkin added. But when he showed them the pictures sent to Plotkin's computer, they changed their story, claiming they bought the camera from a man in a barbershop.
Police retrieved Plotkin's camera. No arrests were made.
According to Vieira, this is one of the first cases in which Eye-Fi assisted the return of a stolen camera, but not the first time users have received pictures from missing cameras.
"We've heard of people losing their camera and having pictures of people they don't know appear on their computers," Vieira said. "But who knew it would be used as a 21st century solution to crime."
As for Plotkin, he bought more Eye-Fi cards for his other cameras.
"I'm sure this is going to happen more," he said.
He is currently working on his 3-D photography business, having already covered his first project, the LAPD Memorial Ride.


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The world's second largest flower garden, the Keukenhof park in Lisse, the Netherlands, was awash in a palette of colors today as its seven million bulbs covering 79 acres came into bloom. Continue reading
Iceland's volcano has not only thrown a wrench into airline passengers' plans but has put Kenya's European market of fresh produce and cut flowers in limbo, at least temporarily. Continue reading


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Equity and safety key themes at budget forum
Equity and safety emerged as key concerns of the public at a Feb. 11 community forum about planned budget cuts in the Osseo School District.
Approximately 100 people came to the forum at Osseo Senior High, which was the last of three the district hosted. The district said about 80 community members attended an earlier forum at Maple Grove Senior High and about 40 went to one at Park Center Senior.
At each event district administration gave a brief presentation about four proposed levels of budget cuts, and community members had a chance to express their support or oppositions to each level of cuts through an instant electronic survey.
Then the meeting divided into smaller groups, where attendees could express and discuss their thoughts. All comments were recorded and are being provided to the school board.
The wrestling program seemed well-represented at the Feb. 11 forum. It would be among the hardest hit by the reductions, with three wrestling coach positions eliminated in the first round.
John Osatiuk of Maple Grove, who has a son in wrestling at Maple Grove Senior High, pointed out the proposed cuts to the wrestling budget are significantly more than cuts to other parts of the athletic budget.
"We're just asking them to be fair and equitable," he said.
"It didn't look like it was fair," said Tom Hebzynski, another parent of a student at Maple Grove Senior High. "… It looks like they segregated certain activities."
Equity and spreading the pain around came up frequently during the discussions.
Safety concerns related to the elimination of transportation were also widespread. Community members worried that if transportation to and from athletic events were eliminated, it might put students at risk because they would drive themselves to and from events.
One high school student told the group that without school-provided transportation to and from competitions, she would end up driving teammates to competitions in cities such as Rochester. And that could mean driving back at midnight after a hard day of competing.
"I don't want to be put in that position of having other girls' lives in my hands," the student said.
Parents and coaches also wondered if the district would be liable if anything happened to students on their way to or from a competition.
Many who attended the forum seemed to favor increasing user fees instead of cutting activities and staff.
The school board was expected to review feedback from the forums at a work session Feb. 19 and approve an initial budget for next school year March 5. It will review the budget again before final approval in June.
For more details on the proposed budget cuts and timeline, go to district279.org and click on "Budget Reductions" at the right.
Contact Jonathan Young at [email protected]


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American Rhetoric: Movie Speech
"The Wizard of Oz" (1939)
The Wizard's Offer
Audio mp3 delivered principally by Frank Morgan
Oz: Come FORWARD!
Oz: I am Oz -- the Great and Powerful. Who are you? Who are you?!
Dorothy: If you please, I am Dorothy -- the small and meek. We've come to ask --
Oz: Silence!
Oz: The Great and Powerful Oz knows why you have come. Step forward, Tin Man.
Tin Man: Uahh.
Oz: You dare to come to me for a heart, do you? You clinking, clanking, clattering collection of caliginous junk!
Oz: QUIET!!!
Oz: And you, Scarecrow, have the effrontery to ask for a brain! You billowing bale of bovine fodder!!
Oz: Enough! And you, Lion. Well?!!
[The Cowardly Lion faints]
Oz: Silence, Whippersnapper. The beneficent Oz has every intention of granting your requests.
Oz: But first you must prove yourselves worthy by performing a very small task. Bring me the broomstick of the Witch of the West.
The Scarecrow: Bbbbbbbbut...if we do that, we'll have to kill her to get it.
Oz: Bring me her broomstick and I'll grant your requests. Now, go.
The Cowardly Lion: But what if she kills us first?
Oz: I said GO!!!
© Copyright 2001-Present.


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You Are Here: AHRQ Archive Home > Public Health Preparedness Archive > Mass Medical Care with Scarce Resources: The Essentials > Chapter 6
Public Health Emergency Preparedness
This resource was part of AHRQ's Public Health Emergency Preparedness (PHEP) program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.
This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Key Questions
What are the three most important issues to consider in establishing an alternative care site (ACS)?
How do planners go about defining the role of an alternative care site?
How do planners choose an alternative care site?
What are the staffing options for alternative care sites?
To respond effectively to an mass casualty event (MCE), community planners from municipal agencies, including public safety, public health, and emergency management must plan how ACSs will operate. The decision to open an ACS will be made in collaboration, as applicable, among:
Planners need to identify the logistical support necessary for establishing an ACS. A mechanism must exist for triage of patients, so patient needs are matched with resources. Planners must delineate the specific medical functions and treatment objectives that the ACS facility would need to accomplish. The facility may serve as:
Much of the information here also applies when a locale is supporting a Federal Medical Station (FMS). FMSs are deployed with logistical implementation teams by CDC's Division of the Strategic National Stockpile and provide medical surge capacity (equipment, material, pharmaceuticals) to communities overwhelmed by mass casualties.
Return to Contents
The most important issues in the successful establishment of an ACS are ownership, command, and control of the ACS. These issues should be decided at a local or regional (as opposed to institutional) level and must involve the identification of those individuals with the authority to decide whether, when, and where an ACS should be opened and with the authority to operate the site. The administrative structure for operation of an ACS should follow HICS concepts.
An ACS should operate from a "concept of operations" document that defines its role in advance. The ACS also should be integrated into the local CDC Health Alert Network (HAN), which is designed to ensure that each community has rapid access to health information and professional personnel.
More information on CDC's Health Alert Network is available at: http://www2a.cdc.gov/han/Index.asp.
An ACS will likely be located in a building of convenience or shelter of opportunity. Each will have advantages and disadvantages. Possible ACSs include:
Tentative sites are best identified in advance, and the mechanism of approval for use as an ACS should be investigated. As a rule, permission to use municipal buildings is easier to obtain, and it is easier to obtain MOUs to use existing staff members. Although site selection is usually a local function, State partners should be asked early in the planning process whether potential shelters or ACSs have been designated at a State or regional level. If the ACS must supply ambulatory patient care, it may help if it is located near a victim shelter to support victims with chronic medical needs.
A key decision point in care delivery at an ACS is whether the ACS will be able to provide oxygen and respiratory therapy, particularly mechanical ventilation. Sustaining oxygen delivery systems in an ACS setting is complex and can be expensive. The exception to this may be the use of nursing homes and long-term care facilities, given their existing medical gas supply.
AHRQ and ASPR are currently updating the ACS Selection Tool, which is designed to use in advance of a public health emergency to develop and maintain a list of potential ACSs. The new Disaster Alternate Care Facility Selection Tool was in press at the time of this report's publication. To check on availability, go to http://www.ahrq.gov/prep/.
Another useful tool from AHRQ is Reopening Shuttered Hospitals to Expand Surge Capacity. Although this tool focuses specifically on assessing shuttered hospitals, much of the information is valuable for assessment of any site.
Reopening Shuttered Hospitals to Expand Surge Capacity is available at http://www.ahrq.gov/research/shuttered/.
Routine supply chains will be stressed or not operational during an MCE of any magnitude or duration. Although the degree of need for certain supplies may be event specific (e.g., increased need for masks during a pandemic), the need for many basic supplies can be accurately forecasted. This is especially true for basic durable medical equipment (cots, IV poles, wheelchairs, etc.). Certain supplies have a limited shelf life and therefore will require product rotation or replacement. Supplies may be stored as portable caches, which can be transported to the ACS. Caches can vary from a bare minimum cache (Level I) for institutional augmentation to a very complete cache (Level III) as defined by the Soldier and Biological Chemical Command. Caches of supplies should be stored in modular units supporting 50-100 patients, allowing an ACS to be set up in stages.
As noted above, supplying supplemental oxygen to patients in an ACS poses a complex challenge. The three major mechanisms of supply are compressed cylinders, oxygen concentrators, and liquid oxygen. Each of the three mechanisms has advantages and disadvantages. At least two and possibly all three will be necessary.
Wheelchairs, walkers, and canes will also be needed in an ACS. Local or regional resources are not likely to be sufficient to deal with this requirement.
Expensive diagnostic and monitoring equipment (e.g., portable x-ray machines, ultrasounds, cardiac monitors) may be beyond the scope of an ACS. Advances in point-of-care clinical laboratory testing, however, may allow some basic laboratory tests to be performed at an ACS.
The Hospital Surge Model can help with determining resources needed for specific scenarios.
Pharmaceuticals require environmental storage, stock rotation, and legal control. In certain
events, the Strategic National Stockpile may be of assistance in supplying pharmaceuticals, but this is not guaranteed and should not be depended on as a sole solution. Planners must address in advance the issues of obtaining, storing, controlling, and dispensing both controlled and noncontrolled medications.
Basic pharmaceuticals will be required for the management of a variety of medical conditions within the context of the ACS's limited scope of practice. These include medications related to:
Patients requiring drugs used for Advanced Cardiac Life Support response, as well as those used in the management of worsening respiratory status, necessarily will be transferred from the ACS to a hospital inpatient setting, if at all possible.
Many aspects of staffing may depend on the specific type of event. Even in situations in which staffing is adequate, the issues of verification, credentialing, supervision, and command and control will need to be considered. The ESAR-VHP or MRC may help address these issues.
Although some staffing levels for ACSs can be proposed in advance (go to box), unique staffing requirements tend to be event and population specific. The level of patient acuity certainly will have an Impact on staffing needs. In situations in which the ACS is Used to decompress hospitals, one option is to allow only those hospitals that contribute staffing to send patients to the ACS planners should consider other staffing options, such as:
Planners need to establish guidelines and protocols in advance for the care and management of patients treated in an ACS. These guidelines should help to minimize the difficulties inherent in bringing a new team of health care professionals together for the first time.
Other potential issues include:
Actual operation of an ACS will require a host of support services, including food services, sanitary services, infrastructure maintenance, and security. Although some of these needs will be driven by the nature of the event, much planning can and should be done in advance to assure that these support services will be delivered.
Only modest patient care documentation can be expected at an ACS. Electronic medical records are not likely to be available or practicable. Rather, simple paper-based charting will be required. Forms for patient records (including nursing notes and flow sheets), patient tracking and discharge planning should be prepared in advance. Forms should be in adequate supply, along with clipboards and pens.
As with hospital systems, ACS planners must develop robust security plans.
Rules of behavior for patients, caregivers, and visitors are necessary for the smooth operation of the ACS. ACS planning should include establishment of such a set of rules, as well as operating procedures. Operating procedures should address incident command, staffing, criteria for admission, discharge and transfer, clinical roles and responsibilities, infection control, pharmacy and medication control, security, supplies, finances, documentation, staff housing, housekeeping, food services, and areas unique to the event.
Criteria for disengaging the ACS should be established as part of the planning process. The actual decision to close the facility should be made in concert with local emergency managers and local or State health officials.
Plans for a regional ACS can be fully vetted only through exercises. Ideally, these exercises should include the ACS as a stand-alone facility and use the ACS support components in cooperation with other entities such as health care systems and Federal assets such as FMS and DMAT.
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Illinois Ban on Carry Ruled Unconstitutional (See Page 7)
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March 29, 2013, 03:29 PM
Senior Member
Join Date: January 26, 2008
Location: deep south illinois
Posts: 873
Ok, a little insight needed. Did the judge just rule AUUW unconstitutional on just those two accounts? Someone was saying something about a felon trying to overturn UUW, or AUUW? Here's why I ask...
on Tuesday I go to court on a prelim, I'm a deputy Sheriff in this wonderful state of Illinois, on a felon, caught with an uncased, loaded firearm in a vehicle within reach, and with a bag of cannabis in his pocket. More then enough to charge AUUW, not too mention UUW by Felon. Both of which are felonies, and this pillar of the community needs another stay at our fine DOC. Depending on who his appointed attorney is, one is a plea bargin machine, the other fights everything, this could turn south quickly. Does any of those rulings apply to a county as far away from Cook as you can get in Illinois, or do they apply to Cook County only? Or am I misreading/misunderstanding all of it?
Thanks ahead of time!!
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Before You Exit headlined the Chicago stop of On The Road to the RDMAs today, and we've got some of the first pics (thanks to Radio Disney for posting)!
Before You Exit will play again during On The Road, on March 23 in Cleveland with Megan Nicole and DJ Alex Angelo. For more info on the RDMAs (and to cast your votes!) head to Disney.com/RDMA.
Posted 4 years Ago


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Samsung's Tizen Phone Is Here & I Am Not Excited
The Tizen phone has been pushed back for 2 years or more now and today (January 14th), we finally hear that Samsung is launching it in India today at $90. Yay?
The Z1 is Samsung's first Tizen based smartphone and is targeted for the entry level market. It features a 4-inch WVGA (800 x 480) display, a dual-core 1.2GHz chip, 768MB of RAM, and a 1,500mAh battery. On the front, it has a VGA camera along with a 3.1-megapixel shooter on the back. The device comes with 4GB of storage, a microSD card slot, Bluetooth 4.0, a 1500mAh battery and 3G. We are unsure whether the stated RAM is just what is user accessible or the actual amount being shipped.
What is "special" about the device is that it runs Tizen 2.3 instead of Android. It seems almost laughable that Samsung is trying to compete with Android, Windows Phone and iOS given their app diversity. However when you consider the entry level market, Samsung may be on to something.
With Tizen, the South Korean tech giant is promising a fast and smooth UI with great battery life, things highly valuable in the entry market. Aside from that, they are also offering bonuses such as free streaming of some Bollywood movies to the Indian consumers which comes off as great incentive. If the company can put core application onto Tizen and make things work nice and smooth (preferably smoother than Android and Windows Phone) they may have a chance.
The fact that the Z1 is an entry level device does not disappoint me, rather the lack of focus on Tizen is what is bugging. Samsung delayed this OS for SO LONG that as a consumer, you expect something great and exciting to be waiting. Yet here we are with the company saying that the OS is smooth and not that battery hungry. What I as a consumer want to see is Samsung do something special with Tizen, make it worth a second thought and not just some other alternative in the low end game.
As of now it is too early to make any judgements/predictions on the device so we will wait until we can see Tizen in action and will be sure to share our information and experiences with you. Stay tuned to Techhetron for more coverage!
About Alavi Zaman
Alavi, Executive Editor of Techetron, is your average speckle faced guy with a huge appetite for food and an even greater craving for tech. He is always keeping an eye out for the latest and greatest in the world of technology and is on a constant prowl for the ultimate mobile device. He loves writing, reading tech blogs, playing golf and customizing his gadgets. Connect with me on Google+


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Mika Häkkinen Prepares To Return To Racing In The SLS AMG GT3 [Video]
We've already known that former Formula 1 double world champion Mika Häkkinen will be piloting an SLS AMG GT3, and now we have our first preview of him preparing to get back behind the wheel in a competitive fashion.
It's been four long years since Mika has raced competitively, so it's interesting to see how Mercedes-Benz is hyping it up. Really for us, the video is all about staring at the amazingly beautiful SLS AMG GT3 taking laps around a real race track in its full glory. There is seriously very few race cars that rivals the SLS AMG GT3 in the aesthetics department.
Check out the video after the break.
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Technology for Life
the best medical information sites
healthline is one of those vertical search engines that have been getting so much buzz lately. it lets you search just the slice of the internet that concerns health-related topics. top search returns here have often been reviewed by physicians for accuracy.
the format could be a little more welcoming, but it's hard to get more authoritative or comprehensive than this site.
merck manual of diagnosis and therapy
get your health information from the same place where many doctors get theirs. the merck manual has been an authoritative source of medical information since 1899. but be prepared for some dense reading.
the dean of the online medical community, webmd has lived through internet busts that killed lesser sites. it has an independent medical review board, and several of its senior editors are mds. a webmd subsidiary called emedicine (www.emedicine.com) contains loads of detailed information submitted by volunteer physicians.ad


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INDIANAPOLIS - Matt Stafford may have seen his future Thursday evening.
Because there is much time between now and the NFL Draft, and because much can change for a player of Stafford's caliber between this week's NFL Scouting Combine and the end of April, there are no guarantees his Thursday evening dining partner will be his future employer.
But there's every chance the Detroit Lions, a team that did not win a game last season, could be.
The University of Georgia quarterback said he likes that possibility, and that he relishes the challenge. Very much.
"I'm a competitive person," Stafford said this week at the NFL Scouting Combine, being held through Tuesday at Lucas Oil Stadium in downtown Indianapolis.
"No matter where I go, I'm definitely going to come in with the same attitude. I'll try to bring a winning attitude and a confidence from the quarterback position that hopefully bleeds into the offense and the entire team eventually."
Stafford, projected by many to be the No. 1 overall selection in the April 25-26 NFL Draft, is among eight Georgia players at the combine, and along with running back Knowshon Moreno, he is one of two Bulldogs projected to be selected in the first round.
Some analysts have projected Moreno as the No. 1 running back available.
"It's really important," Moreno said of possibly being the first player chosen at his position. "At the same time, it's whatever a team needs at that point. I'll be happy to go anywhere."
Moreno, projected by many as a late first-round selection, said on Friday he plans to participate in all drills at the combine. Running backs, like quarterbacks, are scheduled to work out today, but Stafford said Friday that while he does not plan to throw or bench press for scouts, he does plan to participate in all other drills.
Stafford said he will throw about 50-55 passes at his Pro Day on March 19.
"It was a decision I came up with," Stafford said of his choice to not throw Sunday.
Much of the focus this week among media and scouts at the combine has been whether the Lions - who went 0-16 last season - will select Stafford or Southern California quarterback Mark Sanchez with the first overall selection. The Lions have yet to indicate a preference, or even a desired position.
"That's yet to be determined," Lions head coach Jim Schwartz said. "Right now, we're just getting started on it. A lot of film work has been done, a lot of road scouts have seen those guys through the course of the season - the juniors who declared, they were catching up some work on those guys. This will be sort of the beginning of that process.
"We'll go from here to personal workout days to interviews, it's way too early to make any decisions on which way we're going.''
Still, the Lions did spend time with the each player Thursday, with team officials first eating lunch with Sanchez and later eating at an Indianapolis steakhouse with Stafford.
Asked what he ate, Stafford replied, "Salmon and asparagus."
At a steakhouse?
"Kept it healthy," he said, adding of the meeting, "It was good. It was probably what you would expect - normal questions and answers, just trying to get to know each other."
The Lions have indicated they want to draft a player No. 1 who will sign without incident and be ready for the start of training camp. Stafford said he won't be a problem in that area.
"It's really about football when it comes down to it," Stafford said. "My marketing guy and my agent and my financial people, they work for me. If I want to get it done, we can get it done. That's important to me, to get into camp, because I want to play football as soon as I possibly can."
Stafford will enter the NFL during a time of changing expectation levels for rookie quarterbacks. Until recently, the common thought was that a rookie at the position would need time to develop, and that except for rare situations, a winning season wasn't likely in the first season.
This past season, rookie first-round draft selections Matt Ryan and Joe Flacco led Atlanta and Baltimore, respectively to the postseason, success that led to Stafford being asked at the combine if he preferred a year to develop behind a veteran or to play immediately.
"I'm going to do everything I can to be as ready as possible to play wherever I go," Stafford said. "It doesn't matter. If they don't feel I'm ready to go, and I have to sit behind a veteran for a little while and learn some of the things I need to learn,then that's fine. But I'm going to make it as hard as I can for coaches to try to keep me off the field. I'm one to want to get in there and play as soon as I'm ready. That's my plan going into wherever I play. . . .
"If they don't feel I'm ready and I'm on the scout team making our defense ready, then it's that. But if I'm ready, I want to be out there playing as much as I can."
As for what he expects from his first season in the NFL, Stafford said he isn't expecting anything - not even that he necessarily will go first overall.
"I'm just working out for 32 teams and whatever happens, happens," Stafford said.
Which is the sort of approach veteran quarterbacks such as Drew Brees and Peyton and Eli Manning - Pro Bowl quarterbacks with whom Stafford has become acquainted - have told him he will need in a future he may nor may not have seen this week in an Indianapolis steakhouse.
"They can tell me this and tell me that, but it's up to me to execute it," Stafford said, who said he spoke to Brees at this month's Super Bowl. "He (Brees) had great advice. He said, 'Never lose your confidence. You're going to hit a rough patch here and there. You're going to maybe not play as well as you want to. You're not going to understand the offense at the level you did in college, but keep pushing and keep working hard.'
"I've talked to Peyton and Eli about it and I think the best learning you can do is through experience. I plan on coming out and working hard, whoever I play for, and trying to learn as quickly as I possibly can."
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- report , songs of erui , the hydra's grave »
- Songs of Erui, Session 6: Improv-Edition
Got back to running Songs of Erui after about a 3ish-week hiatus while we got some new players added to the mix, giving us a nice, stable party of five to play with (technically six since I have to NPC Grynn for about ten minutes into the next session, hee).
I wanted to do something a bit different with my dungeon layout, and ultimately decided not to draw a map at all. Instead, I jotted down a list of monsters, role, and level, and left it at that. Each monster that the party encountered was an original creation of mine that had no stat block at all: they just did things that I felt were appropriate for them, and had hit points roughly where I wanted them to be, and that was it.
This was a dungeon that, aside from my shorthand Notepad notes that amounted to a vague monster listing, was entirely winged from start to finish. I added details and changed existing ones as I thought of them, with only a vague notion of what was going to happen.
Encounter one had two dire bear skeletons (level 2 elite brute) and two skeletal bear warriors (level 2 skirmisher). Initially I wanted them to be riding the bears, but I ended up changing it so that the bear skeletons would come out of illusionary walls that were carved to look like entrances to caves, and the warriors would just teleport in through a hidden door. I made the room fairly large to account for two Large creatures and give the warriors some room for mobility, though there were a lot of roots that were difficult terrain/provided cover against melee attacks.
Encounter two had a minor tree god (level 4 solo controller) that was tasked to guard this area of the crypt, and had a bunch of gravestones and corpses stuck inside. It was Huge-sized, so I made the room even bigger than the last and added a bunch of roots that would deal automatic damage at the start of its turn to anyone that was too close, since I figured that the ent could animate them to attack people. This aura effect (created on the fly) would also act as difficult terrain, and he had threatening reach to boot.
I didnt give him full solo hit points, since they can take awhile to beat down, and in the end I think that the fight ended about when it should have.
The third and final encounter involved two mummy wardens (level 3 elite soldiers) that could also summon bear spirits (level 3 minion brutes) as a minor action to harass everyone. On the downside, they kept getting killed too quickly to make a major impact, but I didnt have an established "cap" on the number so that was good for the party. They could also deal a lot of damage with a big slide effect, and had the warden's marking mechanic. Unfortunately (for me) they died too quickly to use their bloodied ability that gave them a bear spirit aspect. Sigh...
The players really got a kick out of this session. I think it went well, considering that I had only a rough idea of what I maybe kinda-sorta wanted to happen. I didnt have time to consider a lot of interesting or more dynamic "role mechanics", so the brutes did lots of damage with a push, the controller had lots of area-effect attacks and a controlling aura, and the soldiers were a bitch to hit and could mark. I decided to let them summon spiritual allies because initially I think I was going for some kind of leader-type shaman warrior concept, but changed it at the last second.
One thing I did like about this method was that I wasnt "married" to specific events ahead of time. I think it made me more open to let bizarre and unexpected things to occur, since I didnt have anything remotel close to a solid plan in the first place. For example, during encounter three, I was able to have a "creature" yank Maev's sunrod off of her necklace, plunging the room into darkness. I was also unexpectantly able to leave it on a cliffhanger: they'll get to see who/what Grynn's been running from since before the campaign started.
Not something I would recommend all the time, but an interesting mental exercise nonetheless.


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After bad loss, now's the time for ISU to make run
Cyclones host Kansas State Saturday afternoon with hopes of getting back on track
AMES — If there's a run to be spun, it must start soon.
Iowa State enters Saturday's pivotal 12:45 p.m. Big 12 game against No. 11 Kansas State hungry for a signature win.
Are the Wildcats (15-3, 4-1) just what the RPI ordered?
"You've got a great opportunity," said Cyclone coach Fred Hoiberg, whose team (13-5, 3-2) seeks to erase any ill effects lingering from Wednesday's loss at Texas Tech. "That's a great thing about this business, you get a great opportunity like this and I anticipate Hilton Coliseum will be rocking Saturday."
As usual.
ISU — which swept K-State last season by a total of six points — has won 17 straight games at home.
That number ranks ninth nationally in terms of active streaks.
"We've got to win," said Cyclone guard Chris Babb, who expects to draw Wildcats' leading scorer Rodney McGruder again on defense. "It's a home game. You've got to win at home."
The Cyclones also have enjoyed their best shooting performances of the season, by and large, in Hilton.
They've shot 44 percent or better in 8-of-10 home games.
Their two worst shooting efforts — 33 percent and 35 percent — came at UNLV and Tech.
"I think (at Lubbock) we kind of got away from our motion offense that had been successful for us," said Babb, who held McGruder to 34 percent shooting last season. "So I think we're going to get back to that. Keep the floor spread. Look to drive and kick. Just make simple plays."
Even explosive and accurate sixth man Tyrus McGee has struggled lately, making just four of his last 19 from long range.
"A good shooter has a bad memory," said McGee, who still ranks second in the Big 12 at 44 percent from beyond the arc.
A win would allow the Cyclones to jump to at least a tie for fourth place in the league standings through one-third of the schedule.
It also would be ISU's first win over a ranked team this season and serve as a robust resume booster come March.
"You're always going to have an opportunity to come back after a disappointing game like (Wednesday's) and redeem yourself," Cyclone forward Melvin Ejim said. "Guys are going to be amped up and ready to play."
Cue the bumps and bruises.
The Wildcats may have a new coach in Bruce Weber, but they play the same way.
"We've got to get ready to be physical," McGee said. "Because Saturday is going to be real physical."
|In Iowa: Flood of helpers transforms sca ...
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Elizabeth Arden Eight Hour Cream Skin Protectant Reviews
Twenty-Hour Miracle!My wonderful, beloved mother rarely splurged on herself; in general, my parents put any "extra" funds in the family budget toward my sister and me and what we wanted or needed (we weren't spoiled but just treated with extreme kindness). When my mom did buy cosmetics for herself, she often gravitated toward Estee Lauder or Elizabeth Arden. I remember having a rough case of pneumonia in middle sch...read moreool, followed by a cold. My nose and lips could not possibly have peeled any more than they did. My mom went downtown to a department store to purchase Arden's "Eight Hour Cream Skin Protectant." I remember being delightfully surprised by her effort and concern when she returned home. Within just a few days of using this potion, my lips and nose were greatly relieved. And then I learned what a multi-tasker it is. Formulated more than eighty years ago by Elizabeth Arden herself, the most plentiful ingredient is Petrolatum, which works as a balm and also seals moisture in skin. A surprising additive is Salicylic Acid, which exfoliates to allow new cells to grow and flourish. Also included are Vitamin E (popular is many moisturizers) and Lanolin. Apply liberally to dry, flaky lips, facial skin, neck, décolleté, hands, cuticles, elbows, knees, and feet for silky-soft skin. It is helpful to have on hand at all times, as it works to repair minor cuts and abrasions. It is ultra-comforting if you've had too much sun (for shame--use sunscreen!) or if your legs are chafed after shaving. Professional makeup artists use this to highlight models' cheekbones, eyes, and lips. It isn't exactly a cream; it is more substantive than a regular cream. And perhaps that's another reason why it works overtime to keep my soft all over. I didn't appreciate my being able to purchase this product until I spoke with a friend in Dublin. A woman in her neighborhood makes "faux Eight Hour Cream," as it cannot be purchased online there. I'm glad I can get it whenever I need it, which is constantly! — 4 years, 6 months agoGigiSD | 1102 reviews
This review is: Helpful | Not helpful | Inappropriate | 5 of 6 people said helpful
Effective Multi Use Product but Expensive for What it isWe all hear so, so much about Elizabeth Arden 8 Hour Cream that it is difficult not to get wrapped up in the buzz that surrounds this "cult" product. I recently purchased the unscented version for the winter months when my lips are extra chapped, my cuticles are extra dry and seasonal colds and allergies leave my nose raw and peeling. For all of these uses, I absolutely love this product. You c...read morean use this on dry elbows, heels and cuticles. You can even use this to set your eyebrows in place (who would have thought?!). Being sick, I have been using this all around my dry, flaky and sore nose. This is helpful when other lotions and such would just burn. It is misleading that this is called a "cream" because it is more of a gel or salve. The texture is in no way creamy. A little bit of this goes a long way so one tube will last a very long time. Still, this is an expensive product and the only active ingredient listed is petroleum. I do find this to be less greasy and slippery than regular 'ol Vaseline. My skin absorbs this more easily than Vaseline too. This is a high end petroleum product, somewhat similar to Smith's Rosebud Salve. It is not the same as Vaseline, but it also isn't anything particularly innovative. Nonetheless, it works. It is nice to use, it is conveniently packaged in a tube (thank goodness!) so you do not have to dip your finger into it. If you are willing to pay the price for this, you will certainly use it in many ways and find it effective. If you don't want to spend the money, get a tub of Vaseline and you will most likely still be satisfied. Me, I will use my tube and as long as my budget allows, when the time comes I will repurchase this multi use product. — 4 years, 8 months agoHeathRene | 285 reviews
This review is: Helpful | Not helpful | Inappropriate | 1 of 1 people said helpful
Miracle productGreat for sunburns, chapped lips. Multi-purpose product. Kinda expensive but a little goes a long way. — 3 years agomissheatherette | 438 reviews
It was good enough to use on her horses!!!!I will save my money and use vaseline. This is a good product but please vaseline works just as well! When I worked at Macy's we had this strange lady that would call constantly asking if we had it in and she would buy everything we had, she would come in all wrapped up almost mummy like, her hubby said she uses 10 tubes at least a month!You meet very strange people when you work in cosmetics!! — 9 years, 2 months agothedragonslady | 483 reviews
This review is: Helpful | Not helpful | Inappropriate | 4 of 9 people said helpful
Much Better Items Out ThereI am always one to welcome more and more moisture so I definitely thought that this cult classic would become one of my most favorite beauty staples. I was totally wrong. This item wasn't moisturizing for me...it was GREASY. I really felt as though I rubbed some sort of butter or fat on my hands. The smell was not good. I don't know if the tube that I got was expired or something but this was a di...read moresgusting experience. I don't think I've ever returned a product quite so fast. Easiest decision ever. — 2 years, 8 months agosprout117 | 221 reviews
Orange GreaseUnless you are buying this on Elizabeth Arden's website for her Gifts With Purchase, I don't get the hype about this product. It's orange, greasy and smells bad. I can't pet my cat with this handcreame on, and it rubs off on my sheets when I wear it bed. Vaseline has a softer consistancy and does the job just as well. — 6 years, 6 months agoIowillowa | 23 reviews
This review is: Helpful | Not helpful | Inappropriate | 1 of 4 people said helpful
Heals dry lips and chapped skinLove this stuff. I use it on my lips almost every morning. I put it on right after washing my face and by the time I'm done with my makeup it has softened the little flakes on my lips and I just rub them softly with a washcloth and they're left soft and moisturized. I use it whenever my lips feel super dry and even on the skin around my nose which gets red and chapped when I have a cold. It has a high level of petrolatum which is the main work-horse in this product. Love the smell, too. — 6 years, 6 months agocherrypie | 196 reviews
This review is: Helpful | Not helpful | Inappropriate | 5 of 7 people said helpful
The best multi-tasking productThis is a great product to have in your beauty arsenal. It has so many uses. It is deeply moisturizing, and adds moisturize and protects moisture loss for a long time. It can be used on dry, chapped lips. It can also be used to groom eyebrows, on dry patches of skin on hands, elbows, knees, and even the face, and it can be used for minor cuts and scrapes as a surface protectant. I like the medicinal smell as well. Would recommend! — 2 years, 1 month agoanniebeaux | 129 reviews
Great for Even Sensitive SkinMost creams cause rashes to appear on my skin. This calms any problems I have, and there's hardly a place on my body where I don't put it. It helps dryness everywhere! I highly recommend this classic cream! — 4 years, 6 months agoPege | 40 reviews
It´s okI understand why the new version of this product is "fragrance free", it smells horrible! I've used it on my lips and it works great but i wouldn't dare to use it on my face, is too thick and that smell does not help at all. — 5 years, 1 month agosandramot | 23 reviews
This review is: Helpful | Not helpful | Inappropriate | 0 of 2 people said helpful
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text: More Boat Ramps Closing By John Lee May 9, 2011 12:09 PM Share on Facebook Share on Twitter More public boat ramps on the Red River are closing today.Last week, the Red River Waterway Commission temporarily closed the public boat ramps in Caddo and Bossier Parishes. Now that the crest is moving downstream, the commission is starting to close the public ramps in Red River, Natchitoches, Winn, Grant, Rapides, and Avoyelles Parishes. The commission stresses that the Red River is not closed to boat traffic but urges boaters who do venture out on the river from private marinas to exercise caution and watch for swift currents and floating debris. Here in Shreveport/Bossier, the level of the Red is dropping and never got near the 30-foot flood stage. At 7 o'clock this morning, the river was at 23-point-4 feet in Shreveport and falling ever so slowly. Filed Under: boat ramps | closed | red river | red river waterway commission Category: Shreveport/Bossier City News Share on Facebook Share on Twitter More Leave a comment Send to a friend! Print this page Pin it! Reddit This! Share on Tumblr! Best of 710 KEEL What Are the Real NFL Rules For the National Anthem? NFL Players Are Like Cheating Husbands [VIDEO] Do You Believe in the Fouke Monster? Big Vote on Uber Today in Shreveport Recommended For You ZergNet Best of the Web ZergNet


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Red carpet fashion and beauty coverage:
- Who wore what to the People's Choice Awards!
- See the coolest beauty details up close!
- Do you think How I Met Your Mother's Cobie Smulders was the best dressed?
- It was little details that made Emma Stone's outfit pop
- Busy Philipps killed it in blue Carven
- All the stars who were pretty as a peach
- The top looks from the red carpet
Get your favorite red carpet looks:
- Shop Ginnifer Goodwin's hot pink Roksanda Ilincic look
- Get a red sequined dress like Alyson Hannigan
- Want to own a dress like Jennifer Lawrence's Viktor & Rolf?
- Do, dump, or marry these red carpet guys?
The list of all the winners, and more PCA fun


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3D laser scanning, a technology more commonly found on construction sites, is being used by GM to reduce the development of plant layout and design modifications by upwards of 50%. The technology uses lasers to scan the entire facility, from the roof trusses down to the plant floor, with the resulting data compiled into a graphical virtual 3D representation that can be viewed by the automaker's manufacturing engineers throughout the world. According to Bill Campbell, lead engineer responsible for research and development of new technologies for plant layout activities at GM, the automaker has already completed scans at 16 assembly plants, with a focus on the general assembly and body shop operations. "We scan an average of 2 million ft.2 per facility," he says. The most recent facility to undergo the scanning project was the Oshawa, Ontario, Canada, plant, home of the 2009 Chevrolet Camaro.
GM teamed up with Leica Geosystems (www.leica-geosystems.com) to develop hardware that would better accommodate architectural use of 3D laser scanning technology. "There wasn't a pull from our industry, and I had to work with Leica to get them to understand what our needs were," Campbell says. Laser scanners used in outdoor applications are high intensity, and OSHA safety regulations limit the intensity of lasers for indoor applications for human eye protection. GM's physicists worked with Leica to develop a laser that is less intense, yet as accurate as traditional technology. Now, GM has acquired its own scanning system—a Leica HDS600.
Campbell says the benefits of using layout data derived from 3D scanning include reduced travel costs and less time wasted discussing whether certain pieces of equipment will fit in a particular area of the plant. In the past, engineers from several disciplines—manufacturing, product and architectural—had to physically visit the plant to assure new conveyors and other equipment would fit into certain areas; those validations can now be made in the virtual world—down to the exact placing of each mounting hole.
Working with its equipment suppliers, GM has built an XML-based "object library" containing a majority of its material handling, robots, tooling, and equipment that can be placed into the 3D plant data to determine whether the equipment will fit into a desired space. "Working with Autodesk and FactoryCAD we came up with an XML object tool kit that allowed us to build our own XML parametric objects," Campbell says. Since the objects have already been validated for compliance with operating and health and safety requirements, there's no need to delay install for traditional validation. Manufacturing engineers are prohibited from using objects outside the library, unless it is required.
Campbell says the next step is to add cost data to the system for each piece of equipment affected by the plant upgrade so that GM's procurement and accounting operations can get a quick grasp on how much the changes will cost in real-time. "What we want to do is run a full bill of materials from these virtual layouts to determine what is each part number needed and then export the data and tie it into a cost system. We are almost there," Campbell says.—KMK


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Hello there Roadfood Community, New truck owner questions....
The Grazing Gourmet
Junior Burger
2012/08/03 15:26:36
Hey Guys, I would appreciate all the advice I can get. I bought a great truck I am happy with, but it is missing a few key parts, I am located in New Hampshire. I need to buy/install a generator, wondering if anyone know a good place to start looking for good prices. Im gonna install it myself. I also need a waste water tank, and am trying to get around the fact that in NH, all trucks must have an ansul system installed. Anyone with experience in NH I would love to pick your brain and Good Luck to all of you in your ventures.
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text: I hope you realize what you are supporting. If Carr continues this, he really could end up injured. And severly. This man has a wife and multiple children. Because of the half-assed coaching and terrible offseasons, we may end up not just ruining this kid's playing ability, but his life too. Did you see that shot to the back of the head he took? One of those in a slightly different spot could land him on worse than the IR. Please think about that the next time you say that fans who are upset don't care about the team or the players. Yes, football players get hit, but not quarterbacks who have no idea its coming. That is just wrong.


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Sagare AP, Bell RD, Srivastava A, Sengillo JD, Singh I, Nishida Y, Chow N, Zlokovic BV. A Lipoprotein Receptor Cluster IV Mutant Preferentially Binds Amyloid-β and Regulates Its Clearance from the Mouse Brain. J Biol Chem. 2013 May 24;288(21):15154-66. PubMed.
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Participants sought for community conversations
United Way of Hancock County is still scheduling groups to participate in community conversations as a part of its community assessment process. Information gathered will be used to determine the future scope of work of United Way of Hancock County.
"It is important for United Way of Hancock County to understand the issues facing our community," said John Urbanski, president and CEO of United Way.
"In order to achieve this goal we have been conducting community conversations throughout the Hancock County area. By gathering small groups of people who represent various factions of the community, we facilitate conversations that allow individuals to share their thoughts on where the community is and where it should be going," Urbanski said.
The conversations are informal and encourage openness to all opinions. Participants are welcome to offer their personal experiences, concerns, challenges and aspirations.
Conversations will be led by community members, accompanied by note takers. United Way staff may be in attendance, however their role is only to observe and gather information.
Conversations can be held at a location chosen by the group or in United Way meeting rooms. They should include space for 10-12 people and be planned to last approximately 90 minutes.
Groups interested in scheduling a community conversation are asked to contact Beverly Phillips, United Way's community services director, at firstname.lastname@example.com or 419-423-1432.


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I'm trying to call a function I made called DisplayCourse() which displays data from a data object but it's not working. The function is getting called in a layout file (Homepage.ss) but the function doesn't actually get called at all! It works in the main template file(Page.ss) but not in the layout.
Any help would be greatly appreciated.


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Rihanna 'trying to be perfect for Chris'
Rihanna apparently believes she has to be a "perfect physical specimen" in order to keep Chris Brown interested.
The gorgeous star has had a tumultuous relationship with Chris, which resulted in him assaulting her in 2009.
Since then the couple has been notoriously on and off, and friends are now claiming the 24-year-old would do anything to be with Chris - including changing her body.
"Rihanna thinks that if she makes herself the perfect physical specimen, Chris will be hers forever," a source told British magazine Heat.
Another source added: "The problem is that Ri-Ri is constantly dieting and counting calories, but she still wants to have curves for Chris. I think Chris has made her quite self-conscious about the fact that her boobs and much of her famous booty have gone, as she's lost weight recently and she feels bad about losing her curves."
The gorgeous star cut a striking figure on the front of GQ magazine earlier this month, posing with just a leather coat covering her modesty.
Friends say she wasn't happy with the stunning shot and worried she didn't look as good as Chris' curvier ex Karrueche Tran.
Chris and Karrueche recently split after he publically admitted he was still in love with the Diamonds singer.
"Ri-Ri hoped that posing naked in GQ would make her feel sexier, but she just critiqued herself mercilessly," an insider said.
"Chris compares her with Karrueche, and she just feels like she's coming up short. She tried butt-lifting exercises, but they actually made her bum smaller...She knows he's a butt guy and she has been obsessing about making it bigger since they started dating again."
Despite her supposed body issues, the star has been looking gorgeous as ever recently.
Yesterday she stunned in two different outfits as she switched on the Christmas lights at a London shopping centre and later performed an exclusive concert for 20,000 UK fans as part of her 777 tour.
© Cover Media


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Serfas' Stem Bag easily mounts to any bike frame to give you quick access to nutrition and other essentials. It has padded, reinforced sides and a Mesh flap closure, as well as Velcro straps to attach it to your top tube and stem.
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Arachidonic Acid and Inflammation
Arachidonic acid is a type of omega-6 fatty acid that is involved in inflammation. Like other omega-6 fatty acids, arachidonic acid is essential to your health. Omega-6 fatty acids help maintain your brain function and regulate growth. Eating a diet that has a combination of omega-6 and omega-3 fatty acids will lower your risk of developing heart disease. Arachidonic acid in particular helps regulate neuronal activity, the American College of Neuropsychopharmacology explains.
Arachidonic Acid and Eicosanoids
Eicosanoids, derived from arachidonic acid, are formed when your cells are damaged or are under threat of damage. This stimulus activates enzymes that transform the arachidonic acid into eicosanoids such as prostaglandin, thromboxane and leukotrienes. Eicosanoids cause inflammation. Therefore, the more arachidonic acid that is present, the greater capacity your body has to become inflamed. Eicosanoids tend to act locally rather than circulate throughout your body because they degrade quickly.
Other Functions
Arachidonic acid and its metabolites help regulate neurotransmitter release, the American College of Neuropsychopharmacology writes. Arachidonic acid is metabolized so that it may be used to modulate ion channel activities, protein kinases and neurotransmitter uptake systems. Arachidonic acid acts as a substrate that is changed to useful metabolites.
Anti-Inflammatory Medication
Nonsteroidal anti-inflammatory drugs, or NSAIDs, such as aspirin and ibuprofen counter inflammation by inhibiting the action of cyclooxygenese, the University of Washington explains. Cyclooxygenase is one of the enzymes responsible for transforming arachidonic acid into eicosanoids and is found throughout your body, including your digestive tract. A second type of cyclooxygenase is released by inflammatory cells and transforms arachidonic acid into the eicosanoids responsible for causing inflammation. By suppressing both types of cyclooxygenase, NSAIDs are able to counter inflammation. By inhibiting cyclooxygenase activity, however, NSAIDs potentially causes an increase in stomach acid. This is because the first type of cyclooxygenase stops the secretion of stomach acid.
Dietary Sources and Benefits
Your body derives arachidonic acid from the omega-6 fatty acids you consume in vegetable oils, nuts and seeds, MayoClinic.com notes. The amount of omega-6 fatty acids you consume daily should only comprise 5 to 10 percent of your total caloric intake in order to avoid potential health risks such as heart disease. This is because omega-6 fatty acids may cause your arterial lining to swell, constricting the arteries. Constricted blood flow through your arteries leads to elevated blood pressure and heart problems over time. Eating omega-6 fatty acids in this moderate manner instead of the saturated fats found in meat will actually prove beneficial to your health.


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Only two more games remain on the trying season.
And their 1-11 overall record is proof of that.
But don't get the Lady Jacks twisted.
They're still looking to win.
And maybe, just maybe, it's a return to a simple philosophy that boosts the Humboldt State women's soccer team to victory this weekend.
"It's been a rough year and it takes a lot out of you," senior midfielder Bree Taylor said. "But we have to stay positive and just have fun.
"We want to go out and show everyone we still can compete and be a good team."
Up first is today's mach against Sonoma State. The Seawolves are 10-2-1 in the California Collegiate Athletic Association and are coming off a 1-0 double-overtime win over Cal State L.A.
The first time Sonoma and Humboldt met, the Seawolves won 2-0.
That tilt will be followed by a trip to Chico State to take on the 6-10 Wildcats.
Humboldt's lone win came over rival Chico, a 2-1 victory.
"We already beat them," Taylor said with a smile.
Fellow senior Terri Tigert had a similar sentiment.
"It would be awesome to come out with fight," she said. "We don't want them to think we just got lucky (the first time)."
Humboldt has been competitive in a majority of their games despite their one-win record and head coach CJ Johnson is looking for his team to put a full contest together this weekend.
"We continue to score goals and be creative in our attacking, but we struggle staying focused for 90-plus minutes," he said. "Our mistakes are costing us goals, and often, these mistakes happen early in the match and we have to play behind.
"We can be successful if we are more mentally tough and mentally competitive. We need to stay focused, communicate and translate what takes place in training to game day."
Ray Aspuria can be reached evenings at 707-441-0527 or email@example.com