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Published: Dec. 16, 2009
Updated: Dec. 16, 2009
As a practicing pediatrician I have been seeing more patients with symptoms of reflux, and more parents who are concerned about the implications of this condition.
Gastroesophageal reflux (GER) does seem to be more common in children now than in previous generations, but there's also another reason we hear about it more often: pediatricians and parents are more aware of it.
Dr. Tom Lin, a pediatric gastroenterologist at Duke, explains what reflux is and what can be done about it.
-- Dennis Clements, MD, PhD, MPH
Is gastroesophageal reflux (GER) becoming more common or are we becoming better at diagnosing it? The short answer is probably both.
Technological advances in medicine are ever-growing -- what were merely thoughts and fledgling ideas 20 to 30 years ago are today's reality. Not only are we able to peer into the gastrointestinal tract (called endoscopy) with detail as crisp as high-definition television, but current medicine also allows us to sample tissue and directly treat diseases of the intestinal tract deep within the small bowel in a less invasive manner than previously believed possible without so much as leaving a scar.
Such advances have led to the identification of milder cases of GER and unusual, atypical presentations of this common disorder. Hence, there are a greater number of diagnoses that would have otherwise gone unrecognized.
Factors outside the influence of medicine have also lead to a heightened awareness resulting in a rise in the diagnosis of GER. Pervasive media coverage and pharmaceutical advertising have elevated the general public's knowledge and understanding of GER.
It's good for parents to learn and be able to recognize the early signs of the possible health complications related to GER. However, too often parents are led to believe that infants and children are too young to have this condition, when a more aggressive evaluation and treatment plan may be warranted.
The idea of a child having regurgitation or "heartburn" is disconcerting to parents. They may worry that it will lead to internal intestinal damage, with a worst case scenario resulting in a pre-cancerous lesion referred to as Barrett's esophagus. This misconception is no fault of the parents, but parental anxiety can lead to unnecessary testing with its own set of potential risks and complications.
It is important for the medical professional to dispel the myths and misconceptions of GER, while also educating parents to recognize "red flag" signs and symptoms including when to seek the evaluation from a health care professional.
How can parents protect their child from unnecessary medical evaluations and tests while feeling confident their child does not have a serious medical condition? The old adage that knowledge is power applies here. Knowing the facts about GER and being able to recognize warning signs is the key to keeping your child happy and healthy.
Fact one is that most children do not need to undergo formal, definitive testing to be diagnosed with GER. Today, it is common and accepted medical practice to presumptively treat infants and children for possible GER if symptoms are compatible in the absence of signs/symptoms suggestive of a more severe, complicating disease or of an alternative diagnosis.
Performance of diagnostic studies are most often reserved for cases of persistent or unresponsive symptoms despite the use of anti-reflux medicines, symptom recurrence following the discontinuation of the medicines, or suspicion for another disease process.
To help demystify GER, it is important to address the facts about GER. GER is a normal physiologic occurrence in infants (particularly those born prematurely), children and adults. It is a common occurrence during infancy with approximately 95 percent of infants having "outgrown" it by 12 months of age.
Most GER occurs when the lower muscle controlling the opening between the esophagus and stomach opens intermittently, referred to as transient lower esophageal sphincter relaxation or TLESR for short, which occurs at a greater frequency in infants than it does in children.
When this occurs, it allows an open pathway for stomach contents, usually food and formula, to regurgitate through the mouth and at times through an infant's nose because of the normal anatomical connection between the oral and nasopharynx (the throat cavity and nasal passages).
For older children, dietary factors may play a role in the development of symptomatic GER. Being overweight or obese can also contribute to the severity of a child's GER, with weight loss being just one of a number of conservative measures that can help manage a child's symptoms.
Often conservative measures may be all that is needed to help alleviate the symptoms of GER in infant and children. This includes:
Additional factors for older children:
Specific abnormal symptoms or their persistent may be a sign of a more serious underlying health condition. The following are what parents should watch for and discuss further with their child's health care provider:
Today, physicians are more equipped than ever to diagnose, manage and treat uncomplicated and complicated GER in children. Despite these current capabilities, we still do not possess all of the answers. Until that time comes, there needs to be continued efforts to maintain the delicate balance between over and under diagnosing GER.
-- Tom K. Lin, MD, is a gastroenterologist in the Duke Department of Pediatrics.
-- Dennis Clements, MD, PhD, MPH, is the chief of primary care pediatrics at Duke Children's Hospital.


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» News
Las Vegas Employer Fires 22 Employees the Day After Obama re-Election
He warned the employees that this would be the case. He is the tip of the spear. "There is a tsunami coming."
» 29 Comments
Does anybody know the directions to Galt's Gulch? I think we need to find an oil rig in international waters and go sovereign.
+8 -
I wonder how many of those 22 voted for Obama?
Noteworthy Comment +22 -
What will the moochers lose? Obama will give them a phone, an apartment, wellfare called UE Comp, food stamps and "free" health care.
Noteworthy Comment +11 -
Check out what Boeing announced today. Lockheed, General Dynamics, Northrup Grumman, Raytheon, General Automics, etc, will all follow suit. This is going to be fun to watch. And it's the tip of the ice berg when the vendors start cutting loose.
Noteworthy Comment +15 -
I am guessing all 44 of the 22 did
Noteworthy Comment +42 -
This is exactly what Obozo wants to happen-it's the "way station" to "total" government control of healthcare. Obozocare was designed just for this result.
Noteworthy Comment +11 -
I'm waiting for Obama to make it illegal to fire people.
Noteworthy Comment +18 -
Kroger announced last week that because of the Obamacare provisions they were going to cut hours so that they wouldn't have to subject to the costs of Obamacare.
Couple all of this kind of thing with what's about to hit the economy and it spells DEPRESSION.
Noteworthy Comment +13 -
"In a related item, John Boehner announced that he would support Harry Reid's proposed 'Anti-Dog Eat Dog' legislation making it a felony to violate the principal of an honest week's wages for an honest day's work."
+9 -
And the death spiral begins. The next shoe to drop: hyper-inflation.
Noteworthy Comment +21 -
Of course, the Offical Press will never chalk up the forthcoming job cuts to economic realities. They'll say it's due to 1%-er vindictiveness and hatred of Dear Leader.
Noteworthy Comment +12 -
This is just like a bookie who congratulates his degenerate gambler…"HEY! YOUR TEAM WON, GREAT…NOW PAY ME".
+5 -
Hopefully he went to the employee parking lot and picked out the idiots with obama/biden stickers on the bumpers and fired those assholes.
Noteworthy Comment +17 -
@Genghis Khen
Ixnay on the ipstay for Zero.
+3 -
Oh! Atlas IS shrugging? Well, well, well…
+9 -
Think of this as a "V" with the first layoffs at the base. When those businesses that are the first to layoff workers no longer need to buy more items from suppliers, the suppliers will layoff workers. Then those businesses that are supported by the suppliers will layoff workers because the suppliers are no longer spending the same amount of money as before. And it keeps growing larger. Trickle-up socialist economic depression.
But here's what I'm laughing at. Eventually, people will have to sacrifice and many will cut unnessary things like cable or satellite TV. As fewer people watch TV it means less people watching the evening news. Towards the end of this, you will see TV news departments laying off workers. So the election day giddiness of the libtard enemedia will end up being mental depression and frustration in the unemployment line. They voted against their own best interests and don't even know it. Yet.
Noteworthy Comment +10 -
We've seen this movie – it's called Weimar in German, Zimbabwe in Zimbabwean, Mengistu's Ethiopia in Ethiopian, Cuba in Cuban, North Korea in Korean, Fascism in Italian, &c., &c., &c.
+6 -
Where would you put your life savings right now? I'm thinking land may be good. Possibly a vacation property, like lake frontage or similar. Any other real assets that will always have value? Still gold?
+2 -
the feel good Obamatard story of the day.
+3 -
A co-worker just told me that our firm (2000 employees) is considering dropping our health insurance benefits because paying the ObamaCare fine is cheaper.
+4 -
@Mr. Gates, gold and silver…physical, not certificates.
Preferably coins.Real estate ain't good. Just my 2¢.
+4 -
I really hate being right all the time.
+4 -
@Mr. Gates & Norman einstein;
If useable hard metal is your goal, forget gold. A handy cash-in chunk of gold (say $50) is about the size of an eyelash, and way to easy to lose. An ounce(@~$1700)is about quarter sized.
Private land, under socalism, is taxed out of range if it isn't used "for the people".
Silver is a good choice, it's not too big to handle, still comes in coin sizes, and is easy to verify.
+3 -
Love seeing the left half of the country dancing and celebrating the Preezy's reelection.
Reminiscent of Aesop's fable about the ant and the grasshopper.
+5 -
Obama's unconstrained EPA will declare your water front property a wetland, and require you, at your expense, to return it to its historical natural state, including the removal of any man made structures.
+1 -
Precious metals: Copper, lead and brass.
Last weekend my ex told me that FedEx will be downsizing (in this ROARING economy?) but most people leaving would be "volunteers." She got pissed when I started laughing at the "volunteer" part.
+4 -
Maybe America actually needs hyperinflation and debt default. It may be the only way to wake these economic dullards up and make them realize that folks need to be self-sufficient and not expect handouts.
And a debt default would mean it would be insane to buy US Treasury bonds. This country would be forced to go Cold Turkey and live within its means.
Genl Ripper
+3 -
@eric, gates and Norman
Are you guys kidding me? They will take everything, and a pocket full of your precious "silver or gold" won't mean shit. Get yourselves a flint, a good buck knife, some sturdy boots, and a strong will to fight and survive cause you ain't seen NOTHIN' yet!!!!!!!!!!!!!
+1 -
I guess if you want to invest in precious metal, plenty of lead alloy, hollow point and semi-jacketed might be the way to go!

subset: commoncrawl


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Full forecast and current conditions are always available on your mobile device.
Click here to download our StormTrack Mobile App.
Work continues on the latest construction project in Toledo: Secor Road.
Traffic is still flowing through the construction zone, even as crews are re-paving Secor from Central to I-475.
Toledo City Councilman Tom Waniewski says they are ahead of schedule on the project. The end date is November 1, but he believes the contractor will meet the incentives provided if they finish before then.
Right now, crews are working on the southbound lanes, but they are maintaining at least one lane in both directions, plus a turning lane, which is crucial for the businesses there.
"I don't have any hard stats, but are fewer people driving down there? Possibly," Waniewski said. "Does that affect businesses? I'm sure it has. I have not received complaints from the businesses on that, but this ombudsman is the go-between."
The ombudsman, Steve Hamilton, was hired by the city to help businesses get through the project.
The east and westbound on and off ramps from Secor to I-475 will be closed for 10 days starting June 4.
Mobile users, click on the "Video" button in the app to watch this story. Download our app here.
Copyright 2013 Toledo News Now. All rights reserved.


text:
Just like kids, dinosaurs have a difficult time learning to behave at the table. However, with a little help from Mom and Dad, these young dinosaurs eat all before them with smiles and goodwill.
As in their previous books, Yolen and Teague capture children's rambunctious natures with playful read-aloud verse and wonderfully amusing pictures.
- Ages
- 3, 6, 4, 7, 5
- Interest Level
- Grades PreK - 2
- Grade Level Equivalent
- 2.2
- Lexile Measure
- 16
- Guided Reading
- Book Type
- Read-Aloud Book
- Number of Pages
- 32
- Genre
- Rhyming Story, Comedy and Humor, Series
About the Author and Illustrator
Jane Yolen
Jane Yolen has written more than 200 books.
Mark Teague
Mark Teague's highly original stories have been published internationally to great acclaim for nearly two decades. His numerous awards and honors include both the Book Sense Book of the Year Award and the Christopher Medal, and his titles regularly appear on the bestseller lists of the New York Times and Publishers Weekly.
The Reading Toolkit


text:
Fast & Easy Dinner: Grilled Greek Pizza
Fast & Easy Dinner: Grilled Greek Pizza
This scrumptious grilled pizza is so packed with layers of flavor, one would never guess it's quite simple to put together.
Ideal for entertaining, this recipe combines store-bought shortcuts with highly seasoned ingredients like lamb sausage and smoked mozzarella. Instead of a classic tomato sauce, black olive tapenade is slathered on the dough.
To learn how it's made, read more. From The Nest 12 ounces raw spicy lamb sausage (ideally Merguez sausage) Makes 1 pizza.
Grilled Greek Pizza
1 small zucchini, cut lengthwise into thin ribbons with a vegetable peeler or mandoline
3 tablespoons olive oil, divided Kosher salt to taste
1/4 cup uncooked grits or polenta, for rolling the dough
1 ball prepared pizza dough, at room temperature
1/4 cup store-bought olive tapenade
1 1/2 cups grated smoked mozzarella cheese
1/2 small red onion, thinly sliced and separated into rings
12 cherry tomatoes, quartered
1/2 cup crumbled feta cheese
Leaves from 4 sprigs fresh oregano or 2 teaspoons dried
Freshly ground black pepper to tasteDirections


text:
When hunting wild jellyfish, always be prepared for wildly painful stings!
Play nowclip
SpongeBob leaves the spatula behind for a world of fun-employment!
The rumors are true, Spongebob holds the world record for the longest laugh.
Spongebob creates the first ever Burrito-Patty!
What will Patrick say next? He'll be the first to tell you, he has no idea.
SpongeBob and Patrick have been inseparable from the start!
All | Full Episodes | Clips | Playlists |
Mr. Krabs is going absolutely crazy about the free money the bank is giving away!
Follow these few simple suggestions and you'll be well on your way to running a successful business!
Feast your ears on Squidward's crabbiest, crustiest and most melancholy melodies!
SpongeBob and friends sing-a-long to this awesome new road trip tune!
Watch this full episode of SpongeBob...in one minute and seven seconds!
Let's see just how athletic our good friend SpongeBob can be.
SpongeBob and friends are remixed into some fresh Bikini Bottom beats!
Plankton's hard at work testing out a few new options for his devilishly evil laugh!
Patrick may be our favorite star, but sometimes he's just not the brightest fish in the sea...
Even evil Plankton's got a soft spot for this digital dreamboat!
Watch SpongeBob put his stretch to the test and squeeze himself out of some silly situations!
Get some great inside tips on how to rock SpongeBob's newest game "Return to Monster Island."
Hey gamers, learn some great gameplay tips for "SpongeBob's Next Big Adventure"!
Mikey and Patrick fight the battle of the brainless!
SpongeBob goes above and beyond to turn a baby's frown upside down!
NickGamer has got the biggest fails from the hardest game ever, Boat-O-Cross!
Nothing will stop Patrick from enjoying the wind in his face!
SpongeBob gets an old lady across the street SpongeBob-style!


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The Daily News front page from the first World Trade Center attack, 20 years ago.
You've gotta get the Japanese import 9/11. It has a whole extra tower that wasn't released in the U.S.
1993. Sophomore year. I was in Geometry class. I sat by the window. Someone came in and told us I think. No one made a...
I have the original 9/11 on vinyl.


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While the general consesus about Sandy seems to be, "It could have been a lot worse," plenty of homes, businesses, and organizations have been hit hard. One of those is Baltimore Humane Society in Reisterstown. They've been without power since Monday afternoon and the back-up generator is out. Pet food deliveries have been canceled for the week, and even the phone is out.
Staffers and volunteers are digging into their own pockets to keep conditions sanitary and safe for the animals, but they could sure use some help. According to an email sent today from the no-kill shelter's director of public relations, Wendy Goldband, the Humane Society could use any or all of the following:
1. Donations of Science Diet Dog and Cat Food—any variety, wet or dry
2. Donations of non-clumping kitty litter
3. Monetary contributions to help aid our restoration efforts. They can be made on our website. Or checks can be mailed to our address at 1601 Nicodemus Rd., Reisterstown, MD, 21136
4. Laundry—Massive amounts of laundry are piling up. Volunteers are asked to come take some loads.
5. Donation or loan of a 5000 watt generator
6. Purchase tickets for Catsino, a fundraising event this Saturday evening at Mother's Federal Hill Grille. It is a night of faux gaming to benefit the cats at Baltimore Humane Society and in particular, to help pay for badly needed eye surgery for Popeye the Cat. (That's a picture of her on the left. How appropriate that she is a black cat for this Halloween post?!) Tickets are $100 and can be purchased by calling 443-388-2407 or online.
Anyone making a trip out to the shelter should be aware that the main road in to Baltimore Humane Society is closed (Nicodemus Road coming from Franklin Blvd). In her e-mail, Goldband advises using a back route via Ivy Mill Road.
If you don't have the time or the funds to support the Baltimore Humane Society int his way, maybe you could help by spreading the word via social media (Twitter, Facebook, etc.). Getting the word out is an important first step. After all, people can't help if they aren't aware there's a problem.
Good luck to the Humane Society, and I hope we hear happy updates soon!
Photo by Mary Swift Photography, via Baltimore Humane Society Wordpress Blog.


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Координатор/организатор свадеб
Be swept away and live out your wedding day fantasies on this island paradise. Our attentive staff and wedding consultants assist in everything from pre-wedding activities to the reception to the ceremony itself. We take care of all of the hassle and last-minute details so that you and your loved one can enjoy the Caribbean's natural splendor, worry free.
All 481 guest rooms include over-sized private balconies, broadband WI-FI access, and baths. Embrace the tranquility of the Caribbean lifestyle while enjoying calming breezes and breathtaking views of sandy white beaches. The ultimate fantasy escape is at your fingertips.
The staff of The Westin Resort & Casino, Aruba is committed to making not only your wedding day special, but your entire stay with us perfect. It would be our pleasure to help plan your wedding, offering suggestions to make it personal and the wedding in paradise that you have always dreamed about. With our year round crystal blue waters, golden sunshine, cool Caribbean breezes and impeccable service, we offer a beautiful setting to begin your life together.
Tailor Made Ceremonies:
Allow us to create a wedding personalized to make your wedding dreams come true. Please contact us for a full listing of services and pricing.
Enjoy our inventive and delicious cuisine. The hotel's culinary staff offers a wide range of options and is renowned for their expertise, flair, creativity and cooperation. Custom Kosher services are also available.
In addition to any catering or cuisine selections you may have chosen we are more than happy to assist you with decoration, audiovisual equipment or live entertainment.
Contact: "I Do" Destinations Team
Email: firstname.lastname@example.com
Phone: (877)796-8515 Fax: (954)624-1712


text: Wanted to make this. may be a little premature but who cares. Thanks Emeka for all the joy you have given us in the past 5 seasons. I hope you go crazy in New Orleans and show everybody what you are made of. What a great human being. We will miss you.


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Jack-it has put together these 2 inch Budget lift packages for the 73-87 GM ¾ 4wd. We start with the Pro Comp 2 inch front springs with u-bolts, Jack-it likes these springs because they are a 5 leaf spring pack with a 526LB spring rate. Springs include poly bushings, these bushings are the large side wall bushings. We use a 2" rear block kit and then front and rear Pro Comp ES3000 (Qty 4) shocks. with your choice of shock boot color. Jack-it adds the front poly upper shackle bushings and a front spring and shackle eye bolt kit
There are a couple of options that you will want to check. The 1976 model year swapped from a Dana 44 front axle to a GM 10 bolt front axle, so we have the kits set up with the proper u-bolts for each axle. Most vehicles built June 76 and earlier have the Dana 44. If you have the factory duel front shock set up you will need to order the two extra front shocks. Also want to check and see if your vehicle has the rear brake load valve 81-87 model years can have this option, if your vehicle does you will want to order that rear extension bracket. Last there is an optional drop pitman that can be purchased also if you choose.
Budget Package Includes:
- (2) Front Leaf Springs
- Set poly front spring and shackle bushings w/ sleeves
- Front spring and shackle eye bolt kit
- Front and rear shock w/ boots
- Front and rear u-bolt kits w/ hardware
- Pair 2 inch cast rear blocks
Additional Information
Item Number | GM502SD/GM503SD/GM506SD |
Manufacturer | Jack-It |
Make | Chevy, GMC |
Model | 2500 Pickup, 3/4 Ton Pickup, K2500 Pickup |
Year Spans | 1973,1974,1975,1976,1977,1978,1979,1980,1981,1982,1983,1984,1985,1986,1987 |
Lift Height | 2.5 inch |


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March 2014
Welcome, guest
Thu May 17, 2012
The 11th annual ARK gala dinner, held in Kensington Gardens, raised some $23 million despite the current difficult financial environment. ARK, Absolute Return for Kids, is an international organisation whose purpose is to transform children's lives by delivering programmes in the areas of health, education and child protection globally.
Every penny of the money raised is used to benefit specifically...
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"It is never too late to start preserving court history, or to form a historical society that does so. Centuries or even decades from now, our successors will want to know what life and law were like...We should not disappoint them." Hon. Judith S. Kaye and Hon. Albert M. Rosenblatt
Your Society membership will support our public lectures, publications, education initiatives, and projects to preserve and promote the magnificent courthouses and legal history of the judges and lawyers of New York State.
As a Member you will receive:
Annual calendar highlighting an interesting aspect of NYS legal history
Invitations to our NYS CLE public lectures, many of which are free to Society members
Judicial Notice our journal of legal history
Members at $250 Level and above receive a special gift from the Society for their generosity and an invitation to our annual fund-raising dinner.
Library Members at the $100 Level receive multiple copies of our materials for distribution.
Memberships between $25 and $1,000 are tax deductible above $15 membership services. Memberships $1,000 and above are fully tax deductible.
All inquiries about memberships, donations, gift memberships, change of address, etc. should be directed to:
The Historical Society of the Courts of the State of New York 140 Grand Street, Suite 701 White Plains, N.Y. 10601 914.824.5717


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EDMONTON - Tensions between the Redford government and Alberta's biggest union ignited into open warfare Wednesday as the province pushed ahead new legislation to compel a pay settlement and impose heavy penalties for illegal strikes.
The sudden introduction of Bills 45 and 46 — along with government tactics to rush them through the house by the end of the week — prompted union members to stage a hasty protest.
Guy Smith, president of the Alberta Union of Provincial Employees, called the legislation "draconian."
"Yeah, they want us back at the table, but there's a gun to our head about what's contained in that negotiations, and if we can't reach an agreement, they'll force it down our throats, anyway," Smith said.
The government defended the bills as necessary to ensure fiscal restraint and prevent disruption to public services.
Bill 45, the Public Sector Services Continuation Act, dramatically increases penalties on anyone engaged in an illegal strike, or even threatens one.
Human Services Minister Dave Hancock said the bill was a result of a wildcat strike last April at the Edmonton Remand Centre and other correctional facilities.
"We realized we didn't have up-to-date tools to deal with illegal strikes," he said. "We hope never to have to use it."
Under the legislation, an illegal action could be punished with an automatic three-month suspension of union dues, and a requirement that the union pay $1 million for each day of the strike into a "liability fund" used to compensate employers for financial losses. Fines will jump from a maximum of $1,000 per day of the strike to a set amount of $250,000 per day plus $50 for every member of the bargaining unit. Union officers will be personally hit with a daily $10,000 fine, while employees who participate will lose a day's pay.
The legislation applies to more than 100,000 unionized workers who are already banned from striking, including Alberta Health Services workers, ambulance operators, firefighters, and about 22,000 AUPE members who work for the province.
Bill 46, the Public Service Salary Restraint Act, applies only to the province's contract negotiations with AUPE. It sets a Jan. 31 deadline for an agreement, or else a four-year deal is imposed that features a pay freeze for the first two years and one-per-cent hikes for each of the next two years. Employees would also be eligible for a lump-sum payment of $875 in Year 2.
The last collective agreement with AUPE ended in March. Union leaders have been seeking a two-year deal with three-per-cent pay hikes in each year, but the province has balked.
When negotiations and mediation failed earlier this year, the union applied for compulsory arbitration — a process permitted by existing legislation but not used by the AUPE in decades.
Finance Minister Doug Horner said Bill 46 will remove the option to use an arbitration board for this particular agreement. The rally at the legislature attracted at least 150 people. Afterwards, protesters piled through the front doors of the building until the entry was blocked by security. About half the group made it inside the rotunda, chanting loud enough for MLAs inside the assembly to hear. Security and sheriffs quickly arrived and protesters were asked to leave.


text: Funds come in many flavors, more or less whatever flavor can sell. So how about putting together a basket of growth funds - Coca Cola, Disney, Harley Davidson - mixed with a bunch of bonds and/or high yielding equities like AT&T, Pfizer, Heinz Ketchup, etc.? You get growth. You get income. "You get the best of both worlds." - Hannah Montana, 2008.


text:
Prairie Wind Online Newsletter Prairie Wind is the Order of the Prairie Wind's Quarterly Newsletter. It contains Dharma Talks from Rev. Nonin Chowaney, OPW events, as well as poetry and other writings from persons in the Buddhist community. Directory of Newsletters |
Zen Center of Pittsburgh 124 Willow Ridge Road - Sewickley, PA 15143 - 412-741-1262 firstname.lastname@example.com |


text:
Proper Fire Alarm System Commissioning
NFPA Journal®, May/June 2008
While discussing a presentation I made on the role that proper fire alarm system commissioning plays on mission effectiveness, a friend said that the way we commission systems apparently isn't working, and made a case for a third-party special inspections representative to oversee the process. This approach would not rely on the traditional methods of acceptance testing in which the installing contractor performs the test and the authority having jurisdiction (AHJ) witnesses it. Is this a better solution?
For most fire alarm system installations, the process involves at least six people to design, install, and commission the system. These include the owner, the system designer, the general contractor, the electrical contractor, the equipment supplier, one or more AHJs, and a separate test and maintenance contractor.
After compiling this list of individuals, I added to it the other trades that must interface with the fire alarm system installation. These could include a mechanical contractor, an elevator contractor, a sprinkler contractor, a special hazards systems contractor, and possibly a security system contractor. This adds five more people who have a potential impact on the operability of the fire alarm system installation. Thirteen people responsible for installing and successfully commissioning a fire alarm system!
Perhaps that special inspections representative could be the one entity responsible for the fire alarm system installation, from system design to commissioning. I realize the engineer assigned to the project may well perform this function, but perhaps an independent third party who is knowledgeable in all aspects of fire alarm system operation and codecompliance issues is the better choice.
In my opinion, this approach would require someone who has the authority over all the entities involved in the fire alarm system installation, and that may be the real crux of the problem. As it stands today, each of the individuals I mentioned above has a share of the responsibility, and none of them normally has complete oversight of the entire installation process.
Most system acceptance tests fail because of a lack of coordination with the other trades that must interface their systems, or a portion of their systems, with the fire alarm system. Sometimes, tests fail because these interfaced systems are inoperative on that day or not connected at all. Having someone on site to ensure that each trade finishes in time for proper interfacing with the fire alarm system seems to be an imperative.
You might think that the general contractor can and should ensure that all trades complete their work in a timely manner. You might also assume that the general contractor would require that all the trades interfacing with the fire alarm system operation coordinate their efforts with the fire alarm system contractor. But that does not always happen.
Does the installation process need someone who will serve as an onsite, independent, third-party owner's representative? Such a person could ensure that all 13 parties involved understand their individual responsibilities. The representative could then conduct a preliminary commissioning test before calling in the AHJs to witness the official test.
You might think that adding a layer to the process would only slow down the installation and acceptance of the fire alarm system. However, acceptance testing and commissioning failures already delay the issuance of the certificates of occupancy. Do we want to incur additional delays by adding an independent third-party owner's representative to the process? Or is an additional representative the way to eliminate many of those delays?
The commissioning process is extremely important in ensuring the reliability of installed fire alarm systems. The requirements in Chapter 10 of NFPA 72®, National Fire Alarm Code®, should be strengthened, and the code should require a third-party commissioning agent.


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- Haywood chamber to drive economic development
- Haywood commissioners on a quest for a better courthouse lawn
- County races
- Schools rebut charge of impeding efforts to start secular club
- Jackson eyes courthouse expansion
- New NAACP chapters spawned by protests against Raleigh legislation
- Country boys can survive
- Moving forward: Commissioners express support for use of old prison by trio of ministries
Supported by the Golden LEAF Foundation since 2007, Buy Haywood has enjoyed success promoting the county's farms.
Its first project targeted grocery store chains and successfully enlisted Whole Foods, Ingles, Food Lion, Bi-Lo, Lowes Food and others into carrying tomatoes, peppers and cucumbers grown in Haywood.
Next, it tackled the limitations of a short growing season and encouraged farmers to create "value-added products," like salsa, jams and sauces to keep their products on the shelves year-round.
The group has also published a handy farm map to point tourists and locals alike to scores of Haywood's farms, farm stands and farmer's markets.
Now, the project's organizers are tackling the challenge of connecting farmers with local restaurateurs.


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1987 -- Troy Stewart shot an opening-round 70 for a two-shot lead over Pat Preston and Ross Norman in the Dakota Open golf tournament.
1992 -- Roger Legge shot an opening-round 75 for a two-shot lead over Pat Garland in the Dakota Open golf tournament.
1997 -- Nathan Silvernail accounted for all three touchdowns as Aberdeen Roncalli rolled to a season-opening 21-0 high school football victory over Mobridge. Silvernail scored on runs of 16 and 68 yards and caught a 23-yard scoring pass from Brad Weisenburger.
2002 -- Jerome Bettis and Amos Zereoue each scored on short runs as the Pittsburgh Steelers edged the Minnesota Vikings 17-14 in the final exhibition football game for each squad. The Vikings finished the preseason at 2-2.
2007 -- Asdrubal Cabrera hit a two-run shot and Victor Martinez added a solo homer during a four-run first inning and the Cleveland Indians held on for a 4-3 win and a three-game sweep of the Minnesota Twins. Minnesota is 8 games in back of the Indians in the American League Central.
2011 -- Lindsey Hahler and Allison Thielsen had six kills each and Taylor Fauth contributed seven ace serves to lead Aberdeen Roncalli to a 3-1 high school volleyball decision over Webster in the season opener for both schools.


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Joyce L. Arnold, Liberally Independent, Queer Talk, equality activist, writer.
Earlier this month Dan DeWalt wrote So then Who in the Hell Are We? at This Can't Be Happening.
The latest PR catch phrase from business, administration, military, state and local officials after some atrocity or other is that whatever happened, it is certainly 'not who we are,' a phrase initially uttered by the Vietnam War commander, Gen. William Westmoreland, with reference to the My Lai slaughter of 400 women, children and old men, all civilians, by a group of US soldiers.
Yet if all these abominations are not 'who we are,' then why do our business, police and military and government institutions generate so many examples of obscene, horrific or criminal behavior?
"This is not who we are" fits right in with "If I offended anyone" used in what's suppose to be an apology, but is better termed an acknowledgement that enough people seem to think I did something that offended them so I finally had to say something. "This is not who we are" may very well be accurate, in terms of who we want to be or think ourselves to be, or want others to think we are. But unless accompanied by concrete actions to change the "not who we are" decision or incident or whatever, it serves more as a non-apology apology.
DeWalt provides these examples:
'This is not a reflection of who we are or what we stand for.' — Jeff Gearhart, Wall-Mart general counsel, on the firm's Mexico bribery
[Torture] 'is not the norm.' — Mike Pannek, Abu Ghraib prison warden.
'This is not who we are.' — Secretary of State Hillary Clinton on the US massacre of 16 Afghan villagers …; General John Allen, commander of forces in Afghanistan, on Koran burning …; Secretary of Defense Leon Panetta on troops posing with enemy body parts …; Secretary of State Clinton, also on troops posing with enemy body parts …
Spying by the New York Police on Muslims in Newark, NJ, which the Newark Police Chief was alerted to, is 'not who we are' — Newark Mayor Cory Booker
'I can tell you something all of you know already – that using pepper spray on peaceful protesters runs counter to our values. It does not reflect well on this university and it absolutely is not who we are.' — UC Davis Chancellor Linda Katehi, who ordered campus police to use force to clear peaceful student occupiers from the campus, leading to pepper spraying of students
Ripping families apart by deporting the undocumented parents of American-born children is 'not who we are.' — President Barack Obama
'This larger notion that the only thing we can do to restore prosperity is just dismantle government, refund everybody's money, and let everyone write their own rules, and tell everyone they're on their own — that's not who we are.' — President Barack Obama
'You can't say, well, we developed trade and the economic relations first and the disregard of human rights. That's not who we are. We are the United States of America.' — Sasha Gong, director of the China branch of Voice of America.
DeWalt writes about the "sick hypocrisy" of Obama, Clinton, Panetta and Allen to
… claim that these actions are not a direct result of U.S. military and foreign policy. If Dick Cheney and John Yoo were torturing language and logic to advocate the torture of humans, why wouldn't guards at Abu Ghraib fall into the same debased state of mind? …
Those in power attempt to frame the issue within the 'one bad apple in the barrel' rubric. As long as they can pretend that war crimes and atrocities aren't a logical outcome of official policy, they can shift blame to those without power … .
When riot geared law enforcement officers use "non-lethal" pepper spray, sound canons, batons, bean bags, spying and more, in the name of enforcing "order," and as inevitably will happen, someone is injured, or the official actions are so obviously over-the-top, the use of "that's not who we are" as an attempt to avoid responsibility at the top becomes a familiar, pious-sounding non-apology apology. The safety of "we" instead of "me" language, along with a clear "it's not my fault" distancing are all attempts to avoid complicity.
Same kind of thing, when corporations seek to distance themselves from, say, "using bribery as a standard business practice," which, DeWalt writes, has recently been exposed at Siemens, Boeing and Wall-Mart.
Of course not everyone, not even at the top of government, law enforcement and corporations, do this. But the fact that the "this is not who we are" phrase shows up so often is telling, both about those using it, and about those who do, or don't, name it for the evasion of responsibility it is. That's us, of course. DeWalt:
Just because these shameful acts may indeed indicate who or what our Empire's institutions are, it does not mean that it is who we are as well. Most Americans, as well as most Afghans, Iraqis, Iranians etc., would not commit the types of acts that have made our nation infamous over the years. But if we are truly better than that, if this is not who we are, then we had better do something about the fact we are being represented to the world by the very actions that we find so heinous.
The Who's "Who Are You?" might provide a better soundtrack yet if we changed it to "Who Are We?"


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Yoga - A NEW TWIST
by Kajal Basu
The sole access the world has to the Grand Seniorthe legend and progenitorof yoga therapy is through the Grand Junior, his son. You canMore >>
It's a low-key breakaway discipline with a pedigree a half century-long. In line with the kin esthetics of today's fitness fad, it is referred to as "yoga therapy" and it goes out on a limb promising you good health without precedence: deaden your sciatica, lubricate
your spine, re-calibrate your heartbeat, and take the perspiration out of respiration,
and, just may be, prettify your pancreas in the bargain (although yoga considers
cosmetics for cosmetics' sake frivolous). Yoga purists wince at the word 'therapy',
at its seeming absence of spiritual content, at its post-trauma, curativenot
preventivefunction, as if repairing physical impairment alone is incidental
to yoga practice and of questionable justification.
This is the kind of rejection that summarily marginalizes from the mainstream
even the best of what is uninstitutionalized and alternative. Contrarily,
what it did was lead me to ask Indian yoga master T.K.V. Desikachar, practicing
head of the Krishnamacharya Yoga Mandiram, a school and sanitarium of
yoga therapy in Chennai, India, a question that had been nibbling at my
self-esteem for months. It had everything to do with therapy and nothing
to do with yoga, but perhaps one could throw some light on the other.
I told him that I had quit alcohol six years ago after a
decade of unmitigated, addictive, suicidal, marriage- breaking intemperance. Then,
through no fault of my own, I went from gutter inebriate to self-righteous ass
in nanoseconds and never had to suffer the terrible withdrawal symptoms that accompany
going on the wagon. There was, therefore, no exercise of willpower. I could make
no claim to grit or glory.
Four months ago, I did IT again, this time
with cigarettes. An ego-crippling addiction of two decades of chain-smoking over
50 cancer sticks a day went up in a puff of smoke.
In both cases, conventional
biological wisdom about the frailty of the human anatomy went down the tube. My
problem, I told Desikachar, is that I was spiritually bleeding to death, a situation
as worthy of therapy as, say, gallstones. I can't employ this miracle to improve
my life because I don't know how I did it. This is a reasoning paraphrasing of
what Desikachar said: "So you want to know whether it can be learnt, whether its
parameters are logical, whether it can be quantified, whether it has an autonomous
and entirely whimsical life of its own." Or, I thought, whether I should cease
worrying and leave the rudders of my life in its phantom grip.
What I do know is that whatever that power is, it is therapy of the highest level
of potency and accomplishment, perhaps even an instrument of transcendence.
Desikachar smiled and dropped a bomb: he said that his late father T.Krishnamacharya,
would have dismissed my "problem" as an exercise of a personal power that did
no one but the protagonist alone any good: "Therefore, it is not to be trusted."
The implications were obvious: Desikachar was perforce speaking about this "miracle"
from the vantage point of yoga therapy, a discipline of punishing complexity with
a bottom line that says that anything of a therapeutic nature has to be open to
dissemination and emulation to have any value at alltherapy is, least of
all, a selfish, one-off act. On the way to his goal, the student has to empower
himself enough to be, if called upon, a teacher and a physician. In a radical
inversion of the logistics of most other therapeutic disciplines, yoga therapy
calls upon the physician to heal himself first before unleashing himself upon
the world.
Fortunately, before I could sink to the depths of all spiritual sulks,
I found a sort of hazy resolution in the first issue (February 1991) of
Darsanam, a yoga magazine since defunct, run by the Mandiram.
In the journal, Desikachar had said: "... if we are used to something, we can
give it up if something else is very important for us." Not meI had given
up nothing. As for the role that yoga could play in the process of de-addiction
and detoxification, I found an answer: "The yoga practice must either change
the system or offer a challenge." Hope again, but I could see Desikachar's point.
In the unspiritual babble of the rabble, this bargaining is called a tradeoff.
"As a general policy," Desikachar had continued, "today, we do not advise people
to give up cigarettes or anything, unless it is absolutely clear to us that it
is not in the interest of their immediate help
Because if a person can give up
something so easily, probably we teachers have no role! If they cannot give up
easily, our saying it is not going to be very effective." In other words, in my
case yoga therapy would not have worked.
On the other hand, the yoga
therapy gift hamper contains a mega-magnanimity of goodies: "There is something
in it for everyone," says Desikachar.
bring in the financial pragmatism of the real world and things begin to fall apartone
of his Australian students blurts out the this omnibus mantra is sweeping Desikachar
towards a financial bust-up: "He thinks that frugality and a state of grace are
entirely compatible, perhaps even cause and effect." Desikachar also believes
that yoga therapy is one evolutionary step beyond the conventional guru disciple
teaching system.
That is precisely how Desikachar studied under his father,
only sometimes questioning where all his father's know-how came from. Even today,
he has only part of the answer. "In 1964, when my father suggested that I study
the Yoga Rahasya of Nathamuni, I had never heard of Yoga Rahasya
or Nathamuni." It is this
mystery that is central to the eminence that yoga therapy enjoys in the milling
ranks of other yoga sub-disciplines, Krishnamacharya never got around to revealing
precisely where he had encountered Nathamuni.
system's genesis may be unclear, but not its efficacy. Yoga as therapy, which
is the same thing as yoga as a system of medication and convalescenceor,
heretically, yoga as a service industryis a wonderful, altruistic, saint-making
idea, and is incidentally perfectly in keeping with the I-want-it-yesterday philosophy
of the late 20th century and with its fetish of designer and customized items
of consumption. Desikachar knows, because he considers each patient, each student,
as a unique phenomenon. "The key in right teaching," he says, "is the adaptation
of yoga to the individual to yoga
The essence of my father's teaching is this:
it is not that the person needs to accommodate himself or herself to yoga, but
rather the yoga practice must be tailored to fit each person."
It is
this insistence on the personal touch that made Desikachar hires 32 teachers,
sometimes numbering more than studentsor patientsat any given session.
Acolytes arrive from across the world, often blowing their savings on air tickets
and shoestring boarding and lodging in Chennai, India. And they are a stunningly
varied lot with stunningly varied motivations. Some have experiment rather than
experience in mind.
Krishnamacharya broke new ground in his conceptualization
of yoga's purpose: more than a spiritual discipline, he said, yoga was "other
things as well", meaning that it was therapy and nursing and administering and
bodybuilding and psychiatry-all without a name but with a wealth of purpose.
it is in the fulfilling of this "purpose" that distinguishes yoga therapy
from its more mainline cousins: Desikachar and his intrepid band of healers/teachers
consider each patient a universe unto himself, with individual signature
maladies that can be worked upon only with a designer cocktail of asanas
and connecting movements and duration and intensity.
To tackle
such a bewildering array of patients and problems, the Mandiram
actively cultivates an every-thing-is-for-the-best policy: every patient
is a treasure chest of transcendental wisdom padlocked with pain.
As Desikachar sees it, his job is to use yogic leverage to break the lock
with the help of moves and countermoves, the push and pull of joints and
muscles to unknot the body's nervous system clenched by, among other things,
All this requires immense factual and spiritual knowledge. It is Desikachar's
openness to ideas and ideation that led young Mark Hamill, a psychotherapist
from Australia, to consider and then conceptualize a grafting of yoga
on psychotherapy
may seem to be mutually exclusive," he says, "but they are not. In the
first place, neither demand a belief in God to work at their best. In
the second, both are psychosomatic systemsor, rather, holistic,
affecting body and mind downwards, the other from the base of the spine
In Nathamuni's Yoga Rahasya, we find many remarks about the use
of yoga in the treatment of sick people. Illness is an obstacle on the
road to spiritual enlightenment; that is why you have to do something
about it. There are many ways of treating sickness through yoga: sometimes
a change of diet, sometimes certain asanas,
sometimes pranayama.
And, all the time, prayer.
Yoga serves the individual, and does so through inviting transformation
rather than giving information. "My father taught us more ways to approach
a person in yoga that I found anywhere else. Who should teach whom? And
when? And what? These are important questions to be asked in beginning
a practice," says Desikachar.


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Scramble Course Workshop #2 - Snow Travel and Avalanche
04/07/14 (Mon)
Seattle Alpine Scrambling
Andy Cahn
(Qualified Youth Leader)
Mountaineers Program Center
This is the second Workshop for the Scrambling Course. It covers safe travel on snow. The same workshop is also offered on Tuesday April 15 in Redmond. Please sign up for one or the other.
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If you are a member or a registered guest, sign in using the link at the top of this page.
If you are interested in attending this activity, but are not a member or a guest, consider joining The Mountaineers or creating a FREE guest membership.


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Baltacha, 30, says she has liver cancer
LONDON (AP) Former top-50 professional tennis player Elena Baltacha says she has been diagnosed with cancer of the liver.
In a statement on the British tennis federation's website Friday, the 30-year-old Baltacha says she is "currently undergoing treatment and fighting this illness with everything I have."
Baltacha announced her retirement in November.
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Changes related to "1898-11-25 (160lbs) Frank Craig w co 12 (20) George Chrisp, Ginnett's Circus, Newcastle, England"
From Barry Hugman's History of World Championship Boxing
This is a list of changes made recently to pages linked from a specified page (or to members of a specified category). Pages on your watchlist are bold.
No changes on linked pages during the given period.


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Outstanding work! That basically sums it up. Having worked with eCommerce for more than 10 years and having been the head of Northern Europe's largest eCommerce solution provider, I am in awe of this exceptionally outstanding product. It boggles my mind how fast you guys have actually been able to create such a current (and beyond!) piece of software and even keep it in a design category - both frontend and backend - that blows the competition away.
From where I'm sitting I wondering right now if this is not going to be the benchmark for what is to come. I think it is.
Well done. I know this is hard work - a pride thing as well. But let me tell you that it was worth it. Bravo!
Soren Grau, Fantastic Company


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Pineapple and hay aromas with some by floral and herbaceous nuances. Juicy, light and fresh; a wine of modest size and depth, but one with good mineral spine and liveliness.
This is an aromatic wine, with delicate floral notes and hints of apricot; fresh and dry.
Wonderfully opulent and perfumed on the nose with dollops of honey allied to blossom and spicy complexity. The palate is rich and full again with great acidity, giving the wine and exceptional balance, and we suspect longevity.


text: Aquarium News RSS All Animals Conservation Education Exhibits Marine Animal Rescue Research 6/22/2010 Chevrolet signs as Aquarium's Official Conservation Vehicle, helps return turtles to sea Three endangered Kemp's ridley sea turtles were escorted from Baltimore to the southern tip of Maryland in a new 2010 Chevrolet Silverado Hybrid – the Official Conservation Vehicle of the National Aquarium – and released into the Chesapeake Bay at Point Lookout State Park in Scotland, Maryland. The successful transfer and release marks the first of many animal rescue efforts that will take place as part of an ongoing partnership between the National Aquarium and Chevrolet. 6/17/2010 National Aquarium's Commitment to Oil Disaster in the Gulf of Mexico You can't go far without hearing about the oil spill disaster still unfolding in the Gulf, and it has been deeply disturbing to watch as gallons and gallons of oil are being pushed into that irreplaceable ecosystem each second. As an active member of the Northeast Region Stranding Network we are closely connected to the Federal, State, and local agencies and non-governmental entities responding to this disaster. 5/14/2010 Hastings the Seal Returns to Sea National Aquarium staff and volunteers were joined by community members on the beach in Ocean City, Maryland to help "Hastings" the harbor seal with his oceanic return! 5/10/2010 National Aquarium Reclaims Contaminated Baltimore City Waterfront National Aquarium leaders, joined by Mayor Stephanie Rawlings-Blake, theEnvironmental Protection Agency, partners and members of the business community, have unveiled plans for a publically-accessible waterfront park on its property on the Patapsco River. 3/29/2010 National Aquarium Goes Dark for Earth Hour On Saturday evening the National Aquarium's Baltimore venue went dark from 8:30 p.m. to 9:30 p.m. in support of Earth Hour, a global event led by the World Wildlife Fund in which millions of Americans turned out their lights for one hour in support of action towards creating a cleaner, safer and more secure future for our planet. 1/28/2010 Area "Top Chefs" To Headline Spring Sustainable Dining Series This spring, area top chefs Jesse Sandlin, Bryan Voltaggio and Jill Snyder will headline the National Aquarium's third installment of Fresh Thoughts: A Sustainable Seafood Dining Series, which celebrates sustainable seafood choices. Back 2 | 3 | 4 | 5 | 6 Next


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Mildhogs Scooter & Motorbike Club
We are a Northwest Scooter and Motorbike Club ,covering Liverpool, Wirral and Merseyside...Meeting weekly, Great website & forum & gallery... lots of news. - come and see! All welcome!
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Pulse Pattern Generators Present Selectable Operation Modes
October 15, 2008 10:35 am | Product Releases | CommentsIncluding a front panel GUI interface and GPIB/USB programmability, Picosecond Pulse Labs' 12000 Series pulse pattern generators offer user-selectable operation modes while sharing a similar mechanical configuration. The Model 12000 offers an output up to 40 V with programmable
Embedded Workbench Provides Debug Tools
October 15, 2008 9:30 am | Iar Systems Software | Product Releases | CommentsWith support to handle trace packets sent over the SWO channel, version 5.20 of IAR Embedded Workbench for ARM is an integrated development environment (IDE) for building and debugging embedded applications. The user can configure the types of packets that should be displayed by IAR C-SPY debugger. A multi-file compilation feature allows the compiler to treat several files as one compilation unit
Development Board Features Programmable Chip
October 15, 2008 9:17 am | Product Releases | CommentsPowered from the host workstation's USB port, the XC-1 development board from XMOS features the XS1-G4 programmable chip. The chip incorporates four 32-bit, XCore event-driven processors and can execute up to 32 simultaneous real-time tasks and managing up to 400 million events per second. Features include 1600 MIPS performance, 256 Kbytes of RAM, and 32 Kbytes of ROM
SSLDs Exhibit Adjustable Output Current
October 15, 2008 9:12 am | Product Releases | CommentsHaving a nominal output current set by a resistor, Diodes Incorporated's ZXLD-1352, ZXLD-1356, and ZXLD-1366 continuous mode SSLDs deliver adjustable output currents of 350 mA, 550 mA, and 1 A, respectively, by applying a PWM or DC voltage control signal. The 3 mm² ZXLD1356/1366 present typical output current accuracy of better than
Gearmotors Supply High Continuous Torque
October 15, 2008 8:06 am | Product Releases | CommentsExhibiting gear ratios of 19:1. 28:1, and 56:1, Bison Gear & Engineering's VWDIR40 parallel shaft AC gearmotors show continuous torque output ratings of 287 in./lbs, 400 in./lbs, and 800 in./lbs. (32.4 N-m, 45.2 N-m, and 90.4 N-m), respectively. The UL- and CSA-recognized instruments run at corresponding output speeds of 92 rpm, 62 rpm, and 31 rpm, respectively. The 373 W
Connector System Passes MFG Testing
October 15, 2008 7:11 am | Product Releases | CommentsDelivering power to a tunable laser, Advanced Interconnections' Mezza-pede 1 mm SMT connector system passes mixed flowing gas (MFG) testing for use in 1 mm pitch micro board-to-board and flex cable-to-board applications. The RoHS-compliant device presents a mated height of 4 mm, a pin and lead frame design, and screw-machined terminals with multi-finger contacts having a
Embedded Systems: Kits for Kids
October 15, 2008 6:17 am | by Jon Titus, Senior Technical Editor | Articles | CommentsI'll begin this column with a recommendation: Start kits with a set of basic hand tools. When my son went to college, he had tools to hang pictures, connect TV sets and CD players, and tighten desks and shelves. As a result, he met most of the people on his co-ed floor. When our daughter went to college she got a tool kit, too. I suggest Phillips and flat-blade screwdrivers, pliers, diagonal cutters, wire strippers and a couple of adjustable wrenches. Later you could add a set of nut drivers, sockets wrenches and an inexpensive soldering iron.
Inductors Suit LAN Applications
October 15, 2008 6:05 am | Product Releases | CommentsIsolating and suppressing common-mode and differential-mode interference, Epcos' AS249, AS247, and AS066 magnetic inductor modules perform in LAN applications, such as 10/100 Base-T, 1000 Base-T, and PoE. The components demonstrate insertion loss of -1 dB, return loss of -16 dB, crosstalk of -40 dB, and electrical isolation withstanding a breakdown voltage of
Cover Story: DDS ICs and IP Make Waves
October 15, 2008 5:40 am | by Jon Titus, Senior Technical Editor | Articles | CommentsYou can think of direct digital synthesis as a technique that lets a digital value control the frequency of a sine wave. At its simplest, a DDS circuit involves a binary counter, a ROM programmed with equally spaced sine values for one full wave, and a digital-to-analog converter to convert the stored sine values to voltages. The frequency of the counter's clock determines the sine-wave frequency, but that's an inflexible arrangement.
DC/DC Converters Offer 2:1 Input Voltages
October 15, 2008 5:10 am | Product Releases | CommentsCovering the nominal application voltages of 12 VDC, 24 VDC, and 48 VDC, XP Power's JCJ08, JCJ10, and JCG12 DIP-24-packaged DC/DC converters exhibit input voltages from 9 VDC to 18 VDC, 18 VDC to 36 VDC, and 36 VDC to 75 VDC. The 1.25" × 0.80" × 0.40" units come in single output models with voltages of 2.50 VDC, 3.30 VDC, 5 VDC, 12 VDC, or
DoE Lab Prototype Sets Record for Solar Cell Efficiency
October 14, 2008 12:23 pm | by by Jason Lomberg, Technical Editor | Blogs | CommentsRegular Efficiency Zone readers know that photovoltaics is a very inefficient technology. While the technology is environmentally-friendly, and the energy source (the sun) will be viable for billions of years, the conversion process (and viability) is undercut by a number of factors. These include shade, dirt, and panel-to-panel mismatch. In addition, detractors of the technology point to its high cost, but this is a socio-economic factor that won't be solved by science alone. But scientists at the U.S. Department of Energy's National Renewable Energy Laboratory (NREL) have made a huge technological leap.
PCI Digitizers Hold 256 MSamples
October 14, 2008 12:17 pm | Agilent Technologies | Product Releases | CommentsConsuming <15 W of power, Agilent Technologies' U1071A line of Acqiris 2-channel PCI digitizers maintains a memory capacity of up to 256 MSamples. The 170 mm × 107 mm × 16 mm components provide up to 1 GS/s simultaneous sampling rates on each input or up to 2 GS/s on either channel through channel interleaving. The PCI card-formatted devices offer analog bandwidths of 1 GHz, 500 MHz, and 200 MHz, and commutable 50 O or 1 MO input impedances on
Touch Panel Computer Stores 512 MB
October 14, 2008 11:16 am | Product Releases | CommentsPresenting spindle-free storage and a fast-access HDD module, the Industrial Automation Group of Advantech's TPC-177H Celeron M 1 GHz touch panel computer offers 512 MB of DDR2 SDRAM. The fanless system offers a 17" HD SXGA TFT LCD, 2 Gigabit LAN ports, 4 USB ports, and support for 32-bit Microsoft Windows Vista and WinXPe. The product includes
Inductor Ranges Include Thru-hole Radial Lead
October 14, 2008 10:15 am | Murata Power Solutions Inc. | Product Releases | CommentsWith thru-hole radial lead and low-profile surface-mount toroidal parts, surface mount & radial leaded inductor ranges from Murata Power Solutions include inductors for filtering noise in high current designs. The 1500 series is available with current ratings up to 16.2A IDC and inductance values that range from 1.0 µH to 1.0 mH
Switches Feature Push-And-Lock Mechanism
October 14, 2008 9:41 am | Product Releases | CommentsFeaturing a push-and-lock mechanism, which indicates to the user when the switch position has been changed, the CKM Series of high security keylock switches from NKK Switches is intended for industrial control equipment, computer peripherals, and instrumentation and sensor equipment. With a vertically rotating switching mechanism and self-cleaning sliding contacts


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Norwich, Norfolk.
Various shots show the preparations for the Norfolk Country Show. L/S of the tents and stands in the deserted show ground and arena before the agricultural show begins. Several shots show animals being groomed; a man puts a rosette on a horse that stands by a stable with a...
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A 6 months old girl presented with diarrhea and vomiting for 10 days and abdominal distension for 1 day. There was no edema elsewhere. There is history of clay stools. On examination, she was jaundice...
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Dr. Ira Shah
Patient Education
What is
Epilepsy is defined as seizure disorder. A seizure (fit or convulsion) is an excessive electrical discharge of the nerve cells leading to abnormal posturing of limbs, clenching of teeth or just drop attacks and even unconsciousness.
Seizures are of various types. Some patients may just have blank spells and some may have abnormal postures with or without loss of consciousness.
What are the
types of seizures
There are 2 main types of seizures:
Partial seizures
: The electrical discharge begins in one part of the brain leading to involvement of only one side of body. They are also called focal seizures. If the patient remains conscious during the episode it is known as simple partial seizure and if becomes unconscious, it is known as complex partial seizure. A fit that starts in one part of the body and then involves entire body due to spread of electrical discharge to other parts of brain is called as partial seizure becoming secondarily generalized.
Generalized seizures
: Here, the electrical discharge involves almost the entire brain and patient has fits of entire body associated with loss of unconsciousness. Absence seizures are a form of seizure in which a patient has a brief spell of staring blankly and becoming unresponsive for a few seconds to minutes.
Are seizures life-threatening?
Prolonged seizures can be life threatening as it may lead to decreased
supply to the brain. However that is very rare.
Why does epilepsy occur?
Seizures may be seen in various conditions such low blood sugar, high blood pressure,
(infection of the brain), brain tumor etc apart from epilepsy. Epilepsy is a seizure disorder due to low threshold for a nerve cell to throw an electrical discharge. The cause of most kinds of epilepsy is not known.
Is epilepsy infectious?
No, epilepsy is not contagious. However, some types of epilepsy are inherited and have a strong familial pattern.
What happens if a child has seizure?
Prolonged refractory seizures can lead to brain damage. Seizures can lead to a social handicap in terms of mobility and jobs that need to be avoided are driving, working near electricity, working at heights or working underwater. Some patients may develop poor memory due to epilepsy or it treatment.
What are the
factors that can trigger a seizure
Alcohol in large amounts as well as alcohol withdrawal can trigger a seizure. Excessive stress, worry and anxiety can also precipitate seizure. Sometimes epilepsy may be associated with a metabolic disorder in which case certain food items may have to be omitted. Lack of sleep may also precipitate seizures.Video games due to its flickering light and changing patterns of images can precipitate seizures. Certain drugs such as antidepressants, antibiotics,
may provoke a seizure.
Does epilepsy affect schooling?
Most children with well-controlled seizures and no additional handicap can attend a normal school. Extra curricular activity such as swimming, climbing and cycling on road should be avoided. Informing the schoolteacher about the child's disorder will aid in helping them to know what to expect when a child has a seizure and decide what to do.
What is the
treatment for epilepsy
Treatment for epilepsy consists of anti-convulsant drugs. Prior to starting therapy, your doctor may advise certain tests such as EEG, CT SCAN of brain or MRI to classify the seizure type and decide on best treatment option.
Does a
normal EEG
rule out a seizure disorder?
EEG may be abnormal in only about 60% of patients with epilepsy. Also, a small proportion of general population may have epileptiform abnormalities in EEG.
EEG is useful in identifying type of epilepsy, detecting a structural brain abnormality, differentiate between true seizures and pseudoseizures.
Is epilepsy curable?
Majority of children with epilepsy stop having seizures once they are put on treatment. If seizure free, treatment is continued for 2-3 years and then gradually tapered off. In most patients, the chance of having another seizure is minimum but still exists.
Why do some patients continue to have seizures despite treatment?
There could be several reasons:
- Inappropriate drug for a particular kind of seizure
- Incorrect dose of drug
- Irregular treatment
- Underlying condition is getting worse
- Patient does not have epilepsy at all
- Patient has true drug resistant seizure.
My child missed one dose of his anticonvulsant. What should I do?
If only one dose has been forgotten, the next dose can be doubled except for
where there should be a gap of a few hours between regular dose and extra dose.
What are the
side effects of anticonvulsant drugs
Certain drugs such as
can cause memory disturbance. Some drugs may cause cosmetic side effects such as increase in gums or weight gain.
My child continues to have seizures inspite of taking multiple drugs. What should be done?
20% of patients have refractory seizures inspite of being on appropriate anti-seizure medication. These patients can be considered for epilepsy surgery. Some patients may respond to diet modification. Ketogenic diet (high fat diet) is used in small group of children with resistant seizures.
What factors affect the outcome of epilepsy?
The following factors have a poor outcome:
- Epilepsy difficult to control
- More than one anti-seizure drug is required to control seizures
- Epilepsy is associated with structural brain damage
- Repeated episodes of prolonged seizures
- Associated mental retardation or cerebral palsy
- Seizures that start early (before 2 years of age).
Following factors are associated with a good outcome:
- Epilepsy that starts between 5 and 13 years of age
- Epilepsy which is inherited
- Seizures that are easily controlled and require only drug to control it.
What are the chances that seizures will recur once treatment is stopped?
Most of the patients with good seizure free period on anticonvulsants have less chances of recurrence once treatment is stopped. Following factors may increase the recurrence risk:
- Age greater than 16 years at onset of seizures
- Break through seizures on treatment
- An abnormal EEG.
What is the first aid measure at the time of seizure?
Once a patient has seizures, clear the mouth to prevent difficulty in breathing. Put nothing in the mouth as it will not prevent biting but may obstruct breathing. Turn the patient on the side so that tongue does not fall back & obstruct the airway. Do not try to hold the tongue. Call for a doctor and ambulance if seizures last more than 10 minutes.
Contributor Information and Disclosures
Dr. Ira Shah
Consultant Pediatrician, B.J.Wadia Hospital for Children, Mumbai, India
First Created :
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A 6 months old girl presented with diarrhea and vomiting for 10 days and abdominal distension for 1 day. There was no edema elsewhere. There is history of clay stools. On examination, she was jaundiced and had ascites. Investigations showed: • Hemoglobin = 9.3 gm, dl • Whi...
What is the cause of bilious ascites_?
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7 Responses to "nadia-cloche"
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Mia Michaels is best known for her choreography for the hit TV series, So You Think You Can Dance. She won an Emmy in 2007 for "Calling You" which appeared on the show, and was also an Emmy Nominee in 2004 and 2008. She has appeared as a judge on SYTYCD as well.
Recently, Mia's
Paul Clay is a musician and video artist whose music blends carelessness and glitz with concern and radicalism. Drawing on his convictions, life experience, and influences as varied as Paul Simon, Enya, and Peaches, he is creating exciting music with a vibrant flavor and a sound all his own.


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They play the No. 13 Hoyas tonight, then seven more ranked teams this month.
The Orange falls to Georgetown in the quarterfinals of the Big East Tournament.
The Big East tournament is down to its final eight.


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Merrell Shoes Women's Mimosa Band Shoes
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Saturday, March 08, 2003
Valparaiso lit up Kansas City's Kemper Arena on Saturday afternoon, shooting 68.8% from three-point range and 57.7% from the floor as the Crusaders defeated Oral Roberts 94-56 in the quarterfinals of the Conoco Mid-Continent Conference Tournament. Valpo's 38-point margin of victory was the second largest in tournament history.Copyright ©2014 Valparaiso University Athletics. All Rights Reserved. | www.ValpoAthletics.com |


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Major traffic hold ups on M27 and M3 after two crashes (From Hampshire Chronicle)
When news happens, text CHRON and your photos or videos to 80360. Or contact us by email & phone.
Major traffic hold ups on M27 and M3 after two crashes
9:34am Monday 13th January 2014 in News
TWO major crashes are causing rush hour chaos on Hampshire motorways for thousands of commuters this morning.
Both accidents involve four cars and are causing disruption on the M3 and the M27.
The first crash happend on the M3 northbound between junctions 14 and 13 near Eastleigh.
Emergency services were at the scene and the accident was cleared by 8.45am, but delays of up to an hour were still blighting the M27 and surrounding areas for traffic heading towards the M3.
The second accident causing tailbacks is on the M27 at Fareham after four cars collided shortly after 7.30am.
It happened between junctions 10 and 11 eastbound.
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Thread: What an HONOR
What an HONOR
8) WEBBY et al.... :scratch: thanks DUDE irate: I am proud to be the offical :lol: Smiley TESTER :shock:
First I would like to thank all the member of the Purple Pride Org :wav: for allowing me this great privilege :thumbleft:
THEN I would ask WEBBY :notworthy: to allow me some how to bring new smiley's to the site :shock: kind of :ky: injection of NEW :sign7: and usefull smiley's for all the :grommit: and :3some: of the PPO
AS the offical smiley tester :king: would ask the great folks, :sign2: new and old :blackeye: to try them but also to [-( agree that a picture says a thousand words :roll: (i have heard this before ukeright: )
Maybe we can open a SECTION on / create your own smiley :-k to the PPO :silent: this might be a little hard at first #-o but we will work on this project =; image smiley's about or for american :usa2: football and MORE :!:
Of course :clown: there are many aspects =P~ of what can be done here :^o ok so maybe :-k not that many [-X but =; who knows [-o<
So from :sunny: the island of Cyprus :study: the far reaches of the PURPLE PRIDE ORG :sign7: I promise 8-[ I will work to preserve O the rights of our smiley patiorots (ok so I can't spell :tongue: LA) but you all get the meaning right :?:
lastly :angryfire: trolls :twisted: beware :violent3: your time is limited :violent2: the new and improved smiley's for the 2005 season :violent1: will ensure :blackeye: you won't want to return to the best NFL sit on the NET :king: we are the BEST :cussing: the rest :dark1: and if you don't understand this :hiding: get some :help: becasue as we all know :director: YOu CAN'T HIDE FROM THE PURPLE PRIDE :headbang:
so :crybaby: I take this honor and pledge to you all :evil3: if allowed I will bring you the best smiley's :usa2: on the net not matter what by :evil5: hook or if I have to ottytrain5: ( you all understand) by crook we will have the BEST :naka:
:rr: 's and :rr: ets ccasion5: thank you all :wav: for such and honor :happy9:
:walk: :wave:Yesterday is History
Tomorrow a Mystery
TODAY is a GIFT that is why WE
call it the "PRESENT"
What an HONOR
Congrats casper you deserved it!!
I get the most pissed off looks from people with my VKG 4 LFE Wisconsin license plate, and I LOVE IT!!
01-24-2005, 12:58 PM #3Del Rio Guest
What an HONOR
What an HONOR
Congrats 'ley!
What an HONOR
THat has to be Casper's best post yet. Every smiley just had punctuated it just right.
More like a symphony if you ask me. Beethoven of smilies? You're darn right, sir.
01-24-2005, 01:27 PM #6Hall of Famer
- Join Date
- Dec 1969
- Posts
- 1,374
What an HONOR
:cheers: Casper :thumbleft: hope you don't :drunken: to much
or else, you know ukeright: but congratsGreen Bay police station toilet stolen.
Cops say they have nothing to go on.
- Join Date
- Apr 2004
- Location
- Saint Paul, Minnesota, United States
- Posts
- 6,204
- Blog Entries
- 29
What an HONOR
Casper, you deserve it! I especially liked the :violent2: one. That's what should be done with all trolls...
Also, perhaps you should put out a book on "The Proper Use and Etiquette of ."PPO Ambassador, Defender of the Purple Faith and Guardian of the Gates of Valhalla
What an HONOR
WOW Casper, I'm impressed. Some day I will fit in here with a title of my own. Hey Webby can you make a sticky for casper to inform us of Smiley Etiquette? He could also be used to monitor proper use of smileys !!
The true measure of a man is how he treats someone who can do him absolutely no good -Samuel Johnson - lexicographer
The word genius isn t applicable in football. A genius is a guy like Norman Einstein - Joe Theisman
What an HONOR
Well it had to happen eventually - congrats Casper ! an honour well earned :notworthy:
Time spent annoying a Packer fan is never time wasted...
What an HONOR
ya, haha, congrats!
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