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What is it?
How effective is it?
How does it work?
Are there safety concerns?
Are there interactions with medications?
Are there interactions with herbs and supplements?
Are there interactions with foods?
What dose is used?
Other names
What is it?
Melatonin is a hormone found naturally in the body. Melatonin used as medicine is usually made synthetically in a laboratory. It is most commonly available in pill form, but melatonin is also available in forms that can be placed in the cheek or under the tongue. This allows the melatonin to be absorbed directly into the body.
People use melatonin to adjust the body's internal clock. It is used for jet lag, for adjusting sleep-wake cycles in people whose daily work schedule changes (shift-work disorder), and for helping blind people establish a day and night cycle.
Melatonin is also used for the inability to fall asleep (insomnia); delayed sleep phase syndrome (DSPS); insomnia associated with attention deficit-hyperactivity disorder (ADHD); insomnia due to certain high blood pressure medications called beta-blockers; and sleep problems in children with developmental disorders including autism, cerebral palsy, and mental retardation. It is also used as a sleep aid after discontinuing the use of benzodiazepine drugs and to reduce the side effects of stopping smoking.
Some people use melatonin for Alzheimer's disease, ringing in the ears, depression, chronic fatigue syndrome (CFS), fibromyalgia, migraine and other headaches, irritable bowel syndrome (IBS), bone loss (osteoporosis), a movement disorder called tardive dyskinesia (TD), epilepsy, as an anti-aging agent, for menopause, and for birth control.
Other uses include breast cancer, brain cancer, lung cancer, prostate cancer, head cancer, neck cancer, and gastrointestinal cancer. Melatonin is also used for some of the side effects of cancer treatment (chemotherapy) including weight loss, nerve pain, weakness, and a lowered number of clot-forming cells (thrombocytopenia).
It is also used to calm people before they are given anesthesia for surgery.
The forms of melatonin that can be absorbed through the cheek or under the tongue are used for insomnia, shift-work disorder, and to calm people before receiving anesthesia for surgery.
Sometimes people apply melatonin to the skin to protect against sunburn.
How effective is it?
Natural Medicines Comprehensive Database
rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, Ineffective, and Insufficient Evidence to Rate.
The effectiveness ratings for
are as follows:
Likely effective for...
Sleeping problems in children with autism and mental retardation
. Taking melatonin by mouth is helpful for disturbed sleep-wake cycles in children and adolescents with mental retardation, autism, and other central nervous system disorders. Melatonin also appears to shorten the time it takes for to children with developmental disabilities (cerebral palsy, autism, and mental retardation) to fall asleep.
Sleep disorders in blind people
Possibly effective for...
Jet lag
. Most research shows that melatonin can improve certain symptoms of jet lag such as alertness and movement coordination. Melatonin also seems to improve, to a lesser extent, other jet lag symptoms such as daytime sleepiness and tiredness. But, melatonin might not be effective for shortening the time it takes for people with jet lag to fall asleep.
Trouble sleeping (insomnia)
. Melatonin seems to be able to shorten the amount of time it takes to fall asleep, but only by about 12 minutes, according to one research study. Melatonin does not appear to significantly improve "sleep efficiency," the percentage of time that a person actually spends sleeping during the time set aside for sleeping. Some people say melatonin makes them sleep better, even though tests don't agree. There is some evidence that melatonin is more likely to help older people than younger people or children. This may be because older people have less melatonin in their bodies to start with.
There is some interest in finding out whether melatonin might help with "secondary insomnia." This is trouble sleeping that is related to other conditions such as Alzheimer's disease; depression; schizophrenia; hospitalization; and "ICU syndrome," sleep disturbances in the intensive care unit. Research to date suggests that melatonin might not help to reduce the time it takes to fall asleep in secondary insomnia, but it might improve sleep efficiency.
Cluster headaches
. Taking 10 mg of melatonin by mouth every evening might reduce the number of cluster headaches. However, taking 2 mg of melatonin at bedtime doesn't seem to work.
Reducing anxiety before surgery
. Melatonin used under the tongue seems to be as effective in reducing anxiety before surgery as midazolam, a conventional medication. It also seems to have fewer side effects in some people.
Helping elderly people sleep after they stop taking a type of drug called benzodiazepines
. The controlled-release form of melatonin is the type that was shown to work for this.
Helping decrease symptoms in people who are quitting smoking
. A single oral dose of 0.3 mg of melatonin taken 3.5 hours after stopping cigarettes seems to reduce anxiety, restlessness, irritability, depression, and cigarette craving over the next 10 hours.
Low blood platelets (thrombocytopenia)
Improving the effectiveness of certain cancer medications used to fight tumors in the breast, lung, kidney, liver, pancreas, stomach, colon, prostate, and decreasing some side effects of cancer treatment
Decreasing symptoms of a movement disorder called tardive dyskinesia (TD)
Decreasing sunburn when applied to the skin in a cream form before going into the sun
Possibly ineffective for...
Adjusting sleep schedule in people that do shift work
Likely ineffective for...
. There is also some concern that melatonin might worsen symptoms in some people.
Insufficient evidence to rate effectiveness for...
. There is some evidence that melatonin at bedtime may reduce the number and length of seizures in children with epilepsy. But melatonin should be used cautiously, because melatonin may increase the number of seizures in some people.
Menopausal symptoms
. Limited research suggests that melatonin does not relieve menopausal symptoms. However, melatonin in combination with soy isoflavones might help psychological symptoms associated with menopause.
Sleep problems associated with attention deficit-hyperactivity disorder (ADHD)
. Limited research suggests melatonin might improve insomnia in children with ADHD who are taking stimulants. But improved sleep does not seem to decrease symptoms of ADHD.
Migraine headache
. There is some evidence that taking melatonin nightly before bed can prevent episodic migraine headache. When headaches do occur, they are milder and pass more quickly. Some research suggests that melatonin production might be altered in people with migraine.
Insomnia caused by medications used for high blood pressure (beta-blockers)
Headache characterized by sudden sharp pain (idiopathic stabbing headache)
Ringing in the ears (tinnitus)
Chronic fatigue syndrome (CFS)
Irritable bowel syndrome (IBS)
Birth control
Other conditions
More evidence is needed to rate melatonin for these uses.
How does it work?
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Melatonin's main job in the body is to regulate night and day cycles or sleep-wake cycles. Darkness causes the body to produce more melatonin, which signals the body to prepare for sleep. Light decreases melatonin production and signals the body to prepare for being awake. Some people who have trouble sleeping have low levels of melatonin. It is thought that adding melatonin from supplements might help them sleep.
Are there safety concerns?
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Melatonin is
for most adults when taken by mouth short-term or applied to the skin. It can cause some side effects including headache, short-term feelings of depression, daytime sleepiness, dizziness, stomach cramps, and irritability. Do not drive or use machinery for four to five hours after taking melatonin.
Special precautions & warnings:
Pregnancy and breast-feeding
: Melatonin is
in pregnancy. Don't use it. Melatonin might also interfere with ovulation, making it more difficult to become pregnant.
Not enough is known about the safety of using melatonin when breast-feeding. It's best not to use it.
: Melatonin should not be used in most children. It is
. Because of its effects on other hormones, melatonin might interfere with development during adolescence.
High blood pressure
: Melatonin can raise blood pressure in people who are taking certain medications to control blood pressure. Avoid using it.
: Melatonin might increase blood sugar in people with diabetes. Monitor your blood sugar carefully, if you have diabetes and take melatonin.
: Melatonin can make symptoms of depression worse.
Seizure disorders
: Using melatonin might increase the risk of having a seizure.
Are there interactions with medications?
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Do not take this combination.
Sedative medications (CNS depressants)
Melatonin might cause sleepiness and drowsiness. Medications that cause sleepiness are called sedatives. Taking melatonin along with sedative medications might cause too much sleepiness.
Some sedative medications include clonazepam (Klonopin), lorazepam (Ativan), phenobarbital (Donnatal), zolpidem (Ambien), and others.
Be cautious with this combination.
Birth control pills (Contraceptive drugs)
The body makes melatonin. Birth control pills seem to increase how much melatonin the body makes. Taking melatonin along with birth control pills might cause too much melatonin to be in the body.
Some birth control pills include ethinyl estradiol and levonorgestrel (Triphasil), ethinyl estradiol and norethindrone (Ortho-Novum 1/35, Ortho-Novum 7/7/7), and others.
Caffeine might decrease melatonin levels in the body. Taking melatonin along with caffeine might decrease the effectiveness of melatonin supplements.
Fluvoxamine (Luvox)
Taking fluvoxamine (Luvox) can increase the amount of melatonin that the body absorbs. Taking melatonin along with fluvoxamine (Luvox) might increase the effects and side effects of melatonin.
Medications for diabetes (Antidiabetes drugs)
Melatonin might increase blood sugar. Diabetes medications are used to lower blood sugar. By increasing blood sugar, melatonin might decrease the effectiveness of diabetes medications. Monitor your blood sugar closely. The dose of your diabetes medication might need to be changed.
Some medications used for diabetes include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), chlorpropamide (Diabinese), glipizide (Glucotrol), tolbutamide (Orinase), and others.
Medications that decrease the immune system (Immunosuppressants)
Melatonin might increase the immune system. Taking melatonin along with medications that decrease the immune system might decrease the effectiveness of medications that decrease the immune system.
Some medications that decrease the immune system include azathioprine (Imuran), basiliximab (Simulect), cyclosporine (Neoral, Sandimmune), daclizumab (Zenapax), muromonab-CD3 (OKT3, Orthoclone OKT3), mycophenolate (CellCept), tacrolimus (FK506, Prograf), sirolimus (Rapamune), prednisone (Deltasone, Orasone), corticosteroids (glucocorticoids), and others.
Medications that slow blood clotting (Anticoagulant / Antiplatelet drugs)
Melatonin might slow blood clotting. Taking melatonin along with medications that also slow clotting might increase the chances of bruising and bleeding.
Some medications that slow blood clotting include aspirin, clopidogrel (Plavix), diclofenac (Voltaren, Cataflam, others), ibuprofen (Advil, Motrin, others), naproxen (Anaprox, Naprosyn, others), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, warfarin (Coumadin), and others.
Nifedipine GITS (Procardia XL)
Nifedipine GITS (Procardia XL) is used to lower blood pressure. Taking melatonin might decrease the effectiveness of nifedipine GITS for lowering blood pressure.
Sedative medications (Benzodiazepines)
Melatonin might cause sleepiness and drowsiness. Drugs that cause sleepiness and drowsiness are called sedatives. Taking melatonin along with sedative medications might cause too much sleepiness.
Some of these sedative medications include clonazepam (Klonopin), diazepam (Valium), lorazepam (Ativan), and others.
Verapamil (Calan, Covera, Isoptin, Verelan)
The body breaks down melatonin to get rid of it. Verapamil (Calan, Covera, Isoptin, Verelan) can increase how quickly the body gets rid of melatonin. Taking melatonin along with verapamil (Calan, Covera, Isoptin, Verelan) might decrease the effectiveness of melatonin.
Be watchful with this combination.
Flumazenil (Romazicon)
Flumazenil (Romazicon) might decrease the effects of melatonin. It is not yet clear why this interaction occurs. Taking flumazenil (Romazicon) along with melatonin might decrease the effectiveness of melatonin supplements.
Are there interactions with herbs and supplements?
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Herbs and supplements that might slow blood clotting
Melatonin might increase the effect of herbs that slow blood clotting and might increase the risk of bleeding in some people. These herbs include angelica, clove, danshen, garlic, ginger, ginkgo, Panax ginseng, red clover, willow, and others.
Herbs and supplements with sleep-promoting (sedative) properties
Using melatonin along with herbs that have sedative properties might increase the effects and side effects of melatonin. Some of these supplements include 5-HTP, calamus, California poppy, catnip, hops, Jamaican dogwood, kava, St. John's wort, skullcap, valerian, yerba mansa, and others.
Are there interactions with foods?
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There are no known interactions with foods.
What dose is used?
Return to top
The following doses have been studied in scientific research:
For insomnia:
0.3-5 mg at bedtime is a typical dose.
In children with insomnia due to delayed sleep onset, melatonin 5 mg at 6:00 PM daily.
In children with developmental disorders (including cerebral palsy, autism, and mental retardation), melatonin 5 mg at 8:00 PM daily. Both immediate-release and sustained-release preparations have been used.
For jet lag: 0.5-5 mg at bedtime is commonly taken on the arrival day at the destination, continuing for 2-5 days. Low doses of 0.5-3 mg are often used to avoid the hypnotic properties of the higher 4-5 mg doses.
For tardive dyskinesia (TD): 10 mg daily of a controlled-release formulation.
As treatment for solid tumors in combination with conventional therapy: 10-50 mg along with radiotherapy, chemotherapy, or interleukin 2 (IL-2). Melatonin is typically started 7 days before the start of chemotherapy and continued throughout full treatment course.
For treatment of prostate cancer that has spread to other sites (metastatic cancer) and is resistant to triptorelin used alone: 20 mg taken daily has been used in combination with 3.75 mg of triptorelin injected into the muscle every 28 days.
For prevention and treatment of lowered clot-forming cells (thrombocytopenia) associated with cancer chemotherapy: 20 mg each evening.
For benzodiazepine withdrawal in elderly people with insomnia: 2 mg of controlled-release melatonin taken at bedtime for 6 weeks (the benzodiazepine dosage is reduced 50% during the second week, 75% during weeks 3 and 4, and stopped during weeks 5 and 6) and continued up to 6 months.
For prevention of cluster headache: an evening dose of 10 mg.
For reducing anxiety before surgery in adults: 0.05 mg/kg under the tongue.
For reducing nicotine withdrawal symptoms: 0.3 mg orally 3.5 hours after stopping smoking.
Other names
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5-Methoxy-N-Acetyltryptamine, MEL, Melatonina, Mélatonine, MLT, N-acetyl-5-methoxytryptamine, N-Acétyl-5-Méthoxytryptamine, Pineal Hormone.
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To learn more about how this article was written, please see the
Natural Medicines Comprehensive Database
methodology (http://www.nlm.nih.gov/medlineplus/druginfo/natural/methodology.html).
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To see all references for the Melatonin page, please go to http://www.nlm.nih.gov/medlineplus/druginfo/natural/940.html.
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Nat Immun 1998;16:27-33
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Biol Signals Recept 1999;8:111-9
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Jan JE, O'Donnell ME. Use of melatonin in the treatment of paediatric sleep disorders.
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Haimov I, Lavie P, Laudon M, et al. Melatonin replacement therapy of elderly insomniacs.
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J Anal Toxicol 1999;23:159-67
Jorgensen KM, Witting MD. Does exogenous melatonin improve day sleep or night alertness in emergency physicians working night shifts?
Ann Emerg Med 1998;31:699-704
Bregani ER, Lissoni P, Rossini F, et al. Prevention of interleukin-2-induced thrombocytopenia during the immunotherapy of cancer by a concomitant administration of the pineal hormone melatonin.
Recenti Prog Med 1995;86:231-3
Lissoni P, Barni S, Brivio F, et al. A biological study on the efficacy of low-dose subcutaneous interleukin-2 plus melatonin in the treatment of cancer-related thrombocytopenia.
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Lissoni P, Tancini G, Barni S, et al. The pineal hormone melatonin in hematology and its potential efficacy in the treatment of thrombocytopenia.
Recenti Prog Med 1996;87:582-5
Lissoni P, Tancini G, Paolorossi F, et al. Chemoneuroendocrine therapy of metastatic breast cancer with persistent thrombocytopenia with weekly low-dose epirubicin plus melatonin: a phase II study.
J Pineal Res 1999;26:169-73
Lissoni P, Barni S, Ardizzoia A, et al. A randomized study with the pineal hormone melatonin versus supportive care alone in patients with brain metastases due to solid neoplasms.
Cancer 1994;73:699-701
Lissoni P, Tisi E, Barni S, et al. Biological and clinical results of a neuroimmunotherapy with interleukin-2 and the pineal hormone melatonin as a first line treatment in advanced non-small cell lung cancer.
Br J Cancer 1992;66:155-8
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Bertino JS, Demuro RL, Blask DE, et al. Absolute bioavailability (F) of oral melatonin (M). Clin Pharmacol Ther 2000;67:106 (abstract PI-72).
Cagnacci A, Krauchi K, Wirz-Justice A, Volpe A. Homeostatic versus circadian effects of melatonin on core body temperature in humans.
J Biol Rhythms 1997;12:509-17
Blau JN, Engel HO. A new cluster headache precipitant: increased body heat.
Lancet 1999;354:1001-2
Peres MF, Seabra ML, Zukerman E, Tufik S. Cluster headache and melatonin.
Lancet 2000;355:147
Leone M, D'Amico D, Moschiano F, et al. Melatonin versus placebo in the prophylaxis of cluster headache: a double-blind pilot study with parallel groups.
Cephalalgia 1996;16:494-6
DeMuro RL, Nafziger AN, Blask DE, et al. The absolute bioavailability of oral melatonin.
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Naguib M, Samarkandi AH. The comparative dose-response effects of melatonin and midazolam for premedication of adult patients: a double-blinded, placebo-controlled study.
Anesth Analg 2000;91:473-9
Nurnberger JI Jr, Adkins S, Lahiri DK, et al. Melatonin suppression by light in euthymic bipolar and unipolar patients.
Arch Gen Psychiatr 2000;57:572-9
Petrie K, Conaglen JV, Thompson L, Chamberlain K. Effect of melatonin on jet lag after long haul flights.
James SP, Sack DA, Rosenthal NE, Mendelson WB. Melatonin administration in insomnia.
Neuropsychopharmacology 1990;3:19-23
Sack RL, Lewy AJ, Blood ML, et al. Melatonin administration to blind people: phase advances and entrainment.
J Biol Rhythms 1991;6:249-61
Lissoni P, Barni S, Ardizzoia A, et al. Randomized study with the pineal hormone melatonin versus supportive care alone in advanced nonsmall cell lung cancer resistant to a first-line chemotherapy containing cisplatin.
Oncology 1992;49:336-9
Claustrat B, Brun J, David M, et al. Melatonin and jet lag: confirmatory result using a simplified protocol.
Biol Psychiatr 1992;32:705-11
Dollins AB, Lynch HJ, Wurtman RJ, et al. Effect of pharmacological daytime doses of melatonin on human mood and performance.
Psychopharmacol (Berl) 1993;112:490-6
Petrie K, Dawson AG, Thompson L, Brook R. A double-blind trial of melatonin as a treatment for jet lag in international cabin crew.
Biol Psychiatr 1993;33:526-30
Valcavi R, Zini M, Maestroni GJ, et al. Melatonin stimulates growth hormone secretion through pathways other than the growth hormone-releasing hormone.
Clin Endocrinol (Oxf) 1993;39:193-9
Garfinkel D, et al. Improvement of sleep quality in elderly people by controlled-release melatonin.
Lancet 1995;346:541-44
Ellis CM, Lemmens G, Parkes JD. Melatonin and insomnia.
J Sleep Res 1996;5:61-5
Lissoni P, Pittalis S, Ardizzoia A, et al. Prevention of cytokine-induced hypotension in cancer patients by the pineal hormone melatonin.
Support Care Cancer 1996;4:313-6
Attenburrow ME, Cowen PJ, Sharpley AL. Low dose melatonin improves sleep in healthy middle-aged subjects.
Psychopharmacol (Berl) 1996;126:179-81
Bangha E, Elsner P, Kistler GS. Suppression of UV-induced erythema by topical treatment with melatonin (N-acetyl-5-methoxytryptamine). A dose response study.
Arch Dermatol Res 1996;288:522-6
Lissoni P, Brivio O, Brivio F, et al. Adjuvant therapy with the pineal hormone melatonin in patients with lymph node relapse due to malignant melanoma.
J Pineal Res 1996;21:239-42
Wikner J, Wetterberg L, Rojdmark S. Does hypercalcaemia or calcium antagonism affect human melatonin secretion or renal excretion?
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Van Den Heuvel CJ, Reid KJ, Dawson D. Effect of atenolol on nocturnal sleep and temperature in young men: reversal by pharmacological doses of melatonin.
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James M, Tremea MO, Jones JS, Krohmer JR. Can melatonin improve adaptation to night shift?
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Wright SW, Lawrence LM, Wrenn KD, et al. Randomized clinical trial of melatonin after night-shift work: efficacy and neuropsychologic effects.
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EPCOR CENTRE for the Performing Arts
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To find a doctor, call 800-667-5356 or click below:
Find a Doctor
Request an Appointment
Fatigue is a very common problem that is very difficult to really understand. Of course we are all tired during cancer treatment, and there ae lots of good reasons: worry, difficulties with sleep, drugs that keep us awake, drugs that make us tried, etc. Most women continue to be tired for a while after treatment has ended. The rule of thumb is that it takes at least as long as the total duration of treatment to fully recover physically and emotionally. This means months. For some women, however, persistent fatigue is a very long-lasting problem. Here is an editorial from the Journal of Clinical Oncology about that kind of fatigue. Per usual, I give you the abstract and then a link:
David Goldstein, Barbara K. Bennett, Kate Webber, Fran Boyle, Paul L. de Souza, Nicholas R.C. Wilcken, Elizabeth M. Scott, Ruth Toppler, Penelope Murie, Linda O'Malley, Junie McCourt, Michael Friedlander, Ian B. Hickie, and Andrew R. Lloyd
PurposeProlonged and disabling fatigue is prevalent after cancer treatment, but the early natural history of cancer-related fatigue (CRF) has not been systematically examined to document consistent presence of symptoms. Hence, relationships to cancer, surgery, and adjuvant therapy are unclear.
Patients and MethodsA prospective cohort study of women receiving adjuvant treatment for early-stage breast cancer was conducted. Women were enrolled after surgery and observed at end treatment and at 1, 3, 6, 9, and 12 months as well as 5 years. Structured interviews and self-report questionnaires were used to record physical and psychologic health as well as disability and health care utilization. Patients with CRF persisting for 6 months were assessed to exclude alternative medical and psychiatric causes of fatigue. Predictors of persistent fatigue, mood disturbance, and health care utilization were sought by logistic regression.
ResultsThe case rate for CRF was 24% postsurgery and 31% at end of treatment; it became persistent in 11% at 6 months and 6% at 12 months. At each time point, approximately one third of the patients had comorbid mood disturbance. Persistent CRF was predicted by tumor size but not demographic, psychologic, surgical, or hematologic parameters. CRF was associated with significant disability and health care utilization.
ConclusionCRF is common but generally runs a self-limiting course. Much of the previously reported high rates of persistent CRF may be attributable to factors unrelated to the cancer or its treatment.
Read more »


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Obama's ad is real classy....ROBMEE OF MY VOTE!!!!!
romney's ad at the top of the page is ridiculous when you think about how the rebuttlicken are trying to win this election.....
Comments (Page 111)
Obama's ad is real classy.... http://dailycaller.com/2012/10/30/michael-moo... |
Actually Nuking Japan saved Japanese lives as well. The operation to take Japan would have killed 10 times as many.
Saved lives on both sides Of course that was then, this is now, and this has absolutely no bearing whatsoever on the elections. Truman ( a Democrat ) made the right choice in a difficult time. |
Since: Jun 07 14,881 Location hidden |
WTF does any of this babble have to do with what Obama said to Joe the Plumber? |
Why would anyone care what "Joe the Plummer" thinks or says?
He was already shown to be not what he claimed |
Judged: 1 1 |
Since: Jun 07 14,881 Location hidden |
Judged: 1 1 1 Are you guys completely brain dead? It's not what Joe the Plumber said, it's what Obama said to him. Seriously, if you guys had two bran cells between you to rub together you would be dangerous. |
Judged: 1 1 P.S. if you rub hardenough you can get results too! |
Judged: 1 1 1 Well guess what? You calling the truth, a fairy tale? That does not surprise me or many others! |
Judged: 1 1 1 Axelrod said they want "unfettered" access to the polls. That's an interesting choice of words. I guess by "unfettered" he means access for millions of illegal aliens getting amnesty. Maybe all the people of Brooklyn now living in Boca Raton should get to vote in two different districts. He stressed that right now, Obama is "focused on helping the victims." That's for sure. The Democrats are always seeking some new "victims," so they can "help" them, because they "feel their pain." |
Judged: 3 2 1 Quiet, you molester. You're a felon, you can't vote. Stay away from our kids too. |
Judged: 1 I have noticed the typical Liberal is getting desperate, getting scared, they can't dispute the content, all is left is name calling and insulting. Gun sales are up as it looks like Obama and Mooch might be packing, and it's because a losing Liberal is dangerous. |
Judged: 1 It is a strange thing how in this world of Murphy's laws, how the accuser is usually the perpetrator! Perhaps it is you rose! Who belongs in prison in general population? |
Since: Sep 10 262 |
Judged: 1 1 1 .....execpt the truth!! or without his teleprompter, he freezes like a deer caught in the head lights!! |
Judged: 1 1 1 I agree, and we saw the true obama in the first debate. |
Since: Aug 11 23,432 Location hidden |
Care to walk in his shoes? |
Since: Aug 11 23,432 Location hidden |
Nice rant. U MAD BRO? |
No, I'm not Him. He is he great one, the anointed one, the great obama. What would Obama do? well without a teleprompter? make a fool out of himself. Why are you so fooled by this imposter? Is he your religion? |
actually on one forum that I go to, the Elk Grove Forum, topic about a civil war, I don't like people that reply and change what you wrote, it's low. Even Mitt or you are not like that, at least you are civil. But here, im not mad, but don't think the election should be delayed, im sick enough of it. |
and posts like #2309. what does it accomplish?
Judged: 1 1 |
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Subscribe to our weekly email for exclusive deals, project ideas and more!
The color quality on this sheet is absolutely gorgeous, however the actual text print is VERY faint. I should have expected so from the picture, but you live and learn, haha.


text:
Functional Electrical Stimulation in Irradiated Nasopharyngeal Carcinoma (NPC)
This study has been completed.
National Taiwan University Hospital
Information provided by (Responsible Party):
National Taiwan University Hospital
ClinicalTrials.gov Identifier:
First received: December 25, 2008
Last updated: October 31, 2013
Last verified: October 2013
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Detailed Description:
The purpose of this study is to determine whether functional electrical stimulation is effective in the treatment of dysphagia due to nasopharyngeal cancer post radiotherapy
Condition | Intervention | Phase |
Dysphagia |
Device: Functional electrical stimulation Behavioral: Exercise home program |
Phase 2 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
Official Title: | Efficacy of Functional Electrical Stimulation in Dysphagia of Nasopharyngeal Cancer Post Radiotherapy |
Resource links provided by NLM:
Further study details as provided by National Taiwan University Hospital:
Primary Outcome Measures:
- Videofluoroscopic study for evaluating swallow function [ Time Frame: 1 to 3 months ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- Questionnaire of life quality [ Time Frame: 1 to 3 months ] [ Designated as safety issue: Yes ]
Enrollment: | 20 |
Study Start Date: | July 2008 |
Study Completion Date: | October 2013 |
Primary Completion Date: | February 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
Experimental: 1
Functional electrical stimulation: Experimental
Device: Functional electrical stimulation
15 sessions of VitalStim® therapy, 60 minutes per session
Other Name: VitalStim®
Active Comparator: 2
Exercise home program
Behavioral: Exercise home program
Daily exercise training
Other Name: Range of motion exercises, resistence exercises, etc...
Detailed Description:
Nasopharyngeal carcinoma (NPC) patients usually underwent radiotherapy (RT) or chemoradiotherapy(CRT). There were some complications caused by RT, like dysphagia.
In recent studies, functional electrical stimulation (FES) was be used in neurologically dysphagia patients, and there were some positive effects with these studies. Hence, we decided applied FES to these NPC patients with dysphagia.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Primary nasopharyngeal carcinoma
- Post radiation therapy
- Mild to severe dysphagia
- Never underwent swallowing therapy
Exclusion Criteria:
- Recurrent cancer
- Neurological or degenerate disease
- Total or partial laryngectomy
- Epilepsy
- With cardiac pacemaker
Contacts and Locations
More Information
No publications provided
Keywords provided by National Taiwan University Hospital:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on March 09, 2014
No publications provided
Responsible Party: | National Taiwan University Hospital |
ClinicalTrials.gov Identifier: | NCT00815087 History of Changes |
Other Study ID Numbers: | 200804032R |
Study First Received: | December 25, 2008 |
Last Updated: | October 31, 2013 |
Health Authority: | Taiwan: Department of Health |
Keywords provided by National Taiwan University Hospital:
Nasopharyngeal carcinoma functional electrical stimulation |
Additional relevant MeSH terms:
Deglutition Disorders Nasopharyngeal Neoplasms Esophageal Diseases Gastrointestinal Diseases Digestive System Diseases Pharyngeal Diseases Otorhinolaryngologic Diseases |
Pharyngeal Neoplasms Otorhinolaryngologic Neoplasms Head and Neck Neoplasms Neoplasms by Site Neoplasms Nasopharyngeal Diseases Stomatognathic Diseases |
ClinicalTrials.gov processed this record on March 09, 2014


text:
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Los Angeles resident Steven Ellison. a.k.a. Juno Leed a.k.a. Flying Lotus is an electronic artist/hip-hop beat-maker, occasionally linked to artists such as Madlib , J Dilla and fellow LA resident The Gaslamp Killer for his more abstract and sometimes jazz-tinted style. Flying Lotus, often abbreviated to FlyLo, is currently signed to Warp Records, although he released his first album, 1983 on Plug Research Records, the label to which he belonged from 2006-2007. His June 2008 release, Los Angeles, with cover art designed by Build & Timothy Saccenti, was released to positive critical reviews.
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This page contains Cheats for Fab Tattoo Designer organized by sections for iPhone - iPod. Fab Tattoo Designer is a Role-Playing General game, made by Games2win, released on Apr 27, 2013 and published by Games2win. If you can't find a hint or secret in our list, then please check this page periodically for the latest updates. Note: This apple iPhone game app may also be compatible with the game app for apple iPad.
Fab Tattoo Designer iPhone - iPod Cheats
Run a professional tattoo salon in Hollywood and take your pick from 5 different clients, each with a unique personality. Attend to each client and choose tattoo art that suits their lifestyle. From college cheerleaders to party animals - get them inked with the hottest, most fashion-centric body art!Draw out those wicked tattoo designs from scratch and get inking with your tattoo gun. Experience the step-by-step process of making a tattoo but don't forget to please your customers with your awesome work. You can even save a photo of your tattoo creation and share the image it with your friends on Facebook and Twitter!
- Developer: Games2win
- Publisher: Games2win
- Genre: Role-Playing General
- Release Date: Apr 27, 2013
- ESRB: Not Set
Don't forget to Bookmark this page for the latest Fab Tattoo Designer Cheats. At this moment there are no cheats or walkthroughs available for Fab Tattoo Designer. If you know cheats, secrets, hints or glitches for this game then please Submit them.
Stuck on this game? Set a specific, clearly defined question and let others answer your question or view answers to previously asked questions. If you think you are an Fab Tattoo Designer expert then please try to help others with their questions.
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Welcome to Liverpool Public Library
March Madness - 2014 Battle of the Books - Week 2
The battle continues! Last year's winner - The Lion , the Witch, and the Wardrobe was knocked out in the first round as the field narrows to 16 this week.
Vote online for your favorites or come in the library and cast a vote! This round goes until March 17. Round two starts March 17.
Flicker Shows at the Lakeshore
Thursday, March 13 • 7pm
Carman Community Room
Norm Keim, author of Our Movie Houses: A History of Film and Cinematic Innovation in Central New York, will present a program remembering Liverpool's silent-era movie theater previously located on First Street. Books will be available for purchase and signing. Sponsored by the Historical Association of Greater Liverpool.
Free, no registration is required.
March 20 is International Day of Happiness!
If you have a Liverpool Library Card and PIN, you can download the Pharrell Williams song Happy (from Despicable Me 2) and two other songs for FREE right now using Freegal! (3 downloads a week!)
Join Pharrell and others around the world to celebrate International Day of Happiness. Whether you are dancing, singing or just being happy, they want you to submit your videos.
Take action to create a happier world for people everywhere!
St Patrick Hunger Project - Food Drive
We are holding a food drive for the St Patrick Hunger Project from March 3-28. There is a barrel in the library to drop items off.
Click on Read More below for a list of suggested items.
Knitting and Crochet Circle
Sunday, Mar 16
1pm • Sargent Meeting Room
A fun and relaxed environment where people of all skill levels are welcome. Learn tips for knitting and crocheting or to share projects you are working on. Please bring your own supplies.


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Table of Contents Message from the President Master of Divinity Master of Arts in Christian Ministries Master of Arts in Counseling Master of Arts in Intercultural Ministries Master of Arts in Theological Studies Continuing Education Doctor of Ministry Doctor of Missiology Ph.D. in Intercultural Studies Ph.D. in Bible & Theology Admission Information AGTS Profile Course Descriptions Financial Information Academic Policies and Procedures Student Life and Services
Seminary Board of Advisors Administration Faculty Adjunct Faculty Academic Calendar Map to AGTS Catalog Archives
Certificate Programs for Graduate Studies The Certificate for Graduate Studies program is designed to provide continuing education opportunities for ministers and lay leadership who wish to enhance their competency in specific areas through graduate level education without the commitment to complete a degree. These certificates provide training in specific areas, such as Expository Preaching, Leadership, or Evangelism. The Certificate program can also facilitate the completion of any graduate degree by applying credits earned to respective degree requirements. Certificate Components and Requirements
To earn a certificate in a given area requires 12 credit hours or 4 classes. Classes can be taken in any available delivery system. This includes distance learning courses, courses offered at our branch campuses, classes offered at the main Springfield campus, or any combination of these. Ministry Certificates:
• Leadership • Expository Preaching • Church Based Counseling • Leading Multi- and Cross-cultural Ministries • Evangelism • Chi Alpha Campus Ministry
Bible/Theology Certificates:
• Biblical Foundations • Credentialing Core (18 credits) • New Testament • Old Testament • Pentecostal and Charismatic Studies • Theology
The applicant must have a BA degree with a minimum of a 2.5 GPA to be considered for admissions. Applicants for this program should follow the non-degree seeking admissions requirements. Students will notify the Registrar when they have completed sufficient courses for a particular certificate.
Certificate Program Classes
Choose one of the following:
PTH 544 Spiritual Formation of the Leader
PTH 553 Personal Dynamics of Leadership
PTH 554 Relational Dynamics of Leadership*
PTH 623 Effective Relationships in Ministry
Choose three of the following:
PTH 528 Vision-Centered Leadership and Management**
PTH 542 Women in Ministry
PTH 624 Leading Change and Revitalizing Ministries
PTH 625 Effective Leadership**
PTH 650 Building a Disciple-Making Ministry**
PTH 653 Leadership in Ministry
PTH/MCS 654 Pentecostal Perspectives on Justice, the Church, and Society
HOM 529 Communicating the Message I
HOM/BOT 620 Expository Preaching in Pentateuch/Historical Books
HOM/BOT 621 Expository Preaching in Prophets & Apocalypse
HOM/BOT 622 Expository Preaching in Psalms & Wisdom Literature
HOM/BNT 623 Expository Preaching in Gospels & Acts
HOM/BNT 624 Expository Preaching in the Epistles
HOM 633 Communicating the Message II
PCP 550 Interpersonal Techniques in Helping Relationships**
PCP 544 Counseling Theories
PCP 551 Addictive Behaviors and Family Systems
PCP 564 Applied Human Development
PCP 624 Family Studies: Human Sexuality
PCP 626 Dying, Grief and Crisis Counseling**
PCP 629 Counseling Diverse Populations**
PCP 637 Group Counseling
PTH 656 Ministry in Trauma, Crisis and Grief Contexts**
MCS/PCP 622 Trauma and Post-Traumatic Stress Disorder
Choose two of the following:
MCS/MHT 643 Anthropology and Communication in Theological Perspective**
MCS/MHT 642 Contextualized Theology
MHT 501 Mission of God in Biblical/Contemporary Contexts**
MHT 635 Pentecostal Theology of Leadership Development**
MCS 639 Intercultural/Urban Ministries**
MCS 545 Engaging Islam**
PTH 622 Communicating Christian Faith in a Pluralistic Society*
MSS 639 Special Studies
PTH 551 Effective Evangelism & Assimilation**
PTH 530 Establishing New Churches
PHI 631/THE 628 Apologetics*
AG Certified Ministerial Credentialing Certificate (18 credits required)
BNT 530 New Testament Introduction*
BOT 530 Old Testament Introduction*
HIS 532 The History and Polity of the Assemblies of God
MHT 501 Mission of God in Biblical and Contemporary Setting
PTH 555 Emotional and Spiritual Formation of the Leader
THE 511 Christian Theology or THE 531 Systematic Theology I or II (THE 532)*
PTH 551 Effective Evangelism & Assimilation
BIB 532 Hermeneutics
BTH 532 New Testament Theology
THE 511 Christian Theology
HIS 532 History and Polity of the Assemblies of God
MHT 501 Mission of God in Biblical/Contemporary Contexts
BNT 533 Studies in the Letters of Paul
BNT 540 Studies in the Synoptic Gospels and Acts
BNT 541 Studies in the Johannine Literature
BNT 542 Studies in the General Letters
BNT 641 Specialized Exegetical Studies in the New Testament
BOT 531 Studies in the Pentateuch
BOT 538 Studies in the Prophetical Books
BOT 539 Studies in the Historical Books
BOT 540 Studies in the Wisdom and Poetical Books
BOT 641 Specialized Exegetical Studies in the Old Testament
PCS 528 Pentecostal and Charismatic Movements**
PCS 533 The Holy Spirit in the New Testament Church
PCS 534 The Baptism in the Holy Spirit
PCS 538 The Holy Spirit in the Old Testament
PCS 546 Initial Evidence and Spirit Baptism
PCS 633 Divine Healing
PCS 635 The Theology and Practice of Spiritual Gifts**
THE/PCS 621 The Person and Work of the Holy Spirit
Choose four of the following:
BTH 530 Old Testament Theology
THE 531 Systematic Theology I*
THE 532 Systematic Theology II*
THE 623 God, Revelation & Truth (requires THE 531 or equivalent)
THE 624 Christ and Humanity in the Plan of God (requires THE 531 or equivalent)
THE 625 Church, End Times and Eternity (requires THE 532 or equivalent)
THE 628/PHI 631 Apologetics*
THE/PCS 633 Divine Healing
THE/PTH 622 Communicating Christian Faith in a Pluralistic Society*
PHI 633 Ethical Issues in Contemporary Society


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Design a Better NBC Universal Logo (Community Contest) picked a winning design in their logo design contest
For just $695, they received 796 designs from 238 designers.
From logos and business cards to websites and stationery, you can get anything designed by running your own design contest on 99designs.
Logo Design for Design a Better NBC Universal Logo (Community Contest)
- Last feedback - none given yet
- Feedback 0%
- Refunds - 1
- Open
- The contest was open to all designers
- Selected a winner
- The contest holder awarded a winner
Top entries
- d'zeNyu™
- Label:
- #244
- Burzo Ciprian
- Label:
- #834
- mycode
- Label:
- #695
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- #589
- Dani Aláez
- Label:
- #206
- fatboyjim
- Label:
- #78
- kugame
- Label:
- #39
- mf.rizal
- Label:
- #861
- decips
- Label:
- #767
- decips
- Label:
- #766
- decips
- Label:
- #765
- creative_cubicle
- Label:
- #723
Report design for...
CloseDesign brief
Design a Better NBC Universal Logo (Community Contest)
** This project is sponsored by 99designs **
Recently NBC Universal unveiled its new logo (nbc-logo-new1.jpg). Removing the famed peacock and distinctive colours which any regular TV viewer knows has come to define the companies identity. We believe that our design community can do a much better job of redesigning this iconic logo!
We want you to take the old NBC Universal logo (nbc_logo-old.jpg) and develop your own variation.
** About NBC Universal **
NBC Universal is a TV and entertainment production company that produces and distributes content across various mediums. The company owns and operates two American television networks, numerous cable channels, and a group of local stations in the United States, as well as motion picture companies, several television production companies, and branded theme parks.
More info on NBC Universal: http://en.wikipedia.org/wiki/NBC_Universal
None specified
None specified
** This project is sponsored by 99designs **
We are looking for ideas on how you think the NBC universal logo can evolve. Using the iconic peacock makes sense but is certainly not necessary. The rest will be completely up to you as the designer!
Entries will be judged on their creativity, flair and the ability for the logo to work in both color and black & white.
connecting 286,807 designers with customers seeking design services.
I need something designed I'm a designer


text: ididit offers these add-ons for use in your steering column. While any of these items can be added to your column later, it is much easier to do while the column is being assembled. Kit includes either a Dimmer or a Wiper switch. If you have a tilt column you have the option to add two new levers whether they are Dimmer, Wiper or Cruise in place of your tilt and turn signal lever. If you have purchased a straight column only one extra lever can be added. Kits sold separately. Note: 2 or 3 speed wipers cannot be controlled with this kit Made In America!


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Log Out
Call in to speak with the host
(347) 843-4559
The Men's Let's Talk (MLT) Internet Radio Program is excited about having Apostle Stanley Williams on the program.
Dr. Williams is married to Apostle Bethtina Williams who both have powerful ministries in the Lord. Apostle Stanley Williams is the founder of Lighthouse of Faith Community Church located in Fort Walton Beach, Florida. Website: http://lighthouseoffaith.net/. Both Apostle Stanley and Apostle Bethtina pastor the Lighthouse of Faith Community Church.
Apostle Stanley Williams will be discussing what is on his heart and some of the key topics that are affecting today's men. Apostle Williams will be sharing words of empowerment and ways to break through during tough times. MLT is excited to have Apostle Stanley Williams leading us, both Men and Women, to better living and a better relationships with God. Welcome Apostle Stanley Williams to the MLT Network.


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ProtectionHoly Shield now increases block chance by 5% while active, instead of increasing the amount of damage blocked by 10%.
why, just why. now we are being punished for stacking mastery?
is there any reason to use a paladin tank over a prot warrior (shield block/critical block), blood dk, or a druid with this change? sure, we have a raid wall: on a 3 min cd and its range has been reduced. without going into the math and how diminishing returns on dodge/parry influences this, prot paladins will be taking roughly 8-12% more damage due to the lessened value per point of mastery.
is this honestly fair? the devs cant really think this is balanced. say i'm qq'ing all you want, but it's the truth. we will be taking more damage than warriors and other tanks with this change.


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I was trying to retrieve a list of the currently open drawings before running a batch script in VB .Net 2008 so that the program can check the selected file listto update against whats open already to make sure that the file isnt read only.
I can seem to figure it out... any help would be great thanks.
what tkarapita says is true. i want to add an advice for your future affords. if you are dealing with the documents i mean not a single document , mark your command as CommandFlags.Session so that it runs in application context and dont forget the lock the document you are dealing with.
Log into access your profile, ask and answer questions, share ideas and more. Haven't signed up yet? Register
Start with some of our most frequented solutions to get help installing your software.
Visual LISP, AutoLISP and General Customization |
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Who would you rather have?
Manny Machado
Jurickson Profar
Who would you rather have?
Sponsored Links |
Profar all day
Favourite Teams:
Boston Red Sox: 2013 World Series Champs, less than 3 weeks to opening day
Indianapolis Colts: 11-5, 2013 AFC South Champs, great season guys.
Detroit Pistons: 24-39, games this week vs. Sacramento, Toronto and Indiana
Ottawa Senators: 28-25-11, games this week vs. Nashville, Colorado and Montreal
I don't get the hype for Machado.


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Light Pink Black and Tan Girl
• Female • $600
Dark Pink Black and Tan Girl
Adorable Designer Beaglier puppy
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dog for sale
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Beaglier Puppy
Receive an email alert when additional Beaglier puppies are added. It's easy and free!
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INCLUDES: current vaccinations, neopar vaccine, up to date wormings, health record, one year warranty
Puppies come with FREE Pet Insurance when adopted from NextDayPets.com! *Please ensure your breeder participates
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Member Since: June 2006
Location: North Jersey, New Jersey
Foxton- NJ Tri-State area*- Susan
• Female • $399
Foxton- NJ Tri-State area*- Charles
• Male • $399
Cavalier King Charles- NJ Tri-State area*- Harley
• Male • $631
Cavapoo- NJ Tri-State area*- Dumpling
• Male • $715
Chihuahua- NJ Tri-State area*- Paprika
• Female • $815
Cocker Spaniel- NJ Tri-State area*- Barnaby
Pomeranian- NJ tristate area*- Puddles
• Female • $565
Pomeranian- NJ tristate area*- Tugger
• Male • $465


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August 8, 2008 To What Extent Are the Olympic Games More Than an Athletic Competition? August 8, 2008 marked the opening of the 2008 Summer Olympic Games, officially known as the Games of the XXIX… more 47
August 7, 2008 Secretary Rice Speaks With The Politico and Yahoo! News Full Text From DipNote Editors: Yesterday, Secretary Rice spoke with Mike Allen of The Politico and Yahoo! News, and we… more 12
August 1, 2008 Last Seen in Iran: Robert Levinson About the Author: Carlos A. DeJuana is on a Presidential Management Fellow rotation at the State Department's Office of Iranian… more 8


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[Warning: The following story reveals the winner of The Voice's fifth season. Read at your own risk!]
Adam Levine returned to victory on Tuesday's Season 5 finale of The Voice more than two years after winning the first season of the hit singing competition series when...read more
The cast of Jersey Shore is reuniting Saturday for a concert to honor volunteers after Hurricane Sandy.read more
The field of finalists was narrowed to eight on American Idol Thursday, but before any of the results were read, mentor Jimmy Iovine had some feedback of his own for the judges, whom he essentially said were being way too soft on the contestants at this stage in the competition.
Usher and Jill Scott talk about why they're the ultimate mentoring dream team.
After turning three chairs, Jake Barker secures a spot on Team Usher with his version of 'When I Was Your Man.'
Blake Shelton has made a promise to The Band Perry: the mullet WILL return.
More Clips & Interviews
A Marine platoon faces off against an alien invasion in Los Angeles.
DJ (Columbus Short), an amazing underground street dancer, hasn't been in college for a day before he's entranced by a lovely co-ed, April (Meagan Good).Working as a gardener to pay the bills...
Academy Award® Winner Cuba Gooding Jr. and Academy Award® Nominee Terrence Howard lead a powerful ensemble cast in this high-flying epic inspired by the real-life adventures of the first African-American combat unit to serve in World War II. Italy, 1944. As the war takes its toll on Allied forces in Europe, a squadron of black pilots known as the Tuskegee Airmen are finally given the chance to prove themselves in the sky...even as they battle discrimination on the ground. Featuring jaw-dropping aerial action and thrilling special effects, Red Tails is a breathtaking tribute to the unsung heroes who rose above extraordinary challenges and ultimately soared into history.
The story of the Tuskegee airmen, the first African-American pilots to fly in a combat squadron during World War II.
More Ne-Yo Movies Videos
Blake,Adam, Shakira and Usher make their final picks from a talented field of singers.
The cast creates looks inspired by old Hollywood glamour for Khloé Kardashian to wear at a Grammy Awards after-party. For the first time throughout the construction process, the designers receive no direction from the mentors. Instead, they must critique each other's work and use the lessons they've learned so far to guide themselves. Recording artist Ne-Yo is guest mentor. Also Available On Amazon Instant Video and VUDU
Jamie Foxx hosts Saturday Night Live with musical guest Ne-Yo. Also Available On Netflix, Xfinity, Amazon Instant Video and VUDU
When Adrianna opens at the Hollywood Bowl for a headlining artist, Dixon decides to buy her a celebration gift. Suspecting he might propose, Silver convinces Ade to come clean about her affair with Taylor. Natalie Morales, Amber Stevens and musical guest Ne-Yo guest star. Also Available On Netflix, Amazon Instant Video and VUDU
More Ne-Yo On TV Videos
More Credits (206)
TV history, and cable's History channel, will tell you: Never bet against the Bible. While History's greatest-hits approach to The Bible (airing Sundays through Easter) continues to reap blockbuster ratings, GSN launches a second season of The American Bible Challenge (9/8c), its highest-rated game show, which could just as easily be called Are You Smarter Than a Divinity Student?
It's the most wonderful time of the year — and no one does Christmas like Saturday Night Live! The sketch series has recruited former cast member Martin Short for his third hosting stint for the Dec. 15 Christmas episode. read more
Taio Cruz is ready to light up Beverly Hills: The "Dynamite" singer will appear in 90210's 100th episode, TVLine reports.Cruz, playing himself, will perform at West Beverly High's alumni homecoming event. But this isn't your grandmother's school reunion — in true 90210 fashion, the party will be take place at the Playboy Mansion. read more
Few shows experience growing pains more publicly than Fox's Glee, the exuberant and irreverent — and often painfully inconsistent — coming-of-age musical comedy that is in a seemingly constant state of reinvention, often at its own peril. Coming off the most significant upheaval to date, a graduation-day finale that sent a number of its most prominent characters (Rachel, Kurt, Finn, Quinn, Santana, Mercedes, Mike Chang) into the world beyond Lima, Ohio, Glee rebounds in the fourth season with a terrifically entertaining season opener on a new night and time (Thursdays, 9/8c). Glee may never be able to recapture its initial glow and buzz, but if this is an indication of its future, I like where it's heading.
Ne-Yo will make a guest appearance as himself on 90210, TVGuide.com has learned exclusively.
The R&B artist will appear in a scene at the Hollywood Bowl where Adrianna (Jessica Lowndes) is also performing. Ne-Yo will sing "Let Me Love You" and one other song in the episode scheduled to air in November.
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University of Wisconsin Stout | Wisconsin's Polytechnic University
Online Professional Development
Inspiring Innovation.
UW-Stout can help you achieve your goals.
Inspiring Innovation.
UW-Stout can help you achieve your goals.
Online Course 3 semester hours graduate credit
Instructor: Dennis O'Connor
Tuition and Registration
The spring practicum is full; registration for the summer practicum will open in March.
Practicum in teaching online with a cooperating online instructor. Application of online pedagogy and technology evaluated through observation, discussion and reflections.
This course culminates your preparation as an e-learning professional. You will finalize your professional e-portfolio as a career building demonstration of your online teaching skills and abilities.
During the practicum you will teach online with a cooperating instructor gaining valuable real world online teaching experience. A customized internship is available for those already teaching online. Successful completion of the practicum earns the E-Learning Certificate.
Frequently Asked Questions about the Practicum
Note: The practicum may only be taken after all other courses for the Graduate Certificate in E-Learning and Online Teaching are completed. Prerequisite: Consent of Instructor and 3.0 gpa in all prerequisite courses.
Reading materials will be included as e-reserves accessible via the course website.
Upon completion of this course, students will be able to:
Course objectives are aligned with the following:
Wisconsin Standards for Teacher Development and Licensure (WI DPI) 3, 4, 5, 6, 9, 10
Wisconsin Standards for Administrator Development and Licensure (WI DPI) 3, 5, 7
International Society for Technology in Education, National Educational Technology Standards for Teachers, NETS-T
No travel to campus is required. Because this class is online and open to you 24/7, you may participate from your home or work computer during hours that are flexible and convenient for your work and family schedule and responsibilities.
The class is highly interactive with a significant discussion component. All discussion postings, projects and assignments will be submitted via the course discussion board and dropbox. Activities are conducted according to a schedule with specific due dates each week.
The School of Education reserves the right to cancel classes that do not meet minimum enrollment requirements.
Request Information Online
Contact Us: School of Education
Online Professional Development
University of Wisconsin - Stout Menomonie, WI 54751
Phone: 715-232-2253
Browse Courses
"The practicum combines scholarly learning, practical experience and the latest online tools and research while being coached and mentored by a group of dedicated and experienced instructors. I am proud to have had the opportunity to achieve my certification from UW-Stout in this program. Don't stop pushing the envelope! You are doing a great job!"
~Rick Gauger
Knapp, Wisconsin
"One of the things that has really struck me is the sense of camaraderie that develops in these classes between people who have never met before, face to face. I think this is very contrary to what most people think. They expect that an online class will be totally devoid of human interaction, and I'm thoroughly convinced that there is more... it's just not face to face. If I had it to do all over again, I would do it in a heartbeat."
~ Loren Rochester, Special Projects Manager/Training & Development
Madison, Wisconsin
"... Experiencing an online course from the vantage point of a learner offered me invaluable insight in course content, design, and establishing a community of learners. To foster successful online teaching, classroom management and teacher communication skills are paramount. "
~ Dianne Scott, English Department Chair
North Dakota Center for Distance Education
"The culminating practicum allowed me to put theory into practice under the guidance of a supportive, experienced mentor. Today I am working as an online facilitator, with the opportunity to live my professional dream, all thanks to the excellent education I received through UW-Stout."
~ Patricia Hutton, Online Facilitator
South Plainfield, New Jersey


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National Drinking Water Database
Mountain Point Service Area - Ketchikan, AK
Serves 975 people - Test data available: 2004-2009
This drinking water quality report shows results of tests conducted by the water utility and provided to the Environmental Working Group (EWG) by the Alaska Department of Environmental Conservation. It is part of EWG's national database that includes 47,667 drinking water utilities and 20 million test results. Water utilities nationwide detected more than 300 pollutants between 2004 and 2009. More than half of these chemicals are unregulated, legal in any amount. Despite this widespread contamination, the federal government invests few resources to protecting rivers, reservoirs, and groundwater from pollution in the first place. The information below summarizes test results for this utility and lists potential health concerns.
Contaminants Exceeding Health Guidelines
Other Detected Contaminants
Contaminants Not Detected - 68 chemicals
1,1,1,2-Tetrachloroethane, 1,1,1-Trichloroethane, 1,1,2,2-Tetrachloroethane, 1,1,2-Trichloroethane, 1,1-Dichloroethane, 1,1-Dichloroethylene, 1,1-Dichloropropene, 1,2 Dibromo-3-chloropropane (DBCP), 1,2,3-Trichlorobenzene, 1,2,3-Trichloropropane, 1,2,4-Trichlorobenzene, 1,2,4-Trimethylbenzene, 1,2-Dichloroethane, 1,2-Dichloropropane, 1,3,5-Trichlorobenzene, 1,3,5-Trimethylbenzene, 1,3-Dichloropropane, 1,3-Dichloropropene, 2,2-Dichloropropane, Arsenic (total), Benzene, Bromobenzene, Bromochloroacetic acid, Bromochloromethane, Bromoform, Bromomethane, Carbon tetrachloride, Chloroethane, Chloromethane, cis-1,2-Dichloroethylene, cis-1,3-Dichloropropene, Combined Uranium (mg/L), Dibromochloromethane, Dibromomethane, Dichlorodifluoromethane, Dichloromethane (methylene chloride), Ethylbenzene, Ethylene dibromide (EDB), Foaming agents (surfactants), Hexachlorobutadiene, Isopropylbenzene, m-Dichlorobenzene, Monochlorobenzene (Chlorobenzene), Mtbe, n-Butylbenzene, n-Propylbenzene, Naphthalene, Nitrate, Nitrate & nitrite, Nitrite, o-Chlorotoluene, o-Dichlorobenzene, p-Chlorotoluene, p-Dichlorobenzene, p-Isopropyltoluene, Radium-226, sec-Butylbenzene, Styrene, tert-Butylbenzene, Tetrachloroethylene, Toluene, trans-1,2-Dichloroethylene, trans-1,3-Dichloropropene, Trichloroethylene, Trichlorofluoromethane, Trichlorotrifluoroethane, Vinyl chloride, Xylenes (total)
Pollution Summary
9 | Total Contaminants Detected (2004 - 2009) Monochloroacetic acid, Monobromoacetic acid, Dibromoacetic acid, Dichloroacetic acid, Trichloroacetic acid, Total haloacetic acids (HAAs), Chloroform, Bromodichloromethane, Total trihalomethanes (TTHMs) |
0 | Agricultural Pollutants (pesticides, fertilizer, factory farms) |
0 | Sprawl and Urban Pollutants (road runoff, lawn pesticides, human waste) |
0 | Industrial Pollutants |
9 | Water Treatment and Distribution Byproducts (pipes and fixtures, treatment chemicals and byproducts) Monochloroacetic acid, Monobromoacetic acid, Dibromoacetic acid, Dichloroacetic acid, Trichloroacetic acid, Total haloacetic acids (HAAs), Chloroform, Bromodichloromethane, Total trihalomethanes (TTHMs) |
0 | Naturally Occurring (naturally present but increased for lands denuded by sprawl, agriculture, or industrial development) |
EPA Violation Summary
Violation Category | Number of Violations |
MCL and Treatment (click see violations) | 27 |
Reporting (click see violations) | 15 |
Monitoring (click see violations) | 16 |
Information on violations is drawn directly from EPA's national violations database in the Agency's Safe Drinking Water Information System. Analyses by others have raised questions about the quality of the information in EPA's database. For the purposes of this investigation, EWG is not showing below or including in our analyses, those violations for individual water suppliers that occurred on days for which the total number of violations assigned by EPA to that water supplier was greater than 20. This criteria was based on common characteristics of incorrect violations data as identified by water utilities, from a review of EPA's violations data by several hundred utilities prior to the release of EWG's investigation.


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Midi-out for daw's
It would be great if ph supported vst, but they deveopled rack extension so I don't see it happening for now. RE is perfect for reason but their are many of us who still want to use our vsti in reason, the best option is to:
1. Make midi-out work for daws (if it's not already possible in R7) 2. When reason is in rewire mode we should be able to sequence midi from other daws into reason's sequncer via the new midi-out feature 3. If you use rewire and sequence in reason and logic ect., the grooves will not match because they do not have the same templates unless you use the basics. I rather do a complete project in reason and have the abilty to use regroove on my entire song if desired. And this would be possible with midi-out for dawsb(this would make reason work like a rewire master in a sense) Last edited by shawnowen; 2013-03-20 at 14:07. |
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John Bennett | Rug Burn
Rug Burn - Shard readings by John Bennett Cover Art: Scott Mayberry. Layout & Design: Jeff Cleveland & Scott Mayberry. All shards written and read by John Bennett. All beats by Seed Verb except: The Audience, Seed & Mike Elkins; Choosing, Seed & Nervous; CIM, Nervous; Leeboy, Lee McCullough & Nervous; Snake Skin, Nervous. Seed
The Jeff Robinson Trio features Professor Blake Newman on acoustic bass, King Dwight Hart on drums and Minister Jeff Robinson on vocals and sax. Honey Boo Records, P.O. Box 750041, Arlington Heights, MA. 02475. Booking - Greg Polvere (617) 738-1059. All Illustration (c) 1998 Amy Brecker. Produced by Jeff Robinson. Recorded at PBS in Westwood,
The Inbetweens | Quantum Cowboy
Mike Gamble - guitar, live loops | Noah Jarrett - acoustic bass, synth (2,4) | Conor Elmes - drums, cymbals Recorded and engineered by Shawn Trail. Mixed by Phil Moffa and Shawn Trail. Mastered at Butcha Sound Lab. Art work by Nisit Jirangpitakkul. Band photo by Jacob Blickenstaff. Produced by The INbetweens with Shawn Trail.


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The newest Sofi's Crepes is one-week-old today. The cute eatery is tucked along a walkway in the Brown's Wharf complex off Thames Street in Fells Point.
The décor, pictured below, is bright and colorful with tables and counters for indoor dining. There's outdoor seating when the weather warms. And carryout is also available.
This Sofi's is open on Fridays and Saturdays until 2 a.m., which is great for the neighborhood's hungry bar crowd who can place orders at a walk-up window. The crêpes are conveniently wrapped in foil for easy munching.
Sofi's Crepes has several locations around town, including the original restaurant near the Charles Theater. This one (1627 Thames St., 410-563-0471) is a franchise store owned by Mike Calhoun.
Mike is a Baltimore native who got tired of "working for corporate America in sales," he said. He discovered Sofi's Crepes while going to the Charles. He worked at that store part-time, learning the business while searching for his own space.
"Fells Point is one of my favorite places," he said. "It captures the tourists, the local people, and has lots of businesses here."
The menu of sweet and savory crêpes is the same no matter which Sofi's you visit. This afternoon, a friend and I tried the "Classic" (ham, Gruyère, and Dijon) and the crêpe Florentine (fresh spinach, mushrooms, Gruyère, and sunflower seeds drizzled with pepper-Parmesan sauce), pictured above. Both were delicious.
We didn't stop there. We also shared a "Banana Royale" crêpe with banana slices and just-sweet-enough homemade butterscotch sauce.
When Mike found out we wanted to split the dessert crêpe, he offered to cut it in half for us. (He didn't know who I was.) Adding to the friendly atmosphere, he also walked around the dining area with samples of cinnamon-sugar crêpes for everyone to try.
Thanks, Mike.
Photos by me


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Kira Kira Labyrinth
MT Rating: 33.2546 (Rank: 3167) |Series Added: 2008-08-03
Type: Manga
Artist(s): OOBAYASHI Miyuki
Status in Home Country: Complete - 3 Volumes
Scanslation Status: Dropped
Summary Updated: 2009-01-23| Last File Added: 2007-08-02
Genre(s) : Comedy, Gender Bender, Mystery, Romance, Shoujo, Slice of Life
- Twinkling Labyrinth
When Asano Arisu was little she was badly bullied by the local boys, now a high school student she's famous for her vehement hatred of men and boards an all girls school.
When stunning Fujimi Kira enters and becomes her dorm-mate, proclaiming that she also hates men, Arisu thinks that it must be a fated meeting. However, they both have secrets that they need to keep from the Dorm Head, strict Kamitani-Sensei: Arisu keeping a pet ferret in the dorm, and Kira the fact that she's actually a BOY--much to Arisu's horror. It appears that he's at the school to uncover the mystery of his older half-sister's supposed suicide 2 years before. Will Arisu be able to cope with having to share a room with a boy, let alone help him with his investigations? And just how dangerous will it be to solve the mystery?
Scan Groups : DGT (Da Gurlz Translationz)
Forum Topic : No Topic Assigned
Members Following: 438
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User Ratings: 9.37 (Weighted) 9.53 (Unweighted) (60 votes) View Graph
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The only thing with this shirt is that it shows your bra in multiple areas so you have to wear a bandeau or tank underneath it. But it is soft and very comfortable fabric. I love wearing tan because it's so neutral so it goes with just about anything.
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This NEVER LIVED IN 2 bedroom 2 bathroom apartment waiting for you!
The large kitchen features stainless steel appliances and breakfast bar which opens to gorgeous living room with city view. The master bedroom features massive windows, over-sized walk in closet and private bathroom including glass shower and soaking tub. The second bedroom offers x-large closet and can fit king size bed and much more. The apartment has Washer and Dryer.
The building offers 24 hours doorman service, laundry room, lounge, kid's room, rooftop deck, game room and fitness center.
All amenities are included in the rent.
Ask me about tenant's concessions