text:
1. A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what "type 2" means in relation to diabetes. The nurse explains to the patient that type 2 diabetes differs from type 1 diabetes primarily in that with type 2 diabetes
a. the patient is totally dependent on an outside source of insulin.
b. there is decreased insulin secretion and cellular resistance to insulin that is produced.
c. the immune system destroys the pancreatic insulin-producing cells.
d. the insulin precursor that is secreted by the pancreas is not activated by the liver.
Rationale: In type 2 diabetes, the pancreas produces insulin, but the insulin is insufficient for the body's needs or the cells do not respond to the insulin appropriately. The other information describes the physiology of type 1 diabetes.
Cognitive Level: Application Text Reference: p. 1255
Nursing Process: Implementation NCLEX: Physiological Integrity
2. A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dl (6.7 mmol/L). The nurse will plan to teach the patient about
a. use of low doses of regular insulin.
b. self-monitoring of blood glucose.
c. oral hypoglycemic medications.
d. maintenance of a healthy weight.
Rationale: The patient's impaired fasting glucose indicates prediabetes and the patient should be counseled about lifestyle changes to prevent the development of type 2 diabetes. The patient with prediabetes does not require insulin or the oral hypoglycemics for glucose control and does not need to self-monitor blood glucose.
Cognitive Level: Application Text Reference: p. 1255
Nursing Process: Planning NCLEX: Physiological Integrity
3. During a diabetes screening program, a patient tells the nurse, "My mother died of complications of type 2 diabetes. Can I inherit diabetes?" The nurse explains that
a. as long as the patient maintains normal weight and exercises, type 2 diabetes can be prevented.
b. the patient is at a higher than normal risk for type 2 diabetes and should have periodic blood glucose level testing.
c. there is a greater risk for children developing type 2 diabetes when the father has type 2 diabetes.
d. although there is a tendency for children of people with type 2 diabetes to develop diabetes, the risk is higher for those with type 1 diabetes.
Rationale: Offspring of people with type 2 diabetes are at higher risk for developing type 2 diabetes. The risk can be decreased, but not prevented, by maintenance of normal weight and exercising. The risk for children of a person with type 1 diabetes to develop diabetes is higher when it is the father who has the disease. Offspring of people with type 2 diabetes are more likely to develop diabetes than offspring of those with type 1 diabetes.
Cognitive Level: Application Text Reference: p. 1256
Nursing Process: Implementation NCLEX: Physiological Integrity
4. A program of weight loss and exercise is recommended for a patient with impaired fasting glucose (IFG). When teaching the patient about the reason for these lifestyle changes, the nurse will tell the patient that
a. the high insulin levels associated with this syndrome damage the lining of blood vessels, leading to vascular disease.
b. although the fasting plasma glucose levels do not currently indicate diabetes, the glycosylated hemoglobin will be elevated.
c. the liver is producing excessive glucose, which will eventually exhaust the ability of the pancreas to produce insulin, and exercise will normalize glucose production.
d. the onset of diabetes and the associated cardiovascular risks can be delayed or prevented by weight loss and exercise.
Rationale: The patient with IFG is at risk for developing type 2 diabetes, but this risk can be decreased with lifestyle changes. Glycosylated hemoglobin levels will not be elevated in IFG and the Hb A1C test is not included in prediabetes testing. Elevated insulin levels do not cause the damage to blood vessels that can occur with IFG. The liver does not produce increased levels of glucose in IFG.
Cognitive Level: Application Text Reference: p. 1255
Nursing Process: Implementation NCLEX: Physiological Integrity
5. When assessing the patient experiencing the onset of symptoms of type 1 diabetes, which question should the nurse ask?
a. "Have you lost any weight lately?"
b. "Do you crave fluids containing sugar?"
c. "How long have you felt anorexic?"
d. "Is your urine unusually dark-colored?"
Rationale: Weight loss occurs because the body is no longer able to absorb glucose and starts to break down protein and fat for energy. The patient is thirsty but does not necessarily crave sugar- containing fluids. Increased appetite is a classic symptom of type 1 diabetes. With the classic symptom of polyuria, urine will be very dilute.
Cognitive Level: Application Text Reference: pp. 1255, 1258
Nursing Process: Assessment NCLEX: Physiological Integrity
6. During a clinic visit 3 months following a diagnosis of type 2 diabetes, the patient reports following a reduced-calorie diet. The patient has not lost any weight and did not bring the glucose-monitoring record. The nurse will plan to obtain a(n)
a. fasting blood glucose level.
b. urine dipstick for glucose.
c. glycosylated hemoglobin level.
d. oral glucose tolerance test.
Rationale: The glycosylated hemoglobin (Hb A1C) test shows the overall control of glucose over 90 to 120 days. A fasting blood level indicates only the glucose level at one time. Urine glucose testing is not an accurate reflection of blood glucose level and does not reflect the glucose over a prolonged time. Oral glucose tolerance testing is done to diagnose diabetes, but is not used for monitoring glucose control once diabetes has been diagnosed.
Cognitive Level: Application Text Reference: pp. 1258-1259
Nursing Process: Planning NCLEX: Physiological Integrity
7. A patient who has just been diagnosed with type 2 diabetes is 5 ft 4 in (160 cm) tall and weighs 182 pounds (82 kg). A nursing diagnosis of imbalanced nutrition: more than body requirements is developed. Which patient outcome is most important for this patient?
a. The patient will have a diet and exercise plan that results in weight loss.
b. The patient will state the reasons for eliminating simple sugars in the diet.
c. The patient will have a glycosylated hemoglobin level of less than 7%.
d. The patient will choose a diet that distributes calories throughout the day.
Rationale: The complications of diabetes are related to elevated blood glucose, and the most important patient outcome is the reduction of glucose to near-normal levels. The other outcomes are also appropriate but are not as high in priority.
Cognitive Level: Application Text Reference: p. 1273
Nursing Process: Planning NCLEX: Physiological Integrity
8. A college student who has type 1 diabetes normally walks each evening as part of an exercise regimen. The student now plans to take a swimming class every day at 1:00 PM. The clinic nurse teaches the patient to
a. delay eating the noon meal until after the swimming class.
b. increase the morning dose of neutral protamine Hagedorn (NPH) insulin on days of the swimming class.
c. time the morning insulin injection so that the peak occurs while swimming.
d. check glucose level before, during, and after swimming.
Rationale: The change in exercise will affect blood glucose, and the patient will need to monitor glucose carefully to determine the need for changes in diet and insulin administration. Because exercise tends to decrease blood glucose, patients are advised to eat before exercising. Increasing the morning NPH or timing the insulin to peak during exercise may lead to hypoglycemia, especially with the increased exercise.
Cognitive Level: Application Text Reference: p. 1269
Nursing Process: Implementation
NCLEX: Health Promotion and Maintenance
9. A patient with type 1 diabetes has received diet instruction as part of the treatment plan. The nurse determines a need for additional instruction when the patient says,
a. "I may have an occasional alcoholic drink if I include it in my meal plan."
b. "I will need a bedtime snack because I take an evening dose of NPH insulin."
c. "I will eat meals as scheduled, even if I am not hungry, to prevent hypoglycemia."
d. "I may eat whatever I want, as long as I use enough insulin to cover the calories."
Rationale: Most patients with type 1 diabetes need to plan diet choices very carefully. Patients who are using intensified insulin therapy have considerable flexibility in diet choices but still should restrict dietary intake of items such as fat, protein, and alcohol. The other patient statements are correct and indicate good understanding of the diet instruction.
Cognitive Level: Application Text Reference: p. 1268
Nursing Process: Evaluation NCLEX: Physiological Integrity
10. A 1200-calorie diet and exercise are prescribed for a patient with newly diagnosed type 2 diabetes. The patient tells the nurse, "I hate to exercise! Can't I just follow the diet to keep my glucose under control?" The nurse teaches the patient that the major purpose of exercise for diabetics is to
a. increase energy and sense of well-being, which will help with body image.
b. facilitate weight loss, which will decrease peripheral insulin resistance.
c. improve cardiovascular endurance, which is important for diabetics.
d. set a successful pattern, which will help in making other needed changes.
Rationale: Exercise is essential to decrease insulin resistance and improve blood glucose control. Increased energy, improved cardiovascular endurance, and setting a pattern of success are secondary benefits of exercise, but they are not the major reason.
Cognitive Level: Application Text Reference: p. 1269
Nursing Process: Implementation NCLEX: Physiological Integrity
11. The nurse has been teaching the patient to administer a dose of 10 units of regular insulin and 28 units of NPH insulin. The statement by the patient that indicates a need for additional instruction is,
a. "I need to rotate injection sites among my arms, legs, and abdomen each day."
b. "I will buy the 0.5-ml syringes because the line markings will be easier to see."
c. "I should draw up the regular insulin first after injecting air into the NPH bottle."
d. "I do not need to aspirate the plunger to check for blood before I inject the insulin."
Rationale: Rotating sites is no longer necessary because all insulin is now purified human insulin, and the risk for lipodystrophy is low. The other patient statements are accurate and indicate that no additional instruction is needed.
Cognitive Level: Application Text Reference: p. 1262
Nursing Process: Evaluation
NCLEX: Health Promotion and Maintenance
12. A patient with type 1 diabetes has an unusually high morning glucose measurement, and the health care provider wants the patient evaluated for possible Somogyi effect. The nurse will plan to
a. administer an increased dose of NPH insulin in the evening.
b. obtain the patient's blood glucose at 3:00 in the morning.
c. withhold the nighttime snack and check the glucose at 6:00 AM.
d. check the patient for symptoms of hypoglycemia at 2:00 to 4:00 AM.
Rationale: In the Somogyi effect, the patient's blood glucose drops in the early morning hours (in response to excess insulin administration), which causes the release of hormones that result in a rebound hyperglycemia. It is important to check the blood glucose in the early morning hours to detect the initial hypoglycemia. An increased evening NPH dose or holding the nighttime snack will further increase the risk for early morning hypoglycemia. Information about symptoms of hypoglycemia will not be as accurate as checking the patient's blood glucose in determining whether the patient has the Somogyi effect.
Cognitive Level: Application Text Reference: pp. 1263-1264
Nursing Process: Planning NCLEX: Physiological Integrity
13. A patient receives a daily injection of 70/30 NPH/regular insulin premix at 7:00 AM. The nurse expects that a hypoglycemic reaction is most likely to occur between
a. 8:00 and 10:00 AM.
b. 4:00 and 6:00 PM.
c. 7:00 and 9:00 PM.
d. 10:00 PM and 12:00 AM.
Rationale: The greatest insulin effect with this combination occurs mid afternoon. The patient is not at a high risk at the other listed times, although hypoglycemia may occur.
Cognitive Level: Comprehension Text Reference: p. 1260
Nursing Process: Evaluation NCLEX: Physiological Integrity
14. A patient using a split mixed-dose insulin regimen asks the nurse about the use of intensive insulin therapy to achieve tighter glucose control. The nurse should teach the patient that
a. intensive insulin therapy requires three or more injections a day in addition to an injection of a basal long-acting insulin.
b. intensive insulin therapy is indicated only for newly diagnosed type 1 diabetics who have never experienced ketoacidosis.
c. studies have shown that intensive insulin therapy is most effective in preventing the macrovascular complications characteristic of type 2 diabetes.
d. an insulin pump provides the best glucose control and requires about the same amount of attention as intensive insulin therapy.
Rationale: Patients using intensive insulin therapy must check their glucose level four to six times daily and administer insulin accordingly. A previous episode of ketoacidosis is not a contraindication for intensive insulin therapy. Intensive insulin therapy is not confined to type 2 diabetics and would prevent microvascular changes as well as macrovascular changes. Intensive insulin therapy and an insulin pump are comparable in glucose control.
Cognitive Level: Application Text Reference: p. 1263
Nursing Process: Implementation NCLEX: Physiological Integrity
15. A diabetic patient is started on intensive insulin therapy. The nurse will plan to teach the patient about mealtime coverage using _____ insulin.
a. NPH
b. lispro
c. detemir
d. glargine
Rationale: Rapid or short acting insulin is used for mealtime coverage for patients receiving intensive insulin therapy. NPH, glargine, or detemir will be used as the basal insulin.
Cognitive Level: Application Text Reference: p. 1260
Nursing Process: Planning NCLEX: Physiological Integrity
16. Glyburide (Micronase, DiaBeta, Glynase) is prescribed for a patient whose type 2 diabetes has not been controlled with diet and exercise. When teaching the patient about glyburide, the nurse explains that
a. glyburide stimulates insulin production and release from the pancreas.
b. the patient should not take glyburide for 48 hours after receiving IV contrast media.
c. glyburide should be taken even when the blood glucose level is low in the morning.
d. glyburide decreases glucagon secretion.
Rationale: The sulfonylureas stimulate the production and release of insulin from the pancreas. If the glucose level is low, the patient should contact the health care provider before taking the glyburide, since hypoglycemia can occur with this category of medication. Metformin should be held for 48 hours after administration of IV contract, but this is not necessary for glyburide.
Cognitive Level: Application Text Reference: pp. 1265-1266
Nursing Process: Implementation NCLEX: Physiological Integrity
17. When teaching a patient with type 2 diabetes about taking glipizide (Glucotrol), the nurse determines that additional teaching about the medication is needed when the patient says,
a. "Since I can take oral drugs rather than insulin, my diabetes is not serious and won't cause many complications."
b. "If I overeat at a meal, I will still take just the usual dose of medication."
c. "If I become ill, I may have to take insulin to control my blood sugar."
d. "I should check with my doctor before taking any other medications because there are many that will affect glucose levels."
Rationale: The patient should understand that type 2 diabetes places the patient at risk for many complications and that good glucose control is as important when taking oral agents as when using insulin. The other statements are accurate and indicate good understanding of the use of glipizide.
Cognitive Level: Application Text Reference: p. 1275
Nursing Process: Evaluation
NCLEX: Health Promotion and Maintenance
18. A patient with type 2 diabetes that is controlled with diet and metformin (Glucophage) also has severe rheumatoid arthritis (RA). During an acute exacerbation of the patient's arthritis, the health care provider prescribes prednisone (Deltasone) to control inflammation. The nurse will anticipate that the patient may
a. require administration of insulin while taking prednisone.
b. develop acute hypoglycemia during the RA exacerbation.
c. have rashes caused by metformin-prednisone interactions.
d. need a diet higher in calories while receiving prednisone.
Rationale: Glucose levels increase when patients are taking corticosteroids, and insulin may be required to control blood glucose. Hypoglycemia is not a complication of RA exacerbation or prednisone use. Rashes are not an adverse effect caused by taking metformin and prednisone simultaneously. The patient is likely to have an increased appetite when taking prednisone, but it will be important to avoid weight gain for the patient with RA.
Cognitive Level: Application Text Reference: pp. 1258, 1267
Nursing Process: Planning NCLEX: Physiological Integrity
19. A hospitalized diabetic patient receives 12 U of regular insulin mixed with 34 U of NPH insulin at 7:00 AM. The patient is away from the nursing unit for diagnostic testing at noon, when lunch trays are distributed. The most appropriate action by the nurse is to
a. save the lunch tray to be provided upon the patient's return to the unit.
b. call the diagnostic testing area and ask that a 5% dextrose IV be started.
c. ensure that the patient drinks a glass of milk or orange juice at noon in the diagnostic testing area.
d. request that the patient be returned to the unit to eat lunch if testing will not be completed promptly.
Rationale: Consistency for mealtimes assists with regulation of blood glucose, so the best option is for the patient to have lunch at the usual time. Waiting to eat until after the procedure is likely to cause hypoglycemia. Administration of an IV solution is unnecessarily invasive for the patient. A glass of milk or juice will keep the patient from becoming hypoglycemic but will cause a rapid rise in blood glucose because of the rapid absorption of the simple carbohydrate in these items.
Cognitive Level: Analysis Text Reference: p. 1268
Nursing Process: Implementation NCLEX: Physiological Integrity
20. A patient with type 1 diabetes has been using self-monitoring of blood glucose (SMBG) as part of diabetes management. During evaluation of the patient's technique of SMBG, the nurse identifies a need for additional teaching when the patient
a. chooses a puncture site in the center of the finger pad.
b. washes the puncture site using soap and water.
c. says the result of 130 mg indicates good blood sugar control.
d. hangs the arm down for a minute before puncturing the site.
Rationale: The patient is taught to choose a puncture site at the side of the finger pad. The other patient actions indicate that teaching has been effective.
Cognitive Level: Application Text Reference: p. 1270
Nursing Process: Evaluation
NCLEX: Health Promotion and Maintenance
21. A 63-year-old patient is newly diagnosed with type 2 diabetes. When developing an education plan, the nurse's first action should be to
a. assess the patient's perception of what it means to have type 2 diabetes.
b. demonstrate how to check glucose using capillary blood glucose monitoring.
c. ask the patient's family to participate in the diabetes education program.
d. discuss the need for the patient to actively participate in diabetes management.
Rationale: Before planning education, the nurse should assess the patient's interest in and ability to self-manage the diabetes. After assessing the patient, the other nursing actions may be appropriate, but planning needs to be individualized to each patient.
Cognitive Level: Application Text Reference: p.1264
Nursing Process: Planning
NCLEX: Health Promotion and Maintenance
22. Cardiac monitoring is initiated for a patient in diabetic ketoacidosis (DKA). The nurse recognizes that this measure is important to identify
a. electrocardiographic (ECG) changes and dysrhythmias related to hypokalemia.
b. fluid overload resulting from aggressive fluid replacement.
c. the presence of hypovolemic shock related to osmotic diuresis.
d. cardiovascular collapse resulting from the effects of hyperglycemia.
Rationale: The hypokalemia associated with metabolic acidosis can lead to potentially fatal dysrhythmias such as ventricular tachycardia and ventricular fibrillation, which would be detected with ECG monitoring. Fluid overload, hypovolemia, and cardiovascular collapse are possible complications of DKA, but cardiac monitoring would not detect theses.
Cognitive Level: Application Text Reference: p. 1281
Nursing Process: Assessment NCLEX: Physiological Integrity
23. A diabetic patient is admitted with ketoacidosis and the health care provider writes all of the following orders. Which order should the nurse implement first?
a. Start an infusion of regular insulin at 50 U/hr.
b. Give sodium bicarbonate 50 mEq IV push.
c. Infuse 1 liter of normal saline per hour.
d. Administer regular IV insulin 30 U.
Rationale: The most urgent patient problem is the hypovolemia associated with DKA, and the priority is to infuse IV fluids. The other actions can be accomplished after the infusion of normal saline is initiated.
Cognitive Level: Application Text Reference: p. 1280
Nursing Process: Implementation NCLEX: Physiological Integrity
24. A diagnosis of hyperglycemic hyperosmolar nonketotic coma (HHNC) is made for a patient with type 2 diabetes who is brought to the emergency department in an unresponsive state. The nurse will anticipate the need to
a. administer glargine (Lantus) insulin.
b. initiate oxygen by nasal cannula.
c. insert a large-bore IV catheter.
d. give 50% dextrose as a bolus.
Rationale: HHNC is initially treated with large volumes of IV fluids to correct hypovolemia. Regular insulin is administered, not a long-acting insulin. There is no indication that the patient requires oxygen. Dextrose solutions will increase the patient's blood glucose and would be contraindicated.
Cognitive Level: Application Text Reference: p. 1281
Nursing Process: Planning NCLEX: Physiological Integrity
25. A patient with type 1 diabetes who uses glargine (Lantus) and lispro (Humalog) insulin develops a sore throat, cough, and fever. When the patient calls the clinic to report the symptoms and a blood glucose level of 210 mg/dl, the nurse advises the patient to
a. use only the lispro insulin until the symptoms of infection are resolved.
b. monitor blood glucose every 4 hours and notify the clinic if it continues to rise.
c. decrease intake of carbohydrates until glycosylated hemoglobin is less than 7%.
d. limit intake to non-calorie-containing liquids until the glucose is within the usual range.
Rationale: Infection and other stressors increase blood glucose levels and the patient will need to test blood glucose frequently, treat elevations appropriately with insulin, and call the health care provider if glucose levels continue to be elevated. Discontinuing the glargine will contribute to hyperglycemia and may lead to DKA. Decreasing carbohydrate or caloric intake is not appropriate as the patient will need more calories when ill. Glycosylated hemoglobins are not used to test for short-term alterations in blood glucose.
Cognitive Level: Application Text Reference: p. 1272
Nursing Process: Implementation
NCLEX: Health Promotion and Maintenance
26. While hospitalized and recovering from an episode of diabetic ketoacidosis, the patient calls the nurse and reports feeling anxious, nervous, and sweaty. Based on the patient's report, the nurse should
a. obtain a glucose reading using a finger stick.
b. administer 1 mg glucagon subcutaneously.
c. have the patient eat a candy bar.
d. have the patient drink 4 ounces of orange juice.
Rationale: The patient's clinical manifestations are consistent with hypoglycemia and the initial action should be to check the patient's glucose with a finger stick or order a stat blood glucose. If the glucose is low, the patient should ingest a rapid-acting carbohydrate, such as orange juice. Glucagon might be given if the patient's symptoms become worse or if the patient is unconscious. Candy bars contain fat, which would slow down the absorption of sugar and delay the response to treatment.
Cognitive Level: Application Text Reference: p. 1282
Nursing Process: Implementation NCLEX: Physiological Integrity
27. A patient recovering from DKA asks the nurse how acidosis occurs. The best response by the nurse is that
a. insufficient insulin leads to cellular starvation, and as cells rupture they release organic acids into the blood.
b. when an insulin deficit causes hyperglycemia, then proteins are deaminated by the liver, causing acidic by-products.
c. excess glucose in the blood is metabolized by the liver into acetone, which is acidic.
d. an insulin deficit promotes metabolism of fat stores, which produces large amounts of acidic ketones.
Rationale: Ketoacidosis is caused by the breakdown of fat stores when glucose is not available for intracellular metabolism. The other responses are inaccurate.
Cognitive Level: Application Text Reference: pp. 1278-1279
Nursing Process: Implementation NCLEX: Physiological Integrity
28. Intramuscular glucagon is administered to an unresponsive patient for treatment of hypoglycemia. Which action should the nurse take after the patient regains consciousness?
a. Give the patient a snack of cheese and crackers.
b. Have the patient drink a glass of orange juice or nonfat milk.
c. Administer a continuous infusion of 5% dextrose for 24 hours.
d. Assess the patient for symptoms of hyperglycemia.
Rationale: Rebound hypoglycemia can occur after glucagon administration, but having a meal containing complex carbohydrates plus protein and fat will help prevent hypoglycemia. Orange juice and nonfat milk will elevate blood sugar rapidly, but the cheese and crackers will stabilize blood sugar. Administration of glucose intravenously might be used in patients who were unable to take in nutrition orally. The patient should be assessed for symptoms of hypoglycemia after glucagon administration.
Cognitive Level: Application Text Reference: p. 1282
Nursing Process: Implementation NCLEX: Physiological Integrity
29. A type 1 diabetic patient who was admitted with severe hypoglycemia and treated tells the nurse, "I did not have any of the usual symptoms of hypoglycemia." Which question by the nurse will help identify a possible reason for the patient's hypoglycemic unawareness?
a. "Do you use any calcium-channel blocking drugs for blood pressure?"
b. "Have you observed any recent skin changes?"
c. "Do you notice any bloating feeling after eating?"
d. "Have you noticed any painful new ulcerations or sores on your feet?"
Rationale: Hypoglycemic unawareness is caused by autonomic neuropathy, which would also cause delayed gastric emptying. Calcium-channel blockers are not associated with hypoglycemic unawareness, although -adrenergic blockers can prevent patients from having symptoms of hypoglycemia. Skin changes can occur with diabetes, but these are not associated with autonomic neuropathy. If the patient can feel painful areas on the feet, neuropathy has not occurred.
Cognitive Level: Application Text Reference: p. 1281
Nursing Process: Assessment NCLEX: Physiological Integrity
30. A patient with type 2 diabetes has sensory neuropathy of the feet and legs and peripheral vascular disease evidenced by decreased peripheral pulses and dependent rubor. The nurse teaches the patient that
a. the feet should be soaked in warm water on a daily basis.
b. flat-soled leather shoes are the best choice to protect the feet from injury.
c. heating pads should always be set at a very low temperature.
d. over-the-counter (OTC) callus remover may be used to remove callus and prevent pressure.
Rationale: The patient is taught to avoid high heels and that leather shoes are preferred. The feet should be washed, but not soaked, in warm water daily. Heating pad use should be avoided. Commercial callus and corn removers should be avoided; the patient should see a specialist to treat these problems.
Cognitive Level: Application Text Reference: p. 1287
Nursing Process: Implementation
NCLEX: Health Promotion and Maintenance
31. A newly diagnosed type 1 diabetic patient likes to run 3 miles several mornings a week. Which teaching will the nurse implement about exercise for this patient?
a. "You should not take the morning NPH insulin before you run."
b. "Plan to eat breakfast about an hour before your run."
c. "Afternoon running is less likely to cause hypoglycemia."
d. "You may want to run a little farther if your glucose is very high."
Rationale: Blood sugar increases after meals, so this will be the best time to exercise. NPH insulin will not peak until mid-afternoon and is safe to take before a morning run. Running can be done in either the morning or afternoon. If the glucose is very elevated, the patient should postpone the run.
Cognitive Level: Application Text Reference: p. 1269
Nursing Process: Implementation NCLEX: Physiological Integrity
32. Amitriptyline (Elavil) is prescribed for a diabetic patient with peripheral neuropathy who has burning foot pain occurring mostly at night. Which information should the nurse include when teaching the patient about the new medication?
a. Amitriptyline will help prevent the transmission of pain impulses to the brain.
b. Amitriptyline will improve sleep and make you less aware of nighttime pain.
c. Amitriptyline will decrease the depression caused by the pain.
d. Amitriptyline will correct some of the blood vessel changes that cause pain.
Rationale: Tricyclic antidepressants decrease the transmission of pain impulses to the spinal cord and brain. Tricyclics also improve sleep quality and are used for depression, but that is not the major purpose for their use in diabetic neuropathy. The blood vessel changes that contribute to neuropathy are not affected by tricyclics.
Cognitive Level: Application Text Reference: p. 1285
Nursing Process: Implementation NCLEX: Physiological Integrity
33. A patient with type 2 diabetes is scheduled for an outpatient coronary arteriogram. Which information obtained by the nurse when admitting the patient indicates a need for a change in the patient's regimen?
a. The patient's most recent hemoglobin A1C was 6%.
b. The patient takes metformin (Glucophage) every morning.
c. The patient uses captopril (Capoten) for hypertension.
d. The patient's admission blood glucose is 128 mg/dl.
Rationale: To avoid lactic acidosis, metformin should not be used for 48 hours after IV contrast media are administered. The other patient data indicate that the patient is managing the diabetes appropriately.
Cognitive Level: Application Text Reference: p. 1266
Nursing Process: Assessment NCLEX: Physiological Integrity
34. The health care provider orders oral glucose tolerance testing for a patient seen in the clinic. Which information from the patient's health history is most important for the nurse to communicate to the health care provider?
a. The patient had a viral illness 2 months ago.
b. The patient uses oral contraceptives.
c. The patient runs several days a week.
d. The patient has a family history of diabetes.
Rationale: Oral contraceptive use may falsely elevate oral glucose tolerance test (OGTT) values. A viral 2 months previously illness may be associated with the onset of type 1 diabetes but will not falsely impact the OGTT. Exercise and a family history of diabetes both can affect blood glucose but will not lead to misleading information from the OGTT.
Cognitive Level: Application Text Reference: p. 1267
Nursing Process: Assessment NCLEX: Physiological Integrity
35. Which of these laboratory values noted by the nurse when reviewing the chart of a diabetic patient indicates the need for further assessment of the patient?
a. Fasting blood glucose of 130 mg/dl
b. Noon blood glucose of 52 mg/dl
c. Glycosylated hemoglobin of 6.9%
d. Hemoglobin A1C of 5.8%
Rationale: The nurse should assess the patient with a blood glucose level of 52 mg/dl for symptoms of hypoglycemia, and give the patient some carbohydrate-containing beverage such as orange juice. The other values are within an acceptable range for a diabetic patient.
Cognitive Level: Application Text Reference: pp. 1281-1282
Nursing Process: Assessment NCLEX: Physiological Integrity
36. After the home health nurse has taught a patient and family about how to use glargine and regular insulin safely, which action by the patient indicates that the teaching has been successful?
a. The patient disposes of the open insulin vials after 4 weeks.
b. The patient draws up the regular insulin in the syringe and then draws up the glargine.
c. The patient stores extra vials of both types of insulin in the freezer until needed.
d. The patient's family prefills the syringes weekly and stores them in the refrigerator.
Rationale: Insulin can be stored at room temperature for 4 weeks. Glargine should not be mixed with other insulins or prefilled and stored. Freezing alters the insulin molecule and should not be done.
Cognitive Level: Application Text Reference: p. 1261
Nursing Process: Evaluation NCLEX: Physiological Integrity
37. The nurse teaches the diabetic patient who rides a bicycle to work every day to administer morning insulin into the
a. thigh.
b. buttock.
c. arm.
d. abdomen.
Rationale: Patients should be taught not to administer insulin into a site that will be exercised because exercise will increase the rate of absorption. The thigh, buttock, and arm are all exercised by riding a bicycle.
Cognitive Level: Application Text Reference: p. 1262
Nursing Process: Implementation NCLEX: Physiological Integrity
38. A diabetic patient has a new order for inhaled insulin (Exubera). Which information about the patient indicates that the nurse should contact the patient before administering the Exubera?
a. The patient has a history of a recent myocardial infarction.
b. The patient's blood glucose is 224 mg/dl.
c. The patient uses a bronchodilator to treat emphysema.
d. The patient's temperature is 101.4° F.
Rationale: Exubera is not recommended for patients with emphysema. The other data do not indicate any contraindication to using Exubera.
Cognitive Level: Application Text Reference: p. 1263
Nursing Process: Assessment NCLEX: Physiological Integrity


text:
Jet Aviation Dubai named Dassault service center
Dassault Falcon Jet has bestowed authorized service center status on Jet Aviation Dubai for the Falcon 900 and 2000. The company is now authorized to perform scheduled and unscheduled maintenance, AOG assistance and aircraft repair for Falcon 900s and 2000s.
Separately, Jet Aviation was appointed an EASA-certified repair station, a designation that allows it to perform scheduled and unscheduled maintenance, airframe and engine repairs, avionics modifications, inspections and defect rectifications on aircraft registered in Europe. It is the first independent EASA-approved business aviation maintenance facility in the region.
Please Register
In order to leave comments you will now need to be a registered user. This change in policy is to protect our site from an increased number of spam comments. Additionally, in the near future you will be able to better manage your AIN subscriptions via this registration system. If you already have an account, click here to log in. Otherwise, click here to register.

subset: commoncrawl


text:
A Big Day at JoeSportsFan.com
Today marks a new era at JoeSportsFan.com. For the first time since the site was founded in 2005, our sole focus is St. Louis sports. It's taken a few years for our tone and style to resonate locally, but we finally feel that this adoption intersects with our ambition to cover what we know best: the Cardinals, Rams and Blues.
With that announcement comes to complementary nuggets of information…
1.) We're launching a completely redesigned website.
Oh, you've already seen it.
Boy, what a buzz kill.
2.) We're bringing back the weekly podcast known as The JoeSportsFan Show.
That's right. Starting in March 2012, we'll expand our fan-centric St. Louis empire by tickling your eardrums on a weekly basis. But, we need your help.
In order to keep listening free and independent, we've launched a Kickstarter campaign with a reasonable financial goal that will provide the necessary resources to host, produce and distribute a professional weekly show.
But best of all, we're hoping that this campaign defines an audience that views JoeSportsFan as an enjoyable and interactive part of their local sports experience. A complement to the traditional coverage, if you will. By donating to the campaign, you become an owner/insider in the show and the concept itself. You'll become part of the action.
And with your ongoing support, JoeSportsFan will continue to be THE unique sports content provider created for St. Louis fans, by St. Louis fans.
Despite being one of the finest sports cities in America, St. Louis has lacked a truly unique voice of the fan. Like most of our counterparts in the bleachers, we see sports as entertainment. We think it's okay to mix in a little humor to complement the fanatical tendencies we all possess and we'd like to think you're on board with that.
Donations range from $1 to $10,000…with plenty of rewards to boot.
So please, stop on by and find out more about the show and our campaign.
9 Comments
The redesign is awesome. Can't wait for the podcast!
Instead of donating, I'm going to give Bakes a $5 voucher for a prop bet on Super Bowl Sunday. Good luck.
Okay guys, fine, switch back to only STL stuff…
…but to do it THE WEEK OF THE SUPER BOWL??!!!
Ummmm…biggest event in all of pro sports. McFLYYYYY!!!
Hmmm? In hindsight, maybe the launch should have been held until the opening of Cards' Spring Training? Or, at least waited until the Blues' next "significant" victory??
There's a lot of humor out there in the wide, wide world of sports, but what the heck STL is apparently humorous enough to sustain this li'l ol' site.
Annnnd, lastly, what's with the little equation at the bottom that I have to solve prior to sending this email?? Fine, it's a simple enough equation to answer, but it also makes me wonder, "do the equations get tougher as you post more comments?!!" Being a Liberal Arts Major, I was under the distinct impression that THERE WOULD BE NO MATH!
"…prior to sending this COMMENT…"
Geez, I deal with way too much email in the course of a work-day!
Hey, whaddayaknow…the equations DO get tougher!
How many comments before a reader gets to the Algebra level??
Congratulations Matt and Josh on the success. Keep it going. Best wishes, always – Mark
I'll right away take hold of your rss as I can not to find your e-mail subscription hyperlink or newsletter service. Do you have any? Please allow me recognize in order that I may subscribe. Thanks.


text:
2 certified Chicago ghetto house pioneers (Paul Johnson + Louis Bell) team up for this track on mighty Underground Construction label.
Download : 2 Men On Wax - That P-ussy Got Me Hooked (1995) [320 kbps]
One of the numerous Native Tongues posse cuts, remixed in a sample heavy and highly danceable form by Peter Lorimer.
DL : Queen Latifah Featuring De La Soul - Mama Gave Birth To The Soul Children (Open University Mix)(1990) (320 kbps)


text:
15953 Havelock Court has a Walk Score of 22 out of 100. This location is a Car-Dependent neighborhood so almost all errands require a car.
This location is in Apple Valley. The closest park is Redwood Park.
Nearby schools include Cedar Park Elementary School, Oak Hills Elementary School and Southview Elementary School.
The closest grocery stores are Apple Valley Cub, Seattle Sutton's Healthy Eatng and Cub Foods.
Nearby coffee shops include Starbucks, Dunn Bros Apple Valley and Caribou Coffee. Nearby restaurants include Spice Cafe, Fang Chinese Restaurant and Carbone's Pizza Bar & Grill.
15953 Havelock Court is near Redwood Park, Faith Park and Diamond Path Park.


text:
Beyonce Backstage: Behind-the-Scenes Video Reveals VMAs Madness
Beyonce, to many, appeared flawless onstage during her MTV VMAs medley, but offstage during rehearsals, she was frazzled, not flawless.
Beyonce, to many, appeared flawless onstage during her MTV VMAs medley, but offstage during rehearsals, she was frazzled, not flawless.
Tanya lived in van. Tokilupe ate out of dumpsters. Quay slept on buses. Michelle snuck into abandoned buildings for shelter. Miley Cyrus responded to them.
She gave us the viral hit "Friday." Now, she's venturing into new territory.
J. Lo gave us a tease of her "Booty" remix music video featuring Iggy Azalea. Hype Williams filmed the video before the VMAs.
The story behind how Miley Cyrus met Jesse, a young homeless man who accompanied her to the VMAs on Sunday.
Who runs the world? Girls. The ladies outshone the gents at Sunday's MTV Video Music Awards, providing the night's most-discussed moments on Facebook.
Awkward? Or really funny?
Jim Carrey's awkward Ebola joke? Improvised.
Laverne Cox is your spirit-dancing-animal.
Sorry, Beyonce -- Blue Ivy is the real star of the Carter family.
Beyonce's 2014 VMAs performance stole the show. No wait, that was Blue Ivy.
Celebrities at the VMAs know exactly how you felt. At least you were home in sweatpants.
Miley Cyrus shocks us again at the VMAs.
Rita Ora has just realized the power of Nicki Minaj's booty.
MTV is running two commercials during the VMAs as part of its "Look Different" public service campaign, including a tribute to the protests in Ferguson.
A complete list of winners (for reading after the performances are over).
Katy Perry knows Britney Spears has always been, and will always be, the Queen of the VMAs.
It's the biggest night of ass-less chaps and nipple-barring tops.
Mashable is live from the 2014 MTV Video Music Awards and we'll bring you the best moments in the blog below. Watch the VMAs live with us here.
In a night full of puzzling, awkward (and frankly, boring) moments, Beyoncé showed up and made it all better.
The infographic shows Miley Cyrus' major moments in the 12 months since her jaw-dropping, twerk-filled performance at last year's MTV Video Music Awards.
Mashable got a sneak peek at the seating chart for Sunday's MTV Video Music Awards. Here are five seating arrangements that could cause strange moments.
Musicians really know how to change their tune.
It's the second time the Death Row Records founder was shot at a pre-VMAs party.
Rapper Iggy Azalea gave her fans a scare, accidentally falling backward off the stage, while performing "Fancy" at a pre-MTV VMAs concert at the Avalon Hollywood.


text:
Search for:
Recent Comments
Tags7 add adding admin arvixe bucket change clip ClipBucket CMS cPanel/Linux Hosting create database dolphin elgg email how how to install joomla module mojoPortal net New page panel php plugin security setup set up site social socialengine softaculous tips to TomatoCart use using video web website websitepanel WordPress
Tag Archives: Alfresco CMS
Custom Behavior in Alfresco
In Previous article I have explain about Behavior and Policies in Alfresco. Now in this Article I am going to explain how to implement Custom Behavior with one example. We …
Tags: Alfresco, Alfresco CMS, behavior, behaviour, custom, policies Posted under Alfresco 2 Comments
Content Search in Alfresco
For any CMS after storing all the contents in the repository it is equally important to make it available to external systems in secure way. Alfresco has very robust and …
Tags: Alfresco, Alfresco CMS, content, how to, search, searching Posted under Alfresco Leave a comment
Behavior and Policy in Alfresco
There are various instances when we had a requirement in Alfresco in which we need to do certain operation based on particular events like node creation, node deletion etc… First …
Tags: Alfresco, Alfresco CMS, Alfresco Share, behavior, Policy Posted under Alfresco Leave a comment


text:
By Sarah Crosby. Published on January 29, 2014
Video: 2014 Puddle Jump
It's an annual Bates tradition suitable for any hardy Bobcat. Get a taste of the 2014 Puddle Jump, enjoyed this year at milder temperatures sandwiched between polar vortexes. Produced by Sarah Crosby/Bates College.
2 Responses to "Video: 2014 Puddle Jump"
Chris Terp Madsen '73 says:
How can you have a story about the Puddle Jump without discussing the backstory? Really! We cannot let that story be forgotten! Shall I recap it? It was, after all the denouement of the '60s, also known as the early '70s, and some clever drunken fellow decided to stamp an obscenity into the snow on the Puddle directed at the Administration (F*** YOU). This was not acceptable to said Administration, which directed the Maintenance Crew to plow it away, despite the warmish weather. Warmish weather causeth weakish ice, which causeth Maintenance jeep to plummet through ice. Thus occureth first Puddle Jump, inadvertent though it was.
Patti Lawson says:
Vassar? Somebody give that man a Bates t-shirt!
Leave a Reply
News & Updates
Keys to effective thinking on tap in Sampson Lecture
Contact Us
Bates Communications Office
141-145 Nichols St.
Lewiston, Maine 04240
Phone: 1-207-786-6330 firstname.lastname@example.com


text:
[…] been invited to join a panel Thursday April 24th at 2pm EDT (11am EDT). This panel is titled "Ethics & Data Modeling", which is a pretty timely topic given things like the Target breach, HeartBleed, etc. There […]
Big Challenges in Data Modeling: Ethics & Data Modeling–24 April
I have a great topic and panel for this month's Big Challenges in Data Modeling webinar on Thursday, 24 April 2014, 2:00 PM EDT. It's free, but you have to register to get the log in information.
Ethical Issues in Data Modeling
We'll be talking about the nature of ethics, data and data modeling. I bet all of you have been placed in a tough situation before, either by other IT professionals or by business users who ask you to do something that you aren't sure is ethical. Maybe it's legal, maybe it isn't. Maybe it's about protecting data or data quality.
Some of the topics I hope we can discuss:
- What is the nature of ethics?
- How do ethics differ from morality? Legality?
- Can ethics be taught?
- Where does ego come into play here?
- What about Codes of Ethics and Codes of Conduct?
- Is there one right answer? Is there an always wrong answer?
- What's the difference between a whistleblower and a tattletale?
- What tools do we have in making ethical decisions?
- How should we deal with unethical co-workers? Management? Customers?
- What does it all mean, anyway?
Ethical Situations in Data and Data Modeling
- If the answer is always "it depends", what does it depend on?
- What if faster data means lesser data quality?
- Have you ever been asked to falsify a status report?
- Have you had to deal with someone else who provided incorrect information to a business user or management?
- Have you ever been asked to look the other way when security policies are being broken?
- Have you raised an issue of data protection that was ignored? Or minimalized?
- What about using production data for testing and development?
- What if the data is right, but the transformations or reporting is wrong?
- What if it's intentionally wrong or misleading?
- Have you ever had to deal with someone else's ego?
- Have you escalated an ethical issue? What about a legal one? A moral one?
- Do data modelers have distinct areas that we need to watch out for when it comes to ethics?
- Have you ever left a job or project due to ethical reasons?
Len Silverston (http://www.univdata.com/ | @lensilverston ), author of Universal Data Models I, II, III, speaker, coach, consultant, trainer.
Denny Cherry, (http://dcac.co/ | @mrdenny ) author of Basics of Digital Privacy, Securing SQL Server and other books, speaker, consultant and trainer.
Tamera Clark (http://clarkcreations.net/blog/ | @tameraclark ) speaker, volunteer, Business Intelligence expert
Kerry Tyler, (http://www.airbornegeek.com/ | @airbornegeek ) speaker, volunteer, Business Intelligence Developer.
YOU! Our webinars consider attendees as panelists. You'll have the opportunity to ask questions, chat with other attendees and tell your own stories. You can even arrive early and stay late for our pre-show and after-show discussions.
Register now and bring your ethical questions and comments.
1 Comment
Leave a comment
Subscribe via E-mail
Recent Comments
- SQLRockstar on Yet Another Odd Job Criterion
- Karen Lopez on Yet Another Odd Job Criterion
- Alex on And They Wonder Why There are no Women Working There…
- Sue on And They Wonder Why There are no Women Working There…
- Big Challenges in Data Modeling: Ethics & Data Modeling April 24th | Securing SQL Server on Big Challenges in Data Modeling: Ethics & Data Modeling–24 April
- Refactoring Computer Engineer Barbie
- 10 Things I Hate About Interviewing with You
- EDW 2013 Karen Lopez Get Blogging
- Karen Lopez presentation DAMA PS 2012
- Data Modeling Contentious Issues - DAMA Nebraska
- Karen Lopez - 10 Physical Blunders - DAMA
- Career Success In Data Profession - DAMA
- The Straw Poll
- You've Just Inherited a Data Model CheckList
- KarenLopez - 5 Physical Blunders - 24HOP-2011
- Handouts for OEMUG / CA Global Modeling User Group Why Be Normal Webcast
- Handouts Database Design Contentious Issues - New York 2010
- Handouts Database Design Contentious Issues - DC 2010
Recent Posts
- August 2014
- July 2014
- June 2014
- May 2014
- April 2014
- March 2014
- February 2014
- January 2014
- December 2013
- November 2013
- October 2013
- September 2013
- August 2013
- July 2013
- June 2013
- May 2013
- April 2013
- March 2013
- February 2013
- January 2013
- December 2012
- November 2012
- October 2012
- September 2012
- August 2012
- July 2012
- June 2012
- May 2012
- April 2012
- March 2012
- February 2012
- January 2012
- December 2011
- November 2011
- October 2011
- September 2011
- August 2011
- July 2011
- June 2011
- May 2011
- April 2011
- March 2011
- February 2011
- January 2011
- December 2010
- November 2010
- September 2010
- August 2010
- July 2010


text:
North Sheridan Road & West Briar Place has a Walk Score of 85 out of 100. This location is Very Walkable so most errands can be accomplished on foot.
North Sheridan Road & West Briar Place is a 19 minute walk from the Brown Line and the Purple Line at the Wellington stop.
This location is in the Lake View East neighborhood in Chicago. Nearby parks include Lincoln Park, Evergreen Park and Lincoln Park.
Nearby schools include Nettelhorst Elementary School, Alcott Elementary School and St Clement Elementary School.
The closest grocery stores are City Harvest Cafe, Seven Star and Growing Home Inc..
Nearby coffee shops include Intelligentsia Coffee & Tea, Intelligentsia Coffee Broadway Coffeebar and Argo Tea Cafe. There are 123 restaurants within a 15 minute walk including Bridget Mc Neills Grill & Pub, Bridget McNeill's Grill and Pub and Buena Vista Restaurant.
North Sheridan Road & West Briar Place is near Lincoln Park, Evergreen Park and Wenat Park.
There are good bike lanes and the terrain is flat as a pancake. North Sheridan Road & West Briar Place is very bikeable, biking is convenient for most trips.


text:
Phillies fans weren't feeling too great about the team heading into Monday's game. Apparently, having the team not record any hits on Sunday didn't do much to build fan morale.
It didn't help that the Colorado Rockies were coming into town. Taking a quick look at the offensive leader boards, it seems that the Rockies rank first in on base percentage, first in slugging percentage, and not coincidentally, they rank first in runs scored.
It would take a great starting pitching performance to shut down that kind of offense. And who was the scheduled starter for the Phillies? Kyle Kendrick. The same man who was on a personal ten-game losing streak, and hasn't won since last August.
It's safe to say that most Phillies fans weren't counting on celebrating a victory this Memorial Day.
"Don't worry, KK's gonna shut 'em down." – No Phillies fan ever.
Naturally, Kendrick pitched 6.2 shutout innings to lift the Phillies to a 9-0 victory. Despite not giving up a run, it wasn't exactly a gem of a pitching performance. Kendrick walked four batters and needed Mike Adams to retire Troy Tulowitzki with two runners on base in the seventh. But when you haven't won a game in ten months, you'll take a win any way you can get one.
Most of the offense was provided by another Phillie who hadn't done much to help the team win lately. Ryan Howard had been mired in a hitting slump that saw him go hitless in his last 17 at bats. So it was very nice to see him go 3-4 with a two-run home run yesterday. (Only his third home run of May, and the first since May 8th) Hopefully this is a sign that Howard is ready to start heating up, because the Phillies' offense is still very dependent on him hitting well.
It's very possible that Howard and the Phillies offense go back into hibernation tonight. It's also possible (although unlikely) that Kendrick goes another ten months without recording a victory. But for one evening at least, the two came together, and the Phillies – and their fans- got to experience a much-needed victory.


text:
THE LITTLE SHIPS: Heroic Rescue at Dunkirk in World War II
A girl joins her father in his small boat to travel in a five-mile-long convoy from the coast of England to Dunkirk, where nearly half a million Allied soldiers have been trapped by Germans. PW called the book "rousingly illuminating." Ages 9-up. (Feb.)
Release date: 02/01/2003


text:
How do I access online learning at ASC and the online Blackboard courses?
The Blackboard Resources page contains information for online learning and help for Blackboard.
The website for online learning is http://blackboard.alfredstate.edu. Notice there is no "www" in the web address. Enter your Alfred State username and password to login.
Future Students:
FAQ Topics:


text:
Important delivery notice
The products on this site are only delivered to UK addresses. If you require delivery to another country please visit one of our other sites below.
Customer Rating
The enormous 20cm (8") blooms of Begonia 'Majestic Sunburst' create the most magnificent display! Each gently ruffled yellow petal is edged with orange to create a stunning glowing effect that will last right up to the first frosts. This robust, stocky variety has an upright habit that is perfect for beds and patio containers. This tuberous begonia can even be lifted at the end of summer and the tubers stored for planting again the following spring! Height: 40cm (16"). Spread: 35cm (14").
Culinary note: Some parts of these flowers are edible. For more details about edible flowers click here.
Seeds and garden supplies will normally be delivered within the time period stated against each product as detailed above. Plants, bulbs, corms, tubers, shrubs, trees, potatoes etc are delivered at the appropriate time for planting and will be stated on the product page or in your order acknowledgement page and email.
Orders for packets of seed incur a P&P charge of £1.95.
Orders which include any other products will incur a P&P charge of £4.95.
Where an order includes both packets of seeds and other products a maximum P&P charge of £6.90 will apply - regardless of the number of items ordered.
Please see our Delivery / P&P page for further details and details of any surcharges that may apply to certain destinations.
By Nick Brown 16-08-2014
Ordered ten of these in May. Plants arrived fit and healthy, albeit it rather small. They established themselves quickly and have grown a lot. However, I am disappointed with flowering! it is now mid August and I have only seen one flower so far! I planted these out hoping for a display all summer, so have to say I'm disappointed with the results. Will dig them up before the frosts and hope for better luck next year!
Thank you for your review. I am very sorry to hear of your disappointment with your recent purchase. If you would like to contact us on email@example.com I will be happy to pass your query onto one of our resident Horticulturists.
By Vanessa Henry 20-07-2014
I had to chase the delivery of these plants several times as initially was supposed to be end of March but I did not receive them until end of April. When they did arrive the plugs were very small meaning I had to wait for them to grow before i could plant them up with other plants (which were all growing well and ready to go out well before these were). The plants have grown and have put on plenty of foliage, however, we are now mid July and I have yet to see signs of any flower buds forming, As a result my pots are not filling out in the way I'd hoped. Disappointing and feel even worse as I'd planted some in pots to give to my mum as a present but again same result with hers. Will not waste my money buying these again.
Thank you for your review. I am very sorry to hear of your disappointment with your recent purchase. If you would like to contact our Customer care team on email@example.com, one of our agents will be happy to investigate this matter further.


text:
When Does Season 14 Of Deadliest Catch Start
Deadliest catch - wikipedia, the free encyclopedia, Deadliest catch is a reality television series produced by original productions for the discovery channel. it portrays the real life events aboard fishing vessels in. Discovery's deadliest catch season news & updates | tmz.com, "deadliest catch" star elliott neese is an unstable ticking time bomb waiting to explode so says his baby mama who just got a restraining order against the. Discovery to launch tenth season of 'deadliest catch, Discovery channel's "deadliest catch" is set to launch its tenth season on the network starting tuesday, april 22, on discovery channel at 9 p.m.eastern..
List of deadliest catch episodes - wikipedia, the free, This is a list of deadliest catch episodes with original airdate on discovery channel. airdates on discovery channel canada generally differ. contents 1 pilot 2. Deadliest catch episodes - deadliest catch season 10 2014, Deadliest catch episodes - read the latest episode guides from deadliest catch season 10 2014 from discovery channel, find cast and listings information. Deadliest catch - season 9, episode 14: ship of iron, men, Watch deadliest catch - season 9, episode 14 - ship of iron, men of steel:.
Deadliest catch : discovery channel, Now playing | the landmark 10th season 00:30. 10 years at sea. here's to then and now. deadliest catch returns for its landmark 10th season, tue apr 22 9/8c on discovery.. How do you apply for a job on the deadliest catch?, What is deadliest catch? deadliest catch is a show on discovery channel. deadliest catch is about crabbing king crab on the bering sea, and also brave fishermen. Watch deadliest catch episodes online | tv shows | sidereel, Watch deadliest catch online for free. get the latest deadliest catch tv shows, seasons, episodes, news and more. the bering sea holds the secret to al.


text:
The Jazz will see two familiar faces Wednesday night, when they resume play after the All-Star break against Brooklyn at EnergySolutions Arena.
Andrei Kirilenko and Deron Williams played a combined 1,120 regular-season and 89 playoffs games during their careers as members of the Jazz.
Expected to be key members of a championship-caliber team in Brooklyn, Kirilkenko and Williams have struggled with injuries this season.
Kirilenko averages 5.6 points and 3.5 rebounds in 22 games. Williams averages 13.3 points and 6.6 assists in 35 games.
Brooklyn brings a 24-27 record to Utah. It trails Toronto by 31/2 games in the Atlantic Division and sits seventh in the overall Eastern Conference playoff race.
"They are playing better," Jazz coach Tyrone Corbin said prior to Tuesday morning's practice. "They have figured some things out. …
"We've got to make sure we are ready for one-on-one basketball. They [run] a lot of isos. … They have guys who are capable of having big games."
That group includes Kirilenko and Williams.
Kirilenko played 618 games and made 478 starts in Utah between 2002 and 2011. He played in 45 playoff games.
Williams played 439 games with the Jazz, including 406 starts, between 2006 and 2011. He played in 44 playoff games before being traded.
A taxing schedule
The Jazz embark on a grueling eight-week finishing stretch of the schedule against Brooklyn.
Utah has played only 16 games in 46 days, going back to Dec. 31. But the Jazz will play 30 games in the final 57 days of the season.
Of the remaining games, 15 will be played at home, 14 will be played against Western Conference opponents and 14 will be played against teams over .500.
A season-long six-game road trip runs between Feb. 28 and March 8, when the Jazz visit Cleveland, Indiana, Milwaukee, Washington, New York and Philadelphia.
"That might be the longest one I've ever been on," Gordon Hayward said. "… I'm sure it will be a nice, freezing-cold road trip for us."
Trade rumors
Because the Nets have struggled, they have been one of the teams rumored to be most interested in making a deal (or deals) prior to Thursday's trade deadline.
According to a variety of media reports, Brooklyn has expressed interest in acquiring guard Jarrett Jack from Cleveland, center Jordan Hill from the L.A. Lakers and shooting guard Marcus Thornton from Sacramento.
Twitter: @sluhm
Jazz vs. Nets
O At EnergySolutions Arena
Tipoff • 7 p.m.
TV • Root Sports
Radio • 1280 AM, 1600 AM, 97.5 FM
Records • Jazz 19-33; Nets 24-27
Season series • Nets lead 1-0
Last meeting • Nets, 104-88 (Nov. 5, 2013)
About the Jazz • They have won a season-high three straight games. … They have won four of the last five games against the Nets. … F Richard Jefferson missed practice Tuesday became of stomach cramps and will be a game-time decision. … C Derrick Favors (sprained hip) will also be a game-time decision.
About the Nets • They have won four of their last six games but come off a 92-76 loss at Chicago just before the All-Star break. … They have not won in Utah since Nov. 28, 2008. … C Brook Lopez averages 20.7 points a game but he was lost for the season in December because of a broken foot.


text:
If you're 27 or younger, you've never experienced a colder-than-average month
With the average temperature on Earth in October becoming the 332nd consecutive month at a higher-than-normal mark, we're defining the new normal for a whole generation.
And that's not a "new normal" that we should be okay with. Because a warming Earth with frequent droughts and supercharged storms could make Hurricane Sandy look like an afternoon sprinkle.
(via Grist)
The Osborne Reef, a man-made reef consisting of 2 million tires, rots on the ocean floor.
Daily chart: which country consumes the most trees? The average American uses the paper equivalent of almost six 40-foot (12-metre) trees a year. In Belgium paper consumption is pushed up by the EU bureaucracy in Brussels.
The Pacific nation of Kiribati is negotiating to buy land in Fiji so it can move islanders under threat from rising sea levels, in what could be the first climate-induced relocation of a country.
Anote Tong, the Kiribati President, said he was in talks with Fiji's military government to buy up to 2000 hectares of freehold land on which his 113,000 countrymen could resettle.
"This is the last resort, there's no way out of this one," Mr Tong said. "Our people will have to move as the tides have reached our homes and villages."
[Image via]
It's time to start seriously talking about climate change. It should have never gotten to this point.
Yah, GOP candidates, what were you saying again about this all being a scam cooked up by liberal scientists?
Earth's clouds got a little lower — about one percent on average — during the first decade of this century, finds a new NASA-funded university study based on NASA satellite data. The results have potential implications for the future global climate.
A consistent reduction in cloud height would allow Earth to cool to space more efficiently, reducing the surface temperature of the planet and potentially slowing the effects of global warming. This may represent a "negative feedback" mechanism — a change caused by global warming that works to counteract it. Scientists suspect this may be due to a change in the circulation patterns that give rise to cloud formation at high altitude.
Global average cloud height declined by around one percent over the decade, or by around 100 to 130 feet (30 to 40 meters). Most of the reduction was due to fewer clouds occurring at very high altitudes. And while the record is too short to be definitive, it provides a hint that something quite important might be going on.
Hundreds of thousands of gallons of oil have been leaking continuously into the Gulf of Mexico from a well damaged by Hurricane Ivan for over seven years, a lawsuit brought against Taylor Oil by the Waterkeeper Alliance reveals. Aided by satellite and overflight imagery from SkyTruth and SouthWings, the plaintiffs "filed suit to stop the spill and lift the veil of secrecy surrounding Taylor Oil's seven-year long response and recovery operation."
70% Of Plastic Ends Up In The Sea!
Some of these long-lasting plastics end up in the stomachs of marine birds and animals, and their young, including sea-turtles and black-footed Albatross. Besides the particles' danger to wildlife, on the microscopic level the floating debris can absorb organic pollutants from seawater. Aside from toxic effects, when ingested, some of these are mistaken by the endocrine system as estradiol, causing hormone disruption in the affected animal. These toxin-containing plastic pieces are also eaten by jellyfish, which are then eaten by larger fish. Many of these fish are then consumed by humans, resulting in their ingestion of toxic chemicals. Marine plastics also facilitate the spread of invasive species that attach to floating plastic in one region and drift long distances to colonize other ecosystems.


text:
$4,250 1 bed Turtle Bay New York NY
Previously listed: $4,250 1 bed
Turtle Bay New York NY, Turtle Bay, New York, 10017
Commute to Downtown Elmont
This apartment is in the Turtle Bay neighborhood in New York. Nearby parks include Ashmead Mall, Detective Keith L Williams Park and Major Mark Park.
Turtle Bay New York NY has a Walk Score of 100 out of 100. This location is a Walker's Paradise so daily errands do not require a car.
Nearby schools include Young Women's Leadership School of Queens, Jamaica Montessori School and Jamaica Montessori School.
The closest grocery stores are Joon Fruit & Vegetables, Queens Beauty Supply & Hosiery and Kicks 4 Kicks Inc.
Nearby coffee shops include Coffee Shop, Brother's Coffee Shop and Richie's Place. Nearby restaurants include McDonald's, Fresca Pizza and Kennedy Fried Chicken.
Turtle Bay New York NY is near Major Mark Park, Captain Tilly Park and Rufus King Park.
There are minimal bike lanes and the terrain is flat as a pancake. Turtle Bay New York NY is bikeable, there is some bike infrastructure.
Come stay in this lovely unit located at 44th Street and 2nd Avenue!
** 11th floor of elevator building
** Doorman!
** Wi-fi provided
** TV has basic channels
** Sleeper sofa
** Dining table for two
** Kitchen is equipped with dish washer, fridge, oven, and standard cookware
** Heat and AC
Encompassing Turtle Bay and Tudor City, this area is packed with attractions. Blocks to countless NYC landmarks like the New York Public Library, Times Square, Rockefeller Center, and Bryant Park. Walking distance to St. Patricks Cathedral. Younger generations can visit the friendly people Place while more reliable shoppers can browse at Saks Fifth Avenue.
Conveniently located near Del Friscos, one of New Yorks most famous steakhouses, and The Smith along with countless other notable restaurants.
A short walk or subway ride to many other midtown attractions including Dylans Candy Bar, FAO Schwartz, The United Nations, and the Plaza Hotel.
Easy Access to the rest of the city. M15 bus runs north along 1st Ave and south along 2nd. Grand Central Station with all trains.
Bedrooms : 1Beds : 1Bathrooms : 1.0Rooms : 2Floor : 11Sleeps : 4Sleeping couches : 1
No reviews found. Be the first to write a review.
Turtle Bay, New York, 10017
Daily errands do not require a car.
World-class public transportation.
Flat as a pancake, minimal bike lanes.
Explore how far you can travel by car, bus, bike and foot from Turtle Bay New York NY.
Turtle Bay New York NY is a Rider's Paradise which means world-class public transportation. Car sharing is available from Zipcar and RelayRides.
Rail lines:
F Queens Blvd Express/ 6 Av Local
0.4 mi
E 8 Avenue Local
0.5 mi
J Nassau St Local
0.5 mi
Oyster Bay
0.9 mi
0.9 mi
West Hempstead
0.9 mi
0.9 mi
0.9 mi
0.9 mi
City Zone
0.9 mi
Bus lines:
Q31 Bayside - Jamaica
0.0 mi
Q30 Little Neck or Queensborough Community College - Jamaica
0.0 mi
Q24 Broadway Junction - Jamaica
0.0 mi
Q17 Flushing - Jamaica
0.1 mi
Q44 Bronx Zoo - Jamaica
0.1 mi
Q20A College Point - Jamaica
0.1 mi
Q20B College Point - Jamaica
0.1 mi
n4 Jamaica - Freeport
0.1 mi
Q56 Broadway Junction - Jamaica
0.1 mi
Q54 Williamsburg - Jamaica
0.1 mi
Car shares:
View all Turtle Bay apartments on a map.


text:
U9 and U10 Summer Soccer Tournament Success
U9 Boys – United
The Aston United finished in 1st place at the Ridley United tournament.
U10 Boys – Devils
The Aston Devils finished in 1st place at the Ridley United tournament.
U9 Girls – Inferno
The Aston Inferno traveled to Horsham to participate in the Colleen Riley Memorial Soccer tournament. The Inferno had a good day with a 5-0 victory in game 1, 7-0 victory in game 2 and finished the day with a very hard fought 0-1 lose. The set them for a 2nd place overall finish. It was a great day for great soccer!
Click on the team names to see pictures of the teams
Well Done to all the players and coaches!!!!!
AYSA Night at the Philadelphia Union – October 5th @ 7:30
AYSA Night at the Philadelphia Union – October 5th @ 7:00 pm!!!!!!
The Philadelphia Union will take on Toronto FC and AYSA has 60 group tickets for sale. This event was very successful last year and is a great opportunity for your team to spend some time together watching the professionals play. Get your team together and go as a group, it's a great team building event.
Tickets are $25 each with no limit on how many you can purchase. Once the 60 tickets are gone, we can get more but they will be more expensive.
As an added bonus, AYSA has secured 12 ball kid spots. Meaning, 12 kids (must be 14 and over AND have a ticket to the game. That ticket does not have to be purchased through us) will be on the sidelines and be responsible for getting a ball back into play when one leaves the pitch.
Please contact Nick Randall @ email@example.com to secure your tickets. Please let him know if your child would like to be entered into a drawing to be a ball kid.
Hope to see you there.
2013 Special Needs Fall Outdoor Soccer
Click Here to download the registration form
Click here for a printable version of the flyer above
AYSA 2013 Concussion Policy
On behalf of the Aston Youth Soccer Association (AYSA) Board, I want to thank you for teaching our youth the beautiful game of soccer and for the countless hours you will be with them in doing so. Your love/respect of the game and positive influence in their lives is greatly appreciated.
Although it is the beautiful game, soccer is one of the leading sports when it comes to its players sustaining concussions.
In conjunction with the 2011 Pennsylvania Safety in Youth Sports Act and as dictated by the Eastern Pennsylvania Youth Sports Association (EPYSA), AYSA has adopted the following:
1. Concussions and related injuries are serious matters and shall be treated as such.
2. ALL AYSA coaches shall take and pass the CDC online concussion awareness certification course.
3. The AYSA Board shall investigate any perceived improprieties regarding the handling of any concussion-related and/or serious injury.
4. Any coach, player and/or parent/guardian who is found not to have properly addressed a concussion and/or related/serious injury shall be subject to discipline, including suspension and dismissal.
Please Note: Any injury that takes a player out of a game/practice – and keeps them out of the game/practice – is a serious injury. IF a coach has legitimate concern about a player after an injury/suspected injury, he/she will not put a player back into a game/practice.
Please read the full AYSA Concussion/Serious Injury Policy, which is attached. The policy will be posted to the "Coaches Corner" section of the AYSA website (astonyouthsoccer.com) shortly. Other related resources are already available via the Coaches Corner.
All AYSA parents and coaches shall abide by the AYSA Concussion/Serious Injury Policy.
In addition, ALL AYSA COACHES (head coaches and assistant coaches) must take and pass the CDC online concussion awareness certification course by July 15.
The CDC Concussion Course can be found by clicking here and then click on, "Launch the Training Course."
At the end of the course, the successful participant will be awarded a certificate.
A copy of the certificate must be sent to me via email by July 15.
Any coach who has not turned in a certificate by July 15 will not be allowed to coach until he/she has turned in a certificate of course completion.
Upon successful course completion, AYSA will provide coaches with a clipboard outlining concussion symptoms as well as documentation to help raise awareness on other serious injuries.
2013 AYSA Spirit Night
AYSA Spirit Night: September 6, 6:30-8:30 – Pennell Elementary
Our second annual Spirit Night season kick-off will be held on Friday, September 6, 6:30-8:30 p.m. at Pennell.
We will announce all the teams beginning at 6:30 p.m., followed by our coaches' game at 7 p.m. A snack stand will be selling yummy morsels to benefit our Special Needs program and a DJ will be on hand to keep everyone rocking! This year we are also going to have some additional activities, like a Moonbounce, face painting, and other fun activities.
Coaches – If you would like to have your team announced, please have your team assemble beginning at 6 p.m.
Coaches – if you would like to play in the coaches games, please contact Matt Hengey @ email@example.com
Intramural Ref Information
There will be a meeting for anyone interested in refereeing Intramural games on Monday, August 25, @ 6:30-8:30 at the Aston Township Building. Anyone 12 or older must attend the meeting to be considered. We do pay our intramural refs!
Anyone interested in reffing for AYSA Intramural games, please contact Matt Hengey, email@example.com
FIFA – Laws of the Games – These are the rules set forth by the global governing body of Soccer
2013 AYSA Summer Camp
2013 Summer Camp
July 15-18, 2013
4-12 year olds
Aston Youth Soccer will be running a soccer camp this year from July 15 through July 18 from 9am to noon each day.
The camp will be run by Future Captains and the cost will be $125 for the entire week.
The camp will be held on the field at Northley Middle School
Please click the link below to register. Scroll down
All registration and payment will be handled by Future Captains through their website. (Please make sure you click the Buy Now button UNDER Aston Soccer Camp (Aston, Pa)
If you have any special requests, please let us know.
We look forward to having you with us this summer.
Free Soccer Clinic – May 11 & 18
AYSA's very own Devon Linn of the U14 Galaxy has organized a FREE soccer clinic for boys and girls age 8 to 4. Devon and her teammates will be running the sessions with help from their coaches and parents. Devon is doing this as part of her community service project for the National Junior Honor Society.
While the clinic is free, Devon and her teammates will be running a concession stand and all proceeds will go to DuPont Hospital. So, even if you aren't interested in the clinic, perhaps you could stop by and make a small donation.
Clinic Dates
Saturday, May 11 from 10:00-11:30am
Saturday, May 18 from 4:00-5:30pm
Clinic will be held on Field 9 at Sun Valley High School (past left field of the fenced in baseball field). Please come prepared with a soccer ball and shin guards if you will be participating in the clinic
Click HERE for a copy of the flyer below
2013-14 Club Soccer Tryouts
Tryouts are now underway for the 2013-14 Fall Seasons
Click HERE for information on Girls teams
Click HERE for information on Boys teams
2013-14 Executive Board Nominees
According to the AYSA By-Laws, the Nominees for the Executive Board must be posted on-line at least 15 days prior to the April general meeting. Below are the nominees for the 2013-14 Executive Board
|Anthony Skwirut
|Executive Vice President
|Matt Hengey
|Vice President of Intramurals
|Michelle Mozzoni
|Vice President of Girls Club Soccer
|Danielle Albrecht
|Vice President of Boys Club Soccer
|BJ Nolek
|Kevin Purfield
|Corporate Secretary
|Lisa Eckenrode
|Fields Director
|Jack Skwirut
|Equipment Director
|Nick Randall
|Ryan Hill
|Special Needs Director
|Sue Vaughan


text:
|Search Term: Add A Term (This Search Box Keeps Your Color Settings)
Expanded Search Colors
(Less Colors) - (More Colors) - (Stop Using Colors)
from Hello to Hitched
As Featured On "[Bride &] Groom With A View"
Let Me Grow Studio
Blogger Brides
As Featured On "Live from Bridal Fashion Week: Alfred Angelo"
Magnolia Rouge
As Featured On "Real Wedding: Anna + Tim II"
Portland, OR: boudoir photography for. . .
As Featured On "Erin and Jared, 3 of 3 | make your grandma wear a 'stache"
landlocked bride | midwest and mountain. . .
As Featured On "a haute pair of sparkly shoes"


text:
Internal audit should be a change agent around governance, risk and control - helping management drive sustained performance by focusing on what must go right.
To achieve this goal and many others, the demands placed on internal audit functions have never been greater.
To help our clients address their challenges and gain the most from internal audit, we focus on understanding their environment and industry, advising on the specific risks, issues and opportunities they face on a daily basis through:
Our team provides subject matter expertise and industry insights delivered through the flexibility of a co-sourced internal audit function. We offer this through:
We offer subject matter expertise and industry insights to our clients who outsource their internal audit function. We provide these services through:
We help our clients transform their internal audit function and its capability, enhancing the impact it can have on business outcomes and alignment to stakeholder expectations. We do this through:
Our approach is founded on providing assurance and advice over "what must go right". This is significantly influenced by factors within our clients' industry. We team according to industry so that our people truly understand the risks, issues and opportunities inherent for our clients, allowing them to provide genuine points of view and insight across Energy and Resources, Technology, Media and Telecommunications, Public Sector, Consumer Business and Transport and Financial Services.


text:
- Product Information
Product Description
Use our brightly colored 20" colorful Rock & Roll Jukebox Pinata as a decoration or centerpiece for your 50's Rock & Roll party. Turn it in to a Pinata game when you fill it with toys and candy. Our Rock & Roll Jukebox Pinata is sold by the piece. Please order our Jukebox Pinata in increments of 1 piece. Don't forget to order your pinata toy and candy filler Item CAN025UN and pinata bat and mask DEC020EA and add to the fun.
- Questions & Answers
- Reviews
Customer Reviews
- I would buy this product again Review by Jackie the Gath
Got the pinata to be used as an offering collection tool that goes along with Super Church classroom theme of the 50's
(Posted on 5/25/12)
Write Your Own Review
A Guide to Our LED Costume Accessories
Browse our selection of LED costume accessories to find the perfect light-up addition to your Halloween costumes!
How to Put Together a Mustache Party for Movember
Follow these tips or use these ideas as inspiration for your Movember Party. Invite guests to your mustache-themed party to spread the awareness of men's health concerns.
5 Steps to Keeping Zombies Away During the Zombie Apocalypse
In the event that a Zombie Apocalypse does occur, you and your loved ones will remain safe and untouched when you follow these (fun and) simple steps.


text:
Hong Kong stocks up 0.60 percent by lunchAgence France-Presse
HONG KONG–Hong Kong shares ended the morning session 0.60 percent higher on Friday after HSBC released data showing Chinese manufacturing activity picking up further in December.
The benchmark Hang Seng Index gained 133.64 points to 22,579.22 on turnover worth HK$32.70 billion ($4.35 billion).
Follow Us
Recent Stories:


text:
Welcome to
The Community Services Department
Regional Parks and Open Space
2014 Upcoming Events
Sierra Nevada Autumn Photo Exhibit
October 1-30th, 6000 Bartley Ranch Road
An impressive assortment of fall photography is on display at Bartley Ranch Regional Park's Western Heritage Interpretive Center through the month of October. The exhibit is free to the public and will be open daily from 8am to 5pm. Visitors will be asked to vote for a "people's choice" award and all participating photographers will be asked to vote for an "artist's choice" award. There is no entry fee. The exhibit will be closed on Nevada Day, October 31st.
Don't miss the upcoming "Fall Photo Hikes" series!
Bartley Ranch Regional Park, first 4 Fridays in October
This series is meant to provide amateur photographers and hiking enthusiasts alike with the opportunity to capture their own spectacular fall photography. Join Washoe County Park Rangers on the first four Fridays in October and explore some of our area's most scenic trails. Bring a jacket, a sturdy pair of hiking boots, a bottle of water, and of course your favorite camera. The hikes will take between 1-2 hours, weather permitting.
Friday, October 3rd at 5:00pm - Upper Thomas Creek Trail
Meet at Thomas Creek Trailhead at the end of Timberline Road.
Friday, October 10th at 5:00pm - Hunter Creek Trail
Meet at Michael D. Thompson Trailhead at the end of Woodchuck Circle.
Friday, October 17th at 4:00pm - The Interpretive Nature Trail at Crystal Peak Park in Verdi
Meet at the lower parking area in the park off of Crystal Park Road.
Friday, October 24th at 4:00pm - Ranch Loop and Flume Trail at Bartley Ranch Regional Park
The meeting place will be at the Historic Huffaker School at Bartley Ranch Regional Park.
View more details at /index/display_outreach.html~details=12029
Volunteer for Keep Truckee Meadows Beautiful's
"Make A Difference Day"
Saturday, October 25th from 8:00am to noon
Register online at http://ktmb.org/volunteer/
Congratulations KTMB on your 25th Anniversary!
Tickets available for the Silver Celebration at
October 29, 2014 - 5:30pm @ Great Basin's Taps and Tanks
"Ranching at Rancho" Open House at Rancho San Rafael Park
Every Saturday June 7th thru November 22nd, 10am-1pm
Bring the family for a fun, free, ranching themed open house in the main barn area. Each week features a new theme from goats to tractors to chickens, and everything else in between. Check back for details on the weekly theme!
On behalf of our community partner, Tahoe-Pyramid Bikeway, we want to alert you to the temporary closure of the road from Verdi to Fleish Bridge. This section of roadway will remain closed through the end of the year until constuction is complete. In the meantime, there are alternate sections of Bikeway to explore. Visit www.tpbikeway.org for more information, or pick up a copy of Washoe County Park's Truckee Meadows Trail Guide.
Have you taken the Truckee Meadows Trail Challenge?
Get fit by exploring your parks with Truckee Meadows Parks Foundation! The Trails Challenge is a brand new program in partnership with Washoe County, City of Reno, and City of Sparks. Designed for all ages and ability levels, the Truckee Meadows Trails Challenge is a great opportunity to explore countless miles of park trails while improving your health, body and mind. Read more about it HERE or visit www.tmparksfoundation.org!
Get a head start by downloading a PDF of Truckee Meadows Trails Guide!
Please check back often as we will continue to add events and announcements through the summer! Also "LIKE" Washoe County Regional Parks and Open Space on Facebook for updates!
Our mission is to provide exceptional parks, open space, and recreational opportunities while preserving our natural, historical and cultural resources.
Regional Open Space and Natural Resource Management Plan
For details about our parks and reservable facilities, please use one of the PDF links below.


text:
A fun tool! | 4 comments | Create New Account
The following comments are owned by whoever posted them. This site is not responsible for what they say.
A fun tool!
Geez, I wish I'd seen this before I posted my hint! I thought that
yes but there are so many problems
Like you, of course many BSD user have already known about this
From our Sponsor...
Latest Mountain Lion Hints
User Functions
What's New:
HintsNo new hints
Comments last 2 days
Links last 2 weeksNo recent new links
What's New in the Forums?
Hints by Topic
News from Macworld
From Our Sponsors
Copyright © 2014 IDG Consumer & SMB (Privacy Policy) Contact Us
All trademarks and copyrights on this page are owned by their respective owners.
Visit other IDG sites:
Created this page in 0.14 seconds


text:
Middle EnglishEdit
yë (plural yës)
- Alternative form of eye.
- 1478, Geoffrey Chaucer, The Canterbury Tales:
- And smale fowles maken melodye, that slepen al the night with open yë.
- 1478, Geoffrey Chaucer, The Canterbury Tales:
Usage notesEdit
- In original manuscripts, this was written ye; the addition of the dieresis is a notation from much more recent editions of Middle English works.


text:
This home is in Wellesley. Nearby parks include Parkland, Perrin Park and Caspe Memorial.
98 Beechwood Road has a Walk Score of 55 out of 100. This location is Somewhat Walkable so some errands can be accomplished on foot.
Nearby schools include Westgate Christian Academy, John D Hardy Elementary School and Katharine Lee Bates Elementary School.
The closest grocery stores are Fells Market, Time Shoppers Grocery Shoppers and Bacon Street Farm.
Nearby coffee shops include Dunkin' Donuts, Dunkin' Donuts and Weston Road Cafe. Nearby restaurants include SUBWAY® Restaurants, 868 Worcester St and Papa Gino's.
98 Beechwood Road is near Parkland, Caspe Memorial and Perrin Park.
Gracious 2007 center entrance colonial offers open and flexible floorplan throughout.
This property at 98 Beechwood Road in Wellesley has a 5 bedrooms and is available for $1475000.00.


text:
October 24, 2012
"The greatest gift you can give others is your best you—your healthiest you." — Joseph J. Sweere
All School News
Are you planning to participate in Winter Sports?? Please come to the office to sign up ASAP for wrestling, boys' basketball and girls' basketball. Please see Mrs. Spaude to make sure that all your paperwork is in order and your physical is good for the whole season. Green cards for middle school basketball and wrestling will be given to coaches on Friday.
Kalama Middle/High School is planning to give the Healthy Youth Survey to grades 6, 8, 10 & 12 on Thursday, October 25th. This is a statewide survey regarding student safety and health. Parents are welcome to preview the survey in the high school office during normal business hours, 8am to 3:30pm. If you have any questions please call the high school office at 360-673-5212.
Picture retakes are scheduled for October 29th in the auditorium, please remember to bring your picture packet with you.
Middle School News
This week we are kicking off the Pumpkin Carving Contest! Enter your carved or painted pumpkin for a chance at a candy prize! Turn in your pumpkin by Tuesday, October 30th, in order to participate. Awards will be given on Halloween. Pumpkins must be taken home on Halloween. Ms. Wilson
Wrist bands are back! Earn your High-5 and wristband by being respectful, responsible and courteous. Teachers nominate you for your positive behavior over a long period of time. It's not a one-time random act. Our goal is to make the world a better place.
The middle school carnival is almost here, we are in need of baskets, stuffed animals, baked goods, gift certificates or any items that we can use for our auction. Please bring your donations to the office or Ms. Wilson's room.
High School News
Attention all sophomores: Sophomore advisories will be meeting in the auditorium this Wednesday, October 24th. Please check in with your advisor at the door. Ms. Pierce
There will be a high school boys' basketball meeting on Thursday October 25th at 12:45pm in the upper gym.
All high school girls interested in playing basketball please come to Shipley's room on Wednesday the 24th, during lunch, for an informational meeting.
Double, double toil and trouble; Fire burn and cauldron bubble. Come join high school leadership on Tuesday, October 30th at 6:30 for a viewing of Hocus Pocus. Please see Mr. White for more information.
10/23 Tues. Varsity Volleyball @ Woodland 6:45pm Bus leaves at 4:25pm
JV Volleyball @ Woodland 5:30pm Bus leaves at 4:25pm
Varsity Soccer vs. King's Way (Senior Night) 6:00pm Home
JV Soccer vs. King's Way 4:00pm Home
10/25 Thurs. JV Football vs. La Center 6:00pm Home
Varsity Soccer @ Seton Catholic 6:00pm Bus leaves at 2:00pm (release at 1:45pm)
JV Soccer @ La Center 3:30pm Bus leaves at 2:00pm (release at 1:45pm)
Varsity Volleyball vs. Castle Rock (Senior Night) 6:45pm Home
JV Volleyball vs. Castle Rock 5:30pm Home
10/26 Fri. Varsity Football vs. Ilwaco (Senior Night) 7:00pm Home
10/29 Mon. JV Football @ Ilwaco 6:00pm Bus leaves at 3:15pm
Running Start
Please remember to read the entire bulletin so that you may stay updated with school news.
Any Running Start students participating in sports or any school sponsored activities are required to purchase an ASB card, complete the Activities Handbook & Running Start form in the office. Please see Mrs. Spaude if you have any questions.
Running Start Students: Registration for Winter quarter will be held Wed Oct 24, from 10-2 in the KHS counseling Center. LCC will be posting their Winter classes on Tuesday, Oct. 23. Be sure you look for your classes, fill out the RS enrollment verification form (available online) and have your parent sign-it before you meet with Marcy on Wed. 10/24.
Running Start Students: Please log into your Skyward account and but sure your email is active. Messages regarding upcoming events (such as registration) will be sent to you from your KHS email address.
Staff News
Do not send students to the office unless they have a pass and please remember to give them your printer code.
11/06 First Quarter Ends
11/13 First Quarter Grades Due by 8:30am
Harris for Parapro, Allen for Chapman (am), Scheurich for Groff, Turner for Maynard & Wright for Stuhlsatz (am)


text:
Latest News
National Watersports Festival 2013
Starting out life as the National Windsurfing Festival, for 2013 the decision was taken to include kayaking, kitesurfing and stand […]Read More ›
Clipper Round the World
Good luck to the Invest Africa Yacht in the Clipper Race that left London last week. We made sure the […]Read More ›
Boardmasters 2013
Beachbum were on hand at the Boardmasters Festival in Newquay which more than lived up to expectations as the crowd at the […]Read More ›
Gardeners World Live Ticket Comp
Win 1 of 3 pairs of tickets to BBC Gardeners World Live – 12 – 16 June 2013 Beachbum will be providing […]Read More ›
About Us
Born at the beach...
Beachbum was born at the beach, inspired by the relaxed life of coastal living. Since 2009 we have been helping people across the UK to relax anywhere and everywhere with the help of our giant bean bags. You can find us in houses and on beaches, and at some of the UK's biggest events and festivals where we create and provide unique spaces to relax and chill out in style.


text:
Use Macbook Pros with 75 watt airplane power ports | 10 comments | Create New Account
The following comments are owned by whoever posted them. This site is not responsible for what they say.
Use Macbook Pros with 75 watt airplane power ports
Does setting the CPU usage to "reduced" help? I'd guess not, because it's most likely (as others have stated) to be related to GPU power consumption.
From our Sponsor...
Latest Mountain Lion Hints
User Functions
What's New:
HintsNo new hints
Comments last 2 daysNo new comments
Links last 2 weeksNo recent new links
What's New in the Forums?
Hints by Topic
News from Macworld
From Our Sponsors
Copyright © 2014 IDG Consumer & SMB (Privacy Policy) Contact Us
All trademarks and copyrights on this page are owned by their respective owners.
Visit other IDG sites:
Created this page in 0.29 seconds


text:
Well, something's got to give, and it's not going to be me. After a couple of seriously awful performances by the teams that I was involved with last night, I remain undaunted. I'm not at all advocating that just because I've hit a rough patch the last few weeks, I'm going to start throwing any old thing against the wall and see what sticks. That's a recipe for disaster and just getting dug deeper in the hole.
The principles that work, will work, and they do work. There is abundant proof of that, but as we've seen the last few days, we are deep into an adjustment phase in the numbers. Teams are getting tired as they trudge toward All-Star Weekend, and there are lapses. There's no other way to explain how the Wiz can go into Denver and beat the team with the best home record in the game. We're just going to have to work a little harder and dig a little deeper for awhile to try and find those jewels.
It does seem a little odd that, for the first time in about 4 1/2-months, we don't have any football to talk about on a Saturday morning. But look at that. College hoops will start to take up the slack between now and the start of the baseball season. The kids on the hardwood did really well for me last year going off at a 34-18 clip with my investments, so I'm looking for at least that kind of return again this season.
As a quick update for how I handle things with NCAA hoops: I'm only interested in conference play and only in the Div. I football conferences. I just don't have the time to mess around with all gajillion conferences that are floating around out there. The database needs to be built on performance for this season so not all games will be available for "action" until that is accomplished. That's going to cause some holes in the schedule early on, but by 9 Feb., all games will be "in play". Now, let's get to work on what we've got going tonight.
1. MIDDLE TENNESSEE ST. (-17 1/2, O134) over Louisiana - MTSU 80, Louisiana 58
2. W. KENTUCKY (-8, O132) over Ark.-Little Rock - WKY 82, Little Rock 61
3. Idaho (+2, U124) at TX.-ARLINGTON - Idaho 52, ARLINGTON 46
There! That was quick, but it remains to be seen whether or not it was painless. I'm going to pass these games, but if I was going to make a move, it would probably be on W. Kentucky or to the UNDER in the Idaho game.
THE NBA (2-7 last night and 17-27 so far for the week)
SU WINNERS (4-5 last night and 21-16 so far for the week)
Kings, HAWKS, BULLS, HORNETS, WOLVES, JAZZ, Bucks and CLIPPERS
TOTALS (3-6 last night and 20-22 so far for the week)
OVERS - Grizzlies/BULLS (176), Rockets/WOLVES (204) and Cavs/JAZZ (198 1/2)
UNDERS - Kings/BOBCATS (204 1/2), Spurs/HAWKS (197 1/2), Warriors/HORNETS (188), Bucks/BLAZERS (195) and Wizards/CLIPPERS (197 1/2)
BUTTA (0-1 last night and 3-3 so far for the week)
Rockets (-175) over WOLVES - You better get this one while it's hot. I hate laying on a team that's on a losing streak or that's playing it's 4th game in 5 nights and 6th in 9 like the Rocks are, but the Wolves just don't have anything left. They're a M*A*S*H* unit right now. With Kevin Love already out, they lost Pekovic and Shved on Thursday night, and now I'm learning that Donte Cunningham has come down with the flu or something and probably won't be available tonight. You know it's bad when it's a big deal if Donte Cunningham doen't play. So, I'm going against what my numbers say for this game and going with the Rocks. WOLVES 109, Rockets 102
1. Kings (-2) over BOBCATS - I was thinking for a minute that I should be on the Kings for this game. The 'Cats can't possibly win a 2nd game in consecutive nights, and they just don't have the offensive firepower that the Kings can muster. Then I woke up. Kings 101, BOBCATS 95
2. HAWKS (+4) vs. Spurs - Do I think the Hawks can beat the Spurs? No. Do the numbers agree with me? No. Am I going to get involved in this game? No. HAWKS 105, Spurs 88
3. BULLS (+1) vs. Grizzlies - Once again, I'll go ahead and follow what the numbers are telling me for this game, but only because I won't be getting involved. If I was sure Randolph was going to play for the Griz, that might move me to jump, and if I did, it would be on Memphis. I just don't think the Bulls are up for another grind it out type game against a team that's much better than the Celtics. BULLS 93, Grizzlies 85
4. HORNETS (-4) over Warriors - It looks weird, but it's hard to argue with this. The Stingers are playing confidently right now, and the Warriors, still without Curry and on a b2b tonight, might also be missing David Lee, who was injured during last night's game in San Antonio. HORNETS 98, Warriors 83
5. JAZZ (-8 1/2) over Cavs - I'm going to be watching the number on this one real closely as the day progresses. It opened JAZZ (-9 1/2), and as you can see, that number has sunk like a stone early on. If it continues to fall, I might be taking a look at getting involved. JAZZ 112, Cavs 90
6. Bucks (+4) at BLAZERS - Everybody seems to want to run down the Bucks, but this team is resilient and plays with a lot of grit. They also have 2 very prolific guys in the backcourt. The Blazers aren't a terrible team, and they do still manage to have a pretty formidable home court edge, but once this team's bench gets involved, there are just too many empty offensive possessions to ever feel comfortable about laying points with them. Bucks 94, BLAZERS 87
7. CLIPPERS (-13 1/2) over Wizards - Think the Wiz can pull off another big surprise for a 2nd straight night? Me either. CLIPPERS 102, Wizards 87
Have a fantastic Saturday, everyone! I'll see you again tomorrow.