text:
An interesting study on public radio said that it is the insured, not the uninsured, driving up healthcare costs. The premise was simple: If you have health insurance, you use it. If you lack health insurance, you are more selective about doctor and hospital visits. It makes sense, yet who really causes our steady increase in costs is still debatable.
The Affordable Health Care Act, or "Obamacare" as it has been dubbed, has added millions to the rolls of the insured, but has also placed limitations on those who may have already had healthcare insurance by forcing them into choices of doctors and hospitals they may not want. As an advocate of universal healthcare, which looks nothing like Obamacare, I found this new study interesting. After all this time, we simply cannot nail down who is responsible for rising health care costs in the United States. With all the brain power spent on what, to me, is simple math, we still have no clue how to control our costs.
The basis of our crisis in our healthcare system is, to me again, fairly simple. Lawyers write our healthcare laws. They do so not based on what is best for our country, but what is best for corporations from a legal standpoint. We live in a society that wats to assign blame, and assigning blame in healthcare, especially when something goes wrong, is as common as putting milk on your cereal.
We do know seven definite things that drive up our health care costs. These were identified years ago. Let's review, because your doctor does not have the time to explain healthcare to you, and your insurance company likely can not be trusted to explain it correctly in terms you can understand.
In my opinion, as I stated in one of my very first blogs, our healthcare system is broken. Everyone knows that, but today we will be looking at things other than fixing it in Washington, D. C. Brilliant minds and elected officials cannot even agree on what color the tile should be in their offices, and our country's healthcare system continues to increase in its cost to operate despite providing no better health care for its citizens than an average country. Mid-term elections are over and the people have spoken for an increase in corporate stature, telling me the situation will get much worse before it gets any better. Educate yourself. Educate your patients. Follow health care stories, especially as it concerns costs and dividends. Notice the environment around you. None of this is new; as I said in one of my first blogs. When do we decide to fix it? That was, and is, my question for you.
That's just my opinion,
Jim Thacker, MBA, MHA, CRT, AE-C Wellington, MO
Many of us have done it. Walked around a big chain department store and looked for things, while employees simply pass us by. No one offers to help and no one wants to be the person to end our search and make us feel better. If you have experienced this, imagine what it must feel like when it happens at a healthcare facility. You are already scared and nervous, worried about the horrible bill you will amass and you walk in and no one smiles, no one offers to help you. Even when you are in your room, there are only staff; no people.
Personal service is as vital to making a patient feel better as the medicines and therapies we deliver. Taking pride in the service you give means you look professional, act professional, and are still a human being. A little empathy goes a long way. Way back when I was in respiratory therapy school, a teacher taught me that I should treat every patient like they were my mother or father. Doing that has often gotten me some nice comments on patient satisfaction surveys, and now that I am older, I simply treat others as I would expect them to treat me if the roles were reversed. Hmmm, where have I heard that before?
In my opinion, it is easy to get caught up in the onslaught of hurried and stacked treatments, obligations that take you away from patients, meetings, and other things during your shift. Just remember, at one point, the role will likely be reversed, and how you treat others has a nasty way of coming back to haunt you when you are the one being treated. Call it fate, karma, or whatever you label you choose to assign, but let's always remember the "care" part of healthcare. In these days of chain hospitals owned by corporations, be the exception. Be the one who prides himself or herself on personal service. Do not follow the example, set it. You will get much more respect that way, and when you are the one in the hospital bed, you may see your example being lived out by the one saving your life. That's just my opinion, Jim Thacker, MBA, MHA, CRT, AE-C Wellington, MO
Not that I do not appreciate the non-smoker's efforts. I do. It is nice you are concerned enough to teach a class that most others would not consider. When it comes to smoking, it really is a great thing to be a quitter. That is a term we associate with everything bad about society, but in this case, it is the best outcome possible.
I encourage all smokers, both working in the medical field and non-medical people, to consider quitting on the 20th of this month. You likely know the facts. In 20 minutes your heart rate and blood pressure drop. In 12 hours, your carbon monoxide level drops to near normal. Within three months your circulation improves and lung function starts to normalize. Nine months in, your shortness of breath starts to improve and as cilia start to function normally, that nagging cough starts to fade away. After a year you have cut your risk of coronary heart disease in half compared to what it would be had you continued puffing. In five years, your risk for some cancers fall and your risk of stroke goes down to that of a non-smoker's. With so much to gain, I ask you to consider quitting this year.
In my opinion, we are a nation of addicts and tobacco is one of the most abused drugs. If you do smoke, quit. If you do not smoke, encourage those around you who do to quit. Be careful not to nag or harass them about it, but instead, find out what you can do to support them. Smokers go back to cigarettes a lot of times when something upsets them. Do not let that "something" be you.
Like your mother taught you, if you have nothing good to say, do not say anything at all. Just be there. Understand the former smoker may be a little grouchier than usual for a while. Remember the quitter will be going through both mental and physical changes that he or she may not have planned for. For some, smoking cessation means weight gain. For others, it may mean losing social contacts and changing groups of friends. Whatever the cost, quit or help others to quit. Just call once in a while and check up on the quitter. Send a text message congratulating them on reaching milestones. Let the quitter know that he or she is not alone in the fight. That may be the only thing you need to do on Nov. 20 to save a life.
For more information, check out www.cancer.org/healthy/stayawayfromtobacco/greatamericansmokeout/index.
Jim Thacker, MBA, MHA, CRT, AE-CWindsor, Mo.
It's 2 a.m. You are making your rounds, and it is time for ventilator checks. You step into the intensive care unit. Something you do not see often (if at all) is a dentist in the ICU. Researchers now know that better dental care can help prevent lower respiratory tract infections, such as ventilator-associated pneumonia. Since the bacteria causing this often begins in the oral cavity, it makes sense that a dentist may be the best person to assess and hopefully stop the bacteria before it involves the lung.
"Enhanced dental care" is suggested for anyone on a ventilator for over 48 hours. A team in Brazil discovered that there is much less incidence for ventilator-associated pneumonia with enhanced dental care than when only routine care is provided by respiratory therapists and nurses. Enhanced care includes teeth brushing, tongue scraping, removal of calculus, treatment of caries, tooth extraction and application of chlorhexidine four to five times a week.
I do not recall ever seeing a dentist in the ICU in over 30 years, but if he or she can help me care for my patient, the dentist is a welcome and sensible addition to all the other professionals I am used to seeing in there. I have seen barbers, hairdressers, preachers and priests of all kinds, medicine men, and all sorts of health-related people, but not a dentist. I think this is an exciting addition, and should be explored, particularly in rural facilities where extubation protocols may not be as aggressive.
Jim Thacker, MBA, MHA, CRT, AE-C
Wellington, MO
For instance, during all the "ice bucket challenges" that have been made by regular folks and celebrities, did you know that three years ago the cause to ALS was found? Yes, three years ago, and yes, the cause! Not sexy enough to make the news, but it's out there. ALS, which stands for amyotrophic lateral sclerosis, or Lou Gehrig's disease as it has come to be known, has been studied for years and afflicts more than 30,000 Americans. It hits often at the prime of life, and often affects those who you would think healthy, like athletes -- Lou Gehrig was an outstanding baseball player. But I do not recall seeing anything about the cause in the news over the last three years. One would think a horrible disease that ultimately leads to an otherwise healthy person's death would make the news cycle, but this is America, and one would be wrong. Scary news, like Ebola, drives ratings and gives the news people something to talk about, rather than actual science, which is probably tougher to report on.
In 2011, a neuroscientist named Dr. Teepu Siddique at Northwestern University found that ALS is caused when the key protein, Ubiqulin2, stops repairing and disposing of discarded or spent proteins like it should. These proteins cause a blockage, hence the signals needed to talk, move, or breathe are interrupted. The person eventually dies. Though a cure has not been found, this knowledge opens the door to the development of drugs that could help. Surprisingly, the media has remained silent on the topic, though one would think exciting news like this would be all over your television, as would the cause of cancer or other diseases.
The ice bucket challenge came after -- almost three years after. ALS remains in the news as long as it seems desperate and deadly, but this research finding never made the list of things to report. Bad news permeates our media cycles, so this bit of good news never made the cut. Money raised from all those ice buckets challenges and from other sources are going to build a big lab that combines several other labs to study ALS, with little going to actual research on ALS itself as you thought when you poured that bucket of ice cold water over yourself.
In my opinion, this should be our news story now. We should be pressuring the government and anyone else with money to pursue ALS research because it affects so many. I am all for stopping Ebola; I really am. Honestly though, I am perplexed at how Americans love to hear -- and American news loves to report-- tragedy rather than triumph. No reportage on finding a cause for a horrible disease that has killed many, but nightly coverage on a virus that few will ever encounter. Either way you are dead, so why not report something good for a change and offer a little hope, rather than reporting the one wreck at the race? Why do we talk about that one wreck instead the other 499 laps that were just as exciting and great to watch? You want advancement in medicine? You want to have a serious conversation about public health like smoking cessation or the prevention of AIDS or cancers? Report on facts, and report the good news along with the bad. Three years and no news I can find about a cause for ALS, but I could turn on CNN right now and hear about Ebola.
What other stories are hidden from us? What else do we not know? What other good news is out there that we will never hear because our news media does not find it "sexy" enough and scary enough to make you tune in tomorrow night? Journalism is gone. Reporting news is gone. News shows are now "news entertainment" -- just like professional wrestling is "sports entertainment." Something just isn't right about that.
Cudney, Corns and Long of the Department of Engineering Management and Systems Engineering at Missouri University of Science and Technology in Rolla, Missouri studied what happens when non-supervisory "experts" are allowed to become engaged in projects that they have knowledge in and found what we have always known to be true: supervisors are not always the ones you want running the show.
Not dissing supervisors here, but it is unrealistic to think that one person can know everything, or even have the most knowledge on everything. Better outcomes are found by identifying the person on your staff with the most knowledge and interest in a project, and allowing him or her the freedom to take the project over. The person gets ownership, develops new dissemination circles for faster turnaround time, and receives professional development and training that may otherwise be missed. The best supervisors will acknowledge their limitations and seek out those who may be more experienced or talented on certain projects. This yields the best results possible.
Since the "experts" already have knowledge and interest, supervisors assume the role of gatekeeper. As the expert comes up with ideas, plans and trials, the gatekeeper provides necessary communication between the expert and administration. This requires the expert to keep the gatekeeper informed at all times, but not to the point where micromanagement becomes an issue. Requiring regular progress reports is an easy way to stay abreast of progress, obstacles, future requirements, monetary constraints and staff development opportunities that the project may involve.
In my opinion, this has exciting possibilities not only for healthcare innovation, but for any business. Identifying key people who can develop ideas, implement plans, foresee obstacles, share information and review results is key to growth in any industry. For any industry, but particularly for healthcare, this can result in cost savings and real innovation using the tools already on hand. With so many therapists working who have such a vast array of knowledge based on education and past assignments, it is wreckless and poor management to ignore using our best people in the best ways.
I found this interesting this week. Researchers at MIT and Massachusetts General are experimenting with a pill that features little needles in it. When the pill is swallowed, the needles scratch the surface of the tissue in the stomach and inject the medicine. Successful trials have been conducted in mice and pigs.
My worry would be scratching the surface of the esophagus on the way down. Still, since most would rather swallow a pill instead of taking an injection, especially if it is needed often (as in cancer treatment), the impact of this technology could make it much easier to obtain compliance in patients without the pain. The stomach lining has no pain receptors, so once it gets there, it just does its thing and provides the medicine. According to studies, more medicine can be delivered this way than by traditional injections, which can allow the drug to be absorbed by other tissue before being processed by the liver. So far, the drug of choice for the studies has been insulin. If perfected, the pill could be adapted for other drugs, too.
In my opinion, this is exciting news. As someone who has had family members survive and die from cancer, deal with diabetes, and have other conditions where shots are frequent and sometimes painful, anything we can do to minimize pain should be looked at closely. This, to me, is an important study, though not purely respiratory, because it will do so much for so many with different afflictions if we can perfect it.
Jim Thacker, MBA, MHA, Windsor, MO
With winter approaching quickly, it is time to remind ourselves that while some fun things occur during the colder months of the year, for people with chronic obstructive pulmonary disease (COPD) and asthma, the risks of winter and the holidays are increased. Winter traditionally starts anywhere from mid-October to early November, depending on where you are. First comes Thanksgiving, then you are wishing people a Merry Christmas, and next thing you know, you are at your hospital's New Year's Eve party. Even for healthy adults, all the contact with others can be a challenge to their immune systems, but when you have COPD and asthma, the risk of something going wrong that lands you in the hospital rises. Asthma can be triggered by the cold air of winter. Just stepping outside to do some Christmas shopping may trigger an exacerbation. It is important to keep medicines with you at all times, and try things like staying in on colder days, or wearing a scarf over your mouth if you do need to get out.
Cold and flu season reduce a healthy person's health by typically 10 percent. Not a big deal when you are normally operating at 100 %; much bigger when you have breathing problems that affect you. One main cause is contact with others. Your grandkids come to say hello and hug you, people are in and out all day, and there you sit, with your COPD, getting all those germs on you. If you do not wash them off, all that hand-shaking may be forgotten. You touch your mouth, eyes, or nose and you create an entry way for a pathogen that may keep you in the hospital for a while.
In my opinion, winter is a fun time, but can take a terrible turn if we do not educate our patients on the dangers of winter, particularly those who already have compromised breathing. As therapists, we should be taking the time to discuss these issues with our patients so we can help them have a hospital-free winter. That is how you care for your community. That's just my opinion,
You Might Also Like...
Go inside to find our FREE helpful handouts to print and share with your patients!
See what our survey revealed, view past results, and catch up on salary-related articles
Check out national and state conferences you can attend in 2014
Find our latest feature stories, webinars, resource centers and much more!
It's that time of year. Time for the annual flu shot. Healthcare workers usually get them, in fact, most hospitals require them if you want to work through the winter. But what about patients? Many cannot afford the flu shot, and may not be aware that places like health departments and other service organizations offer them for free or at a low cost. It may amaze some that people can be so "out of the loop," but some are. Not everyone gets a newspaper, has access to transportation, or is in a situation where they can schedule the short time it takes to vaccinate themselves.
Many may think the flu shot is not necessary. Strains of the flu shot in recent years has been both carcinogenic and mutagenic, though the chances of getting cancer or some mutation from the shot is indeed very low. Still, it may be a risk factor that a person does not want to take. There is, and always will be, the argument that "the only time I get the flu is when I take the flu shot." According to every medical facility and practitioner I know, that is not possible, but the stigma associated with the shot is there. Seasonal flu can come at any time, but the peak of flu season in the U. S. is from December to February. The CDC recommends any person over the age of six months get the shot unless your doctor gives you a reason not to.
This year's batch will protect against an A/California/7/2009 (H1N1)pdm09-like virus, the a/Texas/50/2012 (H3N2)-like virus, the B/Massachusetts/2/2012-like virus, and offer some protection against the B/Brisbane/60/2008-like virus.
In my opinion, for those in direct patient care, it is absolutely necessary to get the vaccine. Argue all you want, but one of your responsibilities is to protect those who you are providing care to, and we all know that not everyone shares that burden with us. Though you may wash hands frequently, stay healthy, eat right, and do everything else to try to avoid the flu, the person next to you may not. Even if you do not contract the flu yourself, at some point during the year, you are likely to become a carrier. For those not in critical or direct care, the flu shot makes sense for most. The shot will not protect you against every strain of flu, and is no guarantee that you will have a flu-free winter, but it may give you just enough immunity to escape the flu or at least minimize its impact. Our patients need to be educated, too. Ask them if they have had their flu shot. Research places in your community where flu shots are given, with and without insurance, and at low cost for those who need it. Taking care of people does not end when they walk out our hospital doors. Part of health care should be to do everything possible so they do not come visit us again, and flu education may be a key to doing that this winter. That's just my opinion, Jim Thacker, MBA, MHA, CRT, AE-C Wellington, MO
Today, I watched my Kansas City Chiefs lose to the heavily favored Denver Broncos. They tried, and they kept it close. In the end, all that matters is that they lost. I fear that rural hospitals are in the same situation. Whereas these bastions of care used to dot the landscape, times are tough for rural facilities. Some have been bought out by corporate systems, and have probably improved from the infusion of money and talent. Still, many are left without access to quality care because the sheer numbers of hospitals are declining. Politicians have done little to save them, and regulations and technology have left the small, country hospital out in the cold.
Like the Chiefs, it has been a good run. I love small hospitals. I always liked everyone knowing everyone else by first name. I liked when people asked about my kids, and I heard their stories of how the soccer game went or when the next county fair was from the guy or gal who was showing pigs. I think patients liked it, too. True, the bigger hospitals are blessed with the latest and greatest equipment. True, the bigger places have an abundance of doctors and specialists that can better treat many. But for a patient, the benefit of being close to home, of being taken care of by the same person you saw in the grocery store last week, has given way to a cold, sterile, institutional recovery period when you are ill.
It is difficult to get talent to a small hospital, too. Usually the pay is less, the excitement is lower, and the prestige is just not there. As healthcare has turned into a business more than a calling, the bigger places flourish while the small, rural hospital continues to fall further behind. There is no competition here. Money is power, and the bigger places have both.
In my opinion, it is sad to see the small facilities go. I admire anyone who takes on a job where you have to be both the respiratory therapist and the janitor; the clinical nurse and the mental health nurse; the doctor and the caretaker of the budget.
I remember a day when I got interviewed by the hospital administrator in Arkadelphia, Arkansas. He did all his own interviewing because he wanted to know who was being hired. I was very young then, but thought he was the coolest guy ever, and I enjoyed working for him. Now it is all about online applications on websites that seldom work and human resource people who have their own agendas.
Now you can work at a hospital for years and never even know the administrator's name, let alone recognize him or her when they grace you with their presence. I have said before on here that we need to put the "care" back in healthcare, and I stand by that. I hope that departments are more accessible and that noone works for a respiratory manager they do not know or cannot call a friend. It is when we invest ourselves in our community, when we invest ourselves in each other, and when we invest ourselves in our patients rather than getting "x" amount of treatments done that we have real healthcare.
Otherwise, it is just the health business, and like any other business, success and failure are only separated by a very fine line because there is only monetary investment, not personal investment. I am old-fashioned in my thinking, I know. Many of you will disagree with me; I know that, too. I respect that. I am not saying that bigger facilities are bad. I am only suggesting that in this hurry up world we focus on numbers more than the people we all say we want to help and heal, and this old man thinks that is sad.
Jim Thacker, MBA, MHA, CRT, AE-C, Wellington, MO
There are many things you can do to increase awareness of your department. Hold an open house and highlight the impact you have on the community with conditions such as asthma, COPD and post-operative care. Show off your department. Clean it up first, but allow the community to come in and tell them about your ventilators, your nebulizer systems and your specialized equipment, such as those for pediatric and neonatal patients. Make a video and give a speech. Arrange with the local health department or school to show your video, and highlight the "normal" day of a respiratory therapist. Enlist doctors and nurses to help out, and appear on the video explaining why respiratory care is vital.
The fact is, no one thinks about us until they need us. Those who know us, know us well; everyone else knows nothing about us. Respiratory Care Week is your chance to change that; your chance to shine. It is your chance to form bonds with the community, the hospital or clinic staff, and each other. Use this opportunity to show your stuff.
For directors, it is also an opportunity to show your employees a little appreciation. No CEO or COO is going to let you give everyone the day off, nor are they going to let you give everyone a raise. That does not mean that you cannot do something meaningful. Thank your staff. Individually, one at a time, face to face. Let them know you appreciate the overtime, the call ins, and the excellent care they provide. Even if there are therapists in your area not working for you, give them a shout out and check in with them. You never know what they may be up to and how it may apply to you. Don't try to recruit the competition, but be mindful of who is in your area; you never know when you may need them.
For employees, re-commit yourself to your personal and professional growth. Get back in school. Take that NALS class that everyone else says is too hard. For departments, use the time to reflect on the past year. Clean the department. Inventory your stuff. Review the schedule and make sure it works for everyone. You have a week, and I know respiratory therapists can accomplish a lot in seven days.
We all know how important respiratory care is. Let's show everyone else. Respiratory Care Week can be just another week going by on the calendar, or it can be something meaningful to both the department and the community. It's up to you. We struggle daily to stay relevant in healthcare. We are working on getting bills and laws passed to acknowledge our accomplishments.
My father was a preacher. He used to say there is an "I" right in the middle of revival, meaning that until you revive yourself, you cannot revive anyone else. We face the same dilemma. Unless we toot our own horn once in a while, everyone else in the hospital who toots theirs gets a little of our glory later on. Toot your own horn. For one week, toot it loud and toot it often. Let people know why you matter, the hours you work, the lives you save. Let your CFO know how you contribute to the "bottom line" when you work. Let doctors know that you are there for them, and are open to their suggestions on how to improve care. Invite your CEO and/or COO to lunch, and talk to him or her about your accomplishments over the last year. Better, invite him or her to lunch with all your staff; it may be the first time they have met. Toot your own horn a little. You've earned it.
As medical professionals, it is important that we project a certain image to our patients. We need to be professional, intelligent, curious and caring -- all at the same time. The biggest detractor we face is our interactions with other professionals, which are sometimes in a very unprofessional manner. The therapist at the nurses' desk chatting with the nurses are noticed by those family members on the way to the ICU to visit their loved one on the vent. The loud music from the department's radio is heard not only by staff, but by visitors on the way to see friends and relatives. Instances like this cause our patients and visitors to form opinions of us. We need to make sure we are putting our best foot forward and realize how we spend our "down time" appears to the communities we serve.
Now, I am not suggesting that chatting with others is bad, nor is music on the department radio. We do need to understand that we see people at their worst; unlike us, they are not having a good night -- otherwise they likely would not need our services. I used to work nights. It was common for me to have a radio on in the department. I just didn't let it get so loud that visitors would hear it. I like to talk to people, especially smart people. Some of the smartest people I know work in healthcare, so talking to them was always a pleasure. Still, I tried to be mindful of who else was listening or watching my interactions with my colleagues.
We are in the unenviable position now of fighting for professional survival. Respiratory therapists have to justify their existence to have their services ordered and paid for by insurance companies. Other healthcare workers are also under a microscope with rising costs and lessening reimbursement.
We do not help ourselves by appearing to be anything less than the caring professionals our patients are counting on to save their lives.
Most of us have learned this and have a handle on it. So let's do this: let's police our own. If you see a colleague acting out inappropriately, correct him or her. Explain the problematic behavior and why you feel it undermines the impression you want your clients to have of you. Responsible, mature colleagues will be shocked and correct themselves. Those who do not may need more aggressive correction from management. Either way, as the old saying goes, "You only get one chance to make a first impression." Let's make sure the impression we leave is the one we like.
Uruguay has seen a decrease in smoking in both males and females over the last six years, when they implemented a new, tougher program. These featured graphic pictures on packs of cigarettes, getting rid of misleading terms like "light" and other sub-brand names such as colors (reds, blues, etc) that suggested a different, safer smoke. A wonderful public education program that links smoking cigarettes to not only lung disease, but heart disease and stroke, has opened the eyes of many. Smoking bans are in place almost everywhere and are very popular, so much so that even smoking in cars with passengers is now under the microscope. Six years into the new program, Uruguay is saving lives, while the United States continues to "talk" about how to save lives.
In my opinion, we have neither the federal, state, or local concern to do anything about our smoking rates, which is on the rise. We look for substitutes like electronic cigarettes rather than solutions like bans. We lack any professional organization with enough respect or clout in our society to make a difference. The U.S. likes to think we are miles ahead on many things, but curbing one of our deadliest habits is not one of them. The United States needs to get serious about curbing the smoking habit, and then, rather than "talk" about it more with governmental agencies and companies who stand to lose money when everyone quits, actually "do" something. It would be a nice change.
In the United States, the top 0.1% of the people, around 14,000, hold 22.2% of the wealth. The bottom 90% of us hold only 4%. That creates a class system and the rich keep getting richer, and the poor get poorer. Some extra work is needed to change classes, but is it fruitless? Most people are brought up to think that hard work pays off. Actually, it does not in some cases. Warren Buffet works three hours a day, but is the richest man on the planet. Bill Gates is a college dropout. George W. Bush and Ronald Reagan were high school dropouts, but became popular presidents of this country. Workaholics are also ineffective. They are less productive and pose a higher risk to their employers, especially in health care, which demands you pretty much bring your "A-game" every day.
Are you a workaholic? Answer these questions: 1) Is work a regular part of your evenings and weekends (your "time off")? 2) Do you spend less time with family or regular activities than you used to, like church, exercise or reading? 3) Do you talk faster, walk faster, and feel like you have to "catch up" constantly? 4) Are you developing health issues from too much work such as joint pain, stress-related injuries, chronic headaches, etc? 5) Have you lost your focus and have trouble completing tasks before starting a new one? If you answered yes to any or all of these, you may be a workaholic. The News Tribune says that workaholism makes us sick, stressed, stupid, off balance, and disengaged. Many other sources, including Psychology Today and Inc. agree. Young adults are the most severely affected, and often become even more stressed if they are denied the opportunity to work extra.
In the medical field, you have to be on every day. You never know whose life will depend on it. But here are 13 things you may not know about your work environment. 80% of people are dissatisfied with their jobs. The work is not challenging or you just don't feel like it means anything. The average person will spend 90,000 hours working over their lifetime. Couples in which one partner spends more than 10 hours extra at work are twice as likely to divorce. Americans hold seven or eight different jobs before the age of 30. The economy dictates how many jobs they hold after 30. 25% of workers in the U. S. say their work is their highest source of stress. 13 million days are lost yearly to stress-related issues and we spend many more days just "dealing" with stress in our own way while at work. Americans spend an average of 100 hours a year commuting to work. Obviously the city people deal with this more than the rural folks. Women still make around $0.80 per dollar a man is paid for the same job. 15% of women at the director level slept with their boss, and 37% of them were promoted afterward, which explains why it is hard for you to get promoted, leading to more stress. Half of Americans gain weight at their jobs due to stress. 64% of Americans cancelled or changed their vacation plans last year because of work. Americans only use 57% of their vacation time, giving more time to employers than to their families. 25% of people check in often with work while they are on vacation and 59% check in on holidays such as Christmas and Thanksgiving. Work is everywhere thanks to technology, and it is slowly killing us.
In my opinion, no other industry needs to police our own people more than health care. We cannot care for others when we do not care for each other. How many therapists do you know who work multiple hospitals? How many nurses are in such high demand they work nonstop for days in a row before taking a breather? How many doctors seem to be constantly "on call" with little or no down time to rest? The medical field is great. It offers opportunity, growth, and the ability to be mobile and have a flexible enough schedule that we should be enjoying life. But are we? If not, you are missing the point of living.
Wellington, MO.
One of my favorite people to "read" is Peter Economy. You can often find his work in "Inc." magazine. Recently, I read a post of his on the Seven Things Every Great Boss Should Do. Here is his list. If you are a supervisor, see how you stack up. If you are an employee, this may help you determine the kind of boss you deserve to work for.
Acknowledge. Everyone likes a pat on the back once in a while. I remember working for an administrator who would serve cake and punch at the monthly "employee of the month" ceremony, held in the cafeteria in front of everyone else on the staff who was available to attend. His handshake meant much more to me than the little bit of a bonus I received, the parking space I never got to use, or the certificate. Just shaking my hand in front of my colleagues was acknowledgement that he thought I did well and wanted everyone else to know about it, and motivated me to try to do even better.
Motivate. Enlist employees to produce results. Rather than wasting time assigning blame, get them to think through problems and come up with results that meet your high standards. Never lower the standards, but instead motivate employees to reach and exceed the standards you have in place. I think supervisors are surprised how smart some of their employees are. If you give a problem to the group, it is likely the group will solve your problem.
Communicate. The days of departmental meetings have gone in many facilities, and that's too bad. If you cannot have meetings, at least call your employees in once in a while to talk to them. Ask them what is going on in their world. It may be different than what is going on in yours. Does your night shift get the same respect from the doctors as you do? If not, why? Effective communication can often give you a heads up on potential problems, long before your dirty laundry is aired out for everyone to see. It can also be a way of modifying behavior, if needed, and save a good employee from going bad. Employees do not like feeling as if they cannot speak, or they are not listened to. If they feel that way, it is your fault, not theirs.
Trust. If you do not believe in your employee, why did you hire them? Trust goes back to communication, but it also brings an element of support. Supervisors have to get employees the support they need, and trust they will use resources well to meet standards.
Develop. This one is the thing I see the least in departments. Develop the next leader. Yes, train someone to take your job. Someday. A smart administrator may realize your employee can do your job, but will also realize the reason your employee can do it is because you trained him or her. Development takes work. You must know what each employee's strengths and weaknesses are, and train them accordingly. Some people are clearly not meant for leadership roles. But some are, even if you are not a good enough boss to see it in them. They can lead and do great things for your organization, or the one you are competing with; your choice.
Direct. Once you know strengths and weaknesses, assign tasks that will develop those traits. Yes, give your employees tasks. If they are interested in developing into great employees, they will accept the challenge and flourish. If they only want to be good employees, then look for their replacement. We do not need good therapists and leaders, we need great ones!
And finally, partner. Your department should be an exclusive "club" that your therapists belong to. Not everyone is allowed. As a part of that club, members should always be looking for ways to excel, ways to improve both in and out of the department. We do serious work; being a member of a club can be fun. There is a camaraderie that develops into trust and leads to accountability. Once you have that in your staff, then you can provide the very best care for your patients while employing a worthy group of professionals that can take on any challenge day or night.


text:
Learn more about the five boroughs that make up New York City with our complete guide.
Discover what to do, where to stay and what to see in New York City with our planning tool.
NYC is the place for inquisitive minds looking for new things to see, hear, taste and learn.
Enjoy The Nutcracker, the Times Square New Year's Eve Ball Drop, the Orchid Show and more.
Download your free copy or order a guide online today.
Wireless Internet is available at locations throughout NYC—including many parks and libraries.
Get tips, maps and everything else you'll need during your stay.
These NYC-centric mobile apps put the City at your fingertips.
Get the best prices at NYC's bars, clubs and restaurants.
Special dining offers, exclusively on Sunday.
Hotel deals to make you fall for NYC.
New York City is made up of five boroughs: the Bronx, Brooklyn, Manhattan, Queens and Staten Island. Each one has enough attractions—and enough personality—to be a city all its own. Learn more about them with this guide.
Blazing red neon adorns the legendary Upper West Side pool hall's downtown locale, situated in Corner Billiards' formerly dingy digs. The $2 million face-lift bought pressed tin, oak paneling, Oriental rugs and 26 pro-quality tables. The scene is crammed with hustlers, league players and NYU students alike. The billiards-averse appropriate the curvaceous zinc bar and maroon couches for potent Long Island iced teas before shooting darts or eyeballing sports on flat-screen TVs.

subset: commoncrawl


text:
mapepireLine breaks: mape|pire
Pronunciation: /ˈmapəpɪə /
Definition of mapepire in English:
noun[usually with modifier] West Indian
A snake.
Example sentences
- Avid orchid collectors often risk thorny undergrowth, mapepires and tarantulas in search of specimens.
- The mapepires and corals are generally best left alone and usually all of them hightail it out of an area if you are tromping around.
alteration of Carib matapi.
What do you find interesting about this word or phrase?
Get more from Oxford Dictionaries
Subscribe to remove adverts and access premium resources
Word of the day peart
Pronunciation: pɪət
lively; cheerful


text:
Now that the third government shutdown threat of the year appears to be nearing resolution, agencies are wondering if they should be ready for more such crises.
In some ways, the regularity of these moments is helpful because agencies made contingency plans the first time that they can still use, according to Stan Collender, budget expert at Qorvis Communications.
"There are plans in place that have made this more routine," in comparison to the shutdowns of 1995 and 1996, he said. "It does not have to be like 'The Perils of Pauline.' "
Also, the shift to cloud computing may ease pressures as well because information resources are off-site and continuous operation may be facilitated, he added.
On the other hand, a shutdown would be very disruptive and federal managers and workers anticipating a possible shutdown may need to put forth a tremendous effort to manage day-to-day operations while also coping with preparations for emergency operations, Collender said.
As the shutdown approaches, IT systems and operations would be affected, systems would be converted to emergency modes, and ongoing projects could be delayed, he added.
"Software, training and innovation would be put on hold," Collender said. "If the shutdown goes on for any length, do you lay off people? Do workers get shifted to other duties?"
Budget Director Jacob Lew advised agencies to get used to it.
"Right now, looking at the political debates, there's unfortunately on the part of some a willingness to force crises, to drive the car to the edge — if not off — the cliff," he said. "We've seen there is a willingness to shut down the government or to run the risk of default, and to run the government by ultimatums as opposed to negotiations."
About the Authors
Alice Lipowicz is a staff writer covering government 2.0, homeland security and other IT policies for Federal Computer Week.
Camille Tuutti is a former FCW staff writer who covered federal oversight and the workforce.
E-Mail this page
Printable Format
Advanced Search
Nominations are now open for the 2015 Federal 100 awards. Get the details and submit your picks!
Make a nomination today
Agency leaders must proactively invest time, energy and resources to shape the future rather than reactively wait for change to happen.
Meet 24 men and women who are driving key changes in federal IT -- and shaping up as the community's likely leaders of tomorrow.
GSA's administrator talks with FCW about short-term hiring, long-term planning and Robert Frost.
Without a future vision and an appetite for risk, reforms lead down a rabbit hole. There is a better way.
VA's top tech official says he is balancing risks while trying to keep the department's online services open for business.
After five years on the job, the founding director of the Office of Government Information Services believes that a deeper understanding and acceptance of FOIA is seeping into the federal government.
The September attack, made public Nov. 10, potentially puts customer and employee personal information at risk, including addresses, Social Security numbers and emails.
The General Services Administration's Matthew Goodrich predicts more agency-driven authorizations and previews a new two-year road map.
Archie Mackie became product director of enterprise computing at the Army PEO EIS in June. In a Nov. 7 interview with FCW, he explained why the Army is cautious but hopeful in its adoption of the cloud.
Since when is Senator Reid a Republican? The House sends a funding Bill to the Senate and Senator Reid says "No way. You cannot cut anything to cover the costs of FEMA". By the way, when, if ever again, will the Senate pass an FY budget? Every Senator and Congressperson and their office staff should lose 10% per month until a Budget bill is passed.
Please shut us down or do not shut us down. The "maybe"s are driving us crazy...
Get used to it? What kind of incompetent thinking is that? We keep hearing that the Federal government needs to act more like the private sector. If that is so, then why does the GOP keep threatening to shut everything down? That's not how the private sector works. That's not how government at any level should work. In my opinion, Congress is supposed to compromise. The problem is the failure of Congress to compromise and approve the funding bills before the fiscal year starts. When this happens, everyone in the House should be thrown out of their jobs and new elections held with the incumbents ineligible. After all, they are the ones who should be out of work, not us. "Getting used to it" is not acceptable.
8609 Westwood Center Drive, Suite 500Vienna, VA 22182-2215 703-876-5100
© 1996-2013 1105 Media, Inc. All Rights Reserved. This copy is for your personal, non-commercial use only.To order presentation-ready copies for distribution to colleagues, clients or customers, visit: www.1105Reprints.com


text:
Children's Religious Exploration from 10:45 to 11:45 am
Adult RE twice per month at 11:45
See the Religious Exploration page for more information
November 30 The Enduring, Dangerous Myth of the Savior Prince/Princess
Rev. Snavely
Many a fairy tale ends when the prince saves the princess, they marry and "live happily ever after." Too many women and men today believe that if they just find their own prince or princess their lives will be complete. It is an enduring and dangerous myth.
December 7 Where Does My Help Come From? Rev. Snavely
All of us sometimes need help. To whom or to what do we turn? Psalms 121 begins, "I lift up my eyes to the mountains— where does my help come from? My help comes from the Lord, the Maker of heaven and earth." American writer and poet, Nancy Wood, begins a poem, "My help is in the mountain where I take myself to heal." Do we turn to God, to nature, to something or someone else? And when we turn, is there a response?
Adult RE (11:45 - 1 pm)
- Emotional Literacy
December 14 Choir Holiday Service
December 21 Celebrating the Light
Rev. Snavely
Whether we celebrate Hanukkah, Yule, Christmas or some combination, there is light, and we celebrate.
Christmas Eve Service Wednesday, December 24, 7:30 p.m.
A service appropriate for the whole family will be held ending with candle lighting and the singing of "Silent Night." (You are invited to bring and share food following the service.)
December 28 Kwanzaa Tep Joyner
January 4 Community Organizing
Rev. Snavely
On the Unitarian Universalist Association website is this quote, "Congregation-Based Community Organizing (CBCO, also called Faith-Based, Broad-Based, or sometimes Institution-Based) is a movement that seeks to establish inter-faith, cross-class, multi-ethnic and multi-racial grassroots organizations for purposes of increasing social integration and power in civil society and for making civic, regional and state-wide changes for social improvement." Can a small group of people change the world? Margaret Mead said, "It's the only thing that ever has."
Goodloe Memorial Unitarian Universalist Congregation invites you to explore our website.
This Prince Georges County UU liberal religious congregation is honored to open its hearts and minds to worshipers from Bowie and beyond, and we welcome your presence at Goodloe.
We welcome you to this place which we love and tend with care...
We, the free and open community of the Goodloe Memorial Unitarian Universalist Congregation, join in common goals: to support each other in our spiritual journeys, to serve humanity, to celebrate diversity, to be in harmony with the universe, and to open our hearts, our minds, and our spirits to the adventure of life.We do not inquire of our fellow worshippers what they believe, nor expect them to think as we do, only that they share a concern for truth and goodness. Those who speak here have the task of presenting religion freely, fearlessly, and faithfully. Those who listen have the responsibility of testing what they hear, not only with a critical mind, but also in the living of everyday life. The members of this congregation welcome the support of all who believe religion is wider than any sect and deeper than any set of opinions.We welcome those who might find encouragement and strength for daily living through our worship services and through our friendship.
The Goodloe Congregation welcomes into its staffing, its programs, committees and volunteer opportunites all people without regard to their ethnicity, race, or sexual orientaton. Diversity of any brings strength to all.
Goodloe has been designated by the UUA a Welcoming Congregation.
The "Welcoming Congregation" designation is conferred upon Unitarian Universalist congregations that affirm their commitment to bisexual, gay, lesbian, and transgender people as an official statement of the congregation's moral obligation to serve this oppressed group. We work as partners with BGLT people toward equal rights and marriage equality. Bisexual, Gay, Lesbian, and Transgender Community Welcome to Unitarian Universalism
Goodloe Memorial Unitarian Universalist Congregation is Named for Don Speed Smith Goodloe,
first principal of the Maryland Normal and Industrial School (now Bowie State University), from 1911-1921, and graduate of Meadville (Unitarian) Theological School in 1906 Rev. Don Speed Smith Goodloe
Goodloe has adopted a section of US 301 under the Maryland Adopt-A-Highway program
Interfaith Thanksgiving Eve Service
Wednesday, November 26, 7:30 p.m.
Community Christian Presbyterian Church
3120 Belair Dr, Bowie, MD 20715
Come at 6:30 to sing in the combined choir.
Memorial Gathering for David Goodkind
A memorial gathering for David Goodkind, who passed away on Saturday, November 8, will be held on Saturday, December 13 at 2:00 p.m. in the chapel at Collington 10450 Lottsford Rd. Mitchellville, MD 20721
Guest at Your Table 2014
See the Events page for details.
Adult RE First Sundays
" Communicating for Connection"
See the Religious Exploration page for more details.
Building Your Own Theology On-Line Adult RE Course. See the Religious Exploration page for more details.
Special Music for First and Fifth Sundays at Goodloe
On first and fifth Sundays, Goodloe members are invited to provide the special music, either by singing or playing yourself or by offering a favorite recorded piece of no more than about three minutes in length. See sign-up sheet in fellowship area for open dates or contact Rev. Cyn at 240-475-2111, voice or text or email@example.com.
Goodloe Coffee House Night The local talent is lining up at Goodloe's monthly coffee house night. See the Events page for details. The next Coffee House will be December 20
UUA On-Demand Webinars - see the Religious Exploration page for details.
The Unitarian Universalist Association is sponsoring a way for UUs who identify as People of Color to meet online and by phone for conversation, support, and community. More information can be found at www.uua.org/multiculturalism/286649.shtml or by contacting Jessica York, Youth Programs Director, at email@example.com. Youth and adults are welcome.
Religious Exploration teachers and nursery volunteers needed in July and August - contact email@example.com
Let your Amazon.com purchases benefit Goodloe via this link (click on icon below)!
Visit the Fundraiser page for more information.
Need to submit an expense for reimbursement or record a donation? Get the form and instructions from the bottom of the Staff page.
1540C Pointer Ridge Place, Bowie, MD 20716 | 301.218.5277
home | about us | news letter | minister | religious ed | photo gallery | contact us
staff | calendar | social justice | sermon archive | space rental | fundraisers


text:
Transfer news: Southampton have 'intention' to keep Luke Shaw, despite interest from Manchester City, Chelsea and Manchester United
The left-back received his first England call-up yesterday
Friday 28 February 2014
Southampton's fast-increasing "prestige" can help keep England new boy Luke Shaw at St Mary's beyond the summer, according to manager Mauricio Pochettino.
Saints boss Pochettino hailed full-back Shaw's first senior England call-up for Wednesday's friendly clash with Denmark at Wembley.
Pochettino said teenager Shaw's England elevation can aid the fight to fend off the circling Manchester City and Chelsea, with both Barclays Premier League giants keen on prising the 18-year-old away from the south coast.
The Argentine manager backed Southampton's England quartet to force their way into Roy Hodgson's World Cup squad for the summer tournament in Brazil.
"That's clearly our intention; we want to keep hold of our young players, such as Luke Shaw: we want to keep hold of our young, talented players, and that's our intention for the future," said Pochettino.
"It's very important that Southampton have four players in the England squad, that's a massive boost for this club, but it also enhances the prestige of this club, so it's a very important thing."
Southampton academy graduate Shaw has joined Rickie Lambert, Jay Rodriguez and Adam Lallana in the full England squad.
Saints boss Pochettino believes all four have a realistic opportunity to make England's final World Cup roster.
"For any player it's a massive boost to get called up to the English national side, especially looking at the fact there's such a short time until the World Cup," he said.
"It's a great opportunity for them, and it's a great chance for them to actually be on that plane to Brazil."
Pochettino believes Shaw's selection indicates England boss Hodgson views him as similar quality to experienced full-back pairing Leighton Baines and Ashley Cole.
Proud that Southampton can identify youngsters and turn them into full internationals, Pochettino vowed the club will help the likes of Shaw cope with the transition from Premier League to the England arena.
"We all know Luke's quality, and it's clear that if Roy Hodgson has selected him it's because he feels he's capable of performing well, and complementing Baines and Ashley Cole in that position," said Pochettino.
"Overall it's a positive thing for him and for the English national side.
"It's very motivating for Southampton as a football club, I think we have 17 or 18 players who have been called up to the international break next week at all levels in the club.
"It's great to see that Southampton has the capacity to develop and create new players, especially of the calibre to go on and play for the full England side.
"Getting an England call-up creates a certain stress, because you must travel and compete the entire week.
"That creates a different stress on the player, and it's down to the technical staff at Southampton to balance that stress out, and find equilibrium between the excitement of making the England squad and keeping your feet on the ground, basically.
"Big clubs have players that are well used to playing international football, but when a player like Luke Shaw gets called up for the first time, that can demand a lot more physically and mentally.
"So it's up to us to keep the equilibrium of this club, over time trying to help our international players not see that as such a big demand, physically and mentally."
Latest in Sport
Sport blogs
- 1 I'm A Celebrity 2014: Jungle security stepped up after murder and 'suspicious death' near to camp
- 2 To help fuel their propaganda machine against the poor, our government has now decided to redefine the word 'welfare'
- 3 Jeremy Hunt: 'I took my children to A&E because I didn't want to wait for GP appointment'
- 4 Girl, 7, gets Tesco to remove 'stupid' sign suggesting superheroes are 'for boys'
- 5 This letter from a reader explains why women can't play football
Rochester by-election: Ukip gains second MP as Tory defector Mark Reckless holds seat
Ukip says babies born to immigrants in the UK should be classed as migrants – which would include Nigel Farage's own children
'Beast of Bolsover' Dennis Skinner takes Ukip MP Mark Reckless to task moments after he is sworn in
The young are the new poor: Sharp increase in number of under-25s living in poverty, while over-65s are better off than ever
Tamir Rice: 12-year-old boy playing with fake gun dies after being shot by Ohio police
Exclusive: UK approved £7m Israeli arms sales in six months before Gaza conflict
WIN a trip for two to Cuba
Follow Simon Calder's journey in Cuba, and enter our competition to win a trip for two to Cuba
Caribbean luxury at its finest
Barbados offers a new slice of holiday heaven at Port Ferdnand and Saint Peter's Bay Luxury Resorts
Rainbow list 2014: The LBGT people who make a real difference
Introducing our annual celebration of the lesbian, bisexual, gay, and transgender people who make a real difference
2014 WISE Summit
For the past four years, Qatar Foundation has been awarding an international prize for education each year, the first award of its kind in the world. Find out more...
Build yourself a brighter future
Chartered surveyors will be critical to shaping our new world
Why HD audio will lead to smarter calling
Telecom giant Vodafone is looking to improve voice quality, becoming the latest company to introduce new HD technology.
i100: A single mother on benefits who became one of the world's most successful authors
11 rags-to-riches underdog success stories
Made of London Series
Sir Ranulph Fiennes maintains that a lack of qualifications drove him on to climb Everest , circumnavigate the globe and walk to the South and North Poles.
From medieval to ultramodern
Mons is embracing the future as it prepares for its role as next year's European Capital of Culture, but it's also steeped in intriguing history. Philip Sweeney explores its two sides
Enter the latest Independent competitions
Win anything from gadgets to five-star holidays on our competitions and offers page.
Business videos from commercial thought leaders
Watch the best in the business world give their insights into the world of business.


text:
Another day, another month, another dating site...
Join OkCupid
Find better matches with our advanced
Find better matches with our advanced
matching system
—% Match
—% Enemy
60 • Bethlehem, PA • Man
I'm looking for
- Women who like men
- Ages 42–58
- Near me
- Who are single
- For new friends
My Details
- Last Online
- Today – 3:29am
- Orientation
- Straight
- Ethnicity
- White
- Height
- 6′ 0″ (1.83m)
- Body Type
- Athletic
- Diet
- Mostly other
- Smokes
- No
- Drinks
- Socially
- Drugs
- Never
- Religion
- Agnosticism, and very serious about it
- Sign
- Taurus, but it doesn't matter
- Education
- Graduated from two-year college
- Job
- Medicine
- Income
- Rather not say
- Relationship Status
- Single
- Relationship Type
- —
- Offspring
- Has a kid, but doesn't want more
- Pets
- —
- Speaks
- English
Similar Users
My self-summary
Write a little about yourself. Just a paragraph will do.
What I'm doing with my life
Don't overthink this one; tell us what you're doing day-to-day.
Working, trying to exist and finding someone to spend my time with!I guess I can't meet women in grocery stores can I?
I'm really good at
Go on, brag a little (or a lot). We won't judge.
The first things people usually notice about me
I'm an empty essay… fill me out!
My sunglasses, ha!!!
Favorite books, movies, shows, music, and food
Help your potential matches find common interests.
Comfort foods. Malaysian.
The six things I could never do without
Think outside the box. Sometimes the little things can say a lot.
Coffee, beer, my kid, oxygen, quiet time,exercise, golf ..
I spend a lot of time thinking about
Global warming, lunch, or your next vacation… it's all fair game.
upcoming projects
On a typical Friday night I am
Netflix and takeout, or getting your party on — how do you let loose?
Doing nothing.
The most private thing I'm willing to admit
I'm an empty essay… fill me out!
I love art!!
You should message me if
Offer a few tips to help matches win you over.
You're forced at gunpoint or your life depends on it.
Connect your existing OkCupid account
Sign in
Welcome Back!
Restore your account to continue meeting new people.
Reset your password
We'll email you a link to reset it.
Email sent!
An email is on its way to . If you don't see it, try checking your Spam folder.


text:
Kukla's Korner Hockey
Category: Hockey-Related-Stories
Competition For The Zamboni?
by Paul on 10/25/13 at 07:34 PM ET
Comments (0)
from Zackharia DeBeaussaert of The Farm Club,
Zamboni is the common vernacular for the behemoth driving around on the ice. It's actually an ice resurfacer. Commonly, tissues get called Kleenex, but Kleenex is a brand, not the actual object. It's the same for Zamboni.
The Zamboni company has an internationally registered trademark that has vaulted them from a product producing company, to their own word in the dictionary. Since 1950 the Zamboni company has had a stranglehold on the ice resurfacing market, because lets face it "I wanna drive the ice resurfacer" doesn't exactly carry the tune.
There's a new company that's coming in to challenge Zamboni's dominance on the ice resurfacing market. In Grand Blanc, Mich. the machine known as the Icecat looks to be the new standard of ice surface maintenance all across the globe.
"Our tagline is 'built like a sports car, shaves like a razor' because of it's premium features and aerodynamic design" said Tyler Moncreiff, Sales and Brand manager for Icecat North America. The Icecat is the product of UKKO a manufacturing company based in Finland. Moncreiff says that the move to sell in North America was to gain prominence in the biggest ice resurfacer market in the world.
Filed in: Hockey Related Stories, | KK Hockey | Permalink
The Shnarped Hockey App
by Paul on 10/23/13 at 08:59 AM ET
Comments (0)
There's a great hockey app on the market called "Shnarped" that was developed by two teammates from Princeton; Kyle Hagel (currently with the Portland Pirates) and Dustin Sproat (formerly of the Cincinnati Cyclones). We recently caught up with Dustin to discuss the Shnarped Hockey App…
Q: First off, what is Shnarped?
A: Shnarped is a hockey app designed to be a social network for the hockey community. It connects players, fans, agents, coaches, and managers of the sport we all love while providing them with the most relevant player stats, news and highlights. The most unique feature of Shnarped is "the pound" which is like sending a virtual fist-bump or tap on the shin pads to a player for a great game. If you send a pound to one of our over 300 verified pro players, they can send one back.
Q: Where did the idea for Shnarped come from?
A: It grew out of a charity I was doing with my co-founder Kyle Hagel called Hockey Players 4 Kids. We saw first hand how valuable player-fan engagement could be but we also faced a lot of challenges keeping up with all the players. We knew there had to be a better way to stay connected and track how our buddies were doing. That's where the original idea for Shnarped came from and it's grown into this fully featured hockey app.
Filed in: Hockey Related Stories, | KK Hockey | Permalink
Tags: shnarped
Video- It Lasts Forever
by Paul on 10/20/13 at 09:21 AM ET
Comments (2)
Although this video is almost five years old, this is the first time I have seen it.
Enjoy and you may have to watch it a few times.
Filed in: Hockey Related Stories, | KK Hockey | Permalink
Laraque Wants To Clear His Name Of Fraud Charges, Drops Out Of Political Race
by Paul on 10/17/13 at 05:29 PM ET
Comments (0)
from CBC News,
Former NHL player Georges Laraque is stepping aside as deputy leader of the federal Green Party and dropping out of the race as the party's candidate in Montreal's Bourassa riding to concentrate on clearing his name, after learning he will face fraud charges.
Laraque confirmed late Wednesday that he is facing fraud charges following an investigation by Longueuil police into a dispute with a former business partner.
He initially said that he planned to continue door-knocking in the east-end Montreal riding, left vacant by the departure of longtime Liberal MP Denis Coderre, who is running for the Montreal mayor's job. A date has yet to be set for a byelection.
Filed in: Hockey Related Stories, | KK Hockey | Permalink
Tags: georges+laraque
Video- Hockey Card Collection May Go For $2M At Auction
by Paul on 10/16/13 at 09:32 AM ET
Comments (2)
via CBC,
Missing a 1911 George Vezina rookie card or the rare Bert Corbeau card from 1924 to top off your hockey collection?
Well, Simon Bourque of Delson, Que., has the goods. In fact, he's ready to auction off 1,500 of the rarest and best-kept pre-World War II cards.
A recent bid of the Corbeau card from the 1923-24 NHL season reached more than $27,000, according to CBC's The National. He was the first player to suit up for the Montreal Canadiens and Toronto Maple Leafs. He was also the first Leafs captain after the team changed its name from the Toronto St. Pats.
Below, watch a video report from CBC on the collection...
Filed in: Hockey Related Stories, | KK Hockey | Permalink
Video- The Language Of Hockey
by Paul on 10/04/13 at 08:39 AM ET
Comments (0)
John Buccigross of ESPN with The Language of Hockey video feature or read Here Comes the Hockey Life here.
Filed in: Hockey Related Stories, | KK Hockey | Permalink
Denis Brodeur Passed Away Today
by Paul on 09/26/13 at 01:39 PM ET
Comments (0)
Read this story from Dave Stubbs of the Montreal Gazette at the National Post regarding Brodeur's most famous picture.
Filed in: Hockey Related Stories, | KK Hockey | Permalink
Tags: denis+brodeur
Video- Sochi Under State Of Emergency Due To Flooding
by Paul on 09/25/13 at 09:30 AM ET
Comments (1)
The first 35 seconds ia a gay activist report from Russia then the flooding in Sochi.
via CBC,
Filed in: Hockey Related Stories, | KK Hockey | Permalink
Tags: sochi+olympics
The History Of BioSteel
by Paul on 09/09/13 at 04:03 PM ET
Comments (0)
from Darren Heitner at Forbes,
In 2005, the NHL — the league that BioSteel first cracked — implemented league-wide drug testing with its new collective bargaining agreement. According to Celenza, "Before that, guys were taking everything under the sun."
At that time, Matt Nichol was the Head Strength and Conditioning Coach for the Toronto Maple Leafs and basically the point of contact for anyone in the NHL looking for advice on nutrition.
"Following the new CBA, Matt then calls all the supplemental nutrition companies that are supplying the Leafs and says, 'We have drug testing now. Not only do I need your drug testing documentation but proof that what is on your label is in your product,'" Celenza recalled. "Not one company could get back to him with any documentation. He said, 'My players' reputation is on the line. My reputation is on the line. What do I do?'"
The Maple Leafs then suggested Nichol create his own product — and he did just that. Over the years, Nichol tweaked the product based on responses from some of his athletes. Together, Nichol and Celenza co-founded BioSteel, with Nichol and a team of scientists ultimately forming a safe supplement for professional and Olympic athletes.
Fast-forward to 2009, and a childhood buddy of Celenza's — current Calgary Flames forward and alternate captain, Michael Cammalleri — began training with Nichol. After numerous workout sessions that also involved consuming BioSteel product, Cammalleri was sold. Much of the NHL followed thereafter. Cammalleri finally found a steady and consistent source of energy in BioSteel, which includes no sugar, artificial flavors or preservatives in its products.
Filed in: Hockey Related Stories, | KK Hockey | Permalink
Tags: biosteel
A New #66 In Pittsburgh
by Paul on 09/04/13 at 06:40 PM ET
Comments (0)
from Jim Souhan of the StarTribune,
Former Twin Francisco Liriano will start for the Pirates, and former Twin Justin Morneau will bat cleanup and wear a new number: 66.
I guessed that was a result of the intense hockey fan paying homage to Penguins great Mario Lemeiux. I was wrong.
``Nope,'' Morneau said. ``It's just 33 times two.''
Morneau wore 33 during his prime with the Twins. Is 99 a possibility? ``Nope,'' he said. ``There's only one 99 for us Canadians.''
read on for some baseball talk...
Filed in: NHL Teams, Pittsburgh Penguins, Hockey Related Stories, | KK Hockey | Permalink
Tags: justin+morneau, mlb, pittsburgh+pirates
« Previous ‹ First < 4 5 6 7 8 > Last › Next »
About Kukla's Korner Hockey
Paul Kukla founded Kukla's Korner in 2005 and the site has since become the must-read site on the 'net for all the latest happenings around the NHL.
From breaking news to in-depth stories around the league, KK Hockey is updated with fresh stories all day long and will bring you the latest news as quickly as possible.
Email Paul anytime at firstname.lastname@example.com
Most Recent Blog Posts
Top Dmen Pairings And Fitting In More Commercials
Hockey Talk On A Sunday Morning
Milan Lucic On The "Gutless" Punch From Dalton Prout
Video- Highlights From Saturday's NHL Games
Video- Jason Demers With The Hit Of The Night
Not The Right Make Up Of Players In Toronto
Evening Line- Elliotte Friedman on Daniel Alfredsson


text:
Sochi Opening Ceremony: Rodnina, Tretyak light Olympic cauldron together
Feb 7, 2014, 2:43 PM EST
Two of Russia's finest Olympians got the honor of lighting the cauldron in the climax of the Opening Ceremony for the 2014 Sochi Olympic Winter Games.
After tennis superstar and NBC Olympics correspondent Maria Sharapova brought the Olympic flame into Fisht Olympic Stadium, the torch was then passed between pole vaulter Yelena Isinbayeva, wrestler Aleksandr Karelin, and gymnast Alina Kabaeva before finally coming to three-time Olympic gold medalists Irina Rodnina (pairs figure skating) and Vladislav Tretyak (hockey).
Rodnina and Tretyak then jogged outside the stadium to the cauldron's structure. Upon arriving, they lit a smaller cauldron and the flame shot up the structure before igniting the main cauldron at the top.
Check out NBCOlympics.com to see how the athletes saw tonight's event in Sochi.
- Viviana Tatarlova - Feb 7, 2014 at 3:07 PM
Reblogged this on The Muses Guild:MOONGLOW.
Top Posts
- Katie Ledecky faces decisions in 2015, 2016 0
- Michael Phelps back in the pool; Phelps, Ledecky win Golden Goggles 2
- Viktor Tikhonov, Soviet Union Olympic hockey coach, dies at 84 1
- Sun Yang failed drug test, served three-month ban 0
- Rio 2016 Olympic, Paralympic mascots unveiled (video) 0
- Maksim Kovtun rallies to win Trophee Bompard (video); Grand Prix Final picture 0
- Ashley Wagner in Grand Prix Final fight after finishing behind Russians at Trophee Bompard (video) 0
Featured video
Most Commented
- Emotional Bode Miller medals in race that mattered most (61)
- Russian women kissing after relay victory at World Championships causes stir (60)
- IOC drops wrestling from 2020 Olympics (47)
- South Korea filing official complaint over Yuna Kim's Olympic silver (39)
- Zola Budd, 47, dominates college runners in 5K (33)


text:
The Social Network (2010) 1080p BrRip x264 - 1.2GB - YIFY
seeders: 445
leechers: 31
Added on Feb 26, 2012 by YIFY2.14M in Movies > Highres Movies
Torrent verified. Downloaded 10 times.
Cast: Joseph Mazzello, Jason Flemyng, Wallace Langham, Justin Timberlake, Brian Palermo, Monique Edwards, Carrie Armstrong, Darin Cooper, Aria Noelle Curzon, Jesse Eisenberg and others
Harvard student Mark Zuckerberg creates the social networking site that would become known as Facebook, but is later sued by two brothers who claimed he stole their idea, and the cofounder who was later squeezed out of the business.
Written by Pahly135.28K
The Social Network (2010) 1080p BrRip x264 - 1.2GB - YIFY (Size: 1.2 GB)
Related Torrents
Sharing Widget
All Comments
▼ Show More ▼ All
User Opinions
wizworx7282, jsnack3625, Dankestbuds1350, iChaRismatic1321, kuturkutur1146, bennyelias1093, zoone167, arecords162, khaloody113, cwat100 ... And 712 more
seafoamfairy1691, alienMUFU801, jim2878479, debbiesapao159, Killb0yPwrhd40, ts41989821, UQ175717


text:
Sign in
Sign Up
lowest rate guarantee
No. 14-16, Praca Ponte E Horta
Estrada da Baia de N. Senhora da Esperanca
177-179 Rua de Cinco de Outubro
51 Rua de Xangai
162 Rua das lorchas
Great reasons to book with Agoda
Over 500,000 hotels worldwide – more added every day
Trusted by over 17,000,000 satisfied customers
Best Price Guarantee
8 million+ hotel reviews by Agoda customers
With availability in over 56,000 cities worldwide
agoda special offers
including last minute offers(even same day!)free nightsfree upgrades!
Customer Support
Location is convenience, shuttle...
0.29 Km.
Enviornment, service,...
0.31 Km.
Convenient location, friendly and...
0.32 Km.
value for money during weekend,...
0.37 Km.
Comfort room but bad location and...
0.41 Km.
shuttle bus to emperor hotel , big...
0.42 Km.
Good location, central point ,...
0.45 Km.
Room, Gambling facility, staff...
0.5 Km.
Excellent Location, Excellent...
0.61 Km.
Nice view but not are good...
0.63 Km.
1-Great facility 2- Surprice from...
0.65 Km.
Value for money, rooms...
0.71 Km.
Friendly staff, clean room and...
0.73 Km.
The location, the room condition...
0.76 Km.
the service good the rooms are...
Premier Queen room was good size...
0.78 Km.
Location, Child Friendly,...
0.88 Km.
spacious room, good location,...
1.25 Km.
Large room, plenty of place for...
2.29 Km.
The room is big and the view is...
2.34 Km.
4.5 / 5
over 80,000 reviews
of users recommend us
Go To Top
All material herein © 2005 – 2014 Agoda Company Pte. Ltd., All Rights Reserved.
AGODA ® is a registered trademark of AGIP LLC, used under license by Agoda Company Pte. Ltd. Agoda is part of


text:
AWR Corporation Press Release - April 14, 2011
and Announces Call for Papers
El Segundo, CA – April 14, 2011
About AWR
AWR, the innovation leader in high-frequency EDA software, dramatically reduces development time and cost for products employed in wireless, high-speed wired, broadband, aerospace and defense, and electro-optical applications. Learn more at: www.awrcorp.com and AWR.TV © Copyright 2011 AWR Corporation. All rights reserved. AWR, the AWR logo, Analog Office, and AXIEM are registered trademarks of AWR Corporation. Microwave Office, Visual System Simulator, Stop Waiting and Stop Designing, and AWR.TV are trademarks of AWR. All others are trademarks of their respective holders.
Visit AWR at:
AWR.TV, AWR Blogs, Facebook, Twitter, and YouTube.
Sherry Hess
Vice President of Marketing
AWR Corporation
(310) 726-3000
Posted 4/14/2011
Webmaster: Kirt Blattenberger, BSEE, UVM 1989
Custom Search
More than 10,000 searchable pages indexed.
Your RF Cafe
single-handedly redefining what an engineering website should be.


text:
I Want Your Support - Dr. Gary Roberts to Run for ADA President-Elect in 2015
100 Years Ago, Louisiana Had an ADA President; Let's Make it Happen Again!
Josh (son), Stephanie (daughter-in-law), Zach (son), Gary and wife of
43 years, Teresa, and Caleb (grandson).
Dr. Gary Roberts' Campaign Brochure
One hundred years ago, there was an ADA president from Louisiana - Dr. C. Victor Vignes. Let's make it happen again!!!
Dr. Roberts has served in organized dentistry for 37 years, with 18 years of service in the ADA House of Delegates. He is a proud Louisiana dentist who practiced in Shreveport (Northwest component), and has served in many capacities on the state level, including LDA president and editor of the LDA Journal, prior to becoming more involved in leadership on the national level. Before becoming an ADA Trustee, he served on the ADA Council of Ethics, Bylaws, and Judicial Affairs and the ADA Council on Government Affairs.
Dr. Roberts was fortunate to serve on several ADA task forces including the House of Delegates Task Force on Governance. As the 12th District Trustee, he has served as liaison to the Council on Members Insurance and Retirement Plans, the Council on Dental Practice and the Council on Annual Sessions. He currently serves on the ADA Pension Committee, and next year, will be the Chairman of the Budget and Finance Committee. He recently served on the ADA Library Transition Task Force, guiding our library into a modern entity where members can access articles from over 250 journals, 24 hours a day, seven days a week.
His varied experiences in different areas of the ADA have given me a unique understanding of the problems and opportunities our organization and individual members have before us. He is eager to be able to serve and address these problems and opportunities and is honored that the 12th District has seen fit to support him for the candidacy of ADA President-Elect in 2015.
He is greatly appreciative of the LDA's continued confidence and support!
Read More - Historical Info on Dr. C. Victor Vignes from ADA Library
To provide financial support for the campaign, make checks payable to Friends of Gary Roberts, D.D.S. and send the contribution to:
Dr. David Austin, Treasurer
230 Carroll, Ste. 2
Shreveport, LA 71105
Links with this symbolare password protected for LDA members only.
|(225) 926-1986
(800) 388-6642
|Louisiana Dental Association
7833 Office Park Blvd.
Baton Rouge, LA 70809
NEW ENDORSED COMPANY!!! Medical Waste Management is your local provider of medical waste services. Specializing in collection, transportation, tracking, treatment and disposal, Medical Waste Management will provide reliable convenient service to our customers with the latest compliance and tracking services.
Read more...
Louisiana Dental Services, Inc. (LDS) is the for-profit subsidiary of the LDA. Through LDS, the LDA endorses many high-quality products and services that provide revenue to the association EVERY TIME you use them.


text:
Register with us or sign in
Monkey in the garden wrote (see)
... does anyone know what are the strongest weedkillers you can buy and how long do you have to wait before you can plant any vegetables again?
... does anyone know what are the strongest weedkillers you can buy and how long do you have to wait before you can plant any vegetables again?
Agent Orange, and at least 500 years.
Document what plants you have or had in there at the time.
Yes, definitely need more info, especially WHAT was sprayed. Him refusing to tell you makes it sound Dodgy As Hell (TM). You could assume it's dangerous. You probably SHOULD assume it's dangerous and illegal because it's dangerous and he won't tell you because it's illegal. That would mean someone would have to come round with rubber gloves and boots (to be discarded afterwards and replaced) and dig it all out to maybe 9 inches deep. I charge £15 / hr including driving time plus 20p / mile. Then you'd have to get lots of that environment-friendly peat-free compost Because it's ORGANIC, you TWIT. It'll COST more! with which to refill the bed, then you'd have to replace all your plants. Then you can send him copies of all the receipts for that and an invoice for the total, and if he doesn't pay up tack on £15 an hour for yourself and sue him for it.
Heather Michaels wrote (see)
Rain dances anyone?!
Rain dances anyone?!
Putting the bedding out on the line usually works for me. If I want sunshine, I take it back in.
That first garage roof is sagging already. I just copied your photograph into GIMP and drew a straight line along its ridge, and there's a gap under the line, as big as the ridge structure where it's in line with the garage door.
If you do rebuild that roof, you could put a solid roof there and put a trellis over it, but I suspect the supports for the trellis would be ingress points for rainwater. An alternative would be posts mounted on the end wall to support wires stretched to the barn wall, but then you're putting a lot of force on the posts and bolts, increasing as plants on the wires get heavier. Also, you'd be waiting a while for plants to grow from ground level to the wall top and then along the trellis to its peak, and I reckon most climbers would find their way under a tile somewhere eventually and up behind the barge boards almost immediately.
I'm not sure how the succulent roof was done, but I assume it could be achieved by putting wooden rails around the outside of the roof, leaving slots for drainage, and placing potted plants on the roof. As long as it's not delicate and they can't slide around, they shouldn't make holes in it.
A variation of that would be a stepped planter. You could have a series of low walls along the roof, filled with soil between them to make beds, and leave a couple of spaces to walk up there to check on them, feed them or whatever. Bury a perforated hose or length of 50mm drainpipe in each one with an open end by the steps so you can just pour diluted feed into it and reasonably expect it to be spread along the full length. Two down-sides: one is that it's one heck of an engineering project, to the extent that I'd want to get the walls' max load checked before I put that much stuff on them, and the other is that when it needs replacing it'll be another huge project (and a real mess if it comes down on a car because you put it off too long).
For a lightweight option, replace the existing roof with big 4mm acrylic sheets and seal the edges with gutter sealant. It'll save you using electric lights in the garage during the day. You may need to get slightly clever with the woodwork underneath them to get the overlaps rights, but it's not that big a deal. I was going to do that for a covered washing line here, but the company went for exposed rotary ones instead.
tucker2010: http://www.piteba.com/eng/index_eng.html seems to be the machine for the job, but I found that via instructables and the write-up says you have to have black oil sunflower seeds not the munchy kind, so grow from bird food (25kg for £42, 2.25kg for £6.25), not from a tiny packet from the health food shop (500g for £3.19).
The manufacturer's website says minimum 25% oil and this page says that includes striped sunflower seeds ... barely ... as well as black sunflower seeds and also peanut, safflower and nyjer.
Oh, ye gods, BT?
Yeah, maybe I should ask my father to post his saga.
For now, I shall provide this link to a newspaper column:
Another vote for the gun, and specifically a .177 at 11.9 ft-lb muzzle energy, no paperwork required. Get an underlever, as they're more accurate than a break-action and involve less kit than a bottle-charged one. Choose a spot for your bait, pick a comfortable spot to wait, measure the distance, zero your sights at that range and learn how far high or low the gun hits at other ranges (e.g. on target 5m, 1cm high at 10m, 2cm high at 15m, 1cm high 20m, on target 25m, 1cm low 30m, 2cm low 35m) and then just put some food there and wait.
6 rats that moved into my compost heap when the cottage next door was demolished died of pistol (max 6 ft-lb energy or you need a class 1 firearms certificate and good luck getting one of them for a short weapon) shots to the head, but that involved standing over the hole for an hour, waiting for them to poke their heads out. A rifle will let you take them out from much longer ranges. One big one found its way into the peanut feeder this year. One big hole from its left kidney to its right shoulder put a stop to its raiding.
You'll need to keep trying it to be sure there aren't a few more, but it's the one way to be sure you kill exactly the creature you want to kill and nothing else. (Most important skill with a projectile weapon: NOT shooting what you DON'T want to hit!)
Curious English composition exercise: "I killed the 6 rats that moved into my compost heap with an air pistol ... and am glad there were only 6 or they could have brought at M16 and then I'd have been in trouble." "I killed the 6 rats that moved into my compost heap when the cottage next door was demolished with an air pistol ... and, let me tell you, demolishing a cottage with an air pistol is a long, slow job."
I wonder whether it would be easy enough and cheap enough to build a sort of giant airbrush that would allow you to squirt lemon juice from your hosepipe while hosing the cats off the shed. Eh, the lemon juice would probably cost a fortune. What you need is an air cannon to fire hollow-point lemons at the cats. That ought to get the message home.
Hrm. Let me look into that. 2400 psi in a 50mm drainpipe is 4083 N, which would accelerate a 58 gram lemon at 70,395 m/s^2, so down a metre of barrel ... in 0.00533 seconds it'd reach 375.22 m/s, with a muzzle energy of 4095 J, which is more than a .30-06 Springfield or a 444 Marlin and more than four times a .44 Magnum.
Okay, you know what? I think maybe you shouldn't launch hollow-point lemons at 160 bar at those cats after all. You might damage the shed.
I could do with one of those for my car. "It's 30 for a reason, ****head. Now *BANG* back off!"
Assuming that was an early afternoon photograph taken from the SW corner, you've got tree (partial) shade throughout the day in the southern third, fence shade along the west side in the afternoon, widening in the evening, and house shade in the NE in the evenings, so if you want a sun trap it's going to have to be SE of the S end of the house. At least you've got a reflective white wall there. I'd put sun-lovers in the NE, where they'll get the warmest sunshine, with lawn between them and the house providing flop-space. Your sun-trap goes south of there where early afternoon sunlight bounces off the house onto it and the evening sun can light it up too. Between the two you have your washing line, so you're stuck with leaving that space open, but from the washing line south in an arc into the middle of the garden you can surround your sun-trap with low-growing prettiness, like shrub roses. Behind them you either raise a bed for more low stuff or plant medium-height stuff, so you've got an embankment of greenery and blossom around you while you're socialising. Siting a BBQ is a tricky call, because you don't want to stink up the neighbours' washing by putting it against the fence but you don't want a huge brick obelisk in the middle of your lawn either. The simple answer would be to put it against the house. Alternatively, if you go with raised beds, you could tuck it into them.
That'd leave the south end of the house free for sun-loving climbers. Put chunky eye-bolts in, string 2mm wire across them and grow a huge wisteria with horizontal tiers, or put wooden rails on, mount trellis on them and cover the whole thing in a chaotic mixture of akebia and honeysuckle. You could build a full-height strawberry planter and fill it with strawberry plants, but I think that's asking to get sick of climbing ladders. Either way, leave a gap at the top so stuff doesn't climb in under the eaves and invade the loft.
Bird boxes should be in sheltered north-facing spots, so put them on the other end of the house, but bats like to have a box on each side so they can choose the one that gets the right temperatures as the seasons change.
South of the house is where I've put your vegetable plot, with another raised bed between it and the sun-trap. This is partly because a raised bed of decorative plants looks better than a vegetable plot, and partly so that you can sit and relax in the garden without constantly checking for caterpillars and weeds.
Between raised areas, there's a wide path leading south to the acers. An evenly-spaced and straight line probably isn't what you want, but I was just sketching. The shed and compost heap are right in the corner, out of sight. It's a bit of a trek from there to the north end of the vegetable plot, but you'll have a wheelbarrow, won't you?
Under the acers, you can plant shade-lovers. Grow a bed of English bluebells, perhaps? You could also arrange them differently to have a sort-of-hidden corner in the SW, and put in a little love seat there.
I've left a 17m square of lawn there. That should be plenty.
If you'd wanted a garden for boys and tomboys, I'd have been designing wooden forts instead.
It's HOW big? Wow.
Okay then! That's one big canvas. I'm going to need a bigger paintbrush.
Lawn: currently, you have this. As you've probably noticed, it mostly just uses up lawnmower fuel. If you have kids who love to run round in circles on it and yell and/or kick footballs around it, or you like to sit on lawn furniture on sunny evenings (excuse chuckling, as I'm in Yorkshire, where it rains on sunny evenings) the lawn may be valuable, but it's an expensive thing to maintain. Still, it's what you can have under a washing line.
Washing line: the picture was taken in some harsh light, and the near end of the house is overexposed as a result, but it looks blank, so that's a place the laundry won't spoil your view and you can have guests there without them being "under Big Brother's eyes" in front of a window or able to see into your rooms and watch you inside, which some people wouldn't like, so I'd make the first open space at the near end of the house.
Open space: another open space, somewhere further down the garden. You can get 6'x4' sheets of outdoor acryclic from Homebase, so an octagonal pagoda with one of those for each piece of roof is a possibility. So's a raised deck. You could put one on top of the other. This would give you a semi-rainproof place to sit and sip beer or wine. I don't mean pagoda, do I? A pagoda is really tall, with lots of overhanging roofs. I mean, erm, a ... mar... marquis? No. Thing. Legs, roof, some walls. Free-standing conservatory. Four porches back-to-back without a house between them. Thing.
Getting there: two paths, one down each side of the garden, with flowers between path and fence on the outside.
Shed, compost heap(s) et cetera: bottom corner, where you took that photograph.
Between lawn and thing and between thing and shed: here's where you get to do lots of engineering! To psychologically separate the two and increase the feeling of being in another place, raise beds between them. This will also hide the ugly compost heap and shed ... unless you want to build a really beautiful shed with a door that's actually tall enough. Why do sheds all have 5'10" doors, anyway? Boulders or gabions, in interesting shapes, creating tiered beds with pretty stuff growing in them will hide your "quiet place in the garden" from the house and vice versa. Between there and the shed, you could go with dense bushes and trees, but you don't want trees too close to the house.
Plants: entirely up to you in the middle, as you get to decide what soil to have in your raised beds and how well-drained it'll be. Just plan them all first in plan and elevation so the small ones aren't lost behind the big ones and you can reach to prune the ones that'll need it, and plant from the centre outwards and from the fence forwards. Be careful not to shade yourself out by putting tall trees south of your sun-lounger.


text:
Flames torch meat plant, delivery truck
Updated On: Apr 05 2013 07:19:18 AM EDT
An Upstate meat plant caught fire late Thursday, and investigators are blaming a delivery truck for the damage.
Click here for images
Workers at Foster's Meats on Oneal Street in Belton called 911 about 11 p.m. after they saw smoke coming from the rear of the building, according to investigators.
When fire crews arrived, they found a delivery truck on fire at the back of the building, investigators aid.
The truck was destroyed by flames, and the building suffered minor heat and smoke damage, firefighters said.
This is not the first fire at Foster's Meats. In 1998, the same plant was destroyed by a fire that was started by a construction crew using a torch.
Copyright 2013 by WYFF All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Crime stoppers offering reward in Tucker Hipps death investigation
Kickoff time set for Clemson vs. South Carolina
Greenville 'spa' busted for prostitution
Attorney: Police had 'duty' to cite teen son in fatal crash that killed 5 family members
SCDNR: Clemson DUI attorney arrested on boating while intoxicated charge


text:
Posted November 07, 2012 on AP on Fox
Tom Osborne, the former Nebraska football coach who will retire as the school's athletic director Jan. 1, is the recipient of the Walter Camp Football Foundation ''Distinguished American'' Award. The foundation said Wednesday that Osborne will receive the award presented to ''an individual who has used his or her talents to attain great success in business, private life or public service and who may have accomplished that which no other has done.'' Osborne won 255 games and three national championships in 25 years before he served three terms in the U.S. House of Representatives. He and his wife, Nancy, founded a mentoring program. He has been athletic director since 2007. Among past recipients are sportscaster Keith Jackson, NBC Sports executive Dick Ebersol, former NFL Commissioner Paul Tagliabue and entertainer Bob Hope.
Original Story: http://msn.foxsports.com/cfb/story/Ne...
PLAYERS: Tom Osborne
TEAMS: Nebraska Cornhuskers
TEAMS: Nebraska Cornhuskers
Comments are closed.
What do you think?To leave a comment, you can:
Cornhuskers News
Delivered to your inbox
You'll also receive Yardbarker's daily Top 10, featuring the best sports stories from around the web. Customize your newsletter to get articles on your favorite sports and teams. And the best part? It's free!
Follow us on Twitter
|Latest Rumors
|Best of Yardbarker
Youth Football Referee Wins $275K Settlement After Being Attacked By Irate Coaches And Parents During Game
Today's Best Stuff
For Bloggers
Join the Yardbarker Network for more promotion, traffic, and money.
Company Info
What is Yardbarker?
Yardbarker is the largest network of sports blogs and pro athlete blogs on the web. This site is the hub of the Yardbarker Network, where our editors and algorithms curate the best sports content from our network and beyond.


text:
View Entire Collection
By Clinical Topic
By Journal
By Specialty
By Category
By State Requirement
Faith Community Nursing
Future of Nursing Initiative
FRIDAY, March 12 (HealthDay News) -- Fluoxetine and citalopram show an anti-inflammatory benefit in rheumatoid arthritis (RA) in laboratory experiments, with findings pointing toward endosomal Toll-like receptors (TLRs) as a target for therapy in the disease, according to research published in the March issue of Arthritis & Rheumatism.
Sandra Sacre, Ph.D., of the University of Sussex in Brighton, U.K., and colleagues analyzed data obtained from murine collagen-induced arthritis and a human ex vivo disease model of RA. Following therapeutic administration of fluoxetine and citalopram, the researchers sought to determine the anti-arthritic potential of these agents.
The researchers found that both treatments inhibited disease progression in the mice, but fluoxetine showed greater efficacy both in clinical and histological observations. In other testing, using human RA synovial membrane cell cultures, both drugs inhibited production of tumor necrosis factor, interleukin-6, and interferon-γ-inducible protein 10. They also inhibited signaling of TLRs 3, 7, 8, and 9. The authors write that TLRs respond to molecules that may be released during tissue inflammation.
"Fluoxetine and citalopram are not ideal candidates to be progressed into clinical trials, since our in vitro data suggest that effective inhibition would require levels above their safe therapeutic dosages," the authors conclude. "Nevertheless, these data in conjunction with our previous study support the concept of a contribution from endosomal TLRs to the chronic inflammation associated with the pathogenesis of RA and demonstrate the potential to selectively target these receptors with small molecules in the future for the effective treatment of RA."
One author reported a patent application related to this subject, and another reported financial relationships with Wyeth.
Full Text (subscription or payment may be required)
Powered by
For life-long learning and continuing professional development, come to Lippincott's NursingCenter.
Caring for...Patients of different religions
Nursing Made Incredibly Easy!, November/December 2014
Expires: 12/31/2016 CE:2 $21.95
Autoimmune disease: Cost-effective care
Nursing Management, November 2014
Expires: 11/30/2016 CE:1.5 $17.95
CE: Original Research: Staff Nurses' Perceptions Regarding Palliative Care for Hospitalized Older Adults
AJN, American Journal of Nursing, November 2014
Expires: 11/30/2016 CE:2.5 $24.95
More CE Articles
Subscribe to Recommended CE
Dogs as Pets, Visitors, Therapists and Assistants
Home Healthcare Nurse, November/December 2014
Free access will expire on January 5, 2015.
Tracheostomy Care
Nursing2014 Critical Care, November 2014
Free access will expire on December 22, 2014.
Effective management of ARDS
The Nurse Practitioner, 13December 2014
Free access will expire on December 22, 2014.
More Recommended Articles
Subscribe to Recommended Articles
Back to Top