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Glyburide is a sulfonylurea drug used to lower blood sugar levels in people with type 2 (non-insulin-dependent) diabetes. Maintaining normal blood sugar levels helps reduce health problems associated with diabetes. People with diabetes should consult with their doctor before starting or stopping any form of treatment including drug therapy, herbal products, supplements, and others.
Consumption of a high-fiber diet and/or supplementation with nutrients such as chromium, biotin, vitamin E, and others or herbs such as gymnema will often improve blood-sugar control in diabetics. In such cases, the amount of blood sugar-lowering drugs may need to be reduced in order to avoid a hypoglycemic reaction. Anyone taking medication for diabetes should consult the prescribing physician before making dietary changes or taking nutrients or herbs that are designed to lower blood-sugar levels.
One single-blind study in Thailand reported that combining 1 Tbsp (15 ml) of aloe (Aloe vera) juice twice daily with glyburide significantly improved blood sugar and lipid levels in people with diabetes, compared with placebo.1 Previously, glyburide by itself had not effectively controlled the diabetes in the people in this study.
In a preliminary trial, administration of Ginkgo biloba extract (120 mg per day) for three months to patients with type 2 diabetes who were taking oral anti-diabetes medication resulted in a significant worsening of glucose tolerance. Ginkgo did not impair glucose tolerance in individuals whose diabetes was controlled by diet.2 Individuals taking oral anti-diabetes medication should consult a doctor before taking Ginkgo biloba.
Chromium supplements have been shown to improve blood sugar control in people with diabetes.3 Consequently, supplementing with chromium could reduce blood sugar levels in people with taking glyburide, potentially resulting in abnormally low blood sugar levels (hypoglycemia). While chromium supplementation may be beneficial for people with diabetes, its use in combination with glyburide or with any other blood sugar-lowering medication should be supervised by a doctor.
1. Bunyapraphatsara N, Yongchaiyudha S, Rungpitarangsi V, Chokechaijaroenporn O. Antidiabetic activity of Aloe vera L. juice. II. Clinical trial in diabetes mellitus patients in combination with glibenclamide. Phytomed 1996;3:245–8.
2. Kudolo GB. The effect of 3-month ingestion of Ginkgo biloba extract (EGb 761) on pancreatic beta-cell function in response to glucose loading in individuals with non-insulin-dependent diabetes mellitus. J Clin Pharmacol 2001;41:600–11.
3. Anderson RA, Cheng N, Bryden NA, Polansky MM, Cheng N, Chi J, et al. Elevated intakes of supplemental chromium improve glucose and insulin variables in individuals with type 2 diabetes. Diabetes1997;46:1786–91.
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That Real Enough For Ya?!
Wow Fausto is a zombie! I am so glad that cat is out of the bag and I can talk about it. I wanted to keep that a surprise for as long as possible. Although now that it is out I still kind of want to keep it a secret for new readers. You can never win. Hope you are enjoying this new turn! Next week it gets weirder!

subset: commoncrawl


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Chicory can be found in the produce section of most health food stores, specialty markets, and some supermarkets. Choose leaves that are crisp and brightly colored.
The green variety is the most common. Radicchio is a red-leafed Italian variety of chicory.
Copyright © 2014 Aisle7. All rights reserved. Aisle7.com
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Learn more about the authors of Aisle7 products.
The information presented in the Food Guide is for informational purposes only and was created by a team of USregistered dietitians and food experts. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements, making dietary changes, or before making any changes in prescribed medications. Information expires June 2015.


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Sheila Balistreri Signs Off From KTUU
Longtime KTUU morning anchor Sheila Balistreri said goodbye to viewers of the Anchorage, AK, NBC affiliate Friday.
Balsitreri started her broadcasting career at KFYR in Bismarck, ND. Before she came to KTUU in 1994 she worked in radio in Salt Lake City, UT, with a stop at NBC affiliate KSL.
As part of her send off, she got a goodbye from Matt Lauer and Savannah Guthrie from NBC's Today Show and, according to the Alaska Dispatch, red rose petals in the hallway leading to the studio.
Balistreri has been with "Morning Edition" since day one, working the grueling 11 p.m. to 8 a.m. overnight shift required to produce the show while the rest of Alaska slept. For years, she worked through the night to produce the show, sometimes even at personal expense. She said her family would often note that it seemed like she was in a fog when she got home, a result of giving all her energy to making sure the job was done right, she said
Maria Downey, assistant news director and longtime evening news anchor, said Balistreri was a perfect fit to start the morning newscast, with her strong news experience and commitment to Alaska. Downey noted Balistreri was always willing to get up early and couldn't remember a time she called in sick. Even with the grueling shift, and other anchors coming and going over the years, Balistreri remained a fixture. Read more


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This is the official Liverpool FC Women's Home Shirt as worn by the ladies team which will be worn throughout the 2014/15 Season.
The new LFC kit is inspired by the Shankly era and tunes into the heart of LFC's identity with the renowned red colour scheme, whilst incorporating modern style and construction.
Key Features Include:
- Body - 100% Polyester
Sizing & Fitting:
* Please check the sizing guide for full measurements.
The Inspiration
Under the management of Bill Shankly, Liverpool FC achieved the kind of dominance that very few clubs have ever experienced. Warrior's new LFC campaign (#DEMAND) reflects the philosophy first installed by the LFC great, something which has been reinvigorated under the current manager, Brendan Rogers.
Brendan Rogers commented, "The 1960s was such a defining era for this club. Sir Roger Hunt, Ian St John, Ron Yeates…the list of Liverpool FC legends that played under Shankly goes on and on. For the players to wear a shirt that has taken inspiration from such a successful period for the club, can act as a reminder that they can bring those glory years back to Liverpool Football Club."
Technical Features:
The kits feature moisture-wicking War-Tech fabric which is responsive technology that helps keep players focused on nothing but performing. Four-way stretch mesh panelling under the arms and across the back of the shirt facilitates optimum ventilation while allowing for added comfort and temperature control in core heat areas.
How Long Will My Online Store Order Take?
We aim to ship all normal orders between 3 and 5 working days.
UK orders normally arrive in 5/6 working days.
UK express orders when ordered before mid-day arrive the next working day.
International orders normally arrive in 7 working days.
You will receive an e-mail from our distribution centre once your order has been shipped with track and trace information.
Express UK delivery is normally made by DPD
Standard UK delivery is normally made by Hermes
International delivery is normally made by DHL Express - (Click Here for Customs Information)
Online Store Returns Policy
Categories excluded are : Confectionary & Food Product, Personalised Product and Sale Items
If you are not satisfied with your purchase, you may return it to us within 2 weeks of receipt in unworn / unused condition for a full refund or exchange. Please use the returns form on the reverse of the sales slip when returning items to us.
Returns address : LFC Direct, PO Box 211, Whiston, Prescot, L35 1WQ.
Please note that custom printed merchandise cannot be exchanged or refunded.
Liverpool FC does not accept any responsibility for players transferring from the club or changing their squad number. Liverpool FC will not accept any returns or refund requests outside of our normal returns policy if a player is transferred or changes their squad number.
Should you have any queries regarding a return then please contact us.
We want you to feel confident about shopping with us. If you have a problem, or are unhappy with your purchase, then we will put the matter right.
We recommend if you do return an item to us, do so by recorded delivery. LFC will not accept responsibility for lost returns.


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- What:
- The Pink Floyd Tribute of Sight & Sound, the world's most authentic Pink Floyd tribute performs a number of Pink Floyd's most well-known songs, recreated and played exactly as the band did themselves in their touring years. Show is December 28th, 2012 (7:00 P.M.) at The Beaumont Club (4050 Pennsylvania Avenue, Kansas City, Missouri). Tickets are $10 (purchased before the show) or $12 at the door.
- Where:
The Beaumont Club
Kansas City MO
- Category:
- Concerts & Tour Dates
- When:
- Friday, December 28 @ 6:00 pm
- Links:
Having trouble? Let us know!


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Harris Multi-System Controller
Control platform
The MSC extends a transmitter's redundancy and power range by enhancing the functionality and control of two or more transmitters. It is configurable across applications such as main/alternate, N+1 and dual transmitters. In the main/alternate role, the MSC monitors the main transmitter while keeping the +1 reserve in hot standby. As a dual-transmitter system controller, the MSC allows for increased power capability and reliability through redundancy, by parallel combining of two or more transmitters. Monitor via front panel pushbutton controls with an alpha-numeric display, or remotely via Web browser or optional parallel I/O. In N+1 applications, the MSC monitors and controls each main transmitter. Upon detection of low RF output exceeding the userÆs configurable time delay, the device automatically sets the frequency of the reserve, or "+1" transmitter, to that of the failed main transmitter, routes the correct audio to the reserve, then changes the configuration of the RF switching system to place the reserve transmitter on air, and turns it on. The failed main transmitteræs RF output is simultaneously routed to the dummy load where it may be tested and repaired without further broadcast interruptions. The MSC is built into a transmitter.
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Park Planning
(702) 267-4000
Amie Wojtech
It All Starts Here...
To date, the City of Henderson Parks and Recreation Department has been awarded more than $235 million for 30+ parks and trails projects from the Bureau of Land Management through the sale of public lands as authorized by the Southern Nevada Public Land Management Act (SNPLMA). This brings a tremendous value to Henderson residents.
SNPLMA is unique because it sets a standard for cooperative conservation. It provides for the sale of specific federal lands in Clark County and for the acquisition of environmentally sensitive lands. SNPLMA has two primary purposes: to promote orderly development in the Las Vegas Valley and to decrease the impact of urban growth on our national recreation areas (such as Lake Mead and Red Rock). When certain public lands are sold, funding is set aside and local agencies submit projects for funding consideration. Project proposals must be very detailed and fit within SNPLMA parameters.
Examples of projects that might qualify for SNPLMA funding consideration are conservation and environmental education initiatives on federal land, and the development of parks, trails and natural areas in Clark County. Funding cannot be used for any other purposes.
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Valore della struttura
3 Recensioni
5 su maggio 06, 2013
I love this litle log cabin. We stayed here four years in a row when my son was attending Eastern University. The peace and tranquility is unbelieveable being out in the country. WHen you wake up in the early morning, you can see all the deer and other animals grazing beautifully on the premises. I did not think my husband would survive without TV but he did. I recommend it hightly
5 su novembre 14, 2012
Charming, historic, serene, oasis in the midst of chaotic modern world. Fresh baked goods provided by Diane, the innkeeper extraordinaire. Cannot rate the Osage Inn highly enough. Six stars!
4,8 su gennaio 03, 2010
We found the Inn to be the right combinaton of rustic charm with a down home warmth that just can't be found anywhere else. A true one of a kind place made even more special with the innkeepers personal touch. Our favorite place without a doubt!


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Salsa El mariachi Salsa Cycles | Bikes | El Mariachi 2 for 2013 changed the geometry. Looking at inbred geo is it the updated geometry the #'s are differant? Local shop said salsa new specs makes for a better ride. What do you think? Frame and fork is $650 for salsa. I would like to try a steel frame.
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Are the Phoenix Coyotes under new ownership?
GLENDALE, AZ - Hockey insiders tell ABC15 that the Phoenix Coyotes have landed a new owner.
Sources tell us that Greg Jamison, the former owner of the San Jose Sharks is set to take over the team.
National Hockey League officials deny that a deal for new ownership has been struck.
Coyotes personnel would not comment on the matter, dismissing the early reports as wild speculation.
The NHL took over ownership of the team to keep the Coyotes out of bankruptcy.
The team still has the worst average attendance in the league, and have been losing money for years.
Fans outside Glendale's Jobing.Com Arena said they hope the team would see a resurgence under new ownership.
"I think like anything, it is going to take time to become a hockey town. I sure hope they stay here because we get to come down to where it's warm and watch the game here," Bill St. Croix said as he waited for the stadium to open for Tuesday's game.
Sources say the team and the league will make an announcement after they return from a week-long road-trip at the end of February.


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Teens Who Are Night Owls May Struggle in School
THURSDAY, Nov. 14 (HealthDay News) -- Teens who stay up late are more likely to have lower grades and more emotional problems, a new study suggests.
Researchers analyzed data from 2,700 U.S. teens, aged 13 to 18. Of those, 30 percent said they went to bed later than 11.30 p.m. on school nights and 1:30 a.m. in the summer.
By the time they graduated from high school, the teens who stayed up late during the school year had lower GPA scores and were more likely to have emotional problems than those with earlier bedtimes, the University of California, Berkeley, team found.
Going to bed late in the summer did not appear to affect school performance, but there was an association between later summer bedtimes and emotional problems in young adulthood, according to the study published online Nov. 10 in the Journal of Adolescent Health.
The researchers said their findings support later middle and high school morning start times. While the study found an association between lack of sleep and lower grades, it did not prove a cause-and-effect relationship.
"Academic pressures, busy after-school schedules and the desire to finally have free time at the end of the day to connect with friends on the phone or online make this problem even more challenging," study author Lauren Asarnow, a graduate student in UC Berkeley's sleep and mood research clinic, said in a university news release.
On a positive note, the findings highlight how healthy sleep habits provide academic and emotional benefits for teens.
"The good news is that sleep behavior is highly modifiable with the right support," Asarnow said.
More information
KidsHealth.org has more about teens and sleep.
SOURCE: University of California, Berkeley, news release, Nov. 10, 2013Related Articles
- Health Tip: Warning Signs of Sleep Apnea
December 22, 2014
- Mother's Depression Tied to Later Delinquency in Kids
December 22, 2014
Learn More About Sharp
Sharp HealthCare is San Diego's health care leader with seven hospitals, two medical groups and a health plan. Learn more about our San Diego hospitals, choose a Sharp-affiliated San Diego doctor or browse our comprehensive medical services.
Copyright ©2013 HealthDay. All rights reserved.


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Available Colors/Styles
Detail Pics
Be a badass.
Yeah, the Elwood Men's Pops Workin' Shirt conjures up images of dad and grandpa returning from the bar (after a hard day in the mines) with coal-covered faces. We, however, like to think of it more as a 'killin' shirt'—something that Doc Holiday and the Earp brothers would have worn.


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'It's time for Skype' campaign kicks off in the US, UK
Skype is kicking off a massive, $12-million marketing campaign focusing on the value of communication in both the United States and the UK. The IM and VoIP client focuses its marketing effort on the deeper, more meaningful communication that it wants to transmit.
Skype asks "When did it become OK to text Mum happy birthday?" and answers right away that "140 characters doesn't equal staying in touch." With such bold and thought-provoking statements Skype wants to make users think about their habits.
The whole campaign was inspired by recent research unveiling how rare people connect with their family members and friends. And while the marketing firm working on the campaign admits that Skype isn't solving all those deep problems, it does highlight the important role the app can play.
Another focus lies on the various options besides video calling, that make Skype stand out:
"We're proud of our video calls, but we also want them to know about our other products: screen-sharing, group video, file transfer, instant messaging, calls to mobile and landlines. The combination of features allows a more natural conversation," Francie Strong, Skype's director of global customer-base marketing, said.
The ads will start appearing on April 19th in major media outlets.
source: Adage
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2 Comments
posted on 02 Apr 2012, 08:12 1
1. Le05K (Posts: 18; Member since: 04 Nov 2011)
If they rather spend the money on development and bring Skype to other platform like WP7, Blacberry, and latest Symbina, suport more tablets would do no harm at all.
posted on 09 Apr 2012, 06:01 0
2. jacksonp (Posts: 1; Member since: 09 Apr 2012)
Nice campaign, but Skype is losing its touch a little. New players like Tango and Six3 (which lets you send video messageshttps://six3.tv) are doing a nicer job of video communication, esp on mobile.
'It's time for Skype' campaign kicks off in the US, UK


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Masterpiece: Mystery!
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Air Date:Sunday, Jul 17th - 8:00pm
Episode Title:Zen: Vendetta
A killer is on a vendetta-fuelled rampage against those who wrongly imprisoned him, including a cop who had almost nothing to do with it: Zen. But Zen is too busy dealing with another crime—a politically-charged murder—to notice that he's on the psychopath's hit list. Ordered by his boss to nail the chief suspect in the murder case whether he is guilty or not and by a justice official to get the guy off, Zen is in a no-win situation
— although he has won the heart of his officemate Tania Moretti. With so many distractions, can Zen solve the murder while keeping his job, staying alive, and getting to know Tania better?
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Gateway Mentoring
Through the Scott/Ross Center, I am the Student Director of Gateway, which is currently a tutoring and mentoring program for a selected group at the John D. O'Bryant School. Gateway is a pilot program founded in New York that offers college access workshops and academic assistance. Incoming high school freshmen apply for this program and out a pool of applicants, fifty students are chosen. The partnership between Simmons College and the John D. O'Bryant allows me to be the person who recruits the tutors and mentors for our program.
Last year, Gateway was more focused on the tutoring aspect of the program and we sort of let the mentoring part of it just happen. Because I had origninally wanted to create a new mentoring program, Dr. Steve London, the Supervisor of the Scott/Ross Center and also a Professor of Sociology, thought, why not do it through Gateway? About this time last year, the Gateway Team and I decided to meet weekly to come up with a proposal for a mentoring program. Through numerous revisions and multiple meetings, my team and I was able to get our proposal approved by the site supervisor of Gateway at the O'Bryant! The Gateway facilitator, Danielle Ehrnstein, and I worked together to complete a grant by the Simmons Centennial Grant funded by the Simmons Board of Trustees. We successfully received funding for our mentoring program!
Mentoring means a great deal to me. I can honestly say that without my mentors in my life, I wouldn't be able to achieve all that I have today. I had a great mentor throughout my high school years, who is still one of my great mentors, Mr. Richard Vaughn, that guided me towards my goals and helped encourage me when I needed it the most. Mr. Vaughn introduced me to new opportunities, and he challenged me to take a risk with what I wanted to do. He was my inspiration in creating a mentoring program like Gateway Mentoring.
I know what it is like to feel lost and want to succeed and if I can ever have an impact in another student and be even a small percentage of what Mr. Vaughn was to me to another student, then this program would definitely have been successful and worth all the hard work! Maybe someday, they too can help another person and guide them to their goals. :)
Mentees Visit Simmons!
This week my mentees were on their winter break and they decided to shadow me in my classes and activities! I am very excited for them to see what college life is like. I feel like it gives them something to look forward to and work towards. I asked my mentees to prepare a reflection on their experience at Simmons and one of my mentees, Jennyde, agreed to let me share her experience on my blog!
Jennyde Dessius
February 23rd, 2012
Shadowing at Simmons College
I personally think that the gateway Mentor and tutoring program is a great opportunity for young students like me to get ahead and stay ahead. On Wednesday, I had a chance to shadow a fellow student at Simmons College. To get a feel on the college life was an excellent experience for me. I'm glad I took advantage of that day and asked questions that seemed to be bothering me about the whole college process as well as what I can do as a sophomore in high school to begin to prepare myself for the near future.
Who knew I would ever step foot in a few college classes as a high school student. I got to sit and observe students as they reviewed for an exam. Their note-taking, study habits and different ways of preparation was impressive. The ambition that each student had was clearly visible and truly skillful. One class that I really liked was Student Government Association. What I liked most about it was that I was able to hear the concerns from the students, their thoughts and what seemed to bother them as well as ideas and new ways to maybe improve their stay and education at Simmons. What really caught my attention was their "Hot topic". They spoke about stress and different ways to solve the issue. I really enjoyed that because it was all so real. I kind of understood what the students were saying and was able to relate.
Would I do this again? No doubt about it. In fact, I think that every student should be able to participate in some kind of experience like this one where they can familiarize themselves with their future, so when the time comes, they will not only be ready but they would already be given the knowledge and guidance of refinement.


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Healthcare initiatives today are focused on improving care coordination and enhancing quality of care while reducing the cost of that care. Many approaches are being evaluated, but one essential and effective process remains in the shadows: the use of palliative care to improve value.
Experienced palliative caregivers continue to be underutilized and/or misunderstood. Palliative care originated as comfort care. However, over the past several years, the role of palliative care teams has evolved to include medical care coordination that addresses some of the major issues being discussed with healthcare reform.
Often associated with "end-of-life care," interdisciplinary palliative care teams also may be used to manage care for patients with chronic conditions, serious acute illnesses, longer-than-anticipated length of stay (LOS), or psychosocial difficulties, as well as those who experience major complications.
In an era of reform, today's healthcare leaders should more fully understand what palliative care is designed to achieve; the barriers to wider adoption; and the financial, medical, psychosocial, and satisfaction benefits that palliative care can provide for hospitals and patients.
There are various definitions for palliative care. The Center for Advancement of Palliative Care (CAPC) defines it as "specialized medical care for people with serious illnesses". Its goals are to improve the quality of life for patients and their families and to provide an extra layer of support by promoting a team focus to patient care. An effective palliative care program fosters closer and clearer communication among clinicians, patients, and their families. By establishing and focusing on clear patient care goals, cost savings are achieved, patient satisfaction is increased, and LOS is reduced—particularly LOS in critical care areas.
There are a number of barriers to wide adoption of palliative care services.
Lack of public awareness. Many in the public sector remain unaware that palliative care teams exist in hospitals, or they perceive palliative care as "inpatient hospice." By informing and educating patients with chronic, complex, critical illnesses and their families, upon admission, that palliative care services are available, hospitals can better promote streamlined, effective medical delivery. Hospitals and health systems should strive to increase public awareness of these programs to assist families in knowing when and why such services should be requested.
Limited scope. Some organizations view the use of palliative care as being appropriate only for end-of-life patients or as a means to reduce LOS. Organizations often do not understand how effective the palliative care process can be in controlling costs of complex cases, managing patients with chronic conditions, and coordinating medical care in acute care settings, both inpatient and outpatient. Using palliative care presents an opportunity for growth toward establishing patient goals and coordinating medical care across the care continuum: inpatient, outpatient, home care, skilled nursing, or rehabilitative facilities. Screening newly admitted patients for palliative care needs or identifying readmitted patients who have previously received palliative care, especially in the emergency department, results in higher patient satisfaction, better medical outcomes, and reduced LOS.
Reluctance of primary care physicians. Although each patient's well-being is at the heart of a primary care physician's focus, these physicians often simply cannot coordinate schedules to speak at length with all family members, guardians, or powers of attorney regarding important care decisions. Palliative care teams offer a vehicle for critical communication among patients, families, primary care physicians, and consulting clinicians. A defining characteristic of palliative care staff is their strong sense of teamwork.
Conflicts may arise if palliative care teams are perceived as questioning or taking over the primary care physician's decisions. Once familiar with the goals and methods of palliative care delivery, physicians typically realize the benefit of having strong facilitators for decision making with their patients and patients' families. Introducing palliative care to assist with managing patient care goals should be equivalent to referring patients to specialists who can manage specific elements of their care.
Lack of standardization. Since 2000, the number of palliative care teams within hospital settings has increased almost threefold, from roughly 600 to more than 1,600 today ("Growth of Palliative Care in U.S. Hospitals: 2012 Snapshot," Center to Advance Palliative Care). Despite this increase in palliative care programs, the effective use of their processes continues to lag.
Among palliative care programs, there is a lack of standardization with regard to how teams are structured and operated. Even multifacility organizations often lack a corporate structure that drives fully integrated, systemwide palliative care departments. For example, variances often are seen in billing of time, staffing, referrals, roles and responsibilities, and reporting.
In the case of billing of time, some departments state they bill for their time, while others do not.
With regard to staffing variances, clinical complements often vary among hospital teams, even within the same corporation. Some use nurse practitioners; others include staff nurses. Most teams incorporate a physician and a hospital chaplain. Some teams include dedicated social workers, while others share social workers with case management departments. Some teams include pharmacists.
Regarding referrals, many hospitals employ a "pull" strategy that requires a primary care physician's written order before palliative care can be introduced to a case. Other organizations allow staff nurses to initiate referrals or may use a screening tool to identify patients who would benefit from palliative care team coverage.
Roles and responsibilities for palliative care often are defined differently, as well: Some organizations have specific delineated lines between case management and palliative care, while others struggle with clear hand-offs in roles between case managers and palliative care nurses.
In the area of reporting, various teams may report through different channels, including nursing (chief nursing officer or vice president of nursing), case management, and medical directors.
Most critical to full adoption of palliative care in hospitals and health systems is the ability to move past internal politics that could hinder streamlined integration with standard patient care.
There is ongoing discussion around optimal reporting structures for palliative care, including whether palliative care should be integrated with case management. Although economies of scale could be achieved via integration with case management, there could be significant risk to the effectiveness of palliative care teams. Palliative care focuses on medical and emotional management of chronically ill or complex patients, while case management oversees the effective and efficient movement of patients through the healthcare continuum. Palliative care teams' efforts and outcomes are typically subjective in nature; case management results are more definitive and quantifiable. Integrating palliative care and case management can offer wider exposure of palliative care services, but clear guidelines and parameters are needed to ensure the integrity and focus of the distinct services are kept intact.
Although classified as a non–revenue-generating service, palliative care hours can be billable, and the financial benefits to hospitals are shown through cost savings and cost avoidance. A 2008 study published in the Archives of Internal Medicine compared direct costs of patients who were cared for by a palliative care team with direct costs of matched patients who were not covered by palliative care—defined as treated with "usual care" (Morrison, R.S., et al., "Cost Savings Associated with U.S. Hospital Palliative Care Consultation Programs," Archives of Internal Medicine, Sept. 8, 2008). The study, which analyzed data from eight hospitals, found that the use of palliative care provided a weighted average yearly cost savings of more than $7.5 million. This example reflects conservative savings, because it is based on costs during the years 2002 to 2004. It also does not include indirect cost savings, represents a sampling of palliative care patients, and does not take into account savings from unwanted or unnecessary procedures.
The 2008 study disclosed that the use of palliative care resulted in significant reductions in pharmacy, laboratory, and intensive care unit costs compared with patients who did not receive palliative care:
Another study performed using Medicaid patient data for four New York hospitals from 2004 to 2007 showed that, on average, patients who received palliative care incurred $6,900 less in hospital costs per admission than patients who received usual care. Cost reductions per admission included $4,098 for patients discharged alive and $7,563 for those who died in the hospital (Morrison, R.S., et al, "Palliative Care Consultation Teams Cut Hospital Costs For Medicaid Beneficiaries," Health Affairs, March 2011).
Although the structure of palliative care teams is not standardized among hospitals, the exhibit below shows a base sample of personnel needed. The sample salaries included in this exhibit illustrate that, for a modest investment, a hospital can achieve ROI with even a small volume of patients seen.
According to these figures, the investment of qualified personnel more than pays for itself in the cost savings achieved.
Patients receiving palliative care have shown physical improvement as patient symptoms are addressed early, leading to longer survival as well as higher quality of life.
A study at Massachusetts General Hospital, a Harvard University teaching hospital, followed 151 patients with non-small-cell lung cancer.
Fifty percent of patients received palliative care along with standard treatments; 50 percent received standard treatment alone; about a third of the patients had no cancer-related symptoms when they first received palliative care; and 94 percent of patients were fully ambulatory. Although the patients experiencing palliative care received less aggressive end-of-life care than the standard care patients, they lived 2.7 months longer, on average (Palliative Care: Surprising Benefits from an Underused Therapy, Harvard Medical School, Harvard Health Publications, April 1, 2012).
Palliative care programs significantly reduce pain levels, providing comfort and peace of mind. According to CAPC, numerous studies also show palliative care controls fatigue, anxiety, breathlessness, nausea, depression, constipation, and other sources of symptom distress, leading to enhanced physical outcomes.
Hospitals are in the business of healing, and there is a point where curative care is no longer realistic. Healing is not just the curing of disease; it also involves holistically addressing the physical, psychosocial, emotional, and spiritual wellness of a patient. Palliative care provides a service to address the holistic care of patients and their families, especially when chronic or severe conditions are not curable or resolvable.
Palliative care teams provide more than just comfort or end-of-life care: They assist patients and their families in establishing clear, realistic patient-care goals based on the specific needs in each individual case, coordinating medical care delivery among myriad caregivers, and providing psychological and emotional support throughout care delivery. Their effectiveness extends to many chronic, critically ill, and complex psychosocial cases, regardless of diagnosis or prognosis. Now is the time to bring palliative care to the forefront of healthcare discussions as a process to enhance patient satisfaction and provide cost-effective, high-quality care. Enhancing public awareness is critical to program expansion and broad-scale availability of palliative care services.
Donna Verret is principal, Novia Strategies, Poway, Calif. (email@example.com).
Rose M. Rohloff, RN, is executive director, The PARC Group, LLC, Chicago (firstname.lastname@example.com).
Publication Date: Friday, March 01, 2013
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Scott Schmidt, vice president, Cerner RevWorks, LLC, shares insights on best practices for maximizing a revenue cycle management partnership.
Amy Amick, president, revenue cycle management, and William Davis, vice president, revenue cycle advisory solutions, both with MedAssets, share insights on the industry and techniques to drive sustainable performance improvement.
Eric Ward, president and CEO, Parallon Revenue Cycle Services, discusses key trends in revenue cycle management and factors providers should consider when partnering to advance their revenue cycle performance.
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Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care's changing payment environment.
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Featured Jobs: Officer Cadet
"I came across the competition poster, and it sounded more like it was describing me than a career."
"Being at sea, you see a lot of things that are really incredible that not many people get to see."
"I chose the Canadian Coast Guard because it is extremely stimulating, and provides the perfect entry point into the maritime industry."
These words were spoken by our graduating and returning Officer Cadets of the Canadian Coast Guard College (CCGC). The life of an Officer Cadet is one of continuous learning, self-discipline, and respect for the organization, qualities which are essential for a successful career at sea. The start of the day highlights this with daily divisions. All Cadets meet in the College's spacious gymnasium for attendance, uniform inspection, and to stand alongside their fellow classmates.
Following daily divisions, Cadets have a wide array of both in-class theoretical and practical coursework in both official languages. While there are shared courses between Navigation and Engineering Officers Cadets, the College offers highly specialized classes to suit the needs of the different streams. Navigation students learn certain navigational skills through using simulators, like how to pilot vessels using only radar. Engineering students work with engines and electronic systems, like monitoring and maintaining a vessel's hydraulics systems. As well, students have the opportunity to apply their training first-hand through spending time on a vessel at sea. Navigation Officer Cadets spend 15 months and Engineering Cadets spend 9 months working alongside fully trained professionals on real live CCG missions.
Our Officer Cadets demonstrate their willingness to be part of the team by fully devoting themselves to the curriculum; in turn, the CCGC devotes itself to its students by providing a free, first-rate education with many Officer Cadet Benefits. Yes, you read that correctly. Course material (including books and tools), meals and accommodations, Olympic-size pool, and exercise facilities are all available to students free of charge. Additionally, all four years of the training program count as pensionable service.
Upon graduation, Officer Cadets are all guaranteed full-time employment on a CCG vessel, are entitled to the full range of Government of Canada employee benefits, and are paid $25.32/hour (up to $59,000 annually).
If you think this describes you and not just a career, or if you need more information, then visit the CCG College website.
- Date modified:
- 2013-06-24


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Summary: The updated guide to five-star bar and beverage management
It takes more than top-shelf cocktails to produce a successful beverage operation. From a stand-alone business to the beverage department of a restaurant, hotel, or foodservice operation, today's successful bar operations must be run by managers who have product and equipment knowledge, management savvy, marketing skills, insight into the latest trends, and, of course, a strong grasp of mixology--all o ...show moref which are detailed here in The Bar and Beverage Book. This revised Fourth Edition has the most up-to-date material on managing a beverage operation, bar equipment, sanitation and bar setup, inventory control, and the importance of planning for profit.
This edition includes new material and expert advice on :
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Slow Food $5 Challenge a Delicious Success
We had a great time at my early-bird version of the Slow Food $5 Challenge last night. The menu changed again after I went to the Raleigh Downtown Farmers' Market and Whole Foods. Here's the main course of the feast I served for $4.77 a person. Check out the next picture for dessert: Peach Ice Cream Supreme and roasted pecans. And we had enough extra food for one or two more people.
- Cuban Black Beans, made with local bell peppers and onions from Wild Onion Farm, and local bay leaf from a friend
- herb-coated Montrechet cheese from Celebrity Dairy
- grilled and marinated okra (from Hilltop Farms) and summer squash
- spiced and roasted pecans
- Garlic Flatbread
- long-grain basmati rice
- Lemon verbena tea
- Peach Ice Cream Supreme, with peaches from Johnson Farms via Ball Berries and Produce
We had food left over, even though I forgot to serve the cucumber (also from Hilltop Farms).
I splurged on the pecans ($1.00 a serving) and the goat cheese (92 cents a serving). My friend Patrick surprised me by bringing a bottle of wine, which I'm not including in the total but that was much enjoyed.
Next week, look for more information about how to do a dinner like this yourself. It's fun, delicious, and wildly affordable.


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ChordsChords v2Chords v3Chords v4TabsTabs v2
CAN'T FIND MY WAY HOME By Steve Winwood From Blind Faith The original recording uses a second overdubbed guitar track to fill in various rhythms and riffs thus making playing CFMWH solo a daunting but not impossible task. The basic picking pattern below forms the foundation for everything else. Get the basic picking pattern down cold then add in whatever flourishes and riffs that you can squeeze in. Play with a pronounced syncopation in the rhythm. Emphasize the first bass note in each measure, picking the second bass note of each measure lightly, if at all. h = hammer on, p = pull off Basic picking pattern: 2/4 1 : . : . 2 : . : . E---------------------------|---------------------------| D---3--------------3--------|------------------3--------| G---0--------0-----------0--|------------0-----------0--| B---------0-----------0-----|---------0-----------0-----| A---3-----------3-----------|---2-----------2-----------| E---------------------------|---------------------------| 3 : . : . 4 : . : . E---------------------------|---------------------------| B------------------3--------|------------3-----3-----3--| G------------0-----------0--|---------2-----------2-----| D---------0-----------0-----|---0-----------0-----------| A---1-----------1-----------|---------------------------| E---------------------------|---------------------------| 5 : . : . 6 : . : . E---------------------------|---------------------------| D------------------1--------|------------------3--------| G------------2-----------2--|------------4-----------4--| B---------3-----------3-----|---------5-----------5-----| A---------------------------|---------------------------| E---1-----------1-----------|---3-----------3-----------| 7 : . : . 8 : . : . E---------------------------|---------------------------| B------------3--------------|------------3-----3--------| G---------2-----------0-----|------------2-----2--------| D---0-----------------------|---0-----------0-----------| A------------------------3--|---------------------0--2--| E---------------------------|---------------------------| Use the same syncopation throughout. D7sus G Come down off your throne Gm/Bb D And leave your body alone F G D Somebody must change You are the reason I've been waiting so long Somebody holds the key G A Asus D Dsus D Well I'm near the end and I just ain't got the time Em G F#m Em D And I'm wasted and I can't find my way home Come down own your own And leave your money at home <- lyrics on album jacket but... ..."And leave your body alone" is sung on the album. Somebody must change You are the reason I've been waiting all these years Somebody holds the Key I'm near the end and I just ain't got the time Oh and I'm wasted and I can't find my way home Repeat the following using the chords from the first verse, ending on a D major: But I can't find my way home But I can't find my way home But I can't find my way home But I can't find my way home Still I can't find my way home And I aint done nothing wrong But I can't find my way home Notes on chords: The opening chord is a D7sus missing the fifth. This resolves naturally into the following G chord. The chord in the third measure is an inversion of a Gm with the flatted third in the bass. The two suspended chords in the chorus are very important as they lead the progression into the chords that follow.
Popular Blind Faith tabs & chords
Song lyrics
↑ Back to top | Tablatures and chords are parodies/interpretations of the original songs. You may use it for private study, scholarship, research or language learning purposes only


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Gear Review
Alpina BC boots
William C Clark
Member since
These are comfortable for me (normal width) and pretty warm for how heavy they are. They feel a lot like a hiking boot but not as stiff. They certainly have good ankel support, which is key to what I want in a BC boot and easy on/off. I also like the simplicity of having laces rather than some zipper to freeze or break in the BC (though a zipper covering over the laces tends to make a warmer boot). I cannot comment on their durability but I think for the price they are decent boot.
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Tag Archives: Office of Inspector General
Comply or Die: Introducing GSK's New Corporate Integrity Agreement
Big pharma talks a lot about the changing business model and placing a new emphasis on patients, but the fact remains that quantity of medicines sold, not quality of care provided, is how to get paid (and how to keep investors happy). Despite its egalitarian trappings, the healthcare "ecosystem" is still dominated by the most […]
Posted in Agency Insight, compliance, Corporate Responsibility, Legal, Marketing, Regulatory, Sales, Strategy | Also tagged CIA, Corporate Integrity Agreement, DoJ, False Claims, fraud, GlaxoSmithKline, GSK, HHS, Justice Department, OIG | Leave a comment
Inspector General Puts Forest CEO in the Crosshairs
Forest Laboratories' CEO Howard Solomon was no doubt surprised to receive a form letter from the Office of Inspector General (OIG) on April 8, which, if acted upon, would exclude him from doing business with federal healthcare plans, including Medicare and Medicaid. Solomon has 30 days to explain to the OIG why he should not […]
Posted in Strategy | Also tagged Celexa, Forest Laboratories, Howard Solomon, Levothroid, Lexapro, Medicaid, Medicare | Leave a comment


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Live your Unitarian Universalist values out loud. Make your year-end gift today!
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Gail Collins-Ranadive talks about women's truths, her own writing habits and the ghost of Olympia Brown.
How did you get the idea for this book?
attended a Women and Religion Retreat at Murray Grove back in the mid 1980s, and during our long
weekend together I noticed that virtually every woman there admitted that she
writes or has written about her life,
yet every one said she'd never shared her writing with anyone; rather,
she had hidden her journal away in the back of some drawer somewhere. At about that time, I had begun working
on my MFA in Creative Writing at the American University, and the Literature Department
there was heavily into women's studies. The courses I took convinced me that
women's voices haven't been heard or valued because we have been silent/silenced
for too long. But how to break the silence? So I created and presented a writing
workshop for the women in my home UU [Unitarian Universalist] congregation as a ministerial internship
project. The workshop received the
1991 UU Women's Federation Feminist Thea/ology Award, and I used that grant
money to publish the writing workshop exercises under the title Writing Re-Creatively: A Spiritual Quest for Women. Skinner House picked it up and reprinted
it twice under that title, and is now reprinting it for a second time under
its current
title, Finding the Voice Inside.
Why did you address this book to
women?When I
included men in a writing group I held in my home, the women in the group
stopped sharing their own truths and started care taking of the men instead. The whole dynamic changed, and the
original purpose was defeated. Based on that experience, I was able to convince
University to let me offer
a workshop for women through the evening extension program. It was working with this group of
professional Washington women that propelled me into
seminary a short time later: I agonized over not being sure how to help women
deal with what opened up for them when they went deep into their own stories.
Since then I have learned that all I can do is offer to walk with them while
they do their inner work.
What are your own writing
habits?I have
always written. As a young wife and
mother, I would get up before the family and write to center myself for the day
ahead. I always claimed a space in
whatever set of military quarters we were occupying (usually the designated
maid's room), and set up a space for my inner life that was out of bounds for
the rest of the family.
becoming single again, my entire living space is arranged around my writing.
When I
get up before sunrise, I write in a prayer-journal by candlelight, and later
transfer any insights into other notebooks designated for a variety of projects
I'm working on at the time, including sermons. I carry a notebook in the car. Some of
my best writing insights and ideas come while driving in my "modern monastic
cell". I have a notebook wherever I am: in the doctor's waiting rooms, at the
supermarket checkout. (I wrote my whole MA thesis while standing in line at the
commissary.) I carry a notebook on
walks, and I even kept one in my backpack while hiking in the Grand Canyon. During late afternoons at home, I write in a
meditative manner, in the special light around a special chair. Writing helps me
know who I am.
What are you working on
tentatively titled my current project "Cultivating Universe-al
Consciousness." I am
exploring the emergent new cosmology and
what that means for how we live our individual and collective
How has writing affected your
this book changed my life drastically.
It propelled me into seminary so I could walk with others on their
spiritual journey. As a result, the truth of my own life became unavoidable and
required painful changes—a challenge I had no right to expect of others until I
was willing to undertake it myself.
Have you continued to lead women's
spirituality groups since the publication of Finding the Voice Inside? If so, have you changed the process at
all?As a
parish minister, I do not feel right about leading spirituality groups only for
women in the congregations I serve.
But if any of the women in a current congregation decide they want to use
the book together, I help them get started and then let someone else facilitate
the workshop. I have developed other writing workshops to include men in the
various congregations I've served as an interim minister over the years.
Do you have any stories about the exercises
in this book?My
favorite story is about Exercise 36, in which women are invited to recall a
historical woman and bring her forward to serve as a mentor and friend. I did
this myself back in 1980 when I was asked to write a biographical sketch of
Olympia Brown for "UU in the Home," a project sponsored by the religious
educators in the greater Washington area. I had written sketches of several men,
but when I came to write the one on Olympia Brown, the same process hit a wall.
I found myself writing a poem about how our two lives intersected BEFORE I could
write the biographical essay. I put
the poem in my desk drawer and forgot about it until I needed a writing sample
of this exercise for the book. Thus the poem about Brown appeared in the back of
the book. After the book was published, I got a letter from a woman named Clare
who said she was a social worker and seminary student in Boston, and had been
using my book with inner city women when just the night before. Reading through the
samples in the back of the book, she came across the poem I'd written about her
great grandmother, Olympia Brown!
We arranged to meet, and she learned from my research more about Brown
than she'd been told by her own family. When I completed seminary and went
before the ministerial fellowship committee, Clare sat in the waiting room
before my interview, as part of my support group. She even loaned me a pin of Olympia's to wear during
my interview. When the committee finished with their questions, they asked me if
there was anything else I wanted them to ask, so I suggested they ask about the
pin, and I told them it belonged to Olympia Brown, the first woman ordained into
ministry in the U.S., in 1860. I feel blessed by that
Has anything interesting happened to you as
a result of writing this book?As I
said, writing this book propelled me into seminary as part of my own unfolding
spiritual journey. Now, as I focus
on my next book project, I find I am being called to open to a new phase of my
life/work. And while this feels
like stepping off a cliff and hoping for wings before going splat, I now know
from experience that that is the nature of the spiritual path—a path to be
travelled in trust and with deep
For more information contact web @ uua.org.
This work is made possible by the generosity of individual donors and congregations.
Please consider making a donation today.
Last updated on Wednesday, June 2, 2010.
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text:
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text:
- Added: 14 September, 2009
- Idol: Shiho Kano , Yurina , Hibiki Ootsuki , Mahiru Tsubaki
- Duration: 88 minutes 22 sec ( 5 scenes )
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Naughty Asian models are having some fun on the beach. At first they are just talking and playing in the water until they come out for some food and some tanning on the beach. They are jouned by the boyfriend of one of the girls and they are partying on the beach until one of them decided this guy is getting a gangbang on the beach! His girlfriend gets hoom going by sucking him off and then the...
Shiho Kano and Asian model friends are enjoying the beach and some cock
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Shiho and her naughty Asian friends are playing around with their new vibrators. The girls are having a good time playing with their new toys and deciding which ones they like and which ones they don´t like for the store they got them from. These gals get new toys all the time and test them out for the store. If they give an honest review they don´t have to pay for their new toys. It...
Shiho Kano and her sexy Asian friends enjoy masturbation together
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Pretty Asian models enjoy going to the beach and enjoying each other´s company. They all work together and live in the same building so they do lots of things together as a group. These girls will play with their pussy toys too when they get new ones they have to get together to compare them and see what they have. They also enjoy fondling each other for the fun of it just because it is...
Shiho and her hot Japanese friends enjoy their toys on the beach
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This naughty Asian teen and her friends are having lots of fun on the beach. Her family owns this property so it is very private. They get wild and the suits come off and they begin to have some fun with the only guy that is there! They all work together in the club as wait staff so they know each other pretty well and they enjoy the time off so they can go to the beach and relax. As soon as...
Shiho Kano Asian model and friends enjoy a fucking on the beach
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Shiho is a hot Asian model who enjoys getting her friends together when her parents are out. They were gone for the weekend and none of her friends are working so they decided to have a party. One of them set up a camera to tape all their hot and heavy sex just to keep for their own records later on. Shiho has another thought though and if he leaves the tape with her she is going to put it on...
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text:
Things seemed to be going pretty well for Bradley Central Monday evening, as they stayed even for the first three innings with District 5-AAA heavy-hitters Soddy-Daisy.
After three innings, the Bearettes (8-12) had been able to tie things up with the Lady Trojans 1-1, but the next two innings showcased Bradley's costly inconsistencies.
In the fourth and fifth innings, Soddy-Daisy was able to drive in a total of 10 runs, effectively ending the game due to the run rule.
"We have some inconsistencies in areas that we need to work on," Bradley head coach Christy McElhaney stated. "We're a young team, but where we are showing our inconsistencies at this point in the season — we should be stronger."
The Bearettes were able to hold back the Lady Trojans' bats for the majority of the game.
Soddy's lone run in the top of the second inning came from a single by Brooke Hale, who drove in Jessica Boles from third base.
Bradley was able to answer with the tying run in the bottom of the third.
After reaching first base, Emily Colbough was advanced to second off a sacrifice bunt by Abby Abernathy.
Chanler Grady got Colbough to scoring position at third, but became the second out for the Bearettes in the process.
A hit by Sydney Morgan drove Colbough in for what would prove to be the Bearettes' only run.
By the top of the fourth, the Lady Trojans were able to figure out an answer for Bradley pitcher Jennifer Corbitt.
"She's getting it near the plate, but it's not where it needs to be," McElhaney said.
The inning began with a deep hit to left field by Shana Ward, who was able to make it safely to first.
Boles was walked, and the next Lady Trojan batter was unable to make it to first.
With one out, a bases-loaded situation emerged when Hale was walked.
Cameren Swafford's double drove in two Soddy-Daisy runners, giving the visitors a 3-1 lead.
Haley Reynold's followup grounder was enough to bring in the final two runners of the inning.
Unable to put anything together in the bottom of the fourth, the Bearettes fell victim to a big inning by the Lady Trojans in the top of the fifth.
With one out, and a runner on third, a double resulted in a sixth run for Soddy-Daisy.
Two more runners were driven in off of another Lady Trojan double, and then the next two batters were able to each bring in another run off of consecutive singles.
Needing only one more out to end the Soddy slugfest, Bradley found itself with the bases once again loaded.
A walk resulted in the 11th run for the Lady Trojans, who would finish things up by holding the Bearettes back in the bottom of the fifth for the run-rule victory.
"They've gone through some growing pains, we've made some stride (forward) but today was kind of a relapse," McElhaney stated.
The Bearettes travel to Soddy-Daisy this afternoon to conclude their series and will host East Hamilton for their last home game of the season on Wednesday.


text:
Robert Frank discusses the role of skill vs. luck in producing success.
Tag Archive: research
Aug 06
Luck vs Merit (Part 2)
Tags: luck, merit, partisanship, research, Robert Frank
Jul 20
Just My Luck (or is it?)
Most people agree that success requires hard work and good fortune. Recent research suggests that people's politics can be swayed depending on which of these ingredients they focus on when thinking about their own success. Thinking about the role of hard work in your success makes you more likely to support more conservative social policies, while thinking about the role of luck and the help of others makes you more likely to support liberal ones.
Tags: Chris Bryan, luck, merit, Michael Lewis, Obama, politics, research, Romney, social psychology
Jul 13
The Public Benefits of Social Psychology
Two recent editorials by Dick Thaler and Tim Wilson make a strong case for the public benefits of social psychology.
Jul 10
Crimes and Misdemeanors: Reforming Social Psychology
featured, psychological science, social psychology
Is social psychology in need of reform? I propose that despite high profile cases of fraud, we should be more focused on fixing the mistakes that honest researchers make all the time.
Jun 21
Adapting to Change
Some really interesting ideas from biologist Razib Khan (@razibkhan) on political ideology at his Gene Expression blog. The basic idea is that the degree to which people think for themselves, rather than simply do what everyone else is doing and has always done, depends on how quickly the world around them is changing.
Tags: change, politics, research
May 25
Does Obama's Support Increase Republican Opposition to Marriage Equality?
Following Obama's endorsement of marriage equality Republican opposition to the cause grew stronger. Social psychology research tells us that this is what we should probably expect: people are often more often influenced by who is supporting a policy than the actual content of the policy itself.
May 01
First Impressions
Welcome to Random Assignment! This is my first post on the blog and what better way to get things rolling than a post on first impressions?
Recent Posts
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- Conceptual Replication 355 views
- The Public Benefits of So... 101 views
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text: The sleek design comes with durable hardware that won�t corrode for easy assembly and added security. Features a heavy duty plastic shell, wire doors with an easy-open squeeze latch and metal side vents to promote healthy air flow. The Vari Kennel Ultra Traditional is eco-friendly and meets most airline requirements. Be sure to check with your airline well in advance of your travels to learn about their individual requirements.


text:
Absolutely speechless!
The pictures are amazing and I can only imagine what the camera is not capturing. Those mountain shots are so majestic and to think if we just had enough faith we could say to something of that size, be moved and it would obey. It is mind boggling. I am grateful that you got your wireless issues cleared up and are able to stay in communicado. Your descriptions of what you are seeing makes me feel like I am there.
SNOW....in early September...WOW! Doesn't that get a little scary on two wheels? At least you are prepared for all weather it seems. Keep writing and know you are missed!
One Of The Most Beautiful Places On Earth
Loading Map
I headed north, stopping to buy gas in the town of Radium Hot Springs; the name testimony to the geologically active nature of the area. Radium is a beautiful, if somewhat touristy town just outside the entrance to Kootenay National Park. I stop at the entrance to the park to pay the entry fee then proceed through narrow canyon walls into the park. There are periodic rain showers but I prepared for that probability when I left camp so I keep going. The overwhelming, and very sad impression I'm left with of Kootenay is kilometer after kilometer (I'm in Canada -- everything's in metrics) mountainside after mountainside covered with dead trees
Steve and I meet at Castle Junction and ride together up the Icefields Parkway. It's cold and rainy and as we ascend the rain turns to snow. The temperature gage on the bike says it's 2C (36F). Once again I'm grateful for the electrics but disappointed that cloud are hiding the scenery. Eventually the weather lets up and Steve is patient with me as I continually pull over to try to capture the majesty that surrounds me. This absolutely is overwhelming beauty that the camera cannot begin to capture but here are some of my attempts.
We leave the park on Highway 11. Steve will continue on home to Sundre and I pull off between the towns of Rocky Mountain House and Caroline to the home of friends Don and Paddy
Post your own travel photos for friends and family More Pictures
Absolutely speechless!
Really nice pictures
These pictures are marvellous! Taking these pictures surrounded by this landscape must be a breathtaking experience.
Enjoy your trip and take care
I've been reading this from the start and I love your descriptions of what you are seeing. It almost feels like we're riding along with you. Keep safe and enjoy yourself.
Re: Really nice pictures
Hey, Bruxi! I'm glad you made it here and you're enjoying it. It is, indeed a breathtaking experience. One I'm enjoying immensely. But I know that you're very familiar with the feeling!
Re: Hello
Hi, Bev! Thanks! I really wanted to, as much as possible, let you see through my eyes. I appreciate knowing you get that feeling.
Re: Absolutely speechless!
Thanks, Diane. You're spot on the money that there's so much the camera can't capture. I try, though. And Travelpod must like them, too. They just notified me that a couple of my shots will be a 'featured' picture on their homepage at some point in the future!
The snow didn't stick to the ground so I was just riding in the wet. Something I've gotten a lot of experience with on this trip!


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Behind My Smile by goldensnidget92
Rated: 1st-2nd Years [Reviews - 3]
Summary: Fleur Delacour's beauty has its benefits, doesn't it? So why is she attending the Yule Ball with Roger Davis, and not the boy she might actually like? For some reason, Cedric Diggory cannot see beneath that perfect smile of hers; cannot tell that she is so much more than that.
But does she have the courage to show him?
A Christmas to Remember by Sly Severus
Rated: 3rd-5th Years [Reviews - 9]
Summary: It's time for Lucius Malfoy to get a reminder about the important things in life. And what better time for a life lesson than Christmas Eve? This is a parody of Charles Dickens' A Christmas Carol.
Figgy Christmas by ProfPosky
Rated: 1st-2nd Years [Reviews - 6]
Summary: Arabella Figg expected to spend Christmas alone, as she did almost every year - as she did almost everything else. A knock on the door changes that...
Christmas Eve Justice by MetamorphmagusLupin
Rated: 1st-2nd Years [Reviews - 6]
Summary: AU. A ball on Christmas Eve. A party. What could go wrong? With quarreling children, any number of things, apparently. Another snippet in my ZOE AND SEVERUS series of stories. Please enjoy. As always, Zoe is mine but Severus and this wonderful world are all the immortal genius of JK Rowling.
In the Hufflepuff Way by 1000timesingoldenink
Rated: 3rd-5th Years [Reviews - 5]
Summary: Did anybody really appreciate Hannah's mum?
Because Mrs. Abbott was a heroine in her own way, you know.
To my great surprise, this fic was nominated for a 2013 QSQ.
The Tribulations and Tranquility of Travel by MetamorphmagusLupin
Rated: 3rd-5th Years [Reviews - 9]
Summary: AU. There are many joys in fatherhood. There are equally as many horrors. On a trip to the seaside, Zoe Snape makes certain that Severus experiences both. A continuation of my Severus and Zoe series, taking place two years after The Power of Words.
Out Of Reach by CanisMajor
Rated: 1st-2nd Years [Reviews - 13]
Summary: His mum's a witch and his dad's a wizard, but Phoenix isn't going to Hogwarts.
His parents have other plans, and they know their rights much better than
Vernon Dursley ever did. It all makes perfect sense to them -- but not to
their unhappy eleven-year-old son. The magical education authorities might
have an opinion, too, if anyone were asking them. Or is it just that no-one
is listening?
Cause and Effect by ToBeOrNotToBeAGryffindor
Rated: 6th-7th Years [Reviews - 12]
Katie Bell fought hard to build a relationship with a difficult and reclusive Draco Malfoy, despite their dire past, but she felt like she was losing him more the closer they came to their wedding date. However, when Draco manages to strand himself far in the past with his newly-discovered Temporal Displacement Potion, Katie follows him back, only to find more than she bargained for.
She found the truth.
This is ToBeOrNotToBeAGryffindor of Ravenclaw, writing for the Ninth Round of the Gauntlet.
The Ghosts That Follow by Nagini Riddle
Rated: 3rd-5th Years [Reviews - 2]
Haunted memories are as the ghosts that follow...
Merope's life takes a different path when she meets Abraxas Malfoy, a rich young man who promises to help her out of her situation. But when she arrives at the designated place to meet, he isn't there, and all she can see is a ghastly green potion beckoning her to step forward and drink.
Consuming the potion leads her into another world, where marbled structures speak in Delphic tongues, forests hold the mind prisoner, and poisonous bugs stalk their victims.
But that isn't all. She comes to the realization that perhaps memories and experiences are naught but deceitful apparitions meant to drag her soul down into endless misery. It is then that she must make a decision - give in or simply give up.
This is Nagini Riddle of Gryffindor, writing for Round 9 of the Gauntlet.
Teach Me How to Smile by Hokey
Rated: 1st-2nd Years [Reviews - 3]
This is Hokey from Slytherin submitting for Round 9 of the Gauntlet.
Her mind was already set. Hermione had never abandoned Harry before, and she wasn't very well going to start now.
The Art of Acceptance by goldensnidget92
Rated: 3rd-5th Years [Reviews - 4]
Summary: Colin Creevey sees acceptance as an art form. It disguises his loneliness, his insecurities and his conviction that he does not fit in.
Luna Lovegood has never been accepted, but remains perhaps the most content person Colin has ever met. As his feelings for her develop throughout their years at Hogwarts, Colin must prepare to renounce the acceptance of his friends; instead learning to accept her and, ultimately, himself.
Wit Beyond Measure by Samsijay
Rated: 1st-2nd Years [Reviews - 30]
Summary: Everyone knows the story of Harry's time at Hogwarts . . . but what was it like for the other students? Many other stories unfolded during those years . . . this is one of them.
Master of the Inner Eye by Equinox Chick
Rated: 3rd-5th Years [Reviews - 6]
Summary: Tiresias Trelawney makes his living conning Muggles into believing he can commune with the dead. With his side-kick, Mundungus Fletcher, they fleece the gullible with magic tricks and a few sad laments.
But one stormy Halloween night, everything changes.
A spooky Halloween story for all the lovely readers on MNFF.
Disclaimer: I am not JK Rowling. Boy, did she know how to weave a spooky tale!
To Dwell On Dreams by Equinox Chick
Rated: 6th-7th Years [Reviews - 7]
Summary: 'Sometimes I catch a glimpse of myself in a mirror or a window, and I do not recognise the face staring back. Even the eyes, which never truly change, seem dulled in comparison to what they once were.
It is not age that dulled them but you, and him, and her, and the myriad of dreams that came to nothing.'
Albus Dumbledore dwells on his life, and love, and the Hogwarts' students he shaped.
This story is for Natalie (hestiajones) because it is her birthday and she is a fantastic friend. Have a good one, my love.
Disclaimer: I'm not JK Rowling. I think that's obvious.
Thank you very much, Kara (Karaley Dargen) for beta'ing this story and helping me rethink bits. :)
The Power of Words by MetamorphmagusLupin
Rated: 3rd-5th Years [Reviews - 10]
Summary: AU. Actions speak louder than words, certainly, but that doesn't mean words don't have power. Severus takes on a new assignment and Zoe speaks. SEQUEL to The Art of Communication. Reading that story first is highly encouraged.
Relativity by Padfoot11333
Rated: 3rd-5th Years [Reviews - 6]
Failure: fail·ure: a fracturing or giving way under stress, a falling short.
Hermione has faced a boggart before. The problem is, she didn't succeed.
This is Padfoot11333 of Hufflepuff writing for the Great Hall Mini-Challenge: The Boggart Challenge.
IT WON--alongside Gmariam's Afraid of the Dark. I am shocked.
Nominated for a 2013 Quicksilver Quill - Best Dark/Angst.
To Fear the Flame by Acacia Carter
Rated: 3rd-5th Years [Reviews - 4]
Summary: Neville hadn't expected his boggart to ever change. Perhaps he should have done.
This Is It, Boy, This Is War by silverlining95
Rated: 6th-7th Years [Reviews - 3]
A companion piece to The Fire I Yearn For . It's not strictly necessary to read that first, though it may help you understand the events that unfold.
The Art of Communication by MetamorphmagusLupin
Rated: 1st-2nd Years [Reviews - 4]
Summary: AU. Four years after Severus Snape's life changed very much for the better, he has a very interesting conversation with his daughter. One shot. A glimpse into my Severus and Zoe series. Zoe's mine, everything else belongs to JK Rowling.
Introductions by MetamorphmagusLupin
Rated: 3rd-5th Years [Reviews - 12]
Summary: AU. The war is over and life continues on. But things are unlikely to be quiet and uncomplicated in the life of Severus Snape, for incredible changes often come about when one is least expecting them.


text:
There is a lot more juice in grapefruit than meets the eyeUnknown
Sex is good, but not as good as fresh, sweet cornGarrison Keillor
Do vegetarians eat animal crackers?Unknown
If only it was as easy to banish hunger by rubbing the belly as it is to masturbateDiogenes
The poets have been mysteriously silent on the subject of cheeseG.K. Chesterton
It's difficult to think anything but pleasant thoughts while eating a homegrown tomato.Lewis Grizzard
I don't think America will have really made it until we have our own salad dressing. Until then we're stuck behind the French, Italians, Russians and Caesarians.Pat McNelis
Food is an important part of a balanced diet.Fran Lebowitz
This is every cook's opinion -no savory dish without an onion,but lest your kissing should be spoiled your onions must be fully boiled.Jonathan Swift
I refuse to believe that trading recipes is silly. Tuna fish casserole is at least as real as corporate stock.Barbara Grizzuti Harrison
There is no love sincerer than the love of food.George Bernard Shaw
I will not eat oysters. I want my food dead - not sick, not wounded - dead.Woody Allen
And I find chopsticks frankly distressing. Am I alone in thinking it odd that a people ingenious enough to invent paper, gunpowder, kites and any number of other useful objects, and who have a noble history extending back 3,000 years haven't yet worked out that a pair of knitting needles is no way to capture food?Bill Bryson
Custard: A detestable substance produced by a malevolent conspiracy of the hen, the cow, and the cook.Ambrose Bierce
Vegetables are a must on a diet. I suggest carrot cake, zucchini bread, and pumpkin pieJim Davis
Those who forget the pasta are condemned to reheat itUnknown
Chemicals, n: Noxious substances from which modern foods are made.Unknown
Welcome to the Church of the Holy Cabbage. Lettuce prayUnknown
A series of step-by-step instructions for preparing ingredients you forgot to buy, in utensils you don't own, to make a dish the dog wouldn't eat.Unknown
If you ate pasta and antipasto, would you still be hungry?Unknown


text:
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text:
In the aftermath of my recent cancer scare, I'm feeling lucky to be alive these days. But it doesn't make the diabetes any easier. Ironically, the days I work out hardest are often my worst BG control days, since I'm so hungry and craving carbs…
All of these thoughts brought me back to this post, which first appeared on the Diabetes OC site when I was "Featured Blogger of the Week" over the holidays. (I'm assuming many of you were off celebrating as well, so probably didn't catch it the first time.)
Last week, my new gym teacher finally asked me what that thing was that I always wear on my arm or stomach. She meant the pod from my OmniPod tubeless insulin pump, of course. I've been taking her combination weight training/cycle spin class for about 8 weeks, and the first few days on the bike, I could swear we talked about low blood sugars. She saw me gulping down glucose gel, too, and smiled as if she knew what was up. So I was pretty surprised when she turned up clueless several weeks later.
"So what's that thing you always wear?" she asked.
I smiled and gave my standard response: "Life support."
She looked puzzled, so naturally I explained that it's an insulin pump.
"I thought you knew I had diabetes," I said casually, fishing to see what would come up.
"Oh no, not really…" she muttered. "I didn't know it was so bad."
Eeeeeeeeeeeeekkkkk!!! Did you hear my alarm going off? I clenched my teeth. "So bad"?!
Part of me wanted to lecture her, but luckily the more resigned part of me (read: lazy) decided to let it go.
I know I should make it my mission to ALWAYS jump on opportunities to educate others about the types of diabetes, and what it really means to live with this illness. But sometimes I just can't face it. Sometimes I just want to be left alone. Or understood. Or coddled.
To be honest, sometimes I just don't know what I feel, let alone what I want from others. If you're like me, some days you're furious about this exasperating illness, while other days it really does seem almost as routine as brushing your teeth. Some days I could just kill for one kind word about all the work I'm putting into this illness. And some days I could just kill for everyone to shut up about diabetes and give me a rest, for goodness' sake. It's none of their business anyway, right?
I guess this kind of glaring ambiguity is par for the course with diabetes. It sure can play with your head sometimes, and wear you out.
Again, I'm just so grateful for all of you out there, also living with this thing, who know just what I mean — on the good side and the bad.


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The application note describes the use of a QuEChERS AOAC sample preparation approach for the extraction and cleanup of 17 GC-amenable pesticide residues from multiple classes, in apple. The method employed involves initial extraction in a buffered aqueous/acetonitrile system, an extraction/portioning step after the addition of salt, and a cleanup step using dispersive SPE.
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What is niacin flush? I have heard the term before.
I am trying ot figure ou why i just burned and itched feeling like an alergic reaction i think it was due to the dialene 4 and this is not the only case ive heard of
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Schon Contemporary L425 ORB One Handle Lavatory Faucet-Oil Rubbed Bronze
This item qualifies for free shipping within the USA! (except to Hawaii & Alaska)
One Handle Lavatory Faucet Contemporary Series Single Post Mount 1/2" IPS Inlets 5 5/8" Overall Height 3 7/8" Spout Reach 1 1/2" Maximum Deck Thickness Brass Pop-Up Drain Ceramic Disc CartridgeLead free Meets Legislation Specifically Enforced in the States of California and Vermont Oil Rubbed Bronze Finish Limited "5 Year" Warranty on Finish and Construction
Product OEM:Schon
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