text:
BreadcrumbsHome / Buyers Guide / Equipment / Delivery Systems (Operatory) / Sirona Dental Systems
Sirona Dental Systems
Sirona Dental Systems
With traditional or continental units positioned over the patient at the chair or rear and side position, Sirona C8+ delivery units, combined with Sirona by Kappler cabinets, offer better flexibility for the practitioner. The units are ideal for 2-, 4-, and 6-handed dentistry, maximizing the organization of equipment and instrumentation within the dental operatory. For more information, call (800) 659-5977 or visit sirona.com.
|Parameters of Product: Operatory Buyers Guide
|What is it mounted to
|Chair, Rear or Side cabinet
|Handpiece connection
|Borden, 4/6 holes, Midwest
|Type of control panel
|Foot control functions
|Chair programs, chip air, water on/off, rheostat for electric, feathering for air
|Purge system
|Waterline maintenance system
|Automatic on chair, bottle on chair, Rear and Side
|Control of air flow
|Type of instrumentation for assistants
|HVE, SE, Syringe, Curing light, Chair touchpad control
|Other features
|Integrated SIROSONIC scaler, water control for each position, electric speed control
|Length of warranty
|2 Years
Product Categories
- Anesthesia
- +Cosmetics
- +Digital Radiography
- +Endodontics
- +Equipment
- Abrasion (Air)
- Abrasion (Hydro)
- Air Compressors
- Amalgamators
- Amalgam Separators
- Analgesia Equipment
- Bleaching Lights
- CAD/CAM (Chairside)
- Cameras (Digital)
- Cameras (Intraoral/Video)
- Caries Detection
- Curing Lights
- Defibrillators/Emergency Equipment
- Delivery Systems (Mobile/Portable)
- Delivery Systems (Operatory)
- Digital Impression Systems
- Electrosurgical Equipment
- Evacuators
- Fiber Optics
- Film Digitizers
- Furnaces (Chairside)
- Instrument Cleaning Machines
- Intercom Systems
- Lasers (Diode)
- Lasers (Non-Diode)
- LED Operatory Lights
- Occlusion Devices
- Oral Surgery
- Oxygen Systems
- Pulp Testers
- Sterilizers
- Water Purification Systems
- X-Ray Film Processors
- X-Ray Machines (Intraoral)
- X-Ray Machines (Cephalometric)
- X-Ray Machines (Panoramic)
- +Handpieces
- +Hygiene
- +Implants
- +Instrumentation
- +Magnification
- +Materials / Restorative
- Office Supplies
- +Operatory Furniture
- Oral Cancer Detection
- +Periodontics
- +Practice Management


text:
Project Homeless Connect Helps Youth "Aged Out" of Foster Care
Every year around 2,300 teenagers "age out" of foster care in California, meaning they reach the age of 18 without ever having been placed with a permanent family. A staggering 65 percent of those youth leave foster care with nowhere to go; many end up homeless. That's why Project Homeless Connect is teaming up with the non-profit group Honoring Emancipated Youth (HEY) to try and change that.
"They are called emancipated youth, but often there is nothing emancipating about what happens to them after they leave foster care," says Sara Razavi, Executive Director of HEY. "Imagine being told you have to leave your home, with nowhere to go, no resources to fall back on, and no money to help you. That's what happens far too often to youth in foster care when they turn 18 and 'age out' of the system. It's no surprise then that 40 percent of the people in California's homeless shelters are former foster children."
HEY is teaming up with Project Homeless Connect (PHC) at an event to be held in the Bayview Hunters Point community on Friday, June 11. The partnership is in honor of National Foster Care Month.
"We are hoping that we'll be able to reach out and guide these young people to resources that can help them find accommodation, and help them build a future," says Judith Klain, Director of Project Homeless Connect. "We know that if we do nothing they have a bleak future. Some 70 percent of all inmates in California's prisons have spent time in foster care. One third of all those youth who are 'aged out' will end up in prison within one year. That's unacceptable."
This PHC event is being held in the Bayview because the community has been one of the hardest hit by the recession;
* The neighborhood has the second largest homeless population in San Francisco
* More than 20 percent of the population live below the poverty line
"The situation in the Bayview has become increasingly alarming," says Gwendolyn Westbrook, Executive Director of the United Council of Human Services. "We have seen dramatic increases in the number of people coming to the meal programs in our dining room. That along with budget reductions is making it more difficult to serve the homeless."
PHC normally holds its outreach efforts at the Civic Center, but getting there from the Bayview, particularly for families or people lacking transportation, can be difficult.
"We know many people are struggling, every day, just trying to survive," says Klain. "So we felt we owed it to the people of the Bayview to bring our services to them, to reach out to them in their own neighborhoods, and make it as easy as possible for them to get the help they need."
Project Homeless Connect brings together a wide array of health and human services at one location so that people can accomplish in one day what might otherwise take several months. Among the services offered are dental care, eyeglasses, family support, food, HIV testing, housing, hygiene products, medical care, mental health services, substance abuse treatment, SSI benefits, legal advice, California identification cards, voice mail, employment counseling and job placement, wheelchair repair, methadone, needle exchange, and more.
PHC is expecting around 1200 people to come to the event seeking services and help from the volunteers. Fortunately Deloitte LLP is again stepping up and providing volunteers by making the event part of its National Impact Day for employees.
Project Homeless Connect is at the Bayview Playground in Bayview Hunters Point (on 3rd St at Armstrong Ave) on Friday, June 11 from 10 a.m. to 3 p.m.
The program, which began in San Francisco five years ago, has become the model for more than 220 similar programs in other cities around the U.S.
For more information contact Kevin McCormack or go to www.projecthomelessconnect.com
About Project Homeless Connect
Project Homeless Connect makes a real difference in the lives of the City's homeless by bringing together almost 250 non-profit agencies, private businesses and volunteers to assist San Franciscans in need. Since the program's inception in October 2004 as a joint effort of San Francisco's health care, housing and human service systems, Project Homeless Connect has been supported by tens of thousands of volunteers, individuals and companies giving their time, cash, clothing, food and essential services. To date, this program has provided services to thousands of the City's most economically disadvantaged men, women and children with basic human needs and housing. Project Homeless Connect is a key component of Mayor Newsom's 10-year plan to abolish homelessness in San Francisco. This unprecedented approach to helping the homeless has been adopted as a national model in more than 220 jurisdictions in the U.S and has also been implemented in Canada and Australia.

subset: commoncrawl


text:
Smarter Decisions,
Better Care
UpToDate synthesizes the most recent medical information into evidence-based practical recommendations clinicians trust to make the right point-of-care decisions.
Choose from the list below to learn more about subscriptions for a:
Subscribers log in here
Related articles
|AuthorsElizabeth Breen, MDRonald Bleday, MD
|Section EditorRobert L Barbieri, MD
|Deputy EditorAbena O Ofori, MD
Topic Outline
Anogenital warts (condylomata acuminata) are the most common viral sexually transmitted disease in the United States. Although condylomata affect both genders, data from office visits for warts obtained from the 1994 to 1998 National Ambulatory Medical Care Survey showed that women accounted for 67 percent of the patient population [1].
Condylomata acuminata in children are discussed separately. (See "Vulvovaginal complaints in the prepubertal child", section on 'Condylomata acuminata'.)
Condyloma acuminatum is caused by human papilloma virus (HPV) infection. HPV encompasses a family of highly infectious and primarily sexually transmitted double-stranded DNA viruses. The incubation period after exposure ranges from three weeks to eight months. Most infections are transient and cleared within two years [2].
Individuals with condylomata acuminata are at an increased risk for anogenital cancers [3,4]. In a large Danish cohort study of 16,155 men and 32,933 women, individuals who were diagnosed with condylomata acuminata were at increased risk for anogenital and head and neck cancers for greater than ten years following the diagnosis (anal [SIR for men, 21.5; SIR for women, 7.8], vulvar [SIR, 14.8], vaginal [SIR, 5.9], cervical [SIR, 1.5], penile [SIR, 8.2], and head and neck cancer [SIR, 2.8], including subsites of head and neck cancer with confirmed HPV association [SIR for men, 3.5; SIR for women, 4.8]) [4]. (See "Cervical cancer screening tests: Techniques for cervical cytology and human papillomavirus testing" and "Anal squamous intraepithelial lesions: Diagnosis, screening, prevention, and treatment".)
There are over 70 distinct HPV subtypes; approximately 35 types are specific for the anogenital epithelium and have varying potentials to cause malignant change, such as cervical or anal cancer (table 1) [5] (see "Virology of human papillomavirus infections and the link to cancer"). HPV serotypes 16 and 18 are most commonly associated with squamous cell carcinoma. Low-risk subtypes, such as HPV 6 and 11, do not integrate into the host genome and are most frequently associated with benign condyloma and low grade intraepithelial neoplasia (table 2). Intermediate risk subtypes can cause high grade dysplasia, which persists but rarely progresses to the invasive stage. (See "Cervical cancer screening tests: Techniques for cervical cytology and human papillomavirus testing".)
Subscribers log in here


text:
In response to yesterday's retirement planning blog, I received this e-mail – one of several notes from people with similar concerns. "I'm two years into unemployment and the benefits are running out. I'm 63 years old and there are no job prospects in sight. Taking Social Security early reduces benefits with no provisions for an increase» Read more
I keep seeing endless news stories and statistics about ruined retirements. Reading them is discouraging. It makes it sound like all of us are going to be dining on kibble, and I don't think that's true. So, I want to tell you about my neighbor, Jim, who is a savvy retiree who has figured out» Read more
Fortune 1000 companies continue to freeze their pensions at a steady pace in this uncertain economy, according to a recent Towers Watson study. By freezing pensions, companies are effectively putting their defined benefit plans on ice by either closing off benefits only to new hires (known as a soft freeze), or halting all future benefits» Read more
If you're older than 70, now is the time to consider this year's required minimum distributions, or RMDs, on your IRA and other retirement accounts. Everyone born before July 1, 1939, who has a non-Roth retirement account has to take their RMD this year. Last year, in the midst of the economic downturn, they were» Read more
Earlier this month, the Financial Industry Regulatory Authority, or FINRA, awarded a 79-year-old client of one of the nation's largest mutual funds $110,000 to make her account whole again, compensate her for lost interest and pay her legal fees after her $700,000 retirement account got lost in the shuffle at the fund. I'm not going» Read more
If you are getting married, especially for the second or third time around, part of your retirement planning should likely be a prenuptial agreement. Prenups for retirees or those close to retirement are becoming increasingly common, says Marlene Eskind Moses, president of the American Academy of Matrimonial Lawyers and a family law practitioner in Nashville,» Read more
Some wealthy people are worried just like the rest of us that they won't have enough money to quit working when they they hit retirement age, according to a survey by Barclays Wealth, which manages money for high-net worth people worldwide. Barclays says retirement anxiety isn't unique to the U.S. People in emerging economies also» Read more
Poor retirement planning can leave a recent widow or widower with no cash at a time they may need it most. Until the estate is settled — a process that can take months — the bereaved spouse or partner won't have access to accounts that were held in one name only, unless the account owner» Read more
House lawmakers yesterday passed a bill that contains a provision giving Americans a little more control over their retirement fates. It is part of the Small Business Jobs Act, passed by the Senate earlier this month. President Barack Obama is expected to sign it into law on Monday. The legislation provides Americans with "much needed flexibility» Read more
If you're a grandparent whose retirement planning includes giving a grandchild a substantial amount of money, this is the year to do it. Eric Reis, partner in the Dallas law firm of Thompson & Knight, points out that last year there was a gift tax of up to 45 percent and a generation-skipping transfer tax» Read more


text:
Buick Repair in Cambridge
We found 36 Buick service shops and mechanics in Cambridge.
2 are RepairPal Certified.
Rum River Automotive, Inc.
101 N 4th Ave
Princeton, MN 55371Map & directions
Honest-1 Auto Care
2701 Fairoak Avenue
Anoka, MN 55303Map & directions
"The guys at the shop are honest with you and they are not pushy and won't do work that is not nee..." - Natalie, Anoka, MNSee more real customer reviews
RepairPal Certified Shops
An exclusive network of auto repair and maintenance shops that delivers:
- Quality work, backed by a minimum 12-month/12,000-mile warranty
- Guaranteed fair prices
- Happy customers


text:
Proclaiming the changless Word to a changing world.
151 County Road 230Florence, TX 76527ph: (254) 793-2414
Physical Address:
151 County Road 230
Florence, TX 76527
Mailing Address:
PO Box 685
(254) 793-2414
Lawler Baptist Church is located approximately 3 miles east of Florence in Williamson County Texas.
If you would like additional information concerning any aspect of our church please feel free to fill out the form below.
To submit your request please click submit.
Copyright 2011 Lawler Baptist Church. All rights reserved.
Web Hosting by Yahoo!


text:
Ferry timetables
Go to ferrypages
Julebord på HildursLes mer
Lørdagskafé 3 Kalver på DønnaLes mer
Olav Duun fair at Jøa
Vikingfestivalen på EggeLes mer
Nevernesdagen 2015Les mer
Ferry timetables
Go to ferrypages
Below you will find useful tools to help plan your next trip to Kystriksveien.
Visit our touristoffice, call or send us an email, and we will assist you in your travel - planning.
Kystriksveien - the coastal route, is beautiful scenic road between Steinkjer and Bodø. Most people travel Kystrikskveien by car, but it is also an excellent cycling route. Allow yourself a few days t
The Kystriksveien travel guide is a "must" for anyone traveling this beautiful road. This annual guide has information on what to see, where to stay and also the ferry timetables. Please a
On this page you will find a updated list of all ferries and expressboats along Kystriksveien.
Den mest komplette oversikten over overnatting langs Kystriksveien - hytteutleie, hotell, motell, og historisk overnatting får dere på våre overnattingssider. Mange kan også bookes online.
There are may ways to explore the coastal route. Below a few suggestions.
Travel Kystriksveien by public transportation. Se our tour suggestions on www.backpacker17.com
Dette grundige reiseruteforslaget tar utgangspunkt i en 5 dagers tur hvor du besøker øyer og får oppleve de viktigste severdighetene langs Kystriksveien. Interaktiv pdf med linker til mer informasjon
The Namdal coast extends from Flatanger in the south to Leka in the north. We base our travel description on the stretch Namsos - Leka due to the boat connections. The comination bike/fast-boat makes
Being one of Kystriksveiens most popular natural attractions, the seven sisters mountain range offer spectacular views. Marked trails lead to each peak and between them.
Products available in our webshop.


text:
Denmark Liquid Force Kite Tour
This year's first competition in the tour on the 10th of May unfortunately couldn't be held as the wind failed us. The second competition in Zealand was held as a mobile competition so on Saturday morning the 31st of May every competitor was driving to get to the wind. The best chance of wind was in Faroe, a small island situated in between two bigger islands which means this spot usually gets wind because of the channel effect when the rest of Denmark does not. The local surf center Surfcenter Falster very quickly got everything organized to greet the kitesurfers at their home spot.
The wind was on and off all of Saturday but we managed to finish the A class and the girls class as the wind picked up in the afternoon. In the A class we saw tricks as S-mobe, Backmobe, 313, Blind Judge, kiteloop HP class and in the end the Danish Champion Troels Engholm was competing against Timo Sander. It was a very close race and the judges had to confer for 10 min. to get to a decision. The results was:
1.Troels Engholm
2. Timo Sander
3. Tomas Sch?dt
The girl's class usually has very few competitors and this year is no exception. But this year a new girl joined and this changed the results somewhat. The Danish Champion Helle Johansen ended up competing against Maria Andersen. Helle had difficulties in the light wind even with her S-bends that are usually a sure bet and ended up third in the first elimination and in the end newcomer Maria took first place with some nice Raileys. Tricks in Q class: Backside rotations with grabs, Raileys, DL-Raileys, S-Bends, DL-S-Bends, Transitions with grabs and rotations, Kite loop roations.
1. Maria Andersen
2. Helle Johansen
3. Christin Egebjerg
As always there's room for everyone in B class and everything counts here ? even attempts. At this year's first competition with wind the B class had a very wide range of tricks from just toeside to more advanced stuff like down loop double S-bend, Blind Judge and Air Pass. It seems the B class get's better every year and we'll have to consider a new system for getting the more advanced riders to join the A class. The top 5 was close but in the end Emil winner of the first elimination had to see the first place go to Jacob Rein who proved his worth with tricks like Blind Judge and Double Down loop S-Bend with power and style. Jakob also won a years subscription to Kiteworld!
1. Jacob Rein
2. Emil H?j Christiansen
3. Jacob Brun
Coming Competitions:
9-10 of August
20-21 of September - The island of Funen.
Added: 2008-06-15
Category: News
Kitesurfing Test - Boards 2013
Shinn Supershinn
Kitesurfing Test - Kites 2013
Ozone Catalyst 10m
Kitesurfing travel directory
Lake Como


text:
The entire Doug E Fresh and WBLS 107.5FM team is excited to partner with A.Tiziano.
A.Tiziano has put together a really great V-Neck shirt with a soft touch signature rabbit graphic on the front and a really cool foil print of Doug E Fresh "The Greatest Entertainer" on the back along with a WBLS logo on the sleeve.
We know what you're asking yourself "How can I get my hands on one?".
Well, it's as easy as answering 4 trivia questions correctly.
Click on the graphic above to get started.


text:
Want a retro vehicle with a touch of the 21st century? Then Toyota's FJ Cruiser is just the right match Published October 31 2011
After a two-year hiatus, the 2012 VW Jetta GLI is ow available. Published October 24 2011
The new for 2012 Acura TL is all things for the potential car buyer from luxury to fuel efficiency. Published October 19 2011
Take to the road in the 2011 Nissan Juke and you won't stop laughing; it's a fun ride and the gas mileage couldn't be better. Published October 8 2011
What do you get when you cross a mid-size crossover SUV with a convertible? Published October 3 2011
Rita Cook is a writer/editor with over 1000 articles to her credit in the past 10-plus years. She is the co-host of a radio show in Los Angeles; Insider Mag Radio at KPRO 1570 am and is on from ...Read More
Find up-to-date information on the D.C. and Baltimore live music scenes and read interviews with artists and reviews of the latest releases and concerts.
Florida singer/songwriter duo's recent performance at DC's 9:30 Club reviewed.
Bluegrass trio, The Devil Makes Three: Updated down-home action at the 9:30 Club.
Juliana Hatfield and Matthew Caws appearance as Minor Alps in DC.
Classic hardcore punks H2O in action in Silver Spring, Maryland.
Find the latest news and happening that effect those in the Washington D.C., Northern Virginia and Maryland Metro region.
All of the world's problems, solved on your back porch
A politically conservative and morally liberal Hebrew alpha male hunts left-wing viper
Television commentary, reviews, news and nonstop DVR catch-up by Lisa King Dolloff and friends.
The world of professional wrestling as seen through the eyes of columnist James Ryan, including previews, recaps, interviews and all of the latest wrestling news.


text:
We're currently in the middle of a Malcolm Gladwell book titled "David and Goliath: Underdogs, Misfits and the Art of Battling Giants" when it hit us: the lessons here are very relevant to entrepreneurs wanting to disrupt markets.
Take this statement from Gladwell's interview with Seattle Met:
So do you feel that the speed at which our modern digital age operates is beneficial to the people in the David position?
I do. If you think about the original story of David and Goliath, David has audacity, speed, the element of surprise, expertise, and an unusual weapon. All of those are—in an economy that moves virtually—huge advantages, much bigger than they would have been otherwise. So I do think maybe we are entering a sort of golden age of the David.
Startups are Davids of the digital age. They're the underdogs of a new world order. "Smaller," "faster," and "simpler" are adjectives that they should be proud carrying.
What have we learned so far reading this book?
1. It's okay to be a Big Fish in a Small Pond.
2. Full-court press wins basketball games–and not good ball-handling or individual skills. In business, the most obvious solution is often the best solution.
3. Hire the top-notchers from third-tier schools or even beyond that. Top schools are far tougher environments, and unless you can hire the top students–you're better off recruiting the best students from good and not great schools. Why? The former have better attitudes in life.
*Will add more lessons after we finish reading.
You can also view Gladwell talk about his book in this TED video:
Have a nice day!
Related articles
- Interview: Malcolm Gladwell on his return to faith while writing "David and Goliath" (religionnews.com)
- David And Goliath : A New Book By Bestselling Author #MalcolmGladwell. I'm So Excited!!!! (true2mind.wordpress.com)
- The pseudo-profundity of Malcolm Gladwell (newstatesman.com)
- Book Review: Malcolm Gladwell's David and Goliath (freakonomics.com)


text:
One great way to promote the content you find in Outbrain Select is to share it in your social channels. You can connect your Facebook, Twitter, and LinkedIn accounts directly to your Select account, and you can easily share your content out to other social channels such as Google Plus.
Sharing to social channels connected to Select
When viewing the Post screen for an article, you will see all of your social connections in the "Share" section on the right hand side of the screen. When you share an article, the link that is shared will take people back to your website to view that syndicated content rather than taking them to someone else's website. You can enter an optional comment to be shared with the link, allowing you to provide your thoughts on the article. Simply select the checkbox beside the social channel(s) to which you want to share and then click the "Post" button. Outbrain Select automatically adds a link to the article on your site to the tweet, Facebook wall post, and LinkedIn update.
Note that while you can re-share an article to the same social channel from within the Outbrain Select portal, if you want to remove a social posting you will have to go directly to your account (Facebook, Twitter, LinkedIn) to remove your post there.
Currently Outbrain Select supports direct posting to the following social destinations:
- Facebook personal profile
- Facebook pages
- LinkedIn personal profile
Sharing to other social channels
or directly into the website for the social media channel
You've just shared an article that you posted through Outbrain Select using the tool of your choice. Just make sure to use that permanent link so that Facebook, LinkedIn, and other social destinations see the correct article preview.


text: Most Popular Sports KTAR News Videos Photos Arizona Cardinals playoff scenarios Rise up, Cardinals fans, show allegiance The ever-quotable Coach Bruce Arians Big Red Wolf Report: After the Rams, before the Seahawks Big Red Wolf Report: After the Kansas City Chiefs, before the St. Louis Rams Should the Arizona Coyotes tank for Connor McDavid? Suns at Hornets - Wed. Oakland at Arizona - Tue. Oilers at Coyotes - Tue. Reddit users find best burritos in Phoenix Real estate investors may soon cash out Snow falls around AZ, rain splatters Valley Points Leader


text:
Find synonyms Find exact match
Disclosures: Manoj K Mittal, MD, MRCP (UK), FAAP Nothing to disclose. Anne M Stack, MD Nothing to disclose. James F Wiley, II, MD, MPH Employee of UpToDate, Inc.
Contributor disclosures are reviewed for conflicts of interest by the editorial group. When found, these are addressed by vetting through a multi-level review process, and through requirements for references to be provided to support the content. Appropriately referenced content is required of all authors and must conform to UpToDate standards of evidence.
INTRODUCTION — Needle cricothyroidotomy involves passing an over-the-needle catheter through the cricothyroid membrane (figure 1). This procedure provides a temporary secure airway to oxygenate and ventilate a patient in severe respiratory distress in whom less invasive techniques (eg, bag-valve-mask ventilation, laryngeal mask ventilation, endotracheal intubation) have failed or are not likely to be successful (ie, "can't intubate, can't ventilate") [1-4]. The delivery of oxygen to the lungs through an over-the-needle catheter inserted through the skin into the trachea using a high pressure gas source is considered a form of conventional ventilation called percutaneous transtracheal ventilation (PTV).
Although sometimes a point of confusion, PTV should not be mistaken for transtracheal jet ventilation, which is not considered conventional ventilation and refers to high frequency, low tidal volume ventilation and needs specialized ventilators usually only available in the operating room or intensive care unit. Although a technically different treatment, the term "jet ventilation" has also been used to describe conventional ventilation using a high pressure oxygen source via a percutaneous catheter [5-7].
Needle cricothyroidotomy differs from surgical cricothyroidotomy in that surgical cricothyroidotomy involves making an incision in the cricothyroid membrane and passing a tracheostomy or endotracheal tube through it into the trachea [4]. Needle cricothyroidotomy may be performed on patients of any age but is considered to be preferable to surgical cricothyroidotomy in infants and children up to 10 to 12 years of age because it is anatomically easier to perform with less potential damage to the larynx and surrounding structures [8-11]. However, surgical cricothyroidotomy provides more effective ventilation than needle cricothyroidotomy because of the larger diameter tube used and is typically chosen instead of needle cricothyroidotomy in adults and children over 10 to 12 years of age.
Needle cricothyroidotomy and percutaneous transtracheal ventilation will be discussed here. Surgical cricothyroidotomy is discussed separately. (See "Emergent surgical cricothyrotomy (cricothyroidotomy)".)
DEFINITIONS — It is important to distinguish between the different methods of emergency airway access and specialized ventilation. For the purposes of this review, definitions are as follows:
Needle cricothyroidotomy — Needle cricothyroidotomy involves passing an over-the-needle catheter through the cricothyroid membrane (figure 1).
Surgical cricothyroidotomy — Surgical cricothyroidotomy is an emergent airway approach in which the clinician makes an incision in the cricothyroid membrane and passes a tracheostomy or endotracheal tube into the trachea. The standard, four step, and Seldinger techniques are common methods of surgical cricothyroidotomy. (See "Emergent surgical cricothyrotomy (cricothyroidotomy)".)
Percutaneous transtracheal ventilation — Percutaneous transtracheal ventilation (PTV) involves oxygenation and ventilation via a needle or surgical cricothyroidotomy using an improvised ventilation device. Confusingly, although this is a form of conventional ventilation, it is sometimes referring to as "jet ventilation" when a high pressure source is used to deliver oxygen. (See 'Bag-valve-mask connector options' below and 'Oxygen tubing connector options' below.)
Transtracheal jet ventilation — Transtracheal jet ventilation refers to high frequency, low tidal volume ventilation provided via a laryngeal catheter by specialized ventilators that are usually only available in the operating room or intensive care unit [5,6]. This procedure is occasionally employed in the operating room when a difficult airway is anticipated (eg, Treacher Collins syndrome, Robin sequence, head and neck surgery with supraglottic or glottic obstruction) [12-15].
INDICATIONS — The primary indication is inability to maintain the airway with noninvasive standard airway procedures (eg, bag-valve-mask ventilation, endotracheal intubation) or rescue procedures (eg, laryngeal mask airway). The typical setting involves patients with pathologic processes that cause distortion of the upper airway anatomy, for example [3,16-18]:
Absolute — Needle cricothyroidotomy with percutaneous transtracheal ventilation (PTV) is absolutely contraindicated when the airway is maintainable through noninvasive means.
In addition, needle cricothyroidotomy with PTV should not be performed when damage to the larynx, cricoid cartilage, or trachea preclude successful oxygenation and ventilation via a transtracheal catheter, for example:
Relative — Several relative contraindications arise in situations where anatomic distortion increases the risk of airway complications or where excessive bleeding may be encountered during needle cricothyroidotomy and PTV as follows:
However, in most instances, the benefit of securing an airway will outweigh the risk of performing needle cricothyroidotomy in these circumstances.
Complete upper airway obstruction — In routine use of percutaneous transtracheal ventilation (PTV) through a catheter, much of the expired air comes out of the mouth and nose. Thus, with complete upper airway obstruction, egress of expired air is difficult. Initial studies in animals suggested that PTV in the setting of complete upper airway obstruction led to development of massive distension of lungs, severe barotrauma, and death [19]. Subsequent studies have shown successful use of PTV in settings of complete upper airway obstruction using modified techniques that consist of prolonged expiratory time, larger internal diameter catheters, and lower oxygen flow rates [20-22].
PTV may be used successfully in partial laryngeal obstruction as the "ball-valve" effect, while constraining natural inspiration, adequately permits exhalation [14,23-25]. For infants and young children with complete upper airway obstruction and where other methods have been unsuccessful, it is reasonable to use PTV. Ventilatory methods should use a longer expiratory time (eg, I:E ratio of 1:8 to 1:10), lower oxygen delivery pressure and flow rate, and as large a catheter as possible. In addition, the clinician should carefully monitor for chest rise and fall with inspiration and expiration. Diminished chest fall with expiration should lead to further reduction in respiratory rate, longer expiratory time, and emergent chest radiography to look for signs of pulmonary barotrauma. (See 'Performing transtracheal ventilation' below.)
ANATOMY — The cricothyroid membrane, as the name implies, is bound by the cricoid cartilage inferiorly and the thyroid cartilage superiorly (figure 1). The key anatomic landmarks are (from cephalad to caudad): hyoid cartilage, thyroid cartilage, cricothyroid membrane, cricoid cartilage, and the tracheal rings.
In older children and adolescents, the laryngeal prominence at the upper border of the thyroid cartilage is easily felt. The thyroid cartilage can then be followed inferiorly to locate the cricothyroid membrane.
In infants and younger children, the laryngeal prominence is not developed, making it difficult to identify the thyroid cartilage. Instead, it is easier to follow the tracheal rings superiorly to locate the prominence of the cricoid cartilage. The cricothyroid membrane is located just superior to the cricoid cartilage. If the cricothyroid membrane cannot be located with certainty in an infant or a young child, percutaneous transtracheal ventilation can be safely performed by introducing the needle between the tracheal cartilages [12].
The cricothyroid arteries and veins usually overlie the apical portion of the membrane and come from the sides, anastomosing in the midline [26]. Thus, needle cricothyroidotomy should be attempted in the central, lower portion of the membrane (figure 1).
In fresh adult cadavers, the size of the cricothyroid membrane was found to vary from 8 to 19 mm (mean 13.7 mm) in the vertical dimension, and from 9 to 19 mm (mean 12.4 mm) in the transverse dimension [27]. These data suggest that catheters up to 13-gauge can be safely used in a patient with a fully developed airway. The cricothyroid membrane has a mean height of 2.6 mm (SD: 0.7) and width of 3 mm (SD: 0.6) in neonatal cadavers (mean height of 44.9 cm and a mean weight of 2 kg) [28]. The clinician should place the largest catheter possible using this limited information and palpation of the cricothyroid membrane as a guide. The mean depth of tissue overlying cricothyroid membrane in adults is about 2.3 mm [29].
PHYSIOLOGY — Needle cricothyroidotomy was originally used for passive transtracheal oxygenation in the 1950s [30]. Eventually, needle cricothyroidotomy with percutaneous transtracheal ventilation (PTV) emerged as the invasive rescue method of choice because it provided oxygenation as well as clearance of carbon dioxide. This approach could sustain life for a longer period of time than passive transtracheal oxygenation alone [1,12,31-33]. Smith and Ravussin were among the first to document successful use of needle cricothyroidotomy with PTV in infants and children in the 1970s [12,34].
Delivered tidal volume during PTV is affected by multiple factors, including inspiratory pressure, duration of inspiration, airway resistance, size of catheter, and lung compliance [33,35]. PTV is less efficient than ventilation through endotracheal intubation because up to one-third of oxygen flow delivered to the catheter tip passes up through the glottic opening and out the nose and mouth [32,35]. High pressure oxygen delivery systems are optimal to provide effective ventilation through the relatively narrow catheters used for PTV. However, low pressure systems (eg, self-inflating bag connected to the cricothyroidotomy catheter via a 3.0 mm internal diameter endotracheal tube adapter, 7.0 mm ID ETT adapter connected through a 3 cc syringe, (figure 2)) are sufficient in most patients if a high flow oxygen system is not available [2,6,36,37]. (See 'Equipment' below.)
In adults, PTV is typically accomplished using a 50 pounds per square inch (psi) (350 kPa) oxygen source and a 13- to 16-gauge over-the-needle catheter [3,25,32]. Marr and Yamamoto showed that catheter size (13- to 16-gauge) does not appear to substantially affect gas flow rates when using wall outlet oxygen because gas flows in a turbulent fashion under high pressure through these narrow catheters [36]. Large cannula (>4 mm), inserted via the Seldinger technique, enable ventilation with lower pressures in adults but require either a cuff or upper airway obstruction to prevent gas from escaping through the upper airway [6].
Lower driving pressures (25 to 35 psi [172 to 241 kPa]) are used in infants and younger children (under 12 years of age) in order to prevent barotrauma [12]. Smaller catheters (16- to 18-gauge) are typically placed due to the anatomic limitation posed by the cricothyroid membrane in the pediatric population. (See 'Anatomy' above.)
Once ventilation is established, exhalation through the transtracheal catheter is insufficient to prevent hyperinflation of the lungs. However, in most instances where PTV is used, the patient's airway remains sufficiently patent to permit exhalation through the nose and mouth [3,24]. In situations where complete airway obstruction exists, the clinician should use longer expiratory time and lower oxygen delivery pressure. In addition, chest rise and fall with inspiration and expiration should be carefully monitored. Diminished chest fall with expiration should lead to further reduction in respiratory rate, prolongation of expiratory time, and emergent chest radiography to look for signs for pulmonary barotrauma. (See 'Performing transtracheal ventilation' below.)
PTV provides less efficient ventilation than endotracheal intubation. Because of the concern for carbon dioxide retention with PTV, the traditional approach has been to use it as a short term (eg, less than 45 minutes) temporizing airway measure [7]. However, when oxygenation is well maintained, even relatively high levels of hypercarbia may be well tolerated, thus permitting its use for many hours at a time [2,7,38]. Regardless, the clinician should still rapidly seek to definitively secure the airway in most patients who require PTV, especially in settings complicated by increased intracranial pressure (because hypercarbia worsens intracranial pressure) or complete upper airway obstruction (increased risk of barotrauma).
There is no risk of gastric dilatation with needle cricothyroidotomy and PTV. The flow of gas up the airway aids in the expulsion of secretions, minimizing the need for suction and preventing pulmonary aspiration [32,39].
Using a canine model, researchers showed that it is not necessary to induce paralysis when using PTV for emergency ventilation of a sedated patient [40].
Evaluation — Needle cricothyroidotomy with percutaneous transtracheal ventilation (PTV) is an invasive emergent airway procedure that is life saving, albeit with significant potential morbidity. Thus, proper patient selection is essential. The key indication consists of inability to maintain a patient's airway utilizing noninvasive means (eg, bag-valve-mask ventilation, endotracheal intubation, laryngeal mask airway). These patients cannot be intubated and cannot be ventilated. Proposed criteria include [7]:
Pathologic processes that cause distortion of the upper airway anatomy comprise the typical scenarios. (See 'Indications' above.)
The presence of subcutaneous emphysema in the neck may indicate tracheal or cricoid injury and is typically a contraindication to the use of this procedure as is transection of the trachea with retraction of the distal end into the mediastinum. (See 'Contraindications' above.)
Special precautions are needed for infants and young children with complete upper airway obstruction, as in the case of a tight foreign body obstructing the larynx. (See 'Complete upper airway obstruction' above.)
Patient counseling/informed consent — Needle cricothyroidotomy with percutaneous transtracheal ventilation is usually an emergent procedure that does not allow for patient counseling/informed consent prior to the procedure. However, the procedure's necessity, benefits, and risks should be explained to the patient and/or caretaker at the earliest possible time after completion. If feasible, it is ideal for a member of the team not directly involved with the resuscitation to explain the procedure to the family as it is being done.
Equipment — Needle cricothyroidotomy and percutaneous transtracheal ventilation can be performed using standard materials readily available in any hospital. Commercial setups are also attainable [3,7,41,42]. To ensure maximum effectiveness in a highly stressful emergent setting, the author recommends that equipment for PTV, including all the necessary components, be organized and readily available [43].
General equipment
Catheter (large bore) — AVOID needleless safety catheters that cannot be connected to a syringe (eg, BD InSyte™ Autogard™) [12,44].
Bag-valve-mask connector options — If a bag-valve-mask will be used for patient ventilation, then it should connect to the catheter using one of the following improvised adapters:
Oxygen tubing connector options — If oxygen tubing will be used to connect to the oxygen source, then the clinician may use one of the following options:
High pressure oxygen source — One of the following oxygen sources is recommended:
DO NOT USE the common gas outlet of the anesthesia machine, as most machines have a pressure limiting valve on the back bar which opens at 5 psi (35 kPa) [46].
Oxygen tubing or equivalent — The tubing must be capable of withstanding high pressure.
Manual in-line valve — The setup must control intermittent flow of oxygen and ventilate the patient, examples include:
PROCEDURE — Percutaneous transtracheal ventilation is summarized in the table (table 1 and figure 7).
General considerations — Place the patient in the supine position on the stretcher. Unless there is a cervical spine injury (known or suspected), extend the patient's neck to help identify the procedural landmarks and to obtain the widest exposure of the cricothyroid membrane. While assembling the equipment for the procedure, ask an assistant (preferably the respiratory therapist) to preoxygenate the patient by administering high-flow oxygen via face mask if the patient is breathing spontaneously or via bag-valve-mask if not.
Site verification — The clinician should locate the cricothyroid membrane by palpating the prominence of the thyroid cartilage in older children, adolescents, and adults and moving the finger inferiorly into the depression between the thyroid and cricoid cartilages.
In infants and young children, the clinician should palpate the trachea just above the suprasternal notch and move superiorly until the prominence of the cricoid cartilage is felt. The needle should be placed just above the cricoid cartilage in the midline. If the cricothyroid membrane cannot be located with certainty in an infant or a young child, percutaneous transtracheal ventilation (PTV) can be safely performed by introducing the needle between the tracheal cartilages [12]. (See 'Anatomy' above.)
Although not studied in children, investigators have demonstrated the ability to accurately and rapidly identify the cricothyroid membrane in adult cadavers and live patients using bedside ultrasonography [29].
Analgesia and sedation — Under emergent circumstances there may not be time to administer sedative or analgesic medications. The most important goal is to secure the airway. In the case of respiratory depression or arrest, sedation may make matters worse and is not advised. However, if the patient is agitated and struggling and this behavior is impeding the progress of the procedure, a sedative and analgesic can be given to help control the patient.
Paralysis or subsequent continuation of paralysis may be considered based on the patient's response to the procedure and adequacy of ventilation achieved. In canine studies, PTV without paralysis has been achieved in sedated animals with unobstructed airways [40].
Skin preparation — Prepare the skin of the anterior neck with an antiseptic solution (eg, povidone-iodine). If time permits, anesthetize the skin, subcutaneous tissues, and the cricothyroid membrane with a local anesthetic such as 1 percent lidocaine administered through a 27- or 30-gauge needle.
Monitoring — Monitor heart rate and rhythm, blood pressure, respiratory rate, and oxygen saturation throughout the procedure. Lower the patient's gown and sheet to observe the rise and fall of the chest with respiration. Capnography should be used as feasible both during the procedure (to ensure intratracheal location of the needle or the catheter) and during patient ventilation [25,48].
Once the catheter is in place and percutaneous transtracheal ventilation is established, the site of needle cricothyroidotomy should be observed closely for any kinking or dislodgement of the catheter, subcutaneous emphysema (may indicate dislodgment of the cannula), or bleeding [3]. Chest radiographs should be obtained to ensure that the lungs are not over-expanded. Adequacy of PTV should be assessed using clinical parameters as well as frequent blood gas analysis.
Method — (figure 7)
Needle cricothyroidotomy
Performing transtracheal ventilation
Cricothyroidotomy may also be performed rapidly and effectively using a modified Seldinger technique (wire-guided or catheter-over-needle technique). (See "Emergent surgical cricothyrotomy (cricothyroidotomy)", section on 'Seldinger technique'.)
COMPLICATIONS — Barotrauma and catheter issues that prevent transtracheal ventilation are the two most commonly described complications of percutaneous transtracheal ventilation (PTV) (table 2) [3,7,12,14,15,32]:
Subcutaneous emphysema after PTV typically resolves without intervention [3].
Other less common complications of needle cricothyroidotomy and PTV include damage to adjacent structures, bleeding, and infection (table 2) [7,49,50,52]. Although pulmonary aspiration may occur during PTV, in a canine model, it provided significant protection from aspiration relative to dogs with unprotected airways [39].
FOLLOW-UP CARE — Prolonged percutaneous transtracheal ventilation (PTV) is associated with excessive inspiratory workload, hypercapnia, barotrauma, and catheter dislodgement with subcutaneous emphysema [3,7,53]. Thus, a definitive airway (ie, endotracheal tube or tracheostomy) should be obtained as soon as possible after PTV is established. Emergent anesthesiology and otolaryngology consultation may be required, especially in patients with traumatic injury to the face and/or neck.
In non-traumatic cases, intubation, with direct laryngoscopy or guided by endoscope, is successful in the majority of cases. Subsequent intubation may be easier as the high tracheal pressure from expiratory gases tends to open the previously collapsed glottis, improving visualization of the glottic opening. In addition, there is reduced operator stress and more time to visualize, and if needed, suction the glottic opening [3,54].
Indications and contraindications
Preparation and procedure
All topics are updated as new information becomes available. Our peer review process typically takes one to six weeks depending on the issue.


text:
What is the most practical coming home outfit for a winter baby? A one piece with feet? Pants and shirt?
I'm thinking something like this, but STMs, tell me if it's better to have separates for some reason I'm not thinking of:
So...yea, that's what I ended up thinking would work best. I'm a FTM, but a friend who had a baby a couple of months ago told me that something that snaps up the front works better than a onesie that snaps at the bottom, and I thought a one piece with feet was the most practical, so this is what I bought!
Ditto this, except DD puked exorcist style on her first outfit. :-)emriley84:I think that is perfect. My advice- bring a spare. I had DSs outfit all picked out, and I was so excited to put him in it. It wasnt anything terribly special, just a cute little onesie with pants. I got him all dressed, and while the nurse was going over our d/c instructions, he peed through everything. I had to change him into another outfit. I was a little sad because I loved the one I had picked out, but it all worked out just fine lol.
***Twin fraternal girls born at 35w6d in 12/2008***
We'll have a long sleeved onesie, and then put this over it. (Sorry, no clickie. Using a Mac)
ETA: I think that one-piece is perfect. It looks warm, and if you live in a colder climate, it's silly to heavily layer a newborn. They aren't hard to change, per se, but it's easier to just have a single thing to take off, not an entire assembly of clothes.
ta78:We have the same outfit.. I haven't decided if we'll use it for coming home, but will do something similar if not. What size did you get? the up to 7lb or 03?


text:
Alex Smutko (Engineer)Discuss0
this wiki
(covers information from several alternate timelines)
Alex Smutko (also known as Al Smutko) was a Human Starfleet officer in the 24th century.
In 2328, he boarded the SS Manila at Purser's Planet, bound for Delta Charnock IX. This information was part of a passenger manifest recorded in the commercial transport database and reviewed by Lieutenant Commander Data in 2370. (TNG: "Inheritance", okudagram)
In 2354, he was named as a Starfleet Operational Support Services officer on a directory placard at Starbase 32, Maxia sector. His room number was 45241. (TNG: "Violations", directory)
In the 2370s, he was named as a Yard Engineer on the dedication plaque of Federation starships. (VOY: "Caretaker", dedication plaque; VOY: "Message in a Bottle", dedication plaque)
In an unknown, alternate future timeframe, he was named as an Engineering Division officer on the dedication plaque of the USS Pasteur. (TNG: "All Good Things..." dedication plaque)


text:
PLANNING A SUCCESSFUL WINE tasting, or trying to match wines with a gourmet meal, can be overwhelming. All too often, sommeliers suggest wines that you've never heard of. Their recommendations could be great advice, but they could also be based on their own personal preferences — or on which selections are most profitable for the house. In any scenario, the best way to make an informed choice for your group is to know the basics, and speak with authority. Choosing the right wine Step ...
Register for Complete Access (Valid Email Required)
By registering on MeetingsNet now, you'll not only gain access to Winning WITH WINE, you'll get exclusive access to a large archive of premium content.
Already registered? Log In here.


text:
Analysts' Actions: CSCO, MMM, CIT, AMGN, S
Tetra Tech (TTEK) upgraded at BMO from Market Perform to Outperform, BMO Capital said. $30 price target. Company should see an improving order cycle, given more faster-growing private clients.
STOCK COMMENTS / EPS CHANGESApple (AAPL) target raised at Needham to $620. iPad popularity is also driving Mac sales.
Agrium (AGU) estimates, target boosted at Goldman. Shares of AGU now seen reaching $85, according to Goldman Sachs. Estimates also upped, as the company is seeing higher retail demand. Neutral rating.
Akamai Technologies (AKAM) target raised at Jefferies. Shares of AKAM now seen reaching $41, Jefferies said. Holiday / traffic combine for a very strong fourth quarter. Hold rating.
Akamai estimates, target raised at Credit Suisse. Shares of AKAM now seen reaching $25, according to Credit Suisse. Estimates also increased, to match the company's new guidance. Neutral rating.American Express (AXP) numbers boosted at Morgan Stanley. Shares of AXP now seen reaching $56, according to Morgan Stanley. Estimates also upped, as the company is gaining market share online. Equal-weight rating. Compass Minerals (CMP) numbers cut at Goldman. CMP estimates were reduced through 2013, Goldman Sachs said. Company is being hurt by the mild winter. Sell rating and new $77 price target. Cisco Systems (CSCO) numbers upped at Goldman. CSCO estimates were boosted through 2014, Goldman Sachs said. Company is seeing higher sales and cutting costs. Buy rating and new $25 price target. Cisco Systems numbers raised at Oppenheimer. Shares of CSCO now seen reaching $23, Oppenheimer said. Estimates also raised on strong January quarter. Outperform rating. Cisco Systems numbers raised at UBS. Shares of CSCO now seen reaching $24, according to UBS. Estimates also increased on strong 2Q execution. Buy rating. Cognizant (CTSH) estimates, target raised at Goldman. Shares of CTSH now seen reaching $73, according to Goldman Sachs. Estimates also increased, given higher offshore growth. Neutral rating. CVS/Caremark (CVS) numbers raised at Morgan Stanley. Shares of CVS now seen reaching $48, according to Morgan Stanley. Estimates also increased, as the company is gaining market share. Overweight rating. Gildan Activewear (GIL) numbers boosted at Goldman. Shares of GIL now seen reaching $18, according to Goldman Sachs. Estimates also upped, as the company is seeing higher sales. Neutral rating.
Select the service that is right for you!COMPARE ALL SERVICES
Action Alerts PLUSTry it NOW
Jim Cramer and Stephanie Link actively manage a real portfolio and reveal their money management tactics while giving advanced notice before every trade.
Product Features:
- $2.5+ million portfolio
- Large-cap and dividend focus
- Intraday trade alerts from Cramer
- Weekly roundups
TheStreet Quant RatingsTry it NOW
Only $49.95/yr
Access the tool that DOMINATES the Russell 2000 and the S&P 500.
Product Features:
- Buy, hold, or sell recommendations for over 4,300 stocks
- Unlimited research reports on your favorite stocks
- A custom stock screener
- Upgrade/downgrade alerts
Stocks Under $10Try it NOW
David Peltier, uncovers low dollar stocks with extraordinary upside potential that are flying under Wall Street's radar.
Product Features:
- Model portfolio
- Stocks trading below $10
- Intraday trade alerts
- Weekly roundups
Dividend Stock AdvisorTry it NOW
Jim Cramer's protege, David Peltier, identifies the best of breed dividend stocks that will pay a reliable AND significant income stream.
Product Features:
- Diversified model portfolio of dividend stocks
- Alerts when market news affect the portfolio
- Bi-weekly updates with exact steps to take - BUY, HOLD, SELL
Real Money ProTry it NOW
All of Real Money, plus 15 more of Wall Street's sharpest minds delivering actionable trading ideas, a comprehensive look at the market, and fundamental and technical analysis.
Product Features:
- Real Money + Doug Kass Plus 15 more Wall Street Pros
- Intraday commentary & news
- Ultra-actionable trading ideas
Options ProfitsTry it NOW
Our options trading pros provide daily market commentary and over 100 monthly option trading ideas and strategies to help you become a well-seasoned trader.
Product Features:
- 100+ monthly options trading ideas
- Actionable options commentary & news
- Real-time trading community
- Options TV


text:
Amazon offers the Callaway Footwear Men's Master Staff Golf Shoes in Black and Grey for $48 with free shipping. That's the lowest total price we could find by $8. They're available in sizes 8 to 13, although not in all size/color combinations. Deal ends December 22.
Orders placed by December 19 are guaranteed to arrive by Christmas. (Prime members can order by December 22 for guaranteed delivery by Christmas.)
Callaway Footwear Men's Golf Shoes
$48 free shippingSHOP NOW
Posted 3 days 9 hr ago


text:
does not include shipping and tax
0.177" (4.5mm), 1200.0 fps, Hardwood, Ambi, Brown
Plink or dispatch garden pests...the Optimus can do both.
1-year limited warranty
List Price $145.00 Save $25.05 (17%)
Want it delivered 12-30-2014?
Order it in the next 10 hr and 9 min and choose Next Day Air Morning at checkout. Details
Average Customer Review4.5 (32 reviews)
Create an online reviewand share your thoughts with other customers
Things I liked:I have one in .177 cal. This is a very nice rifle, especially for the money. The weight and feel is very nice and if you modify the trigger, online "youtube" videos for that, or upgrade it, the trigger pull is comfortable enough. Also, the accuracy is exceptionally well in mine. Crosman Premier Hollow Points have been working well for me. I have been able to get 1 in. groups with mine at 35 yds. This was done with the included scope. I am certain with a much better scope, I could get 1/2 in. groups at 35 yds. I shoot 35 yds because that is the range that most of the blackbirds I target are at, in my yard. Also, I had no barrel droop in mine, at least not enough to where I could tell, such as in a different gun I own. Groupings at 20 yds are 1/2 in.
Things I would have changed:The trigger out of the box is pretty much completely unpredictable, crosman really needs to do something about that, "second stage" way too long. Also, the pull weight is a little to much, but not horrible. The scope is not the best, but for the price, you really cant complain, its enough to get you shooting at some decent ranges. A weaver rail would be nice!
What others should know:I gave the overall rating four stars because the trigger was undesirable, out of the box. The scope isn't the best, but for the price, your getting what you pay for. So, for value, I gave it a 5, because the gun is worth it. My gun took about 300 pellets before I started to get my accuracy, so be patient. For this reason, after breaking it in and achieving this accuracy, I gave it a 5 for accuracy. Screw down the scope mount screws very well, but don't strip them!!! Also, if you shooting in 15 degree weather, with some wind, your naturally going to have some accuracy issues. I say this because of comments I have read else where!
Things I liked:Light, easy to break and cock, and very accurate.
Things I would have changed:better scope, this one is not bad, just not enough for this air rifle.
Things I liked:For the price it is an excellent purchase. Good balance Light and fairly accurate.
Things I would have changed:Do not think he would change nothing.
What others should know:So far I have not used with the telescope and the experience has been very good. Remember that it is not a competition rifle.
Show Other ReviewsCreate an online review and share your thoughts with other customers
Service Plans
Model Assistant Crosman Optimus Breakbarrel Air Rifle Combo
See also


text:
Loading ...
Massage therapist Jodi McClain had just finished her last massage of the day when her patient, still lying prone on the table, burst into tears. She began speaking about difficult emotional issues she'd held in for years, until that massage helped set the pain free. Jodi savors seeing her clients leave happier than they were when they walked in, and uses her custom blend of Swedish, deep-tissue, and trigger-point-therapy massage to achieve this pleasant outcome?by way of ousting tension and muscular pain. She also performs myofascial-release massage and cranio-sacral therapy upon request, and can collaborate with doctors to build injury-treatment plans and incite laughter with multiple taps to the funny bone.
During massages, massage therapists may slather their client's skin in Massage FX cream?infused with aloe, arnica, and ivy extracts?to keep it moisturized and dull any site-specific pain. Though they eschew aromatherapy, they often soak a cloth in eucalyptus and peppermint oils to relieve clients' suffering from sinus pressure. They also conduct facials and specialized skinny massages to tone and tighten skin, as well as applying infrared-light therapy to detox skin and enrage cats by demonstrating the photon theory of light, as most cats still think of light as a wave. They conduct all their treatments in one room designed to evoke a garden; with flowers hung from the ceiling, a decorative fence, and soft lighting. While they often plays piano melodies, the massage therapists also lull clients toward relaxation with a bubbling water fountain and casual conversation.
In 2002, Glamazon Salon was a one-man show, with owner and color-specialist Jere styling all clients, all the time. Though today Jere?s staff has grown to include four more talented designers, nail technicians, and massage therapists, he?s kept his basic concept intact: an urban salon geared not just toward offering chic hairstyles for all, but also helping the community. Throughout haircut and color services, Jere and his crew draw from a shelf full of environmentally friendly products by brands such as Neuma, Kemon, and Pureology?all of which forgo harsh chemicals and playground name calling. Outside of the salon, the team hosts various community fundraisers in support of organizations such as the Child Abuse Council and Every Woman?s Place.
We are a yoga, pilates, zumba studio, located on Ferry Street in downtown Montague, Michigan. We opened on Oct. 1, 2007, offering classes seven days a week, with a variety of experienced instructors.
Jennifer Scanlon is a licensed massage therapist, but it's more of a passion than a job. "I truly love what I do and I believe it shows in each massage session," says Scanlon. "My sessions are based on client comfort and needs." She achieves this through the use of various massage modalities, which range in scope from gentler Swedish strokes to firmer deep-tissue pressure. Guests may also request more specialized techniques such as lymphatic drainage or cross-fiber friction.
Earthy, stone-tiled floors, dark wood accents, and framed pictures of flowers bring a sense of calm to Vanity Room, letting clients shed their outside worries and focus solely on relaxation. The beauty hideaway's dedicated aestheticians and stylists refurbish skin and hair with accentuating cuts, styling services, and coloring treatments, as well as waxing and tanning to get bodies beach ready and help clients win office-wide body-building contests. Facials, hot-towel massages, and deluxe mani-pedis round out the offerings so that guest can reenter the world confident in their brand-new look.
As a nationally board-certified therapist and member of the American Medical Massage Association, C.M. Massage owner Chris MacPherson draws on a wealth of anatomical knowledge to relax his clients and bring their bodies back to states of natural well-being. Chris and his team of certified therapists?both male and female?tend to knotted muscles in private treatment rooms, properly draping bodies before administering a series of targeted therapeutic strokes. The therapists' nimble fingers apply techniques culled from modalities such as sports, relaxation, and prenatal to alleviate chronic conditions, headaches, and back and neck pain. They work seven days a week and, depending on their availability, can schedule appointments with as little as 30 minutes? notice.


text:
Posted by Lauren
First Time WIAW-er here! Click the beautiful logo for more WIAW posts on Peas and Crayons blog!
Yesterday's bowl of oatmeal/oat bran was heavenly thanks to a banana (didn't forget it at home this time!) and stolen raisins (does Fresh Choice use the best raisins in the world – Champion Raisins?)
Brown sugar, blueberries, flax, and chia seeds in the mix as well. Mush never tasted so good!
You all know what I put in the slow-cooker on Sunday, right? I feel like I've talking about the gobble goods for days, so I refuse to say it – the T word.
On top of Monday's salad and to the side of Tuesday's salad, you'll find it: shredded, domesticated game bird.
Also in the mix: tasty salad leftovers from Fresh Choice (sneakily snagged a box, thanks to Lauretta!!), hummus, cauliflower, red lentils + roasted chickpeas (yes – from lasssssst week)
And right about here, you would have seen my beautiful, frothy, thick, healthy, protein-packed, peach cake smoothie with peanut butter and granola (and hidden kale!). Alas, I didn't import those pictures AND accidentally deleted everything from my memory card. Tears.
Nicole suggested I take a picture of the empty glass, but it was getting late. I finished the smoothie around 9:15pm, after a night full of muscley exercise and yoga meditation…
Tuesday's Workout is brought to you by these weighted sticks! (psst. Nicole – what are these called?)
I completed 3 rounds of Fitnessista's Spring Legs workout (love her stuff!)
1. Split squat (15 on each side)
2. Jump squats (pyramid style with 9 lb stick)
3. Calf raises (15)
4. Bench hip raise (20)
5. Jumping lunges (30 seconds)
6. Sumo deadlift (15 with 30 lb stick)
Then I drove to Almaden Yoga to try out another class as part of my 10-class Groupon deal.
Yin Yoga – Yin Yoga targets the connective tissues, such as the ligaments, bones, and even the joints of the body that normally are not exercised very much.
My thoughts: Because I had already accomplished my "rigorous" workout (3 mile run before work + Spring Legs after work) I enjoyed this slow-moving class a lot more than I probably would have had it been my only form of exercise for the day.
After a fast-paced day, the 75-minute yoga class was a great change of pace. We held each pose for 3-5 minutes, allowing me to focus on falling into deeper stretches with steadier breaths. I feel like this class definitely helped open up my hips (weakest part of my body lately) and stretch them more acutely than a foam roller.
Our teacher described Yin Yoga as the antithesis of all that yang represents: change, movement, brightness, activity. Yin focuses on stability and extending the connective tissues (think ligaments, tendons, and fascia) – they respond best to slow and steady pressure. When holding yin poses for a long period of time, the gentle stretches on connective tissues make them a little longer and stronger over time. Whoo! Lean + strong!
Question: How do you stretch your muscles/tissues/bones/etc? Do you always stretch after a workout or are you guilty of skipping that part like me?
7 Responses to WIAW 8/3: [without saying the T word] and Yin Yoga
peasandcrayons says:
Def one thing blogging taught me is to toss leftovers on a salad — i'm hooked! =) your creation looks awesome!
Saw your tweet and linked you up to the party for ya! <3 Is this your first WIAW? eee! <3
sugarcoatedsisters says:
Yay! Thanks for the link up! This is my first one, definitely not my last! Tuesday is officially "bring nice camera to work day" haha
foodsweatandbeers says:
I'm so so so so so guilty of this. To the point where I wonder what my legs would look like straightened out as I stretch them, because ATM they're wound so tightly you'd think my muscles were rubber bands pulled to their last pull.
I really should stretch my bones and tissues more….. ? lol.
sugarcoatedsisters says:
I know! Stretching is the lassssssst thing on my mind once I finish up a workout. When I was younger I took a bunch of dance classes and all my teachers picked on me for having legs that literally would NOT straighten all the way "Lauren, straighten your legs!" x92384729 sheesh. And for this reason I despise my knobly knees!!
movesnmunchies says:
oh gosh.. i NEVER stretch!! im a terrible example!!!! looks like a great workoutt!
Errign says:
I'm not great about stretching, so thankfully my heavy-on-the-yoga weekly routine is good for that. I took a yin yoga class last month & I liked that it was basically a bunch of mini yoga naps :)
[...] one is coming at you with a killer quick recipe! Last week's first ever WIAW can be viewed here. And as always, please visit Peas & Crayons blog to view all the other WIAW entries! Or, click [...]
Leave a Reply Cancel reply
Lauren's TwitterMy Tweets
@laurenolerich instagrams
Nicole's TwitterMy Tweets
@nicoleolerich instagrams


text:
this wiki
|The wiki is on hiatus. Please read the announcement on the home page.
Komagas (aka: Buru, Prarie Drakes, Rakair) are wingless, savage reptiles native to a few flatland praries and grasslands.
At first glance, the Komaga looks like nothing more than an overgrown lizard with dark gray scaly skin. However, a closer look reveals some major differences.
The Komaga is about ten times the size of an adult pony and they have stocky, muscular bodies atop four thick legs with white claws. Their legs aren't splayed to the side like smaller lizards' legs, but held under their body like those of a pony. Their front legs end in something like a hand, a huge paw with long fingers and even longer claws. The back legs end in flatter, shorter paws with duller, shorter claws. The Komaga's long tail ends in a tapering tip similar to a whip.
These creatures have a medium-length neck, again different from a small lizard's, at the end of which is a long yet thick head ending in a rounded snout. Komagas have dull yellow eyes with slit pupils on the sides of their heads and they have jaws that are filled with two rows of serrated, dagger-like teeth. Komagas possess neither horns nor wings and, when attacked or threatened, they can rear up on their hind legs to reveal the true scale of their massive size.
- Komagas are most notorious in Gildedale, where their annual stampedes have defined the residents' lifestyles as a constant struggle against them.
- Dale legend claims they are dragons punished by their gods with the loss of their wings and fire who have, over time, degraded into mindless, slavering beasts.
- Komagas have unique, gold-colored blood.
- The leather armor of the Daleguard is made from the skins of these creatures.
Other Fan-fictionEdit
- The Komaga is originally from "It's a Dangerous Business, Going Out Your Door" by Jetfire (not based in the WTWE canon)


text:
UK & World News
Miner 'Ran For His Life' From Flooded Colliery
A miner has told a court how he ran for his life after a coal mine in south Wales flooded, killing four of his colleagues.
Around 650,000 gallons of water, enough to fill an Olympic swimming pool, gushed into the area where explosives were being used to extract coal from a seam.
Nigel Evans, who operated the Gleision colliery's conveyor belt, said he ran as fast as he could and "did not look back".
Pit boss Malcolm Fyfield managed to escape after crawling through dirt and sludge.
He and former mine owners MNS are on trial at Swansea Crown Court, where both deny manslaughter charges.
Mr Evans said his colleague David "Jake" Wyatt had shouted at him and was "visibly panicking and running".
The miner, who had worked at the colliery for just three days, told the court: "I remember getting a call from Jake saying they were about to fire.
"It all went quiet for a minute and I started to load supplies on the belt to send up to them.
"I heard a gushing wind ... that was a bit unusual.
"Then I saw Jake and his light was shaking furiously. I knew something was wrong straight away."
He added: "(Jake) was visibly panicking and running. He was shouting for me to run. So I just ran out of the main drift. I didn't look back. I was going as fast as I could."
As he approached the surface, Mr Evans glanced back and noticed his colleague had stopped.
"He had hurt his back and was out of breath and there was a body of water that had stopped a couple of metres from him," Mr Evans said.
Once Mr Wyatt had escaped the mine and the emergency services had been called, Mr Evans went back into the shaft, where he shouted for his colleagues.
Philip Hill, 44, Charles Breslin, 62, David Powell, 50, and Garry Jenkins, 39, all died in the tragedy on September 15, 2011.
Mr Evans said Fyfield looked "pretty rough" in the moments before he was rushed to hospital.
"He was out of breath, cold, shaking and wet," he said. "He was in shock and bleeding to his forehead.
"I asked him where the boys were and he said to me: 'They've gone'."
Fyfield denies he was negligent in his duties and insists he carried out regular safety inspections at the colliery.
The trial continues.
on Orange News today
- North Korea: We Can Prove Hacking Wasn't Us
- US Releases Four Prisoners From Guantanamo
- Stigma Of Sierra Leone's 'Ebola Orphans' Remains
- Obama: Sony 'Made Mistake' In Pulling Film
- North Korea: We Can Prove Hacking Wasn't Us
- FBI: North Korea Behind Sony Cyber-Attack
- 'Panic Saturday' To Start Xmas Spending Spree


text:
You are using an outdated browser. Please upgrade your browser to improve your ReverbNation experience.
Working on some new material and having fun doing it!
Wow! 5000 fans on RN. Thanks everyone!
Merry Christmas everyone! Do something nice for someone!
Very honored to hear my music on Rendezvous Radio! http://www.trs247.com/
My song "Worried" is available for download on CD Baby. Follow the link by the song on this page or go to: http://www.cdbaby.com/cd/scottglenlambertsen
Check, make that 1000 fans on RN!
Wow! Made it to 100 fans here on RN. Thanks to everyone that listens to my music. I hope to add more songs soon.
Loving life and looking at booking a few gigs for the summer of 2014! Have a great fall weekend!
Hey thanks to everyone for helping me reach 500 fans on ReverbNation. Time to get serious eh!
Just back from Alaska and ready to get back to work. Thought of my friends in the band "Anchorage Alaska" while I was up there. Got to fish, jam and eat too much...life is good! Cheers!


text:
This document covers the installation and use of this plugin and reveals answers to common problems and issues - I encourage you to read this document if you are experiencing any difficulties.
To install this plugin you must have a working version of WordPress already installed. For informations about how to install the WordPress platform, please see the WordPress Codex - http://codex.wordpress.org/Installing_WordPress
First, unzip the zip archive you downloaded on your computer. Upload the folder to your server via ftp to the /plugins/ directory on your Wordpress installation. (wp-content > plugins)
Go to your Wordpress admin, and in the Plugins-panel, choose Add New. Click Upload in the below the title "Install Plugins". Upload the plugin zip.
Installing WordPress http://codex.wordpress.org/Installing_WordPress
Once you have uploaded the plugin, activate your plugin in Plugins > Installed plugins.
Go in Appearance > Topbar Countdown and be sure that:
In Appearance > Topbar Countdown page you will find the settings of the plugin. Also the options are splitted in more tabs, to find them easily.
|General Settings
|Enable Topbar Countdown
|Enable the plugin
|If you want, you can set here an image to be shown on the left side of the topbar banner.
|Slogan Text
|The slogan displayed to be shown on the left side of the topbar banner. You can also use HTML code.
|The message displayed to be shown on the right side of the topbar banner (near the button). You can also use HTML code.
|If you would like to wrap button into a link, you'll have to write it here. (example: http://yithemes.com)
|Button Text
|Text to be shown in the button.
|Countdown to
|The date when the countdown will stop.
|Background Settings
|Background image
|Upload or choose from your media library the background image
|Background Color
|Choose a background color
|Background Repeat
|Select the repeat mode for the background image.
|Background Position
|Select the position for the background image.
|Background Attachment
|Select the attachment for the background image.
|Button Background Color
|Choose a background color for the button
|Button Hover Background Color
|Choose a background color for the button in hover state
|Slogan font of message
|Choose the font type, size and color for the slogan.
|Bold Slogan font of message
|Choose the font type, size and color for the bold part of slogan.
|Numbers font
|Choose the font type, size and color for the days, hours, minutes and seconds numbers.
|Message font
|Choose the font type, size and color for the message on the right side of the topbar banner.
|Button font
|Choose the font type, size and color for the button.
The plugin allows you to use your own custom templates and stylesheets.
In order to customize the style of the plugin you can easily create a file called
tcountdown.css within the
theme folder. The file will be automatically loaded
from your theme instead of the plugin folder.
In this way the
style.css file contained within the plugin (
If you need to include our plugin within your theme you can also customize the templates. Copy the file
tcountdown.php from the folder "templates" of plugin folder and paste it inside the theme
folder and automatically the plugin will load the templates from your theme instead of the plugin
Can I customize the topbar countdown banner ?
Yes, the page is a simple template and you can override it by putting the file template "tcountdown.php" inside the theme folder. You can also customize the style by adding your custom CSS in the specific option of the settings.
Can I deactivate the 'button' on the right of the topbar ?
Yes simply leave the "Link" field label empty to achieve this.
Have I to deactivate the plugin to hide topbar countdown banner ?
No, you can deactivate the topbar countdown even if the plugin is active.
This plugin is ready for localization via .po/.mo files.
If you are not familiar with translating Wordpress plugins, it would be better to read this article: http://codex.wordpress.org/Translating_WordPress


text:
Student ordered to take off shirt showing gun
GUILFORD — A Guilford High School student says he disagrees with school officials who made him change out of a shirt that has a picture of a gun on it.
Matt Zingarella, 18, told WTNH-TV that he was exercising his free speech rights by wearing the shirt to school Monday, but he was immediately asked to change it.
Read more of this story and more!
7-Day Subscribers have FREE access to everything on rep-am.com and our E-Edition.
CLICK HERE to register and activate your access,.
Not a subscriber?
You can purchase a single-day subscription for only $0.75 to read this and access all of our content and our E-Edition.
CLICK HERE purchase a single day subscription.
Become an electronic subscriber to the Republican-American for only $8 a month. CLICK HERE.
Follow Us
Post a reader commentWe encourage your feedback and dialog.
Please be civil and respectful.
If you're witty, to the point and quotable, your reader comments may also be included on the Around the Towns page of The Sunday Republican.
Readers must be registered and logged in to post comments on the site. Registration is free. Click Here to register.
A Subscription is not required to post comments only a Registration.
Log In
|Register / Forgotten Password?
More stories from Connecticut
- 20-year-old killed climbing in Africa
- Parents outraged that Mass. kids were denied lunch
- 2 high school teens carrying pellet guns
- Man gets 5 years for climbing in Africa
- Heroic effort to save horse ends in death
- Prison assault nets 3 more years inside
- UConn to call itself just UConn
- Hospital faces lawsuit verdict of $6.5 million
- Not itsy bitsy: Tarantula rescued in NY
- Shop that sold gun to Newtown mother loses federal license


text:
Based on the original Bionic Commando from Nintendo, Capcom decided to bring it back and give it a whirl with updated graphics and game play. Well they should ...On August 2, 2009 / By Joseph Damanti
If you like killing zombies in the morning, afternoon and even at night, then Capcom has done a great job of that in Resident Evil 5. The latest ...On April 14, 2009 / By Joseph Damanti
Sign up for daily newsletters!
© 2014 Chip Chick Media. All rights reserved.


text:
Scarborough Uk Escort Girls
Scarborough Uk Escort Girls
Scarborough Uk Escort Girls
Add as friend
Achievement Level.
Leaderboards »
Scarborough Uk Escort Girls.
Details about Scarborough Uk Escort Girls.
scarborough uk escort girls
Scarborough Uk Escort Jessica escort agencies and brothels
. ... Scarborough Uk Escort Jessica Brothel & Escort Agency. Home · Brothels · Escort Agencies ...Scarborough, North Yorkshire Contact ... [Call from withheld numbers and texts will be ignored] ..
. Stunning, intelligent, and the BEST girl Ive been with - EVER!asian best escorts the best girls work here,PERTH friendliest ...Jenna available for Outcalls==Best Party Escort Girls== NO ...Results 1 - 45 of 124 ... Independent Escort: Find thousands of Independent escorts from all over the UK. You can view their complete profiles, photographs ..
.Naomi Scarborough Escort Uk escort agencies and brothels. ... Naomi Scarborough Escort Uk Brothel & Escort Agency. Home · Brothels · Escort Agencies ...Independent escorts from the Yorkshire area. For incall and ... I am sexy Thai girl xxx I am 27 years old petite but with 34DD breasts
. I pride ... I also tour the UK, especially London. Take a .... Hello, I am Carla of Scarborough, North Yorkshire.UK Female Escorts in the Yorkshire and Humberside, North Yorkshire and the town of Scarborough. ..
. region, the county of North Yorkshire, and the town of Scarborough as well as throughout the UK. ... of Libertine Escorts Escort Agency ...Scarborough Busty escorts directory featuring sexy Scarborough Busty escorts girls offering outcall and incall escorting services.3 days ago ... Looking for a Scarborough escort? Look no further! For a range of personal services, Amy is the lady for you!
Auditory Feedback Mats - Dancing Challenge
8 RENEGADE BLADE® - Carbide Bruschcutter Blades 2pk
The Next Big Thing PC UK
Aliceâ"¢ 8pc ManicurePedicure Kit Leather Travel & Grooming Kit Graduation Gift Ideas
3M 08061 Plastic And Emblem Adhesive Tube - 5 Oz
The Encyclopedia Of Tanks And Armored Fighting Vehicles
Barrios Infante Piano Music
17 Miracles Blu-Ray Edition
Maasdam PowR Pull 144SB-6 2 Ton Capacity PowR Pull USA Made
Moto Metal Series MO951 Chrome Wheel 17x95x5
Diamond Plate Rock Design Genuine Buffalo Leather Vest W 14 Patches-XL
About Us
Follow Us on Facebook
Follow girlescortstwilight.com on Facebook!
Follow girlescortstwilight.com on Twitter!


text:
DIS Veteran
Join Date: Jan 2001
Location: Missouri
Posts: 45,349
Update on my foot issues. I went to podiatrist today. She gave me a cortisone shot for the nerve running along my toe. In addition she is getting me custom orthotics, gak. I have to get healthy and this is a part of the journey.
Still hanging in there with weight. I had a 1/2lb loss this week. We will see if it holds thru till tomorrow.
I credit the loss to my PT and my exercising.
Stay strong everyone!!!
QOTD? Well hands down it has to be my local St. Louis Zoo. It is free admission and the location is in a place that you want walk, bike, etc. to other free places. I do love Forest Park in St. Louis.
I just love a dancing banana!
I'm a Tag Fairy junkieI wanted to be a lawyer or a teacher, and now I'm both, I'm a mom!
Rum makes math fun!
Join Date: Feb 2005
Location: Blink and ya miss it, CT
Posts: 23,383
Best zoo, Roger Williams in RI and Cape May County Zoo in NJ.
Not a stellar day, hell, it hasn't been a stellar week. I need someone to circle the wagon back around and then sit on me until we reach our final destination!
Managed to ward off the chocolate temptations at Trader Joes ( even my most favorite chocolate covered potato chips). In fact, the 8th will be a month of no chocolate, but now I am craving carbs like you would not believe!!! The worst part is I'll eat something thinking that's what I want but then it's not so I go on the hunt for something else. It's been like this all week!! I hate days like this and I hate feeling out of control.
I need a reboot. I can feel it in my body (might be why I feel like I got hit by a truck, the soreness is horrible). I feel like I need to detox somehow.
I may try to go carb free for a few days or a week and see if I can kick the feeling.
I'm also not sleeping well, hence the 2am posting. I'm sure it's all related.
We have a 5k in 2 days, trying to decide if I should do it. DD is doing the 1/2 mile, DS16 and DS11 are doing the 5K. DS12 wants to but he has to pick his pieces to show at the art show so he won't make the start time for the race.
I dunno, I hate self doubt!!
Ok I'm rambling now so I'm going to try to get some sleep.
Night all!!
Sent from my iPhone using DISboards
BL6 Black Team Captain
The Vanilla Rooibus was heavenly
Heigh ho - Heigh ho - It's off to lose weight I go...
Join Date: Aug 2002
Location: Central Jersey Shore
Posts: 5,266
Good Friday morning.
I did the taxes yesterday while dh was working at his dad's house. I still need one more paper from ds's college. He sent me a copy of it but it included his grad school stuff which we didn't pay for. I have to figure out how to get the paper for only his undergrad stuff since he is on a full scholarship for grad school
I am asking my friends for PD for my sister. Her house was destroyed in Sandy. She got some money from the insurance but the first quote she got may not cover everything that needs to be done. Even at that she will not have any money for furniture. She is living with my parents but she would really like to get back to her house (It is only 2 blocks from my parents). I only wish that I had won that big lottery last week so I could give her the money to fix up her house.
Off to get some things done. Almost done with break
What is everyone doing for Easter? I have to make home made bread and a chocolate cake for my dad's birthday which is Monday.
Have a happy and healthy day.
We love the Cape May Zoo. It is so sweet
Dona July 1980 with DH family Nov 1984 Last trip before kids Aug 1988 Poly 10th AnnvAug 1992 Port Orleans Other trips I can't nameAug 2002 POFQ, FW, AS sp with Sean and the girls Aug 2003 FW Our 25th Annv Trip Aug 2005 Camping with the Knotts Aug 2006 Twin Sister Trip Aug 2008 30 Anniv/grad Trip 2009 POFQ just us 2012 Grand Gathering with Sedlaks
Join Date: Mar 2013
Location: Pacific Northwest
Posts: 495
Today (well yesterday evening for all of you) was pretty good. I got through my workout and have stuck to my diet pretty good considering the vat of chocolate treats at every nursing station I pass by!!! Nurses do love their chocolate!! But I will have plenty of time to eat chocolate in WDW after I drop a few lbs!! Excited that I joined the exercise challenge for April, already thinking about reaching that goal!!
Hope everyone has a great day today!! Back to workfor me.... but since its my friday.....
Take care all!
Only took one try and voila
Likes to be barefoot at every possible occasion
Join Date: Oct 2003
Location: South Central NH
Posts: 9,963
Morning all! I'm at work without computer access (I've snuck into the Kindergarten wing to hop on for a few minutes ), so I won't be able to visit much today. Hope you are all well and that the scale is kind to you today. My weigh-in was a bit of a but I shouldn't be shocked after my splurge(s) last weekend (although I didn't think I did THAT MUCH damage ).
I'll have to really watch what I eat over the Easter weekend, as I have NO wiggle room left on the scale to stay within my official WW maintenance range.
I'm gong to take 2 minutes to read here and hopefully have a minute to pop on maybe at lunchtime??? Fingers crossed. TTYL.............P
WDW 12/1974, WDW 03/1983, WDW 05/1992 (with DH on HONEYMOON ), WDW 01/2002 (first family trip to WDW), WDW 01/2004 (2nd family trip), DL and DCA 07/2005 (first family trip to DL!), WDW 06/2007... DD gets to go without us! WDW & Discovery Cove 04/2008 (First stay at Pop ), WDW 01/10 DD goes without us AGAIN! , WDW 05/10 Mother/Son trip WDW 05/11 Mother/Daughter trip !! WDW 05/13 Mother/Daughter trip #2 celebrating GRADUATION!
Sea days are just so relaxing!
Once you are as old as I am, you will understand!
Join Date: Sep 2006
Location: Nuremberg, Germany
Posts: 6,937
Hi everyone! And sorry that I disappeared yesterday. I had a horrible headache and was barely functioning yesterday. Today is a holiday here in Germany and I am at home, still trying to get rid of the last rest of the headache.
Pam, thank you very much for jumping in with the question of the day yesterday!!
My scale issues continue. The new one arrived, and I compared the two. Yesterday the new one did show a weight that was 1.5 pounds less than the old one. Today I am heavier on both scales, but the difference is only 1 pound. I am really not sure what to believe. I also am constantly gaining weight. All very frustrating.
Anyway - here is a qotd for today:
How difficult will it be for you to withstand all the Easter goodies that the holiday weekend will bring with it? Do you have a strategy?
Mine is to avoid temptation. I already got a small portion of my absolute favourite Easter candy. I will get it out on Easter Sunday and will eat it over the next few days without counting it. The whole portion has about 400 calories, so it won't be a huge damage and it is only available at Easter. So it's a treat that I decided to splurge on!! But that's all I will eat - no further candy!
Disneyland 1992, 2005 Disneyland Paris 1995, 1997, 2003, 2007, 2011, 2x2012, 2014 Walt Disney World 2004 POR, 2007 AKL, 2008 AKL, 2009 Poly, 2010 AKL, 2011 BWV, May 2013 AKV Jambo Disney Cruise Line 2013 Wonder, 2014 Wonder
Trip Reports: 2013 TR DCL and WDW 2011 TR 2010 TR 2010 PTR Dining Reviews: 2009 2008 2007
New Trip Report: If You See It: Eat It! Via Panama to Disneyland
Join Date: Aug 2011
Location: the desert
Posts: 490
Sorry I have not been posting lately... been very busy at work and at home. I have been reading along though! Hope to get a few minutes later this am to do some replying
We are almost through March and I am still recruiting coaches for April
Please PM me or simply sign up below if interested!
April 1-4 (or March 29-April 4)
April 5-11
April 12-18
April 19-25
April 26-30 (or April 26-May 2)
Go team!
Could one of the previous hosts please send me the spreadsheets so I can get April's thread up and running this weekend? TY!!
Also, I lost another 2 lbs this week! I surpassed my original goal and have lost 9 lbs so far!
DIS Veteran
Join Date: Oct 2007
Location: Eugene Oregon
Posts: 1,793
It's snowing in Disneyland!
DIS Veteran
Join Date: Oct 2007
Location: Eugene Oregon
Posts: 1,793
Well I'm down 2 pounds this week. 145. 5 pounds till my tattoo April 16th!
Went and had a consultation yesterday and really like the place and the people. I told them I couldn't have it done yesterday because I needed to lose 4 pounds, (such was the case yesterday) and the guy said if I lost 4 more pounds he wouldn't do it lol. Made me feel pretty good.
So I ate the same things I ate yesterday, drank the same amount of booze, and did an extra 350 calories on the elliptical and was up a pound. It is before my period and I know my water weight is up from the scale but still-- it's so frustrating. I think I get into the thing when I exercise where I just get hungrier and snack more. I did have some wheat thins and cheese late night...
It's snowing in Disneyland!
Join Date: Aug 2011
Location: the desert
Posts: 490
Join Date: Aug 2011
Location: the desert
Posts: 490
DIS Veteran
Join Date: Jul 2010
Location: Western PA
Posts: 1,140
QOTD Thursday~I love zoos. We have had a membership to Pittsburgh Zoo in the past. We now have a family membership to the NC Aquariums and we use it here in PA and Ohio zoos since it reciprocates at either 1/2 off or free admissions. We also frequent the Cleveland Zoo, Akron Zoo, and Columbus Zoo. Columbus is by far the best zoo. But, I'm pretty loyal to Pittsburgh
Ugh. My computer just informed me that it is shutting down in 5 minutes for updates. I'll be back!
DIS Veteran
Join Date: Jul 2010
Location: Western PA
Posts: 1,140
Okay, I am back and the computer is all updated lol. So, I hate to do this, but I am going to vent for a moment to explain my absence. I have had a terrible 3 days at work this week. I had such a horrible day in my high school boys room that I almost just quit. The staff that are in the room let the kids do whatever they want. Then I walk in and have to get order established and barely have time for teaching. Then, the 2 staff left me (I have no idea why) and I almost had 2 students fight. I was so stressed. Now, this probably sounds like your typical high school for behavior problems, buuuuuut, this is an ongoing problem and no one in authority is doing anything about it. To top it off, I told my boss's assistant, and he could care less. Another teacher was so upset with everything that is going on that he went to talk to our boss, and he got no where. My boss avoided me all 3 days and I am so discouraged. I have worked at this school for 12 years and have done everything ever asked of me plus so much more. I feel like I am getting no support from the higher ups.
My DH wants me to quit, but I have me and my DSs on my insurance and it's stressful to think about. I updated my resume and cover letter, but there won't be any teaching opening around here. We don't have county schools, they are all local districts. One school told me they had an opening for an elementary teacher a couple years ago and they got over 200 applicants. We live in an area where we have an abundance of college with teaching programs, too. We have been toying with relocating, but it's even more stressful.
So, I haven't been posting, but I've been reading along. I didn't go to the gym this week. I did manage to squeeze in a few workouts at home, but my eating has been terrible. In fact, I'm chalking March up to a complete loss. I'm hoping to get it together for April, though!
Thanks for letting me complain
Join Date: Mar 2013
Location: Pacific Northwest
Posts: 495
That is frustrating. It really makes you discouraged when you keep trying and your body just says.."no... I am not ready to go forward!" Sometimes you just gotta have faith that you WILL prevail and your body will follow suit! Sending you lots of patience....
Good luck and take lots of deep breaths!! You will make the right decision for you and your family. Everything works out the way it should, sometimes we just need to vent to get a new perspective.
As for me, my plan for getting through the holiday is that I moved it to my Friday! I got a small box of Robins eggs & some Lindt chocolate for DD (her fav) that I can enjoy tonight and then get back into action tomorrow! This is of course much easier now that my DD is older. Also I am working this weekend so I just have to dodge the candy dishes at work!
Best of luck to everyone out there, and have a great weekend!!
BL6 Black Team Captain
The Vanilla Rooibus was heavenly
Heigh ho - Heigh ho - It's off to lose weight I go...
Join Date: Aug 2002
Location: Central Jersey Shore
Posts: 5,266
Good Saturday morning everyone.
I will have a busy weekend. I need to make some homemade bread and a chocolate cake. I have opened just about every cookbook I own to find a recipe for chocolate cake. I will decide later which one to make. It will either have sour cream in it or buttermilk. I think it will be the one with buttermilk so I can use up the container I used last week.
I have been struggling this week with a stuffed nose and sinus problems. At least it cleared out of my ear so that doesn't hurt anymore.
I hope everyone has a happy and healthy Easter
Dona July 1980 with DH family Nov 1984 Last trip before kids Aug 1988 Poly 10th AnnvAug 1992 Port Orleans Other trips I can't nameAug 2002 POFQ, FW, AS sp with Sean and the girls Aug 2003 FW Our 25th Annv Trip Aug 2005 Camping with the Knotts Aug 2006 Twin Sister Trip Aug 2008 30 Anniv/grad Trip 2009 POFQ just us 2012 Grand Gathering with Sedlaks
|Thread Tools
|Display Modes
|Rate This Thread
Linear Mode


text:
The Oshun Center
The Oshun Center is a new program of the Haight Ashbury Free Clinics, a community-based, non-profit organization that provides free, comprehensive health care. Oshun is a 24-hour drop-in center providing resources and referrals for women and their families living in the Tenderloin District of San Francisco. Our clients include homeless, low-income, multi-cultural, and/or multi-ethnic women, men, and children. Our target population will be women and their families who express a history of substance abuse and/or chemical dependency and may be victims of abuse, homelessness, and poverty. Services provided include individual, group, and family counseling, recovery meetings, child care, parenting and anger management workshops, crisis intervention, and community meeting space.
Mission Statement
The Oshun Center nurtures healing and builds strength among women and their families. Developed by and for women who have struggled with addiction, violence, poverty, and homelessness in the Tenderloin, the Oshun Center seeks to establish a presence of health and self love in the midst of a drug infested community.
The Details
- Address 101 Taylor St.San Francisco, CA 94102
- Heather McMann
- (415) 928-6748
- (415) 928-6750
Interest Area
- Advocacy & Human Rights, Children & Youth, Community, Crisis Support, Education & Literacy, Employment, Environment, Health & Medicine, Homeless & Housing, Race & Ethnicity, Women
There are no reviews for The Oshun Center; be the first to review The Oshun Center.


text:
Have a most wonderful Thanksgiving break. School will resume on December 1st.
Thanksgiving Break
School Calendar
Would you like to know what's going on around campus, check out our school calendar. Click here
Meet the Teacher
It's that time again! We will have "Meet the Teacher Night" on Thursday, July 31st 5:00-7:00pm. We look forward to seeing you there.
Supply Lists
Click here to access our 2014-2015 student supply lists.
Summer Activities
Please mark your calendar and plan on join us for several days of summer fun.
Ice Cream Socials June 11, 18, 25, July 2, 9, 16 6-7pm. This is for all prospective (tours available) and current families
Family Bowling June 16, July 10, at Gilbert Brunswick Bowling 1-3pm
Family Swim Day June 10 & 27, July 15 at 1900 S Higley Rd, 1-3pm
Family Movie Night June 18, July 2 & 16, 7-9pm (tours available)
First Day of School
Mark your calendar. Our first day of school is Monday, August 4th.
Job Position
Job Openings: Food Service Workers Phoenix Metro & Coolidge Area
If you are interested in a Food Server position click here for all details. You can call or email additional questions to:
Diane Heine – email@example.com / phone: 602-993-1138
School Services
Multi-Unit Area General Manage
Job Fair
Imagine Schools will be attending the following Job Fairs seeking to hire teachers. This is a great opportunity to speak with our representatives to learn about Imagine Charter Schools career opportunities in our 71 schools in 11 states and the District of Columbia. Click here to visit our Job Fair listing.