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Lyme disease is a multisystem illness caused by Borrelia burgdorferi, a spirochete transmitted by certain species of Ixodes ticks. The Public Health Agency of Canada (the Agency), in partnership with provincial and territorial public health authorities, conducts surveillance for Lyme disease in Canada and studies show that the incidence of this disease is on the rise in Canada.
The Agency encourages health professionals to learn about Lyme disease in Canada; how to identify the symptoms and prescribe proper treatment if a patient is diagnosed with the disease; and how to report cases of Lyme through appropriate channels.
The following information replicates what is currently captured in medical literature. The Agency acknowledges that there is more to learn about the epidemiology of Lyme disease and other tick-borne diseases in Canada. As well, clinical questions remain, such as why some individuals have persistent symptoms after treatment of their infection and how can we optimally diagnose re-infection. The Agency is committed to exploring new science and research to better detect, diagnose and treat Lyme disease.
Lyme disease is a multisystem illness caused by B. burgdorferi, a spirochete transmitted by certain species of Ixodes ticks, specifically the blacklegged tick and the western blacklegged tick (Ogden et al. 2009). Ticks become infected by feeding on infected wild animal hosts, such as rodents and birds, and can then transmit the bacterium to humans. Infection with B. burgdorferi causes what is known as Lyme disease in humans.
Lyme disease is the most commonly reported vector-borne disease in the northern temperate zone. It became a nationally notifiable disease in December 2009. As such, all healthcare professionals are to report cases of Lyme disease to the Agency via their provincial public health system. The Agency posts information on notifiable diseases on its website.
The Agency currently has data for Lyme disease cases reported between 2009-2013*:
The incidence of Lyme disease peaks in children between 5-9 years and adults between 55-59 years (Source: Bacon et al, 2008).
Post-treatment re-infection is possible, especially when a person is re-infected with different strains of B. burgdorferi.
The clinical manifestations of Lyme disease largely reflect the biology of B. burgdorferi as it replicates in the skin (early, localized Lyme disease, which sometimes presents as erythema migrans) and then disseminates (early and late disseminated Lyme disease) via the bloodstream to other body sites where the bacterium provokes damage to body tissues (Bockenstedt, p. 283, 2008). Symptoms appear, sometimes in overlapping stages, as early localized disease, early disseminated infection, or late disease.
Know the clinical manifestations and epidemiological risk factors, and consider Lyme disease as part of your differential diagnosis in a patient who presents with compatible symptoms and signs. Accurate diagnosis is one of the key factors to successfully manage Lyme disease.
Early Localized Disease
It is important to note that some people with Lyme disease may have no or minimal symptoms, yet others may suffer severe symptoms. As well, some people may not develop symptoms until weeks after the initial bite and, as such, may not remember the tick bite or associate the illness with the bite. Because the blacklegged tick is so small, some people may not even know that they had a tick bite.
A typical symptom of early non-disseminated Lyme disease is an expanding rash called erythema migrans (pathognomonic for Lyme disease). Such a rash can occur at the site of the infective tick bite within 1-2 weeks post infection (in as many as 70% - 80% of infected people) and can persist up to eight weeks.
However, it is important to note that a rash is not manifested in all cases, and does not necessarily resemble the image noted above. It is therefore important to watch out for other symptoms of the disease, including low-grade fever, fatigue, headache, and arthralgia in order to inform a diagnosis.
Early disseminated disease:
If untreated, this stage of the disease can last up to several months and could include the following symptoms:
Late Lyme disease
If it remains untreated, late Lyme disease can last months to years with symptoms that can include:
Symptomatic infection of the heart is rare in Lyme disease cases, but three sudden cardiac deaths associated with Lyme carditis were reported in the United States in 2012 (MMWR, CDC, Vol. 62, No. 29, 2013).
In general, the diagnosis of Lyme disease is principally clinical, supported by a history of potential tick exposure in an area where it is known or suspected that blacklegged ticks have become established, and informed by laboratory testing if indicated. However, as tick populations are expanding, it is possible that Lyme disease can be acquired outside the currently identified areas and this should be considered when assessing patients. Detection of antibodies against B. burgdorferi using the two-tiered serological method described below is an additional diagnostic tool; however patients with clear symptoms of early localized Lyme disease (erythema migrans) should be diagnosed and treated without laboratory confirmation, as false negative test results are common during the early stage of Lyme disease.
If initial results from the laboratory tests come back negative, alternative diagnoses or re-testing a few weeks later should be considered to confirm/rule out the disease.
Serological testing has a valid role to play in supporting the clinical impression of early and late disseminated Lyme disease.
Two-tiered testing method
The Agencys National Microbiology Laboratory (NML) and some provincial laboratories assist clinicians to diagnose Lyme disease using a two-tiered serological testing approach that includes an EIA screening test followed by a confirmatory Western blot test.
According to the Agency, the United States Centers for Disease Control and Prevention and the European Centre for Disease Prevention and Control, use of the two-tiered method is based on credible scientific evidence.
Notes on serologic tests
Canadian laboratory diagnostic guidelines for Lyme disease are consistent with those followed by public health authorities in the United States and Europe and meet current international standards.
Public health professionals in these countries have concerns regarding reports from laboratories that may not be using properly validated tests or recommended standards for interpreting test results (CDC, MMWR, 2005). Further research is required to enhance current knowledge on new Borrelia species, and strains of other tick-borne pathogens to inform development of diagnostic methods that can reliably identify emerging pathogens.
Treatment regimens listed in the following table are for localized (early) Lyme disease. Treatment guidelines for patients with disseminated (early and late) Lyme disease are outlined in the reference below (Wormser, et al., 2006).
These regimens are guidelines only and may need to be adjusted depending on a patient's age, medical history, underlying health conditions, pregnancy status or allergies. Consult an infectious disease specialist, as needed for the most current treatment guidelines or for individual patient treatment decisions.
|Age Category
|Duration in Days(Range)
|100 mg, p.o., q 12 h.
|14 (14-21)
|Cefuroxime axetil
|500 mg, p.o., q 12 h
|14 (14-21)
|500 mg, p.o., q 8 h
|14 (14-21)
|50 mg/kg per day p.o., divided in 3 doses
|500 mg per dose
|14 (14-21)
|4 mg/kg per day p.o., divided into 2 doses
|100 mg per dose
|14 (14-21)
|Cefuroxime axetil
|30 mg/kg per day p.o., divided into 2 doses
|500 mg per dose
|14 (14-21)
Although timely treatment with a recommended 14-21 day course of antibiotics is effective to treat Lyme disease in most cases, some Lyme disease patients have persistent symptoms following treatment. Research continues into the causes of these persistent symptoms and methods of treatment. There is no evidence that persistent symptoms represent ongoing infection. Post-infectious inflammation, due to damage from the infectious process, will respond to anti-inflammatory drugs.
A few early case reports of pregnant women with untreated Lyme disease described adverse outcomes, with babies stillborn or dying within 48 hours of birth, but no set pattern of abnormality was found. Subsequent large population studies showed no increased risks of adverse outcomes of pregnancies in women with Lyme disease who received appropriate treatment. A comparison of pregnancy outcomes, in areas where Lyme disease was highly endemic as well as non-endemic areas, showed no excess of adverse outcomes in the highly endemic areas (OConnell, 2011).
There is no consensus on post-exposure prophylaxis. Some experts recommend that doxycycline can be offered as a single dose of 200 mg (or 4.4 mg/kg for people weighing less than 45 kg, to a maximum dose of 200 mg) for people ≥ 8 years of age who have been bitten in an area with hyper endemic infection. Prophylaxis can be started within 72 hours after removal of a feeding blacklegged tick, even if it's been attached for ≥ 36 hours. There is no data on the use of amoxicillin as an alternate prophylactic antibiotic in younger children.
In Canada, such prophylaxis should be considered in the known endemic areas. The Public Health Agency of Canada continues to monitor the distribution and prevalence of infected ticks and cases of Lyme disease. Endemic areas may change in the future.
There is currently no vaccine available for Lyme disease. The best way to avoid Lyme disease is to protect against tick bites. Health professionals should advise their patients to take the following measures:
The Agency is engaged in two forms of surveillance for Lyme disease: surveillance for ticks and surveillance of human cases. The Agency works with the provinces, health authorities and other experts to define and monitor the occurrence of the ticks that carry B. burgdorferi.
In Canada, the blacklegged tick (Ixodes scapularis) and the western blacklegged tick (Ixodes pacificus) are the species that transmit this disease-causing agent. These ticks can also carry other less common infectious agents.
Other tick species are known to transmit the bacterium that causes Lyme disease in nature, but these ticks live in the nests and burrows of their wild animal hosts and rarely bite humans. The greatest risk of Lyme disease in Canada occurs where populations of blacklegged ticks are established. These locations are termed Lyme endemic areas when their presence is confirmed by multiple years of surveillance (Health Canada 1991). However, surveillance shows that the ticks have become established over a much wider area than these highly studied locations (Lyme disease risk areas: Ogden et al. 2014a, b). Knowledge of a patients exposure to Lyme disease risk areas (Fig 1) is an important parameter for Lyme disease diagnosis. Knowledge of where known endemic areas occur (Table 1 and Fig 1) is important when reporting Lyme disease cases. However, as tick populations are expanding, it is possible that Lyme disease can be acquired outside the currently identified areas. This should be considered when diagnosing patients.
Our current knowledge of the occurrence of established tick vectors, based on active surveillance in the field, is detailed in Table 1 and Figure 1. Known endemic areas have a very limited distribution, but field surveillance suggests that Lyme disease risk areas occur over a much wider geographic area. Surveillance also indicates that established populations of blacklegged ticks are spreading their geographic scope, and are increasing in number, in Canada. The potential expansion of localized tick populations makes it difficult to precisely define the geographic limits of any given population; however people living or visiting areas adjacent to established tick populations may have a greater chance of contact with blacklegged ticks.
|Approximate Location
|Lyme disease risk where the western blacklegged tick is the vector
|British Columbia
|Southern mainland, Vancouver Island
|Known endemic in some areas, suspected over a wider region
|Lyme disease risk where the blacklegged tick is the vector
|The "South East Corner" population comprising an area adjoining the western shore of Lake of the Woods, including Moose Lake Provincial Park.
|Known endemic
|The "Pembina" population within an area along the Pembina valley and Pembina escarpment extending from the American border to South Norfolk in the north and west to Killarney. This includes Pembina Valley Provincial Park.
|Known endemic
|The "Vita/Arbakka" population within which ticks occur in small and isolated forests, particularly along the Roseau River.
|Suspect area
|The "Eastern Assiniboine" population extending from Beaudry Provincial Park westward along the Assiniboine River as far as Poplar Point.
|Suspect area
|The "St. Malo" population comprising two groups, one in the Kleefeld area, west of Steinbach and the other in the St. Malo/Roseau River area.
|Suspect area
|The "Richer/Ste. Genevieve Population" adjacent to the Agassiz and Sandilands provincial forests.
|Suspect area
|Point Pelee National Park
|Known endemic
|Rondeau Provincial Park
|Known endemic
|Turkey Point Provincial Park
|Known endemic
|Locations in the Rainy River region of Northwestern Ontario
|Known endemic
|Long Point peninsula including Long Point Provincial Park and the National Wildlife area
|Known endemic
|Wainfleet bog region near Welland
|Known endemic
|Prince Edward Point
|Known endemic
|Parts of the Thousand Islands National Park
|Known endemic
|Five known endemic areas
|New Brunswick
|Millidgeville area of Saint John
|Known endemic
|North Head, Grand Manan Island
|Known endemic
|Nova Scotia
|Areas of Lunenburg County
|Known endemic
|Areas of Halifax Regional Municipality
|Known endemic
|Areas of Shelburne County
|Known endemic
|Areas of Yarmouth County
|Known endemic
|Areas of Pictou County
|Known endemic
|Areas of Queens County
|Known endemic
The establishment of new tick populations is an ongoing process, so it is desirable to continue surveillance to continuously update knowledge of where Lyme disease risk occurs in Canada. With this information, public health professionals can target preventive and treatment advice as well as control efforts to the people who may be particularly at risk from Lyme disease, due to their geographic location and/or occupation (e.g. forester, park worker) or choice of leisure activity (camping, golfing, etc.).
In addition, knowledge of where known Lyme disease endemic areas and Lyme disease risk areas occur in Canada is useful to health care professionals when they are considering a diagnosis of Lyme disease in their patients.
Note that the Agency recommends that Lyme disease is diagnosed primarily on clinical criteria, with support, where indicated, from diagnostic testing, using the two-tiered serological approach.
Figure 1 shows the locations where the current risk from tick bites and Lyme disease is known to occur. Locations where ticks and Lyme disease risk are known are called endemic areas (known endemic areas if ticks and Lyme disease risk have been confirmed over several years of field study or by the occurrence of multiple human cases, otherwise they are called suspect endemic areas). Also shown are Lyme disease risk areas (the hatched areas) where surveillance and research studies suggest ticks and possible Lyme disease risk have begun to become established.
Visitors to the United States (US) should note that there are extensive areas with established blacklegged tick populations, particularly in the northeast and upper Midwest regions. More information on Lyme in the US can be found on the USA can be found on the Centers for Disease Control and Prevention web site. Lyme disease also occurs in Europe and some parts of Asia.
The proportion of ticks in a geographic area that are infected with the bacterium causing Lyme disease varies. The proportion of infected ticks is typically higher in adult ticks compared to the other stages (nymphs and larvae). However, people are most likely to acquire Lyme disease from a nymph because this stage is so small (see Figure 4), and thus more likely to go unnoticed, allowing it to feed for a sufficient amount of time for the Lyme disease bacterium to be transmitted (over 36 hours). The proportion of infected ticks is often greater where tick populations have been established for long periods of time (such as Long Point), compared to areas with newly established tick populations. Based on surveillance data, as many as 60% of the adult ticks at Long Point are infected; however, infection rates in adult ticks are more often between 10 and 25% at the other localities where ticks are established. Partly because of differences in the types of hosts that they feed upon, the proportion of I. pacificus ticks that are infected with the Lyme disease agent is usually much lower (1-3%) than the proportion of I. scapularis ticks that are infected.
While there is a higher risk of coming in contact with infected blacklegged ticks in areas where populations are established, there is also a low risk of Lyme disease being contracted almost anywhere in Canada because migratory birds transport infected ticks over large geographic distances.
Cases of Lyme disease in Canadians
Since December 2009, Lyme disease has been a nationally notifiable disease in Canada. This means that all cases that fit the surveillance case definition criteria should be notified by healthcare professionals to the local medical officer of health. The current case definitions for confirmed and probable classifications are:
Confirmed cases
Probable cases
The Agency currently has data for Lyme disease cases reported between 2009-2013Footnote *:
Although the Agency conducts surveillance both on ticks carrying the bacteria that cause Lyme disease and on human cases of Lyme disease, surveillance detects only a portion of the Lyme disease cases in Canada. The true number of Lyme disease infections in Canada is likely greater.
This is also true in the United States (US). Each year, approximately 30,000 cases of Lyme disease are reported by the Centers for Disease Control and Prevention (CDC); however this number does not reflect every case of Lyme disease. The CDC estimates that approximately 300,000 people are diagnosed with Lyme disease each year in the US. For additional information, please visit the CDC's website.
The Agency relies on the provinces and territories to report the number of Lyme disease cases occurring in their jurisdictions on an annual basis. In order to most accurately reflect the occurrence of Lyme disease cases in Canada each year, healthcare professionals need to remain vigilant in diagnosing Lyme disease and promptly reporting cases to their public health regional authorities.
Surveillance for Lyme disease risk in our environment
The Agency, with provincial and territorial public health organizations, performs surveillance to identify Lyme disease risk areas so that Lyme disease cases are prevented.
Passive surveillance involves the voluntary submission of ticks found on humans and domestic animals, by veterinarians and healthcare professionals (Ogden et al., 2006; 2010). This method can raise the suspicion of areas where ticks are establishing.
Active field surveillance involves collecting ticks and/or wild animal hosts to determine whether populations of vector ticks and endemic cycles of Borrelia burgdorferi transmission have become established. These methods are used to identify where tick populations are becoming established (Lyme disease risk areas), and, when multiple visits to the same site are possible, to confirm the occurrence of a Lyme disease endemic area (Health Canada 1991).
A confirmed Lyme disease endemic area is defined as a locality where active surveillance has detected i) reproducing populations of the tick vector as confirmed by the presence of all three stages (larva, nymph and adult) on resident animals or in the environment for at least 2 consecutive years; and ii) the agent of Lyme disease (B. burgdorferi) has been detected in ticks and/or wild animal hosts collected from the locality by culture, molecular methods (specific PCR), or immunofluorescent antibody staining (IFA).
A suspected Lyme disease endemic area is a locality where active field surveillance has revealed the presence of multiple ticks at one or more visits, suggesting that the tick vector is becoming established, and where B. burgdorferi has been detected in ticks or animals collected from the site.
A Lyme disease risk area is an area where tick vectors of Lyme disease have been detected by collection of ticks from the environment or from resident animals, whether or not B. burgdorferi has been detected in tick or animal samples (Ogden et al. 2014a).
Field surveillance for ticks cannot cover the whole of Canada because of the immensity of our country, and because of the practical difficulties in performing surveillance in remote areas and on privately held land. But, tick populations are expanding across the country and as such, Lyme disease can be acquired outside the currently identified areas. The Agency is enhancing its LD surveillance to better predict new and emerging areas of risk. In collaboration with provincial, public and animal health organizations, and with Canadian universities, the Agency developed a map (Figure 2) to show areas predicted to be at risk of becoming Lyme endemic. The objectives of this map are to help guide surveillance and preventative efforts and to provide a resource for those working and participating in leisure activities outdoors. The map is constructed using the Agencys current knowledge of the biology of the blacklegged tick and of the environmental factors that limit its survival (Ogden et al., 2008), and has performed well in field validation to date (Ogden et al., 2008; 2010).
Please click here for a risk map produced by the British Columbia Centre for Disease Control for the occurrence of Lyme endemic areas in British Columbia (Mak et al., 2010).
Figure 2 shows areas predicted to be at risk for emergence of Lyme endemic areas in eastern and central Canada.
Text equivalent for figure 2 A map showing areas predicted to be at risk for emergence of Lyme endemic areas in eastern and (inset) central Canada. A map showing areas predicted to be at risk for emergence of Lyme endemic areas in eastern and (inset) central Canada.
Larger version of Figure 2 A map showing areas predicted to be at risk for emergence of Lyme endemic areas in eastern and (inset) central Canada. A map showing areas predicted to be at risk for emergence of Lyme endemic areas in eastern and (inset) central Canada.
The coloured zones on the map indicate current predictions for regions where Lyme endemic areas are most likely to emerge, provided that a suitable woodland habitat for the blacklegged tick exists. The green zone indicates the main extent of locations where Lyme endemic areas may emerge. The orange and red zones indicate areas with increasingly high risk for emergence of new Lyme endemic areas. The grey zone indicates areas where, in general, the risk of Lyme endemic area emergence is predicted to be very low and risk of Lyme disease is mostly restricted to that posed by adventitious ticks dispersed by migratory birds from Lyme endemic areas in Canada and the US. Even so, in some localized areas of the grey risk zone, local environmental conditions may be suitable for Lyme endemic areas to emerge.
Both the blacklegged tick and western blacklegged tick can transmit pathogens other than the agent of Lyme disease. These pathogens are all zoonoses (i.e. infections of animals that can cause disease in humans) for which the natural hosts are wild animals. Of importance are the bacterium Anaplasma phagocytophilum, which causes Human Granulocytic Anaplasmosis (HGA: Wormser et al., 2006), the protozoal parasite Babesia microti, which causes human babesiosis, and Powassan encephalitis virus (POWV) including the deer tick virus lineage, both of which can cause encephalitis. Other bacteria carried by these ticks include Borrelia bissettii, B. carolinensis and B. kurtenbachii although whether these bacterium cause disease in humans in North America is unknown. The bacterium B. miyamotoi occurs at low prevalence in blacklegged ticks and, recently, human cases (mostly suffering influenza-like illnesses) associated with B. miyamotoi have been discovered in the United States. Vigilance by physicians for cases associated with this bacterium is recommended (Dibernardo et al 2014).
Tick-borne diseases transmitted by other tick species also occur in Canada and include Rocky Mountain Spotted Fever (caused by Rickettsia rickettsii), transmitted primarily by the Rocky Mountain wood tick (Dermacentor andersoni) and tularaemia (caused by the bacterium Francisella tularensis), transmitted by the American dog tick (Dermacentor variabilis Figure 3). Powassan encephalitis is caused by Powassan virus (POWV), transmitted by Ixodes cookei ticks and relapsing fever (caused by the bacterium Borrelia hermsii) is transmitted by soft bodied (Argasid) ticks in southern British Columbia. Tick-borne diseases carried by the Lone Star tick Amblyomma americanum, which include Human Monocytic Ehrlichiosis caused by the bacterium Ehrlichia chaffeensis, could also occur in Canada, but are rare. These diseases are associated with ticks dispersed from the US by migratory birds.
A toxin in the saliva of adult female Rocky Mountain wood ticks (RMWT) can cause paralysis in humans and animals, on which these ticks feed. Paralysis ascends beginning in the legs and spreads to other muscles during the period the tick is feeding. Paralysis can extend to muscles important for respiration, and if not diagnosed and treated early, the paralysis can result in death. Simple removal of the feeding ticks is usually sufficient for recovery (Gregson, 1973). Rocky Mountain wood ticks are found from central Saskatchewan to British Columbia, although RMWT in the Canadian prairies may be genetically incapable of causing paralysis (Lysyk, 2010). Other tick species endemic to Canada, such as American dog ticks and blacklegged ticks, have been linked to cases of tick paralysis, but not in Canada (Gregson 1973).
Blacklegged ticks are considerably smaller than the more common American dog tick (often called the wood tick), Dermacentor variabilis. Adults of the blacklegged ticks lack the white marking seen on the dorsum of adult dog ticks (Figure 3). Before feeding, blacklegged adult females are approximately 3-5 mm in length and red and dark brown in colour. The pre-adult stages (larvae and nymph) are much smaller and lighter in colour (Figure 4). All stages except adult males increase in size and change colour as they feed upon a host. For example, it is not uncommon for adult females to reach the size of a small grape and they typically go through a change in colour from whitish as they start feeding to dark gray to nearly black when fully fed (Figure 5). Larvae and nymphs also increase proportionally in size and go through a similar change in colour (Figure 6).
Figure 3: Unfed adult blacklegged ticks (top row) and adult American dog (wood) ticks (bottom row). Note the difference in colour patterns and relative size.
Text equivalent for figure 3 Unfed adult blacklegged ticks (top row) and adult American dog (wood) ticks (bottom row). Note the difference in colour patterns and relative size.Text equivalent for figure 3 Unfed adult blacklegged ticks (top row) and adult American dog (wood) ticks (bottom row). Note the difference in colour patterns and relative size.
Figure 4: Unfed life stages of the blacklegged tick (1-larva, 2-nymph, 3-adult male, 4-adult female). Sizes presented in relation to underlying 10-cent coin.
Text equivalent for figure 4 Life stages of the blacklegged tick (1-larva, 2-nymph, 3-adult male, 4-adult female). Sizes presented in relation to underlying 10-cent coin.Text equivalent for figure 4 Life stages of the blacklegged tick (1-larva, 2-nymph, 3-adult male, 4-adult female). Sizes presented in relation to underlying 10-cent coin.
Figure 5: Female blacklegged ticks in various stages of feeding. Note the change in size and colour.
Text equivalent for figure 5 Female blacklegged ticks in various stages of feeding. Note the change in size and colour. Text equivalent for figure 5 Female blacklegged ticks in various stages of feeding. Note the change in size and colour.
Figure 6: Unfed, partially fed and fully engorged nymphs of the blacklegged tick. Note the change in size and colour.
Text equivalent for figure 6 Unfed, partially fed and fully engorged nymphs of the blacklegged tick. Note the change in size and colour. Text equivalent for figure 6 Unfed, partially fed and fully engorged nymphs of the blacklegged tick. Note the change in size and colour.
To remove ticks that are embedded in skin, use tweezers to carefully grasp the tick as close to the skin as possible and pull slowly upward, avoiding twisting or crushing the tick. If members of the public are concerned about removing a tick from themselves or a member of their family, the Agency recommends that they ask for assistance from a healthcare professional who can also advise on possible symptoms of tick-borne diseases to permit early recognition of infection and prompt treatment. In messaging to the General Public, the Agency has advised that patients keep any ticks they remove themselves in a ziplock bag or pill vial and note the location and date of the bite. They are then advised to watch for symptoms, and to see their healthcare professional immediately, should symptoms appear. Note: the Agency recommends patients take the tick with them to their medical appointment, to support healthcare professionals in their clinical assessment of potential causes for the onset of illness.
When possible, ticks should be sent to provincial collaborators who will identify the tick and then forward only the blacklegged ticks to the Agency's National Microbiology Laboratory (NML). Staff at the NML will conduct testing for the Lyme disease agent as well as several other disease-causing agents. It should be remembered that this tick testing program is designed specifically for surveillance to gain a better understanding of the distribution of blacklegged ticks and their associated pathogens. Tick testing has very limited practical use for clinical diagnostic purposes (i.e., to determine whether to treat or not) and there are established guidelines for prophylactic treatment of patients with documented exposure to blacklegged ticks (Wormser et al. 2006). For information on where to send tick specimens in your area, contact the NML through phone or email at:
National Microbiology Laboratory
Phone: (204) 789-2000
Email: email@example.com
Please note that it usually takes at least two weeks for ticks submitted to the NML to be identified, tested, and for results to be reported to the original submitter. During the peak periods of adult activity (October to December), the processing time at the NML can extend to 4-6 weeks because of the large volume of tick samples received.
Please follow the guidelines for handling and shipping ticks and complete and attach a Tick Submission Form (PDF Document - 766 KB - 1 page) with the submission.
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Centers for Disease Control and Prevention. (2005, February 11). Caution regarding testing for Lyme disease. MMWR, 54(5), 125.
Centers for Disease Control and Prevention. (2011, February 5). http://www.cdc.gov/ncidod/dvbid/lyme/index.htm.
Centers for Disease Control and Prevention. (2013, December 13). Three Sudden Cardiac Deaths Associatied with Lyme Carditis - United States, November 2012 - July 2013. MMWR, 62(49), pp. 993-996.
Dibernardo, A., Cote, T., Ogden, N. H., Lindsay, LR. (2014). The prevalence of Borrelia miyamotoi infection, and co-infections with other Borrelia spp. In Ixodes scapularis ticks collected in Canada. Parasites & Vectors. In Press.
Feder, H., Johnson, B., & O'Connell, S. e. (2007). A critical appraisal of 'chronic Lyme disease'. N. Engl. J. Med., 357, pp. 1422-1430.
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Marques, A. R. (2010). Lyme Disease: A Review. Curr Allergy Asthma Rep, 10, pp. 13-20.
O'Connell, S. (2011). Lyme borreliosis. In S. Palmer, L. Soulsby, P. Torgerson, & D. W. Brown, Oxford Textbook of Zoonoses: Biology, Clinical Practice, and Public Health Control (2nd ed., pp. 82-91). Oxford: Oxford University Press.
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Effective Wednesday, December 1st, Continental Airlines will formally cease to exist. The FAA will be issuing a new certificate to United Continental Holdings to operate United and Continental as a single carrier a result of the closing of the merger between the two airlines. The airline will be referred to as United Airlines.
Passengers will not see any immediate impact as they continue to fly the airline. For the time being both websites (CO and UA)will continue to operate separately until those systems are "synergized" sometime in the first quarter of 2012.
What will be different is that the Continental call sign will no longer be used by pilots and air traffic control. So for those of you flying Continental flights today, those will be United flights tomorrow.
By gaining the new certificate, the new company can proceed with taking the steps that have been planned that will result in savings of 1-1.2 billion USD annually. Flight crews for the time being will continue to operate as separate UA and CO units until labor negotiations are settled and a new contract is put in place
Gaining the new certificate involved hundreds of employees review policies and procedures throughout the entire airline's operation. Many operating procedures and manuals had to be re-written to reflect the policies of a single airline versus 2 independently operating entities.
As was announced earlier by United, MileagePlus account numbers will be converted to the Continental format and that entire transition should hopefully all be squared away by Q2 of 2012.
Its a bit sad to see the Continental name fading into the sunset. For better or worse, it was an airline that functioned as well as any other given the operating environment for airlines in general. I have flown it many times, and never had a bad experience with their product.
At the end of the day, the only visible remnant of the Continental Legacy will be its name being included in the holding company's formal name.
© Lufthansa Flyer, a BoardingArea Blog
Posted Nov 30 2011 10:56PM

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24 Quick and Easy Knitting Patterns
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13 Favorite Free Shawl and Poncho Knitting Patterns
By: The Editors of Favecrafts.com
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Our favorite shawl and poncho knitting patterns are available here. Warm up by wrapping yourself in a knit shawl or poncho that's easy to make and appropriate for all types of weather! The free shawl knitting patterns are a perfect excuse to save a few dollars on gifts this year - your friends will love it. The knit poncho pattern is easy to make and trendy for the cool weather!
13 Shawl and Poncho Table of Contents
Free Shawl Knitting Patterns
Free Knit Poncho Patterns
Free Shawl Knitting Patterns
- Easy Lace Shawl Knitting Pattern: This lace shawl knitting pattern creates a pretty wrap for the colder months. The pattern is quick and easy, requiring no seaming, but looks impressive.
- Three Seasons Shawl: Great for spring, fall, or winter, you will enjoy knitting and wearing this soft, luxurious shawl.
- Emily's Circular Lace Shawl: This round knit shawl is perfect for any season. Use it to add color to a tee shirt and jeans or a nice dress ensemble.
- Knotted Lace Triangle Shawl: This is an easy and fun knit shawl pattern for beginners. Best of all, you can make it with one ball of yarn!
- Quick and Easy Knit Shawl: Knit a quick and easy yet elegant shawl to wrap up in the evenings. This free shawl knitting pattern from Patons is easy enough for beginners.
- Princess Shawl: This beautiful Princess Shawl from Red Heart Yarn was inspired by Princess Kate, who was seen wearing one very similar. A knitted shawl is a great fashion staple, as it's great to wear year round and can easily be dressed up or dressed down.
Free Knit Poncho Patterns
- Knit Poncho with Buttons: This is a chic collared poncho that layers well for those winters when you want extra warmth. It is super trendy so try it out.
- Cable Half-Poncho: Keep warm and stylish without all the fuss with this cable half-poncho knitting pattern. Though the intricate cable design makes this an intermediate knitting pattern, finishing this knit poncho is much easier than a traditional sweater.
- Jazzy Poncho: Looking for something light and fun to wear? This poncho is it! It's easy to make and great for wearing any time of year!
- Easy Triangle Poncho: Great for knitters of all skill levels, this simple triangle poncho is a great staple for any wardrobe collection.
- Two-Piece Knit Poncho: This two-piece knit poncho pattern is for women of all shapes and sizes. It is quick and easy to make and looks great in every color.
- Beaded Poncho: This Beaded Poncho has a chic shape and cool color pallet. It's great for crisp fall days and calls to mind images of tree-lined streets. Best of all, this beginner knitting pattern is free!
- Pretty Turtleneck Poncho: This pretty turtleneck poncho from Bernat Yarns is every bit cozy as it is beautiful . Look stylish without even trying with this free knitting pattern from Bernat.
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{DIY} Adorable Patchwork Lumbar Pillow
When I saw this pillow on the handmade home blog, I was like "I have to have that for my bed!" I love how by just adding new throw pillows you can change up the whole style of your bed or couch. Why not make your own? ... Read more


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Rediscovering humanity in design
" … One of the roles of design is to bring humanity, intelligence and beauty to the world of business, and indeed to everyday life." – Michael Beirut
Is design losing its humanity? No one would suggest that computers are as adept as talented humans at creating innovative designs — yet — but technology has been making a significant impact on design-related professions in the last few years.
In some cases, technology has lessened the amount of contact designers have with clients, colleagues and professional development organizations, causing a shift in the way the public relates to the profession.
But when used judiciously and with some forethought, technology can reintroduce a strain of much-needed humanity into these essentially creative disciplines.
Technology's impact on the design process
I never design a building before I've seen the site and met the people who will be using it.
– Frank Lloyd Wright
When undertaking to design something, one has in mind the intended function of the product one is creating. One of the biggest challenges a graphic designer will face is to work with the client to triangulate the visual elements, ergonomic concerns and brand qualities that will result in the most efficient realization of the product's intended function.
In product design, this could mean creating the most elegant and ergonomic computer mouse. In graphic design, it often means creating a logo. Web designers need to understand the quickest and most effective ways to translate their clients' business ideas into functional and marketable websites.
In the past, the process of turning a client's brief into a product was conducted by face-to-face meetings. Now, many clients prefer to submit briefs electronically and get work back the same way.
Without these face-to-face meetings, which were the cornerstone of the client-designer relationship, designers who lack writing or technical skill might find themselves unable to accurately convey their technical and creative prowess. And without the face-to-face experience of discussing a project, can a designer ever be sure they know what the client wants?
Increase speed, decreased efficiency
Design is a plan for arranging elements in such a way as best to accomplish a particular purpose.
– Charles Eames
While working long distance may seem like an efficient change to the industry's business model, on closer inspection and experience, one realizes that without human contact, communicating ideas effectively is harder and less precise. Without clear communication between client and designer, the process is prolonged, thus reducing the designer's efficiency.
Some of the risk can be minimized by bringing multiple ideas to a client. But basic misunderstandings can still creep in, requiring additional rounds of design and feedback, and taking time away from the designer's other projects.
Such situations can be avoided if the designer slows down the pace and makes an effort to truly understand the client's need. Hiding behind a screen might bring in clients quickly, but you won't get far if you don't get to know them personally.
How humans interact with the products of design
People ignore design that ignores people.
– Frank Chimero
Humans are increasingly influenced by their interactions with technology. When designers forget to consider humanity in the design of their products, then they are serving an ideal instead of a practical use, thus undercutting the very definition of design.
Human interaction with a design is required if the designer wants to create a product that elevates and serves humanity, rather than frustrates it.
Tapping into feedback on how humans are using a design can't be done long distance or over the web. Designers must connect with end users and others in their industry, and that must be done in person. Whether this takes place in informal weekly gatherings in your home town or at industry-wide conferences and seminars, the opportunity to network and connect with others in the field enables the designer to continue improving their craft over the span of their career.
Designers making a difference
Every designer's dirty little secret is that they copy other designers' work. They see work they like, and they imitate it. Rather cheekily, they call this inspiration.
– Aaron Russell
Designers influence each other's work; that's partly why it's so important for designers to take part in networking events, conferences and other experiences with colleagues in their field. More importantly, when designers commit to keeping humanity in mind in their work, they often contribute to worthy social and charitable movements.
An example of this is the Designers Support Japan effort, in which design professionals and celebrities contributed designs and then donated the proceeds to help disaster relief efforts in Japan. Some got involved by gathering talented illustrators to create some amazing designs for a charity sale.
Some organizations, including the Department of Design and Construction in New York City, encourage the use of good design in public works. And national awards exist for design disciplines: in the US, national awards are given in architecture, interior design, fashion, product design and more, thereby recognizing the role that design plays in improving the quality of life of citizens.
In an environment where many consumers and clients show a commitment to social causes, designers who demonstrate their own commitment through their work could gain a competitive edge.
Using technology to rediscover the humanity in design
It has become appallingly obvious that our technology has exceeded our humanity.
– Albert Einstein
Designers clearly must bring humanity into their practice. So, what are some ways to do this? Reliable video conferencing is now available via a number of free Internet services; this helps to cut down on the miscues from missed body language that might happen on the phone or in email. Being accessible by email on a smartphone helps, too, because messages can be replied to quickly, allowing some form of dialogue to take place.
If a designer wants to share inspiration with their clients, they can create a public notebook on a cloud storage service like Evernote. The designer can store and catalogue ideas from the web or their own mind, making them keyword-searchable and inviting clients to access these digital "mood books."
Another way designers can show clients that they value a connection to humanity is by bringing a "human touch" into their portfolios. During a recent hiring round at a prestigious New York City design firm, one candidate got an interview based on an exquisitely crafted hand-bound book that contained her portfolio images. The spirit of this applicant's portfolio — a unique, artistic and functional piece that demonstrated her ability to create something that served its purpose — should infuse the work of designers everywhere.
Instead of using strict technical drawings to represent your ideas, try broader representations of your early thinking, such as in the form of informal sketches. This can help the client understand the thought process that a fellow human being — i.e. you, the designer — followed to arrive at that point. Designers can go the extra mile by educating their clients. Also, images can be drawn out by hand using a simple desktop publishing program, such as Microsoft Word or OpenOffice, and then scanned to share with clients.
While it may seem a bit passé in today's digital world, designers shouldn't overlook the benefit of giving clients a physical address where they can be reached. And a phone number is a must. Both will remind the client that another human being is at the other end of the line — someone who wants to help them create effective, functional and elegant designs.
Nor should designers ever discount an actual physical meeting with the client — not to mention the underestimated impact of a good handshake. These things bind people together.
Ethics and humanity work hand in hand, and designers should work within their own code of conduct, using empathy and compassion.
Bringing a human touch might not come naturally to younger designers. Still, designers who rediscover the humanity in their profession will find their work and business significantly enriched by the process.
Written exclusively for Webdesigner Depot by Aidan Huang, a freelance developer, designer and ingenious blogger. He is one of the editors-in-chief at Onextrapixel. Follow him on Twitter @AidanOXP
What are some ways designers have been affected by a sense of humanity — or lack thereof — in the field of design? What can you as a designer do to increase that sense in your profession?


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Shop the Belarus Store for the hottest selection of Belarus Top Sellers and Belarus Top Sellers for Men, Women and Kids. Customize your very own Belarus Sweatshirts in an unlimited combination of styles, colors, designs and activities! Whether you need a basic Sweatshirt to wear to the game or a Hooded Sweatshirt for training, the Belarus Shop is the best place for Belarus Fans, Belarus Students, Belarus Players and Belarus Alumni to create Top Sellers for any occasion.


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MGT Capital Investments Regains NYSE MKT Listing Compliance
MGT Capital Investments, Inc. (NYSE MKT: MGT) announced today receipt of a letter from NYSE Regulation dated December 6, 2012. In the letter, the Company was informed that based upon review of publicly available information, including MGT filings with the Securities and Exchange Commission, the Company has resolved the continued listing deficiency with respect to Sections 1003(a)(i), (ii) and (iii) of the NYSE MKT LLC Company Guide referenced in the Exchange's letter dated June 8, 2011, as previously reported. As with the case for all listed issuers, the Company's continued listing eligibility will continue to be assessed on an on-going basis.
About MGT Capital Investments, Inc.
MGT and its subsidiaries are engaged in the business of acquiring and monetizing intellectual property rights. MGT Gaming, Inc., a majority-owned subsidiary, owns U. S. Patent No. 7,892,088 that relates to casino gaming systems. In November 2012, MGT Gaming filed a patent infringement suit against Caesars Entertainment Corporation (NASDAQ GS: CZR), MGM Resorts International, Inc. (NYSE: MGM), WMS Gaming - a subsidiary of WMS Industries, Inc. (NYSE: WMS), Penn National Gaming, Inc. (NASDAQ GS: PENN), and Aruze Gaming America, Inc. In addition, the Company owns Medicsight, Inc., a medical technology company with patent ownership, as well as operations in imaging software and hardware devices. The company's computer-aided detection software assists radiologists with detection of colorectal polyps, and has received regulatory approvals including CE Mark and U. S. FDA clearance.
Forward looking statementsThis press release contains forward-looking statements. The words or phrases "would be," "will allow," "intends to," "will likely result," "are expected to," "will continue," "is anticipated," "estimate," "project," or similar expressions are intended to identify "forward-looking statements." MGT's financial and operational results reflected above should not be construed by any means as representative of the current or future value of its common stock. All information set forth in this news release, except historical and factual information, represents forward-looking statements. This includes all statements about the Company's plans, beliefs, estimates and expectations. These statements are based on current estimates and projections, which involve certain risks and uncertainties that could cause actual results to differ materially from those in the forward-looking statements. These risks and uncertainties include issues related to: rapidly changing technology and evolving standards in the industries in which the Company and its subsidiaries operate; the ability to obtain sufficient funding to continue operations, maintain adequate cash flow, profitably exploit new business, license and sign new agreements; the unpredictable nature of consumer preferences; and other factors set forth in the Company's most recently filed annual report and registration statement. Readers are cautioned not to place undue reliance on these forward-looking statements, which reflect management's analysis only as of the date hereof. The Company undertakes no obligation to publicly revise these forward-looking statements to reflect events or circumstances that arise after the date hereof. Readers should carefully review the risks and uncertainties described in other documents that the Company files from time to time with the U.S. Securities and Exchange Commission.
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Police: Officers called to Norman High School
Updated On: Nov 28 2012 03:45:56 PM CST
Norman officers were called Wednesday afternoon to assist school officials with a fight in the hallway, according to police.
The incident occurred at Norman High School.
According to the school four female students were in a fight that was quickly broken up, but due to the emotional situation police were called. No one was injured in the fight.
Stay with KOCO Eyewitness News 5 for the latest information on breaking news.
Copyright 2012 by KOCO.com All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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In her new documentary, In Your Dreams, Stevie Nicks discusses "Secret Love," a track recorded for Fleetwood Mac's Rumours. The song was never properly released, but nevertheless found its way onto YouTube.
Nicks re-recorded a proper version of the song for her latest album, which shares a title with the above mentioned doc.
The F-Mac mistress says in a trailer for the film that she'd have preferred that the song was never leaked in the first place:
"I said, 'I don't know how to feel about that,' because I would have been happier if nobody ever heard 'Secret Love,' so I'm trying to look at it from the other way and go 'Well, everybody that's had it for 30 years is really happy that it's going to actually come out as a real song.'"
In Your Dreams has a one-night only screening in select U.S. theaters on April 2.
Copyright(c) 2013 RTTNews.com. All Rights Reserved


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My Perfect Wedding
This wedding game has tons of fun stuff to do! You can design a unique pair of wedding heels, create a chic wedding gown, style hair and makeup, decorate the reception area and even play some mini games! Click to visit each shop as you prepare an unforgettable wedding!


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After year of momentum, same-sex couples and families give thanks on Thanksgiving
Postedon Nov 26, 2014 at 11:35 am
This holiday season, as we spend time with our family, we feel thankful for what we've accomplished this year -- we've won the freedom to marry in eighteen states (for a total of 35 and our nation's capital) and seen marriage move forward across the country.
Freedom to Marry staffers share their own marriage stories from this year
Postedon Sep 10, 2014 at 09:59 am
This month, one of our staffers in New York got married, and another team member in Oklahoma got engaged. Here's a look at 5 Freedom to Marry team members celebrating their own personal marriage moments this year:
Freedom to Marry celebrates decade of marriage momentum with 'Cheers to 10 Years'
Postedon Apr 30, 2014 at 10:33 am
On Monday, April 28, Freedom to Marry celebrated its tenth anniversary – and the tenth anniversary of marriage between same-sex couples in the United States – at Cheers to 10 Years: Celebrating Freedom to Marry.
Freedom to Marry lights up Times Square for the holidays with message of love
Postedon Nov 14, 2013 at 10:15 am
Over the next two months, Freedom to Marry is celebrating a huge year of victories with a new video billboard in New York City to send a message that love - and marriage - are for everyone, and will be displayed in the heart of Times Square throughout the holiday season.
West Point military academy hosts first wedding ceremony between two men
Postedon Nov 04, 2013 at 10:30 am
This weekend, two graduates from West Point military academy became the first men to marry at Cadet Chapel, the landmark chapel at the U.S. Military Academy at West Point.
Performers convey the importance of 'Fighting the Good Fight' at benefit
Postedon Oct 01, 2013 at 12:30 pm
On Sunday, September 29, the talented actors and creative minds at the Matthew Corozine Studio in New York City hosted a night of monologues and directed scenes about love, marriage, and same-sex couples to benefit Freedom to Marry.
Tim & Earl: After 37 years, we can't wait longer for the freedom to marry in our home state
Postedon Aug 26, 2013 at 11:00 am
Tim and Earl say that while it may be fitting for them to move to New York City - ending, they said, in the city where they began - it's disappointing that Pennsylvania's anti-marriage laws have left them with little other choice.
Peace Corps volunteer anticipates personal impact of new inclusive policy change
Postedon Aug 20, 2013 at 10:30 am
The Peace Corps' policy change, which allows same-sex couples to serve together as volunteers, was personal for Shari Quan, who served in rural Uganda. She and her partner, Elisabeth Halliday, are planning their wedding, and the policy change has opened up the possibility of the women serving together without being separated.
Robert & Aaron: Sharing the love across the Hudson on our wedding day
Postedon Aug 07, 2013 at 11:00 am
Robert and Aaron's wedding - which not only celebrated their love and commitment but also helped to fuel the campaign to win marriage in all 50 states - is a testament to the work we do at Freedom to Marry.
WATCH: This hospital staff in upstate NY make a gay couple's weddings dreams come true
Postedon Jul 12, 2013 at 04:00 pm
Watch this moving video and check out the heart-warming story of William Warren and Renard Latour, who married at a hospital in Delhi, NY after nearly four decades of love and commitment.


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Definitions for badian
This page provides all possible meanings and translations of the word badian
Webster Dictionary
an evergreen Chinese shrub of the Magnolia family (Illicium anisatum), and its aromatic seeds; Chinese anise; star anise
Find a translation for the badian definition in other languages:
Select another language:
Discuss these badian definitions with the community:
Use the citation below to add this definition to your bibliography:
"badian." Definitions.net. STANDS4 LLC, 2014. Web. 19 Dec. 2014. <http://www.definitions.net/definition/badian>.


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Corsec Common Criteria Webinar Library
Our free, on-demand webinars provide a wealth of important information on FIPS 140-2, Common Criteria and other topics related to information security. Please see below for a listing of our available webinars pertaining to Common Criteria.
Common Criteria for Cryptography
Does the Common Criteria framework make sense to apply to cryptographic products? Matt Keller presented on that topic at the 2012 ICCC. The presentation focused on finding a common set of requirements for cryptographic module validation.
Common Criteria in Today's Security Industry
Hear from the experts why Common Criteria is important, learn about changes to the Common Criteria certification process and business case, and understand how your products will encounter this ISO standard in the evaluation process. The webinar also covers about competitive landscape of the security industry.
Investigation of DPA Resistance of Block RAMs in Cryptographic Implementations on FPGAs
Rebroadcast of Shaunak Shah's presentation from The ReConFig 2010 Conference. This presentation covers the threat of Side Channel Analysis (SCA) to the security of cryptographic implementations and the most effective countermeasures that can increase security up to 18 folds.
Evaluating Return on Investment
This webinar provides a helpful overview of FIPS 140-2, Common Criteria and DoD UC APL validations. It addresses potential challenges to the validation process, and how to strategize your validation effort to meet those challenges to maximize ROI.
Maximizing Your Certification Investment
Corsec Chief Operating Officer Amy Nicewick and Corsec Lead Engineer Darryl Johnson provide detailed insight on maintaining your validations and certification through recertification, revalidation, and assurance continuities.


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Aliens, are they really out there? One may ask that question. There are no proofs of any interaction with aliens. So many people report being abducted by aliens is that true? So many questions and no little answers. Aliens can be fragments of our imagination, moreover human imagination is very wild. If we elaborate our imagination we can realize the creativity that lives inside each and every individual. From my understanding aliens are a fragment of our imagination also could be caused by sleep deprivation, hallucination, and hypnosis.
Alien abductions also are caused by sleep deprivation. Sleep deprivation is when one can't sleep cause of mental or physical stress. Sleep is a very large part of our lives. Lack of sleep causes crankiness, and other stress related feelings. Lack of sleep also causes our mind to malfunction and hallucinate. One may see a mailbox as a person, or see wild animals on the streets, and even think that there are cracks in the road.
Shermer believed that he had an encounter with aliens, the later learned that it was not actually aliens that he had encountered it was his crew members. His displacement was caused by sleep deprivation. Shermer was on a show called "The Other Side" where he told his story. Shermer wanted to see what others had to say about alien abductions. On the show he met many people that had been abducted, he questioned them on if they thought they were sleeping or where they awake. When the abductees were asked to prove their abduction, they couldn't do it. After the taping of the show was done, Shermer joined the rest of the abductees to dinner. There he learned that these were ordinary people with ordinary lives, yet they had something different about them. Aliens had abducted them all. Shermer and other psychologist tested these people and there wasn't an answer to be found.
All of the abductees had common stories on how they


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from 2 user reviews
|14 South End
East Croydon
|Location map & what's nearby
|East Croydon
|Nearest Station:
|South Croydon
| 020 8688 9416
User Rating:
Just wanted to say that we had a great experience at this restaurant. The food is really good and inexpensive. The kids menu is effectively the chief preparing something your kids like plus ice cream for £7.95. Bargain. The service was politeness itself. Live singer at the weekend too
Name: Phil
Location: Surrey
Added on Sat 05 May 2012 at 11:25:19
[report this][respond]
User Rating:
If you wish to have a disaterous, insulting and verbally abusive eveningv out then this is the place for you!
The staff are rude and vulgar with the manager being the worst for both service and attitude!
He speaks to you in a condecending manner as well as insults you using vulgar language (i.e. c**t or w***e). I have never been spoken to in such a manner and will NEVER be visiting this restaurant as consider they deal in customer service and making your evening a memorable one to ensure repeat business, they certainly achieved the memorable aspect but i will NOT be visiting there again!
I have visited the restaurant before and thee food was good, service adequate, with a good atmosphere. Last night however was just an absolute disastaster!
We ordered the one of the more reasonably priced wines (as everything on wine list was either to expensive at £30+ per bottle or foreign to the point we had never heard about the wine vineyard before. so to say I was disappointed with the fact that they were out of stock of the 2 wines we wanted is an understatement!
The service from staff was appaling, I DO NOT recommend this restaurant to anyone as if you aree looking for a good atmosphere with polite staff you are better off in Alberts Table or Aqua on the other side of the road as at least there the service (which on all occassions has been wonderful with friendly considerate staff) matches the price/
I am highly upset by the service myself and partner received in this restuarant as we have been in on several occassions and even brought my mother-in-law in as we had been so well catered for on previous visits.
We as PAYING customers should not have to put up with this service as it is not right that they feel they have the right to treat us in such an appaling manner.
I will be seeking further advice on this matter as I dont believe customers of any kind should be spoken to or treated in the manner in which we were yesterday evening.
I am absolutely APPALED and DI
Added on Wed 18 Jan 2012 at 13:26:21
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Many insurance and financial services planners have to comply with strict National Association of Securities Dealers requirements for their training and education meetings. Now, industry planners working for publicly held companies also need to pay attention to legislation that requires strict reporting procedures for corporate meetings. Until now, the Sarbanes-Oxley Act (SOX) has been the concern of primarily senior executives and finance officers. However, new requirements could mean ...
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Yoga Day Out in the Hills
|Pranamaya Yoga Centre - Yoga Retreat
|Yoga Retreat:
|Yoga Day Out in the Hills
|Kathmandu Nepal
|Event is Over
|Yoga Style:
|Variety of styles
|Pranamaya Yoga Centre
|Join Sati for a Saturday in the hills with outdoor yoga classes, a healthy garden picnic and a walk in Shivapuri National Park.
We will leave from Pranamaya Yoga Studio Thamel (1905) at 8.30 am for the 40 minute drive to a village on the edge of Shivapuri National Park. We will be the guests at Shivapuri Retreat, where we will start the day with coffee or tea before Sati starts a morning yoga class on the soft grass lawn.
We will have a yummy and healthy vegetarian lunch in the garden, before going on a walk in the pristine forest of Shivapuri National Park. We will end the day with more yoga before returning back to the city around 6 pm.
Cost 3500 rupees per person (includes transport, classes, entrance Shivapuri National Park, lunch, guided walk, tea, coffee and water).
We will bring yoga mats, all you need to bring is a water bottle, sunscreen and hat, wlaking shoes and loose comfortable clothes for yoga and walking.
To sign up for this Yoga Day Out please fill in the booking form
|3500 rupees
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text:
Prof. Roger Summons
Prof. Shuhei Ono
Fall 2007
This course is designed for advanced undergraduate and graduate students with an interest in using primary research literature to discuss and learn about current research around sulfur biogeochemistry and astrobiology.
Summons, Roger, and Shuhei Ono. 12.491 Biogeochemistry of Sulfur, Fall 2007. (MIT OpenCourseWare: Massachusetts Institute of Technology), http://ocw.mit.edu/courses/earth-atmospheric-and-planetary-sciences/12-491-biogeochemistry-of-sulfur-fall-2007 (Accessed). License: Creative Commons BY-NC-SA
For more information about using these materials and the Creative Commons license, see our Terms of Use.


text:
Whenever I come out Atheist .. they assume I must have no ethics or morals whatsoever and that I am willing to do just about anything --- like lie, cheat and steal.
Anyone else have this happen to them?
Views: 3586
Jonathan, working with visually impaired kids must have provided you with some very interesting experiences. Did you learn anything about yourself, or your life experiences by working with them? Perhaps how they used their other senses that inspired you to experiment. I have never worked with such sensual deprivation, but I imagine I would start by trying to live for a while, an hour or a day, with a blindfold. Were you challenged in finding ways to facilitate their participation?
I once tried to help a blind man through a door and I ran him right into a door frame. I felt so badly and he very gently said it happened to him all the time. He told me did better without "help".
I have not a clue how a palm reader works, but I use what is called "neurolinguistic programming" and "cold reading" which means nothing more than listening carefully to how people choose words and string them together. These techniques help communicate with more than statements or opinions. For example, some say, "I have to go back to the salt mines;" Others say "I work at a great job." When I read your words, I see optimism.
Yeah you have it made now Jonathan!
Jonathan! I had no idea! How do you get your messages, and how do you answer? Oh my goodness, I can't even imagine how you get around Atheist Nexus. Good for you! Oh! what spirit you have! Have you ever had sight? Can you see light or color? Can you describe how you "see" spring? I promise you, if I ever have an opportunity to walk you through a door, you won't hit a door frame!
Jonathan, thank you for helping me understand a tiny bit of what your challenges are and how you overcome them. Because you are blind, does that give opportunity and time to think about things, to ponder, imagine, and figure out complex ideas?
I used to have a recurring dream: I fell off a large ship in the middle of the ocean and I was alone at sea, no one to help me, nothing to hang on too. My dream, night after night, included being nibbled away by sharks until there was nothing left of me but my head. Then one night, in my dream I imagined I was fine because I could still think, even if the rest of my body was gone. Sounds gruesome, doesn't it! After I dreamed that last dream, I never had any part of the dream again.
I don't know why I wanted to tell you about that old dream of mine, but it just occurred to me that you, much like Stephen Hawking, have abilities and potential to develop other aspects of yourself. Can you imagine a world of peace and justice and compassion? What will it take to create such a world?
There was a man, Ed Lindaman, who was president of the college where I earned my master's degree. I was in deep trouble on my research paper; I had 18,000 3 by 5 inch cards of research data and was utterly overwhelmed. I didn't know how to bring it all together into a thesis. He spent an hour and a half with me and said I had to stop thinking as I had learned to think, and "start thinking in the future tense"; gather all the information I could find on the subject, imagine what I wanted to communicate with my thesis and then write in the details. It worked! Three months later I presented my thesis to my committee, "Toward a Theory of Family Violence: its Antecedents, Treatment and Prevention". I received my master's degree: Joan Denoo, Master of Applied Behavioral Science.
I wonder if the same thing can be done about leaving a better world? Gather all the information one can, imagine a preferred future, and fill in the details?
Sorry I took up so much of your time; I just felt I wanted to tell you about me. Thank you for sharing your life with me. I am richer for having you as a friend.
Oh I don't mind Jonathan ... I would love to hear what you have to say on the matter .. you could email me as well about that topic Joan asked you about.
Steph and Jonathan, I was puzzled when Jonathan responded as he did, and I surely honor his request. On the other hand, "Morally Depraved because I came out Atheist" is relevant to the subject, but then I am known to go far afield in making connections. The connection I made here is why anyone would use the word, "depraved" associated with atheism, especially when compared to challenges some people face.
I was caught by surprise, Jonathan, when you responded and am curious to understand what your thoughts or ideas helped you face your particular challenge.
I faced the realization religion not only harmed me and my family, it prohibited me from developing healthy principles. Life, with its bumps, requires critical thinking. When I stopped hoping, praying, submitting, my life got better.
Reading about Steven Hawking over the years helped me enormously in finding both reason and justification for meeting my challenges. Here is a video I hope will convey the idea I am trying to pass on. I hope audio tells the story. My old eyes get tired reading, so I resort to videos, even if I don't watch, but listen.
Its because they think that morality comes from god. So in their minds, one who doesn't believe in god is one who doesn't believe in morality. Sadly, the media often ignores us so we don't get that many chances to prove them wrong.
Often, when I'm told that I'm not a good person because I don't believe in god, I just tell them "The symbol of your religion is an object that was used in one of the most horrific forms of execution in history, and you have the nerve to call me immoral?"
Sure I don't make any friends in those arguments, but if they're gonna be dicks to me, I'm gonna be an even bigger to them.
Try this one instead: "So without the fear of god's punishments or the expectation of the rewards of infinite bliss, you would just be a raving homicidal maniac? No? Then I guess you don't need god to be moral, do you?"
Thanks Phoenix-Wanderer I will try that one.
That's a brilliant response, Pheonix-Wanderer. Thanks.
Thanks Ruth. It's just what I do. :-D
© 2014 Atheist Nexus. All rights reserved. Admin: Richard Haynes.


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Waterbury turns to ex-cons for help prepping land for dog park
WATERBURY -- The city and the state Department of Correction are launching a pilot program to use residents of local halfway houses to clear an abandoned city park in return for a free lunch and a referral to a local job training program.
The 30 participants, all identified as nonviolent offenders, will begin next month clearing Scott Road Park, a 38-acre would-be park the city abandoned 40 years ago when it ran out of money. The city wants to turn it into a dog park with hiking trails, said Mayor Neil M. O'Leary Friday.
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Art Vandelay wrote on Jul 19, 2013 1:59 PM:
" It's OK for DOC prisoners to clean our cities and highways under the Democrats & Malloy. When Rowland tried it during his administration all hell broke loose. We saw visions of Paul Newman (Cool Hand Luke) gracing our highways from union leaders & Democrats crying fowl. How easy we forget. "
ratsmik wrote on Jul 19, 2013 7:04 PM:
" All animals are equal but some animals are more equal than the others ( George Orwell--==Animal Farm)
Did he mean the democrats ? "
Did he mean the democrats ? "
JOrose wrote on Jul 19, 2013 10:35 PM:
" The "Dog Park" is basically the front yard for the people who live in the condos on Scott Rd. where the "dog park" is. The residence privacey is basically being invaded in all aspects. Traffic, cars, loud noise are just some of the things that will be right in front of these residences homes. Imagine opening the door to the home you own and having this kind of park less than 500ft from your front door? People already use the parks that are available to walk there dogs. I love dogs and all animals, however, I do believe that the park would only bring negativive and criminal activity near this area. It's just going to become another place for people to go and cause trouble. How is it going to be controlled? Is there going to be a gate to stop people from going in and out all times of the day and night?Will there be police patrolling all hours? Will these residence have a large enough , see through fence to ensure privacey and safety? "
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Heart-shaped locket with key
The design of this locket is unashamedly sentimental.
Not only does it take the form of a heart, but a further layer of meaning can be read into the gemstones. Rubies, emerald, garnet, amethyst and diamond are arranged so that their initial letters spell out the word REGARD.
Lockets and gemstone messages were a way of both revealing and concealing secret passions.
Heart-shaped locket with key
England, about 1830-40
Gold, turquoise, ruby, emerald, garnet, amethyst, ruby, diamond, glass and hair
Given by Gerald Harris, in memory of his wife Sylvia (1920-83)
This fashionably dressed young woman poses with a similar locket at the wrist of her right hand, suspended from a chain or ribbon. Jewels conveying such personal messages are rarely depicted in portraits.
Miss Ashton was known to share piano lessons with Princess Victoria, the daughter of the queen. She wears the ruby set given to her by the princess.


text:
Bob Woodruff
|Bob Woodruff
Bob Woodruff on August 12, 2007
|Robert Warren Woodruff
August 18, 1961
Bloomfield Hills, Michigan, U.S.
|Colgate University
University of Michigan (J.D.)
|Television journalist
|Years active
|1989 – present
|Notable credit(s)
|ABC World News co-anchor
ABC News reporter
(1996 – present)
|Lee McConaughy
|Official ABC biography
Bob Woodruff Foundation
Robert Warren "Bob" Woodruff (born August 18, 1961) is an American television journalist. His career in journalism dates back to 1989, and he is widely known for succeeding Peter Jennings as co-anchor of ABC News' weekday news broadcast, World News Tonight in December 2005. In January 2006 he was critically wounded by a roadside bomb in Iraq.
Personal life[edit]
Woodruff was born on August 18, 1961, in Bloomfield Hills, Michigan, to Robert N. Woodruff, Jr.,[1] and Fran Woodruff. He married Lee McConaughy in 1988[2] and they have four children.
Woodruff graduated from the private Cranbrook Kingswood school in 1979. He earned a B.A in 1983 from Colgate University, where he also played lacrosse — finishing his career with 184 points, second all-time at Colgate. Woodruff earned a J.D. from the University of Michigan Law School in 1987. He is an alumnus of Theta Chi Fraternity.[3]
After graduating from law school, Woodruff worked as a bankruptcy associate at Shearman & Sterling.[4] In 1989, while he was teaching law in Beijing, CBS News hired him as an on-screen interpreter during the Tiananmen Square protests of 1989. Shortly thereafter, he left law practice and became a full-time correspondent, initially working for several local stations, then moving to ABC News in 1996.[5]
Woodruff is not related to journalist Judy Woodruff.[6]
Wounded in Iraq[edit]
On January 29, 2006, Bob Woodruff and Canadian cameraman Doug Vogt were seriously injured in an explosion from an improvised explosive device near Taji, Iraq, about 12 miles (19 km) north of Baghdad.[7] Woodruff had traveled with an ABC News team to Israel to report on the aftermath of the 2006 Palestinian elections, and then via Amman to Baghdad, so he could meet with troops before President George W. Bush's State of the Union address for 2006.[8]
At the time of the attack, they were embedded with the U.S. 4th Infantry Division, travelling in an Iraqi MT-LB. Woodruff and Vogt were standing with their heads above a hatch, apparently filming a stand-up. Both men were wearing body armor and protective helmets at the time. Woodruff sustained shrapnel wounds; Vogt was struck by shrapnel in the head and suffered a broken shoulder. Both men underwent surgery for head injuries, with a joint Army & Air Force neurosurgical team, at the U.S. Air Force hospital south of Balad, located in Camp Anaconda, and were reported to be in stable condition.[9] Tom Brokaw reported on the Today show that Woodruff had also undergone surgery, with a portion of his skull being removed to reduce the damage from brain swelling.[10]
Woodruff and Vogt were evacuated to the U.S. Army's Landstuhl Regional Medical Center in Germany overnight on Sunday, January 29.[11] On ABC World News Tonight that evening, anchor Elizabeth Vargas discussed the dangers of reporting in a combat zone.
|Wikinews has related news: Bob Woodruff injured by improvised explosive device in Iraq
After leaving Germany, Woodruff was treated for weeks at Bethesda Naval Hospital in Bethesda, Maryland.
Recovery from injuries[edit]
Woodruff was kept in a medically induced coma for 36 days to assist his recovery, and ABC News temporarily assigned Good Morning America anchors Charles Gibson and Diane Sawyer to alternate duties on the evening newscast as co-anchor with Vargas. Vogt meanwhile was reported to be awake, mobile, and recovering.[12]
As of March 7, 2006, Woodruff's brother reported that the ABC anchor was beginning to walk, recognize friends and family, and speak in several languages. However, he struggled with expressive aphasia for more than a year after the injury.[13] Woodruff was transferred on March 16, 2006, to a medical facility closer to his Westchester County, New York, home, a sign of "continued progress in all respects", ABC News President David Westin said in an e-mail to staffers.[14] Westin's email noted that Woodruff was able to get around, talk to and joke with his family, but that "months of further recuperation" were still required.
On April 6, 2006, ABC News released photos of Woodruff recovering at home, along with a letter thanking everyone for their support and kindness during his ongoing recovery. He especially thanked the soldiers, doctors, and nurses who had saved his life.[15] On December 29, 2006, Woodruff's wife, Lee, an editor at Family Fun Magazine appeared on Good Morning America to discuss family activities to celebrate the New Year. During the report, anchor Kate Snow asked Lee about her husband's condition. Lee said that Bob was doing well and was currently filming a television documentary about his experiences. She also revealed that he had been back to Iraq since the incident to visit the soldiers with whom he was traveling at the time of his injury.
Consequences at ABC News[edit]
ABC's World News Tonight remained second in the Nielsen Media Research rankings, though it has lost some ground to NBC's first-place Nightly News, anchored by Brian Williams. Bob Schieffer on CBS Evening News also closed the gap with ABC after Woodruff's injury.[14] On May 23, 2006, Vargas announced her resignation from WNT, citing her doctors' recommendation to cut back her schedule considerably due to her upcoming maternity leave, and her wish to spend more time with her new baby. Gibson was then named sole anchor of the show, effective May 29, 2006.[16]
Return to air[edit]
On February 27, 2007, Woodruff appeared on Good Morning America, ABC World News with Charles Gibson, and The Oprah Winfrey Show, in advance of a documentary that aired on ABC later that evening. Despite having made great progress in his recovery, during the GMA interview with Diane Sawyer, Woodruff had some difficulty remembering words and details, such as the name of the Vietnam War and the word "injury." The hour-long documentary, "To Iraq and Back: Bob Woodruff Reports'" explored the consequences of traumatic brain injury, and highlighted the difficulties brain injured veterans face finding treatment — a subject which had first appeared in Discover magazine several weeks earlier,[17] and was elaborated on by Washington Post reporters in the exposé, "Painting Over the Problems at Walter Reed's Building 18."
Woodruff resumed his contributions to ABC World News with Charles Gibson the following day, February 28, with the first in a series of follow-up reports focusing on the problems that wounded American soldiers are encountering in their treatment and recovery, particularly at Walter Reed Army Medical Center. Starting March 7, he was scheduled to begin reporting for Nightline "at regular intervals".[18]
On July 12, 2008, Woodruff began hosting a new weekly ABC News-produced newscast, Focus Earth with Bob Woodruff, on the Planet Green television channel. On Focus Earth, Woodruff covers the environmental news of the week, looking at subjects ranging from climate impact, environmental policy, political debate and world events, as well as how climate change affects religious and cultural views and issues.[19]
In February 2007, Bob and Lee Woodruff published an account of their lives after Bob's injury, In an Instant: A Family's Journey of Love and Healing. It details the beginnings of Woodruff's journalism career and the building of Bob and Lee's family. The book delves into the explosion in Iraq that affected his family and focuses on Bob's lengthy, ongoing recovery. A percentage of the proceeds are donated to the Bob Woodruff Foundation.
The Bob Woodruff Foundation[edit]
More than 2.6 million U.S. service members have been deployed to Afghanistan and Iraq since September 11, 2001. More than 51,000 service members have been physically wounded. Based on surveys of previously deployed service members, it is estimated that more than 320,000 have probably sustained traumatic brain injuries and more than 300,000 have probable psychological wounds.[20] The Bob Woodruff Foundation (BWF) is the nonprofit dedicated to ensuring that post-9/11 injured service members, veterans and their families thrive long after they return home.
Helping heroes on the homefront. A national organization with grassroots reach, the Bob Woodruff Foundation complements the work of the federal government—diligently navigating the maze of more than 40,000 nonprofits providing services to veterans—to find, fund and shape innovative programs and hold them accountable for results. To date, BWF has invested more than $20 million in solutions, reaching more than 1 million service members, support personnel, veterans and their families. They focus on solutions in the areas of rehabilitation and recovery, education and employment, and quality of life. The Bob Woodruff Foundation was co-founded in 2006 by Bob Woodruff and his family, whose experiences inspired them to help make sure the nation's heroes have access to the highest level of support and resources they deserve, for as long as they need them. For more information about the Bob Woodruff Foundation, visit bobwoodrufffoundation.org.
Commencement addresses[edit]
On May 20, 2007, Bob and Lee Woodruff gave the commencement address at Colgate University, their undergraduate alma mater.
On June 11, 2007, Woodruff gave the (boys) commencement address at his prep school alma mater, Cranbrook Kingswood. In 2006, he was awarded the school's Distinguished Alumni Award.
On April 26, 2008, Woodruff received an honorary degree and delivered a commencement address at the University of Michigan spring graduation.
On May 11, 2008, Woodruff gave the commencement address at Syracuse University in the Carrier Dome.
Woodruff and his wife Lee delivered the commencement address at the University of Arizona on May 15, 2010.
Woodruff also delivered the commencement address at Niagara University on May 22, 2010.
Woodruff delivered the commencement address at Boston College on May 21, 2012.
Woodruff covered WORLD CUP 2014 in Rio de Janeiro,Brazil for ABC NEWS/ESPN on June/July 2014.
Woodruff has received numerous journalism awards, including:
- Radio and Television Association's David Bloom Award for Excellence in Enterprise (2006);
- Peabody Award for Bob Woodruff Reporting: Wounds of War - The Long Road Home for Our Nation's Veterans (2007);[21]
- Iraq and Afghanistan Veterans of America's (IAVA) "Civilian Service Award" for his dedication to our nation's newest generation of veterans (2007);
- Los Angeles Press Club's Daniel Pearl Award for Courage and Integrity in Journalism (2008).
- American Legion National Commander Public Relations Award (2013)
- ^ C.B.Kirkpatrick, Historian, Bloomfield Village, Bloomfield Hills, MI.
- ^ New York Times wedding announcement
- ^ "Bob Woodruff wiki". Retrieved September 24, 2012.
- ^ The Wall Street Journal http://blogs.wsj.com/law/2007/01/30/the-recovery-of-recovering-lawyer-bob-woodruff
|url=missing title (help).
- ^ ABC News
- ^ Veterans Hospitals Struggle to Treat Brain Injuries. PBS NewsHour. February 28, 2007.
- ^ "ABC's Bob Woodruff seriously injured in Iraq". MSNBC. 2006-01-29.
- ^ "Reflections from the Woodruff Team in Baghdad". ABC News. 2006-01-29.
- ^ "ABC's Woodruff, Cameraman Injured in Iraq". ABC News. 2006-01-29.
- ^ "ABC's Woodruff Injured in Iraq". E! Online. 2006-01-30.
- ^ "ABC anchor, cameraman in Iraq in stable condition". CNN. 2006-01-29.
- ^ Steinberg, Jacques (2006-02-04). "Changes at ABC, Where the War Is More Than News". New York Times. Retrieved April 26, 2010.
- ^ USA Today report on Woodruff's convalescence
- ^ a b ABC's Woodruff Transferred from Naval Hospital, Making Progress, a March 2006 article from Editor & Publisher
- ^ ABC News blogsite
- ^ "Charles Gibson Named Sole Anchor of 'World News Tonight'". Retrieved 2006-05-23.
- ^ Dead Men Walking
- ^ Nightline email dated March 7, 2007
- ^ http://planetgreen.discovery.com/tv/focus-earth
- ^ RAND Corporation Monograph Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery
- ^ 67th Annual Peabody Awards, May 2008.
External links[edit]
- Bob Woodruff at the Internet Movie Database
- Bob Woodruff on Twitter
- Vargas, Woodruff Named Co-Anchors of ABC's 'World News Tonight' ABC.com. December 5, 2005.
- Vargas, Woodruff to share anchor desk at ABC MSNBC. December 5, 2005.
- Official ABC biography
- Bob Woodruff Foundation
- "Military Widows Hit the Road" Bob Woodruff with the American Widow Project. March 25, 2009.
|Media offices
|Preceded by
Peter Jennings
|World News Tonight Co-Anchor
(with Elizabeth Vargas)
January 3, 2006- May 26, 2006
(last anchored January 27, 2006)
|Succeeded by
Charles Gibson
- 1961 births
- Living people
- American television news anchors
- American television reporters and correspondents
- Colgate University alumni
- College lacrosse players in the United States
- Cranbrook Educational Community alumni
- Iraq War casualties
- People from Bloomfield Hills, Michigan
- People with brain injuries
- University of Michigan alumni
- University of Michigan Law School alumni
- American war correspondents
- ABC News personalities


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Celebrity Central / Top 25 Celebs
Credit: Charley Gallay/Getty
Published: Saturday February 25, 2012 06:00 AM EST
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In a lace-embellished Elie Saab dress with black accessories, Cameron keeps it simple at an L.A. dinner in support of Oxfam America and The Green Carpet Challenge.
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