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Product Description
Available while supplies last.
Classic works of art that reflect luminous style and sumptuous hues, the traditional designs of the Shine collection add an elegant brilliance to any décor. Eternally fashionable, each rug features a deep, luxurious pile hand-tufted from semi-worsted New Zealand wool. Completed with a unique wash technique, every lustrous masterpiece has been infused with the incandescent glow of silk.
- Cotton backing
- Made in India
Materials: | 100% Semi Worsted New Zealand Wool | |
Construction: | Hand Tufted | |
Weight: | 6 145 Pounds | |
Rug Shape Rugs can vary in shape. Select from our wide range of rugs in a wide range of sizes to fit any room or style. | Rug Shape | Rectangle, Round |
Rug Technique | Tufted |
Dimensions & Weights
Width: | 24 - 120 inches |
Pile Height: | 0.6 inches |
Length: | 36 - 168 inches |
Diameter: | 8 feet |
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Category | Area Rugs - 610 |
Style | Traditional - 143 |
Sales Rank | 4419 |
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Creative Party Snacks: 7 Savory "Cookies"
Save the sweet cookies for afternoon tea. The following savory cookies from Martha Stewart call out for a cocktail party! Baked with cheese, herbs, and other nonsugary ingredients, these "cookies" pair well with wine and beer and add a homey touch of elegance to your appetizer spread.
Need more ideas for party food? Check out our collections of bite-size appetizers and finger foods. For more savory eats, check out these amazing bacon recipes.

subset: commoncrawl


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Antrim Borough Council use cookies so that you have the best possible browsing experience on our website. If you agree that we can store and use cookies just click "Accept and Close" or you can learn more about cookies.
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The I and I passage
From Louis Blazek • Creston | Beware home owners of which type of I and I you choose. Forty-two years ago, when putting in the sanitary sewer line for my new home, I was going to build; next to the house area, I installed a back flow I and I trap. It was a four-inch castiron with a brass flapper that was to let the flow of waste away from the house and stop any flow into the basement.
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Notas de prensa
jueves 16. octubre 2014
Marketing concepts for retailers and do-it-yourself stores
Sekisui Alveo presents new branding and offers marketing concepts for retailers and do-it-yourself stores
miércoles 15. octubre 2014
Horizontal drainage system makes elastic shock pad Alveosport even more effective
Sekisui Alveo is expanding its portfolio and is now offering its elastic shock pad Alveosport also with increased drainage capacity. With Alveosport "Horizontal Drainage" (HD) water can be carried off...
lunes 18. agosto 2014
Sekisui Alveo expands its product range
Stiff foam boards with great potential for weight reduction in the automotive and packaging industries
lunes 26. mayo 2014
SEKISUI SQUASH OPEN – Prizes handed over personally by Japanese director
On May 25th the awards ceremony of the SEKISUI SQUASH OPEN in Kriens (Switzerland) took place. The prizes were presented personally by Hajime Kubo, Director and Senior Managing Executive Officer at SE...
viernes 16. mayo 2014
Alveosport used as shockpad in artificial turf systems in Haiger, Hessen
Successful start of collaboration between Sekisui Alveo and Trofil Sportbodensysteme


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What does MIN mean in Indonesian?
This page is about the meanings of the acronym/abbreviation/shorthand MIN in the International field in general and in the Indonesian terminology in particular.
Madrasah Ibtida'ijah Negeri
Find a translation for MIN in other languages:
Select another language:
What does MIN mean?
- minute, min(noun)
- a unit of time equal to 60 seconds or 1/60th of an hour
Discuss this MIN abbreviation with the community:
Use the citation below to add this abbreviation to your bibliography:
"MIN." Abbreviations.com. STANDS4 LLC, 2015. Web. 3 Mar. 2015. <http://www.abbreviations.com/term/391557>.
MIN also stands for:
- Macomb Industrial Network
- Magazine Information Network
- Manfacturer's Identification Number
- Manufacturers Identification Number
- Maximum Impact Networking
... and 28 more »
Nearby & related abbreviations:
Alternative search:
- Search Madrasah Ibtida'ijah Negeri on Amazon
- Search Madrasah Ibtida'ijah Negeri on Google


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Cubao City, Quezon City, Philippines < change city >
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Chris and Carol's Wedding
Ceremony at Nuestra Senora de Gracia
Reception at One Esplanade
"Our wedding was very memorable! We would like to thank our family and fr..."
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Ceremony at Manila Cathedral
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"Happily Married. Yep, that's us. --- Wiljun & Tin We are impart..."
Alex and Aileen's Big Day
Ceremony at Church of the Risen Lord
Reception at CRL - Garden
"We had a very memorable and awesome wedding because God made everything ..."
Ian and Tani's Wedding
Ceremony at Shrine of St Therese of the Child Jesus
Reception at The Blue Leaf Events Pavilion
"December-February is peak season for weddings in the Philippines. Church..."
Makati City Wedding In January
Ceremony at Iglesia Ni Cristo Church
Reception at Max's Restaurant
Ric and Ces's Wedding
Ceremony at Nuestra Señora de Gracia
Reception at The Oasis Manila
"Our wedding was fun filled with love surrounded by family, relatives and..."
Intramuros Wedding In January
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Reception at Fernwood Gardens- Venue #4
Malabon Wedding In January
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Wedding Hotels
Ceremony at Blessed John Paul II Parish formally known as Holy Family Chapel
Reception at Enderun Colleges
Makati City Wedding In January
Ceremony at Archbishop's Palace
Reception at Wack-Wack Golf & Country Club


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On-the-Go Meal Plan: Week 1
By Janis Jibrin, M.S., R.D. & Tracy Olgeaty Gensler, M.S., R.D.
Special Offers
Thursday's Menu:
On-the-Run Smoothie
Have one Yoplait Nouriche smoothie, your choice of flavors. Serve with 16 peanuts. This is a healthy smoothie, but it's packed with a hefty dose of refined sugar, so limit to 2 or 3 a week maximum.
Barbecue Beef Pasta
Heat leftover barbecue beef pasta from dinner Tuesday. Serve with 1 cup grape tomatoes.
Raspberry Soy Smoothie
In a blender (or with a hand blender) combine until smooth: 4 ounces low-fat firm silken tofu cut into small pieces (such as Mori-Nu), 1 cup thawed frozen unsweetened raspberries OR 2 cups raw raspberries, 1/2 teaspoon pure vanilla extract, and a small glass (1 cup) fat-free milk. Blend in 1 to 2 ice cubes if desired.
Lasagna and Salad
Heat up 1 portion of lasagna from Wednesday's dinner. Serve with salad: Combine 2 cups spring mix salad greens from the bag, 1/2 cup sliced red pepper, 1/4 cup chopped onion, 2 teaspoons toasted pine nuts, and a splash of balsamic vinegar. For dessert have 1 cup fresh strawberries dipped in melted chocolate. Melt 1 tablespoon mini chocolate chips in microwave on 50% power for 30 to 45 seconds. Serve immediately.
Daily calorie total: 1,552
Fat: 38 g
Percent of daily calories from fat: 13%
Saturated fat: 15.4 g
Percent of daily calories from saturated fat: 8.9%
Carbohydrate: 215 g
Percent of daily calories from carbohydrates: 54%
Fiber: 27 g
Protein: 95 g
Percent of daily calories from protein: 24%
Cholesterol: 97 mg
Calcium: 1,622 mg
Sodium: 2,286 mg
Still hungry? Check out these low-cal snacks!
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10 Real-Life Tricks for Creating a Calm, Peaceful Home
3 Yoga Moves That Help Flatten Your Tummy
10 Skin Problems You Can Solve Overnight
Teacher Makes a Big Sacrifice for a Student in Need
11 Ways to Dress Up Your Front Door for St. Paddy's Day
The Robotic Vacuums Worth Your Money
Special Offers


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Free. Asap. 4ajem. 4annette. Security. Hack. Autoit. Poweruser. Seam. Web2. 3d. Give your résumé a face lift. After avoiding the 7 deadly sins of résumé design, you may be asking, "If I can't use crazy colors, clip art, and other types of decoration, how do I make my résumé stand out from the crowd?"
Like many things, the answer lies in the details. Even if you can't hire a fancy designer and are stuck with Microsoft Word, a few tweaks can turn your blasé résumé into an elegant and functional showpiece. Update (Oct 25): As promised, here's a template of the final résumé. Van Eck phreaking. In 1985, Wim van Eck published a paper which described how the state of a CRT monitor could be reproduced remotely based on the device's electromagnetic radiation.
Van Eck or TEMPEST devices, whatever you prefer to call them, aren't just the secret sauce in your favorite science fiction, though for some reason there hasn't been a lot of amateur or open source activity here. I'm not sure why, but I suspect as software radios become more affordable, people will start experimenting more in this space. There are two open source Van Eck projects that I know of. Feedly - A New Firefox Start Page Addon You Can't Afford To Miss. Here on Make Use Of, we've talked about start pages several times before, and we're doing it again now.
This time, it's about Feedly. Nick mentioned Feedly in the comments of this Make Use Of article and the fact that it's just a Firefox extension caught my eye. I checked it out immediately and I was pleasantly surprised. Synergy. Confessions of a Caller-ID spoofer. surveys - Take Our Poll He spoofed the HR director's work phone number, then the number of that guy's boss, before moving up to a vice president, and finally, the CEO.
Says he had no choice. How to Create a Thumbnail Blogroll, a 20-minute hack.


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Casio Exilim library EX-Z85 drivers
Filename: Driver_cas_exi_lib_ex_z85.exe We would advice to use a new Casio Exilim EX-Z85 driver for your device what's available. Don't forget to check from time to time for a new Exilim EX-Z85 Casio driver on our software portal. Make an effort to have a restore system point before your Camera device driver utility was set up. It will be effective if a wrong Casio Camera driver was set. Errors or bugs could be shown up if your Exilim EX-Z85 Camera device hardware is out of date or not supported by your vendor - Casio. Here you may find latest Exilim EX-Z85 software drivers for your Casio gadget in a Camera category. Check our portal for a latest drivers in Camera devices. Write Exilim EX-Z85 driver reviews, download or upload your own in our catalog. Click and download Casio Exilim EX-Z85 driver utility for your hardware. Please be advised that all Exilim EX-Z85 driver software and utilities are the property of their respectful vendors - Casio. Use only official driver program or utilities for your Casio hardware. OS supported: XP, Vista, Windows 7. Related models: |


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folder options for Jaws
- From: "tcivi31" <tcivi31@xxxxxxxxxxx>
- To: "Jaws List" <jfw@xxxxxxxxxxxxx>
- Date: Wed, 15 Apr 2009 03:48:18 -0700
Does there exist somewhere a list of how the folder options should be set when using Jaws 10 with Vista? Thanks Tom
-- JFW related links: JFW homepage: http://www.freedomscientific.com/ Scripting mailing list: http://lists.the-jdh.com/listinfo.cgi/scriptography-the-jdh.com JFW List instructions: To post a message to the list, send it to jfw@xxxxxxxxxxxxx To unsubscribe from this mailing list, send a message to jfw-request@xxxxxxxxxxxxx with the word unsubscribe in the subject line. Archives located at: http://www.freelists.org/archives/jfw Alternative archives located at: http://n2.nabble.com/JAWS-for-Windows-f2145279.html If you have any concerns about the list, post received from the list, or the way the list is being run, do not post them to the list. Rather contact the list owner at jfw-admins@xxxxxxxxxxxxxx
- Follow-Ups:
- RE: folder options for Jaws
- From: Mullins, Chris
- RE: folder options for Jaws
Other related posts:
- » folder options for Jaws - tcivi31
- » RE: folder options for Jaws - Mullins, Chris
- » Re: folder options for Jaws - David Bailes


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Hi as im sure you can tell i'm new to FOC. soo here we go..
I have a 2002 MK5 ford fiesta ztec s and i need to buy a new heater control panel, other than paying loads of money at a main dealer does anyone know any good websites or shops that have a large selection of genuine ford parts such as the heater control panel?
I also need to find the air conditioning drain under the car as i think its blocked because whenever i use air con water leaks into the passanger footwell. So if anyone could describe the easiest way to get to it, would be most thankful


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Budget-Friendly Downtown Gatlinburg Hotels
Reagan Hotels offers comfort at a price that fits nicely into your travel budget. With numerous hotel locations both on the Parkway and off, our hotels are conveniently located to dining and attractions, Gatlinburg Convention Center and Great Smoky Mountains National Park. You can stroll to your destination from our lobbies or jump aboard the Gatlinburg Trolley.
Enjoy comfortable king or two-bed rooms as well as a variety of suites at each of our properties. All rooms include coffee makers, irons & ironing boards, hair dryers, wireless internet, and refrigerators, and some include complimentary breakfast. In addition, each hotel has its own distinct features, perfect for couples, families or meetings and reunions.
- Four Seasons Motor Lodge 865/436-7881 or 800/933-8678
- Reagan Resorts Inn 865/436-5607 or 800/933-8674
- Chalet Inn 865/436-5151 or 800/933-8675
- Econo Lodge on the River 865/436-5836 or 800/933-8670
Check out the upcoming events in the Gatlinburg area.
- Information for Groups and request specific Group proposal online
- Contact us


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Sleep Disorders (PDQ®): Supportive care - Health Professional Information [NCI]
This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http://cancer.gov or call 1-800-4-CANCER |
Sleep Disorders
Purpose of This PDQ Summary
This PDQ cancer information summary provides comprehensive, peer-reviewed information for health professionals about the pathophysiology and treatment of sleep disorders. This summary is reviewed regularly and updated as necessary by the PDQ Supportive and Palliative Care Editorial Board.
Information about the following is included in this summary:
- Etiology.
- Assessment.
- Management.
This summary is intended as a resource to inform and assist clinicians and other health professionals who care for cancer patients during and after cancer treatment. It does not provide formal guidelines or recommendations for making health care decisions. Information in this summary should not be used as a basis for reimbursement determinations.
This summary is also available in a patient version, which is written in less technical language, and in Spanish.
Sleep disturbances occur in about 12% to 25% of the general population [1] and are often associated with situational stress, illness, aging, and drug treatment.[2,3] It is estimated that 45% of people with cancer experience sleep disturbance.[4] Physical illness, pain, hospitalization, drugs and other treatments for cancer, and the psychological impact of a malignant disease may disrupt the sleeping patterns of persons with cancer. Poor sleep adversely affects daytime mood and performance. In the general population, persistent insomnia has been associated with a higher risk of developing clinical anxiety or depression. Sleep disturbances and, ultimately, sleep-wake cycle reversals can be early signs of a developing delirium. (Refer to the PDQ summary on Cognitive Disorders and Delirium for more information.) Adequate sleep may increase the cancer patient's pain tolerance.
Sleep consists of two phases: rapid eye movement (REM) sleep and non-REM (NREM) sleep.[5] REM sleep, also known as dream sleep, is the active or paradoxic phase of sleep in which the brain is active. NREM sleep is the quiet or restful phase of sleep. NREM, also referred to as slow wave sleep, is divided into four stages of progressively deepening sleep based on electroencephalogram findings.[2,6]
The stages of sleep occur in a repeated pattern or cycle of NREM followed by REM, with each cycle lasting approximately 90 minutes. The sleep cycle is repeated four to six times during a 7- to 8-hour sleep period.[6] The sleep-wake cycle is dictated by an inherent biological clock or circadian rhythm. Disruptions in individual sleep patterns can disrupt the circadian rhythm and impair the sleep cycle.[7]
Four major categories of sleep disorders have been defined by the Sleep Disorders Classification Committee of the American Academy of Sleep Medicine:
1. | Disorders of initiating and maintaining sleep (insomnias). |
2. | Disorders of the sleep-wake cycle. |
3. | Dysfunctions associated with sleep, sleep stages, or partial arousals (parasomnias). |
4. | Disorders of excessive somnolence. |
Sleep Disturbance in Cancer Patients
Cancer patients are at great risk for developing insomnia and disorders of the sleep-wake cycle. Insomnia is the most common sleep disturbance in this population and is most often secondary to physical and/or psychological factors related to cancer and/or cancer treatment.[1] Anxiety and depression, common psychological responses to the diagnosis of cancer, cancer treatment, and hospitalization, are highly correlated with insomnia.[2,3,4,5,6]
Sleep disturbances may be exacerbated by paraneoplastic syndromes associated with steroid production and by symptoms associated with tumor invasion, such as draining lesions, gastrointestinal (GI) and genitourinary (GU) alterations, pain, fever, cough, dyspnea, pruritus, and fatigue. Medications—including vitamins, corticosteroids, neuroleptics for nausea and vomiting, and sympathomimetics for the treatment of dyspnea—as well as other treatment factors can negatively impact sleep patterns.
Side effects of treatment that may affect the sleep-wake cycle include the following:[7]
- Pain.
- Anxiety.
- Night sweats/hot flashes (refer to the PDQ summary on Fever, Sweats, and Hot Flashes for more information).
- GI disturbances (e.g., incontinence, diarrhea, constipation, or nausea).
- GU disturbances (e.g., incontinence, retention, or GU irritation).
- Respiratory disturbances.
Sustained use of the following medications commonly used in the treatment of cancer can cause insomnia:
- Central nervous system (CNS) stimulants (e.g., caffeine; diet pills such as ephedra, which is not available in the United States; and energy drinks such as Red Bull, Rockstar, Full Throttle, and Monster).
- Sedatives and hypnotics (e.g., glutethimide, benzodiazepines, pentobarbital, chloral hydrate, secobarbital sodium, and amobarbital sodium).
- Cancer chemotherapeutic agents (especially antimetabolites).
- Anticonvulsants (e.g., phenytoin).
- Adrenocorticotropin.
- Oral contraceptives.
- Monoamine oxidase inhibitors.
- Methyldopa.
- Propranolol.
- Atenolol.
- Alcohol.
- Thyroid preparations.
In addition, withdrawal from the following substances may cause insomnia:
- CNS depressants (e.g., barbiturates, opioids, glutethimide, chloral hydrate, methaqualone, ethchlorvynol, alcohol, and over-the-counter and prescription antihistamine sedatives).
- Benzodiazepines.
- Major tranquilizers.
- Tricyclic and monamine oxidase inhibitor antidepressants.
- Illicit drugs (e.g., marijuana, cocaine, phencyclidine, and opioids).
The most commonly prescribed hypnotics can interfere with rapid eye movement (REM) sleep, resulting in increased irritability, apathy, and diminished mental alertness. Abrupt withdrawal of hypnotics and sedatives may lead to symptoms such as nervousness, jitteriness, seizures, and REM rebound. REM rebound has been defined as a "marked increase in REM sleep with increased frequency and intensity of dreaming, including nightmares."[8] The increased physiologic arousal that occurs during REM rebound may be dangerous for patients with peptic ulcers or a history of cardiovascular problems.
The sleep of hospitalized patients is likely to be frequently interrupted by treatment schedules, hospital routines, and roommates, which singularly or collectively alter the sleep-wake cycle. Other factors influencing sleep-wake cycles in the hospital setting include patient age, comfort, pain, and anxiety; and environmental noise and temperature.[9]
Consequences of sleep disturbances can influence outcomes of therapeutic and supportive care measures. The patient with mild to moderate sleep disturbances may experience irritability and inability to concentrate, which may in turn affect the patient's compliance with treatment protocols, ability to make decisions, and relationships with significant others. Depression and anxiety can also be caused by sleep disturbances. Supportive care measures are directed toward promoting quality of life and adequate rest.
Assessment is the initial step in management strategies. Assessment data should include documentation of predisposing factors, sleep patterns, emotional status, exercise and activity levels, diet, symptoms, medications, and caregiver routines.[1] The sections below outline recommendations for a sleep history and physical examination. Data can be retrieved from multiple sources: the patient's subjective report of sleep difficulty, objective observations of behavioral and physiologic manifestations of sleep disturbances, and reports from the patient's significant others regarding the patient's quality of sleep.[2]
The diagnosis of insomnia is primarily based on a careful, detailed medical and psychiatric history. The American Academy of Sleep Medicine has produced guidelines for the use of polysomnography as an objective tool in evaluating insomnia. The routine polysomnogram includes the monitoring of electroencephalography, electro-oculography, electromyography, effort of breathing and air flow, oxygen saturation, electrocardiography, and body position. Polysomnography is the major diagnostic tool in sleep disorders and is indicated in the evaluation of suspected sleep-related breathing disorders and periodic limb movement disorder, and when the cause of insomnia is uncertain or when behavioral or pharmacologic therapy is unsuccessful.[3]
Risk Factors for Sleep Disorders
- Disease factors, including paraneoplastic syndromes with increased steroid production; and symptoms associated with tumor invasion (e.g., obstruction, pain, fever, shortness of breath, pruritus, and fatigue).
- Treatment factors, including symptoms related to surgery (e.g., pain, frequent monitoring, and use of opioids); chemotherapy (e.g., exogenous corticosteroids); and symptoms related to chemotherapy.
- Medications such as opioids, sedatives/hypnotics, steroids, caffeine/nicotine, some antidepressants, and dietary supplements, including some vitamins, diet pills, and other products promoting weight loss and appetite suppression.
- Environmental factors.
- Physical and/or psychological stressors.
- Depression (refer to the PDQ summary on Depression for more information).
- Anxiety (refer to the PDQ summary on Anxiety Disorder for more information).
- Delirium (refer to the PDQ summary on Cognitive Disorders and Delirium for more information).
- Daytime seizures, snoring, and headaches.
Characterization of Sleep
- Usual patterns of sleep, including usual bedtime, routine before retiring (e.g., food, bath, and medications), length of time before onset of sleep, and duration of sleep (awaking episodes during night, ability to resume sleep, and usual time of awakening).
- Characteristics of disturbed sleep (changes following diagnosis, treatment, and/or hospitalization).
- Perception of significant others as to quantity and quality of patient's sleep.
- Family history of sleep disorders.
Management of sleep disturbances should focus on treatment of symptoms related to the cancer and its treatment, and identification and management of environmental and psychological factors. Treatment of the malignancy may resolve the sleep disturbance. When sleep disturbances are caused by symptoms of cancer or treatment, measures that control or alleviate symptoms are often the key to resolving sleep disturbances. Management of sleep disturbances combines nonpharmacologic and pharmacologic approaches individualized for the patient.
Nonpharmacologic Management of Sleep Disturbances
The environment can be modified to decrease sleep disruption. Minimizing noise, dimming or turning off lights, adjusting room temperature, and consolidating patient care tasks to reduce the number of interruptions can increase the amount of uninterrupted sleep.[1]
Other actions or interventions that may promote rest include the following:[2,3]
- Keeping the patient's skin clean and dry.
- Giving back rubs and/or massaging areas of the body to bring comfort to the patient (e.g., bony prominences, head and scalp, shoulders, hands, and feet).
- Keeping bedding and/or surfaces of support devices (chairs and pillows) clean, dry, and wrinkle-free.
- Ensuring adequate bedcovers for warmth.
- Regulating fluid intake to avoid frequent awakening for elimination.
- Encouraging bowel and bladder elimination before sleep.
- Promoting optimal bowel function (increased fluids, dietary fiber, and use of stool softeners and laxatives).
- Using a condom catheter for nocturnal incontinence.
- Providing a high-protein snack 2 hours before bedtime (e.g., milk, turkey, or other foods high in tryptophan).
- Avoiding beverages with caffeine and other stimulants, including dietary supplements that promote metabolism changes and appetite suppression.
- Encouraging the patient to dress in loose, soft clothing.
- Facilitating comfort through repositioning and support with pillows as needed.
- Encouraging exercise or activity no less than 2 hours before bedtime.
- Encouraging the patient to keep regular bedtime and awakening hours.
- Minimizing and coordinating necessary bedside contacts for inpatients.
Psychological interventions are directed toward facilitating the patient's coping processes through education, support, and reassurance. As the patient learns to cope with the stresses of illness, hospitalization, and treatment, sleep may improve.[4] Communication, verbalization of concerns, and openness between the patient, family, and health care team should be encouraged. Relaxation exercises and self-hypnosis performed at bedtime can help promote calm and sleep. Cognitive-behavioral interventions that diminish the distress associated with early insomnia and change the goal from "need to sleep" to "just relax" can diminish anxiety and promote sleep.[5]
Cognitive behavioral therapy (CBT) delivered by psychologists has shown promise for the treatment of insomnia in patients with cancer.[6] A randomized controlled study investigated the effectiveness of a protocol-driven cognitive behavioral intervention for insomnia delivered by oncology nurses.[7] This group intervention consisted of standard CBT components such as stimulus control and sleep restriction. Participants included patients with heterogeneous cancers randomly assigned to receive the intervention (n = 100) or treatment as usual (n = 50). Primary outcomes were sleep diary measures at baseline, posttreatment, and at 6-month follow-up. CBT was associated with significant and sustained improvements in several sleep aspects. These improvements were seen for both subjective (sleep diary) and objective (actigraphy) assessments. Additionally, CBT patients showed significant improvements in fatigue, anxiety, and depressive symptoms and reported improved quality of life relative to patients receiving treatment as usual.[7]
Many people who experience insomnia have been found to practice poor sleep hygiene (such as smoking and drinking alcohol just before bedtime), which can exacerbate or perpetuate insomnia.[8] Therefore, a complete assessment of sleep hygiene (i.e., time in bed; napping during the day; intake of caffeine, alcohol, or foods that are heavy, spicy, or sugary; exercise; and sleep environment) and use of behavioral management strategies (i.e., fixed bedtime; smoking, dietary, and alcohol restrictions 4–6 hours before bedtime; and increased exercise) may prove effective in reducing sleep disturbance.
Pharmacologic Management of Sleep Disturbances
When sleep disturbances are not resolved with other supportive care measures, the use of sleep medications on a short-term or intermittent basis may be helpful. Prolonged use of sleep medications for persistent insomnia, however, can impair natural sleep patterns (i.e., rapid eye movement [REM] deprivation) and alter physiologic functions. Prolonged use (>1–2 weeks) of these medications may result in tolerance, psychological and physical dependence, drug intoxication, and drug hangover.[1,9]
A newer agent, zolpidem, has reportedly not been associated with tolerance, dependence, sleep cycle alterations, or rebound insomnia. Zolpidem tartrate (Ambien) is administered in doses of 5 mg to 10 mg, 30 minutes before bedtime. This medication has not been widely used or studied in cancer patients.
Benzodiazepines have been widely used in the management of sleep disturbances. Used as an adjunct to other treatment for short periods of time, these agents are safe and effective in producing natural sleep because they are less disruptive of REM sleep than are other hypnotic agents. Benzodiazepines have an antianxiety effect in low doses and a hypnotic effect in high doses. Commonly used sleep aids are not well studied in cancer patients. A randomized, double-blind, placebo-controlled trial of triazolam was carried out in a major cancer center in women undergoing initial breast cancer surgery. The drug was superior to placebo with regard to improved sleep and restfulness. The remaining literature is sparse with regard to empirical studies and randomized controlled trials of sleep aids and is mostly anecdotal.[10]
Benzodiazepines differ from each other in duration of action and pharmacokinetics. Liver disease has less of an effect on the metabolism of lorazepam, oxazepam, and temazepam than on the metabolism of other benzodiazepines. Whereas long-acting agents may produce daytime hangover, short-acting agents are more often associated with dependence, rebound insomnia, early morning insomnia, daytime anxiety, and serious withdrawal effects such as seizures.[4] The following general characterizations can be made:
- Intermediate- and short-acting benzodiazepines are characterized by half-lives of 4 to 24 hours.
- Short-acting benzodiazepines are characterized by the following:
- Few active metabolites.
- Rarely, accumulation with multiple doses.
- Minimal effect on drug clearance by age and liver disease.
- Long-acting benzodiazepines are characterized by the following:
- Half-lives longer than 24 hours.
- Pharmacologically active metabolites.
- Accumulation with multiple dosages.
- Impaired clearance in older patients and those with liver disease.
Nonbenzodiazepine sleep aids include antidepressants, antihistamines, and antipsychotics. Antihistamines have been popular drugs for the management of sleep disturbances among cancer patients. The anticholinergic properties of antihistamines relieve nausea and vomiting as well as insomnia. These agents must be used with caution because daytime sedation and delirium can occur, especially in older patients. Tricyclic antidepressants such as amitriptyline or doxepin (Sinequan) may be effective in patients who are not depressed as well as those who are depressed. When given at bedtime, these sedating agents can eliminate the need for an additional hypnotic. Low doses of tricyclic antidepressants can be effective sleep agents and may be the treatment of choice for insomnia in patients who have neuropathic pain and appetite loss (e.g., doxepin 50–100 mg at bedtime; amitriptyline 25–100 mg at bedtime). In low doses, trazodone (50–150 mg) can promote sleep and is often combined with other antidepressants (e.g., fluoxetine 20 mg in the morning) in depressed patients with insomnia. A unique antidepressant, mirtazapine (Remeron), has been used clinically to treat depression and also induces sleep, stimulates appetite, and can decrease nausea in low bedtime doses. The hypnotic effects of marijuana (tetrahydrocannabinol [THC]) are similar to the effects of conventional hypnotics in reducing REM sleep; however, side effects experienced before sleep induction and hangover make the use of THC less acceptable than benzodiazepines.[11]
Low-potency neuroleptics are useful in promoting sleep in patients with insomnia associated with organic mental syndromes and delirium. (Refer to the PDQ summary on Cognitive Disorders and Delirium for more information.)
Barbiturates are generally not recommended for the management of sleep disturbances in cancer patients. Barbiturates have a number of adverse effects, including the development of tolerance, and they also have a narrow margin of safety.
Most hypnotics are effective initially but lose efficacy when used regularly, and they can become a primary cause of sleep disturbances.[12]
Medications Commonly Used To Promote Sleep
Drug category | Medication | Hypnotic dose (route) | Onset (duration of action) |
Benzodiazepines | diazepam (Valium) | 5–10 mg (capsule, tablet) | 30–60 min (6–8 h) |
temazepam (Restoril) | 15–30 mg (capsule) | 60 min, minimum (6–8 h) | |
triazolam (Halcion) | 0.125–0.5 mg (tablet) | 30 min (peaks 1–1.5 h) | |
clonazepam (Klonopin) | 0.5–2.0 mg (tablet) | 30–60 min (8–12 h) | |
Tricyclic antidepressants | doxepin (Sinequan) | 10–150 mg | 30 min |
amitriptyline (Elavil) | 10–15 mg | 30 min | |
nortriptyline (Pamelor) | 10–50 mg | 30 min | |
Chloral derivatives | chloral hydrate | 0.5–1.0 g (capsule, syrup, suppository) | 30–60 min (4–8 h) |
Second-generation antidepressants | trazodone (Desyrel) | 25–150 mg | 30 min |
nefazodone (Serzone) | 50–100 mg | 30 min | |
mirtazapine (Remeron) | 15–60 mg | 30 min | |
Antihistamines | diphenhydramine (Benadryl) | 25–100 mg (tablet, capsule, syrup) | 10–30 min (4–6 h) |
hydroxyzine (Vistaril, Atarax) | 10–100 mg (tablet, capsule, syrup) | 15–30 min (4–6 h) | |
Neuroleptics | chlorpromazine (Thorazine) | 10–50 mg | 30–60 min |
Other | zolpidem tartrate (Ambien) | 5–20 mg | 30 min (4–6 h) |
zaleplon (Sonata) | 10–20 mg | 30 min (4–6 h) |
Melatonin, a hormone produced by the pineal gland during the hours of darkness, plays a major role in the sleep-wake cycle. Although further study is indicated, melatonin may play an important role in the treatment of certain types of chronic sleep disorders.[13,14] It is suggested that melatonin exerts a hypnotic effect through thermoregulatory mechanisms. By lowering the core body temperature, melatonin reduces arousal and increases sleep propensity. Melatonin is likely to be an effective hypnotic agent for sleep disruption associated with elevated temperature due to low circulating melatonin levels. The combined circadian and hypnotic effects of melatonin suggest a synergistic action in the treatment of sleep disorders related to the inappropriate timing of sleep and wakefulness. Adjuvant melatonin may also improve sleep disruption caused by drugs known to alter normal melatonin production (e.g., beta-blockers and benzodiazepines).[13]
Melatonin replacement has been shown to improve sleep in children with endocrine tumors that diminish the natural production of the hormone.[14] This efficacy has not been shown beyond this particular study. Melatonin may affect the way tumor cells respond to chemotherapy and radiation therapy. Some studies in colon cancer and brain cancer suggest the effect of melatonin on chemotherapy and on radiation therapy may be beneficial.[15] Not enough is known, however, to assure patients on these therapies that melatonin treatment for insomnia is safe. The use of melatonin to treat insomnia in cancer patients is under evaluation. Because the effect of melatonin on chemotherapy can vary, it is important for patients being treated with chemotherapy to consult with their health care professionals before using melatonin.
Changes in sleep-wake patterns are among the hallmarks of biologic aging.[16] Evidence suggests that circulating melatonin levels may be significantly lower in physically healthy older people and in insomniacs than in age-matched control subjects. In view of these findings, melatonin replacement therapy may be beneficial in the initiation and maintenance of sleep in elderly patients.[17] Melatonin replacement, however, has not been studied in older people with cancer as a treatment for insomnia.
Special Considerations
The Patient With Pain
Since enhanced pain control improves sleep, appropriate analgesics or nonpharmacologic pain management should be administered before introducing sleep medications. Tricyclic antidepressants can be particularly useful for the treatment of insomnia in patients with neuropathic pain and depression. Patients on high-dose opioids for pain may be at increased risk for the development of delirium and organic mental disorders. Such patients may benefit from the use of low-dose neuroleptics as sleep agents (e.g., haloperidol 0.5–1.0 mg).
The Older Patient
Older patients frequently have insomnia due to age-related changes in sleep. The sleep cycle in this population is characterized by lighter sleep, more frequent awakenings, and less total sleep time. Anxiety, depression, loss of social support, and a diagnosis of cancer are contributory factors in sleep disturbances in older patients.[1]
Sleep problems in older adults are so common that nearly half of all hypnotic prescriptions written are for persons older than 65 years. Although normal aging affects sleep, the clinician should evaluate the many factors that cause insomnia, such as medical illness, psychiatric illness, dementia, alcohol and/or polypharmacy, restless legs syndrome, periodic leg movements, and sleep apnea syndrome. Nonpharmacologic treatment of sleep disorders is the preferred initial management, with the use of medication when indicated and referral to a sleep disorder center when specialized care is necessary.[2]
Providing a regular schedule of meals, discouraging daytime naps, and encouraging physical activity may improve sleep. Hypnotic prescriptions for older patients must be adjusted for variations in metabolism, increased fat stores, and increased sensitivity. Dosages should be reduced by 30% to 50%. Problems associated with drug accumulation (especially flurazepam) must be weighed against the risks of more severe withdrawal or rebound effects associated with short-acting benzodiazepines. An alternate drug for older patients is chloral hydrate.[1]
Somnolence Syndrome in Children
Cranial irradiation and intrathecal methotrexate are used to prevent the development of central nervous system leukemia in children with acute lymphocytic leukemia. Somnolence syndrome (SS) is a complication of cranial irradiation occurring in 30% to 50% of patients who receive more than 18 Gy at daily dose fractions of 1.5 Gy to 2 Gy. The syndrome may appear 4 to 6 weeks posttherapy. SS is characterized by mild drowsiness to moderate lethargy and, occasionally, low-grade fever. The pathophysiology is unknown, but electroencephalogram and cerebral spinal fluid abnormalities are detectable in affected children. Although supportive care measures cannot prevent the occurrence of SS, acknowledgment of the existence of this problem may prevent or minimize anxieties for children and parents when symptoms of SS appear.
Sleep Apnea Following Mandibulectomy
Anterior mandibulectomy can result in the development of sleep apnea. All patients with head and neck tumors who have had extensive anterior oral cavity resection should be evaluated before decannulation of the tracheostomy tube. Subsequent flap and/or reconstruction of the lower jaw seems to prevent the development of sleep apnea. In contrast, facial sling suspension of the lower lip does not prevent the development of sleep apnea.[3] Assessment for symptoms and preparation for the appearance of symptoms in this population provide indications for interventions related to sleep apnea.
Current Clinical Trials
Check NCI's PDQ Cancer Clinical Trials Registry for U.S. supportive and palliative care trials about sleep disorders that are now accepting participants. The list of trials can be further narrowed by location, drug, intervention, and other criteria.
General information about clinical trials is also available from the NCI Web site.
Get More Information From NCI
For more information, U.S. residents may call the National Cancer Institute's (NCI's) Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237) Monday through Friday from 9:00 a.m. to 4:30 p.m. A trained Cancer Information Specialist is available to answer your questions.
The NCI's LiveHelp® online chat service provides Internet users with the ability to chat online with an Information Specialist. The service is available from 9:00 a.m. to 11:00 p.m. Eastern time, Monday through Friday. Information Specialists can help Internet users find information on NCI Web sites and answer questions about cancer.
For more information from the NCI, please write to this address:
NCI Public Inquiries Office |
Suite 3036A |
6116 Executive Boulevard, MSC8322 |
Bethesda, MD 20892-8322 |
The NCI Web site provides online access to information on cancer, clinical trials, and other Web sites and organizations that offer support and resources for cancer patients and their families. For a quick search, use the search box in the upper right corner of each Web page. The results for a wide range of search terms will include a list of "Best Bets," editorially chosen Web pages that are most closely related to the search term entered.
There are also many other places to get materials and information about cancer treatment and services. Hospitals in your area may have information about local and regional agencies that have information on finances, getting to and from treatment, receiving care at home, and dealing with problems related to cancer treatment.
The NCI has booklets and other materials for patients, health professionals, and the public. These publications discuss types of cancer, methods of cancer treatment, coping with cancer, and clinical trials. Some publications provide information on tests for cancer, cancer causes and prevention, cancer statistics, and NCI research activities. NCI materials on these and other topics may be ordered online or printed directly from the NCI Publications Locator. These materials can also be ordered by telephone from the Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237).
Changes to This Summary (01 / 08 / 2010)
The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.
Added ephedra and energy drinks as examples of central nervous system stimulants that can cause insomnia.
Added text on cognitive behavioral therapy as a treatment for insomnia in patients with cancer (cited Savard et al. as reference 6 and Espie et al. as reference 7).
Questions or Comments About This Summary
If you have questions or comments about this summary, please send them to Cancer.gov through the Web site's Contact Form. We can respond only to email messages written in English.
More Information
- PDQ® - NCI's Comprehensive Cancer Database.
Full description of the NCI PDQ database.
- PDQ® Cancer Information Summaries: Adult Treatment
Treatment options for adult cancers. - PDQ® Cancer Information Summaries: Pediatric Treatment
Treatment options for childhood cancers. - PDQ® Cancer Information Summaries: Supportive and Palliative Care
Side effects of cancer treatment, management of cancer-related complications and pain, and psychosocial concerns. - PDQ® Cancer Information Summaries: Screening/Detection (Testing for Cancer)
Tests or procedures that detect specific types of cancer. - PDQ® Cancer Information Summaries: Prevention
Risk factors and methods to increase chances of preventing specific types of cancer. - PDQ® Cancer Information Summaries: Genetics
Genetics of specific cancers and inherited cancer syndromes, and ethical, legal, and social concerns. - PDQ® Cancer Information Summaries: Complementary and Alternative Medicine
Information about complementary and alternative forms of treatment for patients with cancer.
This information is intended mainly for use by doctors and other health care professionals. If you have questions about this topic, you can ask your doctor, or call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237).
Date Last Modified: 2010-01-08


text: The mission to stay indifferent after staring at how pal is having fun with busty friend of his girlfriend is impossible! And you will realize that I am absolutely right and telling the truth about it after checking up what this pal is doing with the busty hottie that never misses a chance of having sex with men of her girlfriends. This time is not the exception and she tries hard penis in her snatch.


text:
Go Play City Sports-96427015895
Item#: GAME-WII MAJ 01589 | Model#: 96427015895- List Price:
- $29.99
- Instant Savings:
- - $2.31 (8%)
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- Shipping:
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Product Details
Video Game Edition: Go Play City Sports
Go Play City Sports recreates the experience of playing sports in the city as a kid. Become the neighborhood's top athlete by competing in six classic games and rule the courts made of manhole covers, fire hydrants and parked cars. This collection of classic street games provides a fun, casual sports experience for the whole family. Features See who is the king of the block in 6 classic street-based games: Stickball, Kickball, Rooftop Hockey, Handball, Jump Rope & Shootout Soccer! Diverse natural and intuitive motions using your Wii Remote Multiplayer supports for up to 4 players (both team-based and head-to-head) Fully explorable single player environment Fully customizable characters Earn trophies and unlock new items including courts and equipment Wii Balance Board support
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text:
- Cafe Hayek - http://cafehayek.com -
Quotation of the Day…
Posted By Don Boudreaux On November 6, 2011 @ 7:26 am In Creative destruction,Curious Task,Hubris and humility | Comments Disabled
… is from page 134 of Deirdre McCloskey's 1990 book, If You're So Smart: The Narrative of Economic Expertise [1]:
The expert as expert, a bookish sort consulting what is already known, cannot by his nature learn anything new, because then he wouldn't be an expert. He would be an entrepreneur, a statesman, or an Artist with a capital A. The expert critic can make these non-expert entrepreneurs more wise, perhaps, by telling them about the past. But he must settle for low wages. Smartness of the expert's sort cannot proceed to riches.
Economics teaches this. What it teaches is the limit on social engineering. It teaches that we can be wise and good but not foresighted in detail. Economics has something to teach the humanities, if they happen to think they know the future of art. It has a lot to teach experts, if they believe in magic.
Article printed from Cafe Hayek: http://cafehayek.com
URL to article: http://cafehayek.com/2011/11/quotation-of-the-day-113.html
URLs in this post:
[1] If You're So Smart: The Narrative of Economic Expertise: http://www.amazon.com/If-Youre-Smart-Narrative-Expertise/dp/0226556719/ref=sr_1_1?ie=UTF8&qid=1320582336&sr=8-1
[6] Image: http://www.blinklist.com/index.php?Action=Blink/addblink.php&Url=http%3A%2F%2Fcafehayek.com%2F2011%2F11%2Fquotation-of-the-day-113.html&Title=Quotation%20of%20the%20Day...
[11] Tweet: https://twitter.com/share
Click here to print.
Copyright © 2011 CafeHayek.com. All rights reserved.


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Re: Multi-GroupBy-Insert optimization
On 6/4/12, shan s <[EMAIL PROTECTED]> wrote:
> Thanks for the explanation Jan. > If I understand correctly, the input will be read one single time and will > be preprocessed in some form, and this intermediate data is used for > subsequent group-by.. > Not sure if my scenario will help this single step, since group-by varies > across vast entities. Yes, that is that is correct. The very simplest use case is when you only scan a part of table. But if you are interested in all the data, it is not going to help you much. > If I were to implement group-by,manually, generally we could club them > together in single program. Can I do better with hive, with some > hints/optimizations? > Or is there a possibility that Pig might perform better in this case.( > Assuming Pig would probably handle this in a single job?) In some cases it might be able to outsmart the hive optimizer and write the mapreduce job directly in java in such way that it might perform better. In most cases though, it is probably not worth the trouble. You might easily end up in situation where buying more machines is cheaper than developing the low level solutions that might or might not be slightly faster... I'm not familiar with Pig or any other tools that might be of use in your situation. Jan |


text:
What Are the Benefits of a Buckwheat Pillow?
October 1, 2012 • By
Until recently I didn't realize just how important a pillow can be to a good night's sleep. I, like most people, assumed that a pillow is just a pillow. Get a soft one and you're good to go! How wrong I was…
A friend introduced me to the idea of a buckwheat pillow, informing me that it was "the best pillow ever." Skeptical, I ordered a small one and waited for it to arrive. When it did, I was surprised. I did not expect it to be so bulky–I also did not expect it to be so incredibly comfortable. I unzipped the pillowcase and found it full of thousands of buckwheat hulls, which are the by-product of milling the buckwheat plant.
There Are Several Benefits of a Buckwheat Pillow.
1. Superior Support
For a side-sleeper like myself, it's very important to get adequate support to maintain a neutral sleeping position in my neck and head. The pillow fill perfectly conforms to the shape of my body, which makes a good night's sleep much easier. The hulls naturally cling to each other, which helps the pillow hold its shape-imagine a bean bag that doesn't collapse on itself.
2. Promotes Air Flow
Buckwheat hulls allow for air to flow more freely through the pillow than down, foam or other pillow fills. Everyone knows how a traditional pillow can become hot and be uncomfortable on a summer day. You can flip it all night long, but it will continue to retain heat. A buckwheat pillow does not retain this heat; the hulls allow air to circulate, keeping you cool all night long.
3. Constructed of All-natural Materials
As I've gotten older and had children, making responsible purchases for my family has become very important to me. Thankfully, the comfort of buckwheat hull pillows comes with no strings attached. Buckwheat crops benefit little from chemical fertilizers, thus it is free of many of the contaminants that are present in other crop types. It's a great all-natural alternative to potentially toxic materials used in other pillow types.
4. Simple Economics
Most advice online will recommend you replace a traditional pillow once every 2-3 years. A well-made buckwheat pillow will last up to 15. Even a low-end traditional pillow will cost you in excess of 100 dollars over the same time period.
You've probably heard it said that "you spend one third of your life asleep." Think about that when your pillows are up for renewal and consider a buckwheat pillow. I'd like to recommend Hullo. You won't regret it.


text:
Contact Sports Desk: Call: 603-516-2949 / E-mail: firstname.lastname@example.com Guertin eliminates Oyster River girls hockey
Saturday, March 8, 2014
DURHAM — As Bishop Guertin goalie Mia Vecchione covered up the puck, Oyster River High School's Sandra Strogen lay prone on the ice just outside the crease, a picture of frustration.
"We just couldn't find the back of the net," Long added. The No. 5 Cardinals found it once, scoring on their first shot 1:39 into the game. They made it stand up to deny the Bobcats another trip to the final four. "It's definitely disappointing," Strogen said. "It's bittersweet. We put everything we had out there. I could not ask anything more from these girls. It just didn't fall our way." Guertin (12-7) will meet top seed and four-time defending champion Hanover in a semifinal game Tuesday night at Concord's Everett Arena. Oyster River outshot the Cardinals, 23-20, but couldn't get anything past Vecchione. "It was definitely frustrating," Strogen said. "We tried doing the best that we could, but we just couldn't finish. It was hard, but it happens." Trailing 1-0 on a goal by BG's Victoria Shaw, the Bobcats had three consecutive power plays in the first period, including one that spilled over into the second, but failed to capitalize.
"That kills you," Long said.
The teams split during the regular season, but BG won the last two meetings at the Whitt, including a 2-1 decision on Feb. 22. |


text:
Chocolate Cake with Chocolate-Orange Sauce
From Country Living
This recipe has been tested by Country Living
Have your cake and eat it, too: Swapping in applesauce for butter and using nonfat cream cheese saves you 215 calories and 19 grams of fat per slice of this rich-tasting chocolate cake.
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Nutritional Information
(per serving)
Calories | 295 |
Total Fat | 4g |
Saturated Fat | -- |
Cholesterol | 2mg |
Sodium | 464mg |
Total Carbohydrate | 63g |
Dietary Fiber | 3g |
Sugars | -- |
Protein | 7g |
Calcium | -- |
Aimee Herring
Serves: 12
Total Time: 1 hr 20 min
Prep Time: 20 min
Oven Temp: 350
U.S. | Metric | Conversion chart |
- Butter, for greasing pan and parchment
- 1.75 cup(s) all-purpose flour
- 1.667 cup(s) granulated sugar
- 1 cup(s) unsweetened cocoa
- 2 teaspoon(s) unsweetened cocoa
- 2.5 teaspoon(s) baking soda
- 1/2 teaspoon(s) salt
- 3 large egg whites
- 1 cup(s) low-fat buttermilk
- 2/3 cup(s) applesauce
- 2 tablespoon(s) canola oil
- 4 ounce(s) nonfat cream cheese, softened
- 1.25 cup(s) confectioners' sugar
- 1/2 cup(s) orange juice
- 2 tablespoon(s) orange juice
- 2 teaspoon(s) orange liqueur (optional)
- Preheat oven to 350 degrees F. Butter a nonstick 9-inch cake pan. Cut and butter a circle of parchment to fit into bottom of pan. Set pan aside.
- In a large bowl, sift flour, sugar, 1/2 cup cocoa, baking soda, and salt; set aside. In a medium bowl, beat egg whites until glossy and soft peaks form. Using a rubber spatula, stir buttermilk, applesauce, and oil into flour mixture until combined and batter is smooth. Fold egg whites into batter and transfer to prepared pan.
- Bake cake, with rack set in the middle, until a toothpick inserted into center tests clean, 40 to 45 minutes. Transfer pan to a wire rack and let cool for 20 minutes. Invert cake and let cool completely.
- Meanwhile, in a medium bowl, beat together cream cheese, confectioners' sugar, and 1/2 cup cocoa. In a medium pot over medium-high heat, bring juice to a boil and cook until reduced by half, 2 to 3 minutes. Add juice to cocoa mixture and stir until combined and the consistency of molasses. Pass sauce through a fine strainer for a smooth and silky consistency. Stir in orange liqueur, if desired. Sift remaining 2 teaspoons cocoa over cake. Slice cake, spoon sauce over each slice, and serve.
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text:
It happened a few days before he left.
anyway i'd like to know what game i'm playing?
Dark, I know about anxiety, it is a hell of a thing to live with, I know.
I really wish you the best of luck in coping with it, I know it's MUCH easier said then done, when your mind makes up artificial feelings. (Such as hearing someone who isn't there) if you've got it bad.
I have a friend who has to deal with hardcore anxiety, and it sucks.
Dark-Samus wrote:Stupid parenting is when you don´t know what you are doing as a parent, it doesn´t matter if the outcome is good or bad.
Bad parenting is when you know you are hurting your kids and the people around you.
And I`m sure they know everything.
BS, back so soon?Whether or not it's been crammed down my throat, the death or abduction of a 3 year old is not a light subject. It bothers me. I have 3 younger siblings, and you cannot imagine the fury that would follow if one of them was killed or abducted.
I know what you mean, I constantly am worried about both my younger siblings and my parents when they go out.
Specially at nights.
What´s worse is that I had and still have problems with high levels of anxiety in my life...
Although according to my mom...it has been like that almost all my life...
'Very ugly' new Madeleine suspect
Lashmar wrote:'Very ugly' new Madeleine suspect
Why has it taken this long?


text:
The Worst CEO Screw-ups of 2013 - December 18, 2013
Daniel Diermeier adds his perspective to this list of missteps duirng 2013.
The Top 10 Reputation Crises of 2013 - November 15, 2013
Suzanne Woolley collaborates with Daniel Diermeier analyzing the countdown of major crisis situations during 2013. The list reveals that all sorts of organizations are susceptible to the pitfalls of mismanaging a crisis. The countdown reviews each case and offers commentary on the handling of the situation.
Market Watch Radio
Applying game theory to the budget battle - November 11, 2013
In this radio interview with Jim Asendio, Daniel Diermeier continues his analysis of the US Government budget issues and negotiations within the context of Game Theory concepts.
BBC Radio
Interview about US Government shutdown within the framework of Game Theory - Ocbtober 24, 2013
Bloomberg Businessweek
Barlla in Hot Water Offers a Lesson in Reputation Management - October 7, 2013
During a recent radio interview, Barilla's CEO made statements which have engendered responses from around the world. Daniel Diermeier reviews the comments, reactions, comparative situations, and lessons to be learned.
Washington Post
How a game theorist would solve the shutdown showdown - October 4, 2013
Daniel Diermeier employs Game Theory to analyze the debt negotiation crisis and US Government shutdown. He compares the US system of government to other systems, like that of the UK. He examines each system's process to show how the US could get to such a dysfunctional situation.
The Phnom Penh Post
For boycott, time is needed - September 30, 2013
In the wake of controversial elections in Cambodia, Daniel Diermeier comments on how boycotts might factor among the measures of protest considered in response to these events.
The Conference Board - Director Notes
Driving Real Value with CSR - September, 2013
CSR is becoming a much more nuanced area for creating value to a corporation. How and when to incorporate such activities in a company's overall operations can make a big difference to the value created.
Chicago Tribune
Outside Opinion: Private regulation on the rise - August 18, 2013
Daniel Diermeier's Opinion Editorial discusses the evolving approaches to effecting change in overseas operations. In the wake of the Bangladesh factory tragedy, companies are imposing new standards of operations. Public opinion and activism are creating the pressures for change, not government influence or regulation.
'Boycott Florida' not so simple, experts say - July 28, 2013
Daniel Diermeier comments on the feasibility of a boycott truly affecting Florida in the wake of the not guilty verdict in the George Zimmerman trial. While boycotts can make a difference to companies or smaller organizations, states are so complex that the outcome of a boycott is unclear.
Kellogg School of Management - News & Events
Daniel Diermeier discusses the risks associated with dismissing a celebrity spokesperson. He specifically refers to the recent cases concerning George Zimmer (founder of Men's Warehouse) and Paula Deen, among others.
Lafley At P&G, Ullman At Penney: When Does It Make Sense To Rehire The CEO? - May 24, 2013
Daniel Diermeier comments on the challenges of reinstating former CEO's, like in the case of J.C.Penney.
Bloomberg Business Week
Apple Tax Grilling Becomes Cook's Latest Testing Crisis - May 23, 2013
This article reviews the recent scrutiny Apple has endured over the management of its finances - particularly when it comes to repatriating profits. Daniel Diermeier comments on the reputational implications of this crisis.
Huffington Post
Reputational Risk Management - It's time to build trust and resilience at the top - May 10, 2013
Daniel Diermeier co-authors this opinion piece with Harlan Loeb (Edelman and Northwestern Law).
Unlikely heroes: How BP and Walmart truly did well by doing good - April 11, 2013
Managing corporate social responsibility (CSR) efforts carefully has become increasingly important for multinationals like Walmart and BP.
Kellogg Insight
When and How to Drive Real Value with CSR - March 4, 2013
Daniel Diermeier's article reviews strategies relating to corporate social responsibility.
J.C. Penney's Ronald Johnson, Nancy Brinker of Susan K. Komen for the Cure Among Forbes' Worst CEO Screw-ups of 2012 - January 1, 2013
Daniel Diermeier's insights on the worst CEO mistakes of 2012 from Forbes spread to CityBizList.com.
The Worst CEO Screw-ups Of 2012 - December 29, 2012
Daniel Diermeier's recent blog post was mentioned in this list of the worst CEO mistakes of 2012.
First Business News
Reputation Rules - December 26, 2012
Daniel spoke to First Business Network on the the year's top corporate screwups.
The Daily Beast
Banks, NFL, Walmart Lead List of 2012 Worst Reputational Crises - December 26, 2012
The Daily Beast featured Daniel Diermeier's 2012 list of top ten reputational crises.
Capital Perspectives (Newsletter for GE Capital)
Most Overlooked Business Risks - December, 2012
Daniel Diermeier discusses a proactive approach to managing Reputational Risks.
Trust Across America
Top 100 Thought Leaders in Trustworthy Business Behavior 2012 - December 2012
Daniel Diermeier was listed as a top expert on trustworthy business practices.
Financial Times
Something for the weekend - November 9, 2012
In examining why prime ministers enjoy more effectiveness than U.S. presidents, this article cites research by Daniel Diermeier and co-author Razvan Vlaicu.
The New York Times
Komen Foundation Struggles to Regain Wide Support - November 8, 2012
Daniel Diermeier weighs in on the Susan G. Komen For the Cure's fight to win back support.
CIFAR Exchange
Novel HIV test provides quick diagnosis for babies in Africa - November 2012
News of the rapid HIV test created by Northwestern's Global Health Foundation (which was co-founded by CIFAR fellow Daniel Diermeier) continues to spread.
Coach for Positive Action
Good Business in Bad Times - November 2012
Daniel Diermeier's interview, featured in this e-book, explains what business leaders can do in a crisis to ensure a positive reputational opportunity, not a misstep.
Kellogg Insight
Why are Presidents Less Effective than Prime Ministers? - November 2012
This article draws on game theory to propose a more effective political system.
CNN Money
Meet the world's best B-school professors - October 30, 2012
Poets & Quants names Daniel Diermeier as one of the top 50 B-school professors in the world. The Kellogg School of Management also features news of the award on its homepage.
Kellogg School of Management
Faster, cleaner, safer, healthier - October 26, 2012
Kellogg spreads the word about the Northwestern Global Health Foundation's Up-and-Comer Award, given by the Chicago Innovation Awards.
Chicago Tribune
Northwestern team develops fast HIV test for infants in Africa - October 26, 2012
The Northwestern Global Health Foundation develops a rapid new HIV test, a key step for the treatment of the disease in sub-Saharan Africa.
Northwestern News
Evaluation of New HIV Test for Babies in Africa - October 25, 2012
Research from the Northwestern Global Health Foundation has resulted in a quick new HIV test that gives results within 30 minutes and a 95 percent accuracy rate, a key development for babies in sub-Saharan Africa.
Northwestern News
HIV Test, Clean Energy and Surgical Safety Tool Recognized - October 25, 2012
The Northwestern Global Health Foundation wins an Up-and-Comer award from the Chicago Innovation Awards.
The Guardian
Unlike a Starbucks latte, tax avoidance campaigns don't offer an instant hit - October 25, 2012
Daniel Diermeier's article in the Harvard Business Review is cited in this op-ed on boycotts.
Crain's Chicago Business
Polarization is bad for business - October 22, 2012
Should employers talk to employees about whom to vote for, as Mitt Romney asks? Daniel Diermeier addresses the issue in this op-ed.
Minnesota Public Radio
National union boycott against Crystal Sugar - October 12, 2012
Daniel Diermeier weighed in on the national boycott of American Crystal Sugar.
The Economic Times
Companies harm their brand with 'no comment policy': Report - September 21, 2012
Lead by professors Adam Galinsky and Daniel Diermeier, this study shows that corporate 'no comment' responses to crises might do more harm than good.
Harvard Business Review
When Do Company Boycotts Work? - August 6, 2012
Written by Daniel Diermeier, this article examines the effectiveness of company boycotts in response to the Chick-fil-A controversy over the CEO's remarks about same-sex marriage.
Associated Press
Business schools offering PR tips to future CEOs - July 15, 2012
The AP reports on the new pilot reputation management focused project.
Online MBA
The 50 Best Blogs by Business Professors - June 20, 2012
Reputation Rules made this list of best blogs written by business professors.
Four Additional Business Schools Join PRSA MBA Program - June 11, 2012
The Public Relations Society of America (PRSA) announces Kellogg as one of five MBA programs picked for a new pilot reputation management program.
MBA Public Relations Courses Set to Begin - June 11, 2012
Kellogg is one of five schools chosen for a groundbreaking reputation management focused MBA program.
PR Week
PRSA teams with business schools for MBA initiative - June 8, 2012
The Public Relations Sociey of America (PRSA) incorporates public relations education into five MBA programs.
U.S. News University Directory
5 Schools Start New MBA Course to Enhance Public Relations - June 7, 2012
The Public Relations Sociey of America (PRSA) joins with five MBA programs to improve the communication skills of their students.
Summer Reading List: The B-School Edition - May 22, 2012
Reputation Rules makes this exclusive list of summer reads, recommended by business school professors.
Fox News
Again? Wal-Mart's rep takes another beating - May 11, 2012
Daniel Diermeier spoke to the AP about Wal-Mart's new reputation problem.
Allegations could put Wal-Mart's reputation back on the line - April 25, 2012
Daniel Diermeier explains the return of controversy surrounding Wal-Mart after new allegations surface against the embattled retailer.
Kellogg Risk Summit - May 17, 2012
Daniel Diermeier will speak at Kellogg's May 17 summit on anticipating and managing reputational risks.
The Japanese edition of Reputation Rules is now available for purchase online.
Is Apple's Move to Monitor Factories Enough? - February 14, 2012
Daniel Diermeier evaluates how an outside investigation by a fair labor organization could impact Apple's reputation.
After Changing Course on Planned Parenthood, What Susan G. Komen Should Do Now - February 3, 2012
Daniel Diermeier provides insight into how the Susan G. Komen for the Cure Foundation can resurrect its reputation after its controversial decision to stop funding Planned Parenthood.
The Holmes Report
The Top 10 Crises of 2011 - January 25, 2012
The Holmes Report taps into the expertise of Daniel Diermeier to compile its list of the worst crises of 2011, with breakdowns of what went wrong and advised next steps for the troubled corporations.
Choice: Current Reviews for Academic Libraries
Editors' Picks - January 2012
Choice "highly recommended" Reputation Rules. "Diermeier (Kellogg School of Management, Northwestern Univ.) counters that every reputational crisis involves a core business issue."
The Biggest CEO Screwups of 2011 - December 22, 2011
Forbes taps into the expertise of Daniel Diermeier to compile its list of the worst CEO decisions of 2011, all related to their handling of major reputational crises or risks.
Trust Across America
Jim Kouzes on Leadership Credibility and Daniel Diermeier on Corporate Reputation - November 30, 2011
In this radio broadcast, Daniel Diermeier discusses rebuilding trust and credibility in America businesses. Jump ahead to the 30-minute mark to hear Daniel speak with host Jordan Kimmel.
The Huffington Post
Perry, Cain, manage crises with humor, defiance - November 11, 2011
Republican Presidential candidates Rick Perry and Herman Cain have each managed their own campaign crises: one chose to use humor; the other, defiance. Daniel Diermeier addresses the effectiveness of each tactic.
The European Business Review
The Need for Reputation Management Capabilities - November/December 2011
Daniel Diermeier provides an in-depth, research-based analysis on the misalignment between the increase in reputational risks and its management.
Chicago Tribune
Dissecting CEOs' Decisions - October 16, 2011
How do response time, customer loyalty, and prediction play into a CEO's decision-making process? Daniel Diermeier weighs in.
Success Magazine
Business With Heart - October 2011
More businesses are looking beyond the bottom line. What's more important than P&L?
Chicago Tribune
Netflix Walks Fine Line with Apology - September 20, 2011
Daniel Diermeier addresses the impact Netflix's apology will have on customers.
Blogging About Business
Daniel Diermeier: An Interview by Bob Morris - September 16, 2011
An extensive interview with Daniel on writing Reputation Rules, his influences, and what business leaders should be concerned about in five years.
33 Voices
Interview with Daniel Diermeier - September 13, 2011
Daniel Diermeier provides 11 maxims for reputation management, plus an interview with editor Moe Abdou. [supplemental audio interview requires login]
E&T: Engineering and Technology Magazine
Book Interview - Daniel Diermeier - September 12, 2011
Research shows that corporate reputation has never been more important as a "health indicator" for your organization. Daniel Diermeier explains why in this magazine story.
Business Insider
10 Must-Read Public Relations and Marketing Books - September 12, 2011
Reputation Rules made the list of expert reads compiled by Ronn Torossian, CEO of 5W Public Relations.
Toronto Star
Taking a Lesson from the Sub-Prime Medicis - September 8, 2011
Daniel Diermeier talks with the Toronto Star about how the failure to respond correctly to a crisis can be just as big an issue as the crisis itself, with references to such public figures as Bernie Madoff, Tony Hayward and Conrad Black. [PDF in new window]
The Engaging Brand
Show 348: Reputation Rules - August 29, 2011
In this free podcast, Daniel Diermeier shares his insights on how reputation management is underutilized in the business world and how to build trust through a crisis.
Crisis Management Essentials - August 16, 2011
Daniel Diermeier shares his insights on crisis management and its impact on an organization's reputation with the popular business blog.
NRC Handelsblad (Netherlands)
How Political Leaders Should Respond to Fiscal Crises Pt. 1 and Pt. 2- August 10, 2011
A story about politicians returning from vacation in crisis situations, with regards to the present economic turmoil. [Text is a PDF and in Dutch]
Channel News Asia
Phone Hacking Crisis Hangs Over News Corp Board - August 9, 2011
Daniel Diermeier comments on the first meeting of News Corp board members since the phone hacking crisis.
Philippine Daily Inquirer
CEOs: Don't Abdicate Brand Risk Handling to Lawyers - August 6, 2011
Dante M. Velasco ties Daniel Diermeier's Reputation Rules to the reasoning behind why legal counsel should have limited authority over company crises.
McGraw-Hill's Learn More
Checks, Balances and the Debt Ceiling Crisis - July 29, 2011
Based off his namesake blog post, McGraw-Hill shares Daniel Diermeier's insights on the debt ceiling crisis and state of negotiations.
Budapest Business Journal
A PR Catastrophe: FT Investigates German Insurer's Outrageous Gellért Bath Party - July 28, 2011
International outlet Budapest Business Journal picks up Daniel Diermeier's case study on the Ergo/Hamburg-Mannheimer scandal, involving an odd "incentive trip" for well-performing employees in 2007.
Financial Times
Case Study: Ergo - July 28, 2011
Daniel Diermeier's case study on the Ergo/Hamburg-Mannheimer International insurance crisis, where employees were caught over-charging customers, partying at a Budapest bath house, and decuting the "incentive" trip as a business expense.
MSL Group
The British Watergate - July 27, 2011
Based off Daniel Diermeier's original blog post, MSL breaks down the News Corp. scandel, siting the corporation's lacking governance and other pitfalls.
Blogging About Business (BobMorris.Biz)
Reputation Rules: A Book Review - July 26, 2011
Independent management consultant Bob Morris reviews Reputation Rules.
The Commercial Appeal (Memphis, Tennessee)
Default Caucus' game of chicken - July 23, 2011
Daniel Diermeier provides expertise on the debt ceiling fight in Congress.
Murdoch's 'Foggy' Performance May Have Served Him Well - July 19, 2011
Daniel Diermeier weighs in on the first day of Rupert Murdoch's testimony concerning the News Corp. hacking scandal.
The News Tribune
What Corporate America Is Reading - July 14, 2011
Reputation Rules ranks in 800-CEO-READ's Top 20 business book for the month of June.
Business Insider
Public Relations Books...And Other Goodies - July 10, 2011
Ronn Torossian, founder and CEO of 5W Public Relations, reviews Reputation Rules.
Lakestar Media
Twitter Security Shortcomings Exposed - July 8, 2011
Daniel Diermeier explains how Twitter can up their security measures and prevent future hackings.
Business Spectator
Twitter Could Face Further Attacks - July 8, 2011
Daniel Diermeier explains how Twitter can up their security measures and prevent future hackings.
Twitter Security Lags Some Other Sites - July 7, 2011
Daniel Diermeier explains how Twitter can up their security measures and prevent future hackings.
Continuity Insurance & Risk magazine
Reputation Rules Book Review - July 2011
Deborah Ritchie reviews Reputation Rules. (PDF)
Financial Times
Villainy is the Fate of Most Big Companies - July 6, 2011
Daniel Diermeier explains why business are, more often than not, thought of as "villains" by the public. [gated access; may require login]
The Street
Saving Goldman, BP's Reputations - June 30, 2011
In this three-minute video, Daniel Diermeier explains how companies like Goldman Sachs and BP can improve their public faces.
Malcomson On the Issues
Strategies for Fixing Big Problems - June 20, 2011
Ian Malcomson reviews Reputation Rules.
Building a Reputation Risk Management Capability - June 2011
In this paper written for the global PR firm Edelman, Daniel Diermeier explores whether corporate risk management capabilities have kept pace with the rise of expectations--and thus, the overall increase in reputational risks. (.pdf)
Industry Week
Three Tips to Protect Your Company's Reputation – June 17, 2011
In response to the BP, Toyota, and Deepwater Horizon crises, Daniel Diermeier provides three tips to help manufacturing leaders protect their companies' reputations.
The CEO Refresher
The CEO Must Be the Chief Reputation Officer – June 15, 2011
CEOs and board members routinely list reputation as one the company's most valuable assets. Yet, every month a new reputational disaster makes the headlines destroying shareholder value and trust with customers and other stakeholders.
Cision Blog
Conversation on PR's Role in Reputation Management – June 15, 2011
Daniel Diermeier discusses the important partnership between PR professionals and the C-suite with K.C. Brown, general manager of Cision Global Analysts.
ChangeThis (Powered by 800-CEO-READ)
Reputation Rules: Don't Neglect Your Company's Most Precious Asset – June 8, 2011
ChangeThis, a community media site aimed supporting and spreading great ideas, provides a 17-page "manifesto" of Reputation Rules. (.PDF)
Risk and Insurance Management Society (RIMS)
Book Review: Reputation Rules – June 3, 2011
Morgan O'Rourke, editor in chief of Risk Management, reviews Daniel Diermeier's new book.
Top Advisor to Start New Webinar Series – May 2011
AMEC's Peter Granat announces Daniel Diermeier as the first speak in a new webinar series, AMEC Thought Leadership.
BNET (The CBS Interactive Business Network)
The Wrong Way to Handle Customers Who Badmouth You – 4/15/11
Columnist Christopher Elliot uses insights from Reputation Rules to explain why limiting online consumer reviews is ill-advised.
Every Disaster Is An Opportunity You Must Seize – 4/12/11
Ford Center Director Daniel Diermeier suggests general principles about how to turn major catastrophes into a business opportunity.
Financial Times
Case Study: Walmart – 3/23/11
Daniel Diermeier provides a synopsis of a key case featured in his upcoming book, Reputation Rules.
Kellogg News
Japan in crisis– 3/18/11
Professor Daniel Diermeier weighs in on the corporate and governmental response to the earthquake in Japan.
The Boston Globe
Elections: Now Computer Modeled! – 3/10/11
Book co-authored by Daniel Diermeier illustrates how computer programs can be used to model elections, parties, and voter turnout.
Book Release
A Behavioral Theory of Elections – January 2011
Jonathan Bendor, Daniel Diermeier, David A. Siegel, Michael M. Ting (Princeton University Press 2011)
CEOs must lead the way in reputation management – January 2011
Professor Diermeier offers a preview of concepts that will be covered in
his upcoming book, Reputation Rules: Strategies for Building Your Company's Most Valuable Asset (McGraw-Hill, April 2011)
Calgary Herald
Lobbyists building 'dirty oil' brand – 12/10/10
Daniel Diermeier provides insights as to why the energy sector hasn't effectively controlled the brand reputation of the oil it produces and recommendations regarding reputation management going forward
The Hennick Centre for Business and Law
Spills, Recalls, Collapses and Recoveries: Institutional Resilience in an Age of Crisis – 11/23/10
Daniel Diermeier, Ford Center Director, one of three leading thinkers presenting at this forum about risk management in an age of crisis.
Kellogg Insight
All Politics is Cultural: Cultural not economic vocabularies separate liberals and conservatives – 11/1/10
Based on the research of Daniel Diermeier and former Ford Center research fellows.
Johnson & Johnson CEO Bill Weldon's painful year – 9/7/10
Professor Diermeier offers expertise around corporate image and brand development.
First Business
BP in the Classroom – 8/9/10
Daniel Diermeier discusses the use of the BP crisis as a case for classroom application.
Chicago Tribune
Consumers pushed to alternative brands in light of Tylenol recalls – 8/9/10
Daniel Diermeier comments on Tylenol's recent wave of recalls.
Crisis management 101: What can BP CEO Hayward's mistakes teach us? – 7/27/10
Daniel Diermeier provides management expertise in this reflection on lessons learned from the BP crisis.
First Business Morning News
Evaluating BP – 6/10/10
Daniel Diermeier provides perspective on the way BP is handling the oil spill crisis.
The Economist
Topping up the trust fund; What, if anything, can big banks do to restore their reputations? – 3/15/10
Daniel Diermeier provides insights on consumer trust.
First Business Morning News
Rash of Recalls – 3/10/10
Daniel Diermeier discusses whether or not quality has taken a back seat to profits in the auto industry.
CEO's Say Sorry and Thanks for All the Dough – 3/9/10
Daniel Diermeier comments.
Kellogg INSIGHT
The Sounds of Silence – March 2010
Read what the latest research indicates about the consequences of corporate crisis communications by our professors Adam D. Galinsky and Daniel Diermeier.
Chicago Public Radio: Eight Forty-Eight
How Companies Like Toyota Perform Damage Control – 3/11/10
Daniel Diermeier comments
How should Toyota restore public trust? – 2/9/10
Read Professor Diermeier's perspective
Professor Daniel Diermeier discusses the impact of the Toyota recall. To view, forward to 6:05.
The Wall Street Journal
Networking for Social Responsibility – 11/23/09
Companies increasingly turn to business schools to find ways to build good practices.
Kellogg INSIGHT in Person
When firms become the target of activists – 10/5/09
Professor Daniel Diermeier is featured.
Security Magazine
Successful Organizational Leadership Expert Advice from the Security Executive Council – 7/1/09
The International Security Management Association (ISMA) partners with the Kellogg School of Management to create the ISMA Senior Executive Leadership Program.
Kellogg News
Thriving in a world of risk and change – 2/13/09
Ford Center Director, Daniel Diermeier, was among the faculty headliners at the Kellogg Centennial conference in Zurich.


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Dental disease in pet dogs and cats is one of the most common problems seen in Veterinary practice. When tartar and periodontal disease are already present then ultrasonic dental de-scaling and polishing are the only way to bring teeth back to optimal health. Slow speed, thorough polishing is crucial (not just manual tooth brushing) to provide an ultra-smooth surface and reduce the on-going attachment of plaque and tartar. (Tartar is a mineralised hard build-up that can only be removed with de-scaling)
Dental procedures at Pride Veterinary Centre can only be carried out safely under general anaesthetic. A short, closely monitored anaesthetic makes the procedure quick and pain-free. Your pets' general anaesthetic will be monitored by one professional whilst the dental procedure is carried out by another. A dental examination may sometimes reveal damaged gums and periodontal disease which mean teeth have to be extracted. Both dogs and cats manage perfectly well to eat both wet and dry food when teeth are missing. Once your pets teeth are back to clean condition, we would recommend tooth brushing and dental diets to maintain dental health.
The ideal way to look after your pet's teeth is to brush them with a soft pet toothbrush and animal toothpaste at least 1-2 times a week (more frequently if possible). In the absence of tooth-brushing there are several things you can do to maintain your pet's dental health. Feeding complete dental diets on a daily basis to form at least 30% of their food intake will help to reduce plaque and tartar build up and reduce the need for dental scale and polish procedures.
We have regular nurse clinics where you can see a Veterinary Nurse for dental advice.
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Financier pleads guilty to $13M Facebook IPO stock scam
A former Oregon gubernatorial candidate has pleaded guilty in a $13 million securities scam to sell pre-IPO shares of Facebook before the social network went public.
Craig Berkman, a Florida financier who ran for governor in 1994, pleaded guilty Tuesday in U.S. District Court in Manhattan to one count each of securities fraud and wire fraud, each of which carries a maximum sentence of 20 years in prison.
Prosecutors said Berkman, 71, bilked more than 120 investors out of $13.2 million with promises of an early shot at the highly coveted shares. He also admitted falsely telling investors … Read more


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Senate Democrats said they plan to unveil legislation in the coming weeks in response to the Supreme Court's controversial ruling in the Hobby Lobby contraception case.
"This Hobby Lobby decision is outrageous, and we're going to do something about it," Senate Majority Leader Harry Reid told reporters on Capitol Hill today. "People are going to have to walk down here and vote, and if they vote with the five men on the Supreme Court, I think it's — they're going to have — be treated unfavorably come November with the elections."
READ: Hobby Lobby Wins Contraceptive Ruling in Supreme Court
Reid said the Senate needed to do something to "ensure that women's lives are not determined by virtue of five white men."
In a 5-4 decision last week, the Supreme Court ruled that for-profit companies with religious objections did not need to pay for contraception for their employees.
But Reid's reference to "five white men" is actually incorrect, as it was four white men — Chief Justice John Roberts, Justice Samuel Alito, Justice Antonin Scalia, and Justice Anthony Kennedy — and one African American, Justice Clarence Thomas, who sided with Hobby Lobby in the case.
READ: Federal Judge Tells Supreme Court To 'STFU'
READ: Why Supreme Court Ruling Sends Abortion Rights Groups Back to the Drawing Board
Sen. Patty Murray, D-Wash., will spearhead the effort to craft new legislation to address the contraception ruling, Senate Democratic aides said.
While Senate Democrats plan on making this initiative a major priority in the weeks before the month-long August recess, Senate Minority Leader Mitch McConnell accused them of only being interested in holding "show votes" ahead of the November elections.
"We'd have a better chance of working our way through the bills that we need to pass if we cut out the show votes and didn't eat up time trying to score points for the fall election," McConnell said.


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So far we have covered the good and the sticky, now we move on to the bad. Specifically, the "Overturning Pokémon", Malamar. This is one scary creature, in more ways than one, and here's why.
Inkay was a Pokémon leaked long before Pokémon X and Y came out but, funnily enough, nobody believed it was real because of the bizarre way it evolved; you would have to hold your 3DS console upside down after a specific level. Naturally, this was thrown out as a viable Pokémon but lo and behold on the game's release, trainers were greeted by the "Revolving Pokémon", Inkay and, after level 30 (and a quick rotation of a console), Malamar.
Possibly one of the most evil looking Pokémon is actually rather deceptive. Psychic-type Pokémon are usually special attackers but this scary squid is surprisingly a physical attacker. What's great about this is that it has access to a combo that most Attackers would kill for; Contrary and Superpower. Confused? Let me explain.
Up n' Down and All Around
Item: Leftovers
Ability: Contrary
EVs: 252 Atk / 252 HP / 4 SpDef
Adamant Nature
– Superpower
– Night Slash
– Psycho Cut
– Topsy-Turvy
Pokémon fans may recognise this set, it's pretty much the set that Malamar always runs and with good reason.
Contrary is an ability that causes all effects that would lower a stat to increase it instead, and all effects that would increase a stat to decrease it instead. This even includes self-inflicted ones like the Attack and Defence drop from Superpower. This means that each Superpower makes Malamar a bulkier and powerful force to be reckoned with the longer it stays in.
However, even after just one Superpower Malamar can fire off extremely powerful STAB Night Slash's and Psycho Cuts which (after a 1.5 boost) will be putting dents in a variety of Pokémon meaning that few will be able to switch in unharmed.
Lastly is Topsy-Turvy. I hear you wondering why just this instead of perhaps other support moves like Toxic or Substitute. Simply put, pulling off a well-timed Topsy-Turvy can cripple certain Pokémon completely. Your opponent will then either be forced to switch out or simply let their Pokémon die in a few turns after being severely weakened. No other move has this ability to devastate setup Pokémon and after testing it becomes a godsend in places.
But despite all of this, Malamar suffers from an atrocious speed stat which leaves it open to be taken out before it can even start spamming those super-powered moves and with a x4 weakness to Bug-type moves, you best hope your opponent isn't running a decent U-turn user or you can kiss your angry squid goodbye.
That is one frightening looking squid-penguin… thing.
Giant Axon Squid
Item: Choice Scarf
Ability: Contrary
EVs: 252 Atk / 252 Spd / 4 HP
Jolly/Adamant Nature
– Switcheroo
– Superpower
– Night Slash
– Psycho Cut
Remember how I mentioned that Malamar is rather slow? With this setup you will be out speeding some of its top threats and spamming off those Superpowers even quicker using a choice scarf to increase your speed by 1.5. However, this means you are locked into just one move but that's fine because this move is buffing you each turn.
Obviously, Psycho Cut and Night Slash stick around since they are Malamar's best STAB attacks but there is new addition to the moveset, Switcheroo. If you fancy returning to Malamar's old tricks and switch between moves to get the best coverage simply use Switcheroo to give your opponents Pokémon your restrictive Choice Scarf and steal their useful item for yourself. This also can cripple setup Pokémon by locking them into their non-damaging moves and forcing the opponent to either switch it out or simply let it die, a tactic that should sound familiar.
The only other important change is the nature and EV's. While the previous set focussed on making Malamar bulky, this setup is all about giving this sluggish squid a speed boost with a maximum investment in speed and a Jolly nature allowing it to out speed anything that could threaten it. You can opt for an Adamant nature to get a bit more power behind your more speedy attacks but beware as this puts your speed (even with Choice Scarf) just below powerful speedy Pokémon, like Greninja, who will dispatch you with relative ease.
Even with all of these good sets going for it, poor Malamar is a much underused Pokémon, ignored due to its mediocre stats and seemingly poor standing in battles, but, don't be fooled, this Pokémon can dish out some damage and cripple some of the best Pokémon out there with ease if you are not careful. I'm looking at you Aegislash…