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This document was last updated 31 January 2014.
This Privacy Policy covers RealNetworks, Inc., its majority-owned affiliates and worldwide subsidiaries, and RealNetworks divisions operating under different trade names, including GameHouse, Muzicall, and Zylom (collectively "RealNetworks" or "RN"). RealNetworks is committed to protecting the privacy of your personal information. This Privacy Policy explains how RealNetworks collects and utilizes both personal and non-personal information when you use our products, mobile applications, services and websites "RN Online Services".
RealNetworks processes information about our users on servers located in a number of countries. We may also subcontract processing or share your information to third parties located in countries other than your home country. Information collected by RealNetworks in the United States may, for example, be transferred to and processed in a country outside of the United States. Information collected within the European Economic Area and Switzerland may, for example, be transferred to, and processed in a country outside of the European Economic Area and Switzerland.
By submitting your personal information to us and our agents through the use of the RN Online Services you consent to this transfer, storing or processing. We will take all steps reasonably necessary to ensure that your data is treated securely and in accordance with this Privacy Policy.
By downloading or using any of the RN Online Services you are agreeing that you have read and agree to be bound by this Privacy Policy. If you disagree with any part of this Privacy Policy then please do not use any of the RN Online Services.
RealNetworks collects personal information to improve the manner by which we operate and offer our RN Online Services, communicate with you, and provide effective customer support. We will not share your personally identifiable information with third parties without your consent, unless necessary for the purposes set forth in this Privacy Policy.
Personal information specifically identifies an individual and may include: name; email address; financial account information and other payment information submitted to us for order processing; mailing address; phone number; username and password; and device ID (including IP address)
RealNetworks uses your personal information to:
We may send "transactional or relationship" communications to you, such as notices to facilitate a transaction you have conducted or messages that provide information about your existing account, using various electronic communication, including email and mobile communications. If, at any time, you decide you would rather not receive these types of communications from RealNetworks, you can opt-out by clicking the unsubscribe link at the bottom of any RealNetworks email or update the Contact Preferences for your RealNetworks account.
We collect non-personal information that does not permit direct association with any specific individual. We may collect, use, store, transfer, publish, promote, report and otherwise disclose non-personal information for any purpose, provided such information does not otherwise personally identify you. The following are examples of non-personal information that we collect:
We also may share or disclose your personal information or the content of files you upload using the RN Online Services to comply with the law or respond to legal process or lawful requests, including from law enforcement and government agencies.
We allow third-party advertising companies to serve ads when you visit our websites or interact with the RN Online Services. These companies use non-personal information about your visits in order to provide advertisements of interest to you.
We allow third-party companies to serve ads and/or collect certain anonymous information when you use the RN Online Services. These companies may use non-personally identifiable information (e.g. click stream information, browser type, time and date, subject of advertisements clicked or scrolled over) during your visits to this and other web sites in order to provide advertisements about goods and services likely to be of greater interest to you.
These companies typically use a cookie or third party web beacon to collect this information and these technologies enable them to recognize a unique cookie that has been placed on your browser, which in turn enables us and these companies to learn which advertisements bring users to the RN Online Services.
In addition, we and these companies may use such technologies to track the actions of users of the RN Online Services, to measure statistics of our marketing efforts, and to deliver advertisements on the RN Online Services that may be more relevant to individual consumers and that will improve the consumer experience of the RN Online Services.
To learn more about behavioral advertising, or to opt-out of this type of advertising as conducted by our NAI partners (opt-out does not apply to advertising from non-NAI members), you can visit http://www.networkadvertising.org/managing/opt_out.asp. RN is not an NAI member, and does not represent that it complies with all NAI standards.
Advertisements displayed on RealNetworks Web sites or embedded in other media content provided by RealNetworks may be delivered via an advertising management service. When you view a web page on our web site that contains advertising provided one of our advertising management services, the advertising service company may place a cookie on or retrieve a cookie from your computer if you have enabled cookies. This cookie may uniquely designate your computer/browser, without containing any personally identifying information such as your name or e-mail address. RealNetworks does not intentionally provide any of your personally
When you search for specific content on RealNetworks web sites, the search terms may be embedded in the "search string" that appears in the URL display window of your web browser. Certain advertising services or third party content providers may associate these search strings with cookies they set or retrieve from our pages.
From time to time, RealNetworks enters into partnerships with other companies to provide you with the opportunity to:
If you purchase a product or service developed or owned by another company, RealNetworks will seek your informed consent prior to giving that company information you provide to us. We will never sell, rent or disclose to third parties our customers' personally identifiable information collected from the distribution of RealNetworks products or gathered on a RealNetworks Web site unless we are required to do so by law or receive your advance informed consent.
RealNetworks offers a variety of "plug-in" products that are compatible with certain RealNetworks products. While we endeavor to fully research and disclose how such plug-ins utilize personal information, RealNetworks is not responsible for the operation of plug-ins provided by third parties and we strongly encourage you to visit their Web sites and read the privacy policies that govern their usage. RealNetworks will not provide personally identifiable information to our product plug-in partners without first obtaining the informed consent of our users.
For more information regarding our advertising and use of cookies on the RealNetworks websites, click here.
RealNetworks is committed to protecting your personal information. We use the following controls to protect your personal information:
When you use a RealNetworks product or game through a Social Networking Site such as Facebook ("SNS"), you allow RealNetworks to access certain personal and non-personal information that you provided to such SNS such as your user ID, first and last name, profile picture, and usage data for that product or game. By accessing a RealNetworks product or game through an SNS, you are authorizing RealNetworks to collect, store and use all information that you agreed the SNS could provide to RealNetworks through the SNS. RealNetworks' collection, storage and use of your information is governed by this Privacy Policy.
When you link to the RN Online Services through any SNS please remember that you are bound by the privacy policy of the SNS and we do not control and are not responsible for the privacy practices of such sites. You should consult the privacy policy of such sites to determine the information practices of those sites.
RealNetworks does not use your personal information for purposes incompatible with those listed above. In some cases, access to certain products and services may require the provision of personal information to a third party. In such cases, this will be stated during the registration process, in the terms of use, through the distribution process, or in a similar manner. The third party's use of such information is governed by that party's privacy policy. Please visit the privacy policy of the third party to make sure you understand how they use the personal information you provide to them. If you do not wish for such a transfer to take place, you should not register for the applicable product or service. Additionally, RealNetworks may be required to provide specific access and usage information to certain content providers and rights holders as a condition of content licensing and royalties.
RealNetworks may disclose relevant information about our customers to our contractors in order for them to provide specific services for RealNetworks such as website hosting, professional services, including information technology services and related infrastructure, customer service, e-mail delivery, auditing and other similar services. RealNetworks contractors are bound to keep all personal information they process confidential.
We may disclose your personal information to third parties in order to perform services you request or functions you initiate, such as when you post information and materials on message boards and forums, including on our Facebook Page. When you post information in a public forum it becomes public information. In addition, we may disclose your personal information in order to identify you to anyone to whom you send communications through the RN Online Services.
We may disclose your information to a third party in connection with a corporate reorganization, merger, sale, joint venture, assignment, transfer or other disposition of all or any portion of our business, assets or stock, including in connection with any bankruptcy or similar proceedings.
RealNetworks may disclose your personal information if required to do so by law or in the good faith belief that such action is necessary to: (a) conform to the edicts of the law; (b) comply with the order of a competent judicial authority in any jurisdiction; (c) comply with legal process served on RealNetworks; (d) protect and defend the rights or property of RealNetworks; (e) act in urgent circumstances to protect the personal safety of users of RealNetworks products or the public at large; or (f) to enforce our terms and conditions.
This Privacy Policy does not govern other sites that are linked to one of RN Online Services.
Separate RealNetworks products, services and lines of business may send separate newsletters and marketing emails to you. You may opt out of receiving RealNetworks marketing messages. If you create an online account with RealNetworks, you can change your account setting to select whether you wish to receive marketing messages. However, we may continue to send you e-mails about RN Online Services you have previously purchased or to inform you about critical technical service issues relating to an RN Online Service.
To access your account information and preferences, select "Manage My Account" from the menus in the RealPlayer (usually under the "Help" menu) or other RealNetworks consumer software. Sign in to your account and modify your information and preferences as needed.
If you created an account with RealNetworks, you may review and update your account on the web at www.real.com or by selecting "My Account," and logging in using your name and password. If you have forgotten a username or password, you can use our online help resources or contact customer service at: 1-866-420-5780 Monday - Friday, 8 am - 5 PM Pacific Time.
We use cookies, web beacons, pixel tags, and similar technologies to provide you with a tailored experience.
What is a cookie? A "cookie" is a small text file that is stored by your web browser on your computer or mobile device to store your preferences. This cookie policy relates to tracking technologies generally and therefore, for the purposes of this policy, references to "cookies" will incorporate references to all types of tracking technologies which require access to and storage of data or programs on your computer.
Cookies are not themselves personally identifiable, but may be linked to personal information that you provide to us through your interaction with the RN Online Services. A cookie will typically contain the name of the domain (internet location) from which the cookie has come, the "lifetime" of the cookie (i.e. when does it expire), and a value, usually a randomly generated unique number.
How does RealNetworks use cookies?Like many web and e-commerce sites, RealNetworks and our business partners use cookies to "recognize" your Internet browsing and RealNetworks software or apps in order to display information that is relevant to you and to cache some elements of the RealNetworks web sites and services to improve their performance. When you visit the RN Online Services, RealNetworks cookies are sent to our servers automatically.
Cookies allow us to customize your RealNetworks experience. When you return to RealNetworks web sites your settings are maintained and we can personalize content, banners, advertisements and promotions that you will see when you visit RN Online Services.
RealNetworks does not require that you accept cookies, however, some functionality on our web sites, our product purchase check-out process, and our products and services may be impaired if you decline to accept cookies.
Any personally identifiable information that may be contained in our cookies is treated in accordance with our Privacy Policy.
Types of Cookies Used by RealNetworks
Cookie Type
To recognize our users' preferences (playing webgames or downloading games, etc.) and remembering subscribers' and registered account holders' information such as username or ID.
These are placed by RealNetworks or our partners for advertising purposes. Upon your return to our websites, we can personalize advertisements and promotions.
To analyze how visitors use our websites. These cookies collect information in an anonymous form, including the number of visitors to the site, where visitors have come from and the pages they visited. These cookies help us understand traffic patterns on RN Online Services so that we can enhance your experience and provide you with more relevant information about our products and the content available on our web sites.
[We only use Analytical/performance cookies that we think are helpful to you. These cookies allow us to recognise and count the number of visitors and to see how visitors move around our website. This helps us to improve the way our website works, for example, by ensuring that users are finding what they are looking for easily and do not encounter technical errors.]
Managing Cookies:A number of privacy organizations publish guides on how to manage or disable web based cookies. Two of these are: www.aboutcookies.org and www.allaboutcookies.org.
Most browsers allow you to change your cookie settings. These settings are typically found in the options or preferences menu in your browser.
Third Party Cookies: The RN Online Services also use cookies and other technologies such as pixel tags, web beacons and clear GIF files, to help manage our online advertising program. These technologies are provided by our advertising partners and enable them to recognize a unique cookie that has been placed on your browser, which in turn enables us and these advertising partners to learn which advertisements bring users to the RN Online Services.
In addition, we and our advertising partners may use these technologies to track the actions of users of the RN Online Services, to measure statistics of our marketing efforts, and to deliver advertisements on the RN Online Services that may be more relevant to individual consumers and that will improve the consumer experience on the RN Online Services.
No personally identifiable information collected by RealNetworks is stored in these third party cookies.
If you are concerned about third party cookies generated by advertisers you can visit one of the following sites to opt-out: http://www.networkadvertising.org/choices/ (if you are in the U.S.) or http://www.youronlinechoices.com (if you are in Europe). Use of Local Shared Objects or Flash Cookies:Flash cookies operate differently than browser cookies and cookie management tools available in a web browser may not remove flash cookies. To learn more about and to manage flash cookies visit: http://www.macromedia.com/support/documentation/en/flashplayer/help/settings_manager.html.
Add-on extensions have also have been created for the Firefox web browser, for example Click&Clean: https://addons.mozilla.org/en-us/firefox/addon/clickclean/reviews/.
Retention of Cookies:RealNetworks retains cookies to maximize the functionality of serving pages and content from our web sites, consistent with our Privacy Policy. Cookies that are set as part of subscription services will be active only for the duration of the subscription.
Except for essential cookies, all cookies will expire after [two] years.
For more information on our use of cookies, please see our cookie policy
RealNetworks does not intentionally collect personally identifiable information from children under the age of thirteen (13). When a user discloses personal information on the RN Online Services, the user is representing to us that he or she is at least thirteen (13) years of age. If a child under the age of thirteen (13) has provided us with personally identifiable information through the use of the RN Online Services, we ask that a parent or guardian e-mail us at firstname.lastname@example.com and we will delete the child's information from our records.
We frequently revise this Privacy Policy to keep it up to date with RealNetworks' products, services and Web pages. Please check this page from time to time as your continued use of the RN Online Services after we publish our changes indicates acceptance to any changed terms.
RealNetworks complies with the U.S.-EU and U.S.-Swiss Safe Harbor Frameworks and has certified its personal information practices with the U.S. Department of Commerce under the Safe Harbor Program to ensure that your personal information is protected adequately in the event that your data is processed for the purposes of your agreement with us by a RealNetworks company in the United States. Should you want more information on the Safe Harbor principles, please go to: http://www.export.gov/safeharbor/
If we require a RealNetworks company to process your data for the purposes of payment for goods and services this RealNetworks company will be RealNetworks, Inc., E Commerce LL; P.O. Box 91123, Seattle, Washington 98111-9223. The following data may be turned over to this company solely for the purpose of processing the payment transaction: your name, bank account, and amount to be charged. You have a right of access and rectification with regard to such data; to exercise these rights, or for other data privacy questions, please contact/send an email to:firstname.lastname@example.com.
If you are a European resident and your data privacy complaint was not satisfactorily addressed by RealNetworks, you may contact the data protection authorities in the relevant jurisdiction.
A list of data protection authorities is available at: http://ec.europa.eu/justice/data-protection/bodies/authorities/index_en.htm
RealNetworks has agreed to participate in the dispute resolution procedures of the panel established by the European Union data protection authorities to resolve disputes pursuant to the Safe Harbor Privacy Principles, as well as to cooperate and comply with the Federal Data Protection and Information Commissioner of Switzerland.
RealNetworks does not guarantee error-free performance under this Privacy Policy. We will use reasonable efforts to comply with this Privacy Policy and will take prompt corrective action when we learn of any failure to comply. RealNetworks shall not be liable for any incidental, consequential or punitive damages relating to this Privacy Policy. This Privacy Policy shall be governed by the laws of the United States.
You have the right to ask us not to process your personal data for marketing purposes. We ask for your consent (before collecting your data) if we intend to use your data for such purposes or if we intend to disclose your information to any third party for such purposes. You can exercise your right to prevent such processing by checking certain boxes on the forms we use to collect your data. You can also exercise the right at any time by contacting us using the contact details set out below.
You have the right to access information held about you. [Any written request for access to information held about you may be subject to a fee of £10 to meet our costs in providing this information.] If you wish to do this, please contact us using the methods listed below.
This English-language Privacy Policy is RealNetworks' official statement of its Online Services privacy practices. In case of any inconsistency between this English-language Privacy Policy and its translation into another language, this English-language document prevails.
If you have questions about the privacy aspects of our products or services, the information concerning you that RealNetworks has retained, or would like to make a complaint, please contact:
Privacy Policy Group RealNetworks, Inc. P.O. Box 91123 Seattle, WA 98111-9233https://realnetworks.zendesk.com/anonymous_requests/new
Privacy Policy GroupRealNetworks, Inc.P.O. Box 91123Seattle, WA 98111-9233https://realnetworks.zendesk.com/anonymous_requests/new
Privacy is an important topic for Internet users. These organizations and government agencies provide information on privacy principles and how software applications interact with personal data.
For more information concerning specific functionality that may be relevant to privacy issues, visit our Specific Topics Index.


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The Practice of Japanese Acupuncture and Moxibustion: Classic Principles in Action (9780939616435)
Publisher: Eastland Press
Binding: Paperback
The Practice of Japanese Acupuncture and Moxibustion: Classic Principles in Action is an in-depth introduction to a form of treatment practiced in Japan that is based on the classics of Oriental medicine. It provides a bridge for traditionally trained students and practitioners who are having difficulty transferring their knowledge of Japanese acupuncture and moxibustion into clinical practice, and will inform the reader�s work with the breadth and depth of the classics. It is a very popular book in Japan.
Part One provides the basic information needed to understand and diagnose the most common patterns of disease. Part Two sets forth guidelines for treating a wide variety of disorders including those affecting the musculoskeletal, nervous, respiratory, cardiovascular, and urogenital systems. Case histories and drawings vividly illustrate the theoretical discussion of each disorder and its treatment. An introduction by the translator illuminates certain aspects of this work which may be unfamiliar to students in the West.
Download a free chapter from the book by clicking here.
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Last week, I expressed my surprise and dismay that the Atheist Alliance International chose Bill Maher for the Richard Dawkins Award. I was dismayed because Maher has championed pseudoscience, including dangerous antivaccine nonsense, germ theory denialism complete with repeating myths about Louis Pasteur supposedly recanting on his deathbed, a hostility towards "Western medicine" and an affinity for "alternative medicine," a history of sympathy to HIV/AIDS denialists, and the activities of PETA through his position on its board of directors, all facts that led me to liken his receiving the Richard Dawkins Award to giving an award for public health to Jenny McCarthy. I was not alone, either. Larry Moran, Matt D., and Skepacabra agreed with me.
When I wrote that post, I expected some pushback, and I hadn't really expected to be writing any followup posts. After all, to my surprise P.Z. Myer's defense of the decision was tepid at best, and the strongest he could come up with was to urge attendees to the AAI convention to "put Maher in the hot seat." Then over the weekend I noticed that someone unexpected took me to task. Not just took me to task, but lambasted me. Normally, I don't know if I would have bothered to respond or not, but this criticism came from someone I normally like and respect. Worse, the arguments were shockingly weak compared to his usual posts. Given that, I felt he deserved at least a brief reply (except that this is Orac we're talking about and "brief" is not really in his vocabulary). I'm referring, of course, to Jason Rosenhouse, who thinks that Bill Maher is a a fine choice for the Richard Dawkins Award.
Basically, Jason argues that Maher isn't primarily known for his pseudoscientific views on medicine and vaccines, which is mostly (but not completely) true. After all, Maher's views on alternative medicine and vaccines are well known enough that it's virtually inevitable whenever Maher is being interviewed by Larry King, David Letterman, and other hosts of talk shows that he will be asked at least one or two questions about these topics. Indeed, Larry King, ever since Maher's first anti-vaccine tirade that I'm aware of in 2005, pretty much always asks Maher about the flu vaccine whenever he is on King's show. Maher may not be primarily known for his views on "Western medicine," but they are well known and he not infrequently spouts off about them on television to millions of people. In any case, Jason in essence does what other Maher apologists I've seen do and completely ignore the criteria of "who through writings, media, the arts, film, and/or the stage advocates increased scientific knowledge." Jason also virtually concedes that Maher is not really an atheist, waving it away by saying:
The fact that he has some vague belief in a higher force in the universe hardly negates all of the good work that he is done in areas of relevance to the award. He has defintely raised awareness of the nontheist life stance through the media and the arts, and certainly helps teach acceptance of the nontheist lifestyle, just as the award describes.
Well, yes, but that's only one criterion out of four, and fortunately Skeptico has already addressed this argument. In any case, Jason appears to be conceding that, at best, Maher meets only 2/4 criteria, with 1/4 (science) an EPIC FAIL and the other 1/4 questionable at best. If Jason thinks that's the only criterion that matters and is willing to ignore the rest, I guess there isn't much more to say other than that, personally, when an award is given, I prefer that the recipient actually meet all of the listed criteria. (I'm funny that way.) The recipient doesn't have to meet all of them equally and could even be a little shaky on one or two of them. But miss any one of them by so much that he might as well be on another planet? I don't think so. As I've pointed out before, Maher's views on medicine and science would have made him a perfect "victim" of one of Richard Dawkins' deconstructions in part 2 of his BBC documentary Enemies of Reason, right there with the homeopaths, crystal users, and various other woo believers.
I do find Jason's defense rather interesting in that, in essence, it says that the criteria for the Richard Dawkins Award don't really mean anything, which to me implies that the award itself doesn't mean much of anything. Apparently it can be given to almost anyone, as long as he meets just one of the four criteria strongly enough, even if he gets an EPIC FAIL on at least one. He doesn't even have to be anything resembling a rationalist! He can advocate whatever pseudoscience he wants, and as long as he "raises awareness of the nontheist life stance through the media and the arts" and "helps teach acceptance of the nontheist lifestyle" whatever woo he believes him is all good.
As long as it's not God or religion, of course.
But that's not what bothered me most about Jason's post.
Click here to read the rest


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Fatigue Center - Elk Grove, CA
WebMD Physician Directory
Elk Grove, California
Fatigue Facts
Other Related Fatigue Articles
Emergency Contact for Elk Grove
Nearby Elk Grove Hospitals *
Methodist Hospital Sacramento
Sierra Vista Hospital
Kaiser Permanente
Sutter Center For Psychiatry
Sacramento VA Medical Center
Shriners Hospital For Children
University Of CA Davis Med Ctr
Sacramento County Mental Health
Sutter Memorial Hospital
Mercy General Hospital
Sutter General Medical Center
Kaiser Permanente Med Ctr Hosp
Heritage Oaks Hospital
Mercy San Juan Medical Center
Lodi Memorial Hospital West
Lodi Memorial Hospital
California State Prison
Mercy Hospital Of Folsom
Kindred Hospital-Sacramento
Sutter Davis Hospital
Kaiser Permanente Medical Ctr
Sutter Roseville Medical Center
Woodland Memorial Hospital
St Joseph's Behavioral Health
St Joseph's Medical Center
San Joaquin County Behavrl Hlth
Dameron Hospital
North Bay Vaccavalley Hospital
California Medical Facility
David Grant USAF Medical Center
*Provider Directory Terms of Use:
The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval.


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New Satellite Data Reduces Search Area for Missing Flight
Malaysian government accused of witholding key satellite data received days after Malaysia flight went missing.
New Satellite Images Reveal Possible Objects in Indian Ocean
Satellite pictures show possible objects that may be connected to missing Malaysia Airlines Flight 370.
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Image may not necessarily represent the actual item -Please read the title and description before purchasing.
Last Price: $607.97
Guns can only be shipped to a location within the USA that holds an FFL (Federal Firearms License) - this can be your local gun shop, pawn shop, sporting goods store, etc. Your local gun dealer will then handle the transfer of the firearm to you.
Please ensure that you have familiarized yourself with the process before placing a firearm order. Please note that you must confirm your acceptance of all of these policies to place a firearm order:
Here is a rifle that really disappears into its surroundings. Three Kryptek camo patterns are available: Typhon, Highlander and Raid. Available in short action, long action and magnum calibers, with hunting or heavy barrel options. These rifles come with either blued or stainless barreled actions.
Please Note: This description may represent a general group of products. Please read the item's title and specifications for more specific information about this particular item.
Action : BoltCaliber : 22-250 RemingtonBarrel Length : 22.0"Capacity : 5+1Trigger : Two-StageLength : 42.25"Weight : 10 lbsStock : Kryptek RaidFinish : Black
Reviews of Howa Hogue Kryptek Rifle HKF61207KR, 22-250 Remington, 22" BBL, Bolt Action, Kryptek Raid Stock, Black Finish, 5 + 1 Rd
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Women's cross country team welcomes four runners to team
July 24, 2013
MISENHEIMER, N.C. – The Pfeiffer University women's cross country team welcomes four new member to the team for the 2013-14 season. The incomers join six returners from last year, including all five of the team's top runners, for Falcons Head Coach Scott Nolt.
Mary Stegall joins Pfeiffer from Croatoan High School. At Croatoan, she was an All-Conference cross country runner for four years and All-Region for three years, while helping lead her school to the state meet four consecutive seasons. Mary plans to major in physical education at Pfeiffer.
Allison Beeson was a three-sport athlete at Southern Lee High School playing softball, volleyball and running cross country. With only one year on the cross country team, Beeson was the Most Improved runner and also was named the softball team's Most Outstanding Player. A four-year All-Conference athlete in high school, Beeson will major in psychology at Pfeiffer.
Kristen Hatley comes to Pfeiffer from the University of North Carolina at Charlotte and East Rowan High School. Kristen was All-Conference and captain of the cross country team in high school. A Scholar Athlete and National Honor Society member in high school, Kristen was also on the Dean's list at Charlotte. Kristen is pursuing a nursing degree at Pfeiffer.
Also joining the team this year is Christie Baran. Baran is a premed/biology major at Pfeiffer who played lacrosse last year for the Falcons.
"I am excited about welcoming our new runners and what they bring to our program and university," said Coach Nolt. "They will compliment a strong team that returns almost every runner from last season."
The women's team kicks off the season on Sept. 6 when they compete in the Seahawk Invitational hosted by UNC Wilmington at 4:30 p.m.


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ALBANY, Ore. A 17-year-old West Albany High School student will face attempted aggravated murder charges as an adult for building bombs that he planned on detonating at school in an attack he modeled after the Columbine massacre, Benton County District Attorney John Haroldson said Saturday.
On Thursday, Police took Grant Acord (pictured) into custody for making multiple bombs, which they found under the floorboards of his mother's home in Albany.
Police found pipe bombs, napalm, a 'Drano bomb,' Molotov Cocktails, along with a diagram and maps of the school, weapons and an explosives check list, Haroldson said.
Police said the bombs could have caused serious damage and loss of life. Officers said they got a tip that Acord intended to detonate them at school.
Just before 10:30 p.m. Thursday, police took Acord into custody at his father's home on Northwest Violet Street in Albany, said Capt. Eric Carter with the Albany Police Department.
He was lodged at the Linn-Benton Juvenile Detention Facility on two counts each of possession and manufacture of a destructive device.
The district attorney said Acord will now be charged with six counts of manufacturing a destructive device (bombs), six counts of possessing completed destructive devices, six counts of unlawful possession of a weapon and attempted aggravated murder.
On Friday, The Oregon State Police Explosives Unit obtained a search warrant and safely removed all explosive items from the home, Carter said.
Police searched West Albany High School on Thursday evening and searched the school again Friday with an explosive detecting K-9 to ensure the campus is safe for students to return on Tuesday.
Acord is due in court Tuesday.
Anyone with further information was asked to call Albany Police at 541-917-7686.
KGW's policy is to not name juveniles. Because the district attorney is on record saying he plans to charge Acord as an adult, and the serious nature of the accusations, KGW is releasing his name.


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JMI Equity has reported $41.54 million stake in Vocus Inc. (NASDAQ: VOCS), a Beltsville, Md.-based provider of cloud-based marketing and PR software.
JMI Equity holds 3.03 million shares, or 13.1 percent, of Vocus. Its stock was trading around $13.73 intraday on Monday.
The shares were issued as consideration for JMI's equity interests in iContact Corp., a Raleigh-Durham, N.C.-based provider of cloud-based email and social marketing software, which Vocus acquired for $169 million last week.
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Roberts sucks... He can't beat people of the dribble. If he could do that, He wouldn't get stuck behind the 3 point line for 10 seconds and screw the team of any ball movement of opportunity to score.
From ESPN.com
"Brian Roberts, Hornets
I spent about eight weeks with Roberts when he first came out of college and another couple of weeks the following summer. He always looked like an NBA player to me, gifted with speed, toughness and an excellent shot. It has taken awhile, but his time in Europe has only helped polish his game and he has taken advantage of his preseason and regular-season minutes in New Orleans.
Roberts can beat most defenders off the dribble, but has learned not to overpenetrate much and instead pull up for the midrange jumper or floater. Austin Rivers, when healthy, will have a tough time taking minutes from the very tough-minded player from Dayton."
And M. Mcnamara wants him sent back to Turkey
Roberts sucks... He can't beat people of the dribble. If he could do that, He wouldn't get stuck behind the 3 point line for 10 seconds and screw the team of any ball movement of opportunity to score.
He's a rookie. As long as he shows flashes I don't have a problem with him. He's definitely needs to learn to run the offense for our post options. He doesn't seem to like to get the ball in the post unless he breaks down the defense on the dribble penetration.
I agree with Thorpe about Robert's over-penetration, He has a great pull up mid range shot that needs to be utilized a lot more.
I think you mean Ryan.
"Aime la vérité, mais pardonne à l'erreur." - François-Marie Arouet (Voltaire)
I thought the guy looked pretty good in pre season... i dunno what happened once real games kicked in? He almost seems like a different player. At times i have flashbacks of Antonio Daniels.....
Be aggressive. Move the ball. Look for the mismatch. Penetrate and kick. Do Something!...... I still have hope for him though.
Yea it's pretty clear Roberts is a much better player than rivers right now. It really pissed me off when Anderson had harden and then another time Linn on him in the post and Roberts didn't get it to him. I was yellig at the tv
That may be true, but he can't run an offense. The flow completely stops when he comes in.
My Anthony Davis website: http://thebrow.uphero.com/
He reminds me of Jarrett Jack in the way that he will do something good and beneficial and then next time down the court make a stupid and easily preventable mistake.
I like him learning with our young squad
New Orleans Pelicans-Seattle Seahawks-Atlanta Braves-Anaheim Ducks
RIP HunnyB
This fits HunnyB/FlyGirl so well- https://www.youtube.com/watch?v=IyzTiSEfM00
Darn good third point guard. Pushing it as a backup.
He's not a good player. End of bench guy.
This is completely true, however.So basically some peeps are saying (not incorrectly) that:Roberts can beat most defenders off the dribble, but has learned not to overpenetrate much and instead pull up for the midrange jumper or floater
A. He needs to start to initiate the offense earlier in the shot clock
B. He needs to look to get others involved more
good constructive criticism
other peoples are just being @$$****s
This guys a rookie so treat him like one and give him some time to grow. I mean, if we can do that for rivers then why not for a guy like roberts?
Roberts has shown enough to keep around.
Probably hit more jumpers in the first 6 games than Aminu has in his whole career.
I'm just trying to explain why Rivers is given more of a break. Also we have a lot more invested in Rivers so I think people are a lot more willing to point out more good than bad in hopes that Rivers can be a serious piece to our future. Roberts on the other hand is most likely just a one year rental, so if he plays really bad, people will be more willing to criticize.
Yeah that makes sense. Rivers is definitely a bigger investment (younger, more potential, longer contract, used a lotto pick on him) so your absolutely right about why people are more patient with him. At this stage in the season though people should (not you) at least be hopeful that we will be able to produce for us this year even if they're skeptical, rather than immediately calling for his replacement.
he made a 7-0 run by himself at the start of the 4th in the last game that got us back into it.. why are people complaining .. what are you expecting from him, he obviously didnt make the NBA when he was younger for a reason, so don't expect much.
He's not a rookie, he's a "rookie." He's had several years of pro ball in Germany. He can beat people of the dribble, but he doesn't run the offense well and he gets backed down up top until he's near the half court line with 8 seconds left on the clock. He's got tools and all, but I think Rivers' court vision is already better, or getting close.
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Really didnt look like anything bad, would be highly surprised if hes not playing next game.
Figured this deserves it's own thread.
Here's where we're updating as info comes into Hornets247. If you hear anything, let's hear it!
audaci favet fortuna (Thanks, Harvey)- Fortune favors the bold.
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Really didnt look like anything bad, would be highly surprised if hes not playing next game.
daldridgetnt: Hornets say Davis will undergo further tests in New Orleans Saturday, will not play in Chicago against the Bulls, listed as day to day.
Wow. Crap.
Is a normal for concussion test to take this long in sports?
Update: Anthony Davis suffered a mild concussion, will undergo further tests in New Orleans on Saturday and is out for game at Chicago— Jim Eichenhofer (@Jim_Eichenhofer) November 3, 2012
are we tanking again?
HR Sim League - Washington Wizards
lamest concussion I've ever seen
cue signatures with pictures of tanks in them
He won't be cleared to play until he can pass all the NBA concussion tests successfully. Since its mild maybe a week at the most. But everyone's different...maybe earlier than that or it maybe longer. Just depends how long it takes for him to recover.
Sucks...I know everyone is ragging on Rivers about the hit but he was just trying to help on D...it was an accident lets not crucify the guy.
Funny. This news of him not playing is just breaking on ESPN, while it has been here for near 10 min.
Well the news just keeps getting better...when I purchased tickets 11 rows behind the Hornets bench for the Nov 3rd game at the United Center vs the Bulls, I knew Derrick Rose would be out, but I didn't care. I was purchasing the tickets to see Eric Gordon, Anthony Davis, and the new look Hornets...well now I get to see the new look Hornets. I can't help but laugh. Terrible luck on my part.
The hornets are playing like somebody stuck a Roman candle up their backside. They are really fun to watch, and unlike last year and the year before we got CP3, we are a bunch of nobodies (minus Gordon and Davis), that play hard and give it 110% and have a chance to win.
I think him sitting out the next game is good tho. After Chicago we don't play again until Monday night. Hopefully with 4-5 days of rest he will feel better.
He missed about 20 games. I don't know for certain if all of them were due to the concussion or because we were in full tank mode but yeah, he was out a pretty good while.Jason Smith left the game in the fourth quarter after being floored by two separate shots to the head in the second half.
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Ohio Attorney General Mike DeWine spoke to Preble County law enforcement officials last week regarding the heroin "epidemic" in the state of Ohio, and in Preble County.
While he was the Prosecuting Attorney of Greene County, Attorney General Mike DeWine said heroin at the time was found specifically in Dayton due to it's low-cost and high availability.
However, as time has progressed, law enforcement on both the county level and city level, as well as those involved in the heroin addiction recovery process, have seen a dramatic change in the way the opiate has had an effect on Preble County.
"It's in the suburbs, it's in the rural areas, it's in the cities. It's cheap, it's plentiful. The Mexican cartels know how to get it up here, they know how to sell it and it's killing people," said Attorney General DeWine.
"I don't think it's fair to say that poor people do drugs, that's not the case, and anyway, there are a lot of people that are struggling financially that aren't turning to drugs. The people that are on heroin, their goal each day isn't to be a productive part of society," said Preble County Sheriff Mike Simpson.
According to the Attorney General's website, Ohio's heroin-related deaths jumped from 315 to 725 from 2010 to 2012, according to collected data from county coroners by the Attorney General's office. In 2013, Ohio Organized Crime Investigations Commission task forces seized nearly 33 pounds of heroin, which was estimated to be nearly $1.5 million in street value according to the website.
"The word 'epidemic' is being used in Ohio and Preble County is faced with that, I mean we're right smack in the middle of it. Our heroin comes from Dayton, and we have a tremendous amount of people over here that are users and dealers… It's the people you don't think it's affecting, it probably is," said Simpson.
Simpson also said heroin is a "driving force" behind property crimes, thefts, and burglaries. Simpson said that within the past three years, he has seen a large increase in the use and sales of heroin within the county. "It's close, it's in Dayton, it's cheap, and it's highly addictive. I think those are your three common factors right there," he said.
Eaton Police Chief Chad DePew, who has been on the force since 2002, has noticed the change in the drug pattern in that methamphetamine was the most prevalent drug of choice between 2002 and 2004, but the most common drug lately has been heroin.
"We see a lot of it. You know, ten years ago, heroin was rare around here, we didn't see it a lot. Now, we're literally seeing it every week," said DePew.
Instead of asking those at a traffic stops or domestic violence calls if they have been drinking alcohol, DePew has had to ask "have you been using heroin?" From 2000-2010 drug-related arrests increased 344 percent in the City of Eaton, according to the CLEE Strategic Plan, prepared by DePew.
On the recovery side of addiction, Kelli Ott, the Executive Director of the Preble County Mental Health and Recovery Board said, "When I first got here (in 2004)… it was pretty prevalent that we would see that either alcohol or marijuana were the primary drug of choice that people would report when they came in for treatment. Heroin is like, skyrocketing now, which is amazing to me," said Ott. "Now we're seeing so much heroin use, particularly in the adults."
Simpson tells a story of a vehicle containing three passengers, which was sitting in the middle of the street in Preble County, where all three individuals in the vehicle were believed to be on opiates, including heroin. He said the passenger of the vehicle was passed out due to being on a large amount of heroin, at which point EMS got involved. Two of the individuals were subsequently taken to the hospital for treatment.
"You know, we're not unique compared to anyone else, and our problems are no bigger than anywhere else. It's obviously a problem, and it's a problem in the whole state," said DePew.
DePew said that he has noticed the source of Preble County's heroin has come from either Richmond, Indiana, but more commonly Dayton. A brown powdered form of heroin has been recognized to be the most common form of heroin in Preble County by both DePew and Simpson.
'Heroin is just more abundant right now, and that's why it's so cheap," said DePew.
"If you need heroin, you can virtually drive to a neighborhood in Dayton, and stop and it's like curb service… Dayton is a huge hub for it," Simpson said.
The Ohio Substance Abuse Monitoring Network (OSAM), conducted a study focusing on the Dayton region of Ohio, which includes Preble County. In the report, OSAM questioned various individuals regarding heroin in the Dayton region. It reads, "Participants and community professionals alike identified Dayton as a hub for individuals from surrounding counties and areas to buy heroin." One participant interviewed for the report stated that heroin users come "from 100, 150 miles away because we have cheap heroin." Another participant agreed and said, "They're driving several hours. I mean I had a college student from Athens, Ohio …. driving to Dayton daily [to purchase heroin]."
While the City of Eaton hasn't experienced many deaths related to overdoses, DePew said that paramedics are now taking precautions when immediately treating a person who is high on heroin. A drug known as "Narcan" is being used as an injection for people who are high.
"The drug itself attaches itself to blood cells that absorb the heroin. What the [Narcan] does, it that it takes over the drug attached to those blood cells and kinda kicks it out of your system," said DePew.
"It almost immediately brings people out of the high they're in. It really saves people's lives."
DePew went on to say, "We have had cases where people have died from heroin, and those are tragic."
"You'll see people basically destroying their lives due to this drug, and it's sad to watch," he added.
The OSAM report states, "Heroin, reportedly, is used in combination with alcohol, marijuana and sedative hypnotics (Xanax) to intensify its effect." Attorney General DeWine said that deaths due to overdoses have now exceeded the number of accidental deaths from drugs and auto accidents.
After meeting with various coroners, DeWine said the "line has risen" when it comes to deaths in connection with heroin. Simpson said his office has had an overdose that resulted in death from what was believed to be heroin within the past three weeks. Simpson said that calls relating to heroin overdoses have become "the norm."
With the drug, Narcan, though, can come unexpected consequences. "Because Narcan is becoming so prevalent now, there are doctors actually prescribing heroin addicts Narcan," said DePew.
"It may prevent a death, but what we're also seeing is Narcan is now being sold and dealt with the heroin." DePew also said that this duet of drugs has taken away the fear from some users in that if they overdose, they believe there will be someone there who will save their life.
"This isn't a problem that's going to go away soon, we're going to continue to deal with this," said Simpson.
"Despite major efforts to fight the heroin epidemic on the state, local, and national level, the problem is not going to go away, and people are continuing to die… We have to fight this at the grassroots level- community by community, neighborhood by neighborhood. We have to get mad and say 'enough is enough,'" DeWine said.
(Editor's note: This is part of one of a two-part series on the heroin epidemic in Preble County, and the state. Next week, treatment and rehabilitation facts and more.)


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Forever Tango duo Karina Smirnoff and Maksim Chmerkovskiy get cozy on the Ask a Star couch to answer your questions about what they love about being on Broadway, who should have won DWTS, how they capture the passion of tango and much more.July 29, 2013
Adorable Pippin husband-and-wife duo Terrence Mann and Charlotte d'Amboise get cozy on the Ask a Star couch to answer your questions about meeting Laurence Olivier, cookie dough and salami binges, audience wardrobe malfunctions and much more.July 15, 2013
Tony-nommed Kinky Boots star Annaleigh Ashford drops by the Broadway.com studios to share the grossest Annie story ever, offer advice for young performers and give her dead-on impression of the show's composer, Cyndi Lauper.June 7, 2013
Tony-nominated Cinderella stars Laura Osnes and Santino Fontana took a carriage ride over to Broadway.com's Ask A Star couch to chat about onstage mishaps, high school similarities, pet-friendly musicals and how each perceives the other.June 3, 2013
Pippin showstopper Andrea Martin took a seat on the Broadway.com Ask a Star couch to chat about her dating requirements, her snuggly awards and her undying devotion to John Cameron Mitchell.May 11, 2013
The Last Five Years stars Adam Kantor and Betsy Wolfe dropped by Broadway.com's Ask A Star couch to chat about emotional Rent memories, Ragtime wardrobe mishaps and spending "the next 10 minutes" with famous Brits.March 29, 2013
Matt Lauria, who stars as Davis in Really Really, dropped by our studio to answer fans' questions. Hear the romantic story of how he met his wife at 16, Kevin Spacey's best career advice and a lot of talk about his "tuchus."March 13, 2013
Broadway songwriting duo Marc Shaiman and Scott Wittman sat down for a double Ask A Star to answer your questions about Smash, Hairspray, Catch Me If You Can and what's next for this Tony-winning team!February 15, 2013
Annie star Katie Finneran opens up about Patti LuPone, Sean Hayes, her inspiration for Miss Hannigan and why Noises Off made her go cross-eyed.February 8, 2013
Wayne Knight, who is starring in Broadway's holiday musical Elf, stopped by the Broadway.com studio to answer questions about playing Santa Claus, his favorite Seinfeld memories and what comedy heroes inspire him.December 15, 2012
The Mystery of Edwin Drood's leading lady Stephanie J. Block stopped by our studio to answer fan questions about her favorite Broadway roles, her mischievous dog and making memories with Hugh Jackman.December 5, 2012
The Performers star Henry Winkler answers your questions on everything from his favorite wacky porn title to The Fonz "jumping the shark" to co-star Cheyenne Jackson's enormous talent.
November 12, 2012


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Diabetes, Heart Disease, and Stroke
On this page:
- What is diabetes?
- What is prediabetes?
- What is the connection between diabetes, heart disease, and stroke?
- What are the risk factors for heart disease and stroke in people with diabetes?
- What is metabolic syndrome and how is it linked to heart disease?
- What can I do to prevent or delay heart disease and stroke?
- How will I know whether my diabetes treatment is working?
- What types of heart and blood vessel disease occur in people with diabetes?
- How will I know whether I have heart disease?
- What are the treatment options for heart disease?
- How will I know whether I have had a stroke?
- What are the treatment options for stroke?
- Points to Remember
- Hope through Research
- For More Information
- Acknowledgments
Having diabetes or prediabetes puts you at increased risk for heart disease and stroke. You can lower your risk by keeping your blood glucose (also called blood sugar), blood pressure, and blood cholesterol close to the recommended target numbers—the levels suggested by diabetes experts for good health. (For more information about target numbers for people with diabetes, see "How will I know whether I have heart disease?") Reaching your targets also can help prevent narrowing or blockage of the blood vessels in your legs, a condition called peripheral arterial disease. You can reach your targets by
- choosing foods wisely
- being physically active
- taking medications if needed
If you have already had a heart attack or a stroke, taking care of yourself can help prevent future health problems.
What is diabetes?
Diabetes is a disorder of metabolism—the way our bodies use digested food for energy. Most of the food we eat is broken down into glucose, the form of sugar in the blood. Glucose is the body's main source of fuel.
After digestion, glucose enters the bloodstream. Then glucose goes to cells throughout the body where it is used for energy. However, a hormone called insulin must be present to allow glucose to enter the cells. Insulin is a hormone produced by the pancreas, a large gland behind the stomach.
In people who do not have diabetes, the pancreas automatically produces the right amount of insulin to move glucose from blood into the cells. However, diabetes develops when the pancreas does not make enough insulin, or the cells in the muscles, liver, and fat do not use insulin properly, or both. As a result, the amount of glucose in the blood increases while the cells are starved of energy.
Over time, high blood glucose levels damage nerves and blood vessels, leading to complications such as heart disease and stroke, the leading causes of death among people with diabetes. Uncontrolled diabetes can eventually lead to other health problems as well, such as vision loss, kidney failure, and amputations.[Top]
What is prediabetes?
Prediabetes is a condition in which blood glucose levels are higher than normal but not high enough for a diagnosis of diabetes. Prediabetes is also called impaired fasting glucose or impaired glucose tolerance. Many people with prediabetes develop type 2 diabetes within 10 years. In addition, they are at risk for heart disease and stroke. With modest weight loss and moderate physical activity, people with prediabetes can delay or prevent type 2 diabetes and lower their risk of heart disease and stroke.
What is the connection between diabetes, heart disease, and stroke?
If you have diabetes, you are at least twice as likely as someone who does not have diabetes to have heart disease or a stroke. People with diabetes also tend to develop heart disease or have strokes at an earlier age than other people. If you are middle-aged and have type 2 diabetes, some studies suggest that your chance of having a heart attack is as high as someone without diabetes who has already had one heart attack. Women who have not gone through menopause usually have less risk of heart disease than men of the same age. But women of all ages with diabetes have an increased risk of heart disease because diabetes cancels out the protective effects of being a woman in her child-bearing years.
People with diabetes who have already had one heart attack run an even greater risk of having a second one. In addition, heart attacks in people with diabetes are more serious and more likely to result in death. High blood glucose levels over time can lead to increased deposits of fatty materials on the insides of the blood vessel walls. These deposits may affect blood flow, increasing the chance of clogging and hardening of blood vessels (atherosclerosis).
What are the risk factors for heart disease and stroke in people with diabetes?
Diabetes itself is a risk factor for heart disease and stroke. Also, many people with diabetes have other conditions that increase their chance of developing heart disease and stroke. These conditions are called risk factors. One risk factor for heart disease and stroke is having a family history of heart disease. If one or more members of your family had a heart attack at an early age (before age 55 for men or 65 for women), you may be at increased risk.
You can't change whether heart disease runs in your family, but you can take steps to control the other risk factors for heart disease listed here:
- Having central obesity. Central obesity means carrying extra weight around the waist, as opposed to the hips. A waist measurement of more than 40 inches for men and more than 35 inches for women means you have central obesity. Your risk of heart disease is higher because abdominal fat can increase the production of LDL (bad) cholesterol, the type of blood fat that can be deposited on the inside of blood vessel walls.
- Having abnormal blood fat (cholesterol) levels.
- LDL cholesterol can build up inside your blood vessels, leading to narrowing and hardening of your arteries—the blood vessels that carry blood from the heart to the rest of the body. Arteries can then become blocked. Therefore, high levels of LDL cholesterol raise your risk of getting heart disease.
- Triglycerides are another type of blood fat that can raise your risk of heart disease when the levels are high.
- HDL (good) cholesterol removes deposits from inside your blood vessels and takes them to the liver for removal. Low levels of HDL cholesterol increase your risk for heart disease.
- Having high blood pressure. If you have high blood pressure, also called hypertension, your heart must work harder to pump blood. High blood pressure can strain the heart, damage blood vessels, and increase your risk of heart attack, stroke, eye problems, and kidney problems.
- Smoking. Smoking doubles your risk of getting heart disease. Stopping smoking is especially important for people with diabetes because both smoking and diabetes narrow blood vessels. Smoking also increases the risk of other long-term complications, such as eye problems. In addition, smoking can damage the blood vessels in your legs and increase the risk of amputation.
What is metabolic syndrome and how is it linked to heart disease?
Metabolic syndrome is a grouping of traits and medical conditions that puts people at risk for both heart disease and type 2 diabetes. It is defined by the National Cholesterol Education Program as having any three of the following five traits and medical conditions:
|Traits and Medical Conditions
|Elevated waist circumference
|Waist measurement of
|Elevated levels of triglycerides
|Low levels of HDL (good) cholesterol
|Elevated blood pressure levels
|Elevated fasting blood glucose levels
Source: Grundy SM, et al. Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005;112:2735–2752.
Note: Other definitions of similar conditions have been developed by the American Association of Clinical Endocrinologists, the International Diabetes Federation, and the World Health Organization.
What can I do to prevent or delay heart disease and stroke?
Even if you are at high risk for heart disease and stroke, you can help keep your heart and blood vessels healthy. You can do so by taking the following steps:
- Make sure that your diet is "heart-healthy." Meet with a registered dietitian to plan a diet that meets these goals:
- Include at least 14 grams of fiber daily for every 1,000 calories consumed. Foods high in fiber may help lower blood cholesterol. Oat bran, oatmeal, whole-grain breads and cereals, dried beans and peas (such as kidney beans, pinto beans, and black-eyed peas), fruits, and vegetables are all good sources of fiber. Increase the amount of fiber in your diet gradually to avoid digestive problems.
- Cut down on saturated fat. It raises your blood cholesterol level. Saturated fat is found in meats, poultry skin, butter, dairy products with fat, shortening, lard, and tropical oils such as palm and coconut oil. Your dietitian can figure out how many grams of saturated fat should be your daily maximum amount.
- Keep the cholesterol in your diet to less than 300 milligrams a day. Cholesterol is found in meat, dairy products, and eggs.
- Keep the amount of trans fat in your diet to a minimum. It's a type of fat in foods that raises blood cholesterol. Limit your intake of crackers, cookies, snack foods, commercially prepared baked goods, cake mixes, microwave popcorn, fried foods, salad dressings, and other foods made with partially hydrogenated oil. In addition, some kinds of vegetable shortening and margarines have trans fat. Check for trans fat in the Nutrition Facts section on the food package.
- If you smoke, quit. Your doctor can help you find ways to quit smoking.
- Ask your doctor whether you should take aspirin. Studies have shown that taking a low dose of aspirin every day can help reduce the risk of heart disease and stroke. However, aspirin is not safe for everyone. Your doctor can tell you whether taking aspirin is right for you and exactly how much to take.
- Get prompt treatment for transient ischemic attacks (TIAs). Early treatment for TIAs, sometimes called mini-strokes, may help prevent or delay a future stroke. Signs of a TIA are sudden weakness, loss of balance, numbness, confusion, blindness in one or both eyes, double vision, difficulty speaking, or a severe headache.
How will I know whether my diabetes treatment is working?
You can keep track of the ABCs of diabetes to make sure your treatment is working. Talk with your health care provider about the best targets for you.
A stands for A1C (a test that measures blood glucose control). Have an A1C test at least twice a year. It shows your average blood glucose level over the past 3 months. Talk with your doctor about whether you should check your blood glucose at home and how to do it.
|A1C target
|Below 7 percent, unless your doctor sets a different target
|Blood glucose targets
|Before meals
|90 to 130 mg/dL
|1 to 2 hours after the start of a meal
|Less than 180 mg/dL
B is for blood pressure. Have it checked at every office visit.
|Blood pressure target
|Below 140/80 mm Hg, unless your doctor sets a different target
C is for cholesterol. Have it checked at least once a year.
|Blood fat (cholesterol) targets
|LDL (bad) cholesterol
|Under 100 mg/dL
|Under 150 mg/dL
|HDL (good) cholesterol
For men: above 40 mg/dL
For women: above 50 mg/dL
Control of the ABCs of diabetes can reduce your risk for heart disease and stroke. If your blood glucose, blood pressure, and cholesterol levels aren't on target, ask your doctor what changes in diet, activity, and medications can help you reach these goals.
What types of heart and blood vessel disease occur in people with diabetes?
Two major types of heart and blood vessel disease, also called cardiovascular disease, are common in people with diabetes: coronary artery disease (CAD) and cerebral vascular disease. People with diabetes are also at risk for heart failure. Narrowing or blockage of the blood vessels in the legs, a condition called peripheral arterial disease, can also occur in people with diabetes.
Coronary Artery Disease
Coronary artery disease, also called ischemic heart disease, is caused by a hardening or thickening of the walls of the blood vessels that go to your heart. Your blood supplies oxygen and other materials your heart needs for normal functioning. If the blood vessels to your heart become narrowed or blocked by fatty deposits, the blood supply is reduced or cut off, resulting in a heart attack.
Cerebral Vascular Disease
Cerebral vascular disease affects blood flow to the brain, leading to strokes and TIAs. It is caused by narrowing, blocking, or hardening of the blood vessels that go to the brain or by high blood pressure.
A stroke results when the blood supply to the brain is suddenly cut off, which can occur when a blood vessel in the brain or neck is blocked or bursts. Brain cells are then deprived of oxygen and die. A stroke can result in problems with speech or vision or can cause weakness or paralysis. Most strokes are caused by fatty deposits or blood clots—jelly-like clumps of blood cells—that narrow or block one of the blood vessels in the brain or neck. A blood clot may stay where it formed or can travel within the body. People with diabetes are at increased risk for strokes caused by blood clots.
A stroke may also be caused by a bleeding blood vessel in the brain. Called an aneurysm, a break in a blood vessel can occur as a result of high blood pressure or a weak spot in a blood vessel wall.
TIAs are caused by a temporary blockage of a blood vessel to the brain. This blockage leads to a brief, sudden change in brain function, such as temporary numbness or weakness on one side of the body. Sudden changes in brain function also can lead to loss of balance, confusion, blindness in one or both eyes, double vision, difficulty speaking, or a severe headache. However, most symptoms disappear quickly and permanent damage is unlikely. If symptoms do not resolve in a few minutes, rather than a TIA, the event could be a stroke. The occurrence of a TIA means that a person is at risk for a stroke sometime in the future. See page 3 for more information on risk factors for stroke.
Heart Failure
Heart failure is a chronic condition in which the heart cannot pump blood properly—it does not mean that the heart suddenly stops working. Heart failure develops over a period of years, and symptoms can get worse over time. People with diabetes have at least twice the risk of heart failure as other people. One type of heart failure is congestive heart failure, in which fluid builds up inside body tissues. If the buildup is in the lungs, breathing becomes difficult.
Blockage of the blood vessels and high blood glucose levels also can damage heart muscle and cause irregular heart beats. People with damage to heart muscle, a condition called cardiomyopathy, may have no symptoms in the early stages, but later they may experience weakness, shortness of breath, a severe cough, fatigue, and swelling of the legs and feet. Diabetes can also interfere with pain signals normally carried by the nerves, explaining why a person with diabetes may not experience the typical warning signs of a heart attack.
Peripheral Arterial Disease
Another condition related to heart disease and common in people with diabetes is peripheral arterial disease (PAD). With this condition, the blood vessels in the legs are narrowed or blocked by fatty deposits, decreasing blood flow to the legs and feet. PAD increases the chances of a heart attack or stroke occurring. Poor circulation in the legs and feet also raises the risk of amputation. Sometimes people with PAD develop pain in the calf or other parts of the leg when walking, which is relieved by resting for a few minutes.[Top]
How will I know whether I have heart disease?
One sign of heart disease is angina, the pain that occurs when a blood vessel to the heart is narrowed and the blood supply is reduced. You may feel pain or discomfort in your chest, shoulders, arms, jaw, or back, especially when you exercise. The pain may go away when you rest or take angina medicine. Angina does not cause permanent damage to the heart muscle, but if you have angina, your chance of having a heart attack increases.
A heart attack occurs when a blood vessel to the heart becomes blocked. With blockage, not enough blood can reach that part of the heart muscle and permanent damage results. During a heart attack, you may have
- chest pain or discomfort
- pain or discomfort in your arms, back, jaw, neck, or stomach
- shortness of breath
- sweating
- nausea
- light-headedness
Symptoms may come and go. However, in some people, particularly those with diabetes, symptoms may be mild or absent due to a condition in which the heart rate stays at the same level during exercise, inactivity, stress, or sleep. Also, nerve damage caused by diabetes may result in lack of pain during a heart attack.
Women may not have chest pain but may be more likely to have shortness of breath, nausea, or back and jaw pain. If you have symptoms of a heart attack, call 911 right away. Treatment is most effective if given within an hour of a heart attack. Early treatment can prevent permanent damage to the heart.
Your doctor should check your risk for heart disease and stroke at least once a year by checking your cholesterol and blood pressure levels and asking whether you smoke or have a family history of premature heart disease. The doctor can also check your urine for protein, another risk factor for heart disease. If you are at high risk or have symptoms of heart disease, you may need to undergo further testing.
What are the treatment options for heart disease?
Treatment for heart disease includes meal planning to ensure a heart-healthy diet and physical activity. In addition, you may need medications to treat heart damage or to lower your blood glucose, blood pressure, and cholesterol. If you are not already taking a low dose of aspirin every day, your doctor may suggest it. You also may need surgery or some other medical procedure.
How will I know whether I have had a stroke?
The following signs may mean that you have had a stroke:
- sudden weakness or numbness of your face, arm, or leg on one side of your body
- sudden confusion, trouble talking, or trouble understanding
- sudden dizziness, loss of balance, or trouble walking
- sudden trouble seeing out of one or both eyes or sudden double vision
- sudden severe headache
If you have any of these symptoms, call 911 right away. You can help prevent permanent damage by getting to a hospital within an hour of a stroke. If your doctor thinks you have had a stroke, you may have tests such as a neurological examination to check your nervous system, special scans, blood tests, ultrasound examinations, or x rays. You also may be given medication that dissolves blood clots.
What are the treatment options for stroke?
At the first sign of a stroke, you should get medical care right away. If blood vessels to your brain are blocked by blood clots, the doctor can give you a "clot-busting" drug. The drug must be given soon after a stroke to be effective. Subsequent treatment for stroke includes medications and physical therapy, as well as surgery to repair the damage. Meal planning and physical activity may be part of your ongoing care. In addition, you may need medications to lower your blood glucose, blood pressure, and cholesterol and to prevent blood clots.
Points to Remember
If you have diabetes, you are at least twice as likely as other people to have heart disease or a stroke.
Controlling the ABCs of diabetes—A1C (blood glucose), blood pressure, and cholesterol—-can cut your risk of heart disease and stroke.
Choosing foods wisely, quitting smoking, and taking medications (if needed) can all help lower your risk of heart disease and stroke.
If you have any warning signs of a heart attack or a stroke, get medical care immediately—don't delay. Early treatment of heart attack and stroke in a hospital emergency room can reduce damage to the heart and the brain.
Hope through Research
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) is one of the National Institutes of Health (NIH) under the U.S. Department of Health and Human Services. The NIDDK conducts and supports research in diabetes, glucose metabolism, and related conditions. Several studies related to diabetes, heart disease, and stroke are under way.
- The Look AHEAD (Action for Health in Diabetes) trial is studying whether strategies for weight loss in obese people with type 2 diabetes can improve health. This trial is also sponsored by other NIH Institutes and by the Centers for Disease Control and Prevention. For more information on the Look AHEAD trial, visit the website at www.niddk.nih.gov/news/for-reporters/look-ahead-action-health-diabetes/Pages/default.aspx.
- The EDIC (Epidemiology of Diabetes Interventions and Complications) study is examining the long-term effects of prior intensive versus conventional blood glucose control. It is a follow-up study of patients who took part more than a decade ago in the Diabetes Control and Complications Trial (DCCT), a major clinical study funded by the National Institutes of Health.
- The BARI 2D (Bypass Angioplasty Revascularization Investigation 2 Diabetes) trial, sponsored by the National Heart, Lung, and Blood Institute, in partnership with NIDDK, is studying approaches to the medical care of people with type 2 diabetes who also have coronary artery disease. For more information on the BARI 2D trial, visit the website at www.bari2d.org or call the nearest research center (listed on the website).
- The ACCORD (Action to Control Cardiovascular Risk in Diabetes) trial is studying three approaches to preventing major cardiovascular events in individuals with type 2 diabetes. For more information on the ACCORD trial, visit the website at www.accordtrial.org or call 1–888–342–2380.
- The NIDDK and other components of the NIH will continue to fund research on the best ways to enhance health promotion, self-management, and risk reduction in people with diabetes.
Clinical trials are research studies involving people. Clinical trials look at safe and effective new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. To learn more about clinical trials, why they matter, and how to participate, visit the NIH Clinical Research Trials and You website at www.nih.gov/health/clinicaltrials. For information about current studies, visit www.ClinicalTrials.gov.
Read more about the NIDDK's research on diabetes and related topics at http://diabetes.niddk.nih.gov/diabetesresearch/dm_research.aspx.
For More Information
National Diabetes Education Program
1 Diabetes Way
Bethesda, MD 20814–9692
Phone: 1–888–693–NDEP (1–888–693–6337)
Fax: 703–738–4929
Email: firstname.lastname@example.com
Internet: www.ndep.nih.gov
National Heart, Lung, and Blood Institute
Attn: Website
P.O. Box 30105
Bethesda, MD 20824–0105
Phone: 301–592–8573
Fax: 240–629–3246
Email: firstname.lastname@example.com
Internet: www.nhlbi.nih.gov
National Institute of Neurological Disorders and Stroke
Brain Resources and Information Network (BRAIN)
P.O. Box 5801
Bethesda, MD 20824–5801
Phone: 1–800–352–9424
Fax: 301–402–2186
Email: firstname.lastname@example.com
Internet: www.ninds.nih.gov
Weight-control Information Network
1 WIN Way
Bethesda, MD 20892–3665
Phone: 1–877–946–4627
Fax: 202–828–1028
Email: email@example.com
Internet: www.win.niddk.nih.gov
American Diabetes Association
1701 North Beauregard Street
Alexandria, VA 22311
Phone: 1–800–DIABETES (1–800–342–2383)
Email: email@example.com
Internet: www.diabetes.org
American Association of Diabetes Educators
200 West Madison Street, Suite 800
Chicago, IL 60606
Phone: 1–800–338–3633
Internet: www.diabeteseducator.org
26 Broadway, 14th Floor
New York, NY 10004
Phone: 1–800–533–CURE (1–800–533–2873)
Fax: 212–785–9595
Email: email@example.com
Internet: www.jdrf.org
American Heart Association
7272 Greenville Avenue
Dallas, TX 75231–4596
Phone: 1–800–AHA–USA1 (1–800–242–8721)
Internet: www.americanheart.org
Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and outside experts. This publication was reviewed by Ronald B. Goldberg, M.D., Diabetes Research Institute, University of Miami; Trevor J. Orchard, M.D., M. Med. Sci., Graduate School of Public Health, University of Pittsburgh; and the Office of Prevention, Education, and Control, National Heart, Lung, and Blood Institute, National Institutes of Health.
You may also find additional information about this topic by visiting MedlinePlus at www.medlineplus.gov.
This publication may contain information about medications and, when taken as prescribed, the conditions they treat. When prepared, this publication included the most current information available. For updates or for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1–888–INFO–FDA (1–888–463–6332) or visit www.fda.gov. Consult your health care provider for more information.
National Diabetes Education Program
1 Diabetes Way
Bethesda, MD 20814–9692
Phone: 1–888–693–NDEP (1–888–693–6337)
Fax: 301–634–0716
Email: email@example.com
Internet: www.ndep.nih.gov
The National Diabetes Education Program is a federally funded program sponsored by the U.S. Department of Health and Human Services' National Institutes of Health and the Centers for Disease Control and Prevention and includes over 200 partners at the federal, state, and local levels, working together to reduce the morbidity and mortality associated with diabetes.
National Diabetes Information Clearinghouse
1 Information Way
Bethesda, MD 20892–3560
Phone: 1–800–860–8747
Fax: 301–634–0716
Email: email@example.com
Internet: www.diabetes.niddk.nih.gov
The National Diabetes Information Clearinghouse (NDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health of the U.S. Department of Health and Human Services. Established in 1978, the Clearinghouse provides information about diabetes to people with diabetes and to their families, health care professionals, and the public. The NDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about diabetes.
This publication is not copyrighted. The Clearinghouse encourages users of this publication to duplicate and distribute as many copies as desired.
NIH Publication No. 13–5094
August 2013
Page last updated February 19, 2014


text:
When a Scot Loves a Lady: A Falcon Club Novel
When a Scot Loves a Lady: A Falcon Club Novel (Mass Market Paperback)
Related Editions
London gossips are asking: What use has society of an exclusive gentleman's club if no gentlemen are ever seen to pass through its door?
After years as an agent of the secret Falcon Club, Lord Leam Blackwood knows it's time to return home to Scotland. One temptation threatens his plans—Kitty Savege, who warms his blood like a dram of fine whiskey. But a dangerous enemy stands in the way of desire, and to beat this foe Leam needs Kitty's help . . .
Kitty never wanted to spend her holidays in a wretched country village! With snow up to the windows, escape is nowhere in sight. A roguish Scottish lord, however, is. His rough brogue sends heat from Kitty's frigid toes to her chilled nose, but she's confident she can withstand that. What she cannot control is the reaction of her guarded heart when she discovers this beast is no beast at all . . .
About the Author
The American Library Association's Booklist named Katharine Ashe one of the "New Stars of Historical Romance" and RT Book Reviews awarded her debut historical romance, Swept Away By A Kiss, a "Top Pick!" Katharine lives in the wonderfully warm Southeast with her husband, son, two dogs, and a garden she likes to call romantic rather than unkempt. A professor of European history, she has made her home in California, Italy, France, and the northern US.
Praise for When a Scot Loves a Lady: A Falcon Club Novel…
"...a lushly intense romance between a man plagued by guilt and a woman subjugated by a blackguard's condemnation. Throw in a mystery, a twisty, complex denouement, and radiant prose, and readers will be saddened to reach the final page. Jubilation; it's the first in a series."
-Library Journal (starred review)
"5 RIBBONS! An absolutely delicious read…full of humor, interesting characters, clever banter, romance, love, mystery, danger and intrigue."
-Romance Junkies
"A trapped-together premise, a secret circle of spies, sensationally intelligent writing, and a true, week-in-the-knees love story."
-Barnes & Noble "Heart to Heart" column, Recommended Read
"5 QUILLS! A staggeringly intense love story... gripping, engaging, sublime... Ashe is a virtuoso."
-Romantic Crush Junkies
"When A Scot Loves A Lady is chock full of all of the elements that make me love historical romance. Sweeping, intriguing, fast paced, sexy."
"Wonderfully written … a roller coaster ride with fantastic, romantic highs and tearful, heartbreaking lows on the way to a very satisfying happily ever after. The writing is superb and entertaining."
-The Season for Romance
"Danger, intrigue, and passion to spare!"
-Joyfully Reviewed
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The Giustaforza II is an essential for every bike mechanic. The torque wrench has a capacity from 2-16Nm, which is perfect for use on sensitive components. The simple, non- ratcheting head allows you to use the wrench even when space is limited. The aluminum body keeps the weight to a feather-weight 180 grams. Packed in a nice metal box, you'll be sure to keep all the bits together.
Detail of bits:
10x25mm (HEX2, HEX2.5, HEX3, HEX6, T10, T15, T20, T30, -3/16, +PH1)
3x100mm (HEX4, HEX5, T25)
1x100mm (extension)
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Comments about Effetto Mariposa Giustaforza II 2-16 Torque Wrench:
Excellent product for my needs.
Best Uses
Comments about Effetto Mariposa Giustaforza II 2-16 Torque Wrench:
All in all a good product. Can finally rest easy that all my bolts and screws are tightened to spec. The only quibble is that the included 5mm hex bit was too large. Luckily I had another laying around that worked. If not for that I would have given it 5 stars.
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Please note this offer is only available to physical shipping addresses in the 48 continental United States (no PO Boxes), and oversize charges still apply on some heavy/large items.


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