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Anxiety Disorders
Anxiety disorders are serious medical illnesses that affect approximately 40 million American adults. These disorders fill people's lives with overwhelming anxiety and fear. Unlike the relatively mild, brief anxiety caused by a stressful event such as a business presentation or a first date, anxiety disorders are chronic, relentless, and can grow progressively worse if not treated.
Effective natural cures for anxiety disorders are available, and research is yielding new, improved therapies that can help most people with anxiety disorders lead productive, fulfilling lives. If you think you have an anxiety disorder, you should seek information about traditional and natural cures for anxiety so you can make an informed decision about anxiety treatment.
Find out more about the natural anti-anxiety supplements we have available!
Each anxiety disorder has its own distinct features, but they are all bound together by the common theme of excessive, irrational fear and dread.
Generalized Anxiety Disorder
"I'd have terrible sleeping problems. There were times I'd wake up wired in the middle of the night. I had trouble concentrating, even reading the newspaper or a novel. Sometimes I'd feel a little lightheaded. My heart would race or pound. And that would make me worry more. I was always imagining things were worse than they really were: when I got a stomachache, I'd think it was an ulcer.
"When my problems were at their worst, I'd miss work and feel just terrible about it. Then I worried that I'd lose my job. My life was miserable until I got treatment."
Generalized anxiety disorder (GAD) is much more than the normal anxiety people experience day to day. It's chronic and fills one's day with exaggerated worry and tension, even though there is little or nothing to provoke it. Having this disorder means always anticipating disaster, often worrying excessively about health, money, family, or work. Sometimes, though, the source of the worry is hard to pinpoint. Simply the thought of getting through the day provokes anxiety.
People with GAD can't seem to shake their concerns, even though they usually realize that their anxiety is more intense than the situation warrants. Their worries are accompanied by physical symptoms, especially fatigue, headaches, muscle tension, muscle aches, difficulty swallowing, trembling, twitching, irritability, sweating, and hot flashes. People with GAD may feel lightheaded or out of breath. They also may feel nauseated or have to go to the bathroom frequently.
Individuals with GAD seem unable to relax, and they may startle more easily than other people. They tend to have difficulty concentrating, too. Often, they have trouble falling or staying asleep.
Unlike people with several other anxiety disorders, people with GAD don't characteristically avoid certain situations as a result of their disorder. When impairment associated with GAD is mild, people with the disorder may be able to function in social settings or on the job. If severe, however, GAD can be very debilitating, making it difficult to carry out even the most ordinary daily activities.
GAD affects about 6.8 million adult Americans1 and about twice as many women as men. The disorder comes on gradually and can begin across the life cycle, though the risk is highest between childhood and middle age. It is diagnosed when someone spends at least 6 months worrying excessively about a number of everyday problems. There is evidence that genes play a modest role in GAD.
GAD is commonly treated with medications. GAD rarely occurs alone, however; it is usually accompanied by another anxiety disorder, depression, or substance abuse. These other conditions must be treated along with GAD.
Panic Disorder
If you are having a panic attack, most likely your heart will pound and you may feel sweaty, weak, faint, or dizzy. Your hands may tingle or feel numb, and you might feel flushed or chilled. You may have nausea, chest pain or smothering sensations, a sense of unreality, or fear of impending doom or loss of control. You may genuinely believe you're having a heart attack or losing your mind, or on the verge of death.
Panic attacks can occur at any time, even during sleep. An attack generally peaks within 10 minutes, but some symptoms may last much longer.
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Panic disorder affects about 6 million adult Americans and is twice as common in women as in men. It most often begins during late adolescence or early adulthood. Risk of developing panic disorder appears to be inherited. Not everyone who experiences panic attacks will develop panic disorder�for example, many people have one attack but never have another. For those who do have panic disorder, though, it's important to seek treatment. Untreated, the disorder can become very disabling.
Many people with panic disorder visit the hospital emergency room repeatedly or see a number of doctors before they obtain a correct diagnosis. Some people with panic disorder may go for years without learning that they have a real, treatable illness.
Panic disorder is often accompanied by other serious conditions such as depression, drug abuse, or alcoholism and may lead to a pattern of avoidance of places or situations where panic attacks have occurred. For example, if a panic attack strikes while you're riding in an elevator, you may develop a fear of elevators. If you start avoiding them, that could affect your choice of a job or apartment and greatly restrict other parts of your life.
Some people's lives become so restricted that they avoid normal, everyday activities such as grocery shopping or driving. In some cases they become housebound. Or, they may be able to confront a feared situation only if accompanied by a spouse or other trusted person.
Basically, these people avoid any situation in which they would feel helpless if a panic attack were to occur. When people's lives become so restricted, as happens in about one-third of people with panic disorder,2 the condition is called agoraphobia. Early treatment of panic disorder can often prevent agoraphobia.
Panic disorder is one of the most treatable of the anxiety disorders, responding in most cases to medications or carefully targeted psychotherapy.
You may genuinely believe you're having a heart attack, losing your mind, or are on the verge of death. Attacks can occur at any time, even during sleep.
Obsessive-Compulsive Disorder
You may be obsessed with germs or dirt, so you wash your hands over and over. You may be filled with doubt and feel the need to check things repeatedly. You may have frequent thoughts of violence, and fear that you will harm people close to you. You may spend long periods touching things or counting; you may be pre-occupied by order or symmetry; you may have persistent thoughts of performing sexual acts that are repugnant to you; or you may be troubled by thoughts that are against your religious beliefs.
The disturbing thoughts or images are called obsessions, and the rituals that are performed to try to prevent or get rid of them are called compulsions. There is no pleasure in carrying out the rituals you are drawn to, only temporary relief from the anxiety that grows when you don't perform them.
A lot of healthy people can identify with some of the symptoms of OCD, such as checking the stove several times before leaving the house. But for people with OCD, such activities consume at least an hour a day, are very distressing, and interfere with daily life.
Most adults with this condition recognize that what they're doing is senseless, but they can't stop it. Some people, though, particularly children with OCD, may not realize that their behavior is out of the ordinary.
OCD afflicts about 2.2 million American adults.1 It strikes men and women in approximately equal numbers and usually first appears in childhood, adolescence, or early adulthood.2 One-third of adults with OCD report having experienced their first symptoms as children. The course of the disease is variable�symptoms may come and go, they may ease over time, or they can grow progressively worse. Research evidence suggests that OCD might run in families.3
Depression or other anxiety disorders may accompany OCD,2,4 and some people with OCD also have eating disorders.6 In addition, people with OCD may avoid situations in which they might have to confront their obsessions, or they may try unsuccessfully to use alcohol or drugs to calm themselves.4,5 If OCD grows severe enough, it can keep someone from holding down a job or from carrying out normal responsibilities at home.
OCD generally responds well to treatment with medications or carefully targeted psychotherapy.
The disturbing thoughts or images are called obsessions, and the rituals performed to try to prevent or get rid of them are called compulsions. There is no pleasure in carrying out the rituals you are drawn to, only temporary relief from the anxiety that grows when you don't perform them.
Post-Traumatic Stress Disorder
Whatever the source of the problem, some people with PTSD repeatedly relive the trauma in the form of nightmares and disturbing recollections during the day. They may also experience other sleep problems, feel detached or numb, or be easily startled. They may lose interest in things they used to enjoy and have trouble feeling affectionate. They may feel irritable, more aggressive than before, or even violent. Things that remind them of the trauma may be very distressing, which could lead them to avoid certain places or situations that bring back those memories. Anniversaries of the traumatic event are often very difficult.
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PTSD affects about 7.7 million adult Americans.1 Women are more likely than men to develop PTSD.7 It can occur at any age, including childhood,8 and there is some evidence that susceptibility to PTSD may run in families.9 The disorder is often accompanied by depression, substance abuse, or one or more other anxiety disorders.4 In severe cases, the person may have trouble working or socializing. In general, the symptoms seem to be worse if the event that triggered them was deliberately initiated by a person�such as a rape or kidnapping.
Ordinary events can serve as reminders of the trauma and trigger flashbacks or intrusive images. A person having a flashback, which can come in the form of images, sounds, smells, or feelings, may lose touch with reality and believe that the traumatic event is happening all over again.
Not every traumatized person gets full-blown PTSD, or experiences PTSD at all. PTSD is diagnosed only if the symptoms last more than a month. In those who do develop PTSD, symptoms usually begin within 3 months of the trauma, and the course of the illness varies. Some people recover within 6 months, others have symptoms that last much longer. In some cases, the condition may be chronic. Occasionally, the illness doesn't show up until years after the traumatic event.People with PTSD can be helped by medications and carefully targeted psychotherapy. Ordinary events can serve as reminders of the trauma and trigger flashbacks or intrusive images. Anniversaries of the traumatic event are often very difficult.
Social Phobia (Social Anxiety Disorder)
Social phobia can be limited to only one type of situation�such as a fear of speaking in formal or informal situations, or eating, drinking, or writing in front of others�or, in its most severe form, may be so broad that a person experiences symptoms almost anytime they are around other people. Social phobia can be very debilitating�it may even keep people from going to work or school on some days. Many people with this illness have a hard time making and keeping friends.
Physical symptoms often accompany the intense anxiety of social phobia and include blushing, profuse sweating, trembling, nausea, and difficulty talking. If you suffer from social phobia, you may be painfully embarrassed by these symptoms and feel as though all eyes are focused on you. You may be afraid of being with people other than your family.
People with social phobia are aware that their feelings are irrational. Even if they manage to confront what they fear, they usually feel very anxious beforehand and are intensely uncomfortable throughout. Afterward, the unpleasant feelings may linger, as they worry about how they may have been judged or what others may have thought or observed about them.
Social phobia affects about 15 million adult Americans.1 Women and men are equally likely to develop social phobia.10 The disorder usually begins in childhood or early adolescence,2 and there is some evidence that genetic factors are involved.11 Social phobia often co-occurs with other anxiety disorders or depression.2,4 Substance abuse or dependence may develop in individuals who attempt to "self-medicate" their social phobia by drinking or using drugs.4,5 Social phobia can be treated successfully with carefully targeted psychotherapy or medications.
Social phobia can severely disrupt normal life, interfering with school, work, or social relationships. The dread of a feared event can begin weeks in advance and be quite debilitating.
Specific Phobias
Specific phobias affect an estimated 19.2 million adult Americans1 and are twice as common in women as in men.10 The causes of specific phobias are not well understood, though there is some evidence that these phobias may run in families.11 Specific phobias usually first appear during childhood or adolescence and tend to persist into adulthood.12
If the object of the fear is easy to avoid, people with specific phobias may not feel the need to seek treatment. Sometimes, though, they may make important career or personal decisions to avoid a phobic situation, and if this avoidance is carried to extreme lengths, it can be disabling. Specific phobias are highly treatable with carefully targeted psychotherapy.
Phobias aren't just extreme fears; they are irrational fears. You may be able to ski the world's tallest mountains with ease but feel panic going above the 5th floor of an office building.
Portions of content from NIMH
Causes of Anxiety Disorders
Adrenal Fatigue
The foods we eat can have an impact on how we feel physically and emotionally. It is important to know that consuming certain foods and substances can trigger anxiety and panic symptoms.
Excess Cortisol
Any stress lasting longer than a few minutes results in increased levels of cortisol being released from the adrenal cortex. The release of cortisol is controlled by the paraventricular nucleus (PVN) of the hypothalamus, where corticotropin-releasing hormone (CRH) is released in response to the stress. CRH then acts on the pituitary gland, causing it to release adrenocorticotrophic hormone (ACTH), which in turn causes the adrenal cortex to release cortisol. Prolonged release of ACTH causes the adrenal cortex to increase in size whereas long-term ACTH deficiency causes it to shrink. The combined system of CRH-ACTH-cortisol release is referred to as the hypothalamic-pituitary-adrenal axis (or HPA axis).
There is evidence that the HPA axis is involved in the neurobiology of anxiety, depression, and mood disorders.Chronically excess cortisol may contribute to many diseases, including cancer, ulcers, heart attacks, diabetes, infections, alcoholism, strokes, skin diseases, psychosis, and possibly Parkinson's and Alzheimer's disease, multiple sclerosis and myasthenia gravis. Cortisol excess may contribute to obesity not only because of the metabolic derangements (including insulin resistance) that it promotes, but also because it induces "stress overeating," especially (but not only) in women.
Excessive cortisol frequently causes increased:
Anxiety can result from imbalances in the levels of chemical messengers in the brain called neurotransmitters. The emotions we feel are based on the release of neurotransmitters in the brain. Prolonged periods of stress can deplete neurotransmitters levels. Our fast paced, fast food society greatly contributes to these imbalances.
Different neurotransmitters have different actions. Some neurotransmitters are inhibitory and tend to calm, while others are excitatory and stimulate the brain. This observation has led to the conclusion that some neurotransmitter imbalances are more likely to underlie certain conditions. Specifically, deficiencies involving the central nervous system's inhibitory neurotransmitters, gamma-amino-butyric acid (GABA) and glycine, appear to be involved in the development of anxiety disorders, while other neurotransmitters like serotonin and norepinephrine have been more closely linked to depression.
A single neurotransmitter imbalance can result in multiple symptoms. By identifying these chemical imbalances with neurotransmitter tests and understanding how neurotransmitters function and interact in anxiety disorders, it is possible to better match therapies to the patient's chemical imbalance.
Find out more about the Neurotransmitter Tests we have available!
The function of a neurotransmitter is to properly relay messages across the synaptic cleft from one neuron to the next. The excitatory neurotransmitters increase the likelihood that a neuron's signals are sent and the inhibitory neurotransmitters decrease the likelihood that a neuron's signals are sent. This balance ensures that unimportant signals are terminated or ignored and that important signals are relayed and acted upon.
If the levels of the excitatory neurotransmitters are in excess, this balance is disturbed and the ability to discern between what is important and what is not can be impaired. This can result in excessive excitation and lead to seizures, insomnia, anxiety, and hyper-excitability.
Hyperthroidism causes panic attacks, pounding heartbeat, tremors, and sweats.
Mitral Valve Prolapse
One out of every three panic attack victims have Mitral Valve Prolapse. It is a minor heart condition which can cause anxiety palpitations, chest pain, fatigue, and difficulty breathing.
Anxiety Supplements and other natural anxiety cures
Please see our Anxiety Relief section for quality anti-anxiety supplements.
Ashwaganda (Withania Somnifera)
Bach Flower Remedies
Bach Flower Remedies are prescribed according to the individual and the cause and nature of the anxiety and identifying the exact feeling underlying the problem. Agrimony and aspen are useful for mild to moderate anxiety. For severe cases, use cherry plum or red chestnut. Anxiety for no apparent reason may be treated with aspen. The victims suffer from a persistent feeling that something bad is about to happen them. Anxiety over the welfare of loved ones (such as worrying excessively about the well-being of others) may be red chestnut; anxiety about inability to cope would be elm or larch.
Dandelion leaves have been shown to release stress and promote relaxation. They help you let go of irrational fears and promote trust in yourself. They have been known to ease muscle tension and help backaches. It is nutritious and boosts your digestive system as well.
Eleuthero or Siberian Ginseng (Eleutherococcus Senticosus)
Gamma-aminobutyric acid (GABA) - GABA (Gamma Aminobutyric Acid) is an amino acid and neurotransmitter that helps reduce anxiety, allows rational decision making, promotes restful sleep and enhances workout recovery. It has also been shown to have similar effects as the benzodiazepine drugs. You will also feel more relaxed and notice that you are sleeping better. The recommended dose for GABA is 500 mg - 3 times daily
Inositol has been shown in studies to have a positive effect in the calming of the symptoms of panic attacks and obsessive-compulsive disorder. Taking up to 4 grams daily has shown to be beneficial. Research suggests a range of applications with inositol for promoting brain wellness and healthy
L-Tryptophan is the precursor to Serotonin, a neurotransmitter in the brain, which is deficient in depression. L-Tryptophan is a natural relaxant and helps alleviate insomnia by inducing normal sleep. L-Tryptophan reduces anxiety & depression; helps in the treatment of migraine headaches; helps the immune system; helps reduce the risk of artery & heart spasms.
Passion Flower
Passion flower is one of nature's best tranquilizers. As well as being used to help the mind in extreme emotional upsetting times, it also relieves anxiety, muscle tension, insomnia and headaches. Passionflower is used as an alternative medicine in the treatment of insomnia, nervous tension, irritability, neuralgia, irritable bowel syndrome, and premenstrual tension.
Japanese researchers have discovered that theanine is a caffeine antagonist, meaning that it offsets the "hyper" effect of caffeine (Kakuda et al. 2000). That is why many people will have a "soothing" cup of tea and not a soothing cup of coffee. Theanine does not cause drowsiness like kava kava, nor does it interfere with the ability to think clearly like prescription tranquilizers.
There is evidence that tea exerts far more than just a psychological effect. According to one study, drinking one or more cups of tea can almost halve the risk of heart attack (Sesso et al. 1999). Green tea contains a much higher concentration of theanine than other teas. Theanine has been proven to lower blood pressure (Abe et al. 1995; Yokogoshi et al. 1995; Yokogoshi et al. 1998a). It works through its GABA enhancing effects. Along with its calming effect on the brain, GABA also lowers blood pressure. Genetically hypertensive rats taking 2000 mg of theanine per kg of body weight each day showed significant reductions in blood pressure. Green tea extract contains a phytochemical known as GMA that also lowers blood pressure. Combining them may have significant effects. Theanine is now available in the United States as a dietary supplement. Suggested dosage: The suggested dose of theanine to induce a state of relaxation is 100 mg. For those seeking a continuous mood elevating effect, 1 theanine capsule can be taken 4 times throughout the day.
Valerian is one of the most studied herbs, particularly in Germany where it has been used for years to quiet and calm the central nervous system. Valerian is believed to enhance the release of the neurotransmitter GABA. This may explain its ability to help promote sleep and relaxation.
Dietary Factors that Contribute to Anxiety
Nutritional deficiencies
Nutritional deficiencies are a common cause of stress and anxiety.. When under stress, the need for nutrients is much greater. Carbohydrates, when excessive in the diet, stress the adrenals. Diets low in protein may also create deficiencies and inadequate or poor quality water affects oxygenation of the tissues.
Food Allergies
Be aware to check for food allergies as they can be one of the main causes of many mental and emotional problems. Although an individual could be allergic to any food, such as fruits, vegetables, and meats, there are eight foods that account for 90% of all food-allergic reactions. These are: milk, egg, peanut, tree nut (walnut, cashew, etc.), fish, shellfish, soy, and wheat. Find out more about the Food Allergy Tests we have available!
Hormones in Meat
Many brands of meat have been fed hormones to promote fast weight gain and growth. One hormone diethylstilbestrol (DES) has been implicated in the development of breast cancer and fibroid tumors. Buy organically raised beef, poultry and fish such as cod, salmon, snapper, sole, trout when possible.
There are over 5000 chemical additives in commercial food processing. Our bodies are not equipped to handle these, and little is known about long term biological effects. Additives such as MSG, and artificial sweeteners such as NutraSweet can function as excitotoxins in the brain. Try and eat whole unprocessed foods as much as possible. Try to purchase organic fruits and vegetables when possible.
Caffeine � Eliminating coffee should be the first step. Many anxious people are sensitive to caffeine. Try to wean yourself off coffee, tea, and anything else containing caffeine, or switch to noncaffeinated varieties of these beverages. Chocolate and herb guarana also contain caffeine. They overstimulate your adrenal glands, causing and adrenaline or cortisol release. This can provoke anxiety, nervousness and insomnia. Coffee does not give you energy; coffee gives you the illusion of energy. Coffee actually drains the body of energy and makes you more tired, because of vitamin, mineral, and adrenal depletion.
Avoid all foods containing refined sugars. These foods can affect your blood sugar leading to anxiety and mood swings.Hypoglycemia causes irritablity, fatigue, rapid heart beat, lightheadedness, and panic attacks.
Foods that reduce Anxiety
Folic acid
Pantothenic acid
Riboflavin (vitamin B2)
Thiamin (vitamin B1)
Vitamin B12
Vitamin B6
Other Natural Remedies for Anxiety
Physical Exercise
Have a stress-free home environment
Keep the noise level down as noise contributes to stress. Use as much natural lighting in your home as possible as unnatural florescent lighting can be especially aggravating.
Sufficient sleep
Stress-Reduction Techniques
Find out more about our natural anti-anxiety supplements!
Cognitive-Behavioral and Behavioral Therapy
The behavioral component of CBT seeks to change people's reactions to anxiety-provoking situations. A key element of this component is exposure, in which people confront the things they fear. An example would be a treatment approach called exposure and response prevention for people with OCD. If the person has a fear of dirt and germs, the therapist may encourage them to dirty their hands, then go a certain period of time without washing. The therapist helps the patient to cope with the resultant anxiety. Eventually, after this exercise has been repeated a number of times, anxiety will diminish. In another sort of exposure exercise, a person with social phobia may be encouraged to spend time in feared social situations without giving in to the temptation to flee. In some cases the individual with social phobia will be asked to deliberately make what appear to be slight social blunders and observe other people's reactions; if they are not as harsh as expected, the person's social anxiety may begin to fade. For a person with PTSD, exposure might consist of recalling the traumatic event in detail, as if in slow motion, and in effect re-experiencing it in a safe situation. If this is done carefully, with support from the therapist, it may be possible to defuse the anxiety associated with the memories. Another behavioral technique is to teach the patient deep breathing as an aid to relaxation and anxiety management.
Behavioral therapy alone, without a strong cognitive component, has long been used effectively to treat specific phobias. Here also, therapy involves exposure. The person is gradually exposed to the object or situation that is feared. At first, the exposure may be only through pictures or audiotapes. Later, if possible, the person actually confronts the feared object or situation. Often the therapist will accompany him or her to provide support and guidance.
If you undergo CBT or behavioral therapy, exposure will be carried out only when you are ready; it will be done gradually and only with your permission. You will work with the therapist to determine how much you can handle and at what pace you can proceed.
A major aim of CBT and behavioral therapy is to reduce anxiety by eliminating beliefs or behaviors that help to maintain the anxiety disorder. For example, avoidance of a feared object or situation prevents a person from learning that it is harmless. Similarly, performance of compulsive rituals in OCD gives some relief from anxiety and prevents the person from testing rational thoughts about danger, contamination, etc.
To be effective, CBT or behavioral therapy must be directed at the person's specific anxieties. An approach that is effective for a person with a specific phobia about dogs is not going to help a person with OCD who has intrusive thoughts of harming loved ones. Even for a single disorder, such as OCD, it is necessary to tailor the therapy to the person's particular concerns. CBT and behavioral therapy have no adverse side effects other than the temporary discomfort of increased anxiety, but the therapist must be well trained in the techniques of the treatment in order for it to work as desired. During treatment, the therapist probably will assign "homework"�specific problems that the patient will need to work on between sessions.
CBT or behavioral therapy generally lasts about 12 weeks. It may be conducted in a group, provided the people in the group have sufficiently similar problems. Group therapy is particularly effective for people with social phobia. There is some evidence that, after treatment is terminated, the beneficial effects of CBT last longer than those of medications for people with panic disorder; the same may be true for OCD, PTSD, and social phobia.
Medication may be combined with psychotherapy, and for many people this is the best approach to treatment. As stated earlier, it is important to give any treatment a fair trial. And if one approach doesn't work, the odds are that another one will, so don't give up.
If you have recovered from an anxiety disorder, and at a later date it recurs, don't consider yourself a "treatment failure." Recurrences can be treated effectively, just like an initial episode. In fact, the skills you learned in dealing with the initial episode can be helpful in coping with a setback.
As stated earlier, psychologists, social workers, and counselors sometimes work closely with a psychiatrist or other physician, who will prescribe medications when they are required. For some people, group therapy is a helpful part of treatment.
It's important that you feel comfortable with the therapy that the mental health professional suggests. If this is not the case, seek help elsewhere. However, if you've been taking medication, it's important not to discontinue it abruptly, as stated before. Certain drugs have to be tapered off under the supervision of your physician.
Remember, though, that when you find a health care professional that you're satisfied with, the two of you are working together as a team. Together you will be able to develop a plan to treat your anxiety disorder that may involve medications, cognitive-behavioral or other talk therapy, or both, as appropriate.
You may be concerned about paying for treatment for an anxiety disorder. If you belong to a Health Maintenance Organization (HMO) or have some other kind of health insurance, the costs of your treatment may be fully or partially covered. There are also public mental health centers that charge people according to how much they are able to pay. If you are on public assistance, you may be able to get care through your state Medicaid plan.
Part of the information in this section has been provided by NIMH.
The major classes of medications used for various anxiety disorders are described below.
Some of the newest antidepressants are called selective serotonin reuptake inhibitors, or SSRIs. These medications act in the brain on a chemical messenger called serotonin. SSRIs tend to have fewer side effects than older antidepressants. People do sometimes report feeling slightly nauseated or jittery when they first start taking SSRIs, but that usually disappears with time. Some people also experience sexual dysfunction when taking some of these medications. An adjustment in dosage or a switch to another SSRI will usually correct bothersome problems. It is important to discuss side effects with your doctor so that he or she will know when there is a need for a change in medication.
Fluoxetine, sertraline, fluvoxamine, paroxetine, and citalopram are among the SSRIs commonly prescribed for panic disorder, OCD, PTSD, and social phobia. SSRIs are often used to treat people who have panic disorder in combination with OCD, social phobia, or depression. Venlafaxine, a drug closely related to the SSRIs, is useful for treating GAD. Other newer antidepressants are under study in anxiety disorders, although one, bupropion, does not appear effective for these conditions. These medications are started at a low dose and gradually increased until they reach a therapeutic level.
Similarly, antidepressant medications called tricyclics are started at low doses and gradually increased. Tricyclics have been around longer than SSRIs and have been more widely studied for treating anxiety disorders. For anxiety disorders other than OCD, they are as effective as the SSRIs, but many physicians and patients prefer the newer drugs because the tricyclics sometimes cause dizziness, drowsiness, dry mouth, and weight gain. When these problems persist or are bothersome, a change in dosage or a switch in medications may be needed.
Tricyclics are useful in treating people with co-occurring anxiety disorders and depression. Clomipramine, the only antidepressant in its class prescribed for OCD, and imipramine, prescribed for panic disorder and GAD, are examples of tricyclics.
Monoamine oxidase inhibitors, or MAOIs, are the oldest class of antidepressant medications. The most commonly prescribed MAOI is phenelzine, which is helpful for people with panic disorder and social phobia. Tranylcypromine and isoprocarboxazid are also used to treat anxiety disorders. People who take MAOIs are put on a restrictive diet because these medications can interact with some foods and beverages, including cheese and red wine, which contain a chemical called tyramine. MAOIs also interact with some other medications, including SSRIs. Interactions between MAOIs and other substances can cause dangerous elevations in blood pressure or other potentially life-threatening reactions.
Anti-Anxiety Medications
Some people experience withdrawal symptoms when they stop taking benzodiazepines, although reducing the dosage gradually can diminish those symptoms. In certain instances, the symptoms of anxiety can rebound after these medications are stopped. Potential problems with benzodiazepines have led some physicians to shy away from using them, or to use them in inadequate doses, even when they are of potential benefit to the patient.
Benzodiazepines include clonazepam, which is used for social phobia and GAD; alprazolam, which is helpful for panic disorder and GAD; and lorazepam, which is also useful for panic disorder.
Buspirone, a member of a class of drugs called azipirones, is a newer anti-anxiety medication that is used to treat GAD. Possible side effects include dizziness, headaches, and nausea. Unlike the benzodiazepines, buspirone must be taken consistently for at least two weeks to achieve an anti-anxiety effect.
Other Medications
Last Modified 3/30/08
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Brain Balance IP formulas 120 Capsules


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Former Serb president cleared of Kosovo crimes
Most residents ignored the rulings and the Serbian parliament was discussing economic measures the government is taking to counter the effects of the global crisis.
The current head of Milosevic's Socialist Party, Ivica Dacic, said that the verdicts have confirmed that "this entire process was political."
Dacic who is Deputy Prime Minister and Interior Minister in the current Serbian government, said that "our position is that all who committed war crimes should be punished but it is absolutely certain that the Serbian state did not systematically commit genocide or crimes against other nations in the former Yugoslavia or within Serbia."
Rasim Ljajic, the Serbian government official in charge of ties with the tribunal, said the verdicts will "add to anti-Hague sentiments" in Serbia.
Ljajic said it was inevitable that the Serbian public would contrast the convictions with the acquittal of former Kosovo Prime Minister Ramush Haradinaj. This, Ljajic said "will increase the impression about the Hague tribunal's double standards."
The tribunal has indicted 161 suspects, most of them Serbs, and wrapped up cases against 116 of them.
Associated Press Writers Jovana Gec and Dusan Stojanovic in Belgrade, Serbia, and Nebi Qena in Pristina, Kosovo, contributed to this report.


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Pearson Wanderer - Deal or No Deal?
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mike dryver
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only you can decide if it is worth it Wanderers usually hold their value if taken care of and from your comments this one sounds like it was. if engine is as good as you say it is then as long as you are dilligent in maintaining it, the engine should last for quite some time yet, as faras the sails are cocerned we own a 1979 Gulftar with originals and they are still in quite good shape because they get serviced at least every 2 yrs. if you are doing this on a show string regroup! boats don't survive well on show strings.
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Betty Jane Kidd
Services at 1 p.m. Oct. 6 at Highland Cemetery Pavilion in Iowa Park. Arrangements are under the direction of Owens and Brumley Funeral Home of Wichita Falls.
Ms. Kidd taught music for forty years to students of the WFISD elementary schools at Barwise, Austin, Washington Jackson and Lamar.
Survivors include brother, Richard W. Kidd, Jr.; niece, Rogelyn Kundert; nephews, Richard W. Kidd, III and Charles Kidd.
Memorial may be sent to Hospice, 4909 Johnson Rd., Wichita Falls, TX 76310 or TCCC, 300 Loop 11, Wichita Falls, TX 76306.
Memories, stories and condolences may be shared with family and friends at www.owensandbrumley.com.
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Artesia Travel Guide
Photos from ArtesiaPictures of Artesia (20)
Hotel Deals in Artesia
Hotels in ArtesiaArtesia Accommodations (2)
Best Western Pecos Inn Artesia
2209 West Main Street, Artesia, United States
Hotel Artesia
203 North 2nd Street, Artesia, United States
Travel Blogs from ArtesiaArtesia Travel Blogs (5)
Traveling light with lots of space
... was to get away from the smell in Lubbock Ten hours after leaving the house we decided to call it a day in the town of Artesia, where we found an excellent and very modern Hotel Artesia. This was a real gem given the bleak surroundings. The town is known ...
Long day of driving
- It is 9pm - Drove for about 9 hours today - Filled up the gas tank for tomorrow for $33.60 - Going to bed aka the back seat - waking up at 6am ...
Sunrise & Breakfast in Artesia, NM
... corrugated steel with fun writing in occasional places and the food was amazing. I got an egg, brisket, jalapeno, salsa dish (with tortillas) and John got huevos con chorizo. I would definitely suggest stopping by here if you ever drive through ...
Road Check
Roads: TX- good NM- not so good So we started our day out near Weatherford, TX with the temps in the mid 40's. Brrr. While traveling west on I-20, the temperature seemed to start dropping when the rain hit us. It was only 55 at noon. Luckily ...


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At Magic Kingdom, up on the train station waiting for the parade to start. Glorious weather today.
Watching folk get their photos taken with Marie or Pluto.
We have a Fastpass for Mickey photos after parade followed by Fastpasses for Buzz.
We have an ADR for Ohanas tonight at 6.25pm then we will head back here for the Electrical Parade and Wishes.
Tomorrow we are spending time with big cats.


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News from WTOP
News from the AP
Mike Causey
Shows & Panels
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- Agency of the Month
- Business of Government Hour
- The CFO Agenda: Delivering value from financial transparency and audit efforts in the public and private sector
- Cloud-Driven Data Insights in Government
- CXO Surveys
- Disaster Resilience for America
- Federal News Countdown
- Government Perspectives on Mobility and the Cloud
- Reducing Risk in the Cloud
- Reimagining the Next Generation of Government
Shows & Panels
- AFCEA Answers
- American Readiness: Renewable Power and Efficiency Technologies
- Ask the CIO
- The Business Case for Cloud Computing in Government
- Cloud-Driven Data Insights in Government
- Connecting the Dots: Digital Authentication in Government
- Data-Centric Approaches to Government in the Cloud
- Delivering the Digital Government Mission
- Federal Executive Forum
- Federal News Radio's National Cyber Security Awareness Month Special Panel Discussion
- Federal Tech Talk
- The Future of Government Data Centers
- Government Perspectives on Mobility and the Cloud
- Industrialized, Interoperable and Insight-driven Federal Health Panel
- Innovation and Tech Superiority through Acquisition Reform
- Mitigating Insider Threats in Virtual & Cloud Environments
- Moving Agency Applications to the Cloud with PaaS
- Reducing Risk in the Cloud
- Security in the Age of Targeted Attacks
- Air Traffic Management Transformation Report
- The Business of Cloud
- Cloud First Report
- Data Driven Cloud Series
- Disaster Resilience for America
- General Dynamics IT Enterprise Center
- Gov Cloud Minute
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- Homeland Security Cybersecurity Market Report
- The Intersection: Where Technology Meets Transformation
- Modern Mission Critical Series
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- The New IP for Federal IT
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- Technology Insights
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Shows & Panels
- Cloud-Driven Data Insights in Government
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- On DoD
- Pentagon Solutions
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- Reimagining the Next Generation of Government
- Transforming Business Operations at the Defense Department
States' choices set up national health experiment
Tuesday - 2/19/2013, 2:42pm EST
Associated Press
WASHINGTON (AP) -- President Barack Obama's health care overhaul is unfolding as a national experiment with American consumers as the guinea pigs: Who will do a better job getting uninsured people covered, the states or the feds?
The nation is about evenly split between states that decided by Friday's deadline they want a say in running new insurance markets and states that are defaulting to federal control because they don't want to participate in "Obamacare." That choice was left to state governments under the law: Establish the market or Washington will.
With some exceptions, states led by Democrats opted to set up their own markets, called exchanges, and Republican-led states declined.
Only months from the official launch, exchanges are supposed to make the mind-boggling task of buying health insurance more like shopping on Amazon.com or Travelocity. Millions of people who don't have employer coverage will flock to the new markets. Middle-class consumers will be able to buy private insurance, with government help to pay the premiums in most cases. Low-income people will be steered to safety net programs like Medicaid.
"It's an experiment between the feds and the states, and among the states themselves," said Robert Krughoff, president of Consumers' Checkbook, a nonprofit ratings group that has devised an online tool used by many federal workers to pick their health plans. Krughoff is skeptical that either the feds or the states have solved the technological challenge of making the purchase of health insurance as easy as selecting a travel-and-hotel package.
Whether or not the bugs get worked out, consumers will be able to start signing up Oct. 1 for coverage that takes effect Jan. 1. That's also when two other major provisions of the law kick in: the mandate that almost all Americans carry health insurance, and the rule that says insurers can no longer turn away people in poor health.
Barring last-minute switches that may not be revealed until next week, 23 states plus Washington, D.C., have opted to run their own markets or partner with the Obama administration to do so.
Twenty-six states are defaulting to the feds. But in several of those, Republican governors are trying to carve out some kind of role by negotiating with federal Health and Human Services Secretary Kathleen Sebelius. Utah's status is unclear. It received initial federal approval to run its own market, but appears to be reconsidering.
"It's healthy for the states to have various choices," said Ben Nelson, CEO of the National Association of Insurance Commissioners. "And there's no barrier to taking somebody else's ideas and making them work in your situation." A former U.S. senator from Nebraska, Nelson was one of several conservative Democrats who provided crucial votes to pass the overhaul.
States setting up their own exchanges are already taking different paths. Some will operate their markets much like major employers run their health plans, as "active purchasers" offering a limited choice of insurance carriers to drive better bargains. Others will open their markets to all insurers that meet basic standards, and let consumers decide.
Obama's Affordable Care Act remains politically divisive, but state insurance exchanges enjoy broad public support. Setting up a new market was central to former Republican presidential candidate Mitt Romney's health care overhaul as governor of Massachusetts. There, it's known as the Health Connector.
A recent AP poll found that Americans prefer to have states run the new markets by 63 percent to 32 percent. Among conservatives the margin was nearly 4-1 in favor of state control. But with some exceptions, including Idaho, Nevada and New Mexico, Republican-led states are maintaining a hands-off posture, meaning the federal government will step in.
"There is a sense of irony that it's the more conservative states" yielding to federal control, said Sandy Praeger, the Republican insurance commissioner in Kansas, a state declining to run its own exchange. First, she said, the law's opponents "put their money on the Supreme Court, then on the election. Now that it's a reality, we may see some movement."
They're not budging in Austin. "Texas is not interested in being a subcontractor to Obamacare," said Lucy Nashed, spokeswoman for Gov. Rick Perry, who remains opposed to mandates in the law.
In Kansas, Praeger supported a state-run exchange, but lost the political struggle to Gov. Sam Brownback. She says Kansans will be closely watching what happens in neighboring Colorado, where the state will run the market. She doubts that consumers in her state would relish dealing with a call center on the other side of the country. The federal exchange may have some local window-dressing but it's expected to function as a national program.


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Spelling bee finals move to primetime
Scripps Howard event to include Calallen student
If 14-year-old Calallen Middle School student Elizabeth Jendrzey wins the 79th annual Scripps Howard National Spelling Bee in Washington, D.C., she knows exactly what would happen first.
"The first thing I'd do if I won would be faint from the excitement and then I'd probably go out to dinner," Elizabeth said.
This will be the first year that rounds of the spelling bee will be broadcast live during primetime on ABC, but the eighth grader knows how to keep the nervous flutters at bay.
"I'm going to study on the way up there. I'm going to breathe in and breathe out and relax," Elizabeth said.
The first four rounds will be May 31 and will include 275 of the top student spellers in the country. ESPN will air the preliminary championship rounds of the bee from 11 a.m. to 2 p.m. on June 1. The final championship rounds will air live from 7-9 p.m. on ABC, (local affiliate KIII-TV) that same night. "Good Morning America" co-anchor Robin Roberts will be the host of the ABC broadcast.
The purpose of the Scripps Howard spelling bee is to help students improve spelling, increase vocabularies, learn concepts and develop correct English usage, according to bee officials.
Elizabeth beat out 10,800 students in 21 rounds from 12 counties during the Caller-Times South Texas Regional Spelling Bee in late February.
Contact Mary Ann Cavazos
at 886-3623 or cavazosm@ caller.com
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Even for a social change agent, it is not easy to please every body. If one out of a thousand tree seeds that he scattered on the road side grew into a tree, he had planted about ten million trees by mid nineties. In addition, he also helped build thousands of mini check dams through what he called a cement scheme.
When Dr Kalam read about him in Honey Bee Newsletter, he could not resist meeting him. While meeting between both went off very well, but it also raised a question in our mind. Why is it that a person like Premji bhai about whom we first wrote in 1996 and who was honoured with sristi sanman and NIF's presidential award for designing tree seed scatterer and innovative check dams, is not known to every young child in the country. Why do school text books not have a lesson about such contemporary social change agents in every state? Is it that educational administrators are worried that if the children were exposed to such ideas at young age, they might start seeing impossible dreams and society will turn around much faster then we ever can imagine.
May be then the mandarins in central and state departments will have to learn much more from the ground, keep track of such social leaders and entrepreneurs and become accountable to them as well. Too much of a botheration, is not it?
But he did not bother only the policy makers, some of the people in the villages whose cycles were punctured by the thorns of prosopis (ganda bawal) also complained. Women who did not have to go far for fuel wood however, blessed him. Premji bhai often saw only the tree in the eyes of the bird, just as arjun saw the target in Mahabharat. Such a devotion to a public cause deserves better. Should not we expose our children to such experiences every day or week and instill in them a desire to create public goods.
Today when the desire of many who have a lot already, is to have even more private gain, does not matter if the corners have to be cut ( and the public interest has to suffer), such examples provide a happy contrast.
May be the text book boards at central and state level will wake up to the urgent need to imbue young minds with the ideal of the larger social good, an inclusive and imaginative India, a creative and compassionate India. May be.


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Welcome to bookchat where you can talk about anything...books, plays, essays, and books on tape. You don't have to be reading a book to come in, sit down, and chat with us.
When I think about writing Bookflurries each week, sometimes a word jumps into my mind and I say, "What?" Then I think about it for a while to see what it has to do with reading. Tunneling into a book means to me diving deeply into a subject or a place and really getting to know it, thoroughly. At the present moment I am tunneling into Czechoslovakia just before and during WW II, the Y service in WW II, and London starting from about AD 50.
I will say that tunneling is a different experience from dipping into an Ice Cream Sundae and I do like to do both. The thing about tunneling is that it takes time and it takes commitment even if I read only a few pages each night. It may be why I seem to do it more often in the winter when there is time to spend.
There are many images of tunneling that come to mind as I explore this metaphor. There are the miners who labor beneath the earth, digging out tunnels bit by bit to reach the coal, diamonds, or gold. Reading about miners makes me aware of the terrible danger of such work. Then, there are the necessary tunnels for transporting goods and people that are dangerous to build. When hubby and I traveled in the mountains we often drove through short tunnels or under snow sheds built for protection against avalanches.
There are books that require us to tunnel into them and the reward for doing so is great. They are worth it. The author has done detailed research and presented it to us in a readable format. We must be willing to dive in and go deep and dig out the nuggets that will stick in our minds.
It can be daunting to approach and begin a book that will require months of reading. I give kudos to readers at Bookflurries who have managed many books that I could not read. I am always interested in hearing about them even if I can not read them.
Prague Winter by Madeline Albright is about her country and not much about herself. It is an explanation of what happened to it and it is well worth the time to read about a country that was proud of being Democratic while being surrounded by countries that were not. It is interesting to read because I had already read To the Castle and Back by Vaclav Havel. It also tells us about her family who died in the death camps.
So far, the London book, A History of London by Stephen Inwood, is going well. I read London by Edward Rutherfurd a few years back and many, many other fiction stories set in London so I am prepared for this book and willing to tunnel into it for months of pleasure.
I have been tunneling for a second time into a character who has so many different layers to discover. Camilleri's Inspector Montalbano on the outside is ornery and yells a lot. He seems preoccupied with good food and yet when we pay attention to his thoughts and his self-questioning, we learn so much more about him and it raises the stories above being murder mysteries set in Sicily. I tunnel into this complex character and I am surprised over and over again. There is the favorite walk to the rock by the lighthouse where he has cried. There is the olive tree where he sits as he puzzles over cases that are as gnarled as the tree's branches. There is the sea that he swims in. I find him endlessly interesting as his thoughts are revealed.
Tunneling into books often means immersing oneself so much that the rest of the world seems pale by comparison. It takes courage to dive in and explore so deeply, but we learn so much that way. When we come up at the end of the story we have grown.
What books or characters have you tunneled into? Is it worth it? Are you being rewarded or just hanging in stubbornly for whatever good bits pop up?
Diaries of the Week:
Write On! We have these fears.
by SensibleShoes
On the Joys and Importance of Reading and Learning
by Andrew C White
SNLC, Vol. CCCLVIII / SN@TO 14: Maria Stuarda Edition
by chingchongchinaman
NOTE: plf515 has book talk on Wednesday mornings early


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Associate's Degree Programs in Respiratory Therapy
Read about the typical coursework in a respiratory therapy associate's degree program. Also, learn what the employment and income potential is for professionals in this field.
Essential Information
Respiratory therapists and respiratory therapy technicians work alongside physicians to identify, treat and prevent respiratory problems in patients. An associate's degree is the common educational option for becoming a respiratory therapist. Over the course of two years, students received classroom and practical training on how to treat patients and how to operate medical equipment. National licensure is required to work in the field, which can typically be obtained through successful completion of an accredited program and a recognized certification exam.
Associate of Science in Respiratory Therapy
An associate's degree in respiratory therapy is the most common academic credential among respiratory therapists. Most programs require two years of study and offer medical internship opportunities. In addition to traditional coursework, students work in clinical lab settings with simulated respiratory therapy situations. Students learn to recognize respiratory ailments and disorders and work with physicians to treat patients. Candidates also learn to use the medical equipment necessary to perform respiratory tests.
Educational Prerequisites
To enroll in a respiratory therapy associate's degree program, applicants must have high school diplomas and submit official transcripts. Some programs may require SAT or ACT scores.
Program Coursework
Respiratory therapy courses teach students to recognize, diagnose and treat various respiratory, cardiopulmonary and general breathing disorders and conditions. Programs also include life science courses in biology, chemistry, physiology and microbiology. Typical program courses include the following:
- Respiratory anatomy and physiology
- Cardiopulmonary processes
- Critical patient care techniques
- Respiratory ventilation
- Respiratory rehabilitation
Employment Outlook and Career Information
Respiratory therapy involves the treatment of breathing disorders and conditions. According to the U.S. Bureau of Labor Statistics (BLS), the number of respiratory therapist jobs was expected to grow by 28% from 2010 to 2020 (www.bls.gov). The BLS listed the median annual salary for respiratory therapists as $55,870 in 2012. Most opportunities for respiratory therapists are with hospitals and medical clinics.
Continuing Education Information
An associate's degree in respiratory therapy is the most common education among respiratory therapists. Mandatory licensure is available through the National Board for Respiratory Care (NBRC). With licensure and certification, students can become Certified Respiratory Therapists (CRTs) and Registered Respiratory Therapists (RRTs). Many employers also require respiratory therapists to have CPR training and certification.
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- Applied Technology Management Jobs: Duties and Requirements
- MBA in Marketing Management: Masters Degree Program Overviews


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Don't miss your chance to see Eli Young Band in Chattanooga! Check out the schedule below for the concert date of your choice, then buy your Eli Young Band Chattanooga tickets before they sell out!
Looking for Eli Young Band tickets in other cities? View all Eli Young Band tickets »
Sorry! We couldn't find any events for Eli Young Band in Chattanooga.
If you were searching to see if Eli Young Band is coming to Chattanooga, then you're in luck! For their latest tour, Eli Young Band will indeed hold a concert in Chattanooga. Have an awesome concert experience when you go to see Eli Young Band in Chattanooga. Get your Eli Young Band tickets Chattanooga and join fellow fans for a concert to remember!
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Need help ordering? Call 1-888-456-8499


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The UW Data & Analytics website provides a single point of access to information for users and developers of Enterprise Data Warehouse (EDW) data and tools. It addresses questions about access, database connections, report writing and deployment, query writing, available data, and more.
UW Data & Analytics
Last modified: January 26, 2015


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KSSLC Hall Tickets 2015 of Karnata SSLC of Class 10th Hall Tickets Download at kseeb.kar.nic.in …
Karnataka State Board of SSLC and Karnataka Secondary Education Examination Board will Ready to issue at the Board Official Website and it's Distribute it to Public Examination tests of annual March/April 2015 Exams and the eManabadi.com will Published the Board latest Updates in the Categories of Karnataka find it to get more details.
The Karnataka Secondary Education Examination Board will issue the KSEEB Hall Ticket 2015 in before one month of the Examination Schedule through the State Government and Private School Head of the Department and it will Distribute them trough online for Who have not allotted and who are forgotten or lost they will download from the following instructions.
- Log in to www.kseeb.kar.nic.in
- Select SSLC Hall Ticket 2015 Option
- Submit Required Details
- Click Download Option
it will displayed on your Desktop Check it for Candidate Name and Photograph and take a copy of Printout then attend the Examination Center it will be accepted as a Original KSEEB Hall Ticket 2015 and the Students will had any Questions Please Write a Comment with your Question the eManabadi.com will Give Reply with Solution .


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Results 1 to 5 of 8
Threaded View
August 29th, 2013 07:42 AM #1
Books with great character names!
WARNING! This post is very name-nerdy
I'm reading a book called Cold Comfort Farm, written in 1932. What immediately struck me was how before-their-time trendy the names of the characters were! For example, there are characters named:
which I find to be very 'now'. Any books you've read that strike you particularly?
Another book, How I live now, has a character named Piper. Fancy that!Twenty-year-old law student with a furbaby named Frederick
* Beatrix * Clementine * Penelope * Felicity * Margo *
* Theodore * Hugo * Edmund * Felix * Oscar *


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Search the Collection
Francis Goodman (1913-1989), Photographer
Sitter in 5 portraits
Artist of 1247 portraits
Born Francis Julian Gutmann in London but brought up in Germany, Gutmann returned with his German-Jewish family to England in 1931 aged eighteen, where he worked as an apprentice with advertising photographer Shaw Wildman. Gutmann also printed for Cecil Beaton and worked with Peter Rose-Pulham, later taking over Rose-Pulham's studio in Berkeley Square. His portraits appeared in the British edition of Harper's Bazaar and The Sketch. From 1940, he changed his name to Goodman, and during the 1940s and 1950s his images appeared in Tatler and Bystander.
by Winifred Casson
bromide print, circa 1935
NPG x24433
by Francis Goodman
2 1/4 inch square film negative, 25-31 August 1947
NPG x75916
by Francis Goodman
2 1/4 inch square film negative, June 1961
NPG x131106
by Francis Goodman
2 1/4 inch square film negative, June 1961
NPG x131107
- Larger Image
- Buy a print
- Use this image
- Recent acquisition
by Robin Cracknell
toned gelatin silver print, Spring 1989
NPG x137367


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By Dennis George
It's a bittersweet day for Jesse Mings as he sits in his chair in the last row in section 32 of Rupp Arena.
He's watching the opening round of the Sweet Sixteen, just as he has done for 54 of the past 55 years.
Mings is clad in his Taylor County cap and sweatshirt, beaming with pride as he talks about his hometown school being in the big dance.
But something's missing.
Jordan Alves, CU Sports Information
Both Campbellsville University women's and men's basketball programs finished in the top 5 in the final rankings for the NAIA National Championships.
The tournaments are scheduled to tip off on Wednesday, March 18 with 60 games being played in a six-day span and the two national championships being hosted on Tuesday, March 24 at 6 and 8 p.m. CT, respectively.
Taylor County is returning to its first Boys' Fifth Region Basketball Tournament championship game since 1983 as the Cardinals knocked off North Hardin 65-55 on Monday night.
Brandon Berry and Quentin Goodin had 20-point outings for TCHS while Cam Morgeson added 10 and Austin Webster eight rebounds.
The Cardinals maintained a 26-22 half-time lead despite Berry and Goodin missing much of the second quarter with two fouls.
Copyright © 2015
The Central Kentucky News-Journal is your source for local news, sports, events, and information in Campbellsville, KY and the surrounding area.


text: Publications Search Results Users may wish to consult What's Included in the Bibliography. Results 1 - 1 Results per page: 25 50 100 Sort by: Pub Date (newest) Title Recent Additions Author Clear All Pub. Year Citation 1998 Garis, Dalton . Poverty, single-parent households, and youth at-risk behavior: An empirical study. Journal of Economic Issues. 32, (4), 1-79-1105. Full Text Options: Worldcat Google Scholar Export Options: RIS EndNote XML [1]


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Episode #70
Nasdaq Market Freezes, Disrupting Trading of Thousands of Stocks and Options
Friday, August 23, 2013
Computer glitches on the Nasdaq stock exchange brought a halt to trading of thousands stocks and options Thursday in what some are calling "the flash freeze."
It's just the latest software malfunction to disrupt the markets, and it's not even the first one this week. Goldman Sachs lost as much as $100 million Tuesday after erroneous algorithmic trades.
This week on Money Talking, guest host Heidi Moore of the Guardian speaks with Joe Nocera of the New York Times and Rana Foroohar of Time magazine about why there are so many software-related problems on stock exchanges these days and whether regulators can do anything about it.
Looking ahead, Foroohar talks about when the Federal Reserve Bank might start tapering off its asset-buying programs.
Nocera talks about e-cigarettes, which are currently not regulated.
Hosted by:Heidi Moore
Produced by:Daniel P. Tucker
Contributors:Rana Foroohar and Joe Nocera
Comments [1]
Sounds like someone hacked the NASDAQ. As in a science fiction movie, we all know that sometimes science fiction becomes reality. Remember the Dick Tracey two way wrist radio?
Where is James Bond when we need him?
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Jimmy Fallon SMS-F
1,000 - 5,000 downloadsAdd this app to your listsTweets por @Appszoom
View photos when you receive a message! These pictures are selected using the keyword "Jimmy Fallon", so they change whenever you receive a message. You will find the photo best for you!
Tags: fallonsms, fallon pictures sms, fallon sms.
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The two Costco American Express credit cards, the business TrueEarnings and the personal, have one unique feature: along among all the gas cards, they give bonus rewards when you fill up at Costco. Every other card (that we know of) has an exemption for wholesalers, and even other AmEx cards don't give a bonus there. Another added advantage is that Costco only takes American Express credit cards (a NerdWallet advertiser partner). On the downside, the American Express Costco recently cut its rewards rate, and there are a couple other cards (like the AmEx Blue Cash Preferred) that give better rewards overall.ADVERTISER DISCLOSURE
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Shop now and get Free Value Shipping on most orders over $49 to the contiguous 48 states, DC and to all U.S. Military APO/FPO/DPO addresses.
We want to ensure that making a return is as easy and hassle-free as possible! If for any reason you decide that your purchase just isn't for you, simply return the item within 30 days of receipt and we'll cover the cost of return shipping. Learn more about our Return Policy.
Take a look at our extensive selection of Cass Creek Product Reviews right here at OpticsPlanet. Rest assured, when you shop at OpticsPlanet.com, your experience will be nothing short of excellent. Investigate these Cass Creek reviews, ratings, recommendations and feedback from users exactly like you which have expertise using the products. We feature online testimonials from all of the best Cass Creek categories including Cass Creek Hunting Accessories Reviews, Cass Creek Game Calls Reviews, Cass Creek Hunting Scents & Lures Reviews. We all know the value of consumer reviews and having a good understanding and knowledge of the products you're about to purchase. These consumer written reviews will allow you to make a well informed and intelligent purchase selection. If you want to take part in a chat about Cass Creek products then make sure to check out our OpticsPlanet discussion forum. We would like you to be comfortable with the Cass Creek products you purchase, so benefit from people exactly like you who've used and also have first-hand knowledge of theses Cass Creek products.
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Has Nadal surpassed Borg yet?
View Single Post
Join Date: Jun 2012
Posts: 7,019
Originally Posted by
no, I'm not pumping them, I'm rating them as good as they are ... its only a ******* like you who puts them down
Yes you are pumping their tyres up because it makes your boy look better. Novak and Rafa clearly have more dangerous components to their game than those 2 hence the reason Fed has struggled against them far more in majors.
If they were so good why couldn't they EVER beat Federer in a major? I mean come on a teenage Nadal did it.
Originally Posted by
no, hewitt didn't play brilliantly in that match , he played decent tennis ...major part of that was because of federer's briliance ...
He got 6-0 7-6 6-0 and you say he played decent tennis. LOL If that's decent then Rafa's WIM final runs are like a winning a World War.
oh and here's the best part, he's also dominated Roddick like that in majors as well. But yeah, they were sooo much of a threat.
Funny how Fed could NEVER dominate Rafa or Novak like that at a major...
Originally Posted by
the berdych case wasn't the same because it was his first final and the nerves clearly showed , not the case with hewitt
Nah Hewitt wasn't nervous, he just played like a turd.
Originally Posted by
what do you expect ? after so much of absolute brutal hitting , level and energy was bound to come down... its not that he was playing bad tennis , he was still playing decent tennis
Yeah but he couldn't keep up the level that got him to the fifth set.
Originally Posted by
again, that's where you are plain thick, out of those 7, 5 were on clay, which is federer's worst surface ...where he's not in the top tier .........
No, plexicushion is Federer's worst surface. Since 2004 (that's when Fed started establishing his dominance) Fed has made it to 5 RG finals and won once. So 5/9. Since AO went plexicushion, Fed has made it to 2 finals and won once. so 2/5.
Seriously you don't even know your own idol's worst surface properly. Also that's beside the point anyway because Nadal was only a teen in 2005 while Fed had the experience of making and winning multiple majors at the time. Yet he still lost. Comfortably too I might add. And that's where ultimately your excuses run out.
Originally Posted by
mac on grass and mac/connors at the USO are quite a bit better than federer on clay ..
If Nadal wasn't around Fed would've most likely had 6 RG titles (only realistic chance of losing would've probably been Novak in 08 ) and nobody would be calling clay his worst surface at all. It's just that Nadal is the greatest clay courter of all time.
Originally Posted by
loads of credit to nadal for those wins @ wimbledon 2008/AO 2009 ..... but it wasn't that tough @ the FO ( though it is very credible that he didn't lose 1 times of 5 to fed there )
Actually, you're right saying at RG wasn't that tough. But the fact that Fed could not even win more than 1 set in ANY of those matches, that is what shows you how much better a clay courter Nadal is compared to Fed on any given surface, including grass.
But 2005 semi would've been very tough.
Originally Posted by
if everything has to go by reputation, then why even bother playing the matches , why even consider the forms ? bah !
Well you don't consider the forms of Rafa's opponents either so it goes 2 ways there buddy.
Originally Posted by
lol, that's plain dumb, with the way federer was serving, even better than in the 2007,08 finals, rafa would still find it very tough ... he didn't play that well by his standards in the wimbledon 2008 final either ... 1/13 on BPs, half of them dumping second serves into the net or wide or long ? gimme a break !
You still don't understand tennis do you? Buy a racquet and play. Fed served better in 2009 final than 08 because he was playing Roddick. Against Roddick the serves don't need to be as pinpoint as they do against Nadal, therefore, less pressure on serve and therefore better serving statistics. Roddick isn't the returner Rafa is pal.
Also, I believe Agassi once said Nadal had a very tricky second serve with the spin he's able to put on it, plus you factor in the pressure Fed would've felt against Nadal vs against Roddick and it's easy to see why Fed missed those second serve returns. Fed knew from the back of the court Nadal could easily get on top of him so the return had to be fairly decent and therefore going for such a return increases your chance of error. Against Roddick he can just block return serves knowing that if he can initialise a rally against Roddick he's a strong chance of beating him from the back of the court.
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Inclusion in Physical Education: Fitness, Motor, and Social Skills for Students of All AbilitiesPaperback
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- Publisher: Human Kinetics Publishers
- Format: Paperback | 168 pages
- Dimensions: 150mm x 226mm x 13mm | 295g
- Publication date: 30 September 2009
- Publication City/Country: Champaign
- Illustrations note: 6 illustrations, 33 photos
- Sales rank: 315,557
Product description
"Inclusion in Physical Education" is an easy to implement, hands-on guidebook of practical strategies for including students with disabilities in general physical education classes. The book focuses on skill development, social development and fitness for students with all manner of disabilities. The suggested adaptations in this book correlate with many objectives found in national standards for physical education and can be implemented by any educator. It has a wealth of teaching strategies and activities for student involvement that have been successfully field-tested by the author. The book gives the reader a clear understanding of how to set realistic goals for students with disabilities, because just like their able-bodied peers, children with disabilities benefit from learning and improving skills. In order for inclusion to be successful, educators need to consider the type and severity of the disability, the activities provided, the equipment modifications and the need for extra staff or peer support. The book is divided into chapters relating to specific disabilities. The author believes that every child is a unique learner but there are similar attributes that students with certain disabilities have in common. Therefore, when searching for ideas for any student with a specific disability, the reader will also be provided with other basic characteristics or expected behaviors. The reader can open this book and immediately find strategies. It is an invaluable reference of ideas for inclusion.
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Pattie Rouse has more than 20 years of experience teaching physical education to persons with disabilities. Building on her tremendous success using games to help all groups of learners develop team-building skills, she has also trained other teachers to use the same type of team-building programmes. This book is an outgrowth of the positive results her methods have engendered. She holds a BSED in health and physical education from Georgia Southern University and a master's of education in integrated studies from Cambridge College in Boston. She also has been trained in instructional strategies for children with emotional and behavioural disabilities, adventure-based counselling and developmental therapy for children with autism.
Table of contents
Chapter 1. What is Inclusion?; Chapter 2. Autism Spectrum Disorder and General Physical Education; Chapter 3. Including Students in Wheelchairs in General Physical Education; Chapter 4. Teaching Students with Intellectual Disabilities; Chapter 5. Facilitating Inclusion for Students with CP; Chapter 6. Strategies for Students with Visual and Hearing Impairments; Chapter 7. The Differentiated Classroom in Physical Education and Inclusion; Chapter 8. Games for Understanding.


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We spend 15 days at Anemousa Studios with our two children end of June. We had booked a charming apartment with two rooms, kitchen and salon. A lovely terrace with chairs and table. Everything was fine, nice beds, A/C, the beds were made and it was cleaned every day. The bar at the swimming pool was just terrific. Tountas Markos... More
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ApplianceGeneral Electric Washer
Level of DifficultyA Bit Difficult
Time to do repair30 - 60 mins
Age of Appliance1 - 4 years
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100 out of 121 people found this instruction helpful
Ordered new Parts. Removed old/worn parts. Found that the "hammering" from a loose pulley had worn and deformed the edges of the shaft where the flats are to accept new pulley.Gently filed the flats with the flat surface of the file and filed the hump on the shaft that the "hammering" created. Take extreme caution to not file surfaces too much, because new pulley will be loose and the next step is to replace the drum shaft.($$$$) Pulley did not fit 100% (Had some slop) but that was from material being worn away from "hammering" effect. Torqued with Torque wrench and added green 609 loctite compound - this is meant to help adhere and take up some loose fit in assemblies. - Drawback to Loctite is most have to be heated to 300 to 400 degrees to remove, or pulley will need to be cut off and ruined, I further repair/removal of pulley is necessary. This is an Easy Fix/Replacement of parts.... The hard part is filing the drum shaft surfaces to accept the new pulley, and getting the belt back on - Belt is tight but needs to be stretched on like putting a bike chain back on.Washer now spins and sounds like a dream!- Good Luck!
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Sandy gives New York oil supply lesson, will it sink in?
NEW YORK, Nov 27 (Reuters) – At 4 p.m. on Oct. 29, as heavy
winds battered the East Coast ahead of Superstorm Sandy's
landfall, the Coast Guard's regional command center on Staten
Island lost power and its hulking backup generators hummed into
Commander Linda Sturgis, who oversees emergency prevention
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Oil platform blaze off Louisiana leaves workers missing
HOUSTON/NEW YORK, Nov 16 (Reuters) – An oil platform in the
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The fire has been extinguished, Black Elk
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Easing NY pump pain could net oil traders millions
NEW YORK/LONDON (Reuters) – With gas lines still snaking from filling stations in the U.S. Northeast after Hurricane Sandy, nimble oil traders like BP Plc (BP.L: Quote, Profile, Research, Stock Buzz) may be poised to reap millions in profit by supplying fuel to the storm-struck region.
Call it disaster arbitrage: Aided by Friday's federal government waiver allowing foreign tankers to ship oil between U.S. ports, a few firms are racing to deliver fuel from the U.S. Gulf Coast to the East Coast, where it can fetch a handsome premium.
As cold snap looms, Sandy sets NY up for a new fuel crisis
NEW YORK (Reuters) – Northeast residents lucky enough to have a roof after Hurricane Sandy struck now face a new problem: a heating oil shortage and widespread power outages mean some homes may go cold as the weather turns wintry.
A cold snap in the New York City area – with daily low temperatures set to drop into the upper 30s Fahrenheit (2-4 degrees Celsius) early next week – is raising concerns that residents of the storm-stricken areas of New York, New Jersey or Connecticut could be left without heat as they recover from one of the worst storms in U.S. history.
As cold snap looms, Sandy sets NY up for a new fuel crisis
NEW YORK, Nov 3 (Reuters) – U.S. Northeast residents lucky
enough to have a roof after Hurricane Sandy struck now face a
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A cold snap in the New York City area – with daily low
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residents of the storm-stricken areas of New York, New Jersey or
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Analysis: Canada's tough stance on foreign buyers won't cut oil growth
NEW YORK (Reuters) – In other energy-rich countries, a decision to knock back a major foreign investment would likely provoke cries of resource nationalism and raise questions about prospects for oil and gas production growth.
Canada's surprise move last week to block Malaysian state-run oil firm Petronas' $5.2 billion bid for Calgary-based Progress Energy has spooked some investors, and raised concerns that Chinese state firm CNOOC's $15.2 billion bid for Calgary-based Nexen may also be rejected.
How Chesapeake tried to unload "worthless" acreage
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(Reuters) – Selling land leases is as much part of Chesapeake's land grab as acquiring them. Some are proving hard to unload.
On October 30, 2010, Chesapeake CEO Aubrey McClendon told Jeff Wojahn, a top executive of Encana Corp, that he was ready to sell Michigan leases held by Chesapeake – "at reasonable terms if you were interested." Wojahn replied that he wanted to "trade well information first," according to emails reviewed by Reuters.
Rapid plunge in oil futures leaves traders guessing
By Joshua Schneyer and Jeanine Prezioso
(Reuters) – Four minutes of hectic high volume activity that sheered $4 off the price of oil late Monday left traders, analysts and U.S. regulators looking for the cause of one of the fastest and most furious energy market routs in recent years.
In the absence of any major headline news that could have explained the drop, which hit both international benchmark Brent crude and U.S. oil futures, many traders and analysts speculated that the dramatic drop could have been caused by an incorrectly entered trade — a "fat finger error" — or a high frequency trading program gone wrong.
Romney energy adviser Hamm exceeded campaign-donation limits
WASHINGTON, Sept 13 (Reuters) – The national energy adviser
for Mitt Romney's presidential campaign, Oklahoma oil
billionaire Harold Hamm, made political contributions that
exceed Federal legal limits by as much as 41 percent, according
to data compiled by Reuters.
The data, based on public filings, showed that Hamm's
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committees (P ACs) over the 2011-2012 election period.
Michigan lawmakers call for action in Chesapeake-Encana probe
By Brian Grow and Joshua Schneyer
(Reuters) – Two Michigan state representatives have called on officials there to step up their investigations into possible collusion between Chesapeake Energy Corp and Encana Corp, following a Reuters report that the energy rivals plotted to avoid bidding against each other in Michigan land deals.
Encana, which opened an internal investigation led by its board of directors in late June, is scheduled to release second- quarter earnings Wednesday. Canada's largest natural gas company, Encana has said it will not comment further on the collusion report until its inquiry is completed. Chesapeake has declined to comment beyond saying that it never bid jointly with Encana.


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Regarded as one of Aspen's finest condominium properties, The Gant provides guests with first class accommodations located in a tranquil setting at the foot of Aspen Mountain. The Gants privately owned condominiums are all tastefully decorated with modern furnishings and features that include wood-burning fireplaces, a private patio or balcony and a fully equipped kitchen.
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U.S. Sen. Barbara Mikulski is walking back comments she made Wednesday morning in which she called the riots and acts of vandalism and property destruction last month as "a disturbance." Mikulski made the comments during an interview on WBAL radio ...Read More »
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Hogan's state police announcement: That's not how any of this works
Gov. Larry Hogan's plan to pay to re-open the State Police barracks in Annapolis by sticking it to a project favored by House Speaker Michael E. Busch is starting to feel like one of those Esurance commercials: "That's not how ...Read More »
Hogan gets his way by nixing Busch's pet project
If you thought tensions were easing between Gov. Larry Hogan and House Speaker Michael E. Busch, you may have been premature. Hogan Friday announced he will move forward with re-opening the Maryland State Police Barracks in Annapolis and hire 100 new troopers at the expense of a $2 million earmark for a an organization that has benefited from Busch's long-time patronage.Read More »
Busch praises Hogan for Baltimore response
The governor and speaker of the House of Delegates may not have the most tension-free relationship but that doesn't mean that it's not without its moments. House Speaker Michael Busch Tuesday praised Gov. Larry Hogan and Lt. Gov. Boyd Rutherford ...Read More »
Challenge to Jalisi's candidacy dismissed
An Anne Arundel County Circuit Court judge Monday dismissed a lawsuit that some hoped would result in the removal of Democratic Del. Hasan M. "Jay" Jalisi.Read More »
Hogan: State prepared to take action if violent protests erupt
Gov. Larry Hogan Monday said the state continues to work with Mayor Stephanie Rawlings-Blake and the city in an effort to prevent protests related to the death of Freddie Gray from turning violent.Read More »
Raskin kicks off congressional campaign Sunday
The long-expected formal campaign announcement is part of the domino effect caused by the retirement announcement of Sen. Barbara Mikulski.Read More »
Miller: Legislature might move ahead without Hogan
Senate president says legislature may move on a budget compromise without Gov. Larry Hogan.Read More »
Session over for paid sick days
Leaders in the House and Senate want supporters and opponents of a bill that would mandate paid sick leave for workers in Maryland to hammer out their differences over the summer. Both sides of the proposed legislation were notified in a letter Friday from House and Senate leaders that House Bill 385 and Senate Bill 40, which is identical, would not move forward. This is the third time in as many years that the bill has failed to pass in the legislature.Read More »
Madaleno letter rubs Hogan the wrong way
Maryland governor stops reading letter in Indiana law after reference to the First Lady.Read More »


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Imagine this scene: 3,000 yellow rubber ducks dropped from the Route 123 bridge and into the river below. It was like a waterfall of yellow ducks.
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Scheduling Training
Training should be held before the district year begins, as soon as division and area governors are elected or appointed to office. If this is not possible, hold training early in the district year, but no later than September 30. As part of the Distinguished District Program, at least 85 percent of your district's area and division governors must attend training and a Division/Area Governor Training Report submitted to World Headquarters by September 30. Training reports can be viewed and submitted online or printed and mailed in.
The first area and division governor training must be a minimum of four hours. Train these officers together in a central location. If your district is geographically large, train area governors by division or group divisions together. One-to-one training should rarely occur. During the year, conduct additional training at district meetings, including executive committee meetings.
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