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Subtle Power of Spiritual Abuse, The: Recognizing and Escaping Spiritual Manipulation and False Spiritual Authority Within the Church - eBook
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Product Description
Insightful, practical, and solidly grounded in Scripture, this book has what you need to recover a grace-filled relationship with God and His church.
Product Information
|Format: DRM Protected ePub
Vendor: Bethany House
Publication Date: 2005
Availability: In Stock
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Publisher's Description
Author Bio
Product Reviews
TLC5 Stars Out Of 5Absolutely Fantastic!!January 26, 2015TLCHaving suffered at the hands of an abusive church, this book was used of the Lord to bring the much needed healing to my soul! I am so grateful for the authors for sharing their wisdom. I read it in less than a week! I am now sharing it with others who also need this book. God bless both authors!
NathanAge: 35-44Gender: male5 Stars Out Of 5June 2, 2011NathanAge: 35-44Gender: maleQuality: 5Value: 5Meets Expectations: 5Excellent break down of the church dynamic that allows one to see spiritual abuse and also begin to recognize self as an abuser.
KeturahJacksonville, TXAge: 35-44Gender: female5 Stars Out Of 5Wow! Please read this book.April 9, 2011KeturahJacksonville, TXAge: 35-44Gender: femaleQuality: 5Value: 5Meets Expectations: 5Firstly, I am a Christian who has been wounded in the church and am in dire need of inner healing. The signs of Spiritual Abuse exist in a few of the churches that I have attended over the years. This book will help you identify the signs of Spritual Abuse and how to properly address them. You must understand that this book is not to bash the leadership of any church or ministry.
I am a leader within my own home church congregation. Due to my own personal experiences with Spiritual Abuse while in a prior leadership role and position, I had to seek for this book and its information in hopes of starting my healing process and journey to recovery.
I can attest to the fact that this book was written as a sole means of providing the believer a way out of a very detrimental spiritual experience that could haunt them for the rest of their life.
If you have been unctioned to read this book, God bless you! Please take into consideration everything that is written. It will help God's healing virtue flow through your soul so that you may return to your original state of knowing and believing who God is, absent of the misrepresentation of God by the spiritual authority that you know.
Pastor Justin VollmarColumbia, MDAge: 25-34Gender: male5 Stars Out Of 5I was abused spiritually for 11 years.April 7, 2011Pastor Justin VollmarColumbia, MDAge: 25-34Gender: maleQuality: 5Value: 5Meets Expectations: 5I was in an abusive church for eleven years. I did not realize it at that time. I tired so hard to please my demanding pastor. He controlled almost every aspect of my life. I felt so barren spiritually. I was an associate pastor. I faithfully served the church for eleven years. I worked 60 hours a week. I served in many capacities. My wife and young children suffered my neglect all in the name of pleasing my pastor. Despite my sacrifices, it was still not good enough. I was called to do more and more. I was on brink of complete breakdown when Lord led me this book. It profoundly changed my life! I am now free and recovering from spiritual abuse. If it was not for this book, I will be still blind and still in an abusive relationship. This book penetrated my erroneous theological training that pastor holds absolute power over my spiritual life. If you are in an spiritually abusive relationship, read this book! Or give it someone who you noticed has a pastor who seem to control many aspects of their life.
Francis Kwashie5 Stars Out Of 5May 10, 2010Francis KwashieThis book is the best i have read on the subject matter which is prevalent than Christians care to admit. I found this book insightful, the examples were spot on, the encouragement and guide to interpret scripture in the proper context was excellent.The background of the authors also helped explain many aspects and impacts of abuse.By far the best book on the subject matter.
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My SO and I are not married, though he is hunting for a ring, says my mom. We have Ella, who just turned one year, and we are now pregnant with this LO. Both babies are a surprise and, while very much wanted, I'm having a hard time with telling my folks and my extended family because I fear they'll react negatively, or at best, neutrally. I know it's not about them, and some may say that I shouldn't "care" what they think, but I've always been close to them, and hate, hate, hate to let them down.
It seems (at least to me) that so long as a couple is married, it's acceptable for them to have any number of unplanned babies, but if a couple is not married, it's somehow shameful, irresponsible, etc.
Maybe it's partly in my head, but maybe it's societal norms that have made me look at things this way.
What do you think? How would you judge me, honestly?
(BTW, I'll be 25 in June and am college educated, my SO is a 28 year old Chiropractor, so we're not exactly "trashy". Just very fertile, I guess.... both babies only had ONE opportunity to be conceived)

subset: commoncrawl


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Contractor special. Submit bids via HUBZU.com auction site. Auctions have a Buyer's Premium, which is charged to buyers who purchase a propertythrough the Hubzu(r) technology platform. The amount of the Buyer's Premium is shownon the Property Details page, and ranges from a $625 minimum to 5% of the gross salesprice. This fee is added to the winning bid and paid to Hubzu.com at closing
3 Family ready for renovations. Huge Potential! Being sold ''As Is''.
2-Family home in need of serious repair. Close to North Street shops and restaurants, theater, hospital. This is a Short sale subject to third party approval. Price is already approved by lender.
Two Family , 2 car Garage with electric. Buderus furnace & hot water tank fairly new. All plumbing and metal has been stripped from both units. Needs work but could be great income producer. City Hall Department of Community Redevelopment offers low interest rates to fix up. Motivated Sellers! Close to Berkshire Medical Center,Restaurants, Shopping and Cultural Attractions.
19.74 Acres in southeast Pittsfield. Surveyed by a local engineering firm in 2002. Suitable lot for a single family home.
Great building lot close to school, lake and shopping.
Upper Brown St. building lot. Frontage on Brown St., East Park Ter. & Scamwell Ave. Wooded, private, town water & sewer.
Building lot centrally located, close to down town and hospital, lot at the end of street where street is closed off, lay of land presents all kinds of possibilities.
Duplex with potential for good income, but needing some repairs . Separate utilities. This is a short sale and subject to lender approval.
Colonial with 3 bedrooms, large yard and two car detached garage. Agents please realtor-realtor comments before calling.
Contractors take note. Stately brick Colonial with large yard. Cash offers only. See Realtor notes.
Zoning Business General. Needs updates. House is being sold ''as is'' great for a handy person. Nice small quiet neighborhood. Property has frontage on Newell street; could be room for a building. Owner has some information on spliting the property. BUYER would need to research any improvement/building with the city of Pittsfield. Newer roof has been updated as well as vinyl siding on dormers
Three Bedroom Home. Needs repairs.
Two family home in need of total renovation. Great location close to downtown with off street parking for tenants.
This is a two parcel property with entrance from Hungerford. May be subdivided.
New electric, Windows, Plumbing, Smoke Damage cleaned out (Broom Clean). No asbestos, lead compliant. Take over the project at this point or will build to suite.
Two family flat with newer windows and deleaded units
Affordable starter home on a dead end street. New roof stripped down to rafters in 2008, new hot water heater in 2014. Vinyl replacement windows.
Two family home in need of TLC located in business zone.
Cottage type home, needs repairs, sellings ''As Is'' Furnace 10 years old, gas heat.Great location, with seasonal water views.
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The Liberty Transit System implemented a new route schedule March 4 as result of a strategic-planning study conducted by the Liberty Consolidated Planning Commission from March-December 2012. The new route included Savannah Technical College on Airport Road, but it did not run the full length of Airport Road.
The Hinesville Police Department played a big part in Thursday's city council meeting. The meeting began as two HPD officers and a Fort Stewart soldier were recognized for saving a life.
Property owners with fresh-cut pine on their plots and timber harvesters alike will be affected by a Liberty County Board of Commissioners decision to revive a 2010 timber operations ordinance that had gone by the wayside.
The Liberty County Commission has a year to decide four ad valorem tax-refund requests that were argued before it Thursday.
A rainy weekend is in store for Liberty County and the rest of Coastal Georgia.
The Long County Commission at its March 5 meeting adopted a resolution to preserve and protect the second amendment of the constitution, which addresses the rights of citizens to own firearms.
The Georgia Downtown Association hosted its annual Downtown Development Day at the state Capitol on March 12.
The Liberty County Board of Commissioners on Thursday will hear four ad valorem tax-refund requests, the first of such hearings in about two years.
An anonymous complaint recently made through the Coastal Courier's "Sound Off" claimed that city leaders are planning to rezone the Veterans Parkway corridor from the intersection of E.G. Miles Parkway to Fort Stewart. The caller warned homeowners to put their property up for sale because city leaders' "quiet rezoning will make it commercial to benefit somebody's pocketbook."
Final results from last Tuesday's Long County General Primary show that a runoff will be required in the District 3 commissioner's race, according to board of election's administrative assistant Lindsey Edge.
The Ludowici City Council approved the city's 2013 budget for the water and sewer and general funds during Thursday afternoon's meeting.
A proposal that "closes loopholes that were perceived to be in our peddler license ordinance" will come before the Hinesville City Council later this month.
A month after the Liberty County Board of Education voted not to renew the contract for its transportation director, 30 bus drivers within the system have presented a petition asking the board to reconsider its decision.
Phillip Parham and other members of a neighborhood watch in Sherwood Forest Subdivision are frustrated after trying for months to get an entrance sign to their neighborhood built.
Hinesville Mayor James Thomas; Lt. Col. Simon Gardner, 82 Civil Affairs Battalion; and local clergy recently welcomed Dickson Ogwang, the minister counselor for the Ugandan embassy in Washington, D.C., to the community for a goodwill visit. The Coastal Georgia School of Missions organization coordinated the luncheon March 1 at Hinesville City Hall. The event highlighted Ogwang's visit to learn about the cultures represented in Hinesville.
Kinder Morgan has appealed the Georgia Department of Transportation's denial of a certificate of public convenience and necessity for the proposed Palmetto Pipeline, which would go through coastal Georgia.
In the end, experience mattered.
A vacant home in North Bryan Village on Fort Stewart caught fire early Wednesday morning, post spokesman Kevin Larson said.
The state of the county was the focus of Thursday's Progress Through People Luncheon.
In a high-profile environmental case that has important repercussions for coastal Georgia, the state Supreme Court ruled Monday that the 25-foot buffer required by state law between development projects and the banks of waterways generally does not apply to marshes and wetlands.
Georgia Agriculture Commissioner Gary W. Black is alerting Georgians to the recall of certain packaged smoked salmon products that are sold in Georgia for potential health risk to consumers.
Georgia Agriculture Commissioner Gary W. Black alerted Georgians to the recall of certain Ainsworth pet food products that are sold in Georgia for potential health risk to cats.
Ameris Bancorp, the parent company of Ameris Bank, announced Monday that the acquisition of 18 Bank of America banking centers throughout southern Georgia and northern Florida - including the Hinesville location - has been completed.
By Tuesday evening, voters in Liberty County's District 6 should know who will represent them on the Board of Education.
© 2015 Hinesville Publishing - All Rights Reserved
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Luke Bryan Tickets On Sale This Friday – Win All Week
Luke Bryan is headed to the Ford Center in Evansville on February 11th, 2015! Tickets will be on sale this Friday, November 7th at 10am, and you can win them all this week with WKDQ!
Luke Bryan is headed to the Ford Center in Evansville on February 11th, 2015! Tickets will be on sale this Friday, November 7th at 10am, and you can win them all this week with WKDQ!
The Ryman Auditorium is hosting a concert series to honor the tabernacle roots of the Mother Church of Country Music. The first in the series will be this Sunday, November 2nd.
Kentucky's own, Wynonna will be headed to the new Owensboro Convention Center on December 4th for a special Christmas concert with a big holiday dinner included!
The Garth Brooks World Tour rolls on and just announced, he's coming to St. Louis on the first weekend in December! Tickets will be on sale Friday October 24th!
WKDQ is your Country Concert Connection and we're proud to welcome Miranda Lambert to the Ford Center on Thursday January 15th, 2015 as she kicks off her Certified Platinum Tour with special guests Justin Moore and Raelynn!
Kenny Rogers is bringing a bit of holiday cheer to the Ford Center in Evansville with his Christmas concert on December 7th! Hear all of the Hall of Famer's greatest hits, plus an entire set of Christmas favorites!
If you are still in high school and have a set of pipes on you, be sure to attend the open auditions for The Ultimate Glee Club concert! You must be a freshmen, sophomore, junior or senior in high school.
When you go to the Eric Church concert November the 22nd at the Ford Center, you might want to bring some extra cash with you.
On Sunday (Aug. 31) while performing in Chicago, Luke Bryan brought a young boy on stage to teach him some of is oh so awesome dance moves. The boy was either a quick learner or already had his own mad skills. :-)
Congratulations to Bryan Higgins! He is the winner of our trip to see Blake Shelton at the Hollywood Bowl.
A day filled with food, games, and live music is coming to Garvin Park, and the best part? It's completely FREE to attend!
This weekend, join Wesselman Woods Nature Center for their annual Music on the Hill (MOTH) event taking place Saturday, September 6, 2014 – 12 noon to 9 pm. In addition to local musicians, Wesselman is also bringing in Christylez Bacon and Vieux Farka Toure from out of the region.


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ABS-CBNnews.com | 12/11/2012 10:19 PM
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MANILA, Philippines - President Benigno Aquino seems to have taken the side of the Aurora Pacific Economic Zone and Freeport Authority (APECO), which has been accused of landgrabbing and human rights violations, a tribal leader said Tuesday.
Vita Banayad, chieftain of the Agta tribe, told ANC Prime Time that they were hurt with Aquino's cold shoulder in response to their calls over the APECO controversy.
"Napakasakit na ganun ang pagharap sa amin," she said, following their dialogue with the President and Cabinet officials Tuesday.
"Tiniis namin ang paglalakad mula Casiguran para iabot ang hinaing namin na inaasahan naming tutugunan pero parang APECO pa ang pinapanigan," she added.
Lawyer Christian Monsod, a former chairman of the Commission on Elections, said Aurora natives were unhappy with the treatment Palace gave them earlier in the day.
"Ang dating para sa Casiguran farmers, does the President really care for us?" he said.
March from Aurora to Manila
Casiguran residents composed of farmers, fishermen, and indigenous people began their protest march two weeks ago to save their land and livelihood.
They walked all the way to Manila -- 350 kilometers from Casiguran, Aurora -- to air their grievances over APECO.
Sponsored by the Angara political clan, the ecozone was established in 2007 and covers more than 12,000 hectares in Casiguran.
The land is owned by the state but farmers, fishermen, and tribesmen claim it was awarded to them via the Comprehensive Agrarian Reform Program.
They said they're being eased out, now that government plans to turn the area into an industrial zone.
"Maraming mamamayan na diyan umaasa sa kabundukan. Dito kami kumukuha ng pag-aaral sa aming mag-aanak... 57-years-old na ako, di ko na kaya magbungkal ng bagong lupa," said Casuguran resident Tatay Andy.
"Ang buhay ng katutubo ay kadugtong ng bundok at kalupaan. Wala pa ang mga Angaras, nandyan na ang katutubo," said Banayad.
Face to face with Aquino, they pleaded to him to repeal the APECO law and withhold its P300-million budget for next year.
They're not against development, as long as their welfare is taken into consideraion.
"Sa haba ng nilakad namin mula November 24, aming nararamdaman ang hirap," Fr. Joefran Talaban said during the Palace dialogue.
"Mahal na pangulo, ang APECO kung tunay ito kaunlaran sana tinanong kami. Anong klaseng kaunlaran? Sa ngayon kung kaya kami nakarating dito ay tugunan po ninyo ang aming daing," he added.
Casiguran Mayor Reynaldo Bitong also told ANC there were no public consultations when lawmakers crafted the APECO law.
"Ngayon lang sila nagkonsulta nung may problema na. Ako'y binaypass nila," he said.
Aquino defended APECO during the dialogue.
However, he said he is open to reviewing the APECO.
NEDA is expected to give initial findings in a week and its recommendations in two months.
While Casiguran natives are not happy with the President's decision, they admit they have no choice but to remain hopeful with the results of the review. - with a report from Jing Castañeda, ABS-CBN News; ANC
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Pediatric Specialist, Pathologist
28 years of experience
Accepting new patients
28 years of experience
Accepting new patients
3601 The Vanderbilt Clinic
Nashville, TN 37232 Phone number & directions
Nashville, TN 37232 Phone number & directions
License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
Learn more about Dr. Hernan Correa:
View the full profile to get information on:
- Qualifications
- What's important to you
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Patient Reviews
Have you visited Dr. Correa? Share your experience.
Write a Review
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Education & Awards
Dr. Correa graduated from Universidad Del Valle, Cali, Melendez.
Dr. Correa has 2 hospital affiliations:
- Monroe Carell Jr. Children's Hospital at Vanderbilt
- CHILDRENSsqHOSPITAL VANDERBILT
- Spanish
Home > Find a Pediatric Specialist > TN > Nashville Pediatric Specialists > Dr. Hernan Correa, MD
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- Additional Information
- Dr. Hernan M Correa MD is a male Pathologist, has 28 years of experience and practices in Pediatric Pathology.
- Where does Dr. Hernan M. Correa practice?
- Dr. Hernan Correa has 2 office locations.
Dr. Hernan Correa practices Pediatric Pathology near Nashville, TN.
See Nashville Pediatric Specialists.


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Make the crust:
In a bowl blend together the cracker crumbs, the walnuts, the butter, and salt and pepper to taste. Press the mixture onto the bottom of a buttered 10-inch springform pan and bake the crust in the middle of a preheated 325°F. oven for 10 minutes.
Make the pesto:
In a food processor purée the basil, the sun-dried tomatoes with the reserved oil, the garlic, the Parmesan, the pine nuts, salt and pepper to taste until the mixture is smooth.
Make the filling:
In the bowl of an electric mixer blend together the mascarpone, the cream cheese, the eggs, and the flour until the mixture is very smooth.
Pour half the filling into the crust, spoon the pesto over it, spreading the pesto carefully with the back of a spoon, and spread the remaining filling over the pesto. Bake the cheesecake in the middle of a preheated 325°F. oven for 1 hour.
In a bowl blend together the sour cream and the flour, spread the sour cream topping on the cheesecake, and bake the cheesecake for 5 to 10 minutes more, or until it is set. Let the cheesecake cool in the pan on a rack and chill it, covered loosely, for at least 3 hours or overnight. Remove the side of the pan, garnish the cheesecake with the sun-dried tomato slices and the basil, and serve it with the greens.


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HUD61GS cooker
The Hotpoint HUD61GS Cooker comes in a graphite colour. This Cooker has a electric fan oven oven.
The HUD61GS main cavity capacity is 65 litres, which means plenty of space to cook for larger families. The flame safety device senses when the flame has been extinguished and automatically cuts off the gas supply preventing a dangerous gas leak. To offer peace of mind the Hotpoint HUD61GS free standing Cooker also comes with a 1 year warranty.
Give our sales team a call on0844 324 9222 and we'll happily price match
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45 of 48 (93%) reviewers would recommend this product to a friend
Pros: Value for money, Easy to use, Good build quality, Quiet, looks good
Cons: none
"Cooker is very well built and a pleasure to use. All the controls are easy to interpret. The hob is the easiest we have ever had to keep clean. Well satisfied with this purchase."
52 of 52 people found this review helpful.
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5 / 5
Reviewed by: Paul762
Location: Somerset UK
Gender: Male
Age: 45 to 54
Family size: Small Family
Pros: Easy to use, Good build quality, Quiet, looks good
Cons: quiet timer alarm
"The cooker is a marked improvement to the 15 year old single oven it replaced. It cooks well and warms up quickly. The grill is very hot and you have the option of half or full grill. It looks good and feels like a quality product.
My only negatives are that: the timer alarm is very quiet and if you're upstairs (with the kitchen downstairs) it can be hard to hear above background noise. Also the manual doesn't quite match the oven itself - e.g. there is no oven light button on the control.
Overall I'm really pleased with my new cooker and am glad I invested the money - it's already looking like money well spent."
28 of 28 people found this review helpful.
Reviewed by: SimonCov
Location: Coventry, UK
Age: 25 to 34
Family size: Single
"I have not had a new cooker for a long time so this was a challenge for me.
This cooker is easy to use once you get used to the way it ignites, there is a slight delay where you have to keep the ignition going for about 3 seconds.
Delivery was excellent as i received a phone call the night before and then on the day so i was not waiting in all day, plus all the packing was taken away by the delivery men. excellent service."
19 of 19 people found this review helpful.
4 / 5
Reviewed by: katz62
Location: Warwickshire
Gender: Female
Family size: Large Family
Pros: Value for money, Good build quality, Quiet, looks good
Cons: getting the gas burners to stay alight on ignition
"Overall I am well pleased with this appliance,, It is well built, looks good and is easy to clean. The only problem I have found is the difficulty lighing the gas hob. Although the ignition works well it is very difficult to get the burner to actually stay alight, which is quite inconvenient!"
14 of 14 people found this review helpful.
Reviewed by: JohnDoe
"I am really pleased with my new cooker, looks good and very easy to use. Exellent value for money"
Location: milton keynes
Age: 55 to 64
Family size: Couple
"This cooker was easy to order, delivered by polite people and we are very pleased with it.
We have never had an electric oven before but we have soon got used to it and find it better than gas (and we have used gas for 43 years). It is also cleaner."
13 of 13 people found this review helpful.
Reviewed by: owen
Location: Suffolk
Age: Over 65
Want to write a review? Click here
"Cooker is very well built and a pleasure to use. All the controls are easy to interpret. The hob is the easiest we have ever had to keep clean. Well satisfied with this purchase. "
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Shauna in 3 words: sassy loud genius My version of how burbmom came to be… BURBMOM.net was something that I envisioned about 2 years ago. I started a blog called "Flower Mound Living" in 2007 – I always felt like our town needed a website with a personal touch. A place that moms could go […]


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No time for panic from Smokies after 4-1 loss
Tennessee vows to hold steady as hot start cools
SEVIERVILLE - Tennessee Smokies starting pitcher Hung-Wen Chen made one mistake and it was costly.
Jacksonville's Jason Delaney deposited a hanging curveball from Chen over the left-field fence for a three-run home run to send the Suns to a 4-1 victory Sunday at Smokies Park.
Jacksonville (28-15) evened the five-game series between Southern League division leaders at two games apiece and saddled Chen (3-5) with his fifth consecutive loss.
"That was it, part of the game," Tennessee manager Bill Dancy said. "It was a well-played game."
By the Class AA league's two best teams.
Jacksonville is steaming toward a South Division first-half title. The Florida Marlins farmhands are five games ahead of Montgomery.
It's a lot closer in the North, where Tennessee (26-18) is 2 1/2 games up on West Tenn.
While the Smokies have held their own with the defending champions - Jacksonville beat Tennessee in the playoff finals last season - they have not fared well since starting the season 13-2. Tennessee is 13-16 since the best start in franchise history.
Russ Canzler, who was 1-for-4 with a double, is one of the Smokies returnees and leaders. He says it's no time to panic.
"The guys we have from last year bring a little bit of a calming presence to the clubhouse," the first baseman said. "Let's not start freaking out or jump off ship. We got a long way to go yet and a lot of baseball to be played. We'll look at winning the series tomorrow against Jacksonville."
One-out singles by Osvaldo Martinez and Michael Stanton put Chen in trouble in the first inning. The right-hander struck out Mark Saccomanno swinging but Delaney deposited a 2-2 pitch just beyond the reach of leaping left fielder Ty Wright for his second homer.
That was all Jacksonville starter Alex Sanabia (5-0) needed. The right-hander went seven innings and limited Tennessee to a run-scoring double by Wright and lowered his earned-run average to 1.72. The 32nd-round pick in the 2006 draft scattered seven hits, walked none and struck out four.
Garrett Parcell retired the Smokies 1-2-3 in the eighth and Matt Peterson closed for his seventh save.
Chen's losing streak isn't all his fault. A run is all the offensive support Tennessee has afforded him in each of his last two starts.
"The last two times he's drawn the top pitcher on each club," Dancy said. "He's got to be almost pinpoint. Except for one pitch, he was."
Fortunately for the Smokies, neither West Tenn nor third-place Huntsville has made a run. The Diamond Jaxx are 6-5 in their last 11 games; the Stars 5-6.
"Sometimes that's how the game goes," Canzler said. "We had a really good start, which put us in a good position. But baseball is up and down.
"This group of guys will always battle. We'll come to the field every day and try to improve ourselves. I'm not really too worried about it. It's a long season and we'll definitely keep pushing as hard as we can."
Canzler prefers being the front-runner.
"There is a lot to be positive about," he said. "Last year we were in a position where we had to win every game to be in playoff contention. So it's much better to be in this position.
"Maybe (we've) hit a couple of speed bumps . . . we'll figure things out."
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Publications (127)185.41 Total impact
Article: The anesthetic interaction of propofol and sevoflurane on the minimum alveolar concentration preventing motor movement (MACNM) in dogs.[Show abstract] [Hide abstract]
ABSTRACT: The objective of this study was to determine the effects of propofol on the minimum alveolar concentration of sevoflurane needed to prevent motor movement (MACNM) in dogs subjected to a noxious stimulus using randomized crossover design. Six, healthy, adult beagles (9.2 ± 1.3 kg) were used. Dogs were anesthetized with sevoflurane on 3 occasions, at weekly intervals, and baseline MACNM (MACNM-B) was determined on each occasion. Propofol treatments were administered as loading dose (LD) and constant rate infusion (CRI) as follows: Treatment 1 (T1) was 2 mg/kg body weight (BW) and 4.5 mg/kg BW per hour; T2 was 4 mg/kg BW and 9 mg/kg BW per hour; T3 was 8 mg/kg BW and 18 mg/kg BW per hour, respectively. Treatment MACNM (MACNM-T) determination was initiated 60 min after the start of the CRI. Two venous blood samples were collected and combined at each MACNM-T determination for measurement of blood propofol concentration using high-performance liquid chromatography method (HPLC). Data were analyzed using a mixed-model ANOVA and are presented as least square means (LSM) ± standard error of means (SEM). Propofol infusions in the range of 4.5 to 18 mg/kg BW per hour resulted in mean blood concentrations between 1.3 and 4.4 μg/mL, and decreased (P < 0.05) sevoflurane MACNM in a concentration-dependent manner. The percentage decrease in MACNM was 20.5%, 43.0%, and 68.3%, with corresponding blood propofol concentrations of 1.3 ± 0.3 μg/mL, 2.5 ± 0.3 μg/mL, and 4.4 ± 0.3 μg/mL, for T1, T2, and T3, respectively. Venous blood propofol concentrations were strongly correlated (r = 0.855, P < 0.0001) with the decrease in MACNM. In dogs, propofol decreased the sevoflurane MACNM in a concentration-dependent manner.Canadian journal of veterinary research = Revue canadienne de recherche vétérinaire 04/2015; 79(2):95-100. · 0.85 Impact Factor
Article: The anesthetic interaction of propofol and sevoflurane on the minimum alveolar concentration preventing motor movement (MACNM) in dogs[Show abstract] [Hide abstract]
ABSTRACT: The objective of this study was to determine the effects of propofol on the minimum alveolar concentration of sevoflurane needed to prevent motor movement (MACNM) in dogs subjected to a noxious stimulus using randomized crossover design. Six, healthy, adult beagles (9.2 ± 1.3 kg) were used. Dogs were anesthetized with sevoflurane on 3 occasions, at weekly intervals, and baseline MACNM (MACNM-B) was determined on each occasion. Propofol treatments were administered as loading dose (LD) and constant rate infusion (CRI) as follows: Treatment 1 (T1) was 2 mg/kg body weight (BW) and 4.5 mg/kg BW per hour; T2 was 4 mg/kg BW and 9 mg/kg BW per hour; T3 was 8 mg/kg BW and 18 mg/kg BW per hour, respectively. Treatment MACNM (MACNM-T) determination was initiated 60 min after the start of the CRI. Two venous blood samples were collected and combined at each MACNM-T determination for measurement of blood propofol concentration using high-performance liquid chromatography method (HPLC). Data were analyzed using a mixed-model ANOVA and are presented as least square means (LSM) ± standard error of means (SEM).Propofol infusions in the range of 4.5 to 18 mg/kg BW per hour resulted in mean blood concentrations between 1.3 and 4.4 μg/mL, and decreased (P NM in a concentration-dependent manner. The percentage decrease in MACNM was 20.5%, 43.0%, and 68.3%, with corresponding blood propofol concentrations of 1.3 ± 0.3 μg/mL, 2.5 ± 0.3 μg/mL, and 4.4 ± 0.3 μg/mL, for T1, T2, and T3, respectively. Venous blood propofol concentrations were strongly correlated (r = 0.855, P NM. In dogs, propofol decreased the sevoflurane MACNM in a concentration-dependent manner.Canadian journal of veterinary research = Revue canadienne de recherche vétérinaire 01/2015; 79(2). · 0.85 Impact Factor
Article: Serum Cortisol Concentrations in Dogs with Pituitary-Dependent Hyperadrenocorticism and Atypical Hyperadrenocorticism[Show abstract] [Hide abstract]
ABSTRACT: Background Atypical hyperadrenocorticism (AHAC) is considered when dogs have clinical signs of hypercortisolemia with normal hyperadrenocorticism screening tests.Hypothesis/Objectives To compare cortisol concentrations and adrenal gland size among dogs with pituitary-dependent hyperadrenocorticism (PDH), atypical hyperadrenocorticism (AHAC), and healthy controls.AnimalsTen healthy dogs, 7 dogs with PDH, and 8 dogs with AHAC.Method Dogs were prospectively enrolled between November 2011 and January 2013. Dogs were diagnosed with PDH or AHAC based on clinical signs and positive screening test results (PDH) or abnormal extended adrenal hormone panel results (AHAC). Transverse adrenal gland measurements were obtained by abdominal ultrasound. Hourly mean cortisol (9 samplings), sum of hourly cortisol measurements and adrenal gland sizes were compared among the 3 groups.ResultsHourly (control, 1.4 ± 0.6 μg/dL; AHAC, 2.9 ± 1.3; PDH, 4.3 ± 1.5) (mean, SD) and sum (control, 11.3 ± 3.3; AHAC, 23.2 ± 7.7; PDH, 34.7 ± 9.9) cortisol concentrations differed significantly between the controls and AHAC (P < .01) and PDH (P < .01) groups. Hourly (P < .01) but not sum (P = .27) cortisol concentrations differed between AHAC and PDH dogs. Average transverse adrenal gland diameter of control dogs (5.3 ± 1.2 mm) was significantly less than dogs with PDH (6.4 ± 1.4; P = .02) and AHAC (7.2 ± 1.5; P < .01); adrenal gland diameter did not differ (P = .18) between dogs with AHAC and PDH.Conclusions and Clinical ImportanceSerum cortisol concentrations in dogs with AHAC were increased compared to controls but less than dogs with PDH, while adrenal gland diameter was similar between dogs with AHAC and PDH. These findings suggest cortisol excess could contribute to the pathophysiology of AHAC.Journal of Veterinary Internal Medicine 11/2014; 29(1). DOI:10.1111/jvim.12500 · 2.22 Impact Factor
Article: The interaction of nitrous oxide and fentanyl on the minimum alveolar concentration of sevoflurane blocking motor movement (MACNM) in dogs[Show abstract] [Hide abstract]
ABSTRACT: The study objective was to determine the effects of 70% nitrous oxide (N2O) and fentanyl on the end-tidal concentration of sevoflurane necessary to prevent movement (MACNM) in response to noxious stimulation in dogs. Six healthy, adult, intact male, mixed-breed dogs were used on 3 occasions in a randomized crossover design. After induction of anesthesia with sevoflurane, each of the following treatments was randomly administered: fentanyl loading dose (Ld) of 15 μg/kg and infusion of 6 μg/kg per hour [treatment 1 (T1)], 70% N2O (T2), or fentanyl (Ld of 15 μg/kg and infusion of 6 μg/kg per hour) combined with 70% N2O (T3). Each dog received each of the 3 treatments once during the 3-week period. Determination of MACNM was initiated 90 min after the start of each treatment. The values were compared using the baseline MACNM, which had been determined in a previous study on the same group of dogs. Data were analyzed using a mixed-model analysis of variance (ANOVA) and Tukey-Kramer tests, and expressed as least squares mean ± SEM. The baseline MACNM decreased by 36.6 ± 4.0%, 15.0 ± 4.0%, and 46.0 ± 4.0% for T1, T2, and T3, respectively (P P P ≥ 0.05) between T1 (3.70 ± 0.56 ng/mL) and T3 (3.50 ± 0.56 ng/mL). The combination of fentanyl and N2O resulted in a greater sevoflurane MACNM sparing effect than either treatment alone.Canadian journal of veterinary research = Revue canadienne de recherche vétérinaire 07/2014; 78(3). · 0.85 Impact Factor
Article: The importance of climatic factors and outliers in predicting regional monthly campylobacteriosis risk in Georgia, USA[Show abstract] [Hide abstract]
ABSTRACT: Incidence of Campylobacter infection exhibits a strong seasonal component and regional variations in temperate climate zones. Forecasting the risk of infection regionally may provide clues to identify sources of transmission affected by temperature and precipitation. The objectives of this study were to (1) assess temporal patterns and differences in campylobacteriosis risk among nine climatic divisions of Georgia, USA, (2) compare univariate forecasting models that analyze campylobacteriosis risk over time with those that incorporate temperature and/or precipitation, and (3) investigate alternatives to supposedly random walk series and non-random occurrences that could be outliers. Temporal patterns of campylobacteriosis risk in Georgia were visually and statistically assessed. Univariate and multivariable forecasting models were used to predict the risk of campylobacteriosis and the coefficient of determination (R (2)) was used for evaluating training (1999-2007) and holdout (2008) samples. Statistical control charting and rolling holdout periods were investigated to better understand the effect of outliers and improve forecasts. State and division level campylobacteriosis risk exhibited seasonal patterns with peaks occurring between June and August, and there were significant associations between campylobacteriosis risk, precipitation, and temperature. State and combined division forecasts were better than divisions alone, and models that included climate variables were comparable to univariate models. While rolling holdout techniques did not improve predictive ability, control charting identified high-risk time periods that require further investigation. These findings are important in (1) determining how climatic factors affect environmental sources and reservoirs of Campylobacter spp. and (2) identifying regional spikes in the risk of human Campylobacter infection and their underlying causes.International Journal of Biometeorology 01/2014; 58(9). DOI:10.1007/s00484-014-0788-6 · 2.10 Impact Factor
- Open Journal of Veterinary Medicine 01/2014; 04(09):190-196. DOI:10.4236/ojvm.2014.49022
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ABSTRACT: Squamous cell carcinoma (SCC) is the most common tumor arising in the periocular and penile areas of horses. Both ultraviolet radiation and papillomaviruses have been implicated in the pathogenesis of SCC in various species, including the horse. This retrospective study used polymerase chain reaction (PCR) to detect papillomavirus DNA in archival biopsy samples from equine periocular and penile SCC from 3 different geographic areas (northeast, southeast, and central United States). Forty-two periocular SCCs were tested; none contained papillomavirus DNA. Twenty-two penile SCCs were tested, and papillomavirus DNA was identified in 10 (43%) cases. Sequencing of the PCR products revealed homology with Equus caballus papillomavirus 2 (EcPV-2). No geographic distribution in the detection of papillomavirus was identified. Penile SCCs were significantly more likely to be papillomavirus positive than the periocular SCCs (P < 0.001). The role of papillomavirus in the development of penile SCC requires further investigation. The differing pathogeneses of periocular and penile SCC suggest that the tumors may respond differently to treatment.Journal of veterinary diagnostic investigation: official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc 12/2013; 26(1). DOI:10.1177/1040638713511618 · 1.23 Impact Factor
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ABSTRACT: Objective To determine the effect of intravenous (IV) buprenorphine on the isoflurane (ISO) minimum alveolar concentration (ISOMAC) in dogs. Study designRandomized, crossover, design. AnimalsSix healthy, adult (2–3 years old), intact dogs (two males and four females) weighing 7.4–11.0 kg. Methods Each dog was studied on three occasions, 1 week apart, and baseline ISOMAC (MACB) was determined on each occasion. ISOMAC was defined as the mean of the end-tidal ISO concentrations that prevented and allowed purposeful movement in response to a noxious stimulus. After MACB determination, dogs were randomly given buprenorphine (BUP) at either 0.01, 0.05 or 0.1 mg kg−1 IV, and ISOMAC was determined at two time periods after BUP administration. The first post-treatment determination (MACT1) was initiated 45 minutes after BUP administration and the second determination (MACT2) was initiated 4 hours after BUP administration. MAC values were determined in duplicate and the mean values were used for statistical analysis. ResultsIsoflurane minimum alveolar concentration was decreased at 141 minutes (the time of MACT1 determination) by 25%, 35%, and 27% after administration of BUP at 0.01, 0.05, and 0.1 mg kg−1, respectively (p ≤ 0.05). The MAC reductions were not statistically different among doses. The reductions in ISOMAC at 342 minutes (the time of MACT2 determination) ranged from 13 to 16%, and were not statistically different among doses. Conclusions and clinical significanceBuprenorphine at 0.01, 0.05, and 0.1 mg kg−1 significantly decreased ISOMAC in dogs at 141 minutes but not at 342 minutes. When using BUP for MAC reduction re-dosing may be required for procedures of long duration, and there may be no advantage to using the 0.1 mg kg−1 dose.Veterinary Anaesthesia and Analgesia 12/2013; 41(3). DOI:10.1111/vaa.12115 · 1.78 Impact Factor
Article: Characteristics of residency training associated with first-time pass rate on the American College of Veterinary Ophthalmologists certifying examination.[Show abstract] [Hide abstract]
ABSTRACT: The aim of this study was to examine the association of various aspects of veterinary ophthalmology residency training with the first-time pass rate (FTPR) of the American College of Veterinary Ophthalmologists (ACVO) examination, as well as the individual written, image recognition, animal examination, and surgical sections of the examination. Program type, resident evaluations, cumulative surgery and case logs, and scores from ACVO examinations from 2007 to 2010 were evaluated. Data were available for 71 candidates. The overall FTPR was 35% (n = 25). For the different sections of the examination, FTPRs were as follows: written (68%), image recognition (76%), intraocular surgery (80%), extraocular surgery (65%), and animal examination (75%). The overall FTPR among candidates from academic residency (AR) programs was 43% (20 of 47), while the FTPR of residents in private practice (PPR) programs was 21% (5 of 24; P = 0.07). The AR candidates were more likely to pass the written portion than PPR residents (P = 0.02), and AR candidates had significantly more time off clinics (median 25%) vs PPR residents (median 18%; P = 0.007). The AR residents also had a higher reported percentage of direct supervision than PPR residents (95% vs 76%, respectively). Although PPR residents did significantly more surgeries and examined significantly more dogs and cats, those from ARs examined significantly more equine, bovine, avian, camelid, and reptile species. Overall, AR residents had a higher FTPR and were more likely to pass the written portion of the examination. Total case and surgery numbers were not associated with FTPR.Veterinary Ophthalmology 10/2013; DOI:10.1111/vop.12111 · 1.09 Impact Factor
Article: Effects of butorphanol versus dexmedetomidine sedation on intradermal allergen and histamine responses in dogs with atopic dermatitis[Show abstract] [Hide abstract]
ABSTRACT: Sedation is commonly used during intradermal testing (IDT). Morphine and its derivatives have long been avoided because of their histamine-releasing effects. Butorphanol, an opioid agonist/antagonist, will not adversely affect IDT in dogs. Ten client-owned dogs diagnosed with atopic dermatitis. Dogs were randomized to be sedated with butorphanol (0.4 mg/kg) or dexmedetomidine (5 μg/kg). Routine IDT along with intradermal injections of various dilutions of histamine were performed on the lateral thorax, followed 7 days later by the alternative sedative and IDT on the opposite side. The injection sites were subjectively scored and objectively measured by one investigator, blinded to the sedatives, and compared between groups. When the mean wheal diameters from the objective measurements of all antigens, including saline and histamine dilutions, were compared, butorphanol was associated with significantly smaller reactions than dexmedetomidine (P = 0.0001). There was a high level of agreement between sedatives when positive reactions subjectively scored as ≥3+ were compared (κ = 0.91). When mean wheal diameters of histamine at concentrations of 1:100,000, 1:400,000, 1:1,600,000 and 1:6,400,000 were compared, there were no significant differences between sedative types. Moreover, the percentage agreement when comparing subjective interpretation of all histamine dilutions between sedations was high (κ = 0.90). However, there was only 69% agreement beyond chance when objective and subjective interpretations of all antigens were compared between sedative groups. Although butorphanol resulted in significantly smaller wheal size in comparison to dexmedetomidine, it did not affect the overall subjective interpretation of the results of IDT.Veterinary Dermatology 10/2013; 24(6). DOI:10.1111/vde.12085 · 1.99 Impact Factor
Article: Amino Acid, Iodine, Selenium, and Coat Color Status among Hyperthyroid, Siamese, and Age-Matched Control Cats[Show abstract] [Hide abstract]
ABSTRACT: Hyperthyroidism is common among older cats, but its pathogenesis remains poorly understood. Siamese and Himalayan cats have a reduced risk of hyperthyroidism compared with domestic short-hair cat breeds. A mechanism of risk reduction in pointed-coat breeds is unknown. To determine if tyrosine, phenylalanine, iodine, or selenium blood concentrations are altered in hyperthyroid cats and to describe the plasma amino acid profiles of client-owned cats with naturally occurring hyperthyroidism. Twenty-seven client-owned cats with (n = 12) and without (n = 15) hyperthyroidism were studied. Cross-sectional study. Hyperthyroid cats were prospectively recruited among cats presenting for radioiodine therapy. Control cats were recruited among pets of hospital personnel. Blood was collected for total thyroxine, plasma amino acid, selenium, and iodine determination. Coat color (8 white or pointed; 19 dark), breed, and diet history were recorded. Tyrosine, phenylalanine, iodine, and selenium levels were not significantly different among light or dark cats or cats with or without hyperthyroidism (P > .05). Plasma amino acid profiles of hyperthyroid cats and control cats were similar, and neither group was deficient in any of the amino acids. l-glutamine was significantly lower in cats with hyperthyroidism (mean ± SD: 648 ± 193) compared with control cats (816 ± 134; P < .05). Altered tyrosine, iodine, and selenium metabolism were not associated with coat color or hyperthyroidism in pointed or light coat-colored cats.Journal of Veterinary Internal Medicine 08/2013; 27(5). DOI:10.1111/jvim.12165 · 2.22 Impact Factor
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ABSTRACT: Masitinib mesylate is a tyrosine kinase inhibitor approved for the treatment of gross, non-metastatic grade II and III canine mast cell tumours (MCTs). This study evaluated the use of masitinib as a frontline and rescue agent for metastatic and non-metastatic canine MCTs. Identification of toxicities and prognostic factors in these dogs was of secondary interest. Twenty-six dogs were included in this study. The overall response rate to masitinib was 50%. The median survival time for dogs that responded to masitinib was 630 days versus 137 days for dogs that did not respond (P = 0.0033). Toxicity was recorded in 61.5% of treated dogs, but the majority of adverse events were mild and self-limiting. Response to masitinib, not tumour grade, stage or location, was the most significant prognostic factor for survival in dogs with MCTs.Veterinary and Comparative Oncology 07/2013; DOI:10.1111/vco.12053 · 1.45 Impact Factor
Article: Effects of Diagnostic Test Accuracy and Treatment Efficacy on the Occurrence of Suspected Failure of Heartworm Prophylaxis in Dogs.[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: Food and Drug Administration Center for Veterinary Medicine (FDA/CVM) cited concern regarding failure of heartworm prophylaxis. The positive and negative predictive value of the heartworm antigen test is an estimate of the probability of adult heartworm infection. HYPOTHESIS/OBJECTIVES: Assess the sensitivity, specificity, and predictive value of heartworm antigen tests. Explore the role of heartworm test accuracy and treatment with immiticide to generate reports of suspected failure of heartworm prophylaxis. METHODS: Literature searches for published information on the accuracy of heartworm antigen tests and efficacy of immiticide for treatment of the adult heartworm. RESULTS: Weighted averages for heartworm antigen test sensitivity and specificity were 78.2 and 97.3%, respectively. Efficacy of immiticide by 2-injection or alternate dose protocols were 88.3 and 89.1%, respectively. Depending on prevalence, the positive predictive value of the heartworm antigen test ranged from 15 to 54% and negative predictive value from 99 to 99.9%. For a hospital testing 1,000 dogs per year, false-positive test results may vary from 24 to 27 dogs. If these dogs were on heartworm preventive, they may undergo treatment and be classified as prophylaxis failures. Ten percent of dogs who were treated and continued or placed on prophylaxis at the time of treatment may have adult heartworms when tested 1 year later and be presumed to represent failure of prophylaxis. CONCLUSIONS: When interpreting heartworm antigen test results, clinical signs, history, and regional prevalence of heartworm disease should be considered in estimating the predictive value of the test result. Limitations of test and treatment should be discussed with clients as part of the decision-making process.Journal of Veterinary Internal Medicine 05/2013; 27(5). DOI:10.1111/jvim.12092 · 2.22 Impact Factor
Article: The effect of nitrous oxide on the minimum alveolar concentration (MAC) and MAC derivatives of isoflurane in dogs.[Show abstract] [Hide abstract]
ABSTRACT: This study investigated the effects of 70% nitrous oxide (N2O) on the minimum alveolar concentration (MAC) of isoflurane (ISO) that prevents purposeful movement, the MAC of ISO at which there is no motor movement (MACNM), and the MAC of ISO at which autonomic responses are blocked (MACBAR) in dogs. Six adult, healthy, mixed-breed, intact male dogs were anesthetized with ISO delivered via mask. Baseline MAC, MACNM, and MACBAR of ISO were determined for each dog using a supra-maximal electrical stimulus (50 V, 50 Hz, 10 ms). Nitrous oxide (70%) was then administered and MAC and its derivatives (N2O-MAC, N2O-MACNM, and N2O-MACBAR) were determined using the same methodology. The values for baseline MAC, MACNM, and MACBAR were 1.39 ± 0.14, 1.59 ± 0.10, and 1.72 ± 0.16, respectively. The addition of 70% N2O decreased MAC, MACNM, and MACBAR by 32%, 15%, and 25%, respectively.Canadian journal of veterinary research = Revue canadienne de recherche vétérinaire 04/2013; 77(2):131-135. · 0.85 Impact Factor
Article: The effect of fentanyl on the end-tidal sevoflurane concentration needed to prevent motor movement in dogs[Show abstract] [Hide abstract]
ABSTRACT: OBJECTIVE: The objectives of this study were to determine the effects of fentanyl on the end-tidal concentration of sevoflurane needed to prevent motor movement (MAC(NM) ) in response to noxious stimulation, and to evaluate if acute tolerance develops. STUDY DESIGN: Randomized cross-over experimental study. ANIMALS: Six healthy, adult (2-3 years old), intact male, mixed-breed dogs weighing 16.2 ± 1.1 kg. METHODS: Six dogs were randomly assigned to receive one of three separate treatments over a 3 week period. After baseline sevoflurane MAC(NM) (MAC(NM-B) ) determination, fentanyl treatments (T) were administered as a loading dose (Ld) and constant rate infusion (CRI) as follows: T1-Ld of 7.5 μg kg(-1) and CRI at 3 μg kg(-1) hour(-1) ; T2-Ld of 15 μg kg(-1) and CRI at 6.0 μg kg (-1) hour(-1) ; T3-Ld of 30 μg kg(-1) and CRI at 12 μg kg(-1) hour(-1) . The MAC(NM) was defined as the minimum end-tidal sevoflurane concentration preventing motor movement. The first post-treatment MAC(NM) (MAC(NM-I) ) determination was initiated 90 minutes after the start of the CRI, and a second MAC(NM) (MAC(NM) (-) (II) ) determination was initiated 3 hours after MAC(NM-I) was established. RESULTS: The overall least square mean MAC(NM-B) for all groups was 2.66%. All treatments decreased (p < 0.05) MAC(NM) , and the decrease from baseline was 22%, 35% and 41% for T1, T2 and T3, respectively. Percentage change in T1 differed (p < 0.05) from T2 and T3; however, T2 did not differ from T3. MAC(NM-I) was not significantly different from MAC(NM-II) within treatments. CONCLUSIONS AND CLINICAL RELEVANCE: Fentanyl doses in the range of 3-12 μg kg(-1 ) hour(-1) significantly decreased the sevoflurane MAC(NM) . Clinically significant tolerance to fentanyl did not occur under the study conditions.Veterinary Anaesthesia and Analgesia 01/2013; 40(3). DOI:10.1111/vaa.12013 · 1.78 Impact Factor
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ABSTRACT: We hypothesized that neutrophil function in tumour-bearing dogs is negatively impacted by chemotherapy. Flow cytometric techniques were used to assess neutrophil oxidative burst and phagocytic activities at baseline, 7 and 21 days after induction chemotherapy in 20 dogs with lymphoma. Dogs had a lower percentage of neutrophils exhibiting oxidative burst activity after stimulation with Escherichia coli (day 7; P = 0.009) and phorbol 12-myristate 13-acetate (PMA) (days 7 and 21; P = 0.0003 and P = 0.01, respectively), compared with healthy controls. From day 0 to 7, the percentage of neutrophils exhibiting oxidative burst activity decreased after stimulation with E. coli (P = 0.016) and PMA (P = 0.0006). Induction chemotherapy suppresses the percentage of neutrophils capable of oxidative burst in dogs with lymphoma, with improvement in phagocytic activity over time (P = 0.03). The impact of neutrophil dysfunction on incidence and severity of sepsis in dogs receiving chemotherapy should be investigated.Veterinary and Comparative Oncology 01/2013; 13(1). DOI:10.1111/vco.12015 · 1.45 Impact Factor
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ABSTRACT: We evaluated the effect of repeated intraperitoneal administration of tribromoethanol on various parameters in C57BL/6NHsd mice. Mice (n = 68) were randomly assigned to 1 of 7 groups to receive tribromoethanol (500 mg/kg IP) on day 0 or days 0 and 8; vehicle (tert-amyl alcohol in sterile water) only on day 0 or days 0 and 8; sterile water injection on day 0 or days 0 and 8; or no treatment. A single dose of tribromoethanol failed to produce loss of pedal reflex and had no effect on median food and water consumption but altered median body weight on days 1 through 4 when compared with that in mice that received vehicle only or no treatment. Median body weight did not differ between mice that received a single dose of tribromoethanol and those that received an injection of water. Among mice given 2 doses of tribromoethanol, induction time, anesthetic duration, and recovery time varied widely. Repeated administration of tribromoethanol had no effect on median food and water consumption or body weight compared with those in controls. Median liver weight was significantly greater in mice that received 2 doses compared with a single dose of tribromoethanol. Median liver weight did not differ between untreated mice and those that received tribromoethanol. No significant organ or tissue pathology was observed in any study animal. Although tribromoethanol did not produce morbidity, mortality, or pathologic changes in treated animals, we urge caution in use of tribromoethanol in C57BL/6NHsd mice due to its variable anesthetic effectiveness.Journal of the American Association for Laboratory Animal Science: JAALAS 01/2013; 52(2):176-9. · 0.73 Impact Factor
Dataset: ijhg weisent
Article: Socioeconomic determinants of geographic disparities in campylobacteriosis risk: a comparison of global and local modeling approaches[Show abstract] [Hide abstract]
ABSTRACT: Background: Socioeconomic factors play a complex role in determining the risk of campylobacteriosis. Understanding the spatial interplay between these factors and disease risk can guide disease control programs. Historically, Poisson and negative binomial models have been used to investigate determinants of geographic disparities in risk. Spatial regression models, which allow modeling of spatial effects, have been used to improve these modeling efforts. Geographically weighted regression (GWR) takes this a step further by estimating local regression coefficients, thereby allowing estimations of associations that vary in space. These recent approaches increase our understanding of how geography influences the associations between determinants and disease. Therefore the objectives of this study were to: (i) identify socioeconomic determinants of the geographic disparities of campylobacteriosis risk (ii) investigate if regression coefficients for the associations between socioeconomic factors and campylobacteriosis risk demonstrate spatial variability and (iii) compare the performance of four modeling approaches: negative binomial, spatial lag, global and local Poisson GWR. Methods: Negative binomial, spatial lag, global and local Poisson GWR modeling techniques were used to investigate associations between socioeconomic factors and geographic disparities in campylobacteriosis risk. The best fitting models were identified and compared. Results: Two competing four variable models (Models 1 & 2) were identified. Significant variables included race, unemployment rate, education attainment, urbanicity, and divorce rate. Local Poisson GWR had the best fit and showed evidence of spatially varying regression coefficients. Conclusions: The international significance of this work is that it highlights the inadequacy of global regression strategies that estimate one parameter per independent variable, and therefore mask the true relationships between dependent and independent variables. Since local GWR estimate a regression coefficient for each location, it reveals the geographic differences in the associations. This implies that a factor may be an important determinant in some locations and not others. Incorporating this into health planning ensures that a needs-based, rather than a "one-size-fits-all", approach is used. Thus, adding local GWR to the epidemiologists' toolbox would allow them to assess how the impacts of different determinants vary by geography. This knowledge is critical for resource allocation in disease control programs.International Journal of Health Geographics 10/2012; 11:45. DOI:10.1186/1476-072X-11-45 · 2.62 Impact Factor
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ABSTRACT: To report bronchoscopic placement of nitinol stents (Vet Stent-Trachea®) for improvement of end-stage clinical signs in dogs with tracheal collapse. Case series. Dogs (n = 18). Medical records (January 1, 2004-October 31, 2008) were searched for dogs with a diagnosis of tracheal collapse; 18 dogs met inclusion criteria. Tracheal diameter was compared before and after stent deployment. Stent dimensions were compared after stent deployment and at radiographic follow-up. There was a significant difference in the minimum tracheal diameter when initial and post deployment tracheal diameters were compared (P = .003). Stent length was significantly shorter at follow-up when compared to post deployment measurements (P = .004). Owner assessment of outcome was available for all dogs with 11.1% mortality within 60 days. Complications were documented in 9 dogs. Use of a nitinol stent (Vet Stent-Trachea®) in dogs with end-stage tracheal collapse is associated with a fair to good outcome despite significant temporal stent fore shortening after bronchoscopic placement.Veterinary Surgery 09/2012; 41(7):807-17. DOI:10.1111/j.1532-950X.2012.01037.x · 0.99 Impact Factor
Top Journals
The University of Tennessee Medical Center at Knoxville
Knoxville, Tennessee, United States
- Department of Medicine
University of Tennessee
Knoxville, Tennessee, United States
- Department of Large Animal Clinical Sciences
Cornell UniversityИтак, New York, United States


text:
In calm contrast to the hurry of sailing vessel and steamer a silent fleet of white warships lay motionless in midstream.
The steamer trunks under the windows are for storing toys and for dressing up clothes.
One minute the script, the next a story about Ivor Novello's tailor or the Tahiti steamer schedule in the Thirties.
1814 in the cookery sense, agent noun from steam (v.). From 1825 as "a vessel propelled by steam," hence steamer trunk (1885), one that carries the essentials for a voyage.
Old English steam "vapor, fume," from Proto-Germanic *staumaz (cf. Dutch stoom), of unknown origin. Steam age first attested 1941. Steam heat as a method of temperature control recorded from 1904.
Old English stemen, stymen "to emit a scent or odor," from the root of steam (n.). Slang meaning "to make angry" is from 1922. Related: Steamed; steaming.
verb phrase
To rob someone thoroughly and subtly; strip someone
[1974+; fr the notion that the person being robbed must or might as well be blind]


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TASSIMO Cappuccino Foaming Milk Creamer
Top off your favorite coffee treat with TASSIMO Cappuccino Foaming Milk Creamer. Made from real milk and ideal for creating picture-perfect lattes, cappuccinos and more, it delivers a rich and frothy finish that won't disappoint.
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Rated 3.9 out of 5 by 136 reviewers.
Rated 5 out of 5 by fricfrac great great product to use with all your coffees, very creamy and gives the coffee a nice head of foam June 2, 2015
Rated 5 out of 5 by Mokkadew Rich and creamy This is a real treat to have with any of the Gevalia coffees, especially expresso. May 21, 2015
Rated 5 out of 5 by doxie Creamer and Suchard Hot chocolate Make the best hot Chocolate by using both the creamer and Suchard I first brew the hot chocolate and then the creamer. Put a little whipped cream or a marshmallow on top and it's better than an hot chocolate I have ever had May 16, 2015
Rated 5 out of 5 by Stumbler Great! Makes for a nice "cap" with any brand of espresso. May 11, 2015
Rated 5 out of 5 by Headcase Perfectly Simple Cappuccino In our office, we have the Latte vs. Cappuccino drinkers and this works great for us. No mess, convenient and tastes great! May 6, 2015
Rated 5 out of 5 by Jo78 This product completes my cup of coffee We drink a cup of Gevalia Swiss Hazelnut coffee every day topped by Tassimo Cappuccino foaming milk creamer. Just delicious!!!! April 30, 2015
Rated 4 out of 5 by jerseyjohn adds the right taste It doesn't foam up like other creamers but it tastes great and that's what counts. April 14, 2015
Rated 5 out of 5 by Tigger This product is very flavorful Love the product. I start every day with a latte using 2 espresso discs and one milk creamer Perfect way to start my day. March 23, 2015
(61 Questions : 76 Answers)
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0out of 0found this question helpful.
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Could you please tell me the difference between your two milk products/creamers ? Is the Cappuccino Foaming Milk Creamer a "richer" cream product than the Latte Creamer ?
Thank you.
Thank you.
3 years, 4 months ago
Jacksonville FL
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Answer:I like the Jacobs Macchiatto Latte, but it's a little weaker, to me, than any of the cappuccino drinks.. The difference between latte and cappuccino is the latte has more cream, which makes a latte a larger drink and a weaker drink.
3 years, 1 month ago
Chicago, IL
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Answer:I think the Latte creamer is richer than the Cappaccino. I seem to get more creamer with the Latte.
3 years, 3 months ago
Jacksonville, Fl
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Answer:The only difference between the two creamers is that the foaming gives your coffee a frothing foam topping.
3 years, 4 months ago
1out of 1found this question helpful.
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Several customers are asking for this . My husband bought me a machine for Christmas as a special treat so that I could have costa latte coffee at home but I do not like sugar in drinks therefore I cannot drink the drinks . I have used the machine and cannot take it back but it is a complete waiste of money for me . This is really disappointing !
1 year, 6 months ago
South Yorkshire, UK
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1out of 1found this answer helpful.
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Answer:All milk or cream has sugar naturally-even fat free milk. but it is usually only 2 or 3 grams of sugar. I think the mochas need to be available in sugar free or skinny versions as there are 25 grams of sugar in almost all of them. I have made that request to Tassimo and hope someone was listening.
1 year, 4 months ago
Plantation, FL, USA
1out of 1found this answer helpful.
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Answer:You can still use the machine to brew espresso, crema, or coffees without sugar, and then just add your own cream or milk product. It's not as fun as having the milk frothed in the Tassimo, though. You might like the cremas or Voluptuoso coffee, since these brew with a layer of foam on top, without milk! Yum! Sometimes I use a mixer to froth up heavy cream or half&half. I really wish they would offer sugar free versions of the milks and iced teas and hot chocolates, either unsweetened, or with a non-calorie sweetener like Truvia or Splenda! Or maybe a refillable cream/milk container with the barcode to froth it! How about it, Tassimo?
1 year, 5 months ago
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1out of 1found this answer helpful.
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Answer:Thank you for asking, and sharing your suggestion with us. I will pass along your suggestion for more sugar free drinks for consideration. Have a nice day!
1 year, 6 months ago
2 answers
Why does the Cappu Milk not foaming now?
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Hi, I own Bosch Tassimo machine which is well maintained. I descale it regularly. I purchased 10 packets of Cuppuccino from the Tassimo site.
I have found that the milk disks are hardly foaming! Certainly I just have a white coffee after 10mnutes. The machine is working fine with other disks.
Have you changed your supplier? I have had a tassimo machine for years, but if this now what Cappiccinos are going to be like, I will have to end what has been a good run with Tassimo.
I have found that the milk disks are hardly foaming! Certainly I just have a white coffee after 10mnutes. The machine is working fine with other disks.
Have you changed your supplier? I have had a tassimo machine for years, but if this now what Cappiccinos are going to be like, I will have to end what has been a good run with Tassimo.
3 years ago
London, UK
0out of 0found this answer helpful.
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Answer:Unless the creamers in the UK are different from those sold here in the US, you must have received a bad batch. I've never had a creamer disc not foam.
2 years, 6 months ago
New Jersey
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Answer:The Cappuccino Milk Creamer should be foaming. Please contact one of our Tassimo Customer Service Representatives at 1-877-834-7271 for assistance with troubleshooting your brewer. We ask when calling, that you have your brewer available.
3 years ago
2 answers
How do I read the code on the disc
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How do I read the experation date on the discs ?
2 years, 11 months ago
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0out of 0found this answer helpful.
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Answer:Sometimes the dates are hard to read on the top of the T discs but the expiration date is always on the package(not the boxes). I believe the one code is a batch number. The date usually is year first, then month and then day.
2 years, 7 months ago
Los Lunas, NM, USA
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Answer:The best by date for Tassimo products is listed on the outside packaging and not on the individual T DISCs. The code on the T DISCs indicates manufacturing information. If you need to determine the expiration date using the manufacturing information, please contact customer service at 1-877-834-7271 or send an e-mail with the code and product name to email@example.com.
2 years, 11 months ago
Additional information about TassimoCS3 could not be loaded.
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after brewing is water in T disc normal
2 years, 11 months ago
barnegat n.j.
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Answer:Because it comes out by WATER PRESSURE and it didn't have enough water pressure to take the last drops out, and its water because the water took the milk while it was going trough the T-disk.
2 years, 10 months ago
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Answer:Please contact one of our Tassimo Customer Service Representatives at 1-877-834-7271 for assistance with troubleshooting your brewer. We ask when calling, that you have your brewer available.
2 years, 11 months ago


text:
Audio Samples
Album Summary
- Carolyn Gronlund (Mezzo Soprano)
- Lauren Flanigan (Soprano)
- Gene Buchholz
- Charles Austin (Bass)
- Eric Stark
- Emily Lunde (Mezzo Soprano)
- Richard Zeller (Baritone)
- Barry Johnson (Violin)
- Lori Summers
- Anthony Griffey (Tenor)
- Paul Gudas (Tenor)
- John Obourn
- Terri Richtor (Soprano)
Notes & Reviews:
From its triumphant, star-studded premiere in 1931 until 1985, 'Peter Ibbetson' was the most-performed American opera at the Metropolitan Opera in New York. The story (based on the novel by George Du Maurier) of two star-crossed lovers who secretly escape to a mystical "dream world" was immensely popular in the 1930s, and was the subject of several Hollywood films. Composer Deems Taylor - known to millions as the host of the original Disney 'Fantasia' movie - was at that time a leading voice in American music. His lush, romantic / impressionist music and masterful dramatic timing make 'Peter Ibbetson' a most rewarding listening experience, and a "must" for all opera fans. Rediscover an American classic with this world-premiere recording featuring some of today's leading opera stars.
Submitted on 09/14/09 by ProfessorJF
Also Purchased
Works DetailsTaylor, Joseph Deems : Peter Ibbetson, opera, Op. 20
- Performers: Emily Lunde (Mezzo Soprano); Richard Zeller (Baritone); Barry Johnson (Violin); Lori Summers; Anthony Griffey (Tenor); Paul Gudas (Tenor); John Obourn; Terri Richtor (Soprano); Carolyn Gronlund (Mezzo Soprano); Lauren Flanigan (Soprano); Gene Buchholz; Charles Austin (Bass); Eric Stark
- Conductor: Gerard Schwarz
- Ensemble: Seattle Symphony Chorus
- Notes: S. Mark Taper Foundation Auditorium, Benaroya Hall, Seattle (04/29/1999/05/01/1999)
- Running Time: 4 min. 29 sec.
- Period Time: Modern
- Form: Opera/Operetta
- Studio/Live: Live


text:
FitNet Purchasing Alliance
B-406075: Feb 3, 2012
Additional Materials:
- Full Report:
Ralph O. White
(202) 512-8278
(202) 512-4800
(202) 512-8278
Office of Public Affairs
(202) 512-4800
FitNet Purchasing Alliance, a small business located in Saint Augustine, Florida, protests the terms of request for quotations (RFQ) No. W911RZ-12-T-0001, issued by the Department of the Army for a reverse auction among vendors holding Federal Supply Schedule (FSS) contracts for fitness equipment. FitNet argues that this requirement should be set aside for small businesses.
We dismiss the protest.
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text:
Roadworks extended by four weeks
Last updated at 12:00, Thursday, 14 August 2014
ROAD disruption at Kells is set to continue for residents as four more weeks of work are planned.
Work on replacing ageing iron gas mains pipes at Rosemary Lane is due to begin in September, but there will be road access with a traffic light system in place as well as ongoing work through the night.
A spokesperson for Northern Gas Networks said: "The essential work commenced in Hill Top Road on Monday, August 11. In order to carry out this section of the work safely and efficiently, it will be necessary to close Hill Top Road to traffic for three weeks while work is taking place. Road access will be maintained for residents and pedestrian access will be maintained at all times.
"Work will then move into Harbour View and will be carried out under two-way temporary traffic lights for approximately three weeks.
"The final phase of the work will be carried out at the bottom of Rosemary Lane under a night-time road closure (11pm–7am) for approximately one week."
The project is part of Northern Gas Networks' ongoing development of the gas infrastructure across Cumbria and will involve replacing 1km of existing metallic gas main with more durable plastic pipes to ensure the continued safe and reliable supply of gas to our customers in the area for years to come.
Matthew McBride, site manager, Northern Gas Networks said: "Following consultation with Cumbria Highways department and key stakeholders in the area, we have agreed to carry out the Rosemary Lane section of the work under a night-time road closure which will help minimise the impact on traffic in the area."
John Brannon, spokesman for the Prospect Area Residents Group, said: "At first we thought it was unbelievable as we thought the roads were going to be closed longer than they already have.
"We, as residents, are mostly disappointed with the lack of liaison.
"We know the work needs to be done and we are pleased Northern Gas Networks have taken steps to ensure the road remains accessible."
First published at 11:44, Thursday, 14 August 2014
Published by http://www.whitehavennews.co.uk
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