text:
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iTunes 10 Essential Training takes an in-depth look into the popular music and media hub from Apple. Author Garrick Chow demonstrates how to perform the core functions in iTunes: playing, purchasing, sharing, and streaming content. The course also covers specialized features such as setting parental controls, syncing with iPods, subscribing to podcasts, listening to Internet radio, using the Genius feature, the Ping social network, and much more. Exercise files are included with the course.
If you ever receive an iTunes gift card as a present, whether it's via email, a printed gift certificate someone hands you, or a plastic credit card sized gift card that can be purchased in stores, the best idea is to redeem the gift card right away, even if you don't intend on buying anything yet. iTunes Store gift cards can only be used on the iTunes Store, and gift cards just place a credit on your account that will sit there until you actually make a purchase. It's not like having a gift card for a store in the mall, where you actually have to remember to bring the card with you when you shop at that store. With an iTunes gift card, you just enter that gift card information into iTunes, and the credit will be there waiting for you when you're ready to make a purchase.
Now if you received a gift certificate by email, there will be a link you can click that would take you right to the redemption page on the iTunes Store. If you received a printed gift certificate or a plastic gift card, you want to go to the iTunes Store homepage, and here on the right under Quick Links click Redeem. And all you have do on this screen is type in the code on the gift certificate or card that you have received. Then click Redeem. If you typed in everything correctly, the amount of the gift card will be instantly credited to your account. Any purchases you make will then be deducted from your store credit and only when the credit has run out will your personal credit card then be charged for purchases. Or you can just hope people keep giving you gift cards so you never have to pay for iTunes Store purchases yourself.
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text:
February 27, 2006
While the calendar may
still officially say, "Winter," it is the time of year
when many start making plans for summer and summer camp. For those
with special needs or special interests, the search for just the
right camp can pose unique challenges.
"When it comes to
camps, children with special needs actually have as many choices
as children who have no such needs. The Americans with Disabilities
Act (ADA) requires all camps to make reasonable accommodations (such
as the installation of wheelchair-accessible ramps) so that children
with special needs can attend. ... Inclusionary (or mainstream)
camps do just what their name implies: They include children with
special needs in their groups of children with regular needs. ...
Even with The Americans
with Disabilities Act, those with special needs may encounter challenges
when trying to find an inclusionary camp.
"* Centers cannot
exclude children with disabilities unless their presence would pose
a direct threat to the health or safety of others or require a fundamental
alteration of the program.
* Centers have to make reasonable modifications to their policies
and practices to integrate children, parents, and guardians with
disabilities into their programs unless doing so would constitute
a fundamental alteration.
* Centers must provide appropriate auxiliary aids and services needed
for effective communication with children or adults with disabilities
when doing so would not constitute an undue burden.
* Centers must generally make their facilities accessible to persons
with disabilities. Existing facilities are subject to the readily
achievable standard for barrier removal, while newly constructed
facilities and any altered portions of existing facilities must
be fully accessible. Programs cannot just assume that a child's
disabilities are too severe for the child to be integrated successfully
into the program. An individualized assessment must be done to determine
if the particular needs of the child can be met without fundamentally
altering the program."
For those who think that
mainstream camps may not be the best fit:
"There are also camps
designed just for kids with special needs, including kids who have
learning or behavioral problems, kids with specific chronic illnesses,
and kids with mental or physical impairments. Many of these camps
accept children with a variety of needs, but some camps only accept
kids with specific problems..."
Much like mainstream camps,
camps for children with special needs are located all over the country.
For example:
"In the Greater Cincinnati
area there are many summer camps for children with special needs.
Cincinnati Children's Hospital Medical Center provides information
on different camps for children with the following special needs:
* Asthma
* Cancer
* Crohn's Disease and Ulcerative Colitis
* Celiac Disease
* Dermatological Conditions
* Diabetes
* Disabilities
* Epilepsy
* Hearing-impaired
* Heart Disease
* Hemophilia
* Juvenile Arthritis
* Kidney
* Sickle Cell
* Therapeutic Recreation
* Ventilator-dependent / Tracheostomy"
Mainstream camps are required
to do all they can to accommodate those with special needs. Children
who want to be with their friends, or want to be with others in
a mainstream camp have every opportunity to do so. So, why have
special camps for those who can function in the mainstream?
"Kids with diabetes
are in the minority ... except at diabetes camp. At camp, kids with
diabetes are surrounded by people just like them -- both kids and
adults who share their day to day challenges and triumphs managing
diabetes. Diabetes camp gives kids the opportunity to meet and learn
from adult counselors with diabetes who have gone through many of
the things the campers are experiencing, and can share the ways
they coped with the problems and pitfalls of having diabetes. The
number one benefit both kids and their parents express is the ability
to feel part of a group where everyone has diabetes and the feelings
of isolation are eliminated. ... Parents' concerns range from nutrition
to proper medical care and supplies, to learning how to manage diabetes
during strenuous activities. Teams of competent diabetes health
care professionals staff each camp, and have the answers for all
these situations and many more."
Are you (or is someone
you know) looking for a camp to attend this summer?
"This is a guide to
some of the directories and listings of summer camps. Half of these
resources identify camps specifically intended for children who
have disabilities. The other half are simply directories listing
camp opportunities available to all children. Your community is
also likely to have summer camps or recreational opportunities available.
You probably won't find them listed in these directories! To find
out what's available locally, you'll need to consult with local
sources of information--your childs teachers, local recreation
department, religious organizations in your area, fellow parents,
and community groups...."
Not all people have special
needs that are addressed at a specific camp. Not everyone with special
needs would like to attend a camp that specifically caters to their
needs. In addition to having camps that are designed to meet the
special needs of those attending, there are also camps that are
designed to address the unique interests of those who would like
to someday work as a health professional. Examples from past summers
"Students will ...
participate in activities that will help develop their critical
thinking, communication and public speaking skills, including daily
workshops on community health issues; skill development-critical
thinking, presentation skills, team collaboration skills; library
research; tours health care and university facilities; and field
trips. The program's four principal components include: Youth Leadership
Development, Community Health Projects, Exploring Careers in Health
Care and Preparing to Apply to College. Student peer leaders will
select a critical health issue from their home communities and develop
an intervention plan to implement during the upcoming school year."
"Students who are
interested in healthcare careers and who will be entering grades
10 and 11 this fall are invited to participate in HealthQuest. ...
'Students attending the camp at Ithaca College will learn about
professions in health care other than doctor, dentist, or nurse,'
says Steven Siconolfi, dean of the School of Health Sciences and
Human Performance. 'Through interactive learning experiences with
practicing professionals and college instructors, young people will
be exposed to career possibilities in allied health fields that
include occupational and physical therapy, speech-language pathology
and audiology, athletic training, therapeutic recreation, and exercise
science. Professions such as these are the silent majority in health
care and provide the infrastructure for the highest quality of health
care in the world.''
Not all of these camps
are available in all areas. These camps may not all be available
every year. In offering these examples, Access Excellence @ the
National Health Museum is not endorsing any specific camp.
Questions of the Week:
What camps are available in your area? What camps interest you?
Who would benefit most from a mainstream camp that can accommodate
those with special needs? Who would benefit most from a camp designed
specifically for those with special needs? What are the possible
positives and negatives for campers (both special needs and mainstream)
who attend inclusionary camps? What are the possible positives and
negatives for special needs campers who attend camps specifically
designed to address their unique needs? How are the camps that are
designed specifically for teens with an interest in health professions
meeting unique needs? Who would benefit most from camps that focus
on the study of health issues and healthcare careers?
Please email me with any ideas or suggestions.
Note: Due to increasing amounts of SPAM sent to this account, please include "QOW" in the subject line when sending me email.
I look forward to reading
what you have to say.
Health Community Coordinator
Access Excellence @ the National Health Museum
Request Question of the Week by email

subset: commoncrawl


text:
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text:
Open-Xchange and SugarCRM Partnership Established
Groupware solutions expert Open-Xchange and customer relationship management (CRM) provider SugarCRM are partnering to mutually integrate their solutions.
Open-Xchange and SugarCRM have made their partnership official. Users of the two software solutions will be able to transfer files from one to the other, according to the companies. This exchange should be possible for contact module data already, even while the project is still in a beta stage. Goal of the partnership is to make calendar and email functions compatible, according to SugarCRM cofounder Clint Oram.
Open-Xchange will provide the import and export functions based on Microformats.org, internally known as Open-Xchange Meta Format (in short, OXMF). Use cases also include managing files for social networks such as Xing and Facebook, possible through test accounts from Ox.io. Test participants should be aware, however, that the "catch" is that it's still in beta and that usernames and passwords for each social network will end up on the test servers.
Issue 178/2015
Buy this issue as a PDF
Qemu Flaw Lets the Guest Escape
Xen project announces a privilege escalation problem for Qemu host systems
Android Bug Threatens Millions of Users
Attackers can compromise an Android phone just by sending a text message
Lenovo and Canonical Announce Laptop Deal
PC vendor will pre-install Ubuntu on portables in India.
Mozilla Firefox Blocks Flash
More embarrassment for Adobe's embattled multimedia tool
Security Problem in Firefox's NoScript Add-On
Mozilla's script blocker add-on could be putting malware sites on the whitelist.
RIP SSLv3
The Internet community officially banishes the notoriously unsafe Secure Sockets Layer protocol.
Mate 1.1 Arrives
Popular desktop environment continues the Gnome 2 legacy – with new support for the Gnome 3 toolkit.
US Government Requires HTTPS
The Obama White House has issued a memorandum telling all US government agencies they must use HTTPS for all websites and web communication.
Mozilla Signs Firefox Add-Ons
New program will dial up security for the Firefox browser.
Fedora 22 Arrives
Red Hat's community distro embraces the cloud.


text:
My personal favorite is L but i would like to see who you like best.
|AnimeGalleries [dot] Net
|AnimeWallpapers [dot] Com
|AnimeLyrics [dot] Com
|AnimePedia [dot] Com
|AnimeGlobe [dot] Com
My personal favorite is L but i would like to see who you like best.
My favorite out of these three, is L.
He is just flat out awesome.
l hands down aney day
becouse he was dead on on both kiras and he had them captured
Last edited by Ranshiin; 08-31-2012 at 03:16 AM. Reason: Addition
live life to the fullest because you are not guarantied a tomorrow
: The Game. You just lost it. :
Currently working on: Oh my Glob! Psygnosis got in touch with us ... Rollcage Redux! New and improved Rollcage 1.
^ RollCageX is back! Now called ReCaged.. ^
:Godly on Blur:
My Youtube Channel || Epic Clan Battles
I like L the best. He is so amazing and hilarious. He is my all time favorite
ranshiin you cant remove his post its my thread and i might remove you post. stop being mean+ i bet he read more deathnote then you have
Last edited by manga.mon123; 09-03-2012 at 09:25 AM.
I cannot chose between L or Near. They are both just so awesome.
---------- Post added at 05:26 PM ---------- Previous post was at 04:34 PM ----------
I cannot chose between L or Near. They are both just so awesome.
I gotta go with the one who wasn't horribly killed and trapped in limbo for eternity.
Anime is a lot like sex. Done right it's a beautiful act of creation that brings a little more light into the world. If it's sick and wrong... it's even better.
Author of "How to Be an Anime Character" and "Lesbian Fairy Tales" available from Amazon.com
L is the best, N and M are just copy of him. Just a splitting of L's personnality in two but both of them are faillure. They don't stand a chance against L or kira, they win against light only because of his subordinates. L was only fighting kira and his dead was due to the sacrifice of a god of death! In the same conditions near will be dead too...
Yeah, I have to agree with you guys, L hands down. Near and Mello had a knack of finding out information, but they exposed themselves doing so, and also never really seemed to have the same ability to make connections and intuit solutions and answers that L displayed.
My favorite is Light but I love Near and L too!XD
L. Near and Mello were practically copies of him. I did like how Near was so young though, made him seem even more of a genius.
There are currently 1 users browsing this thread. (0 members and 1 guests)


text:
Are you sitting in class or a meeting and wanting to liven things up? No matter where you are, you'll be sure to get people laughing with this app.
With the press of a button, iWhoopee randomly simulates 12 unique old fashioned (non-electronic) whoopee cushion/fart sounds.
Clicking the iWhoopee button will play one of the twelve sounds.


text:
Sony, Nintendo, CIA, Citibank, and even the US Senate have been hacked through website applications. According to Gartner, over 75% of attacks occur through Web applications and over 97% of web sites are vulnerable to these attacks. While the Ruby on Rails Framework has some built-in security features, there are additional vulnerabilities that need addressing when developing web applications. With Engine Yard and Cenzic solutions coming together, customers can test their applications for vulnerabilities before publishing. Cenzic's Cloud service is like a "hacker in a box" – it tests your website for flaws that are most often exploited by criminals.
Unified Architecture - Because all Cenzic products are built on the same Hailstorm technology platform, users can effortlessly transfer data between software deployments (Cenzic Enterprise and Cenzic Desktop) and cloud deployments (Cenzic Managed Cloud, Cenzic Cloud and Cenzic Mobile).
Robust, Easy-to-Generate Reports - With Cenzic Enterprise, users can quickly and easily generate reports in a variety of formats, including PDF, Excel and Word.
Web-Based Dashboard - The Cenzic Enterprise dashboard provides a standardized platform to manage Cloud and Web application security risk throughout the enterprise. Role-based visibility provides a company-wide view of security status to executives as well as customized views to other users. Access is managed through the dashboard to control permissions of users and govern application access.


text:
Motorola advisor (and former Apple evangelist) Guy Kawasaki posed an interesting question recently via Google+: "Wouldn't it be great if you could personalize your phone like this?" The this of his question referred to a video clip highlighting Porsche Exclusive, the auto makers offering allow for buyers to create a completely custom vehicle, from paint job to stereo and more.
So what does this have to do with Android and rumors of the X Phone? You might recall a report from last week detailing how Moto will approach the brand. It was said that Motorola and Google will offer buyers the option to customize different aspects of their new handset at time of purchase, including RAM, storage size, and color. The idea would be akin to the sort of upgrades offered when buying a PC or laptop.
Is Kawasaki's post a hint at what we can expect when the X Phone is unveiled later this year? It seems more than coincidence based on the recent speculation. It would certainly add an interesting twist to smartphone buying, treating the devices more like the mini personal computers they really are and less like the mobile phones they started as.
[via DroidLife]
Continue reading:
- Motorola CEO confirms X Phone as "Moto
- Mysterious Sprint Motorola XT1056 passes thro
- Motorola XT1058 spotted at FCC with AT&T
- Motorola XT1055 specs show up in benchmarks,
TAGS: Motorola X Phone


text: Welcome to the WVU Lane Department of Computer Science and Electrical Engineering (LCSEE) Systems Helpdesk website. The purpose of this site is to provide assistance to current & future students, faculty, and staff of the Lane Department. If you have any questions, concerns, or problems regarding our facilities and services, please send an email to email@example.com


text:
Sepsis: EGDT Continues to Deliver
Last month, Dr. Kevin Klauer suggested that emergency physicians "unbundle the sepsis bundle."
This month, Dr. Emanuel Rivers offers his rebuttal, explaining why EGDT greatly improves sepsis outcomes.
The concept and components of early goal directed therapy (EGDT) for sepsis management has been part of the emergency medicine (EM) literature for over 40 years.1-3 Eleven years after the original publication of EGDT, the literature reflects the opposite position to that of Dr. Klauer, as put forth in last month's Op/Ed. EGDT has been validated and proven effective in over 54 publications comprising over 23,000 patients (shown in the table at right).4 Because of these robust finding, the emergency department (ED) has had the most influential impact on sepsis outcomes in the last decade.5 EGDT remains one of the most important components of the Surviving Sepsis Campaign (SSC) recommendations.6 EGDT has not "failed to deliver," as Dr. Klauer suggests.
In addition, large health care organizations such as Kaiser Health Care, Catholic Health Care West, Catholic Health Partners, HCA Healthcare have adopted EGDT. It has received the Joint Commission on Accreditation of Healthcare Organizations national quality award two years in a row and the results are not only improved outcomes but decreased hospital costs.7,8 This does not represent "premature" and "ill advised" treatment, as described by Dr. Klauer.
The conduction and results of the EGDT study are impeccable. After a decade of multiple confirmatory studies (single and multi-center), regurgitating inaccuracies to cast doubt on the EGDT study using a newspaper (which is under international investigation) is inappropriate. Furthermore, unilaterally relying on a source which did not publish a reply from the leadership of Henry Ford Health Systems is unacceptable. The EGDT study received no financial support from industry or extra-mural sources. This reply has been publically available on the Henry Ford Hospital Web site since 2008; www.henryfordem.com/egdt.
In addition to hemodynamic monitoring, the CVP catheter provides an avenue for vasopressor administration which is contraindicated through peripheral veins. The study Dr. Klauer referenced was a retrospective ICU based study examining the outcome benefit of vasopressin in patients in shock for over 12 hours duration and after volume resuscitation.10,11,12 This was not an early resuscitation study which prospectively evaluated the merits of CVP.
CVP is a pressure and must be interpreted in the context of other surrogate measures of flow such as ScvO2. CVP measurement is indicative of fluid responsiveness in the lower ranges.13,14 In higher ranges, CVP is taken in the context of ScvO2, a high value with a low ScvO2 indicates myocardial suppression, necessitating inotropic therapy. CVP as part of EGDT has been shown to have a significant association with 30-day mortality.15 Early, aggressive fluid therapy which is associated with improved outcomes must be distinguished from late aggressive fluid therapy.16 The administered volume in the EGDT group within the first 6 hours was significantly greater compared to standard therapy group, but over 72 hours there were no differences in the amount of fluid between the two groups. Paradoxically, this is associated with decreased mechanical ventilation, vasopressor and corticosteroid therapy.3,17-20 Thus, CVP is not the problem; it is the clinician's interpretation as with any hemodynamic variable.
Multiple studies, including a meta-analysis, show that an ScvO2 >70% is independently and significantly associated with mortality reduction in the first 6 hours.21-25 ScvO2 significantly predicts outcome 47 hours after the onset of acute lung injury and up to 48 hours in the ICU phase of sepsis.15,26 One of the reasons why a high ScvO2 is seen is because emergency intubation and mechanical ventilation has a strong effect on ScvO2. In a prospective multicenter observational study, ScvO2 increased from 61.8 +/- 12.6% to 68.9 +/- 12.2%. ScvO2 increases significantly in response to emergency intubation in the majority of septic patients.27
Vallet et al. found that mortality is optimized when an ScvO2 of 69.5% is used as a trigger for red blood cell (RBC) transfusion.28 RBC transfusion does not negatively alter the sublingual microcirculation in patients with altered capillary perfusion at baseline.29 Furthermore, there are no clinically significant adverse effects on global indexes of tissue oxygenation30, mortality rates in sepsis31 and acute lung injury.32
Recognition of myocardial dysfunction (low cardiac index) requiring inotropic (dobutamine) occurs in 12-15% of patients.33 A low ScvO2 is highly predictive of a low cardiac index26 and is independently associated with decreased risk of mortality.34 Patients with systolic dysfunction have a mortality rate of 36.3% without and 16.67% with EGDT.35 Patients who benefit from receiving RBC or dobutamine are patients with elevated lactate concentrations.36
Nguyen et al. found that the clearance of lactate over the first 6 hours after presentation was associated with significant decreases in sepsis biomarkers, organ function and mortality.37,38,42,43 Taking a page from these findings, Jones et al. declared that lactate clearance of at least 10% is equivalent to ScvO2 using the EGDT algorithm in a noninferiority study.39 This was concluded in spite of the low number of interventions (only 10% of the patient population), lower illness severity and lack of cardiopulmonary events compared to the original study. Using the same data set by Boyd quoted above, normal lactate levels were present in patients with high mortality, questioning the value of lactate clearance advocated by Dr. Klauer.40 Twenty to 50% of septic shock patients will never elevate lactate levels at presentation or during the clinical course, frequently develop multi-system organ failure and death.24,40-43 Thus lactate clearance, while helpful, is of limited clinical utility when used alone. ScvO2 and lactate are complimentary endpoints and not mutually exclusive.
Dr. Klauer asks: "For sepsis, does the evidence support the increased time it takes, the additional cost and the associated risk to the patient?" The mortality risk for a patient that qualifies for EGDT is from 30 to 47%.5 The urgency comes from understanding the illness severity, short-long term consequences of inaction and accountability (i.e. acute myocardial infarction (AMI), trauma, stroke or cardiac arrest). The components of EGDT are supported by evidence and it is not a menu. Do you pick and choose which parts of the recommended therapy for AMI, trauma, stroke or cardiac arrest?
After the EGDT publication, a 10-12% drop in mortality has been seen nationally over the last decade.44 Sepsis is the most expensive diagnosis being treated in hospitals in the U.S., consuming over $54 billion per year. Compliance to EGDT results in a 20% reduction in hospital-related costs and decreases hospital length of stay by 4-5 days.45,46 As the most expensive and lethal cause of hospitalization in the last 10 years, severe sepsis and septic shock is an EM disease. Our specialty is one that responds to crisis as well as change. Our patients expect and deserve nothing less.
# Diagnostic Accuracy & EGDT — 2012-07-11 12:24
Thank you to Dr. Rivers for an enlightening and well referenced response to Dr. Klauer's essay questioning the evidentiary basis for EGDT. Also, thank you to EP Monthly for publishing both sides of this debate. Acute time-dependent threats to health and well-being like sepsis, stroke, myocardial infarction, and trauma are the reason that emergency medicine exists, in my opinion. All of these acute emergencies require prompt and accurate diagnostics and in today's increasingly crowded, EMR-documentati on driven ED fishbowl, finding the needle in the haystack (well appearing, but sick patient) can be a tremendous challenge. See this story in today's NY Times: http://www.nytimes.com/2012/07/12/nyregion/in-rory-stauntons-fight-for-his-life-signs-that-went-unheeded.html?_r=1&nl=afternoonupdate&emc=edit_au_20120711
I would like to see a diagnostic systematic review to understand the body of evidence for accuracy of history, physical exam, and bedside tests to diagnose sepsis. A contribution to the Academic Emergency Medicine Evidence Based Diagnostics series would be the ideal destination for this manuscript. Personally, I believe that EGDT works, but we need to focus EGDT resources towards the appropriate denominator which means understanding how well we (EM) can or cannot diagnose sepsis at the bedside.
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I primarily shoot BMX and action sports, but I enjoy anything new, exciting and challenging.
I also enjoy a good cup of coffee.
-Terrell Gordy
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