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Welcome to D-Day! Let Victoria Dahl, Emmie Dark, Kate Davies and Joanne DeMaio D-light you, four times over!
Too Hot to Handle by Victoria Dahl
What it's about (back cover copy courtesy of Harlequin):
Merry Kade has always been the good girl. The best friend. The one who patiently waits for the guy to notice her. Well, no more. Merry has just scored her dream job, and it's time for her life to change. As the new curator of a museum in Wyoming, she'll supervise a lot of restoration work. Luckily she's found the perfect contractor for the job.
Shane Harcourt can't believe that someone wants to turn a beat-up ghost town into a museum attraction. After all, the last thing he needs is the site of his dream ranch turning into a tourist trap. He'll work on the project, if only to hasten its failure … until the beautiful, quirky woman in charge starts to change his mind.
For the first time ever, Merry has a gorgeous stud hot on her heels. But can she trust this strong, silent man, even if he is a force of nature in bed? When Shane's ulterior motives come out, he'll need to prove to Merry that a love like theirs may be too hot to handle, but it's impossible to resist.
Why you should read it: Because I've already read Too Hot to Handle twice, which means you have some catching up to do! Wait — catch up. Anyone else suddenly craving french fries? Point is, my second reading of Dahl's second Jackson book was no accident. The story is that good. Oh, yeah. Way better than french fries.
Merry, for instance, is not your typical heroine. She's goofy and ungainly, a total sci-fi geek, and her insecurities, not only about her body but her lovability, are bound to win your heart — and break it a bit, too. Merry may feel she's way too girl-next-door to garner any guy's interest — and at first, Shane agrees — but her determination to see the best in others touches Shane, and her exuberance for life both humbles and charms him, especially when he discovers her childhood was no less difficult than his. In her fight to make the ghost town a tourist attraction, Merry makes a few rash decisions, but her motivation is solid — she's desperate to prove her worth. I adore an unexpected heroine, and that's exactly what Dahl delivers.
Men were always disappointingly respectful of her. She locked the door behind Grace and then wandered back to the bathroom to put on some lip gloss and brush out her hair. Thanks to Grace's professional skills with the eye makeup, Merry looked almost nice. And the Oscar the Grouch T-shirt really set off her complexion.
Shane is just as desperate for a sense of belonging, but unlike Merry he prefers to wallow in his resentment. His motives aren't admirable but they are understandable, and though it's tough to forgive his deceit, who can resist a man who finally encourages Merry to be her awkward, bubbly self? But the fun is in how much she surprised and challenges him, and in his utter shock when he realizes how badly he wants this good girl. And when Merry finds her sexual bravery, things get hot, humorous and touching. Shane's reaction to her shower fantasy is oh-so-gratifying, and there's a heck of a lot more than hot water kicking up all that steam.
Did I mention this book is funny? Dahl writes with a saucy, slightly off-kilter humor that adds a sexy effervescence to the story.
"Merry! What did you do? Did you sleep with Shane? I mean … it's okay. You can tell me. I won't be mad."
The not-quite-suppressed violence beneath Grace's words sounded like static in her voice. Merry grinned at her. "You promise you won't be mad?"
"Yes," she said past clenched teeth and a painfully pleasant smile.
"Oh, my God." Merry laughed. "You're the worst liar ever. No, I did not use my super-sexy wiles to lure Shane onto my fold-out sofa bed for a night of uncomfortable passion."
"I wasn't worried about you doing the luring."
"Okay. No, Shane did not butter me up with Star Wars trivia and then 'accidentally' fall on me with his penis out."
After all this couple has been through, separately and together, I delighted in their happy ever after. Shane helps Merry realize she deserves more than friends with benefits, and Merry helps Shane appreciate the heavy price that comes with bitterness. And they simply fit. Though Shane's about-face is a bit abrupt, Merry's evolution is a gradual empowerment that lands her a few luscious, long-overdue respect-me-or-bite-me moments. I also enjoyed the fierce friendship between Merry and Grace (who found her own happy ending in Close Enough to Touch), and any scene including Grace's frank, foul-mouthed, insightful aunt.
Too Hot to Handle is a romantic, riveting joy ride, and once you get a gander at the Stud Farm, you'll be chomping at the bit for the next book in the series, So Tough to Tame, due out in October. You can distract yourself until then with two already-released Jackson novellas, Too Fast to Fall (in the Be Mine anthology) and Strong Enough to Love. I bet they'll go great with fries!
What Victoria Dahl has to say:
When I started planning the Jackson series, I decided I'd need to take a trip to Jackson Hole to brainstorm. (Insider tip: The town is called Jackson, Wyo., and the 80-mile long valley is Jackson Hole.) Going to Jackson isn't exactly a hardship. The town itself is pretty and quaint and the Tetons are arguably the most beautiful mountains in the region. I spent days driving through the valley and exploring along rivers and springs and canyons. Every moment was wonderful, but my favorite part of the trip was stumbling across old cabins.
The first site I found was unmarked. I don't know who lived there or when, but that only added to the beauty of the place. It was a quiet plot of land near the Gros Ventre River. Further downstream was the site of a tiny frontier settlement in Jackson Hole that had essentially been destroyed when a rock slide had first dammed the river high up in the mountains, and then given way under the force of all that water.
I'm fascinated by history, and my imagination was captured by these stories and the old cabins and the people who built lives on this ruthless land. What would it have been like to face disaster when you were totally on your own? And could I spend a whole book thinking about these things if I made the heroine a lot like me? LOL! That's how Merry Kade was born. She's nerdy and funny, she doesn't know how to put on eye makeup, and she's more comfortable in jeans and sneakers than a sexy dress. And her goal in life is to bring the story of the ghost town of Providence back to life for the people of Jackson Hole.
Spellbound by Emmie Dark
What it's about (back cover copy courtesy of Penguin):
Belle is a modern-day witch who's had a bad run with men. And she's not that good at the magic stuff, either. When her boyfriend leaves her feeling undesirable, Belle conjures up a night of perfect passion with a phantom version of her super gorgeous neighbor Nicholas Marchetti. But after an amazing night, Belle realizes it was the real Nick. And when Nick discovers Belle's powers, he is confused and wary. And to top it all off, it seems someone is using magic to try to keep the would-be lovers apart. Angst, lust – and Aunty Gertrude – all play a part in this sizzling erotic romance that begins and ends in the bedroom. For those who like their romance hot, hot, hot!
Why you should read it: Emmie Dark's Spellbound offers the hottest of hocus-pocus, along with a just-right measure of mystery and pathos, and a whole lot of fun. The usually suave Nick doesn't know why he finds himself tongue-tied whenever he's around Belle, but he does know he wants his odd but lovely neighbor like he's never wanted a woman before. And Belle has lusted after Nick forever, so how could you not want these two crazy kids to get together?! Just wait — after you read the steamy elevator scene, you'll not only want them to get together, you'll need them to get together!
Dark's novella is delightfully romantic and racy, and also carries a subtle, resonant message about self-image. You will be charmed. Check out this tongue-in-cheeky snippet, which takes place the morning after Belle's ardent encounter with the phantom she doesn't realize was actually Nick. Her aunt barrels into her apartment and Belle knows she's so busted:
It was like having your mother discover your vibrator in your bedside drawer. Only worse.
"Aunt Gertrude, I will never, ever, ever—" Belle began.
"Oh, hush." Gertrude silenced her. "We've all done it. I remember back in the sixties I made myself a Sean Connery, just like out of that James Bond movie. Goodness, that was a night." The older woman fanned herself and her face flushed slightly as she relived some steamy memories.
"What…what did he do?"Belle asked, completely sure she didn't want to know the answer.
"Well, he wasn't a great kisser, as I recall, but those fingers!"
"Aunt Gertrude!" Belle's face flamed with embarrassment. "I meant, what did my phantom do? He must have caused trouble, right? That's why you're here?"
"Your phantom? Did he not perform as you wanted? Well, that's no surprise. What else did you mix up? If you used lavender instead of clary sage, he wouldn't be as…well…firm as you might like..."
Just wait until Belle finds out that was actually Nick in her apartment! For a quick, sexy read, check out Spellbound's 100 pages of earthy enchantment.
What Emmie Dark has to say:
Spellbound is a story that's particularly close to my heart. I'm sure lots of readers can identify with Belle's situation as the story begins. Recently single, her previous relationship has left her self-esteem in tatters. I know I didn't have to delve too deeply to recall what that feels like! She's kind of given up, and that is such a tempting position to take after you've had your heart soundly broken one too many times. When I wrote the story I was in a similar place to Belle, and writing it was a kind of therapy. The message I was writing to myself (and to readers) was that the most important thing is to get up, dust yourself off, find a way to believe in yourself again, and love can be yours. (Perhaps even with someone as delectable as Nick!)
The good news is that there will be a follow-up to Spellbound, due out later this year. It's the story of another of Aunt Gertrude's goddaughters, Mel, a psychic who knows exactly what life has in store for her. That is, until she meets Michael, a customer who comes into Aunt Gertrude's store for a tarot card reading. That's when things get interesting, because Mel, the all-knowing psychic, can't read him at all!
Readers might also be interested in checking out a recent interview I did with the Destiny editors on YouTube:
Cutest Couple by Kate Davies
What it's about (back cover copy courtesy of Carina Press):
Ten years ago, Marc and Bree were voted Cutest Couple—until a graduation-night argument destroyed their relationship. Unable to contact him, Bree had no choice but to forget Marc—and raise the son she never got to tell him about.
Marc got Bree's message loud and clear when he never heard from her again. Now stationed near his hometown, he sees their high school reunion as a chance to make peace with the past. But after one glimpse of Bree, he knows he never really got over her. And after one glimpse of her son, Marc knows he's the boy's father…
Despite the secrets and lies that kept them apart, Marc and Bree can't resist picking up where they left off. But when the weekend is over, it may be too late to build the future they once dreamed of.
Why you should read it: Cutest Couple is the second installment in Davies' Girls Most Likely To … trilogy — and what a fun and clever concept for a series! Three high school friends reluctantly attend their ten-year reunion and come face-to-face with the boys they once loved…and the dreams they once shared. The best part? All three stories occur over the same weekend, which means that while we're living Marc and Bree's story, we're also getting glimpses of the other two couples and the issues they're dealing with. And there's lots of sexy going on. So of course I'm eager to back up and read novella number one!
Davies excels at writing believable conflict and sexual tension. When Bree and Marc first spot each other at the reunion, desire flares. But while Marc is suddenly hopeful for a second chance, Bree resents his dismissal of the child he never bothered to acknowledge.
Bree took a step back. "I didn't expect you to be here tonight. You didn't RSVP."
"Nope," he said with a shrug. "I wasn't sure if I was going to make it or not."
"What changed your mind?"
Marc leaned forward. "You."
"I hated the way we left things." He crossed his arms over his chest. She could see a dusting of blond hair on his forearms.
Bree shivered. "Marc," she said quietly.
"Are you married?"
She stared at him. Where had that come from? "No," she said.
She shook her head.
"Good. Because there's something I have to do."
He took another step closer, cupped the back of her head with a warm palm, and kissed her.
I couldn't wait to find out what broke them up in the first place, and I wasn't disappointed — Davies gives Bree powerful motivation for keeping Marc from his son and Marc every reason to resent Bree's high-handedness. Neither plays fair, and both are justified. Way to keep us guessing, Kate Davies!
Cutest Couple more than makes the grade. It's a steamy, speedy, angst-filled story sure to spark nostalgia, wistfulness and pure reading pleasure.
What Kate Davies has to say:
I love looking at old yearbooks. It's fascinating to look at what people predicted would be in the cards for their classmates, especially when you know what actually happened to them. A few years back I started to wonder, what if those expectations were more of a burden than a boost? What if there was a yearbook "curse", where whatever you were voted in high school was the area of your life that turned out exactly the opposite of what you'd intended?
The Girls Most Likely To … is a trilogy of novellas that takes place over a high school reunion weekend. So scattered throughout the series you see glimpses of all three couples as they deal with the fallout from the yearbook "curse." The stories stand alone, but in each book you get to look at the same events through different eyes.
Bree and Marc were voted Cutest Couple by their high school classmates. And both of them assumed they would end up together after graduation, as well. But a blow-out fight and a swift entry into the military separated them for ten years. So what happens when you're best known for being one half of a couple — and the other half is on the other side of the world?
Over the years, they've both made mistakes. They've both hurt each other, unintentionally for the most part. And most of all, they've changed. I loved the opportunity to see if these two flawed but passionate individuals still fit together in a way that makes sense. And I hope readers enjoy seeing how Bree and Marc discover what Cutest Couple really means after ten years apart.
Blue Jeans and Coffee Beans by Joanne DeMaio
What it's about (back cover copy courtesy of Joanne DeMaio):
After years of pursuing a denim design career, Maris Carrington never imagined trading her Chicago studio for a New England shingled cottage. But a forgotten home movie tucked inside a dusty attic box leads to an unexpected summer…. One of uncovering family secrets while settling her father's estate, one of inheriting a forlorn German Shepherd, one of reconnecting with old friends on a weathered boardwalk, beneath starlit skies on a beach nestled in a crook of the Connecticut coast.
Her design career had become a shell, curving around her like the intricate whorls of a conch, shielding her until now. Until fried clam dinners and carousel rides beckon a lost love. But can Maris ever really go back? Can these beach friends ever be who they were to each other all those summers ago? Now one of her circle is dead; another unemployed and struggling in a tenuous marriage; another regretting a fateful decision; while one is missing a mother, ever seeking a connection she longs for.
To the backdrop of seaside cottages and a boarded up beach hangout, to the soundtrack of whispering lagoon grasses and a vintage jukebox, Blue Jeans and Coffee Beans asks if we can really design our own lives, or if our fate lies somewhere in the stars.
Why you should read it: This latest from women's fiction author Joanne DeMaio is poetic, profound and infinitely stirring. The writing is gorgeous, the setting both soothing and provocative, the characters and their situations haunting. Believable, too. So believable you're bound to see something of yourself in one or more of the Stony Point crowd. And that familiarity is not always comforting — though it certainly does make for an alluring read.
Settling into this story is like wading into a cool ocean on a sunny day — you just can't resist the invitation. Even when you discover a surprise or two underfoot, still you move on into deeper waters, not quite ready to turn back to the hot grit of summer sand. And that's the situation Maris finds herself in. She has a successful life waiting for her back in Chicago, but the Stony Point pull of memories and possibilities tug like a stubborn undertow. The most tempting of the possibilities is Jason, the friend who has changed the most since Maris moved to Chicago. Maris and Jason never shared more than a few kisses, but she has always been drawn to him. Now he's a wounded man, both physically and emotionally, but Maris envies him—why can't she be as brave as he is, doing what it takes to get the life he wants, despite the guilt he can't shake? And that's the compelling core of Blue Jeans and Coffee Beans — the choices we make (or not), and the connections we make (or break) as a result.
She walks first to the front porch doorway, sipping her coffee. Except for an early jogger passing by, the street outside looks still, yet liquid somehow, like a watercolor painting. Shadows and light softly blend in the greens of the maple trees, the blues of the sky. Summer quiet follows behind the jogger's footsteps, touching upon the porch and its comfortable old white wicker furniture. Above the windows, a high shelf holding brass hurricane lanterns and starfish and pale pink conch shells reaches around the room. Spiky cattails rise from the large clay floor vase in the corner, standing against the crisp white paneling. Outside, scarlet red geraniums and pretty petunias spill from the flower boxes Maris filled weeks ago.
But seashells and white wicker and summer flowers can't keep complications away. She sits in a chair on the porch, cupping her coffee. This complication is a new one. No man has ever kept her from her work before. Her career had become a shell, curving around her like the intricate whorls of the conch, shielding her, until now.
DeMaio tells the story through multiple points of view and with the help of an occasional flashback. I did find myself disoriented once or twice, but it didn't take me long to become thoroughly invested in every single character. The couples, too — I kept changing my mind about which was my favorite, and fretted over which pair would endure. What one husband did for his wife, to symbolize what she means to him and what he hopes their future will embrace, had me in tears and I thought, Now that's romance.
Guilt, regrets, discoveries, realizations, old wants, tragedy, forgiveness, recognition, bitterness, competition, hunger, dreams — so many layers to savor. The rhythm of DeMaio's prose echoes the cadence of the sea that inspires the story's imagery and pace and her characters' choices. Like DeMaio's debut, Whole Latte Life, this Stony Point story will entangle and entrance you.
What Joanne DeMaio has to say:
Sometimes a place is so special, it becomes a part of who we are. For all of my life, I've spent time each summer at a little beach nestled in a crook of the Connecticut coastline. Many lingering walks have been taken across its boardwalk, often with coffee in hand. It's the place where my daughters made their first star-wishes on the vast sky over Long Island Sound. Both of my books draw upon this Connecticut treasure called Point O' Woods Beach.
With its sandy boardwalk, whispering lagoon grasses and sweet salt air, this special beach has wound its way into my heart, and onto the page as well. Point O' Woods became "Stony Point" in my new novel Blue Jeans and Coffee Beans. Everything from the story's shingled cottages to snow-white swans are borrowed from that real-life setting. It not only inspired the beach location, but also the way my characters look at life. In their eyes, time is compared to the sea: the past washes over these friends' lives like waves rolling in, undercurrents of secrets tug at their hearts, and moments in time shimmer like ocean stars.
Who knew that a tiny stretch of sand and the merest drop of the sea could fill such a huge part of my heart, and my writing ... Thank you, Point O' Woods Beach. I hope readers will find the very same peace and sea-renity in my novel's Stony Point.
Kathy Altman's next contemporary romance novel, Staying at Joe's, comes out in August. Kathy prefers her chocolate with nuts, her Friday afternoons with wine and her love stories with happy ever afters. Her website is KathyAltman.com.


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By Elaine WilsonAmerican Forces Press Service
WASHINGTON, March 30, 2010 While most people may shy away from broadcasting their on-the-job errors, Air Force Col. Christian Benjamin hopes his employees take a different stance.
Benjamin, commander of the 99th Medical Group at Nellis Air Force Base, Nev., encourages his staff to report their errors and "near misses," an effort he believes has boosted patient safety in his hospital.
"We have one core belief: If you wait for an error to investigate a process, than you are behind," he said. "We are very proactive at tracking near misses -- errors that never happened because they're caught in time. The more you pay attention to near misses, the more actual issues will be avoided.
"It's OK to make and identify an error," he added, "It's not OK to cover up an error."
Benjamin's thinking marks a shift toward a more proactive approach to patient safety, one that's being echoed throughout the Defense Department. And it's paid off for his group, which was recognized with the 2008 and 2009 Air Force Medical Service Best Inpatient Facility Patient Safety Program awards and the 2010 Military Health System Patient Safety - Culture Measurements, Feedback and Intervention award.
"We need to get out of the shame-and-blame system and get into what the rest of the world is doing," said Army Lt. Col. (Dr.) Donald W. Robinson, director of the Defense Department's patient safety program, "and that's providing information on near misses, providing information on what's going on with patients, and then looking at the severity."
Defense officials have adopted several new initiatives and programs aimed at bolstering patient safety at all levels — from the caregivers on up to the hospital leadership.
As an example, Robinson described an "off-the-shelf" computerized error reporting system, called Patient Safety Reporting, which in the initial implementation stage. Users input their errors or near misses into the program, and the data is sent to the hospital and on to service headquarters for analysis. This information can be used to drive new programs and initiatives to decrease the numbers of errors and near misses, he added.
"Right now, [error reporting is] a paper system," he said. "We need to get away from that and go to a computer system. The data will be way more voluminous than what we have now, and the data will be able to really drive a change." The reporting system is slated to begin full deployment in late summer, he added.
Defense officials also have launched a patient safety learning center Web site designed to bring everyone who has a role in patient safety together, Robinson said. The site, which features a chat room and vaults for file sharing, offers a "great space" for health professionals to collaborate and share best practices from their hospitals and service branch.
Robinson also described a complete revamping of the basic patient safety managers course, which is designed for patient safety managers on the "front lines" at the hospitals.
For more than a year, officials have examined standards across the states and within universities and master's programs. "Whoever is doing it better, we emulated and then advanced what they were doing," he said. "We've come up with a brand-new, world-class program."
The new, five-day course will begin next month, and feature topics such as proactive risk analysis and statistical analysis.
Along with new initiatives, Robinson expressed his confidence in existing programs such as Team Strategies and Tools to Enhance Performance and Patient Safety, also known as TeamSTEPPS, a collaboration between the departments of Defense and Health and Human Services. This system emphasizes the value of teamwork to ensure the best patient care. Health care teams work together to establish situational awareness, solve problems and resolve conflicts.
"It looks at the processes that are most important to teams, and it looks at … the necessary competencies to be a high-reliability organization, a high-functioning team, and it meshes all those together in a health care environment," he explained.
At Nellis, Benjamin said, the TeamSTEPPS concept plays a significant role in the operating room and during patient handoffs. In the operating room, the medical team "huddles" to discuss the surgery as well as during a handoff, whether it's from the OR to intensive care unit or emergency room to ICU. "We want to ensure everyone is on the same page," he said. These huddles enable medical team members to point out potential errors or misunderstandings in patient care.
"What we're trying to do is develop a culture where folks aren't afraid to say what they see," Robinson said. "Not ducking errors because we're going to be chastised. It's not about the provider, it's about the process. TeamSTEPPS helps to strengthen the process in such a way that we decrease the severity of errors."
Robinson gave an example of an error that can arise when people decline to speak up. He recalled when he was an instructor for the Army Trauma Training Center at the University of Miami. In a simulated training scenario, he had a patient with a mock mangled lower right extremity that would require a below-the-knee amputation. When his Army students were in the room, he announced, "I'm going to do a left, above-the-knee amputation." Although the injury was on the right leg and he had identified the wrong leg for the procedure, no one spoke up.
"I did that to illustrate a point: I make mistakes like everyone else," he said. "The purpose of TeamSTEPPS is to ensure that if mistakes are made, they're caught early. It teaches folks to speak up right away to catch errors like that. It gets folks to communicate."
Communication is a key component, yet medical professionals have strayed into habitually using too-complicated terminology, Robinson said, noting that it's a culture he's working to change. "Now we're going back to Square One, back to something very simple. We want physicians to be able to talk to physicians and then talk to nurses and technicians. We need to break it down so everyone is using a common language."
This also extends to the patients, who have the biggest stake in their care. "Patients have to be actively involved in their care," Robinson said, which covers everything from medications to precautionary measures to treatment options.
"I put everything on the table so they can understand their options," he explained, "and then say, 'You are going to make the decision.'"
Patients' input also is solicited. At Benjamin's hospital, patients are asked for the feedback by patient safety representatives both during and after their care. "We take patient comments to heart," he said. "We ask, 'Are there areas where we can do better?'"
With understanding at all levels of care, the possibility for errors and near misses is bound to decrease, Robinson said.
"Error is inherent in our DNA," he said. "Everyone makes errors. But we've seen a decrease in severity of errors and an increase in reporting. And that's exactly what we want."
The bottom line, he noted, is that "everyone in our country, leaders at all levels, want to ensure the best possible care is provided to our servicemen and women. And that's how it should be."


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DPWH 7 to inspect Carmen road-A A +A
Thursday, June 26, 2014
A FAMILY of three were injured when their vehicle fell into a fishpond yesterday morning in Barangay Dawis Norte, Carmen town in Northern Cebu.
Among the victims is five-year-old Ram Andrei.
Carmen Traffic Investigator PO1 Nerbert Padayao said couple Rodrigo, 44, and Amethyst Baguio, 36; and their son Ram Andrei were on the family's pick-up truck headed to Cebu City.
They came from the town of Catmon.
At around 9:45 a.m., while in Dawis Norte; Rodrigo, who was driving the vehicle, reportedly tried to overtake a multicab.
"The road was slippery because it was raining that time," Padayao told Sun.Star Cebu in a phone interview.
Rodrigo lost control of his Nissan Navarra pick-up and it fell into a fishpond located just beside the road.
The area is just a few meters away from where a Ceres Bus Liner fell on its side last Sunday, wounding nearly 40 passengers.
The bus was heading to Daanbantayan town when the tires skidded and the vehicle slammed into a wall.
Amethyst was sitting in the front passenger seat while Ram Andrei was on the back seat.
The Baguio family were brought to the Danao District Hospital where they received treatment for minor injuries sustained during the accident.
Motorists who saw the accident helped the victims.
Padayao reminded motorists to be careful when driving along Barangay Dawis Norte because of the slippery road.
With two accidents in the same area in just three days, the Department of Public Works and Highways (DPWH) 7 is prompted to conduct an ocular inspection on the road.
DPWH 7 Director Ador Canlas said that a few months ago, the department had asked its 5th engineering district office to inspect the route if it is accident-prone.
The regional office received reports that the road's design is causing accidents.
Canlas said the department will also put up signs in the area to warn the public of possible dangers when traversing the route. JTR/JKV
Published in the Sun.Star Cebu newspaper on June 26, 2014.
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US President Barack Obama and Republican Presidential nominee Mitt Romney debate on October 16, 2012 at Hofstra University in Hempstead, New York. Undecided voters asked questions during a town hall format. AFP PHOTO/Stan HONDA (Photo credit should read STAN HONDA/AFP/Getty Images)
WASHINGTON (AP) - The party that runs the Senate next year may well depend on how well President Barack Obama and Mitt Romney do in toss-up states like Nevada, Ohio, Virginia and Wisconsin.
Each of those states has Senate races that are about as tight as the presidential contests there. In each, the Senate rivals are hoping for help from their party's presidential campaigns, such as Obama's efforts to register Hispanics in Nevada and joint GOP offices for the presidential and Senate campaigns in Virginia.
Democrats hold a 53-47 Senate edge but Republicans have a chance to capture a majority - particularly if Romney does well on Election Day.
In the House, both parties are also hoping for presidential coattails. Democrats will need to gain 25 seats to take over, which seems unlikely.


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Hardshell case for Dean Metalman Z Series Basses.
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Another great product from Dean. This case is built very tough. Thick wood construction and padded black felt interior with a large storage compartment. Form-fitted for all of the Dean "Z" style basses not just the Metalman Series. The case has four latches, the two outside latches can be locked but the locks are a bit cheesy and can be opened with a small screwdriver. This case is very heavy (27lbs. empty)(36lbs. with bass). All in all a great case. If you have or are getting one of the "Z" style basses from Dean, you have to get this case, it's well worth the money.
There is one picture and it doesn't show the inside. The first review said that this case fit all Dean "Z" body guitars. My John Entwistle hybrid did not fit without a modification, but it was pretty simple. This should be clear in the description, and a picture of the inside would show this also. If you don't mind modifying a case of this price, it is great. It is big enough, and with the modification, the base fits well. The case is made for the "Z" Metalman, and looks like it would fit the Entwistle Spider, but the body of the Entwistle hybrid is more like a Gibson Thunderbird. Anyway, it works for what I need. The base is longer than a standard base case, so choices are limited. I just think that the Dean cases should have more of a description so consumers can make an informed choice.
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Subpart D--Prosthetic Devices
(a) Identification. A bone cap is a mushroom-shaped device intended to be implanted made of either silicone elastomer or ultra-high molecular weight polyethylene. It is used to cover the severed end of a long bone, such as the humerus or tibia, to control bone overgrowth in juvenile amputees.
(b) Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in 888.9.
[52 FR 33702, Sept. 4, 1987, as amended at 61 FR 1124, Jan. 16, 1996; 66 FR 38815, July 25, 2001]
Page Last Updated: 09/01/2014
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DENVER, Colo. – Denver Bronco's Quarterback Peyton Manning put his ego on the sidelines when he broke out into a dance at training camp.
As an alumni of the University of Tennessee, Manning and Britton Conlquitt just couldn't help but dance to the song "Rocky Top" when it came on during warm ups.
Even wide receiver Wes Welker couldn't help himself.
After the comic relief, Manning got down to business and prepared for the grueling day ahead on the field.


text:
Did you know –
that the 'Paul Neuhaus / Peill+Putzler / LeuchtenDirekt' group sets free many diverse synergies?
Paul Neuhaus Leuchten:
In 2002, LeuchtenDirekt
Everything began in October 1962 as a two-man business.
Paul Neuhaus invested in a machine for working wood and
produced turned wooden parts for the light fittings industry in
the Sauerland. Later he extended his production activities by
adding the manufacture of shades and electrical components.
Wooden table and standard lamps thus laid the foundation for
the present-day business. Over the following years, the
company and product range were continually developed in line with the needs of the market.
The entry into the business of Ralf Neuhaus, the founder's son, saw the second chapter in the history of Paul Neuhaus GmbH begin in 1988. Relocation to Werl (in 1994), constant broadening of the product range and the establishment of contacts in Asia and all over the world have today made Paul Neuhaus GmbH, now employing over 150 staff, into one of the leading medium-sized family businesses in the sector.


text:
Almira Sessions
Born: 1888-09-16
Occupation: Actor
Description: Almira Sessions is best known as a famous Actor. Almira Sessions was born on September 16 1888. The first appearance on screen was in 1941 as Tessie Conarchy, scrubwoman in "Three Girls About Town". And the most recent work is the role of Mabel in "The Female Animal".
|Images ❖
|Featured in: ❖
|The Female Animal (1958)
|as Mabel
|Calling Homicide (1956)
|as Mrs. Ida Dunsetter
|Forever Female (1954)
|as Mother at airport
|Paris Model (1953)
|as Mrs. Boggs
|The Affairs Of Dobie Gillis (1953)
|as Aunt Naomi
|Wagons West (1952)
|as Ada
|Roseanna McCoy (1949)
|as Cousin Zinny
|The Bishop's Wife (1947)
|as First Lady in Michel's
|Fear (1946)
|as Mrs. Williams - Landlady
|The Diary of a Chambermaid (1946)
|as Marianne
|Woman Who Came Back (1945)
|as Bessie
|The Heat's On (1943)
|as Hannah Bainbridge
|Sullivan's Travels (1941)
|as Ursula Kornheiser
|Three Girls About Town (1941)
|as Tessie Conarchy, scrubwoman


text:
This is the ICGM-9723 Car Stereo In-Dash DVD Multimedia Receiver from Performance Teknique that has a 6.2" Real TFT Touchscreen Display with playback compatability in DVD, CD, MP3, MP4, and WMA media formats. Also has expandability features such as Front USB Port, SD Card Slot, AUX inputs, and a subwoofer pre-amp output.
General Features:
Introducing the Prestige APS997N, a 2-Way Paging Car Alarm Security System with a built-in LCD display. This car security system includes Dual Stage Shock Sensor and Remote Start for added ease as well as a one 5-button LCD command confirming transceiver. The APS997N provides everything that you need for a car alarm security system, 7-Receiver channels and 8-effective channels, a starter disable, safe start double push start system, and a $2,500 Anti-Theft guarantee.
The KFC-X173 6-3/4" full-range speakers feature 3/4" silk dome tweeters that deliver all the high-frequency details without sounding harsh. Because of their specially designed magnetic circuitry and neodymium magnets, these compact tweeters use less steel in their construction than most tweeters, so you'll hear more accurate response.
General Features:
The ICBM-9707 from Performance Teknique has a nice 7" Fully Motorized TFT Touchscreen Monitor and includes a hefty amount of features that will surely leave you entertained for hours. Compatible with DVD, SVCD, VCD, CD, MPEG1, MPEG2, MPEG4 as well as JPEG, MP3, WMA, PCM, and LPCM digital video and audio file formats. Also available are AUX Audio/Video RCA Inputs, Front AUX Inputs, as well as a Subwoofer RCA Output. The built-in Bluetooth makes sure you are able to made hands-free calls while also able to connect to other bluetooth compatible devices.
Pyle delivers high end performance at an affordable price, and the PM6DC delivers as a High Powered High Performance MidBass DJ Stereo Speakers. These speakers will blow you away after installation in your DJ stereo system setup giving you a strong 400 Watts of Peak Power and 200 Watts RMS.
The BV6550 car stereo DVD Multimedia A/V Receiver from Boss Audio playsback DVD, CD, SVCD, WMA, AM/FM and also includes front panel AUX inputs as well as a USB port. The text display features an oversized AniGraFx display, has RCA outputs, and Wireless Remote Control. This unit is switchable between USA/Europe radio frequencies, also compatible with an iPod, and a wireless remote control.
Sony has been on top of their game when it comes to their car audio products, they have designed and released some of the most innovative products for car audio in 2010 and will continue to do so. Introducng the XS-GTF6936, a 5-1/4" 300W 3-Way Full-Range Speaker System with features such as PEN mid-range for smooth and clear sound and H.O.P. cone woofer for rich and deep base.
Power Handling:
The BV2650UA from Boss Audio is a mobile DVD Player with a Built-In USB Port and SD Memory Car Slot that'll enable you to plug in compatible devices for maximum expandability. The BV2650UA can play MP3, DVD, CD-R, CD-RW, and SVCD media file formats on DVD/CD or from the USB Port. Other features include an Anti-Shock mechanism, Built-In NTSC TV tuner, and wireless remote control.


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Matt Picchietti posted 2474 days ago
Sweet! Glad you're part of the club. I look forward to reading what you have to say. I published a new article last night.
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Line Bred Snow
From Leopard Gecko Wiki
Line Bred Snow
Line Bred Snows are Leopard Geckos who have been Line Bred to achieve a Leopard Gecko which is white and black. Line Bred Snows are usually graded on a A-C scale; A being a pure white and black gecko and C being a gecko which shows some yellow.
When breeding two Line Bred Snows together, you will not get Super Snows. If you were to breed a Mack Snow to a Line Bred Snow, there is a 6.25% chance Super Snows will be hatched.
The most well-known Line Bred Snow was created by Albey of Albey's "Too Cool" Reptiles.
Mike and Jessica Butler of Fallen Angel's Geckos have bred Albey's Line Bred Snow with the Enigma and RAPTOR genes, a project that began in 2010.
The first Line Bred Snow RAPTOR hatched on September 29th, 2011 and the first Line Bred Snow RAPTOR Enigma was produced on December 6, 2011. To prevent any confusion from this morph and the Dreamsicle (Mack Snow RAPTOR Enigma), the Line Bred Snow RAPTOR Enigma has been labeled a "Snow Angel."
Image Reference
- Linardi, Marco http://www.Leo-Gecko.de
- Butler, Jessica and Mike http://www.fallenangelgeckos.com


text: Appendix B Technology Assessment: Non-Pharmacological Interventions for Post-Disc Technology assessment on the effectiveness of non-pharmacological interventions for post-discharge care in heart failure patients. Table of ContentsAppendix BTable B1. Interventions on recruited patients inpatientStudy, Year CountryFollowup Duration (Intervention y)Total N AnalyzedMean Age/% MaleSeverity of CHFIntervention componentsControl DescriptionQuality ApplicabilityAtienza 2004 Ojeda 2005 Spain1.4y (1999-2000)33869/62%NYHA III/IV 50% LVEF% 36Cardiologist led education on disease management and reinforcement; individual strategies to self-care, medication compliance telephone followup; heartclinic visit every 3 moReceived discharge planning with routine hospital protocol and followed by PCP and cardiologists not participating in the studyA ModBarth, 2001 USA3 mo3478/59%NYHA: nd LVEF%: ndAt the time of discharge as per the hospital procedure, routine discharge teaching by the hospital nursing staff included instructions on activity, diet, activities of daily living, medication, follow up appointments and when to contact the physician. Nurse led telephone reinforcement of the education on daily weight assessment, CHF symptoms, fluid and salt intake, and medication adherence. Made phone contact for first 72 hrs post discharge and 72 hrs later and then every 2 weeks for 3 moRoutine care: received only the routine discharge teaching at the time of discharge (as described in the intervention arm)C NarCapomolla 2002 Italy12 mo (1999-2000)23457/93%NYHA III/IV 35% LVEF% 29Multidisciplinary interventions including cardiovascular risk stratification, tailored therapy, physical training, counseling, checking clinical stability, correction of risk factors for hemodynamic instability, and health care educationAAt discharge patients were referred to their community primary care physician and cardiologists or cardiology deptB ModCleland, 2005 EU7-8 mo (2000-2002)33367/72%NYHA III/IV 31% LVEF <25% = 48%Home telemonitoring with electronic weighing scales; an automated sphygmomanometer; single lead ECG and Nurses telephone supportManagement plan sent to primary care physician who implemented it Usual care + Nurses telesupportB WideCleland, 2005 EU7-8 mo (2000-2002)24867/72%NYHA III/IV 31% LVEF <25% = 48%Home telemonitoring with electronic weighing scales; an automated sphygmomanometer; single lead ECG and Nurses telephone supportManagement plan sent to primary care physician who implemented itB WideCline, 1998 Sweden12 mo (1991-1993)19076/53%NYHA 2.6 LVEF mean 31.6%Patients received an education programmed from HF nurse consisting of two 30-minute visits. 2 weeks after discharge patients and their families were invited to a one-hour group education session led by the HF nurse. Patients were also offered a 7 day medication dispenser if deemed appropriate. Patients were followed up at a nurse directed o/p clinic and there was a single prescheduled visit by the nurse at 8 mo. after discharge. Patients encouraged contacting the study nurse at their discretion, if unsure, if diuretic adjustments did not ameliorate symptoms in 2-3 d, or if there were "profound changes in self management variables." Patients were offered cardiology outpatient visits 1 and 4 months after discharge.Followed up at the outpatient clinic in the department of cardiology by either cardiologists in private practice or by primary care physicians as considered appropriate by the discharging consultant.C ModDel Sindaco, 2007 USA2 y (2001-2002)23677/51%NYHA: II 32 (37.2%), III 44 (51.2%), IV 10 (11.6%) LVEF%: mean 33.5 ± 11Managed by a cardiologist, two to four nurses and patient's primary care physician. 1) According to the guidelines components were discharge planning, continuing education, therapy optimization, improved communication with healthcare providers, early notice to signs and symptoms, and flexible diuretic regimen. 1. Nurses home phone calls 2. Visit with a primary care physician 1 to 2 weeks of discharge including reinforcement of education and optimization of therapy.Usual care: all treatments and services ordered by their primary care physician and/or personal cardiologist Vital status and events were recorded by means of phone calls every 6 moA WideDunagan, 2005 USA6 mo (1999)15176/41%NYHA: 78% LVEF% <40%: 74%Nurse led education intervention, promotion of self management skills, appropriate diet and adherence to prescribed meds and telephone followup + Usual careUsual care as provided by primary physician who provided educational packets at the time of hospitalizationC WideGoldberg, 2003 US6 mo (1998-2000)28058/70NYHA III/IV 100% LVEF% <21%Nurse led education about heart failure, including advice on daily weights, dietary restrictions including sodium and fluid, and signs and symptoms of heart failure decompensation, increased communication with providers encouraged, Technology- based telephone HF monitoring (AlereNe monitoring using the DayLink monitor)Standard outpatient heart failure therapy in dedicated heart failure program. This included additional nursing resources.B WideHarrison, 2002 Canada12 wk (1996-1998)19276/55%NYHA III/IV: 77% LVEF: ndComprehensive, evidence based education programmed for heart failure self-management. A nursing transfer letter to the home care nurse detailing clinical status and self-management needs. Phone call from hospital nurse to patient within 24 hours of discharge. Minimum of two-community nurse visits within two weeks of discharge.Ideally a multidisciplinary discharge plan within 24 hours of admission and weekly discharge planning meetings. Regional home care co-coordinator consults with hospital team as required and may meet patients and their families. Immediately before discharge physician completes referral form for home care and necessary services and supplies are communicated with the home nursing agency.A WideJaarsma, 2000 Netherlands9 mo (1994-1997)17972/60%NYHA III/IV 100% LVEF% 36Nurse led intensive education including symptoms of CHF, sodium restriction, fluid balance and compliance, telephone contact, home visits once per week and education, increased communication with providersNurse or physician provided education about medication and lifestyleC WideKasper 2002 USA~9 mo (1996-1998)20064/61%NYHA III 56% LVEF% 27Cardiologists designed individualized treatment plan (Usual care) + Nurse telephone followup; monthly clinic visits with nurses; patients received pill sorter, correct medications, list of dietary and exercise recommendations, and education materialCHF cardiologist designed treatment plan for each patient and documented this in patient's chartB ModKoelling 2005 USA~6 mo (2001-2002)22365/58%LVEF%: 26Patient education program including 60 min one on one and one time session with a nurse educator, disease and pharmacotherapy management, Salt and water intake management, daily weight monitoring, self-care behaviors + usual careStandard heart failure specific discharge information Usual careA ModLaramee, 20033 mo (1999-2001)28771/54%NYHA III/IV 38% LVEF Mod/severe 90%Education and early discharge planning and co-ordination of care by nurse case manager; patients received a educational booklet, weight logs, medication lists, a guide for measuring sodium intake, weigh scales and pill boxes; reinforced educational plan and telephone followupStandard terr1tary hospital care, including opportunity for social services evaluation, dietician consult etc. and home care service on discharge. Post-discharge care conducted by primary care physicianB ModLedwidge, 2005 Ireland2 y13068/68%NYHA: IV LVEF%: 39+12Extended heart failure program (EP) 12 weeks of weekly telephone calls from specialist HF nurses (mostly the nurse who had managed the pt during the 1st 3 months following discharge) Specialist nurse-led education and specialist dietician consults on 3 or more occasions during index admission Telephone contact by HF nurse specialist weekly until 12 weeks. Telephone calls determined clinical stability, address questions/concerns and revise key education points deemed necessary by nurse (on daily weight monitoring, disease and medication understanding, compliance with therapy and dietary salt restriction.)Standard care (SP) group.B ModMcDonald 2002; Ledwidge, 2003 Ireland3 mo (1998-2000)9871/63%NYHA nd LVEF% 36Specialist nurse-led education including daily weight monitoring, disease and medication understanding and salt restriction. Telephone followup and education reinforcement + usual careUsual care description not documentedB ModLinne 2006 Sweden6 mo (1998-2002)22470/66%LVEF <40%Standard information + Additional interactive CD-educational program at and 2 wk after discharge. CD educational program includes disease symptoms and treatment, reasons for deterioration of disease, fluid intake, medication understandingStandard information on the inpatient wardC ModLopez, 2006 Spain(2000-2002)13475/41%NYHA III 56% LVEF% 27Active Intervention program Information: the day of hospital discharge, a personal interview with patient and his caregiver a. information on the disease b.diet education c. information on drug therapy contact telephone Telephone strengthening monthly during the first 6 mos of followup and subsequently ever 2 months, a telephone call was made to the home of the patient."standard care" not further defined. However, during regular followup visits (at 2,6, and 12 months after discharge) the cardiologist carried out a conventional clinical assessment according to the standard practice. Pharmacists evaluated the following parameters: treatment compliance (was patient reliable, partially reliable, non-reliable), quality of life measurement *EuroQoL scale), patient satisfaction with the care received (Catalan Health Department, asking patient about the care and information received and asking patient to score 0 to 10 in an analogical scale).B ModNaylor, 2004 USA12 mo (1997-2001)23976/40%NYHA nd LVEF<45% 86%A standard orientation and training program guided by a multidisciplinary team of heart failure experts to prepare advanced practice nurse (APN); Use of care management strategies; home visits by APNNon advanced practice nurse care. Attending physician planned the discharge date, liaison nurses facilitated referrals to home care services in patients' residenciesB WideNucifora 2006 Italy6 mo (1999-2001)20073/62%NYHA III/IV: 67% LVEF <45%: 58%Nurse led education including disease and pharmacological treatment, sodium restriction and fluid intake management, Weight control and physical activities, and Other self-care behaviors; facilitated telephone followup; scheduled visits with an internistPreexisting routine post-discharge care Follow up with their primary care physician as usualB WideRich 1993 US3 mo (1988-1989)9879/40%NYHA: mean=2.7During index hospitalization: Daily education visits by study nurse specialist. Dietician visit with individualized 1.5-2.0 g sodium diet. Medication review by geriatric cardiologist with patient/care givers. Study nurse taught patients about meds and dosing cards. Social worker and home care team visited patient. After discharge: Home care team nurse visited within 48 hrs. 2 more home care team nurse visit in 1st wk. Study nurse phone patient to assess progress.Conventional medical care determined by patient's physician.B ModRich 1995 USA3 mo (1990-1994)28279/26%NYHA mean 2.4 LVEF% 44Multidisciplinary treatment strategy including inpatient visits by specialist nurse, dietician, medication review by geriatric cardiologist, nurse led education about medications, dosing, and adverse effects; weigh scales, instruction and daily weight charts; social worker and the home care team visitsStandard treatment and services ordered by primary physicianB ModRainville 1999 USA12 mo (1996-1997)3473/50%NYHA III/IV: 94% LVEF: ndBefore discharge, pharmacist reviewed pathology and treatment of HF, weight monitoring and risk modifications with patient/care giver. Patient given brochure, video, weight log and medication organizer. After discharge, pharmacist phoned within 3 days, at 7, 90 days and 12 monthsRoutine care and preparation for discharge including: written prescription, physician discharge instructions, nurse review of diet, treatment plans, medications, and drug info sheetsC ModSethares 2004 US3 mo (1999-2000)7076/52%LVEF%: 41.45 ± 18 SDResearch nurse tailored intervention to perceived benefits and barriers to self-care of HF that were identified by persons with HF at each time period (in hospital, 1 week and 1 month after discharge).Usual care: discharge teaching by a unit staff nurse and written educational sheets describing the uses, side effects, and frequency of any ordered mediations.B WideStewart 1998 Australia6 mo (nd)9776/45%NYHA III/IV 51% LVEF%: 38Before discharge, study nurse counseled treatment regimen compliance and reporting of any sign of clinical deterioration. 1 week after discharge a single home visit by the study nurse and pharmacist. Patients assessed for medication knowledge and compliance. Patients with poor knowledge were offered counseling, a pill remainder container, monitoring by caregivers, medication information and remainder card and referral to a community pharmacist for more regular review. The study nurse coordinated with the primary care physician for any further intensive followup thereafterAppointments with the primary care physician or cardiologist within 2 weeks of discharge. 27% received home support by domiciliary care or community nurse visitsB ModTsuyuki 2004 USA6 mo (1999-2000)27681/58%NYHA III or IV: 40% LVEF%: mean EF 32%Before discharge: Evaluation if dosage of ACE-I was appropriate, all meds were reviewed, recommendations made to optimize other HF therapies and monitored daily thereafter. After discharge: Patient support program covered 5 basic areas: salt and fluid restriction, daily weighing, exercise alternating with rest periods, proper medication use, early recognition of worsening of symptoms Education material available on website for download. Patients received adherence aids: a medication organizer, medication administration schedule, daily weight log. Telephone followup to reinforce the education for self care behaviors, newsletters, clinical events, physician contact for ACE-I initiation and titrationGeneral heart disease pamphlet before discharge, but no formal counseling. Followup consisted of monthly telephone contact for a period of 6 mo to ascertain clinical eventsB Mod Table B2: Interventions post dischargeStudy, Year CountryFollowup Duration (Intervention y)No. Analyzed Mean AgeSeverity of CHFIntervention componentsControl DescriptionQuality ApplicabilityIntContMale%Benatar 2003 USA3 mo (1997-2000)10810867/39%NYHA III or IV: 100% LVEF%: 38.1Daily home telemonitor through internet monitored by cardiac nurseHome nurse visits (specialized cardiac nurses): Detailed discussions during first 4 visits: diet, symptom recognition, and compliance with medication regimens Further visits: on patients' symptoms and vital signs with physician notification if neededB WideBlue 2001 Scotland12 mo (1997-1998)848174/64%NYHA III or IV:76% LVEF%: ndSpecialist HF nurse visited home within 48 hrs of discharge, with visits every 3 months after 6 week visit. Patient educated bout HF and treatment, self-monitoring, medication review and psychological support. Scheduled telesupport every other month.Patients managed as usual by the admitting physician and then primary care physicianA WideCapomolla 2004 Italy11 mo (2000-2001)676657/93%NYHA III/IV 49% LVEF% 29Telemonitoring. Nurse led education about the illness; therapeutic programs, self management of signs and symptoms, diet and fluid recommendations, domestic and activities counselingCommunity care. At discharge patients were referred to their community primary care physician and cardiologists or cardiology deptC ModDeBusk 2004 USA12 mo (1998-2000)22823472/48%NYHA III/IV 50% LVEF %:28%<0.40 and 31% >0.40Nurse led standardized telephone mediated intervention including initial education session with a videotape, baseline telephone counseling session, nurse initiated followup telephone contacts, pharmacologic treatment management, nurse initiated communication with physicians + usual careUsual care Instruction on diet, drug adherence, physical activity and response to changing symptomsB ModDoughty 2002 New Zealand12 mo (1997-1998)1009760%NYHA III 76% LVEF% 30.6General practitioner led outpatient review at the heart failure clinic; one to one education with the study nurse, education booklet provided; patient diary for daily weights, treatment records, telephone followup with GP, 6 wkly clinic visits, group education session with cardiologist and nurse about disease, monitoring daily weight, action plan for weight changes, medication, exercise, dietUsual care. Continued care of their GP with additional follow-up measures as usually recommended by the medical team responsible for their in-patient care.A WideDucharme 2005 Canada6 mo (1998-2000)11511568/73%NYHA: III or IV LVEF%: 35%Mulitidisciplinary care clinic: cardiologists, nurses, dieticians, social worker, etc; Evaluated and observed for up to 5 hrs; Nurse telephone followup 72 hr post discharge and monthly once, or frequently as needed basis; One to one education by study nurse about clinical condition to the patient/ family members complimented with a record maintenance by the patient; Reinforcement of patient education, dietary instructions, interaction of OTC with meds at each subsequent clinic visitPatients received treatment and appropriate follow-up according to attending cardiologistB ModEkman 1998 Sweden5 mo (1994-1996)797980/58%NYHA mean 3.2 LVEF% 43Specialist nurse led patient education about their treatment and symptoms of clinical deterioration, tailored care plan with individualized treatment goals, access to clinic nurses during business hours, notebook for daily weight monitoring, treatment and information about clinical deterioration, and nurse initiated telephone followupThe patients were managed in accordance with current clinical practice, i.e., the patient was treated and followed by a general practitioner and visited the emergency room if symptoms worsened.B NarrowHolland 2007 UK6 mo14914478/64%NYHA: III/IV: 67% LVEF%: ndCommunity Pharmacist arranged home visit, within 2 weeks of discharge; Educated patient/carer about HF and their drugs; Gave basic exercise, dietary, and smoking cessation advice; Encouraged completing of sign and symptom monitoring diary; Fed back recommendations to GP; Fed back need for drug adherence aid to local pharmacistUsual care not described in the studyA ModJerant 2001 USA6 mo (1998-2000)13/121267/71: 46%/42%NYHA (III/IV): 31%/33% LVEF% 54%/50%Intervn 1: Home telecare with video-conferencing and electronic stethoscope. Nurse telephone support home telecare delivered via a 2-way video-conference device with an integrated electronic stethoscope; received scheduled home telecare visits Intervn 2: nurse telephone calls; received scheduled phones calls During all in-person, telecare, and telephone encounters, the study nurse used the Visiting Nurse Association CCHF Care Steps to guide patient assessment: vital signs, ADL, med use, dietary factors etc.'Usual outpatient care' was not described furtherC NarrowKrumholz, 2002 USA12 mo (1997-1998)444476/57%NYHA(III/IV) LVEF% 38Cardiac nurse led consultation on five sequential care domains including patient knowledge of illness, relation between medication and illness, relation between health behaviors and illness, symptoms and signs of deterioration, nurse initiated scheduled telephone callsReceived all usual care treatments and services ordered by their physicians.C ModMejhert 2004 Sweden18 mo (1996-1999)10310576/56%NYHA III or IV: 42% LVEF%: 34%When patient pays visits to the outpatient program, he/she is encouraged to keep in contact with the nurse. Each visit the nurse: vital signs, weight, lab, ECG workup; optimizes meds if needed; instructs patients to monitor weight, symptoms of deterioration, good compliance of meds, diet advice, and other self care behaviors Information repeated in booklets and computerized educational programsUndergo initial evaluation with their general practitioners and are monitored by a heart failure plan in the primary care settingB ModMorcillo 2005 Spain6 mo (2001-2002)343670/64%NYHA III or IV: 74% LVEF% (mean): 35.4%One week after discharge the nurse visited patient's home one time for: education of medication, signs and symptoms of the disease and treatment compliance; fluid and diet management and self care habits; discussion of prophylactic vaccinations + identical conventional care as the control groupConventional care based on best available evidence + scheduled outpatient followup with attending physiciansC ModRieigel 2002 USA6 mo (nd)13022873/49&NYHA III or IV: 98% LVEF% (mean): ndTelephonic case management by a RN case manager using decision-support software. RN contact patient at a frequency guided by software and judgment of case manager based on patient's symptoms, needs.Usual care not describedC ModRiegel 2006 USA6 mo (2002-2004)696572/42%NYHA III or IV: 82.6% LVEF%: 42.3%Nurse case manager contacts patient 5 days post-discharge. Software assists nurse in setting priorities for the timing of the next telephone call, content of patient education, and documentation. Nurse case manager assesses poor adherence with meds and diet recommendationsUsual care was not standardized, and before discharge the nurse educated patients about heart failure management typical discharge instructions included medication list, institutional specific discharge instruction sheet and hand written notes to follow a low sodium diet and contact physician if symptoms occurA WideStewart 1999 Australia6 mo (1997-1998)10010075/62%NYHA III or IV: 88% LVEF mean%: 37%Multidisciplinary, home-based intervention. Assessed by cardiac nurse 7-14 days after discharge. Assessment of clinical status, understanding of disease and psychological support. Counseling on strategies to improve adherence where necessaryRegular outpatient review by the cardiologistA WideStromberg 2003 Sweden12 mo (1997-1999)525477/63%NYHA III or IV:87% LVEF%: ndPatients scheduled for first visit 2-3 weeks after discharge. 1 hr visit: nurse evaluated status and optimized treatment; educated patient/family about: heart failure and social support to the patient/ family, dietary changes as restricted fluid, sodium and other self care behaviors; monitor symptoms, weight gain and improve patients self care regimen; Psychosocial support by creating a supporting relationship between nurse and patientUsual care - managed with current clinical practice and received conventional followup with primary health care physicianA WideThompson 2005 England6 mo (nd)584873/72%NYHA: III/ IV 76% LVEF%: mean 31%A nurse led Clinic ( monthly for 6 mo) plus home based intervention. Patients seen by the study specialist nurses prior to discharge and received a home visit within 10 days of hospital discharge; received and educational packet, and a contact cardUsual care patients received standard care by explanation of their condition and prescribed meds by the ward nurse and referral to appropriate post-discharge supportC ModWierzchowiecki 2006 Poland12 mo (nd)808067/60%NYHA: III/IV 84% LVEF%:<45% n=66 (82.5%)At clinic: assessment by the cardiologist; nurse assessment for medication compliance; weight mgt; signs of CHF; telephone followup; home visits as needed; QOL and self care questionnaires; eucational - one to one education at patient's home or by telephone; physiotherapist's assistance for exercise rehabilitation programme; psychologist's assistance group and individual educational activitiesRoutine care: cared by primary care physicians only. Patient did not participate in any educational or therapeutic activities of the programC Mod Table B3: Interventions on recruited patients in OPD clinicStudy, Year CountryFollowup Duration (Intervention y)No. Analyzed Mean /%Severity of CHFIntervention componentsControl DescriptionQuality ApplicabilityIntContAge MaleBouvy 2003 Netherlands6 mo (1998-2000)747869/72%NYHA: III/IV: 57% LVEF%: ndCommunity pharmacist-led intervention; Pharmacist gave a structured interview to patient on initial visit. Computerized medication history was used to discuss drug use, reasons for non-compliance to reinforce medication compliance. Pharmacist contacted subject monthly. + Usual care.Patient received medication in a medicine- container with a microchip that recorded the time and date of openingB WideGattis 1999 USA6 mo (1996-1997)909172/69%NYHA III or IV: 33% LVEF%: 30%Pharmacist led intervention and followup: medication evaluation; therapeutic recommendations; patient education on medication use and compliance; followup telemonitoringUsual care: patient assessment and education provided by the attending physician and/or physician assistant or nurse practitionerA ModGESICA 2005 Argentina16 mo (2000-2001)76075865/73%NYHA III or IV: 50% LVEF<40%: 78.6Recruited from outpatient centers: nurse led telephone followup program + Usual care: education, counseling, and monitoring; adherence to the diet; adherence to the drug treatment; monitoring of symptoms; control of daily weight and edema; daily physical activityUsual care: followup with cardiologistA ModMurray 2007 USA12 mo (2001-2004)12219262/39%NYHA: III/IV: 39% LVEF mean%: 49Pharmacist led intervention to improve medication adherence. Patients recruited from outpatient clinics; pharmacists received training from multidisciplinary team on treatment of heart failure, key concepts for pharmaceutical care of older adults, communication techniquesUsual care: patients received prescription services from pharmacists who had not received the specialized training and did not have patient centered study materialsC ModSisk 2006 USA12 mo (2000-2002)20320360/55%NYHA III or IV: 57.7% LVEF%: ndPatients recruited during a scheduled clinic appnts; One nurse per patient: initial onetime appointment to educate patient about disease, counsel self management, referral to social services, review nurse's future role; Referral to social services if needed; Telephone followup; administering food frequency questionnaire; reinforce self management; Coordinate patient care with patient's clinicianUsual care - received federal consumer guidelines for managing systolic dysfunctionA ModVarma 1999 Northern Ireland12 mo (nd)424176/51%NYHA: nd LVEF%: ndPatients were recruited from both inpatient admissions and outpatient clinic Results of a 2 minute walk test were recorded. Body weight, blood pressure pulse and forced vital capacity were measured. In clinic: Patients received education from a pharmacist on the disease and its treatment, and lifestyle changes that could help control symptoms. Patients instructed on self monitoring, maintaining daily weight in cards, instructed to take an extra dose of diuretic if needed Only physicians and community pharmacists were contacted to assess compliance.Standard management that excluded all above mentioned interventionsC ModProceed to Appendix C Return to Table of Contents Page last reviewed August 2014 Internet Citation: Appendix B: Technology Assessment: Non-Pharmacological Interventions for Post-Disc. August 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/ta/heart-failure-discharge-care/appendix-b.html


text: "If you need a certified and well qualified sign language interpreter, Shelly Browning's The Nature of Interpreting, is the agency to contact. With the highest standards and customer service this agency proves to be a first class operation. Shelly has been an interpreter in the Deaf community of Northern California for many years and is well respected for her skills and work ethic. This experience serves her well in providing the best interpreters for various business, corporate and educational settings. I don't hesitate to refer clients in the Santa Rosa and Bay Area and know that they will receive respectful, quality and cost effective services."


text:
Mushroom Alley
Crystal Heart & Key Necklace
- Color:
- gold
Qty: 1
- 1
- 2
Please select an available size.
Please select a size.
Share This Item: Email
- High quality, tarnish proof gold electroplated chain over brass
- Genuine pink crystal heart charm and raw brass tiny key
- Comes prepackaged on adorable gift ready patterned card
- Measures 13¾ inches with 1¼ inch extension
- Lobster clasp closure
Material: Gold Plated Brass
Brand: Mushroom Alley
Origin: United States


text:
Narrow your search
From local cables to worldwide online, the desire to play together has transformed videogames and spawned an e-sport revolution that has only just begun.
Sky turns 25 today, celebrating a quarter of a century of dish-fed telly, movies and sport -- and 25 years of locking up the best telly.
After being accused of infecting computers with malware to mine Bitcoins, E-Sports Entertainment agrees to settle with US regulators.
BT customers are making fewer phone calls, but profits are up as half a million people sign up to BT Sport.
Click here for the list of which 2013/14 Premier League games will be screened live by Sky Sports and BT Sport channels.
With the spectre of BT Sport and a potential price looming, Sky prices are to rise by an average of 2.5 per cent.
Foxtel's mobile service is moving onto the iPhone as well as the iPad, and adding three sport channels to its line-up.
The BBC Red Button is coming to TiVo for bonus news and sport content.
Sony officially reveals the product details for the two Android tablets it plans to release this year, including the S tablet and P tablet, both of which sport unique designs.
Mitsubishi has turned its all-new Outlander Sport into a remote-controlled SUV that the public can take for a spin on a closed course.


text:
A method of replacing hair to a delineated area of the human scalp to which, after surgically preparing the area, suturing is surgically embedded along an annular pathway. The suturing segmentally comprises a buried infra-length and neighboring supra-lengths surrounded by a tubular resinous sleeve which lies downwardly against the scalp skin layer. An apt connector means is attached to the resinous sleeves and to which connector the replacement hair might be attached.
1. A method for replacing hair in a delineated area of a living human scalp which has been surgically prepared, said method comprising the steps of:
A. positioning a plurality of individual tubular resinous sleeves atop the scalp skin layer and arranged in an annular pattern within said delineated area;
B. providing distinct spatial gaps between the ends of neighboring tubular sleeves;
C. embedding a series of sutures in an annular pattern utilizing an elongate one-piece surgical thread, the lead-end of which is inserted in repeated alternating fashion as follows:
i. through the scalp skin layer and restricted to the spatial gap between neighboring sleeves whereby there is provided suturing infra-lengths lying buried within the subcutaceous scalp layer; and
ii. through the longitudinal bore of the sleeves as a suturing supra-length said bore being sufficiently larger cross-sectionally than said suturing whereby each sleeve remains entirely atop the scalp skin layer and is slidable therealong;
D. buttressing the sutured elongate one-piece surgical thread at its lead-end and trail-end thereby preventing the buried infra-lengths thereof from sliding within the subcutaceous layer; and
E. applying at least one connector means to the sleeves and to which connector replacement hair might be attached.
2. The method of claim 1 comprising the step of inserting a portion of the connector longitudinally through the sleeve bore in parallelism to the suturing supra-length.
3. The method of claim 1 comprising the step of applying a plurality of girth bands around each sleeve as the connector means.
This is a continuation of application Ser. No. 665,690 filed Mar. 10, 1976 now abandoned.
This invention relates to a method of replacing hair to a delineated scalp area previously substantially devoid of natural hair. It is recognized that loss of hair resulting in complete or partial hair loss results in serious emotional problems, particularly among young males and females. An increasingly popular method for replacing hair is the so-called sutures-anchoring technique wherein sutures are surgically embeddably anchored into the human scalp, with suture lengths extending upwardly above the scalp skin and to which the cosmetic replacement hair is removably tied or otherwise mechanically associated. The sutures-anchoring technique is described in the prior U.S. Pat. Nos. 3,553,737 (Bauman-Jan. 12, 1971), 3,842,439 (Connelly-Oct. 22, 1974), and 3,914,801 (Dick-Oct. 28, 1975).
It is the general object of the present invention to provide a sutures-anchoring type method of replacing hair and which method has several advantages both surgically and structurally as compared to prior art techniques.
With such general objective in view, and other ancillary and related objectives which will become more apparent as this description proceeds, the method of replacing hair in a delineated area of a human scalp (which must be surgically prepared) generally comprises the following steps: embedding sutures along at least one annular pattern within the scalp delineated area, each suture being provided of surgical thread having alternating lengthwise segments including supra-length and infra-length segments, inserting the surgical thread through the scalp skin layer so that the infra-length will lie buried within the subcutaceous scalp layer and the two neighboring supra-lengths lie above and generally parallel to the scalp skin (and preferably an elongate one-piece surgical thread providing a plurality of buried infra-lengths); inserting the supra-lengths through tubular resinous sleeves that downwardly abut the scalp skin layer; applying removable buttress means to prevent the infra-length from sliding along the subcutaceous layer; and applying at least one apt connector means to the resinous sleeves and to which the cosmetic replacement hair might be attached.
In the drawing, wherein like characters refer to like parts in the several views, and in which:
FIG. 1 is a top plan view of a human male scalp, showing suturing embedded in an annular pattern, each suture including a supra-length segment lying above and abuttably parallel with the scalp skin and securely surrounded by a tubular resinous sleeve;
FIG. 2 is a longitudinally extending sectional elevational view taken along lines 2--2 of FIGS. 1 and 3;
FIG. 3 is a transversely extending sectional elevational view taken along lines 3--3 of FIG. 2;
FIG. 4 is a longitudinally extending sectional elevational view like FIG. 2 wherein a pair of girth bands is applied as the connector means;
FIG. 5 is a transversely extending sectional elevational view taken along lines 5--5 of FIG. 4;
FIG. 6 is a longitudinally extending sectional elevational view like FIGS. 2 and 4 wherein a lengthy metallic clip is utilized as an alternate form connector means;
FIG. 7 is a transversely extending sectional elevational view taken along line 7--7 of FIG. 6;
FIG.. 8 is a detail top plan view of an alternate form removable buttress means;
FIG. 9 is a transversely extending sectional elevational view taken along line 9--9 of FIG. 8; and
FIG. 10 is a schematic top plan view indicating that a plurality of sutured annular patterns might sometimes be employed.
Referring to FIG. 1, there is shown a human scalp 90 having a delineated area 91 substantially devoid of living hair. It will, of course, be recognized that the delineated area 91 may also have some hair on it. For purposes of illustration, the human person depicted in the accompanying drawing is of the male sex although this invention is equally applicable to the scalps of women. Surrounding the delineated area 91 is a fringe 92 of natural hair immediately adjacent the temples 93, the ears 94, and the nape of the neck 95. The scalp 90 in sectional elevation comprises three anatomical layers including the scalp skin 96, the subcutaceous layer 97, and the galea aponeurotical region 98.
A hair restoration operator initially delineates the area to be covered with replacement hair. The operator in making the delineation takes into account the contour of the existing hair and the personal preference of the person as to the final style the replacement hair should have. Although the delineated area 91, as shown in FIGS. 1 and 10, is oval it will, of course, be recognized that such an area can take on a variety of other shapes without deviating from the essence of the method of this invention.
The sevices of a medical doctor are required to surgically embed a series of sutures 10 in at least one annular pattern ("P", "PP", etc.) within the scalp delineated area 91. Prior to embedding the suturing 10, the delineated area 91 is surgically prepared and cleaned with an antiseptic following by numbing the area preferably using a local anesthetic. Aseptic conditions are maintained during the suture embedding procedure.
The suturing 10 is provided of a surgical thread having alternating lengths which will ultimately provide supra-length 12 and infra-length 11 segments. Each infra-length segment 11 lies buried within the subcutaceous layer 97, while the supra-length segments 12 (neighboring the respective buried infra-lengths 11) lie above and parallel to the scalp skin 96. As is well known in the surgical arts, the suturing thread leadward-length 15 is inserted downwardly through the scalp skin 96, thence along the subcutaceous layer 97, and thence upwardly through the scalp skin 96. Further, supra-lengths 12 are inserted through a longitudinally extending resinous sleeve 20 whereby the sleeves 20 are maintained snugly abuttably downwardly against the scalp skin 96. Moreover, to provide a desireable "shock-absorber" affect through the connector means (e.g. 30, 35, etc.), the resinous sleeves are of resiliently deformable resinous material (e.g. elastic) structural material such as polyurethane of the like. Typical dimensional parameters might include: three to six millimeters for the surgical thread diameter, about 1/4 to 1 inch (and preferably about 3/4 inch) for the infra-lengths 11, and about 1/4 to one inch (and preferably about 3/4 inch) for the tubular sleeves 20.
As is well recognized in the prior art, inert surgical thread materials are preferred so that upon healing of the scalp 96-97, the sutures are not rejected but rather the infra-lengths 11 lie buried within and compatible with the scalp layers 96-98. But in such condition, the embedded sutures 10 tend to be longitudinally slidable, and for this reason anti-sliding buttressing means are desireable. In FIGS. 1 and 2, the buttressing means comprises knotted ends 15K and 16K for the elongated surgical thread. However, the selected buttressing means (e.g. 15K, 16K, 40, etc.) is preferably removable so that there is permitted the freedom at some future date to replace the normally inherently slidable embedded sutures. For example, the two knots 15K and 16K can be clipped-off, thereby providing one type removable buttressing means. As is readily apparent from FIGS. 1 and 2, a single elongate length of surgical thread might be knotted at its leadward-length 15 and at its trail-length 16, whereby the intervening preponderant medial-length provides several interconnected infra-lengths 11 and alternating supra-lengths 12. In FIG. 1, two such elongated lengths of surgical thread respectively furnish a semi-circular array of sutures 10, both surgically embedded lengths together providing an oval annular pathway "P".
FIGS. 8 and 9 suggest another form of removable buttressing means. Herein, the leadward-lengths 15 of the two arcuately embedded surgical threads are securely held together in a crimped metal-collar 40 which is surrounded by a resinous sheath 45. To remove this buttress means, the suturing leadward-ends 15 and trail-ends 16 are clipped-off nearby the crimped fasteners 40 whereby the entire continuous suturing is permitted to longitudinally slide out from the scalp layers. 96-97.
Replacement hair will need to be securely removably associated with the underlying anchoring means (e.g. sutures 10) as is well known in the prior art. Herein, the replacement hair is schematically indicated as an elongate string 80 to which is attached the cosmetic replacement hair (not shown). Whatever specific form the replacement hair takes, the forces applicable therefrom should be distributed fairly evenly among the several sleeves 20. In this vein, it is desireable to have regular spacing of infra-lengths 11 and sleeves 20 along the respective annular pathways ("P", "PP").
For securely removably associating the cosmetic replacement hair 80 to the suturing 10, there is an apt connector means intervening between the supra-lengths sleeves 20 and the replacement hair 80. The connector means should distribute the forces applicable from the replacement hair 80 longitudinally along each of the respective sleeves 20. In FIGS. 4 and 5, the intervening connector means comprises a plurality of girth-bands 30 surrounding each sleeve 20 and by which girth-bands 30 the string 80 is securely surrounded. Alternatively, the intervening connector means might extend longitudinally through the sleeve 20 alongside the supra-length 12. For example, as suggested in FIGS. 6 and 7, a longitudinal connector means might take the form of a springy metallic-clip 35 having a clasp 36 which performs analagously to a household safety-pin. The metallic-clip externally of resinous sleeve 20 surrounds the string 80.
As is suggested in the FIG. 10 schematic view, more than one annular pattern of sutures 10 might be advantageously employed. For example, annular patterns "P" and "PP" are shown as very closely spaced (about one-half inch apart) and at the periphery of delineated area 91, which in certain instances can faciliate the application and performance of the cosmetic replacement hair.
From the foregoing, the procedure and construction of the novel method for replacing hair will be readily understood and further explanation is believed to be unnecessary. However, since numerous modifications and changes will readily occur to those skilled in the art, it is not desired to limit the invention to the exact construction and procedures shown and described, and accordingly, all suitable modifications and equivalents may be resorted to, falling within the scope of the appended claims.
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text:
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text:
Session L1: Focus Session: Many-Body Physics with Ultracold Atoms
2:00 PM–4:00 PM, Thursday, May 27, 2010
Room: Imperial East
Chair: Brian DeMarco, University of Illinois at Urbana-Champaign
Abstract ID: BAPS.2010.DAMOP.L1.1
Abstract: L1.00001 : Towards quantum magnetism with ultracold atoms
Preview Abstract MathJax On | Off Abstract
Wolfgang Ketterle
(Massachusetts Institute of Technology)
Spin ordering or quantum magnetism can be realized with both ultracold bosons and fermions. We have studied ultracold fermions with strong repulsive interactions. When a Feshbach resonance is approached, a two-component Fermi gas shows non- monotonic behavior of lifetime, kinetic energy and size. This provides strong evidence for a phase-transition to a ferromagnetic state, or a state with strong ferromagnetic fluctuations. A two component Mott insulator of bosons in an optical lattice should show spin ordering at sub-nanokelvin temperatures. As a step towards this goal, we have developed a novel method of thermometry, spin gradient thermometry. In this method, the two states are pulled towards opposite sides of the trapped sample by a magnetic field gradient. The width of the domain wall is proportional to the temperature. Using this method, we optimized the temperature in a Mott insulator to 1 nK, the lowest measured temperature in a lattice, indicating that the system has reached the quantum regime, where insulating shells are separated by superfluid layers.
To cite this abstract, use the following reference: http://meetings.aps.org/link/BAPS.2010.DAMOP.L1.1


text:
Welcome to FestivalFinder, the site where you'll discover the latest details on more than 2,500 music festivals in North America.
Search by your favorite genre or use the Find By feature to locate festivals by date, location or name. Search by performer is coming soon.
Faith Fest logo
©2010John Janick
Faith Fest Winder GA


text:
CRESTVIEW — Winning the Drug Enforcement Administration's Enrique "Kiki" Camarena Award is quite the feat, Emerald Coast Young Marines Unit Cmdr. Lynn Dominique says.
The local group is one of six units nationwide to win the award.
"This is obviously quite an honor, especially for a young unit that was formed back in 2010," Dominique said.
The ECYM, which has 40 enlisted members, were within the top six young marine units to exemplify community drug abuse awareness and peer-to-peer role modeling.
In addition, the ECYM unit is No. 1 in the category for division three, which covers the country's southeastern portion.
The division, all together, has 55 young marine units, Dominique said.
"The biggest thing is that it's youth talking to other youth," he said.
Dominique accepted the award, on behalf of the unit, during a Young Marines annual adult leaders conference June 5 in Washington D.C.
The award's namesake, Camarena, was a DEA special agent who was abducted and murdered in 1985 at age 37.
Email News Bulletin Staff Writer Matthew Brown, follow him on Twitter or call 850-682-6524.


text:
The L.A. County coroner ruled today that Brittany Murphy's death was accidental, according to TMZ. The cause is listed as "community acquired pneumonia, iron deficiency anemia, and multiple drug intoxication"—a lethal mix of untreated illnesses, tragically coupled with over-the-counter self-medication.
Despite the role chemicals played in Murphy's passing, the news doesn't directly contradict widower Simon Monjack and mother Sharon Murphy's denials that Brittany was addicted to drugs or alcohol. "Everyone used to say she was wasted, she was this, she was that," the elder Murphy told People. It was hard for anyone to imagine that somebody was so high on life." Monjack, who has faced intense scrutiny following his wife's death, recently claimed that the majority of prescription drugs found in their home belonged to him. Murphy was 32.
[Photo: Getty Images]


text:
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text:
Social Networking sites: The most popular feature of Internet can be a boon or a curse depending on how you use it and for what purpose you use it. A social networking site will allow you to connect with friends and families thus establishing important social relationships.
Among these social networking sites, Facebook is at the top list, the site is so popular that almost everyone who surf the web are its members. Just recently Facebook has announced that its members have reached billion, making it the top and mostly active social networking sites ever.
Beside Facebook, there are other social networking sites like Pinterest, MySpace, twitter, bebo and Friendster that are also popular among internet surfers. Each of these social networking sites have its own unique features but there major objective is the same that is to help people connect with their friends and family members.
Social Networking Sites: Pros
- These social networking sites are free of cost and everyone that has met the age limitation will be able to sign up and become a member.
- One can easily connect to his friends and family members and even reconnect with old friends or people he knew.
- It will help you establish important social relationships like creating real life friendship through similar interests and groups.
- You can share your thoughts and interests with those with similar interests by joining the groups and forums.
- It will also help you establish business contacts and sometimes helps the members to get a job.
- You will need to create a profile page in most of these sites which will help you express your designing skills and let others know more about your personality.
- These sites often let you share your favorite music, video clips and movies with others. This will help others to know more about you.
- Statistics show that social networking sites are among the top 5 news sources. Meaning the members can easily know the latest news and even that local news that is not covered by the radio or newspaper.
- This might be surprising but it's a fact. Law enforcement finds social networking sites useful tools to capture and prosecute criminals.
- Students can share their views and ideas together with their classmates. They can help each other solve a problem or discuss about the topics they find hard with their teachers resulting good marks in their exams.
- Since most of these social networking sites have live chat rooms and forums, anyone can talk with people without any hesitation especially those who are socially isolated or shy. This will help them improve their relationships and make new friends.
- Studies show that social networking sites help reduces health problems. Since you won't have time to worry about unnecessary things, the site prevents depressions and mental tensions.
- Social networking sites play a crucial role in a political change or a community work. Since anyone can share their views and discuss in a topic, it helps to encourage and mobilize people to attend a political rally and meeting.
- Social bookmarking sites play an important role in these hard economic crises; they are good for the economy. There are thousands of people currently working under these sites; these sites are a great revenue source for the country.
- Artists can easily build their audiences and can easily connect to their fans. Fans can get info about their next releases, live events and their interests through social networking sites.
Social Networking Sites: Cons
- These sites can be quite addictive so people will spend more time online wasting efforts and activities that could have brought some productive results.
- Not everyone would know about the privacy settings and cyber crimes. The pictures, videos and comments they share could be visible to the public. Sometimes thefts and criminal minded people will use this personal information to blackmail or threaten others.
- Cyber bullying has increased in these past few years and the main reason is due to the popularity of these social networking sites. Cyber bullying can result suicide, mental tensions, depression and decreased self esteem.
- Studies show that most of the employees use social networking sites during their office hours resulting in great economic loss to the industry and the government.
- Social bookmarking sites are easier and safe tools for people with criminal intensions, they can easily hack someone's profile to get personal information, spread viruses and spywares over the internet.
- Not every information you will hear in these sites will be real because there are no boundaries to post one's view. So these sites can be an unreliable and false information source sometimes.
- Most of the teenagers who are addicted to these sites have decreased grades and even decreased personality.
- Since face to face socializing is impossible in these sites, one could feel socially isolated or shy when talking to a person.
- Studies show that those who frequently use the social networking sites are prone to mental tensions and other diseases because of lack of exercises and unhealthy time schedule.
- It can have negative impact on your offline relationship due to lack of face to face argument and physical confrontation.
- The information posted in the profile page does not necessarily mean that they are all real unless you know the person. Teenagers often get tricked by this false information and become a victim of cyber bullying.
Bottom Line
Pros and Cons are like two sides of the coin; they always come hand in hand. The rule applies in here as well. There are pros as well as cons of the social networking sites but this all depends on how you use it. If you are well aware of the consequences and know what you should do and what you must not then a social networking site can be a boon for you. However if you do not care and are reckless then the same boon can be a curse that will hunt you forever. So be careful, stay safe and enjoy what the technology has to offer.