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Fatal Familial Insomnia, or FFI, is a devastating genetic sleep disorder, which strikes during middle age and results in death. This is the story of Michael Corke.
Fatal Familial Insomnia is a rare curse that affects about 40 families around the world. It is caused by prion diseases (mutated proteins) which can affect both humans and animals. Here is one story of Fatal Familial Insomnia, or FFI.
Shortly after his 40th birthday in 1991, Michael Corke, a music teacher from Chicago, began having trouble sleeping. In the following weeks, the insomnia grew worse and his health rapidly deteriorated. Eventually he couldn't sleep at all.
The doctors were baffled but could do nothing for him. Michael was physically and mentally exhausted, and wanted nothing more than to be able to fall asleep. But his brain wouldn't let him.
Video footage of him appearing at a school orchestra concert revealed a frail old man - a far cry from the fit and healthy individual he was just months earlier. Eventually he was admitted to hospital and doctors diagnosed him with an extremely rare genetic disorder discovered just seven years prior: Fatal Familial Insomnia (FFI).
Michael Corke died in hospital after six months from a complete lack of sleep.
The FFI sleep disorder is so rare that only 40 families worldwide have been identified as carrying the defective gene. If only one parent has the gene, the offspring has a 50% chance of inheriting and developing the disease.
Fatal Familial Insomnia strikes between the ages of 30 and 60 years, with no apparent trigger that the sufferer can relate to. Patients have been known to survive for up to three years, gradually passing through four stages of illness:
Ten years ago, scientists discovered that Fatal Familial Insomnia is caused by a dual mutation in a gene that codes for proteins. The tell-tale sign of prion diseases is an insoluble protein that causes plaque to develop in the thalamus. This is the region of the brain responsible for the regulation of sleep, as well as sensory and motor systems.
As the plaque "eats away" at the brain, the sufferer loses the ability to shut down at night. This manifests in the form of insomnia. The resulting symptoms of FFI are caused by the complete lack of REM and NREM sleep, proving that sleep is vital to everyone.
Because of the nature of prion diseases, Fatal Familial Insomnia has been linked with other gene disorders like Bovine Spongiform Encephalopathy (BSE – or mad cow disease) as well as wasting diseases in deer and elk. It is also linked to Kuru (the laughing disease).
There is currently no known cure for FFI. This prion disease is still shrouded in mystery, and sleeping pills only worsen the symptoms. However, there is hope that one day, Fatal Familial Insomnia will be controlled through gene therapy.
Dr. Oz recommended weight loss as one way to reduce her snoring. He also said that avoiding alcohol can help. But he surprised Joyce with his final advice. He suggested that she take singing lessons. "You learn to control the muscles in the upper throat – the same muscles that collapse (and cause snoring)," he explained. "It's like weightlifting your muscles."
Last year the Sleep Education blog reported that there are a variety of treatment options for snoring. But snoring is also a common sign of obstructive sleep apnea.
Most often this kind of snoring is loud and frequent. It tends to be followed by silent pauses in breathing. These pauses may end with a loud choking or snorting sound.
Joyce's own description of her snoring suggests that she might have OSA. "Snoring enough to disturb the entire family," she said. "And if I even snore a little louder, I might disturb the entire neighborhood."
Sleep apnea is a serious health problem that requires medical attention. CPAP and oral appliances are the two most common treatments. Another option is surgery, which is a common solution for children with sleep apnea.
You might be able to reduce the severity of sleep apnea by following Dr. Oz's advice to strengthen the throat muscles. Studies suggest that it might help to play a wind instrument or use tongue and throat exercises.
But these methods are unlikely to cure sleep apnea. You should contact an AASM-accredited sleep center for help if you or a loved one snores loudly.
Read more about sleep apnea in women. Learn how women may be surprised by sleep apnea. Read about the signs of OSA in women.
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The need for suitable organs for transplantation is especially pronounced in minority populations such as Hispanic Americans owing to disproportionately high rates of diabetes mellitus and kidney disease. Considerable barriers exist for Hispanic Americans consent to donation, resulting in significantly lower donation rates compared with white individuals.
To investigate the effect of an aggressive outreach intervention during a 5-year period aimed at improving organ donation rates among Hispanic Americans.
Design, Setting, and Participants
Prospective longitudinal observation study of organ donors treated at a major metropolitan level I trauma center. The center provides most of the medical care to the 4 Southern California neighborhoods with a high percentage of Hispanic Americans that were included in the study.
Television and radio media campaigns and culturally sensitive educational programs implemented at high schools, churches, and medical clinics in the target neighborhoods.
Main Outcome and Measure
Consent rate for organ donation recorded during the study.
Outreach interventions started in 2007 and were completed by 2012. Of 268 potential donors, 155 total donors (106 Hispanic Americans) provided consent during this time. A significant increase in consent rate was noted among Hispanic Americans, from 56% in 2005 to 83% in 2011 (P = .004); this increase was not evident in the population that was not Hispanic (67% in 2005 and 79% in 2011; P = .21).
Conclusions and Relevance
Aggressive outreach programs can reduce the disparity between organ supply and demand by improving the consent rate among the target group.
The figure depicts the consent rate over time for all, Hispanic, and non-Hispanic donors. There was a significant increase in the consent rate during the time period for all donors, which was owing to the significant increase in consent rate over time among Hispanic Americans.
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XBOX360 Elite Contest
The famous John Cow dot Com recently changed its web host and is now hosted on a dedicated server from Top Hosting Center, which has sponsored a brand new XBOX360 Elite and a copy of the new Grand Theft Auto IV (scheduled for release at the end of April) for the cow's latest contest.
The winner will be picked via a lottery and you can choose how many tickets that you want to have in the draw! The more tickets that you have the greater chance of winning this elite prize! There are various ways to earn those tickets:


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Frequently Asked Questions
Our customer service experts speak to hundreds of customers each week. Here is a list of the most common questions. If you cannot find an answer, don't hesitate to contact us.
About Jewlr
Who are you? What makes Jewlr unique?
We are a leading online retailer of personalized jewelry. Every Jewlr item is made to order in North America and shipped directly to the customers in the USA, Canada, United Kingdom and Australia. Every item can be highly personalized by selecting your metal, gemstones, birthstones and engravings to meet your exact style.
Where is Jewlr located?
Jewlr is based out of Toronto, Ontario, Canada. All of our jewelry is proudly made to order in the United States and Canada.
Do you have any stores I can visit?
No, Jewlr is strictly an online retailer. As all our jewelry is custom made to order. we do not need to carry any inventory of our jewelry, and thus we are able to offer exceptionally affordable prices for personalized jewelry.
Do you have a warranty on your jewelry?
Yes, we have a one year warranty on all our jewelry against manufacturing defects. Like all jewelry, proper care must be taken to ensure your jewelry maintains its original look. The warranty becomes void if the product has been subjected to misuse or has been altered by anyone other than Jewlr. View our warranty information page for more details.
Does Jewlr have a wish list?
Jewlr offers a wish list so that you can keep track of all of those special items you want. Personalize up to 8 pieces and add to your wish list. You can even save multiple customizations of the same ring in your wish list. Share your wish list with your friends and family. Sharing your wish list is a good way to let others know what you're looking for – either for yourself or for that family group gift you want to give to Mom!
What is a Wish list?
Jewlr's Wish list is a convenient way to keep track of all of those special items you want, personalized the way you want. It comes in handy around birthdays and holidays and special occasions.
How much is shipping? Do you offer free shipping?
Yes, we offer free shipping to all our customers in the United States
How long will delivery take?
Every item is custom manufactured and ships in 3 to 10 business days from the order date. Estimated ship dates are provided for each item on the item page. Shipping to USA and Canada takes an additional 1-5 business days. While we make every effort to ship your order to you within the estimated time frames, we cannot guarantee delivery within these estimated times. Please allow sufficient manufacturing and shipment time when placing your order.
What if I need my item sooner?
We offer an expedited shipping option to most locations in North America. Typically, this is a 1 day (overnight) shipping option, but may be 2 days if you live in a more remote location; please take this into account when placing your order. Please also remember that these shipping times do not include the manufacturing time.
Manufacturing time for every item varies between 3 to 10 days. If you are in a rush take a look at the Quick Ship Collection to see the items that are manufactured the fastest.
Upon request, we can try to expedite the manufacturing of your order. There are no guarantees that we will be able to fulfill your request, but we will definitely try our best. To make an expedited request, after placing your order, please send us an email (at firstname.lastname@example.com) with your order number and desired date of delivery.
We also include a jewelry certificate with every item. Your official certificate can be downloaded, printed and presented to your loved one to let them know that their special gift has been ordered and will be delivered shortly.
Can I upgrade my shipping method after my order is processed?
Yes, as long as your item has not been shipped yet, we can upgrade your shipping method (if option is available). Please contact a customer service representative.
Who do you you use to ship?
All items are made in our North American factories. We ship with FedEx, UPS, and USPS depending on location and service.
What countries do you currently ship to?
We currently ship directly to customers in the US, Canada, UK and Australia. For customers in other Countries we do offer a solution with our partner, International Checkout Solutions. See International Orders page for more details.
Do you ship to APO's, FPO's and P.O Boxes?
Yes. Shipping times may vary. Please allow additional shipping time if shipping to APO, FPO or PO Box.
What package will arrive at my door?
All orders are placed inside a non-descrip tamper-proof courier bag.
How is my order packaged?
Every order is packaged in our gorgeous signature Jewlr packaging. The packaging is designed to complement the elegance of you custom created Jewlr item. The un-boxing experience starts with our unique matte laminate outer box which is designed to protect your jewelry and serve as a luxurios gift box. Inside you will find a Certificate of Authenticity that details the personalized attributes of your item, an optional free gift message, a complimentary piece of costume jewelry and, of course, your personalized item(s). Each item is mounted in one of our stylish jewelry boxes, perfect for presentation and safe keeping. All in all we promise an exceptional experience perfect for giving someone (or yourself) the perfect gift.
Name Necklaces
What choices of chain do you offer?
You can choose between a 16" and 18" chain depending on how you would like to wear the necklace. We also offer two styles of chain, our standard thin rope chain and an upgraded curb chain.
How big are the letters?
It varies depending on the style and font that you select. On average the height of a capital letter is approximately 12mm.
What is the difference between the rope and upgraded curb chain?
The chains differ in the shape and thickness of the links. To match the style of the necklace and to ensure that the items are competitively priced, the rope chain is a stylish thin chain approximately 0.5mm thick. The upgraded curb chain is slighly thicker at approximately 1mm.
Returns & Repairs
What is your return policy?
We offer a hassle-free 99 day return policy if you are not completely satisfied with your item. The item must be unworn and in its original condition. If the plastic jewelry tag has been removed, the item can not be returned. Do not remove this tag until you are certain you want to keep your item. To request a return, please fill out our Request Return Form. A customer service representative will send you return instructions (and a shipping label if you're in the US). You must make your return request and have the item postmarked to us prior to 99 days after the original shipment date. You will receive a full refund of the original item price minus a nominal charge for a return shipping label, once we have received the item and performed an inspection. Please allow 1-2 weeks after our receipt of your return for your refund to be processed.
Do you offer resizing?
Yes, we offer one (1) FREE resizing (strictly within 2 full ring sizes) of your ring within 30 days of the original shipment date. This includes items that have been engraved, though there may be an additional charge for re-engraving. You will also be responsible for all related shipping costs. Due to the nature of tungsten, cobalt and ceramic, we cannot offer free resizing for rings made of those metals.
To have a ring resized, please follow the link to our Request Resizing Form.
If you require resizing outside the original 30 day period and/or resizing of greater than 2 full sizes, we'd be happy to do so for a reasonable fee. Please contact us for more information.
My sterling silver ring is tarnishing. What should I do?
All Genuine .925 Sterling silver items can tarnish. Tarnish is not an indication of poor quality. As a matter of fact, cheap imitation or costume jewelry is usually nickel plated or made from inexpensive base metals that will not tarnish. Your genuine sterling silver item will tarnish when exposed to the environment and to everyday products such as perfumes, colognes, dishwashing soap, hair care products, lotions, creams and more.
Fortunately, there any many anti-tarnish silver polishes available at your local mall and/or jeweller.
Will my ring look exactly like the preview image on the web site?
When you personalize a ring on Jewlr, you will see a preview of your item with your selected options. This preview is intended to give you an idea as to what your item will look like. Though we do our best to provide an accurate representation of the actual item, there may some differences (e.g. with respect to stone colours and size). Please ensure to review the item details which outline stone shapes and sizes.
When will my order be processed?
All orders placed during regular business hours will be processed within 24 hours. All orders placed on Saturday, Sunday, or holidays will be processed within 24 hours of the following regular business day. The approximate delivery time commences once your order has been processed.
I need an engraving that is longer than the allowed number of characters. Can you still do it?
Possibly. There may be certain styles where additional characters may be allowed if we feel that the addition will not compromise the design. Please email us with the specific item style code and desired number of characters when inquiring.
Are special symbols or characters permitted in an engraving?
No, unfortunately we cannot engrave special symbols and/or characters at this time.
What are birthstones?
A birthstone is a gift of a precious material and one that is cherished for a lifetime. Birthstones are gemstones that are traditionally associated with the twelve birth months of the year and are available as Genuine or Simulated. Genuine gemstones are mined directly from the earth and are much more scarce. They have taken millions of years to form deep within the earth and carry an exceptional earthly energy. No two Genuine gemstones are identical making any jewelry piece truly unique!.
Genuine gemstones are rare and more valuable than simulated gemstones. Jewlr offers a wide variety of Genuine gemstones for a very reasonable price. Certain precious gemstones such as Diamonds, Sapphires, Emeralds and Rubies are more expensive due to their greater scarcity and value.
What is the difference between simulated gemstones and genuine gemstones?
Simulated (sometimes called synthetic) gemstones are created in laboratories and emulate the characteristics and look of genuine gemstones. For example, cubic zirconia is a diamond simulant composed of zirconium oxide. Simulated stones tend to have vivid colors to them, as impurities are not present in a lab and do not modify the clarity or color of the stone. Therefore, the colors in simulated gemstones are consistent and can be easily matched with one another for a uniform look.
Genuine gemstones are rarer and more valuable than simulated gemstones. Genuine Gemstones increase the value of any jewelry item that contains them. Jewlr offers a wide variety of Genuine gemstones for a very reasonable price. Precious gemstones such as Diamonds, Sapphires, Emeralds and Rubies are offered as an additional charge.
Why should you include Genuine Gemstones in your Jewelry ?
There are numerous benefits of including genuine stones to any Jewelry item. Genuine stones add an exceptional intrinsic worth and natural beauty to all jewelry. Genuine gemstones are rarer and much more valuable than simulated gemstones and this value stays with the jewelry item forever.No two Genuine gemstones are identical and all have a unique story to them. The true beauty of Gemstones can be fully enjoyed in their natural and Genuine form. Any gift recipient would love to know that their personalized item contains Genuine stones and making it both personalized and truly one-of-a-kind.
All of Jewlr's Genuine gemstones are A-AA quality, in all shapes and sizes, purchased from industry leading suppliers and we continually strive to obtain the highest quality stones. Jewlr offers a wide variety of Genuine gemstones for very reasonable price. All of Jewlr's Simulated stones are SWAROVSKI ZIRCONIA and SWAROVSKI Created Stones which are the highest quality simulated stones in the marketplace.
Jewlr's diamonds are all conflict-free diamonds and come from reputable industry suppliers. Jewlr designs are set with diamonds that are G-I in colors and at least I1 in clarity. We also offer a wide range of center diamonds that can be purchased by speaking with one of our diamond experts over the phone. All larger center stone diamonds are accompanied by a laboratory report from a reputable third-party.
Why aren't my birthstones offered for a particular item?
Unfortunately we are not able to offer birthstones in all stone shapes and size, so that is why you may not see your birthstone as an option for a particular ring.
What is SWAROVKSKI ZIRCONIA?
SWAROVSKI Zirconia stones are flawless simulated diamonds. The fine and distinctive brilliance of the SWAROVSKI Zirconia stones set them apart from other zirconia. The SWAROVSKI ZIRCONIA stones used in our jewelry are cut using the Swarovski Pure Brilliance cut which offers the same brightness (brilliance) as the highest brilliance cut Tolkowsky Diamond. You can choose from 11 different colors to create a totally unique design.
Is SWAROVSKI ZIRCONIA the same as Swarovski Crystal?
No, SWAROVSKI ZIRCONIA is made from Zirconia which has many properties that are similar to a Diamond and in many cases is visually indistinguishable from a Diamond.
What quality of diamonds are offered with your jewelry?
The diamonds we use vary depending on the style and design of the item. The diamonds we offer are VS2-I1 in clarity and G-I in color. If you have specific questions regarding our diamonds, please call us to speak with one of our diamond experts.
What is sterling silver?
Only a silver item that contains 92.5% silver can be referred to as, or stamped sterling silver. The remaining 7.5% is an alloy, usually copper, to increase the hardness. The stamp can appear as 925, .925 or 92.5, as opposed to a karat stamp. Although this is the standard for the United States other countries may have lower grades.
What is the difference between 10K & 14K gold?
The term "karat" designates the amount of gold found in a piece of jewelry: 24 karats is pure gold but since pure gold is too soft to produce jewelry it is generally mixed with other metals to produce a harder, more workable alloy. While 14 karats (14k) indicates that 14 parts out of 24 are gold, the other parts being made up of the other metals, 10 karats (10k) indicates that 10 parts out of 24 are gold.
Coolr Silicone Rubber Jewelry
What is unique about the Coolr rings?
Based on an popular European trend, the Coolr rings consist of a changeable silicone rubber band that is available in multiple colors. Each ring ships with 3 bands. Choose a different color for each band. The remainder of the ring is made from your choice of precious metal (silver or gold).
How do I change the band of a Coolr ring?
Its simple. Each band is a tube that inserts over two prongs that are part of the metal structure of the ring. For more information see the Coolr information page
What Is Family Jewelry?
Family Jewelry can be a ring, necklace or bracelet, for a grandmother, mother, or daughter that is set with the birthstone of each family member. Some family Jewelry is engraved with each family member's name or just the family's surname for that added personal touch. All Family Jewelry products carry a theme surrounding families.
What is a Mothers Ring?
A Mother's Ring is a symbolic ring that represents a Mother's love for her child or children. It is customary to include the parents birthstones on a Mother's Ring, but having just the child's or children's birthstones is also common. Often, these items are further personalized with custom engravings of children's names or the family surname.
What is a Grandmothers Ring?
This special ring features the gemstones of the Grandparent's children and her children's child or children. Alternatively, it can feature just the grandchild or grandchildren's birthstones. Styles range from 5 to 12 gemstones.
What is a Daughter's Ring?
A Daughter's Ring typically has 3 gemstones, but not always, with a predominant or center birthstone representing the daughter's birth month. Two smaller birthstones represent the birth month of the Mother and Father.
What is a Couples Ring?
A couples ring is a cherished keepsake between sweethearts; these rings have 2 stones representing the birth months of the couple and often include personal engravings.
Gift Cards General Information
What is a Jewlr Gift Card?
The Jewlr Gift Card is an electronic gift card that can be used online at Jewlr.com. It is the convenient and easy gift to give when you're late or when you just don't know what to give!
Where can I get the Jewlr Gift Card?
The Jewlr Gift Card is available for purchase online at https://www.jewlr.com/gift_cards
Can I get it replaced if it's lost or stolen?
The Jewlr Gift Card will not be replaced or refunded if lost or stolen.
Can I exchange my gift card for cash?
The Jewlr Gift Card will not be returnable or exchangeable for cash (except in states where required by law)
Can I use my coupon code to purchase an Gift Card?
Coupons and other discounts may not be used to purchase Jewlr Gift Cards.
Can I use my Canadian Jewlr Gift Card in the U.S. and vice versa?
Jewlr Gift Cards must be used in the currency they are given. A $USD card must be used on the US site.
Does my Jewlr Gift Card expire?
The Jewlr Gift Card does not expire.
What fees are charged to my Jewlr Gift Card?
No fees are charged to your Jewlr Gift Card.
How can I protect myself from fraud when purchasing a Jewlr Gift Card?
Jewlr Gift Cards can only be purchased from Jewlr.com. We do not authorize any websites or individuals to sell the Jewlr Gift Card on our behalf. We discourage you from purchasing Jewlr Gift Cards from these unauthorized sources. Jewlr is not responsible for any issues you experience with Jewlr Gift Cards purchased from unauthorized sources.
What happens if I don't have enough money on my Jewlr Gift Card to pay for my purchases?
The balance of your Jewlr Gift Card can be put towards your purchase and the remainder can be paid by credit card or paypal.
Why is my balance different than I thought?
It's possible that you've forgotten a visit or purchase. You can check your card's remaining balance online at Jewlr.com or by calling 1-866-610-8482.
Can I redeem my card for cash?
The value remaining on a Jewlr Gift Card may not be redeemed for cash unless required by law.
Gift Card Use
How do I use my Jewlr Gift Card?
To use your Jewlr Gift Card, simply go to www.jewlr.com and personalize the item you wish to purchase. Once you are finished personalizing the item, add it to Cart and then go to Check-out. Review your purchase. If everything is as you expect, enter your Gift Card # in the Gift Card field. Whatever balance remains on your Gift Card will be applied to your purchase. If there is a positive balance on the Gift Card you will be able to apply that to another purchase in the future. If there are insufficient funds on the Gift Card for the purchase, then the amount on the Gift Card will be applied to the purchase and you can submit the balance using any one of our other payment methods.
Each time you use the Jewlr Gift Card, the amount of your purchase will be deducted from the balance remaining.
How can I check the balance on my Jewlr Gift Card?
The balance on your Jewlr Gift Card can be checked anytime online or by calling 1-866-610-8482. No purchase is necessary to check your balance.
Can I use multiple Gift Cards to make one purchase?
Yes, you can use multiple Gift Cards in one purchase. In the Order Summary of the Secure Checkout you will be able to enter each card one at a time until the cart is at a zero balance or until you have no more money on your Gift Card. Then you can use a credit card or paypal to complete payment on any balance.
What happens if the recipient didn't receive their Gift Card in their inbox?
The recipient will receive the email based on the delivery option you selected and you will receive a confirmation email of your order. If the recipient has a filter on their email, please add jewlr.com to the recipients white list or have the recipient check their filtered email.


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The use of cellulolytic microbes to deconstruct plant-derived lignocellulosic biomass attempts to address the increased global demand for renewable transportation fuels, ultimately through the production of ethanol. One such microbe, the anaerobic thermophile Clostridium thermocellum (Cthe) is an ideal candidate for further study due to its cellulolytic and ethanologenic capabilities. Though Cthe is naturally efficient at degrading complex plant biomass, current efforts aim to enhance this microbe's catalytic capacity by better understanding the unique enzymatic system it employs. To this end, extensive work using soluble and insoluble model substrates like cellobiose and crystalline cellulose have been used to study various aspects of cellulose utilization. However, lignocellulosic substrates like switchgrass (SWG) have received considerably less attention due in part to difficulties in measuring seemingly routine fermentation metrics such as the Cthe growth dynamics, substrate conversion per unit cell and product yield/titer – all of which are industrially relevant and generally require knowledge of the amount of catalyst (i.e. microbes) present at a given time. Unfortunately, complex biomass substrates like SWG often preclude accurate cell count determination both by visual- and protein-based counting assays – the latter of which can be skewed by residual biomass-derived protein. To address this problem, we developed a novel, mass spectrometry-based proteomic cell density assay that employs a unique quantitative metric called Matched-Ion inTensity (MIT). This assay capitalizes on the ability of proteomics to uniquely assign peptides to specific organisms/species while concurrently providing protein abundance information useful for organism quantitation. Initial work examining a dilution series of Cthe on a constant bed of SWG demonstrated the power of this method whereby total organism MIT (tMIT) provided an almost a perfect match to the Cthe dilution series, regardless of interfering SWG-derived proteins or small molecules. Applied to real-world samples, tMIT specifically and accurately tracked cell density across both simple (cellobiose or Avicel) and complex (SWG) carbon sources, thereby alleviating the above mentioned analytical challenge. Furthermore, tMIT shows promise in accurately determining organism ratios in simple co-cultures and could become a necessary tool in the field of community proteomics.
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Alexandria Programme Unit
Area: 35,000 sq. km
Population: 967,967
Districts: 5 (Sekina area- ElZaheria area- Abou Soliman area- the Arab company area- ElFalaky area)
Sponsored Children: 2,735
Programme highlights
Community Based Rehabilitation (CBR)
CBR was implemented here 6 years ago through international associations and organizations for providing equal opportunities and integrating children with disability in all services and areas in society. This was implemented by building the capacities of various groups, developing and rehabilitating children, the economic empowerment of families, raising the skills of service providers, advocating and protecting children with disabilities.
Village Saving and Loans Associations (VSLA)
Was implemented over 3 years ago as a pilot program in Alexandria Program Unit in 5 local community associations. So far, 62 saving groups were formed including 625 members who were able to save 38,686 EGP. 73 loans were distributed among the groups' members who were able to carry out a number of projects and enabled the families to face some emergency circumstances and helped women contribute to the family's income. This program was integrated with other Plan programs as children and youth groups, FGM, Literacy classes and CBR, which helped in creating and forming Community Based Organizations to help solve problems inside the community.
Street Children Program
The Street Children program was implemented in 2010, aiming at protecting society against the street children phenomenon and how to make the street children participate in society to live a stable life. This program was carried out thanks to a partnership between Plan, local community development associations (CDA), and the Street Children Network which includes all the governmental and non-governmental organizations. All those involved in this partnership worked together to build the capacities of specialists in CDAs and the capacities of street children, as well as the rehabilitation, advocacy, and protection of street children.
Learn Without Fear
A School Without Violence it is being implemented in 1 community as a model during a 3-three years period. It targets Gamal Hemdan Primary School, concentrating on awareness programs of the importance of education and child rights, besides training programs for teachers, social workers, school parliament and the board of trustees to make their positive role effective in eliminating the violence phenomenon inside schools.
Child Media
The program has been in existence since 2006 in 3 area associations; Sekina, Shorouk El Islam and Omar Ibn El Khattab Association. About 800 children participated directly in the project
Watch video of Plan's work with Nokia to support Esma3oona and other child media projects in Africa.
Support Plan's work and sponsor a child.


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Web sites that want to allow this type of operation should remove the no-cache header or headers.
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(https://support.microsoft.com/kb/248107/ )Creating server certificates using Certificate Services Web forms
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Result for: classical piano books
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Galaxy S5 fans, here is why the S3 was more important (video)
With invites for Samsung's 'Unpacked' event sent out, we're likely only a few weeks away from getting our first official look at Samsung's long-awaited Galaxy S5. But Samsung wouldn't have got this far without the Galaxy S3 -- a true turning point for the South Korean tech giant. Press Play on the video above to see how Samsung's third flagship turned the company from imitator to innovator.
The Galaxy S3 wasn't just an amazing smartphone in its own right, it represented a change for Samsung, a moment where the company found its Galactic groove, … Read more


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So now that you've established a "contest" between The Fountain on Locust and Crown Candy over which has the better milkshake, I had to test your findings myself, and refute them, my friend. I am a vanilla milkshake aficionado. I have tasted thousands all over the country. In fact, you might put me in the vanilla milkshake snob category, which at this point I'd doubt I'd win if the RFT was the judge. But I can assure you, I know my milkshakes and The Fountain's vanilla milkshake is SO far superior there is no contest. I will admit, I haven't been to Crown Candy in a long time, especially since I was never very impressed with their ice cream to begin with. I DO have a hankering for The Fountain's vanilla milkshake, which I allow myself to get once a week, because it's that good and I have to have my fix. But just to be absolutely certain, I did a little test Saturday afternoon. The ONLY way for a layman, or your reviewer, to do a proper comparison, is to do as I did, order them both to go, then sit in your car and taste them right next to each other. I started at The Fountain, then headed over to Crown Candy. This gave Crown the advantage of having the freshest lead, but even then, the Fountain on Locust's milkshake won hands down. First, the Fountain's whipped cream is fresher tasting and better because they make it from scratch unlike Crown's commercial product. Then TFOL's milkshake itself is richer, FAR more flavorful and of such a higher quality it makes me wonder if Crown Candy is using a powder mix to make their ice cream. Crown's was much too sweet with an odd aftertaste. So maybe a better comparison would have been Crown vs. Steak n' Shake? Sorry to have to review your review, but somebody had to do it.
Best Milkshake St. Louis 2010 - Crown Candy Kitchen
1401 St. Louis Ave.
St. Louis, MO 63106
It was a tough job, but someone had to do it. Someone had to put his neck on the line to judge this year's Milkshake Battle Royal, known on the streets as the Fount vs. the Crown Throwdown. After rigorous taste testing at both renowned shake crafters, the venerable Crown Candy Kitchen rose to the top over newer kids on the block like the Fountain on Locust. Did we say venerable? This tourist destination has been shaking it up since 1913. Renovations to the immediate neighborhood have only enhanced its nostalgic charm. And Crown Candy still serves the richest, coldest malts and shakes, in dented 24-ounce tins and a wide variety of flavors, from classic to left-of-center (marshmallow, anyone?). For $4.50 it's the ultimate in bloated bliss. (Plus, you can make it extra thick for $1 more.)


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Leadership Team
President, Co-founder br>
Brian ran a successful industrial construction business for over 20 years before co-founding Kiwi Collection. He was a key driver of the development of the Collection, having focused on the operations and systems integration of the company before assuming the role of President.
Senior Vice President of Hotel Programs br>
With more than 20 years' experience in travel and hospitality Sherry brings an intimate knowledge of the industry to our Hotel Programs department. Prior her current role at Kiwi, Sherry worked with notable companies such as Vantage Point Deluxe Vacations, TNT Vacations and Cheap Flights, bringing with her well-rounded insights in all areas of the travel industry. Sherry has a BSC and MBA in Marketing from Bryant University.
Vice President of Marketing br>
Brooke's 12+ years in online marketing are a valuable asset to Kiwi Collection. She started her online career in the agency world doing account management work, experience that serves her well now for the work she does with our strategic partners such as Visa. Prior to joining Kiwi she was with Chalk Media and played a strategic role in their acquisition by RIM while gaining insights into global marketing. Brooke travels at every opportunity and with only one continent left to visit, as soon as there's a Kiwi hotel in Antarctica, she'll be there.
Director, Product Management br>
Dana comes to Kiwi Collection with a background in software development, consulting and financial services. Prior to Kiwi Collection, he held management positions at Thomson Reuters, IBM, and Capital One. He holds an AB from Stanford University and an MBA from the University of Virginia. Dana is an avid runner who also searches for good restaurants and local food whenever he travels.
Director of Operations br>
Cynthia brings 12 years of travel industry knowledge to Kiwi Collection. Previously with Starwood Hotels she has a background in both operations and sales. Her varied experience is well suited to her current role at Kiwi with responsibility for customer operations, website content and our distribution department. In addition to her love of cooking, like all of us she is an avid traveller.
Technical Manager br>
Aaron spent 10+ years of AI and gameplay programming in the video game industry working on numerous best-selling games, including Turok, Age of Empires and Tron. He now spends his days at Kiwi guiding the development team through building new product features and improving the technical infrastructure. Outside of work, he is a competitive ultimate Frisbee player, recently having played for Team Canada in Japan and the Major League Ultimate team Vancouver Nighthawks.


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Full detailed profile on Carrie Brady Roberts Reed Played by Christie Clark on Days of Our Lives Daytime Soap Opera.
Christie Mary Clark (NBC)
Birthday: 1973-12-13
At the pub, Austin and Carrie talk about how much stuff they've accumulated - he thinks they should look for a house. Austin raises the issue of kids. Carrie says they need to take things slow and rebuild their relationship before going there. Austin acknowledges that, and they start talking about renting. He shows Carrie a property - she loves it. He goes back to talking about kids, saying babies change everything. Rafe enters with Nicole. Carrie nods, "Babies do change everything." Austin steps away to take a call. Nicole asks Rafe if he wants to leave because of Carrie. He says he's fine. He goes over to Carrie, who says she and Austin are working things out. Rafe says he's happy for them, and returns to Nicole. He tells her Carrie told him they were a mistake - she always loved Austin. Nicole says she's sorry. Austin rejoins Carrie and notices her looking at Rafe. She reassures him and makes a display of kissing him. Abigail passes by and sees them. She turns to leave and bumps into a young man who gets angry. Inside, Carrie tells Austin she wants to be with him - it's been a long time. They head out the back door. Nicole smirks about the PDA show.
At the square, Carrie is rocked to hear Rafe telling EJ that Nicole's baby is his. Carrie rushes off in tears as Rafe tells EJ to take a hike. EJ demands a paternity test. Reluctantly, they take off for the hospital. Nearby, Austin finds Carrie sobbing. He thinks it's about him and wants to fix it. She's not sure he can. They've already said all they can but he makes a few attempts and she finally decides to stay with him.
Sami confronts Rafe at the pub about 'sleeping with Nicole'. He's moving from one tramp to the next. Carrie gasps. Rafe denies it and they rehash Sami's indiscretion. Sami thinks he's doing it to twist the knife. She refuses to live in the loft and so he can move Carrie or Nicole in. He's had enough but Sami's just getting started and lets loose with the insults. Rafe wants to leave Carrie out of this but Sami reminds him Carrie's been a part of their marriage for months. "I had a front row seat to your office tonsil dive." Rafe admits he was with Nicole, shirtless, but it's not what it looked like. Sami asks, "Was she going to wax your chest at midnight?" Rafe sighs and sarcastically tells her that's exactly what she was going to do. Sami suggests Carrie go back to her husband and stomps off. Caroline watches a weeping Sami from the pub while Rafe maintains that nothing happened between him and Nicole. Carrie believes him. Caroline goes to Sami to comfort her. EJ arrives after Caroline heads in and hands Sami his handkerchief. He asks her to trust him and brings her somewhere.
In the pub, Sami is working to find an apartment when Carrie enters and wants to work things out. Sami says she'll never forgive her. Carrie wants Sami to be civil. Sami retorts, "Get to know me." Carrie is stunned to hear that Rafe asked for a divorce, but Sami thinks she planned it that way. Carrie tells her to stop playing the victim and take responsibility for once in her life. Sami retorts that Carrie fell in love with Rafe. Carrie tells Sami that Austin didn't betray her. Sami asks what she'll do now, and tells Carrie she probably likes having two men fighting over her. Sami says she hates her and takes off. Rafe appears and Carrie tells him Abigail lied about sleeping with Austin. He says she and Austin can work things out then - he's happy for her.
Sami returns to the pub and confronts Rafe about having sex with Nicole as Carrie looks on.
In the office, Austin tells Carrie that he never cheated and broke their marriage vows. Carrie says she's still angry. They discuss the issue with Abigail and Austin owns his mistakes. As he asks Carrie to give their marriage another chance, Rafe arrives outside the door. He listens as Carrie tells Austin she was ready to end their marriage, but everything is different now. Rafe leaves as Austin tells her how relieved he feels. Carrie clarifies to Austin that she doesn't know what the future holds for them, and rushes off.
Abigail apologizes to Austin outside the square. She made the whole night of love-making up. Abby cries as Jenn and Jack gawk. Carrie shows up and Abby tells her the truth. She explains that they did kiss, but only because Austin was drunk and upset over Carrie kissing Rafe. Jenn suggests Abby's lying to protect Austin but Abby's insistent. Carrie remembers Abby asking her for advice on how to steal her husband and slaps her across the face. Jack and Jenn come to Abby's defense. Austin holds Carrie back and Jenn apologizes for all of this but assaulting Abby isn't the answer. Austin complains that they were friends but he should have drawn clearer boundaries. Does Abby realize what her lies have cost him? Carrie, with tears in her eyes, runs off with Austin following. Abby realizes she'll have to deal with the consequences now.
Austin follows Carrie into her office. She's sobbing and he asks if what happened today changes anything for them.
Over at Rafe and Carrie's office, Carrie confesses she's been falling in love with Rafe. He doesn't know what to say. Austin appears in the doorway and demands to know if Rafe loves Carrie back. He points out that he doesn't love Abby and that Carrie falling for Rafe is far worse than him having sex with Abby, especially when he doesn't even remember it. Carrie is sorry - she didn't intend on hurting him. He believes her but he doesn't know what to do with this information, so devastated, he leaves. Carrie cries but refuses to follow. She'd rather stay there with Rafe. She tells him he still hasn't answered her question. Is she alone in this? He replies, "No. No, you're not alone in this." Carrie grins. She didn't know he felt the same way. He had to lie that the kiss didn't mean anything. She heads in for a kiss and he breathes, "This is very complicated." He pushes her away. No matter what, they're still married to other people. Austin still loves her and if she thinks there's still a chance, she needs to work on it. He leaves.
Rafe finds Carrie blubbering in their office. She hangs on him and sobs and tells him about Austin "cheating" on her. Rafe's shocked at the news. "Abigail? She's like twelve." Carrie says Austin admitted it and can't believe Sami and Austin's righteous indignation over their little kiss. "That doesn't make it right," Rafe points out. He wonders if Austin would have cheated if they hadn't kissed. Carrie's not ready to shoulder any blame yet. She struggles with feeling as though she doesn't even know Austin anymore. Carrie laments giving up their business for Sami and Austin. Carrie stares at Rafe's lips and wonders what's in it for them. Rafe backs up. He has had more time to take the high road. Though he'd like to smash EJ's head against the sidewalk, he hasn't. He doesn't want to make his life worse than it is. Carrie admits Austin's not totally to blame. Carrie admits when she was in law school, she started having thoughts about her and Austin not being right for each other. She had trouble admitting it to herself. She admits she's been pulling away from Austin because she was falling in love with Rafe.
« Back to Carrie Brady Roberts Reed profile


text: Selected Publications on Multiple Chronic Conditions, 2002-2013 This bibliography lists selected publications on the topic of multiple chronic conditions compiled by the AHRQ Multiple Chronic Conditions (MCC) Research Network Technical Assistance Center. The publications included in this list are primarily from 2010 through 2013, the years during which the AHRQ MCC Research Network was in operation; however, some seminal literature from years prior to 2010 is also included. The bibliography was compiled via a review of published articles using the keywords "multiple chronic conditions" and "complex patients," as well as through nomination by AHRQ MCC Research Network investigators. Articles were selected if they related to the work of one or more network research teams or if the topic had wide applicability to MCC Research Network, based on the reviewers' judgment. Anderson G. Chronic Care: Making the Case for Ongoing Care [Robert Wood Johnson Foundation web site]. February, 2010. Available at: http://www.rwjf.org/content/dam/farm/reports/reports/2010/rwjf54583. Accessed August, 31, 2013. Arora S, Kalishman S, Dion D, et al. Partnering urban academic medical centers and rural primary care clinicians to provide complex chronic disease care. Health Aff (Millwood). Jun 2011;30(6):1176–1184. Ashman JJ and Beresovsky V. Multiple chronic conditions among US adults who visited physician offices: data from the National Ambulatory Medical Care Survey, 2009. Prev Chronic Dis. Apr 2013;10:E64. Bao Y, Casalino LP, Pincus HA. Behavioral health and health care reform models: patient-centered medical home, health home, and accountable care organization. J Behav Health Serv Res. 2012. Barnett K, Mercer SW, Norbury M, et al. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. Jul 7 2012;380(9836):37–43. Baron RJ. New pathways for primary care: an update on primary care programs from the innovation center at CMS. Ann Fam Med. Mar-Apr 2012;10(2):152–155. Basu J. Medicare managed care and primary care quality: examining racial/ethnic effects across states. Health Care Manag Sci. Mar 2012;15(1):15–28. Bayliss EA. Simplifying care for complex patients. Ann Fam Med. Jan–Feb 2012;10(1):3-5. Bayliss EA, Ellis JL, Shoup JA, et al. Association of patient-centered outcomes with patient-reported and ICD-9-based morbidity measures. Ann Fam Med. Mar–Apr 2012;10(2):126–133. Berry-Millett R, Bodenheimer TS. Care management of patients with complex health care needs. Synth Proj Res Synth Rep. Dec 2009(19). Boult C, Reider L, Leff B, et al. The effect of guided care teams on the use of health services: results from a cluster-randomized controlled trial. Arch Intern Med. Mar 14 2011;171(5):460–466. Boyd CM, Darer J, Boult C, et al. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. Aug 10 2005;294(6):716–724. Boyd CM, Vollenweider D, Puhan MA. Informing evidence-based decision-making for patients with comorbidity: availability of necessary information in clinical trials for chronic diseases. PLoS One. 2012;7(8):e41601. Brown R, Peikes D, Peterson G. Features of successful care coordination programs [PowerPoint Slides on Robert Wood Johnson Foundation web site]. December 16, 2009. Available at: http://www.rwjf.org/content/dam/farm/legacy-parents/features-of-successful-care-coordination-programs. Accessed August 31, 2013. Carlin CS, Christianson JB, Keenan P, et al. Chronic illness and patient satisfaction. Health Serv Res. Dec 2012;47(6):2250–2272. Caughey GE, Preiss AK, Vitry AI, et al. Comorbid diabetes and COPD: impact of corticosteroid use on diabetes complications. Diabetes Care. Jun 4 2013. Centers for Medicare & Medicaid Services. Chronic Conditions Among Medicare Beneficiaries – Chartbook, 2012 Edition. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/Downloads/2012Chartbook.pdf. Accessed August 31, 2013. Cohen E, Kuo DZ, Agrawal R, et al. Children with medical complexity: an emerging population for clinical and research initiatives. Pediatrics. Mar 2011;127(3):529–538. Dalal AA, Shah M, Lunacsek O, et al. Clinical and economic burden of patients diagnosed with COPD with comorbid cardiovascular disease. Respir Med. Oct 2011;105(10):1516–1522. Diederichs CP, Wellmann J, Bartels DB, et al. How to weight chronic diseases in multimorbidity indices? Development of a new method on the basis of individual data from five population-based studies. J Clin Epidemiol. Jun 2012;65(6):679–685. Diez Roux AV. Complex systems thinking and current impasses in health disparities research. Am J Public Health. Sep 2011;101(9):1627–1634. Druss BG, von Esenwein SA, Compton MT, et al. Budget impact and sustainability of medical care management for persons with serious mental illnesses. Am J Psychiatry. Nov 2011;168(11):1171–1178. Findley P, Shen C, Sambamoorthi U. Multimorbidity and persistent depression among veterans with diabetes, heart disease, and hypertension. Health Soc Work. May 2011;36(2):109–119. Ford ES, Croft JB, Posner SF, et al. Co-occurrence of leading lifestyle-related chronic conditions among adults in the United States, 2002-2009. Prev Chronic Dis. Apr 2013;10:E60. Formiga F, Ferrer A, Sanz H, et al. Patterns of comorbidity and multimorbidity in the oldest old: the Octabaix study. Eur J Intern Med. Jan 2013;24(1):40–44. Frasure-Smith N and Lesperance F. Depression and anxiety as predictors of 2-year cardiac events in patients with stable coronary artery disease. Arch Gen Psychiatry. Jan 2008;65(1):62–71. Freid VM, Bernstein AB, Bush MA. Multiple chronic conditions among adults aged 45 and over: trends over the past 10 years. NCHS Data Brief. Jul 2012(100):1-8. Fricton J, Rindal DB, Rush W, et al. The effect of electronic health records on the use of clinical care guidelines for patients with medically complex conditions. J Am Dent Assoc. Oct 2011;142(10):1133–1142. Fried TR, Tinetti ME, Iannone L. Primary care clinicians' experiences with treatment decision making for older persons with multiple conditions. Arch Intern Med. Jan 10 2011;171(1):75–80. Goodman RA, Parekh AK, Koh HK. Toward a more cogent approach to the challenges of multimorbidity. Ann Fam Med. Mar-Apr 2012;10(2):100–101. Goodman RA, Posner SF, Huang ES, et al. Defining and measuring chronic conditions: imperatives for research, policy, program , and practice. Prev Chronic Dis. Apr 2013;10:E66. Gorina Y and Kramarow EA. Identifying chronic conditions in Medicare claims data: evaluating the Chronic Condition Data Warehouse algorithm. Health Serv Res. Oct 2011;46(5):1610–1627. Grant RW, Ashburner JM, Hong CS, et al. Defining patient complexity from the primary care physician's perspective: a cohort study. Ann Intern Med. Dec 20 2011;155(12):797–804. Haggerty JL. Ordering the chaos for patients with multimorbidity. BMJ. 2012;345:e5915. Haverhals LM, Lee CA, Siek KA, et al. Older adults with multi-morbidity: medication management processes and design implications for personal health applications. J Med Internet Res. 2011;13(2):e44. Huber M, Knottnerus JA, Green L, et al. How should we define health? BMJ. 2011;343:d4163. Hughes LD, McMurdo ME, Guthrie B. Guidelines for people not for diseases: the challenges of applying UK clinical guidelines to people with multimorbidity. Age Ageing. Jan 2013;42(1):62–69. Hung WW, Egol KA, Zuckerman JD, et al. Hip fracture management: tailoring care for the older patient. JAMA. May 23 2012;307(20):2185–2194. Huntley AL, Johnson R, Purdy S, et al. Measures of multimorbidity and morbidity burden for use in primary care and community settings: a systematic review and guide. Ann Fam Med. Mar–Apr 2012;10(2):134–141. Institute of Medicine. Living Well with Chronic Illness: A Call for Public Health Action. January 31, 2012. Available at: http://www.iom.edu/Reports/2012/Living-Well-with-Chronic-Illness.aspx. Accessed August 31, 2013. Kamerow D. How can we treat multiple chronic conditions? BMJ. 2012;344:e1487. Katon W, Lyles CR, Parker MM, et al. Association of depression with increased risk of dementia in patients with type 2 diabetes: the Diabetes and Aging Study. Arch Gen Psychiatry. Apr 2012;69(4):410–417. Kirkman MS, Briscoe VJ, Clark N, et al. Diabetes in older adults. Diabetes Care. Dec 2012;35(12):2650–2664. Koroukian SM, Bakaki PM, Schluchter MD, et al. Treatment and survival patterns in relation to multimorbidity in patients with locoregional breast and colorectal cancer. J Geriatr Oncol. Jul 2011;2(3):200–208. Kroenke K, Wu J, Bair MJ, et al. Reciprocal relationship between pain and depression: a 12-month longitudinal analysis in primary care. J Pain. Sep 2011;12(9):964–973. Kronick RG, Bella M, Gilmer TP, et al. The Faces of Medicaid II: Recognizing the Care Needs of People with Multiple Chronic Conditions [Center for Health Care Strategies, Inc. web site]. October, 2007. Available at: http://www.chcs.org/usr_doc/Full_Report_Faces_II.PDF. Accessed August 31, 2013. Laiteerapong N, Iveniuk J, John PM, et al. Classification of older adults who have diabetes by comorbid conditions, United States, 2005-2006. Prev Chronic Dis. 2012;9:E100. Langan J, Mercer SW, Smith DJ. Multimorbidity and mental health: can psychiatry rise to the challenge? Br J Psychiatry. Jun 2013;202:391–393. Lehnert T, Heider D, Leicht H, et al. Review: health care utilization and costs of elderly persons with multiple chronic conditions. Med Care Res Rev. Aug 2011;68(4):387–420. Lin EH, Von Korff M, Ciechanowski P, et al. Treatment adjustment and medication adherence for complex patients with diabetes, heart disease, and depression: a randomized controlled trial. Ann Fam Med. Jan–Feb 2012;10(1):6–14. Lochner KA and Cox CS. Prevalence of multiple chronic conditions among Medicare beneficiaries, United States, 2010. Prev Chronic Dis. Apr 2013;10:E61. Loeb DF, Bayliss EA, Binswanger IA, et al. Primary care physician perceptions on caring for complex patients with medical and mental illness. J Gen Intern Med. Aug 2012;27(8):945–952. Machlin SR and Soni AS. Health care expenditures for adults with multiple treated chronic conditions: estimates from the Medical Expenditure Panel Survey, 2009. Prev Chronic Dis. Apr 2013;10:E63. McDaid O, Hanly MJ, Richardson K, et al. The effect of multiple chronic conditions on self-rated health, disability and quality of life among the older populations of Northern Ireland and the Republic of Ireland: a comparison of two nationally representative cross-sectional surveys. BMJ Open. 2013;3(6). Morris RL, Sanders C, Kennedy AP, et al. Shifting priorities in multimorbidity: a longitudinal qualitative study of patient's prioritization of multiple conditions. Chronic Illn. Jun 2011;7(2):147–161. Murray CJ, Abraham J, Ali MK, et al. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA. Jul 10 2013. National Prevention Council. National Prevention Strategy. June, 2011. Available at: http://www.surgeongeneral.gov/initiatives/prevention/strategy/report.pdf. Accessed August 31, 2013. National Quality Forum. Multiple Chronic Conditions Measurement Framework. May, 2012. Available at: http://www.qualityforum.org/Publications/2012/05/MCC_Measurement_Framework_Final_Report.aspx. Accessed August 31, 2013. Noel PH, Frueh BC, Larme AC, et al. Collaborative care needs and preferences of primary care patients with multimorbidity. Health Expect. Mar 2005;8(1):54–63. Organisation for Economic Co-operation and Development. Meeting the challenge of ageing and multiple morbidities. OECD 50th Anniversary Conference on Health Reform;2011. Ording AG and Sorensen HT. Concepts of comorbidities, multiple morbidities, complications, and their clinical epidemiologic analogs. Clin Epidemiol. 2013;5:199–203. Paez KA, Zhao L, Hwang W. Rising out-of-pocket spending for chronic conditions: a ten-year trend. Health Aff (Millwood). Jan-Feb 2009;28(1):15–25. Parekh AK, Goodman RA, Gordon C, et al. Managing multiple chronic conditions: a strategic framework for improving health outcomes and quality of life. Public Health Rep. Jul-Aug 2011;126(4):460–471. Payne RM. The effect of dioestrus on the racing performance of Greyhounds. Vet J. Jun 18 2013. Peek CJ, Baird MA, Coleman E. Primary care for patient complexity, not only disease. Fam Syst Health. Dec 2009;27(4):28–-302. Perruccio AV, Katz JN, Losina E. Health burden in chronic disease: multimorbidity is associated with self-rated health more than medical comorbidity alone. J Clin Epidemiol. Jan 2012;65(1):100–106. Piette JD, Kerr EA. The impact of comorbid chronic conditions on diabetes care. Diabetes Care. Mar 2006;29(3):725–731. Piette JD, Valenstein M, Himle J, et al. Clinical complexity and the effectiveness of an intervention for depressed diabetes patients. Chronic Illn. Dec 2011;7(4):267–278. Quinones AR, Liang J, Bennett JM, et al. How does the trajectory of multimorbidity vary across black, white, and Mexican Americans in middle and old age? J Gerontol B Psychol Sci Soc Sci. Nov 2011;66(6):739–749. Reuben DB, Tinetti ME. Goal-oriented patient care--an alternative health outcomes paradigm. N Engl J Med. Mar 1 2012;366(9):777–779. Rich EC, Lipson D, Libersky J, et al. Organizing care for complex patients in the patient-centered medical home. Ann Fam Med. Jan–Feb 2012;10(1):60–62. Ritchie CS, Zulman DM. Research priorities in geriatric palliative care: multimorbidity. J Palliat Med. Aug 2013;16(8):843–847. Safford MM, Allison JJ, Kiefe CI. Patient complexity: more than comorbidity. the vector model of complexity. J Gen Intern Med. Dec 2007;22 Suppl 3:382–390. Salisbury C, Johnson L, Purdy S, et al. Epidemiology and impact of multimorbidity in primary care: a retrospective cohort study. Br J Gen Pract. Jan 2011;61(582):e12–21. Schneider KM, O'Donnell BE, Dean D. Prevalence of multiple chronic conditions in the United States' Medicare population. Health Qual Life Outcomes. 2009;7:82. Shippee ND, Shah ND, May CR, et al. Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice. J Clin Epidemiol. Oct 2012;65(10):1041–1051. Smith SM, Soubhi H, Fortin M, et al. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev. 2012;4:CD006560. Snyder CF, Frick KD, Herbert RJ, et al. Quality of care for comorbid conditions during the transition to survivorship: differences between cancer survivors and noncancer controls. J Clin Oncol. Mar 20 2013;31(9):1140–1148. Stange KC. In This Issue: Assessing and Acting on Complexity. Ann Fam Med. 2012;10(2):98–99. Starfield B and Kinder K. Multimorbidity and its measurement. Health Policy. Nov 2011;103(1):3–8. Steiner CA and Friedman B. Hospital utilization, costs, and mortality for adults with multiple chronic conditions, Nationwide Inpatient Sample, 2009. Prev Chronic Dis. Apr 2013;10:E62. Steinman MA, Lee SJ, John Boscardin W, et al. Patterns of multimorbidity in elderly veterans. J Am Geriatr Soc. Oct 2012;60(10):1872–1880. Tinetti ME, Bogardus ST, Jr., Agostini JV. Potential pitfalls of disease-specific guidelines for patients with multiple conditions. N Engl J Med. Dec 30 2004;351(27):2870–2874. Tinetti ME, Fried TR, Boyd CM. Designing health care for the most common chronic condition--multimorbidity. JAMA. Jun 20 2012;307(23):2493–2494. Tinetti ME and Studenski SA. Comparative effectiveness research and patients with multiple chronic conditions. N Engl J Med. Jun 30 2011;364(26):2478–2481. U.S. Department of Health and Human Services. Multiple Chronic Conditions-A Strategic Framework: Optimum Health and Quality of Life for Individuals with Multiple Chronic Conditions. December, 2010. Available at: http://www.hhs.gov/ash/initiatives/mcc/mcc_framework.pdf. Accessed August 31, 2013. U.S. Department of Health and Human Services. U.S. Department of Health and Human Services Inventory of Programs, Activities, and Initiatives Focused on Improving the Health of Individuals with Multiple Chronic Conditions [HHS Initiative on Multiple Chronic Conditions web site]. Available at: http://www.hhs.gov/ash/initiatives/mcc/mcc-inventory-20111018.pdf. Accessed August 31, 2013. Valderas JM, Starfield B, Sibbald B, et al. Defining comorbidity: implications for understanding health and health services. Ann Fam Med. Jul-Aug 2009;7(4):357–363. Versnel N, Welschen LM, Baan CA, et al. The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial. BMC Fam Pract. 2011;12:68. Vogeli C, Shields AE, Lee TA, et al. Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. J Gen Intern Med. Dec 2007;22 Suppl 3:391–395. Wallace RB and Salive ME. The dimensions of multiple chronic conditions: where do we go from here? A commentary on the special collection of Preventing Chronic Disease. Prev Chronic Dis. Apr 2013;10:E59. Wang V, Liu CF, Bryson CL, et al. Does medication adherence following a copayment increase differ by disease burden? Health Serv Res. Dec 2011;46(6pt1):1963–1985. Ward BW and Schiller JS. Prevalence of multiple chronic conditions among US adults: estimates from the National Health Interview Survey, 2010. Prev Chronic Disease. Apr 2013;10:E65. Weiss KB. Managing complexity in chronic care: an overview of the VA state-of-the-art (SOTA) conference. J Gen Intern Med. Dec 2007;22 Suppl 3:374–378. Werner RM, Greenfield S, Fung C, et al. Measuring quality of care in patients with multiple clinical conditions: summary of a conference conducted by the Society of General Internal Medicine. J Gen Intern Med. Aug 2007;22(8):1206–1211. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med. Nov 11 2002;162(20):2269–2276. Working Group on Health Outcomes for Older Persons with Multiple Chronic Conditions. Universal health outcome measures for older persons with multiple chronic conditions. J Am Geriatr Soc. Dec 2012;60(12):2333–2341. Zhang Y, Thamer M, Kaufman JS, et al. High doses of epoetin do not lower mortality and cardiovascular risk among elderly hemodialysis patients with diabetes. Kidney Int. Sep 2011;80(6):663–669. Zulman DM, Sussman JB, Chen X, et al. Examining the evidence: a systematic review of the inclusion and analysis of older adults in randomized controlled trials. J Gen Intern Med. Jul 2011;26(7):783–790. Page last reviewed May 2014 Internet Citation: Selected Publications on Multiple Chronic Conditions, 2002-2013. May 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/decision/mcc/selectmccpubs.html


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Alice Ruth Schwendler, 78, formerly of Old County Road, Waitsfield, passed away in the comfort of her family at The Arbors in Shelburne on Wednesday, March 7, 2007. Born in Montpelier on February 3, 1929, she was the daughter of the late Clarence and Charlotte (Goodyear) Tucker. She married Robert George Schwendler in Moretown. Robert predeceased her on January 4, 1980.
Alice was a graduate of Waitsfield High School and later studied nurse's training at Gifford Medical Center in Randolph and Montreal, Canada. She served as a surgical nurse in hospitals in Vermont, Texas and California. While living in California, Alice started her own business selling handmade pinecone wreaths and other specialty items. Following the death of her husband in 1980, Alice returned to her roots in the Mad River Valley where she raised her three sons and became active in Our Lady of the Snows Catholic Church, the Waitsfield Historical Society, the Garden Club and Couples Club. Alice was also integral in the funding of the Waitsfield ice rink. In her leisure time, she enjoyed making pinecone wreaths and needlepoint.
Alice is survived by her sons, John Schwendler and his wife, Michelle, of Simpsonville, SC, Thomas Schwendler and his wife, Karen, of Wilmot, NH, and Daniel Schwendler and his wife, Johanne, of St.- Denis-de-Brompton, Quebec; her grandsons, Andrew, Tom, Nathaniel, Robert, Jonathan and Matthieu; a sister, Judy Smith of Waitsfield; a brother, Clarence "Jerry" Tucker of Liberty, SC; as well as nieces, nephews and extended family. She was predeceased by two sisters, Katherine Tucker and Patricia Robinson, and a brother, Thomas Tucker.
A Mass of Christian Burial was celebrated from Our Lady of the Snows Catholic Church in Waitsfield on Monday, March 12, at 11 a.m. The family requests that flowers be omitted; rather memorial gifts would be appreciated to the Alzheimer's Association, 172 North Main Street, Barre, VT 05641. Interment will take place in San Fernando Mission Cemetery, Mission Hills, CA. To send online condolences, please visit www.perkinsparker.com.


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Kim Kardashian Tweets 'Hot' Swimsuit Photos
Kim Kardashian showed off her curves Wednesday during a photo shoot with photographer Nick Saglimbeni. "HOT HOT HOT! Not even retouched yet!" Kardashian tweeted. The 'Keeping Up With The Kardashians' star showed off her rocking body -- which she claims is the result of using Quick Trim and eating Carl's Jr. salads. (Nothing like a little endorsement love.) See more photos >>
"Love this Brian Lichtenberg swim suit! SUPER SEXY & EDGY!" Kardashian added about her metallic purple swimsuit.
Commenting about the photos, Saglimbeni claimed Kardashian doesn't even need retouched. "U don't need it, silly!" he tweeted. "Aww, that's why I love you Dashes... you make my job so easy!"
Her sister Khloe Kardashian even got in on conversation. "You look stunning!!! Nick is the best," she said about the photos.
- Filed under:
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- Kim Kardashian
- Thursday 28 January
You're dead wrong Amber just like you're friend Kim Kardashian and her family aren't trash or ho's as you have claim which is a lie. If you're so sick of Kim & her family then don't click the headlines and ignore it that easy. You're just jealous of Kim it's showing LOL.
- Saturday 30 JanuaryBy pam ambriz
Shame on you for acting like a 2 year old, and you should NEVER wish bad on anyone, for those of you who are Hater's why bother even going on the site? because deep down inside you wish you were one of them, they are smart, beautiful, and love their Fans, and Family, it is time for all of you to go to a class and learn how to be nice!!
- Thursday 28 JanuaryBy Frank
Amber you would be lucky if a pig would take you out!!!!
- Thursday 28 JanuaryBy Mare
I could not agree more.. she better look good .. because she is a talentless Whore....
- Thursday 19 AugustBy Mark
Amber.... you don't flaunt it because you more than likely DON'T HAVE IT!
- Thursday 28 JanuaryBy al483
Why do all these girls pull there bikini bottoms down. Are they trying to tell us they want to get naked or what? Show us that beave and get over yourself............
- Thursday 28 JanuaryBy ajackson7738
The only way she can get in the news is by pulling her clothes off. If she wasn't mostly naked, she wouldn't even be a footnote. How sad, no talent. Can she sing, dance, act or do anything of substance? Thought so!
- Sunday 25 AprilBy LAURA
- Thursday 28 JanuaryBy al483
You notice she never shows off that azz. Cuz its the size of New Jersey.........
- Thursday 28 JanuaryLowest Rank Vote downVote upReport this
only men like MIGUEL will think kimn who wear so much TRANVESITE
type make up dark like that is "beautiful"not even close lmfao
she like blk men ONLY NO WHITE LATINO ONLY ALL BLK SHE SAY 1000%
MORENO.which is cool if she want that but she got a std or two by
now by many i see she been boinkin,nasty regular short type girl
woman pushin 30'S 1 year and still act 18 grow up kim A REAL man know ur regular typical BRAINS CONFIDENCE=REAL BEAUTY AND NATURAL SKIN NO OR NOT ALOT OF MAKE UP 1
- Thursday 28 JanuaryBy AP
English...learn the language
- Thursday 28 JanuaryBy Jannn
- Thursday 28 JanuaryBy BC
WTF are you trying to say?
- Thursday 28 JanuaryBy Paul
To bad it is all fake, and I know there are guys who like fake
- Thursday 28 JanuaryBy the king
She doesn't have to know how to sing, dance, or act. Her job is to look Fine and she does a great job at it. SHE IS HELLA FINE
- Thursday 28 JanuaryBy grace
I think Kim is a really beautiful girl and looks fabulous in her bikinis. If that is her claim to fame, many stars today have used the same method and it worked. I think it's okay to flaunt it if you look like that.
- Thursday 28 JanuaryBy derekfl008
It is still hard to get over the fact that she did a video with a black dude who was urinating all over her face and body....
- Sunday 14 MarchBy carolj
she is a beautiful girl...no doubt but yes that my friend is a down right shame...and especially with that oogly dude/dud ray j how degrading ... and she wonders why reggie hasn't rushed her to the alter...
- Thursday 28 JanuaryBy JBaer
Eat your heart out, Reggie Bush.
- Thursday 28 JanuaryLowest Rank Vote downVote upReport this
KING,SURE FINE 2 U CAUSE U R A MAN WHO DO NOT LOOK ALL THAT AND WILL BE MOST LIKE TO SWEAT A HEAVY MAKE UP WEARIN Trans lookin like her sorry she is NOT ALL THAT,A REGULAR CUTE TO AVERAGE HEAVY WEARING LOOK T.V. TO ME STRAIGHT UP AND THIS A DAMN GOOD LOOKIN PAPI CHULO HERE STRAIGHT UP.AND I LOVE NATURAL LOOKIN NOT FAKE LOOK LIKE HER,AS HER BODY IS YES TYPICAL AVERAGE EVERYDAY SHORT GIRL BOD THE WOMAN IS NOT ALL THAT,AND HER BUTT ALSO IS NOT AS BIG AS SHE GOT PEOPLE THINKIN,SHE WEAR PADS AT TIME REST IS AIRBRUSH MNY SISTER FOLLOW THE SO CALLED REALITY "STAR"AND SAY THIS ALL TIME,SHE IS NOT ALL THAT AND NEVER WILL BE STD SKANK
Jennifer Aniston
Is it Brad(ley) and Jen take 2? Jen was spotted out on the town with dreamboat ...
Paris Hilton
After Fairly Legal actress, Sarah Shahi, laid into Paris via Twitter for almost...
Kate Middleton
Kate Middleton is officially a princess. She walked the aisle in an Alexander...
Denise Richards
According to Denise, she's not sure that her estranged ex is completely sober....
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When: Thursday, October 31, 2013 7:00 PM - 9:00 PM
Where: LUDWIG FIELD
Event Type(s): Athletics
Come out to support Maryland Women's Soccer as it takes on Pitt for SENIOR NIGHT!
There will be a Student Halloween Costume contest held at halftime. The winner will receive a $100 GIFT CARD TO THE TERRAPIN TEAM STORE.
Don't miss your chance to catch the Women's Soccer team in its LAST HOME STAND of the season.
Website: http://umterps.com
Ticket Information:
Charges: Student Free; ;
Available at: Terrapin Ticket Office at Comcast Center
For more information, contact:
Shane A Springer
Maryland Athletics
+1 301 314 7162


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LaxPower: For the Fan. For the Sport.
3d Rising Player Evaluations: Lone Star Prospects II
Colby Kneese, 2016 - Highland Park
Position: Goalie
Sub Position: Positional
Rating: Player
In order to score on Colby Kneese, you need to BEAT him. Basically, it's got to be an outstanding shot to score. Colby is usually in great position and tracks the ball well, which puts the pressure on the shooter. He is able to shut the door on in-tight shots as well as mid-rangers and downtown bombs. Controlling the rebound, Kneese likes to get the ball up and out in order to create opportunities for the Scots' offense. Kneese is a young goalie who will develop into one of the top keepers in his class.
Video: http://www.youtube.com/watch?v=SHtJj5QcWUw
Ryan Darby, 2017 - Plano West
Johns Hopkins Commit
Position: Goalie
Rating: Watch-List
Darby started his freshman year with a bang by verbally committing to the Blue Jays. He has proven himself a resolute freshman by earning multiple early season starts and taking on established powers ESD and The Woodlands. In addition to the rest of 2014, Ryan will have three more seasons to develop his skill, athleticism, communication, leadership, and game awareness. Compared to other freshmen in Texas, he is one of more developed goaltenders. He tracks the ball well but has a tendency to anticipate and move before the shot is released. Ryan is composed in the clearing game and not intimidated by varsity competition. He has a solid foundation to build a nice playing career on.
Video: http://www.youtube.com/watch?v=h89Gae1GB60
Michael Douglas, 2015 - Plano West
Position: Goalie
Sub Position: Communicator
Rating: Player
The Wolves might have the strongest goaltending corps in the Dallas area, and Michael Douglas is a big reason why. A lefty keeper and the backbone of the Plano West defense, Michael's best attribute is his communication skill. Directing individual players and the overall defense, he ensures the defense functions as a high-pressure, cohesive unit. Michael's quick reflexes, poise, and solid positioning are keys to his ball-stopping ability. The highlight video is from his freshman campaign. Michael has definitely calmed down since then as well as developing strong fundamentals and leadership skills.
Video: https://www.youtube.com/watch?v=5OWRsQLad4s
Mackenzie Gordon, 2014 - Plano West
Position: Midfield
Sub Position: Alley Dodger/Split & Go
Rating: Player
Towering well over 6'0", Mackenzie Gordon is a downhill dodging midfielder equipped with a twine-shredding overhand shot. He uses his size and athleticism well to lean in, pop out, or run by his defender to free his hands. Not afraid to step up in big district games, Gordon found the back of the net six times in a hard-fought 12-11 loss to defending state champ St. Mark's. Mackenzie is an athletic, offensive-minded who that would be a nice pickup for an NCAA squad in need of a physical presence up top.
Gage Bradshaw, 2015 - Plano West
Rutgers Commit
Position: Defense/LSM
Sub Position: Play-Maker
Rating: Player
Gage Bradshaw may be the most versatile player on the Plano West roster. Playing close defense, LSM and taking a bulk of the face-offs, Bradshaw wreaks havoc all over the field. At 6'0", 185 lbs., Gage is able to cover his man with intelligent footwork, recovery angles, and physicality. He does a great job of tying up dominant FOGOs at the faceoff X. Gage will make either an outstanding LSM or close defenseman for the Scarlet Knights ... or maybe he will be utilized at both spots.
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We are the UK's busiest rail operator carrying around one million passengers a day.
For the fourth year in a row Go-Ahead Group plc ('the Group') has been listed in the Top 100 Companies for Corporate Responsibility by Business in the Community (BITC).
BITC's Corporate Responsibility Index, which recognises a company's positive impact on society and the environment, ranked Go-Ahead as the top performing public transport operating company.
Go-Ahead's Group Chief Executive, Keith Ludeman commented: "I am delighted with Go-Ahead's continued success in this year's index. This reinforces our approach to environmental management and highlights our commitment to being a responsible employer and public transport operator."
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Monthly Archives: April 2014
Official Prayers + Apps for Our New Saint Popes!
In light of the canonizations of Pope John Paul II and Pope John XXIII this weekend, the Vatican has announced an official prayer to each of these two new saints.
The beautiful, simple prayers were released in Italian, but the Catholic News Service provided the following translations: Continue reading
Posted in Catholic Events, Catholic News, Pope, Prayer Tagged canonization, pope, pope john paul ii, Pope John XXIII, Prayer, Saints, Vatican 4 Comments
Everything You Need to know about the Divine Mercy Devotion
The Divine Mercy devotion is a modern devotion to the attribute of God's infinite mercy and was promulgated by St. Faustina Kowalska and later the the Universal Church by Pope John Paul II ("The Mercy Pope").
This devotion is multifaceted and involves a divinely inspired image (pictured above) with attached promises for it's veneration, vocal prayers (the Divine Mercy chaplet and Divine Mercy Novena), a book (The Diary of Faustina Kowalska), a Holy Hour (3 o'clock), and a solemn feast day with attached indulgences (Divine Mercy Sunday). Continue reading
Posted in Holy Day / Feast Day, Patron Saints, Pope, Prayer Tagged Divine Mercy, pope john paul ii, St. Faustina 13 Comments
Confirmation: The 7 Gifts of the Holy Spirit
The Sacrament of Confirmation is a sacrament of anointing by the Holy Spirit. The bishop or priest prays for those being confirmed to receive the Holy Spirit and his 7 gifts. What are these 7 gifts and what do they mean? Continue reading
Posted in Sacraments Tagged Confirmation 16 Comments
A Litany of Forgiveness
The Lenten season is filled with reminders to forgive. And, as difficult as it can be to forgive others, it can be just as hard to ask forgiveness for ourselves.
This litany is a great exercise in asking for forgiveness, especially from God. It can be prayed in addition to an examination of conscience, during family prayer or before going to Confession. Continue reading
Posted in Prayer Tagged Forgiveness, Lent, litany, Prayer 4 Comments
A Lenten Tradition: Veiling the Cross
Towards the end of Lent you may notice purple cloths draped over crucifixes, statues, and images of saints in your church. In some churches, these items are actually removed from the sanctuary altogether. Continue reading
Posted in Catholic Traditions, Holy Day / Feast Day Tagged Lent 4 Comments
How to Make a Catholic Easter Basket for Kids
The average Easter basket – the thing that really gets children excited on Easter Sunday – doesn't always reflect the significance of the holiday or call to mind Christ's Resurrection. But this doesn't have to be the case! Continue reading
Posted in Catholic Gift Guide, Catholic Gifts, Catholic Traditions Tagged Easter, family, Gifts, kids Leave a comment
How to Keep a Prayer Journal
Can a Journal Bring You Closer to God?
Do you want to become more aware of God's presence in your daily life? To learn to speak to Him in your own words?
When prayer seems dry and you are not hearing the voice of God, a prayer journal can become a pivotal tool for improving your spiritual life.
You'll be in good company! Lots of saints kept spiritual journals or diaries, including St. Faustina, St. Gemma Galgani, St. Perpetua and many others.
How to Keep a Prayer Journal
There are numerous ways to keep a prayer journal or spiritual diary. If you are interested but don't know where to start, here are some tips on what to write: Continue reading
Posted in Prayer Tagged journal, Prayer, spiritual life, writing 8 Comments