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- Join Date
- Apr 2002
- Location
- Santa Clara, California, United States
- Posts
- 37,209
- Mentioned
- 82 Post(s)
- Tagged
- 3 Thread(s)
Badminton Summer Camp in China Organized by Lili ZhouBadminton Summer Camp in ChinaOrganized by Lili Zhou
Join coach Lili Zhou for the 2nd year of excellent Badminton Summer Camp in Guangzhou, China this year. We not only work hard for badminton, but alsowant to have fun by visiting the attractions in the GuangZhou city. Badminton is a city sport in GuangZhou. There are more than 300 badminton clubs. You will find out how popular badminton is in GuangZhou; most of the people play badminton there. GuangZhou is also the center of its political, economical, scientific, educational, and cultural life. It also has the best food. Guangzhou is a famous historical city.
Camp dates and age requirement
- Date: July 7 to August 7, 2008 (can be changed upon campers preference date)
- Age: For Beginner through advanced learners, 11 & up years old.
- Training hours: 6 hours per day(3 hours in the morning, 3 hours in the afternoon)
- Coaches: Jia Wei Chong, Lin Chen(national level senior coach), Lili Zhou, etc.
Guangzhou Sports Training and Technical College
338 Chang Xing Street, , Tian He GuangZhou, China
During the four weeks, students will stay in air-conditioned rooms with toilets/ shower. 2 or 3 people share one room. Breakfast, lunch, dinner will be served by center cafeteria with the premium Chinese style meals. You will have access to the badminton gym, weight room, and other facilities within the training center. You feel free to look at other sports training as well.
Fees and Sign up:
- $1800 Per person. Including: housing, meals, coaching, equipment, shuttlecock, drinks, facility cost, transportation, and GuangZhou tours. In additional, we will hire two workers to supervise the kids and help for their needs.
- Not including air plane ticket, but we can purchase it at group discount rate around $1000 from SF to GZ.
- We have 15 spots only.
- If you are interested, please call Lili at
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- Aug 2007
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- Netherlands
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How much would I want to join... But my plane tickets to Beijing are already booked on 24-07 to 19-08...
Maybe next time...
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|This page provides a description of physical
characteristics and activities most important to understanding surface
and ground water interaction on the eastern Snake River Plain. The
section focuses on the eastern Snake River Plain because of the intensive
water use in the area and the significant surface and ground water interaction.
:Physical Description
The eastern Snake River Plain extends as a two hundred mile long arc, about 60 miles in width, across southeast Idaho. This plain was formed by the deposition of basaltic lava extruded from numerous vents across the plain. Wind and water deposited sediments overlie the basalt in most areas and are also found interbedded with basalt flows in the subsurface. A more detailed geologic description can be found in the sections on Hydrogeology and Origin of the Snake River Plain.
Precipitation ranges from about 8 inches/year in the lower elevations in the west to about 14 inches/year in the higher elevations in the northeast. The majority of the water supply originates in mountains on the north and east sides of the basin, including the southern portion of Yellowstone National Park. Within the boundaries of the Snake River Plain, rainfall is insufficient to support commercial levels of agriculture without irrigation that requires substantial diversions from surface and ground-water systems. The Snake River flows along the southern margin of the plain, fed by tributaries flowing out of the mountains on the south and east side of the plain. A few tributaries from the northern valleys flow into the Snake River, but many disappear through seepage into the permeable Snake River Plain basalts.
The highly productive Snake River Plain aquifer underlies the eastern Snake River Plain. It has been declared a sole source aquifer by the U.S. Environmental Protection Agency, due to the nearly complete reliance on the aquifer for drinking water supplies in the area.
The aquifer is hosted in layered basalts with sediment occasionally deposited between layers. Highly fractured rubble zones at the contacts between layers provide the primary conduit for ground-water flow. The aquifer is considered to be unconfined but may locally respond as a confined aquifer during short duration pumping. This is presumably due to vertical stratification and the presence of lower permeability sediments interbedded among the basalt layers.
Aquifer recharge occurs mainly in the north and east portions of the
plain, resulting in generally southwest trending
flow lines. Natural discharge from the aquifer occurs primarily
along two reaches of the Snake River: 1) near American Falls Reservoir,
in which spring discharges total about 2,600 cfs; and 2) in the Kimberly
to King Hill reach (Thousand Springs reach), where the collective discharge
is about 5,200 cfs.
During summer, the spring flows provide the majority of the flow in the Snake River below the irrigation diversions of Milner Dam. The Snake River basin contains 15 of the Nation's 65 first magnitude springs (discharge greater than 100 cfs) Above illustration after Kjelstrom, 1986.
The graph to the left is a water budget for the Snake River Plain aquifer representing 1980 conditions. Surface water irrigation is by far the largest component of aquifer recharge, with smaller contributions from tributary valley underflow and seepage from rivers. During the past several decades, ground water storage has been depleted, causing water levels to drop.
Variations in weather patterns and changes in irrigation practices on the Snake River Plain have caused changes in aquifer water levels. The map to the left shows changes in water levels from Spring 1980 to Spring 1998. Some areas of the aquifer have experienced drops in water levels where other areas have experienced slight increases in water levels. (Map provided by the Idaho Department of Water Resources.)
One of the major concerns of conjunctive management is the identification
of river reaches or surface water bodies that are hydraulically interconnected
with an aquifer. The conceptual basis for this concern is described
in the section on "Surface Water and Ground Water Interaction".
In some cases it is difficult to determine the degree of interconnection
because of uncertainties in river bottom conditions and water table depth
and because conditions vary with time. A river reach that at one
time is hydraulically connected to the aquifer may be perched at another
time when aquifer water levels are lower. The State's computer model
of the Snake River Plain aquifer treats four major reaches (bounded by
gaging stations) of the Snake River as interconnected with the aquifer
(illustration above).
1) The Kimberly to King Hill reach (Thousand Springs reach), in which the river is deeply incised in a canyon and springs discharge along the canyon wall and in the bottom of the river. Total spring discharge in this reach is about 5,200 cfs. The discharge in this reach varies seasonally and also has shown long term variations reflecting weather and irrigation patterns.
2) The Neeley to Minidoka reach which may alternately gain and lose water depending upon water table elevation. The U.S. Geological Survey estimated that this reach had a net gain of 180 cfs in 1980 (Garabedian, 1992).
3) The Blackfoot to Neeley reach in which springs contribute about 2,600 cfs to the flow of the river. Spring discharges in this reach exhibit seasonal variation (graph), but have not shown the long-term variation like the Kimberly to King Hill reach (graph). The reason for the long-term stability in this reach is not known.
4) The Henrys Fork and Upper Snake River reaches which were estimated to jointly gain approximately 260 cfs in 1980 (Garabedian, 1992).
Changes in water table elevation, due to natural causes or man caused
activities, result in changes in river gains and losses in these reaches.
Although the effects of ground water pumping cannot be measured or separated
from effects of natural events, ground water models can provide estimates
of individual and collective pumping effects.
in Water Use
Extensive irrigation from the Snake River and its tributaries began in the late 1800s on the eastern Snake River Plain. Gravity irrigation systems typically divert more than twice the amount of water necessary to meet crop requirements (Goodell, 1985). The remainder of the water returned to the Snake River or infiltrated to the aquifer. The incidental recharge from the approximately 900,000 acres of surface water irrigated land resulted in increased elevation of ground water levels. The volume of water stored in the aquifer, as shown in the above graph, increased by about 15 million acre-feet between 1915 and 1955. On the average, 340,000 acre-feet of water were being added to aquifer storage annually during this period. Spring discharge, especially in the Thousand Springs reach, also increased dramatically during this period due to higher water levels. Cumulative discharge in the Thousand Springs reach increased from about 4,800 cfs in 1915 to about 6,800 cfs in 1955. An infrared image of the plain shows the approximate extent of irrigated lands in the early 1990s for areas that appear in red adjacent to the Snake River.
In the mid-1950s, irrigation technology on the eastern Snake River Plain began to change. An increased water use efficiency resulted from completion of additional surface water storage facilities, water conservation programs, and, probably most importantly, increased use of sprinkler irrigation. Surface water diversions for irrigation began decreasing in the early 1970s (see above graph). The increased efficiency of the system led to decreased ground-water recharge that has contributed to the decline of ground water levels and spring discharge. In addition, ground-water withdrawals for irrigation increased dramatically during the last half of the century. About 800,000 acres of ground water irrigated land have been brought into production since the 1950s. At an average estimated irrigation demand of 1.8 acre-feet/acre, the total aquifer withdrawal is about 1.5 million acre-feet/year. The combined effects of decreased recharge from surface water irrigation and increased ground-water withdrawals, along with weather variation, are apparent in the declines in ground-water storage and spring discharge since the mid-1950s. The average rate of decline in ground-water storage between 1975 and 1995 is about 350,000 acre-feet/year. Changes in the collective discharge of springs in the Blackfoot to Neeley and Kimberly to King Hill reaches of the Snake River are shown by a hydrograph.
Recent Challenges in System Management
The State of Idaho administers water rights according to the Prior Appropriation Doctrine (see Water Rights and Conjunctive Management). Idaho fully recognized the need to implement conjunctive management of its water resources in 1984 when the Idaho Supreme Court determined that hydropower water rights of Idaho Power Company at Swan Falls Dam were not subordinated to junior upstream irrigation rights. The case alerted water users in the basin that ground water pumping for irrigation was impacting spring discharge and flow in the Snake River, and that surface and ground water rights were to be jointly administered. In 1992, a moratorium was imposed on new irrigation pumping on the eastern Snake River Plain (Idaho Department of Water Resources, 1996), which is still in place. Subsequently, IDWR promulgated conjunctive management rules to provide a mechanism to stem conflicts between surface and ground water users when water supplies are limited. IDWR has also formed water measurement districts in the Eastern Snake River Plain (see above figure) that require the measurement and reporting of ground-water pumping at rates exceeding 0.24 cfs, or irrigating areas greater than 5 acres.
Depletion of spring flows and declining ground-water levels are a collective effect of drought, changes in surface-water irrigation acreage and practices, and ground-water pumping. A recent model study (IDWR, 1997) indicates that the collective effects of all ground-water pumping within the boundaries of the eastern Snake River Plain depletes spring discharge and flow of the Snake River by about 900,000 acre-feet per year (1,200 cfs). The same study projects that changes in surface water irrigation practices have depleted the spring discharge by about 500,000 acre-feet per year (700 cfs). IDWR and the courts are placed in the position of determining the degree to which junior ground-water users have injured senior surface-water users. Isolating cause and effect relationships on a case by case basis will be difficult and costly.
Although most water users and managers accept the concept that ground water use depletes surface water supplies, it is not necessarily accepted that depletion constitutes legal injury. The conjunctive management rules provide for weighing the time of year in which depletion is experienced, the efficiency of use of the senior water users, and the maximum economic benefits of all uses, against the possibility of "futile call".
The State's conjunctive management rules allow junior priority water
users to mitigate injury to senior surface and ground water users.
One of the mechanisms is to provide supplemental recharge to the aquifer.
Both surface and ground water users have embraced artificial or managed
recharge as a means of avoiding future conflicts and litigation.
Estimates of Surface and Ground Water Interaction
There are several reaches of the Snake River, as well as small streams, that are hydraulically connected with the Snake River Plain aquifer. Ground water pumping from the aquifer initially causes a localized decline in the water table. That decline, or cone of depression, propagates progressively outward until it encounters hydraulically connected surface water bodies. The surface water bodies are subsequently depleted as a result of the pumping. There are four primary points to recognize about the effects of pumping on surface water in the eastern Snake River Plain. The reader should recognize that throughout this discussion the focus is on ground water pumping, but the same concepts, in reverse, apply to aquifer recharge. For more information on these concepts consultSurface Water and Ground Water Interactions.
1) Pumping effects propagate in all directions through the aquifer, not just down-gradient. This means it is possible for a down-gradient water user to affect stream flow in the upper reaches of the plain. This appears to be in contrast to the logic that "water flows downhill", but in fact it is not. Consider the analogy of an water tank in which water is entering from two sources on one end and continuously discharging from an overflow weir on the other end, as shown in the illustration. The water in the tank represents the Snake River Plain aquifer. The one source of fill is a faucet that does not make direct contact with the water level in the tank, therefore it cannot siphon. This represents recharge to the aquifer resulting from perched streams, precipitation, and irrigation sources. If the water level in the tank (i.e. aquifer) changes, it has no effect on this recharge. The second source of fill is a pipe connected below the water surface in the tank. This source represents hydraulically connected stream and river channels. If the water level in the tank drops, more water will flow out of the pipe and into the tank. If a pump is introduced to extract water from the middle of the tank, what will happen? Water levels in the tank will decline, causing the outflow over the weir to be reduced (similar to Thousand Springs). In addition, the inflow from pipe connected beneath the water surface will increase or outflow will decrease (similar to river connection in the Henrys Fork and the upper Snake River). This increase occurs despite the fact that water is flowing through the tank from the inlet to the outlet sides. In the Snake River Plain aquifer, if water is pumped, or recharged, in the center of the plain, gains and losses of the Snake River may be affected at many locations, not just along the flow lines. Flow lines in an aquifer have limited meaning when evaluating the propagation of pumping or recharge effects; they are significant with respect to water quality considerations.
The radial propagation of pumping effects is evident from depletion graphs generated from a numerical model of the Snake River Plain aquifer. It is apparent from the graphs superimposed on the map of the Snake River Plain that effects do not preferentially propagate along the flow lines in the aquifer (see figure). Although pumping sites in the upper portion of the basin are aligned with flow lines that discharge near Thousand Springs, the majority of the impact is expected near American Falls. The simulations did not include effects of the hydraulic connection of the Henrys and upper Snake River, although they may be significant.
2) The total volume of water pumped and consumptively used from the Snake River Plain aquifer will ultimately be depleted from surface water sources and cause a reduction in ground water storage. It is obviously true that water pumped and consumptively used is water that would otherwise have gone somewhere else. If we again consider the water tank above, when our pump is taking water out of the tank, the discharge of the tank is diminished and the inflow from the submerged pipe is increased. The pumping has not exceeded the rate of recharge to the tank, but it has impacted outflow (analogous to springs) and inflow (analogous to a hydraulically connected river reach). In the Snake River Plain aquifer, the entire volume of water pumped and consumptively used will either be depleted from spring discharge, cause a corresponding increase in river losses, or cause a corresponding decrease in river gains. We can neither create nor destroy water in the process of pumping.
3) Pumping and aquifer recharge effects on surface water are often greatly attenuated. Even though the entire volume of water consumptively pumped throughout the Snake River Plain aquifer will ultimately be drawn from surface water sources and ground water storage, that depletion may be distributed over time periods ranging from days to decades. The attenuation of the effects is related to the proximity of the pumping location and surface water body, and the hydraulic properties of the aquifer and stream. The expected approximate attenuation of pumping or recharge effects within about 25 miles of the Snake River in the Thousand Springs area is illustrated graphically. The effects of a 30 day pumping or recharge event are seen to become more attenuated as the site becomes progressively more distant from the river. The illustration uses aquifer properties typical of the Thousand Springs area that may not be representative of other locations within the Snake River Plain aquifer. At greater distances, the effects are much more attenuated. The effects of a 30 year pumping event in the northeast portion of the plain are expected to continue for decades even after the pumping ceases (see graph below).
4) Our ability to estimate ground water pumping
impacts on surface water resources is limited. Although this
page has presented many illustrations that quantitatively relate consumptive
ground water pumping or recharge to surface water depletion, these illustrations
are approximate. They are the result of analytical and numerical
models, but those models are the current representations of our limited
knowledge about the real system. More detail can be found in the
section on "Evaluation Methods".
The above points are extremely significant to water management in the Snake River and the Snake River Plain aquifer. Some of the primary management considerations are:
1) Negative impacts can result from consumptive ground water pumping, even though the rate of pumping does not exceed natural recharge. This is because other users or system needs are dependent on the aquifer.
2) There is no "no-impact" consumptive pumping. Every gallon of water consumptively used is not available somewhere else in the system where it would otherwise have existed.
3) Conjunctive administration of water rights under the Prior Appropriation Doctrine will be an involved process. Complication results from the propagation of effects to changes in consumptive ground water pumping or managed recharge in all directions and the attenuation of those effects in the aquifer and to the stream, and due to our limited knowledge about the aquifer.
4) Managed aquifer recharge can offset some of the adverse economic and environmental impacts of consumptive ground water pumping.
Evaluation Methods
Several methods may be applied to estimate the impact of ground water pumping or recharge on surface water resources. General application of these methods is discussed in the section on "Surface Water and Ground Water Interaction". The primary method used for the Snake River Plain aquifer has been numerical modeling. Numerical modeling allows us to use as much information about the system physical characteristics as we have available; however, our knowledge of the system is never complete.
Several models have been constructed of the Snake River Plain aquifer, or portions of the aquifer. The two most complete models were constructed by the University of Idaho for the Idaho Department of Water Resources (IDWR) and the U.S. Geological Survey (USGS). These two models have similar boundaries and employ the same computer code. They differ, however, in their purpose for construction and, consequently, their design. The USGS model was constructed largely as an investigative tool to explore concepts of the regional ground water flow and improve our scientific understanding of the system. The IDWR model was designed primarily as an aquifer planning and management tool. The IDWR model presents a more simplified concept of the aquifer in that it uses a single model layer. The single layer was used because it was felt that data were inadequate to develop the multi-layer approach used by the USGS. Nevertheless, extremely sophisticated concepts can be simulated with each model. Our development of models is limited by data availability and our understanding of the real system. A comparison of predictions from these two models is currently being explored as part of the Bureau of Reclamation's SR3 project. More information on these models can be found in Cosgrove and others (1999) and Garabedian (1992).
The model developed for the IDWR is the tool that has been, and probably will continue to be, used for evaluating ground water and surface water relationships. Click here for a view of the IDWR State model grid and boundaries. The model was used to perform the Upper Snake River Basin Study (IDWR, 1997) and was used to develop response functions for the river and aquifer (Johnson and Cosgrove, 1999, to be supplied).
The models of the Snake River Plain aquifer described above have been used for many years and presently are accepted to represent the effects that consumptive ground water pumping and managed recharge have on ground water storage and on interactions between the river and the aquifer. However, it is important to recognize that these models are not precise. Although our models will never be perfect, they can always be improved. For example, more ground water-level measurements are needed near the Snake River to better understand and represent the interconnection between the river and the aquifer.

subset: commoncrawl


text:
Bird Eggs
Photographed by Bette Jackson
If you are have difficulty playing the audio click here
Bird Eggs 5
Length of Segment:
Hi, I'm Dr. Jerry Jackson, out with the wild things. Bird eggs vary tremendously in size, reflecting the size of chicks and the extent to which the new hatched chick is developed. Eggs that are relatively large compared to the size of the bird are laid by birds like chickens, ducks, or killdeer whose chicks are capable of moving around and feeding themselves shortly after hatching. The eggs must be large enough to contain all the nutrients needed for the full development of a chick. The incubation period in such birds is long, often nearly a month, to allow for such development. Hummingbirds and many songbirds are so small that they can only lay eggs that are small and contain minimal nutrients. These eggs usually hatch within two weeks, producing helpless chicks that must be fed. Most of their development must take place after the young have hatched. The largest egg laid by any living bird is produced by an ostrich, but this is also the smallest egg laid by a bird relative to the size of the bird. The kiwi hold the record for the laying the largest egg relative to the size of the bird. A female kiwi weighs about four pounds, and she lays an egg that weighs about a pound.
'With the Wild Things' is produced at the Whitaker Center in the College of Arts and Sciences at Florida Gulf Coast University. For 'The Wild Things', I'm Dr. Jerry Jackson.
< Back to Bird Eggs
These recordings are copyright 2007 by WGCU Public Media. They are being made available in the PALMM Digital Library with the express permission of the rights holder.
For permissions please contact the owning institution. WGCU Public Media, 10501 FGCU Blvd. S., Fort Myers, FL 33965


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Diverticulitis and diverticulosis - discharge
Alternate Names
Diverticular disease - discharge
When You Were in the Hospital
You were in the hospital because you have diverticulitis, infection of an abnormal pouch (called a diverticulum) in your intestinal wall.
You may have had a CT scan or other tests that helped your doctor check your colon. You likely received fluids and drugs that fight infections through an intravenous (IV) tube in your vein. You were probably on a special diet to help your colon rest and heal.
If your diverticulitis was very bad, or a repeat of past swelling, you may need surgery.
What to Expect at Home
Your pain and other symptoms should go away after a few days of treatment. If they do not get better, or if they get worse, you will need to call the doctor.
Once these pouches have formed, you have them for life. If you make a few simple changes in your lifestyle, you may not have diverticulitis again.
Your doctor may have given you antibiotics to treat any infection. Take them as your doctor told you to. Make sure you finish the whole prescription. Call your doctor or nurse if you have any side effects.
Do NOT put off having a bowel movement. This can lead to a firmer stool, which will make you use more force to pass it.
Eat a healthy, well-balanced diet. Exercise regularly.
When you first go home or after an attack, your doctor may ask you to drink liquids only at first, then slowly increase your diet. At first, you may need to avoid whole-grain foods, fruits, and vegetables. This will help your colon rest.
After you are better, your doctor will suggest that you add more fiber to your diet and avoid certain foods. Eating more fiber may help prevent future attacks. If you have bloating or gas, reduce the amount of fiber you eat for a few days.
Good sources of fiber are:
- Fruits, such as tangerines, prunes, apples, bananas, peaches, and pears
- Tender cooked vegetables, such as asparagus, beets, mushrooms, turnips, pumpkin, broccoli, artichokes, lima beans, squash, carrots, and sweet potatoes
- Lettuce and peeled potatoes
- Vegetable juices
- High-fiber cereals (such as shredded wheat) and muffins
- Hot cereals, such as oatmeal, farina, and cream of wheat
- Whole-grain breads (whole wheat or whole rye)
See also: High-fiber foods
When to Call the Doctor
Call your doctor or nurse if you have:
- Blood in your stools
- Fever above 100.4 °F that does not go away
- Nausea, vomiting, or chills
- Sudden belly or back pain, or pain that gets worse or is very severe
Fox JM, Stollman NH. Diverticular disease of the colon. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 117.
Prather C. Inflammatory and anatomic diseases of the intestine, peritoneum, mesentery, and omentum. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 145.
Last reviewed 10/8/2012 by George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.
- The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.
- A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.
- Call 911 for all medical emergencies.
- Links to other sites are provided for information only -- they do not constitute endorsements of those other sites.
©1997 - A.D.A.M., Inc.Any duplication or distribution of the information contained herein is strictly prohibited.


text:
Liverpool v Chelsea - Premier League
Chelsea's Belgian midfielder Eden Hazard scores their second goal... News PhotoAnfield Stadium,Belgium,Chelsea F.C.,Club Football,Eden Hazard,England,English Premier League,Football,Football Player,Goalkeeper,Horizontal,Jose Manuel Reina,Liverpool F.C.,Match - Sport,Merseyside,Midfielder,North West England,Panoramic,Penalty,Penalty Spot,Scoring,Scoring a Goal,Sport,Stadium,Traditionally Belgian,UKPhotographer ANDREW YATESCollection: AFP 2013 AFPChelsea's Belgian midfielder Eden Hazard (L) scores their second goal from the penalty spot past Liverpool's Spanish goalkeeper Jose Reina (R) during the English Premier League football match between Liverpool and Chelsea at the Anfield stadium in Liverpool, northwest England, on April 21, 2013. The game finished 2-2. AFP PHOTO / ANDREW YATES RESTRICTED TO EDITORIAL USE. No use with unauthorized audio, video, data, fixture lists, club/league logos or "live" services. Online in-match use limited to 45 images, no video emulation. No use in betting, games or single club/league/player publications. (Photo credit should read ANDREW YATES/AFP/Getty Images)


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February 27, 2003
"Judicial Extremism: a German Antidote"--A Commentary by Prof. Bruce Ackerman
(This essay was originally published in the February 19, 2003, edition of the Los Angeles Times.)
Judicial Extremism: a German Antidote
By Bruce Ackerman, Sterling Professor of Law and Political Science
The Senate filibuster over Miguel Estrada's nomination to the U.S. Court of Appeals has opened the way to another two years of bitter conflict over the future of the federal judiciary. Yet before another cycle of cynical manipulation begins, we should pause a moment to reflect on whom we nominate, and how we handle their nominations.
It is easy for Democrats to condemn President Bush for extremist nominations, and for Republicans to condemn Democrats for Senate filibusters. But these escalating accusations are only symptoms of deeper problems in our system. More modern constitutions have invented better ways to handle the problem of judicial appointments.
After World War II, the Germans embraced the American example and created their Constitutional Court to exercise judicial review. In contrast to our practice, however, their laws require a two-thirds majority in the Legislature for appointments to this highest court. This means that the minority party can veto extremists, pushing nominations into the center.
The mere existence of the supermajority rule serves as an effective deterrent. Fire-breathers don't get on the nominating short list because they will never make it through the supermajority obstacle course.
Politicization is checked further by a second limitation. Although our judges serve for life, German constitutional justices serve for a single 12-year term. So the political stakes involved in any appointment are lower.
These two simple rules have helped preserve the legitimacy of the German judiciary. Like the U.S. Supreme Court, it has handed down many important and controversial decisions. Nevertheless, the leading parties haven't politicized the process of appointment. They are confident that the court will remain anchored in the center of the evolving constitutional consensus. It simply doesn't make sense for politicians to slip highly partisan nominees onto the court in an effort to jolt the law into radically new directions.
Unilateralism is something new in U.S. foreign policy, but it is par for the course in American constitutional law. For the first 150 years of our history, the Supreme Court was almost unique in exercising judicial review -- the power to strike down legislation in the name of the higher law, the Constitution. We had nothing to learn from foreigners because there was nothing to learn.
However, since World War II, many nations have followed the American example of judicial review, and half a century of comparative experience should begin to serve as a precious resource for our constitutional self-understanding.
As everybody recognizes, the founding fathers did not anticipate the powers of the modern Supreme Court. In the words of Alexander Bickel, it was "summoned up out of the constitutional vapors over long historical development." It is a fair question whether the framers would have left appointments to the simple majority of the Senate if they had glimpsed the future influence of the Supreme Court.
In any event, we stand on the shoulders of giants and see some problems more clearly. I do not believe that the court will survive as a legitimate part of our system unless we can somehow break our escalating cycle of partisan manipulation.
Frankly, there is little hope of enacting a constitutional amendment that changes the formal rules for judicial selection to match the successes of the German model. Yet there are other ways of adapting our system to avoid our ongoing political clashes.
The Senate filibuster, for instance, could become a regular part of the process. Filibusters require 60 votes to terminate and, like the German insistence on a two-thirds majority, would serve as a check on extremism in high court appointments.
Presidents also should stop nominating young people to the Supreme Court in the hope of projecting their passing political power 40 years into the future. Nominees should be rejected unless they are 60 or so.
This framework permits a more nuanced approach to the Estrada nomination. Estrada is 42, with sufficient credentials to warrant confirmation to the court of appeals. But the Democrats should make it clear that they will filibuster any nominee to the U.S. Supreme Court of similar youth and inexperience. They should insist on justices with the maturity and record of moderation needed to keep the court within the mainstream of American constitutional values.
Bruce Ackerman, professor of law and political science at Yale, is author of the multivolume We the People (Harvard University Press, 1991, 1998).


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Real Estate Management and Development
Company Overview of Waysons' Properties
Executive Profile
Daniel Boone Wayson
Principal, Waysons' Properties
|Total Calculated Compensation
|This person is connected to 4 Board Members in 4 different organizations across 6 different industries.
See Board Relationships
Mr. Daniel Boone Wayson has been Principal of Waysons' Properties since 1970. Mr. Wayson serves as an Officer and/or Director of Boone Estates, Inc., 3-W Inc., Venture Farms, Inc., and Double Paces Stable, Inc. He served as the Chief Executive Officer and President of Golden Nugget Atlantic City, Mirage Resorts Inc.'s former New Jersey gaming subsidiary, from December 1984 to February 1987. He has been a Director for Wynn Resorts Ltd. of Wynn Las Vegas, LLC since August ...
Corporate Headquarters
1368 Marlboro RoadPhone: 301-627-4424
Lothian, Maryland 20711
United States
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AMC Marple 10 Movie Showtimes
400 South State Rd.
Springfield PA 19064 map
Listening Devices available
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User reviews on AMC Marple 10
Out of all of the movie theaters within the area, Marple 10 is the most convenient and best theater to see a movie in. The other theater patrons are well behaved and are there to WATCH the movie, and not to clown around. The staff is pretty courteous and professional, and the place is pretty clean. Beats dealing with the shenanigans that occur at other locations such as **cough cough** Granite Run or 69th Street. Visit Marple 10 with confidence and assurance that you will go to view a movie and ENJOY IT!
AMC Marple 10 is usually clean and nice. Crowds are not rude nor are they abrasive. The theater is old fashion but well maintain. Their staff are nice and friendly. There is a great dinner and movie deal at Mesa Fresh Mexican located on the opposite side of the mall complex. You get a great dinner and cheap movie ticket for one low price.


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Stock gifts
The Des Moines Art Center welcomes donations of stock.
For information on transferring shares of stocks to the Des Moines Art Center, contact Emily Bahnsen, development director, at 515.271.0338 or via e-mail.
Special fundraising events
The Des Moines Art Center stages one major fundraising event each year,
in addition to the annual Gala in September.
For details contact Debra Kurtz, events director, at 515.271.0326 or via e-mail.
Giving cards
The Community Foundation of Greater Des Moines offers Giving Cards as
another way to encourage charitable giving in our community. When you purchase a Giving Card for yourself or as a gift, a donation will be made back
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For more information visit the Community Foundation of Greater Des Moines
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Gorgeous Juliana (D&E) parure of necklace, bracelet and earrings. The set has large light blue emerald cut rhinestone surrounded by small clear chatons. The metal is silver toned. The necklace measures approx. 16 inches long with a drop of 1 5/8 inches. The bracelet measures 7 1/2 inches long and 1 3/8 inches wide. The earrings measure 1 3/8 inches tall. Great shape. This is a book piece, shown in the book Juliana Jewelry - The Last Generation on page 300.
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In a move that will likely surprise no one, lawmakers in Uganda have once again introduced the Anti-Homosexuality Bill of 2009.
The legislation, which President Obama once called "odious", was dubbed the "Kill the Gays" bill for its death penalty provision for repeat offenders. However, the draft legislation is said to have been modified to drop that aspect of the bill.
A BBC correspondent says MPs laughed, clapped and cried out: "Our bill, our bill," when its architect David Bahati reintroduced the draft legislation on Tuesday.
The Anti-Homosexuality Bill was shelved in 2011 after an international outcry.
The BBC's Joshua Mmali in the capital, Kampala, says Mr Bahati, the primary backer of the bill, has confirmed the draft legislation has changed in one fundamental way.
Those found guilty of "aggravated homosexuality" – defined as when one of the participants is a minor, HIV-positive, disabled or a "serial offender" – would no longer face the death penalty, as originally proposed.
This appears to be slightly inaccurate however. The ever vigilant Warren Throckmorton reports that the legislation tabled by MP Bahati contains no such change. Instead, word is the legislation could be changed at committee stage. Throckmorton has both the original bill and the proposed amended text. However, readers familiar with the legislation's history will know that such assurances have been made before only for the bill to go to the voting stage in tact and without the death sentence deleted.
The legislation was originally introduced in 2009. Then, following an international outcry, action on the Bill stalled until last year when it came close to a full vote before a procedural oversight meant parliament ran out of time.
Though the 8th Parliament consistently flirted with the idea of striking the death penalty, that provision was never actually removed. The death penalty sits alongside the legislation's other grave breaches of human rights, which include:
The parliamentary committee which reviewed the bill last session also recommended a number of additions to the bill, including a penalty on "conduct[ing] a marriage ceremony between persons of the same sex" which would be punishable by three years in prison.
MP David Bahati and supporters have made no secret of the animus behind the legislation, saying that it is vital to protect Uganda's children from the evils of homosexuality, which they call a foreign disease.
We will continue to follow the situation regarding this bill as it unfolds.
To read more about the history of the bill, click here to view Care2′s past coverage.
Related Reading:
Ugandan LGBT Rights Activist Now Allowed UK Entry
Suspicious Burglary at Ugandan Gay Rights Organization
Uganda's "Kill the Gays" Bill Set to Return
Read more: africa, anti-homosexuality bill, david bahati, david kato, gay, hiv prevention, human rights, kill the gays bill, lgbt, lgbt rights, lgbt uganda, martin ssempa, Museveni, uganda
Photo used under the Creative Commons Attribution License, with thanks to US Army Africa
Send some gay Israeli flyboys to buzz their Parliament. Just a friendly warning.
Thank you for sharing
i think David Bahati had psychological and childhood problem! if that Anti-Gay Bill passed, i will pray harder that David Bahati will become gay! God should teach him lesson!
their proposed punishments compared to anti-gay bill organizers who take advantage of law to oppress their people!
if they imposed that, that would be the fall of Uganda! gays should be helped! execute gays and KARMA will flood! kill babies and HELL will sprout!
Thank you for sharing...
Thanks for the article.
Ugh can't believe they're bringing this is AGAIN. Also I think it's a bit hypocritical the US will speak out on this although they haven't fully legalized gay marriage and other gay rights....
We can squawk all we want at Uganda, but we have people over here, running for office, who think and feel the same way. Perhaps they won't go so far as to sanction the severe penalties of Uganda, but only because it it isn't politically expedient to do so. Ask the current crop of republican hopefuls if they agree with Uganda's severe views and if they would go as far. They of course won't support life imprisonment, but they are all anti-gay, make no mistake about it. And Santorum has announced he would bring back DADT, and strip those in the armed service from the right to just have a relationship and not have to lie about it.In many ways, to me, they just represent a watered down Uganda. There is only ONE candidate who will support equal rights, and even he has said he is "evolving" on the whole gay marriage issue.
If Uganda wants to severely punish those who have sex with minors, or those who transmit HIV, that is at least understandable. But to prosecute consenting adults is a ridiculous waste of police and judicial resources.
Disclaimer: The views expressed above are solely those of the author and may
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Care2, Inc., its employees or advertisers.
signed 6/18/15 Animals should never have to live confined.
Thank you for sharing, however indiscriminate sex and irresponsible people cause this disease to spr…
You just have to look into the sad wee eyes of these pigs. They should be out snuffling around outside…
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|Folk, Blues, Travel Mix, Jazz, Southern Gospel
Classic country, modern traditional country, and old-style country music. This station features music ranging from the Carter Family and Jimmie Rodgers to Merle Haggard and Loretta Lynn to Bill Monroe and Rhonda Vincent to Lee Ann Womack and Josh Turner.
We play the widest selection of country music anywhere! Though our primary focus is on promoting the best traditional-style country, our archive stretches more than 85 years across all subgenres. When you want more than just country hits, turn here!


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Bees produce honey from the nectar of blooming plants, but the nectar of one flower will be different from that of another. In order to produce honeys from a particular type of blossom, beekeepers must painstakingly move their hives around throughout the growing season to ensure that their bees are only drinking the nectar of certain blooming plants. The result is distinctive honey that has the aroma, taste, texture and color reflective of a particular species of flower.
Katz and Company's honeys are gathered directly from the hive. Because they are not pasteurized, they maintain the pure flavor and health benefits that are often lost in commercial honeys, which are typically heated to eliminate crystallization.
This honey is gathered from the flora of the California Sierra foothills, including wild berries, sweet clover and star thistle. Light amber with an almost creamy texture, it has a pleasant herbal, grassy character. Try some in your tea. We also like to add a teaspoon to our Sherry Vinegar and Walnut Oil vinaigrette.


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Just two songs into the former Shenandoah frontman's set and I have to pronounce the verdict: the worst set I have ever heard at an IBMA Fanfest. Normally an engaging singer, he's not coming close on his high notes and his band sounds like they have barely rehearsed, especially the electric bass player who has to be the worst musician in the building right now. I'll add a paragraph if this gets any better. Wait, they're now butchering John Denver's "Country Roads." Wait again, they also did a medley including sloppy versions of Hag's "Fightin' Side of Me" and "Dixie," during which more than a few people stood up in reverence.
2 thoughts on "IBMA Fanfest: Marty Raybon"
Well in defense to his singing and nothing more, he was just out of the hospital fighting infection from his cancer surgery. All else can be left to speculate.
To add to that, He checked himself out of the hospital to do that particular set at IBMA and checked himself back in after the set was over. Anyone paying attention would have known that. Marty is a great entertainer and a gifted vocalist. Would this affect the "high-notes"? I think so… Would it affect the over all sound of the band? Yes! But an artist that dedicated to his fans is few and far in between and that sure has effected my opinion.


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Israel allows first relief vehicles into Gaza
Catholic World News - September 20, 2010
Israeli authorities have allowed trucks carrying relief shipments to cross into the Gaza Strip, for the first time since 2007.
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Dear reader: If you found the information on this page helpful in your pursuit of a better Catholic life, please support our work with a donation. Your donation will help us reach seven million Truth-seeking readers worldwide this year. Thank you!
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My heart goes out to the suffering in the Gaza. In my opinion, Israel has forgotten its own suffering during the Holocaust and has perpetrated the same on the innocent peoples in the Gaza.


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South Korea Reacts To North's Third Nuclear Test
South Korean soldiers use public phones at Seoul railway Station on... News PhotoArmy Soldier,Conflict,Horizontal,Seoul,South Korea,Telephone,WarPhotographer Chung Sung-JunCollection: Getty Images News 2013 Getty ImagesSEOUL, SOUTH KOREA - FEBRUARY 12: South Korean soldiers use public phones at Seoul railway Station on February 12, 2013 in Seoul, South Korea. North Korea confirmed it had successfully carried out an underground nuclear test, as a shallow earthquake with a magnitude of 4.9 was detected by several international monitoring agencies. South Korea and Japan both assembled an emergency meeting of their respective national security teams after the incident. (Photo by Chung Sung-Jun/Getty Images)


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Finnish Pianist Paavali Jumppanen
Presented by Scandinavian Cultural Center
October 17, 2013
"A rare wedding of intellectual penetration, coloristic imagination, and sheer virtuoso firepower." –Boston Globe Acclaimed Finnish Pianist Paavali Jumppanen makes a return engagement in support of the Scandinavian Cultural Center's "Building A Grand" campaign to purchase a Steinway B concert-quality Grand Piano. Free. Performance at 7pm followed by a reception. Light refreshments will be served.
Scandinavian Cultural Center
206 Waltham Street
West Newton, MA 02465
Admission Info:
Free. Reservations required.
General Day and Time Info:
Phone: 6177951914
Accessibility Information: Currently, no accessibility information is available for this event.


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Joey Bada$$ – Underground Airplay Feat. Big K.R.I.T. & Smoke DZA (Dir. Creative Control)
Once again, Joey takes us back to the oldschool. How is this guy only just 18? You know the hype is justified when he's got big hitters like K.R.I.T. and Smoke DZA hopping on verses.
Cold Mailman – My Recurring Dream (Dir. André Chocron)
This is absolutely mind-blowing. I need to learn how this was made.
Flatbush Zombies – MRAZ (Dir. Phillip T. Annand)
Flatbush Zombies come up with yet another trippy-as-fuck video. The stuff these guys continue to put out on such a limited budget is pretty damn impressive.
AAN – Mystery Life (Dir. Mike Wilson)
AAN show us that The Grim Reaper is a persistant motherfucker.
Theophilus London – Wine & Chocolate (andhimRemix) (Dir. Dominic Repenning & Henrik Alm)
Shot in Hamburg, this video perfectly showcases the German city as well as the youth scene and their interactions with Theophilus himself. Best part of all, it was recommended to me by one of our lovely editors, Georgia Reeve. Thank you for keeping me in mind, Georgia


text: Elsie White | IBDB: The official source for Broadway Information IBDB: The official source for Broadway Information Official Broadway League sites: - sites - broadway.org broadwayleague.com broadwayfanclub.com kidsnightonbroadway.com stagespecs.org tonyawards.com Quick Search For: In This Category: All Show People/Org. Theatre Season Elsie White Composer Female Productions ProductionsDate of ProductionsZiegfeld Follies of 1921[Musical, Revue, Original] Featuring songs by Elsie White Jun 21, 1921 - Oct 01, 1921 Find out where Elsie White and are credited together © 2001-2015, The Broadway League, All Rights Reserved. (Copyright and Disclaimer)


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Dialysis needles, self-cannulation, and the Buttonhole technique
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Dialysis needles, self-cannulation, and the Buttonhole technique
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For many people on in-center hemodialysis (HD), getting the needles placed is the most high stress part of a treatment. Lack of control over who puts in your needles can be a black cloud over your treatment days. Fear of someone new putting in your needles may even keep you from traveling. But you can reduce your stress and feel less pain by putting in your own needles.
If you plan to do home HD, learning to place your needles (self-cannulation) will be part of your training. Learning that skill ahead of time can get you over a hurdle and help shorten your training time. You can learn to put in needles with your left hand if you are right handed, or vice versa. You do need to be able to see and to move your wrist, hand, and fingers.
When you learn to put in your own needles, you are literally taking control into your own handsthat's a great feeling. In this article, we'll cover why it's best to put in your own needles, getting past the fear, how to put in needles, and the Buttonhole Technique.
Keep your access longer
You've heard that your access is your lifeline, and it's true. Each person only has about 10 sites that can be used to make a fistula or graft for HD access. So, it's vital to keep each one as long as possible. The best way to do this is to have one, consistent person placing the needles. And the only person who goes to all of your HD treatments...is you.
Access defined
A fistula is a direct link from your own artery to your own veinall your own tissueso it's less likely to get infected or clotted. It is the best type of access and most likely to help you live longest.1 A graft is a piece of artificial tubing used to link your artery and vein together. It is more likely to need hospital "tune-ups" to remove clots, and more prone to infection.
When your access is infiltrated (the needle punctures both walls of the access), blood leaks into the tissues and causes swelling, and often a painful bruise. The escaped blood can compress your access. This may cause stenosis (narrowing of the blood vessel) and/or a blood clot that could damage your accessor even cause it to fail.
When someone else puts needles in, they can only feel the outside of your access. Since your access is in your arm or leg, you can feel the inside and the outside. Plus, each person may use a different angle to put the needles inwhile you would use the same angle each time.
Both of these factors give you a built-in edge that no one else has, not even a professional. You are much more likely to do a good job. Your access may last years longer if you put your own needles in (and this helps reduce your stress level). Some fistulas have lasted 30 years or more.
Getting past the fear
There's no question that it can be hard to get up the nerve to put in your own needles. But people who do it say that they must focus so hard on getting the needle in that it distracts them from the pain. So, it hurts much less, which is a plus.
* If needle pain or fear of needles is an issue for youas it is for manyplease be sure to read our article called Dialysis Needle Fear: Easing the Sting.
You can take baby steps to get used to the idea of putting in your own needles:
* Start by watching while someone else gets their needles put in.
* Next, try watching while you get your own needleseven just a glance at first, if that's all you can do. Look for a bit longer at each treatment.
* Hold your sites at the end of treatment if you haven't been doing that.
* Ask the staff if you can hold a needle to get used to how it feels in your hand.
* Think about using a topical cream or gel to numb the skin over your access.
* Ask the staff to teach you how to put your needles in.*
* Note: Some centers worry that they will be sued if they let people self-cannulate. Others say they can't allow it if they are not certified by Medicare for self-care or home dialysis. Neither of these is true. No center has ever been sued for letting patients self-cannulate. (Putting in your own needles is safer than having someone else do it.) Plus, Medicare supports self-cannulation as part of the Fistula First program to raise the numbers of people who have fistulas. No self-care or home certification is needed.
How to put in needles
You can learn how to put in needles by having a professional show you, step-by-step, what to do. It's more of an art than a science. There are few studies to guide how things are done. Each center does the steps a bit differently; it's best if you follow the steps the way your center or home training nurse prefers. Here are the basic steps:
1. Gather your supplies. You'll need needles, gauze pads, tape (you'll tear a number of pieces to length), a tourniquet, a cleanser for your access, clean gloves, alcohol wipes, Band-aids, a sharps container (to dispose of used needles or syringes), etc. Have it all in one place, with tape pieces torn and ready to use, so things go faster. You may want to write a checklist (or your center may give you one) of all the things you need.
2. Assess your access. Feel for the thrill (buzzing vibration) and listen for the bruit (whooshing sound) with a stethoscope. Your bruit should sound the same from one day to the next, and your thrill should feel the same. A higher pitched bruit or thrill that becomes weaker can mean a problem that needs to be fixed. Look for signs of infection, like pus, warmth, swelling, or redness. Never place a needle into an area of infectionyou could spread it into your bloodstream. If you see signs (or have a fever), call your training nurse. Don't place needles into spots that are flat or bulging. Choose your sites.
3. Wash your hands & access. Your center will teach you how to wash your wrists, hands, fingernails, and between your fingers, and to clean off your access site. Use the soap or antibacterial product they suggest. Dry your hands well with paper towels, and use a paper towel to turn off the faucet. Put on gloves.
4. If you have a fistula, apply a tourniquet or blood pressure cuff. A tourniquet just below your armpit helps you see your access, keeps the vessel from rolling, and tightens the skin so it is easier to put the needles in. The tourniquet should not be so tight that it causes pain or makes your fingers turn blue! Never use a tourniquet during dialysis. Tourniquets are not used for grafts.
5. Insert the needles. Your training nurse will teach you how to hold the needle and what angle to hold it at to reach your fistula or graft. In most cases, both needles will point up, toward your shoulder.2 You'll grasp the wings of the needle and avoid touching it to anything except your cleansed skin. (If the needle touches something else, throw it out in a Sharps box and use a fresh one to avoid infection). Touch it to your skin and slowly press forward until it is in the vessel. You may feel a small "pop" when it is in place. Some centers will have you attach a syringe to the needle with saline in it. Others will not. A "flashback" of blood in the syringe or at the hub of the needle once you hook it up will help you to see that you are in the right spot.
6. Tape down the needles. You'll learn how to place tape to hold the needles in place. For nocturnal home HD, you'll use extra tape, a Tegaderm® bandage, or a similar dressing to hold your needles and tubing safely in place all night.
7. Troubleshooting. If the arterial or venous pressures on the machine are high, or the needle is uncomfortable, it may be pulling against the wall of your access. Your training nurse will teach you how to gently move it to a better spot. You may need to tape a small gauze pad under it to help hold it in place at the right angle.
8. Removing the needles after treatment. When your HD is done, you'll take off the tape, and slowly remove one needle at a time, putting pressure on the site after the needle is all the way out. (Pressing on the needle while it is coming out can cut your access). When both needles are out, you'll hold your sites until the bleeding stops, then tape them or use a Band-Aid® as you were taught.
Using the buttonhole technique
When needles are removed from your access, they leave small holes. Over time, with many treatments, those holes must be carefully managed to avoid damage. Too many needles in the same small area can cause weak spots that can "balloon" out to form aneurysms (the "lumps and bumps" you may have seen on a long-term access). In a graft, there is only one way to prevent this: rotating needle sites. But in a fistula, there are two ways: rotating needle sites or using the buttonhole technique.
The buttonhole technique is also called "constant-site cannulation." It's not a device; it's a different way of putting in the needles. Instead of rotating sites, you choose two sites (one for each needle) and use them only. At each treatment, you put the needles in exactly the same spots at exactly the same angle. In 8-10 treatments or so, scar tissue will form around the needle into a tunnellike a pierced earring holeat each site to guide the needles into your fistula.3 The small holes, next to each other, look like the ones in a button.
When this happens, you use special, blunt needles that are much less likely to infiltrate or to change the track. People who use the Buttonhole Technique say that it is less painful than using a sharp needle at each HD treatment and when rotating needle sites. Once the tunnels are formed, it is usually quite easy to place the needles. Research shows that you are less likely to get aneurysms with the Buttonhole Technique.4
To use the Buttonhole Technique, you:
Gather your supplies.
Assess your access.
Wash your hands and access.
Apply a tourniquet or blood pressure cuff.
Remove the scabs from the last treatment. Scabs can be removed in several ways, but moistening them first is most helpful. You can use tweezers, a washcloth or gauze to remove the scabs.
Insert the blunt needles. There should be no resistance when the needle slides down the tunnel. A little pressure will be needed to push the needle through the blood vessel wall. Excessive force should never be used to insert your needle. Call your training nurse for help if you run into a problem. Sometimes, you might need to use a sharp needle for one treatment.
Tape down the needles.
Troubleshoot if necessary.
Remove the needles after treatment.
Medisystems, which makes the blunt needles that are used for the buttonhole technique, has a helpful brochure and a video so you can see this for yourself. You can download the brochure here, or call 800-369-MEDI to order the Constant-Site Cannulation with Buttonhole® Needles video.
Putting in your own needles is a vital self-care skill that will help preserve your access so you can feel your best and have more control over your treatment. When you can put in your own needles, you always know that you have an expert cannulator close at hand. This can free you up to travel or think about doing home HD.
1. Dhingra RK, Young EW, Hulbert-Shearon TE, Leavey SF, Port FK: Type of vascular access and mortality in U.S. hemodialysis patients. Kidney Int 60:1443-1451, 2001.
2. Lewis C. Let's empower patients with the choice of self-cannulation! Nephrol Nurs J 32(2):225, 2005.
3. Twardowski Z, Kubara H. Different sites versus constant sites of needle insertion into arteriovenous fistula for treatment by repeated dialysis. Dial Transplant 8:978-80, 1979.
4. Kronung G: Plastic deformation of Cimino fistula by repeated puncture. Dial Transplant 13(10): 635-638, October 1984.
Copyright © 2006 Medical Education Institute, Inc. All rights reserved.
Here is a man doing Hemodialysis at home and I noticed he is doing the Button Hole technique so I thought I would add it to this thread.
A simple method to create buttonhole cannulation tracks in a busy hemodialysis unit.
St. Michael's Hospital, Toronto, Ontario, Canada.
The preference for fistulae as the hemodialysis access of choice has led to a significant number of accesses that are less than ideal for cannulation. Buttonhole cannulation is ideal for such accesses, but the technique for creation provides major challenges. In 12 patients, buttonhole tunnel tracks were created by leaving the polyurethane catheter of a Clampcath hemodialysis needle indwelling for 10 days after the initial cannulation. After each dialysis the catheter was flushed, and dressed with an antibacterial ointment and gauze. Dialysis was carried out via the catheter during that time. After day 10, the catheter was removed, the tunnel track covered with an antibacterial dressing and the tunnel track was cannulated with a dull buttonhole needle at the next dialysis. Successful buttonhole accesses were created in 11 patients after 10 days, the 12th patient required a single sharp needle cannulation before using dull needles. During the first 2 weeks of dull needle cannulation both pain experienced on cannulation and the difficulty cannulating the access were significantly less than in the classical buttonhole technique (P<0.01). Complications during the follow-up period (6 months-1.5 years) included difficulty cannulating with a dull needle (22) and antibacterial agent induced contact dermatitis (4). There was no episode of sepsis or tunnel track infection. Initial cannulation of the fistula using a Clampcath hemodialysis needle, leaving the polyurethane catheter indwelling for 10 days, is a simple, safe, and effective technique for the creation of buttonhole tunnel tracks.
Thx Jester
I also wanted to add this that Jessica posted on KidneySpace:
**sorry FistulaFirst changed ALL the links...**
More PDF's you might find useful to read:
(The next 2 are from this page: http://www.homedialysis.org/learn/buttonhole/)
Starting a buttonhole
Cannulating a buttonhole
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Peanut Sauce
Yield: Makes 2 cups
Bon Appétit | March 2013
by The Bon Appétit Test Kitchen
- 1 1" piece ginger, peeled
- 1 small garlic clove
- 1/2 cup creamy peanut butter
- 2 tablespoons reduced-sodium soy sauce
- 1 tablespoon fresh lime juice
- 1 teaspoon (packed) light brown sugar
- 1/4 -1/2 teaspoons crushed red pepper flakes
With motor running, drop ginger and garlic clove into a blender and blend until finely chopped. Add peanut butter, soy sauce, lime juice, brown sugar, red pepper flakes, and 1/3 cup water and blend, adding more water by tablespoonfuls if needed to thin, until smooth. DO AHEAD: Peanut sauce can be made 3 days ahead. Transfer to a small bowl, cover, and chill. Bring to room temperature before using.
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text: Getty Images Massachusetts Drug Lab Problems By Jack Peterson December 28, 2012 An outside review of 17 labs in the same state building that housed the lab at the center of a drug -testing scandal found that they, too, had problems. Read More|Comment Category: News Tags: drug lab, Massachusetts, problems Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


text: kirinqueen, flickr [ How Often Do You Clean Your House? By Sue Moll September 17, 2012 13% of respondents said their homes go five or more weeks between cleanings. Oh boy..I could never do that, I'm sort-of a clean freak. Read More|Comment Category: Articles Tags: house cleaning, lysol, Ocean County Breakfast Show, Shawn & Sue, vacuum Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


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Big and dynamic spatial-temporal data have been, and continue to be, collected with modern data acquisition techniques such as global positioning systems (GPS), high-resolution remote sensing, census surveys, and internet-based volunteered geographic information. The research efforts in our lab focus on the development of new theory, methodology, and their applications to help understand massive and complex spatial data, acquire new insights and knowledge, and better support decision and policy making. Specifically, we have been conducting research in the following closely related areas (for each you may find related publications and software on this site):
To Prospective Graduate Students: We are always looking for talented graduate students. The Department of Geography at University of South Carolina is among the strongest geography programs in the U.S. (top 10 in the NRC survey), where you can work with world-renowned scholars. Please follow the procedure to apply.


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Before she arrived in Tanganyika in the summer of 1963, Gail M. Gerhart '65 had never seen a mango tree or even eaten a mango. Every afternoon, in the elementary school where she taught English, a bell would ring, signaling the end of the day. Upon hearing this alert, Gerhart recalled that the children leapt out of their seats and bolted toward the door.
"I thought, 'Maybe I'm a bad teacher," she said.
But it was not Gerhart's teaching that propelled the young students out of the schoolhouse. Outside the front door stood a "gigantic" mango tree from which fresh fruit fell each day.
"If you were the first one out there, you could eat the mangos that fell under the tree," she said. "I was relieved."
That summer, Gerhart was one of 20 undergraduates participating in the third summer of the Philips Brooks House Association's Project Tanganyika, which gave undergraduate participants the opportunity to travel to Africa at the peak of the decolonization movements throughout the continent.
Project Tanganyika sent its first cohort of volunteers abroad in the summer of 1961. That December, Tanganyika gained independence from the United Kingdom.
The first PBHA program that took students abroad, Project Tanganyika represented the widespread idealism that emerged at Harvard during the early 1960s.
Despite the reality that an independent African Studies program would not exist at Harvard until 1969, Project Tanganyika significantly influenced its participants, encouraging many to find careers in civil rights and public service in the United States and in Africa.
Project Tanganyika embodied the idealism and sense of adventure that permeated the Harvard campus in the early 1960s.
Even before President John F. Kennedy '40 passed the Peace Corps Act, which officially established the international public service organization in 1961, Peter C. Goldmark Jr. '62 was conjuring his own plan to travel to Africa.
Goldmark's intellectual interest in Africa, along with inspiration from a group of students who had traveled to Africa through the non-profit organization Operation Crossroads Africa, motivated him to develop Project Tanganyika.
According to Goldmark he envisioned the program as "an outlet for young energy in the world."
Robert J. Bennett '64, who traveled with Project Tanganyika, said that Kennedy's idealism inspired students to apply for the program.
"That [Kennedy] was organizing this Peace Corps was something so radical and so idealistic that it was something that did have an impact on us," he said.
Read more in NewsRadcliffe Breaks the Curfew
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Faust Embraces African EducationUniversity President Drew G. Faust announced a collaborative effort with a South African university to improve the country's education systems last Thursday during a six-day trip there, the first time a sitting University president has travelled to the African continent.


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Get to Know the Great Cloud of Witnesses
Posted by MK | Filed under Bible Study
A few weeks ago, a minor league player for the Baltimore Orioles got a homework assignment from Orioles manager Buck Showalter. Josh Hart, the minor league player, evidently didn't know who the great Oriole Frank Robinson was, so Showalter required him to go home, do some research, and hand in a one page report the next day. According to Showalter, "It's important that we realize there were some people that paved the way to have that strong fan base, the people that live and die with everything the Orioles do."
The lesson for Hart was to know the history. Know whose shoulders you are standing on. It was a point well taken by the young man, and a valid point for believers as well.
Know the history. Know whose shoulders you're standing on.
The writer of Hebrews, after listing out his own "Faith Hall of Fame" in Hebrews 11, gives us the exhortation in Hebrews 12:1: "Therefore, since we also have such a large cloud of witnesses surrounding us, let us lay aside every weight and the sin that so easily ensnares us. Let us run with endurance the race that lies before us, keeping our eyes on Jesus, the source and perfecter of our faith, who for the joy that lay before Him endured a cross and despised the shame and has sat down at the right hand of God's throne."
This echoes what God has told His people over and over again: Remember. Remember what these 12 stones represent. Remember when I brought you out of Egypt. Remember through these holidays and festivals. Remember.
In light of the call to remember, I think there are at least three reasons why we should get to know the great cloud of witnesses that have gone before us:
1. To know there is nothing new under the sun.
Whenever we have a problem, we naturally think our situation is completely unique. That we are the first to deal with this issue, to struggle in this way, or to be concerned in this manner. We are not. Likewise, whenever we learn something new about God or the Bible, we naturally think we are the first one. The first with a new revelation. The first with a clever insight. The first with open eyes and hearts. We are not. It's both encouraging and humbling to realize that there is nothing new under the sun, and we can look to the great cloud of witnesses that have gone before us to see it to be true. When we are in touch with our history, we won't trick ourselves into a deluded sense of self-importance that comes with an inflated sense of uniqueness.
2. To be on guard for the mistakes of the past.
Whoever said that when you fail to remember the past you are doomed to repeat it, was right. To take it a step further, you could say that a refusal to remember the past is equated to arrogance; it's the belief that we don't need to remember anything because we are not prone to wander. But we are, and Lord, we feel it. Because we are, it profits us greatly to remember how those before us have stumbled doctrinally and morally, and to know that our hearts are as deceptive as theirs once were. We can, and should be, on guard, and remembering what came before us is one way way that helps us stay that way.
3. To remind ourselves of grace.
It's encouraging as you read back through the list of Hebrews 11, that particular cloud of witnesses, to see that without exception they were people of great failure. What marked them was not their morality; it was their faith. So as we remember the mistakes of the past, we can also remember the grace that was shown then, and we can know in the present that the fountain of that same grace has not run dry.
So get to know the great cloud of witnesses, both of Hebrews 11, and in your own life and history. Watch not only your perspective grow, but also your vision of the God of yesterday, today, and tomorrow.
2 Responses to "Get to Know the Great Cloud of Witnesses"
Get to Know the Great Cloud of Witnesses » ZIONICA.com Says:
March 12th, 2014 at 1:01 pm
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George Rogers Clark Says:
March 15th, 2014 at 3:28 pm
My first pastor taught me that the Lord is the author and finisher of our faith. Hebrews and the "hall of Faith Fame" helped me accept that I could have the faith that was needed when it was needed. It was the beginning of growth. Thank you for a good word.


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Thursday, October 8, 2015
Based on a stage play by Edgar Wallace, The Calendar is set amongst Britain's horsey set. Herbert Marshall and his then-wife Edna Best star as a wealthy racehorse owner and his pretty trainer. After divesting Marshall of his millions, his mistress Anne Grey leaves him in favor of a younger, handsomer man. The hapless hero is then betrayed by his butler, who gets his master drunk and convinces him to throw the next race. Banned from the track by a jury of jockey's (the film's highlight), Marshall is afforded the opportunity to redeem himself and to settle old scores with those who've wronged him, thereby paving the way for a climactic clinch with his true love, Best. ~ Hal Erickson, Rovi


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Just scroll down for information on setting up Voicemail, Diverting calls, using International Roaming and other features on your Optus or Telstra Mobile Phone.
Using your phone on the Optus Network is a very simple affair. Below we have listed Optus Mobile User Guide instructions for setting up your mobile phone, setting up & activating Voice Mail and setting diversions. Below that there are a few trouble shooting tips for your Optus Mobile.
When you first access voicemail, you will need to set up your PIN (Personal Identification Number), record your name and a personalised greeting.
You need to ensure your callers press the hash to leave your message.
1. Dial 321 to access your Voicemail box
Press 5 to save message
Once the call ends, any messages that have been requested to be deleted cannot be recovered.
Whilst overseas - Dial +61 411 000 321 from your mobile or any other phone. Then enter your mobile number and your Voicemail security code.
If you've forgotten your code and need to re-set it to the default code (last 4 digits of mobile number), contact customer care on 1300 783 528.
To check voicemail from a landline from within Australia dial 133321, then enter your mobile number and your Voicemail security code. If you've forgotten your code and need to re-set it to the default code (the last 4 digits of your mobile number), contact customer care on 1300 783 528.
If you need to divert your phone calls from your mobile phone you have a number of options.
Choose either the 'Divert' option from your mobile phone menu, enter 321 and enter the divert code, Or use the following shortcuts:
Enter the following code directly into the handset to extend ringtime before diverting to voicemail;
30 seconds is the maximum, and it must be a multiple of five, ie 5, 10, 15, 20, 25 or 30.
Making Video calls very simple. If you phone is Video call compatible, your handset will provide you with a choice when you elect to make a call. As long as you are in a 3G area and the person receiving the call has a Video Compatible handset and is also located within a 3g Area you can make a video call. Video Calls take a bit longer to connect - usually around 10-15 seconds.
OPTUS MMS SETTINGS- APN > mms
- Username > [Leave Blank]
- Password > [Leave Blank]
- MMSC > mmsc.optus.com.au:8002
- MMS Proxy > 126.96.36.199:8070
- MMS Max Message Size > [Leave Blank]
- MMS UA Prof URL > [Leave Blank]
International Roaming Guide on Optus Auto Roam
Q: Where can I use International Roaming on Optus network?
Q: How much does it cost to call overseas on my mobile?
Q: How much does it cost to Use International Roaming overseas?
When someone calls you (from Australia or overseas), they will be charged the normal cost of a call to an Optus mobile in Australia. You will be charged at Optus' 'yes' International rates (excluding GST) plus a 40c flagfall. Plus, in some countries an overseas carrier charge may also be applicable.
Q: How do I minimise by charges while International Roaming?
There are several ways to reduce your call charges. Firstly don't leave your phone on all the time unless you have to and this will mean incoming calls will go to Voicemail rather than you pay incoming call charges.
Do not use 3G Wireless Data (Mobile Broadband) while roaming. It is very expensive at $20.50 per mb. It is our strong recommendation that you use WIFI if you need to access data while over seas.
Try to keep your calls short as you pay a charge fr both incoming and outgoing calls.
Use SMS as much as possible and request your callers SMS you which will allow you to control your costs.
You can also reduce your Voice Mail costs by putting your phone on divert to Voicemail for all calls before leaving Australia. If a received call is diverted to VoiceMail because you do not answer or because your phone is busy, you will also be charged the international call rate for the applicable zone to divert the caller back to your VoiceMail box in Australia. These charges may be minimised by setting an "unconditional" diversion to VoiceMail, so that all incoming calls are sent directly to your VoiceMail rather than to your overseas destination.
Q: What should I do before leaving Australia?
Check that the countries you plan to visit have Optus AutoRoam coverage. Also check the rates for making calls, sending SMS and using GPRS services on overseas networks. If you haven't previously used AutoRoam, arrange for AutoRoam to be activated by calling Telaustralia Customer Service 1300 783 528.
Check that you handset will work in the countries you plan to visit. Destinations such as Japan, Korea have networks that may not be compatible with your handset. It's a good idea to change the numbers in your handset's phone book to international format (for example +61 4XX XXX XXX for an Australian mobile number or +61 2 9XXX XXXX for a Sydney home phone). This will allow you to call back to Australia from your handset's 'phone book' in the usual way.
Q: How do I contact Telaustralia Customer Service while overseas?
Q: How do I use International Roaming?
Please ensure you activate International Roaming before leaving Australia. International Roaming cannot be turned on while overseas.
Turn on your phone when you arrive. After about 30 seconds, most phones will automatically select one of the AutoRoam overseas networks. Once connected, the name of the network will appear on your phone's screen. Your phone is then ready to use.
Q: How do I access voicemail while overseas?
Q: How do I send an SMS to someone overseas?
Q: How do I send a MMS to someone overseas?
Q: Whats the cheapest way to communicate back to Australia?
Q: Why do iPhone, IPad & Smartphone users get outrageously high phone bills after their trips abroad?
A: Roaming Wireless data is charged at $20.50 per MB. Many Smart Phones including the iPhone & iPad were made for data, and as a result it can cause some problems for international travelers, because data rates are typically much higher than voice rates. For example, the iPhone's visual voice mail works over the data network. So when iPhone subscribers receive a voice mail while traveling and their phone is on, that voice mail message will be charged a data rate, regardless of whether that iPhone subscriber checked his voice mail. If iPhone users are having their e-mail pushed to them all the time, this can also jack up the price of their service. And streaming video of any kind over the cellular network will rack up data charges very quickly regardless of whether you're on a smartphone or using a 3G data card. Avoid High Roaming 3G Data charges by turning your Roaming data Option off and using WIFI while over seas.
Q: What can I do to make sure I dont get a huge Data Bill when I travel overseas?
Q: Are these huge data charges a problem for other smartphone users like BlackBerry users or phones running Windows Mobile?
Neither the BlackBerry nor Windows Mobile phones use visual voice mail, so that is not a concern on these devices. But streaming video on these devices could also rack up some hefty data charges as well. So be careful. As for downloading e-mail or receiving pushed e-mail, Windows Mobile users should also be careful. These phones also allow users to turn off the push e-mail function. But BlackBerry users don't have to worry as much, because Research In Motion, the maker of the BlackBerry, has developed a very efficient way of delivering e-mail to end users that doesn't eat up a lot of bandwidth. Our advice is to turn 3G Roaming data off and use a WIFI network if you need to access the internet while over seas.
All rates listed in $AUD. Voice & Video Calls rates are shown per minute and charged with an initial increment of 60 seconds and per 30 seconds thereafter. GST does not apply to roaming charges (with the exception of the standard SMS, MMS, international SMS and international MMS rates).
^ Requires a GSM 1900MHz compatible (tri-band) handset , † Requires a GSM 850MHz compatible (quad-band) handset , ‡ Requires a W-CDMA (3G) compatible handset ,* SMS services not currently available here, § Requires a 3G 850/1900 handset for 3G Roaming, Some handsets may not be supported by all networks,3G Roaming requires compatible mobiles/devices to use GPRS and 3G data. To make and receive video calls, both calling and receiving parties require a 3G mobile and must be located in a 3G coverage area on a network that supports video calling.
Other International Roaming charges
Setting up your Telaustralia Mobile Phone including PIN Number on the Telstra network
1. On receipt of your SIM card/s pleased give us a call to let us know you have received them on 1300 783 528 (1300 & TELAU)
SIM PIN Number
Your SIM card contains a PIN (Personal Identification Number) code to protect against unauthorised use of your mobile phone. You can change the PIN when you first get your card, or anytime later.
Changing the PIN on your SIM card
Your phone's instruction book will show how you can turn the PIN on and off, and how to change it using your phone security settings.
Remember once your PIN is activated, you will need to key it in each time you turn on your mobile phone.
Change SIM Pin
All Telaustralia SIMs have a default SIM security setting to avoid fraudulent use. If you want to change or turn off your SIM Code Security, please go to security settings on your phone and select SIM Security, then select OFF. You may be prompted for your PIN Number to turn this setting off.
Request a PUK Code
Email email@example.com and provide your account number and Mobile phone number,. You will be required to provide your account password also.
Directory Services
There are three services to choose from depending on what type of information you require. To meet your needs 24 hours a day, 365 days a year Call Directory Assistance on 1223 if you know the name of a business or person and need the number read out. In the first instance your call will be answered by an automated speech recognition service. Call connection is not available on 1223.
For a limited time, when you call 12455 you will be redirected to the new Call Connect Service.
Call 1234 If you need a personally assisted search service that can smooth the way through your day. 1234 can provide you with information you need on the go. By calling 1234 you can access great information such as:
International Roaming with a Telstra Mobile
You can use your Telaustralia mobile phone while in over 100 countries on more than 200 networks.
WAP, GPRS AND MMS on Telstra Mobile Network
To set up WAP, GPRS or MMS on your phone is usually quite simple. Advise us on 1300 783 528 or via the contact us link on the page, that you would like any these services activated and you will receive a series of SMS messages with your settings. Just follow he prompts on the messages and your service will be activated.
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Since changing to Telaustralia we have saved a considerable amount on our business phone accounts. We have been very impressed with the professional & prompt service we have received from the Telaustralia team. Nothi.. more..
I would like to thank you for the level of service we received when you took over our business and home telecommunication accounts this year. It seemed like a daunting task to move our supplier considering we had been wi.. more..
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"I have used Diamox for over 20 years as a "Seizure Control Drug" for Epilepsy. In this time I have found it a very effective drug. One side effect I did experience was the drug Tegretol in tandem with Diamox did not allow the Diamox to work effectively. This was soon discovered and Tegretol was stopped."
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