text:
|First Reading
Narration By: J. Verrier
|Responsorial Psalm
Narration By: J. Verrier
Narration By: J. Verrier
First Reading
Isaiah 29:17-24
Thus says the Lord GOD: But a very little while, and Lebanon shall be changed into an orchard, and the orchard be regarded as a forest! On that day the deaf shall hear the words of a book; And out of gloom and darkness,
the eyes of the blind shall see. The lowly will ever find joy in the LORD, and the poor rejoice in the Holy One of Israel. For the tyrant will be no more and the arrogant will have gone; All who are alert to do evil will be cut off, those whose mere word condemns a man, Who ensnare his defender at the gate, and leave the just man with an empty claim. Therefore thus says the LORD, the God of the house of Jacob, who redeemed Abraham:
Now Jacob shall have nothing to be ashamed of, nor shall his face grow pale. When his children see the work of my hands in his midst, They shall keep my name holy; they shall reverence the Holy One of Jacob, and be in awe of the God of Israel. Those who err in spirit shall acquire understanding, and those who find fault shall receive instruction.
Responsorial Psalm
Psalm 27:1, 4, 13-14
R. (1a) The Lord is my light and my salvation.
The LORD is my light and my salvation;
whom should I fear?
The LORD is my life's refuge;
of whom should I be afraid?
R. The Lord is my light and my salvation.
One thing I ask of the LORD;
this I seek:
To dwell in the house of the LORD
all the days of my life,
That I may gaze on the loveliness of the LORD
and contemplate his temple.
R. The Lord is my light and my salvation.
I believe that I shall see the bounty of the LORD
in the land of the living.
Wait for the LORD with courage;
be stouthearted, and wait for the LORD.
R. The Lord is my light and my salvation.
Holy Gospel
Matthew 9:27-31
As Jesus passed by, two blind men followed him, crying out, "Son of David, have pity on us!" When he entered the house, the blind men approached him and Jesus said to them, "Do you believe that I can do this?" "Yes, Lord," they said to him. Then he touched their eyes and said, "Let it be done for you according to your faith."
And their eyes were opened. Jesus warned them sternly, "See that no one knows about this." But they went out and spread word of him through all that land.
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Years before Jevon Wameling's 9-month-old son went missing last month, Wameling was dating another woman whose baby died unexpectedly while they were sleeping, officials said.
Years before Jevon Wameling's 9-month-old son went missing last month, Wameling was dating another woman whose baby died unexpectedly while they were sleeping, officials said.
The 13-day-old baby's death in 2005 was ruled an accidental suffocation.
But after hearing about the suspicious circumstances surrounding the May 29 disappearance of Wameling's son Levon, the previous baby's mother, Jessica Pasho, called Utica police last week to make them aware of the prior incident.
Now, as police begin their second week of searching for Levon, officials on Tuesday say they plan to take another look at the previous baby's death.
Although police consider Wameling, 27, a person of interest in Levon's disappearance, Utica police Chief Mark Williams also noted that nobody has accused Wameling of any wrongdoing in the previous baby's death.
"We have no proof that he did anything wrong then, and we have no proof that he did anything wrong now," Williams said. "The mother's not saying he did it, but now she thinks there might be some doubt after learning of Jevon's connection to this missing baby."
That re-investigation will have to wait until another time, however, since the focus now is for police to find out what happened to Levon, Williams said.
"Eventually, at some point we will look at this case," Williams said of the earlier death. "Certainly, this is something down the road that we'll revisit, but we've got a lot of work to do in this current case."
In the previous incident, the baby was found dead between Pasho and Wameling as they slept in bed. In Levon's case, Wameling waited two weeks to tell police that the boy disappeared after he said he briefly left the child unattended on the front porch of 748 Jay St. while he climbed into a second-floor window to unlock the front door.
On Tuesday, police continued their ground search around the area of East Utica where Wameling was last seen.
"I'm very proud of my people," Williams said. "They really stepped up, they're putting in long hours and everyone is really interested and dedicated to find out what happened to this kid."
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JNLP and Web Start
Javascript web start application methods
Chris Pat
Ranch Hand
Joined: Aug 27, 2005
Posts: 156
May 17, 2011 05:27:35
Is there any way or any alternative technology that will allow the deployment of client-side
application with access to application methods from JavaScript?
work, but you incur the life-cycle and if the page is navigated away from destroy() is not friendly. I thought Liveconnect would give me access or something specific for Chrome or Firefox. Any enlightenment would be appreciated.
Paul Clapham
Joined: Oct 14, 2005
Posts: 19973
I like...
May 17, 2011 21:03:27
You're looking for something which can interact with the browser, then? That would exclude Web Start, since the browser is only used as a delivery mechanism and nothing else.
Unfortunately when I googled to track it down again just now, all of the links are broken. Here's a link to an article about it:
Most of the links in that article are broken, but one of them points to what looks like a new incarnation of the project, started just this year:
I don't see anything there but a link to source code via Subversion, but perhaps if you poke around a bit you might find something else. Anyway if you're willing to mess about with Live Connect then perhaps downloading unknown source code wouldn't be too hard. Let us know if you try that and tell us how you got on with it.
Chris Pat
Ranch Hand
Joined: Aug 27, 2005
Posts: 156
May 20, 2011 05:53:15
Hi Paul
Thanks. After about two weeks exclusively on this topic I think I have some clarity. What is needed is a JNDI for dragged applets and installed applications and the ability of Liveconnect to query it and call its methods like normal
on a page. Yes, I see the security issues(some will sarcastically call it a self-implantable virus delivery system) but the programming power is significant and the necessary security is already there. I am trying to simulate that with a dragged applet from a frame and some type of bootstrap but I dont know how to make Liveconnect access the appletstub of a dragged applet. Interestingly the docs state that the applet can bootstrap Java-JS communication. So I dont know if something like two applets on the first page, one dragged and one probe and the probe one on every successive page. All I need is a means for Liveconnect to query Web start maintained applications. I am nonplused without further documentation.
I agree. Here's the link:
subject: Javascript web start application methods
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Secrets of Success< Secrets of Success Main Page
All Secrets submitted by IAMDESSIE
Please note these are member-submitted secrets and are not reviewed by SparkPeople's health experts for accuracy. If you feel a secret is inappropriate, please click the "Report Inappropriate Secret" on the secret's page and our staff will review it.
Eating fresh fruits daily brings out the natural beauty of your skin.
- Submitted by IAMDESSIE 7/21/2011 in Healthy Eating | 1 Comment
Have your MRI, CAT scan and Ultrasound
Uterine Fibroids understanding the disease and its wide array of treatment options. UF are frequently found as incidental findings during a routine pelvic exam by your gynecologist. To confirm this, an ultrasound is often suggested. Your doctor may also want you to have a MRI or CAT scan. The best test is a hysteroscopy. Ladies talk with your doctors.
- Submitted by IAMDESSIE 7/19/2011 in Everything Else | 0 Comments
To help get your vegetables in make some summer salad pasta with cooked whole wheat rotini pasta,cooked lima beans, red onions, tomatoes, carrots, sweet corn kernels, ce4lery, basil and your favorite salad dressing. I like lite Italian or Balsamic. You will enjoy this colorful healthy salad.
- Submitted by IAMDESSIE 7/16/2011 in Healthy Eating | 2 Comments
Too much sodium in your bloodstream can bloat your body like water a water balloon, causing you to feel sluggish, puffy and uncomfortable. Drink lots of water to help wash away the sodium you you took in.
- Submitted by IAMDESSIE 7/12/2011 in Weight Loss | 3 Comments
Stay away from the added Sodium
Prepare your foods at home without adding the extra sodium. When using can foods, make sure to strain the water out and wash the food item before adding it to your meal
- Submitted by IAMDESSIE 7/10/2011 in Healthy Eating | 1 Comment
Blend the green vegetables and get a nice drink, use vegetables like, ginger root, celery, cucumber, parsley, apple, spinach, lime and lemon, you don't need any sugar or sugar substitute. This is tasty and delicious.
- Submitted by IAMDESSIE 7/8/2011 in Healthy Eating | 0 Comments
Remember to eat your vegetables and fruits of red, white and blue. I know it is the 4th July, but drink lots of water instead of soda and alcohol. You will be happy later that you did. Have lots of fun in the sun playing games with your family and friends.
- Submitted by IAMDESSIE 7/4/2011 in Healthy Eating | 1 Comment
While eating you meal drink water in between, so as not to over eat.
- Submitted by IAMDESSIE 6/29/2011 in Healthy Eating | 0 Comments
Eat lots of calories to help you loss weight. Have a fair amount of protein to keep you filled and satisfied. Ok now, don't forget to drink lots of water. Drop the soda and up with the water. You would love the New you more! this is
- Submitted by IAMDESSIE 6/25/2011 in Healthy Eating | 0 Comments


text:
ALC889 RMAA results at 24/44.1
ALC889 RMAA results at 24/44.1
Dec 30 2011, 11:23
Post #1
Group: Members
Posts: 584
Joined: 22-December 03
From: Malmö, Sweden
Member No.: 10615
Motherboard is a Gigabyte Z68XP-UD4.
Line out to line in:
Output set at "50", input at "100", assumed to be nominal levels(?).
Headphone out at max output, unloaded, to line in. (Input reduced to "25"):
I can do some loaded test of the headphone pre-amp if anyone's interested. I have Ety HF5, Beyer DT250-80, Senn PX-100, Koss KTXPro1, Senn HD201 and Creative EP-630 at hand. I assume I need a 3,5 mm Y splitter with one male and one female connector at the split ends?
Note that while output is 24-bit capable input is 16-bit(oddly, both are 24-bit according to datasheet).
This post has been edited by markanini: Dec 30 2011, 12:04
Mar 25 2013, 20:02
Post #2
Group: Members
Posts: 6199
Joined: 29-October 08
From: USA, 48236
Member No.: 61311
Motherboard is a Gigabyte Z68XP-UD4.
Line out to line in:
Output set at "50", input at "100", assumed to be nominal levels(?).
In other measurements I've found that a lot of chips used for on board audio interfaces have asymmetrical performance. IOW their ADCs aren't up to the quality levels of their DACs.
I recently did some testing of an ALC 887 chip on a Gigabyte system board and when looping it back through itself, found results similar to those posted above.
I then redid the tests looping the ALC 887 output through an M-Audio AP 24192 input - knowing that this interface has native performance with up to 110 dB dynamic range.
I obtained the following results:
Frequency response (from 40 Hz to 15 kHz), dB: +0.01, -0.08 Excellent
Noise level, dB (A): -92.4 Very good
Dynamic range, dB (A): 92.4 Very good
THD, %: 0.0028 Excellent
IMD + Noise, %: 0.030 Good
Stereo crosstalk, dB: -89.8 Excellent
IMD at 10 kHz, %: 0.0093 Very good
While I'm at it, I discovered a way to circumvent a problem that sometimes arises while testing different audio interfaces mixed and matched.
In this test I was never able to get a recording level of greater than -12 dB, which the Rightmark program had problems with. I simply had the Rightmark program save the wave file that it recorded, normalized it with Audacity, and then analyzed it. Since the noise level of the AP 24192 card is about 110 db below its normal FS input, the test was run under a condition where this was effectively 98 dB below the tests, and so errors due to the circumvention were still well below the dynnamic range that was observed.
This post has been edited by Arnold B. Krueger: Mar 25 2013, 20:13
|Lo-Fi Version
|Time is now: 26th November 2015 - 20:04


text:
While much of our steep lot is shady, we have plenty of sunshine on our driveway. My husband, however, is steadfast in his refusal to rip up the concrete to put in a garden. Not to be dissuaded, I came up with an alternative plan to utilize the space: upside down tomatoes. You've seen those […] Read More
tomato plant
How to Plant Tomatoes
If you've not yet planted your tomato plants out into the garden, let me share a little tip with you. With most other plants, you want to set the plant in the earth so that the soil level of the potted plant is at the same level as your garden soil. Tomato plants, however, like […] Read More


text: 2014 SoCo Showcase March 13th & 14thDOORS AT 11a SOUNDS BY DJ SykoTHANKS TO American AuthorsLudacrisTech N9neA Great Big WorldTy Dolla SignThe 1975DaleySoMoAyah MararB.o.B.YG & more to come!We had such a great time last year, we're bringing back the SoCo Showcase for another year! We'll have 2 days full of music, food, prizes, and more! More artists to be added. Aritsts and scheduling subject to change.<br


text:
Santa Barbara Holidays
A holiday in Santa Barbara is a full-bodied immersion into exquisite food and wine, big city culture and cosmopolitan style. With her Spanish colonial revival-style architecture set against a backdrop of dramatic mountains, rolling valleys and miles of sandy beaches this place is certainly good for you. The 'Barb' provides for the young and old, sport and art lovers alike and can be reached from all over the globe via Los Angeles airport just two hours away. We welcome you to the 'American Riviera'!
Luxury Holidays in Santa Barbara
On your Santa Barbara holiday you'll be transformed into the protagonist of your own story where the laid back glamour of exclusive hotel life is yours to enjoy. Dine in style and sample the finest Californian wines whilst dazzling your taste buds with scrumptious local cuisine.
Great reasons to holiday in Santa Barbara
- Breathe in the sophistication of a cosmopolitan city that also has great beaches, beautiful mountains and a laid back atmosphere
- This really is wine country so why not sample some of California's world famous produce?
- Surfing, snorkeling, scuba diving, horse riding
- Booming art and theatre scene. The city hosts monthly 'First Thursdays' where galleries open late and streets become open-air theatres
- The Santa Barbara International Film Festival is a date in the calendar for all film buffs
- See the wildlife at the local zoo
- Great museums including the Museum of Art and the Museum of Natural History
- Stearns Wharf, a harbour with a pier and restaurants and the newly built Ty Warner sea centre
- Home to largest fig tree in the country – see the Moreton Bay Fig Tree
- Enjoy the Spanish Colonial style architecture like the Mission Santa Barbara built in 1786
Things to do on holiday in Santa Barbara
There is so much to do here that everyone will be entertained. Stearns Wharf is the most visited location due to its wealth of restaurants and provides an array of child friendly activities such as the sea life centre and the pier.
This region is a haven for classical music lovers and contains numerous performing art venues including the Santa Barbara Bowl, a 4,562 seat amphitheatre used for outdoor concerts which nestles at the base of the Riviera in a picturesque canyon northwest of 'the Barb'.
However, Santa Barbara provides just as much fun for the adventurous type offering horse riding tours, scuba diving and even paragliding. Since California is so famous for wine it would be madness not to sample some, and why not take part in one of the Urban Wine Trails which offer an exclusive insight into the production?
Santa Barbara Facts
- State - California
- Land Area - 19.468 sq miles
- Population - 88,410
The weather in Santa Barbara can be described as Mediterranean with mild winters making it a popular winter holiday destination. Its ocean front location helps to alleviate the humidity often associated with neighbouring desert areas, meaning the city's typical 300 days-per-year of sun can be fully enjoyed. With a consistently temperate climate, this Californian coast town enjoys daily averages of 20 degrees celsius.
Twin Centre & Multi Centre
Santa Barbara makes a great starting point or stop-along-the-way on a Multi Centre excursion in the US. You're perfectly situated to visit other top towns on the West Coast. Indeed, Santa Barbara is equidistant to LA and San Francisco, with San Diego further to the south and Las Vegas just a short flight inland. Other famous cities across the nation like Chicago, Boston, Washington DC and New York also make fantastic locations to add to your multi-centre itinerary.
Santa Barbara Holidays 2016/17
Book early to secure your 2016 holidays and avoid disappointment, just request a quote from Kenwood Travel and start planing your holiday. Secure your luxury holiday and let Kenwood Travel offer you a personalized package. We have over 30 years worth of experience to share with you. Let us make your Santa Barbara holiday one for remembering.
|Highly Recommended
Canary Hotel, A Kimpton Hotel
Boasting a state-of-the-art gym, deluxe swimming pool and a host of invigorating spa treatments, Canary Hotel, A Kimpton Hotel is the only full-service boutique accommodation in downtown Santa Barbara.
Key features
|View Hotel
Harbor View Inn
A luxurious four-star property in the heart of chic Santa Barbara, the Harbor View Inn is ideally suited to all holidaying needs.
Key features
|View Hotel


text:
William H. Clark Funeral Home, Inc.
Ethel M. Peveraro
(April 30, 1919 - December 19, 2012)
Ethel M. Peveraro 4/30/1919 – 12/19/2012
Ethel M. Peveraro, 93,of Stroud Township, passed away early Wednesday morning, December 19, 2012, at the Pocono Medical Center, East Stroudsburg.
Born Ethel Mae Batson on April 30, 1919 in Waterloo Village, NJ, she was the daughter of the late Claudia (Schumaker) & Clarence Batson and she spent her younger years in the Budd Lake/Netcong area of New Jersey.
She married Arthur B. Peveraro in 1937 and moved to Manhattan, NY. They raised their two children in the Bronx, NY and she has resided in the Monroe County area since December, 1970.
She is survived by her devoted daughter, Carole Vuchak, wife of Joseph F. of Stroud Township; loving granddaughter Diana G. Lamendola, wife of Martin R. of Stroud Township; loving grandson, Joseph T. Vuchak, partner of Lindsey Kirkaldie of Flagstaff, AZ; brother, Henry Batson and his wife Caroline of Stanhope, NJ; sister-in-law, Anna Peveraro of Little Neck, NY and many loving nieces, nephews and friends. She was preceded in death by her husband in 1960; son, Arthur R. Peveraro in 2002; brothers Edward, Clifford, Robert and Harry and sisters Gladys and Catherine.
In the 1960's she worked as a proof-reader for the Reuben H. Donnelley Corporation in Manhattan, publishers of the Yellow Pages. She also worked as a library assistant at ESSC, retiring in 1985. After her retirement she remained very active, working well into her 80's as a home-health aide and Sunday school teacher. She enjoyed cooking all of her home-made specialties. She felt proud and blessed by her greatest accomplishment, her devoted immediate and extended family. It could be said of Ethel that any new friend was a stranger she had yet to meet. There will be a viewing from 10:00 to 11:00AM Friday, December 21, at the William Clark Funeral Home, 1003 Main Street, Stroudsburg. The funeral service will begin at 11:00AM Friday at the funeral home with the Reverend Robert Shank officiating. Burial will follow in the Stanhope Union Cemetery, Stanhope, NJ.
In lieu of flowers, the family requests that memorial remembrances be made to the Stroudsburg United Methodist Church, 547 Main Street, Stroudsburg, PA 18360 or to Special Olympics of Monroe County, P.O. Box 378, Bartonsville, PA 18321.


text:
Before the advent of echocardiography, the only noninvasive tools used to routinely evaluate the cardiovascular system were a thorough physical examination, electrocardiography, and thoracic radiography. Diagnoses that could not be readily procured from these techniques would ultimately require invasive procedures, such as angiocardiography, to further characterize the underlying disorder. While echocardiography has replaced diagnostic cardiac catheterization in most circumstances, its utility and easy access have also produced an untoward side effect: the cardiovascular physical examination appears to have fallen by the wayside.
We often underuse the auscultation and physical examination techniques our predecessors mastered to successfully evaluate the cardiovascular system. Instead, we lean on echocardiography to offset the subtle nuances we fail to recognize. This holds so true in the medical profession that echocardiography is considered by many to be an extension of the physical examination.1 Nonetheless, cardiac auscultation still provides a cost-effective method of making serial observations, aids in the early detection of critical findings, helps intelligently guide the selection of costly diagnostic tests, and provides a therapeutic value of physical contact between physician and patient.2
In this article, I review the basic concepts and techniques necessary to perform a thorough cardiovascular physical examination. As with any other technique, a systematic approach enables you to effectively perform the examination and not miss a vital clue.
Begin the physical examination by carefully observing the patient from a distance. I frequently do this while recounting the history and current medical complaint. Although often overlooked, the observation period enables you to characterize the pet's general appearance, attitude, and respiratory rate and effort. If you forgo this step, you may not detect subtle changes that owners may have failed to recognize.
Patients with severe, chronic cardiac compromise may exhibit marked weight loss and muscle wasting along the temporal region of the head and along the dorsolumbar aspect of the spine. Other pets may present with abdominal distention or weight gain from ascites subsequent to right-sided heart failure. Reluctance to move in a normally active or nervous patient may signal substantial cardiovascular compromise. Similarly, tachypnea, dyspnea, coughing, or an orthopneic stance with an inability to lie comfortably may be associated with substantial fluid accumulation within or around the lungs.
This step of the physical examination involves a careful inspection of the mucous membranes, eyes, and neck.
Mucous membranes
Alterations within the oral mucous membranes often do not occur until late in the process of many cardiac diseases, but the appearance of the oral mucosa may yield valuable information when combined with findings from the remainder of the physical examination. Normal mucous membranes are pink and moist with a brisk (one- to two-second) capillary refill time after blanching the gums. Although the capillary refill time is a nonspecific and often crude index of cardiac performance, it may be prolonged in instances of reduced cardiac output.
In addition to estimating the capillary refill time, inspect the mucous membranes for pallor or discoloration. Cyanosis is seen when the deoxygenated hemoglobin concentration exceeds 5 g/dl.3 Cyanotic mucous membranes often signify arterial hypoxemia, as seen with severe pulmonary disease or right-to-left shunting of blood (e.g. tetralogy of Fallot). Cyanosis may also be seen in patients with normal arterial oxygen saturation complicated by decreased perfusion to peripheral vascular beds. Peripheral cyanosis is usually observed in the digits or ear tips of patients with reduced cardiac output, marked arterial vasoconstriction, or vascular obstruction. While peripheral cyanosis is more common in patients afflicted by shock or hypothermia, a common cardiac manifestation is hindlimb footpad cyanosis encountered in cats with aortic thromboembolism. Patients with cyanotic cardiac disease may also display injected mucous membranes subsequent to polycythemia.
Acute blindness may be the first sign of systemic hypertension in a patient. This complication highlights the importance of inspecting the pupillary light responses and ocular fundus in patients with suspected systemic hypertension. Abnormalities that you may see include retinal detachment or hemorrhages, papilledema, or hyphema. Although infrequently recognized today, cats with dilated cardiomyopathy secondary to taurine deficiency may display central retinal degeneration.
Carefully inspect both the thyroid glands and the jugular veins before performing thoracic auscultation. Because of the connection between hyperthyroidism and the cardiovascular system, always palpate for enlarged thyroid glands in cats with suspected heart disease. As a consequence of the concentric hypertrophy and high cardiac output state associated with hyperthyroidism, cats with increased circulating thyroid hormone concentrations may have audible murmurs or gallop sounds.
Inspecting the neck for jugular venous distention or abnormal pulsation enables you to crudely estimate systemic venous pressures. Normally, the jugular veins are not distended and collapse quickly after manual compression. Pulsations do not normally traverse greater than one-third the height of the neck in a standing animal. Jugular venous distention or abnormal pulsation may signify right-sided heart failure subsequent to tricuspid insufficiency, dilated cardiomyopathy, pericardial effusion or cardiac tamponade, or constrictive pericarditis. Additional causes may include atrioventricular dissociation, cranial vena caval obstruction, or hypervolemia. Hepatojugular reflux (identifying jugular venous distention while applying steady, firm pressure to the abdomen) is suggestive of right ventricular systolic or diastolic dysfunction, tricuspid valve disease, or pericardial disease.
Although cardiac auscultation is often the focus when you examine the chest, thoracic palpation and respiratory evaluation are important as well.
Thoracic palpation and respiratory evaluation
Be sure to examine the chest for rib or sternal deformities. Record the pet's inspiratory and expiratory respiratory pattern, including the frequency, regularity, depth, and effort required. Pulmonary auscultation—to detect fluid lines, rhonchi, and wheezes or crackles and rales—usually precedes cardiac auscultation.
Next, identify the location and intensity of the cardiac impulse, and document palpable thrills (vibrations). While the strongest cardiac impulse, or apical beat, is usually identified over the left apex of the heart, the location may be displaced and the strength diminished by any condition that alters the position of the heart, including cardiomegaly, pleural or pericardial effusions, intracavitary masses, or thoracic or pericardial herniations. The location of the apical beat is often a good place to begin cardiac auscultation.
Cardiac auscultation
When performed appropriately, cardiac auscultation can yield tremendous insight into diagnosing cardiovascular disease. Important considerations when performing this technique include using a familiar and comfortable stethoscope, auscultating in a quiet environment, having a thorough understanding of the physiologic and pathologic genesis of cardiac sounds, and, finally, using a combination of practice and patience. Using pediatric stethoscopes for cats and small dogs tends to be based on clinician preference. I use an adult stethoscope for dogs and cats, reserving a pediatric stethoscope for small exotic-animal species.
Since its invention by René Théophile Hyacinthe Laënnec in 1816, the stethoscope has become the almost universal sign of a physician or veterinarian. The modern, binaural stethoscope commonly has a single- or double-tube system composed of 1 /8-in internal diameter tubing connected to a combination bell and diaphragm. The bell of the stethoscope, lightly applied to the patient to form an airtight seal, accentuates low frequency sounds, and the diaphragm detects high frequency sounds.
Listen for three things during auscultation—heart sounds, heart murmurs, and cardiac arrhythmias.
Heart sounds
Heart sounds are relatively brief, auditory vibrations that can be characterized by their intensity (loudness), frequency (pitch), and quality (timbre).2 The basic heart sounds identified in veterinary patients include the first, second, third, and fourth heart sounds (S1, S2, S3, and S4, respectively). While we identify heart sounds and cardiac murmurs on a daily basis (see the boxed text titled "Standardize your auscultation technique" ), we often fail to recall what physiological and pathophysiological events account for these vital pieces of information.
Alterations of the normal, transient heart sounds. The intensity of S1 primarily depends on the position of the larger anterior mitral valve leaflet at the onset of ventricular systole.2 A more intense S1 is present when the valve is deeply recessed into the left ventricle and may be auscultated in patients with fast heart rates, short P-R intervals, or high sympathetic tone. Additional contributing factors may include anemia, systemic hypertension, or thinness.3 Because of acoustic dampening, obese patients, patients with pericardial or pleural effusion, or patients with space-occupying lesions such as tumors or hernias may display a muted or less distinctive S1. Myocardial failure, a prolonged P-R interval, premature mitral valve closure, various cardiac arrhythmias (including atrial fibrillation), or shock may also reduce the intensity of S1.2,3
Occasionally, the mitral and tricuspid valves will close asynchronously, enabling you to detect a split S1. This finding may occur in normal large-breed dogs, may be associated with marked intraventricular conduction delays (i.e. bundle branch blocks, artificial pacemakers, or ventricular arrhythmias), or may be heard in patients with mitral or tricuspid valve stenosis.3 More commonly, S2 may be split into two audible components. Normally during inspiration, the aortic component of S2 precedes the pulmonic component because of the variations in the pulmonary vascular bed capacitance and an inspiratory increase in right ventricular volume.2 So splitting of S2 may rarely be heard in normal dogs with large fluctuations of intrapleural pressure.4 More often, pathologic splitting of S2 is encountered when the pulmonic component is delayed because of prolonged right ventricular ejection in cases of pulmonary hypertension, atrial or ventricular septal defects, pulmonic stenosis, or right bundle branch block.
Abnormal, transient heart sounds. While S1 and S2 represent the normal transient sounds audible in dogs and cats, we may also identify abnormal transient heart sounds such as S3 and S4. Because of their low frequency, these sounds are usually best heard with the bell of the stethoscope and often impart a galloping sound to the heart. Although this triple cadence is often referred to as a gallop rhythm, it does not represent an abnormality within the heart's conduction system or origin of the cardiac impulse. Instead, S3 and S4 gallops are most often associated with myocardial hypertrophy or elevated filling pressures.
An S3 gallop, also known as a ventricular gallop or protodiastolic gallop, is associated with the termination of the early, rapid ventricular filling phase of diastole.4 While this sound may be recognized in normal horses or cows, an audible S3 in dogs and cats is generally associated with the ventricular dilatation or eccentric hypertrophy recognized in dilated cardiomyopathy, atrioventricular valve insufficiency, or substantial left-to-right shunting lesions. An S3 gallop is heard best over the left apex and should be listened for carefully with the bell of the stethoscope as it may be the only auscultatory abnormality in patients with dilated cardiomyopathy.
S4 gallop sounds, also known as atrial gallops or presystolic gallops, are often heard when an augmented atrial contraction is required to fill a stiff, concentrically hypertrophied ventricle. Similar to the low-frequency S3 gallop, this presystolic gallop is detected most readily with the bell of the stethoscope. S4 gallops may be the only auscultatory abnormality in patients with hypertrophic cardiomyopathy, systemic hypertension, and hyperthyroidism, or they may be recognized in cases of semilunar valve stenosis. In cats with rapid heart rates, it may be difficult to determine whether the gallop sound is an S3, an S4, or a summation of an S3 and S4. Nonetheless, the most important aspect is detection of the gallop sound, followed by an appropriate work-up.
Heart murmurs
Left apical systolic murmurs. The most common cardiac auscultatory abnormality in middle-aged to older small-breed dogs is a variable-intensity, left apical, systolic, plateau-shaped murmur of mitral insufficiency. These murmurs vary in intensity from grade I to VI, depending on the severity of insufficiency, the left ventricular to left atrial pressure gradient, the radiation characteristics of the insufficient jet, and the presence or absence of comorbid conditions (e.g. pericardial or pleural effusion, obesity, abnormal chest conformation). Soft, grade I/VI mitral insufficiency murmurs are usually early systolic to midsystolic and fail to obscure either S1 or S2. Louder, grade IV to V/VI mitral insufficiency murmurs are often harsh and mixed-frequency, radiate widely to the right thorax (making documentation of tricuspid insufficiency difficult), and encompass all of systole.
Right-sided systolic murmurs. Right-sided systolic murmurs are often due to tricuspid insufficiency or ventricular septal defects.
Parasternal murmurs. Cats with mitral valve dysplasia or left ventricular concentric hypertrophy (e.g. hypertrophic cardiomyopathy, hyperthyroidism, systemic hypertension) may have a left ventricular outflow tract obstruction in which the anterior mitral valve leaflet is pushed, pulled, or sucked into the outflow tract. This phenomenon is often accompanied by mitral insufficiency and high-velocity, turbulent blood flow through the left ventricular outflow tract, producing a harsh, left apical or sternal, systolic murmur that intensifies with increasing heart rates and contractility. Heart murmurs associated with dynamic right ventricular outflow tract obstruction display similar characteristics and can often only be differentiated through Doppler echocardiography.
Diastolic murmurs. Diastolic murmurs are often due to aortic insufficiency or mitral stenosis.
Continuous murmurs. Residual patency of the ductus arteriosus results in high-velocity, turbulent blood flow entering the pulmonary artery from the descending aorta throughout both systole and diastole. So the characteristic murmur of a patent ductus arteriosus is a variable-intensity, left basilar (axillary), continuous murmur that peaks in intensity near S2. The diastolic run-off associated with this abnormal communication will commonly produce bounding femoral pulses. Patent ductus arteriosus murmurs may range in intensity from grade I to grade VI, depending on the size of the lesion, the aortic to pulmonary arterial pressure gradient, and the radiation characteristics of the turbulent blood flow. In cases of a balanced or a right-to-left patent ductus arteriosus, the murmur may be absent with a split S2.
Although uncommon, other potential causes of continuous heart murmurs include aorticopulmonary windows, pulmonary arteriovenous fistulas, coronary arteriovenous fistulas, and abnormal communications between the coronary vasculature and right atrium.
Cardiac arrhythmias
Disturbances in the normal cardiac rhythm are commonly detected in dogs and cats during physical examination. Single premature supraventricular or ventricular complexes followed by a pause in the rhythm or paroxysms of tachycardia that terminate abruptly may be detected in a variety of cardiac or systemic disease conditions. The fast, irregular rhythm associated with atrial fibrillation often indicates marked underlying myocardial or valvular disease, whereas a slow, regular rhythm may suggest conduction system disease (e.g. atrioventricular block), electrolyte imbalances (e.g. hyperkalemia), or alterations in the autonomic nervous system. Although electrocardiography is required for definitive diagnosis of the rhythm disturbance, physical examination often provides the premise for performing an electrocardiographic examination.
Abdominal palpation and ballottement are important in assessing right-sided cardiac dysfunction and in evaluating cardiac manifestations of systemic disease. Pericardial diseases and disorders of the right side of the heart or caudal vena cava may increase systemic venous pressures and produce hepatomegaly or ascites. Hepatojugular reflux suggests elevated central venous pressure in which the right side of the heart is unable to accommodate any additional venous return.
Be sure to carefully palpate the kidneys of older cats with heart murmurs because of the relationship between renal disease, systemic hypertension, and the development of left ventricular concentric hypertrophy or outflow tract obstructions.
Palpating the femoral pulses and extremities may help you detect rhythm disturbances, regional or generalized perfusion deficits, and occlusion of peripheral veins or lymphatics.3 A common misconception is that the strength and quality of the femoral pulse are merely determined by the systolic performance of the heart. Instead, the pulse amplitude and character have many determinants, including forward stroke volume, rate of ejection, distensibility of the vascular bed, systemic vascular resistance, and the pulse pressure (the difference between the systolic and diastolic arterial pressures).3
Weak pulses may be identified in cases of myocardial failure in which the left ventricle ejects a small stroke volume, the peripheral vascular resistance is high, and the pulse pressure is narrow.3 The combination of a weak and late to rise femoral pulse (pulsus parvus et tardus) and a left basilar, systolic, crescendo-decrescendo murmur is suggestive of moderate to severe subaortic stenosis. Widening of the pulse pressure subsequent to diastolic run-off in dogs with patent ductus arteriosus produces a bounding, or water-hammer, pulse. Other conditions associated with diastolic run-off and bounding pulses include aortic insufficiency and peripheral arteriovenous fistulas. Because systemic hypertension tends to represent an increase in both the systolic and diastolic arterial pressures, the femoral pulse amplitude and character remain normal. A palpable reduction in the femoral pulse quality during inspiration (pulsus paradoxus) is most commonly detected in patients with pericardial effusion and cardiac tamponade.
The absence of palpable femoral pulses, coolness of the affected limbs, muscular rigidity and pain, and pallor of the footpads or nails are suggestive of vascular obstruction.3 Systemic thromboembolism in cats is commonly associated with myocardial disease, while dogs may develop vascular obstruction subsequent to bacterial endocarditis or any condition that promotes hypercoagulability (e.g. hyperadrenocorticism, protein losing nephropathy, immune-mediated hemolytic anemia).
Good physical examination skills and an understanding of the pathophysiology associated with cardiac disease are vital to maintaining the health and well-being of our patients. A physical examination can provide an intelligent guide for recommending advanced diagnostic techniques, is a cost-effective method of making serial observations, and aids in the early detection of critical findings. Although electrocardiography, radiography, and echocardiography are required to confirm the disease process, assess its severity, and rule out concurrent cardiac conditions, these diagnostic modalities will never supplant the utility of observation, inspection, palpation, and cardiac auscultation.
Barret J. Bulmer, DVM, MS, DACVIM (cardiology)
Department of Clinical Sciences
College of Veterinary Medicine
Kansas State University
Manhattan, KS 66506
1. Oh JK, Seward JB, Tajik AJ. Overview. In: The echo manual. 2nd Ed. Philadelphia, Pa: Lippincott Williams & Wilkins, 1999;1-5.
2. Braunwald E. Physical examination of the heart and circulation. In: Zipes DP, Libby P, Bonow RO, et al, eds. Braunwald's heart disease: a textbook of cardiovascular medicine. 7th Ed. Philadelphia, Pa: Elsevier Saunders, 2005;77-106.
3. Sisson DD, Ettinger SJ. The physical examination. In: Fox PR, Sisson DD, Moise NS, eds. Textbook of canine and feline cardiology: principles and clinical practice. 2nd Ed. Philadelphia, Pa: WB Saunders Co, 1999;46-64.
4. Detweiler DK, Patterson DF. Abnormal heart sounds and murmurs of the dog. J Small Anim Pract 1967;8:193-205.
5. Lehmkuhl LB, Ware WA, Bonagura JD. Mitral stenosis in 15 dogs. J Vet Intern Med 1994;8:2-17.
The author would like to thank Mal Hoover for her assistance with Figure 3.


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News Archive
THE THRILL OF VICTORY. THE DREAM OF A LIFETIME.Phil Mickelson Rallies to Capture First Major with Titleist.
Phil Mickelson
Winner of the 2004 Masters
Fairhaven, MA (April 12, 2004) - In a storybook ending to one of the most exciting finishes in Masters history, Phil Mickelson won a back nine duel with fellow Titleist ambassador Ernie Els to capture his first major championship. Mickelson birdied 5 of the last 7 holes, culminating with a dramatic 18-foot putt on the 72nd hole to earn the coveted green jacket by one shot. His 5-under par 31 was the lowest final-round back-nine by a winner since 1986 and one shot off the record of 30 set in 1978. It marked the second victory of the year for Mickelson and the 23rd of his illustrious PGA Tour career.
Ernie Els
WHAT'S IN PHIL AND ERNIE'S BAGS?: Phil Mickelson and Ernie Els each played a Titleist golf ball and combined to carry 27 of 28 Titleist clubs in their Titleist golf bags in their 1-2 finish at the Masters. Mickelson relies upon the Titleist Pro V1 golf ball, Titleist Titanium 983K driver (9.5), Titleist Pro Trajectory 980F fairway metal (17.0), Titleist 731 PM irons (3-P), Titleist Vokey Design Sand (52) and Lob (60) wedges, and Scotty Cameron by Titleist prototype putter. Els, who fired a final round 5-under par 67 to stay in contention, chooses the Titleist Pro V1x golf ball, 983K driver (8.5), 980F Strong fairway metal (15.0), Forged 690MB irons (2-P), Vokey Design Sand (54) and Lob (59) wedges, and Scotty Cameron Newport 2 Stainless putter.
STATING HIS CASE: Another Titleist ambassador, 26-year old Paul Casey made a statement with his T6 finish at the Masters. The rising star already has earned three career victories on the PGA European Tour and recently placed T10 at The PLAYERS Championship, giving him two consecutive top 10 finishes on the PGA Tour. Like Mickelson and Els who finished 1-2 at the Masters, and Davis Love III who tied for sixth, Casey relies upon the tee-to-green performance of Titleist for his success. His Titleist high performance equipment includes the Pro V1 golf ball, 983K driver (9.5), Forged 670 irons, Vokey Design approach (52), sand (56) and lob (60) wedges, and a Scotty Cameron prototype putter.
MASTERING THE TOP 10: Titleist golf balls were trusted by 10 of the top 12 finishers at the Masters. Mickelson (Pro V1) and Els (Pro V1x) were followed on the leaderboard by K.J. Choi (3rd-Pro V1), Player (T4-Pro V1x), Chris DiMarco (Pro V1), Paul Casey (Pro V1), Davis Love III (Pro V1x), Vijay Singh (Pro V1x), Kirk Triplett (Pro V1x) and another Player (Pro V1x), all of whom tied for 6th. In addition, Scotty Cameron putters were played by 4 of the top 5 finishers and 7 of the top 12.
Chris DiMarco
FAIRWAYS AND GREENS: A few reasons contributing to Mickelson's finish atop the leaderboard can be gleaned from his position in some key statistical categories. He led the field in Greens in Regulation (73.61%) and was among the top 10 in Driving Distance (290.38/T9th) and Driving Accuracy (73.21%/T9).
PRO V1-1-1: For the first time in Masters history three aces were recorded during the same tournament – and all three were accomplished by players relying upon the Titleist Pro V1 or Pro V1x golf ball. Chris DiMarco posted the first hole-in-one with a Pro V1 during the first round on the 180-yard sixth hole. On Sunday, a pair of Pro V1x players, the second of the day being Kirk Triplett, aced the par-3 16th hole approximately 10 minutes apart.
CUT RESISTANT: Of the 44 players who made the cut at the Masters, 31 of them, or more than 70 percent, relied upon Titleist golf balls for their success. Nearly eight times more Titleist players made the cut than the nearest competitor with 4.
K.J. Choi
K.J. TIES FRONT NINE RECORD: The 6-under 30 posted by K.J. Choi on the front nine during Friday's second round of play tied the record for the low first nine set in 1975 and matched in 1988. Choi, who relies upon theTitleist Pro V1 golf ball, finished third behind Mickelson and Els to give Titleist players a 1-2-3 sweep atop the Masters leaderboard.
MULTI-WINNING: Fifteen events into the 2004 PGA Tour season and Phil Mickelson became the first player to record multiple wins. He won the Bob Hope Chrysler Classic in January, the third event of the year. It is the eighth time in his 13 years on the PGA Tour that Mickelson has won multiple times in the same season – all while playing a Titleist golf ball.
11 to 1 ON PGA TOUR: Mickelson's victory marks Titleist's 11th through the first 15 events on the 2004 PGA Tour. The nearest competitors have 1. It is the 30th win with Titleist golf balls across the worldwide professional tours, 3 times more than the nearest competitor with 10 and more than all other golf balls combined.
THREE IN A ROW: It is the third consecutive PGA Tour event in which a Titleist full-line player has earned the win. Mickelson's triumph follows victories by rookie Zach Johnson at the BellSouth Classic and Adam Scott at The Players Championship.
DIRECT FROM THE TOUR, DIRECT FROM THE MASTERS: To view exclusive post-round interviews from the Masters with champion Phil Mickelson and runner-up Ernie Els, please visit our Direct from the Tour feature. View a photo gallery of all four rounds.
Titleist, Cobra, FootJoy, Pro V1, Pro V1x, Vokey Design, Titanium 983, Pro Trajectory, Newport and Scotty Cameron by Titleist are trademarks owned or licensed by Acushnet Company Titleist, FootJoy and Cobra comprise the major golf brands of the Acushnet Company, an operating company of Fortune Brands, Inc. (NYSE - FO). For more information, please visit us online at www.titleist.com, or contact Joe Gomes, Director of Communications (508.979.3211).
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Carrots – Menu Plan March 18
Posted By Heather On March 18, 2013 @ 12:35 am In Menu Plan | No Comments
[3]We're talking about Carrots this week for the Gluten-Free Menu Swap. Carrots are great root vegetables to add to your diet because they are rich in vitamin A and beta carotenes. They support good eye sight, healthy skin, and can help your liver cleanse your body of toxins.
I'm not big on cooked carrots. Although, I used to cook them for my kids every week when they were toddlers. I will occasionally cook them by sautéing sliced carrots with a little butter and brown sugar. Or, perhaps cook them with a roast or in a stew.
[4]Now, we mostly eat them raw. I send baby carrots or carrot chips in my kids' lunches just about every day. I also like to add shredded carrots to salads and slaws. And I can't forget Carrot Cake [5]! Do you have favorite ways to consume carrots? Carrot juice, perhaps?
Check out the Gluten-Free Menu Swap roundup below for more gluten-free menus, recipe links, and ideas for including carrots in your meals.
Monday — Sandwiches [6], Carrot Chips with Hummus, Fruit Salad
Tuesday — Sam's Fajitas [7], Avocado Salsa [8]
Wednesday — Hamburgers [9], Waffle Fries, Shirley's Candy Carrot Coins [10]
Thursday — Chicken Teriyaki, Jasmine Rice, Steamed Broccoli
Friday — Fish Tacos, Red Cabbage and Carrot Slaw
Saturday — Chicken Chili [11], Pupusas [12]
Sunday — leftovers
Gluten Free Menu Swap Roundup
Mom's Plans [13]: Gluten-Free, Dairy-Free Menu for the family and a Paleo Rotation Diet for Melissa
Melissa has stocked away a lot of meals in the freezer this month, and is loving it. This week, her family gets to enjoy Beef Taquitos, Beef 'n Tater Bites, Taco Soup, Southwestern Soup, Sweet and Sour Meatballs, Beef and Cabbage Soup, and Quinoa Chili. She provides links for most of these, so be sure to check out her full menu [14] to get the recipes.
Angela's Kitchen: Gluten-Free, Dairy-Free Menu
Angela has several recipes with carrots to share this week: Morning Glory Muffins [15], Carrot Cake Pancakes [16], Seven Layer Dip [16], Kimchi [17], Mongolian Chicken and Veggies [18], Smoothies [19] (using steamed, then cooled carrots), and ABC Salad [20]. Angela also shares recipes for her meals this week: Bacon Spinach Quiche Pie, Kaleidoscope Potato Salad, Lazy Cabbage Roll Casserole, Seasoned Green Beans, Oven "Fried" Basil Chicken, Mashed Cauliflower, Easy Taco Bake, Cilantro Cashew Salad, Fish Tacos with Red Cabbage Slaw, and Vegan Yankee-style Creamed Corn Cornbread. Head over to her menu plan this week [21] for all the recipe links.
The Peaceful Mom: Simple Gluten-Free Menu
On this week's menu, Kimberlee has Steak and Peppers, BBQ Chicken and baked beans, Scrambled Eggs and Bacon, Beef Roast with Mashed Potatoes, Crock Pot Chili with corn chips, GF Pasta with a meat sauce, and Chicken Enchiladas. She'll also be making Crockpot Granola for breakfast. You'll find more breakfast and lunch ideas in The Peaceful Mom's full menu [22].
Extraordinary Life: Gluten-Free, Paleo Menu
Lisa starts her week with Meatloaf [23] and London Broil with Cauliflower. Then, she's making kid favorites Parmesan Crusted Chicken Nuggets and No-Corn Corndogs [24]. She'll finish the week with Lettuce Leaf Tacos and Roasted Pork Loin with Sauerkraut.
Our Frugal Happy Life: Eating Gluten-Free on a Budget
Emily is back this week with Hamburger Gravy over Mashed Potatoes, Chicken Tacos, and Pizza Chicken. She's also making Easy Roasted Potatoes with Carrots [25], Italian Shepherd's Pie, and Chicken and Pasta with Cheese.
Check back later to see who may be sharing their gluten-free menus this week.
Want to join Gluten-Free Menu Swap?
Need more menu ideas?
Article printed from celiacfamily.com: http://celiacfamily.com
URL to article: http://celiacfamily.com/carrots-menu-plan-march-18/
URLs in this post:
[1] : http://celiacfamily.comhttp%3A%2F%2Fceliacfamily.com%2Fcarrots-menu-plan-march-18%2F
[2] Image: http://pinterest.com/pin/create/button/?url=http%3A%2F%2Fceliacfamily.com%2Fcarrots-menu-plan-march-18%2F&media=http%3A%2F%2Fceliacfamily.com%2Fwp-content%2Fuploads%2F2011%2F10%2FCarrots.png&description=Carrots%20%26%238211%3B%20Menu%20Plan%20March%2018
[3] Image: http://celiacfamily.com/wp-content/uploads/2011/10/Carrots.png
[4] Image: http://celiacfamily.com/wp-content/uploads/2009/04/img_3235x.jpg
[5] Carrot Cake: http://celiacfamily.com/gluten-free-carrot-cake/
[6] Sandwiches: http://celiacfamily.com/sandwich-bread-alternatives/
[7] Fajitas: http://sosimplygood.com/2007/04/23/southwestern-flank-steak/
[8] Avocado Salsa: http://celiacfamily.com/avocado-salsa/
[9] Hamburgers: http://celiacfamily.com/better-burgers-gluten-free/
[10] Candy Carrot Coins: http://glutenfreeeasily.com/candy-carrot-coins/
[11] Chicken Chili: http://celiacfamily.com/white-chicken-chili/
[12] Pupusas: http://celiacfamily.com/pupusas-and-spicy-slaw/
[13] Mom's Plans: http://www.momsplans.com/2013/02/menu-planning-for-february-23-2013/
[14] full menu: http://www.momsplans.com/2013/03/menu-planning-for-march-16-2013/
[15] Morning Glory Muffins: http://angelaskitchen.com/2008/07/18/gluten-free-dairy-free-morning-glory-muffins/
[16] Carrot Cake Pancakes: http://angelaskitchen.com/2012/03/12/gluten-free-dairy-free-carrot-cake-pancakessecret-recipe-club/
[17] Kimchi: http://angelaskitchen.com/2011/05/01/food-preserving-kimchi/
[18] Mongolian Chicken and Veggies: http://angelaskitchen.com/2012/05/14/secret-recipe-club-mongolian-chicken-and-veggies/
[19] Smoothies: http://angelaskitchen.com/2011/07/12/tuesdays-at-oamm-freezer-smoothies-with-veggies/
[20] ABC Salad: http://angelaskitchen.com/2010/11/28/updated-abc-salad-apple-bok-choy-and-carrot-slaw/
[21] menu plan this week: http://angelaskitchen.com/2013/03/18/menu-plan-monday-march-18-2013-gluten-free-dairy-free-gfcf/
[22] The Peaceful Mom's full menu: http://thepeacefulmom.com/2013/03/18/simple-gluten-free-weekly-menu-easy-recipes-318/
[23] Meatloaf: http://my-extraordinary-life.blogspot.com/2009/09/old-fashioned-meatloaf.html
[24] No-Corn Corndogs: http://my-extraordinary-life.blogspot.com/2013/03/no-corn-corn-dogs.html
[25] Easy Roasted Potatoes with Carrots: http://ourfrugalhappylife.blogspot.com/2012/06/recipe-roasted-potatoes-with-carrots.html
[26] Gluten-Free Menu Swap Page: http://celiacfamily.com/gluten-free-menu-swap/
[27] schedule of themes and hosts: http://celiacfamily.com/gluten-free-menu-swap/schedule/
[28] Image: http://orgjunkie.com/2013/03/menu-plan-monday-march-1813.html
[29] past menu plans: http://celiacfamily.com../category/menu-plan/
Click here to print.
Copyright © 2009 celiacfamily.com. All rights reserved.


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Lawmakers and global regulators recognize the key role commercial real estate finance plays in the economy and, as such, regularly introduce bills or craft specific regulations that focus on the sector, whether it's a smaller-scale effort or through federal-scale initiatives. Below are the items the Council believes warrant such inclusion in this list.
> TARP and Other Regulatory Efforts
> Legislative Efforts and Proposals
> CREFC's Open Letter on Fiscal Cliff Impact to CRE Markets
> A Framework For A Sustainable Commercial Real Estate Recovery
> Council Testifies on CRE before House Financial Services Committee
> Council, Coalition Letter Warns Against Carried Interest
> H.R. 5872 – Increasing FHA Funding for Multifamily Loan Guarantees
> CMSA Comment Letter on Legacy CMBS Talf Program
> CMSA Comment Letter Submitted to FDIC on Legacy Loans Program
> CMSA Requests TARP Allocation for Commercial Mortgage Industry
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Author: Eve Northmore
For the last Kinky Rail Jam event of the season, the Women's Snowboard Federation added an 80's prom dress twist to shake it up and close the series down!
The girls had the time of their lives as they learned that heaven is a place on earth and on April 2nd, that place was Blue Mountain! The spring sun shone brightly down on the girls as they hiked the setup time after time to the tune of Hall & Oates, Glass Tiger, Blondie, Joan Jett and Michael Jackson!
The intermediate girls were living on a prayer as they fought trick for trick through a game of K.I.N.K.Y. for a custom Rugged Riders snowboard and then into an afternoon jam.
But don't you forget about the beginner girls who, after locking in some new tricks, thrilled the crowd with their new moves in the beginner jam. First-time competitor Rebecca Last had the eye of the tiger as she stomped front and back boardslides and 180's on the dance floor, taking home the first prize – a shiny new Burton Lipstick.
The advanced girls sweated through the afternoon stomping trick after trick. Everybody wanted to rule the world and take home the grand prize: cashmoney, sponsor goodies, a stunning tiara, and a bottle of the finest non-alcoholic champagne just waiting to be rained down on the crowd!
Who can it be now? The girls thought as they waited patiently for the winner of day to be announced. You don't get money for nothing…winning both Best Trick with a hard way 180-onto the down-flat rail, and 1st place overall, Genny Ross killed it! She was so excited, she just couldn't hide it, taking home the cold hard cash with a slew of badass banger tricks.
The girls partied all night long in the village at the Rusty's after party. Celebrating good times (come on!) and yet another season is a wrap!
Mel Maynard
1.Rebecca Last
2.Selina Lai
3.Clare Zeltner
1.Mel Maynard
2.Logan Cordiner
3.Heather McGee
1.Genny Ross
2.Catriona Boyd (Forum, The Boardshop)
3.Taylor Bull
The Kinky Rail Jam series is sponsored by BURTON, VANS, SBCWomen.com, Matix, DVS, Dialogue Headwear; sanctioned with Women in Snowboarding and BC Snowboard Association.
All photos by: Erin Helstern


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WINNIPEG -- A win tonight over the Winnipeg Jets would allow the Washington Capitals to keep their gaze looking forward and lessen the urge to look over their shoulders.
The Capitals (36-28-6) have used a 7-2-1 run that includes their current four-game win streak to put space between themselves and the Jets, whom they lead by four points. A win tonight would also move the Capitals to within one point of the Florida Panthers for the Southeast Division lead and mark the first time they have won more than four games in a row since a seven-game win streak opened their season.
"We're getting good goaltending and timely scoring," Capitals coach Dale Hunter said of his club's recent push. "We're basically playing playoff-style hockey."
Settling down the Jets and their rambunctious crowd will be one key for the Capitals, who have split the teams' first two meetings this season in Winnipeg.
"They play with so much emotion and passion," center Brooks Laich said of the Jets.
Hunter is also keenly aware of Winnipeg's home power play, which ranks first in the League this season at a 25.0 percent clip.
"They move the puck well," Hunter said. "They have big shots from the point and get traffic in front. Stay out of the penalty box."
Washington will also regain the services of defenseman Mike Green, who will return after serving a three-game suspension. Tomas Vokoun will return to the Washington net after Michal Neuvirth turned in wins over the past two games.
Here are the projected lines and pairings for the Capitals:
Marcus Johansson - Brooks Laich - Alex Ovechkin
Jason Chimera - Mathieu Perreault - Alexander Semin
Matt Hendricks - Jay Beagle - Troy Brouwer
Mike Knuble - Keith Aucoin - Joel Ward
Karl Alzner - John Carlson
Dennis Wideman - Dmitry Orlov
Jeff Schultz - Mike Green
Tomas Vokoun
Michal Neuvirth


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- Filed Under
As the summer winds to a close, many young people will have spent their time working at their first job or completing an internship.
But how many can say they joined the circus?
Natasha Shatzkin can. At nearly 16, Shatzkin attended her third American Youth Circus Organization festival recently, honing her juggling and tightrope skills. ...


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By Amanda M. Klasing
WeNews commentator
Thursday, September 29, 2011
Conditions have become worse for many Haitian women and girls after last year's earthquake, including access to reproductive health care, says Amanda M. Klasing. Their needs must be considered in every aspect of reconstruction and at each step.
Many of the over 100 women and girls I've spoken with continue to face obstacles in getting these life-saving services. Many don't have basic information about where to get free medical services; others lack the less than $1 needed to transport them to a hospital to give birth.
These are not insurmountable obstacles, and they don't require expensive solutions. They require a broad recognition by decision-makers at the highest level in the government, the Interim Haiti Recovery Commission, donors and aid groups that women and girls matter. Their concerns are not something relegated to a few specialists.
The needs of women and girls should be considered in every aspect of reconstruction and at each step, from design to implementation to monitoring. All data--on displaced persons, flood victims, political violence, cholera deaths, political participation--should show how women and girls are affected. Gender-specific benchmarks should be designed to show progress toward reducing inequalities. Most important, clear avenues should be designed for women's participation.
In Haiti, women are called the "poto mitan," the pillars of society. They are also the foundation. Reconstruction that ignores women will leave Haiti more unstable than ever.
Would you like to Comment but not sure how? Visit our help page at http://www.womensenews.org/help-making-comments-womens-enews-stories.
Would you like to Send Along a Link of This Story?
Amanda Klasing is the Americas researcher for the Women's Rights Division at Human Rights Watch and author of the organization's new report, "'Nobody Remembers Us': Failure to Protect Women's and Girls' Right to Health and Security in Post-Earthquake Haiti."
'Nobody Remembers Us': Failure to Protect Women's and Girls' Right to Health and Security in Post-Earthquake Haiti, Human Rights Watch:
By Rebecca Harshbarger
WeNews correspondent
By Ariel Leconte
WeNews correspondent
By Amy Lieberman
WeNews correspondent
By Rebecca Harshbarger
WeNews correspondent
By Dr. Marjorie S. Rosenthal
By Stephanie Geier
By Marsha Walton
By Juhie Bhatia
By Afghan Women's Writing Project
By Amy Lieberman
By Michele Weldon
By Sharon Johnson
By Sharon Johnson
By Tricia Taormina
By Ann Marie Cunningham
By Tricia Taormina


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POSTED: 10:08 p.m. HST, Feb 14, 2014
LAST UPDATED: 12:20 a.m. HST, Feb 15, 2014
State transportation officials are advising Oahu drivers of ramp closures at the H-1 freeway and Pali Highway during the next two Sundays.
Those closures, scheduled from 6 a.m. to 10 p.m., include:
>> The H-1 freeway eastbound Pali Highway off-ramp.
>> The Punchbowl Street offramp.
>> The Pali onramp to the eastbound H-1.
The state Department of Transportation advises drivers heading eastbound on the H-1 during the closures to use the Vineyard Boulevard and Kinau Street off-ramps as alternate routes. It also advises Pali drivers trying to get on the eastbound H-1 to turn left onto Vineyard and use the next freeway onramp past Punchbowl.
The closures will allow crews to work on the H-1 repaving and rehabilitation project taking place this year in town, DOT officials said.


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Just Received My First Muskie Lures
I am so excited about fishing New Brunswick again this year but then again I'm excited every year I get to go fishing, however this year it's my my year to fish for muskie and striper.
A few weeks ago I opened my fishing NB Facebook page and saw a message from fishing friend Ron who was selling a bunch of his muskie lures and gave me the first chance to snap them up and I did.
I was going to pick them up at the first muskie meeting of the year but that didn't happen as my computer died Saturday morning. It would have been my first muskie meeting too. So glad Casey was going because he picked my lures up and dropped them off at my house where I ripped them open like a kid at Christmas.
I thought they would fit in a couple of my Plano boxes but they were a tad too big for the ones I have. Okay way too big. I'll be heading out before fishing starts to pick up a couple of Mann sized Plano boxes. They will fit perfectly in the tackle bag Casey gave me the last time he was in town.
I'm sure Jenny was pleased that I cleared off the kitchen table to layout my musky lures so I could take a few pictures of them.
Yesterday morning I had zero muskie lures, today I have 22 awesome musky lures. Yesterday morning I was eager for fishing season to begin, today I'm itching to try these new lures out. I guess I just have to dream about it for the next few weeks.
Watch the waters as you'll likely see me and my float tube fishing muskie and stripers. That would be a funny site to see me being dragged from Fredericton to Saint John in a float tube being pulled by a big ole striper.
Now I'm off to eBay to see what other muskie lures I can find. I'd like to find some nice muskie spinner baits as they are one of my favourites to fish.
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Tagged with: muskie fishing • new brunswick • Stripers
Filed under: fishing New Brunswick • musky fishing • striped bass
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The Philadelphia Flyers won't be the only team in the organization that gets a chance to play outdoors in January -- the Adirondack Phantoms will play at Citizens Bank Park in Philadelphia just four days later in the Outdoor Classic.
The Phantoms, the Flyers' AHL affiliate, will host the Hershey Bears, the Washington Capitals' AHL squad, on Friday, Jan. 6 as part the 2012 Bridgestone NHL Winter Classic festivities. Four days earlier, the Flyers will play host to the New York Rangers in the seventh outdoor game in NHL history.
"This is an extremely exciting day for the Phantoms organization and Phantoms fans everywhere," said Phantoms President Rob Brooks. "A hockey celebration and atmosphere unlike anything the AHL has ever seen will happen at Citizens Bank Park. We are extremely grateful to (Comcast-Spectacor President) Peter Luukko for helping make this truly great event a reality."
This is the fifth NHL Winter Classic but the first ever to also feature an AHL outdoor game as part of the festivities.
"The American Hockey League has a strong following in the region and it will be a terrific experience for Pennsylvania hockey fans as the historic Phantoms-Bears rivalry is renewed outdoors at Citizens Bank Park," said David Andrews, AHL President and Chief Executive Officer.
"We are thrilled to join with the Philadelphia Flyers in adding AHL hockey to their outdoor showcase."
The Phantoms and Bears will also wear specially designed jerseys honoring the significance of the Outdoor Classic, similar to the fantastic jerseys the NHL teams have worn in their Winter Classic games.
"This will be a terrific opportunity for hockey fans throughout Philadelphia to see the future prospects of the Flyers in a truly unique setting," said Comcast-Spectacor President Peter Luukko. "We're very excited to add a Phantoms regular season game to our week-long celebration of the Winter Classic being in Philadelphia. We look forward to working with both (owners) Rob and Jim Brooks in bringing the Phantoms back to Philadelphia for this truly special night."
This will be the third outdoor game in AHL history; The Syracuse Crunch hosted the Binghamton Senators on Feb. 20, 2010 at the New York State Fairgrounds in front of 21,508 fans. The Connecticut Whale hosted the Providence Bruins on Feb. 19, 2011 at Rentschler Field in East Hartford, Conn., breaking the league's attendance record with 21,673.
"It is exciting to have a chance to break the league attendance record," Brooks said. "In fact, that is our goal and we absolutely believe it will happen. Fans will want to be there just to soak in the magical atmosphere and to be a part of history."
Citizens Bank Park is the major league baseball home of the Philadelphia Phillies and will have a seating capacity of approximately 40,000.
Details on how to purchase tickets for the Outdoor Classic will be available soon.


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A driver was arrested and accused of taking part in a street race that ended with a car rolling over several times earlier this week in Northeast El Paso.
William S. Moss, 31, was arrested on suspicion of racing on a highway causing bodily injury. He was jailed, and his bonds were set at more than $50,000.
A police spokesman said Moss was racing at midnight Monday on McCombs Street near Dyer Street. Police said the driver of the other car lost control, hit the median, rolled several times and knocked down a pole.
Police nearby heard the cars revving and arrived moments after the crash.
The driver and a passenger of the car Moss allegedly was racing were hospitalized.
Police said the passenger, a 31-year-old Chaparral, N.M., man, was hospitalized in stable condition with serious injuries.
The driver, whose injuries were not life threatening, could face charges of racing and intoxicated assault once released from the hospital, police said.


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- Filed Under
Christmas can't be far away now ... Santa and Mrs. Claus are coming to town - this week, in fact.
The public is invited to visit with Mrs. Claus on Thursday, Nov. 15, from 10 a.m. to 12 noon, in Governor's Square Mall's Center Court.
Mrs. Claus will be stopping by the city's regional mall just to make sure everything is ready for Santa's big arrival at Governor's Square on Saturday morning. Mall officials say she will be reading 'Twas the Night Before Christmas at Santa's set in Center Court at 10:30 a.m. ...


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@StarDust4Ever I know we're just joking around, but I know plenty of people that do actually hold resentment over the civil war, and it makes me feel legitimately sad that some people actually think that would've been a better (or even a possible) outcome. The South never ceases to amaze me.
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- Joined:
- Wed 22nd Jan 2014
Recent Comments
Mmm... a good chance to try and actually get into Star Fox for a change. Might have to give this one a shot.
Honestly, no one should be surprised that the most popular Zelda game and most commonly redone one is on top of the list. If nothing else, I guarantee it was the most common game on literally everyone's list. Few people really hate the game. Even I am only mildly disappointed at what it fails to accomplish in terms of story, but it's not like anyone expected Majora's Mask or Skyward Sword to be on the top of the list. The higher you get on the list, the more predictable the games get, especially considering this is a very Western website, giving the 3D games a massive edge on the handheld and 2D ones.
Dance title, dance title, party title, experimental title?, exercise title. Yup. Love it or hate it, guys, this is part of what made the Wii's library so popular with casuals. Besides, Mind Labyrinth looks somewhat interesting. In a... I'll watch a video and probably buy it when I see a $5 copy about a year from now... kinda way. Kinda like Wii Music! That game wasn't outright terrible, it just didn't constitute anything near a $50 value.
@Meaty-cheeky Hurt feelings. Cute. What do you think I am? A fanboy? If I was willing to outright skip two generations, I'd hardly call myself a fanboy. Besides, what have I got to be butthurt over? I agree that Gen 2 is the best, too. I just spent more time playing Gen 3, and it didn't get boring, even though I can't seem to bring myself to even try to finish Poke'mon Black. On top of that, it's not like I've lost my touch, or anything, since I didn't seem to mind beating Poke'mon X and playing around with the Friend Safari for a bit.
Also, competitive community in general can kindly shut their pie-holes. I never agree with them, in the first place because most of them take gaming way too seriously to the point that it just stops being fun. But that's an argument for another time.
@Meaty-cheeky Considering that I spent hundreds of hours on Gen 3 and played all three games and enjoyed them all, but can't even push myself to finish Pokemon Black version, I'd say that that's just your opinion. It's also like to point out that no one seems to agree with you, nostalgia or not. Besides, Pokemon art my age is nothing if not all about the nostalgia, so I'll be keeping my rose-tinted glasses on until such a time as I see fit to remove them. Thank you.
All of my hell yes! I don't need to see gameplay. It's a remake/sequel/whatever to the Pokemon Generation I spent the most time on. No chance in hell that I'm not getting this. Man, I'm gonna need some super deep pockets, this Holiday season.
Soooo, I just crunched the numbers out of boredom. And because we don't have tax on downloadables, here, the game and season pass are going to cost me about 20 cents LESS than a full $40 game would. And this game is about twice the size of the usual Mario Golf title with a bigger roster, too, I think everyone is silly for complaining about this. It actually costs LESS this way.
@TopLaytonsHat True, but that is the company's problem. Not mine. It'll also suck for them if I play the demo, get the game, and then decide I don't need the DLC, so I view it as a risk, rather than a cheap shot.
How you feel about this depends entirely on how you look at the situation. There's a demo, there's the game itself, and then there's the bonus content. Respectively, that's free, $30, $42. I'll try it one step at a time, and if I feel the DLC isn't necessary, I won't bother. If I feel the game isn't worth my time, I won't buy it. It's that simple.
I think this is a great idea, but if you don't like it, well, I guess that sucks for you.
Personally, I've been wanting to learn how to play Koi Koi for a long time. I think this would be a cool thing to get later, when I feel like actually learning.
Personally, I'm gonna have to disagree with this list. DKCTF is probably my favorite game on this console. (Of course, it's not shocking that I say that, considering difficulty is my thing, which is also the reason it's not number 1. I still can't agree with Windwaker HD beating it, though.)
I'd also have to insist that we bump up New Super Mario Bros U a few spots because of New Super Luigi U. The DLC definitely fits, and even a stale Mario game isn't a bad game by any standards. (Not that anything on this list is.)
@Peach64 Man, that just seems like such an awful way to think about it. What if it really turns out to be good and everyone misses it, because they were convinced it'd be bad? I mean, don't get me wrong, I'm not exactly a big Sonic fan, but I'd be willing to at least give it a chance to hype me. Who knows? I may get some friends together and play through this one.


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In all the things that there are, I love the beauty of it all,
The beauty of the fruits of Earth steal my heart,
And my heart sees beauty in everything,
That soft spot in my heart just tears my chest apart,
And scatters the pieces to the beautiful wind;
To take it far away.
The Earth is full of beauty, nay, is beauty,
And it tears my very soul apart,
For the beautiful rushing water;
To take it far away.
The flow of grace that is the horse,
Flying across the ground,
The bottled fury of the tiger,
Lying braced without a sound,
The wheeling, feathered gull,
Crying despondently to the setting sun.
Such beauty in the plants of Earth,
The animals and water; the wind upon the ground.
Within every blade of grass, dew drops sprinkled glittering,
And delicate is the spider's web, strands long and trailing,
Tall beauty in the mountain great,
Vastness wide and in the distance paling,
The bright face of the rising sun.
My heart is breaking from this beauty,
From curling smoke and rustling leaves all coloring,
From shining snow and rain all clouds are gathering.
Every thing of beauty that I see takes a piece of my heart,
'Till all my heart is strewn across the land,
Sprinkled in all the places of the Earth,
For all places harbor beauty.
My heart is a bird, cradled closely to my chest,
And I give it freely, to the world,
Flying far, amongst it all,
And each beat of wings; a beat of my heart.
Flying long is my heart, but then for beauty, dying.
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Editor's Overview
By Eric D. Carlson and Pedro Hernandez-Ramos This issue draws its materials from the Networked World: Information Technology and Globalization international conference held April 24 and 25, 2003 at Santa Clara University, presented by the Center for Science, Technology, and Society and sponsored by Applied Materials, Inc.
Glocalism and our Networked World
By James L. Koch and Uri Savir Information technology is an example of "glocalism," a social process especially evident in major cities that links the benefits of globalization to local situations.
Globalization and Development: Partners or Competitors?
By Javier Elguea Information technology has global impacts on free trade, free migration, and the distribution of spiritual resources.
Lessons from the Field: The Less-Known Dimensions of the Digital Divide
By Manuel Gandara Field research in Mexico indicates there are key barriers to accessibility of information technology in developing nations. The barriers occur in six areas: operability, intelligibility, cultural compatibility, relevance, usability, and security.
E-waste and the Greening of the Information Age
By Chad Raphael E-waste is creating global ecological and health problems. Although legislation and treaties are being developed, much more remains to be done if we are to have a "green" rather than "black" information age.
Intellectual Property and Social Needs in a Networked World
By Howard Anawalt Interlaced economies and ICT (information and communication technologies) have combined to produce much of what we understand aas "globalization." The four papers in the STS NEXUS 3.2 Supplement each describe different aspects of how international intellectual property and copyright rules shape the effects of ICT on private property rights and social needs.


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Explore Panama Real Estate. There is no other country in the world that has everything that Panama offers.
Panama has so much to explore, from bustling Panama City to the tranquil beaches and countryside of Pedasi. At Panama Equity Real Estate, our aim is to provide as much insider information as possible about Panama, which is why we created this Explore Panama section. Take your time exploring this area, which is where you will find information on a wide range of subjects on Life in Panama including the best places to buy fresh vegetables, information on insurance in Panama, our picks for Panama's best beaches, restaurant reviews, and of course detailed neighborhood information for those clients who are investigating purchasing real estate in Panama.
Whether it's a laid back lifestyle or the hustle and bustle of a world class city, Panama offers something for everyone. We have two oceans within a one hour drive of Panama City, beautiful mountains to explore, beaches to relax on, and untouched rainforest to discover.
Tax Advantages
The government has been courting foreign investment in Panama for the last four years. The administration has passed legislation to encourage investors, including: 20 year property tax exoneration on all new construction, no double taxation on income earned outside of the country, huge retiree discounts and low sales taxes. Panama also offers asset protection through offshore incorporation.
Safe streets, no hurricanes, and a solid banking industry make this a safe place to vacation, invest, and live.


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MEXICO CITY (AP) - Mexican authorities acknowledge that a motorist tweeted them a warning about an impending mudslide on one of the nation's biggest highways hours before a massive slide swallowed two cars and killed seven people.
Twitter user Ricardo Miranda says his message could have saved lives. But the federal Transportation Department says the tweet referred to an unstable hillside about 3 miles (5 kilometers) from where the mudslide actually occurred.
The department says in a statement it saw Sunday's tweet and inspected the spot, but saw no danger.
Department spokeswoman Carolina Alvarez said Tuesday that several hours passed and an intense rainfall occurred between the time of the tweet and the mudslide.
Copyright 2015 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.


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Lonely and afraid
I feel like this almost everyday
But then I see
And I realize I'm not alone in this place
Millions are out there going through the same
Hiding all the time from who they really are
But then somehow they rise
They throw away their fear
And no I'm not saying it's completely gone
But it's far away to be who you really are
And see that's what I want right now
Yes now, not in a few years, I want it now
To be able to stand up for me… for us
A human being judged for being different
I'm tired of being treated like this
Having fingers, snickers, and hatred follow me
I know it won't all go away
But how can I know if I don't stand up
How can you know if you don't stand up
I'm tired of wishing for things to change
Maybe they will someday if we stand up
Yes I know we all have that fear
We have that parent, that sibling, that friend, that stranger
That will make us want to hide back into safety's arms
Make us want to live in a lie again
But that has to change someday
See I may sound so sure of who I really am
But I'm not… I too want to hide
I still have that fear of being judged by my loved ones
But I am also tired of living this lie
Being someone who hides from the world
But always wishing for change to occur
I know I have to stand up someday… we all do
We need to join and voice against the hate and injustice
Just wishing will not change much
You know it's like an African proverb my teacher says each day
"When you pray, move your feet."
Things will not change if you lay back down
Only you, standing up for who you really are, can make that change
And I'm not saying it's going to be easy
Things that change have never just changed
There has always been a battle, an army behind that change
And even though there were no guns
There were words, there were hopes, and there were wishes
And until you or me pass the point of safety
There will be no change in what it is we want
There will be no coming back to safety's arms once you stand up
Friendships and family bonds will change
Whether it's for good or bad
I can't tell you that…I'm no soothsayer
But you have to take that chance
Stop living in a lie… hidden from all
Stand up for whom you really are
Stop acting like what society wants you to be
Be you. Be unique. Be different.
There's nothing special about being the same
Stand up now and join hands
Raise your voices and tell the world who you are
Because no change will come if you stay quiet and safe
No one will know who you really are
Stop hiding and tell them all, tell the world you want to be you
Stand up. Join hands. Raise your voice. And be proud of who you are.
- From Diana L. Garcia , a fellow lesbian.
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|Complex technique of large sural flap: an alternative option for free flap in large defect of the traumatized foot.
MedLine Citation:
|PMID: 21713727 Owner: NLM Status: In-Data-Review
|The distally based sural fasciocutaneous flap has become a main part of the reconstruction of the lower leg, heel and foot. However, perfusion problems and venous congestion have been reported. Over the past decade, several flap modifications have been reported to improve flap viability and to solve a myriad of reconstructive needs. The purpose of this paper is to describe our experience in harvesting the reversed large sural flap from the proximal and middle third of the leg for large defects on the foot. We applied the extended reversed sural flap from the proximal third of the leg in traumatized patients which had large defects on their foot. The technique was done in 3 parts: 1- the flaps were designed in the proximal third of the leg five centimeter lipofascial tissue was protected around the pedicle in distal part; 3- The pivot point was located in seven to eight cm proximal the lateral malleolus before the first fasciocutaneous perforators arising from the peroneal artery. Sural flaps from the proximal and middle third of the leg were designed in13 patients who had large defects on their foot. No flap necrosis or split thickness skin graft loss occurred. The flaps healed by the 3rd week excluding two patients. This study supports the application of our technique as a safe, easy and useable method in large defects of the foot. The results showed low rates of ischemia, venous congestion, dehiscence, infection and flap necrosis. Proximal extended and large distally based sural flap is an alternative to free tissue transfer for large defect reconstruction of the foot.
|Naser Mohammadkhah; Sadrollah Motamed; Seyed Nejat Hosseini; Hamid Reza Hallajmofrad; Madjid Abdolzadeh; Lotfallah Afzali Borujeni; Seyednouraddin Mousavinasab
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Publication Detail:
|Type: Journal Article
Journal Detail:
|Title: Acta medica Iranica Volume: 49 ISSN: 1735-9694 ISO Abbreviation: Acta Med Iran Publication Date: 2011 Apr
Date Detail:
|Created Date: 2011-06-29 Completed Date: - Revised Date: -
Medline Journal Info:
|Nlm Unique ID: 14540050R Medline TA: Acta Med Iran Country: Iran
Other Details:
|Languages: eng Pagination: 195-200 Citation Subset: IM
|Plastic Surgeon, Department of Plastic and Reconstructive, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Export Citation:
|APA/MLA Format Download EndNote Download BibTex
|MeSH Terms
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Proximal Ulna Fractures.
Next Document: Bonfils fiberscope: intubating conditions and hemodynamic changes without neuromuscular blockade.


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Expert Service 1-877-289-7664 [Hours]
Sony CMT-MX500i
Desktop CD Player Micro Component iPod/iPhone Speaker Dock Shelf System with Built-In FM Radio Tuner
Get FAST answers from customers ASK a Question See questions answers
Sony CMTMX500i
Unplug the headphones and listen to your music in full, rich audio with the CMT-MX500i micro shelf system. An integrated dock lets you control and play the tunes on your iPod or iPhone while keeping it charged2. You can also use the audio in jack to connect other audio sources, such as an MP3 player or PC. Expand your listening options and dial in your favorite FM programming, or enjoy CDs and 8cm discs via the single disc tray.
General Features:
- Desktop Micro Shelf System with iPod/iPhone Dock
- Made for iPod to change, play and control
- Gloss black finish
- Easy-to-use button layout
- Single disc CD player plays CDs burned on PCs and MP3s
- Audio in for use with MP3 players and PCs
- Charges iPod through direct dock
- Timer Play : iPod & iPhone; CD; FM
- Equalizer Function : DSGX (Bass Boost); Bass; Treble
- 1-year Manufacturer's Warranty
General Features
Speaker Specifications
Playback Features
More uses of Bluetooth technology include transmitting music to a compatible receiver, printing wirelessly from a computer, and many other wireless uses. Please see the item description for more specific information regarding what features the unit includes.
iPod Compatibility
Specials with this Item
Warranty and Return Policy
Summary of Customer Ratings & Reviews
Product Summary
Model Number
Internal SKU
Internal Product ID
Wiring Diagram Legend
Warning: The image depicted shows the resistance change when wiring multiple subwoofer terminals. Please refer to your subwoofer's owner's manual for the proper wiring of its terminals. Sonic Electronix, Inc. is not responsible for damage caused to your audio system or vehicle due to improper installation. Please call tech support at 1-877-289-7664 if you require additional assistance.
Product Name: Sony CMT-MX500i
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We offer free shipping on thousands of popular items for our Continental US customers and discounted rates for international customers. With multiple warehouses across the US, most orders are delivered within 3 days!Learn More
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Have a problem with your order and need to return an item? Our generous 60-day return policy allows you to return items for your money back. Should your product have a defect, we will exchange, issue store credit, or repair the product for the entire length of the warranty.Learn More
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Always available to answer your questions
Our trained install professionals can tackle any install challenge
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Browse our online library of educational resources to learn more about the items you are looking for. Our experts have developed many tools, written many articles, and numerous videos to help you find the best item for your needs.


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- Age / Gender:
- n/a, Male
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- 8/11/08
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dont got DSL lol
still making a game is out of the question lol
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|~EnV~Heaven Rd. 2 (Ng mix)
|Dance Song
Favorite Movies
I Can't Draw Rated 4.2514 Stars Billy loves to draw, but his drawings don't turn out the way he wants them to. Comedy - Original Old Man McDouche Rated 4.3013 Stars Old Man McDouche goes to buy some juice. Comedy - Original The Lazer Collab Rated 4.3496 Stars Flash authors show their lazer side in this epic collaboration. Comedy - Original The Lazer Collab Reloaded Rated 4.3806 Stars The epic sequel to the lazer collab! Are you ready to fire your lazer to this masterpiece? Comedy - Parody


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Personal Enrichment and Lifestyle
Have you ever wanted to take a course on saving for retirement, or learning how to make a contribution to the environment? Well, these courses have been designed for you!
Savvy IRA Planning: Don't Crack Your Nest Egg
7 Deadly IRA Sins – Ignore them at your own peril! If you own an IRA, 401(k), 403(b) or other qualified retirement account you must attend this course to avoid making a fatal mistake! Most mistakes cannot be undone! One wrong move makes Uncle Sam your primary beneficiary! Avoid the most common estate planning error that can unintentionally disinherit your loved ones. Learn the rules you must know before converting to a Roth. Make informed decisions, prevent costly mistakes and get the maximum benefit from your retirement savings by educating yourself.
|05/19/16 - 05/19/16
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Savvy Social Security Planning for Baby Boomers
Social Security is far more complicated than most people realize. The decisions you make now can have a tremendous impact on your retirement income. This informative course covers what you need to know about Social Security and reveals strategies for maximizing your benefits.
|03/29/16 - 03/29/16
|6:00 pm - 8:00 pm
Financial Survival for Retirement
If you are either retired or getting close to retiring, this course teaches you fundamental principles to ensure your money lasts. Learn how to better manage and control your investments, basic tax reduction strategies and how to plan for the threat of health care catastrophe. Learn how to develop an income plan that can provide income security for life, how to protect your life's savings from investment mistakes and how to reduce taxes on IRA/401K distributions.
|11/03/15 - 11/10/15
|6:00 pm - 8:00 pm
|02/11/16 - 02/18/16
|6:00 pm - 8:00 pm