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Harper Lee's unexpected new novel "Go Set A Watchman" has become the fastest selling book in the history of publisher HarperCollins, with more than 1.(...)
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Hunter Davies published the authorised biography of the Beatles in 1968 and the football classic, The Glory Game. He's also ghosted a few football boo(...)
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Nobel Prize-winning novelist Doris Lessing dies at 94
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Nobel Prize-winning novelist Doris Lessing - one of the most important English-language writers of the late 20th century - has died aged 94, her pub(...)
Apple 'conspired' to raise prices on e-books
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A federal judge has ruled that Apple conspired to raise the retail prices of e-books in violation of antitrust law, and called for a trial on damages(...)
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Joji Locatelli Joji Knits Patterns - Window To My Soul and TUTTO Sante Fe Patterns - Cardicho are both similar patterns: adult cardigan garment, for women, and fingering (27-32 sts/4 in) yarn gauge.
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subset: commoncrawl


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Jewels of Cleopatra Double Pack
Join Dr Felicity Turnstone in these two thrilling Jewels of Cleopatra match-3 adventures!
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¹Administrator privileges are required to properly install the program on Windows® XP, Windows Vista® and Windows® 7.
- By Dixie "Joanne"
- What a bargain - two great games with lots of levels and hours of play. These games are more interesting than usual match 3 as you have to find paths across the boards, find treasure, clues, avoid creatures and play mini games to progress. Enthralling and compulsive.
- Was this review helpful to you? Yes | No


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Posted by MaxStation, 5 December 2012 8:43 am
Another way of bringing mesh data into Inventor is available on labs.autodesk.com
The 2013 version of the Mesh Enabler for Autodesk Inventor lets you import STL files and then convert those into base features. The previous post exporting_3ds_max_models_to_inventor describes how to do this using the dwg file format.
The conversion process can do some simplification of the faceted data: it tries to merge triangles into a single face where possible. The 2013 version of the Mesh Enable expires on January 31st 2014.
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text: Add your comment to this article: "Contractor doctor: can I get financial protection against an IR35 investigation?" How can a contractor protect themselves financially against an IR35 investigation. Type your comment below, and click the "Add your comment" button to send it to us. Please note that all comments are moderated and approved before publication according to our comment rules. Name: (required) Town or City: (required) Email: (required - will not be shown) Your Comment: Please enter the text above in this box: Why Not Register? Becoming a member is free and easy. Member benefits are: Post your comments to discussions Share your valuable experience with us and other contractors. Recommend other users comments Tell us and other readers which comments are particularly insightful. Ask questions Pose questions to industry experts via our Contractor Doctor section. Take part in surveys Take part and read the results of surveys. Receive our monthly newsletter The latest news and information affecting UK contractors. See back issues.


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Highways Agency launches programme to improve information
The Highways Agency...
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The Highways Agency has launched a programme to improve the way it uses information and data.
The Road Information Framework, as it is known, draws data from disparate sources and shares it across the Department of Transport, Highways Agency and Local Highways Authority.
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It is using business intelligence software by Microstrategy to analyse data.
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Respond to Review of A N D Cafe
by TRaeCH
Review: Reviewing this restaurant and immediately saving it to my favourites list - one of the absolute bests! My wife and I ate here on a Sunday morning, arriving at 9 am *just* in time to beat the full-on breakfast rush. We got a table right away but those following us had to hang out and put their names on the wait list. Either go early or be prepared to wait. Also, it's absolutely worth the wait! We each had delicious kombucha (a Kimosa - think mimosa but with kombucha - for me) and an entree. My wife loved her Feast Waffle covered in an absolutely delicious sauce, stuffed with all kinds of vegan goodness. I ordered the classic Meatloaf Benedict and could not have been happier with my choice. Scrumptious! The service was friendly and adequate, the menu packed with interesting options making for return visits a must! They also have daily specials which are very alluring too! Suffice to say, I adored this place. One of the best breakfast places I'm likely to find on Happy Cow. Don't miss it!
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You might like this
posted at 6/26/2008 7:49 AM EDTMost of the posters from the Sox board have migrated over to Sawxheads.com. There is a Pats board there also. It just needs a little dusting off and a few good posters and it will make a resounding comeback. It's free and there are no ads on the forum itself. There are already over 9k profiles in the membership. The features the forum has are even better than the old BDC board. You can post polls, pictures, links, there is a "live gameday chat", you name it, it's there. It's very easy to use. I know BDCDottie posted another meaningless update, only because the hits on this site are going down daily. The only thing I've noticed that is different is the ad on the right seems to be getting bigger. I never thought we would find a better place to post, but we absolutely did. Check it out.
You might like this
posted at 6/26/2008 8:30 AM EDTI signed up on this new site under my old name tasney68 and will start posting there soon. I will still post here but if you guys all also sign up there then maybe we use that forum instead. i assume there will be less trolls on that site.
You might like this
posted at 6/26/2008 8:47 AM EDT
"Their hatred (and jealousy) of our team makes the Jews and Arabs look like best buddies in comparison!"
As a metaphor it's either the Jews and Muslims, or the Israeli s and Arabs.
You might like this
posted at 6/26/2008 8:59 AM EDTno worries lets just agree that ben Rothisburger sucks balls.


text:
Number: 0445
Aetna considers electroconvulsive therapy (ECT) medically necessary for members diagnosed with any of the following conditions.
Note: More than 20 sessions of ECT in a treatment series is rarely medically necessary.
Aetna considers multiple monitored ECT experimental and investigational because its effectiveness has not been established.
Aetna considers ultrabrief bilateral ECT experimental and investigational because its effectiveness has not been established.
Aetna considers adjunctive ketamine in ECT experimental and investigational because the effectiveness of this approach has not been established.
Aetna considers ECT experimental and investigational for the treatment of the following indications because its effectiveness for these indications has not been established (not an all-inclusive list):
Electroconvulsive therapy (ECT, also known as electroshock therapy) involves the intentional induction of generalized seizures by administering electrical impulses to the anesthetized patient. Treatments are typically administered by a psychiatrist and an anesthesiologist or anesthetist.
Electroconvulsive therapy is generally administered in an inpatient setting, but can be administered on an outpatient basis in a facility with treatment and recovery rooms. It is usually administered 2 or 3 times a week, although ECT may be administered daily if tolerated.
The primary indication for ECT is major depressive disorder. Electroconvulsive therapy is usually considered when medications fail, can not be tolerated, or may be dangerous, but it is a first-line treatment for severely depressed patients who require a rapid response because of a high suicide or homicide risk, extreme agitation, life-threatening inanition, psychosis, or stupor. The average course of treatment for depression is 6 to 12 treatments, but some patients may require as many as 20 treatments.
Electroconvulsive therapy has been found to be as or more effective than lithium in the treatment of manic episodes and is also a potential treatment for patients experiencing mixed episodes. It is generally reserved for those patients with bipolar disorder who are unable to safely wait until a medication becomes effective, who are not responsive to or unable to safely tolerate one of the effective medications, is preferred by the patient in consultation with the psychiatrist, or who have had a good response to ECT in the past. The number of ECT treatments reported to be effective for mania has ranged from 8 to 20.
Electroconvulsive therapy is not effective for chronic schizophrenia. However, ECT may be effective for psychotic schizophrenic exacerbations when affective symptomatology is prominent, in catatonic schizophrenia, and when there is a history of a prior favorable response to ECT. Schizophrenia may require 17 or more ECT treatments.
A small number of ECT treatments often reverse catatonia, a nonspecific symptom that can occur in mood disorders, schizophrenia, cognitive disorders, and medical and neurological illnesses. Up to 12 treatments may be required in some patients.
There is very limited evidence that ECT is effective for delirium. In addition, there may be considerable risks with ECT in medically unstable patients. For these reasons, the American Psychiatric Association (APA) (1999) concluded that ECT "has not been shown to be an effective treatment for general cases of delirium." The APA recommends that ECT be "considered only rarely for patients with delirium due to specific etiologies such as neuroleptic malignant syndrome and should not be considered initially as a substitute for more conservative and conventional treatments."
A few clinicians have reported the successful use of ECT in severe obsessive-compulsive disorder (OCD), anorexia nervosa, atypical psychosis, cycloid psychosis, epilepsy with alternating psychosis, and chronic pain disorder, but those disorders are not usually considered indications for ECT. Electroconvulsive therapy is not an effective treatment for body dysmorphic disoder, dysthymic disorder, neuroses, dissociative disorders, hypochondriasis, conversion disorder, substance-related disorders, and personality disorders. Dell'Osso and colleagues (2005) noted that in addition to pharmacological, behavioral, and neurosurgical interventions, different brain stimulation methods such as transcranial magnetic stimulation, deep brain stimulation, as well as ECT have been examined in treatment-resistant patients with OCD. However, available data about the use of these techniques in OCD treatment are quite limited in terms of sample size and study design, given the difficulty in conducting standard blinded trials for these procedures. Furthermore, none of the mentioned treatments has received approval for the treatment of OCD from the Food and Drug Administration. This is in agreement with the observation of Schruers et al (2005) who stated that serotonin reuptake inhibitors augmentation strategies with a variety of drugs and ECT have demonstrated results in individual cases, but no conclusive evidence has been found in placebo-controlled trials. In addition, the National Institute for Health and Clinical Excellence (NICE, 2006) guidelines on OCD stated that there is insufficient evidence on which to base a recommendation for the use of ECT in the treatment of OCD, especially given potential associated risks with ECT. Furthermore, the NICE report stated that there is no evidence that ECT or psychosurgery is beneficial in treating patients with body dysmorphic disorder.
Clinical experience suggests that ECT be continued until the patient has shown a maximal response; there is no evidence that administering 1 or 2 additional treatments results in a better outcome. Indeed, increased confusion from additional treatments may produce clinical deterioration. Electroconvulsive therapy is discontinued in patients who have had a partial but substantial improvement but show no change after 2 more treatments and in patients who have not responded at all after 6 to 10 treatments.
Prophylactic ECT may be needed for patients who do not tolerate or respond to prophylactic medications or who respond better to ECT. After remission, prophylactic ECT treatments are initially administered at weekly intervals, and the frequency of treatments is usually decreased gradually to once a month or less. Treatment has been continued for periods of 4 or 6 months to five years or longer; some patients apparently require indefinite prophylactic ECT.
Relative contraindications to ECT include space-occupying lesions of the brain, high intracranial pressure, intracerebral bleeding, recent myocardial infarction, retinal detachment, pheochromocytoma, high anesthesia risk, adolescents and children, or a significant medical illness in which risk outweighs potential benefit.
In multiple monitored electroconvulsive therapy (MMECT), a patient undergoes ECT in the usual manner, but before regaining consciousness, undergoes another session of ECT designed to elicit a second (or additional) seizure. The effectiveness of MMECT has not been established. The National Institutes of Health 1985 Consensus Development Conference Statement on ECT states that "Multiple monitored ECT (several seizures during a single treatment session) has not been demonstrated to be sufficiently effective to be recommended…".
In an open, prospective study, Margoob et al (2010) examined the effects of ECT in the treatment of patients with chronic, severe, antidepressant- and congitive behavioral therapy (CBT)-refractory post-traumatic stress disorder (PTSD). A total of 20 consenting adults were prospectively treated with a fixed course of 6 bilateral ECT treatments administered on an outpatient basis at a twice-weekly frequency. The primary outcome measure was improvement on the Clinician-Administered Post-traumatic Stress Disorder Scale (CAPS). Baseline refractoriness was defined as a failure to respond to an adequate course of at least 4 different antidepressant drugs along with 12 sessions of CBT. Response to ECT was defined as at least 30 % attenuation of CAPS ratings, and remission as an end point CAPS score of 20 or less. After ECT, patients were prescribed sertraline (100 to 150 mg/day) or mirtazapine (15 to 30 mg/day). All but 3 patients completed the ECT course. An intent-to-treat analysis (n = 20) showed statistically and clinically significant improvement in the sample as a whole: CAPS scores decreased by a mean of 34.4 %, and depression scores by a mean of 51.1 %. Most of the improvement in CAPS and depression ratings developed by the third ECT; that is, by day 10 of treatment, itself. The improvement in CAPS ratings was independent of the improvement in depression ratings; and improvement in CAPS did not differ significantly between patients with less severe versus more severe baseline depression. The response rate was 70 %; no patient remitted. In the completer analysis (n = 17), mean improvements were 40 % and 57 % for CAPS and depression ratings, respectively, and the response rate was 82 %. Treatment gains were maintained at a 4 to 6 month follow-up. The authors concluded that ECT may improve the core symptoms of PTSD independently of improvement in depression, and may therefore be a useful treatment option for patients with severe, chronic, medication- and CBT-refractory PTSD. The findings of this small study need to be validated by well-designed studies.
Ujkaj et al (2012) examined the safety and effectiveness of ECT for agitation and aggression in dementia patients. A total of 16 patients with a diagnosis of dementia treated with ECT for agitation/aggression during 2004 to 2007 were included in this analysis. Clinical charts were rated on the Pittsburgh Agitation Scale as the primary outcome; the Clinical Global Impression scale and the Global Assessment of Functioning pre- and post-ECT were also used. Patients of mean age 66.6 +/- 8.3 years were studied. Their average overall and pre-ECT lengths of stay were 59.7 +/- 39.7 days and 23 +/- 15.7 days, respectively. Patients received a mean of 9 ECT treatments, mostly bilateral. Patients showed significant reductions in their total Pittsburgh Agitation Scale scores from baseline after ECT (from 11.0 +/- 5.0 to 3.9 +/- 4.3 [F = 30.33, df = 1, 15, p < 0.001]). Clinical Global Impression scale decreased significantly (from 6.0 +/- 0.6 pre-ECT to 2.1 +/- 1.6 post-ECT [F = 112.97, df = 1, 15, p < 0.001]). Global Assessment of Functioning change was not significant (from 23.0 +/- 4.9 to 26.9 +/- 6.9 [F = 5.73, df = 1, 13, p = 0.32]). Only 1 patient, in whom ECT was discontinued following 11 bilateral treatments, showed no improvement; 8 patients showed transient postictal confusion, which typically resolved within 48 hours. Two patients showed more severe postictal confusion that required modification of treatment. The authors concluded that these results suggested that ECT is an effective and safe treatment for agitation and aggression in dementia. Moreover, they stated that further prospective studies are warranted.
Oudman (2012) noted that depression is one of the most frequently diagnosed psychiatric disorders in patients with dementia with a prevalence of up to 50 %. The detrimental effects of depression in dementia include disability in daily living, worse quality of life, and faster cognitive decline. Although ECT is a well-established and effective treatment for depression in the elderly, it is currently an over-looked treatment option in the elderly with dementia and depression. The aim of this review was to provide a critical analysis of the safety and effectiveness of ECT in depression super-imposed on dementia by reviewing the current literature on this topic. Current evidence suggests that ECT is an effective treatment for depression in dementia, although the relatively small number of controlled studies hampers the comparison of effectiveness between healthy non-geriatric patients and those with dementia. Moreover, the systematic reports on cognitive side effects are very limited in number and currently only apply to moderately mild or mild dementia of non-vascular origin. Some studies do suggest that cognitive side effects are likely in later stages of dementia and in patients with vascular dementia. The author concluded that it is therefore of crucial relevance to prospectively study effects of ECT in different types and phases of dementia in controlled trials.
Loo and colleagues (2012) noted that the effect of shortening the pulse width of the electrical stimulus when administering ECT has recently been systematically studied with promising results. These investigators examined outcomes from 3 randomized controlled trials that compared ultrabrief (less than or equal to 0.3 ms) with brief (0.5 to 1.5 ms) pulse width ECT, and other recent clinical trials of ultrabrief pulse width ECT. The emerging evidence for ultrabrief pulse right unilateral (RUL) ECT suggested clinically meaningful efficacy and substantially reduced neuropsychological side effects compared with standard (brief) pulse ECT; this may represent a generational advance in the ECT technique. However, it is unclear if patients receiving ultrabrief pulse RUL ECT may have a slower speed of response and require additional treatments compared with brief pulse ECT. Therefore, until further data are available, clinicians may be well advised to use brief pulse ECT in situations requiring an urgent clinical response. The authors concluded that the evidence base for ultrabrief bilateral ECT is limited, with findings that efficacy may be reduced compared with brief pulse width ECT. They stated that ultrabrief bilateral ECT should not be used outside the research setting.
Lima et al (2013) reviewed the recent and classical aspects regarding ECT use in adolescents. These researchers performed a systematic review that conformed to the PRISMA statement. From the 212 retrieved articles, only 39 were included in the final sample. The reviewed studies brought indications of ECT use in adolescents, evaluated the efficiency of this therapy regarding remission, and explored the potential risks and complications of the procedure. The authors concluded that the use of ECT in adolescents is considered a highly efficient option for treating several psychiatric disorders, achieving high remission rates, and presenting few and relatively benign adverse effects. Risks can be mitigated by the correct use of the technique and are considered minimal when compared to the efficiency of ECT in treating psychopathologies.
Leiknes et al (2015) explored practice, use, and risk of ECT in pregnancy. These investigators performed a systematic search using the databases Medline, Embase, PsycINFO, SveMed and CINAHL (EBSCO). Only primary data-based studies reporting ECT undertaken during pregnancy were included. Two reviewers independently checked study titles and abstracts according to inclusion criteria and extracted detailed use, practice, and adverse effects data from full text retrieved articles. Studies and extracted data were sorted according to before and after year 1970, due to changes in ECT administration over time. A total of 67 case reports were included and studies from all continents represented. Altogether, 169 pregnant women were identified, treated during pregnancy with a mean number of 9.4 ECTs, at mean age of 29 years. Most women received ECT during the 2nd trimester and many were Para I. Main diagnostic indication in years 1970 to 2013 was depression/bipolar disorder (including psychotic depression). Missing data on fetus/child was 12 %. Electroconvulsive therapy parameter report was often sparse. Both bilateral and unilateral electrode placement was used and thiopental was the main anesthetic agent. Adverse events such as fetal heart rate reduction, uterine contractions, and premature labor (born between 29 and 37 gestation weeks) were reported for nearly 1/3 (29 %) of the cases. The overall child mortality rate was 7.1 %. Lethal outcomes for the fetus and/or baby had diverse associations. The authors concluded that ECT during pregnancy is advised only as last resort treatment under very stringent diagnostic and clinical indications.
The American Academy of Neurology's evidence-based guideline on "Treatment of tardive syndromes" (Bhidayasiri et al, 2013) stated that "Data are insufficient to determine the efficacy of electroconvulsive therapy for TDD [tardive dyskinesias] treatment".
The National Collaborating Centre for Mental Health's clinical guideline on "Bipolar disorder: The assessment and management of bipolar disorder in adults, children and young people in primary and secondary care" (NICE, 2014) recommended ECT for the treatment of severe mania that has not responded to other interventions (e.g., anti-convulsants, anti-psychotics, and lithium).
Termine et al (2013) stated that Tourette syndrome (TS) is a neurodevelopmental disorder characterized by multiple motor/phonic tics and a wide spectrum of behavioral problems (e.g., complex tic-like symptoms, attention deficit hyperactivity disorder, and obsessive-compulsive disorder). Tourette syndrome can be a challenging condition even for the specialists, because of the complexity of the clinical picture and the potential adverse effects of the most commonly prescribed medications. Expert opinions and consensus guidelines on the assessment and treatment of tic disorders have recently been published in Europe and Canada. All pharmacological treatment options are mere symptomatic treatments that alleviate, but do not cure, the tics. There is still a lack evidence of their effects on the natural long-term course and on the prognosis of TS and how these treatments may influence the natural course of brain development. The most commonly prescribed drugs are dopamine antagonists, such as typical (e.g., haloperidol, pimozide) and atypical neuroleptics (e.g., aripiprazole, risperidone), and alpha-2-adrenoreceptor agonists (e.g., clonidine). However, several studies have investigated the efficacy and tolerability of alternative pharmacological agents that may be effective, including the newest atypical antipsychotic agents (e.g., paliperidone, sertindole), tetrabenazine, drugs that modulate acetylcholine (e.g., nicotine) and GABA (e.g., baclofen, levetiracetam), tetrahydrocannabinol, botulinum toxin injections, anti-convulsant drugs (e.g., carbamazepine, topiramate), naloxone, lithium, norepinephrine, steroid 5-alpha reductase, and other neuroactive agents (buspirone, metoclopramide, phytostigmine, and spiradoline mesylate). As regards non-pharmacological interventions, some of the more recent treatments that have been studied included ECT and repetitive transcranial magnetic stimulation. The authors noted that their review focused primarily on the safety and effectiveness of these emerging treatment strategies in TS.
Furthermore, an UpToDate review on "Tourette syndrome" (Jankovic, 2015) does not mention EXT as a therapeutic option.
Roshanaei-Moghaddam and Pauly (2014) reviewed the literature to explore whether the use of ECT for the treatment of methamphetamine dependence can be justified by scientific rationale and/or evidence. These investigators reviewed the literature on the use of ECT in addictive disorders. They described a patient with methamphetamine dependence treated with ECT; and then offered a historical review of the moral and ethical difficulties encountered in the treatment of addictive disorders. These researchers proposed a dynamic understanding as to why clinicians might deploy such brutal actions in the face of hopeless and emotionally intense encounters. They found no scientific evidence or justification for ECT as a treatment of methamphetamine dependence or as the first-line treatment for methamphetamine-induced psychiatric co-morbidities. The authors concluded that the current available evidence does not support using ECT for the treatment of addictive disorders, and hence is unethical, unacceptable and inhumane and warrants immediate social and political attention.
Okazaki et al (2015) stated that autism spectrum disorders (ASD) are heterogeneous neurodevelopmental disorders that are reportedly characterized by aberrant neural networks. Recently developed multi-scale entropy (MSE) analysis can characterize the complexity inherent in electroencephalography (EEG) dynamics over multiple temporal scales in the dynamics of neural networks. These researchers encountered an 18-year old man with ASD whose refractory catatonic obsessive-compulsive symptoms were improved dramatically after ECT. In this clinical case study, these investigators attempted to clarify the neurophysiological mechanism of ECT in ASD by assessing EEG complexity using MSE analysis. Along with ECT, the fronto-central region showed decreased EEG complexity at higher temporal scales, whereas the occipital region expressed an increase at lower temporal scales. Furthermore, these changes were associated with clinical improvement associated with the elevation of brain-derived neurotrophic factor, which is a molecular hypothesis of ECT, playing key roles in ASD pathogenesis. Changes in EEG complexity in a region-specific and temporal scale-specific manner that were found might reflect atypical EEG dynamics in ASD. The authors concluded that although MSE analysis is not a direct approach to measuring neural connectivity and the results were from only a single case, they might reflect specific aberrant neural network activity and the therapeutic neurophysiological mechanism of ECT in ASD. Well-designed studies are needed to ascertain the clinical value of ECT, if any, for the treatment of ASD.
Adjunctive Ketamine in Electroconvulsive Therapy:
Fond et al (2014) stated that ketamine's effectiveness in depressive disorders has been established in several controlled trials. These researchers determined whether or not ketamine administration significantly improves depressive symptomatology in depression and more specifically in major depressive disorder (MDD), bipolar depression, resistant depression (non-ECT studies), and as an anesthetic agent in ECT for resistant depression (ECT studies). Secondary outcomes were the duration of ketamine's effect, the efficacy on suicidal ideations, the existence of a dose effect, and the safety/tolerance of the treatment. Studies were included if they met the following criteria (without any language or date restriction): design: randomized controlled trials (RCTs), intervention: ketamine administration, participants: diagnosis of depression, and evaluation of severity based on a validated scale. These investigators calculated standardized mean differences (SMDs) with 95 % confidence intervals (CIs) for each study. They used fixed and random effects models. Heterogeneity was assessed using the I2 statistic. The authors included 9 non-ECT studies in their quantitative analysis (192 patients with MDD and 34 patients with bipolar depression). Overall, depression scores were significantly decreased in the ketamine groups compared to those in the control groups (SMD = -0.99; 95 % CI: -1.23 to -0.75; p < 0.01). Ketamine's efficacy was confirmed in MDD (resistant to previous pharmacological treatments or not) (SMD = -0.91; 95 % CI -1.19,-0.64; p < 0.01), in bipolar depression (SMD = -1.34; 95 % CI -1.94 to -0.75), and in drug-free patients as well as patients under medication. Four ECT trials (118 patients) were included in the quantitative analysis. A total of 103 patients were diagnosed with MDD and 15 with bipolar depression. Overall, depression scores were significantly improved in the 58 patients receiving ketamine in ECT anesthesia induction compared to the 60 patients (SMD = -0.56; 95 % CI: -1.10 to -0.02; p = 0.04; I2 = 52.4 %). The duration of ketamine's effects was assessed in only 2 non-ECT studies and seemed to persist for 2 to 3 days; this result needs to be confirmed; 3 of 4 studies found significant decrease of suicidal thoughts and 1 found no difference between groups, but suicidal ideations were only studied by the suicide item of the depressive scales. It was not possible to determine a dose effect; 0.5 mg/kg was used in the majority of the studies. Some cardiovascular events were described (mostly transient blood pressure elevation that may require treatment), and ketamine's use should remain cautious in patients with a cardiovascular history. The authors concluded that the present meta-analysis confirmed ketamine's efficacy in depressive disorders in non-ECT studies, as well as in ECT studies. They stated that the results of this first meta-analysis were encouraging, and further studies are needed to detail efficacy in bipolar disorders and other specific depressed populations; middle- and long-term safety and effectiveness have yet to be explored. They also noted that extrapolation should be cautious since patients included had no history of psychotic episodes and no history of alcohol or substance use disorders, which is not representative of all the depressed patients that may benefit from this therapy.
Naughton et al (2014) (i) reviewed the clinical literature on low-dose ketamine as a rapid-acting anti-depressant in affective disorders, (ii) provided a critical overview of the limitations of ketamine and research attempts to overcome these, (iii) discussed the proposed mechanisms of action of ketamine, and (iv) pointed towards future research directions. The electronic database PubMed, Web of Science and sciencedirect were searched using the keywords: ketamine, N-methyl-d-aspartate receptor antagonist, rapid-acting antidepressant, depression, treatment-resistant depression, bipolar depression, suicidal ideation, electroconvulsive therapy, mechanism of action. The literature demonstrated evidence supporting a rapid-acting antidepressant effect of low-dose intravenous ketamine in MDD, in bipolar depression and in depression with suicidal ideation. There were mixed results as to whether ketamine leads to a reduction in time to remission in patients undergoing ECT. Ketamine's limiting factors are the transient nature of its anti-depressant effect and concerns regarding abuse, and research efforts to overcome these were reviewed. The authors concluded that current and future research studies are using ketamine as a promising tool to evaluate the glutamatergic neurotransmitter system to learn more about the pathophysiology of depression and develop more specific rapid-acting anti-depressant treatments.
McGirr et al (2015) noted that ECT remains one of the most effective tools in the psychiatric treatment armamentarium, particularly for refractory depression. Yet, there remains a subset of patients who do not respond to ECT or for whom clinically adequate seizures cannot be elicited, for whom ketamine has emerged as a putative augmentation agent. These investigators searched EMBASE, PsycINFO, CENTRAL, and MEDLINE from 1962 to April 2014 to identify RCTs evaluating ketamine in ECT. Clinical remission, response, and change in depressive symptom scores were extracted by 2 independent raters. Adverse events were recorded. Drop-outs were assessed as a proxy for acceptability. Meta-analyses employed a random effects model. Data were synthesized from 5 RCTs, representing a total of 182 patients with major depressive episodes (n = 165 MDD, n = 17 bipolar disorder). Electroconvulsive therapy with ketamine augmentation was not associated with higher rates of clinical remission (Risk Difference (RD) = 0.00; 95 % CI: -0.08 to 0.10), response (RD = -0.01; 95 % CI: -0.11 to 0.08), or improvements in depressive symptoms (SMD = 0.38; 95 % CI: -0.41 to 1.17). Ketamine augmentation was associated with higher rates of confusion/disorientation/prolonged delirium (odds ratio [OR] = 6.59, 95 % CI: 1.28 to 33.82, number needed to harm [NNH] = 3), but not agitation, hypertension or affective switches. The authors concluded that the findings of this meta-analysis of RCTs of ketamine augmentation in the ECT setting suggested a lack of clinical effectiveness, and an increased likelihood of confusion. Individuals for whom adequate seizures or therapeutic response cannot be obtained have not been studied using randomized controlled designs. They stated that additional research needed to address the role of ketamine in this population.
Erdil et al (2015) evaluated the effects of a sub-anesthetic dose of ketamine, which was administered as an adjunct to sevoflurane, on duration of seizure activity, hemodynamic profile, and recovery times during ECT in patients with major depression. Patients were randomly allocated to a group receiving either sevoflurane-ketamine (group SK) or sevoflurane-saline (group SS). Sevoflurane was initiated in both groups at 8 % for anesthesia induction until loss of consciousness was achieved, at which point it was discontinued. After loss of consciousness, ketamine was administered to the group SK in the form of a 0.5 mg/kg intravenous bolus; patients in the group SS received saline in the same manner. Mean arterial pressure (MAP) and heart rate were recorded before anesthetic induction (T1); after anesthetic induction (T2); as well as 0, 1, 3, and 10 minutes after the seizure had ended (T3, T4, T5, and T6, respectively). Motor and EEG seizure durations were recorded. Motor and EEG seizure durations in the group SS were similar to those observed for the group SK. The heart rate increased significantly during T2 to T6 in both group SS and group SK compared with the baseline. The MAP increased in the group SS during the period between T3 and T6 as well as in the group SK during the same period compared with the baseline. The MAP increased more in the group SK, in comparison with the group SS, during T2 (p < 0.05). The authors concluded that the addition of ketamine at sub-anesthetic doses, for the purposes of anesthetic induction with sevoflurane, yielded results similar to those in the control group in terms of both seizure duration and hemodynamic stability.
Furthermore, an UpToDate review on "Overview of electroconvulsive therapy (ECT) for adults" (Kellner, 2015) does not mention ketamine as an adjunctive therapy.
Selection Criteria for ECT:
|CPT Codes / HCPCS Codes / ICD-10 Codes
|Information in the [brackets] below has been added for clarification purposes.  Codes requiring a 7th character are represented by "+":
|ICD-10 codes will become effective as of October 1, 2015:
|CPT codes covered if selection criteria are met:
|Anesthesia for electroconvulsive therapy
|Electroconvulsive therapy (includes necessary monitoring) [not covered for ultrabrief bilateral electroconvulsive therapy]
|ICD-10 codes covered if selection criteria are met:
|Catatonic disrder due to known physiological condition
|Alcohol and drug induced mental disorders [Codes not listed due to expanded specificity]
|Manic episode
|Bipolar disorder
|Major depressive disorder
|ICD-10 codes not covered for indications listed in the CPB (not all-inclusive):
|Anxiety, dissociative, stress-related, somatoform and other non-psychotic disorders
|Specific personality disorders
|Pervasive developmental disorders
|Tourette's disorder
|Drug induced subacute dyskinesia
|Idiopathic orofacial dystonia
|Complex regional pain syndrome I (CRPS I)
|Numerous options
|Alcohol and drug, abuse, dependence and use [Codes not listed due to expanded specificity]
|Abnormal involuntary movements
Adjunctive Ketamine in ElectroconvulsiveTherapy:


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Forward-looking StatementsThis news release contains forward-looking statements as defined by the Private Securities Litigation Reform Act of 1995. Forward-looking statements include statements concerning plans, objectives, goals, strategies, future events, government approvals or performance, and underlying assumptions and other statements that are other than statements of historical facts, including in particular any implications regarding the future validity of its copyrights or status as a hi-tech enterprise. These statements are subject to uncertainties and risks including, but not limited to, product and service demand and acceptance, changes in technology, economic conditions, the impact of competition and pricing, government regulation, future developments in payment for and demand for medical equipment and services, implementation of and performance under the joint venture agreement by all parties, and other risks contained in reports filed by the company with the Securities and Exchange Commission. All such forward-looking statements, whether written or oral, and whether made by or on behalf of the company, are expressly qualified by the cautionary statements and any other cautionary statements which may accompany the forward-looking statements. In addition, the company disclaims any obligation to update any forward-looking statements to reflect events or circumstances after the date hereof.
Dehaier Medical Receives Software Copyrights For Four Proprietary Technologies
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Bile back in Battle of Alberta
Updated: October 17, 2005, 2:11 PM ETBy George Johnson | Special to ESPN.com
It used to be, to derisive Calgarians, Edmonton was nothing more than a big town with a large mall full of lava lamps and fast-food counters. Calgary, countered dismissive Edmontonians, was just an uppity "City Slickers" knockoff propped up by an overhyped rodeo.
The geographical border war between them was waged on ice -- in wins and losses, blood and sutures, championships and runners-up. The Battle of Alberta was raw and personal, forged by the unparalleled artistry and dominance of ...
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Select Local Merchants
Johnnys At Fife RestaurantRead MoreFor tasty American fare, head to Johnny's At Fife for a sandwich and side. Life is all about choices, and they are not limited here with plenty of gluten-free and low-fat dishes. The drink list at this restaurant has everything you need to complete your meal (and your night out). Having trouble finding that family-friendly restaurant everyone will love? This restaurant serves all ages, so little ones are welcome to come along, too. Don't miss the happy hour food and drink specials, where a great bargain is always in sight. Al fresco eating options are also available at Johnny's At Fife, which presents a lovely patio seating area for warmer months. Score quick and easy seating for your large group at Johnny's At Fife. If you're hoping to snag a table on a Friday or Saturday, it's best to ring the restaurant for a reservation first. Good luck spotting a suit and tie at Johnny's At Fife — casually-dressed diners are the norm here. No time to sit down? No worries! This restaurant offers a take out option so you can grab your food on the go. Forget the hassle of street parking and head to Johnny's At Fife for easy access to parking lots. Fancy-schmancy price tags don t always bring the best results, and Johnny's At Fife s super yummy, mid-range menu is taste-test approved. You can stop by at almost any time, since Johnny's At Fife offers breakfast, lunch, and dinner. Lunch and dinner are easy as pie (and you might as well get a slice) at the delicious Johnny's At Fife. So head on over to the highly-rated Johnny's At Fife for some American eats and see what the buzz is all about.5211 20th Street EastFife, WA US
Lady Luck Cowgirl UpRead MoreA perfectly marbled cut of beef is no farther away than Tacoma's Lady Luck Cowgirl Up. Order a bottle for the table if you like — this restaurant has a full bar stocked with the best wine, beer, and more. Cheers to the weekend! Lady Luck Cowgirl Up is serving up the fun! For comfortable outdoor service, Lady Luck Cowgirl Up sets up a seasonal patio. Access the Internet free of charge via Lady Luck Cowgirl Up's complimentary wifi. There's often a DJ spinning as well, and patrons are encouraged to step out on the dance floor. Loud crowds paired with a healthy sound system keep the volume level at this restaurant at the edge of ear-splitting. Prepare to face the crowds if you visit on the weekend — Friday and Saturday are Lady Luck Cowgirl Up's busiest days. Just let this restaurant know how you want it. You can have the food delivered or carried out yourself. Parking is plentiful, so visitors can feel free to bring their vehicles. At Lady Luck Cowgirl Up, bikers can lock their bikes safely outside. An average meal at Lady Luck Cowgirl Up will set you back about $30. Find your sweet (or savory) spot at Lady Luck Cowgirl Up, where you can opt for breakfast, lunch, or dinner. For the best cuts in town, you just have to try Lady Luck Cowgirl Up.14114 Pacific Avenue SouthTacoma, WA US
Hob-Nob Restaurant & LoungeRead MoreVisit Hob-Nob Restaurant and Lounge and indulge in some good old-fashioned American cuisine. Low-fat choices are not featured on the menu this place serves the real deal. Unwind with a glass of wine or cocktail with your meal — Hob-Nob Restaurant and Lounge has a wonderful selection of drinks to accompany your dinner. With its kid-friendly vibe, Hob-Nob Restaurant and Lounge is a great spot for families to chow down. Check out the brews and bites at happy hour, and kick back without spending a fortune. Hob-Nob Restaurant and Lounge is a fine restaurant for those with large and small parties. No need for a wardrobe change when you hit Hob-Nob Restaurant and Lounge — it's strictly casual. For those in a hurry, the restaurant lets you take your meal or snack to go. You'll also find plenty of safe spaces to lock up your bike if you prefer to cycle to the restaurant. Typical diners should plan to spend about $30 per person on Hob-Nob Restaurant and Lounge's moderately priced fare. The breakfast menu receives the most rave reviews from patrons, but you can also stop in for lunch and dinner later in the day.716 6th AvenueTacoma, WA US
1022 SouthRead MoreGrab a bite at Tacoma's 1022 South. Complement your meal with a beer or wine from this restaurant's delightful drink menu. Head on over to 1022 South for weekday and weekend happy hour. At 1022 South, there's no need to confine your meal to a traditional dining room — outdoor seating is available when the weather is warm. If crowds aren't your thing, it's best to visit 1022 South during the slower weekday hours. Street parking is provided for those dining at the restaurant's S J St location. At 1022 South, diners can make use of the safe bike rack.1022 South J StreetTacoma, WA US
Brass LanternRead MoreVisit Brass Lantern for some true American comfort food smack dab in the middle of Tacoma's Eastside. Whether you have a large or small vehicle, parking is easy near Brass Lantern. Brass Lantern offers various parking options, including bike parking. Want top-notch taste for less than top-dollar prices? Brass Lantern s mid-range cuisine is sure to satisfy on both fronts, where pennies stretch into perfectly seasoned platters. You'll definitely want to reconsider going anywhere else when the food at Brass Lantern tastes like pure heaven!4034 McKinley Avenue EastTacoma, WA US
VanityRead MoreTreat yourself to good food and drink at Vanity Nightclub in Tacoma. Energize your evening with some dancing — the restaurant often hosts a DJ. Loud is an understatement when it comes to the decibel levels at this restaurant, so it's best to save conversation for another location. Vanity Nightclub is located near endless parking options, allowing diners to find quick and easy parking.5602 South Washington StreetTacoma, WA US


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Vintage Babushka Nesting Dolls Hanukkah Dreidels Russia
- Sold for: Start Free Trial or Sign In to see what it's worth.
- Item Category: Fraternal, Political, Organizations
- Source: eBay
- Sold Date: Oct 29, 2007
- Channel: Auction House
Unique Vintage Babushka / Nesting Dolls Hanukkah Dreidels, Russia, 20th Century, Judaica
Unique vintage Babushka Hanukkah dreidels, Russia, 20th century, Judaica.
Comprising of three dreidels while the smaller dereidels are stacked within the bigger ones.
Each dreidel is beautifully hand painted with the Hebrew letters "Nun", "Gimel", "Hey" and "Shin" which stands for "Nes Gadol Haya Sham" (A great miracle took place t
Each handle is beautifully designed as an old Russian woman - a Babushka.
Matryoshka, Russian wooden dreidels with smaller dreidels stacked within the bigger ones (as nesting dolls ).
An attractive piece which is an absolute must for any serious collector.
A superb Judaica, Jewish, Hebrew, Israel item.
Highly sought after by collectors.
The pictures do not do justice to this magnificent item
Measurements : Marks : Biggest (Height): 15.5cm. / 6.1in.
Medium (Height): 11cm. / 4.3in.
Smallest (Height): 5.7cm. / 2.24in.
1 inch = 2.54cm Apparently unmarked. Weight : Condition : Total: 94gr. / 3oz.
1 troy oz. = 31.1 gr. Very good, normal wear and tear. Contact Us : We are for you with any question or request you may have.
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Pasarel silverware
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A3C Hip Hop Festival 2013
A3C Festival
Wednesday, October 2, 2013 at 10:00 AM - Sunday, October 6, 2013 at 11:30 PM (EDT)
Who's Going
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Florence, Italy
Event Details
A3C [All 3 Coasts] is one of the largest hip-hop festivals in the US and takes place annually in Atlanta, GA. Now in its 9th year, A3C has grown from a local hip-hop showcase to an international festival, and incomparable cultural experience. A3C takes place over 5 days in October, at dozens of venues centrally located throughout three closely connected, high traffic, cultural hubs in Atlanta: Old 4thWard, Little 5 Points and East Atlanta Village.
Have questions about A3C Hip Hop Festival 2013? Contact A3C Festival
When & Where
Old 4th Ward, Little 5 Points and East Atlanta Village - Atlanta, GA
Wednesday, October 2, 2013 at 10:00 AM - Sunday, October 6, 2013 at 11:30 PM (EDT)
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A3C Festival
Hip-Hop's Biggest Stage.
A3C Hip Hop Festival 2013
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Minister Uri Ariel: Keep Administrative Detention for 'Time Bombs'Thursday, August 20th, 2015
Hunger-striking Palestinian Islamic Jihad administrative detainee prisoner Mohammed Alla'an is still in very serious condition at Barzilai Medical Center, but is not being force-fed, and technically he is free at this time.
The High Court of Justice has suspended his administrative detention after it became clear that his medical condition had deteriorated and he had caused himself brain damage as a result of refusing food for more than 60 days.
Attorneys for the suspected terrorist and for the state have been debating over what has been the core cause of Alla'an's condition — his hunger strike or the administrative detention that led him to refuse food in a bid for freedom.
Few are pointing to the behavior that led to the administrative detention in the first place, in part because the evidence has not been made public.
Agriculture Minister Uri Ariel told Galei Tzahal Army Radio in an interview this morning (Aug. 20) he opposes the use of administrative detention except for when the suspect can be classified as a "ticking time bomb."
"The State of Israel resorts to the practice of administrative detentions too easily and too often," Ariel said. "It should only be used in cases in which there is an imminent threat of an attack."
Ariel said the state, rather than the High Court, has mishandled the current situation with the hunger-striking Alla'an.
"My problem is not with the High Court of Justice," the minister said. "It's the fact that the representatives of the state don't force-feed him and make sure that [Allan] stays alive."
"They can't find any doctor in the entire country willing to force-feed him," Ariel said. "It boggles the mind. The situation that has been created is more than strange."Hana Levi Julian


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6 thoughts on "What does Pettitte mean for Pineda?"
The Yankees didnt get Pettitte because they are worried about Pineda or anyone else. Reports said that the Yankees contacted Pettitte in December, before they even had Pineda or Kuroda. Perhaps it was the Yankees who were desperate for pitching and why they asked Andy to come back, or why they traded Montero, or why they gave Kuroda 10 million. The point is the Yanks didnt try and sign Pettitte last week, they tried to sign him 3 months ago when pitching was really an issue, now too much pitching is the issue.
Yes but after Cash got Pineda and Kuroda, he called Andy and told him to "shut it down", referring to Andy's conditioning routine as he contemplated a comeback. It's an odd signing because Andy bailed on the team last off season once he heard that Cliff Lee wasn't signing with the Yanks. At that point the Yanks were desperate and Andy went home to his family. This year there is an overabundance of pitching and the only thing this signing serves to do is cause a disruption and a distraction.
Pettitte actually contacted Cashman. But you're right, he was in the picture before we even had Pineda. When they finally signed him last week it was "how do you say no to Andy," not "our rotation is in trouble."
Murti makes a good point (and thanks for posting – I'd missed it) – we (folks on the outside looking in, who don't talk to Girardi every morning in the clubhouse) have no idea what is said between manager and player. If Pineda is doing what he has been told to do, all my worrying, all the internet whining – its all just a way to kill time until we FINALLY get to watch real games.
I'll chill. Thanks.
All this focus on velocity misses a couple points. First, velocity isn't everything. Nova has been hitting 95 on the gun this spring, but since his command is off, he's gotten pounded. Should we be concerned or not? Second, Hughes' velocity was off last spring, but his real problem was his inability to hit his spots. He needed the big radar gun number to get people out. Pineda, on the other hand, has shown an ability to strike batters out and produce a lot of weak contact at at a lower-than-expected velocity this year. Barring injury, meaning we can expect him to get back up to 95 at some point, shouldn't this face be celebrated rather than a cause for a feak-out? If Pineda looks this good at a lower velocity, what will he be able to do once he gets the fastball pumped up again?
There is another possibility that no one seems to consider and that is that Pettitte won't be able to get it done and all this discussion is moot. He had a good first half in 2010, but was pretty much done by early July. After a year and three-quarters off and three months shy of his 40th birthday, isn't it just a little presumptuous to assume he'll fit right into the rotation? Indeed, if you look at his stats, the last time he had a full season as good, or better, than Freddy did last year was 2005.


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Archived Story
Weather may delay parking lot openingPublished 1:50pm Thursday, December 5, 2013
Weather conditions over the next few days will determine whether or not the city's new off-street parking lot on West Main Street is paved and ready to be used for Hartselle's annual Christmas Parade Thur, Dec. 12.
"I hate to use weather as an excuse," said Hartselle Department of Development director Jeff Johnson, "but what remains to be done is not the kind of work you can do when the weather doesn't cooperate."
"We're aware of the Christmas parade and the number of people that will be in town that night," he added, "and our target is to have the lot in a condition where it can be used for parking."
"The last of the curb and gutter was poured today (Wednesday) and we're planning to finish pouring the last sidewalk sections and bring the gravel surface up to grade today (Thursday). This will make the construction area safe."
"Two to three inches of rain are expected later this week, but we can see a small window of opportunity to get the paving done next Tuesday." he added. "We haven't made a decision about opening the lot in the event the asphalt hasn't been put down. In any event, striping can't be done until the asphalt has cured for 30 days. "
The lighted parking lot will have 51 parking spaces, includingt four for handicap access and two for vans.


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About WWOZ
history, staff, contact us ..»
Major Bacon can't wait to rock out with all our friends at Le Bon Temps Roule! It will be our first weekend show at home in New Orleans in quite a while! This legendary Uptown club is a neighborhood watering hole by day, world famous music club by night. It's going to be an awesome party until the wee hours!


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"RhondaRuth's View on Cambridge, MA" Cambridge by RhondaRuth
Cambridge Travel Guide: 334 reviews and 649 photos
The Stata Center at the Massachusetts Institute of Technology (M.I.T.) is certainly an attraction in itself. I shake my head every time I walk by. "What were they thinking?" "What IS it suppose to represent?" "Who would even build this?" ... Only at MIT.
"Do I even LIKE it?" LOL
I guess I do ... I keep taking pictures!
Check out my Travelogue on the Stata Center and the Evolving Campus of MIT for updates on construction.
I work at M.I.T. A great place to be really!
Visit M.I.T. and Harvard University (which is just two "T" stops away from MIT), while you're in Cambridge. There's a lot of history and art here. A lot of diversity also ... another reason I like it here so much.
On December 17, 2003,
to celebrate the 100th anniversary of the first controlled powered flight, a replica of the Wright Brothers' first airplane made its way onto the great dome of MIT. Inside the plane, a dummy figure of one of the brothers was along for the ride.
I took this picture while three people were up there setting it up. Ah, I think I caught them in the act of putting it up this year's "hack." M-m-m-m-m, every year it's a new surprise!
Check out this Website to learn more:
Hacks at MIT
- Pros:A mix of structures & people of many different backgrounds.
- Cons:Always under construction
- In a nutshell:Growing to the size of a city with skyscrapers
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This is the bubble machine on the main campus between the Mathematics & Physics Departments. If you watch it too long it... more travel advice
We stayed here one night for an event and had a great experience! The bed & pillows were very comfortable, along with... more travel advice
I guess I am fascinated with this construction site, LOL! The anticapation of the newest contruction growing before my... more travel advice
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Dear Rooth, it was such a pleasure to read through your pages - there should be more people like you. All the best for you, yours sincerely, Peter
I definitely need to spend more time in and around MIT. Thanks for all the good ideas!
Great overview of Cambridge around MIT. I used to work in an Ames St building, demolished several years ago to make way for another building. Is the shrubbery room still there :-) Frank
Excellant page..simply fantastic.
good page with lovely photos
I used to work next to MIT. It was National Research Corp. on Mem. Dr. Wonder if it is there today.
You are lucky to work in such a beautiful environment.
Great page. Keep up the good work!
Love Cambridge/Boston,cept` for driving!
Another great page!
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i need to replace my shocks...2000 tj sport.. is there anything better than the regular shocks? i dont have my car lifted and im not planing on it...please help i went to 4wd.com and found a few but just wanna make sure what people have and what they think
Old Man Emu (OME) shocks have always been said to have a wonderful ride... I'm fairly certain they are made for stock heights also.
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81183 Views Previous 1 2 Next 27 Replies Latest reply: Aug 28, 2013 1:54 PM by Star Traveler
RickyGray Jan 8, 2011 6:20 AM
in response to BassdaveHi there..
Welcome to the Apple Discussion Boards.
I'd suggest connecting the iPad to your computer and doing a system restore. Before doing so make sure that iTunes back's-up the iPad which it should do automatically when you connect it. You can check by looking in the status bar at the top of iTunes.
You can also check by following:
iTunes > preferences > devices and you should see your wifes iPad there with the date/time of the most recent back-up.
I'd aslo suggest removing the problem app from the device and also from the App folder in iTunes.
Then do a restore from the iPad Home screen in iTunes. Once the iPad has been restored to factory defaults you will be prompted with the choice to set the iPad up as a new device or restore from an earlier backup. I'd choose the latter and then select your wifes iPad from the backup list. Again - this is why I'd make sure and delete the problem app before hand. iTunes will now restore the iPad to it's former self using the back up.
Try this and see if that solves the problem. I must say I have had no problems at all with my iPad. Absolutely love it!
BTW Which app was it?
Best of Luck with it...please post back if this is unsuccessful.
slyguy_28 Jan 8, 2011 6:58 AM
in response to Bassdave+Hearing of any kind of a virus for a Mac based product is really rare. Hearing about one imbedded in an App to be used on an iOS device is even more rare. I'm intrigued as to what this "App" is so we can avoid it in the future. My iPad has been great so far...+
RickyGray Jan 8, 2011 7:00 AM
in response to slyguy_28
slyguy_28 wrote:
Hearing about one imbedded in an App to be used on an iOS device is even more rare.
I actually agree - but the other day I spotted this thread:
which is along a similar line...it seems the no virus dream could be coming to an end.
Demo Jan 8, 2011 7:00 AM
in response to BassdaveMy understanding is that there are no viruses for the iPad. The iPad does not run on a conventional operating system like OSX or Windows so would not be susceptible to a virus for this reason. At least that is what I have read right here on these discussion boards.
Do as Ricky Gray suggests and by all means remove the app that is causing the problem.
Meg St._Clair Jan 8, 2011 7:06 AM
in response to RickyGray
RickyGray wrote:
I actually agree - but the other day I spotted this thread:
That wasn't a virus. It was someone misunderstanding how ads worked in apps.
Demo Jan 8, 2011 7:07 AM
in response to RickyGrayI read this thread as well. What a bizarre scenario. However, an app that causes the iPad to do crazy things and a virus are two different animals. A virus could shut your whole operating system down or at least throw it into turmoil. If deleting a nasty app does the trick and the iPad continues to operate OK, I'm not so sure I would call that a virus. A nuisance for sure, but not a virus.
David M Brewer Jan 8, 2011 7:29 AM
in response to BassdaveThere is no ipad virus. There is no way a virus can load onto the ipad. What app did she load onto the iPad?
You might be having a DNS server problem. Go to your settings... Click on WiFi... Click on your WiFi network, circle with blue arrow... Scroll down to DNS and replace the numbers with these 184.108.40.206, 188.8.131.52 (with comma)... Reset your iPad.
The above DNS number are for OpenDNS server.
What is DNS?
Domain Name System (DNS) is a database system that translates a computer's fully qualified domain name into an IP address.
Networked computers use IP addresses to locate and connect to each other, but IP addresses can be difficult for people to remember. For example, on the web, it's much easier to remember the domain name www.amazon.com than it is to remember its corresponding IP address (220.127.116.11). DNS allows you to connect to another networked computer or remote service by using its user-friendly domain name rather than its numerical IP address. Conversely, Reverse DNS (rDNS) translates an IP address into a domain name.
Taken from and for more info about DNS:
To add..... Problems with a DNS sever, the server will display blank web pages.
Message was edited by: David M Brewer
Julian Wright Jan 8, 2011 8:30 AM
in response to Bassdave
From a bit of research it appears that this is the "Aboutblank!" virus.
Impossible. That "virus" only affects computers running Windows (like 99% of viruses). The iPad does not run Windows.
J24Keys Jan 8, 2011 8:34 AM
in response to Julian WrightRestore via iTunes and refrain from using in-browser apps except that of google.
Bassdave Jan 8, 2011 10:04 AM
in response to BassdaveAll
Thanks for your help so far, it has been an education to me. I must admit I was a bit suspicious about it being a virus at first though my wife convinced me!! She is at her Mother's this weekend and so I am unable to check it myself. I will do so on her return on Monday. It seems when the blank pages appear there is "aboutblank" appearing in the display somewhere which lead her down the virus path once she had looked it up on the internet!
BTW the app was AllSaints - the clothes line from Spittalfields, London. Not one I have on my iPad so unlikely I will get it! I will remove the app and carry out a restore and let you all know how we get on.
Thanks again
Bassdave Jan 11, 2011 12:29 PM
in response to BassdaveAll
Just an update about my wife's iPad. I removed the app and that seemed to solve the problem but carried out a restore anyway as suggested. Everything back to normal now and she is happy again. Must just have been an app glitch!
Thanks again for all your responses.
hank333 Feb 18, 2011 11:30 AM
in response to BassdaveJust today when i open safari (on my ipad), i get a pop-up wanting me to go to a site called http://yourcrushcalculator.com it freezes me out of safari and i don't want to go to it because it looks like it might be a virus. why is safari doing this? how do i fix?
varjak paw Feb 18, 2011 11:34 AM
in response to hank333Try:
Settings -> Safari -> Clear Cache, Clear Cookies and Clear History
Also Block Pop-ups to "On"
Hope this helps.


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G-STAR International Telecommunication Co., LTD
|G-STAR International Telecommunication Co., LTD Patent applications
|Patent application number
|REMOTE DEVICE FOR CHANGING THE DISPLAY CONTENT OF THE DISPLAY MODULE IN A SURVEILLANCE CAMERA - A remote device for changing the display content of the display module in a surveillance camera includes at least one surveillance camera, at least one side of each surveillance camera having a display module, each display module electrically connected to a video/audio control circuit. The video/audio control circuit is electrically connected to a display control module of a digital video/audio storage device via a screen transmission line. The display control module has a port for connecting an input device, thereby the display content shown on the display module can be changed by the data input from the input device.
|SURVEILLANCE device with display and light-emitting modules - A surveillance device with display and light-emitting, is a photographic apparatus including a cover body, a display module and a plurality of light-emitting modules, wherein the cover body covers a photographic unit and there are the display module and the plurality of light-emitting modules set around the cover body, which power is provided by a power supply module. The text message shown by the display module and the flashing light of the light-emitting modules, both increase the highlighting effect of the photographic apparatus and become malfunction indications.


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Articles tagged with: Fair Trade
Good news if you live in London and the South East – We've recently set up a new Southern Distribution Centre and are expanding our service in your area. For many regions we'll be able to offer additional delivery days, and in some cases your order and delivery days will be changing.
We are delighted to announce yet another new arrival to the Suma coffee family
This Spring Suma are offering lots of great new products, these are included in our new Spring Summer brochure, so here's a taster from us, Suma, the workers cooperative where things are altogether better.
Suma celebrates Fairtrade Fortnight in style, hosting a pop-up party to celebrate all things Fairtrade
Suma Customer Linda Wardale, owner of Yellowbellys on Gordon Road off Bailgate, is now the proud owner of a Viva! Award certificate.
This Winter Suma are offering lots of great new products, these are included in our new Winter brochure, so here's a taster from us, Suma, the workers cooperative where things are altogether better.
New design, same great quality, new lower price. An environmentally friendly choice with style! Bamboo is our fabric of choice. Fabric made from bamboo fibre is special because it is incredibly soft, smooth and comfortable, …
Suma at the Natural and Organic Products Show
Olympia, London 2015
Watch the video to learn more about what we do…
Suma has been selling across the World for about 10 years. It all started quite quietly with a few customers. We only really began to take exporting seriously about five years ago and are now at the point where we've seen this part of our business grow to about 14% of total sales, a figure which continues to increase.
We are a small team, normally just three people working each day. Between us we speak French, Spanish, Italian, German, Greek, Mandarin and Portuguese.
After eating my weight in chocolate, we were moved onto the main event – being wheeled around the factory and making our very own chocolate bars. Clad in hairnets and white jackets we headed straight into the extremely pristine factory. Vats of dark, milk & white chocolate dominated the


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- Homepage >
- News Archives >
- Article
Sgt. 1st Class Adin Salkanovic
June 26, 2007
By Sgt. 1st Class Adin Salkanovic
It's like a family - especially being a platoon sergeant. You get attached to the Soldiers. As soon as my doctor cleared me to come back, I was on the first flight out.


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Dr. Syed Hoda, Pathology, Is Named A Top Doctor: New York Metro Area
Syed Hoda , a Board Certified New York , NY physician specializing in Pathology , has been selected by Castle Connolly Medical Ltd. for inclusion in its authoritative guide to the top primary care and specialty care doctors in the tri-state metropolitan New York area. NEW YORK, April 1, 2013 /PRNewswire-USNewswire/ -- Castle Connolly Medical Ltd., America's trusted source for identifying Top Doctors, has published the 16th edition of Top Doctors: New York Metro Area and has selected Syed Hoda, MD for this exclusive honor.(Photo: http://photos.prnewswire.com/prnh/20130401/DC86286) The 16th edition of Top Doctors: New York Metro Area includes over 5,500 top primary care and specialty care physicians in a twenty-county area spanning three states: New York, New Jersey and Connecticut. Selected physicians, including Dr. Hoda, represent the top 10% of doctors in the area in 65 medical specialties and subspecialties for the care and treatment of more than 1,800 diseases and medical conditions. Castle Connolly Top Doctors® are selected each year by Castle Connolly Medical Ltd. after being nominated by their peers in an online nomination process. Nominations are open to all board certified MDs and DOs and each year tens of thousands of physicians cast many tens of thousands of nominations. Nominated physicians are selected by the Castle Connolly physician-led research team based on criteria including medical education, training, hospital appointments, disciplinary histories and much more. About Syed Hoda: a short profile by and about the honoree: Dr. Syed A. Hoda is a Professor of Pathology at the Weill Medical College of Cornell University and an Attending Pathologist at the New York Presbyterian Hospital-Weill Cornell Medical Center in New York City. Dr. Hoda is a surgical pathologist and has a particular interest in diagnostic breast pathology. He is "Triple-Boarded": being certified in Anatomical Pathology, Clinical Pathology and Cytopathology; and has been re-certified by the American Board of Pathology twice, first in 2001 and then again in 2011. Dr. Hoda is among the most highly regarded diagnostic breast pathologists. For more information on this Castle Connolly New York Metro Area Top Doctor®, please visit Syed Hoda 's profile on www.castleconnolly.com. Castle Connolly Medical Ltd.'s President and CEO Dr. John Connolly has this to say about Dr. Hoda's recognition: "Roughly ten percent of area physicians were selected for our 16th edition of Top Doctors: New York Metro Area. Being nominated by Board Certified peers and then selected by our experts is an accomplishment worthy of recognition. The New York Metro area is home to a great number of very high quality medical professionals, yet some stand out. My congratulations to Dr. Hoda." To find out more or to contact Dr. Syed Hoda of New York, NY, please call 212-746-2700. This press release was written by American Registry, LLC and Castle Connolly Medical Ltd., with approval by and/or contributions from Syed Hoda and was distributed by PR Newswire, a subsidiary of UBM plc. Castle Connolly Medical Ltd. identifies top doctors in America and provides consumers with detailed information about their education, training and special expertise in printed guides and online directories. It is important to note that doctors do not and cannot pay to be included in any Castle Connolly guide or online directory. Learn more at http://www.castleconnolly.com. American Registry, LLC, recognizes excellence in top businesses and professionals. For more information, search The Registry™ at http://www.americanregistry.com. Contact Info: Dr. Syed Hoda Phone: 212-746-2700 Email Address: firstname.lastname@example.com SOURCE American Registry
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*** by ankazhuravlevaWatch
©2012-2016 ankazhuravleva
I'm in love with your work! actually I'm envious!
You added to smoke after the shoot right?
You added to smoke after the shoot right?
One of the best pictures I've ever seen, amazing!
sureal! I get this era!
Cool. Another fave.
This is incredible. The stunning and intense look in the model's eyes captures me right away. The motion in her dress, the graceful pose, and the scenery are all just beautiful. One of my favorite pictures I've seen on this site, and even in life. Gorgeous work. <3
Absolutely lovely in a million ways. All of them.


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The International Student Grant is awarded to seven (7) first-time students accepted to enroll each school year. A Grant Committee appointed by the administration of the College will determine these awards after considering each applicant according to the criteria stated herein.
I. WHO IS ELIGIBLE TO APPLY? Qualified, new, full-time, degree-seeking international students entering the US on an F-1 student visa seeking to prepare for involvement in Christian ministry, and who are committed to returning to their home country upon completing their studies in the USA.
II. WHEN TO APPLY: All information must be received at OCC for fall applicants by May 1 of the year of enrollment; for spring applicants by October 1 of the year preceding enrollment. No applications received after these dates will be considered.
III. THE VALUE OF THE GRANT: The grant is worth up to 16 hours of tuition applied directly to the current cost of your tuition after the third week of each semester. For example, if the tuition cost is $345.00 per credit hour, you could receive $5,520.00 credit toward your tuition each semester or $11,040.00 per academic year.
IV. HOW YOU CAN MAINTAIN THE GRANT: Once the grant is awarded, it is renewable each semester on the following basis:
High school students, we welcome your application to Ozark Christian College. Please read this entire page carefully before submitting your application.
This is a calendar of activities that take place during your senior year of high school.
A calendar for Juniors to look at to prepare for school.
Future students follow these easy steps to apply for all types of financial aid at OCC.
We have several on-campus events designed specifically for students before they leave high school. Get to know the school and grow in your relationship with Christ by attending one of this year's events!
OCC is involved with several social networks. Connect with OCC and our network of alumni, friends, employees and students.


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This may be a weird question- but do people give birth wearing contacts or glasses? It seems like glasses would get fogged up from sweating, but it would make me sick to my stomach to have blurred vision all that time. People talk of breaking blood vessels in their eyes while pushing, and I wonder if it would be bad to wear contacts through that. It would be my preference to wear contacts. What have you done or people you know? Thanks a lot!
Contacts or glasses while giving birth?
I wore contacts but had brought my glasses in case I needed to change them (which I did for an unplanned c/s)
mom to Kate (8/06) and Allison (5/09)
I always wondered this too. I just assumed that I shouldn't wear contacts with my 1st and wore my glasses - and ewww - gross pictures! This time I am going to wear my contacts.
I did contacts. When I was pushing, my DH alternated putting a cold washcloth on my forehead and an oxygen mask ove my mouth (our DS's oxygen level was dropping), so it was nice not to have my glasses in the way.
By the way, if it matters, I usually wear glasses (due to laziness). When I was working, I always wore contacts.
Noah Ethan 7/20/07, Joanne Grace 6/15/09,
Hannah Elise 6/19/12
I plan on wearing my glasses. I want to be able to see what's going on during L&D.
Mom to three wonderful kids:� Matt, Megan, and Brooke
If you do wear contacts be sure to bring all your solution and cases with you, the hospital does not have this stuff! (My mom...which was 30 years ago...had to put in contacts in test tubes) Just be sure to pack it in your bag.
I wear contacts/glasses about 50/50. I plan on wearing my glasses to be more comfortable. With my first I was in the hospital in labor for 30 hours (induced for medical reasons 7 days post), I wore my glasses that time too. Since I wear them a lot, I don't remember them being in the way or affecting my vision. Without my glasses I am near legally blind, so if I didn't wear them I wouldn't have been able to see my new baby!
I was able to get some sleep after my epidural was administered, so I had to go with glasses. At times, I was thankful I could take them off and make the world go foggy, and then there were times when I wish I had perfect vision.
Be flexible and ready for either...if this labor goes quicker than the last one (18+ hours), I'd like to think I could get by with contacts in...but I know that may not be a reality.
"It's a boy"��EDD:� 9/27/11
1st LO Franklin Jamal Born 7/2/09������������������������������
I will prolly wear my contacts, just out of preference...not that I don't like my glasses or anything, but I would much rather be able to see what all is going on during L & D than having to worry about wearing my glasses with such a weak prescription, and having to put up with scratches, etc..although I will be bringing them just in case...
Learn more
Look how far your child has come.
Review your child's growth milestones.
Read about 6 years 10 months.
Your growing child
Your 6 3/4-year-old: Sweets and treats
Your 6 3/4-year-old: Talking back
Your 6 3/4-year-old: Parent-teacher conferences
Your 6 3/4-year-old: Raising a reader
Learn more
What's next for your growing child?
Get a glimpse of what's to come.
Read about 6 years 11 months : Week 1.


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Hp Touchsmart 610xt Series - 3.3 Ghz; 2tb Hd; 6gb Memory
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Searched for: "auslogics registry cleaner windows"
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About 3 results for "auslogics registry cleaner windows"
Software downloads: Most popular of 2009
Check out the top 10 software downloads of 2009. Featured topics include registry repair and cleaning, file recovery, and antivirus and antispyware.
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Now that IT pros have started kicking the Windows 7 tires, it makes sense to consider the next round of improvements. Alan Norton shares his list of the changes he hopes to see.
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