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Laurie LaRusso, MS, ELS
A spinal corticosteroid injection places corticosteroids into tissue around the spine. Corticosteroids are drugs that reduce painful swelling and irritation. They are injected into the back with a needle.
The procedure is done to:
Spinal injections are typically done when pain is not relieved by:
Complications are rare, but no procedure is completely free of risk. If you are planning to have an injection, your doctor will review a list of possible complications, which may include:
Some factors that may increase the risk of complications include:
You may have the following done before the procedure:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
A local anesthetic and/or a sedative may be used. They may help to reduce pain and
anxiety. You will be awake for the procedure.
You will lie on your side on an x-ray table. The skin on your back will be washed with a sterile solution. A syringe containing corticosteroid medication and a local anesthetic will be injected through the skin and into a space near the spine. X-ray
imaging will be used to guide the placement of the needle. Contrast material may also be injected to confirm that the needle is in the right place. The medication will be injected and the needle will be removed from your back. A small bandage may then be placed over the injection site.
The procedure will take less than one hour. The entire visit takes about 2-3 hours.
The injection of the local anesthetic may burn or sting for a few seconds. After that, you should not feel pain during the procedure.
When you return home after the procedure, do the following to help ensure a smooth recovery:
It will take a few days to a week for the medication to reduce the inflammation and pain. You should be able to resume your regular activities the day after the procedure. You should be able to start exercising within one week.
After arriving home, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
American Academy of Orthopaedic Surgeons
American Association of Neurological Surgeons
Canadian Orthopaedic Foundation
Health Canada
Epidural steroid injections. KnowYourBack website. Available at: http://www.knowyourback.org/Pages/Treatments/InjectionTreatments/ES_Injections.aspx. Published July 17, 2009. Accessed November 25, 2013.
Lumbar epidural steroid injections.
Beverly Pain Management website. Available at:
http://www.pain-clinic.org/lumbarepiduralsteroidinjections. Accessed November 25, 2013.
Manchikanti L, Staats PS, Singh V, et al. Evidence-based practice guidelines for interventional techniques in the management of chronic spinal pain.
Pain Phys.
Last reviewed November 2013 by John C. Keel, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © EBSCO Publishing. All rights reserved.


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Imagine being eaten alive from the inside out. This year alone, over 80 North Carolinians have been diagnosed with a strain of flesh eating bacterium known as Streptoccocus A.
This deadly bacteria has already killed eight people across the state so far and Pitt County Memorial Hospital has recently treated a person for the same infection. The bacteria, which already lives inside of you, destroys vital body tissues. It can cause death within 12 to 24 hours if not treated.
Doctors say it can stem from something as simple as a minor trauma to your body. But doctors want you to know it's unlikely the bacteria will manifest into a deadly disease. It mainly affects people age 55 and up and attacks four in 100,000 people.
Flesh eating bacteria is not contagious from person to person. Also, you cannot contract the infection at the hospital.
witntv.com Extended Web Coverage
Group A Streptococcus (GAS)
How does it spread?
Why does Invasive Group A Streptococcal Disease occur?
Preventing Group A Streptococcal Infections
Source: Centers for Disease Control and Prevention contributed to this report.

subset: commoncrawl


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Editorial Staff And Contributors
is a procedure to examine the bladder with a lighted scope. The scope allows the doctor to look through the urethra and into the bladder. The urethra is a tube that carries urine from the bladder to the outside of the body.
Cystoscopy may be done to investigate the following symptoms:
Some abnormalities can be diagnosed through cystoscopy, including:
Problems from this procedure are rare, but all procedures have some risk. Your doctor will review potential problems. Complications may include:
Factors that may increase the risk of complications include:
Talk to your doctor about these risks before the procedure.
This procedure is usually done in your doctor's office.
Local anesthesia is used to numb the area in and around the urethra. A sedative may also be given to help you relax.
You will lie on an exam table. The doctor will insert a cystoscope through the urinary opening, into the urethra, and into the bladder. Your bladder will be drained of urine. A sample will be kept for testing. Next, your bladder will be filled with sterile water or saline solution. This will allow a better view of the bladder walls. The bladder, and urethra will be examined.
Up to 15 minutes
Local anesthesia will keep you free from pain. You may feel some discomfort or urge to urinate when the bladder is filled during the exam.
After the procedure, you may experience a burning sensation or see small amounts of blood when you urinate. To help with your recovery at home:
After arriving home, contact your doctor if any of the following occur:
In case of an emergency, call for medical help right away.
Urology Care Foundation
National Kidney and Urologic Diseases Information Clearinghouse
Health Canada
Women's Health Matters
Cystoscopy. American Urological Association website. Available at:
http://www.urologyhealth.org/urology/index.cfm?article=77. Updated January 2011. Accessed April 17, 2013.
Cytoscopy and ureteroscopy. National Kidney and Urologic Diseases Information Clearinghouse website. Available at:
http://kidney.niddk.nih.gov/kudiseases/pubs/cystoscopy/. Updated March 28, 2012. Accessed April 17, 2013.
Last reviewed June 2013 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © EBSCO Publishing. All rights reserved.


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Back to Carson Wedding« Back to Photo Albums
Upcoming Events
Nov 11
Veterans' Day4:00 pm - 12:00 pm
Nov 27
Black Friday4:00 pm - 12:00 pm
Dec 07
Pearl Harbor Rememberance Day4:00 pm - 12:00 pm
Read More »Testimonials
I cant say enough about how wonderful our stay was and we are terrible picky:) Our first night was in the luxurious Smith suite. We came to the Louis XIV room for our second and third night. We are so in love with every detail from the decor to the romance and luxury we stayed an extra night! We have a dog a daughter and jobs but we rearranged all that because we just weren't ready to leave this paradise. This stay was very healing for us and we will be back in January and also recommend Hideaway Inn to all our friends and family Thank you for your amazing service!!!! The Masons - Cleveland, Ohio " "


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We're on 5.0.11_GA_2695.UBUNTU8_64 UBUNTU8_64 NETWORK edition.
I have a user who noticed what appears to be a bug with the calendar so I wanted to run it by here. Here's the scenario:
- Create a recurring event in the calendar
- Right-click on one event in the series and select "Instance...Tag Appointment"
- Add an existing tag or create a new tag
- Zimbra changes/adds tag for the entire series instead of just the instance.
The same thing happens if you open just an instance in a series and add notes or make any changes.
I just checked and wanted to clarify that modifying an instance in a series takes that instance *out* of the series (which makes sense) but adding/changing tags on an instance keeps it in the series but changes the entire series.
Is this a bug or normal behavior?


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Rapid Assessment Program in Tambopata-Candamo
Between 1992 and 1994, Conservation International managed a program that assessed the biological diversity in the Tambopata National Reserve and the Pampas del Heath National Sanctuary, which are both located in the southern part of Peru. Although people do not reside within the boundaries of the area, inhabitants of nearby villages frequently obtain water, forage for edible plants and hunt some animals in the rainforest.
When assessing the condition of the area, the group documented the number of species of mammals, plants and birds that are living in the reserves. The organization would like the government of Peru to add the two preserves to the Madidi National Park.
Rapid Assessment Program in Tambopata-Candamo
As Seen In
Recently Viewed


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Friday lineup vs. Cards, fireworks after the game
The I-70 Series resumes tonight at 7:10! After the game, it's Fireworks Friday presented by Hy-Vee and Pepsi.
Here's your lineup: (Podsednik – LF), (Kendall – C), (DeJesus – RF), (Butler – 1B), (Guillen – DH), (Callaspo – 3B), (Aviles – 2B), (Maier – CF), (Betancourt – SS), (Greinke – P)


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For future reference, I've attached a screenshot of the layers in my completed psd. I couldn't post that psd because it's just a little over 18MB. Sorry folks, you'll have to settle for pieces.
Okay here is my long awaited(if not with bated breath) tutorial on the Burpwallow method of noise editing for terrain creation. To start with, I will work entirely in Photoshop. Later I may look into integrating Wilbur into the workflow.
1)Black/White Clouds and lots of Black/White Difference Clouds. This may have lots of islands where you want water and wet places where you want land.
Layer: Clouds
2)Create a Linear Light layer for raising hills and mountains as well as for some lowering.
Layer: Linear Light
3)Create a Pin Light layer for creating flat lowlands. This can also be used to create flat underwater areas.
Layer: Pin Light
4)Create a Multiply layer mostly for lowering areas below water. This can be used in combination with the Linear Light layer to create a less flat sea bottom, but I really didn't do this.
Layer: Multiply
5)Create a Threshold adjustment layer for reference and to create the sea level mask. In my case, I found a threshold of 42(on a range of 0..255) worked well. YMMV. This will be turned on and on frequently during HF editing to allow you to make the shoreline look the way you want it as well as to keep the HF looking good.
6)Using a fairly large soft brush, I painted a fairly bright shade of gray to the Pin Light layer to raise up low areas where I want land. This results in flat, alluvial-looking lowlands. Try experimenting with darker grays to create underwater shelves and the like.
7)Now, on the Multiply layer, I use a darker gray brush(RGB < 128) to paint down areas where I want sea.
--- Because the Multiply blend mode reduces relief(not just heights, but actually difference in height and therefore slopes), this method can be used in combination with Linear Light(basically, add/subtract) to flatten out land areas. Simply use multiply to reduce relief to the desired flatness, and then use Linear Light to raise the area back above the sea. I haven't tried this yet, it might prove superior, in some ways to Pin Light, but it would require closely coordinating work in the Multiply and Linear Light layers to pull off successfully.
8)Some areas on land, I paint hills in on the Linear Light layer. To do this paint in the desired areas with a gray color greater than RGB 128. A level of 128 is effectively zero for Linear Light. Given that, you can also paint in depressions in Linear Light by using a gray darker than 128.
9) Now that we know how the three layers work, we can go back and draw into them, raising, lowering and flattening the terrain until we have something we like. Basically wash rinse and repeat.
10) This is less of a step than an opportunity to give some tips.
First tip, always start out with large fuzzy brushes. You can get really nice effects with some very broad impressionistic strokes, whereas very tight, small strokes can obliterate the noise and leave very visible fingerprints.
Second tip. At the beginning of this project I drew into the layers using a fairly opaque paint brush in Normal mode. As the terrain starts coming together, reduce the opacity of the brush and try other paint modes. I had great success with Linear Light and Multiply to just sort of tweak my existing edits. This is also a good idea if you choose to do some fine editing with small brushes. Still... you should avoid HARD brushes.
Another tip. I didn't do this, but you could use Layer Sets instead of Layers. Then you could be more non destructive by applying edits as layers within the Multiply, Pin Light and Linear Light SETS. Hmmm... Might this way lie madness?
After working with this, you should have a decent terrain to start working with. Next up, makin' it purty!
BTW, I'm posting up a copy of my psd for reference. It's kind of a pig, though, so if folks have trouble uploading it, I might have to put up a reduced res version.
Last edited by RobA; 03-23-2013 at 12:26 PM. Reason: Adding a jpeg for preview
Astrographer - My blog.
-How to Fit a Map to a Globe
-Regina, Jewel of the Spinward Main(uvmapping to apply icosahedral projection worldmaps to 3d globes)
-Building a Ridge Heightmap in PS
-Faking Morphological Dilate and Contract with PS
-Editing Noise Into Terrain the Burpwallow Way
-Wilbur is Waldronate's. I'm just a fan.
For future reference, I've attached a screenshot of the layers in my completed psd. I couldn't post that psd because it's just a little over 18MB. Sorry folks, you'll have to settle for pieces.
Astrographer - My blog.
-How to Fit a Map to a Globe
-Regina, Jewel of the Spinward Main(uvmapping to apply icosahedral projection worldmaps to 3d globes)
-Building a Ridge Heightmap in PS
-Faking Morphological Dilate and Contract with PS
-Editing Noise Into Terrain the Burpwallow Way
-Wilbur is Waldronate's. I'm just a fan.
I notice the file is 1280x800 is that your normal dimension?
How do you vary it for different projects?
Dollhouse Syndrome = The temptation to turn a map into a picture, obscuring the goal of the image with the appeal of cute, or simply available, parts. Maps have clarity through simplification.
--- Sigurd
For equirectangular full-planet maps I usually work in 4096x2048 or even 8192x4096 if I have time and really want a good result. I saw a tutorial on scifi-meshes.com that recommended 8192 as a baseline and 16,384 for cloudmaps(!?!). Even at 8192 resolution, each pixel on the equator represents about 3 miles. To get a 30m resolution you would need the equator to be about 1.3 million pixels across(1.3Mx668k, 892billion pixels. Kinda puts things in perspective).
For smaller regional maps, I typically use 2880x2880 as per the HandsomeRob tutorial).
This was a crude little, "knock-it-off-quick," version. I like to make my MacBook cry.
Astrographer - My blog.
-How to Fit a Map to a Globe
-Regina, Jewel of the Spinward Main(uvmapping to apply icosahedral projection worldmaps to 3d globes)
-Building a Ridge Heightmap in PS
-Faking Morphological Dilate and Contract with PS
-Editing Noise Into Terrain the Burpwallow Way
-Wilbur is Waldronate's. I'm just a fan.
You know that I'm going to be giving this a try Excellent stuff.
If the radiance of a thousand suns was to burst at once into the sky, that would be like the splendor of the Mighty One...I am become Death, the Shatterer of worlds.
-J. Robert Oppenheimer (father of the atom bomb) alluding to The Bhagavad Gita (Chapter 11, Verse 32)
My Maps ~ My Brushes ~ My Tutorials ~ My Challenge Maps
Just want to make sure I am following this thread properly. I am very interested as the look and style of the first Burpwallow map, is similar to what i am trying to achieve in GIMP except clearer and simplier. I am curious to see the rest of the tutorial on how to turn this hightmap into the final map. Good choice with Wilbur (may i suggest: precipitation erosion, incise flow (Blur = 2), incise flow (blur = 1), optional depending on map SCALE one more incise flow (blur=1), and finish with precipitation erosion again.) Wilbur will erode into (sometimes in an artifact manner) into your smooth plains creating channels. Which is nice, but 2-3 incise flows will turn that "flat plain" into "rolling hills"
Cant wait for the rest of this Thread!
Finished Map Portfolio: Kherennem Rhime Celtricia - World of Factions - Cradlelands
New - http://lathorien.deviantart.com/
I'll be giving this a whirl myself whenever I can find the time
My Finished Maps | My Challenge Maps | Ghoraja Juun, my largely stagnated campaign setting.
Unless otherwise stated by me in the post, all work is licensed under a Creative Commons Attribution-Noncommercial 3.0 United States License.
Your example seems to resolve itself into a black and white flat image.
Do you ever vary the levels you uploaded to use the heights, depths, and gradients from your initial cloud layer?
Dollhouse Syndrome = The temptation to turn a map into a picture, obscuring the goal of the image with the appeal of cute, or simply available, parts. Maps have clarity through simplification.
--- Sigurd
As some of you have noticed, the result of our last exercise was a simple grayscale image(yawn). The white areas represent the highest points and the black areas represent the lowest points, elevations in between are represented by all of the intermediate shades of grey. So what you have here is a simple representation of land elevation. With experience,this can be more informative to the eye than hillshading, although sometimes the hillshade holds surprises that even an experienced eye will miss. Sometimes I wish the Lighting Effects filter in PS could work on the fly. Ah well, we have Wilbur for that don't we? But for now let's stick to Photoshop.
As stated previously, this image is purely a representation of elevation, with no sense of climate, or vegetation cover. Later we may cover such issues, but that will be a voyage of discovery for me as well as the dear reader. For now my pretty map will just be a combination of hypsometric and relief shading. Now onto the pretty map.
In my original map, I had all of the terrain editing layers in a Layer Set at the bottom of the Layer stack, but to keep this tutorial simple, let's do our prettification in a separate file. So...
1)First open the original terrain file, turn off the Threshold adjustment layer, Select All, and Copy Merged. This is your heightfield.
2)Create a new file. The size should default to the size of your terrain file, if you have it open. Paste the heightfield into the new file. Give the resulting layer the imaginative name of HF. As an aside, good layer naming will save you a lot of grief and confusion later. It's easier to use good names from the start, than to append them later. A tip I took from every programming book I ever read.
3)Create a new channel, name it HF, and paste the heightfield into that as well. This will be for the hillshade stage later.
4) Go back to the terrain file. Turn the threshold layer back on. Now Select All and Copy Merged. This will be your mask of ocean areas. White areas are land, black areas are water, and there shouldn't be any areas of gray unless you choose to blur or anti-alias the mask. We won't do that here, but feel free to experiment. Be sure to let us know how it comes out.
5)Create another new channel in your new file, name this, "Sea Mask." Paste your sea mask into this layer.
--- So now we have all the data we need from the terrain file, so go ahead and close it if you wish. Especially if your computer is groaning under the strain of your high res image. In my personal opinion, if the computer isn't groaning under a dozen layers or so, you should increase the resolution .
6) Now create two Layer Sets name one Land, and name the other sea. These should be above the HF layer.
7) Go into the Channels and select the Sea Mask channel. Load that channel as a selection(there is a button at the bottom of the Channels palette to do this, a dotted circle to the left side.
Return to the Layers palette and select the Land layer. Hit the Add Layer Mask button(bottom of the palette, white circle inside gray square, second from left). This will apply the selection as a layer mask for the Land layer set and deselect. Now hit cmd-shift-d(ctrl-shift-d on PCs) to reselect.
9) Hit cmd-shift-i(ctrl-shift-i) to invert the selection, select the Sea layer set and Add Layer Mask.
--- These last two steps assure that water effects will only be applied where there is water and land effects will only be applied where there is land. It also keeps the lower of the two Layer Sets from obscuring the HF from view of the higher of the two layer sets, an important thing.
10)Create a Levels Adjustment Layer inside the Land set. When the Levels window comes up, click on Options... Under Target Colors and Clipping, set both Shadows and Highlights to zero. You could just leave Algorithms alone, like I did, or you could select Enhance Monochromatic Contrast, which might be better.
11)Now create a Gradient Map adjustment layer in Land. When the Gradient Map window comes up, click on the gradient, create a nice dry land gradient that you like. Hit OK a couple times and admire the result. If you set up the sea mask properly, you should see a nicely colorated Land area and some dark dismal gray ocean. That's perfect for this stage. Actually, if you do the hillshade the way I do with a multiply layer, you might want the land a little brighter and more saturated at this point than you'd normally like. Just a tip.
12)Now create a normal layer inside the Land set. Name it... Land Hillshade. Fill it with white, and set the layer to Multiply.
13) Open the Filter>Render>Lighting Effects filter. Set the Light Type to Directional. Set the Texture Channel to HF. I use a fairly intense light with a lot of ambient. Play around a bit with the settings. You should notice after this that the land colors are a bit darker and more subdued and that there are hills! Cool...
14) Create a Levels adjustment layer inside of the Sea layer set. This is pretty much like step 10 above.
15) Create a Gradient Map for the Sea. Choose more watery colors, but otherwise this is equivalent to step 11.
16) Create a normal Multiply layer named Sea Hillshade(blur). Again, not too different from step 12.
17) As in step 13, apply Lighting Effects. Definitely use the same settings for lighting direction. You could play around with a reduced Intensity and Mountainous setting and you could vary the Ambience setting as well to try to make things look a little more... underwater :/ .
1 I decided to blur the underwater hillshade with just a little Gaussian Blur. I don't remember the values, but it was somewhat subtle.
--- Another little tip. Overlay is another good application mode for hillshading. When using Overlay mode, though you will want a rather darker hillshade layer. Instead of white start with a 50%(128RGB) gray, and reduce the Ambience and perhaps Intensity of your lighting effects. The colors of your gradient map will tend to show through much more as you created them and so it can be a little less guess-worky. I tend to choose somewhat bright gradients(read, "freakishly garish."), so the multiply works well for me in a kill-two-birds kinda way. YMMV.
Hopefully, my writing has been clear enough to guide you through the psd file and, in combination give you as good an idea as I have of how to apply, what I think could be a very powerful method.
Attached, find the BurpwallowColorSm psd file. I had to reduce things a bit to fit 'er onto the site. A lot of layers here, folks!
Feel free to ask questions. My time has been somewhat limited lately, so it's understandable if folks have trouble comprehending my bare-bones instructions.
Cheers and all that!
Astrographer - My blog.
-How to Fit a Map to a Globe
-Regina, Jewel of the Spinward Main(uvmapping to apply icosahedral projection worldmaps to 3d globes)
-Building a Ridge Heightmap in PS
-Faking Morphological Dilate and Contract with PS
-Editing Noise Into Terrain the Burpwallow Way
-Wilbur is Waldronate's. I'm just a fan.
Maybe you can add a JPG to your first post, so we at least see a thumbnail and what this is all about? Might interest more people to try it out also
Check out my City Designer 3 tutorials. See my fantasy (city) maps in this thread.
Gandwarf has fallen into shadow...


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North Central College hosts Oct. 15 lecture, "Poverty, Medicine and Human Rights in Guatemala," by two citizens who serve, work with the poor in their country.
North Central College hosts two speakers in a free lecture, titled "Poverty, Medicine and Human Rights in Guatemala," at 7:30 p.m. Tuesday, Oct. 15, in Smith Hall at Old Main.
The speakers are Arleth Molina, a hospital administrator in Guatemala, and her husband, Carlos Molina, a professor at Rafael Landivar University in Guatemala. The husband-wife team has extensive experience working with the poor.


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Hi everybods,
i have a problem with direct printing of pdf files from Zimbra desktop (using adobe reader latest version). When i try to print the document is opened inside Zimbra in pdf form but when i hit print button i get a pdf error. Tried to reinstal adobe pdf reader but no success, tried the same document on a differet computer with the same SW installed and it workend without any problems.
Does anybody have a solution for this behaviour?
BR, Luka


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Arts & Entertainment
Must-See Arts & Culture
by Christina Parrella, 05/14/2013
Intrepid Summer Movie Series. Courtesy, Intrepid Museum
Intrepid Sea, Air & Space Museum
Housed on a retired World War II aircraft carrier docked in the Hudson River, this floating museum holds some of the most iconic air, space and sea vessels in history—not least of which is the Space Shuttle Orbiter Enterprise. NASA's Enterprise was the first spacecraft of its kind: the reusable vehicle launches like a rocket and lands on a runway like an airplane. It can be viewed once again starting in July at the Space Shuttle Pavilion on the Intrepid's Flight Deck. (The orbiter debuted at the museum in July 2012 but was forced to close in late October after Hurricane Sandy damaged the pavilion.) Visitors are encouraged to walk under the fuselage, which is suspended 10 feet off the ground, for an up-close view of the spacecraft. Also on view are a Russian re-entry capsule, the Soyuz TMA-6, as well as an impressive collection of aircraft, including the SR-71 Blackbird, a precursor to today's Stealth Fighter. If you plan your visit on certain Fridays this summer, stay after sunset for a free movie on the flight deck. The lineup includes classics such as Top Gun, Star Trek: The Motion Picture and The Karate Kid (1984).


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Division of Health Sciences
News Stories
Search News Articles
News Staff
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Contact Us
Person First: Labels have no place in health care
By Crystal Baity
ECU News Services
Eeft to right, ECU occupational therapy graduate students Elisabeth Sitton of Summerfield, Caitlin Davis of Davidson and Laurie Armstrong of Winston-Salem display wear awareness bracelets in support of the Person First campaign. Photo by Cliff Hollis, ECU News Services.
(Sept. 25, 2013)
— Occupational therapy students at East Carolina University have started a "Person First" campaign to encourage health care professionals to avoid labeling people as their disability or condition.
ECU's Delta Beta chapter of Pi Theta Epsilon, the national honor society for occupational therapy, is asking students to sign a pledge that they will refer to people with disabilities as a person first and not their condition.
ECU chapter president Laurie Armstrong said members discussed the need for the campaign.
"In working in the community, reading articles from popular media sources and seeing people converse on social media sites, we have read and heard instances of non-person first language being used to describe individuals," Armstrong said. "While the speakers did not intend to be derogatory, we hope to make people aware that using person first language is a more empowering and appropriate way to refer to individuals than to identify them by their diagnosis."
Occupational therapy students will distribute flyers and pledge cards and will collect donations for the national Person First campaign at a kick-off event and bake sale from 10 a.m. until 2 p.m. Sept. 26 outside The Wedge in the College of Allied Health Sciences and at other events this year. Those who make a $2 donation will get a blue awareness bracelet.
The American Occupational Therapy Association and other professional organizations have taken steps to encourage health care providers to use person first language but the practice isn't routine, said Dr. Denise Donica, assistant professor and graduate program director of occupational therapy and Delta Beta chapter advisor.
"It is commonly found that people refer to individuals as their disability first which is impersonal and demoralizing to individuals with disabilities," Donica said. "Our organization is striving to increase awareness on the medical campus of the importance of person-first language to demonstrate respect for all people. That is the reasoning behind this pledge."
ECU occupational therapy graduate student Elisabeth Sitton shared a quote by Dr. Robert Marion, author of "Genetic Rounds: A Doctor's Encounters in the Field that Revolutionized Medicine," that illustrates the importance of the Person First campaign.
"When I speak with families of children with Down syndrome, I take great pains to use this terminology: they are children first, children who happen to have Down syndrome. They are not Down syndrome children, a label that implies that everything they are is a consequence of the condition," Marion said. "Although this difference may seem subtle, it is vitally important."
The ECU chapter started last October and is the only one in North Carolina. For more information, go to
Crystal Baity
| 252-744-3764
East Carolina University
Division of Health Sciences
600 Moye Blvd | Greenville, NC 27834 | 252-744-2984 |
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Last Updated: 2014-09-19


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(Washington) - United States Helsinki Commission Chairman Rep. Christopher H. Smith (R-NJ) released the following statement on freedom of the media, free and fair elections and human trafficking presented today before the Ukraine's Quest for Mature Statehood conference.
Held in Washington on September 13 and 14, 2004, the conference was devoted to assessing Ukraine 's progress in developing the rule of law, civil society and the protection of human rights in advance of Ukraine 's October 31 presidential elections.
Ukraine 's Quest for Mature Statehood:
Ukraine 's Transition to a Stable Democracy
Panel on Freedom of Speech and Press
Library of Congress, Madison Building, Montpelier Room
September 14, 2004
Statement of
Rep. Christopher H. Smith
Chairman, U.S. Helsinki Commission
Thank you for inviting me to participate in this conference on Ukraine 's Transition to a Stable Democracy. Media freedom is an especially important topic with the upcoming presidential elections in Ukraine , in what will be a defining year with respect to Ukraine 's democratic transition. Given the stakes, we should not be surprised by the fact that the powers-that-be have launched an all-out campaign to pressure the media.
Freedom of expression - and its corollary, freedom of the media - is one of the most basic human rights. It is vital to the development of civil society. Numerous OSCE agreements include various commitments on freedom of the media. These are agreements that Ukraine has voluntarily and freely committed to abide by as one of the 55 participating States of the OSCE.
The Helsinki Commission, whose mandate is to monitor and encourage compliance by the OSCE States with their OSCE agreements, has also maintained a strong interest in freedom of media in general and recognizes its importance in democratic development. As many of you know, the Commission has also maintained a strong interest in Ukraine and has, over the last several decades, been steadfast in encouraging Ukraine's independence. We are eager to have as an ally a democratic country where human rights are respected and the rule of law prevails.
We continue to maintain our strong interest and concern, especially with the critically important October 31 presidential elections. I am the original cosponsor of a House resolution, H.Con.Res. 415, introduced by Rep. Henry Hyde, the Chairman of the House International Relations Committee, calling on the Government of Ukraine to ensure a democratic, transparent, and fair election process for the presidential election. (This resolution, which was introduced by Commission Co-Chairman Sen. Campbell, has recently passed the Senate and will soon be taken up by the House.) The resolution outlines measures Ukrainian authorities need to take - consistent with their own laws and international agreements - to ensure an election process that enables all of the candidates to compete on a level playing field. The resolution specifically identifies violations to free media and urges unimpeded access by all parties and candidates to print, radio, television, and Internet media on a non-discriminatory basis.
Unfortunately, the situation with respect to the media in Ukraine in the run-up to the elections is discouraging. The election - apparently because of the clear-cut choice between current Prime Minister Yanukovich, and leader of the Our Ukraine democratic bloc Victor Yuschenko - seems to have frightened those who are now in power. It seems the ruling regime has decided to interfere in media election coverage at an unprecedented scale, presumably with the expectation that the interference will ensure their victory at the polls.
The OSCE recently assessed the media situation in the election campaign. They noted that overall, media pluralism is present in Ukraine - different views are represented and politicians of all ranks are regularly criticized - and in general the legal framework is satisfactory. On the other hand, according to OSCE and many other observers, "the one view dominating the airwaves is that of the government", due to an ownership structure closely connected to, or influenced by the current government. It is also due to the infamous so-called "temniki" or "secret instructions" to media from the presidential administration about what or what not to cover and how to cover it. The institutional framework of frequency allocation and licensing also allows for favoritism in the electronic media.
In short, the electronic media is heavily dominated by government and oligarchs, and the media tilts heavily towards Yanukovich, while casting Yuschenko in a negative light. The media is under attack:
* Since the beginning of this year, Ukrainian authorities have harassed, closed and filed lawsuits against numerous electronic and print media.
* Radio Liberty , an important source of objective information, and other radio stations such as Radio Kontynent have been either partially or totally taken off the air. Months of promises to various U.S. officials that Radio Liberty would be put back on the air have come to naught.
* Print runs have been permanently or temporarily stopped for several newspapers. Just a few days ago, authorities in the Kharkiv region temporarily confiscated 42,000 copies of the newspaper Without Censorship. Other media face politically motivated law suits.
* Volia cable, the leading cable television operator in Ukraine , (which carries the only channel which reports objectively on the democratic opposition - Channel 5) is experiencing severe pressure from the Prosecutor-General's office. Almost all cable companies that carry Channel 5 received a variety of threats and tax inspections, and some reportedly had cables "accidentally" cut.
* Reporters face harassment and censorship daily for their objective reporting.
Ladies and Gentlemen, equal access to media must be provided during the remainder of the presidential campaign and will be key in determining whether or not the presidential elections will be judged as free and fair by the OSCE and the international community. The elections will be a watershed for the future direction of that country. Ukraine has tremendous potential. Ukrainian authorities need to radically improve the election environment, including the media environment, if there is to be hope for these elections to meet OSCE standards.
In just two days, on September 16, we will mark the fourth anniversary of the killing of independent journalist Georgi Gongadze, who was exposing high-level corruption in Ukraine. His murder has been subject to numerous international protests, including statements, intercessions, and queries, by me and other Helsinki Commission members. Ladies and gentlemen, it is a case of a massive cover-up by high-level officials.
This is the fifth time that your conference is being held. The first took place four years ago just two days after Gongadze's disappearance. It was at that first conference that representatives of the Helsinki Commission and State Department first called for the Ukrainian government to investigate his disappearance. Four years later, the case remains unresolved. Ukrainian President Kuchma and a number of high-ranking officials have been implicated in his disappearance and the circumstances leading to his murder. The Ukrainian authorities' handling, or more accurately mishandling of this case, has been characterized by obfuscation and stonewalling, destruction of evidence, and the persecution and even death, in one instance, of those who tried to tell the truth about the case.
Tragically for Ukraine, the handling of this case has made a mockery of the rule of law. Not surprisingly, lack of transparency illustrated by the Gongadze case has fueled the debilitating problem of widespread corruption reaching the highest levels in Ukraine. A credible and transparent investigation of this case by Ukrainian authorities is long overdue and the perpetrators - no matter who they may be - need to be brought to justice. I hope that well before the sixth of your conferences, this case is resolved, as well as the cases of at least 18 other journalists in Ukraine who, according to Western media watchdog organizations, have died because of their work.
These journalists, including Mr. Gongadze, were exposing the massive problem of corruption and crime in Ukraine. One important issue intimately linked with corruption and crime worldwide - a global scourge to which Ukraine is by no means immune - is the trafficking of women and children. Each year, an estimated 600,000 to 800,000 girls, boys, women and men, including tens of thousands of Ukrainians, are bought and sold like chattel across international borders, many of them for brutal exploitation in the commercial sex industry. The plight of these individuals has touched many hearts and has led to a global movement to eradicate this form of modern-day slavery known as trafficking in human beings.
In November 2000, the Trafficking Victims Protection Act, which I authored, was enacted with broad, bi-partisan support. The Act provides a framework for combating trafficking through law enforcement, prevention programs, and assistance to those victimized. The Act mandated major changes in U.S. law, including severe penalties of up to life in prison for those who traffic in humans and treatment of the victims - mostly women and children - as victims of crime rather than criminals themselves. This past December, President Bush signed a reauthorization of the Act, which I also wrote, to expand and strengthen the U.S. response to this scourge.
Hundreds of thousands of Ukrainian women and children have been trafficked mostly to Europe and the Middle East over the course of the last decade, making it one of the largest source countries in Europe . It is also a major transit country. Ukraine has been designated in the most recent State Department report as a Tier II country (there are three tiers), meaning that the Ukrainian Government does not yet fully comply with minimum standards for the elimination of trafficking, but is making significant efforts to do so. I am pleased that our government, the OSCE and other international organizations and NGOs are devoting resources to combat this modern day slavery, but much more remains to be done. I encourage the Ukrainian Government to make further progress, and implement its Comprehensive Program to Combat Trafficking in Persons, better coordinate with law enforcement officials of destination countries, and fight government corruption.
By conducting free and fair elections, respecting media freedoms, including resolving the Gongadze case, and effectively tackling the scourge of trafficking, the Ukrainian authorities will go a long way in restoring the trust of the citizens of Ukraine and strengthening Ukraine's independence, democracy, sending a powerful signal of its readiness to join the Euro-Atlantic community of nations. I stand in solidarity with the Ukrainian people as they strive to achieve these important goals.
The United States Helsinki Commission, an independent federal agency, by law monitors and encourages progress in implementing provisions of the Helsinki Accords. The Commission, created in 1976, is composed of nine Senators, nine Representatives and one official each from the Departments of State, Defense and Commerce.
- 30 -
Click here for the previous year's Press Releases


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Loudspeaker Driver
Application ID: 1369
This is a model of a loudspeaker of the dynamic cone driver type, common for low and medium frequencies. The model analysis includes the total electric impedance and the on-axis sound pressure level at a nominal driving voltage, as functions of the frequency.
The model starts out with the Small-Signal analysis from the AC/DC Module to compute the driving force and the blocked voice coil impedance. It then uses these results and adds interfaces from the Acoustics Module for the acoustic-structure analysis. As an optional final modeling step, you can choose to extract and export the data needed for a 3D model.


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When setting up an event within the Zimbra Web Client that repeats on the nth day-of-week of a month (e.g. the 1st Tuesday of November - U.S. election day), Lightning displays that event as occurring on every day-of-week of that month (continuing the example, every Tuesday in November).
Setting the event up from within Lightning creates a correct display both for Zimbra and for Lightning.
Reading the ICS files for both, the RRULEs are different:
Lightning says: RRULE:FREQ=YEARLY;BYDAY=1TU;BYMONTH=1
Zimbra says: RRULE:FREQ=YEARLY;BYDAY=TU;BYMONTH=1;BYSETPOS=1
Can anyone tell me if one of these is "more acceptable"? I'll submit the issue to the Lightning bug tracker if both are equally valid, but I'd like confirmation.
(I'm using the Lightning nightly builds, 1.0b2pre 04-Jan-2010 at present).


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- Formación
- Media
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- Alumni Agenda
Alumni Agenda
Master Class. Rescuing the euro: elements for a foundation of a sustainable monetary union in Europe
IE Italy Club 05 de noviembre 2012
You will have the opportunity to experience what a real class at IE is like and discuss ideas on a current topic. You will see the difference between traditional teaching methodologies and the methods used by the best schools in the world, based on real cases, team work and interactive study. Participants will also receive an introduction to the school and its programs and they will be able to directly ask our regional representatives any questions they may have.
The euro is dead. Long live the euro! There is no doubt that today the time has come that defines the future. We Europeans have lived in complacency for too many years. In part this has been justified because the euro actually gave us ten years of spectacular economic growth, financial and price stability, and even better social and regional cohesion in Europe. But it has also revealed the extent of our ignorance. Let's explore with prof. Fernandez the elements for a foundation of a sustainable monetary union in Europe.
Professor of Economics, IE Business School
Independent International Consultant. Managing Director Pividal Consultores. A business consultancy specialized on financial sector issues and private sector development. Besides Spain he has worked in Armenia, DR Congo, Colombia, Vietnam, etc.) Economic and Political Analyst in major media networks in Spain. He has published several books and delivered many conferences. He has been Rector, and Santander Full Professor in International Business at Universidad Antonio de Nebrija, Madrid (2005-2009). Rector Universidad Europea de Madrid (2002-2005). Chief Economist and Head of Research (1996-2002), Banco Santander. Senior Economist, International Monetary Fund, Western Hemisphere Department (1991-1996).
ITALIA, Milano


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Yarralumla, Australia (Sports Network) - Mariajo Uribe carded a 6-under 67 on
Friday to grab a 1-stroke lead after two rounds of the Women's Australian
Uribe completed two rounds at 15-under-par 131 at the par-73 Royal Canberra
Golf Club.
First-round leader Lydia Ko shot 4-under 69. The 15-year-old amateur fell into
a share of second place with Jiyai Shin, who posted a 67, at minus-14.
Kristie Smith (68) is alone in fourth at 10-under 136, while Beatriz Recari
(69) is one shot back at minus-9.
Defending champion Jessica Korda (69) and world No. 1 Yani Tseng (71) are
among six players tied for eighth at 7-under-par 139.
Uribe played the back nine first on Friday and opened with a birdie on the
par-4 10th. She ran off seven consecutive pars before making birdie at 18 to
turn at minus-11.
The Colombian caught fire around the turn with birdies at the second and
Uribe converted her fifth birdie of the day at the par-5 sixth. That gave her
a share of the lead at 14-under. She came right back with a birdie at the
seventh to move one stroke clear of the field.
The 22-year-old Uribe parred the final two holes to end one clear.
"I'm not hitting the ball that well, but I'm putting great, so it really helps
out when you have to get an up and down and make birdies," Uribe said. "I went
out just wanting to get in the competition after two months without playing,
so it was a fun round. I made good putts, took advantage of the opportunities
and the same thing I did today. So I feel pretty good."
Ko, who won the New Zealand Women's Open last week for her third professional
title, parred her first two holes before converting a birdie effort on the
par-3 third.
The teenager poured in three consecutive birdies from the fifth to jump to 14-
under. She parred the next four holes.
Ko birdied the par-4 12th, but gave that stroke back with a bogey at the 14th.
She closed her round with four straight pars.
"Four-under is a good score. It's not an easy course," Ko stated.
Shin, the reigning Women's British Open champion, notched back-to-back birdies
from the 10th. After tripping to a bogey on No. 14, she carded three straight
birdies from the 15th.
The Korean carded three more birdies on the front nine to climb to 15-under.
However, Shin faltered to a bogey at the ninth, her last, to end one back.
The Sports Network


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"Breaking Bad" star Bryan Cranston plans to direct an episode of the show's upcoming spin-off series "Better Call Saul."
The spin-off prequel is based on the dodgy dealings of lawyer Saul Goodman and has been created by Vince Gilligan, the writer and producer behind "Breaking Bad."
Aaron Paul revealed in March that he would reprise his role of troubled student Jesse Pinkman for occasional episodes but his co-star Cranston is not satisfied with simply playing his character Walter White once more – he wants to work on the show behind the scenes too.
He says, "If Vince calls me, I will do anything he wants. I hope to go back and direct an episode as well."
"Better Call Saul" is due to air in November.


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a good way to beat the lonliness is to bring in a little ipod with speaker or little transitor radio. i prefer the radio because you hear the dj talking. my little radio also has the noaa weather station on it. Handy little piece of equipment. Also if you don't like doing other mountain activities solo you won't like hunting solo. Getting game out is a big deal, but it is very manageable if you don't over do it. And one guy can get an elk out, parachute cord goes along way and also. the biggest thing an indvidual needs in backcountry solo hunting is self confidence. Not cocky, but make sure you know you can do it. And it helps if you have done it. Start with a simple overnighter and work up from there.
My father and I have been hunting partners since I was 10 but now I moved further away and my interests are changing. He loves driving around in his jeep and stopping on every hill to glass. We killed a lot of deer that way but I always found myself getting out and hiking off the road (killed a lot of deer that way too). I have an intense calling to start back country hunting which he has no interest in whatsoever. I believe that makes me a solo hunter come this season as I'm going to start doing short backpacking trips in D8. It will be interesting and hopefully rewarding.
Hunted with my dad from 52 to 82 when he passed. I've hunted alone ever since. Going to be 70 this year, and still doing it alone. Probably safe to say i'm not going to change.
Clean living, lots of exercise, and a good attitude will get you there. I'm hoping to have another 10years of hunting in me.
In California you can hunt deer with ONE dog in certain zones, but not in others. The D zones are doggy zones, X zones are definitely not. Much of California is just a massive brush-pile due to poor logging practices and fire suppression. I hunt D3 which is basically just one huge tangle of impenetrable brush unless you are in a clear cut, above the tree line, or down in the central valley. I have two rat terriers that I use (one at a time) and they can be very helpful. It's kind of like pheasant hunting, you better be pretty fast on the draw when Sparky's nose meets Bambi's butt. And the mutts come in very handy if you have to track a wounded deer. Those noses they have are something else. And as a certified solo hunter, I enjoy their company and like listening to their stories when they haven't been drinking.
I went out on my first solo trip this past fall. My family are all back east and I haven't ran into anybody I that I know well enough to hunt with.
I went up planning to head out and stay in the backcountry, but ended up staying back in the camp where I parked and heading out each day by myself to hunt.
The first night up there, I was at a little camp site just off the road and it was completely dark before I started to set up camp. I'm used to going places for my job or the reserves and being by myself, but this is a completely different kind of alone.
The second night, I found a camp where another guy was based out of and stayed there. It was nice having a little human interaction when I got back to camp at night. I also didn't bring anything stronger than gatorade and coffee. He had some Patron and was generous with it. A few sips of that definintely takes the edge off and I will be getting myself a flask for next year.
When I was out during the day, awesome only begins to describe it. Eating lunch on the top of a mountain, looking out to the north and west the Sierra Nevadas. Walking down to the edge of a meadow and seeing beds...sitting behind a tree and hearing branches breaking as something moves through the woods off to my side. Feeling my heart rate pick up.
It's nice not having anybody else around then... you set your own pace, you don't have to worry about somebody else moving or making noise or wanting to go back to camp.
I'm making some equipment changes and from now on, I have to plan on going up and spending a day getting acclimated to the altitude (9,000') before I head out.
But, since going up, I can't stop thinking about wanting to be up there, how I'm going to pack, how I will pack out an animal, where I will want to go next year.
Ah, the nostalgic aroma of a yak dung stove brewing up some tea full of herbs best left untranslated.
From the Zen Backpacking Site
I didn't read this whole thread so I don't know what has already been discussed completely and what hasn't, but I wanted to comment and didn't have the time to read 6 pages, so I will enter into the conversation here.
For me it is incredibly hard to hunt with people anymore. Outside of my dad who I hunt with some still, most people become more of a hindrance than anything. It is hard mostly because everyone has different expectations. Some guys like tents, some guys like bivys, some guys go without shelter all together. Other times guys camp in the bottom near water, while harcore mulie hunters may go 2-3 days without a water source at a time. It just is hard to find someone on the same page with you in every aspect, and then have them want to hunt the same place, at the same time, for the same animal where only one of you will probably get a shot at best.
My very first trip solo was when I was probably about 16 or 17 for a day trip, and just after I got out of high school I branched off and started doing backcountry hunts for 4-5 days at a time solo. I had always hunted deep with my dad up until then, but after high school I just had a different schedule so I went on my own. I remember my first trip out was just a one nighter, and it was different but I just pushed myself to get to sleep and not worry about it. The next year I did a 4 nighter and never thought twice and I've never looked back since.
I work for a forestry company so I am also in the woods 5 days a week for 10 hours a day, and about 97% of that work is all timber cruising that is done 100% by myself, so being in the woods is nothing new for me. However, the overnight stay by yourself when you are a long way from the truck can be a bit intimidating, but I think once a guy just bites the bullet and tries it, you will really learn to like it. I dont really have any tips for making it easier other than increasing your experience and exposure with it.
Kevin Underwood- http://kunderwoodblog.wordpress.com/


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Hollywood stars Eva Mendes and Ryan Gosling are set to become first-time parents.
The "Hitch" beauty, 40, is said to be seven months pregnant.
The couple began dating in 2011 after shooting crime drama "The Place Beyond the Pines" together.
The baby news comes five months after Mendes, 40, denied rumors she was expecting after asking to undergo a manual body search at an airport security checkpoint instead of walking through the X-ray scanners.
She laughed off the speculation at the time, telling talk show host Ellen DeGeneres, "It's (the baby rumors are) so ridiculous. It all started because I didn't want to go through the scanners at the airport. You know those X-ray scanners, which are really creepy? They basically see you naked. And not only that, but there's a radiation aspect to it. So I always opt out. I always ask for a personal pat-down… (Tabloid reporters thought) that was good enough reason to say 'Hey (she's pregnant)'."
When DeGeneres pressed her further about whether there was any truth to the pregnancy rumor, Mendes replied, "Oh God! No, no no!"
Mendes previously dated filmmaker George Augusto, while Gosling, 33, enjoyed romances with his "The Notebook" co-star Rachel McAdams and Sandra Bullock.


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Category Archives: SRS
Blended Learning – Education's Bricks and Clicks (Clicks and Mortar)
Blended Learning – Education's Bricks and Clicks (Clicks and Mortar) Posted on August 1, 2012 by viaresponse The concept for this post has been swirling around in my head for more than six weeks. After a lunch with a Director over Instructional Innovation … Continue reading
Pedagogy in Peril
Bring Your Own Device Modernizes Audience Response In and Out of the Classroom For all intents and purposes, smart-phones have been active in the market for five years. That's five years of explosive growth accompanied by five years of "struggle" … Continue reading
## 4 HigherEd "Clicker" Terms ## Audience Response System, Personal Response System, Student Response System, and Classroom Response System, Clickers
Destined for the Dustbin of History Never have I seen a market more fragmented by terms describing/defining the same exchange/transaction between an instructor and a student. After years of market positioning and millions of dollars in term differentiation, the market … Continue reading


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Last year by living in Fl versus living in his home state he was able to keep 8 million more of the $56 million he made.
A MLB FA saved 9% of his 12 million salary this coming year by leaving his former team.
How much do you see players now looking towards where they play and the additional income by playing in a state that has no or very littlat additional taxes on people who make millions?
Me I see many players using it as a bargaining chip. If I play in CA pay 15% if I play in FL I pay 0% more.


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I have downloaded a 2.6 Gig .tgz file from my standalone Zimbra server,
to "import" into a hosted Zimbra server (at 01.com).
I select the file, then press "Import" -
but it just sits there with the "Import" button gray-ed out.
I did logon to 01.com from another PC, and nothing seems to be appearing
in the account that I am importing into...
Should I be seeing any sort of upload progress indicator ?
If not, can I suggest that they please add one to Zimbra in future releases ?
Does anyone have any troubleshooting suggestions?


text:
Get that Linux feeling - on Windows
What are the licensing terms?
Most of the tools are covered by the GNU GPL, some are public domain, and others have a X11 style license. To cover the GNU GPL requirements, the basic rule is if you give out any binaries, you must also make the source available. For the full details, be sure to read the text of the GNU General Public License (GPL). For more information on the GPL see the GPL FAQ.
The Cygwin™ API library found in the winsup subdirectory of the source code is also covered by the GNU GPL (with exceptions; see below). By default, all executables link against this library (and in the process include GPL'd Cygwin™ glue code). This means that unless you modify the tools so that compiled executables do not make use of the Cygwin™ library, your compiled programs will also have to be free software distributed under the GPL with source code available to all.
The following text is a partial copy of the CYGWIN_LICENSE file from the Cygwin™ sources
Cygwin™ API Licensing Terms
Cygwin™ is free software. Red Hat, Inc. licenses Cygwin to you under the terms of the GNU General Public License as published by the Free Software Foundation; you can redistribute it and/or modify it under the terms of the GNU General Public License either version 3 of the license, or (at your option) any later version (GPLv3+), along with the additional permissions given below.
There is NO WARRANTY for this software, express or implied, including the implied warranties of MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU General Public License for more details.
You should have received a copy of the GNU General Public License along with this program. If not, see <http://gnu.org/licenses/>.
Cygwin™ Open Source Licensing Exception
As a special exception to GPLv3+, Red Hat grants you permission to link software whose sources are distributed under a license that satisfies the Open Source Definition with libcygwin.a, without libcygwin.a itself causing the resulting program to be covered by GPLv3+.
This means that you can port an Open Source application to Cygwin™, and distribute that executable as if it didn't include a copy of libcygwin.a linked into it. Note that this does not apply to the Cygwin™ DLL itself. If you distribute a (possibly modified) version of the Cygwin™ DLL, you must adhere to the terms of the GPLv3+, including the requirement to provide sources for the Cygwin™ DLL, unless you have obtained a special Cygwin™ license to distribute the Cygwin™ DLL in only its binary form (see below).
See http://opensource.org/docs/osd/ for the precise Open Source Definition referenced above.
Cygwin™ Alternative License
Red Hat sells a special Cygwin™ License for customers who are unable to provide their application in open source code form. For more information, please see: http://www.redhat.com/software/cygwin/, or call +1-866-2REDHAT ext. 45300 (toll-free in the US).
Outside the US call your regional Red Hat office.
Does Cygwin™ have an ECCN number?
No. Cygwin source and binary are made publicly available and free of charge to download so Cygwin is provided under TSU/TSPA exemption. As a result, Cygwin does not require an ECCN number.


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State of the burger
The State of Ground Meat: SF's Burger Onslaught, Addressed
By Carolyn Alburger on July 15, 2011 2:00 PM
Burger Mania
15 Romolo lets you eat its burger "yo mama style" with peanut butter and bacon. Heirloom Cafe tops its off-menu beauty with pungent Epoisses cheese. Chef Bruce Hill hand-designed a burger weight to evenly cook the patties at Bix. Hayes Valley's Straw serves its ground beef mounded on a donut. As any of these restaurants will tell you, when it comes to surviving the stiff burger competition in SF, you've gotta have an angle.


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Current Version: 1.2.0
Requires Android: 2.1 and up
Category: Media & Video
V1.2.0 update:
Please feedback or get latest news from http://vplayer.net/
1. Add play all medias in a folder.
2. Add delete a folder.
3. Add pause function through space key.
4. Fix the rmvb crashes.
5. Fix buffer size can't be saved.
6. Fix shutter issue for hw decoder.
VPlayer, devices, Video, Galaxy, Android, 1080p, video, Player, player, folder, Media, Samsung, High51, support, Nexus, Streaming, decoder, shutter, delete, High41


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|CANCELED--East Teen Manga Club
Event Type: Teen Library Programs
Date: 11/23/2013
Start Time: 2:00 PM
End Time: 4:00 PM
Join teens excited about Manga and Anime for an afternoon of activities and snacks! We will have drawing supplies and other activities (you will help decide).Library: East Library - 5550 N. Union Blvd.
The Manga Club meets on the second and forth Saturdays of the month and is open to anyone in grades 6 - 12. An adult volunteer is present at each meeting to help guide discussion and activities.
Location: East Teen Center (ETC) A & B
Contact: Kaitlin


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Fear Factor
Home > Television > F > Fear Factor
Joe Rogan
Sandy Thomas
J Rupert Thompson
Matt Kunitz
All Cast & Crew >>
Summary:Reality series in which contestants compete by performing extreme physical, mental and gastronomic challenges under the supervision of Hollywood stunt coordinators. If they complete the task, they advance. If fear stops them from completing a stunt or they fail the mission, they are eliminated. The contestant that completes three stunts the most efficiently takes home the grand prize of up to $50,000. In each episode, six contestants -- three men and three women -- tackle three hair-raising stunts.


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Fatality Accident Near Sioux Center
(Sioux Center) -- An early Friday morning auto accident on Highway 75 near Sioux Center resulted in a fatality. 51 year old Mark Heimgartner of Le Mars was driving a semi truck pulling a tanker heading southbound on Highway 75 when 31 year old Lucas Ochoa-Valiente of Hawarden was heading westbound on 370th Street. According to the traffic report, Ochoa-Valiente failed to stop and yield and had gone through the intersection when the collision occurred. Ochoa-Valiente was pronounced dead at the scene by the Sioux County Medical Examiner. Heimgartner was transported to the Sioux Center hospital for minor injuries. The tanker was empty at the time of the accident. The Sioux County Sheriff's Department was assisted by the Iowa State Patrol, Iowa Department of Transportation Motor Vehicle Enforcement, Sioux Center Police, Sioux Center Fire and Rescue Department, and the Sioux Center Ambulance.
Photos courtesy of Sioux County Sheriff's Department
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I have a few companies that I support and I would like to have all of them running off of one zimbra server. I have a few questions if anyone has been in this situation before:
What should I do about usernames? If I have multiple companies with multiple domains, but there are duplicate usernames among the orgs. For example, is I have firstname.lastname@example.com and email@example.com and they are different users, can I make the same username? If I can, how will they login to webmail? If I can't, I'll have to use something like TestUser.test1.com for the username and define an alias correct? Less than ideal...
Is the GAL limited to only the same domain or everyone?
Is there a way to define an admin for an individual domain so they can admin their own company?
I'm going through the documentation and testing as fast as I can, but I can't seem to get answers to these. Thanks in advance.


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So I did something about it, and started Nerd Fitness, a community with real info for real people. For the past five years, I've helped hundreds of thousands of men and women start making positive changes that last.
This isn't a get-fit-quick scheme: those things are designed for one thing only: to take your money. Instead, it's a fun, step-by-step blueprint and a philosophy that focuses on actual results.
The NF Academy is an online, self-paced course and fitness "quest" tracking system with over 5,000 students from every corner of the globe.
We focus on building sustainable kick-ass habits, not only in your nutrition and workouts, but also in your confidence, appearance, and mindset.
Think of us as an anti-school of sorts, like the X-Men Academy, AKA "Charles Xavier's School for Gifted Youngsters."
Most schools churn out carbon copy clones of people who follow the rules and conform to the mainstream.
Not us.
Instead, we teach you how to develop your super powers**, get in shape, look better, get stronger, lose weight, feel better about yourself, and kick serious ass.
Oh, and have a damn good time doing it.
**Disclaimer: Nerd Fitness is not liable for any superpowers developed during this course.
Stop guessing. We'll tell you EXACTLY what to do.
My name is Steve Kamb, creator and founder of Nerd Fitness and The Academy, and I'll be one of your professors for this self-directed, self-paced course.
I've been obsessed with health and fitness for the past 13 years and truly dedicated to the cause for over six years. I live for this stuff and can't wait to help you get stronger, happier, and…yup…look better naked.
In five years I've taken Nerd Fitness from a simple one-man blog and developed it into a passionate "Rebellion" of over 200,000 email subscribers and over 1.5 million monthly visitors. I've also had the pleasure to guest lecture at Google, Facebook, and give a TEDx talk about our approach to fitness.
Now, you're probably wondering "well, Professor Kamb, that's great and all, but I'm a woman…and there are certain aspects of training and getting healthy that you'll never understand…because you're a dude."
Luckily for you, I'll be co-teaching alongside Professor Staci Ardison, AKA the Master of Deadlifts, AKA our Head Women's Professor.
Staci transformed her life over the past few years, and has since become a role model to tens of thousands of women that have discovered her story on Nerd Fitness. Seriously, she gets recognized walking down the street now!
After exhausting herself with HOURS and HOURS of cardio machines and treadmills, she finally saw her life change when she fell in love with strength training.
She now spends her days as the Rebel Ops leader for all of Nerd Fitness – continually inspiring women AND men alike to train hard, eat clean, and adapt positive habits for the long-term.
Great question. I knew you were smart!
I would love to take personal credit for the growth of Nerd Fitness, but I can't. The secret lies in our powerful community of like-minded nerds, desk jockeys, and average people from around the world.
Together with the community, Staci and I have boiled down the basics of our approach and created a self-paced online course that will provide you with EVERY SINGLE TOOL you need to change your life, starting right now.
We've broken down the academy into several sections: Mindset Module, Nutrition Module, Fitness Module, Workouts, Private Facebook Groups, Bonuses, and our new Quest Tracking and leveling feature.
Come with us and we'll take you through each of the different sections – all mapped out below in detail.
Our newest feature is the first step in what will be the future of Nerd Fitness!
Ultimately, we know that if you are able to make this process fun and have a system for tracking your progress step-by-step as you go – that you are FAR more likely to see faster results.
With that in mind, we've developed a way for you to customize your own character, choose a class (or training style you prefer), and complete specially-designed quests as you go.
As you'd expect, knocking off our quests grants you experience points which literally allow you to level up as you progress through the course and the workout plans. This is the most fun way we know to show you the next step to getting to your goals.
As we continue to expand, we'll be able to offer team quests and challenges to motivate and challenge your progress as you go.
Whether you are working on walking for 5 minutes or signing up to run a triathlon, we've got quests that'll help push you to the next step.
We know that sometimes the first step is simply knowing HOW to go about doing a specific movement or exercise.Our exercise glossary has over 120 individual videos that show you step-by-step how to complete a given movement with proper form. These are in high-definition and contain multiple angles when needed.
Best of all, these work on any device – meaning that a quick check of your form while in the gym (or a quick review of all the movements before you start) is easy while on the go.
We also give you the written steps as well – just in case you want to skim without watching each individual video.
We want you to complete every exercise with the confidence that you're doing things properly.
Not only that, but every one of our workout plans has a section to help you scale the movements up or down in intensity and difficulty.
Can't do a pushup yet? We've planned for that. We show you how to scale you pushups to knee pushups (or incline pushups… or even wall pushups) as you are getting started.
Later, as you may look to add intensity, we provide ways for you to scale UP each exercise to make it push you even harder. Again, all with HD videos of each progression.
So no matter where you are starting – or what knowledge you may have of exercise movements and form – we are here to walk you through each step and get you ready to rock!
In your Academy Facebook Group, you can meet and get held accountable by hundreds of like-minded, passionate rebels on the same journey you are.
Regardless of your goal, I guarantee there are people in this group who've been there and done that – and many more who are working towards it.
We have separate groups for men and women, so depending on which Academy you enlist in below, you'll be able to share your journey, pictures, and details with rebels of your same gender.
Have a question that you'd like us to answer? We'll have regularly scheduled Q&A's available only to members in the Nerd Fitness Academy.
Fair warning: I may dress up as a pirate!
We also have recording of all past Q&A's – and will post any future ones you can't make it to in the Extras section of the Academy for you. (You can email or send in your questions ahead of time and we'll answer them even if you aren't there live).
This is a great way to be able to not only hang out with us in chat every few months, but to make sure you are customizing the content for application in YOUR life.
Our Nutrition Model is also packed with several dozen healthy recipes (and our library of recipes is always growing when Rebels submit their own specialties).
We've broken these down in Breakfast, Lunch/Dinner, and Snacks. Many of our students see the best results finding 1 or 2 specialties for each meal. For example, learning just two different healthy, quick options for breakfast can literally change your entire day right off the bat.
And sometimes we know it's easier to not have ANY choice at all! In that case, we have a sample Meal Plan that you can apply as well. Just download, purchase the list, and know in advance what you need to cook.
Throughout the course, we'll also have downloads for you to print and make this journey easier (and more fun). For example, our shopping "cheat sheet" is here to the right.
We designed this for you to print, take the store, and quickly use as a reference for what foods are GOOD, just meh (or in moderation), and STAY AWAY from if you can. No second guessing, before you put an item in the cart – just check the handy cheat sheet.
We've also added bonus mini-guides for "Road Warriors" (or eating/working out when traveling) and our "6 Week Get Fit Plan" for those of you that want to go a little extreme leading up to a vacation, wedding, or special event.
Anthony Mychal, my own personal coach, specializes in helping "skinny fat guys" lose the gut and build muscle – but loves helping everyone get strong and feel great.
Vic Magary, who helped co-write our old ebooks, discusses how to train when you are completely new to the lifestyle and specialty concerns for men over 40 who train.
Nate Green is an ex-gym junkie, who explains why life in the gym isn't the most important thing anymore, shares his own story, and tells us what *is* important now.
Leo Babauta is the creator of one of the most popular blogs of all-time (Zen Habits). Leo teaches how small, tiny changes in habits can lead to drastic lifestyle transformations.
Molly Galbraith shares how she went from overweight in college to a competitive figure model with lessons on happiness and health.
Tamara Lackey talks about mental heath and how to exercise when you don't have the energy. She's also vegan and shares how to get enough protein despite not eating animal products.
Nia Shanks explains why the scale can be so frustrating and how to get maximum results with minimum effort. Her rant on the mainstream women's fitness industry is priceless!
Amy Clover shares how she overcame her clinical depression and attempted suicide through a rebirth into fitness and health – and how building inner strength was just as important as the outer.
Michelle Tam makes cooking healthy meals fun again, the best ways to get started, and how to overcome common excuses.
My goal with this course is to help you get in the best shape of your life and feel good about yourself. If you happen to develop a super power as a result, I'm okay with that too.
I'm confident that if you follow the advice and workout plans, you WILL see results.
However, if for any reason after six weeks the Academy isn't for you, just let us know, and we'll refund 100% of your money, no questions asked. Super simple.
Once you buy the course, you have until…the end of time* to let me know that it's not for you. Seriously. If it doesn't work for you, I don't want your money, and I will gladly help you find another solution that will work for you.
*Note: "End of Time" clause is void should a full scale Zombie Apocalypse occur.
A one-time payment of $99 gets you full, immediate access to the entire Academy, all bonuses, the quest tracking, and all future NF Academy updates.
You'll receive the Mindset module, Nutrition Module, Fitness Module, All 19 Workouts (for any situation), and demonstrations of every exercise in HD.
You'll also get access to the member only Message Boards for your gender, all recipes, the meal plan, the grocery shopping cheat sheet, all of the interviews, the 6-week "Get me in shape quick" workout plan, Live Q&As, and the road warrior workout and nutrition plans.
Basically, we make it really simple.
For the one-time payment of ($99), you get immediate access to:
Nope this isn't an ebook (or a series of ebooks)! This is an online course that you will log into and learn from at your own pace.
From 2011 – 2013, we had ebooks available, but choose to evolve them into this platform so we could expand, upgrade, add forums and questing features that we never could've before.
By creating this Academy instead of an eBook, we have an opportunity to continually update, expand our tracking and gaming features, and add new contents and workouts easily to help push you.
We've designed the Academy, from the ground up, to give you the VERY next step to complete no matter where you are starting. It doesn't matter if you haven't exercised a single day in your life, we've had Rebels who started walking just a few minutes a day in the beginning.
Our system is easy, start at the very beginning and move through each section one small step at a time. We make it fun – you'll be gaining experience and watching your progress as you level up!
Once you get more comfortable, the workouts and quests scale for even the most intense competitors out there. There is a reason we've got so many quests and so many levels, you'll be able to keep leveling up for a long time to come!
The Nutrition Module of this course is primarily grounded in a nutritional plan of whole foods which includes meat. Our meal plans and recipes will not all be adjustable to your exact diet needs in all cases.
However, the good news is EVERY other part of the Academy gives it's full benefit. The Mindset and Fitness Modules, all the workouts, the bonuses, the community (which does include vegetarians and vegans), the quest features – all will still work 100% for you.
With a few adjustments away from meat – and a focus on getting ample amounts of protein from plant-based sources – you can still see great results and fit right in.
That's fine! Get on in here!
You have COMPLETE ACCESS to this course. It's self paced. And we will be constantly updating and improving it. So if you tend to take things slower than others (which we actually recommend when starting), or you have to take a break due to whatever reason, you can pick back up where you left off, when you're ready.
We exist to help you, on your schedule, level up YOUR life.
So we've built the system to be adaptable to any pace!
Remember, if you always do what you've always done, you'll always get what you've always got. Why not try something different, and see if The Academy works for you.
Thanks for putting your trust in me to help you level up your life. This is gonna be fun.
PS: This is a self-paced course, so even if you can't start immediately, or you take things slower than normal, that's great. You can start when you want and take as long as you want. Your access includes ALL future updates.


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Robert H. 'Bobby' Diggs, 85
Robert Hardy Diggs, fondly known as "Bobby" departed from this life on April 3, 2013 at Arcola Rehabilitation Center in Silver Spring, Md.
Bobby Diggs was born in Baltimore on June 25, 1927 to Dorothy Howard Diggs and Herbert Diggs Sr. He was raised with his three siblings. As a young boy he ran errands and often accompanied his grandmother who worked as a domestic.
Mischievous and smart, Bobby was fascinated with moving things such as skates, scooters, cars, trains and buses. Sitting still had no appeal for him as he navigated the streets and alleys of his neighborhood with ease. Bobby advanced through the segregated Baltimore City public schools and graduated from Douglass High School in 1947. While at Douglass he enjoyed basketball, architecture, English and Spanish. Once he was crowned Principal for a Day.
Despite his popularity and good grades, Bobby's dream of attending college was deflated by the demands of WWII and its aftermath. At 15 his father commissioned him to drive school buses for Diggs Motor Coach. Operating from the Fremont Avenue garage, Diggs Motor Coach provided transportation for hundreds of Baltimore school children and ran charter trips in the Mid Atlantic region. Bobby continued to operate the business until the late 1950's.
In 1948 Bobby married his high school sweetheart Rowena Carter. Their two daughters Ardyth (1951) and Nona (1956) stimulated his lifelong love of fatherhood. Although his marriage ended his girls continued to be his pride and joy. In 1957 he married Phyllis Allen. They moved to Ashburton in 1963 with their young daughter Lynn (1960).
With three girls to raise and seeking a more flexible lifestyle Bobby drove a limousine part time and became a driving school instructor. He began with Easy Method driving school but wanted to return to business ownership. Diggs Driving School opened in 1964. Over the next two decades more than 1,000 people were taught what he dubbed the "art of driving." Bobby developed a unique teaching style that blended patience with humor and put his students at ease while instilling excellent driving skills.
Bobby's extensive transportation experience and near photographic memory of the Baltimore street map made him a natural choice to direct the Model Cities transportation program in the early 1970's. He worked closely with Mayor William Donald Schaefer, the City Council and state legislature on this and other projects.He received several citizenship awards for his service.
Diggs Driving School closed in the late seventies after a series of challenges. Bobby, now divorced, embraced his mid-life transition and reinvented himself with a brief stint as a car salesman before retiring from transportation in 1981. As a secret passion and long-standing hobby landscaping now filled his days. With a critical eye for hedge trimming and keen ability to transform lawns into carpets Bobby spent the next 25 years taming yards throughout the state. Although he put away his shears at the age of 83, he continued to offer friendly yard tips after his stroke in 2011.
Near the turn of the century Bobby reunited with a school mate Frances "Frankie" Murphy. They enjoyed parties, playing cards and traveling. Their solid bond of friendship and love was an inspiration to both their families and friends. He learned to say "I Love You." Her death was a devastating blow to Bobby and may have set the stage for his failing health.
Throughout his life, Bobby was an avid supporter of his community. As a lifetime member of St. Katherine's of Alexandria Episcopal Church he worked tirelessly to organize events in outreach and ministry. He cherished the Douglass High School Alumni Association and spoke fondly of their many class reunions. He enjoyed planning events with friends William Jessup, James Baker and Rose Jones to name a few. He mentored and taught students and refused to allow the generation gap stop him from sharing his hallway wisdom. The young people loved his fatherly presence.
Those who knew Bobby Diggs remember his punctuality and impeccable style. He never bought a pair of jeans and was rarely seen without a hat (tipped to the ladies). A proud, humble gentleman who did not smoke or drink (but did cuss), who loved to socialize, who loved music and dancing. Most of all Bobby valued family ties, honest hard work, loyalty and community service with a smile.
Even in his twilight years Bobby continued to delight others with zany formal greetings. Sharing his experience and wisdom he danced and laughed as long as he could. Ever grateful for the care and love he received at Arcola, he died as he lived with courage and dignity. May he rest in peace.
Bobby Diggs was preceded in death by brothers, Herbert Diggs Jr. and Herman Diggs; daughter Ardyth Diggs Coleman and grandson Paul E. Coleman Jr.
He is survived by daughters Nona Diggs (Cayenne Pepper Diggs), Lynne Diggs, son-in-law Gary Bell; sister Emily Jackson; nieces, Winifred Jackson Russell, Lythia Diggs Gore, and Donna Diggs; nephews Herbert Diggs III, Michael Diggs and Tony Diggs; cousins, friends and colleagues. We will miss you, father, brother, uncle and friend.
Home Going Celebration
Robert Hardy Diggs
June 25th, 1927 to April 3rd, 2013
St. Katherine's of Alexandria Episcopal Church
2001 Division St. Baltimore, MD 21217
Funeral Day, Tuesday April 16th, 2013
• 9:30 – 10:00 AM Viewing
• 10:00 – 11:00 AM Family Hour
• 11:00 AM – 12:00 PM Funeral Mass
Followed by repast in the church hall
All monetary expressions of kindness are asked to be give in Robert's name
to the
Building Fund of St. Katherine's of Alexandria Episcopal Church
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- 29 Thu Nov 2012
Boys Of Fall Tour With Chad Brownlee And Dallas Smith
Hailing from Kelowna, British Columbia, Chad Brownlee is an extremely talented Canadian artist. Initially finding fame with his role playing defense with the Vancouver Canucks, Chad Brownlee's career has only turned skyward. He released his first self-titled album in 2010. This was followed shortly after by 2012's "Love Me or Leave Me"
To Dallas Smith, country music has always been about the "special combination of a voice and song." After spending nearly 10 years fronting Default, Smith is stepping out on his own, into the world of Country.


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A list of student-submitted discussion questions for Biological Communities.
To encourage students' critical thinking about vocabulary concepts, to allow students to reflect on their knowledge of individual vocabulary words, and to increase vocabulary comprehension using the Vocabulary Self-Rate.
This study guide summarizes the key points of Biological Communities. You can download and customize it to suit your needs and study habits.
These flashcards help you study important terms and vocabulary from Biological Communities.


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Keyano Unscented Massage OilKeyano's unscented massage oil is a botanical blend of sesame oil, avocado oil and vitamin E oil which provides the perfect glide for body work. Available in 8 oz and 1 gallon.Ingredients:Vitis Vinifera (Grape seed oil), Tocopherol Acetate (Vitamin E), Sorbitan PeroleateUse caution when laundering linens that have been exposed to oils. Oil products are potentially combustible when exposed to heat in the dryer. Consult dryer manufacturer's guidelines for drying linens that have been exposed to oils.Pumps for 1 gallon available here.
The Occupational Safety and Health Administration requires that MSDS/SDS be available to employees for potentially harmful substances handled in the workplace under the Hazard Communication regulation.
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October 10, 2013 | 10460 views
Stepping Out
An afternoon with Linda Eder and the Nassau Pops
The Broadway star joins the orchestra for a gala concert
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The Nassau Pops Symphony Orchestra turns to Broadway for its 10th anniversary gala concert benefiting the United Cerebral Palsy Association of Nassau (UCPN). Linda Eder, known for her starring role in the musical "Jekyll & Hyde," joins the accomplished orchestra for an afternoon of theatrical delights.
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The Department of Psychiatry's extensive programs are a respected and integral part of this leading academic health system. With outstanding faculty and residents in all fields of medicine and psychiatry, you will find yourself immersed in the best of modern medicine and health care, with ample opportunities for collaboration with physicians, scholars, and scientists in many other fields.
First Year
The first year of training combines rotations in internal medicine and neurology, with inpatient and emergency psychiatry.
Interns rotate through clinical sites including:
- Hospital of the University of Pennsylvania (HUP)
- Pennsylvania Hospital (PAH)
- Veterans Affairs Medical Center (VAMC)
- Children's Hospital of Pennsylvania (optional)
Dedicated emergency psychiatry training is provided at the Psychiatric Emergency Evaluation Center (PEEC) at HUP and the Hall Mercer Crisis Response Center (CRC) at PAH. Our residents will likely also rotate through the VA Emergency Service beginning June, 2011.
The varied clinical sites, including a large tertiary referral center, VA hospital, and smaller community hospital, allow interns to learn and provide care to the varied populations at these four facilities.
Second Year
The second year builds on this strong foundation with additional inpatient psychiatry on specialized mood, geriatric, and psychotic disorder services at PAH, as well as general inpatient psychiatry at the Philadelphia VAMC.
Psychosomatic Medicine (Consultation/Liaison Psychiatry) is taught at both HUP and the VAMC.
The child and adolescent rotation is based at The Children's Hospital of Philadelphia (CHOP) and Hall-Mercer Community Mental Health Center at PAH.
Dedicated substance abuse training is provided at the VAMC with supervision by faculty from the Treatment Research Center, a National Center of Excellence in Addiction.
Residents begin their first outpatient psychotherapy case in the spring of this year, though they may begin earlier in second year if they choose.
Lastly, a second year night float rotation eliminates the need for weeknight call and improves residents' education and quality of life.
Third Year
The emphasis of the third year is on ambulatory psychiatry in a variety of settings. The core psychopharmacology and psychotherapy components are the General Ambulatory Practice (GAP) and Residents' Psychotherapy Practice (RPP). In addition, residents see patients in the outpatient substance abuse treatment clinic at the VAMC, one of two community psychiatry settings, the outpatient child clinic at CHOP, and a supervised assessment clinic.
In the GAP general and specialty clinics (including Treatment-Resistant Depression, Bipolar Affective Disorder, Anxiety Disorders, and Neuropsychiatry), residents work under the supervision of faculty with clinical and research expertise in a given field. The RPP allows residents to see patients for weekly psychotherapy under the supervision of Penn's extensive clinical faculty who have a depth of expertise in a wide variety of psychotherapy modalities. Residents assume primary responsibility for their patients and provide longitudinal care in a warm and inviting group practice. Along with individual supervision and didactic work, one half-day per week is available for elective time.
Residents treat patients with a wide range of diagnoses, socioeconomic backgrounds, and third-party payors, including members of the very large university community.
Supervised treatment modalities include short- and long-term psychotherapies; psychopharmacology assessment and medical management; and group, couples, and family therapy.
Fourth Year
In the fourth year, each resident -- under the guidance of the Program Directors and relevant faculty -- develops a unique educational experience that includes continued GAP and RPP clinical work, as well as intensive senior electives in areas relevant to his or her career direction. The resources of the entire department, and indeed the university, are available in the areas of clinical care, research and administration.
Residents have two days per week available for elective experiences. A Senior Teaching Requirement, focusing on the development of educational skills, a one month Junior Attendingship, and an Academic Project, round out the year.
The Electroconvulsive therapy (ECT rotation) provides training in, and satisfies the accreditation criteria for, the provision of ECT after residency. Additional experiences in neuromodulation and Transcranial Magnetic Stimulation (TMS) are available.
University of Pennsylvania Medical School campus