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Congenital pulmonary alveolar proteinosis
Other Names for this Disease
- Pulmonary alveolar proteinosis, congenital
- Congenital PAP
See Disclaimer regarding information on this site. Some links on this page may take you to organizations outside of the National Institutes of Health.
respiratory failure that is present from birth.[1] In this condition, a type of protein builds up in the air sacs (alveoli) of the lungs, making breathing difficult.[1] Congenital pulmonary alveolar proteinosis is caused by mutations in the SFTPB, SFTPC, ABCA3, or CSF2RA gene, and it is typically inherited in an autosomal recessive pattern.[2]Congenital pulmonary alveolar proteinosis is a rare form of
Last updated: 11/17/2010
- Blaivas AJ. Pulmonary alveolar proteinosis. MedlinePlus. May 21, 2009; http://www.nlm.nih.gov/medlineplus/ency/article/000114.htm. Accessed 11/17/2010.
- Kniffin, CL. Surfactant metabolism dysfunction, pulmonary 1. OMIM. April 24, 2007; http://www.ncbi.nlm.nih.gov/entrez/dispomim.cgi?id=265120. Accessed 11/17/2010.
GARD Video TutorialsLearn how to find information on treatment, research, specialists, and more.
Contact GARDContact a GARD Information Specialist with your questions about this condition.
Basic Information
- MedlinePlus was designed by the National Library of Medicine to help you research your health questions, and it provides more information about this topic.
- The National Organization for Rare Disorders (NORD) is a federation of more than 130 nonprofit voluntary health organizations serving people with rare disorders. Click on the link to view information on this topic.
- A page For Individuals with PAP is available from the PAP Foundation. This page covers frequently asked questions about the condition. Please note: this organization appears to be inactive, so the page may not be kept up-to-date.
In Depth Information
- Medscape Reference provides information on this topic. You may need to register to view the medical textbook, but registration is free.
- Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine.
- Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.
- PubMed is a searchable database of medical literature and lists journal articles that discuss Congenital pulmonary alveolar proteinosis. Click on the link to view a sample search on this topic.
Selected Full-Text Journal Articles
- Seymour JF, Presneill JJ. Pulmonary alveolar proteinosis: progress in the first 44 years. Am J Respir Crit Care Med. 2002 Jul 15;166(2):215-35.
Other Names for this Disease
- Pulmonary alveolar proteinosis, congenital
- Congenital PAP
See Disclaimer regarding information on this site. Some links on this page may take you to organizations outside of the National Institutes of Health.


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reminds me of my school days
For the record, this is not the Italian. This is a trap from the phillidor's defence called legal's mate
Dude... anything that starts with those first three moves for white and those first 2 moves for black is an Italian game, just not mainline.
You are wrong. Just because you play those moves first know that doesn't mean it is that opening. Here is another way to reach the position through the phillidor's defence e4 e5 nf3 d6 bc4 nc6 nc3 bg4 nxe5 bxd1 bxf7+ ke7 nd5#. By the way after nxe5 black wins a peice with nxe5.
You're supposed to reach it without an N on c6. Regardless of what you call the opening.
Alexmoore - Just because you can reach the same position using Philidor's Defence as well doesn't mean that it is a Philidor's Defence. I don't understand why you think Philidor's Defence would even take priority over the Italian game if you can reach it using either opening. This position isn't one specific opening, but since it started out as an Italian game, that means the game developed from the Italian game (duh).
you need to play 5. h3 before Nxe5 to stop ...Nxe5 winning a piece
White was playing the Italian Game, Black responded with Paris Defense.
At any rate, this line is busted if Black responds 5.Nxe5, because of that knight on c6.
Without saying it, BiggDoggProblem was right in that this bust wouldn't work if Black instead played the Philidor Defense during "Open Game" phase (prior to White playing his Italian bishop on c4, with Black playing 2.d6 instead of 2.Nc6).
What the OP presented as-is however (1.e4 e5, 2.Nf3 Nc6, 3.Bc4), really was the Italian, but as everyone has already pointed out, the same trap from Philidor doesn't work here because of the knight chilling on c6 as was played in Italian game.
The confusion I see here is that some people are naming the openings based on what should have been played instead of what was actually played in the game's sequence of moves.
Fred Reinfeld lives. I saw this in one of his books about 50 years ago.
Of course 5. Nxe5? is a blunder, as 5. ... Bxd1? Black can bust all this by playing 5. ... Nxe5 and be a piece up.
its true sorry guys.
johannw, I hope this doesn't give the false impression that the Legal's Mate line in Italian is entirely broken against the Paris Defense.
Make no mistake, if White played 5.h3, the line is playable! White is in fact up a pawn, or at least up in development in the end. For a more complete picture, here's the game:
thanks for info
youre worst mistake in chess :)
by Robert_New_Alekhine a few minutes ago
Official Staunton's Piatigorsky Set--A Great Reproduction of an Historic Set
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help analyzing some games
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Bobby Fischer vs Magnus Carlsen
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5/30/2016 - Tarjan - Karpov, 1976
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Mikhail Tal's favorite Latvian Chess Set circa 1950s
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What Would You Do If You Lose Against a Player Lower Rated Than You?
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Academy of Neurologic Communication Disorders & SciencesPractice Guidelines for Dysarthria: Evidence for the Behavioral Management of the Respiratory/Phonatory SystemSpencer, K. A., Yorkston, K. M., et al.
Academy of Neurologic Communication Disorders and Sciences, Technical Report No. 3, 50 pages.
AGREE Rating: Recommended with Provisos
This guideline provides recommendations for treatment of respiratory/phonatory dysfunction for individuals with dysarthria. Various neurological populations were included such as Parkinson's disease, brain injury, stroke and multiple sclerosis. The target audience for this guideline is speech-language pathologists.
General Findings, Biofeedback & LSVT - "The behavioral management of respiratory/phonatory impairment has support from the research literature, particularly in the areas of biofeedback and intensive phonatory treatment ([Lee Silverman Voice Treatment] LSVT)" (pp. 12–13).
Keywords: Dysarthria
Access the Guideline
Added to Compendium: November 2010
The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for 186,000 members and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students.
The ASHA Action Center welcomes questions and requests for information from members and non-members.
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"Cops Disarmed By Ammo-Hoarding Gun Nuts, Complains Salon Writer"
Or, to put it another way, "Liberal Salon writer pretends to care that the brutish pigs are complaining that other citizens beat them to the ammo that they are used to having in plentiful supply."
I ask you this in all sincerity: does anyone anywhere anymore believe that the arguments coming from these anti-foundationalist bullshit artists have even an inkling of integrity to them? Or is it becoming universally clear that liberals will adopt whatever stance they think might work at whatever opportunity they think it most likely to work in to promote their anti-liberty, pro-big government agenda?
I admit, I do find it funny how many on the left — who not too long ago were busy berating the very idea of oinkers and taking dumps on their patrol cars — are starting to realize that they're going to need these mustached peacekeepers to enforce the provisions of the benevolent Utopian police state they desire, and so as a consequence are having to find ways to rehabilitate the poor men and women in blue who Joshua Micha Marshall Jingleheimer Schmidt demands protect him and his.
Funny, but not at all persuasive.
More like strained. Or pathetic. But hey: if you think you can sell it — to manufacture that new consent and peddle it to the mewling masses you are so desperate to manage — have at it. So long as people like Reason's J.D. Tuccille are available to respond:
The thin blue line is getting thinner, warns Salon's Alex Seitz-Wald. It seems that after months of politicians throwing gun control proposals against the wall in D.C. and the various state capitals to see what sticks (and around politicians, lots of stuff gets awfully sticky), gun owners had the unmitigated gall to take them seriously and stock up on guns and ammunition while they can. And now police departments are having trouble buying ammunition. And gun owners are just being nutty, says Seitz-Wald, because politicians didn't mean it. Well, maybe they meant it, but nothing much is going to become law. And even if it did, won't you think of our brave boys (and girls) in blue?
I've noted the run on guns and ammunition before. Reloading supplies, too. Then, as now, the run was caused by politicians proposing restrictive laws, including background checks for ammunition purchases. As unlikely to pass as those proposals seem, especially as panic recedes and public support for further firearm restrictions dies down, at least gun owners did politicians the courtesy of taking them at their words. In fact, many high-profile political-appointee police chiefs endorsed those restrictions. Now government officials and their armed enforcers thin blue line against the criminal element are having trouble buying ammunition, just like everybody else. Boo fucking hoo.
Oh wait. Did President Obama just go on television today to reiterate his demand that we all get with the program and support tighter restrictions on firearms? Nothing to see here. Move along. Pay no attention to the man behind the insincere frown of disappointment.
Hey, there's no doubt that gun and ammunition companies are doing booming business at the moment, falling behind on orders because they just can't meet demand. Want that to stop? Get politicians to stop threatening to impose restrictive laws. Until then, people will certainly buy what they can, while they can.
Oh, and if cops are running short on ammunition, maybe they could ask the Department of Homeland Security to share. Fifteen members of Congress recently wrote (PDF) to Janet Napolitano to ask why DHS needs to buy 1.6 billion rounds of ammo when the federal government is pleading poverty.
One of the best things to come from the current anti-gun push is the move by gun makers to tell lawmakers that, in states where they restrict the rights of law-abiding citizens, those manufacturers will refuse sale to law enforcement. Because this is in direct response to the alarming numbers within the political branch of the law enforcement community who have eagerly and vocally worked with Democrat lawmakers to abridge the rights of lawful gun owners.
Similarly, the elected sheriffs who have stood up and protested these abridgments have separated themselves — along with many rank and file LEOs — from the political branch of law enforcement that is interested more in creating from the law-abiding new criminals than in catching those extant and violent criminals against whom these new laws will have no effect.
There's some clarifying going on. Which has been instructive. And to my mind, is quite welcomed.
(h/t John B)


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Ali Baker has been a woman on a mission trying to lose weight, but a plateau has her seeking out a gym to help finish shedding the wait. When she literally bumps into British Daniel Wells, her insecurities kick in especially when the contents of her bag is strewed all over revealing some very personal items. As if the day was not hard enough, she finds out the at the Daniel is one of the trainers.
Daniel doesn't know what it is about Ali, but he likes her a lot. He gives no thought to her size, only encouraging her to reach the goals she has set for herself. As they begin to act on the attraction they feel for one another, Ali finds out that Daniel has not been completely forthcoming about himself. Daniel has to prove to Ali that he is working a chance on.
I felt for Ali, I thought her struggles with her weight and the insecurities associated were realistic. I also liked that Daniel was willing to accept her as she is, for him it was more about who she is than her appearance which turned this into an intriguing story. A wonderful read to kick off the new year.


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More information
NFPA members
"Industrial Loader and Forklift Fires" report (PDF, 484 KB)
Fact sheets
"Industrial Loader and Forklift Fires" fact sheet (PDF, 32 KB)
Contact us
If you have any questions, e-mail Nancy Schwartz or call +1 617 984-7450.
An overview of fires involving industrial loaders and forklifts. The report looks at these types of fires by, area of origin, item first ignited, type of occupancy and factor contributing to ignition. Includes published incident descriptions.
Industrial loaders, forklifts, and related material-handling vehicles are used in a wide variety of settings, including construction sites, industrial yards, manufacturing, and storage properties. Because these vehicles carry materials to and from storage, a fire involving such a vehicle can also be spread along the same path. Even properly operating material handling equipment can be a heat source if flammable liquids or gases leaked or spilled.
During 2003-2006, U.S. fire departments responded to an estimated annual average of 1,340 structure and vehicle fires in which industrial loaders, forklifts, or related material-handling vehicles were directly involved in ignition per year. This typically means the vehicle was the heat source for the fire. These fires caused an estimated average of 22 civilian injuries, and $36.0 million in direct property damage per year. No deaths were reported in these incidents. The 1,340 fires include 1,220 (91%) that were coded as vehicle fires. These fires caused an average of 10 civilian injuries and $24.5 million in direct property damage per year. The 120 structure fires (9%) caused an average of 12 civilian injuries and $11.5 million in direct property damage per year.
Customer Support: Help
Codes and Standards: Complete list Purchase Free Access National Fire Code Subscription Service (NFCSS)
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Plumsteadville Grange Farm Market
Opening for Spring 2015 Saturday, May 30 with Bucks Co. Dairy Promotion Team
New vendors welcome — send us a message via our "Contact Us" page if you are interested in becoming a vendor, would like to do a demo, or would like to provide musical entertainment.
Open Saturday mornings, spring through fall, is a truly local marketplace featuring the best in-season produce, baked goods, cheese, jams & jellies, fresh flowers as well as items from local artisans and crafters
Visit our face book page for vendor specials, events including family-friendly entertainment by local musicians, Beekeeping Day, craft demos and more. New vendors are welcome – contact us to receive more information.
Community Day at Plumsteadville Grange – April 18
Many thanks to out to all who participated in making this day a great success. The weather was PERFECT and so many members of the community attended. Special thanks to all the community organizations that had tables and/or made presentations, those who donated items for our raffle, and all our volunteers & farm market vendors.
Fish Fry Fridays – Thank you!
A BIG THANK YOU to everyone who helped make our fish fry Fridays a success. The three dinners raised a total of $1,500 – Proceeds from these dinners benefit our community service programs including local deaf young people through the Bucks County Intermediate Unit.


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The KGuard CA108-H02-500G is a high performance surveillance kit designed for your home or small business application. This kit includes 8-ch H.264 standalone DVR, 4x high quality CCD cameras and free bundle surveillance software that supports live view with IE & smartphone, motion detection and more. The quick do-it-yourself installation and multiple viewing capabilities and pre-installed 500GB HDD make it an out-of-the-box solution for your surveillance need.
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Fabulous faux. Presenting the must-have tote of the season. This faux fur and leather-trimmed design delivers a stylish touch for the cooler weather, while the roomy pockets keep your essentials organized. From B. Makowsky.
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Rutland inmate charged with assaulting corrections officerThe Associated Press | June 14,2013Vermont State Police have charged an inmate with assaulting a corrections officer.
Police say it's the second such offense 42-year-old John Partch is accused of. He's at the Marble Valley Regional Correctional Facility in Rutland.
Details of the alleged assault have not been released, but police say the incident happened on April 17, 2012, and was investigated.
Calls to the police for further information weren't immediately returned Friday morning.MORE IN This Just InBRATTLEBORO Lauren Kaija and Miranda Johnson had two goals each to help lift Woodstock the... Full StoryBRANDON Burr and Burton Academy rained on Otter Valleys Senior Day festivities. Full StoryMANCHESTER Burr and Burton Academy won to sweep the season series from Hartford and complete... Full Story
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Editors' Note: The download button opens the iTunes App Store, where you may continue the download process. You must have iTunes installed with an active iTunes account in order to download and install the software. This download may not be available in some countries.
Publisher's Description+
What's new in this version:
- Setup 'AppMonitor' from Settings- Fix for 'too many HTTP redirects' issue- Fix for deployment server crash- Other improvements and bug fixes


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"Hold your head high, stick your chest out. You can make it. It gets dark sometimes, but morning comes. Keep hope alive."
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"When asked what I am most proud of, I stick out my chest, hold my head high and state proudly, 'I served in the United States Navy!'"
"My dad would always tell me to hold my cards closer to my chest, but I do think we have a chance to be an excellent football team."
"My head lays on the pillow of your chest. Your love beats constant in a rhythm known. I drift off to sleep in this place of rest. In the shelter of you I've found my home."
"It's something they can bring in to their chest. They'll actually hold on to it. It will keep them a lot cooler."
"My first two shots rang out. One hit her in the chest, and the other hit her in the head. Then he -- Michael -- picked up his rifle and fired another set of shots into her,"


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Download our free Treatwell app.
Earn up to 60 Reward points. Read more »
Indian Head Massage as one would think originates from India where it has been practised for centuries within the Indian Culture. It has been used regularly and as a way of life to maintain a level of stress-free harmony and relaxation as well as a healthy body and a strong and healthy head of hair. The massage itself encompasses an upper back, shoulder, neck, arms, scalp and face massage, in other words the whole of the upper torso.
Todays world we live in is full of stress that we did not experience hundreds of years ago. Life is now lived at a faster pace in general and with growing pollution which is inherent in everything from the food we eat to the water we drink to the air we breathe, all add to the toxins which can get stored in our cell tissue. Our bodies are amazing structures built to heal and regenerate but they have limits and are constantly being overloaded. One of the benefits of Indian Head Massage is that it helps to release toxins from the body and so supports the body's natural cleansing process.
Indian Head Massage has a great advantage over many other complimentary therapies as it can be performed anywhere, at home, at the office, wherever there is a chair. The client remains fully clothed during the treatment which can be performed with or without creams and oils to the scalp and facial area


text: Hey guys, I was wondering if you could post some stats for road bikers that are required to qualify for the Olympics (US). I couldn't find this info quickly neither here nor online. Also, do they use only TT results or do you also have to race against others, presumably Cat 1s? Some additional information about the distances and climbs involved would be helpful. Thanks.


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Experiences: Djerba
The experiences you can enjoy in Djerba combine the right dose of emotion, tradition and fun required to spend a great holiday on the Tunisian coast. Visitors can see the Tunisian locations where Star Wars was shot, go window-shopping in Houmt Souk, get a boat trip to Flamingo Island, etc. Being a luxury island holiday destination, Djerba offers a multiplicity of things to do and places to discover.
Experiences in Djerba: What to do
- Boat trip to Flamingo Island: Get on a period ship at the port of Houmt Souk and set sail towards Flamingo Island, where pink flamingos come to winter. The island boasts a spectacular wild area, Ras Rmel, with docks, flour-like white sand and a beautiful lagoon.
- Shopping in Houmt Souk: The capital of the island invites visitors to walk the narrow streets and get into the shops to buy authentic take-homes from Djerba. A nice shopping area is the qaysariya, with stalls with nice jewels and silver items on display.
- Tea houses on Habib Burguiba Avenue: Choosing one of the many traditional tea spots and sipping an exquisite green tea is an experience not to be missed in Djerba. Tea houses with outdoor tables are popular with locals for 5-o'clock tea.
- Tour of Tataouine: This exotic region in Djerba was the location chosen by filmmaker George Lucas to shoot the desert scenes in the first Star Wars movie. Visitors can travel to the home planet of Anakin Skywalker, Tatooine.
- Eating out in the port of Djerba: Spicy and truly exotic, the food from Djerba can be sampled in the port of the capital. Djerba-style couscous and same-day caught fish are some of the dishes offered in the restaurants that line the port.
- A walk through Borj El Kébir: The big fortress (this is what the name means) of the capital is one of the best spots to watch the sun going down in the city of Houmt Souk. Come with your family and walk along the incredible walls, find the catacombs and enjoy the views of the port and you will have a great experience.
Hotels in Djerba
IBEROSTAR Mehari Djerba
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VAULT needs new air conditionerApril 03,2013Staff Report
SPRINGFIELD Gallery at the VAULT is holding its annual gala fundraiser this evening to help raise money for a new air conditioner to cool the gallery in the upcoming summer months.
Diane Kemble, president of the board of directors, said the air conditioner is both for human comfort and care of the artwork in the gallery.
The fundraiser will also raise money for its art programs, Kemble said.
People attending the fundraiser will also be able to bid on donated items such as a garden tour with a take-home basket of vegetables, private painting lessons, an aerial photograph, or a portrait.
The gallery was founded 12 years ago, and serves as a marketplace for 160 artists. It is a Vermont State Craft Center, and also holds arts and other creative classes.MORE IN This Just InAnti-refugee activists are hosting a speaker at the Rutland Free Library tonight. Full StoryA Clarendon man pleaded innocent to his fourth DUI charge and a related charge in Rutland... Full StoryMan denies
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- EcuadorAgricultureFunding via VisionFund Ecuador
Carmen EumeliaEcuadorAgricultureFunding via VisionFund Ecuador
Paula Monse...EcuadorAgricultureFunding via Fundación ESPOIR
Miryan Amaril
Miryan is a member of the Patrón San Juan rural microfinance institute, located a half an hour from Guaranda. There is a total of 16 members in the group, the majority of whom cultivate corn and potatoes. This is the group's first loan from the San José cooperative.
Miryan has been working for the last 15 years doing domestic work and working at the vegetable market in Echeandia. She also raises cows and pigs. She makes her purchases in Guaranda and sells her products every Sunday in Echeandia.
She is requesting this loan in order to expand her business and her cattle farm. She thinks that this loan will help her improve her quality of life. Her dream is to own a house and a plot of land, as well as help her children become professionals. She says that there is a lack of communication, which is a big problem.
She likes to knit sweaters and ponchos in her spare time.
Miryan es una socia de la ventanilla rural Patrón San Juan, que está ubicada a media hora de Guaranda. Son 16 socios en total, que en la mayoridad se dedican a cultivos de papas y maíz. Esto es el primer préstamo que ellos sacan con la Cooperativa San José.
Miryan trabaja desde hace 15 años, en quehaceres domésticos y en el comercio de legumbres en Echeandia. También tiene ganadería y crianza de cerdos. Realiza sus compras en Guaranda y sus ventas el día domingo en Echeandia.
Solicita el préstamo para aumentar su negocio y crianza de cerdos. Piensa que el crédito le ayudara a mejorar la calidad de vida. Su sueño es tener una casa y un terreno y ayudar sus hijos a convertirse en profesionales. Dice que las vías de comunicación no están buenas y que es un gran problema.
Le gusta tejer suéteres y ponchos en su tiempo libre.
Additional Information
About Cooperativa San JoseThis loan is administered by Cooperativa San Jose, a 45,000-member credit union located high in the Andes Mountains of Ecuador's poorest province, Bolivar. They offer a unique loan called "Ventanillas Rurales" [Window to the Countryside], which uses a group guarantee but is an individual loan with a savings component, mostly to rural borrowers. Due to low savings rates and a history of macroeconomic instability, many traditional loans in Ecuador demand interest rates that are prohibitively high for some borrowers. There is also a high incidence of extortionist black-market lending in Ecuador. CSJ helps mitigate these problems by providing a less onerous and more appropriate option. Join CSJ's Lending Team!
About Ecuador
46View loans »
US Dollars
Success!! The loan was 100% repaid
- Repayment Term
- 14 months (Additional Information)
- Repayment Schedule
- Irregularly
- Pre-Disbursed:
- Jul 9, 2010
- Listed
- Jul 14, 2010
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- Ended:
- Aug 15, 2011


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Like most best friends, Boo doesn't exactly "chews" wisely — any stick or toy will do. But when he began showing signs of mouth pain, his pet parents became concerned.
Boo's bitten into plenty of trouble over the past four years, including a $4,000 bill for treatment of a copperhead snake bite. This time, a trip to the University of Pennsylvania Matthew J. Ryan Veterinary Hospital showed Boo's teeth were loose in the bone. The veterinary dentist recommended removing most of the teeth, and Boo lost all but his canines and four incisors.
Thankfully, after enduring sutures and a soft food diet for three weeks, Boo was given a clean bill of health — without a huge vet bill to swallow, thanks to Petplan. Boo's mom Molly says, "It took less than two weeks to get reimbursement, which made a stressful situation a lot more positive."
And Boo? "He plays a lot more like a puppy now," laughs Molly. "He can still play tug-of-war with Annie [their other Golden Retriever]. And we still brush his teeth. What's left of them, at least!"
policies by AGCS Marine Insurance Company, an Allianz company
The information contained in this website is for illustrative purposes only and coverage under any pet insurance policy is expressly subject to the conditions, restrictions, limitations, exclusions and terms of the policy documentation issued by the insurer. Availability of this program is subject to each state's approval and coverage may vary by state.
Pet insurance policies are issued by AGCS Marine Insurance Company and administered by Fetch Insurance Services, LLC (Fetch Insurance Agency, LLC in Michigan), d/b/a Petplan (Petplan Insurance Agency, LLC in California). AGCS Marine Insurance Company, a member of the Allianz Group, is rated A+ by A.M. Best (2014).
Copyright © 2015 Fetch, Inc. All rights reserved.


text:
(based on 2 reviews)
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Great color. True fit.
By Long tall and discriminating
from NYC
Best Uses
Comments about 7 For All Mankind Luxe Performance: Standard Classic Straight with Clean Pocket in Deep Well:
Great jeans. Color is terrific for dress or work. Long inseam fits as advertised
Bottom Line Yes, I would recommend this to a friend
Was this review helpful? Yes / No
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(2 of 3 customers found this review helpful)
By M. Wolverine
from Dublin, Ohio
About Me Bargain Shopper, Casual, Classic
See all my reviews
I like the dark Dark blue shades, they will lighten up eventually so the darker the blue the better. I also like the plain pocket better than the squiggle but whatever, I guess I will still buy the squiggle but plain is better! I hope they will do this Standard Plain Pocket in the RAW denim and whatever the variation on RAW was called?
We want you to be happy with your purchase! For your convenience, a prepaid shipping label is included in all full priced US orders. Make easy returns with $4.95 return shipping per package.
Free shipping offer valid on orders shipped in the continental United States and applies to ground shipping orders only. If you choose 2 Day or Overnight Shipping, regular charges will apply. Previous purchases are not eligible for adjustments.
To participate, simply add merchandise to your shopping cart and Free Ground Shipping will automatically be applied. You must select the "Ground Shipping" option to receive the free shipping option.
RISE - Our rise measures from the bottom of the waistband to the seam of the crotch
INSEAM - The inseam of each leg is taken from the seam at the crotch of the bottom of the pant. It measures along the inside seam of the leg.
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THIGH - With legs slightly, measure around the fullest part of your thigh.
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Lot 352 View Catalog
The cornerstone of Ancient defense technology, introduced as a CG effect in the Stargate SG-1 Season Seven episode "Lost City" and seen in this practical version in the Atlantis pilot, "Rising". Dr. Peter Grodin examines the device in detail in one of the opening scenes. Shortly afterward, this prop skitters across the frozen wastes of Antarctica, just short of General O'Neill.
Technical Description:
Production made plastic and resin dome shaped device with a yellow dome attached to a blue body with six tentacles made from numerous pieces. Item lights up through the main body via a switch on the bottom and features a crack and chips in the main dome from production. Measures 36in long.
Sign In to see what this sold for
|$1,200 – $1,500
|Starting Bid
Your maximum bid will remain private.


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DH (30) + Me (27) = May 2011
Cristiano, born July 10th, 2013 <3!
I'm waiting until 20 weeks also. It'll be on Feb 19th. Scheduled it this week, I can't wait :)
E (30) Proud Navy Wife + J (32) Active Duty Navy, 13 Years =
D (5) & introducing little bro C, born July 1st!
Blessed and Proud Military Family!
@JCisojs, I am amazed at your resourcing, you were able to find a place that did an imagery for under $50. WOW! I am truly amazed. Planned Parenthod charges $100. And I thought that was good.
@Manda0719, try not to sweat it dear, if your mid-wife isnt phased by it I wouldn't worry, you can trust and believe those ladies have seen some doozies. It'll be okay, imagery is so brand new. Women carried on fine before them, I'm sure your LO is fine and enjoying his or her "privacy" lol!
Jill, Army Wife to David
Ray David 04/14/10, Ivy Noelle 07/04/13
Tin boobies (@)(@)
While ultrasounds are great, they're not really medically necessary in most healthy pregnancies.
My insurance will only cover one ultrasound. However, because of my past loss my doctor was able to code other ultrasounds in a way that the insurance will cover. So far I've had 2 planned and one quicky to find the heartbeat when the doppler wouldn't pick it up. And I requested an NT Scan - I'm sure I'll get charged out the wazoo for it, but for me it's worth the cost.
As others have said, I'm sure there are elective ultrasound places in your area that you can go to to get an earlier ultrasound if you'd like.
C - Mom to sunshine girls, angel boys, and a RAINBOW
"Into each life some rain must fall, some days must be dark and dreary"-HWL
Learn more
Look how far your child has come.
Review your child's growth milestones.
Read about 33 months : Week 3.
Your growing child
Your 33-month-old: Language milestones
Your 34-month-old: Beating bossiness
Your 34-month-old: Preschooler humor
Your 34-month-old: Tracking growth
Your 34-month-old: Potty mouth
Learn more
What's next for your growing child?
Get a glimpse of what's to come.
Read about 35 months : Week 1.


text:
I recently purchased easy backup wizard to backup my xbox 360 games, but i am having some problems. When i go to copy the game to my hard drive, i get this error under the events section:
"No error. Cannot open or use SCSI driver.
For possible targets try 'readcd -scanbus.' Make sure you are root.
For possible transport specifiers try 'readcd dev=help.'"
Thanks for any help!


text:
Post: Wrigleys Phish 200 Level Both Night Great Feedback 75 Each
~ Great seller. Kept in contact the whole time and was quick and informative.5/25/16
Post: Trade 2 GA Ween (Sat April 16th) For 1 NYE Phish Anywhere
~ Easy working this one out. Would def trade again in the future3/02/16
Post: TRADE ONLY Have 1/1 ISO 12/30
~ Easy to communicate with, reliable and genuine. Would trade every time!1/16/16
Post: My (4) NYE For (4)100 Level In Front Of Stage 1/1 Cash Difference
~ Good communication and pleasure to deal with!1/04/16
Post: I'm Looking For 2 Tix To Both Days In Santa Clara
~ Easy communication and tickets were sent in timely fashion. Tickets were exactly as described. Would do business with again9/30/15
Post: Grateful Dead Chicago Fare Thee Well 3 Day Pass For Phish Bend And/or Dick's 3 Day Field/cash Differnece
~ Friendly and easy to deal with. Great communication and speedy shipment. Would trade with again in a heartbeat.9/14/15
Post: 2 Tuscaloosa Pit TM Tickets
~ Super fast deal! Super fast shipping. Up front and honest. Would buy from him again in an instant!8/03/15
Post: Phish- Mann- Trade
~ Totally easy trade, great communication, very friendly and flexible, another great member of the community :)7/14/15
Post: Have 4 For Friday Night In Chicago, Want 4 For Santa Clara
~ Shaun was really patient with the trade (walking me through my first trade here!) and delivered as promised! Have a great show Shaun!!6/25/15
Post: Santa Clara 2 Sat Floors For 2 Sun Floors!
~ got the trade setup start of the lottery, got tix in hand soon as hard copies were shipped! easy as can be. thanks again, see you on the floor!6/22/15
Post: FT 2 SC GD FLOOR SUN For AND CHI NOT FS
~ Great trader, smooth transaction and excellent communication. Highly recommended!6/18/15
Post: FT (2) 3 Days Pass Dicks Filed NEED MPP Pavs Or Mann Pavs
~ Really punctual, great communication, and great trade! Would trade again no question5/15/15
Post: For Sale: 1 Or 2 PIT Tickets For Tuscaloosa, Alabama On 8/2/15
~ Good trader, nice and easy deal.4/10/15
Post: Phish 12/31 PTMB. 2 Tix. Sec 310
~ Was good with communication--easy transaction- would do again.1/05/15
Post: For Sale: Phish 2 PTBMs For 1/1, 1/2, 1/3 - Cheap! Way Under Face!
~ No problems whatsoever. Communicated before and traded at the show. Just what you would expect from a 5 star trader! Thanks.1/02/15
Post: FS 2 11/2 Sec 217 Row K
~ Round 2 and another 5 stars11/17/14
Post: Phish 7/3 Pav For Trade
~ Great communication and fast response. Phriendly folk i would highly recommend others trade with7/14/14
Post: Have: NYE ISO: 11/2
~ Thanks for making this a successful trade! Very easy to meet up in person and communicate -- the logistics of a trade spanning both fall tour and the MSG run complicated things but we figured things out easily and quickly.6/12/14
Post: Phish Have: 2 NYE + 1 12/29 Need: 2 12/28 + 1 12/30
~ Trade went as discussed. Would definitely trade with again. Communication was fast and clear!12/21/13
Post: 11/1 And 11/2 For Any MSG
~ Tim was very easy to trade with and the tickets came exactly when I thought.
I sent him money as collateral for the AC tickets, which was promptly returned when the MSG PTBM's shipped.
Great trader!12/19/13
Post: FS: 12/28 Phish MSG 2 Tickets
~ Buyer was quick with the transaction, and was communicative through the whole process. Would definitely trade/buy/sell again.12/16/13
Post: Phish
~ Great folks here, Shaun and Tim. Definitely the type of people we want in this community! Very communicative, nice to work with. Thanks guys11/08/13
Post: FT- Have 11/1 Looking For MSG
~ Seller was very communicative and easy to deal with. Would be willing to do another trade with them in a second! Got tickets right away.10/23/13
Post: FT-Great PNC 12th Row Or Spac Pavs For MM1 Pit
~ This COTer was amazing to deal with! Great communication, sent tickets right on time with tracking. Would trade again with in a heartbeat, thank you!6/07/13
Post: Have An Extra 7/4 - Looking For A 7/3 Ticket!
~ Easy trade. Quick to respond and meet up. True phan!12/27/11
Post: TRADING 2 Phish 12/30/11 Tickets Section 311 Row F For 2 12/29/11 Tickets Section 200 Or Lower
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In our three weeks touring New Zealand's South Island, only once did we wake to sunny blue skies. But the Kiwis are an optimistic lot. Whenever, as we checked out of our motels, we mentioned our disappointment, we invariably received the response "Ut'll luft." And often it did ...
Like most of us, Graham Meale spent a good deal of his life hostage to a mortgage. In 2004, at age 47, he realised that there was more to life, got his first passport and began working hard to fill it up. His goal is to see every nation on Earth that doesn't have a McDonalds.
Where on Earth? Publicado 11 de enero de 2016
Gingerbread and Mulled Wine Publicado 27 de diciembre de 2015
So this is Sri Lanka Publicado 06 de septiembre de 2015
Itchy Feet Publicado 18 de julio de 2015
South from Rome Publicado 16 de junio de 2015
Back Roads of Romania Publicado 16 de junio de 2015
The Golden Land Publicado 18 de febrero de 2015
How I process photos Publicado 29 de diciembre de 2014


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Cowboys rave about offensive lineman Michael Bowie
STILLWATER — There's no question that Michael Bowie has the physical tools of a Big 12 offensive lineman.
A 6-foot-4, 310-pound frame. Long arms. Long legs. Speed. Balance. Sheer athleticism.
That's why he was one of the most highly touted junior college prospects in the country last season.
"He's got all the things that you look for in a dynamic edge guy," Oklahoma State offensive line coach Joe Wickline said.
But when he transferred to OSU from Navarro Junior College this past spring, Bowie became one part of perhaps the best offensive line in the conference. All five starters returned from a unit that ranked seventh in the nation in sacks allowed (0.77 per game) last season and helped the Cowboys amass more than 520 total yards on offense per game.
Which makes Bowie's rapid ascent to the top of the depth chart even more impressive. He will start at left tackle in Saturday's opener against Louisiana-Lafayette.
"He's got as much ability as anybody in our program, so we're going to give him a chance to compete," OSU coach Mike Gundy said.
Because he's a first-year player, Bowie isn't yet allowed to speak to the media. No matter — his teammates and coaches can rave about him instead.
"From a physical standpoint, the guy's got it," OSU quarterback Brandon Weeden said. "He can really play. He can pass block. He can run block. He can do everything. He's one of those guys that it will be exciting to see how he progresses."
Said Navarro coach Nick Bobeck: "He's blessed with great dimensions. He's a long-armed kid. He's got a great center of balance, and he's able to bend, which is something a lot of people his size are not able to do."
Bowie originally signed with OSU in 2009 and participated in fall camp, but he had to start his career at Navarro after he did not qualify academically.
By the end of his second season at Navarro, he was helping lead the school to the junior college national championship. Bobeck said that was the best game he had ever seen Bowie play.
"We've had a bunch of really talented kids come through this place, and he's right up there with all of them," Bobeck said. "We're very proud of what he's done."
That growth continued in OSU spring ball and fall camp, where Bowie's natural talent eventually beat out the experience of senior Nick Martinez, last season's starter at left tackle who has now moved to the backup at right guard, and sophomore Parker Graham, who is slated as Bowie's backup.
Wickline knows Bowie still has work to do. He hasn't completely mastered the unit's scheme yet. He needs to improve his cardiovascular fitness for OSU's no-huddle offense.
And because Martinez and Graham also "could start at the flip of the coin," Wickline won't rush Bowie's development.
But Wickline sees Bowie's first-career game, and start, in an OSU uniform on Saturday as just the beginning of a promising career.
"If he continues to work hard and stays diligent about assignments and his cardio, he's got a chance to be one of the better players that's played here."


text:
Research Activity
Recent Publications
The emerging role of oxylipins in thrombosis and diabetes
Diabetes, antidiabetic drugs, and cancer: Separating background risk from iatrogenesis
Is above age 45 appropriate for upstaging well-differentiated papillary thyroid cancer?
Ramadan: Type 2 diabetes and risk of hypoglycaemia
Antiretroviral lipodystrophy of the forehead.
Denosumab: Do we need another of the same?
Subclinical hyperthyroidism: Current concepts and scintigraphic imaging
Perioperative Management of Endocrine Disorders
Insulin and endothelial function: A brief review
Coronary artery disease screening in patients with diabetes
Ezetimibe-induced acute pancreatitis
Dual PPAR α/γ agonists: Promises and pitfalls in type 2 diabetes
Cardiovascular risk in the spectrum of type 2 diabetes mellitus
"Inflammatory" signaling: Bridging obesity-linked insulin resistance with vascular dysfunction | Signalwege der "entzündung": Brücke zwischen übergewicht, insulinresistenz und vaskulärer dysfunktion
Transactivation of the epidermal growth factor receptor mediates parathyroid hormone and prostaglandin F2α-stimulated mitogen-activated protein kinase activation in cultured transgenic murine osteoblasts
Hyperthyroidism in the setting of gestational trophoblastic disease


text:
Jubilate means 'celebration' in Latin, and that's the essence of our ladies' choir, based in Harrow, West London. Hugely popular with local audiences, we are known for our high standard of performance, varied repertoire, and sense of fun.
In May 2015 we were delighted to win the ladies' choir class at Cheltenham's Festival of Performing Arts. We won adult choir class at the Choir of the Year auditions in 2014. We were joint winners of Barnardo's National Choir Competition in March 2013 and won the ladies choir, folk and popular music classes and runner-up with distinction in the sacred music class in the 2012 Mid-Somerset Festival. We have also competed twice at the prestigious Llangollen International Eistedfodd.
We're currently on the lookout for new members. If you'd like to join Jubilate, please get in touch!


text:
The Cultural Vistas Fellowship affords underrepresented U.S. university students the unique opportunity to advance their career goals, develop global competencies, and experience life in another culture.
Cultural Vistas will select up to 12 fellows to take part in this multinational professional development program that includes eight-week summer internships in Argentina, Germany, and India. This fellowship opportunity is funded by Cultural Vistas.
Summer 2016: Entrepreneurship & Innovation
Cultural Vistas Fellows will enrich their academic learning through professional internship and immersion experiences focused on entrepreneurship and innovation.
One cohort of up to four fellows will travel to each international destination. The program will take place in five distinct phases:
Program Benefits
Candidates for the Cultural Vistas Fellowship must meet the following requirements:
Strong preference will be given to students historically underrepresented in international exchange.
This includes, but is not limited to Pell Grant recipients; veterans; first-generation college students; STEM majors; members of minority communities within the United States; and non-traditional students.
Application Deadline
January 26, 2016
For more information, please contact firstname.lastname@example.com.


text:
Thank you for purchasing an Innovative Language Digital Book! Select your product below and click 'Download' to begin downloading your Audio Companion or Lesson Notes.
Find Product
Choose Platform
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Choose Product
If you can't find your product, or are having problems downloading, email us at books at email@example.com
Special Offer
Want to learn more language?
Save 20% on any of our Innovative Language Learning websites with coupon code BOOK_DEAL
Click here to choose a language and start learning today!


text:
Hi, I am Bob and my job is to help you get control of your money, pay off debt, save more, and give more than you ever dreamed possible.
You can read more about my story on the About page, but suffice it to say these were 4 goals I had for my own finances 10 years ago and by the grace of God I have been able to accomplish each of them.
If you haven't reached all 4 yet, then you are in exactly the right place!
New to the site? Don't know where to start?
Here are a few suggestions to get you caught up to speed!
The Getting Started Course
The 'Getting Started' course is a FREE 3-week email course containing 14 lessons that will give you actionable steps to help you save hundreds (if not thousands) of dollars a year, get out of debt, better organize and manage your finances, and help you begin planning and preparing for the future.
You can find out more about the Getting Started course, or just enter your info below to sign up:
Get One Of Our Books!
We now have a couple books available on Amazon (paperback or Kindle) that many readers have found to be very helpful.
Managing Money God's Way: A 31-Day Devotional
"This is an excellent book. I recommend it to anyone who is dealing with not only money issues, but becoming a better steward over their lives as a whole."
— F. Gallop, Amazon reviewer.
How To Save Money: A 21-Day Challenge To Save $500/Month
"This is a great book with lots of money saving advice. Well worth the price! It's short and sweet, giving you easy ways to save money each month."
— Maggie S., Amazon reviewer.


text:
Welcome to Audiko.net! All you need is to download a free Tye Tribett ringtones for your iPhone or mobile. Scope out your favorite piece from your favorite masterpiece - Good inside of me, No Way, Stand Out, or any other track. You may get your tune both in the MP3 and m4a formats, supported by both mobile phones and iPhones. Just select a track, and choose free Tye Tribett ringtones download option.
Download Tye Tribett Ringtones
Top free ringtones
|I Still Have Joy
|No Way
|Good inside of me
|Stand Out
Tye Tribett
Tye Tribett
Tye Tribett


text:
Blogs Home
with Tags: automation X
- Sort by:
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CloudBurst: New IBM Cloud Computing offering for improved Service Management Community Blog
Tiffany Winman firstname.lastname@example.com Tags: virtualization smarter-planet ibmcloudcomputing automation it data-center ibmcloud cloud-computing cloudburst tivoli cloud storage bladecenter ibmtivoli private service-management dynamic-infrastructure development vmware green 7 Comments 8,814 Visits
What is Cloud Computing? Let me Google that for you . As you can see from the Google results, lots of people answer this question differently, depending on the part of the elephant they are viewing. IBM joins this conversation pretty heavily today with its...
from Blog: Cloud Computing
Tivoli Business Partners: Tell us your story & nominate yourself for an award Community Blog
Miranda Walker email@example.com Tags: storage-software pulse2010 enterprise-asset-manageme... ibm-partner automation partner partnerworld storage pulse tivoli netcool service-management business-partners security partners maximo 2 Comments 4,171 Visits
As someone who works on communications to Business Partners for IBM Software Group, I always enjoy working on the communications in support of the annual IBM Tivoli Business Partner Awards...especially when it is such an exciting time to be an IBM Business...
70+ IBM experts available to answer your technical product questions on June 15 Community Blog
Danyel Otteson firstname.lastname@example.com Tags: ug tuc community usergroup usergroups automation asset tivuser storage maximo tivoli user security group 4 Comments 3,294 Visits
The Global Tivoli User Community is doing it again...Ask the Expert Online Jam session! Do you have a question on IBM Tivoli Products? Get an answer via the Ask the Expert Online Jam event. Schedule it on your calendar as the 70+ IBM Tivoli Experts will...
Do your IBM Tivoli products rock? Here is your chance to win you an Apple iPad Community Blog
Danyel Otteson firstname.lastname@example.com Tags: maximo automation contest usergroups tuc tivuser asset storage security tivoli user usergroup group community video ug 2,953 Visits
Lights! ~ Camera! ~ Action! You could be a winner of an Apple iPad, or an Apple iTouch, or an Apple iPod Nano, or $100 or $50 cash just by creating a video on either how your IBM Tivoli software product(s) have either helped you solve a problem, or improve...
75+ IBM Experts available to answer questions via online event November 12 Community Blog
Danyel Otteson email@example.com Tags: tuc tivuser maximo usergroups ug group user asset experts tivoli storage automation community security 1 Comment 4,478 Visits
Got a question on IBM Tivoli Products? Get an answer via the Ask the Expert Online event. 75+ IBM Tivoli Experts will be available via the "Ask the Expert Online Jam" session for a 12 hour event this Thursday, November 12th from 8:00am - 8:00pm...
B2B Automation – your organization may be further away than you think
Matt Bucey firstname.lastname@example.com Tags: automation edi b2b b2b-integration 1,232 Visits
Nobody wants to admit their weaknesses, just like few want to be the first to speak up in a crowded, yet quiet room of peers. Many IT organizations are no different when it comes to the state of their EDI and B2B integration with a community of partners,...
from Blog: EDI & B2B Integration in the CloudModified by Matt Bucey email@example.com
"Beam Me Up Scotty" - Start your "Star Trek "journey now Community Blog
Danyel Otteson firstname.lastname@example.com Tags: automation tivuser security tivoli tuc asset user usergroups group ug community storage maximo virtual 2 Comments 3,599 Visits
Being physically teleported from your office to a meeting or another location is not yet possible in our world as our friends through the American movie "Star Trek", have been able to do for years; however, the next best thing would be to have a...
69+ IBM Experts available to answer YOUR product questions online on Nov 9 Community Blog
Danyel Otteson email@example.com Tags: storage-management asset-management security user-groups user tivoli automation user-group storage tivuser asset storage-software 2 Comments 4,799 Visits
The Global Tivoli User Community is hosting it's 2nd Ask the Expert Online Jam session for 2010! Do you have questions on IBM Tivoli Products? Get an answer via the Ask the Expert Online Jam event. Mark the date: Tuesday November 9, 2010 69+ IBM Tivoli and...
Are you seeing 20/20?...Get Focused Today! Community Blog
Danyel Otteson email@example.com Tags: user security tivuser ug usergroups tuc community tivoli automation storage maximo asset group 2,070 Visits
Question: Do you know what the hot issues/concerns are today? Answer:The IBM Tivoli User Community knows....and has created The Community Focus. "The Community Focus is portal of information, a networking capability, and an on-line forum exchange on...
Automation war gestern, Orchestrierung ist heute – oder doch nicht? Community Blog
frank eisenhardt firstname.lastname@example.com Tags: automation orchestration service_management cloud runbook devops teccr cloud-computing orchestrierung 1,634 Visits
Was wird heute für die Integration der traditionellen IT mit den neuen Cloud-geborenen Anwendungen und deren Management benötigt? Automation oder Orchestrierung? Oder beides? Automation ist eine der ältesten Funktionalitäten, die in...
from Blog: I blog. You blog. Blue Blog.Modified by frank eisenhardt firstname.lastname@example.com
How do YOU spell Success? Community Blog
Danyel Otteson firstname.lastname@example.com Tags: tivoli automation storage tivuser ug tuc community usergroups security user group maximo asset 1 Comment 2,428 Visits
I spell it...."Global Tivoli User Community" The Global Tivoli User Community had a successful 2009 with the addition of 5,000+ people to the community, which now stands strong with 23,000+ active members . Many of those members attended the 192...
Do you want an Apple iPad too? Community Blog
Danyel Otteson firstname.lastname@example.com Tags: tivoli video maximo storage contest usergroups ug group user security asset usergroup tuc community automation tivuser 2,932 Visits
Everyone wants one....the iPad is the hottest technology today and you too have a chance to win it for FREE . You ask HOW? All you have to do is enter the IBM Tivoli Software Products Rock Video contest, by producing an Interview style, Technical...
IBM to acquire Unica corporation Community Blog
Tiffany Winman firstname.lastname@example.com Tags: marketing ibmsoftware acquisition software analytics social-media ibm buzz ibmunica unica automation 4,446 Visits
In case you missed it last week, IBM announced its plans to acquire Unica , the marketing software automation company. The topic lit up the social media universe with chatter. As Joe Chernov, with Eloqua, put it, " everyone has an opinion " about it...
from Blog: IBM Software Community
YOUR VOTE NEEDED: Pick the top Tivoli video contest winner Community Blog
Danyel Otteson email@example.com Tags: security storage ug contest usergroup tivuser tuc automation user usergroups tivoli maximo asset group community video 2,839 Visits
Everyone loves contests! And the IBM Tivoli Software Products Rock contest was no exception. The ability to submit a video has closed but now the voting for the grand prize winner is in YOUR hands. The Global Tivoli User Group (GTUG) council has...
Are Tivoli User Groups dead? Community Blog
Danyel Otteson firstname.lastname@example.com Tags: security group asset-management automation community storage ug maximo tivuser tuc asset usergroups user tivoli 1,831 Visits
What did you say?...Are Tivoli User Groups dead?...NO WAY! In fact, with the 23,000+ members around the world and the 140+ local and virtual user groups around Automation, Storage, Security and Asset, the community is as live as it has ever been. As the Global...


text:
Nearly two-thirds of all U.S. hospitals that handle non-emergency births have instituted policies to eliminate non-medically indicated deliveries prior to 39 weeks gestation, according to a study.
Over the last several years, an increasing number of deliveries have occurred prior to 39 weeks gestation, according to background information in the study, which was presented May 6 in New Orleans at the annual clinical meeting of the American College of Obstetricians and Gynecologists.
However, recent research has shown multiple health risks associated with delivering babies before 39 weeks, including neonatal respiratory distress and admission to the NICU. In an effort to reverse the practice, there has been a nationwide movement, including many statewide initiatives, to increase awareness about the harm that non-medically indicated deliveries can cause.
Nathaniel G. DeNicola, MD, and colleagues at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia contacted all 2,641 US hospitals with a registered labor and delivery unit. The hospitals were asked whether they had a policy regarding non-medically indicated deliveries.
Of the 2,367 hospitals that responded, 66.5% reported having a formal policy in place against the practice, with 33.5% reporting no policy. Of the hospitals without a formal policy, 53% said NMI deliveries were against their standard of care. Of the hospitals with a formal policy, 69% said they had a "hard-stop" policy, meaning a strictly enforced hospital policy against NMI deliveries at fewer than 39 weeks.
The survey of hospitals also showed that the state initiatives appear to be effectively communicating their message. DeNicola found significantly more hospitals with formal policies in states with quality collaboratives than in states without such collaboratives. Quality collaboratives are regional hospital or community alliances working together to promote high-value, cost-saving medical care.
"We had a number of hospitals volunteer that they were following the state initiative," DeNicola said in a news release. "In 18 states, quality collaboratives had reached such high awareness that the charge nurses we called randomly not only knew about the state collaboratives, but felt compelled to tell us that their hospitals had been responsive to the collaboratives efforts to get them to implement a policy.
"Hospital policies have been shown to be one effective tool in reducing the incidence of non-medically indicated deliveries. There is reason to be encouraged that hospital policies are decreasing the frequency of this practice, and we expect that fewer elective deliveries prior to 39 weeks means fewer term babies going to the NICU."


text:
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You Gotta Be Kidding
One of the many unique, specialty shops that call Galena home, find collectibles: such as, Coke/Pepsi memorabilia, Barbie dolls, banks, signs and hard-to-find gifts.
Yellow Creek Quilt Designs
Gift and quilt shop offering fabric, notions, quilting accessories, and many specialty gift items including wine accessories, wall art, Willow Tree and Williraye Studio. Open: Monday thru Thursday: 10 am - 6 pm; Friday: 10 am - 5 pm; Saturday: 10 am - 4 pm.
CITY:Pearl City
Wooden Wardrobe
Fun! Fun! Fun! Women's clothing, Polish Pottery, custom fine woodworking, Trollbeads, vintage personalized signs, Venesha Angora, West Highland Terrier puppies.
Wooded Wonderland Country Store
One-of-a-kind handcrafted home furnishings. Vintage relics, all natural honey, organic jams and other unique handcrafted gift items.
Wooded Wonderland
Located on a unique parcel of land in the heart of Jo Daviess County and Galena, Illinois, Wooded Wonderland is home to numerous unmatched environmental aspects. Native prairies, with many rare plant species, hardwood forests, rolling hills, unique fossil discoveries, and endangered wildlife. Wooded Wonderland gives you the opportunity to pick your own blueberries and taste locally produced honey. Organically grown. Call for availability. Sawmill tours available.
Wild Birds Unlimited
Enhance your enjoyment of nature with birdfeeders, birdbaths, garden accents, nature-inspired gifts, books, binoculars, children's educational toys and more.
West Street Sculpture Park
Wander through this outdoor gallery of large steel sculptures by award-winning local artist John Martinson. On-site metal studio. Open daily.
Vintaj Earth
A place where inspiration grows. We offer handmade, natural brass jewelry, plus pottery and art by local & self-representing artists.
Vignettes of Galena
Full-service interior design; offering drapery, blinds, home furnishings, carpeting, lighting, hardwood & tile flooring.
Vanderheyden Furniture
Specialty gifts including lamps and pictures. Full line of fine furniture, bedding & flooring showroom and window treatment design center.
Tri-State Market Pumpkin Barn
Open-air market offering fresh produce, honey, jams, veggies. October family fun: pumpkins, apples, bounce house, corn maze, hay rides, farm animals and food.
CITY:East Dubuque
Towne Rebel
For over a decade, Towne Rebel has been offering an eclectic mix of women's clothing, home decor and small furnishings. French country home décor. Hand-knit, cotton sweaters. Timeworks, Inc. clocks. Quilted linens for tables/bedding. Decorative/usable canister sets for kitchen.
Torkelson Cheese Company
"World Champion" Brick and Muenster Cheese, along with 45 other varieties of quality cheeses, sold at factory direct prices. Watch cheese-making through demonstration window; best viewing is 8 am - 10 am. Open: Monday thru Friday: 8 am - 3 pm; Saturday: 8 am - 1 pm.
Timothy's Table
A unique bulk and specialty food store cross merchandised with complimentary accessories. This store is simply one of a kind.
The Shop on the Hill
Antiques fill the entire first floor of Victorian home. This is an old general line antique shop that has been in business for more than 25 years. Glassware, furniture, tools, books, primitives, toys, collectibles and more!
The Red Barn
A great stop on your trip, offering gourmet foods, gifts, seasonal wines and craft beers. Gift baskets are our specialty. Thirty flavors of whole bean of ground coffee on hand at all times. Browse through two floors of gifts to fit anyone's liking. Open Sunday: Noon to 4 pm; Monday thru Thursday: 11 am - 5 pm; Friday and Saturday: 10 am - 8 pm
The Museum Gift and Book Shop
Your premier source for souvenirs, gifts and books of historical nature including Galena, Grant, Civil War, lead mining and steamboating.
The Mill Furnishings and Design
The Mill is nestled among the hills of Northern Illinois, on the way to Galena. Large furniture showroom, including flooring, bedding and accessories. Full-service consultants on staff. A nice drive for "nice" furniture.
The Milagro Studio
Contemporary gold/silver jewelry, precious/semi-precious stones, hand wrought on premises.
The Historic Main Streets of Jo Daviess County
The historic Main Streets throughout Jo Daviess County in northwest Illinois offer a range of regional specialties and unique finds.
The Great Galena Peddlery
Teas, herbs and spices from around the world. Teapots, infusers, pepper mills, mortar and pestles, gourmet foods and hard-to-find ingredients.
The Grateful Gourmet Co.
A unique kitchenware and specialty food store for the gourmet chef in all of us.
The Gilded Cage
Vintage at heart painted cottage furniture, antiques, unique one of a kind pieces.
CITY:Mount Carroll
The Galena Antique Mall
More than 55 dealers: antiques, collectibles, jewelry, furniture, old toys. Two miles east of Galena.
The Driftless Area Stillroom
The Driftless Area Stillroom is now located at the SHOPS@GLENVIEW. We offer outstanding domestic and worldwide wine selection of cheeses, meats, foodstuffs and a rotating selection of house made goods, housewares and more. We focus on local, organic, and sustainable purveyors. Join us Sundays for food and drink on the veranda.
CITY:Mount Carroll
The Clothes Bin & Gift Shop
Designer-inspired clothing, jewelry, purses, home décor & so much more. Free yourself from the ordinary! Stop, shop, have fun!
The Blueberry Cottage
More than 30 years in business selling enamelware, metal plate displays, dishes, candles, linens, seasonal ornamentation and pet goodies.
Susan Shire Antiques
Quality primitives antiques shop on historic Peoria-Galena Trail, located behind our restored 1861 limestone house in beautiful Pleasant Valley.
CITY:Mount Carroll
Stone House Pottery & Gallery
Stone House Pottery & Gallery has much to offer visitors. Gallery openings, demonstrations and 2-day Glaze & Graze classes are bound to keep participants entertained. Functional and decorative pottery, tiles, figurative bronzes, featuring area artists work, as well.
Something Special
Covers a wide variety of your shopping needs from quality sportswear to elegant attire. Gifts, children's books and more can also be found.
Something Special
Novelty infant to toddler clothing & accessories. Polish Pottery, Bonn Bons & Metalsmiths Sterling, Lifetime Candles, custom signs, Angora coats.
Slumber, Inc.
Boutique specializing in the best in comfortable sleepwear, lingerie, loungewear for women of all ages, sizes XS to 3X.
Skidmore Art Gallery
Skidmore Art Gallery original artwork by professional artist Mark Skidmore. See artists at work. Art classes for all ages.
Simply Elegant Boutique
Real fashion for real women = real possibilities. Women's apparel and accessory boutique, also offering personal fittings and wardrobing consultations.
Signature Woodworking
Combining old-world joinery and the accuracy of modern-day machinery and the desire to produce the highest quality custom cabinets, furniture and mill work.
The shops @glenview are located on the first floor of the Historic Hotel Glenview where you will find the dabluz boutique, Driftless Area Stillroom and more! Check out our website for a full listing of all the great things our vendors have to offer.
CITY:Mount Carroll
Shearer's World of Variety
Downtown retail store -- antiques and collectibles.
Seasons Remembered
A season for everyone. From St. Patrick's Day to Christmas, plus many more exciting, unique gifts and collectibles.
Savvy Scavengers
An eclectic experience women of all ages will enjoy; unique, name brand and more of apparel, shoes, jewelry and purses.
Savvy Scavengers
Overstock & more – unique selection of women's apparel and accessories. Come find our finds.
Savanna Marketplace
Featuring local and Illinois made gifts, foods, and specialties. Enjoy specialty coffees, muffins, desserts and other goodies in their historic building built in 1906 which boasts the original art deco soda fountain from the 30's.
Rustic River Finds, Inc.
Rustic River is a collection of handcrafted jewelry, specialty beads, Vintaj & unique finds. Our shop is inspired by nature.
Red's Iron Yard & Wholesale Barn-Country & Western
Unique country & western. Handmade home and garden décor. Life size die cast animals. Wooden wheeled wagons, buggies and sleighs.
Looking for something beyond the ordinary? Poopsie's is the place for you! Toys, frames, books, jewelry and one-of-a-kind art.
Pinder Pottery
Unique hand-thrown stoneware pottery, studio and gallery. See website for information. Daily demonstrations and classes. Open daily.
Picker's Place
Antiques furniture, glassware, lamps,collectibles, advertising signs, flowers, produce, and pumpkins . Open: Spring and Summer: Daily: 9 am - Dusk; Fall and Winter: Daily: 8 am - 5:30 pm.
Phat Quarters, Inc.
A quilt shop offering more than 2,000 bolts of fabric, patterns, notions, classes, Horn cabinets and Bernina sewing machines/products.
Peace Of The Past
Interesting antiques and collectibles surrounded by 30,000 well organized used books, pottery, jewelry, art, albums, primitives, advertising, more. Huge inventory.
Pat's Country House Grocery
One of the county's oldest grocery stores, offering hand-cut steaks and pork, with homemade brats, sausage, pizza, cheese/deli trays, fruit baskets.
CITY:Scales Mound
Outside the Lines Art Gallery
A retail gallery specializing in original art and fine craft from more than 100 U.S. artists.
One Eleven Main
A great selection of local Galena products and unique items to meet your entertainment needs.
Old Blacksmith Shop Mercantile
Hand-forged gifts with the distinctive 'Galena' stamp, made in an authentic 1897 blacksmith shop. Special orders welcome.
Ochs Tree Farm
Located on 55 acres of hilly countryside south of Galena, visitors during the last 27 years have enjoyed the holiday tradition of choosing and cutting their very own Christmas trees of 10 different varieties. Ochs offers for sale fresh wreaths and provides a warming house for everyone to share stories in.
Northwest Design
Glass studio nestled in the hills offers a shopping experience. Local glass artists at work using lampwork and fusing techniques.
New Earth Inc.
Pet-friendly, specialty store for your beloved animals. We also carry animal-themed products, local designs, pet food and treats.
Nature's Treasures
Wonderful gifts and birdhouses by local artists. Specializing in organic gardening supplies, fountains, wind chimes, metaphysical crystals. Friendly, helpful service!
Mean Bean Roasters
In-house custom coffee roasting. Yes, we roast in the store! Custom flavors, gifts, bring your attitude!
Max Mitchell Fashion Accessories
Boutique offers the expected and unexpected of fashion accessories & gifts for both men & women, all at reasonable prices.
Massbach Ridge Winery - Tasting Room & Vineyard
In the tranquil rolling hills of northwest Illinois, Massbach Ridge Winery has been crafting estate grown wines since 2003. With a diverse selection of estate-grown Illinois wine, our friendly staff will help you discover a taste you'll fall in love with.
Massbach Ridge Winery - Downtown Galena Tasting Room
Join us and taste our award-winning wines. Afterwards relax in the wine lounge with a glass of your favorite. While tasting wines, browse the gift shop stocked full of wine necessities and Massbach-branded apparel.
Market Street Commons at the Kraft Building
Market Street Commons is located in the heart of the Mt. Carroll historic district, in the old Kraft Building. The Kraft Building houses the community Welcome Center and Chamber of Commerce, along with shops.
CITY:Mount Carroll
MANGELSEN - Images of Nature Gallery
Located on Galena's historic Main Street, this gallery features the award-winning nature photography of Thomas D. Mangelsen. They showcase more than 150 limited edition and artist proof prints.
Main Street Galena
Galena's historic Main Street -- named "Best Main Street in the Midwest" by Midwest Living magazine and one of America's Best Main Streets by Fodor's -- curves past nearly 100 19th-century storefronts. Galena looks much as it did during the time of the Civil War, although now the historic red brick buildings are home to charming boutiques, art galleries and restaurants. Galena is also known for its cozy lodgings, with quaint bed and breakfasts dotting the picturesque hillsides surrounding the town.
Main Street Fine Books & Manuscripts
Used, out-of-print & antiquarian books in great condition. Browse 35 subjects! First editions, signed, collectible, plus historical autographs/maps. Member ABAA/PADA.
Modern boutique with a vintage flair. Fabulous shoes, clothing & jewelry. Galena's widest selection of hats. Look for sunflower logo.
Lily Pad Gardens And Nursery
Discover this shop offering annuals, perennials, aquatic plants, hanging baskets, traditional and unique flowering containers, garden seeds, a full garden center and garden-themed gifts, including bean pod candles, home decor, Dionis goat's milk bath products, Rhapsody candles, garden flags, and mailbox covers, willow benches and outdoor furniture. Fresh-cut Christmas trees, wreaths, and garland are available during winter season.
Lena Mercantile Company
Antiques, collectibles, gifts, Amish furniture and accessories, candy, clothing, toys and country store items. Also enjoy the Mercantile Eatery which serves delicious soups, salads, sandwiches, homemade desserts, and freshly ground and roasted gourmet coffee drinks. Open: Daily: 9:30 am - 5:30 pm. Lunch is served Monday thru Saturday from 11 am to 2 pm with coffee and desserts available daily, all hours.
Lena Farmer's Market
Enjoy this seasonal farmers market featuring a large variety of fresh, locally grown produce and locally made baked goods. Saturday: 8am to 11am May 21 thru October 8, 2016
La Vie en Rose
Unique shop featuring gifts, garden, antiques, home furnishings, jewelry, Kottage Kids clothing, florals. Home of "original" gourd baskets.
Knotty Ideas
Take a tour of our woodworking shop! Scrollsawn woodwork, cuckoo clocks, chainsaw carvings, dried flowers, trunks, benches & lots more.
CITY:Scales Mound
Klein's Market Bakery
Family-owned and friendly, we offer a variety of fresh flavorful breads, frosted cookies, frosted cinnamon rolls and hot coffee.
Kitchen Carvers
Visit this delightful kitchen store full of artisan-quality, handmade, wooden spoons, spatulas, spurtles and other kitchen products all made on site.
Joyful Acres Farm
Eggs, fresh or special order bread, local crafts available year-round. Seasonal produce. Lovable donkeys waiting to be petted & fed treats.
Joseph Layton
High quality home furnishings; Lee upholstery, home accessories, Dash and Albert rugs, fine antique furniture and fine art.
Janet Checker Studio
Original pastels, oil paintings, note cards, posters. Specializing in figurative art, portraits, land and seascapes. Commissions accepted. Classes, workshops.
Ink & Stamp with Sue
Galena's original paper and ink art store. Rubberstamps, scrapbooking supplies, inspired gifts & art décor. Enjoy classes and free demos.
Ink & Paper
Unique, fun gifts for all ages and occasions. Located in historic downtown Stockton, five blocks south of US Hwy 20.
Huron Farm Market
This multi-seasonal shop offers a garden center in the spring, a summer produce market, and fall and Halloween items in the autumn as well as a petting zoo.. From April thru October, also enjoy a flea market every Friday, Saturday and Sunday. Open: April thru October: Daily: 9 am to Dusk
Hello Galena!
Hello Galena! is a gallery featuring 65 artists selling and demonstrating artwork. Jewelry, pottery, stained glass, paintings, photography, wooden toys/pens, purses, more! Events, demonstrations & classes.
Gustafson & Grey, Ltd.
Fine jewelry, antiques and consignments. Where something old is new each day! Great gifts.
Great American Popcorn Company
The Great American Popcorn Company was opened in 1994 by Dave Lewis and his wife, Cathie. The shop resides in historic Galena, Illinois and features an average of 50 different flavors of popcorn on a daily basis. Flavors range from Old Fashioned Caramel to Spicy Italian, and the Lewis' have created over 350 flavors since opening the store. The company takes pride in the quality of their popcorn and makes only small batches of a single flavor at a time, so the popcorn is always fresh and unique. If visitors aren't in the mood for popcorn, the store also offers homemade fudge, candy, and chocolate.
Gramp's Gourmet Foods, Inc.
Travel scenic Stagecoach Trail. Enjoy product samples and tour our kitchens. Explore our selection of local foods and crafts.
CITY:Scales Mound
Glad Rags Resale Boutique
Sensibly priced family fashions featuring the latest trends and popular classics. Tuxedo rental. Dry cleaning drop-off/pick-up service.
Unique coffee & tea shop. We carry locally roasted coffees, fine selection of teas, sweets and coffee & tea accessories.
George Bookless Studio
Your wedding marks a turning point in your lives. Make pictures of the event so you can remember and cherish the moment. Phone for details.
Gateway to History
Galena and U.S. Grant souvenirs, books, artisan gifts. Discounted tickets to major historic attractions/tours including Galena & U.S. Grant Museum.
Galena's Kandy Kitchen
Established in 1974 to continue a family tradition of producing small batches of fine handmade confections.
Galena River Wine & Cheese
Housed in one of Galena's oldest commercial buildings, discover an extensive selection of gourmet wines, beers, cheeses, sausages, pâtés, coffees, specialty foods and custom gifts. Free olive oil/balsamic vinegar tasting.
Galena Main Street Bazaar
We feature dog and cat toys/supplies; collectibles, including Betty Boop and celebrity items; goose clothes; autographed sports pictures, sports cards, comic books.
Galena Garlic Company
Celebrating garlic's versatility in the kitchen, Galena Garlic Company specializes in small-batch, homemade premium spice blends, naturally grown gourmet garlic (July-November), gourmet chef blends, rubs, aged balsamics, and the world's freshest olive oil!
Galena Clay Works
You'll find handmade functional wares and sculptural forms at Galena Clay Works. Pottery is made and sold at this funky two-story studio - from cups to crazyware, sculpture and Galena pottery.
Galena Cellars Vineyard
Experience Illinois wine at Galena Cellars and celebrate a 30 year tradition of family winemaking. Located just a short drive from downtown Galena, Galena Cellars Vineyard--A Lawlor Family Winery--provides an escape to the country and a breathtaking view. Enjoy wine tasting, from your choice of 40 different varietals, while relaxing on the comfortable wrap-around deck of the charming farmhouse turned Tasting Room, and learn how the twenty-two varieties of grapes grown in the rich soil and unique terroir found there go from vine to award-winning wine. Meet winemaker Christine Lawlor and chat with the knowledgeable and friendly tour guides as you tour the state-of-the-art facility and partake in a sensory program designed to help you fully experience wine tasting with all of your senses. In love with the vineyard? Stay a little longer at the Vineyard Suite or Country Farmhouse. Or imagine celebrating your special day in this scenic setting. Special arrangements are gladly catered to for engagements, showers, weddings, family reunions, meetings and group tours. The vineyard is open daily May through October and weekends or Saturdays only November through March. Special events at the vineyard include Wine Lovers' Weekend in March, Fall Harvest and Art Festival in September, and Nouveau Wine Weekend in November. Honored with more than 1,000 awards from competitions throughout the world, the Lawlor Family looks forward to raising a glass with you and sharing their passion for Illinois wine.
Galena Canning Company
Featuring award-winning Chef Ivo's old-fashioned jams, jellies, salsa, BBQ sauces, Hot Sauce Emporium, bakery and more. Open early/late. Samples galore.
Galena Candle & Bath Company
Featuring handcrafted, 'made in Galena' products, Galenal Candle & Bath Company offers natural bath and body products, soy candles, make-it-yourself stations for candles, bath beads, scented bubble baths, gels and lotions. In-store parties available.
Galena Artisan Center
Mix of jewelry, photography, pottery, stained glass and items made by 60+ local/Midwest artists. Tapestry and table runners too.
From Head to Toe Sportswear
Featuring Columbia, Woolrich, Life is Good, Speedo, Hush Puppies, Smartwool. Apparel, outerwear, shoes and accessories for men, women and children.


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- Differential Diagnosis
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Differential Diagnosis For Filter paper spot/newborn blood test abnormal
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- Suggest
- 12 possible diagnoses found
- Metabolic, Storage Disorders
- Tay-Sachs disease
- Citrullinemia/Argininsuccinicaciduria
- Combined carboxylase/Biotinidase deficiency
- Ketotic hyperglycinemia, idiopathic
- Methylmalonic acidemia/ketotic glycine
- Propionicacidemia/ketotic glycinemia
- Pyroglutamic acidemia
- Hyperammonemia, hereditary
- MCAD/Medium chain OH-CoA Dehydrogenase def
- Ornithinemia
- Glutaric aciduria/Acidemia
- Sandhoff disease
- Synonyms
- 0-6 weeks old, Abnormal, baby, Blood Test, Blood test (procedure), Blood Tests, Filter paper spot, HEMATOL TEST, HEMATOL TESTS, Hematologic Test, Hematologic Tests, Hematological Test, Hematological Tests, infant newborn, Infants (Newborn), Infants Newborn, Neonatal, Neonatal state, Neonate, Neonates, Newborn, NEWBORN (0-27 DAYS), Newborn (finding), Newborn (person), newborn human (0-6 weeks), Newborn infant, Newborn Infants, Newborns, Test Blood, TEST HEMATOL, Test Hematologic, Test Hematological, Tests Blood, TESTS HEMATOL, Tests Hematologic, Tests Hematological
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- NEJM (The New England Journal of Medicine)


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At La Creme we specialize in helping you find the perfect outfit for all the special occasions in your life. Whether you need an outfit for a wedding, black tieMore
$1 mil. - $5 mil.in Revenue
10 - 20EmployeesContact people at this company
55 Wyndham Street Old Quebec Street ShoppesGuelphOntarioN1H 7T8Canadaview map
(519) 763-5240
ProPub_Iteration_NT.411[05] SEIDXWK-22


text:
Solve crimes in true detective fashion! The Sherlock Adult Costume is a stylish two-piece party costume that includes a hat and a heavy duty jacket. This is a great ensemble to wear to your next movie-, mystery-, or storybook character- theme costume party. The included brown hat has a traditional form with a rounded shape and a short brim in the front. Turn into a handsome sleuth when you put on this great party costume. The included brown jacket features long sleeves and a hem that ends at the calves. This ensemble showcases the traditional style worn by English investigators. Add black pants and a pair of comfortable black shoes to complete this look. We also recommend adding a few accessories, like a pipe or magnifying glass, to enhance this look. Browse through our online selection of party accessories to uncover even more great items!
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Get sales and use tax answers that keep your company legal and you out of hot water!
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Changes in Status.—
The President has transmitted to Congress a draft of proposed changes in the program for supplying obstetric and pediatric care to the wives and infants of servicemen, as follows: (1) Extension of the program is recommended to include the wives and infants of army aviation cadets; (2) it is proposed that not more than 4 per cent of the federal appropriation may be allotted to the states for administrative expenses on the basis of need as determined by the chief of the Children's Bureau; (3) it is proposed that the amount of federal funds to be appropriated for the continuation of the program shall be immediately available rather than available for expenditure during the fiscal year beginning July 1. H. R. 4519 has been reported to the House, authorizing an appropriation of $1,000,000 to enable the Administrator of Veterans' Affairs to
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February 19, 2011
Peter, this is a terrific overview of CDT. I am in the SOI group on LinkedIn and saw your Saturday Night Fever blog post. I have not seen the movie in several decades, but I enjoyed your analysis of the developmental stages you saw in the film. Like Jennifer, I look forward to watching it again.
Mónica Berrocal permalinkMarch 15, 2011
I loved this very comprehensive, yet concise explanation! You are very talented!
Laura Pruyn permalinkJune 9, 2011
Peter, I thought this was an excellent explanation of a complex theory. Your drawings complement the text perfectly. You made it all so clear that even I, your mother, could understand it all. Thank you!
Becca permalinkNovember 20, 2011
Thanks so much, Peter. This has helped me to make sense of stages 3-4 in a different way. I have been wondering why Kegan disavowed the helix (other than the hierarchical inferences) – I found it a helpful visual, especially in thinking about us coming back to revisit our issues at a different level of complexity. Also, what has he done with the idea of the longing for agency/autonomy and communion/community that he used the helix to demonstrate. I still thought that was powerful. Even though I know that some women's theory states that we don't need total separation and individuation to develop (which I completely agree has been overemphasized in our western culture) I still found some value in his discussion of the tension. thoughts?? thanks again for this valuable website.
Becca Adrian
Anita Hamilton permalinkJanuary 4, 2012
Thanks for sharing this wonderful resource and clear explanation of Kegan's theory. My first understanding of Kegan's theory was through a paper written by a wonderful occupational therapy educator, Barbara Hooper, used it to explain the evolution of our profession.
Barbara explains our professions struggle to help explain the evolution of our profession (occupational therapy) as we struggle with third ordered 'doers' in an evolving fourth and even fifth ordered group of 'thinkers'.
The purpose of my research is to explore the role of using online technology to advance our capacity to self-author and self-critique.
I like that your mum also commented on your blog
Cheers, Anita
January 22, 2012
Peter, thank you so much for the wonderful summary of Kegan's five level of conciouness. It is elegant with such clarity. May I have your permission to cite and use your overview and chart in my dissertation? I am trying to articulate the linkage between Kegan's level 2, 3, 4, & 5 and Confusious developmental stages, there are much similarity in their theory.
Looking forward to your reply.
Happy Chinese New Year of the Dragon!!!
Eve Kodiak permalinkJuly 3, 2013
Thank you for this clear summary of post-Evolving Self Kegan. I took a couple of courses with Dr. Kegan at HGSE in the eighties, and I remember his response to a question about whether you could be in in more than one stage at once. He said, no. His idea seemed to be that once you had the capacity to see things in a larger context, you would theoretically have the ability to exercise this power of mind in every circumstance. The answer seemed driven by the model, not by experience. It was sort of a monotheistic way of seeing – either there is a God, or there isn't.
But my professional experience in the twenty-plus years since then suggests otherwise. For example, I am struck by the construction in the diagram that in the impulsive stage, the reflexes are "content" – are "object."
But the reflexes, neurologically speaking, are never object – otherwise, they wouldn't be reflexes. They are involuntary responses. We can override them sometimes. But that doesn't mean that they don't happen. And what happens in the brain/body system when a reflex gets triggered, and is overridden, is quite different from when a reflexive action is not involved.
Reflexes "live" in the medulla, in an old part of the brain that is pre-verbal, pre-conscious. And we never stop having reflexive responses, no matter how far up the developmental ladder we go. Even if we become aware of them, and learn how to integrate them into the higher functions of the brain (my work), while we are experiencing that reflexive response, we are completely subject to them – no matter what age we are. We can climb up the ladder real fast, with experience and consciousness. But when we are in reflex mode, we are down there with the babies – even with the fetuses!
The lower rungs of the ladder remain a part of our repertoire forever. We don't stop using them just because, in some circumstances, we have become more mature.
Just think of the experience of calling your parents, which I just did. I just reverted back to "third order" operating mode – I could not detach. I wanted their "thou" to correspond to my "I" and I felt so threatened that it didn't that I had to get off the phone. But in my office, with a client, I would NEVER be in this position. Professionally, I am able to operate in one of the higher orders.
But basically, with my parents, I went all the way back to my reflexive mode. Which is what we all tend to do under stress. When that anger or fear or panic or seeking nurturance impulse hits, we are all babies again. Attaining a higher order simply means that that order is developmentally POSSIBLE – not that we are there all of the time. And we don't just slide between contiguous orders. When the trauma is deep enough, all of us can slide right back to the womb.
CDT is an amazing model and so helpful for understanding the meaning-making schema of ourselves and others. But we contain all the stages we have evolved to, and operate in different ones, depending upon the context we find ourselves in. It is useful to remember our potential. But foolish to believe we are capable of behaving at our highest potential at all times. If the situation is more challenging, we sometimes need to drop down an order, or two, or three, just to cope. If we don't acknowledge this, we are either living in delusion or shame. And neither one of these states is conducive to growth.
Anita (aka VirtualOT) permalinkOctober 19, 2014
Dear Peter, I "dropped by" this blog post a few years back and am now finally in the last stages of writing up my dissertation. I would like to ask your permission to reproduce your adapted version of Kegan's Five Stages of Development from In Over Our Heads in my dissertation. The title of the table would read:
Kegan's Five Stages of Constructive-Development Theory (Pruyn, 2010). The in-text description would state "Table 2.4 has been reproduced with permission from Dr. Peter Pruyn (P. Pruyn, personal communication, October 19, 2014) and illustrates the five developmental stages of constructive-developmental theory developed by Kegan (1994, pp. 314-315)."
I look forward to hearing back from you.
Kind regards, Anita.
Anita Hamilton permalinkDecember 31, 2014
Hi again Peter, I wrote a post on your blog about 3 years ago… I'm finally writing up my dissertation and I'd like to include the figure "Kegan's five stages of development" with your approval. It would be cited as Kegan's Five Stages of Constructive-Development Theory (Pruyn, 2010) and the figure would be preceded by the words "Figure 2.4 has been reproduced with permission from Dr. Peter Pruyn (P. Pruyn, personal communication, date) and illustrates the five developmental stages of constructive-developmental theory. "
Kind regards, Anita
Xehra16 permalinkMay 5, 2015
Thanks for providing this explanation. I am grad student working on my thesis and needed clarification and you did a great job in allowing me to make the connection with my topic and this theory!


text:
OP Member
Thanks Meter: 9
I turned off NFC now as I don't use it at all and I see no reason why it should be running. I guess we always have something new to learn about these phones huh?
Thanks again.
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