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Venous thromboembolism is defined as a formation of a blood clot in a vein. A common location for the blood clot is the calf. These clots can break loose and travel to the lungs (pulmonary embolus); this can result in death. According to a large new study, infants born prematurely have an increased risk of venous thromboembolism through young adulthood. The study was published online on July 28 in the journal Pediatrics by researcher at Stanford University School of Medicine (Stanford California) and Lund University (Malmö, Sweden).
The study authors note that preterm birth has been associated with increased risk of venous thromboembolism in infancy; however, the longer-term risk is unknown. Therefore, they conducted a study to assess this association from birth through young adulthood.
The study group comprised 3,571,574 individuals who were live-born in Sweden from 1973 through 2008; this group included 206,844 born preterm (gestational age less than 37 weeks), and followed up through 2010 (ages 0–38 years). The main outcome measurement was a venous thromboembolism.
The investigators found that 7,519 (0.2%) of the study group were diagnosed with a venous thromboembolism during 70.8 million person-years of follow-up. Low gestational age at birth was associated with a venous thromboembolism in infancy (ages less than 1 year; 47.16-fold increased risk for 22 to 27 weeks, 5.54-fold increased risk for 28 to 33 weeks, 3.54-fold increased risk for 34 to 36 weeks, 1.00 for 37 to 41 weeks (reference)). For early childhood (ages 1–5 years) and young adulthood (ages 18–38 years, the risk was 2.76-fols for 22 to 27 weeks, 1.53-fold for 28 to 33 weeks, 1.24-fold for 34 to 36 weeks, and 1.00 for 37 to 41 weeks (reference), but not in late childhood (ages 6–12 years). Very preterm (less than 34 weeks) but not late preterm birth (34–36 weeks) was also associated with venous thromboembolism VTE in adolescence (ages 13–17 years). After further adjustment for comorbidities (other health problems), these associations were reduced; however, they remained significantly elevated.
The authors concluded that low gestational age at birth was associated with increased risk of a venous thromboembolism in infancy, early childhood, and young adulthood.
Deep vein thrombosis occurs without symptoms about 50% of the time. When symptoms do occur, they may include:
- Swelling in the leg
- Red, discolored, or white skin
- Rapid heartbeat (tachycardia)
- Slight fever
- Warm skin
- More visible surface veins
- Dull ache, tightness, tenderness or pain in the leg (these symptoms may only occur while walking or standing)
The symptoms of deep vein thrombosis may resemble other medical conditions or problems. Always consult a physician for a diagnosis. The goal of treatment is to prevent the clot from growing, to ensure that it doesn't break off and travel through the veins to the lungs, and to help reduce the possibility of another blood clot forming. Treatment may include:
Medications. Various types of medications may be used in the treatment of DVT. Although anticoagulants (blood thinners) do not destroy the clots, they may keep the clot from growing and other clots from forming. Oral blood thinners (i.e., warfarin (Coumadin) or Xarelto) may be taken orally or a heparin injection may be given either intravenously or under the skin (subcutaneously). Treatment with blood thinners may last 6 months or more. If a blood clot develops after surgery, treatment may be shorter. If there have been previous clots or treatment for another illness is underway, the treatment may last as long as risk factors are present.
Suggested Links
- How long does increased blood clot risk persist after delivery?
- UCLA doctors vacuum two foot clot out of man's heart
- An alternative treatment for blood clots in the leg
- Higher blood clot risk reported with birth control patch and ring
- Testosterone does not cause heart attacks in older men reports new study


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The Pirate Bay Proxy, a popular work around to access the Piratebay website which was banned in the UK has been shutdown amid claims that the music industry has threatened litigation.
Traffic stats point the proxy as being the 133 most visited site in the UK. No word has been released on what prompted the takedown, but the Pirate Party is set to release a statement soon.
It's no surprise that the proxy was shutdown, as UK courts ordered ISPs to block The Pirate Bay back in April. This forced millions of users to seek out torrent links elsewhere. More workarounds have popped up but we are sure that it is only a matter of time before they are shut down as well.

subset: commoncrawl


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Twelve students from Hillsborough Community College went to the Florida College System Activities Association on January 23rd and spent three days making music with fourteen other colleges from the sunshine state. Sabrina Cotton, Ivy Knowles and Hailey Hall participated in the Symposium Orchestra under the baton of Dr. William Wiedrich. The students went through five pieces in four rehearsals, each lasting 3 hours. During the rehearsals they were also treated to Dr. Wiedrich's inimitable teaching as he gave instruction in bowing techniques, intonation and tuning, conducting techniques, music history concerning the program material, and his wonderful sense of humor!
Franz Schubert
arr. Cerulli
Christian Feliciano, Antoinette Fahie, Nikson Restituyo, Juan Tellado, Juan Delgado, Wrandy Ayala and Jasmine Arguella rehearsed and performed with the Symphonic Band under the direction of Bryan Braue.They participated in the same rigorous rehearsal and performance schedule as the orchestra.
Rebecca Main and Emily Mobley participated in the chorus under the direction of Dr. James Bass .
Lift Every Voice and Sing
Christian Feliciano, a student of Valerie Gillespie, shared first place in the Artist Competition with Megan Natanski, a student of Barbara Prescott, St. Petersburg College, in the woodwind division. He performed Ballade by Henri Tomasi and he and other winners of their categories received tuition waivers to the university of their choice in the state of Florida.
Congratulations to Christian Feliciano!!


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text: Aug 15, 2014 00:06 New Orleans' Sid Theriot recalls surviving Junction Boys boot camp New Orleans' Sid Theriot recalls surviving Junction Boys boot camp Sid Theriot of Mandeville, left blocks for fullback Don Kachtik, in a photograph taken in 1954 during the first training camp under coach Bear Bryant at Texas A & M. The 'survivors' of the camp have been named the Junction Boys. Advocate staff photo by SCOTT THRELKELD - The Junction Boys ring of Sid Theriot, photographed Tuesday, July 22, 2014 at his home in Mandeville. Theriot is one of the Junction Boys, Texas A&M football players who 60 years ago survived coach Bear Bryant's first camp with the Aggies. Sid Theriot of Mandeville, in a photograph taken in 1954 during the first training camp under coach Bear Bryant at Texas A & M. The 'survivors' of the camp have been named the Junction Boys. Head coach Bear Bryant poses with players Lawrence Winkler, left, Sid Theriot of Mandeville and Jack Pardee in 1954 in Junction, Texas. Players that 'survived' Bryant's first training camp with the Aggies have been named the Junction Boys. Advocate staff photo by SCOTT THRELKELD -- Sid Theriot, photographed at his home in Mandeville last month, is one of the famed 'Junction Boys' - Texas A&M football players who 60 years ago survived coach Bear Bryant's first camp with the Aggies. BY MARTE MULÉ| Special to The Advocate Aug. 9, 2014; 11:53 p.m. Comments The message in the memo sounded good to Sid Theriot. His football team was going to camp to get in some workouts before the season started. The notion of a leisurely paced schedule to get their football down, then relaxing or frolicking with his teammates appealed to Theriot, especially after a summer of working from sun up to sun down in the broiling Louisiana heat in Terrebonne Parish on the family sugar cane farm. "It sounded pleasant,'' Theriot said. What it turned into was a notorious 10-day episode that became the stuff of legend, the subject of books and movies, the college football equivalent of the Bataan Death March. It's 60 years now since Theriot and his teammates — including future All-Pro linebacker Jack Pardee and end Gene Stallings, who became a national championship college coach — embarked on the seminal experience of their lives, though Theriot said there was too much Hollywood in the way it was portrayed by some authors and on the silver screen. Still, Theriot concedes, it was pretty harrowing. From the day the unsuspecting Texas Aggies boarded their buses — with an assistant coach standing in the aisle holding up several strips of tickets, saying, "You boys listen up. Any of y'all who want to go back home just see me. I got plenty of bus tickets. Be happy to give you one.'' — Theriot and the other "survivors'' would have a recognizable designation in the sport: The Junction Boys. Bear Bryant, then a young fire-breathing coach, took his first Texas A&M football team to a preseason bivouac 300 miles from College Station to drought-sapped Junction, Texas, a remote, blazing patch of parched land covered by a sky sometimes filled with circling turkey buzzards looking for carcasses. It was described in Jim Dent's book "The Junction Boys'' as an apocalyptic scene. The temperature when the Aggies arrived was reported to be 114, and for the next 10 days it seldom dipped below 100 during the day. The camp looked like an old army base, but, as Bryant wanted, it was away from prying eyes, like the press (except for one sportswriter working his way through college, Mickey Herskowitz) and relatives of the unsuspecting players. Herskowitz wrote that Junction was about an hour from the nearest neon sign. Bear's boot camp Housed in 20x18 Quonset huts with concrete slabs for floors; with corrugated roofs, the team had to rise at 4 a.m to practice — on what was best described as an unlined rock yard with cactus and gravel, littered with sand spurs — before breakfast. Another session or two was held in the searing heat (with water breaks forbidden) during the day. The players flopped onto their cots after meetings at 10 p.m. Quarterback Elwood Kettler later said he hated going to bed at night because he'd wake up before dawn and his garb would still be wet from practice the night before. There were dislocated fingers, broken back bones, fractured ankles, even a bloody broken nose administered by a head butt by Bryant, a profane, backwoods taskmaster on his way to becoming a coaching colossus. Those indispositions never stopped practice under the driven Bear, who had dismissed a doctor and took along a student trainer — just in case of emergencies.. The one incident Theriot said he'll never forget was when lineman Billy Schroeder was running downfield, started getting wobbly, then went down in the dust with his face turning blue. He had to be sent to the doctor 50 miles away where he was packed in ice for his heat stroke — and had an out-of-body experience. The first thing Schroeder said when he was revived was, "I'm sorry, coach Bryant, I really am.'' "I'm sure he wouldn't do it this way today,'' Theriot said of Bryant. "But he wanted us to learn football his way. Tough, with players who wouldn't quit when things turned against them.'' Schroeder fit that mold. A couple f days later, against the strong wishes of his parents, Schroeder returned full bore to practice. Theriot said he knew exactly what Bryant was trying to do: instill some discipline into a team he thought needed some. "He was a man with a big heart, but he was also a man who had nothing else in life but football. No golf, tennis, no hobbies, just football. And he wanted to be the best at coaching football, and he wanted to squeeze the best out of the players he had.'' None of that bothered Theriot if it helped keep him from his goal: never returning to the family sugar cane business. "That was much worse than any football practices,'' he recalled. Theriot's road to A&M Theriot, a senior when the Saga of the Junction Boys was played out, left his own mark. The first All-State player from Terrebonne High, Theriot was trying to find a way out of the family business in Gibson. "I just wanted to get off that farm,'' he said. "That sugar cane business was back-breaking work, never any time off. It just was not for me.'' His high school coach, Buck Seeber, talked to his young lineman and asked if he'd ever thought about college. Theriot was excited at the prospect. Seeber said he'd look around. LSU didn't recruit him, and Tulane made just a cursory pass at him. But Seeber called back with the perfect prospect: Texas A&M. "I thought I wanted to be an engineer,'' he said. "So that sold me right off.'' Theriot played three years under Ray George before he heard a change in the head coach was being made, and that Bryant, who had transformed Kentucky into a football power, was coming to College Station. There's a certain misconception about the early '50s A&M football, that the Aggies were so bad they needed to take drastic action, which was the hiring of Bryant. Not necessarily so. George was a good coach, leaving A&M with a rebuild-mode 12-14-4 record. During his tenure, his teams beat such national powers of the time as Bud Wilkinson's Oklahoma Sooners; Red Sanders' UCLA Bruins; and in 1953, his last season, Bryant's Kentucky Wildcats. George went on to be an assistant on three Southern Cal national championship teams. Cupboard not bare for Bear In any case, Bear wasn't exactly finding the completely empty roster that Bryant lore would have us believe. There were good players on hand, even all-conference players, such as lineman Fred Broussard, another Louisianan who was the face of the dozens that quit or was told there were no spots for them. Broussard, from DeQuincy, who once bear-hugged a Coke-machine in the A&M dorm, carried it up a flight of stairs, and brought it to his room for cold refreshment for a week, crossed Bryant once too often when he walked off a practice, ignored Bear's yells to come back, then tried to get into the dining hall that evening. Bryant stood up and told the player he must have taken a wrong turn, that this was for Aggies football players. The next day, Theriot's wife, Loanalee, found Broussard, a good friend, sitting on the steps of married students apartments in College Station. "What are you doing here, Fred?,'' she asked. "You're supposed to be with the team.'' He said simply, "No, I'm done here.'' Broussard transferred to Northwestern State in Natchitoches for his senior season, then played a couple of years of pro ball. Dozens of other Aggies quit, most sneaking out of the Junction camp in the middle of the night. There was a time when several quit in broad daylight, and Bryant stood by the entrance, shook the hands of each and told them, "Bless your little ol' heart.'' Here again there is a certain misconception,'' Theriot points out. The story goes that well over 100 players made the trip to Junction. Theriot says a lot of players were cut in the spring, long before the preseason camp. "There were 81 players on the two buses that took us there, and 35 were on the one bus we needed to get back. That's a lot of attrition, but not what Hollywood would have you believe.'' Also, Bryant did not just cast the quitters adrift, either before or during the Junction experience. He let them keep their scholarships if they would help around the program, doing odd jobs like cleaning the locker room, cutting the grass, lining the field, etc. "He didn't just cut them loose,'' Theriot said. No thought of leaving The thought of leaving was never in Theriot's mind, even in the worst days at Junction. "I was just a few months away from getting my degree (in education after switching from engineering), and I wasn't going to let a few hard days stop me from graduating. I wasn't going back to that farm.'' Finding his way back to Louisiana, and having played under both Seeber and Bryant, his career choice was no surprise: coaching. Theriot became head coach at St. Paul's in Covington on the north shore of New Orleans. Then in 1967, he became the first coach at Mandeville High, where along with teaching math and, later, serving as assistant principal, he guided the Skippers to several district titles. You would think after playing under two such outstanding mentors that Theriot would have emulated their coaching methods. "Maybe at first I tried,'' he said. "We just didn't know better than to forbid water breaks, but that changed.'' There was something different about Theriot, too. He couldn't intimidate others just by walking into a room, like Bear. Bryant was 6-foot-2, 220-pounds, larger than most of his players. The 1954 Aggies football averaged 182 pounds. Theriot at guard was bigger than most of the Aggies at 5-foot-10, 187 pounds. "Today, I wouldn't be big enough to be the water boy,'' he chuckled. Clearly, though, he left his own imprint. The football stadium at Mandeville High is today emblazoned across its top tier with the inscription "Sid Theriot Stadium.'' An insight into Bryant Amid whoops and hollers, the Junction Boys, all 31 of them, were told they were going home. There was the usual boyish pranks and goofing off to let off steam. They had survived. They boarded buses to go back to College Station on Sept. 9. Now the Aggies were ready to play Bear Bryant football. But not the kind of football Bryant would become renowned for. The Aggies lost their opener to Texas Tech 41-9, then eight of their next nine, beating only Georgia 6-0. In 38 years of coaching, this was the only losing season Bryant endured. There was a glimmer of hope in the 1-9-0 season, however. A&M lost five games by a total of 21 points, and had a chance in the fourth quarter to take the lead in every one of the defeats after the opener with Texas Tech. That season did provide an insight into Bryant, though. After losing to a well-regarded Oklahoma State team 14-6, Bryant warned his coaches not to raise their voices to the players. "I'm the cause of their not playing well,'' he said. "I took it away from them in practice.'' "He really was so different at different times,'' said Loanalee Theriot, who recalled sitting in the stands at practice with another wife as the snarling, snorting Bear was getting his team ready for practice. A concerned-looking assistant warned them to leave, that coach Bryant was coming and he didn't want anybody watching his practice. Yet when the season was over, Bryant gave a get-together at his home for his boys with a special treat for his Cajun couple, the Theriots: boiled shrimp and cold beer. It was a special time and place for Sid Theriot, whose membership in the exclusive Junction Boys fraternity is apparent in his home workspace, filled with A&M pictures, footballs and memorabilia, including a precious maroon stone ring linking him forever with his teammates. Bryant, too, deeply felt the bond. The man who later won six national championships and retired as college football's all-time winningest coach, said the '54 Aggies were his personal favorite of all his teams. Bryant, who seldom wore jewelry in life, was buried wearing his Junction Boys ring. Get The Advocate in your inbox Subscribe


text:
Do you have a plan in place to receive customer feedback about your items or purchase experience?
My policy is to send a customer feedback survey email (a few weeks after mailing the order) with multiple choice questions that the customer can easily fill out and return email to me. I track the responses on an Excel spreadsheet.
Here are some of the comments that I received from a bride who purchased bridesmaids drop earrings from me:
How did you find the item you purchased? Google
How would you rate the customer service? Excellent
What is the best feature of the item? Drop Earrings
Did you buy it as a gift? For whom? My bridesmaids and my mum
Did you receive your order in a timely manner? Yes
What comments about your purchase may I use on my Blog or website?
Great service, great price, great product. Overall a very easy buying experience
Would you refer me to a friend? Yes
Other comments: Thank you the girls loved them :)
Your turn: How do you receive and record customer feedback? Do you offer a coupon code or other customer rewards?
Wednesday, February 06, 2013
Customer Feedback Survey
Posted by Linda Blatchford at 4:30 AM


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Several years ago, when I was going through a challenging time, my mentor, author, and First Lady, P. Bunny Wilson, shared a practice with me that literally transformed my life. She calls it FLY time. FLY is an acronym that stands for First Love, Yes! In Revelation 2:2-4, Jesus tells the church at Ephesus that He knows their works and labor for His sake, however, He goes on to say: "Nevertheless, this I have against you, that you have left your First Love." FLY time simply calls us to say yes to God, our first love, and put Him first, every morning.
We were created to have intimacy with God. Let's go back to the beginning. In Genesis 2:25, Adam and Eve were naked before God and were not ashamed. God's intention for us has always been to have a deep, unrestricted intimacy with Him, with nothing between us. God created us to interact with Him on a personal, intimate basis. Sin destroys the intimate communion God originally designed for us to enjoy. It creates a painful emotional distance between us and God. In Genesis 3:8, after Adam and Eve sinned, when they heard God walking around the garden, they hid themselves. Seeking to commune with Him daily through the Holy Spirit, restores that communion. In Psalm 23, God tells us that He leads us beside still waters and restores our soul.
We must stay continually connected to our "power source" so that we remain energized to do His work. You see, if we are not working in His power and strength, we will soon get burned out, discouraged and disconnected
FLY time, in essence, is tithing our time back to God. It is offering an even more precious commodity than our money. It is offering ourselves totally surrendered and available for God to accomplish His purpose in our lives. It's not about you! God created you for His pleasure and purposes; for intimacy with Himself. Developing that relationship should be your top priority.
For example, I'm up on average for 16 to 17 hours a day. So, I get up early enough to spend an hour and a half every morning maintaining that vital connection to God. Now, before you say: 'It doesn't take all that. I can talk to God throughout the day, or I can pray and read the Word at night,' let's examine the importance of starting your day with God.
- First, if you're like me, at the end of a busy day, I'm exhausted, just wiped out. I would attempt to read the Bible at night with one eye open. Soon the Bible would be reading me. Like bread, that's fresh in the morning, by night it's stale and so are we after a hectic day. It was hard for me to get up early at first until I saw the immense peace and blessings that flowed from it. Now, I look forward to it. It is, without question, the best part of my day.
O, God. You are my God. Early I will seek You; My soul thirsts for You, my flesh longs for You, Psalm 63:1
- We are our freshest and best in the morning. We expect God's best. Why not give Him our best? Our best requires sacrifice!
- Seeking God first thing in the morning makes him your top priority of the day and if you don't prioritize your day, your day will prioritize you! If God is first every day, there's nothing that can bump Him off your schedule.
- Probably the most important reason to start your day in God's presence is because this is where spiritual greatness is born. Jesus Himself started His day in prayer to God because this was His power source. This is where He went to be directed, restored and replenished.
Now, in the morning, having risen a long while before daybreak, He went out and departed to a solitary place and there, He prayed, Mark 1:35
- Starting the day with God sets the tone for your day. Starting everyday with God sets the tone for your life!
Now, that we've hopefully settled the necessity of giving God the first part of your day, let's move on to the seven components of FLY time.
1) WORSHIP – Worship is not part of your life, it is your life. We were created for God's pleasure and worship brings Him pleasure. Worship is reverence, extravagant respect and devotion to God. Pouring yourself out to God pleases Him. When we fulfill our purpose of worship our spirit is refreshed because that is the way God designed it. John 4:23 says: "The hour is coming when true worshippers will worship the Father in Spirit and in truth." God seeks people who will worship Him according to the truth of the Scripture and the power of the Holy Spirit. It is in your worship that you receive revelation knowledge and power.
2) PRAISE – Psalm 150 says: "Let everything that have breath praise the Lord!" 1 Thessalonians 5:18: "In everything give thanks for this is the will of God in Christ Jesus for you." Even in tough times, give thanks and praise knowing that God is in control and He will work everything together for good for those who love him and are called according to His purpose (Romans 8:28). When I think of how much God loves me that He sent His only begotten Son to die so that I may have everlasting life (John 3:16), I'm just overflowing with thanks and praise. When I let my mind wrap around the fact that He spoke everything that exists into existence with such precision and magnificence (the solar system, the eco system, the human body, etc.), I am just in awe. There is nothing too hard for God. Praise puts our focus on God and His awesome power, not our problems.
3) CONFESS AND REPENT – 1John 1:9 says "If we confess our sins, He is faithful and just to forgive our sins and cleanse us from all unrighteousness." That is His promise to us. Willful sin short circuits your faith and affects your intimate relationship with God because feelings of guilt creep in. Confession allows us to keep unbroken communion with God. There are no attempted secrets. Everything is out in the open. (As if we could ever hide anything from God in the first place.)
4) PRAYER – 1Thessalonians 5:17 says: "Pray without ceasing." This is how you communicate with God. It must become instinctual and automatic whenever you meet trials and when you need direction, which is every day. Prayer is the biggest timesaver. Since God knows everything, ask Him to direct your steps. He wants to answer your prayer. You have but to ask. Mathew 7:7 says: "Ask and it shall be given to you. Seek and you shall find. Knock and it shall be opened to you." Pray not only for yourself but intercede on behalf of others. Remember, the prayers of the righteous availeth much. More important, prayer gives us God's perspective on any situation. Prayer is where you will do your most effective warfare. Fight your battles on your knees and win every time. Prayer works!
5) MEDITATE IN THE WORD – Don't just read the Bible, devour it! Memorize it! Psalm 119:11 says: "Thy Word I have hid in my heart that I shall not sin against Thee." Joshua 1:9-10 "The Word of the Law shall not depart from your mouth. You shall meditate in it day and night. Then you shall make your way prosperous. Then you shall have good success." Meditating in the Word is God's promise for success. Hebrews 4:12 says "the word of God is living and powerful and sharper than any two-edged sword piercing even to the division of soul and spirit, joints and marrow and is a discerner of the thoughts and intents of the heart." So, in this marvelous Word, you will not only learn who God is but you will also see who you are and if you're like me, you'll see some things that you won't like at all and you'll be forced to deal with them. In John 8:31-32 Jesus says "If you abide in my Word, you are my disciples indeed and you shall know the truth and the truth shall make you free." Trying to live without studying His word is like trying to put together a complex piece of machinery without the instruction manual and guess what? It just doesn't work!
6) LISTEN – Sit and listen to God's still small voice. Psalm 46:10 says: "Be still and know that I am God." God's voice won't compete with any other voices so shut down your mind and thoughts so you can hear the voice of God. Jesus said: "My sheep know my voice." When someone first told me that God told them to do something, I thought. 'I've never heard God talk to me like that.' Apart from the work of the Holy Spirit, we cannot hear from God. You are to listen humbly, submissively and completely dependent upon the Holy Spirit to reveal God's truth to you. If you are unsure if the Holy Spirit is in you, please read the section called: The Most Important Thing. There is no mistaking when you've heard from God. You get an unction in your spirit that is undeniable and even if it's something you don't want to do, you will have a sense of peace. God's voice will always line up with His Word. Hearing God speak to us is life's greatest blessing.
7) OBEY! – Immediately. Faith without works is dead. Delayed obedience is disobedience. Charles Stanley says: "Obey God and leave all the consequences up to Him." Think about it. Who better to handle the consequences of your actions than the all knowing, all powerful, loving God of the universe, Who has your best interest at heart? Once you truly understand how unconditionally God loves you, you'll find it much easier to obey.
And there you have it. Seven steps to a deeper relationship with God. Remember, this takes time and begins with one important step; accepting Jesus as your personal Lord and Savior.
For God so loved the world that He gave His only begotten Son, that whoever believes in Him shall not perish but shall have everlasting life, John 3:16
Jesus stands at the door of your heart and knocks. He won't force His way in, though. You must open the door and let Him in. Once you believe in your heart that Christ died for your sins, you may pray the prayer of salvation: "Lord, Jesus, come into my life. Forgive me of my sins. I believe you died and rose from the dead for me. Save me and be Lord of my life. Amen."
If you confess with your mouth, the Lord Jesus and believe in your heart that God has raised Him from the dead, you will be saved, Romans 10:9
Now, the Holy Spirit, the Helper, the Counselor and Comforter sent by God, will come to live inside you and enable you to live the life God has created you to live. You can't do this apart from Him.
However, when He, the Spirit of Truth has come, He will guide you into all truth…," John 16:13
In order to FLY (First Love, Yes!) you must DIE (Death to an Independent Existence) apart from God.
Just imagine what you could accomplish if you were to FLY every day. Now, imagine what your family can accomplish… your friends, community… I'm just crazy enough to believe that we can start a FLY movement. Imagine people all over the world waking up to spend time with God, turning off the TV, radio, internet and i-pods in order to hear that still small voice that won't compete with the voices of the culture. Imagine people answering the call, moving in their purpose and blessing other people. We could wipe out hunger, eradicate AIDS, do away with homelessness, reverse the horrible statistics in our community and transform this world into the Kingdom God created it to be all because we said yes to our First Love.
Recommended books for FLY time:
Jesus Calling: Enjoying Peace in His Presence by Sarah Young
Intimacy With The Almighty by Charles Swindoll
My Utmost for His Highest by Oswald Chambers
Humility, Beauty of Holiness by Andrew Murray
The Charles F. Stanley Life Principles Bible by Nelson Bibles
Bait Of Satan:Living Free From the Deadly Trap of Offense by John Bevere
The Purpose Driven® Life: What on Earth Am I Here For? by Rick Warren
On Being a Servant of God by Warren Wiersbe
A Call to Die: A 40 Day Journey of Fasting from the World & Feasting on God by David Nasser
A Place of Quiet Rest: Finding Intimacy with God Through a Daily Devotional Life by Nancy Leigh DeMoss
How to Hear From God: Learn to Know His Voice and Make the Right Decisions by Joyce Meyer
Most Important Person On Earth by Dr. Myles Munroe
Living the Extraordinary Life: Nine Principles to Discover It by Charles Stanley
This Present Darkness by Frank Perretti


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Minister of Interior Prince Nayef bin Abdulaziz held a press conference in Riyadh yesterday, and reiterated the Kingdom's stance towards terrorism as consistently against the killing of innocent people and the destruction of property. He observed that the Kingdom has been targeted by terrorists, dating back even before the attack on the Holy Mosque [in 1979], an event he described as among the most horrible of terrorist acts. Saudi Arabia's position on terrorism is therefore not new, nor the outcome of what happened in the United States [on September 11], the Kingdom's reaction to which is in accordance with that position. That the Kingdom is against terrorist acts should be obvious to anyone who understands Islam.
Prince Nayef pointed out that over ten years ago, Saudi Arabia worked with other members of the Gulf Cooperation Council (GCC) to forge a strategy to combat terrorism. In 1998, the Kingdom signed the League of Arab States' agreement on fighting terrorism, which reflected the Arab consensus on the definition of terrorism and ways of combating it. At that time, he said, the Arab ministers of interior and justice jointly issued an appeal to the international community, and to the United Nations, to conclude an international agreement to combat terrorism; regrettably, there was no response to this call. Meanwhile, he said, the Kingdom has been concluding bilateral agreements on fighting terrorism, citing the recent accord with Iran.
Commenting that certain Saudi nationals accused of involvement in terrorist acts are working against their own country, Prince Nayef declared that the Saudi people are faithful Muslims who respect human life, honor, and property. Security in the Kingdom, he said, will always be strong and firm. He expressed regret for the inappropriate and unjust treatment of a number of Saudi citizens abroad following the attacks, but this, he said, is understandable in the situation, and such treatment is being addressed. Saudis overseas are there as students, patients, businessmen or tourists, he said, adding: "Some Saudis might or might not have been involved (we haven't had any confirmation yet) but maltreatment of a whole nation cannot be justified by the acts that individuals have committed."
Prince Nayef went on to remark that if Arabs and Muslims are involved in these terrorist acts, it should not be forgotten that they have been driven to them by the unresolved issues from which the Arab world suffers, chief among them the cause of Palestine, where innocent people are being killed and their houses destroyed by Israel, which uses its strength of planes, tanks and weapons against people who defend their homeland with nothing but stones. As long as Palestine is subject to aggression and injustice, he declared, all nations of the world must clearly commit themselves to justice and what is right: Palestine should not be erased from the map; it should remain the homeland for its people; and there is a need to differentiate between the Palestinian struggle and terrorism.
Answering questions following his statement, Prince Nayef confirmed that the Arab League agreement on combating terrorism could be the basis for a more comprehensive international agreement. He expressed the hope that an international conference would be held to discuss this.
Commenting on Osama bin Laden, Prince Nayef stressed the Kingdom's categorical rejection of him as a Saudi citizen, pointing out that his Saudi nationality was revoked many years ago. Saudi Arabia is totally against the acts that have been committed by bin Laden or his associates. Moreover, he added, bin Laden's opinion of the Kingdom is well known; he is a terrorist, and stands against the country that was once his home.
Concerning the Kingdom's role in the international efforts led by the United States against terrorism, Prince Nayef declared: "We will support and participate in any international efforts in this respect, and we would like to make it clear that we are against all forms of terrorism." Asked if the U.S., as a supporter of Israel, can play a fair role in combating terrorism, he said the position of the U.S. and of many European countries is not fair with regard to the Palestinian cause. These countries, he said, must revise their position, otherwise the problems will continue, since Israel constitutes a source of instability in the region.
As for Saudi Arabia's humanitarian relief efforts, they, he said, will not change. They will go to Muslims in need wherever they are, but, he said: "We will make sure that the relief assistance goes directly to those who genuinely deserve it."
Meanwhile, Prince Nayef today issued directives to extend all possible facilities for Afghani nationals residing in kingdom, especially regarding issuance of travel documents or iqama (residence permit) renewal. This gesture was made in recognition of the sufferings of the Afghani people caused by international circumstances following the recent terrorist attacks in the United States.


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Advice from Jason Cohen, founder of WP Engine & Smart Bear Software.
Wordle is fun!
It's also instructive. It's clear I write more about marketing and business than about software development. I didn't intend that at the outset, but there it is!
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A community meeting on Monday will focus on the management of Mount St. Helens and accomplishments during the past year.
Stakeholders will be invited to discuss what progress has been made on the Mount St. Helens National Monument, using an earlier strategic investment plan. Recent changes at the mountain include a new outdoor amphitheater and other facility upgrades. The former Coldwater Ridge Visitor Center also reopened as a science and learning center.
The monument, within the Gifford Pinchot National Forest, operates under the watch of the U.S. Forest Service. Its management has been the subject of debate for years.
Monday's meeting is from 5 to 7 p.m. at the Gifford Pinchot forest headquarters, 10600 N.E. 51st Circle in Vancouver.


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Did you come here looking for book reviews? No worries, you're almost in the right place! Head over to my book blog, Ting's Mom Books, by clicking here, or by clicking the "I'm Reading" tab above.
Wednesday, March 6, 2013
Insulated No-Spill Flip-It
For quite a while now Ting has used a "big girl cup" when we sit down for dinner. We are all at the table, things are pretty calm, and she does a great job with her cup.
But lunch and around the house are a completely different story. At lunch time Ting typically sits at the table alone while we are doing other things around the house. She also has a habit of leaving her drinks sitting around the house during play time. With Bug all over the place these days, drinks get spilled frequently.
So, I was thrilled to see the Insulated No-Spill Flip-It in my Nuby Mommy box. This cup comes in handy in so many ways.
The straw design makes Ting feel like she is still drinking from a "big girl" cup. But, the straw has a no-spill design to keep the liquids inside the cup.
I also love the flip-it top. The cover simply folds the straw down and creates a smooth surface on the top. So when Bug gets his hands on this cup, not only does he not spill it, but he also doesn't chew on his sister's straw.
This cup is also insulated so it keeps Ting's drink cool (or warm) for longer than a regular cup would. Plus, the design keeps the cup from sweating all over the table and furniture.
We are really enjoying the Insulated No-Spill Flip-It cup at our house. Ting got the pink cup with a flower design, but the cup also comes in five other colors and designs.
Think you might want an Insulated No-Spill Flip-It at your house? You can buy one at Buy Baby Direct, WalMart, Diapers.com, and Amazon.
Want to find out more about Nuby products? Go hang out with them on Facebook, Twitter, Pinterest or Instagram.
Disclaimer: I am a Nuby Mommy Blogger. I did not receive compensation for this post, but I did receive free products for my use and review. All opinions are my own.
Karen W
Labels: Insulated No-Spill Flip-It , Nuby Mommy Blogger


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WASHINGTON, DC (Ivanhoe Newswire) --- In the 80s, the war on drugs focused on ridding the U.S. of illegal narcotics like crack, cocaine, and heroin. In 2012 we're in the midst of a different kind of drug war, fighting to get the ones many people need. Now, experts on the front lines of the ongoing struggle with prescription drug shortages.
Metal shards, glass shards and fungus growing in IV bags.
"I think the public has a right to be dismayed and outraged," RADM Sandra Kweder, M.D., deputy director of CDRR's FDA' s office of new drugs, told Ivanhoe.
Doctor Kweder heads the FDA's office of new drugs. She says quality control in manufacturing plants is causing nationwide recalls and massive drug shortages. A lack of raw materials, closures and consolidations among drug-makers and low profit margins on certain drugs have also added to the problem. According to the American Society of Healthcare System-Pharmacists we've seen shortages just about quadruple from 74 in 2005 to 267 in 201.
"We are in the midst of what we see as a crisis," Dr. Kweder said.
Pharmacists and the FDA have websites to help healthcare professionals monitor the situation. Almost every day, more drugs show up in short supply. The problem's hit every drug class, but the majority are generic sterile injectables. Medications used in everything from giving sick babies the nutrition they need to surgical anesthesia to cancer treatments. A government report finds while the injectables make up only a small percentage of the overall prescription drug market in 2011 they accounted for 74 percent of drug shortages.
"We really saw it spike in the last 12-18 months," Gene Rhea, Pharmd, manager: procurement, distribution and repackaging of the department of pharmacy at Duke University Hospital, explained.
Rhea says some of his colleagues compare it to working in a third world country.
"On a daily basis, we probably only get in about 60 to 70 percent of the products that we order," Dr.Rhea said. "I probably spend more than 50 percent of my time managing drug shortages."
A recent survey found shortages cost U.S. hospitals 216 million dollars a year as they're forced to buy more expensive alternatives
"It's kind of the new norm," Dr. Rhea said.
Doctor Rhea says for many patients, including ovarian cancer patients on Doxil, it's led to rationing.
"Patients were put on waiting lists and it was a very difficult situation," Dr. Rhea said.
Production by a Johnson and Johnson contractor ceased late last year. The shortage continues to this day. A spokeswoman tells us, the company regrets the circumstances and officials "Remain focused on returning a reliable source of medicine as rapidly as possible." But getting Doxil and other crucial drugs back on track will take time.
"It didn't get this way overnight, and we're not going to fix it overnight," Dr. Kweder said.
"It's not going away. It's really kind of reached a steady state," Dr. Rhea said.
A state many can't believe we've reached in America.
"Who would have ever thought we'd be in this position?" Dr. Kweder said.
Reports attribute the drug shortage to only 15 deaths in the U.S including one man who died because the only antibiotic he responded to wasn't available. But Kweder says it's hard to figure out how many have been impacted by the shortages. She guesses the number to be in the hundreds of thousands if not millions.
>Click Here for a free weekly email with Ivanhoe's latest Medical Breakthroughs.
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Chocó, is a state in Colombia located on the Pacific coast. This video is made by Chocó's Office of Strategic Communications and features policemen stepping up to the rap game. It has the cops raiding premises, interacting with regular citizens while girls shake their booties to the sick beat of the song.
See it for yourself.


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Get the latest Flash player
Views: 908
Runtime: 2:10:00
Added: 7 years ago
Monique's Sexaholics
Monique is on the search of finding hardcore Sexaholics that will do anything for a ball! She was able to find seven ebony Sexaholics to show her what they were willing to do for a good time!
Studio: Heatwave | Production Year: 2007
Tags: black interracial all-sex
Categories: Ebony Interracial Teens


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Hello All,
I have created a SD and trying to move to billing its showing the message No billing documents were generated. See log
Message No is:VF032
could any one help me out why this happens even though we hav created a SD.
Will Appreciate your help.
Pls. check what does the log say - go to Edit -> Log. Pls. revert back.
XXXXXXXXX 000010 Date 20100916 has already been billed (billing plan).
Is the Log content.
XXXXXX is SD No and
0000010 is Item Number of SD
dear sahmedw
check document flow. the billing document already created against to your sd document.
A Billing document has already been generated for this sales order for this item in the billing plan.Check the document flow or check the follow on document in VBFA table.
System will refer to all the milestones in the billing plan of sales order. May be your first milestone was billed. If you are trying to bill for other line item, please check whether the new milestone has been attached to it.


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This is the presentation about managing international CRM projects from the lecture I gave at the CRM Evolution Conference. One of the key points I presented was the ability to have address and name formats within your CRM software. What this means? Then when you select the country for the contact, your CRM software will allow you to have the specific name, telephone and address attributes for the contact, prospect and account/company. This will allow you to improve your de-dup logic and have better data for customer segmentation.
Agile and Scrum could be an option to quickly implement you CRM software in different regions but you need to have a master plan, you need a strategy. And look at your best practices and compare them with the local requirements - US-centric best practices in processes and functionality do not translate into best practices in some regions.


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A Prairie Home Companion with Garrison Keillor
The View From Mrs. Sundberg's Window
Patience brings good things
August 8, 2011
Listened to the show Saturday and it was not bad. Mr. Sundberg is away on a fishing trip to Canada and won't be home til the weekend. We'll have a few days together and I'll get on a plane for my own fishing trip to Alaska with my father, who has been going halibut fishing every summer for a week in the Gulf of Alaska these past few years.
I'm no experienced fisherperson, to be sure. I fished with cheap poles and bobbers in the lakes of my youth, and know how to bait a line, cast, set the hook, reel it in, and remove the fish. Even if it's swallowed the hook. But I have never pulled in anything bigger than 18 inches or so, as I recall. I'm not sure how successful I'll be reeling in a halibut, especially one as big as I am, which I plan to catch, but I'm not losing any sleep over it. Seems there is much more to fishing than the fish, anyway.
Like cultivating patience. Good fishermen and women seem to know this. You sit and wait, and wait some more. And you develop defense mechanisms to ward off insanity while you wait. Distractions. I imagine this is why fisherpeople drink beer. And why conversations turn to the big questions, and why there are so many jokes told and stories shared. Patience brings good things, I tell my kids. My father taught me that. And so did Mr. Sundberg, bless his heart. Waited for him all my life.
These aren't Mr. Sundberg's favorite cookies, but they're right up there on the list of The Best Things to Eat. Serve 'em on a sunny afternoon with lemonade. Or beer, even. Why not. It's August in Minnesota, which means winter's on its way.
Cocomia Cookies
2 cups all-purpose flour
1/2 tsp baking soda
1/4 tsp salt
3/4 cup packed brown sugar
1/2 cup granulated sugar
1 1/2 sticks salted butter, softened
2 large eggs
2 tsp vanilla
6 ounces shredded, unsweetened coconut (about a cup)
7 ounces whole macadamia nuts (about 1 1/2 cups)
Preheat oven to 300º F. In a medium bowl, combine flour, soda and salt. Mix well with a whisk. In a large mixing bowl, blend sugars. Add the butter, and mix to form a grainy paste. Scrape down the sides of the bowl, then add eggs and vanilla. Beat until the mixture is light and fluffy. Add the flour mixture, coconut, and macadamia nuts to the sugar mixture, and stir until combined. Do not over-mix. Drop batter by rounded tablespoons onto ungreased cookie sheets, 2 inches or so apart. Bake for 22 to 24 minutes. Makes about 3 dozen.
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The View From Mrs. Sundberg's Window Archive
- Prime Time for Deep Thought
- Figuring Out Who We Are
- Wonder and Possibility and What If
- Some Things Work and Some Don't
- The Flour Hit the Fan
- Check Out the Flip Side
- Happy to be There, Happy to Leave
- The Real Comfort
- Where "Home" Comes From
- The Adventure Never Ends
- Not Quite Sex, but There is a Resemblance
- A Mazillion Small To-Dos Before School Starts
- You Never Know What Moment Will be a Golden One
- Be Mindful of the Route You Take
- One Fine Stretch of Days
- Just Be
- This Too, People, Shall Pass
- Mother Nature Will Have Her Way
- Letting Go is Tough
- A Fulfilled Life
- Consider Patience
- Life is Meaningful Because it Stops
- The Celebration of a Life
- A Monumental Act
- Smell the Flowers
- Boredom and Terror, and Sweetness
- An Exercise in Forgiveness
- It's Time to Get Out There
- A Wanted Woman
- Anything Worthwhile is Going to Take Some Effort
- Looking Back Toward Home
- The Journey Changes You
- So Much to Look Forward To
- Anything Worthwhile Deserves Patience
- Go With Whatcha Got
- This Land of Seasons I Love
- A Simple Question
- The change you wish to make
- Where words just don't cut it
- A nod to Pancakes
- When you're sick, you're sick
- A life lived is not about things
- I'm not put off by the thought of my own funeral
- The adventure of the ordinary day
- A lot we didn't get around to
- Where did Christmas go?
- Take Heart
- A table full up with Christmas
- Gifts can be a challenge
- You have each other to love
- The gift of the story of Three Perfect Strangers
- Gemutlichkeit
- For many of the best things in life, a person has to wait in line
- The things we can't not do
- Never met a perfect person
- Just ask a question or two
- What I get in return?
- Listen awhile, and you'll hear it, too
- A day of good hard work
- New friends vs. old friends
- There will be joy like this again in my life
- A lonesome place to spend some time
- Whatever makes you grow is gonna hurt somehow
- Hold someone close to you today
- A Postcard from Mrs. Sundberg
- For goodness itself, thanks
- How blessed can a woman be?
- All about purpose and meaning
- As it should be
- This is where the party is
- Our wants have changed and our needs are few
- A day may be perfect, but we aren't
- Nice to have home to return to
- How time moves along
- Feet are a funny thing
Complete The View From Mrs. Sundberg's Window Archive


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The new Ms. Marvel title forgoes cliche to create a relatable coming-of-age story that's easy to read but firmly set in the Marvel Universe. Simply put, read this book.
Kamala Kahn and her friend Nakia visit their friend Bruno at a corner store, smelling how good bacon is, then hurry to school when pretty blonde Caucasian Zoe comes in. The two girls quickly escape from Zoe's brand of pandering concern for small business and culture.
At night, Kamala brushes up her Avengers/My Little Pony fanfic, she has dinner with her parents and older brother (at least I believe that's what 'beta' means in Urdu). Her father says she can't go to a party; being a teenager, she sneaks out and goes anyway.
At the party, Kamala quickly grows frustrated with immature underage drunken antics, and walks off as a heavy fog rolls in. Everyone reacts differently, but our heroine starts to hallucinate; Captains Marvel, America, and Iron Man appear to her, warning to be careful what you wish for. Kamala comes to inside a cocoon, busting out...and looking like the classic Ms. Marvel. To be continued!
I am sold on this book. I may have been a few pages into it. It's full of charm, from the smart characters and dialogue to amazing artwork and coloring. Kamala is every admirable female teenage protagonist and completely unique in her own right. Everyone in their teens feels like they're trapped between worlds and unsure of who they are at some point. Being a Muslim in a predominantly white Jersey neighborhood actually puts her between two cultures, which means her identity crisis isn't inflated cliche drama; this is actually happening out there. It's Marvel stories being of the world today, just like the classics.
Of course, because it's Marvel a cloud of Inhuman Terrigen gas comes floating in and gives her powers. So the identity crisis gets ramped up, especially when she literally becomes Ms. Marvel. Honestly, the continuity bug in my brain started assuming this story took place in the middle of "Infinity," which means the world is at war with Thanos, but I told it to be quiet. This book is going to get a huge amount of buzz, not just for its quality but for its lead, so they made it new reader friendly. All you need to know going in is that Avengers exist. Got it? Read.
G. Willow Wilson and Adrian Alphona have created a great new series. It's part of Marvel, accessible, and fantastic. Subscribe to it.


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College Hockey:Lakers Finish Weekend Sweep Of Stags
ERIE, Pa. — Mercyhurst remained unbeaten in the Metro Atlantic Athletic Conference with a 3-1 win over visiting Fairfield Saturday night at the Ice Center.
The win improved Mercyhurst's record to 13-7-2 overall and to 12-0-2 in the conference. The Stags, who lost 3-2 Friday night, fell to 4-14-2 overall and 2-10-2 in the MAAC.
The Lakers got on the scoreboard first when sophomore Adam Tackaberry scored his eighth goal of the season on the power play at 5:20 of the second period. Tackaberry was helped by freshman Rich Hansen and junior Mike Muldoon.
The Stags tied the game on a power play of their own later in the period when junior Casey Laflamme beat Mercyhurst goalie Peter Aubry at 15:59. Aubry stopped the initial shot, but Laflamme fired home the rebound. The goal was assisted by sophomores Jonathon Wyson and Peter Hams.
The Lakers had killed 59 of their last 60 shorthanded situations before the Laflamme goal.
With the score still deadlocked midway in the third period, Mercyhurst freshman T.J. Kemp sprang junior forward P.J. Hiscock on a breakaway and the Mississauga, Ontario, native beat Fairfield netminder Craig Schnappinger at 9:18 to give the Lakers the lead. Sophomore forward Mike Carter put the icing on the cake with his eighth of the year at 14:00.
Mercyhurst outshot Fairfield 25-18 and is now 9-0 lifetime against the Stags. All three games this year have been decided by one or two goals, the Lakers having won 1-0 at Fairfield very early in the season. Mercyhurst finished 1 of 4 with the man advantage; Fairfield was 1 of 5.
The following is a self-policing forum for discussing views on this story. Comments that are derogatory, make personal attacks, are abusive, or contain profanity or racism will be removed at our discretion. USCHO.com is not responsible for comments posted by users. Please report any inappropriate or offensive comments by clicking the "Flag" link next to that comment in order to alert the moderator.
Please also keep "woofing," taunting, and otherwise unsportsmanlike behavior to a minimum. Your posts will more than likely be deleted, and worse yet, you reflect badly on yourself, your favorite team and your conference.


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Categories: Reviews: Equipment : Cameras : Other Film Cameras : APS Point and Shoots
he C400 Advantix camera from Kodak features point-and-shoot simplicity. Its 25mm glass lens and autofocusing let you take photos from 2.5 feet and beyond, and the flip-up flash fires automatically in low-light situations. The flash also fires away from the lens to reduce red-eye. The flash unit protects the lens when the flash is closed.
© Amazon.com and Its Affiliate, BetterPhoto.com
26 Reviews


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Pick up a copy of the March 2013 issue to read these and other articles.
Playing Defense
It won't be painless. But it's time to get smarter about spending on the Pentagon.
by Glenn Hunter
Highs & LowsA tongue-in-cheek look at what soared—and what skidded—in DFW business.
VerbatimMemorable comments culled from CEO Spotlight, a program on KRLD-AM (1080), at 6:20 p.m.
Star Turn
The family-owned Star companies prove connections help—in more ways than one.
by Art Stricklin
Legal Leader
Marilea Lewis helps run the largest law firm in Texas to have a woman as a named partner.
by Tara Nieuwesteeg
Ahead of the Market
Frisco-based MedSys Group Consulting is riding the health IT wave.
by Steve Jacob
Lorna C. Donatone
COO and Education Market President, Sodexo, Inc.
by Michelle Saunders
My Office: Christine Cook
President, Sleep Experts
As Told to Sarah Bennett
Smoke Signals
The rebranded Texas Cigar Brothers leverages the power of the Lone Star State.
by Glenn Hunter
Five Questions For: Brian Peccarelli
President, Thomson Reuters Corp. Tax & Accounting
by Glenn Hunter
The Driver's Seat: Aston Martin Rapide
Sticker Price: $224,645
by Glenn Hunter


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3 Nov 15:22 2007
[Jackit-devel] [PATCH] new jack_rdlock_graph () for null_cycle-less qjackctl client connections polling
Karsten Wiese <annabellesgarden <at> yahoo.de>
Hi, hope the subject says it all The null-cycles caused by qjackctl's client connections polling happen here with ccrma versions qjackctl 0.2.22 and jackd 0.103.0. Patch against 0.103.0 replaces pthread_mutex_t client_lock; by pthread_rwlock_t client_lock; , updates all existing users and introduces 2 new functions void jack_rdlock_graph (); and jack_try_rdlock_graph (); tested on fedora 7, no null_cycles anymore caused by qjackctl. That is, as long as the graph stays unchanged of course. Hope it applies to trunk as well. kind regards, signed-off-by Karsten ---------------------------------------------------------------------> diff -pur jack-audio-connection-kit-0.103.0_orig/jack/engine.h jack-audio-connection-kit-0.103.0/jack/engine.h --- jack-audio-connection-kit-0.103.0_orig/jack/engine.h 2007-04-01 00:26:35.000000000 +0200 +++ jack-audio-connection-kit-0.103.0/jack/engine.h 2007-11-03 12:32:14.000000000 +0100 <at> <at> -76,7 +76,7 <at> <at> struct _jack_engine { /* engine serialization -- use precedence for deadlock avoidance */(Continue reading)


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Iowa Items -- his best scores on one-meter (333.60) and three-meter (375.45) rank fourth and third, respectively, on Iowa's all-time best performers list.
2008-09 -- led team on one-meter (330.53) and three-meter (375.45) competition... the three-meter score ranks third on Iowa's all-time best performers list... placed 12th on one-meter (319.20) and 16th on platform (280.65) at Big Ten Championships... placed 15th on one-meter (575.95) and three-meter (646.00) at NCAA Qualifier... named Big Ten Diver of the Week Jan. 27 for his wins on one-meter (316.13) and three-meter (336.45) vs. Northwestern... posted wins on one-meter and three-meter three times each... did not finished lower than third during the regular season... letterwinner.
2007-08 -- named Big Ten Diver of the Week three times (10/23/07, 10/30/07, 1/29/08)... led team on one-meter (333.60) and three-meter (359.20)... the one-meter score ranks fourth in school history... recorded six victories and four runner-up finishes... placed fifth at Ohio State Invite in three-meter diving (359.20)... placed 16th on one-meter (298.25/256.25) and 12th on three-meter (300.10/298.00) at NCAA Zone C diving qualifier... "Lobby" Lobdel Diving MVP award... letterwinner.
2006-07 -- led team on one-meter (312.68) and three-meter (337.95)... won five duals... named Big Ten Diver of the Week for winning both one and three-meter events (283.00, 322.90) vs. Wisconsin and Wisconsin-Milwaukee.
High School -- named Best Diver of the Year in Netherlands as a junior... as a freshman was national champion on all boards in age group "B"... national champion as a sophomore on three-meter synchro in age group "A"... as a junior was national champion on three-meter and three-meter synchro in seniors... was national champion as junior and senior on all boards... placed fourth at 2004 European junior championships in three-meter synchro... placed ninth at 2005 World junior championships in three-meter synchro... club team was AZ and PC Amersfoort and club coach was Wessel Zimmerman.
Personal -- born January 1, 1988... son of Man and Sonja Van Dijkhuizen... business major
|vs. Western Illinois
|at Michigan State


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The New Orleans Saints waived rookie quarterback Chase Daniel on Monday to make room for kicker Garret Hartley, who returned from a four-game suspension. Team spokesman Greg Bensel confirmed the roster move.
Chances are, the Saints will try to re-sign Daniel to their practice squad if he clears through waivers.
It's not clear what role Hartley will play with the Saints now that he's back. The Saints are set with veteran kicker John Carney handling field goals and extra points, while rookie punter Thomas Morstead has excelled on kickoffs.
Most likely, Hartley will be de-activated on game days, at least in the short term.
The Saints don't want to cut ties completely with the strong-legged 23-year-old, who made all 13 of his field-goal attempts as a rookie last year. But it would be foolish to switch from the steady Carney now, especially considering the struggles Hartley was having in the preseason.
"I think John Carney has done a great job. He brings a lot to the table with his experience," Saints Coach Sean Payton said last week of Carney, 45, who has made six of seven field-goal attempts, with the only miss being blocked in Week 1 against Detroit.
Hartley learned of his suspension this summer. He said he tested positive for the banned stimulant Adderall, which he said he took to stay awake on a drive from Dallas to New Orleans earlier this year.
Daniel, who turned 23 last week, began this season on the Saints' practice squad, but he was activated before their Week 2 trip to Philadelphia to serve as the emergency third quarterback.
The Saints needed Daniel because their usual fail-safe option at the quarterback position is receiver Lance Moore, who went down with a hamstring injury in Week 1. Moore should be fully recovered by now, though, after returning on a limited basis two weeks ago against the New York Jets.
In fact, the Saints' entire roster should be close to full health after the Week 5 bye. They returned to practice Monday, but the session was closed to the media. The players will take their usual day off today, before resuming their normal practice schedule Wednesday in preparation for Sunday's showdown against the New York Giants at the Superdome.


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Registration is no longer available for this event.
DescriptionCMS will hold a National Provider Call on March 20 from 3-4:00 ET on the "Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DMEPOS, and Part A Home Health Agency Claims." Effective May 1, 2013, CMS will instruct contractors to turn on Phase 2 denial edits on the following claims to check for a valid individual National Provider Identifier (NPI) and to deny the claim when this information is missing
Target AudiencePart B providers which order, refer and/or bill for these services; Home Health Agencies
PresentationThe presentation for this call will be posted at least one day in advance of the call on the FFS National Provider Calls web page. In addition, the link to the slide presentation will be emailed to all registrants on the day of the call.
Registration will close at 12:00 p.m. ET on the day of the call or when available space has been filled.
Please select your time zone and confirm your email address to enable the Register button.
Continuing Education Credits Notification
Continuing education credits may be awarded by some professional organizations for participation in CMS National Provider Conference Calls. If you plan to request continuing education credit from your professional organization and if this organization requires proof of registration, you will personally need to register so that you receive a confirmation e-mail. For more information on continuing education credits for participating in CMS National Provider Calls, please visit http://www.cms.gov/NPC/20_CEC_Notification.asp. If you have specific questions concerning continuing education credits, please contact your organization, not CMS.
Registration Assistance
If you need assistance with registration please e-mail BLH at firstname.lastname@example.com.
This site is operated by InterCall & BLH Technologies, Inc. on behalf of the Centers for Medicare & Medicaid Services to provide teleconference registration and management.
To learn more about the National Provider Call Program, visit http://www.cms.gov/NPC/.
Follow us on Twitter: @CMSGov, #CMSNPC


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Our team of educators and technologists is committed to building solutions that improve learning outcomes. Our goal is to provide every stakeholder in the K–12 learning lifecycle with quality curricula, instructional resources, and technology that continually raise the bar of educational excellence.
We leverage innovation across various business areas including next generation devices, advanced personalization and recommendations, and gaming and entertainment. This enables us to deliver unparalleled value to our customers–educators, schools, districts, and parents–as we all work toward creating a better generation of lifelong learners.


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Orchid Opal
See the new colors »
Orchid Opal is a new color as fresh as the fields of flowers it's reminiscent of. It evokes a calming tint of lavender.
Available in sheet glass. 60-0155-96
All frit sizes from Powder to Mosaic.
F1 thru F7-0155-96
Urobium Pink Opal
See the new colors »
Urobium Pink Opal is a sweet subtle shade that brings to mind the warmth of a sunrise and the softness of spring blossoms.
Available in sheet glass. 60-0150-96
Frit sizes from Powder to Mosaic,
F1 thru F7-0150-96
Rust Transparent
See the new colors »
A new bold red-orange hue. From gritty industrial rust to the bright wings of a Monarch butterfly, there is much inspiration to be found in both the man-made and natural worlds.
Available in frit sizes from Powder to Mosaic
F1 through F7 5711-96
Studio Safety
Tips for Safety in the Studio »
While many glass studio activities and materials bear risks, common sense and basic safety equipment will keep you safe. The primary risks with glass, other than cuts, are handling dusts from powder and food contact safety
Get Inspired!
Take the Color of the Year Challenge »
Check out the Color of the Year Palette featuring all of our products in shades of pinks and hues of blues so you can stay on top of the latest trends.


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The Lengths Robert Pattinson is Going Just to Attend People's Choice Awards
Robert Pattinson will join Twilight Saga co-stars Kristen Stewart and Taylor Lautner at the People's Choice Awards, a rep for the show confirms to Gossip Cop.
But wait, there's more…
Gossip Cop is told exclusively by a source close to Pattinson that the actor is flying from the Breaking Dawn set in Louisiana to the awards show in L.A., just "for an hour, then back to the set."
We have a gut feeling Pattinson won't be leaving the People's Choice Awards empty-handed.
The show's expansive guest list also includes Taylor Swift, Natalie Portman, Katy Perry, Zac Efron and dozens of other celebs.
The awards will be broadcast live on Wednesday from the Nokia Theatre L.A. Live in Los Angeles at 9:00 p.m. on CBS.
Will you be watching?
Follow @GossipCop on Twitter for accurate celebrity news!
Check us out on Facebook!


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Ailurophobia is the irrational fear of cats. But one family in Portland seemed to have a rational justified fear of their own pet cat.
The Barker family says their 22-pound house cat attacked their baby and continued to threaten the family, forcing all of them and the family dog to barricade themselves inside a bedroom, CBS affiliate KOIN reported Monday.
The family called 911 and the operator stayed on the phone and could hear the cat, Lux, screeching in the background.
"Every time we opened our back bedroom door, the cat would hiss," owner and mom Teresa Barker told KOIN.
She admitted the baby's father spanked Lux after the baby was scratched but said he was merely being protective.When officers got to the house, the cat ran into the kitchen and jumped on top of the refrigerator. Officials captured and crated the cat.
The cat remained behind bars in the custody of the family, who is still debating whether to try to find Lux a new home.
What do you think? Is the family overreacting? Or does the cat pose a real threat?


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Narrow Results:
- Restaurants (undo)
- Neighbourhood
- Cuisine
- Casual (undo)
- Live Entertainment (undo)
- Price
Showing 1 - 6 of 6
Sort: Relevance | A to Z
Marina d'Aylmer Restaurant Bar
Located in the Aylmer Marina, visit with friends or family and enjoy a casual meal and a breathtaking view of the Ottawa River.
1 Principale, Gatineau, QC, J9H 3M5
Type | Restaurants
Neighbourhood | Quebec
Chez Fatima
Serving up all the warmth of Morocco and the Mediterranean, Chez Fatima offers good food in a good mood.
125 Promenade du Portage, Gatineau, QC, J8X 2K2
Type | Restaurants
Neighbourhood | Quebec
Imperial Food And Beverages
Once the location of the Imperial Theatre, Imperial Food & Beverage is now the spot for great homemade food in a local historic setting.
329 Bank Street, Ottawa, ON, K2P 1X9
Type | Restaurants
Full House Restaurant
Located in a gorgeous Somerset house that dates back to 1835, the Full House offers steak, seafood and plenty of atmosphere.
337 Somerset Street West, Ottawa, ON, K2P 0J8
Type | Restaurants
Neighbourhood | Centretown
Raw Sugar Café
This small café in Ottawa's Chinatown has become instantly popular because it serves the demand for quality coffee served in a relaxed atmosphere.
692 Somerset Street W, Ottawa, ON, K1R 6P4
Type | Restaurants
Neighbourhood | Centretown
62 York Street, Ottawa, ON, K1N 5T1
Type | Restaurants
Neighbourhood | Lowertown Market Sandy Hill
Showing 1 - 6 of 6


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Perris Blackwell exploits a tricky, 1-1-3 zone defense with 20 points and seven rebounds. C.J. Wilcox adds 19 points, 14 in the first half, as UW improves to 5-4. Next up: Tuesday night at Tulane.
The Huskies return home to face Idaho State on Saturday, Dec. 14 at 1 p.m. at Alaska Airlines Arena
The UW Basketball Coaches Radio Show is back again tonight, Wednesday, Dec. 11, with men's head coach Lorenzo Romar at Anthony's Shilshole in Ballard starting at 6 p.m.
Senior C.J. Wilcox registered 17 points and senior Perris Blackwell added 11 boards but the Huskies gave up a 17-2 run in the second half as No. 24 San Diego State went on to take the win, 70-63.
The UW Basketball Coaches Radio Show kicks off the 2013-14 season tonight, Wednesday, Dec. 4, with men's head coach Lorenzo Romar at Anthony's Shilshole in Ballard.
The junior-college transfer has 19 points, 16 rebounds with a huge steal and then offensive rebound late, as Washington (4-3) rallies to win the first double-overtime game at home in four years.
The Huskies host Long Beach State this Saturday, Nov. 30 at 3:30 p.m. PT at Alaska Airlines Arena
The senior sharpshooter scores 22 of his 28 points in the second half to lead UW back from eight points down. Nigel Williams-Goss adds 20 points, six assists and just one turnover. The Huskies (3-3) host Long Beach State on Saturday.
The junior, who has been hindered by the disease's symptom since late July, will continue to play following his diagnosis.
The Huskies return home to face Montana on Tuesday, Nov. 26 at 6 p.m. PT at Alaska Airlines Arena.
Fifth-year senior C.J. Wilcox scores a career-high 30 points, but the Huskies (2-3) falter all over on defense and lose 89-78 to end their empty week inside Madison Square Garden.


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PS i don't support animal rights group, and nor PETA, nor any fervor for Green.
I recommend taking a rational approach. If you can, in you spare time go to a college/university and take classes in biology, human history, philosophy, etc. These subjects may seem remote to loving animals, but the extinction of animals isn't just caused by poachers or heartless people, it has to do with the whole society, education, economic system, political system. And even, the protection of animals is just part of human animal problem. There is war, famine, religion, which at large dictate how things change. So, don't just be a bleeding heart and becoming a activist in this or that. Often, the activists are doing the harm.
The song is "Whole Again" by Atomic Kitten. amazon


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OLYMPIA (AP) — A transportation revenue package funding several large highway projects and paid for in part by a 10-cent increase in the state's gas tax advanced from a House committee Monday.
Among the projects the $8.5 billion package would fund are those linking a pair of state routes to Interstate 5, the North Spokane Corridor and a replacement for the I-5 Bridge over the Columbia River.
The revenue package, intended to be rolled out over 12 years, was passed on a party-line vote, with Democrats in favor and Republicans opposed. Proponents say the package is necessary to ensure that Washington state's infrastructure remains up to the task of getting people and goods to their destinations safely and without undue delay.
Opponents acknowledge that the state has real transportation needs, but they're uncomfortable with tax hikes — particularly ones not first approved by voters — to help fund them.
Rep. Ed Orcutt, R-Kalama, said the package would place too much burden on people already struggling to afford gas for their cars.
The package heads next to the House Rules Committee. If it makes it out of the Democratic-controlled House, it faces an uphill battle in the more tax-averse Senate, which is controlled by a Republican-dominated majority.


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The surrealist's macabre work inspired a generation of Hollywood directors and earned him an Oscar for the 1979 sci-fi film.
08:54, UK, Wednesday 14 May 2014
Surrealist designer Hans Ruedi Giger, who won an Oscar for the monster he created for the Hollywood blockbuster Alien, has died at the age of 74.
Sandra Mivelaz, administrator of the HR Giger museum in Chateau St Germain, said the artist died in hospital on Monday from injuries sustained in a fall.
Giger's unique freehand painting style characterised many of his most famous works.
Born in the Swiss town of Chur, he had originally trained as an industrial designer but always had a passion for art.
He shot to global fame when he created the Alien for Ridley Scott's 1979 iconic film, with help from ET creator Carlo Rambaldi.
The nightmarish skeletal monster, with its elongated metallic head and mouth filled with razor-sharp teeth, earned Giger a visual effects Oscar for the film, starring Sigourney Weaver, in 1980.
His macabre designs were also centrepieces in a range of other films, including Poltergeist II, Alien 3 and Species.
The artist also gained international recognition for his often dark sculptures.
The HR Giger Museum opened in 1998, becoming home to the biggest collection of his works.
The museum, run by the artist's wife Carmen Maria Scheifele Giger, also houses examples from his vast private art collection, counting works by the likes of Salvador Dali and Friedrich Kuhn.
In recent years, a number of international museums, including in Paris, Prague and Vienna, have also presented retrospectives of the artist's work.
By posting a comment you are agreeing to abide by our Terms & Conditions. See our House Rules and FAQs.


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NOTE: THIS THREAD IS OUTDATED, WE'RE USING THE SOURCE2013SDK (Hammer should be already preset up for you by right clicking on No More Room in Hell)
Hi everybody,
You want to make some maps for No More Room in Hell but you don't know how to configure the Valve Hammer Editor?
This video will explain how to have a working Source SDK:
PLEASE READ: You have to do some modifications in the GameConfig.txt file otherwise it won't work! Please read the whole post before reporting problems, thanks!
Dailymotion: http://www.dailymoti...hell_videogames
Download the video: http://www.multiupload.com/RLLP59HOZ1
NOTE: I've my Windows in french, if you don't understand something, if you have a question or a comment to do: feel free to contribute!
Open your GameConfig.txt file (can be found in "C:\Program Files (x86)\Steam\SteamApps\[YOUR ACCOUNT]\sourcesdk\bin\source2007\bin") with a text editor, delete everything then copy/paste this inside:
"No More Room in Hell"
"GameDir" "[INSTALL DIR]\steam\SteamApps\sourcemods\nmrih"
"GameData0" "[INSTALL DIR]\steam\SteamApps\sourcemods\nmrih\fgd\nmrih.fgd"
"TextureFormat" "5"
"MapFormat" "4"
"DefaultTextureScale" "0.250000"
"DefaultLightmapScale" "16"
"GameExe" "[INSTALL DIR]\Steam\SteamApps\[STEAM ACCOUNT]\source sdk base 2007\hl2.exe"
"DefaultSolidEntity" "func_detail"
"DefaultPointEntity" "info_player_commons"
"BSP" "[INSTALL DIR]\steam\steamapps\[STEAM ACCOUNT]\sourcesdk\bin\source2007\bin\vbsp.exe"
"Vis" "[INSTALL DIR]\steam\steamapps\[STEAM ACCOUNT]\sourcesdk\bin\source2007\bin\vvis.exe"
"Light" "[INSTALL DIR]\steam\steamapps\[STEAM ACCOUNT]\sourcesdk\bin\source2007\bin\vrad.exe"
"GameExeDir" "[INSTALL DIR]\steam\SteamApps\sourcemods\nmrih"
"MapDir" "[INSTALL DIR]\steam\SteamApps\sourcemods\nmrih\maps"
"BSPDir" "[INSTALL DIR]\Steam\SteamApps\sourcemods\nmrih\maps"
"CordonTexture" "tools\toolsblack"
"MaterialExcludeCount" "0"
"SDKVersion" "3"
You'll have to manually add some informations like the installation directory and your Steam account name ("[INSTALL DIR]" is certainly "c:\Program Files (x86)"), save the file then restart the Source SDK.
Useful links:
"Making a map" informations thread
[url="http://www.nomoreroo...hp?showtopic=93"]Mapping Resources[/url]
[url="http://www.nomoreroo...ory:EntitySetup"]NMRIH Mapping Wiki[/url] (infos about entities)
Edited by Riley, 16 February 2014 - 02:24 AM.


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In this Chapter . . .
Medication/Treatment Administration Guidelines
It is most desirable to have a student take needed medication at home. When an underlying health problem necessitates the administering of medication during the school day, school personnel can administer medication to enable the student to stay in school.
A Medication/Treatment Authorization Form (M/TAF) signed by a physician and parent must be provided, and medication must be stored and administered in the manner described below. Only FDA approved prescription and over-the-counter medications are allowed to be administered by school board personnel. Homeopathic remedies are not FDA approved and will not be administered by school personnel. Dietary supplements are not approved by the FDA for use as drugs and will not be administered by school personnel. A dietary supplement is any product taken by mouth that contains a so-called "dietary ingredient" and may include vitamins, minerals, herbs, and amino acids as well as substances such as *enzymes, organ tissues, metabolites, extracts or concentrates.
* Pancreatic enzymes are looked at on an individual basis to determine if they can be given at school per a physician's order.
Controlled Medications
Controlled medications including stimulants, depressants, anabolic steroids, some anticonvulsants and analgesics may be prescribed to students with disabilities or illnesses. Some frequently prescribed controlled medications taken at school include Valium, Diastat, Adderall, Concerta, Risperdal, Buspar, Ritalin (metadate), Abilify and Dexedrine. Before administering a PRN controlled substance, a phone call to a parent/guardian is required to check the time of the previous dose. Any controlled substance in Schedules 1-5 must be counted monthly by two individuals and documented on the medication log.
Controlled, narcotic medications for severe pain management are not routinely administered in the school setting. These medications are known to cause decreased coordination and decreased levels of consciousness, thus presenting both impaired learning and safety issues for the student.
(Contact your school RN when controlled medications are prescribed for a student.
When wheelchair, crutches, or other temporary assistive device is needed, it must be supplied by the parent. The school will need a completed Orthopedic Injury Assistive Device Authorization Form (translated forms can be found in the Forms chapter) signed by the licensed health care provider and parent/guardian. This form is only valid for the current school year.
Other treatment equipment such as nebulizers and glucometers must be supplied by the parent. An M/TAF Form signed by the licensed health care provider and the parent/guardian must be on file along with a signed and notarized affidavit. Both forms are only valid for the current school year.
School personnel designated by the principal are authorized, under Section 1006.062, Florida Statutes, to assist students in the administration of prescribed medication provided that:
The only OTC medications to be stored are those medically prescribed for specific students. Those medications will be kept in the locked medication cabinet in the health room. No supply of over-the-counter (OTC) medications will be kept in the health room for distribution to the staff.
The signed M/TAF and M/TAL is to be placed in the student's Cumulative School Health Record when the medication has been completed or changed by the healthcare provider and at the end of the school year.
Techniques for Administering Medications
To ensure the safety of students requiring medication during school hours, the 8 Rights of Medication Administration must be followed.
1. Right student
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right expiration date
7. Right documentation
8. Right of the student to refuse
Eyedrops or Eye Ointment:
Topical Medications:
Inhaled Medications: Will be dealt with on an individual basis (refer to "metered dose inhaler" and "Nebulizer" sections in this chapter and "Asthma" in the Medical Conditions/Illness/Injury chapter).
Injectable Medications:
Rectal Medications:
Medication Related Emergencies
(See Chapter on "Life-Threatening Allergies" for complete guidelines.)
An allergic reaction to medication can happen at any time, regardless of how long the child has been taking the medication. The school must be given instructions about which medical facility to transport the child to in the event of an emergency.
Reasons for Contacting Parents/Guardians
(*You must document every action you take.)
Parents/Guardians should be contacted for any of the following reasons:
Health room aides: Do not crush pills without a physician's order.
Medication Missed by Parent/Guardian
The school board attorney has indicated that there are limited choices at our disposal if a student was to receive medication in the morning before coming to school, but did not get that dose.
If this is a continuing problem for a particular child, the school will contact the parent/guardian to request that the doctor adjust the times of medication administration to allow school personnel to give both the A.M. and P.M. doses at school. Notify your school RN of this situation.
Missed Medication/Treatment at School
Notify the parent/guardian any time a medication or treatment is not given, regardless of the reason. The principal, school RN and parent/guardian must be contacted immediately and the variance properly documented, according to directions on the back of the Medication/Treatment Variance form. If no parent contact is made, a note must be sent home to the parent describing the event (school RN or principal can assist with content and appropriate documentation of the note). The Medication/Treatment Variance form is completed and sent to the School Health office at the Landings.
End of the School Year Discarding of Medication/s
Health Room Aide Responsibility:
Medication Administration during Official School Business
off School Property
This procedure covers students who require administration of medication during temporary absences from school property for activities such as field trips during the school day. All medication must be in the original container with the student's name, dosage, directions for administration, and current date.
Over-the-counter medications will not be taken on a field trip unless the student has a request from the parent on the Emergency Medical/Treatment Field Trip Consent Form and a signed M/TAF.
The staff person accompanying the student will be responsible for security of the medication and for medication administration. Medication cannot be administered by volunteer staff or parent chaperones other than the student's own parent/guardian.
When a field trip is planned, a student's medication can be provided by one of the following methods:
Guidelines for Medication Administration during Field Trips
Prior to the field trip, the School Health Aide will:
Enter and circle the time on the front of the original M/TAL under the correct month/day field. On the back of the M/TAL under the Other column, enter the month, day, year and "Field Trip" as show below:
Upon return from the field trip, the School Health Aide will:
Prior to the field trip, the Staff Person will:
During the field trip, the Staff Person will:
Persons Administering Medication/Treatment: Initials PP Full Name Polly Pill Initials Full Name
Initials Full Name Initials Full Name Initials Full Name
Initials Full Name Initials Full Name Initials Full Name
Upon return from the field trip, the Staff Person will:
* If there are any problems, questions, or concerns with medication administration, the staff person shall call the principal.
If the medication is not given as ordered, the staff responsible for giving the medication on the field trip will notify the principal, school RN, and parent/guardian immediately and properly document the variance according to directions on the Medication/Treatment Variance form. The Medication/Treatment Variance form is completed and sent to the School Health office at the Landings. If no parent contact is made, a note must be sent home to the parent describing the event (school RN or principal can assist with content and appropriate documentation of the note).
Medication Administration on Overnight Field Trips
All further medication guidelines apply as above.
Administration of Emergency Medications
During School-Sponsored Events Held Outside Normal School Hours
In order to comply with Florida Statutes
1006.062 Administration of Medication and Provision of Medical Services by
District School Board Personnel, school personnel staffing school-sponsored
events before and after school must be taught child-specific medication
administration procedures for those children who may require emergency
medication while under their care. Emergency medications
include, but are not limited to, asthma medications
and EpiPens®.
For those students who may require emergency medication in these situations, the school RN will include the procedure for emergency medication administration in the student's Individual Health Plan. The procedure will be student specific, based on the child's age and ability to self-manage their illness.
The school registered nurse will notify school personnel of the need for child-specific training and will set up a time for that training to take place.
All medication must be locked in a safe place at the site of the school-sponsored event according to F.S. 1006.062.
It is the parent's responsibility to notify the school RN that their child is enrolled in a school-sponsored event before or after school and to provide school personnel with the Medication/Treatment Authorization form (signed by parent and physician) and additional prescribed emergency medication.
Students Using a Metered Dose Inhaler (MDI)
"A metered dose inhaler (MDI) is a device that delivers a mist of medicine that can be breathed directly into the lungs. Medicines given this way work faster and with fewer side effects.
How an MDI works
The medicine is held under pressure in a canister that fits inside a plastic device. When you press the canister down in its plastic case, the medicine puffs out in a measured dose. The MDI has to be triggered at the exact moment that you start to breathe in through your mouth. It comes out fast."
(It is highly recommended to attach the inhaler to a chamber which is a valved, anti-static holding device)
Medicines that come in MDIs:
"Bronchodilators (like albuterol): These are reliever medicines that are used only to relieve symptoms of asthma like cough, wheeze or difficulty breathing. They should not be used unless there are symptoms of asthma present.
Inhaled steroids (like Flovent®, Qvar®, Symbicort ® or Advair®): These are prevention medicines that are used to prevent asthma episodes by decreasing the inflammation and swelling in the airways. They should be taken every day as directed by a doctor."
Guidelines for the Care and Delegation of Care for Students with Asthma in Florida Schools, 2013
See Forms chapter for Procedure and Skills Checklist.
A nebulizer is a machine used to deliver medicine as a mist that is inhaled directly into the lungs. The nebulizer has a compressor or pump that pushes air through a tube and then through the medicine chamber to change the medicine into very small droplets. This is the mist that can be seen coming from the nebulizer.
Usually it is the student with asthma who will need a nebulized medication. Several types of medication can be given by nebulizer, such as bronchodilators, anti-inflammatory drugs, or antibiotics. The medication may be ordered to be administered on a regular schedule each day or only for those times that the student is sick or is having an especially difficult time with breathing.
Some of the medications given by nebulizer are the same medications that are taken as pills, syrup, or in metered dose inhalers, but may work faster or better when delivered by nebulizer. When given by nebulizer, the medication is usually ordered as a concentrated solution that will need to be diluted with saline. The physician's order (Medication/Treatment Authorization Form) will specify the amount of saline as well as the dosage of the solution.
Notify the school RN as soon as a student with a nebulizer treatment order has been identified in order for unlicensed assistive personnel to receive child specific training.
See Forms chapter for Procedure and Skills Checklist.
Emergency First Aid for Anaphylactic Reaction
The EpiPen® Auto-Injector is a disposable drug delivery system with a concealed needle that is spring activated. The active ingredient is epinephrine, the treatment of choice in allergic emergencies (anaphylactic reactions) because it quickly constricts blood vessels, relaxes smooth muscles in the lungs to improve breathing, stimulates the heartbeat and works to reverse hives and swelling around the face and lips.
The EpiPen® is commonly prescribed for individuals who have had prior severe allergic reactions to certain foods or food additives, to medications, to insect stings or bites or to exercise. The most common insects that may cause anaphylaxis are the stingers (bees, hornets, yellow jackets and wasps) and the biters (deer flies, blackflies, ants and yellow flies).
An emergency situation may occur anytime a hypersensitive student is exposed to a substance, sting, or bite to which the student is allergic. Allergic reactions (anaphylaxis, anaphylactic response) can be fatal within minutes. Hypersensitive students, identified for the school staff by their parents/guardian and physicians, require the availability of emergency medication. The EpiPen® must be specifically prescribed for the student, just as any other prescription medication. Be aware of which students are authorized to carry their own EpiPen® as indicated by the physician on the Medication Treatment/Authorization Form.
Initial symptoms of anaphylaxis may represent a potentially fatal outcome and should be treated as a medical emergency, whether the symptoms occur gradually or suddenly. Even mild symptoms may intensify rapidly, triggering severe and possibly fatal shock. Usually, symptoms occur immediately following the sting or bite; death may occur within minutes. Symptoms, which often vary according to individual response, include the following:
These symptoms may escalate swiftly to anaphylactic shock characterized by cyanosis (bluish skin), reduced blood pressure, collapse, incontinence, and unconsciousness. Epinephrine given after the onset of low blood pressure may not prevent death.
If a hypersensitive student (who may experience a possible anaphylactic reaction) has been admitted to the school, immediately notify the school RN.
See Forms chapter for Procedure and Skills Checklist.
References and Resources
Pasco County School Health Policy
Washington County School Health Policy
Hillsborough County School Health Policy
Johnson, Phillip, (2003) Medications Use in Schools, Florida Edition, Florida Society of Health-System Pharmacists, Inc., Tallahassee, FL.
Lake County School Health Policy
Florida School Health Administrative Guidelines (2007)
Last updated: 07/25/12