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Price: $24.95
Print your own custom waterproof, tear-resistant maps. Designed specifically for inkjet printers, this paper will withstand the rigors of the outdoors. Adventure Paper produces a high-quality image and is easily foldable and temperature-resistant, so you can take it anywhere you want to explore.
Please note: Not recommended for laser printers.
(based on 4 reviews)
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(1 of 1 customers found this review helpful)
No end to uses!
By Knightingale
from Saskatchewan, Canada
Best Uses
Comments about Adventure Paper - Single Pack Letter - 25 Sheets/8.5''x11'':
I bought some of the 8.5 x 11 for us and later got some for my brother as well. We both do alot of outdoor activities (me: fishing, hiking, canoeing; him: mountainclimbing, scuba diving, boating, snowmobiling etc.) We both regularly print off maps for the out-of-the-way areas that we go to and, inevitably, these maps get very damaged on the trip. My husband and I tried waterproof plastic casings to put them in, but they got damaged in those too...seemingly from the plastic itself. This paper is way better and well worth using, especially if you want to re-use the printed map! Can print on both sides to extend its life too.
Bottom Line Yes, I would recommend this to a friend
Was this review helpful? Yes / No
- You may also flag this review
Was not waterproof on my inkjet
By SummerJewels
from Orange County, CA
This did not work as waterproof paper printed from my inkjet. The black wiped off and smudged even after I let it dry. Also, the photos did not print a high quality resolution. I think it might work best on a laser jet printer. I definitely would not consider this waterproof for inkjets and I don't think it should be sold as such!
Bottom Line No, I would not recommend this to a friend
From National Geographic:We appreciate your feedback and are sorry to hear that this item did not work for you. Our customer service department is following up with you.
Great Paper for Maps!
By Dan
from Gig Harbor, Washington
I have been using this paper for years with TOPO! software to produce maps of trails I hike. It is everything it claims to be. It's waterproof. You can fold it, unfold it and re-fold it scores of times without it tearing. In fact, it's almost impossible to tear it.
it works
By Mitch the map boy
from Durango, CO
When hunting, you are not usually following trails, so the advancepaper takes a beating; in and out of the backpack. The paper holdsup very well.


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Boutique fitness isn't just growing aggressively in markets like New York City or Los Angeles. Washington D.C. is getting a taste of the specialized workouts scene. Here are a few we've tried, tested and recommend:
Solid Core - Think: Pilates reformer on drugs. The megaformer workout is focused on strength training and toning as well as muscle endurance. Solid Core's exercises are done in four counts -- so even though you want to move a little faster because it burns, you have to slow it down. You start off warming up with core activation exercises and pretty much work every body part throughout the 50 minutes. Your muscles will eventually fatigue with high repetitions. Don't worry thought -- you'll be distracted by the awesome playlist! Currently, there are two locations for Solid Core. Note: Walking the next day may be tough.
Jaime Andrews Fitness - Jaime offers a high-intensity interval training format for her bootcamps. The format of the class is usually posted the night before but you can expect that it will include a variety of squats, push-ups, burpees, and other cardio related exercises. In addition to the bootcamp, Jaime has also recently launched FitnEscapes. Why not take the workout on vacation with you?? Trips are all-inclusive and offer a variety of fitness classes, outdoor activities, adventures, healthy eating, and wellness planning.
Biker Barre - Hybrid workout studios are all the craze now! Biker Barre, located on Capitol Hill, offers cycling and barre classes. Though the classes are separate, no one is stopping you from taking them back-to-back! For the more advanced riders, their cycling classes have three different offerings. Bike: Ride is a signature 45-minute class, Bike: Tabata is high-intensity cycling experience with sprints and rests, and Bike: Trip is a 60-minute ride. Their Barre classes include Advanced Barre, Mini Barre (same intensity in 3/4 the time), and the traditional Barre 101. Looks like there's something for everyone!
In addition to these exciting fitness studios, the fitness scene is also expanding with events. On April 5th, shape up with InTheCapital at DC Fit! This unique event is talking place at the Long View Gallery from 10am-3pm. Readers will receive 15% off tickets by using code "FiTMAPPED". Attendees will get to test out the hottest fitness classes and sit in on healthy lifestyle panels not to mention experience the expo's participants. More information can be found here.
If you live in DC, sign-up with FitMapped and tell us where you sweat!

subset: commoncrawl


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Announcing Stephen Vitiello as selected artist for sound project on the Waterfront
In June of this year, our office put out a call for a sound artist to create an integrated, sound-based artwork on the Elliott Bay waterfront. The call was in collaboration with the Seattle Department of Transportation as part of the redevelopment of Seattle's Central Waterfront and is one of a series of calls for permanent and temporary artwork for the area.
We're pleased to announce that Stephen Vitiello has received this commission. Born in New York City, Vitiello lives and works in Richmond, Virginia, where he is Associate Professor in the department of Kinetic Imaging at Virginia Commonwealth University. He began his career as a punk guitarist and composer, and moved into sound as an artistic medium around 1990. In 1999 he was artist-in-residence in the World Trade Center, resulting in a widely presented field-recorded installation. Recent solo exhibitions include All Those Vanished Engines, MASS MoCA, North Adams, MA (2011-2016) and A Bell For Every Minute, The High Line, NYC (2010-2011). Vitiello's work is featured in the current MoMA exhibition Soundings, the first major US museum survey of sound art.
Working with the sound-filled setting of the Seattle Waterfront, Vitiello will use sound as a major component in a new work that will expand visitors' experience .
Top: Smallest of Wings installation, Broadgate Arena, London; Bottom: A Bell For Every Minute, High Line, New York City. Images courtesy of Stephen Vitiello.
Posted: October 24th, 2013 under Art Beat, Waterfront.
Write a comment
Art Beat is a moderated blog. We welcome your comments, which will be reviewed before posting during normal business hours. Under the city of Seattle blogging policy, the city will not post inappropriate comments including those that have obscene language, threaten or defame any person or organization, violate the legal ownership interest of another party, promote commercial services or products or are not topically related to the particular blog article.


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Scrabble word: STANDBY
In which Scrabble dictionary does STANDBY exist?
Scrabble (US/Canada)
(63 pts)
Scrabble (UK)
(63 pts)
Official Scrabble (OSPD)
(63 pts)
(64 pts)
Words with friends
(49 pts)
Hanging with friends
(49 pts)
(7 pts)
Lexulous (US)
(55 pts)
Definitions of STANDBY in dictionaries:
- noun - something that can be relied on when needed
- noun - an actor able to replace a regular performer when required
- adj - ready for emergency use
- One that can always be relied on, as in an emergency.
- A favorite or frequent choice.
- One kept in readiness to serve as a substitute.
- Kept in reserve for use when needed: a standby generator.
- Of, relating to, or waiting for unreserved travel space that is made available by an airline only shortly before departure: standby passengers.
- noun - one that can be relied on
There are 7 letters in STANDBY: A B D N S T Y
Scrabble words that can be created with an extra letter added to STANDBY
All anagrams that could be made from letters of word STANDBY plus a wildcard: STANDBY?
Scrabble words that can be created with letters from word STANDBY
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Images for STANDBY
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SCRABBLE is the registered trademark of Hasbro and J.W. Spear & Sons Limited. Our scrabble word finder and scrabble cheat word builder is not associated with the Scrabble brand - we merely provide help for players of the official Scrabble game. All intellectual property rights to the game are owned by respective owners in the U.S.A and Canada and the rest of the world. Anagrammer.com is not affiliated with Scrabble. This site is an educational tool and resource for Scrabble & Words With Friends players.


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The San Antonio Scorpions have remained in the fight for first in the NASL Fall season as they won their second straight match, claiming a 2-0 victory over Fort Lauderdale Strikers at Toyota Field on Saturday night.
It was yet another impressive match from Billy Forbes who continued to shine in his first professional season, managing another goal, and an assist to send the Scorpions to the top of the table.
After a cagey opening the Scorpions very nearly had the lead 14 minutes in to the match as an effort from distance from Walter Restrepo was fumbled by the keeper, allowing Thomasz Zahorski to have a chance as the ball fell kindly to the Pole but the keeper recovered in time to make the save.
But it was only a temporary stay as nine minutes later San Antonio had their lead as Restrepo was able to make a run that drew defenders to him, allowing him to send the ball back for Forbes, to run on to with acres of space, allowing to hit a powerful strike, low and hard, to open the scoring.
Two minutes from the break the Scorpions doubled their lead as Forbes was able to pass for Zahorski who was able to turn on the defense, shooting low past Kamil Contofalsky.
San Antonio continued to be the better side and could well have added to their lead in stoppage time after some good link play between Forbes and Zahorski as Zahorski was sent through but was denied by the offside flag.
It was Scorpions goalkeeper David Bingham, back from a spell with San Jose Earthquakes in Major League Soccer, who was the big player in the second half as he routinely denied Fort Lauderdale's attack.
The Strikers could well have pulled one back in the 59th minute, if not for Bingham, as Mark Anderson hit a powerful, impressive volley that looked a certainty to score only for Bingham to jump up and parry it around the woodwork.
With time running out Fort Lauderdale had one more chance to at least close the gap as Julius James earned a straight red card for a tug on his striker, allowing Fafa Picault a chance from the spot. But it was not the strikers night as Picault hit the post, allowing the Scorpions to clear, preserving the 2-0 win.


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The Word of God changes lives. It is the final authority in my life. Knowing and believing that, I am committed to preaching the Bible the way that it was written - in an expositional style.
We understand that there are times in life where you just need a helping hand. In fact, many people are doing very well in some parts of their life while struggling in others.
Sunday: 9:30 AM Sunday School for all ages
10:45 AM Morning Worship
6:00 PM Evening Worship


text: Welcome to Pioneer Tree Service & Landscaping, Inc.'s web site. Feel free to browse around and explore the numerous ways we can service your outdoor needs. With well over 15 services offered, chances are if it's outside we can handle it. We pride ourselves on fair prices and professional customer service. It is our goal to not only provide you with excellent service, but with a wealth of information regarding plant, tree and yard health. If you have any questions, please take a moment to send us an email. Also, be sure to sign up for our quarterly newsletter to receive coupons and information in your in box. We hope you find this site useful and that you choose Pioneer Tree Service & Landscaping to complete your next job.


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Compared to the pre-Web world of the early 1990s, OSTI now enables about a thousand-fold more information transactions.
OSTI now offers librarians and others, free of charge, the opportunity to download records of DOE research and development (R&D) information in MARC (MAchine-Readable Cataloging) format.
Science.Gov 5.0 is now available!
The first thing you'll notice is the new main page design. The same elements are there, but reconfigured to update the website look and feel. We have also added seven deep web sources (see DOE press release) into the search.
OSTI is founded on the principle that science advances only if knowledge is shared. The OSTI Corollary takes this concept to a new level. It holds that accelerating the spread of knowledge accelerates the advance of science. The advance of science can also be accelerated by funding more bright scientists. In the following blog article, Dr. Bob Marianelli reminisces and gives his perspectives about advancing science throughout his remarkable career.
Dr. Marianelli led a distinguished career as a DOE Program Manager and Director of the Chemistry Division. He had the privilege to shape and manage the process by which the Department of Energy identifies bright chemists and follows their progress. Along the way, he fostered the work of many truly extraordinary scientists, including six who went on to win the Nobel Prize, perhaps the top honor a scientist can receive. In addition to fostering the work of top scientists, Dr. Marianelli played a key role in the construction of a huge facility at Pacific Northwest National Lab, and he positively influenced the direction of other major research facilities.
Love of science and learning from an early age
The life of every person in the world today has been shaped by successive technological transformations. The printing press transformed communication and education, beginning in the mid 15th century. Sailing and navigation technology of the late 15th century allowed Europeans to learn about other continents, beginning the global network of trade.


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Give a Gift Membership
With this gift of nature, Nature Conservancy magazine arrives all year long. Join
Governor Dave Heineman announced the formation of the Water Funding Task Force in early July. The Conservancy's John T. Heaston, Platte River Program Director, was one of 11 appointees, and was selected to bring expertise on wildlife conservation to the effort. Roric Paulman of Sutherland, a Conservancy Trustee, was also appointed. Another sixteen members are from the Nebraska Natural Resources Commission. Seven non-voting members include state lawmakers and the head of the Department of Natural Resources.
The goal of the Task Force is to make recommendations to the State Legislature, suggesting priorities for funding, examining uses for agriculture, recreation, wildlife, and municipal demands. "The legislation was introduced with the intent of determining better solutions to deal with some of our looming water issues," Heaston said. "The idea is we have to do things differently with our water to best use our resources."
Heaston comes to the effort with thirteen years of experience trying to finding balance among competing uses on the Platte River. He has collaborated with sand and gravel operators, farmers, energy suppliers, and a host of other stakeholders, working together to find common ground for conservation.
The final product of the Task Force will be a report to the legislature that identifies water resources programs, projects, and activities that most deserve funding. "Our long-term goals are water sustainability, efficiency, and productivity," said Heaston. "Those are things that every Nebraskan wants. We need water for our cities, our farms, and our streams. Everyone has different expertise and perspectives to bring to the Task Force and I'm eager to get to work."
Stay tuned for updates as the work gets underway.
The Nature Conservancy is a leading conservation organization working around the world to conserve the lands and waters on which all life depends. Visit The Nature Conservancy on the web at www.nature.org. To learn about the Conservancy's global initiatives, visit www.nature.org/global. To keep up with current Conservancy news, follow @nature_press on Twitter.


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The Miami Dolphins traded four players on their roster for four on waivers on Saturday.
The Dolphins claimed wide receiver Anthony Armstrong, linebacker Sammy Brown, safety Troy Nolan and cornerback RJ Stanford.
Miami waived linebackers Jonathan Freeny and Josh Kaddu and terminated the contracts of safety Tyrone Culver and running back Steve Slaton.
Follow me on Twitter @TerryMc13
Terry McCormick covers the Titans for TitanInsider.comFollow @footballpost on Twitter for the latest news
This story originally appeared on Nationalfootballpost.com
- Miami Dolphins
- The Dolphins
- Tyrone Culver
- Anthony Armstrong


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Your local Oreck store near this zip code is:
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By signing up for Oreck emails you'll be the first to know about special discounts, private offers and new products!
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Oreck vacuum cleaners and air purifiers and cleaning supplies can help you keep a clean home and Fido out of the doghouse!
and never miss a Great Offer
Call 1-800-219-2044 to order.Mon-Fri: 8:00am - 6:00pm CST.Sat: ClosedSun: Closed


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This is a little like a social page today, which is why the party picture at the top of this article. No matter the language a party is a party.
Each year CitiDog Magazine host a day on the Puget Sound with a great ride to the Tillicum Village on Blake Island. This is a day with friends and more friends. There are new friends for our furry friends and new friends for us as well. This is a time to reconnect with people from past years and meet new to catch up on all the news in our world of dogs and lives. Share fun stories and enjoy nice hiking on Blake Island while learning the history of this great place. Of course there is food for all and enjoy we a pleasant place scenic and historical. As the day is closing, we head for home on our own special boat.
This year's event is planned for July 27th, departing at 11:00 AM and returning after a 2:15 PM food will include a buffet of Salmon, salads and dessert. There is always a treat or two for our furry friends as well. Tickets are on sale now and although a little pricy, keep in mind this is an event. This is something that is very special and we will remember for many years to come. Please visit CitiDog.com for more wonderful details.
More events include places which support Reading with Rover, be sure to check the social calendar if there is a question. While the next event on our calendar is Frogs and Dogs, July 5th this year, in Issaquah, WA. This event is usually on a Friday, however this year for reasons everyone can figure out is on Saturday. If you are new to the game, there is only a need for good fun and good Beer. There are activities or (friendly competition with Leap Frog Competition, Dog agility and obstacle events, to mention a few). There is unlimited seating, we are told at the event's center Issaquah Brewhouse 12:00 to 9:00 PM. Again check out this and other events information at Citidog.com
When planning on attending Frogs and Dogs event do not forget Boehme Chocolates are also located very close and who could pass up friendly competition, Ale, friends both furry and human, and then chocolate. Or we could start with the chocolate. Just think about the wonderful time we are going to have and all the time our furry friend will be right there enjoying fun also.


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Online Help
The following information is for online merchants transitioning to Miva Merchant 5 from any version of Miva Merchant 4.
If you have a Miva Merchant 4 store, contact Miva Merchant, or your e-commerce hosting company, for information on upgrading your Miva Merchant license.
New users, who are just starting out in Miva Merchant 5, can disregard these instructions.
It is easy to transition from Miva Merchant 4 to Miva Merchant 5. Basically, you will use a new, free module to export your store to a file. When you run Miva Merchant 5, the entire store will be imported. Copy the image files to a new directory, and install any new modules, and you're off and running. The following instructions will guide you through the process.
A store is moved to Miva Merchant 5 via a provisioning file, provide.xml. This is a single XML file that contains all the information from a given store, including the products, categories, image references, customers, and so on.
Note, order information, including batches, is not transferred to the new store.
The URLs to the pages within your store will change. Information is included here to guide you in updating links and search engines.
Due to the significant differences between Miva Merchant 5 and previous versions, third-party modules have significant differences. Some products you have purchased in the past may be redundant. For others, contact the module developers to assess compatibility issues and/or the need for upgrades.
The Miva Merchant 4 store is left intact following this process. It is not "upgraded" in the way that software applications are upgraded. That is, everything about the store (except for order information) is exported via the provisioning file, then imported into a new Miva Merchant 5 store. The upgrade license allows the two stores to be run side-by-side for up to six months, to give ample time for the transition.
Note that orders placed in the old Miva Merchant 4 store are not transferred to the new Miva Merchant 5 store. After you have upgraded to the new store, leave the old store in maintenance mode.
Additional stores are handled in the same way, one after another. That will be discussed below.
If your Miva Merchant 5 store is part of an e-commerce hosting package, the Web hosting company will have installed Miva Merchant 5 for you.
If your store is licensed direction from Miva Merchant, download the files from the FTP site, following the instructions in the upgrade e-mail message sent to you from Miva Merchant.
If your store is hosted by an e-commerce Web host, that company may have preconfigured the setup information for you.
Otherwise, go to the URL given at the end of the installation, and the setup process will begin automatically.
Before the store can be created via the provisioning file, the user who was the store manager in Miva Merchant 4 must exist in the new domain-level users list in new Miva Merchant 5. A store cannot be imported if the manager is not present in the users list. The store manager's password in Miva Merchant 5 does not need to match their old password.
If the Miva Merchant 5 domain owner is also the store manager, they will already exist as a user. In that case, all you need to do is ensure that the spelling and capitalization is the same as it was in the Miva Merchant 4 store.
To add a user, in the Miva Merchant 5 administration interface, locate Users [Add] in the left navigation area. Click [Add].
If you want to designate a new store manager, either make that change in your existing store, before creating the provisioning file, or add the outgoing manager to the users list in Miva Merchant 5 for the purpose of importing the store, then specify a new manager after the store has been imported.
Put the Miva Merchant 4 store into maintenance mode. Detailed instructions on working with Maintenance Mode are available in the Edit Store / Maintenance Mode Help topic.
Leave it in this state until you are comfortable with the new store, and your have finished processing any open orders in the old store. Keeping the store "closed for maintenance" will prevent orders from being placed there after you have switched operations to your Miva Merchant 5 store. If orders were to be placed in both stores, inventory levels would get out of synch, and you would have two sets of data to maintain, and two sets of incoming orders to manage.
There is a 6-month transition period, during which your Miva Merchant 4 store remains fully functional. Once you are secure with the new Miva Merchant 5 store, and have completed any unfinished business in the old store, you can delete the store.
Also see the suggested meta refresh technique, described below under Handle Links Coming in to The Store. By using this technique, you can direct shoppers to your new store.
If your store is part of a Web hosting package, contact the hosting company to get the upgrade module you will need for this step.
If your store is licensed direction from Miva Merchant, download the appropriate module upgrade5.mv (for Miva Merchant versions 4.00 to 4.13) or upgrade5.mvc (for Miva Merchant versions 4.14 to 5.00 ) from the Miva Merchant FTP site or the Miva Merchant Downloads page. You should have received the FTP information in an e-mail message from Miva Merchant.
Save the file to any convenient location on your computer, and make a note of it.
In the left navigation area, at the domain level, expand the Modules menu, and click Add Module. Click the round Upload File button to locate the file on your computer. Click Add to add the export module to your store.
Once the appropriate module is installed at the domain level, it will be available in the Utilities area of each store in the domain.
In the left navigation area, under Stores, expand the menu for the store you want to export. Expand the Utilities submenu, then the Export Data submenu. Select Export Store to Miva Merchant 5.x.
Click Export, or change the name of the export file and then click Export. Check marks will indicate progress through list of tasks as they are completed. When the entire file has been created, Export Complete will appear at the bottom of the task list.
Note that if you name the file something other than provide.xml, it will need to be renamed back to provide.xml before it can be imported into your Miva Merchant 5 store, but you may want to change the name here to reflect the store name, such as MyStoreNo3Export.xml, if there are several stores in the domain.
In the store data directory for your Miva Merchant 4 store, there will be an export folder, such as DATA\Merchant2\00000001\export, for the first store. In that directory, locate the file provide.xml (or a file by the name you specified).
Copy this file to your Miva Merchant 5.00 root data directory - the same directory where the Merchant2 and Merchant5 directories are located. If you specified a different name for the file earlier, rename it now to provide.xml.
When you log in to the new administration interface, Miva Merchant will detect the provide.xml file, and will automatically import the store. A message will appear to inform you that Miva Merchant is performing automated configuration operations. Do not close the browser window during the import process.
This will create the store, and populate it with the products, categories, settings, an so on that you exported from your Miva Merchant 4 store.
Any errors (invalid codes, etc.) will be recorded in the Miva Merchant 5.00 data directory in a file named provide.log.
Once the file has been processed, it will be renamed provide.xml-processed-yyyymmdd-hhmm, where yyyymmdd is the date, and hhmm is the time that the provide.xml file was processed.
For each Miva Merchant 4 store, there will be a graphics directory containing all the images used in the store, including product images, category images, and the images used for buttons and navigation features. There is a separate graphics directory for each store, such as HTML (or Web)\Merchant2\graphics\00000001 for the first store.
So that your images will appear in the new Miva Merchant 5 store, copy all the files in the store graphics directory into the corresponding new store graphics directory, such as HTML (or Web)\mm5\graphics\00000001.
Note - Do not copy the entire \graphics directory, only each individual store directory. If you were to replace the entire Miva Merchant 5 graphics directory with the one from Miva Merchant 4, it would overwrite the images used throughout the administration interface and wizards.
Because Miva Merchant 5 and previous versions use significantly different database technology, most third-party modules designed for earlier versions will need to be upgraded. Some modules may no longer be necessary. Before adding any third-party module to your Miva Merchant 5 system, contact the module developer to assess compatibility issues and/or the need for upgrades.
When you are ready to add new modules to the system, in the left navigation area, at the domain level, locate Modules [Add]. Click [Add]. Click the Upload button to locate the module file on your computer. Click Add to add the module to your store. Repeat for each new module.
Your own site, and others, including search engines, may link to your store, or even to individual product screens. Take advantage of these sources of shoppers by providing an easy way for them to continue to find your store.
If your Miva Merchant store is incorporated into a Web site, update any links to reflect the new store URLs. To learn the URL for a store screen, go to that page directly, and make a note of it, or click the Links button, available throughout the administration interface, in the upper-right corner of many screens.
You can alert others to the change, and give them an opportunity to update their links or bookmarks, by using a HTML meta refresh tag in the maintenance message for the old store. This works much like a paper Change of Address card for a brick and mortar store. It alerts people to the fact you have a new address, and it is only available for a limited time.
When a shopper attempts to access any area of your store, they will see the maintenance message. After a few moments (an interval which you specify), they can be automatically taken to the storefront screen for your Miva Merchant 5 store.
Here is a simple example of a maintenance message that will send a visitor on to your new storefront. Insert your new store URL in place of the example URL shown here. Notice that content="10", in the first line, gives an approximately 10 second pause before going to the new screen. You can specify any amount of time you like. Keep in mind that people need longer to read text than you might expect.
<meta http-equiv="refresh" content="10; URL=http://www.mivamerchant.com/docs/merchant/mm5/DocsIndex.html">
%store_name% has moved to a new location.

Please update your bookmarks, and visit us at:

Visit Our New Store

Click the link above, or wait to be taken to the above site in about 10 seconds.
The message will appear, and send visitors to your new store, during the 6-month transition period, while your old store is left in maintenance mode.
If you manage your own server, you can use a server redirect. If your store is provided as part of an e-commerce package, contact your hosting company for assistance. The server redirect can be used in addition to the meta refresh described above, and should be, if your server or host supports it.
There are several advantages to using this method. First, the shopper is delivered to the exact page they were looking for, rather than being taken to the storefront. Second, you can keep the server redirect available as long as you like, where the meta refresh technique will only be available during the 6-month transition period from Miva Merchant 4 to 5.
If your store is listed with services that submit it to search sites, update your listings to include the new URLs.
If you only have a few products listed, or just your storefront, manually update those listings to point to the updated URLs.
Remember, order information is not transferred to the new store. Leave the old store in maintenance mode (to prevent shoppers from placing any new orders), and finish processing any orders that are still open in your old store. The old store will remain available to you for six months. That is, the license allows for a 6-month overlap period, when you can get the new store up and running, and close out the old one.
Log out of Miva Merchant 5.
Follow the same steps outlined above, beginning with creating the provisioning file. Remember to find the provisioning file, provide.xml, in the export directory for the store you are upgrading at the moment.
If you named the file anything other than provide.xml, rename it to provide.xml now.
Remember that the store manager must already be a user in your Miva Merchant 5 system before their store can be created.
When you are ready, log in to Miva Merchant 5 again, and the additional store will be created.
Be careful to copy any store images to the correct store graphics directory.
If you encounter any of the following situations, try the following solutions.
There are several possible reasons that the store would not be created. Depending on the situation, there may be a log file, provide.log, which you can open and read with any text editor.
Remember that you must copy the image files into the new store graphics directory. They are not imported via the provisioning file (but all references to them are). Review the instructions above, under Copy the Store Image Files. Once you have copied the image files, refresh your browser window to see them appear in the new store.
Edit Store / Maintenance Mode


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Monday was the 12th 90 degree day of the summer. The high on Monday was 93 degrees in Indianapolis. More 90 degree heat is in the forecast Tuesday and Wednesday. In fact, record or near record heat is in the forecast. The forecast high is 95 degrees on Tuesday and the record is 95 set back in 1983. The forecast high is 94 on Wednesday and the record is 95 in 1897.
Take precautions from the heat because it will be humid too. The combination of heat and humidity will push heat index values or feels like temperatures over 100 degrees.
There is a chance for a few showers or storms on Wednesday and Thursday. It is still unclear how much rain will fall, but we will keep you updated on the timing and rainfall potential.


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You may not want to report an auto accident to your insurance company because you're afraid your premium will go up. Sometimes it looks at first glance like there hasn't been much damage, so you decide to just pay out of pocket. That can be a mistake that costs you a lot of money because hidden damages can add up in a hurry.
Fender Bender Spender
Most states require that you report an accident to the police or department of transportation if the estimated damage exceeds a set amount. Talking to your insurance company right away can help you get a claim settled, especially if it turns out to be for more than you thought. According to Consumer Reports, the actual cost for repairs can total almost $10,000 for two cars involved in a 10-mile-per-hour crash that initially looks minor. The cost was highest for cars with mismatched bumpers, like a hatchback colliding with an SUV. Failing to report right away can limit what your insurance company can do for you and leave you paying a lot more than your deductible.
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See What's Trending this Fashion Season
Explore a range of cool greys with the year's top colors.View Article
Do You Have an Eye for Fashion?
Let your imagination run wild with these easy-to-pair colors.View Article
Photo Credits
- Hemera Technologies/AbleStock.com/Getty Images


text:
Things to see and do - San Diego
Leaving for USA
Mingei International Museum :
Nearby tourist sites
Nearby hotels
The Sofia Hotel from127 $Book
The Westgate Hotel from169 $Book
Four Points by Sheraton San Diego Downtown from110 $Book
Things to do nearby
- 68 €
- Book
San Diego Zoo's Wild Animal Park
- 46 €
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Open Cockpit Biplane Sightseeing Ride
- 99 €
- Book
Mingei International Museum
Mingei International Museum : Michelin's recommendations
This folk art museum occupies six galleries on two levels of a building known since 1934 as the House of Charm. Mingei, a term by scholar Soetsu Yanagi, combines the Japanese words for people (min) and art (gei). Changing exhibits of traditional and contemporary folk art, craft and design have run the gamut from dolls to dowry furniture, textiles to stone sculptures, Haitian painting to Chinese jade. The Founder's Gallery presents functional elegance in American craft and Asian decorative art and furnishings. A quality museum shop is located near the front entrance.
Useful Information
- Address : 1439 El Prado USA - San Diego, CA 9210192101San Diego
- Phone : (619) 239-0003
- E-mail : email@example.com
- Website : http://www.mingei.org
- Prices : 3 $
Opening hours :
- Tue-Sat 10am-4pm


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"Primary care of adults with developmental disabilities. Canadian consensus guidelines." has been saved, and will be accessible from the My NGC page.
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Alert me when this guideline summary is updated.
This is the current release of the guideline.
Note from the National Guideline Clearinghouse: This guideline references a drug(s) for which important revised regulatory and/or warning information has been released.
Developmental disabilities
Adults with developmental disabilities
A librarian familiar with research on developmental disabilities undertook ongoing, comprehensive electronic searches in PubMed and PsycINFO for publications in English from 1990 to 2010 that were indexed under, or contained in their title, abstract, or text, the terms mental retardation, intellectual disability (disabilities), or developmental disability (disabilities). Publications from Great Britain were also searched for the terms learning difficulties, learning disability (disabilities), or learning disorders. These were cross-referenced with a long list of physical and mental health key words relating to medical assessment, diagnosis, treatment, prognosis, health care access, need, planning, services, and delivery. The search was then expanded to include specific health issues highlighted in the 2006 Guidelines. In addition, the librarian undertook manual searches using cited references in Scopus and Internet searches for relevant publications that had not been indexed by any of the above-mentioned electronic databases. Search results were downloaded to and organized in an electronic database management system known as RefWorks.
Not stated
Criteria for Assigning Levels of Evidence
Level I: At least 1 properly conducted randomized controlled trial, systematic review, or meta-analysis
Level II: Other comparison trials, non-randomized, cohort, case control, or epidemiologic studies, and preferably more than 1 study
Level III: Expert opinion or consensus statements
The working group reviewed published supporting evidence for all the guidelines, including those from supplementary electronic and manual searches for publications undertaken after the colloquium to address particular issues that were not foreseen in the original literature searches. The working group judged the level of evidence supplied for any modified or new guidelines, using the classification scheme adopted in the 2006 Guidelines (see the "Rating Scheme for the Strength of Evidence" field).
Most of the recommendations specifically concerning adults with developmental disabilities in the updated guidelines are supported by Level III evidence based on expert opinion or published consensus statements. Three are based on randomized controlled trials, systematic reviews, or meta-analysis (Level I evidence), and 7 are based on less methodologically rigorous studies (Level II). Even when Level I or II evidence for recommendations for the general population was found, but no Level I or II evidence relating specifically to people with developmental disabilities, it was thought prudent, in view of differences between these 2 groups, to reject, adapt, or formulate new guidelines based on expert opinion (Level III evidence) for these guidelines.
A consensus development method was used to update the 2006 Guidelines. This consisted of 2 steps: meticulous electronic and manual searches for relevant publications and discussion of recommended changes to the 2006 Guidelines by knowledgeable and experienced Canadian clinicians and researchers on primary health care of adults with developmental disabilities who participated in a consensus colloquium in March 2009 and in a subsequent working group.
Two family physicians, a psychologist, and a psychiatrist drew on the database of search results and on comments regarding the 2006 Guidelines gained from various users and reviewers. They were each assigned a section of the 2006 Guidelines for which they were to propose revisions.
Participants who helped to formulate the 2006 Guidelines and others who had completed training courses on the guidelines between 2006 and 2009 were invited to a day-long colloquium in Toronto, Ontario, in March 2009. Among the 39 participants were practitioners in family medicine, nursing, pediatrics, psychiatry, psychology, occupational therapy, and speech-language pathology. Before the colloquium, all had access to the librarian's entries into the RefWorks database and received a summary of feedback from users and reviewers of the 2006 Guidelines. The prepared proposals for revisions were discussed in small groups and in plenary sessions, and a summary of accepted revisions was presented and discussed at the end of the colloquium in relation to the priority criteria adopted in the 2006 Guidelines (see the table below). A working group consisting of 7 participants, with a family physician in the leading role, met monthly between March 2009 and March 2010 to draft the first version of the updated guidelines. They incorporated into the 2006 Guidelines the changes discussed and accepted during the colloquium.
Guideline Priority Criteria
Adapted from POMONA Partnership. POMONA II. Health indicators for people with intellectual disability: using an indicator set (final report). POMONA Partnership; 2008. Available from: www.pomonaproject.org .
Not applicable
A formal cost analysis was not performed and published cost analyses were not reviewed.
The first draft of the updated guidelines was circulated for review by participants in the colloquium as well as several invited consultants who were unable to attend the colloquium. Based on the feedback received, the working group prepared the second and final draft between March and October of 2010. The final draft was sent to participants in the colloquium and review process for their approval; it was then submitted for review for publication.
Levels of evidence (I–III) are defined at the end of the "Major Recommendations" field.
Preventive Care Checklist for Adults with Developmental Disabilities (DD)
Recommendations are listed with associated considerations under each subheading below.
General Issues in Primary Care of Adults with DD
Consideration: Disparities in primary care exist between adults with DD and the general population. The former often have poorer health, increased morbidity, and earlier mortality. Assessments that attend to the specific health issues of adults with DD can improve their primary care.
Recommendation: Apply age- and sex-specific guidelines for preventive health care as for adults in the general population (Dubey et al., 2006; Iglar et al., 2008). Perform an annual comprehensive preventive care assessment including physical examination and use guidelines and tools adapted for adults with DD (Lennox et al., 2007). (Level I)
Consideration: Etiology of DD is useful to establish, whenever possible, as it often informs preventive care or treatment.
Recommendation: Contact a genetics centre for referral criteria and testing protocols concerning etiologic assessment of adults whose DD is of unknown or uncertain origin (Curry et al., 1997; Diraimo et al., 2009; University of Washington, 1993). (Level III)
Consideration: Advances in genetic knowledge continue to enhance detection of etiology.
Recommendation: Consider reassessment periodically if a previous assessment was inconclusive, according to the criteria of the genetics centre (Moeschler, 2008). (Level III)
Adaptive Functioning
Consideration: Adaptive functioning can decline or improve in some adults with DD. A current assessment of intellectual and adaptive functioning helps to determine necessary care and supports, and establishes a baseline for future assessment.
Recommendation: Refer to a psychologist for assessment of functioning if the patient has never been assessed during adolescence or adulthood, or if a considerable life transition is expected (e.g., cessation of schooling or transition from middle to old age). (Level III)
Recommendation: Consider reassessment if indicated, comprehensively or in specific areas, to determine contributing factors to problem behaviour (see "Problem Behaviour," below) (The AAIDD Ad Hoc Committee on Terminology and Classification, 2010). (Level III)
Pain and Distress
Consideration: Pain and distress, often unrecognized, might present atypically in adults with DD, particularly those who have difficulty communicating. Nonspecific changes in behaviour might be the only indicator of medical illness or injury.
Recommendation: Be attentive to atypical physical cues of pain and distress using an assessment tool adapted for adults with DD (Regnard, Matthews, & Gibson, 2008; Burkitt et al., 2009). (Level III)
Consideration: Evaluation tools are available to assess the presence and intensity of pain in adults with DD.
Recommendation: Consider medical causes of changes in behaviour (e.g., urinary tract infection, dysmenorrhea, constipation, dental disease) (Regnard et al., 2007). (Level III)
Multiple or Long-term Use of Some Medications
Consideration: Multiple or long-term use of some medications by adults with DD can cause harm that is preventable.
Recommendation: Review the date of initiation, indications, dosages, and effectiveness of all medications regularly (e.g., every 3 mo) (Lennox, 2005). (Level III)
Recommendation: Determine patient adherence capacity and recommend dosettes, blister-packs, and other aids if necessary. (Level III)
Recommendation: Watch for both typical and atypical signs of adverse effects (Beange, Lennox, & Parmenter, 1999). Regularly monitor potentially toxic medications or interactions of medications (e.g., liver function tests or serum drug levels) at the recommended interval for each medication (Bhaumik & Branford, 2008). (Level III)
Recommendation: Ensure that patient and staff or caregivers are educated about appropriate use of medications, including over-the-counter, alternative, and as-needed medications. (Level III)
Abuse and Neglect
Consideration: Abuse and neglect of adults with DD occur frequently and are often perpetrated by people known to them. Behavioural indicators that might signal abuse or neglect include unexplained change in weight, noncompliance, aggression, withdrawal, depression, avoidance, poor self-esteem, inappropriate attachment or sexualized behaviour, sleep or eating disorders, and substance abuse.
Recommendation: Screen annually for risk factors (e.g., caregiver stress) and possible behavioural indicators of abuse or neglect (Fudge Schormans & Sobsey, 2007). (Level III)
Recommendation: When abuse or neglect is suspected, report to the police or other appropriate authority and address any consequent health issues (e.g., through appropriate counseling) (Fudge Schormans & Sobsey, 2007). (Level III)
Capacity for Voluntary and Informed Consent
Consideration: Capacity for voluntary and informed consent varies with the complexity and circumstances of decision making. The limited range of life experiences of some adults with DD, level of intellectual functioning, learned helplessness, and some mental health issues might impair capacity to give informed or voluntary consent. An adult with DD assessed as incapable of some aspects of decision making (e.g., understanding or judging consequences) might still be able to convey, through verbal or other means, perspectives that can inform the judgment of a substitute decision maker.
Recommendation: Always assess capacity for consent when proposing investigations or treatments for which consent is required (Friedman, 1998). (Level III)
Consideration: Communicating appropriately with adults with DD is necessary for assessing their capacity to consent and for seeking this consent.
Recommendation: Adapt the level and means of communicating to the patient's level of intellectual and adaptive functioning (van Schrojenstein Lantman-de Valk & Walsh, 2008). (Level III)
Consideration: Although some adults with DD might be incapable of giving consent, they might be able to contribute to decision making (e.g., understanding information, expressing perspectives, giving assent) with appropriate support from regular caregivers. Caregivers can also contribute to decision making. They may consent to or refuse treatment on behalf of an adult with DD who is assessed to be incapable of providing informed consent, if they are the most appropriate and available substitute decision makers according to the law.
Recommendation: Always consider the best interests of the adult with DD, including his or her perspective in pursuing or forgoing any health care intervention. Support whatever decision-making capacity is possible in adults with DD. Involve family or other caregivers to facilitate communication with, and understanding of, the adult with DD, but also be attentive to inappropriate taking over of decision making (Tuffrey-Wijne & McEnhill, 2008; Rush & Frances "Guideline 2," 2000). (Level III)
Advance Care Planning
Consideration: Advance care planning can often make a positive difference to the outcome of difficult life transitions and crises, and for end-of-life care.
Recommendation: Discuss advance care plans with adults with DD and their caregivers, especially to determine their preference of a substitute decision maker (Friedman, 1998). (Level III)
Recommendation: Record advance care plans and review them annually, or sooner in the context of a health crisis, for appropriateness to the adult with DD's present situation and for what needs to be implemented (van Schrojenstein Lantman-de Valk & Walsh, 2008). (Level III)
Interdisciplinary Health Care
Consideration: Interdisciplinary health care is effective in addressing the complex needs of adults with DD. Ideally this would involve a family physician, nurse, and other health practitioners as required, with a coordinator, who might be the family physician, to ensure continuity of care.
Recommendation: Involve other available health professionals as needed (Crocker, 2006). To address complex physical, behavioural, or mental health needs, consult available regional service coordination agencies or specialized interdisciplinary teams (Ministry of Community and Social Services, 2008; Ministry of Community and Social Services, 2009). (Level III)
Physical Health Guidelines for Adults with DD
Physical Inactivity and Obesity
Consideration: Physical inactivity and obesity are prevalent among adults with DD and are associated with adverse outcomes, including cardiovascular disease, diabetes, osteoporosis, constipation, and early mortality. Being underweight, with its attendant health risks, is also common.
Recommendation: Monitor weight and height regularly and assess risk status using body mass index, waist circumference, or waist-hip ratio measurements (Health Canada, 2003; Bhaumik et al., 2008). (Level II)
Consideration: A health promotion program can improve attitudes toward physical activity and satisfaction with life.
Recommendation: Counsel patients and their caregivers annually or more frequently, if indicated, regarding guidelines for nutrition and physical fitness and how to incorporate regular physical activity into daily routines. Refer to dietitian if indicated (Marks, Sisirak, & Heller, 2010; Healthy Living Unit, Public Health Agency of Canada, 2003; Hamilton et al., 2007; Henderson et al., 2008). (Level II)
Vision and Hearing Impairments
Consideration: Vision and hearing impairments among adults with DD are often underdiagnosed and can result in substantial changes in behaviour and adaptive functioning.
Recommendation: Perform office-based screening of vision and hearing (e.g., Snellen eye chart, whispered voice test) annually as recommended for average-risk adults, and when symptoms or signs of visual or hearing problems are noted, including changes in behaviour and adaptive functioning (Beange, Lennox, & Parmenter, 1999; Evenhuis & Natzgam, 1997). (Level III)
Recommendation: Refer for vision assessment to detect glaucoma and cataracts every 5 y after age 45 (Evenhuis & Natzgam, 1997). (Level III)
Recommendation: Refer for hearing assessment if indicated by screening and for age-related hearing loss every 5 y after age 45 (Evenhuis & Natzgam, 1997). (Level III)
Recommendation: Screen for and treat cerumen impaction every 6 mo (Crandell & Roeser, 1993; Roland et al., 2008). (Level III)
Dental Disease
Consideration: Dental disease is among the most common health problems in adults with DD owing to their difficulties in maintaining oral hygiene routines and accessing dental care. Changes in behaviour can be the result of discomfort from dental disease.
Recommendation: Promote regular oral hygiene practices and other preventive care (e.g., fluoride application) by a dental professional (Ismail, Lewis, & Dingle, 1994; Lewis & Ismail, 1994; Dougherty & MacRae, 2006; Glassman & Miller, 2003). (Level I)
Cardiac Disorders
Consideration: Cardiac disorders are prevalent among adults with DD. Risk factors for coronary artery disease include physical inactivity, obesity, smoking, and prolonged use of some psychotropic medications.
Recommendation: When any risk factor is present, screen for cardiovascular disease earlier and more regularly than in the general population and promote prevention (e.g., increasing physical activity, reducing smoking) (Wallace & Schluter, 2008). (Level III)
Consideration: Some adults with DD have congenital heart disease and are susceptible to bacterial endocarditis.
Recommendation: Refer to a cardiologist or adult congenital heart disease clinic (Canadian Adult Congenital Health Network, 2009). (Level III)
Recommendation: Follow guidelines for antibiotic prophylaxis for those few patients who meet revised criteria (Wilson et al., 2007). (Level II)
Respiratory Disorders
Consideration: Respiratory disorders (e.g., aspiration pneumonia) are among the most common causes of death for adults with DD. Swallowing difficulties are prevalent in those patients with neuromuscular dysfunction or taking certain medications with anticholinergic side effects, and they might result in aspiration or asphyxiation.
Recommendation: Screen at least annually for possible signs of swallowing difficulty and overt or silent aspiration (e.g., throat clearing after swallowing, coughing, choking, drooling, long mealtimes, aversion to food, weight loss, frequent chest infections). Refer as appropriate (Chadwick & Jolliffe, 2009). (Level III)
Gastrointestinal and Feeding Problems
Consideration: Gastrointestinal and feeding problems are common among adults with DD. Presenting manifestations are often different than in the general population and might include changes in behaviour or weight.
Recommendation: Screen annually for manifestations of gastroesophageal reflux disease (GERD) and manage accordingly. If introducing medications that can aggravate GERD, monitor more frequently for related symptoms (Wallace et al., 2004; Böhmer et al., 2000). (Level III)
Recommendation: If there are unexplained gastrointestinal findings or changes in behaviour or weight, investigate for constipation, GERD, peptic ulcer disease, and pica (Morad et al., 2007; Böhmer et al., 2000). (Level II)
Consideration: Adults with DD might have an increased risk of Helicobacter pylori infection related to factors such as having lived in a group home, rumination, or exposure to saliva or feces due to personal behaviour or environmental contamination.
Recommendation: Screen for H pylori infection in symptomatic adults with DD or asymptomatic ones who have lived in institutions or group homes. Consider retesting at regular intervals (e.g., 3–5 y) (Wallace et al., 2004). (Level III)
Recommendation: Consider urea breath testing, fecal antigen testing, or serologic testing depending on the indication, availability, and tolerability of the test (Wallace et al., 2004; Bourke et al., 2005). (Level III)
Consideration: Sexuality is an important issue that is often not considered in the primary care of adolescents and adults with DD.
Recommendation: Discuss the patient's or caregiver's concerns about sexuality (e.g., menstruation, masturbation, fertility and genetic risks, contraception, menopause) and screen for potentially harmful sexual practices or exploitation. Offer education and counseling services adapted for those with DD (Wilkinson & Cerreto, 2008; Cox, Signore, & Quint, 2011). (Level III)
Musculoskeletal Disorders
Consideration: Musculoskeletal disorders (e.g., scoliosis, contractures, and spasticity, which are possible sources of unrecognized pain) occur frequently among adults with DD and result in reduced mobility and activity, with associated adverse health outcomes.
Recommendation: Promote mobility and regular physical activity (Marks, Sisirak, & Heller, 2010; O'Neil et al., 2006). (Level III)
Recommendation: Consult a physical or occupational therapist regarding adaptations (e.g., wheelchair, modified seating, splints, orthotic devices) and safety (O'Neil et al., 2006). (Level III)
Consideration: Osteoporosis and osteoporotic fractures are more prevalent and tend to occur earlier in adults with DD than in the general population. In addition to aging and menopause, risk factors include severity of DD, low body weight, reduced mobility, increased risk of falls, smoking, hypogonadism, hyperprolactinemia, the presence of particular genetic syndromes (e.g., Down and Prader-Willi), and long-term use of certain drugs (e.g., glucocorticoids, anticonvulsants, injectable long-acting progesterone in women). Diagnosis and management of osteoporosis related to the side effects of current treatments can be challenging in adults with DD.
Recommendation: Periodically assess risk of developing osteoporosis in all age groups of male and female patients with DD. Those at high risk warrant regular screening starting in early adulthood (Brown & Josse, 2002; Zylstra et al., 2008). (Level III)
Recommendation: Recommend early and adequate intake or supplementation of calcium and vitamin D unless contraindicated (e.g., in Williams syndrome) (Brown & Josse, 2002). (Level III)
Consideration: Osteoarthritis is becoming more common with increasing life expectancy and weight gain, posing diagnostic and treatment difficulties.
Recommendation: Be aware of osteoarthritis as a possible source of pain (Haveman et al., 2010). (Level III)
Consideration: Epilepsy is prevalent among adults with DD and increases with the severity of the DD. It is often difficult to recognize, evaluate, and control, and has a pervasive effect on the lives of affected adults and their caregivers.
Recommendation: Refer to guidelines for management of epilepsy in adults with DD (Kerr et al., 2009). (Level III)
Recommendation: Review seizure medication regularly (e.g., every 3–6 mo). Consider specialist consultation regarding alternative medications when seizures persist, and possible discontinuation of medications for patients who become seizure-free (Kerr et al., 2009). (Level III)
Recommendation: Educate patients and caregivers about acute management of seizures and safety-related issues (Epilepsy Canada, 2009). (Level III)
Endocrine Disorders
Consideration: Endocrine disorders (e.g., thyroid disease, diabetes, and low testosterone) can be challenging to diagnose in adults with DD. Adults with DD have a higher incidence of thyroid disease compared with the general population.
Recommendation: Monitor thyroid function regularly. Consider testing for thyroid disease in patients with symptoms (including changes in behaviour and adaptive functioning) and at regular intervals (e.g., 1–5 y) in patients with elevated risk of thyroid disease (e.g., Down syndrome) (Beange, Lennox, & Parmenter, 1999). (Level III)
Recommendation: Establish a thyroid baseline and test annually for patients taking lithium or atypical or second-generation antipsychotic drugs (Bhaumik & Branford, 2008). (Level III)
Consideration: Currently there is no clear evidence of increased prevalence of diabetes in adults with DD, with some exceptions (e.g., Down syndrome). Diabetes management guidance has been developed for adults with DD and their care providers.
Recommendation: Consider screening for diabetes in adults with DD who are obese or who have sedentary lifestyles or hyperlipidemia. (Level III)
Consideration: Limited available data suggest that hypogonadism is common among men with DD. Substantial data are available on hypogonadism associated with specific syndromes (e.g., Prader-Willi syndrome).
Recommendation: Consider screening for hypogonadism and testosterone level at least once after full puberty is achieved, ideally at around age 18 y, and refer as appropriate if low levels are found (McElduff & Beange, 2003; McElduff, Center, & Beange, 2003). (Level III)
Infectious Disease Prevention and Screening
Consideration: Infectious disease prevention and screening. Even though immunization is a crucial component of preventive care, adults with DD might have limited awareness of immunizations.
Recommendation: Follow guidelines for routine immunization of adults (Langley & Faughnan, 2004; National Advisory Committee on Immunization [NACI], 2006). (Level III)
Recommendation: Ensure influenza and Streptococcus pneumoniae vaccinations are current and offered when appropriate ("23-valent pneumococcal polysaccharide vaccine," 2008). (Level III)
Recommendation: Discuss the human papillomavirus vaccine with female patients with DD between the ages of 9 and 26 y and, if appropriate, their substitute decision makers (NACI, 2007). (Level III)
Consideration: It is important to screen for infectious diseases (e.g., hepatitis B, human immunodeficiency virus [HIV], and H pylori) in adults with DD.
Recommendation: Screen for infectious diseases based on the patient's risk factors for exposure (for recommendations on H pylori see "Gastrointestinal and Feeding Problems," above). (Level III)
Consideration: Some adults with DD have an increased risk of exposure to infectious diseases (e.g., hepatitis A and B).
Recommendation: Offer hepatitis A and B screening and immunization to all at-risk adults with DD, (NACI, 2007; Mast et al., 2006; Advisory Committee on Immunization Practices, 2006) including those who take potentially hepatotoxic medications or who have ever lived in institutions or group homes (NACI, 2006). (Level III)
Cancer Screening
Consideration: Cancer screening is an essential aspect of preventive care. However, adults with DD are less likely than those in the general population to be included in preventive screening programs such as cervical screening, breast examination, mammography, and digital rectal examination. They are also less likely to do self-examination or to report abnormalities. Colorectal cancer risk is considerably greater for women than for men with DD.
Recommendation: Perform regular cervical screening for all women who have been sexually active (Quint & Elkins, 1997). (Level I)
Recommendation: Perform annual breast screening, including mammography, for female patients with DD aged 50–69 y (Morrison, 1994). (Level III)
Recommendation: Perform an annual testicular examination for all male patients with DD (Elford, 1994). (Level III)
Recommendation: Screen for prostate cancer annually using digital rectal examination from age 45 y for all male patients with DD (Feightner, 1994). (Level II)
Recommendation: Screen for colon cancer regularly in all adult patients with DD older than 50 y (Sullivan et al., 2004; Leddin et al., 2004). (Level I)
Behavioural and Mental Health Guidelines for Adults with DD
Problem Behaviour
Consideration: Problem behaviour, such as aggression and self-injury, is not a psychiatric disorder but might be a symptom of a health-related disorder or other circumstance (e.g., insufficient supports).
Recommendation: Before considering a psychiatric diagnosis, assess and address sequentially possible causes of problem behaviour, including physical (e.g., infections, constipation, pain), environmental (e.g., changed residence, reduced supports), and emotional factors (e.g., stress, trauma, grief) (Bradley & Hollins, 2010). (Level II)
Consideration: Problem behaviours sometimes occur because environments do not meet the developmental needs of the adult with DD.
Recommendation: Facilitate "enabling environments" to meet these unique developmental needs as they will likely diminish or eliminate these problem behaviours (Banks et al., 2007). (Level III)
Consideration: Despite the absence of an evidence base, psychotropic medications are regularly used to manage problem behaviours among adults with DD. Antipsychotic drugs should no longer be regarded as an acceptable routine treatment of problem behaviours in adults with DD.
Recommendation: Regularly audit the use of prescribed psychotropic medication, including those used as needed (Deb, Clarke, & Unwin, 2006). Plan for a functional analysis (typically performed by a behavioural therapist or psychologist) and interdisciplinary understanding of problem behaviours. Review with care providers psychological, behavioural, and other nonmedication interventions to manage problem behaviours. Consider reducing and stopping, at least on a trial basis, medications not prescribed for a specific psychiatric diagnosis (Deb et al., 2009). (Level III)
Psychiatric Disorders
Consideration: Psychiatric disorders and emotional disturbances are substantially more common among adults with DD, but their manifestations might mistakenly be regarded as typical for people with DD (i.e., "diagnostic overshadowing"). Consequently, coexisting mental health disturbances might not be recognized or addressed appropriately.
Recommendation: When screening for psychiatric disorder or emotional disturbance, use tools developed for adults with DD according to their functioning level (e.g., Aberrant Behaviour Checklist-Community [ABC-C]; Psychiatric Assessment Schedule for Adults with DD [PAS-ADD]) (Aman, Burrow, & Wolford, 1995; Moss et al., 1998; Mohr & Costello, 2007; Perez-Achiaga, Nelson, & Hassiotis, 2009). (Level III)
Consideration: Increased risk of particular developmental, neurologic, or behavioural manifestations and emotional disturbances (i.e., "behavioural phenotypes") is associated with some DD syndromes.
Recommendation: Consult available information on behavioural phenotypes in adults with DD due to specific syndromes (O'Brien, 2002; Society for the Study of Behavioural Phenotypes, 2009). (Level III)
Consideration: Establishing a diagnosis of a psychiatric disorder in adults with DD is often complex and difficult, as these disorders might be masked by atypical symptoms and signs. In general, mood, anxiety, and adjustment disorders are underdiagnosed and psychotic disorders are overdiagnosed in adults with DD.
Recommendation: When psychiatric disorder is suspected, seek interdisciplinary consultation from clinicians knowledgeable and experienced in DD. (Level III)
Psychotic Disorders
Consideration: Psychotic disorders are very difficult to diagnose when delusions and hallucinations cannot be expressed verbally. Developmentally appropriate fantasies and imaginary friends might be mistaken for delusional ideation, and self-conversation for hallucination.
Recommendation: Seek interdisciplinary input from specialists in psychiatry, psychology, and speech-language pathology with expertise in DD to help clarify diagnoses in patients with limited or unusual use of language (Bradley et al., 2009; Craft, Bicknell, & Hollins, 1985; Summers et al., "The interdisciplinary," 2002). (Level III)
Input and Assistance from Adults with DD and Their Caregivers
Consideration: Input and assistance from adults with DD and their caregivers are vital for a shared understanding of the basis of problem behaviours, emotional disturbances, and psychiatric disorders, and for effectively developing and implementing treatment and interventions.
Recommendation: Establish a shared way of working with patients and caregivers. Seek input, agreement, and assistance in identifying target symptoms and behaviours that can be monitored. (Level III)
Recommendation: Use tools (e.g., sleep charts, antecedent–behaviour-consequence [ABC] charts) to aid in assessing and monitoring behaviour and intervention outcomes (Summers et al. "Comprehensive screening," 2002; Hurley, 1997). (Level III)
Interventions Other Than Medication
Consideration: Interventions other than medication are usually effective for preventing or alleviating problem behaviours.
Recommendation: To reduce stress and anxiety that can underlie some problem behaviours, emotional disturbances, and psychiatric disorders, consider such interventions as addressing sensory issues (e.g., underarousal, overarousal, hypersensitivity), environmental modification, education and skill development, communication aids, psychological and behaviour therapies, and caregiver support (Bradley et al., 2009). (Level III)
Recommendation: Cognitive behavioural therapy can be effective in decreasing anger and treating anxiety and depression in adults with DD (McCabe, McGillivray, & Newton, 2006; Taylor, Lindsay, & Willner, 2008). (Level III)
Recommendation: There is increasing evidence of the efficacy of psychotherapy for emotional problems (e.g., related to grief, abuse, trauma) that might underlie aggression, anxiety, and other such states (Hollins & Sinason, 2000; Hubert & Hollins, 2006; McGinnity et al., 2004; Sequeira, Howlin, & Hollins, 2003; Cottis, 2008). (Level III)
Psychotropic Medications
Consideration: Psychotropic medications (e.g., antidepressants) are effective for robust diagnoses of psychiatric disorders in adults with DD as in the general population.
Recommendation: When psychiatric diagnosis is confirmed after comprehensive assessment, consider psychotropic medication along with other appropriate interventions as outlined in "Intervention Other Than Medication," above (Kalachnik et al., 1998). (Level III)
Consideration: Psychotropic medications, however, can be problematic for adults with DD and should therefore be used judiciously. Patients might be taking multiple medications and can thus be at increased risk of adverse medication interactions. Some adults with DD might have atypical responses or side effects at low doses. Some cannot describe harmful or distressing effects of the medications that they are taking.
Recommendation: "Start low, go slow" in initiating, increasing, or decreasing doses of medications (Rush & Frances "Guideline 4," 2000). (Level III)
Recommendation: Arrange to receive regular reports from patients and their caregivers during medication trials in order to monitor safety, side effects, and effectiveness (Deb et al., 2009). (Level III)
Recommendation: In addition to reviews every 3 mo (see "Multiple or Long-term Use of Some Medications," above), also review the psychiatric diagnosis and the appropriateness of prescribed medications for this diagnosis whenever there is a behavioural change (Bhaumik & Branford, 2008; Deb et al., 2009). (Level III)
Consideration: When unable to pinpoint a specific psychiatric diagnosis, behaviours of concern might serve as index behaviours against which to conduct a trial of medications.
Recommendation. Having excluded physical, emotional, and environmental contributors to the behaviours of concern, a trial of medication appropriate to the patient's symptoms might be considered. (Level III)
Antipsychotic Medications
Consideration: Antipsychotic medications are often inappropriately prescribed for adults with behaviour problems and DD. In the absence of a robust diagnosis of psychotic illness, antipsychotic medications should not be regarded as routine treatments of problem behaviours in adults with DD.
Recommendation: Do not use antipsychotic medication as a first-line treatment of problem behaviours without a confirmed robust diagnosis of schizophrenia or other psychotic disorder (Tyrer et al., 2008). (Level III)
Consideration: Antipsychotic medications increase risk of metabolic syndrome and can have other serious side effects (e.g., akathisia, cardiac conduction problems, swallowing difficulties, bowel dysfunction).
Recommendation: Carefully monitor for side effects of antipsychotic medication, including metabolic syndrome. Educate patients and caregivers to incorporate a healthy diet and regular exercise into their lifestyle (Bhaumik & Branford, 2008). (Level III)
Recommendation: Reassess the need for ongoing antipsychotic medications at regular intervals and consider dose reduction or discontinuation when appropriate (also see "Multiple or Long-term Use of Some Medications" and "Psychotropic Medications," above) (Bhaumik & Branford, 2008). (Level III)
Behavioural Crises
Consideration: Behavioural crises can occasionally arise that might need management in an emergency department.
Recommendation: When psychotropic medications are used to ensure safety during a behavioural crisis, ideally such use should be temporary (no longer than 72 h). (Level III)
Recommendation: Debrief with care providers in order to minimize the likelihood of recurrence. This should include a review of crisis events and responses (e.g., medication, de-escalation measures), and identification of the possible triggers and underlying causes of the behavioural crisis (Deb et al., 2009; Bradley & Lofchy, 2005). (Level III)
Recommendation: If the patient is at risk of recurrent behavioural crises, involve key stakeholders, including local emergency department staff, to develop a proactive, integrated emergency response plan (Bradley & Lofchy, 2005). (Level III)
Alcohol or Drug Abuse
Consideration: Alcohol or drug abuse is less common among adults with DD than in the general population, but the former might have more difficulty moderating their intake and experience more barriers to specialized rehabilitation services.
Recommendation: Screen for alcohol and drug abuse as part of the annual health examination. (Level III)
Consideration: Dementia is important to diagnose early, especially in adults with Down syndrome who are at increased risk. Diagnosis might be missed because changes in emotion, social behaviour, or motivation can be gradual and subtle. A baseline of functioning against which to measure changes is needed.
Recommendation: For patients at risk of dementia, assess or refer for psychological testing to establish a baseline of cognitive, adaptive, and communicative functioning. Monitor with appropriate tools (Royal College of Psychiatrists & British Psychological Society, 2009). (Level III)
Consideration: Differentiating dementia from depression and delirium can be especially challenging.
Recommendation: Educate family and other care providers about early signs of dementia. When signs are present, investigate for potential reversible causes of dementia. (Level III)
Recommendation: Consider referral to the appropriate specialist (i.e., psychiatrist, neurologist) if it is unclear whether symptoms and behaviour are due to emotional disturbance, psychiatric disorder, or dementia (Royal College of Psychiatrists & British Psychological Society, 2009). (Level III)
None provided
The type of supporting evidence is identified and graded for each recommendation (see the "Major Recommendations" field).
Appropriate primary care of adults with developmental disabilities (DD), which may lead to:
An implementation strategy was not provided.
Not applicable: The guideline was not adapted from another source.
College of Family Physicians of Canada
Authors: William F. Sullivan, MD, CCFP, PhD, family physician, St Michael's Hospital and Surrey Place Centre in Toronto, Ont, Associate Professor, University of Toronto, bioethicist; Joseph M. Berg, MB, BCh, MSc, FRCPsych, FCCMG, Professor Emeritus, Faculty of Medicine, University of Toronto, medical consultant, Surrey Place Centre; Elspeth Bradley, PhD, MB BS, FRCPC, FRCPsych, intellectual disabilities psychiatrist, Associate Professor, Department of Psychiatry, University of Toronto, Psychiatrist-in-Chief, Surrey Place Centre; Tom Cheetham, MD, CCFP, family physician, Surrey Place Centre; Richard Denton, MD, CCFP, FCFP, FRRMS, family physician, Kirkland Lake, Ont, Assistant Professor, Clinical Science, Department of Family Medicine, Northern Ontario School of Medicine; John Heng, MA, bioethicist in philosophy and thanatology, King's University College, University of Western Ontario, London, Ont; Brian Hennen, MA, MD, CCFP, Professor of Family Medicine, Dalhousie University, Halifax, NS; David Joyce, MD, CCFP, family physician, clinical investigator, Department of Family Medicine, University of British Columbia, Vancouver, BC; Maureen Kelly, RN, MPA, Project Coordinator, Developmental Disabilities Primary Care Initiative, Surrey Place Centre; Marika Korossy, librarian, Surrey Place Centre; Yona Lunsky, PhD, CPsych, Clinician Scientist, Centre for Addiction and Mental Health, Toronto, Adjunct Scientist, Institute for Clinical and Evaluative Sciences, Associate Professor, University of Toronto; Shirley McMillan, RN, MN, CDDN, Mental Health Nurse Specialist, Surrey Place Centre
None declared
Electronic copies: Available from the Canadian Family Physician Journal Web site .
None available
This NGC summary was completed by ECRI Institute on June 27, 2013. This summary was updated by ECRI Institute on May 24, 2016 following the U.S. Food and Drug Administration advisory on Olanzapine.
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Web Historical Disclaimer:
This is a historical page
and is no longer maintained at this location. Read our
Web history statement for more information and visit the link(s) below to access the current version of the site.
The current OnCampus site can be reached at http://www.utexas.edu/oncampus
A Publication of THE UNIVERSITY OF TEXAS AT AUSTIN
Growing number of U.S.-Mexican border residents using herbs to treat ailments, creating potential problems
By Nancy Neff
More and more residents along the U.S.-Mexican border are using herbal products instead of conventional medicines to treat health problems and are failing to inform a physician about the use an omission that makes them at risk for potentially dangerous drug interactions, the findings of a new study show.
The custom of using herbs is part of the Hispanic culture, but the study also shows that the use is more common among poor Hispanics who may lack health insurance, Rivera said. Researchers found that only 31 percent of patients using home remedies ever report their use to a conventional health care provider.
The two-phase, three-year study is being funded by the Paso del Norte Health Foundation and the Center for Border Health Research, which awarded the Cooperative Pharmacy Program nearly $300,000 to help it develop a plan promoting the safe use of herbal remedies and alternative medicines along the border. The results of the first phase of the study the evaluation of the use of alternative medicines like herbs will be published in the February issue of Pharmacotherapy.
The second phase of the study began recently and will have research and educational components. Researchers will gather information from the general population, surgical patients, the elderly and herbal product providers on both sides of the border in an effort to develop an extensive education program for healthcare providers and their patients.
"We hope to boost awareness among border-area health care providers so they can advise patients of the dangers of using some herbal remedies and explain the right way to use them," Rivera said. In addition to presentations and publications, the educational effort includes plans for a Web site containing photographs and information about commonly used herbs, less known regional herbs and information on studies related to herbal products.
The trend for using alternative medicines continues to increase at a significant rate nationally, Rivera said. But most of the previous studies have included few Hispanics.
In the first phase of the study, Rivera and his team found that the most common herbal or home remedies used were chamomile and aloe vera. The most common nutritional or commercial products were multivitamins, ginseng and gingko biloba.
"We identified 600 instances that could potentially result in drug interactions, disease interactions or adverse reactions secondary to herbal product use," Rivera said. "For that reason, we wanted to look at this more carefully."
Aside from toxic effects, other remedies may be potentially dangerous due simply to inefficacy. One of the cases the researchers looked at was a report involving a patient who developed Stage IV hypertension after replacing her medications with a herbal treatment. She had been taking labetolol and captopril for more than a year, but for financial reasons, she discontinued these and purchased a commercially available herbal product containing an extract from a small fruit bearing tree known as zapote blanco. The active ingredient is unknown. The patient ended up in the emergency room. Part of the education effort concerns the use of herbal products before surgery. It is recommended, for example, that patients stop taking herbal products two to three weeks prior to surgery due to possible interactions with drugs used during surgery and other complications.
"Education then is a key ingredient and with this second phase. We're in the early stages, but we're moving quickly," Rivera said.
The university established the joint cooperative programs to address the challenge of providing high levels of pharmaceutical care to all Texans. The joint program with the University of Texas at El Paso was established in 1995 to encourage local residents to consider careers in pharmacy.
In the current studies, researchers also are working with physicians at Texas Tech University Health Services Center in El Paso.
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Il Buco Chandelier Seals Love Connection
Christina Hendricks and Geoffrey Arend wed under their favorite light.
Back in July, we brought you the romantic tale of actors Christina Hendricks and Geoffrey Arend, and their favorite chandelier from Il Buco. The restaurant wouldn't sell Arend the light, so he commissioned the designer to create a new one and got the original shipped out to L.A. He proposed under it, and last week the couple were married right where they said they would be: Under the (new) lights at Il Buco. Glad the real-life Joan found someone better than that no-good doctor! [People]


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How to give a Credit
When you want to make sure that the person you are giving feedback to really understands the importance of their work, it is time to try a credit. To get good using credits, you need to practice.
How to give a Credit
1. Tell the individual specifically what you want to talk about. This helps the individual focus
2. Discuss the specifics of the action that you liked. Be as specific as possible. This will let the
3. Discuss the individual's personality characteristics that you see from the action. This helps you
4. Bring up the resultant benefit based on the employee's performance.
5. Thank you
After you have explained why you are crediting the individual, close with "Thank You".
For more information on giving credits, contact your Human Resource Consultant.


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Ranked among the nation's most integrated healthcare systems, Community Health Network is Central Indiana's leader in providing convenient access to exceptional healthcare services, where and when patients need them—in hospitals, health pavilions, workplaces, schools and homes.
More than 2.2 million emergency room visits each year are related to childhood falls, while more than 1.6 million adults ages 65 and over sustain injuries in falls each year. Most falls are not age-related and can often be prevented; however, age does tend to play a role in the type of fall. For instance, infants are more likely to fall from furniture, while older adults tend to fall more often due to tripping. Consider the following facts:
As a person ages, the risk of falling becomes greater with changes in vision and balance, coupled with other medical and physical conditions contributing to the increased risk. Certain safeguards should be taken to minimize the risk of falling, including the following:
About 75 percent of all falls occur at home. Taking certain precautions and exercising to stay physically strong can prevent many falls. Precautions to take in the home include the following:
Consider the following safety measures to reduce your child's risk of falling:
Baby walker-related injuries kill two children a year. In 2003, an estimated 3,200 children were treated for baby-walker related injuries. Consider these statistics:
Click here to view the
Online Resources of Non-Traumatic Emergencies
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Big science strikes again! I, too, was skeptical when Philips recently introduced the world's first beard trimmer equipped with a real, live laser beam to help men shave in a straight line. Sounds like a gimmick, right? And yet I walk by botched grooming jobs every day on the street. So today, after test-driving the Norelco Beard Trimmer 9100, I find myself forced to admit this futuristic groomer actually does work—and quite well.
Part of that is because the device is state-of-the-art in almost every way I can think of, with 17 preprogrammed length settings, a sharp blade that swivels to multiple angles of attack, and a water-resistant casing so you can splash with abandon. The laser itself kind of looks exactly how you'd imagine: Press down on a spring-loaded attachment behind the blade and up pops a unit that projects an intense, thin line of red light straight onto your face. Stick to this illuminated edge as you trim, and the borders of your beard will be perfectly straight; adjust the angle slightly for symmetrical curves.
Again, who cares? Shaving in a straight line with only your own eyes to guide you isn't akin to, say, executing a Brâncuşi sculpture—I'd give it a three on a one-to-ten scale of manual dexterity—but that's not to say there aren't times when my old-fashioned razor accidentally strays. Now, it would appear, I have no excuse.
• Allure Man Goes Under the Tweezers
• Allure Man: On the Hunt for the World's Best Fingernail Clipper
• Allure Man Conquers Gray Hair—Down There


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Building owners look for ways to reduce operational costs and get a solid ROI on building investments. Melink's products and services can help you achieve your goals in energy efficiency and renewable energy.
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Melink's products and services can be bundled together to offer aggressive energy savings while creating greener buildings. We have the ability to provide measurable savings and financial models to enable you to plan for future projects.
Melink's proprietary building monitoring system, MPower, helped us achieve net-zero energy by monitoring both our loads and renewable energy production. Learn More


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Revision as of 21:21, 21 October 2012 by KingAragorn (Talk | contribs)
annon is Sindarin for 'great door' or 'gate'.[1]
[edit] Etymology
The word derives from the root AD.[2] In Old Sindarin the word could have been *andondo
[edit] Examples
- Annon-in-Gelydh
- Morannon - "Black Gate"
- Sirannon - "Gate-stream"
[edit] Cognates
[edit] See also
- ↑ J.R.R. Tolkien, Christopher Tolkien (ed.), The Silmarillion, "Appendix: Elements in Quenya and Sindarin Names", annon
- ↑ J.R.R. Tolkien, Christopher Tolkien (ed.), The Lost Road and Other Writings, "Part Three: The Etymologies", AD


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Yunhai Hotel - Huangshan
- Location:
- Address: 45 Wenfeng Road, Huizhou District, Huangshan
- Tel: 0559-2317070 (Book this hotel, call 800-2682918)
- Hotel Name in Chinese: 黄山云海山庄
- Lowest Price: $33
- Prices not include 18% service fee and tax.
- Payment Method: pay using our secure online payment service or pay at the hotel at some hotels.
- Triple/quad occupancy may require an extra bed at extra cost.
Hotel Amenities
|Hotel Services
|Luggage service, Car rentals, Laundry service, Room service, Wake Up Call, 24hr Reception, Permanent English-speaking staff, Business Centre, Copy Service, E-mail, Translation Service, Fax Service, Typing Service
|Room Amenities
|Air conditioning, AM/FM radio, Alarm clock, Color Television, Coffee/tea maker, Telephone, Hair dryer, Iron and ironing board, Refrigerator, Bath and Shower, Free for Internet
Hotel Amenities: Elevator, Parking, Air-Conditioned Facilities, Beauty Salon, Business Center, Gift Shop, Meeting Room, Deposit Box at Front Desk, Fire Detector
Dining Facilities: Chinese Restaurant, Western Restaurant
Print the Taxi Directions
- Please drive me to Yunhai Hotel - Huangshan, thank you!
- 请送我到黄山云海山庄,谢谢
- Address: 45 Wenfeng Road, Huizhou District, Huangshan
- 地址: 45 Wenfeng Road, Huizhou District, Huangshan
- Tel: 0559-2317070
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Check out the list of all 93 hotels in Huangshan


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Oh No! Niall Horan Is Sick With Food Poisoning!
Little old leprechaun Niall Horan has been suffering with a bout of nasty food poisoning since coming back from Australia and New Zealand.
Niall tweeted the following message: "Not feeling the best! sore all over! under the weather as they say!"
He then tweeted again, saying: "Yessss! Back in london! Sleep for the next week, don't wana see a sole."
Maybe he bit into something a bit off on the 11,000 mile flight back from down under? Or perhaps all the touring and sleeping in hotels is catching up with the Nialler, and his delicate tummy just needs a rest?
Any volunteers to give him a tummy rub? 😉
On arrival back in the UK, Louis and Liam met up with their girlfriends Eleanor Calder and Danielle Peazer – and it seems a few romantic nights might be in order – before the band depart for US shores once again in a month.
Damn – the luckiest ladies in the world?
Watch the latest 1D VEVO Lift video diary below:


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We're setting up a software firewall, and one of the issues we're facing is that eth0 has a dynamic IP address.
In /etc/network/interfaces we've got the following:
# The loopback network interface
auto lo
iface lo inet loopback
# internet-facing interface
auto eth0
iface eth0 inet dhcp
dns-nameservers 192.168.5.8 192.168.5.5
dns-search -------.local
# The primary network interface
auto eth1
iface eth1 inet static
address 192.168.5.252
netmask 255.255.255.0
network 192.168.5.0
broadcast 192.168.5.255
dns-nameservers 192.168.5.8 192.168.5.5
dns-search -------.local
# This is an autoconfigured IPv6 interface
iface eth1 inet6 auto
The problem is that resolv.conf ends up with the DNS IP's of our ISP...
Update As stated above, resolv.conf gets the DNS IP addresses of our ISP that are part of the DHCP Package. The idea is that we get just an IP address, but basically only use our internal DNS servers. So the DNS parameters of DHCP should be ignored. Any ideas how to accomplish this?