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Study protocol: longitudinal study of the transition of young people with complex health needs from child to adult health services
Health policies, systems and management
Young people with complex health needs have impairments that can limit their ability to carry out day-to-day activities. As well as coping with other developmental transitions, these young people must negotiate the transfer of their clinical care from child to adult services. The process of transition may not be smooth and both health and social outcomes may suffer.
Increasingly, policy-makers have recognised the need to ensure a smoother transition between children's and adult services, with processes that are holistic, individualised, and person-centred; however, there is little outcome data to support proposed models of care. This study aims to identify the features of transitional care that are potentially effective and efficient for young people with complex health needs making their transition.
Longitudinal cohort study. 450 young people aged 14 years to 18 years 11 months (with autism spectrum disorder and an additional mental health problem, cerebral palsy or diabetes) will be followed through their transition from child to adult services and will contribute data at baseline, 12, 24 and 36 months. We will collect data on: health and wellbeing outcomes (participation, quality of life, satisfaction with services, generic health status (EQ-5D-Y) and condition specific measure of disease control or management); exposure to proposed beneficial features of services (such as having a key worker, appropriate involvement of parents); socio-economic characteristics of the sample; use of condition-related health and personal social services; preferences for the characteristics of transitional care.
We will us regression techniques to explore how outcomes vary by exposure to service features and by characteristics of the young people. These data will populate a decision-analytic model comparing the costs and benefits of potential alternative ways of organising transition services.
In order to better understand mechanisms and aid interpretation, we will undertake qualitative work with 15 young people, including interviews, non-participant observation and diary collection.
This study will evaluate the effect of service components of transitional care, rather than evaluation of specific models that may be unsustainable or not generalisable. It has been developed in response to numerous national and international calls for such evaluation.
Young people with complex health needs (CHN) are those with a physical, mental or health impairment that has the potential for a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities
The importance of transitional care to the wellbeing of young people with CHN is recognised in recent UK health policy
Internationally, similar problems and policy responses have been identified. The American Academy of Pediatricians reported that after a decade of effort, health transition support as a basic standard of care had not been implemented
In adolescence, the challenges for young people include seeking the kind of education or training they want, thinking about when and how to live independently, and making romantic relationships. Therefore, the primary policy initiatives about transition have focused on social services and education. For health services the complexity of transition, due to its multidisciplinary, interagency nature, is a challenge, even when they have the strategic will and resources to develop services. User-friendly and effective health protocols will not be efficient if services in other agencies are absent or inadequate. The UK Government's proposal that more health service commissioning should be by Local Government Authorities is a significant opportunity to ensure that services for transitional care are not commissioned in isolation from services in other sectors.
Over the last decade, there has also been a new understanding of adolescent brain development and its association with adolescent behaviour
Need for research in this area, and the rationale for the lines of research we adopt
A scoping review of transition models found limited literature evaluating health services for young people with diabetes or cerebral palsy, and none for young people with autism spectrum disorder (ASD)
There are some examples of promising interventions in health services. The Diabetes Navigator study showed improvement in clinic attendance, although there was no reduction in hospital admissions
A report from the York Social Policy Unit found little research on transition of young people with complex physical impairments
There is still less research on transition of young people with neurodevelopmental disorders, such as ASD or attention deficit hyperactivity disorder, although attempts are now being made to define service needs
There have been few studies on cost-effectiveness of transitional care, even though the personal and social costs of unsuccessful transition may be substantial
In our study, we focus on young people aged 14 to 21 years. During this period, young people's status changes with respect to consent, education and independence; and service provision and commissioning change from paediatric to adult health services. We will examine three 'exemplar' conditions that give rise to complex health needs: autism spectrum disorder and an additional mental health problem, cerebral palsy or diabetes. The young people should have intellectual ability in the average range (i.e. no significant learning disability); in the UK there are no multi-agency models of transition for such young people
Purpose and aims of the overall transition research programme
The research programme aims to promote the quality of life and health of young people with CHN by generating evidence to enable NHS Commissioners and Trusts to facilitate successful transition of young people from child to adult health care, thereby improving health and social outcomes. The programme has three overall aims:
1) To work with young people with CHN to determine what successful transition means to them and what is important to them in their transitional care.
2) To identify features of transitional care that are effective and efficient.
3) To determine how transition care should be organised, provided and commissioned.
Aim and objectives of the longitudinal study – the subject of this protocol
The aim is to identify features of transitional care that are effective and efficient (Aim 2 above):
This longitudinal study has four objectives:
i To examine whether proposed beneficial features of services contribute to positive outcomes for young people with diabetes, cerebral palsy and autism.
ii To understand how service features contribute to positive outcomes.
iii To determine resource use, costs and strength of preferences about care delivered.
iv To undertake a cost-consequence analysis.
The primary design is a longitudinal study capturing quantitative data on health outcomes, exposure to features of services identified from the research literature as potentially beneficial, socio-economic characteristics of the sample, and data to allow health economic analysis. We will visit 450 young people with complex health needs annually on four occasions (follow-up over three years) through their transition from child services to adult services. In order to further understand and interpret the findings of the longitudinal study, we will undertake qualitative work with fifteen of these young people, including interviews, non-participant observation and diary collection.
We will exclude young people with significant learning difficulties because the aim of the study is to capture young people's opinions about their lives and transition services, without the need to use proxy reporting.
Participants will be aged 14 years to 18 years 11 months at the beginning of the study. We will draw them from young people with one of three long-term conditions: diabetes for chronic illness; cerebral palsy for complex physical impairment; autism spectrum disorder with mental health difficulties for neurodevelopmental disorder. Their transfer of health care to adult services should not have started but be likely to begin in the coming year. The young people must have abilities in the average range of intelligence. We will seek 150 participants for each exemplar condition. One parent/carer for young person will also be invited to participate.
We will recruit young people with diabetes from outpatient clinics in four hospitals across England, selected because they were in the process of developing transition services. We will recruit those with autism from four child and adolescent mental health services across England. We will recruit those with cerebral palsy from two regional population registers in northern England and Northern Ireland.
Once a young person has consented to take part in the study, the research assistant will tell them about the qualitative study.
Data collected and instruments used
1 Baseline socioeconomic data. For the parent/carer we will collect data on ethnicity, household income, educational level and occupation. For the young person we will collect data on ethnicity, work, educational status, where the young person is living and with whom.
2 Later socio-economic data. For the young person we will update the above data at each visit.
3 Outcomes. We will capture the following at each visit:
• Participation: The Rotterdam Transition Profile
• Subjective wellbeing: Warwick-Edinburgh Mental Well-being Scale
• Patient and carer experience of services: Mind the Gap
• Health Outcome: EQ-5D-Y
• Condition specific measures of disease control or management, as shown in Table
4 Proposed Beneficial features of services
We will collect information on exposure to these features at visits two, three and four. We will use two prompts to help the young people remember what has happened during their contacts with health services in the previous year: a) an appointments log kept by the young person of healthcare contacts; b) researchers (with consent) will access the young person's health records before each visit.
We shall also ascertain from the health service provider whether it thinks it provides such features.
5 Use of services and costs
We will collect these data at visits two, three and four. The two prompts outlined in the paragraph above will aid recall of utilisation of services during the previous twelve months, as a basis for obtaining service costs. We will also ask participants and those accompanying them about their usual mode of transport, distance, how long on average they spent travelling to and from and attending each contact, and what they would otherwise have been doing.
6 Discrete Choice Experiment (DCE)
At the third visit, we will use a DCE to determine the relative importance (utility) to young people with CHN of different service configurations. A DCE is an attribute-based method of benefit measurement used increasingly in health care
Qualitative study: young People's experience of transition
We will explore young people's experience of healthcare transition services by asking all young people enrolled into the longitudinal study if they would like to take part in this qualitative component, if chosen. We will explore how their experiences of transition health services evolve over time through conducting qualitative interviews at two time points. Five young people from each exemplar condition (n = 15 in total) will be followed over a two to three year period. Location, age and phase of transition will guide the purposive sampling.
The interviews will focus on the young person's experiences of, understandings of, views about and aspirations for their healthcare transition. We will ask the young people to record their personal transition journey by suggesting to them some ways to record their experiences - written journal, photographs, audio diary, video diary, blog - but we will be open to suggestions from them. Each young person will nominate a 'significant other' (such as parent, sibling or partner) and a key healthcare professional involved in his or her transition. With the consent of the young people and relevant clinician(s) and anyone accompanying the young person, we will also observe their clinical encounters with a range of healthcare providers (n = 1-4 observations of encounters per young person; n = 15-60 observations in total).
Training of research assistants
We will appoint research assistants (RA) in each region for each exemplar condition. They will attend training workshops in the co-ordinating centre, Newcastle. Before recruitment begins, the first workshop will enable them to learn about the study and its methods, to ensure consistency across sites and to promote engagement with and enthusiasm for the study. The training will cover: the rationale for the study; the National Health Service regulatory framework for the conduct of research studies; how to engage young people and take informed consent; and how to administer the questionnaires. The RAs will also receive information about diabetes, cerebral palsy and autism and receive additional individualised training about issues to consider when approaching young people with one of those conditions. After each RA has completed about four visits there will be a second workshop to address any difficulties encountered, and explore strategies for maintaining contact with those recruited. Before the second year, a further training workshop will prepare the RAs for maximising retention, obtaining information from medical records, and for administration of the additional questionnaires.
The visits to the young person by the RA will usually take place in their home or alternative venue to suit the young person and their parents. The questionnaires are self-completed but the RA will explain them, answer queries that arise and, for young people with motor or communication difficulties, assist with their administration.
Another RA will undertake the qualitative work. She will receive the same training as those involved in the quantitative study. Additionally, she will receive training on how to conduct interviews and observations. She will attend regular meeting to explore any difficulties encountered.
Retention of participants
Over the three years, some young people will leave home and receive healthcare elsewhere. At each visit, we will check contact details to ensure these are as up-to-date as possible to minimise the risk of loss to follow-up due to being unable to contact family. We will offer young people a £5 voucher as an incentive to continue their participation (visits two, three and four), and they will receive a certificate recognising their contribution to the research after each visit. The RAs will offer continuity to the young people and their families over the study period by keeping in regular contact via text messages, emails, and telephone calls.
Data management
The research assistants will send photocopies of completed questionnaires to Newcastle University where we will enter the data into an Access database. Data entry and validation will be a continuous process, with a proportion of double data entry, so that we will identify and address problems immediately, rather than problems only becoming apparent on completion. We will download securely into the study database any data entered electronically by the young person via Survey Monkey. We will anonymise and store securely at each site information accessed from health records.
We will audio-record and transcribe all interviews. We will transcribe audio or video diaries and video clips produced by the young people. We will assimilate local documentary materials, including written diary extracts or photographs generated by young people. Non-participant observation in clinical settings will involve the production of contemporaneous field notes. When acceptable to the participants, we will audio-record some consultations to gain an objective record of them. We will edit all these transcriptions, documents, videos, photographs field notes and consultation notes to ensure anonymity of respondents.
Project management
Responsibility for delivering all objectives of the Programme, which includes the work in this protocol, lies with the Programme Management Board. It consists of all fourteen co-applicants for the grant and is chaired by the Chief Investigator, AC. HMcC leads on the quantitative data collection, TR leads on the qualitative work and MD leads on the health economic work described in this protocol.
An external advisory group will meet about once a year, comprising two chief executives of health service Trusts, two young people with complex health needs, two people representing the voluntary sector, a general practitioner, three academics in sociology, rehabilitation science, nursing studies, and a representative of the funder – the National Institute for Health Research.
The study received ethics approval from Newcastle and North Tyneside 1 Research Ethics Committee. Numbers 12/NE/0059 and 12/NE/0284. All young people will provide signed consent to join the study. For young people under sixteen years of age, a parent will also provide signed consent for their child to join the study.
Statistical analysis
We will examine the pattern of missing data and if appropriate use imputation, the exact method depending on the nature of missing data. We will assess for potential bias due to non-response by ensuring that baseline characteristics concerning age, gender, socioeconomic status as estimated from postcode data and disease severity/control are collected about non-responders. We will assess whether there are significant differences between those who do and do not take part by using tests such as chi-squared, t or Mann Whitney, depending on the nature of the data being assessed. There is likely to be less than 100% retention for subsequent visits and we will use the above methods to adjust further for potential bias.
We will use both individual outcomes and statistically determined combinations to characterise a 'good outcome'. Descriptive statistics will be reported with initial tests for differences and associations, for example between the different clinical groups, assessed using chi-squared, t and Kruskal Wallis tests and ANOVA as appropriate.
Adjusted modelling will follow a standard regression framework with appropriate link functions. Differences between time points will be used as the outcome measure, adjusted for time between measurements as a covariate. For continuous outcome measures, we will use linear regression models with transformations if required to explore associations between groupings of proposed beneficial features, and other explanatory measures and outcomes. We will use ordered logistic regression models to analyse ordinal outcomes. We will develop adjusted regression models, including model of associations between explanatory variables and allowing adjustment for potential confounders and assessment of potential interactions, to explore pathways to outcomes. While initial analyses will include all data, regardless of clinical group, stratified analyses will explore whether different pathways are likely for the different clinical groups.
Observations are likely to cluster within Trusts and clinics; multi-level modelling will address this. We will use robust standard errors to take into account clustering of patients in any non-multi-level models.
We aim to have 450 young people (150 in each of the three clinical groups) and estimate that 80% of the young people will be seen on all four occasions, that is at least 360 in total or 120 for each clinical group. Given this, as an example of our likely statistical power, we estimate that we will have 80% statistical power at the 5% significance level to detect the following at the 5% significance level:
i) a difference in proportion on the Rotterdam Transition Profile
ii) a within subject change in proportion on the Rotterdam Transition Profile (rehabilitation/health care domain) of at least 0.07. For a subgroup of 120, the detectable difference would be at least 0.25.
As no appropriate data were available on likely changes or differences, we chose to power the study based on the initial measurements. Using repeated measures methods will be more powerful. Clustering of data, for example within NHS Trusts, is likely to lead to wider confidence intervals around effect estimates in the regression models and with it less statistical power. However, this depends on the impact of clustering on the associations between exposure and outcome measures, which is unknown at this stage.
We will combine resource use data with unit costs from public sources
We will use logistic regression techniques to analyse the data gathered from the DCE at visit three
The aim is to assess the relative efficiency of illustrative models of transition, using cost-consequence analysis. We will ask the NHS Trusts in the study to cost the resources required to deliver an illustrative set of transition services that vary by the levels they attain of the proposed beneficial features. Analyses from the longitudinal study data will allow us to estimate the cost consequences and benefits predicted for a given service configuration. We will use results from the DCE to aggregate relevant outcomes into a single measure of the demand for specific ways of organising/supplying transition services.
Anonymised transcripts, field notes and other documents will form the data for formal analysis. Ethno-methodology will theoretically-inform the analysis. We will conduct all analyses according to the standard procedures of rigorous qualitative analysis
Those committed to improving transition processes for young people with complex health needs are moving from descriptions of the problem and suggestions for improvement to actual evaluation of services and conduct of trials. Our five year Programme of research is part of such endeavour and within our Programme there is a planned longitudinal observational study that we have described in this paper.
Whilst the overall Programme has research components unique to the UK context, such as how transition services should be commissioned, the longitudinal study formalises evaluation that has been called for by reports from many countries, namely pre-specification of outcomes and examination of the influence of proposed beneficial features of transition services.
Tsybina et al
In our study, subjective well-being, participation and health status are the primary outcomes. We have piloted in the study population the instruments we shall use to capture these outcomes and the instruments are appropriate for use in all three exemplar conditions. The youngest participants will be aged 14 years at the beginning of the study and the eldest will be aged 22 years by the end of the study. Thus, we can investigate outcomes at all stages of the transition process, including preparation for transition, transfer to adult services and post-transition in adult services. This design also allows for the variability in the age at which young people in each condition begin the transition to adult services.
While evaluation of transition pathways and services is beginning to be established in diabetes care
We aim to recruit young people who will go on to have a range of transition experiences and we will analyse any differences in those who do and do not decide to participate.
As in any longitudinal study, there will be a risk of dropout. However, as described earlier, we have incentives in place and the research assistants will receive training guided by recent articles that have examined the factors that make young people more or less likely to remain in a longitudinal study. These include quality of initial visit
ASD: Autism spectrum disorder; CHN: Complex health need; DCE: Discrete choice experiment; NHS: National Health Service; RA: Research assistant.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
AC, HMcC, TR, LV, ALeC, MP, JP wrote the successful application for funding. AC, HM, HMcC led on the writing of this manuscript and all authors read and approved the final version.
This article presents independent research funded by the National Institute for Health Research (NIHR) under the Programme Grants for Applied Research programme: RP-PG-0610-10112. The views expressed in this article are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.
Transition Collaborative Group
The Group consists of the authors of this paper and the following collaborators: Dr Angela Bate, Dr Stuart Bennet, Dr Amanda Billson, Dr Stephen Bruce, Dr Gail Dovey-Pearce, Dr Zilla Huma, Dr John Macfarlane, Dr Janet McDonagh, Dr Cara Maiden, Ms Melanie Meek, Dr Jenny Milne, Dr Julie Owens, Dr Jackie Parkes, Ms Debbie Reape, Dr Nandu Thalange, Ms Helen Wheatley; and the following research associates: Kamar Ameen-Ali, Albert Ferrer, Guiomar Garcia-Jalon, Kate Hardenberg, Jenni Hislop, Helen Mason, Sarah McAfferty, Holly Roper, Tracy Scott, Louise Ting, Hazel Windmill, Victoria Wood.
The challenges and opportunities for transitional care research
Transition to adulthood in congenital heart disease: missed adolescent milestones
Young adult patients with a history of pediatric disease: impact on course of life and transition into adulthood
Transition of care from paediatric to adult services in haematology
Young adults' (16-25 years) suggestions for providing developmentally appropriate diabetes services: a qualitative study
Transition from paediatric to adult medical services for young people with chronic neurological problems
The needs of physically disabled young people during transition to adult services
Recognition of emerging adulthood in UK rheumatology: the case for young adult rheumatology service developments
Supporting the health care transition from adolescence to adulthood in the medical home
Position statement: care of adolescents with chronic conditions
Transition to adult care for youth with special health care needs
Health issues in young adults with cerebral palsy: towards a life-span perspective
A pilot study on the effects of the transition of paediatric to adult health care in patients with haemophilia and in their parents: patient and parent worries, parental illness-related distress and health-related Quality of Life
Crossing the transition chasm: experiences and recommendations for improving transitional care of young adults, parents and providers
Adolescent maturity and the brain: the promise and pitfalls of neuroscience research in adolescent health policy
Models of healthcare transition for young people with complex health needs: a scoping review
A critical appraisal of literature reviews about the transition to adulthood for youth with disabilities
Evaluation of a systems navigator model for transition from pediatric to adult care for young adults with type 1 diabetes
The impact of a coordinated transitional care programme on adolescents with juvenile idiopathic arthritis
Bridging the gap: an integrated paediatric to adult clinical service for young adults with kidney failure
Improving the transition between paediatric and adult healthcare: a systematic review
Transitions in the lives of young people with complex healthcare needs
Young adults with ADHD: an analysis of their service needs on transfer to adult services
Disparities in transition planning for youth with autism spectrum disorder
Systematic review of disparities in health care for individuals with autism spectrum disorders in the United States
Transition pathways for young people with complex disabilities: exploring the economic consequences
Cerebral palsy–the transition from youth to adulthood
Non-compliance and transfer from paediatric to adult transplant unit
Transition to adult care for youths with diabetes mellitus: findings from a Universal Health Care System
Transition to adulthood: validation of the Rotterdam Transition Profile for young adults with cerebral palsy and normal intelligence
Warwick-Edinburgh Mental Well-being Scale (WEMWBS): validated for teenage school students in England and Scotland. A mixed methods assessment
Development and preliminary validation of the 'Mind the Gap' scale to assess satisfaction with transitional health care among adolescents with juvenile idiopathic arthritis
Development of the EQ-5D-Y: a child-friendly version of the EQ-5D
The strengths and difficulties questionnaire: a research note
The Strengths and Difficulties Questionnaire: a pilot study on the validity of the self-report version
The hospital anxiety and depression scale
A children's global assessment scale (CGAS)
Transition from pediatric to adult services: are we getting it right?
Team approach versus ad hoc health services for young people with physical disabilities: a retrospective cohort study
A transition care programme which improves diabetes control and reduces hospital admission rates in young adults with Type 1 diabetes aged 15-25 years
User perspectives of transitional care for adolescents with juvenile idiopathic arthritis
Transition of care: researching the needs of young adults with type 1 diabetes
Strategies for improving transition to adult cystic fibrosis care, based on patient and parent views
Current methods of transfer of young people with Type 1 diabetes to adult services
Transition from paediatric to adult services: experiences of HIV-positive adolescents
Planning for health care transitions: results from the 2005-2006 National Survey of Children with special health care needs
Preparing for adulthood: health care transition counseling for youth with arthritis
Transition to adult health care for adolescents and young adults with congenital heart disease: perspectives of the patient, parent and health care provider
Chronic illness, expert patients and care transition
A sociological focus on "expert patients"
Assessment of transition readiness skills and adherence in pediatric liver transplant recipients
Readiness to transfer to adult care of adolescents with chronic conditions: exploration of associated factors
Growing up and moving on in rheumatology: development and preliminary evaluation of a transitional care programme for a multicentre cohort of adolescents with juvenile idiopathic arthritis
Assessment of readiness to transfer to adult care for adolescents with cystic fibrosis
Measuring the transition readiness of youth with special healthcare needs: validation of the TRAQ-transition readiness assessment questionnaire
Measurement of medical self-management and transition readiness among Canadian adolescents with special health care needs
Transition of patients with sickle cell disease from pediatric to adult care: assessing patient readiness
Testing the transition preparation training program: a randomized controlled trial
Growing up and moving on. A multicentre UK audit of the transfer of adolescents with juvenile idiopathic arthritis from paediatric to adult centred care
Unraveling triadic communication in hospital consultations with adolescents with chronic conditions: the added value of mixed methods research
Transition to adult health care for adolescents and young adults with chronic conditions - Position paper of the Society for Adolescent Medicine
Transition to adult services for children and young people with palliative care needs: a systematic review
Young people's satisfaction of transitional care in adolescent rheumatology in the UK
Dimensions of the transition service coordinator role
Health, education, work, and independence of young adults with disabilities
Providers' perspectives and beliefs regarding transition to adult care for adolescents with sickle cell disease
Preparing for adulthood: a systematic review of life skill programs for youth with physical disabilities
Using discrete choice experiments to value health care programmes: current practice and future research reflections
Using conjoint analysis to elicit preferences for health care
Some pragmatics of data analysis
The constant comparative method of qualitative analysis
Longitudinal Evaluation of Transition Services ("LETS Study"): protocol for outcome evaluation
Implementing a transition pathway in diabetes: a qualitative study of the experiences and suggestions of young people with diabetes
Continuity of care in the transition from child to adult diabetes services: a realistic evaluation study
Minimizing respondent attrition in longitudinal research: practical implications from a cohort study of adolescent drinking
Innovative retention methods in longitudinal research: a case study of the developmental trends study
Retention strategies and predictors of attrition in an urban pediatric asthma study
Retaining young people in a longitudinal sexual health survey: a trial of strategies to maintain participation
Pre-publication history
The pre-publication history for this paper can be accessed here:


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A 3-year-old girl was injured after being left in a burning
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occasioning bodily harm and criminal damage.
He was also charged with a number of driving offences,
including stealing a motor vehicle and dangerous driving
occasioning bodily harm.
He appeared at a bedside hearing at Royal Perth Hospital on
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DAVE DETAR, Account Manager - ActiveOutdoors, participated in the Brookline Breeze. The "Breeze" is a 5k run and 1 mile fun run in the Pittsburgh suburbs. The 5K course was challenging with plenty of hills. I finished top 15 for my age group with a time of 24:52. The race was part of my training for my next half-marathon: The Spirit of Columbus (OH) on August 30. I'm hoping to break the 2:00 hour mark at that event.
JESSICA WEXLER (Foundations) spent this last weekend camping on the beautiful Santa Cruz (Channel) Island with family and friends. During the weekend we did a 12 mile hike to the summit of the island followed by a hike to a remote beach. On the return ferry home we were treated with 2 blue whale sightings and a pod of a thousand dolphins.
TIM WOOD Played in a golf tournament in Coronado, CA. Did well on the front nine, fell apart on the back. But it was a PERFECT San Diego day! Tim didnt say what his final score was.
MARK LISTER (Documentation Burnaby) ran his first half marathon on Sunday, the Delta Half Marathon. The course is entirely flat, running along farm roads, residential streets and next to the **** along the Fraser River. With very little breeze, moderate temperatures and a mist-like rain, conditions were perfect for a fast race. I placed 4th in a time of 1:17:25. WOW a first ½ in such a great time!
Lily and Chuan from Chengdu office. We went to Qinghai-Tibet Plateau last weekend. The view is beautiful over there.
We climbed up to the peak of Zhe-Duo Mountain which altitude is 4407 meters (14458 feet). We almost could touch the cloud!
Yours truly MIKE REILLY at Ironman Lake Placid, NY on a rainy morning but all was well and the sun came out on day race day. Glad I found a banner to keep the fence up!
Bryan A Pavin
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Summertime Active Fun
ActiveX a Birthday Run and a High Wedding
ActiveX a Birthday Run and a High Wedding
Lots of Snow
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K5ZD op with OE4A station owner, Rainer, OE4RLC
Grocery store on way to OE4A
OE4A Contest food. No kitchen at the station, so no cooking.
Its about 60km north from Graz to OE4A.
My first view of the OE4A antennas.
25 meter tower with 2-el Optibeam for 80m and 4-el Optibeam for 40m.
25 meter tower with big Optibeam for 20-10.
View to North America. Look closely to see the wire of the 160 meter antenna.
Station owner, Rainer, OE4RLC, getting things ready for the contest.
Operating configuration for the contest. Only one radio so very simple arrangement. All antenna switching was automatically controlled by the band decoder.
Video demonstration of "auto-tune" amplifier.
Amplifier built from surplus Russian jamming transmitter.
Amplifier "band selector"
Working the boys.
Self portrait late on the second night.
Visit from Braco, OE1EMS, near the end of the contest. He was driving home from his "other station" T93J.


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What can you do if you inadvertently set off a motion detector that turns on a light on Shabbos - Can you keep walking? If I have one do I have to shut it off before Shabbos?
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Dayan Nueschloss ZT"L told me that it was not a problem to walk by such a light on Shabbos. I heard the same in the name of Dayan Falk.
Rav Ephraim Greenblatt told me that it probably is not a problem, but in his opinion if it can be avoided, then you should. He told me that he asked and reminded his gentile neighbors to turn them off before Shabbos and they were very good about it. (But that was in Memphis, in the buckle of the Southern Bible Belt)
Keep walking. Rav Wosner says that if you're just walking normally then there's no issue.
From here source #17 http://halachipedia.com/index.php?title=Electricity_on_Shabbat#Setting_Timers_before_Shabbat Sheivet HaLevi 9:69 permits walking in an area where there is a motion sensor that will activate a light, such as those attached to the outside of buildings. He explains that davar she'eino mitkaven refers only to when one does an action that may cause an unintended melacha. If, however, one is walking normally and makes no motion in order for a melacha to occur, it is not even a psik reisha as long as one's intent isn't to turn on the light. OrchotShabbat (p. 79) quotes Rav Elyashiv and Rav Nissim Karlitz who say that since one doesn't have a direct connection to the melacha and doesn't care about the light, it's not called melechet machshevet. TheShabbos Home (p. 489) agrees.
Rabbi Mordechai Willig ("Halacha Engages Modernity Part 8," min 50-60) challenges this line of reasoning because it should be considered a psik reisha d'nicha lei and turning on a light might be deoraitta. Furthermore, The 39 Melachos (p. 1215) says that if one can't avoid walking in a place that will turn on a light because of a motion sensor and the streets are dark so that one will benefit from the light turning on, one shouldn't leave his house! He does permit one to walk past such a motion sensor if he closes his eyes at the time when the light will turn on because in such a case then it is not considered niche lei, even if one will open one's eyes right afterwards.
On the other hand, Rabbi Hershel Schachter ("Electricity on Shabbos," min 62-8) explains that if one is doing an action that is physically disconnected from where the melacha is occurring, it isn't considered a psik reisha. Thus, Rav Schachter says that there's what to rely on to permit walking in an area where there is a surveillance camera or a motion sensor which will turn on a light as long as one doesn't have intent to be videoed or turn on the light.


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Jacqueline Serrano
SuperStar Consultant
My name is Jacqueline Serrano and I am married with 3 children. I started Scentsy in February 2011. Shortly after retiring from 20 years of active duty I started working full time because my retirement check was not enough to make ends meet. When I received my first few pay checks I know then it was not enough. So I tried 2 direct selling companies but I did not enjoy doing them, nor did I really like the product. So one day my sponsor sold me a Scentsy Warmer. I will never forget I took home my Angora Warmer and three bars of wax Rio Beach, Satin Sheets and White Tea Cactus. She told me, Take 2 cubes and let it warm and it no time I fell in love. Then I realized sooner or later I was going need more wax. So I gave her a call and she told me how much I could make if I set a side one hour a day. She said, "If you love it, then sell it". At first this was just to help me make ends meet and I realized I was meeting new people; "Socializing" then I started recruiting. As I recruited I trained each person, but I did not only get to know them I got to know there family. I was also helping them out. My family is now more involved with Scentsy; we now spend more time together. My recruits are now "FAMILY" and I enjoy selling Scentsy to other people because I make new friends. But I know if I love the product so will everyone who makes a purchase. My "WHY" was to be debt free but now it's to be my own boss. I want to make my own hours and be my own boss. Scentsy gives me that flexibility.See More
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Definition of hypochondriacal in English:
Of or affected by hypochondria: she was extremely hypochondriacal
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- His study shows that those with high hypochondriacal tendencies were more likely to involuntarily focus on anthrax-related stimuli.
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Villas At Saint Therese Independent Living Inc
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Crossbar arrays based on two-terminal resistive switches have been proposed as a leading candidate for future memory and logic applications. Here we demonstrate a high-density, fully operational hybrid crossbar/CMOS system composed of a transistor- and diode-less memristor crossbar array vertically integrated on top of a CMOS chip by taking advantage of the intrinsic nonlinear characteristics of the memristor element. The hybrid crossbar/CMOS system can reliably store complex binary and multilevel 1600 pixel bitmap images using a new programming scheme.
Electrical Engineering and Computer Science, The University of Michigan , Ann Arbor, Michigan 48109, United States.
This article was published in the following journal.
Name: Nano letters
Pages: 389-95
Feature Extraction Using Memristor Networks.
Crossbar arrays of memristive elements are investigated for the implementation of dictionary learning and sparse coding of natural images. A winner-take-all training algorithm, in conjunction with Oja...
Existence and global exponential stability of periodic solution of memristor-based BAM neural networks with time-varying delays.
In this paper, we investigate a class of memristor-based BAM neural networks with time-varying delays. Under the framework of Filippov solutions, boundedness and ultimate boundedness of solutions of m...
Multi-exposure laser speckle contrast imaging using a high frame rate CMOS sensor with a field programmable gate array.
A system has been developed in which multi-exposure laser speckle contrast imaging (LSCI) is implemented using a high frame rate CMOS imaging sensor chip. Processing is performed using a field program...
Hybrid optoacoustic tomography and pulse-echo ultrasonography using concave arrays.
Implementation of hybrid imaging using optoacoustic tomography (OAT) and ultrasound (US) brings together the important advantages and complementary features of both methods. However, the fundamentally...
Miniaturizing Ultrasonic System for Portable Health Care and Fitness.
We present a miniaturized portable ultrasonic imager that uses a custom ASIC and a piezoelectric transducer array to transmit and capture 2-D sonographs. The ASIC, fabricated in 0.18 μm 32 V CMOS pro...
Laparoscopic Transvaginal Hybrid Cholecystectomy: a Prospective Data Collection.
Transvaginal hybrid procedures especially the transvaginal hybrid cholecystectomy are of interest as an available NOTES-Procedure for the clinical routine. Few authors have demonstrated th...
Feasibility Study to Evaluate the Hybrid-Logic Closed Loop System in Type 1 Diabetes The DREMED Trail
Closed loop technology has been shown to reduce both hypoglycemia and hyperglycemia, as well as reduce glycemic variability. Several groups around the world investigate efforts in develop...
Feasibility Study to Evaluate the Hybrid-Logic Closed Loop System in Type 1 Diabetes
The purpose of this study is to collect data on the feasibility of the HLCL system in a camp setting.
Hybrid SA RGP Center/S-H Skirt Daily Wear 90 Day Multicenter Study
The purpose of the study is to demonstrate that the SynergEyes SA Hybrid Contact Lens clinical performance is substantially equivalent to that of the SynergEyes A Hybrid Lens when studied:...
Laparoscopic Transvaginal Hybrid Anterior Resection: a Prospective Data Collection
Transvaginal hybrid procedures are of interest as an available NOTES-Procedure for the clinical routine. Few authors have demonstrated the feasibility and safety of such procedures (e.g. c...
Two-hybrid System Techniques
Screening techniques first developed in yeast to identify genes encoding interacting proteins. Variations are used to evaluate interplay between proteins and other molecules. Two-hybrid techniques refer to analysis for protein-protein interactions, one-hybrid for DNA-protein interactions, three-hybrid interactions for RNA-protein interactions or ligand-based interactions. Reverse n-hybrid techniques refer to analysis for mutations or other small molecules that dissociate known interactions.
Data Display
The visual display of data in a man-machine system. An example is when data is called from the computer and transmitted to a CATHODE RAY TUBE DISPLAY or LIQUID CRYSTAL display.
Data Compression
Information application based on a variety of coding methods to minimize the amount of data to be stored, retrieved, or transmitted. Data compression can be applied to various forms of data, such as images and signals. It is used to reduce costs and increase efficiency in the maintenance of large volumes of data.
An optical disk storage system for computers on which data can be read or from which data can be retrieved but not entered or modified. A CD-ROM unit is almost identical to the compact disk playback device for home use.
Computer Peripherals
Various units or machines that operate in combination or in conjunction with a computer but are not physically part of it. Peripheral devices typically display computer data, store data from the computer and return the data to the computer on demand, prepare data for human use, or acquire data from a source and convert it to a form usable by a computer. (Computer Dictionary, 4th ed.)
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A diagnostic test is any kind of medical test performed to aid in the diagnosis or detection of disease. For example: to diagnose diseases to measure the progress or recovery from disease to confirm that a person is free from disease Clin...
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Budget hotels in Coahuila, Mexico are located near many of the region's top attractions. The capital of the northern Mexican state is Saltillo, founded in the 16th century and still home to many examples of colonial architecture. The Saltillo Cathedral, began in 1745, is considered one of northern Mexico's most glorious cathedrals and best examples of Spanish Baroque architecture. Underground tunnels run from the cathedral to the city limits. The city markets in Saltillo are famous for their Saltillo tile and locally made serapes. The Zaragoza Market is a typical market where local artisans sell their wares – crystal, ceramics, leather, and more.
Outside the capital cheap hotels in Coahuila, Mexico can be found near villages and towns. Cuatro Cienegas is the location of former Jesuit missions that date back to the 1500's. In the 1700's the town of Cuatro Cienegras was founded on the spot and has become a hub for eco-tourism. Sportsmen and hunters often head to 'Mexico's Door', Piedras Negras. This village is located across the Rio Grande/US border and is well known for hunting and sports fishing.
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Northeast Louisiana University (now ULM)
Northeast Louisiana University (now ULM) (Master's)
Ohio State University, Columbus (PhD)
I have over 20 years of experience in the fields of biology, ecology, and environmental science. I can help a student in the areas of anatomy and physiology, basic or introductory biology, ecology, entomology, ichthyology, or any organismal zoology course.
I can also help students in the subject of environmental science or environmental toxicology.
I also have a combined experience of 15 years in teaching and training. These experiences have helped me learn about how to teach others.
My philosophy on learning is that learning is a life-long process. Attending school is just the beginning and should simply prepare you to continue to learn as you go through your adult years. Learning should be enjoyable, and although sometimes the learning of a subject is not, the end result of knowledge is!
I understand that many folks do not learn in the same way. I had to learn that in order to make good grades. I found that in order to learn I had to write everything down and talk to myself as I did it. I am a kinetic and oral learner. As a teacher, I have helped students struggling with biology learn their particular learning method. These students no longer needed my assistance after a short time and were making better grades on their own!
I can help you find your learning method, help you find a better way to study, and help you become an independent learner. Soon you will be making better grades on your own!
I love biology, zoology and ecology. I tell you what, someone doesn't major in those areas if they want to make a ton of money! You study those courses because you love them. You live it! I loved my coursework and thoroughly enjoyed my college years... all 13 of them! I want YOU to enjoy the various sciences of biology too! You can. I know it.
NOTE: I'm a working mom, so I my schedule fills up with various doctor appointments for my kids sometimes. So please be somewhat flexible in the number of times we meet. Also, with my current work schedule, my hours run from 9 am til 1 pm M-F, except for Thursdays. On Thursdays I can meet you anytime between 9 am and noon. Weekend sessions can be made, but only if you need them. I have over 20 years of experience in the fields of biology, ecology, and environmental science. I can help a student in the areas of … Read more
Thank you for helping her prepare for finals. She told us you gave her tips to help her relax. She thought it went well. We will have to wait and see. Thank you for being so kind to her. She said one of the lessons really helped! I have asked her to tell you what was the difference for her in that lesson. Happy Holidays. Thanks! You made a difference.
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I am qualified to tutor in anatomy based on my education. I have a BSc in Zoology, a MSc in Zoology and a PhD in Entomology. I feel that I can help a student taking their introductory courses in anatomy and physiology achieve success. Courses that I took while in college that apply to my qualification to tutor in anatomy include comparative anatomy and physiology and animal physiology.
I am qualified to tutor in biology based on my college education. I have a BSc in Zoology, a MSc in Biology, and a PhD in Entomology. Although I ended up in a specific science (i.e., entomology) I have taken many course involving human biology to round out my studies.
I've studied the subject of ecology for about 13 years and worked within the field for about 10 years. Although I no longer work in the field, I am married to an ecologist and basically, studying nature is a personal enjoyment. I can assist the freshman/sophomore level student with introductory courses. Ecology is what I call a "gray science." There very few absolutes. You have to understand the concepts and then apply them, understanding that the concepts are not totally encompassing or perfect.
I do not have certification to teach ESL/ESOL, but I can offer to provide the student with an hour of conversation so that he or she can practice their skills in English.
I am qualified to tutor in biology based on my college education. I have a BS in Zoology, a MS in Biology, and a PhD in Entomology. Although I ended up in a specific science (i.e., entomology) I have taken many course involving human biology to round out my studies. Courses that I took that apply to physiology include animal physiology, embryology, comparative anatomy and physiology, and various organism specific courses, such as ichthyology and entomology.
I have several years of writing professional documents. I also would proofread my coworkers documents before submission. I currently work part-time as a scientific proofreader for TextCheck, Inc. where I proofread scientific journal articles for non-English speaking authors.
I am qualified to tutor a student in areas of entomology and ichthyology based on my education (PhD in entomology from Ohio State University and BSc and MSc in zoology from NLU). I have almost 20 years experience identifying insects and fish that I received through education and work experience.
Experienced biologist who loves to teach!


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Community Calendar
Published: Saturday, October 22, 2005 at 4:30 a.m.
Last Modified: Saturday, October 22, 2005 at 12:00 a.m.
Henderson County Planning Board will hold a special called meeting at 6 p.m. Monday in the meeting room, Land Development Building, 101 E. Allen St., regarding the Land Development Code.
Henderson County Historic Courthouse Corp. Board of Directors will meet at 4 p.m. Monday at the History Center, 400 N. Main St. Special guest: David Hutto, dean of the Technology and Development Department at BRCC.
Transylvania County Board of Commissioners will meet at 7 p.m. Monday in the large courtroom, Transylvania County Courthouse.
Hikes, walks
Hike on Blue Wall Passage of Palmetto Trail will take place Saturday, Oct. 29, by Foothills Equestrian Nature Center, Pacolet Area Conservancy. Leader: Chuck Hearon. Meet at 8:45 a.m. at parking lot, Dug Hill Road. Information: (864) 457-2017.
Holiday events
Fall Festival and Trunk and Treat will be held from 6 to 8 p.m. Saturday, Oct. 29, in the Family Life Center, Refuge Baptist Church, Dana. Games, prizes, goodies. Information: 685-8544.
Family Fall Fun Festival will be held from 5 to 7 p.m. Saturday, Oct. 29, at Covenant Presbyterian Church, 2101 Kanuga Road. Games, activities: 5 p.m. Pizza and salad dinner: 5:30 p.m. Cake walks, tailgate treats, costume contest. Reservations required for meal: 693-8651.
All Saints Harvest Festival will be held Wednesday at the First Presbyterian Church, Grove Street between Sixth and Seventh avenues. Country-style Harvest Dinner: 5:25 p.m.; $5, adults $5; $10, families. Festival program: 6:25 p.m. Dress as biblical character or famous historic American. Prizes: Preschool, elementary, junior/senior high school. Storyteller. Reservations: 692-3211.
Halloween Costume Contest will be held from 8 to 11 p.m. Saturday, Oct. 29, at Saluda Mountain Jamboree. Prizes, judging: 10 p.m. Free punch, cookies. Music, dancing. Band: Free Flight. Admission: $8.
Halloween Fair will be held from 2 to 4 p.m. Saturday, Oct. 29, at the VFW Post 4309, 140 Nicholson Creek Road, Brevard. Host: Ladies Auxiliary. Free games for ages toddler to 10 years, prize. Food. Information: 883-2230.
Fall Festival will be held from 3 to 6 p.m. Saturday, Oct. 29, at the Hendersonville Pentecostal Holiness Church, 991 Upward Road. Inflatable slide, bungee run, Velcro wall, games, fun, food. Information: 685-0565.
Halloween Carnival for children ages 11 and under will be held from 3 to 5 p.m. Saturday, Oct. 29, at Kate's Park, Fletcher. Games, costume contests, prizes, air bounce. Admission: Donation of non-perishable food items for Hearts with Hands. Information: 687-0751, www.fletchernc.org.
Halloweenfest 2005 will be held Saturday, Oct. 29, in Brevard. Proper Pot Apple/Pumpkin Bake-off: 9 a.m. Street fair: 10 a.m. to 6 p.m. Bicycle Rodeo, Pumpkin Carving Contest, Pumpkin Bowling, Hay Maze, trick or treating, costume contest, Pumpkin Parade, Pumpkin Roll, other games. Old Time Music Competition, Old Time String Band Competition, Movies in the Meadow. Information: 884-3278, www.brevardnc.org.
Community Harvest Festival will be held from 6 to 8 p.m. Saturday, Oct. 29, at Mountain Page Baptist Church, Mountain Page Road. Hay rides, pizza, candy, face painting, games. Information: 749-9330.
Church Fall Festival will be held from 8 a.m. to 6 p.m. Saturday, Oct. 29, at New Grace Christian Church, 211 Beverly Ave. Yard sale, country store, bake sale, games, raffle. Meals: $3, breakfast, sausage or ham biscuits; $3, lunch, hot dogs; $5, supper, pinto beans, potatoes, slaw, cornbread, beverages. Donations for sale items appreciated. Information: 698-4508.
Military Order of the Purple Heart, WNC Chapter, will meet at noon Saturday, Oct. 29, at Sagebrush Steakhouse, 895 Russ Ave., Waynesville. Military service personnel from all wars awarded the Purple Heart medal for wounds received in action welcome. Information: (828) 456-8682, (828) 452-4075.
WNC Society for Genealogical Research will be held at 10 a.m. Saturday, Oct. 29, in the auditorium, Henderson County Public Library. Speaker: Bob Brackett, county deed books.
Doc Watson will perform in a night of traditional mountain music at 7:30 p.m. Saturday, Oct. 29, in Moore Auditorium, Mars Hill College. Also performing, David Holt. Tickets: $25, adults, $15, students, advance; $30, adults, $20, students, at door. Information, tickets: (828) 689-1167.
"Boo"tiful Bargains Sale will be held from 8:30 a.m. to 1 p.m. Saturday, Oct. 29, in the parking lot next to Mainstay, 125 S. Main St. Benefits Mainstay, Henderson County's agency for the prevention of domestic violence. Clothing, accessories, furniture, household items. Information: 693-3840, email@example.com.
Employee Yard Sale and Bake Sale will be held from 8 a.m. to 1 p.m. Saturday, Oct. 29, at Printpack, 3510 Asheville Hwy., Mountain Home. Proceeds from space rentals, bake sale to United Way of Henderson County.
Your Business Plan seminar will be presented from 8:30 a.m. to noon Saturday, Oct. 29, by Asheville Chapter of SCORE in the Haynes Center, A-B Tech Enka Campus, Room 128. Featured speakers: Ray Snipes, Glenn Pirrong, SCORE counselors. Cost: $30 at door; free, veterans. Registration: 236-2945, www.ashevillescore.org.
16th WNC Symposium on Learning Disabilities and Attention Deficit Disorders will be held Monday and Tuesday, Nov. 7-8, at the Grove Park Inn, Asheville. For parents, educators, psychologists, physicians, others. Special speakers: Dr. Joe Torgesen, Florida State University; Dr. Sam Goldstein, University of Utah. Cost: $95, both days; $65, Monday with lunch; $50, Tuesday; on-site registration, $20 additional. Registration requested by Oct. 29: 251-4868, firstname.lastname@example.com.
Hendersonville Antique Car Club Halloween Car Show will be held from 11 a.m. to 3 p.m. Saturday, Oct. 29, at Wal-Mart. Information: 697-7876.
Project WILD Workshop will be presented for ages 18 and up from 9 a.m. to 4 p.m. Saturday, Oct. 29, at the Pisgah Center for Wildlife Education, Pisgah National Forest. Open to educators, Scout leaders, camp and park personnel. Registration required: 877-4423, www.ncwildlife.org.
Ikebana Workshop Series will be held from 10 a.m. to 12:30 p.m. three Saturdays, Oct. 29-Nov. 12, at the N.C. Arboretum, Bent Creek. Instructor: Terri Ellis Todd. Fee: $60, members; $69, nonmembers; materials, parking included. Registration requested: 665-2492, www.ncarboretum.org.
Other events
Grand Prix Championship will take place Saturday, Oct. 29, at the Food Lion SkatePark, Flint and Cherry streets, Asheville. Open to all skateboarders, three divisions, timed runs, prizes. Live music, giveaways. Registration begins at noon, $5. Spectators, free. Competition: 1 p.m. Information: www.foodlionskatepark.com, 225-7184.
Blue-Gray Heritage Weekend will take place from 9 a.m. to 5 p.m. Saturday and Sunday, Oct. 29-30, intersection of N.C. 191 and McDowell Road, Mills River. Sponsor: Walter M. Bryson Camp 70, Sons of Confederate Veterans. Living history encampment. Confederate and Union reenactors. Cavalry, artillery demonstrations. Musicians, food. 1860s fashion show. Admission: $3, adults; $1, children under 12. Information: 890-4015, 777-3797, www.scvcamp70.org.
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Meet Cat Davis
I'm Catherine, better known as Cat, a 32 year old blogger here at Mom by the Beach. Although I do all of the writing with the occasional piece from my husband, my inspiration comes from my family. In what feels like 14 short years, our family has grown to to a family of 11 which includes myself, my husband, our three children, my mom and our whopping 5 cats. Yes, I said 5.
My time is filled with raising my three children, shopping, cooking, taking care of our home and finances. I'm a self taught web/graphic designer who enjoys amateur photography and sharing my love of cooking and baking. While a recipe may look tasty now, there was a time that I could burn water and set off fire alarms in my kitchen. It took a lot of practice, a lot of failure and a lot of love to be able to cook amazing meals for my family.
You might notice this blog is fairly new. Well, that's because our family just moved from our home state of Illinois to the beach living coast of South Carolina. Previously, I had a blog for 8 years but laid it to rest so I could focus on adjusting our family to this new life. But more than anything, I'm so happy to be blogging again and hope you'll enjoy what we have to share.
Meet the Kids
Mattison – The nerd of the family (said lovingly) and quite shy 14 year old boy, has a one track mind for playing and watching football. He's also a self-proclaimed expert in all things Green Bay Packers related. He has dreams of following in his father's foot steps and becoming a police officer when he grows up, providing he doesn't break his neck on that skateboard I swore I'd never buy for him.
Kaydence – Our sarcastic and sweet 8 year old with the golden curls like Orphan Annie with such a beautiful personality to match. She encompasses all things girly with her unique sense of "I can dress myself" style and daily reminders that she must have her piggies painted. This girl can light up a room with her friendly smile and if you give her two seconds of your time she'll take a full hour and talk your ear off! She's quickly gone from 4 to 14, at least she thinks she has with enough sass for the both of us. My husband swears she's a little me, but I can't possibly have as much energy as that girl.
Emmaleigh – Life smacked us with the surprise of our second daughter, now 6 years old. A personality that leaves us guessing with her mysterious, watchful ways but can light up the room with her little "broken laugh" that sounds like one of those squeaky toys the dog chews on. As she grows we see more and more of her joker style personality that leads us to believe in the years ahead we'll have our hands full with this class clown. She's completely obsessed with Minnie Mouse and all things Disney Princess related which still surprises me. I thought for sure she'd be the "Tomboy" like me but again, she's full of surprises.
Meet the Pets
This sweet girl is a 2 year old shorthair exotic that was surprise birthday gift for our daughter Kaydee. She's a snorty, sneezy, wheezy little thing but as sweet as pie and will gladly accept pets for hours on end. Just be warned, she leaves behind so much white fur you'd think you were wearing a cat coat.
This little guy is 2 years and also a shorthair exotic that came to live with us after my mom just couldn't handle the pet fur. As a cat lover, I can't resist having him, even if they do shed enough fur to make me vacuum 3 times a day. He's a feisty kitty that's definitely all boy but has his moments of pure sweetness and loves to have his nose rubbed.
This big guy stole my heart at a pet adoption event at Petsmart. It only took a few minutes to fall in love with him and I'd like to think he picked me. For a male cat, he has the most loving personality that I've ever met and never stops purring. Because of the unique splotch of white fur on his back, I decided to name him after one of my favorite Disney characters, Chip, from Beauty and the Beast.
Callie & O'Malley
As if three cats weren't enough, we'll soon be the home to sister and brother, Callie and O'Malley. If you're a Grey's Anatomy fan, you'll totally get the names. Both are Hyland Lynx kittens that come with their own uniqueness. Callie has curled ears and her brother got straight ones. We'll soon see what little personalities they have to share with us!
Family Facts
- Born & raised in Illinois, now living in the Charleston, SC area.
- Dad, Mom, 3 Kids, Grandma and 5 cats all living as one family.
- Family friendly – no cursing please
- Love comes in all colors, our multiracial family proves it!
Tech Geek – I currently use these products
- Apple iPad 2, iPad 3, mini
- iPhone 6s and 6s Plus
- Nook Color
- XBOX One with Kinect
- Nintendo Wii U
- Nikon D5200
- Kindle Fire
- Dell Desktop
- HP TouchSmart PC with Windows 8
- Epson Printer
Blog Topics
I write where the wind takes me but the majority of topics here are family friendly discussions about our family, parenting and all of the quirky adventures we experience. When I'm not raising kids, I'm sharing homestyle recipes and food .. and plenty of baked goodies too. I also enjoy sharing my thoughts and opinions of the newest products to hit the market and good old fashioned favorites that are tried and true. I consider myself a very brand loyal shopper but am always open to new experiences and products.
I consider myself to be an honest person and never attempt to deceive readers in my writing. I do accept monetary payment for service reviews, product samples for review and monetary compensation for advertisements. Product reviews contain information supplied by the sponsoring company, my personal opinion and detailed use of the product. I strive to write balanced reviews that will provide features we enjoy and features that could use improvement. Each post will include a disclosure in the footer describing sponsor involvement in the topic, if there is any, and we're always compliant with FTC Disclosure Rules & Regulations.
Work with Me
We accept a limited number of product reviews per month. Each review will include detailed usage experiences, personal photos and may include video footage. To have your product or service tested and thoroughly reviewed a full size, non-returnable sample must be provided in order to give readers an accurate and honest review. We're also open to reader giveaways, banner advertising and recipe development. You can contact me directly at firstname.lastname@example.com and download a copy of our media kit.
Online Features & Work I've Done
- Travel tip included on 57 Life-Changing Travel Tips from the Best Family Travel Bloggers
- Food photography for Penelope's Oasis blog
- Food photography for The Rebel Chick blog


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Frequency Hopping Spread Spectrum Access Points Datasheets
from RFM (RF Monolithics, Inc.)
from RFM (RF Monolithics, Inc.)
Designed for use as a base station for WIT2410-based products, the SNAP2410 provides seamless Ethernet connectivity for remote serial devices. The SNAP2410 provides seamless roaming as well. The SNAP2410connects up to 62 WIT2410 wireless remotes to a 10Base-T Ethernet network. The SNAP family also... [See More]
- Radio Technique: Frequency Hopping Spread Spectrum
- Bus / Interface Type: Serial Ports (RS232, RS422, RS485)
- Access Point Form Factor: External
- Frequency Band: 2.4GHz


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Book your flights to Munih (MUC) and discover one of Germany's treasures: Munich. Because of the numerous museums, parks and bars, Munich is an exciting city, an ideal destination for a weekend-break. The southern atmosphere and the "joie de vivre" of its inhabitants, has given the city the nickname: most northern city of Italy. When visiting the city you can shop at one of the many boutiques on the Maximilianstrasse or just enjoy a traditional beer at one of the many Beergardens in the city. The highlight of the year is of course the well known Oktoberfest. Reserve your flights to Munich now and take advantage of one of our many great offers.
Even if you are not planning a trip to Munich, Lufthansa flies to a variety of other places throughout Europe, Africa, and Asia. So travelers can enjoy longer trips to far away and exotic destinations. Or book a weekend shopping trip or a simple visit to see your friends and family. Find out how much baggage you can take. Explore tips and information about our destinations or write your own city rating.
From now on you can reserve the flight you want with a price guarantee - and pay for it 48 hours later.
From now on, if you have booked your ticket via lufthansa.com, you can change that booking online up to 1 hour before departure.
Check in comfortable online, choose your seat and print your boarding pass - from 23 hours before departure.
Whether relaxing holiday, city break or short trip, business or pleasure: Book your flight to Munich cheap with Lufthansa and fly directly or via our Frankfurt and Munich hubs, or with one of our partners and discover the world's most exciting destinations. Would you like to advance more information? Here you will find videos, highlights, travel information and reviews of our destinations. Let yourself be inspired by us.
* All shown fares are round-trip (unless otherwise indicated) per passenger and include taxes and fees. Prices are Economy Light fares and are valid on all European routes for travels starting October 1, 2015. Economy Light fare tickets includes one piece of hand luggage. Price variance when you pay with a credit card possible. Please note that seats are limited.


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Cheaply Expand Your Mobile Game Library With Crescent Moon's Limited Time Summer Sale
Whether Pocket RPG, Paper Monsters, Slingshot Racing, or Mutant Storm, it doesn't matter because Crescent Moon has placed many of their popular games on sale for a limited time.
Casey Tschida
| July 20
Practice Your Cow Throwing Skills With Siegecraft
Siegecraft is a strategy game for the iPad or iPhone/iPod touch where you must use your trusty siege machines against invading armies of Vikings, knights and samurai who want to pillage your village. Hone your skills at castle defense by killing sheep and destroying bridges.
Lory Gil
| October 15


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Video Industry News Video Company News Technology Industry News Technology Company News Novelty Industry News Novelty Company News Gay Industry News Gay Company News Legal Industry News All Company News
Released: Nov 01st, 2004
Running Time: 90
Director: Csaba the Hun
Company: Heatwave Entertainment
Cast: Autumn Starr, Cailey Taylor, Ashley Haze, Randi Wright, Nadia Nyce (I), Eve Lawrence, Lani Lei, Others
Critical Rating: AAA
Genre: All-Sex
More kindling for your legal kinder section.
Let's just say these girls are less confused than they are misdirected.
With a pair of passionless lesbo gropes eating up (!) such a large portion of today's menu, the heterosexual short list eventually narrows down to Starr, Nyce and Lawrence. No offense, girls - but a whole evening's worth of wackable entertainment is too much for this trio to shoulder.
Nyce's session (with an uncredited cockslinger; as are the rest) fares pretty well? especially when she primes his pump with a deep hummer. Easing into the crab position, a few minutes of effective rectology wraps up the best segment.


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"WELL, WHAT CAN I SAY, IT`S HOME" Top 5 Page for this destination Peterborough by BerniShand
Peterborough Travel Guide: 105 reviews and 198 photos
Peterborough is where I live so untill some friends came to visit last year I had never thought of it as a tourist place....just as home... so it was nice to see it through their eyes
We have sone fine architecture, a lovely park and open spaces, a bronze age settlement and various other places to visit a short distance away.
We even have our own hermit who lives in a bus shelter, not many places can match THAT!
Reviews (10)
Flag Fen was a settlement in the Bronze Age, approximately 3,000 years ago here there are well preserved remains and... more travel advice
Of course its very possible that you have already had a glimpse of the Nene Valley Railway, it had been used many times... more travel advice
Well, thats what brides usually say, but now you can actually get married at the Nene Valley Railway, so you may be... more travel advice
Heres a great place for train fans ! The Nene Valley Railway, which opened in 1977 is a great day out for all the... more travel advice
Warnings and Dangers (1)DONT SLIP DOWN THE CRACKS
Been to Peterborough?Share your travels with the world!
Comments (48)
Remembering you with loads of love today, Berni, although, I remember you every single day with love. I know you're making everyone in Heaven laugh, but we bloodywell miss you down here darling! I love you... Elodie
Never shop when you're hungry! That's very wise. I love the picture of the fairy. She - are fairies female? - looks real.
... and you looked just wonderful in it... what shoes... what style... what a gorgeous man :-)
Magnificent outfit! You'll look like a real princess, B :-) Whising you an unforgettable day! elisabeth
Your dress is GORGEOUS!
Oh yes yes yes! I am lovin' those shoes!!! You will be the most beautiful Re-bride on the planet!! Oh yes I am sure of it! Lumpy gave a wolf whistle and so did the birds! Hello Pretty Bird!
Visited Peterborough on a lovely August day 2005. It is one of my top 5 favorite Cathedrals (still have a few to visit but we have seen a lot of England's Cathedrals to date). I learned quickly nothing but flexible soles in the UK, let alone heels.
As I love uneven pavements and good curries, I should love Peterborough ! Though I have been several time to Cambridge, I feel I have never been to Peterborough. One day, may be !
Great tips! I wish I would have known about the train! It looks like fun. The cathedral was awesome! :-) ~Elaine~
Im a big fan of Flag Fen - since watching Time Team!!! I'm fascinated by life in the Fens before they were drained (by my relatives!).
BerniShand's Related Pages
Peterborough Travel Guide
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- "Dedicated to the King of Peterborough"
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Have you been to Peterborough?Share Your Travels
Latest Activity in Peterborough
- Posted in Miscellaneous Forum "RE: RE: Living Wills"
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Photos in PeterboroughSee All Photos (8)
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Tom Steinberg
Tom Steinberg was the founder and director of mySociety, a British-based international NGO that develops civic tech tools including TheyWorkForYou, Alaveteli and FixMyStreet.[1][2][3] Steinberg worked in the Prime Minister's Strategy Unit from 2001 to 2003.[4]
Steinberg co-authored Open source methods and their future potential which argued that the principles of the open source model could have radical implications for governments, citizens and businesses.[5]
The Power of Information: An Independent Review by Ed Mayo and Tom Steinberg was published in 2007.[6]
Steinberg is a member of the board of advisers for Code for America.[7]
In May 2010, it was announced that Steinberg would be part of the UK Government's new Transparency Board, which was to be established to promote "greater transparency across Government".[8][9] He resigned in the second quarter of 2012.[10]
Steinberg describes himself as 'a left-of-centre moderate'.[10] In November 2012, at the request of Tom Watson MP, he published the policy papers he had written for both Labour and Conservative MPs, Ministers and party staff.[10]
In March 2015, he announced his decision to stand down as the head of mySociety while, in his words, "we've got a good map, a solid car, and we've got enough money for fuel".[11]
- ^ The former insider who became an internet guerrilla Guardian, 23 October 2008
- ^ Tom Steinberg: Open house in Westminster Independent, 26 June 2009
- ^ "About mySociety". mySociety. 2012-06-01. Retrieved 2012-11-24.
- ^ About Tom Steinberg, MySociety
- ^ "Wide Open". Demos. 2005-04-20. Retrieved 2012-11-24.
- ^ "The Power of Information". Sandbox.opsi.gov.uk. Retrieved 2012-11-24.
- ^ "Code for America: Who We Are". Code for America. Retrieved 2012-11-24.
- ^ "PM's transparency letter". Number10.gov.uk. 2010-05-31. Retrieved 2012-11-24.
- ^ "Advisory Panel on Public Sector Information : The National Archives". Appsi.gov.uk. Retrieved 2012-11-24.
- ^ a b c "Publishing policy papers I wrote for politicians & advisors, some regrets, and a statement about my personal politics". Tom Steinberg. Retrieved 2012-11-24.
- ^ Steinberg, Tom. "mySociety's Director Tom Steinberg to step down – new leadership position will be advertised soon / mySociety". mySociety. Retrieved 2 March 2015.
External links[edit]
- Tom Steinberg, MySociety and the Tories – Tom Watson's blog
- About Tom Steinberg – MySociety


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I've got some network printers shared on a 2003 server. I set them as deployed in a GPO. All my XP machines get the printer. My windows 7 machines show success in applying the policy, but the printers do not appear in the list. Any ideas? I have the "Point and Print Restrictions" set to disabled under the Computer Configuration as well.
What happens when you browse to one of the printer queues from a Win7 machine? If the printer doesn't silently install when you goto \server\printer then you know it's a driver or permissions issue. jscott is correct that the x64/x86 issue is the cause of this issue 90% of time.
First, be sure you print server have 32bit and 64bit drivers, then you will be sure you have GPO problem( Driver name and version must match exactly ).
With Windows 7, I haven't been able to deploy shared printer to a computer via computer configuration gpo, only via User configuration (both with script and GPP).
Maybe you should consider using GPP. Work with 2003 DC, the GPO only need to be created from a Windows 7 or Windows server 2008 R2. They will also work on XP, but require an update, available from WSUS as optional. KB is KB943729.
As for printer, you can create, update, set as default, you also do some targeting (only affect the printer if the user is on a specific group or if he log on a specific computer ) Targeting can also be configured to use custom WMI call. Pretty powerful.


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Selena Gomez
Selena Gomez in J Brand Demi Flares in Ashbury
Photographed while catching a flight out of LAX, Selena Gomez wore a pair of J Brand Demi Flares in Ashbury. She wore them with a cropped top and a long tan suede jacket.
Selena styled these really well here. I like that her crop top just shows a bit of skin and the rest of her outfit has a really great 70s style vibe. Do you like the way she styled this look too? You can buy J Brand online from Shopbop.com.
Selena Gomez in J Brand 620 Close Cut Super Skinny Jeans in Mystical
Selena Gomez was photographed while leaving the Louis Vuitton store in Paris, while busy promoting her newest album. I wonder if she picked up anything fun in the store?
While out, Selena re-wore her J Brand 620 Close Cut Super Skinny Jeans in Mystical, this time with a black and white star print sweater and white jacket. It seems like Selena has really been experimenting with her style lately and choosing pieces that are more sophisticated and polished, even when dressing down in jeans like she did here. What do you think of Selena's style lately? You can buy J Brand online from Shopbop.com.
Images from WENN.com
Selena Gomez in J Brand 620 Close Cut Super Skinny in Mystical
Selena Gomez looks amazing here! She was pictured while arriving at the ITV Studios for an appearance on ÔÇÿAlan Carr: Chatty Man' in London, England.
Selena wore a whole look by J Brand, choosing their Womenswear Aiah Suede Jacket in Black, their Velvet Lucy Camisole in Black and their 620 Close Cut Super Skinny Jeans in Mystical, finished off with a pair of black pumps and a hat. Not only are the details on this jacket just gorgeous, I think the jeans fit her perfectly. This is definitely something I would love to wear, minus the hat. Buy J Brand online at Shopbop.com.
Images courtesy of WENN.com.
Selena Gomez in Topshop Moto Jeans
Selena Gomez was snapped while making her way through the airport, right as she tweeted how airports give her anxiety. Hopefully she was able to have an enjoyable flight!
For her trip, Selena wore a pair of Topshop moto jeans with a long orange jacket and a pair of animal print shoes. I really love the color combination in this outfit. I think the orange really pops against the medium gray wash of the jeans and they look great together. You can buy Topshop jeans on their website here.
Images from INFdaily.com


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A 3-D carbon nanotube mesh enables rat spinal tissue sections to reconnect in culture.
Anatomy for Everybody
August 1, 2014|
Meet Vanessa Ruiz, the medical illustrator behind the popular art blog Street Anatomy.
August 1, 2014|
Meet Vanessa Ruiz, the medical illustrator behind the popular art blog Street Anatomy.
July 28, 2014|
Researchers use light-sheet microscopy to map central nervous system activity in zebrafish larvae.
July 15, 2014|
Officials behind the European brain mapping effort take preliminary steps to tackle concerns voiced about the project.
July 7, 2014|
More than 250 European researchers sign a letter criticizing the European Commission's $1.6 billion effort to create a computer simulation of the human brain.
July 3, 2014|
A psychedelic compound in hallucinogenic mushrooms triggers brain activity characteristic of dream states.
July 1, 2014|
Scientists devise a precision-targeted system for training, tracking, and tweaking fruit fly social behavior.
July 1, 2014|
In lieu of a career in punk rock, James Pfaus opted to study the brain signals underlying sexual behavior and then see what happened when he manipulated them.
June 27, 2014|
Exposure to visual stimuli while running restores vision to mice blind in one eye.
June 23, 2014|
An exhibit at the newly opened SciArt Center in New York City showcases work that explores hidden worlds.
June 9, 2014|
An advisory committee for the BRAIN Initiative says that to fully fund the goals of the neuroscience research program, taxpayers should fork over $4.5 billion.


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updated 05/06/2011 AT 2:00 PM ET
•originally published 05/10/2011 AT 8:00 AM ET
Oprah Winfrey is in a nostalgic mood these days.
The TV personality, whose illustrious 25-year run as host of The Oprah Winfrey Show is coming to an end in a matter of weeks, is looking back on her impressive career – with the help of her BFF Gayle King.
In the opening feature on the special celebratory June issue of O, The Oprah Magazine, King, 56, and Winfrey, 57, trace some of the milestones in the media mogul's rise to the top, and only PEOPLE.com has the exclusive quotes.
The Moment Oprah Made It
King reminds Winfrey of pulling up to a speaking engagement 16 years ago in Racine, Wisc., where throngs of people waited eagerly outside.
"Oh, I remember that," Winfrey recalls with a laugh. "We pull up to the place, the cops are lined up in double rows, and you go, 'What's happening here? Who's here? Who's here?' And I go, 'I am, you nitwit!' "
When Oprah Was the Host – and Waitress
"The first few years when the staff was still less than 12 people, I used to hang out with them because we were doing live shows, and we'd be done by 10 a.m.," says Winfrey. "We had four people in four chairs, and that was it. Those were the days where I'd be the one taking the lunch order. I would walk around asking, 'Okay, is it gonna be Taco Bell today, or are we doing Wendy's?' "
Saying Goodbye to Her Loyal Audience
"I genuinely feel appreciated and loved by this audience that has grown up with me. Which, for me, is a huge, huge, huge accomplishment. Because I grew up feeling the opposite of that," says Winfrey. "When you see [my] tears on the last show, that's what those tears will be about. Those tears will not be about sadness."
Her Surprise Final Guest
"It speaks to the essence of what the show has tried to say all these years: that you are not the product of your circumstances," says Winfrey who will not reveal the identity of the guest on the last episode of her show. "You can step out of your history and create a new day for yourself. Even if the entire culture is saying, You can t. Even if every single possible bad thing that can happen to you does. You can keep going forward.
The complete story is in the June issue of O, on newsstands May 17.


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Cape & Vineyard Electric Cooperative (CVEC) was created to provide the municipalities of Cape Cod and Martha's Vineyard a way to work together to integrate clean, renewable energy as part of a more sustainable Cape Cod and Martha's Vineyard.
Cape & Vineyard Electric Cooperative (CVEC) works in concert with the ongoing mission of the Cape Light Compact to advance the interests of electricity consumers throughout Cape Cod and Martha's Vineyard. To learn more about the mission of CVEC in conjunction with the Cape Light Compact, click here.
CVEC has moved its offices to 23H2 White's Path, Suite 2, South Yarmouth, MA 02664. All CVEC public notices will be posted at the street level entrance to the CVEC offices located at 23H2 White's Path, South Yarmouth, MA 02664, so as to be fully visible to the public.
By the end of 2014 CVEC had successfully installed 28 megawatts of photovoltaics (PV)! The CVEC PV projects range from large PV arrays covering entire capped landfills on the Cape & Martha's Vineyard to smaller arrays on the roofs of schools, police stations and town halls. On May 5th CVEC and the host towns won another award for its PV on capped landfills, this one from the Environmental Business Council. To read about this new award, click here.
A celebration marking the completion and interconnection of all 28 megawatts in Rounds 1 & 2 was held Wed., April 22, Earth Day 2015 – To see photos, click here.


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Video Industry News Video Company News Technology Industry News Technology Company News Novelty Industry News Novelty Company News Gay Industry News Gay Company News Legal Industry News All Company News
Released: Dec 27th, 2007
Running Time: 120
Companies: Hundies, Pure Play Media
Cast: Kurt Lockwood, Ricki White, Mikayla (I), Cassie Young, Amber Peach, Andrew Andretti, Tiffany Price
Critical Rating: AAA 1/2
Genre: Gonzo
This series originates on the Internet and plays pretty specifically to fans of the type of girl described in the title: ones with pigtails and big ol' butts. Although the repetitiveness inherent in Web-based porn is also found here, the babe factor is mighty high, making this a good recommendation - especially for fans of big booty broads in pigtails.
Lanky blonde Cassie Young has a terrific slutty personality and fucks like a banshee, while fiery Latina Mikayla plants her fine ass on Andrew Andretti's face, then gets it glazed in baby batter. Amber Peach chokes on dick in another strong scene, and cover babe Tiffany Price oils up her juicy bits for the camera.
Retailing: A strong cast with a focus on big butts and pigtails.