text:
Contact Us
Mental Health
Have Mental Health Questions? Ask a Psychiatrist Online
Ask an Expert
Medical Questions
Mental Health Questions
How JustAnswer Works:
Ask an Expert
Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
Get a Professional Answer
Via email, text message, or notification as you wait on our site.
Ask follow up questions if you need to.
100% Satisfaction Guarantee
Rate the answer you receive.
Ask Mark Manley Your Own Question
Mark Manley
Mental Health
Satisfied Customers:
Licensed Marriage and Family Therapist. Over 15 years exp. Married 30 years and happy.
Type Your Mental Health Question Here...
Mark Manley is online now
This has been the most depressing Christmas of my life! My
This answer was rated:
This has been the most depressing Christmas of my life! My 19 yr. old granddaughter is a liar, thief, drug addict & also has a problem with alcohol. I just found out, this past week, that my only daughter, who is a recovering drug addict, is planning to fly here to try & get my granddaughter help, but without her knowledge @ this time. I have already caught my daughter in 2 lies about the circumstances of her coming here. I am so heartbroken & do not know where to turn or who to talk to about all of this. What I have mentioned is only a small portion of the problems. It certainly isn't going to be a Merry Christmas for me.
Share this conversation
Mark Manley
replied 4 years ago.
I am sorry you are having such a hard time. It doesn't sound like your daughter or granddaughter are responsive to your help. Have you considered letting go of your granddaughter? She is an adult now and both you and she would probably do best if you just let her go do her thing. If she tries to come around just tell her you love her but you don't like her and you don't want to have her around. You will be the worst person in the world and all her problems will be your fault, according to her. That's an alcoholic addict for you. She may need to go through all that but you don't. YOU CAN'T HELP HER. Give her and yourself the best Christmas gift ever, CUT HER LOOSE!
Another Christmas gift for you would be to read (or re-read as the case may be) 'Co-dependent No More' by Melodie Beatie.
You have done your job with your daughter and granddaughter, now take care of your self, including doing service for others as your circumstances allow.
I know it is hard to believe, but this could be the beginning of some very Merry Christmases for you if you will begin to let go of what you cannot change, change what you can and learn the difference between the two.
You have probably been to alanon or coda, consider resuming, continuing or starting whatever the case may be.
Show these women (your daughter and granddaughter) how to have a life beyond addiction and co-addiction. Maybe someday they will join you.
Best of success to you.
Mark Manley
Ask Your Own Mental Health Question
replied 4 years ago.
Thank you very much for your suggestions about my granddaughter. I totally agree with your response, but as far as my daughter is concerned, which you didn't mention much, she is my only child & I thought we were as close as a mother & child should be after they become an adult. Yes, I have been to counseling, after my daughter almost died, after overdosing on cocaine & was told that I should not "enable" her behavior under any circumstances. So, that's what I
to try & save her life. It seemed to have worked, but I'm so scared now that it's beginning all over again because of her lying to me. We were speaking daily, until she planned this so called intervention, exchanging recipes, laughing about the antics of our pets & discussing how my granddaughter was living such a dysfunctional lifestyle. Should I ask her why she finds it necessary to lie to me now? I know that you cannot predict the outcome of this so called intervention that she's supposedly planning, but from your experience, should I disconnect from my daughter, too while she's here? The lying has hurt me more than any physical pain she could do to me because that would only hurt for a little bit, but the hurt I'm feeling now stays with me morning, noon & night. I guess you're probably thinking, "Thank Goodness this lady only has 1 child & 1 grandchild, otherwise this could go on for days!" Lol! (I have to laugh to keep from crying.) I'm getting ready to go online to see if I can read Co-Dependent No More right now! Thanks again for your help!
Mark Manley
replied 4 years ago.
I don't think you need to detach from your daughter though you may have to give her some pretty big space while she gets through this next phase with her daughter. I hear how hurt you are by her lies, when the time is right, I think you should ask her about why she felt it was necessary to lie to you and then listen very carefully with out reacting to what she says. Use careful consideration to see if something about you is hard to be honest with or if it's just your daughter needing to grow up some more or some of both.
Good for you for your previous counseling, hard work and perseverance. And good for you for reading!
Sincerely, XXXXX
Ask Your Own Mental Health Question
replied 4 years ago.
Shortly after my daughter came out of the coma she was in for 8 days, I was told by Social Services that she needed to be placed in a Nursing Home & gave a list of places to choose from because of the brain damage she had suffered. I told them that I wanted to bring her home, but would need time to make arrangements. I put them off for days & prayed constantly, promising that I would do any & everything possible if God would just let her be alright again. IT WORKED! (Yes! I do believe in miracles now!) They transferred her to a Rehab center instead of a Nursing Home. It took months before she was able to come back home. She & my granddaughter (Who is the one that found her comatose.) had to live with me afterwards because she hadn't made payments on her mobile home before she overdosed due to her expensive "habit." I took care of her after she had numerous seizures after coming home, too. She's also a brittle diabetic & legally blind due to her not taking care of herself. I've also been an insulin dependent diabetic for the past 46 years, but haven't had any complications. I often say that I'm going to live to be 102. I have to take care of myself to accomplish that, though! I ain't going nowhere until 2058! Lol! Because of everything I went through with my daughter I may be a little on the over protective side & maybe that's why I'm the hard to be honest with type. Because if I think it's wrong I'll stand behind a post & argue with my last breath to make my point, so it might be awful hard for me not to react. I guess I'll just have to wait & see what happens & hope for the best. Hoping you & your family have a very Merry Christmas & the upcoming year brings lots of happiness to you & your loved ones!
Mark Manley
replied 4 years ago.
Healthy to 102! Merry Christ-mas to you and yours as well.
Mark Manley
Please remember to click on 'Accept' .
Mark Manley, Therapist
Mental Health
Satisfied Customers:
Licensed Marriage and Family Therapist. Over 15 years exp. Married 30 years and happy.
Mark Manley and other Mental Health Specialists are ready to help you
Ask your own question now
Share this conversation
JustAnswer in the News:
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people's questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
What Customers are Saying:
I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much
Corrie Moll
Pretoria, South Africa
I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much
Corrie Moll
Pretoria, South Africa
I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!
Albuquerque, NM
Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.
Beaverton, OR
Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.
Tracy, CA
Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.
Lockesburg, AR
You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.
John and Stefanie
Tucson, AZ
I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!
Janet V
Phoenix, AZ
Meet The Experts:
Dr. Keane
Satisfied Customers:
Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
Dr. Keane's Avatar
Dr. Keane
Satisfied Customers:
Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
Kate McCoy, M.Ed, NBCC, LPC's Avatar
Kate McCoy, M.Ed, NBCC, LPC
Satisfied Customers:
Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
Dr. Olsen's Avatar
Dr. Olsen
Satisfied Customers:
PsyD Psychologist
Norman M.'s Avatar
Norman M.
Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Satisfied Customers:
ADHP(NC), DEHP(NC), ECP, UKCP Registered.
Dr. Michael's Avatar
Dr. Michael
Satisfied Customers:
Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
Rafael M.T.Therapist's Avatar
Rafael M.T.Therapist
Satisfied Customers:
MHT-MHRS-MS-MA Integral Psychotherapist & Life Coach
Steven Olsen's Avatar
Steven Olsen
Satisfied Customers:
More than twenty years of expertise in counseling, psychological diagnosis and education
Related Mental Health Questions
Date Submitted
I am a lesbian client, I have feelings for my therapist who
I had an affair, my ex-affair partner is my boss, he left
Therapist Leslie
After 22 years of nothing working (SSRI's and SNRI's are
I have a married daughter who was recently diagnosed with
Linda D.
I'm a girl in College. I'm lying to my friends CONSTANTLY. I
Linda D.
Long time partner of a N.P.D. He verbally rages and asks me
I have a child age 12 year suffer from uncontroled of his
Linda D.
I am depressed and marriage is on rocks. why do i have
Dear Dr. Keane, Firstly, I thought I'd tell you that I think
Dr. Keane
I need help with my boyfriend of 2 years. I think he may be
Ask a Mental Health Professional
Get a Professional Answer. 100% Satisfaction Guaranteed.
24 Mental Health Professionals are Online Now
Type Your Mental Health Question Here...
characters left:
Contact Us
Terms of Service
Privacy & Security
About Us
Our Network
© 2003-2016 JustAnswer LLC
JustAnswer UK
JustAnswer Germany
JustAnswer Spanish
JustAnswer Japan


text: The content writers are the wordsmiths at PCG. Our content team knows the ins and outs of writing engaging, quality content. Combine this with the knowledge of the latest online writing strategies and clients are provided with great content that their audiences want to read. From blogs and press releases to website content and Google+ postings, the writers are responsible for making sure the client's message is seen by their customers, both current and potential.

subset: commoncrawl


text:
Top Definition
The act of becoming sad and/or depressed when viewing pictures on Facebook where all the people seem to be having fun and you're sitting at home...on Facebook.
Was checking out my ex on Facebok yesterday. She's always going out partying and having fun without me, it made me Face-Sad.
Beküldő: Jarlso 2010. október 21.
Trending Now
Can you define these popular missing words?


text:
25 Free Craft Projects for Every Crafter - The Ultimate Craft Guide
Bonus: Get our newsletter & special offers for free. We will not share or sell your email address. View our Privacy Policy
The Art of the Doodle
We are adding the craft to your Craft Projects.
The project was added to your Craft Projects.
Click here to view your Craft Projects.
The Art of the Doodle
By Eleanor Kwei
Gifted by Race Point Publishing
Reviewed by Melissa Conner, Editor of FaveCrafts.com
Are your notebooks and journals covered with little doodles of flowers, butterflies, shapes, and patterns? Do you spend work meetings creating little illustrations in the margins of your notepad? Well, then you're going to love The Art of the Doodle!
Made up of two seperate books (A Guide to Doodling and Doodle Journal), this book kit will help you turn those little doodles into beautiful illustrations that you'll be proud to show off.
Start your doodling journey with A Guide to Doodling. This instructional book gives tips on creating doodles, coloring with pencils and markers, and ways to use your doodles (notecards, frames, gift bags, and much more). Broken down into six chapters of popular doodle designs (paisleys, flowers, letters, butterflies, mandalas, and geometrics), this book will give you lessons on how to start your illustrations with a basic drop, then mold it into something beautiful and unique. Nature will come to life, flowers and butterflies will embellish all your notes, and geometric borders will give all your note pages a nice frame.
As someone who enjoys making scrapbooks and cards, I really enjoyed the chapter on words and symbols. I never realized how easy and fun it was to take any word and turn it into a beautiful piece of art. This will surely change how I go about decorating all my paper projects from now on!
After you're done learning everything you can in A Guide to Doodling, it's time to test your skills in the Doodle Journal. This book provides an elegant place to experiment with all of the techniques described in the instruction book. With elaborate coloring activities, as well as simple guidelines to get started on creative doodling pages, this journal will help inspire and motivate you to put pen to paper and see what happens. The journal is also scattered with inspirational quotations to help keep you going!
Perfect for kids and adults alike, the lessons and activites in The Art of the Doodle kit will change how you look at a small section of white space in your notebook. Bring your notes, journals, cards, and scrapbooks to life with the simple suggestions found in The Art of the Doodle.
Your Recently Viewed Projects
Love these projects? Get MORE delivered to your Inbox – FREE Click Here!
Report Inappropriate Comment
Are you sure you would like to report this comment? It will be flagged for our moderators to take action.
Thank you for taking the time to improve the content on our site.
Something worth saving?
- SAVE all your favorite crafts
- ADD personal notes
- QUICKLY reference your crafts
Free eBooks
- 13 Spring Crafts: Easter Craft Ideas, Spring DIY Home Dcor, and More
- 17 Flower Craft Ideas: How To Make Paper Flowers, Easy Fabric Flowers and More
- 18 Projects Every Crafter Wants
- 23 Fabulous Picnic Craft Ideas + Restaurant Copycat Recipes
- 25 Cool Things to Do with Wine Bottles
- 26 Spring Crafts for Kids
- Easter Craft eBook: Blogger Edition
- Garden Crafts
- Hop into Spring: Easter Crafting and Recipe
- Trash to Treasure: 28 Recycled Crafts
Our Newest Projects & Articles
- Purple Beginner Shawl
- Recycled T-Shirt Quilt Pattern
- Shawl Scarf Crochet Pattern
- Stunning Leather Trimmed Crochet Scarf Pattern
- Knit Look Cowl Crochet Pattern
- Bean Stitch Cowl Crochet Pattern
- Plush Basketweave Baby Blanket Pattern
- "18 Projects Every Crafter Wants" free eBook
- Amethyst DIY Jewelry Box Anthropologie Knockoff
- Retro Gumball Machine Craft


text:
- Talk
- Food
Where can I buy lardo in the U.S.?
My bf and I were watching the other evening and Anthony Bourdain was in Italy. Kev was absolutely in awe of lardo and I'd like to get him some as a fun treat. So far, the only web site that I found sells it is Murray's Cheese. Do you know of any other web sites? Does Murray's sell quality goods via the interweb? I live in CT, which is sprinkled with old pockets of Italian immigrants. Is lardo the kind of thing an Italian market might have? Or perhaps another specialty food store?


text:
C. Eugene Steuerle
Cofounder, Urban-Brookings Tax Policy Center, Center on Nonprofits and Philanthropy, and Opportunity and Ownership initiative; codirector, Tax Policy and Charities initiative
I love working on public finance issues and seeing their endless application to so many budget, tax, spending, and charitable issues that go well beyond what can be found in any textbook. I am drawn to Urban because in my view it leads the nation in so many areas of research—combining its talents for evaluating a broad spectrum of public policy issues, gathering and using related data from a broad range of sources, and integrating research across disparate program areas; and all the while maintaining a truly nonpartisan approach to analysis, a deep culture of respect for each member of the organization, and a strong commitment to serve the public through its work.
Eugene Steuerle is an Institute fellow and the Richard B. Fischer chair at the Urban Institute. Among past positions, he served as deputy assistant secretary of the US Department of the Treasury for Tax Analysis (1987–89), president of the National Tax Association (2001–02), codirector of the Urban-Brookings Tax Policy Center, and chair of the 1999 Technical Panel advising Social Security on its methods and assumptions. Between 1984 and 1986 he served as economic coordinator and original organizer of the Treasury's tax reform effort, which Treasury and White House officials acknowledged would not have moved forward without his leadership.
Steuerle is the author, coauthor, or coeditor of 16 books, and numerous publications and congressional testimonies, including Dead Men Ruling, Contemporary U.S. Tax Policy (2nd edition), Nonprofits and Business, and Retooling Social Security for the 21st Century.
He is a cofounder of the Urban-Brookings Tax Policy Center and Urban's Center on Nonprofits and Philanthropy, as well as cofounder and chair of Act for Alexandria, a community foundation. He serves or has served as an elected, appointed, advisory panel, or board member for the Congressional Budget Office, Comptroller General of the United States, the Joint Committee on Taxation, Venture Philanthropy Partners, and the National Center on Philanthropy and the Law, among others.
Among other honors, Steuerle received the first Bruce Davie-Albert Davis Public Service Award from the National Tax Association in 2005, and distinguished or outstanding alumnus awards from the University of Dayton and St. Xavier High School.
Research AreasHealth and Health Policy Income and Wealth Poverty, Vulnerability, and the Safety Net Adolescents and Youth Aging Children Families Nonprofits and Philanthropy Taxes and Budget Economic Growth and Productivity Finance
Research Reports
Research Report FamiliesSeptember 20, 2016
Brief Taxes and BudgetData Appendix to Kids' Share 2016: Federal Expenditures on Children through 2015 and Future ProjectionsSeptember 20, 2016
Research Report Economic Growth and ProductivitySeptember 15, 2016
Testimony Taxes and BudgetJuly 6, 2016
Journal Article Taxes and BudgetMay 3, 2016
April 27, 2016
Research Report Income and WealthPrioritizing Opportunity for All in the Federal Budget: A Key to Both Growth in and Greater Equality of Earnings and WealthApril 27, 2016
Journal Article ChildrenApril 26, 2016
Brief Taxes and BudgetOctober 21, 2015


text:
Hi all,
Changes since next-20080512:
The arm tree conflict has gone.
I have created today's linux-next tree at
(tar balls and patches at
[url]http://www.kernel.org/pub/linux/kernel/people/sfr/linux-next/[/url]). If you
are tracking the linux-next tree using git, you should not use "git pull"
to do so as that will try to merge the new linux-next release with the
old one. You should use "git fetch" as mentioned in the FAQ on the wiki
(see below).
You can see which trees have been included by looking in the Next/Trees
file in the source. There are also quilt-import.log and merge.log files
in the Next directory. Between each merge, the tree was built with
a ppc64_defconfig for powerpc and an allmodconfig for x86_64. After the
final fixups, it is also built with powerpc allnoconfig,
44x_defconfig and allyesconfig and i386, sparc and sparc64 defconfig.
Below is a summary of the state of the merge.
We are up to 71 trees (counting Linus' and 13 trees of patches pending for
Linus' tree), more are welcome (even if they are currently empty).
Thanks to those who have contributed, and to those who haven't, please do.
Status of my local build tests will be at
[url]http://kisskb.ellerman.id.au/linux-next[/url] . If maintainers want to give
advice about cross compilers/configs that work, we are always open to add
more builds.
Thanks to Jan Dittmer for adding the linux-next tree to his build tests
at [url]http://l4x.org/k/[/url] , the guys at [url]http://test.kernel.org/[/url] and Randy
Dunlap for doing many randconfig builds.
There is a wiki covering stuff to do with linux-next at
[url]http://linux.f-seidel.de/linux-next/pmwiki/[/url] . Thanks to Frank Seidel.
Stephen Rothwell [email]email@example.com[/email]
$ git reset --hard stable
Merging origin/master
Merging x86-fixes/for-linus
Merging sched-fixes/for-linus
Merging powerpc-merge/merge
Merging scsi-rc-fixes/master
Merging net-current/master
Merging sparc-current/master
Merging sound-current/for-linus
Merging arm-current/master
Merging pci-current/for-linus
Merging wireless-current/master
Merging kbuild-current/master
Merging quilt/driver-core.current
Merging quilt/usb.current
Merging quilt/driver-core
Merging quilt/usb
Merging x86/for-akpm
Merging sched/for-akpm
Merging pci/linux-next
Merging quilt/device-mapper
Merging hid/mm
Merging quilt/i2c
Merging quilt/kernel-doc
Merging avr32/avr32-arch
Merging v4l-dvb/stable
Merging s390/features
Merging sh/master
Merging jfs/next
Merging kbuild/master
Merging quilt/ide
Merging libata/NEXT
Merging nfs/linux-next
Merging xfs/master
Merging infiniband/for-next
Merging acpi/test
Merging blackfin/for-linus
Merging nfsd/nfsd-next
Merging ieee1394/for-next
Merging hwmon/testing
Merging ubi/master
Merging kvm/master
Merging dlm/next
Merging scsi/master
Merging ia64/test
Merging tests/master
CONFLICT (content): Merge conflict in lib/Kconfig.debug
Merging ocfs2/linux-next
Merging selinux/for-akpm
Merging quilt/m68k
Merging powerpc/powerpc-next
Merging hrt/mm
Merging lblnet/master
Merging ext4/next
Merging 4xx/next
Merging async_tx/next
Merging udf/for_next
Merging security-testing/next
Merging net/master
Merging sparc/master
Merging galak/powerpc-next
Merging mtd/master
Merging wireless/master
Merging crypto/master
Merging vfs/vfs-2.6.25
Merging sound/master
Merging arm/devel
Merging cpufreq/master
Merging v9fs/for-next
Merging quilt/rr
CONFLICT (content): Merge conflict in kernel/sysctl.c
Merging semaphore/semaphore
Merging semaphore-removal/semaphore-removal
CONFLICT (content): Merge conflict in drivers/atm/ambassador.c
CONFLICT (content): Merge conflict in drivers/net/bonding/bond_main.c
CONFLICT (content): Merge conflict in drivers/net/bonding/bond_sysfs.c
Applying idr.h needs spinlock.h
Merging quilt/ldp.next
Version: GnuPG v1.4.6 (GNU/Linux)


text: A magnetic field is perpendicular to theplane of a single-turn circular coil. The magnitude of thefield is changing, so that an emf on 0.80V and a current of 3.2Aare induced in the coil. The wire in then re-formed into asingle-turn square coil, which is used in the same magnetic field(again perpendicular to the plane of the coil and with a magnitudeat the same rate). What emf and current are induced in thesquare coil?


text:
So, what is the difference between what King is used to doing in the south and what he is faced with here in the north in terms of the diversity and the largeness of the Black community here.
Well, I think what happened when King came to Chicago, and he found out--or, he needed to find out--was that, ah, the city was so large, and people were so different. Ah, there were people here from all over the city who--and, each community had an organization already existing and each community had a plan and each community had their own kinds of goals set. And, ah, we were working together in group called, ah, Triple CO--[CCCO]--I forgot the exact name of it at the time--but, headed by Al Raby. And, at that time, we had just decided that we need an umbrella group. And, therefore, we came up with Triple CO, and all the community groups got together, and tried to pull our resources. And, when King came, though, what he wanted to do, was just work with that one umbrella group. And, then not understand that each group within that group had a program of its own--had leaders of its own, had its own kind of direction that it was going in; but, we all had a common goal. Ah, but we needed somebody like King. We needed him to lend us his strength, ah, to lend us his name. Ah, and we wanted him to come in join our movement--not come in and lead it, because we already had leaders. So, when he came in to try and ah, discount ah, what was already here, I think, he offended quite a few people.
OK. That's perfect. That's absolutely--


text:
Fixed PriceBudget: $300
Start DateFebruary 18, 2013
Job Description
We're looking for a illustration designer with deep expertise in designing vector graphics. We are developing a new online presence and need a company avatar to be used for website illustrations, in commercials etc.
The job will entail:
1. With our design colors and website framework as a basis, design a suiteable avatar for the company. See attachments.
2. Deliver one standard pose in Adobe Illustrator format
3. Possability to deliver future needs when it comes to new poses for the avatar
Contractor requirements
We are looking for a contractor that has the following skills:
1. Strong online illustration design background
2. Understanding of icons and symbols
3. Previous experience of designing avatars
4. Strong background from using Adobe Illustrator
To apply, please submit a portfolio of your work with particular emphasis on avatars.
This job will be delivering the general avatar design and one standard pose/situation for the avatar. The designer must also be willing to go into an agreement to do modifications to the created avatar to create new poses / situations for the avatar when needed.
Skills: design, scalable-vector-graphics, vector-graphics
About the Client
Oslo 05:48 PM
Jobs Posted
100% Hire Rate, 1 Open Job
Total Spent
16 Hires, 0 Active
Avg Hourly Rate Paid
12 Hours


text:
Rent Microsoft Office Word 2003: Comprehensive Concepts and Techniques, CourseCard Edition 2nd edition today, or search our site for other textbooks by Misty E Vermaat. Every textbook comes with a 21-day "Any Reason" guarantee. Published by CENGAGE Learning.
Need help ASAP? We have you covered with 24/7 instant online tutoring. Connect with one of our Information-Technology tutors now.


text:
Author Affiliations: Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India (Dr Singh); and the Department of Surgery, Oregon Health [[amp]] Science University, Portland, Oregon (Drs Pham, Diggs, Perkins, and Hunter).
Minimally invasive esophagectomy (MIE) has been performed at specialized centers for 15 years, but few studies have looked at outcomes in patients with locally advanced cancers, and few studies have provided long-term survival comparison with Ivor Lewis esophagectomy (ILE) to determine oncologic benefit or equivalence of MIE.
Minimally invasive esophagectomy for locally advanced esophageal carcinoma has similar oncologic outcomes to traditional open ILE with less associated short-term morbidity and mortality.
Retrospective comparison of patients with stage II or III esophageal carcinoma undergoing 3-field MIE compared with open ILE.
University medical center.
From 1995 to 2009, 64 patients who underwent MIE (33 patients) or ILE (31 patients) with clinical stage II or III esophageal cancer were compared.
Main Outcome Measures
Primary end points included operative performance, morbidity, mortality, hospital stay, and survival.
No differences were noted between the groups in demographics, neoadjuvant therapy use (P = .22), resection completeness (R0:R1) (P = .57), length of stay (P = .59), intensive care unit stay (P = .36), anastomotic leak (P = 1.0), pulmonary morbidity (P = .26), and mortality (P = 1.0). Median follow-up was 19 months for MIE and 17 months for ILE. Survival at 2 years was 55% for MIE (18 of 33 patients) and 32% for ILE (10 of 31 patients) while disease-free survival was 55% for MIE (18) and 26% for ILE (8).
Our survival analysis shows divergent curves that favor MIE but have not yet reached statistical significance. The oncologic outcomes of MIE are comparable to that of ILE 2 years after resection.
Estimates from the National Cancer Institute indicate that esophageal cancer contributes to 14 000 deaths annually.1 Surgical resection of the esophagus remains the primary treatment for this disease. Since its first description by Ivor Lewis,2 the combined thoracic and abdominal approach to esophageal resection has become a widely accepted approach for locally advanced esophageal carcinoma. Variations of this technique include en bloc esophagectomy and "radical" transthoracic esophagectomy. In randomized trials and large case series, mortality and morbidity of Ivor Lewis esophagectomy (ILE) is high.3,4 Over time, the mortality rate has decreased, but the morbidity rates remain high.
Minimally invasive esophagectomy (MIE) was introduced in the early 1990s with the hope of lessening the morbidity of esophagectomy without compromising the oncologic results of the open ILE. Although the number of single institution reports on MIE have been increasing, there remain few reports comparing ILE and MIE. We have previously looked at the differences in perioperative outcomes of patients undergoing 3-field MIE as compared with open ILE.5 In this study, our objective was to determine whether MIE was an equivalent oncologic operation to ILE and whether intermediate survival was equivalent to that of ILE. This objective was examined by performing a retrospective cohort study comparing the survival and perioperative outcomes of MIE and ILE at a large university medical center.
Thirty-three patients underwent 3-field MIE for clinical stage II and III esophageal carcinoma at Oregon Health & Science University, Portland, from September 1, 2005, to March 31, 2009. These patients were compared with 31 historical control patients who had similar clinically staged esophageal carcinoma and who underwent ILE between February 1, 1996, and July 31, 2007. A prospective database approved by our institutional review board was used to store and extract patient data. Patient and operative variables that were compared and previously reported included age, sex, body mass index (calculated as weight in kilograms divided by height in meters squared), American Society of Anesthesiologists classification (ASA),6 clinical stage, pathology, operative time, blood loss, intraoperative intravenous fluid requirement, length of hospital stay, and perioperative morbidity and mortality.5 End points that were compared in this study included completeness of resection, lymph node harvest, disease-free survival, and overall survival.
Clinical staging was performed on all patients before surgery and included upper endoscopy, endoscopic ultrasonography, and radiolabeled fluorodeoxyglucose F18 positron emission tomography–computed tomography (PET-CT) of the chest, abdomen, and pelvis. The objective of our study was to compare outcomes of 3-field MIE with ILE for locally advanced esophageal cancer. Thus, patients with premalignant, local (stage I), and distant (stage IV) malignant disease were excluded from the study. Early-stage disease was treated with endoscopic resection or laparoscopic transhiatal esophagectomy; stage IV disease was treated with definitive chemoradiotherapy. Those with clinical stage II or III esophageal carcinoma were offered neoadjuvant chemoradiotherapy with definitive surgery 4 to 6 weeks after completing induction therapy. All patients received preoperative antibiotics and prophylaxis against deep venous thrombosis in the form of sequential compression devices before surgery.
Three-field MIE was performed using the technique previously described.5,7- 11 Thoracoscopic esophageal mobilization with en bloc lymphadenectomy of paraesophageal, subcarinal, and pulmonary ligament nodes was performed through the right side of the chest. This was followed by laparoscopic conduit preparation with en bloc upper abdominal central lympadenectomy starting at the origin of the left gastric vessels. An end-to-side stapled cervical esophagogastric anastomosis was created using a modified Orringer technique. Open ILE was performed in a similar manner to Dr Lewis' original description with a similar en bloc dissection of lymphatic tissues to that of the MIE.2 After laparotomy, gastric mobilization, pyloroplasty, and en bloc lymphadenectomy, the patient was repositioned and a right-sided thoracotomy was performed. The esophagus was mobilized, a gastric tube was made, and a hand-sewn, 2-layer esophagogastric anastomosis was performed.
All collected data were tested for normality and presented as mean (SD) or median and interquartile range (IQR) wherever appropriate or for categorical variables as count and percentage. Univariate analysis of continuous variables was done using the 2-tailed, unpaired t test or the Mann-Whitney test, while dichotomous variables were analyzed using the x2 test or Fisher exact test as appropriate. Survival was calculated using the Kaplan-Meier method; survival between groups was compared using the log-rank test. Patient demographics, pathology, and perioperative outcomes were used in a multivariate Cox proportional hazards regression model to identify independent predictors of long-term and disease-free survival. The variables used in the Cox proportional hazards regression model were chosen based on their association with survival from established literature. Statistical analysis was performed using R (version 1.10.1; R Development Core Team, Vienna, Austria).
During the study intervals, 33 patients underwent MIE and 31 patients underwent ILE. The comparative demographic, perioperative morbidity, and mortality, data have been previously reported.5 To summarize our previous published data, the groups did not differ for age, sex, body mass index, and ASA classification. Although the MIE group had a higher proportion of patients who underwent neoadjuvant chemoradiotherapy (82% [27 of 33 patients]) than the ILE group (65% [20 of 31 patients]), this was not statistically significant (P = .22). The proportions of patients with adenocarcinoma and squamous cell carcinoma in both groups were similar (P = .99). Clinical staging was not statistically different between the comparative groups (P = .52). Mean operative time was longer for patients who underwent MIE compared with those undergoing ILE (P < .01). Patients who underwent MIE had less blood lost than patients who underwent ILE (P < .01). No significant differences were noted in the mean amount of intravenous fluid used during the 2 procedures (P = .60). Median intensive care unit and overall length of hospital stay did not differ between the 2 groups (P = .10 and P = .17, respectively). Epidural analgesia was commonly used in both groups in the postoperative period (P = .43). One patient in the MIE group and 2 in the ILE group had an R1 resection (P = .35). Median lymph node harvest was significantly higher in the MIE group compared with the ILE group (P < .01). Morbidity and mortality rates did not different between the 2 groups (P = .06 and P = .34, respectively).
Table 1 summarizes the univariate analysis of variables that were used in the multivariate Cox proportional hazards regression model. These variables were chosen because they have been demonstrated as predictors of survival by other authors.3- 5 Multivariate Cox proportional hazards regression analysis was used to identify independent predictors of overall and disease-free survival (Table 2). Factors that contributed to overall survival included neoadjuvant therapy, male sex, body mass index, and pathologic stage III disease. The only determinants of disease-free survival were male sex and pathologic stage III disease.
The results of the Kaplan-Meier survival analysis are shown in the Figure. Median follow-up for the MIE group was 19 months and for the ILE group was 17 months. Overall survival at 2 years was 55% (18 of 33) for the MIE group compared with 32% (10 of 31) for the ILE group (Figure, A). Disease-free survival (survival up to time of recurrence) at 2 years was 55% (18 of 33) for the MIE and 26% (8 of 31) for the ILE groups (Figure, B). Despite the appearance of longer survival in the MIE group, log-rank analysis did not show any statistical differences in disease-free or overall survival between the 2 groups.
Kaplan-Meier analysis of overall (A) and disease-free (B) survival in patients who underwent minimally invasive 3-field esophagectomy (MIE) compared with open Ivor Lewis esophagectomy (ILE). Patients at risk are noted in parentheses below the respective curve at selected time points.
The number of reports have been increasing for a single institution experience with MIE since its first description in the early 1990s.2 Yet, there remains a scarcity of data comparing the oncologic outcomes on open and minimally invasive approaches. The primary objective of this study was to determine whether 3-field MIE had equivalent oncologic outcomes to that of open ILE. This objective was examined by performing a comparison of cohorts of patients with clinical stage II or III esophageal cancer who underwent MIE or ILE. Our study showed that patients who underwent MIE had disease-free and overall survival trends that were divergent and favored the MIE group, but this finding was not statistically significant.
In our study, survival curves for MIE and ILE were divergent at 2 years, but patient numbers were insufficient to demonstrate a statistically significant difference. Very few studies have compared MIE and ILE for oncologic outcomes. A series from Australia4 comparing 3-field MIE with open ILE reported no significant differences in stage-for-stage survival, but this was confounded by differences in neoadjuvant therapy rates. In a larger comparative cohort study, also from Australia,12 56 patients who underwent MIE and 98 patients who underwent open ILE were compared. No differences were noted in survival between the 2 groups.12 One recent comparative study of 3-field MIE with open ILE also demonstrated no differences in disease-free survival between the 2 groups at the 2-year follow-up.13 The findings of our study are consistent with these reports,4,12,13 suggesting that MIE and ILE have similar oncologic outcomes and similar survival curves.
Multivariate Cox proportional hazards regression analysis of our data showed that overall survival was poor in male patients and in those with a high body mass index and pathologic stage III disease. However, patients who had neoadjuvant therapy had enhanced survival. These findings are consistent with what has been reported by other investigators.14- 18 However, there were 2 factors that did not significantly affect survival that bear mentioning. In our analysis, complete pathologic response was not a significant predictor of overall survival. This is contrary to what has been reported in 2 recent trials that each contained more than 200 patients.16,17 Another factor that did not significantly affect overall survival in our analysis was the number of positive lymph nodes. This runs counter to recent reports using large national databases that have shown that lymph node status significantly affects survival.19- 21 Similar to overall survival, poor disease-free survival was associated with male sex and pathologic stage III disease. Two recent articles have demonstrated similar findings.16,22
There are important limitations with this study that must be considered. The retrospective design makes it difficult to control for all confounding factors, thus introducing potential bias into the data. Yet, studies similar to this allow for assessment of new techniques and lay the foundation for more robust randomized trials. Although there is a divergence in the survival curves in the early follow-up period, the survival data for our MIE group are still incomplete. A longer follow-up period is stilled needed to determine overall long-term survival for the MIE group. Finally, while most of the findings of the Cox proportional hazards regression model are consistent with previous articles, they must be tempered by the small sample size used for the analysis.
In conclusion, MIE is comparable to ILE for overall and disease-free oncologic survival for patients with locally advanced esophageal carcinoma. MIE is a safe alternative to ILE, but further studies with longer follow-up are needed to confirm the oncologic results presented.
Correspondence: John G. Hunter, MD, Oregon Health & Science University, Box L223A, 3181 Sam Jackson Park Rd, Portland, OR 97239 (email@example.com).
Accepted for Publication: May 17, 2010.
Author Contributions:Study concept and design: Singh, Perkins, and Hunter. Acquisition of data: Singh, Pham, and Hunter. Analysis and interpretation of data: Singh, Pham, and Diggs. Drafting of the manuscript: Singh and Pham. Critical revision of the manuscript for important intellectual content: Singh, Diggs, Perkins, and Hunter. Statistical analysis: Pham and Diggs. Obtained funding: Singh and Perkins. Administrative, technical, and material support: Hunter. Study supervision: Perkins and Hunter.
Financial Disclosure: None reported.
Funding/Support: This article is related to work supported by an International Cancer Technology Transfer Fellowship (ICRETT) from the Union for International Cancer Control (UICC) (Dr Singh).
Role of the Sponsor: The UICC had no role in the design and conduct of the study; in the collection, analysis, and interpretation of the data; or in the preparation, review, or approval of the manuscript.
Previous Presentation: Presented at the 81st Annual Meeting of the Pacific Coast Surgical Association; February 16, 2010; Kapalua, Hawaii.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers' bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Need assistance?
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.


text:
The staff at New Leash on Life in Placerita Canyon recently took in the 6-month-old Labrador mix after getting a call from the East Valley Animal Shelter in North Hollywood, said Sarah Tascioglu, New Leash's marketing and event coordinator.
Before Maggie May is put up for adoption, Tascioglu said the pooch is need of costly treatments to take care of what she called a "severe" case of mange.
While the skin disorder can start as simple itchiness, Tascioglu said in the case of Maggie May it went untreated for so long that the dog's fur has fallen off and her body is covered with sores.
"Someone let her get like this," she said. "Someone ignored this horrible condition.
"It really does break your heart that people can be so horrible."
While the dog's condition was saddening to the New Leash staff, Tascioglu said Maggie May "was the one wagging her tail.
"She doesn't even know she's ugly."
The pup's treatment will require daily baths and medication, which Tascioglu said will be overseen by a New Leash trainer who is a former veterinarian technician.
"We definitely need money," she said, adding that the treatment will be expensive. "Lots of prayers and good thoughts are good, too."
For information on helping out with Maggie May's treatment or New Leash on Life, call Clare Storey at (661) 255-0097.


text:
We do see atrial fibrillation more commonly in diabetics, I think this is in part related to their higher risk of vascular disease," warns Lee Memorial Health System cardiologist, Dr. Brian Taschner.
A recent study finds that diabetes have a 40% higher risk of developing atrial fibrillation than those who are not diabetic. Atrial fibrillation is an abnormal heart rhythm that can lead to heart palpitations, congestive heart failure, even strokes. "Diabetics can also develop certain types of neuropathies, problems with the nerves. One of the nerves that helps control the heart rate and heart rhythm is called the vagus nerve. If the diabetes affects that, that can affect the heart regulations," adds Dr. Taschner.
There's an even greater concern for those who may be walking around with diabetes and don't even know they have it. "There are patients that are at a much higher risk of developing coronary disease and vascular disease and I think that's part of the association."
While there is not enough data to recommend atrial fibrillation screenings for all diabetics, Dr. Taschner says diabetics and borderline diabetics can take action. "I think that we can prevent atrial fibrillation to a degree by trying to control things like hypertension, and coronary artery disease, which we know are risk factors."
For those who are diabetic, it's important to keep things under control. Researchers have discovered people with uncontrollable diabetes doubled their risk of atrial fibrillation.


text:
Find free personals at Date.com's Treece dating service. Tired of speed dating? Try speed dating online with Date.com's matchmaking service. Whether you are looking for serious relationships, friendship, girlfriend, boyfriend, lover or even pen pals, Date.com has it all. Create a FREE singles ad and start Treece dating online, its easy!
TreeceJoin Now Free!
Treece Girls | Treece Men | Treece Gay | Treece Lesbians
More Treece Links:
Singles | Personals | Chat | Speed Dating | Love
Treece Catholic Dating | Treece Christian Dating | Treece Muslim Dating
Treece Black Dating | Treece Asian Dating
Date.com is a FREE online Treece dating service for singles. We have the hottest attractive and available Treece women/men on the Internet from hot blondes to cute brunettes to sexy redheads. If you are looking for a wife or husband for a happy marriage, mature ladies, older men create a free profile today. Browse our personal ads, chat online and start Treece dating today.


text:
The Impact of Bolsa Família on Women's Decision-Making Power
Alan de Brauw
International Food Policy Research Institute (IFPRI)
Daniel O. Gilligan
International Food Policy Research Institute (IFPRI)
John Hoddinott
Cornell University, Dyson School of Applied Economics and Management, Students
Shalini Roy
International Food Policy Research Institute (IFPRI)
February 3, 2012
Conditional cash transfer programs that transfer resources to women have considerable scope to increase women's decision-making power. Yet evidence of this effect is limited. We provide the first direct quantitative evidence of a CCT's impact on women's decision making, showing heterogeneity based on household characteristics. We find that Brazil's Bolsa Família program significantly increases women's decision-making power regarding contraception. For women in urban areas and for women less educated than their spouses, we find additional significant increases in women's decision-making power regarding children's school attendance, health expenses, and clothing; women's own labor supply and clothing; and household durable goods purchases.
Number of Pages in PDF File: 53
Keywords: Brazil, Bolsa Familia, women, conditional cash transfers
JEL Classification: D10, H53, I38, O1, O54
Date posted: February 5, 2012
Suggested Citation
Contact Information
© 2016 Social Science Electronic Publishing, Inc. All Rights Reserved.
Terms of Use
Privacy Policy
Contact Us
This page was processed by apollobot1 in 0.219 seconds


text:
You can thank your parents for your eye color, the shape of your ears, even if you have perfect pitch. The same holds true for certain cancers. About ten percent of all cancers are caused by inherited mutations.
Very few people have the mutated gene, but doctors say as many as 80 percent of women gene carriers will develop breast cancer, and up to 27 percent will get ovarian cancer. Those extremely high numbers are the reason why many women are choosing to have preventative medical procedures.
"I'm not superwoman, I have fears and anxieties about what I'm facing," shared Natalie Blumberg.
In less than 24-hours the Quakertown woman is going under the knife, getting surgery for a disease she doesn't even have.
"I don't doubt my decision," Natalie added. "I know this is something, for me personally, I have to do."
She made the decision two months earlier, after receiving news she never expected.
"Your results came back to show that you carry a mutation in one of the BRCA genes," explained St. Luke's Health Network Certified Genetic Counselor Andrea Smith.
Natalie's family has a history of cancer, and a simple genetic test revealed she inherited a mutation.
"Carrying one of these gene mutations leads to a higher risk to develop certain cancers," Smith said.
The single mother had a very hard, but very important decision to make.
"We recommend that the ovaries and fallopian tubes be removed prophylactically to reduce her risk of developing ovarian cancer," described Gynecological Oncologist Dr. Nicholas Taylor with St. Luke's University Health Network.
It's a move doctors advocate women with the gene mutation undergo before age 40, or after a woman is done having children. Undergoing a total hysterectomy slashes Natalie's chances of developing ovarian cancer by 90 percent, odds she felt comfortable taking a chance on.
"I know realistically there will be times where I may break down, I may get really stressed out, I might cry," shared Natalie. "Just knowing what the other options are and they they're not acceptable is what keeps me moving on."
During the two hour surgery Natalie's uterus, cervix, fallopian tubes and ovaries were removed laparoscopically.
"The entire surgery will be done through those very small incisions," said Dr. Taylor. "Through the incision go these devices called trocars, which are basically sleeves that allow instruments to go in and out of the belly during the surgery."
During the procedure the fallopian tubes and ovaries were examined to make sure there is no hidden cancer.
"In general women feel very relieved that the organ that can cause them cancer and potentially death has been removed," Dr. Taylor described. "So a lot of women actually feel better, they feel that there has been a burden lifted."
After a day and a half in the hospital, Natalie was home and on her way to recovery.
"I was really surprised at the fact that I had absolutely no pain," she smiled. "I didn't even take any pain medicine when I came home."
The total hysterectomy forced Natalie's body into menopause. The symptoms can come on suddenly, but are easily treated by estrogen replacement therapy.
"I joke, you know, that my tank is empty now," laughed Natalie. "But I don't feel it, I don't feel any loss, I don't feel any different than I did before."
Confronting Cancer Series- Day 3
You can thank your parents for your eye color, the shape of your ears, even if you have perfect pitch. The same holds true for certain cancers. About ten percent of all cancers are caused by inherited mutations.
Copyright 2014 WFMZ. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Homicide victim a Reading HS student, officials say
Crash knocks out power, closes Route 61
Creepy clown scares residents in Northampton County
Houston shooting: Nine injured, suspect dead
Multistate E. coli outbreak leads to meat recall
MCTI lockdown lifted, caused by social media threat
Hunterdon County plane crash victims identified
Fierce flames gut home in Warren County, NJ
Train exhibit has drive-in, even thunderstorm!
2 killed in small plane crash at Hunterdon County airport


text:
$5 off
$5 off
Is it that much cheaper? I've been getting everything at Whole Foods (store brand mostly).
Well, I don't know about WF, but my local health store sells the vit d drops I buy for $20, whereas they're only $8.50 online.
And forget not that the earth delights to feel your bare feet and the wind longs to play with your hair
Kahlil Gibran
I do think it's considerably cheaper. I got over a year's worth of vitamin D, if I lived alone, if my family takes it which I hope they will it will only last about a year, maybe two, for roughly $50. 5,000 IU per cap, I got a high potency one because my family will be more inclined to take one a day than 2 or 3, and if they forget, at least they'll be taking a high enough dose that it will even out on a weekly basis. NOW DHA 500 180 gelcaps for under $30 which I consider a decent deal on a good fish oil supp. Some chewable multivitamin for my gf who has difficulty swallowing pills and prefers chewing and lastly some magnesium citrate. Never tried magnesium, but it was under $15 so I'm going to give it a shot.
I'll use this thread for a question:
My knees click. They do so whenever I get up from a deep squat (even without weight) and even if I go on higher reps, could this mean some type of deficiency, lack of calcium or anything like that?
For lots of tasty recipes, check out my blog -http://lifeasadreger.wordpress.com/
For lots of tasty recipes, check out my blog -http://lifeasadreger.wordpress.com/
Do you know if that coupon code works beyond first time orders? The last order I placed said I couldn't use the coupon code b/c it was not my first order at the site...
Anyone got coupon codes for iherb that work beyond first time orders? (Sorry if the one above does--haven't tried it yet...) TIA!
My Before/After Pics
Are you new here? Be sure to check these links FIRST, before reading anything on the forum! Succeed & PB 101
"I am a work in progress." -Ani DiFranco
and plan on taking it once a day along with Vit D. I think iherb said you could take them together and it'll be easier for me to remember. I'm going to watch how it affects that specifically. Is 200mg too much? idk if I can cut it.. if it makes me soil myself you're gonna get it.


text:
Linden Street Improvements
Project Goals
The River District (including this portion of Linden Street) is a piece of what City Plan refers to as the Poudre River Corridor. The River District is described as a �sub-district of downtown� and the �Historic and Cultural Core Segment� of the Poudre River Corridor. The core of the River District near Linden and Willow Streets is significant in its role in the settlement of the City of Fort Collins.


text:
Article: Cool New Tools Look into the Earth
Essay: The (Long) Story of ANWR
Essay: Northern Alaska, Rich in Wildlife and Oil
Article: Fish Evolution Takes a Wild Ride
Biodiversity Science in Vietnam
Vietnam harbors an astonishing range of habitats, from rain forests and dry forests to mangroves and coral reefs. It's also home to an unusually rich array of plants and animals. Find out why.
Science Bulletin
SOFIA: Stars and the Space Between
By sending an infrared telescope to altitudes of 12,000 meters (40,000 feet) and higher, NASA and the German Aerospace Center (DLR) conduct astronomical research that would be impossible using telescopes based on Earth. The Stratospheric Observatory for Infrared Astronomy—SOFIA—is the only airborne telescope in the world. Infrared imaging of stars and planets is difficult from ground-based observatories, because water vapor in Earth's lower atmosphere blocks most infrared radiation. SOFIA operates from a modified Boeing 747, soaring high above occluding vapor to capture infrared emissions from distant galaxies. Using instruments that include a high-speed imager and a sensitive far-infrared spectrometer, SOFIA will provide insights into distant star formation, the chemical composition of deep space, and the atmospheres of planets within our own solar system.
Science Bulletins is a production of the National Center for Science Literacy, Education, and Technology (NCSLET), part of the Department of Education at the American Museum of Natural History. Find out more about Science Bulletins at http://www.amnh.org/sciencebulletins/.
Science Bulletin
WISE: Focus on Infinity
Science Bulletin
Brown Dwarfs: Tail End of the Stars
Journey to the heights of Mauna Kea in Hawaii where astronomers search for brown dwarfs, cosmic bodies that are not quite stars and not quite planets. These long-sought objects are still elusive and visible largely with advanced technologies such as the adaptive optics tools on the Keck II telescope.
Science Bulletin
Our Expanding Universe
In 1998, astrophysicists discovered a baffling phenomenon: the Universe is expanding at an ever-faster rate. Either an enigmatic force called dark energy is to blameor a reworking of gravitational theory is in order. In this new Science Bulletins video, watch a Fermilab team assemble the Dark Energy Camera, a device that could finally solve this space-stretching mystery.
Science Bulletins is a production of the National Center for Science Literacy, Education, and Technology (NCSLET), part of the Department of Education at the American Museum of Natural History. Each Bulletin is produced by AMNHs curatorial and scientific staff and a team of video producers, designers, writers, and educators using state-of-the-art technologies such as high-definition video and 3-D computer graphics to present the latest research.
Science Bulletin
Geologists on Mars
In March 2004, two NASA explorers discovered firm evidence that water once flowed on Mars—perhaps enough water to harbor life.


text:
Well before i get into the story i'll post the details.
Culprits:Mother & Best Friends Mom.
Forestory: Talking turned into play fight.
Tactics used by mom: Ball kicking, trample.
Tactics used by friends mom: Trample, Ball Kicking & Facesitting.
Story: My best friend and little brother were out at the park riding bikes and i was going to go with them, but i told them to go on ahead, whilst i turned into the kitchen to talk to my mom, i spotted my friends mom Debbie, she was beautiful; Blonde hair, Tight dark blue jeans and 3" knee high boots. My mom was also wearing Tight blue jeans but she was wearing maroon Doc martins.
"Hey mom," I said. "Could i get a new Playstation game if i get a good report?" "Aslong as its good." My mom said. "Or else.."
"Or else what.." "Or else we'll kick your ass!" Kidded Debbie.
"Yeah right." I said. "We could you know?" My mom said. "Well then, why dont you prove it, right here, right now, both of you can double-team me." I challenged as i was getting smart now. "Well.." Debbie said. "Alright your on, whaddya say Jean?" "Ok, but don't go crying away once we win." My mom joked.
I told them it was a non-stop match until one person gets counted to 10. They could do no matter what, as i said that my mom and debbie looked evily at each other.
The match started, i went easy at first grabbing debbie and trying to throw her onto a sofa but she was heavier than she looked, and reversed the throw. I took a lunge but thats when it happened, Debbie grabbed me and held me up straight, putting my arms above my head, and putting her heels on my feet, whilst my mom ran up and kicked me straight in the balls, the hard toe of the boot directly connected with my nut, i gasped and tried to fall but Debbie was still holding me, so my mom delivered two more power-filled kicks before debbie decided to let go, but her feet were still holding mine down so only my body collapsed, she took her right foot off and as my body fell she kicked my balls so hard i felt her toes inside the boot.
As soon as i fell Debbie and my mom spread me out and subdued me, debbie stood on my arms, and my mom spread my legs out- Usually she hated this but loved doing anything with Debbie. "Give up yet son?" Mom asked. "Never." I managed to gasp.
As soon as i said that my mom stood up on my penis. (Now anyone who has ever had their cock stood on by a 70KG woman wearing Doc Martin boots will know my situation.) I cried out in pain and debbie tried to silence me but i stopped soon after. "Well if you wont quit, we'll just have to humiliate you further, now kiss debbie's ass son!" "What?!" I said, writhering in pain. "I'd never do that!" But debbie lowered her butt closer to my face, whilst my mom took her left boot off me, and put it on my nuts, crushing them like grapes. "Ahh!" I yelled trying to breath. "Kiss debbies ass then!" "Ok, ok." I surrendered, as Debbie lowered her butt i puckered up....
I would never usually do such a thing but when my tongue touched her denim i got aroused, and my mom felt it as she was still on my cock, she prodded it with her toes to make sure it was'nt my pants, then kicked it. "Debbie, look at this, i think Stuart likes denim." As she giggled she put her heel back on my cock and asked debbie to help her, as debbie put her heel on my now pancake-ish penis, they twisted their feet, ripping the skin of my penis and i could feel the blood begin to run down it, i got worried now as Debbie began to work on the balls, taking kicks and stomps whilst my mom decided to hurt me further, no longer caring about my health she kicked me in the side of the head and stood up onto my throat, the ridges of her boots digging into my adams apple. I could only gargle. "I think he's gone spongy again Jean." Debbie said. "Well you can help me here Deb." My mom saying seriously. "Ok." As debbie stood onto my moms feet, closing of my airways with pressure. I blacked out with the picture of the two laughing femme fatales slowly pressuring me into fainting.
"I know what we can do now Jean." Debbie said, stepping of Stuarts limp body. "Lets publicly humiliate him..."
To Be Continued....


text:
Question: A close friend and I are entering health science careers via graduate school. We are pretty competitive individuals, and she puts a lot of her competitive emphasis on the academic realm. She is going through medical school now, and I am going to school this spring for physical therapy.
My problem is that she consistently, unintentionally dismisses my profession as easier than hers or less difficult to get into. The fact is, many universities are seeing more applications for physical therapy than for their medical programs, for fewer available slots. Both of our programs culminate in doctoral degrees, by the way.


text:
- home
- news
- features
- opinion
- blogs
- change ups
- calendar
- enewsletters
Items Tagged with 'Women of Achievement'
Foundation honors women for achievements and courage
Five leaders will be recognized for how they influenced their surroundings.
Five West Michigan women are being recognized this week for their business leadership and other contributions at an annual event. Read More


text:
Hotel Accommodation near Pompey's Pillar
Search 8 hotels near Pompey's Pillar
Trending now in Alexandria
Hotels within 2 kilometers of Pompey's Pillar
- Most bookedAlexander the great hotel-Alexotel
65 people looked at this hotel in the last hour
Most recent review
"It's a great 3 stars hotel. 10minutes by cr to most cultural attractions and the beach. good wifi and nice breakfast. Also very safe neighborhood right next to a church and a school."
A Traveller, Jan 2016, IE
26 people looked at this hotel in the last hour
Most recent review
"a family trip to Alexandria, the staff were so friendly and made sure we got a good impression about the hotel and them. The location was amazing and very close to the Alexandria library and the sea"
A Traveller, Apr 2016, CA
Hotels within 3 kilometers of Pompey's Pillar
130 people looked at this hotel in the last hour
Most recent review
"The Steigenberger is a charming hotel that was probably a real jewel 50 years ago. Now the neighborhood is quite run down and very dirty. The traffic is horrific and the constant car horns are barely attenuated by the hotel windows and heavy curtains. It is a shame what has happened to Alexand..."
A Traveller, Aug 2016, CA
- Raml Armed Forces HotelNo Guest Reviews yet
55 people looked at this hotel in the last hour
23 people looked at this hotel in the last hour
Most recent review
"Great hotel, very cosy well furnitured rooms. The crew had a key role to satisfy the guests. few problems the guests who book to this hotel must know first there is no free parking as it is mentioned (in the booking confirmation) and i strongly recommend them to delete this misleading info second..."
A Traveller, Jan 2016, GB
20 people looked at this hotel in the last hour
Most recent review
"The hotel exudes an old-world glamour with a welcome drink at the reception, a butler showing you to the room through a wooden-box-like lift. The room itself is not big but very clean. It is nice experience in Alexandria."
A Traveller, Jan 2016, IE
15 people looked at this hotel in the last hour
12 people looked at this hotel in the last hour
Hotels within 4 kilometers of Pompey's Pillar
15 people looked at this hotel in the last hour
Most recent review
"The room is good & clean but the water in the bathroom is not good from 13:00 till 20:00."
A Traveller, Jan 2016, IE
Hotels within 6 kilometers of Pompey's Pillar
46 people looked at this hotel in the last hour
See Pompey's Pillar hotels on a map
- Montazah Palace
- Manshia Square
- Stanly Bridge
- Montazah Beach
- Bibliotheca Alexandrina
- Alexandria University
- Green Plaza Mall
- Ras el-Tin Palace
- Unknown Soldier
- Shallalat Gardens
- El Alamein Museum
- Qaitbay Fortress
- St. Mark's Coptic Cathedral
- Italian Cemetery
- Allied Cemetery
- Lake Maryut
- Alexandria National Museum
- Graeco-Roman Museum
- Alexandria Stadium
- German Cemetery
Where to stay near Pompey's Pillar
Whether it's a cheap hotels in Pompey's Pillar, a 5 star Pompey's Pillar hotel or a family friendly Pompey's Pillar hotel, Hotels.com has the best accommodation for your stay.
If visiting Pompey's Pillar is a must, then be sure to check out our detailed location mapping to find the best hotel closest to Pompey's Pillar, Egypt.
Our map based hotel search can be accessed from the above map image on this page (or via standard search results) and with the locations of each hotel shown clearly around Pompey's Pillar you're able to refine your search within Alexandria or Egypt based upon other nearby landmarks and neighbourhoods as well as transport options to help you get around. If you're driving be sure to also check the hotels for onsite parking.
To get the best hotel deals near Pompey's Pillar you can also filter by price/ average nightly rate and if you're concerned with quality, you can also filter by star rating and our own guest review rating.
As well as our Hotels.com guest reviews, we also display reviews from Expedia for Pompey's Pillar hotels and the TripAdvisor Pompey's Pillar hotels review score on each of our Alexandria hotel information pages.
If you're visiting Pompey's Pillar, Alexandria with the family or in a group, be sure to check out the room options and facilities we list for each hotel to ensure we help find the perfect hotel for you.
When you've made your booking for your hotel near Pompey's Pillar, in our confirmation email we'll also send you information on all nearby attractions as well as directions on how to get to your chosen hotel and the weather forecast, helping you to plan your trip.
To get yourself an even better deal on hotels near Pompey's Pillar, Alexandria why not sign up to our Welcome Rewards program? It's free and when you stay 10 nights at any eligible hotel you receive 1 night free*
We have Pompey's Pillar hotel deals, even Pompey's Pillar last minute deals and offers to get you the cheapest Pompey's Pillar hotel with our lowest price guarantee.


text:
Clicks Fiscal 2012 Earnings Rise on Retailer's Promotions
Clicks Group Ltd.'s full-year earnings rose 9.6 percent as the South African cosmetics and music retailer used price promotions to win customers unwilling to spend money amid doubts about job security.
Earnings per share in the year through Aug. 31 increased to 2.72 rand from 2.48 rand a year earlier, in line with the average estimate of analysts surveyed by Bloomberg. Sales jumped 9.5 percent to 16.2 billion rand ($1.88 billion) with middle-income consumers remaining under financial pressure, the Cape Town-based company said today in a statement.
"People are concerned about job security and they are facing higher daily costs such as electricity prices," Chief Executive Officer David Kneale by phone from Cape Town today. "We expect consumer spending growth to be muted over the next 12 months."
Consumer confidence in South Africa was near a four-year low in the quarter and the unemployment rate, at just under 25 percent, is the highest among the more than 60 nations tracked by Bloomberg. The country's central bank cut interest rates by 0.5 percentage point to 5 percent on July 19 to stimulate the economy as the debt crisis in Europe damped exports.
Retail sales in August increased 6.4 percent on a yearly basis, Pretoria-based Statistics South Africa said yesterday, accelerating from 2.9 percent growth in July.
Clicks rose as much as 1.7 percent to 59 rand and was trading up 0.8 percent at 11:25 a.m. in Johannesburg. The stock has increased 30 percent this year.
The company expects to increase market share in South Africa through new products, cutting costs and investing in additional outlets, Kneale said. Clicks, which opened a net 20 new stores to bring the total to 420 at the end of the fiscal year, still see scope for growth in South Africa and is halfway to its target market share, the CEO said, declining to specify the goal.


text:
Francisco Zuccardi's appointment reversed due to family ties
Colombia's Foreign Relations Minister, Maria Angela Holguín, reversed the appointment of Francisco José Zuccardi, brother of senator Piedad Zuccardi, to the Colombian consulate in Mérida, Venezuela, after the controversy generated by the announcement.
The appointment came just one day before the Supreme Court issued a warrant for the arrest of Piedad Zuccardi for her alleged ties to paramilitary groups. Ms. Zuccardi has yet to appear before the Court to give her testimony.


text:
Life has a funny way of reminding you of past mistakes. When that happens, how do you respond? What to do, what to do?
So, I've been working with someone on one of my limited service jobs off and on for a few years, and watched myself fall into the same old, same old. I've tried to work at meeting my obligations, doing my thing, trying to get along. Happily making nice with everyone, trying to avoid harsh words and bad feelings, trying to make everyone happy, not realizing, I was slipping into my old ways. When things felt "tight" I would just try to do whatever the person wanted just to keep him happy! You know, stop talking when he came in the room. Listen for when he was coming around. All that stuff. Don't rock the boat. Keep the guy happy!
Well, duh!
Then reality struck, and when it did, it was like a thunderbolt.
During a confrontation, I was doing my thing, listening and trying to figure out how to diffuse the escalating situation, when I realized that I was dealing with my ex again! Not really my ex but it seemed that way. As I was standing there being berated, I just turned to the guy and lost my cool. Astounded, I fought back tears and held my ground. I was not going to take it anymore.
I told him that he was not my ex, I was not going to be treated that way, and I turned towards him and told him that he had to get his control issues under wrap. Of course, he disagreed.
Yea, now what? Thankfully the job is finished ~ for this year!
I know. The answer is obvious. Can't work with him again.
Can't look back ~ another move forward!


text:
Gilded Soul by FablePaintWatch
©2013-2016 FablePaint
wow, I have never seen this, it's very cool. i love the style- looks viking or celtic, very great color contrasts as well :3
This is amazing. It looks like it could easily be either layered paper/wood crafted or a metal and lacquer piece.
awsome- excellent design
very cool
The look of it reminds me of old culture artwork. Really nice texturing and pose and stylization :0 A different, but still interesting piece from you. I like a bit of variety every once in a while :v
My shirt designs are the ones that get way designy. Mostly because I'm like "no fucks given, having fun with a gimmick" and stop agonizing over whether the work has some intangible artistic mien.
Designy things are best for shirts and such anyhow :0 This one must make a really nice shirt, too.
Fun is best for art, yesss
Fun is best for art, yesss
I shall continue to squee over this, and you cannot stop me.
Hah just happy to get it done before the month's end! And that I actually managed to complete a painting for once.
Ugh, tell me about it... I need to set a goal for myself, I haven't done a painting for myself in AGES. All commissions.
Yepyep. I got another shirt idea (non-animal this time), but I also have to do animations for that game project and I must finish my friend's book cover commission too!
I'm in awe of your design work even!
wow. I love the texture
This would be really neat as a physical piece of art!
Very interesting indeed. The style of the lines is really cool especially at the tail


text:
Someday, when Earth is a barren wasteland of robots gone rogue and Lady Gaga is queen of our moon colony, humanity will look back and wonder what the hell happened.
When did technology go too far? Was it the Flowbee that pushed the edge? Did George Lucas invent some 5-D laser beam that replaced our memories with "Star Wars"? Or was it the guy from Gloucester County, N.J., who punched a few holes in his wrist last month and inserted some magnets so that he could hold his iPod Nano without some ugly-looking strap getting in the way?
Yes, Earth, Dave Hurban did that to himself and it worked, and he has sharp metal objects and more elaborate plans in the works.


text:
As with anything in life quality inputs result in quality outputs. Excellent mattresses are excellent because they are made with high quality materials and expert craftsmanship.
There is a reason why cheap mattresses are cheap. That is because they are inferior products made with low quality materials and with corners cut in the manufacturing process.
In our society we have a misconception that the cheapest is always the best and anybody charging more is just lining their pockets with extra profit. This isn't the case. Premium products deliver better value because the craftsmanship is better, the raw materials used are better and therefore the product is better. You get what you pay for.
When it comes to making a mattress there are a lot of corners that can be cut. With comes to raw materials a producer could use high quality long staple cotton fiber or settle for a cheap low grade fiber. With memory foam they can use cheap imported foam like most do or go to the time, effort and expense to produce their own high standard foam as Essentia and Tempurpedic do.
Innerspring mattresses have a tendency to sag and lose their support over time. However the better the innerspring unit the longer it will last. Excellent mattresses have a high coil count, more turns, a better wire quality and are double tempered. Good mattresses have open ended coils or pocket springs, poor quality ones are Bonnell and continuous coil springs.
In construction if the cotton isn't stitched well it can move shift or clump over time. An excellent mattress like Royal Pedic uses a process called hand tufting, where craftsmen stitch the cotton fill in place so it will never move or clump. This is a labor intensive process but the result is a better, longer lasting top quality mattress.
Many mattresses these days are multi layered. The cheap and easy way to join these is with glues and adhesives. Not only is this not going to be the most uncomfortable but it introduces unnecessary toxic material. Essentia for example uses a process where the layers are moulded together individually eliminating the need for chemical glues.
Fire regulations these days means mattresses have to be fire retardant and withstand an open flame for a certain period of time. The easy way to achieve this result is to spray a mattress with toxic chemicals. It is more difficult and more expensive to come up with an organic alternative but this is exactly what producers of excellent mattresses have done. They either use wool or kevlar to achieve their fire retardant standard.
Good mattresses last a long time and provide excellent comfort and support. A premium mattress demands an extra initial outlay but it pays itself back over time by its durability and longevity.
› Why
Choose Organic Mattresses
› Excellent Mattresses


text:
In hopes of ending the long-running and costly U.S.-China solar trade dispute, the Solar Energy Industries Association (SEIA) today urged SolarWorld Americas LLC to offer a specific proposal which could serve as the basis for discussions in renewed attempts to reach a negotiated settlement.
international markets
You are here
New Report Examines 'Lessons Learned' from Germany's Solar Efforts
Calling it "a lesson to be learned from, not an experience to be avoided," the Solar Energy Industries Association (SEIA) today released a comprehensive study taking an in-depth look at Germany's solar support programs and how the United States can benefit in the long term from the experiences of the world's leading solar producer.
SEIA: Future Unclear Despite WTO Ruling in China Solar Trade Case
In a significant ruling handed down today, a panel of judges at the World Trade Organization (WTO) accused the United States of violating global trade rules when it imposed punitive import duties in 2012 on many Chinese products, including solar panels. After the decision was announced, Rhone Resch, president and CEO of the Solar Energy Industries Association (SEIA), issued the following statement:
The International Energy Agency has released its Photovoltaic Power Systems Programme (PVPS) Annual Report 2013, detailing solar market conditions and updating installation data for each of the 29 member countries. The report also provides updat
A recent joint report from the National Renewable Energy Laboratory and the Lawrence Berkeley National Laboratory finds that installed PV system prices in Japan are 6% lower than U.S. prices in the residential sector, and 20% lower than U.S. prices in the small commercial sector. Some of this difference is attributed to lower soft costs in Japan.
Germany's Fraunhofer institute recently released a report showing continued levalized cost of energy (LCOE) declines for photovoltaic (PV) technologies in Germany and for concentrating solar power (CSP) and concentrating photovoltaic (CPV) technologies in higher insolation areas outside of Germany.
Overseas Opportunities for the Renewable Energy and Energy Efficiency Sector
West Africa Energy Mission to Ghana and Nigeria
Trade disputes often have a nasty way of becoming trade wars.
Global Solar Summit 2013
The Global Solar Summit will be held in Milan on May 8-9, 2013 (in conjunction with Solarexpo) at the Rho Exhibition and Conference Center.


text:
*DB2 Analyst/Administrator* *Customer:* DealerSocket
*Location:* Dallas, TX 75240 *Duration:* 6 + months *Rate:* 50/hr *Interview:* *Phone then SKYPE or only SKYPE* *Experience with DB2 Cloud Services* *Key Areas:* 1. How many years experience is required with DB2? 5+ 2. How many years experience is required with SQL? Not required 3. How many years experience is required with Linux/Unix? 5+ 4. Any chance for extension after 6 months (any follow on projects)? Possible but there is no guarantee 5. How many other people are on the DB2 production team? Currently 1, but this position will replace the existing DB2 DBA 6. Appears this is a team lead position. Is that correct? By title; no. However, this individual will be solely responsible for the DB2 Cloud environment 7. How long has this position been open? 3-4 weeks give or take 8. Is this a new position or a replacement? Replacement 9. Will you consider contractors outside the DFW area? Yes, but will not cover any re-location costs 10. Will managers do a Skype interview with out of town candidates instead of face to face? Potentially depending on the candidate *Title: DB2 Analyst/Administrator* The position is responsible for administering, developing and supporting our DB2 production and development platforms within a fast paced agile environment. *ESSENTIAL JOB DUTIES: * Responsible for technical leadership of architectural design, development, and deployment of cost-effective and sustainable cloud based database technical solutions. The role also is responsible for leading technical efforts and strategies for managing database performance, security, integrity, and developing the procedures to support enterprise applications and business functions. Leads technical efforts to architect, design, and support database solutions including data models, database technologies to employ, application/database interaction models and associated standards. Develops and maintains database communications infrastructure and topology. Technically leads efforts to design and implement database objectives in conjunction with the engineering teams. Chairs cross functional team to identify performance bottlenecks and availability risks, manage action items to address and prevent issues, and influence peer organizations to implement improvements. Performs database application tuning and performance monitoring. Provides consultation and troubleshooting for the engineering team. Establishes and maintains sound backup and recovery policies and procedures in conjunction with the Server System Administrators. Sets up and maintains database documentation and standards. Interfaces with database vendors for technical support. Provides 24x7 database support for production databases. Implements and maintains database security. Plans database growth, forecasting and changes capacity planning . Actively participates in and leads database industry focus groups. *JOB* *QUALIFICATIONS:* *Education:* Bachelor s Degree in Information Systems, Computer Science or related field or related experience *Experience:* Experience supporting and working with DB2 9.5 or greater on Linux, or Unix Experience with multi-Terabyte DB2 databases Experience with DB2 Data Partitioning Feature DPF In-depth knowledge of DB2 backup and recovery techniques, database upgrades and patches Expert level knowledge of and ability to use SQL and stored procedures. Experience using Linux including shell programming, BASH and Korn shells. Expert experience in database performance tuning and troubleshooting Experience with ETL tools Informatica, Data Stage, etc. preferred Experience with DBI Monitoring and Performance tools Experience with WLM Work Load Manager Experience with DB2 Federated databases Experience collecting database statistics for forecasting, key performance indicators and SLA statistics. *REQUIRED SKILLS:* Ability to demonstrate excellent verbal and written English communication skills. Ability to work independently and with a team under minimal supervision. Experience with DB2 Cloud Services ------------------------------ Umang Agarwal *Sr.Technical Recruiter* *SriMatrix Inc* 1255 West 15th Street, Suite 815 Plano, TX 75075 *A Certified Minority & Woman Owned Business Enterprise (MWBE)* Ph No: 732-902-0873 *um...@srimatrix.com <parit...@srimatrix.com>* *Privacy Policy* | Under Bill 1618 Title III passed by the 105th USA Congress this eMail cannot be considered as spam as long as we include our contact information and an option to be removed from our eMailing list. If you have received this message in error or, are not interested in receiving our eMails, please reply with *Remove/Unsubscribe* in subject line of this eMail and we will Remove your email from our list immediately . -- You received this message because you are subscribed to the Google Groups "Peoplesoft Security Administrator" group. To unsubscribe from this group and stop receiving emails from it, send an email to peoplesoft-security-administrator+unsubscr...@googlegroups.com. To post to this group, send email to firstname.lastname@example.com. Visit this group at https://groups.google.com/group/peoplesoft-security-administrator. For more options, visit https://groups.google.com/d/optout.


text:
Welcome to AutoNation Ford White Bear Lake!
AutoNation Ford White Bear Lake is your premier source for original factory Ford parts. Here you will find OEM parts for any Ford model. Our primary goal is to provide you Original Equipment Manufacturer (OEM) Ford parts at discount prices. With over 60 years of industry experience, you can be confident we will provide you with the correct part(s) for your vehicle. Our team is committed in providing excellent customer service.
Search Parts by Model
Cars and Hybrids
Vans and SUVs


text:
By the time Alzheimer disease (AD) has reached its end stage, the brain is riddled with plaques, tangles, cavities, and fissures and has lost a substantial percentage of its weight. However, most people living with AD are not yet at this stage and still have a good portion of working neurons with which they can learn, be creative, and enjoy life, said John Zeisel, PhD, a sociologist who focuses on the therapeutic effects of residential environment design among patients with the disorder (Zeisel J et al. Gerontologist. 2003;43[5]:697-711).
Graphic Jump Location
Researchers are studying whether incorporating specific features in residential facilities for individuals with Alzheimer disease can have beneficial effect, such as relieving stress and improving the sense of well-being.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Care at the Close of Life: Evidence and Experience
Alzheimer Disease: "It's OK, Mama, If You Want to Go, It's OK"
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Supplemental Content
All results at
JAMAevidence.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Need assistance?
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.


text:
HOME>Press Release>Text
TOKYO July 9, 2012: Japan Airlines (JAL) has applied to the Japanese Ministry of Land, Infrastructure, Transport and Tourism (MLIT) to revise down its international cargo fuel surcharge for flights departing from Japan only from August 2012.
Since April 1, 2009, JAL started adjusting its cargo fuel surcharge levels on a monthly basis by using the one-month average fuel price of Singaporekerosene of the month before last. As the average fuel price of Singapore kerosene for the month of June in 2012 was US$110.31 per barrel, the benchmark fuel price used for calculation of the fuel surcharge level will be within the range of US$110.00 to US$114.99 per barrel (refer to table below).
The international cargo fuel surcharge will therefore be 108 yen per kg on long-haul international routes, 87 yen per kg on medium-haul international routes, and 68 yen on short-haul routes.
International Cargo Surcharge


text:
Victory E-Cigarette Review
Victory E-Cigarette Starter Kit
Click the link above to view this product at the manufacturer's website.
The prices for entry-level electronic cigarette kits seem to be dropping constantly these days, as manufacturers try to meet ever lower price points in an attempt to compete with one another. I certainly have no problem with this trend; in the end, smokers are the winners because the cost of getting started with e-smoking is lower and presents less of a barrier than ever before. My first e-cigarette cost nearly $100 and didn't include much more than the $29.99 Victory e-cigarette does. It also didn't perform as well. In many ways, there's never been a better time to be a new e-smoker than right now. So, is Victory a company that deserves your money? Let's find out in this Victory e-cigarette review.
Victory E-Cigarette: The Bottom Line
Victory is a relatively new player in the electronic cigarette industry, but considering the low price and high performance of the Victory e-cigarette kit, I think you'll be hearing about them a lot more in the future. The Victory e-cigarette is the perfect starter kit for a new e-smoker because it works exactly as it should. With many other small e-cigarettes, you have to deal with problems like poor-quality e-liquid flavors and a tight or airy draw that hampers vapor production. The Victory e-cigarette delivers huge clouds of vapor on demand, giving a smoker an easy and comfortable route for switching from smoking to e-smoking. Other major selling points include the e-liquids — which taste great and are available in convenient automatic shipments that also entitle you to free batteries — and the battery, which lasts considerably longer than average for a small e-cigarette.
Victory E-Cigarette: General Impressions
Upon receiving my Victory e-cigarette review sample, I wasn't particularly jazzed about the packaging; the starter kit shipped without an outer box and got banged up a bit on its way to my mailbox. The contents were undamaged, but I felt a little funny advertising my electronic cigarette usage to the mailman. E-cigarette packaging is usually pretty discreet, so I suppose that's what I've become accustomed to. When you open the box, you'll see the assembled Victory e-cigarette secured by two small elastic loops, which I think is kind of a cute presentation. Upon lifting the card stock divider, you'll find a pack of five refill cartomizers and the necessary charging apparatus for a USB port, a wall outlet and your car's cigarette lighter. I'm quite happy with the accessories that the Victory e-cigarette kit includes for the price; most kits in this price range don't include wall or car chargers.
Although an outer shipping box would have been nice for protecting the Victory e-cigarette kit, Victory's cartomizer packaging is just about perfect as it is. When left open to the elements, the e-liquid in a cartomizer can leak or evaporate a bit, causing the vapor to taste a little stale and one-dimensional. Each Victory e-cigarette cartomizer has stoppers on both sides and is sealed within a small plastic bag to prevent leaking and evaporation.
Victory E-Cigarette: Performance
Out of the box, my Victory e-cigarette arrived with a nearly full charge. Although whether or not you have to charge the battery before using an e-cigarette for the first time means little in the long run, I thought the fact that I could start using it right away was a nice touch. When you use the Victory e-cigarette, you'll know the battery is dead because the orange light on the end will blink repeatedly. When this happens, simply screw the battery into the USB charger and connect the charger to a USB port or to the included wall or car charger. When the light on the end of the battery turns off, it's fully charged. You can expect about 100-110 puffs from a fully charged battery, and charging a dead battery via a USB port takes about two hours. Generally, I get an average of 80 puffs from an electronic cigarette in this size range, so the battery life is definitely an asset of the Victory e-cigarette.
The most important aspect of any e-cigarette is how well it works, and I'm pleased to report that the Victory e-cigarette is one of the best-performing electronic cigarettes I've reviewed to date. The Victory e-cigarette has an automatic battery, which means that "vaping" with it is the same as smoking a real cigarette; simply screw the cartomizer into the threading at the top of the battery and puff. Having used many automatic batteries, I know that they have a lot of potential failings. If the draw is too tight or loose, you'll end up fighting with your e-cigarette to get it to produce vapor when you want it. The sensitivity of the Victory e-cigarette battery is perfect; it begins producing vapor immediately when you puff and cuts off immediately when you stop. I think the flavor will also appeal to a lot of first-time e-smokers. The rich, nutty and slightly sweet flavor recalls the best elements of real tobacco while leaving out the smoke that makes your hands and clothes smell.
Most importantly, the vapor production of the Victory e-cigarette is some of the best I've seen from a small electronic cigarette. Throughout the writing of my Victory e-cigarette review, I was consistently impressed by the large vapor clouds I was getting as well as the strong nicotine tingle in my mouth and throat. My Victory e-cigarette review kit included cartomizers with 18 mg nicotine strength, which I would say is perfect for people who have just switched from cigarettes to e-cigarettes. The nicotine sensation you'll get from "vaping" will be about the same as what you'd expect with a real cigarette.
Victory E-Cigarette: Refill Memberships
One Victory e-cigarette cartomizer delivers about as much nicotine as 1-2 packs of cigarettes. This means that you'll need to start thinking about ordering a refill back within two weeks of receiving your starter kit. Victory charges $14.99 per five-pack of cartomizers, but you'll want to sign up for a refill membership to get the best deal. The membership entitles you to ten cartomizers each month for $24.45 or fifteen cartomizers for $30.45. Making the deal even sweeter is the fact that you'll also receive a new battery for your Victory e-cigarette every three months. You'll almost certainly want at least two batteries so you can continue "vaping" while another battery charges, and signing up for a refill membership is the most economical way to get extra batteries.
Another great feature is the fact that Victory allows you to mix and match the cartomizer flavors included in each pack. My Victory e-cigarette review kit included the Regular flavor, which I thought was excellent. If you feel like branching out a bit, the other flavors available include Menthol, Blueberry, Vanilla and Cherry. If you'd like your refill packs to contain three Regular and two Menthol cartomizers each — or any other combination — Victory will do it for you. As someone who likes the sweeter flavors once in a while but generally wouldn't want to buy full packs of them, I think this is great for customers.
Victory E-Cigarette: Conclusion
The most crucial purchase a new e-smoker can make is the very first. If the first kit produces an experience that faithfully reproduces the best aspects of smoking, then switching to e-cigarettes can be pleasurable. If the first kit doesn't work as advertised, doesn't taste good or doesn't adequately reproduce the nicotine sensation that you get from real cigarettes, then your first e-cigarette purchase may end up being your last because you'll conclude that all e-cigarettes must be equally bad. For price, performance, taste and simplicity, the Victory e-cigarette can't be beat. It illustrates exactly why e-cigarettes are such a wonderful alternative to smoking, and Victory's excellent membership program makes it easy to get a steady supply of refill cartridges and replacement batteries without the risk of forgetting to order.