text:
- Assisted Living Costs in Kimberly, WI
Costs for a single bedroom room in Kimberly run around $4,000 a month.
Availability is almost guaranteed but you can request information online by filling out the form to the right or call us at (866) 355-7043 for a no-cost, in-depth assessment of your senior care needs. Our compassionate advisors can help you find the best Kimberly assisted living facilities for your unique needs and budget.
Assisted Living Costs in Nearby Cities* The costs above represent the AVERAGE monthly cost of assisted living for a one person bedroom in that city.
Facts about Kimberly
Kimberly is also known as: Outagamie County / Kimberly village.
Population shifts in Kimberly
Average temperatures in KimberlyLine in orange is average highs...line in blue is average lows.
Average rainfall in Kimberly
We value your privacy. By clicking you agree to the terms and conditions of our privacy policy. You also consent that we can reach out to you using an auto-dialing-capable phone system. Your consent is not required to use our service.


text:
Preview: Debian 6 "Sqeeze" (Part 1: GNOME)
Trying to forecast when the next version of Debian will be released is like trying to figure out whether or not it will snow the next day in Washington DC in winter; it's an exercise in futility. That said, I'm going to go out on a limb and say that Debian 6 "Squeeze" will be released soon. Why? I'm testing the new Debian live images which were first released a week ago (and are daily builds — this one is the 2010 October 3 build); before that, the most recent live image available was of version 6 "Sqeeze" alpha 2. Now that they're doing daily builds, I figure that it's not too long until we see the official release.
Comments are closed.
Copyright © 2016 FreeSoftNews - All Rights Reserved

subset: commoncrawl


text: This thing is a beast -- it eats carnivores as hor d'oeuvres. And it runs Android. See http://tinyurl.com/nr34mzv You might want to follow Qualcomm on Twitter. https://twitter.com/qualcomm or do what I've done -- set up a Google Alert for Snapdragon 800. phil -- Phil Shapiro, pshapiro at his.com http://www.his.com/pshapiro/briefbio.html http://www.twitter.com/philshapiro http://www.his.com/pshapiro/stories.menu.html "Wisdom begins with wonder." - Socrates "Learning happens thru gentleness." -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://chugalug.org/pipermail/chugalug/attachments/20130620/51f8ff0c/attachment.html>


text:
The latest version of Adobe Flash Player is required to watch this video.
Please click on the link below to download the latest version. Thanks!
In the wake of the tragic Sandy Hook Elementary shooting last December in Newtown, Conn., the debate over gun control is perhaps more heated than ever.
Some blame assault weapons or violent content in video games for the violence in our culture.
But others, like Gangsta Rap turned Christian rap artist Travis Tyler, also known as Thi'sl, argue more gun restrictions are not the answer.
Tyler, who knows about gun violence firsthand, argues that stricter gun laws won't stop criminals from getting guns.
He shared more of his thoughts about violence in the inner city.
Click play below for a rap that Thi'sl wrote about a missionary.
Obama Signs 23 Executive Orders on Gun Control
NRA: Obama Hypocritical over Armed School Guards
Log in or create an account to post a comment.
Are you seeking answers in life? Are you hurting? Are you facing a difficult situation?
Find peace with God, discover more about God or send us your prayer request.
Call The 700 Club Prayer Center at 1 (800) 823-6053, 24 hours a day.
A caring friend will be there to pray with you in your time of need.
CBN News is a national/international, nonprofit news organization that provides programming by cable, satellite, and the Internet, 24-hours a day. Follow us on Facebook, Twitter, and Google+.


text:
MacDonald's Essay Part of Film Trilogy
Contact Scott MacDonald
Posted December 9, 2012
Tags Art History Cinema and Media Studies Faculty Scott MacDonald
Visiting Professor of Art History Scott MacDonald provided the catalog essay for the Criterion DVD/BluRay release of filmmaker Godfrey Reggio's The Qatsi Trilogy.
Each of the qatsi films focuses on a different dimension of modern experience – Koyaanisqatsi (1983) on the loss of individuality in the industrialized world, Powaqqatsi (1988) on the labor of populations in the southern hemisphere and Naqoyqatsi (2003) on the world of media/mediation. "Qatsi" means "life" in the Hopi language.
Phil Glass supplied the soundtracks for all three films. According to MacDonald, the first two films became art-house favorites despite Reggio's decision not to use actors, narrative and voice-over commentary, but instead to rely on the power of spectacular visual imagery and Glass's engaging music.


text:
But after scooping up all those goodies for herself, she also got a little something for someone special: Tinkerbell. Hilton picked up 20 "Collar for a Good Time" dog collars – the same ones Tink wore on The Simple Life last season. "High Maintenance Bitch – I love the name," she told the accessory company's owners about their moniker. "Once again, my dog's going to rock this s---!"
G'night, HughHugh Jackman is craving the one thing he can't seem to get these days: some zzz's. He and wife Deborra-lee Furness are going through major sleep deprivation with their 6-month-old daughter Ava Eliot, whom they adopted this summer (joining son Oscar, 5). Being a dad for the second time is "awesome," but "hard. We get no sleep," he told us at the Penfolds Icon Gala Dinner, where the X-Men star and other Aussies (including Olivia-Newton John) were honored. Hopefully, he'll get some beauty rest soon: He has a slew of films on the way, including the drama The Fountain and the third installment of X-Men.
Caught in the Act
Kanye West and Pam Anderson, getting very cozy at the Chateau Marmont hotel in West Hollywood. "He was standing in front of her and reached back and was cupping her butt with his hand," says a source. "She was leaning into him. They looked happy together." Hmmm. Also at the hotel on a different day: A pregnant Mira Sorvino, having a family outing with husband Christopher Backus, 2-year-old daughter Mattea and actor dad Paul.
By JENNY SUNDEL, KIMBERLY LANSING, JULIE JORDAN, KC BAKER and MAUREEN HARRINGTON


text:
Wahnetah M. Taylor, 83, of Grand Blanc, died Nov. 8 at Genesys Convalescent Center.
Taylor was a member of Holy Family Catholic Church and the American Legion Post 413 Auxiliary. She was a volunteer at Genesys Medical Center and past president of the Granda Club.
Read today's Flint Journal obituaries:


text:
Between the Kingdom of France and the Holy Roman Empire was long Bar-le-Duc capital of an independent state: the Duchy of Barrois.
City capital of the department of Meuse, coupled with Griesheim and Gyönk, Bar-le-Duc is located in lush greenery and 200 km from Paris. It is surrounded by forests, crossed by the river Ornain and served by the TGV East European and Canal Marne au Rhin.
Bar-le-Duc is the "Capital of the currant. The seeded red currant jam to the quill pen, a tradition unique in the world since 1344, is nicknamed the? Caviar bar.


text:
The Detroit Tigers will head out to the west coast (again) this week, after their five game series with the Chicago White Sox, where the leaders of the American League West, the Los Angeles Angels of Anaheim, will be waiting. As FoxSports.com's Dan Perry writes, this may not be the last time these two teams face off this season.
July 22, FoxSports.com: In the American League this week we have clashes of titans as far as the eye can see. The week kicks off on Monday with a four-game set in Cleveland between the first-place Red Sox and the wild card-leading Indians. However, top honors go to the Tigers and Angels, who cross swords over the weekend in Anaheim.Perry also named Tuesday's Jeremy Bonderman-Javier Vazquez matchup as his best pitching duel of the upcoming week.
Both first-place teams are threats to finish with the best record in all of baseball, but, at the same time, both hold narrow leads in their divisions. The Tigers are busy fending off the Indians, while the Angels these days are seriously sweating the Mariners. So neither team can afford to let up in this possible ALCS preview.
As you can see, each team's ace -- Justin Verlander of Detroit and John Lackey of Anaheim -- won't be taking part in this series. What might also stand out is that the Tigers will be starting two lefties in Robertson and Miller. That's somewhat notable because the Angel offense has been slightly better against left-handed pitching this season. On the other hand, the Angels haven't fared particularly well against power pitchers, and Miller and Bonderman both can be characterized as such.


text:
We took one look at this uniquely custom million-dollar downtown condo and could hardly believe such a tasteful and elegant home could exist in downtown Seattle. But it does, inside of the Cristalla Building. 2033 2nd Ave #1409 is the location of a 3 bedroom, 2.5 bathroom high rise is the result of two units… Read More
Elegant Double Unit Condo at Cristalla
Interesting Sales Last Week
Seattle saw 21 closed sales last week in condos and townhouses. Notables included resales at Trace North, Cristalla, and a trio of sold townhouses at Fremont 6. 1414 12th Ave #419 A 614 square foot 1-bedroom at Trace North sold for $225K ($366/sf). Last purchased less than a year ago for $248K and took less… Read More
Open Houses This Weekend
There are 86 condos and townhouses offering open houses in Seattle this weekend. Those new-to-the-MLS townhouses in Ballard have an open house scheduled (Saturday, 1-4PM) as do the following condos: 2033 2nd Ave #1108 Sunday, 11:30AM – 1PM As of Oct 11, this 11th floor condo at Cristalla will have been on the MLS for… Read More
Interesting Sales Last Week
Seattle had 35 closed sales in condos and townhouses last week. In new construction, Escala (#608 and #303) and Gallery (#608) once again tally up closed sales, and this time Hjarta (#509 and #309) and Olive 8 (#3209) join in. In resales, there's one at 1521, plus two condos sell in Cristalla and a 2nd… Read More
Interesting Sales Last Week
28 condos and townhouses sold last week in Seattle. In new construction condos, Hjarta sold #503, Olive 8 welcomes a new owner to #3201, and Escala ticks up two more: #1912 and #2403. Also worth noting are the following two townhouses, a resale at Cristalla, and a former foreclosure at the Parc. 2109 4th Ave… Read More
Interesting Sales Last Week
Seattle saw 35 condos and townhouses sold last week. In new construction condo sales, Escala (#305) and Decatur (#207) closed one sale each, while Olive 8 closed another two (#2801 & #2909). Plus these notable sales: Queen's Court, 124 Warren Ave N Two 1-bedroom condos sold at this historic renovation in lower Queen Anne last… Read More
How Fast is the Internet in Your Building?
Last week Geekwire profiled CondoInternet.net, a growing branch of Spectrum Networks that is bringing high speed Internet to condos and apartments in Seattle. CondoInternet's service is not just high speed — it is being coined as "super broadband" because it has a minimum speed of 100 Mbps, with some services allowing surging up to 500… Read More
Interesting Sales Last Week
25 condos and townhouses sold last week in Seattle. In new construction condos, the "Sold" meters ticked up by one at Trace North (#401) and Harvard and Highland (#6), while Olive 8 closed on two (#3004 and #2907). And then there were these notable sales: 744 Harvard Ave E #200 On the north end of… Read More
Open Houses This Weekend
Apartment Therapy says there's going to be a huge blowout sale this weekend at Velocity Art & Design in South Lake Union. However, if you need to buy a condo or townhouse before you can go crazy at Velocity's first annual warehouse sale of modern furnishings and accessories, try one of these 72 open houses… Read More
Classy Cristalla Condo
This classy 1 bedroom, 1.5 bath condo on the 20th floor of the Cristalla is one listing I find myself returning to over and over again. It was, after all, featured in Seattle Homes & Lifestyles — and apparently I'm a sucker for well-staged condos. Currently listed for $450K ($100K less than it last sold… Read More
Interesting Lofts: Lofts & Townhomes Edition
Pike Lofts First up is unit #512 at 303 Pike St which is a nicely upgraded unit at the Pike Lofts. Priced at $349k for a 1 bed 796 square foot unit. If you like Pike Lofts and want a large outdoor patio check out unit #309 that just came on the market at $328k… Read More
Two Boutique Projects + Two Downtown Ones
I'm back from Maui! While I was gone the New York Times had two articles you may find interesting. The first is And Do I Hear 2 Million for That Condo? No? 1 Million? Sold! and the second is Apartment Buyers Abandoning 6-Figure Deposits. And the Marlborough officially went into foreclosure. Poor Live Historic. And… Read More
While You Were on Vacation
Hotel 1000/Madison Tower There's so many multi-million dollar condos to choose from these days. Here's one more. Unit 2401 is just under $7 mil for 3,740 square feet. Cristalla Erica Clibborn, the listing agent, has been talking about unit #1408 for quite some time now. It's now on the market for $640,000 which buys you… Read More
MLS Watch: Lofts and Price Drops
2200 Loft Looking for a loft-y unit in South Lake Union? 900 Lenora St #W102 is apparently very different from it's neighbors: This is not your ordinary cookie cutter condo! More than $50,000 in custom upgrades. Modern unit has 15′ ceilings, loft style bedroom, excellent light and open feel. Custom features include: 36′ pro range,… Read More
MLS Watch: 2 Bed/2 Bath Downtown
With our Seattle condo inventory growing every day you think there would be a steady stream of interesting Seattle condos and lofts to blog about, but there isn't! Everyday I anxiously check my new listings email to find more and more boring condos. The only semi interesting units to get listed recently are these two… Read More
MLS Watch
Okay, I'm back from California. Here are the interesting units that have hit the market in the last week. 5th and Madison Prices are going up and down at 5th and Madison. Penthouse #2403 came on the market at $2,199,000 dipped to $1,995,000 on June 26 and is now back up to $2,149,000. Whoever is… Read More
MLS Watch – $350k drop at Cosmo, Madison Lofts, Site 17
Wow, we go from a spring with no exciting units to a summer just jam packed with inventory. If you were sitting on the sidelines there is finally some good condos to choose from. Here's a roundup of what's caught my eye in the last week. Cosmo – Huge price drops Ashley has the scoop… Read More
MLS Watch: Finally Listings Worth Clicking On
After lots of new boring listings coming on the market every day we finally have some interesting ones! Bellora Unit #310 at Bellora is sporting the largest mirror I've seen in a downtown condo: I don't want to know how much that fugly thing cost. Colonial Grand Pacific I guess with a name like Colonial… Read More
MLS Watch: $5.9 mil and everything else
2200 vs Cosmo Inventory Glut Match 36 versus 39. Winner: Cosmo. Cristalla There are 5 units available at Cristalla. The most recent to come on the market is a 436 square foot studio at $379,990. Only $872/sq ft. I guess I'll stop bitching about Trace's price per square foot. But it does have a $6,000… Read More
MLS Watch – Prices go down, prices go up
It's been a while since I've really done MLS Watch. The truth is that we've been having troubles at Redfin getting our 'listing alert e-mails' to run reliably which is what I use to compile this blog post. Anyhow, here's a look at some of the activity over the past week that caught my eye:… Read More


text:
Packaging system for pharmaceutical compositions and kit for intravenous administration
Browse recent Infa S.a. patentsHow KEYWORD MONITOR works... a FREE service from FreshPatents
1. Sign up (takes 30 seconds). 2. Fill in the keywords to be monitored.
3. Each week you receive an email with patent applications related to your keywords.
Start now! - Receive info on patent apps like Packaging system for pharmaceutical compositions and kit for intravenous administration or other areas of interest.
Previous Patent Application:
Method and apparatus for beverage capsule storage
Next Patent Application:
Reclosable display package
Industry Class:
Special receptacle or package
Thank you for viewing the Packaging system for pharmaceutical compositions and kit for intravenous administration patent info.
- - -
Results in 0.06474 seconds
Other interesting Freshpatents.com categories:
Computers: Graphics , I/O , Processors , Dyn. Storage , Static Storage , Printers
Data source: patent applications published in the public domain by the United States Patent and Trademark Office (USPTO). Information published here is for research/educational purposes only. FreshPatents is not affiliated with the USPTO, assignee companies, inventors, law firms or other assignees. Patent applications, documents and images may contain trademarks of the respective companies/authors. FreshPatents is not responsible for the accuracy, validity or otherwise contents of these public document patent application filings. When possible a complete PDF is provided, however, in some cases the presented document/images is an abstract or sampling of the full patent application for display purposes. FreshPatents.com Terms/Support
Fusion Intravenous Active Principle Infusion Principles
Follow us on Twitter
Infa S.a.
Browse recent Infa S.a. patents
Special Receptacle Or Package For Body Treatment Article Or Material (i.e., "surgical" Or Therapeutic Type)
Browse patents:Next


text:
99% of people here come to a yard sale with under $10 in their pocket, so again, you have to work with that, no one will pay $30-40 for a random toy or $30 for a DVD. If I tried to sell at those prices here at a yard sale I would probably get ridiculed all day long and no one would buy anything, thus I would be wasting my time. I would basically get laughed at. I yard sale enough to know that most people here don't even sell half of what they put out even if they mark everything at 25 cents.
I've always wonder.....How much money does everyone take with them on their yardsale trips??
I take between $200-$300


text:
Imprezzeo provides a range of professional services to support client implementations or where integration with existing systems may require development support. Please contact us for further information on any of our services:
Implementation Services
Imprezzeo experts are available to provide any additional support required to install or configure Imprezzeo, for example:
- Specify and then deliver any custom development you may require
- Install or configure Imprezzeo products
- Design solution architecture to support very large >10m image collections
- Remove duplicate images when migrating data
- Workflow design and integration with Imprezzeo
Custom Development
The Imprezzeo development team is available to undertake any custom development required by our customers. Contact us to discuss your requirements.
Persona Creation
Where your application requires a quantity of personas, Imprezzeo experts are available on a fixed price basis to create these for you using your image data. Contact us to discuss your requirements.
Technical Training
For developers, Imprezzeo technical training is available to ensure teams quickly get up to speed when integrating Imprezzeo software. Contact us to discuss your requirements and receive a proposal.


text:
WARREN - Harry Partis entered eternal sleep in the arms of his Lord Jesus Christ on Oct. 12, 2012.
Harry was born in 1929 in Thessaloniki, Greece, and endured many hardships growing up without a father and mother through the Depression, the German Occupation in World War II, and the communist civil war in Greece.
He was always proud of his work with the Americans who helped rebuild Greece in the early 1950s under the Marshall Plan.
Article Photos
Harry Partis
Harry married his devoted sweetheart, Chryssanthi, in 1954.
Following the birth of their first son, Chris, Harry and Chryssanthi decided to move to the United States in 1956 to seek a better life for their growing family. Daughters Ellen and Era and son John subsequently arrived after the young family settled in Warren.
Harry worked as an "A" lineman for Ohio Edison until suffering a serious workplace injury in 1964. Although confined to a wheelchair, he dedicated his life to ensuring that his children attended college and established successful careers.
Harry was a fighter throughout his life and struggled against increasingly difficult health issues the last few years of his life. He finally achieved eternal peace with his family at his side.
He leaves devoted wife, Chryssanthi; sons, Chris (Shelly) and John (Ann Marie), daughters, Ellen (David) Frink and Era (Tim) Griffin; as well as loving grandchildren, Marisa and Arianne Frink, Elise and Nathan Griffin, and Frankie and Chrissy Partis.
The family would like to express their deep gratitude to the caring staff at Autumn Hills Rehabilitation Center and also Hospice of the Valley who made his last days peaceful.
Friends and family may call 6 to 8 p.m. today, with a 6 p.m. Trisagon service, and 10 to 10:30 a.m. Friday at the Peter Rossi & Son Memorial Chapel.
Service will be 11 a.m. Friday at St. Demetrios Greek Orthodox Church, with the Rev. Constantine Valantasis officiating.
Burial will be in Mount Peace Cemetery in Akron.
In lieu of flowers, contributions may be made to St. Demetrios Greek Orthodox Church, 429 High St., Warren, OH 44481.
(special notice)


text:
A new jail, costing $92 million, is sitting empty in Roseville because Placer County does not have the money to staff it.
No email address was supplied by
To complete your registration on this site, please supply an address.
Please confirm or modify the email address to which you will have subscription offers sent.
For a more personalized experience, please supply the following optional information.


text:
That's true. I've looked on the internet but it's all a bit general. I'll take a stroll into town on Monday and check it up in the library.
HI Tom I've been thinking about that theory of yours regarding childhood happiness and political leanings. There could be more to it than I initially thought. In a couple of weeks I'll be visiting the library i'll see what I can dig up.
That electric Universe will blow a fuse Tom.
Thanks, Tom. It isn't that well written, but I think I get my point across.
Thanks for the invite, Tom. Hope to have some good discussions with you. Since we are close to the same age, there probably won't be too many disagreements though..
Thanks for clarifying. The reason I used the collective 'we' instead of the singular 'I' was because I was aiming for something inside the comfort zone of the reader. Hoping to rattle cages enough that maybe I get some folks to reconsider their stance on self-ownership. Sorry about misunderstanding your comment.
The place where you left the comment is at this link:
If you could let me know who I plagiarize I'd appreciate it. I didn't mean to.
You wrote as a comment on my blog titled 'personal responsibility':
"Consider the words you borrowed from someone you didn't acknowledge:
As long as we are living the only power over us is that which we allow."
Tom, The idea is hardly new but from whom did I plagiarize?? I take it seriously, and I looked online to double check and found no quote that I failed to attribute.
Hey Tom, you said I borrowed words without acknowledging their source. From where??
I'm asking here instead of bumping an old post. I only just read the comments.
Thanks Tom.
I have lost whole, complicated, entries due to the damn system selecting something and deleting it. Didn't know about the control-z, thanks. Since initially posting that, I submitted to the Borg, and was assimilated into Win 8.1. So far I don't see a difference from 8.0 except now it screws up some links. How much fun is that?
Thanks, Tom, for your comment on my blog post. I like the "sheriff" bit!
What a surprise Tom....You have been so critical of me in the past, but I must admit I enjoyed our back and forth....I look forward to our future debates...Glad we are friends now.....
I know what you mean about how the responses can make you sad. It's disconcerting to see how many people are so wrapped up around utter bullshit. I also wonder why they're so afraid of anyone questioning what they believe that they have to deny that we even exist. Their "argument" that it "takes more faith" to believe in the big bang or evolution than it does to believe in Jesus, THEREFORE there are no true atheists is just pathetic. It's not all, "Oh these poor victims of bad programming" though. I'm reading a pretty disturbing book titled Religious Right - the Greatest Threat to Democracy by A.F. Alexander. There are tons of unscrupulous people out there raising billions of dollars and stealthily plotting to install old testament law that wouldn't be all that different from sharia law. If we don't collectively watch it, the dark ages could be back with a vengeance.
Hi Tom,
I didn't know "Hi. You perhaps know of the Vallejo Navy League's raising money to make the Iowa a museum. They didn't succeed and the ship went to SoCal.
I'm all for making ship monuments where their history can be told about the vessile and war.
It's a shame that Vallejo didn't aggressively persuade the museum. I don't know what's wrong with Vallejo and it's terrible handling of Mare Island.
Thanks, Tom. About Nappy, I know I'm a controversial writer with views not everyone agrees with. I take it all with a grain a salt. We need a thick skin since we're the minority.
Hi Tom,.. I am having a blast with Joseph Who?,.... Need some readers !!!! Nice to know you !
Yeah Tom, I admit to laughing at Foxworthy's spot on humor. I could learn from that way of "attacking" the other side.
Hello Tom,
What a pleasant surprise! Glad to be your friend.
© 2016 Atheist Nexus. All rights reserved. Admin: Richard Haynes. Powered by


text:
■ On Sept. 13, 1997, funeral services were held in Calcutta, India, for Nobel peace laureate Mother Teresa.
■ In 1788, the Congress of the Confederation authorized the first national election, and declared New York the temporary national capital.
■ In 1803, Commodore John Barry, considered by many the father of the Navy, died in Philadelphia.
■ In 1912, a state funeral was held in Japan for Emperor Meiji.
■ In 1948, Republican Margaret Chase Smith of Maine was elected to the U.S. Senate; she became the first woman to serve in both houses of Congress.
■ In 1959, Elvis Presley first met his future wife, 14-year-old Priscilla Beaulieu, while stationed in West Germany with the U.S. Army. (They married in 1967 but divorced in 1973.)
■ In 1970, the first New York City Marathon was held; winner Gary Muhrcke finished the 26.2-mile run, which took place entirely inside Central Park, in 2:31:38.
■ In 1996, rapper Tupac Shakur died at a Las Vegas hospital six days after he was wounded in a drive-by shooting; he was 25.
Today's Birthdays: Actress Barbara Bain is 81. TV producer Fred Silverman is 75. Actor Richard Kiel is 73. Actress Jacqueline Bisset is 68. Actress Christine Estabrook is 62. Actress Jean Smart is 61. Actor Isiah Whitlock Jr. is 58. Country singer Bobbie Cryner is 51. Radio-TV personality Tavis Smiley is 48. Actor Louis Mandylor is 46. Olympic gold medal runner Michael Johnson is 45. Actor Roger Howarth is 44. Tennis player Goran Ivanisevic is 41. Country musician Joe Don Rooney (Rascal Flatts) is 37. Singer Fiona Apple is 35. MLB pitcher Daisuke Matsuzaka is 32. Actor Ben Savage is 32. Actor Mitch Holleman ("Reba") is 17.


text:
Green Resources on the Web
40 Ways to Go Greener at Home Besides Recycling
Being environmentally-friendly is just good economics - in our home and budget, and with the earth God gave us." - This is a magazine article byTsh, founder of Simple Living Media, a little group with the mission to help people live simply. Read her first book, Organized Simplicity to learn more. These are also good tips for college students.
ACU Biodiesel Collaboration Website
The purpose of this site is to facilitate collaboration between researchers in order to reach the goal of implementing a practical and cost effective system that will recycle waste vegetable oil for use in campus vehicles.
Freecycle promotes reusing resources by facilitating stuff swapping. It is a group for everyone in the Abilene area who has something to give away or could use something for free.
ASES strives "to accelerate the development and use of solar and other renewable energy resources through advocacy, education, research and collaboration among professionals, policy-makers and the public."
Even the smallest efforts can make a difference.
Coupon-Wise Tips-for-Eco-Friendly-Shopping
Be proactive with Eco-Friendly habits. This website has tips for changing shopping habits.
Find ways to use energy more efficiently in your home by visiting the U.S. Department of Energy website.
Remodeling the bathroom is another way to "go green" by exchanging outdated fixtures to more modern, efficient ones. There are many new products that are recyclable and sustainable.
Helpful articles from Consumer Reports.
Help kids learn the importance of protecting and preserving the environment by teaching them about recycling and reusing things they already have.
Tips to Improve Gas Mileage for your Car
Find calculators, tips and more at this website.
Fair Trade certification guarantees that farmers and workers receive fair wages. Most small coffee farmers, for example, make about 4-8¢ per $2 cup (retail). Thousands have lost their farms or jobs, many are homeless. Read more about Fair Trade
Woodworking Projects and Crafts
This site has great resources for reusing wood and scrap wood.


text:
Duncan Fletcher gets one year extension as India coach
Top Stories
- Lok Sabha proceedings washed out as Opposition adamant on Sushma Swaraj, Vasundhra Raje's resignation
- BJP counters Congress with 'sting CD' on Uttarakhand CM's aide
- Nitish Kumar to welcome PM Modi, attend programmes too if invited
- Speaker Sumitra Mahajan's warning of 'disciplinary action' irks opposition
- Lt Governor Najeeb Jung calls DCW chief's appointment illegal
Duncan Fletcher's contract as India's cricket coach was today extended by one more year despite a below-par track record, setting to rest the intense speculation on his future.
The decision to renew the 64-year-old Fletcher's contract, which was due to end at the end of this month, was taken by the BCCI's Working Committee which met here today.
"The working committee decided to extend Fletcher's contract by one year. Since he has been with the team for two years, we don't want to take a knee-jerk reaction considering the next big Test series is in South Africa. It will be risky and unfair on a new coach to give him charge in South Africa and expect good results from him," a senior BCCI member said.
Speculation were rife about Fletcher's future after he had lost 10 Test matches including a home series against England recently apart from 'whitewashes' in England and Australia.
Under Fletcher, India had lost 10 out of the 22 Test matches before the ongoing match in Mohali having won only eight. The only away Test win was against West Indies nearly two years ago just when Fletcher had taken charge.
In the 44 ODI matches played by India post their World Cup triumph, the 'Men in Blue' have won 25 matches losing 16. There were two tied matches and one match did not yield any result.
In T20s, India won nine of the 17 matches losing the other eight.
India have not qualified for the Asia Cup final and also couldn't make it to the last four in the ICC World T20.
Legendary opener Sunil Gavaskar questioned Fletcher's extension but said he should get the backing since he has now been re-appointed.
"I wonder whether an Indian coach would have survived after 10 Test defeats," Gavaskar quipped.
... contd.


text:
In one of the most spectacular YouTube videos of the rain and storms today in Houston, NYCYankInTexas, shot this footage of storm water knocking a manhole cover around in downtown Houston.
Also, see if you agree with colorblindpicaso that the driver in the black car seen in the middle of this video is crazy. Would you drive through a flooded street like that?
YouTube user carletonknight took this footage during the hours when the thunderstorm warning was active:


text:
While on the whole 30 it recommended staying away from fruit, and i did, also refrain from alcohol which i have. I Would eat alot of bananas, well tried to eat one every day or every 2 days, along with some mandrin oranges or satsumas every now and then. I would try and take maybe 1 piece of fruit a day, sometimes every 2 days but planning on cutting that out for the next week or so.
I thought maybe I had a problem with my joints build up of fluid (my dad has problems with that but likely because he was a bodybuilder and was caused by lifting too much) but the signs I have this last few days are typical of a gout flare up. Ironically enough i have started taking glucosamine sulphate (maybe 3 weeks ago) thinking it might be a problem with my joints but i have discovered that it is harvested from shellfish - so have stopped that. Fingers cross that could have been the culprit.
I will see the local nurse on wednesday who should refer me to a gp to properly diagnose the problem. I plan on buying a vitamin c supplement. Im not too sure whether to continue with my omega 3 fish oil (capsule contains beef gelatin and glycerol) and calcium and vitamin D supplement. Thoughts?
Thanks for you help btw.


text:
- Text Size:
- ASmall Text
- AMedium Text
- ALarge Text
The Missouri Highway Patrol has canceled an endangered person advisory for a 4-year-old girl from Rolla.
Troopers issued the alert last night for Cassandra Robertson, 4, saying she was with her mother and may be on her way to Colorado or New Mexico.
Investigators announced Thursday afternoon that Robertson has been found in New Mexico and she is safe.


text:
Spacious Newly Renovated 1Bedroom/1Bath Queens Townhome
숙박 가능인원4
침실 수1
면적700 ft²
Floor No.
- 가족 / 아이들과 친근함
- 부엌
- 에어콘
- 핸디캡 편의
- 인터넷
|76th St, 11373 New York, 미국
|Acceptance rate
|Response time
|A few hours
|Calendar updated
We have a townhome apartment that was built in 2003, and has been recently renovated. Located in the neighborhood of Jackson Height/Elmhurst, this townhome is a commuter's dream. With a train station just one block away, you can be at Times Square in just 20 minutes or in 10 minutes you could be in Flushing, NY. This can make the city that never sleeps be at your beck and call. Also, with Manhattan and all its attractions so close, fun and excitement are always easily within reach. You could also just step out of your private townhome and explore all the shops, stores, and amazing restaurants that are only a block away.
Don't miss the chance to have all this on your stay in NYC! With an unbeatable price, your great experiences are just waiting for you here.
-Cancellation Policy: Full refund up for cancellations 30 days prior to travel.
|Weekly rate for up to 4 guests
|991532 ₩
|Monthly rate for up to 4 guests
|3165941 ₩
|4 명 이상시 가격
|34796 ₩ 1박당/
|Check-in before
|환불 규정
Welcoming was unsurpassable, the apartment was really clean and comfortable, having all the thing you could need, including a shower gel and washing up liquid. It was round the corner from the tube station so it was more than convenient. When we arrived Jason had a sit with us in front of a map explaining us all we needed to know about the area (supermarkets, good restaurants, etc.) If we come back to New York, we will definitely come back to this apartment. ;)
We ( family of 3 ) had a wonderful stay in the apartment. It was very hot upon our
arrival and we were welcomed with cool drinks.
Everything worked out perfectly.
The apartment was very cosy, neat and clean. Jason is very nice and helpful.
Receiving kess unproblematic.Sub Station 5 min walking distance, the Ride Takes about 25 minutes.
We highly recommend this apartment.
The apartment was clean, quiet and comfortable. Splendid was that it had a computer. It was close to bus, subway and convenient shops of all kinds.
Jason was friendly and very helpful. One never had to wait long for an answer from him when one sent an WhatsApp.
We spent three whole weeks and would gladly rent this apartment again.
The description of the apartment and most of the reviews are adequate: it is a spacious apartment in a vibrant neighbourhood with good public transport connections. Jason is indeed a very helpful host!
Das Zimmer war wirklich sauber und für 2 Personen vollkommen ausreichend. Der Gastgeber war freundlich und zuvorkommend. Die Lage ist sehr gut. Mit der u-Bahn fährt man 15 Minuten zum Herzen von New York. Wir können das wirklich empfehlen da das Preis-Leistungsverhältnis wirklich stimmt.
The room was really clean and for 2 people perfectly adequate. The host was friendly and courteous. The location is very good. With the subway you drive 15 minutes to the heart of New York. We can really recommend as the price-performance ratio is really true.
Everything was smooth and went perfect. The house is located just 3 Minutes walk from the metro station. Jason already waited for us.
The apartment is well equipped and for us, as a family of 4, a good choice. During days out for sightseeing, in the evening our own spot with privacy to relax.
Several supermarkets are in the neighbourhood, as well as small restaurants.
We would book again.
Birgit and family
The host cancelled the booking, this review is automated.
Jason upgraded us to the bottom floor appartment with 5 beds and a terrace outside, without changing the fee. Perfect! He was very helpful. I even was allowed to specify delivery of an Amazon parcel to his working address, so I could take it home in my suitcase thus avoiding high shipping costs to NL.
The airco's are working 100%, the fridge is ok, all kitchen utensils were there. Large TV with interesting networks on it. Trip to Manhattan with the M or R metro is ok (40 min) but you have to take notice: some (exoress) trains skip Grand Avenue (that is where you have to get on/off).
I stayed almost two weeks in the Center of Queens near Roosevelt Ave.
The flat was nice and clean.
Jason gave me further information about Queens and my staying there.
He is very kind and trustworthy.
I fell very good and my decision to stay in one of Jasons flat was right!
I would ome there another time.
The connections to Manhattan are really good and quick:
Train 7, different Metros and Bus Q32.
Going with bus Q32 war very comfortable:
The station for this bus is under the bridge, very near to the flat. It passes Queenboro-Bridge, follows the 59th street for a while and turns into 5th Av and runs until Penn-Station. You can use the busses with the Metro-Card.
Another bus, Q53 goes to the other direction: to the Atlantic, Rockaway. It takes about 50 minutes and it is very interessting to see a big part of Queens in this way. From Rockaway it is possible to take bus 34 to Brooklyn, where you can change into the Metro then (close to Brooklyn College). This was a nice journey I did one day to spend some time at the seashore.
In Queens I visited flushing meadows and the House of Luis Armstrong.
It was interessting.
To Manhattan (59th street) is a 15-20 minutes drive uo to the metro you take.
Near the flat there is everything you need for daily life:
shops, bars, doctors, pharmacy ...
Hello and thanks to Jason :-)
We had a very pleasant stay in this apartement and we can really recommend it.
Jason is an exeptional friendly and helpful person. He is showing you every detail of the equipment in the apartement and takes care that you understand how to find the nearest subway, the shops etc. He even made a short trip in his car with us to show us the streets and places nearby.
The apartment has ample space and is very well equipped, even better than written in WIMDU. You do not find only WiFi but an internet PC with a big flatscreen, an immense TV etc. The bed is very good, the kitchen has everything you might need, there is a seperate bathroom one floor down. There is a heating and air condition.
The apartement is situated in the loft of a house with other residents on the groundfloor and first floor. The environement is calm and interestingly international. You will find many chinese shops.
We went to Manhattan daily by subway. It is a tiring trip because it runs all the way under ground, but within 35 min you are at Times Square.
For us this place was ideal and we could not wish something else.
- 확인된 숙소의 품질
- 모든 호스트는 전화로 입증되었습니다.


text:
Sunset Bracelet By Lenox
The beauty and colorful rays of the setting sun are captured in the Sunset Bracelet by Sylvia Vendola, created exclusively for Lenox. Shimmering sterling silver faceted beads are spaced with blue iolite, yellow citrine, red rubies, green prehenite, and African opals. A quartz charm and beads hang from the spring ring closure. Elegant and playful, this is jewelry for all occasions.
- Crafted of sterling silver with blue iolite, yellow citrine, red rubies, green prehenite, African opal gemstones
- Spring ring closure
- Made in USA exclusively for Lenox
- Length: 7"
$300.00 $179.95 $85.95
You have qualified for FREE shipping.
Other products we think you'll love.
Shopping made easy with Lenox EasyPay. Order today and take up to 8 months to pay - interest free!Learn About EasyPay
Break something?
Lenox Breakage Replacement is one of the best customer satisfaction plans anywhere. So don't worry, you're covered. read more
Need Help?
*Offer applies to standard shipping rates only.


text:
30 years of experience
Accepting new patients
1233 N 30th St
Billings, MT 59101 Phone number & directions
Patient Reviews
Patient Reviews ? Write a Review
Overall Rating:
Total Ratings
Total Reviews
Argumentative. Non-scientific. Un-helpful.
Only got to see Zemel for a brief time as she was too busy and couldn't be bothered to cancel or reschedule appointment and had to keep leaving to answer questions from other medical people about patients.. Expected the PA to handle the appointment and neither the PA nor Zemel seemed prepared for the appointment. The appointment was to cover general education, treatment plan, diet and exercise per the pediatrician who set it up and deferred to Zemel. None of this was considered necessary, so the forms for the school nurse and health care plan the school wanted done couldn't be filled out or completed. unclear when next appointment will be or what exactly we are to do to care/manage any possible conditions until then. Everything done and said so far contradicts what I've been told by my child's neurologist, orthopedist, and school nurse not to mention my general practitioner and endocrinologist let alone information I've found from google and while I know that not everything on the internet is accurate I don't know how not to trust big name places like the Mayo clinic.
mean, judgmental, won't investigate problems when you're suffering and instead tells you it's all in your head. worst endo ever, terrible bedside manners
My daughter has been a patient for over a year. Dr. Zemel talks to her but also talks to me. My daughter is very comfortable discussing issue with Dr. Zemel and Dr. Zemel is a great listener; she takes what she hears and adapts the treatment accordingly. Have seen incredible improvement in my daughter since we switched doctors.
Dr. Zemel spent a lot of time with my son and I and followed up with a phone call.
misdiagnosed my daughter.....she missed DIABETES. how can you be an endocrinologist and not even test for diabetes when all signs are there?


text:
Healthy Molasses Cookies (that I would actually serve to friends).
Folks who eat gluten-free are food cousins to the vegans. We both suffer the same plight of constantly checking labels and researching the pseudonyms of the ingredients we seek to avoid. And we both suffer from the "who's on first" antics that unfold doing something simple, like ordering food. For example, HHH at a recent work event: HHH (to waitstaff): "Could … Continue reading


text:
Lake Charles – North Caddo's Jasmine Thomas was the catalyst on Wednesday night, but she had plenty of help in getting the Rebels to advance.
Thomas finished with a game-high 27 points but DeDe Sheppard and Sumer Williams did their part as well as top-seeded North Caddo defeated fourth-seeded Pickering 57-36 to advance to the Class 1A state championship game.
The 5-foot-6 Thomas added eight rebounds and five steals while Sheppard, a McNeese State signee, finished with 16 points, six rebounds and four steals while Williams had 10 points, 15 rebounds and five blocks for the Rebels.
North Caddo Coach Rickey Evans said seeing those three girls lead the squad isn't anything new – it's something they have been doing all season.
"All season these three have been the big three for our team," Evans said. "Scoring, rebounding, leadership, this is the heart of North Caddo basketball."
Williams said each of the three players plays an important role in the overall success of the team.
"I think if it wasn't for those two girls, then we wouldn't be here because we each have an important role to play," Williams said. "Of course, we had bad games but we pulled through. They kept encouraging me to do what I do best, which is rebound. Jasmine scored and DeDe led the team."
Defensively, North Caddo locked down in the second half, outscoring Pickering 10-2 in the third quarter and only allowing the Red Devils four field goals in the second half. Pickering shot 13-of-40 (32 percent) for the game.
Much of North Caddo's game plan was to take Northwestern State signee and Pickering's leading scorer Sami Thomas out of the game, which they were able to do for most of the night.
Thomas finished with 11 points but shot 3-of-16 from the field. Red Devils Coach Vickie Sketoe said that with Thomas off of her game, and guard Ashley McKellar battling foul trouble, it was hard to get any rhythm going offensively.
"Everything they did on defense in my opinion was to stop Sami," Sketoe said. "If no one else could step up early on, then that puts a lot of pressure on Sami."
Andrew Lopez can be reached at firstname.lastname@example.com or 504.826.3405.


text:
Sign up to get Metro Matters e-newsletter
Thursday, February 09, 2012
Mountain Metropolitan Transit has an e-newsletter, Metro Matters, which comes out quarterly. The latest issue covers bus stop snow removal, FREX's new automatic tire chain system, new ticket vending machines, bicycle lockers and more. Click here to read more. You can sign up to receive the e-newsletter by sending an e-mail to firstname.lastname@example.com.


text:
The Boston Celtics have not played great basketball through the first 41 games of the year, but the final 41 will be a different story.
Currently sitting one game under .500, the Celtics haven't been their normal selves in 2012-13. But despite the rough start to the season, they sit 3.5 games ahead of the Philadelphia 76ers for the eighth and final spot in the playoffs.
What has slowed Boston has been inconsistent play from a wide variety of players as well as poor team play. The Celtics have been adequate at home and poor on the road. They've lost four straight after winning six games in a row. They had lost four consecutive games prior to that. They get streaky in both good and bad ways.
Well, it's time to make a playoff push as the second half of the seasons starts on Thursday, Jan. 4 against the New York Knicks. Here's how the Celtics can do it.


text:
That's a problem. If there happen to be any games activated on the system, they will only function as long as the system remains as is. The minute you activate the system using your PSN id, those games become unplayable.
If you like the games, play them until you finish them. Then, activate using your PSN id.
The chances of finding a system with active games are slim, but hey somebody appears to have found a system with a 16G card still in it. So, you never know.
I know the last used DS XL I bought, came with a 8GB SD card in it, so you can (in theory, and practice) get lucky.
How much do used XL's go for at Gamestop? $150?


text: Titans fans, ask a Jaguars writer Posted by Andrew Strickert on Nov 12, 2008 17:51 ShareTweetWe'll be doing another question and answer exchange with Tim McClellan, who writes for Jaguars Journal. What would you like to know about the Jags and the game on Sunday from their point of view? Your suggestions are welcomed. I'll shoot some questions to Tim on Thursday and then post the questions with his answers. ShareTweetTitans Tickets About Andrew Strickert View all posts by Andrew Strickert →


text:
Police: Elderly woman's strangler arrested after DNA cracks months-old murder case
After months of investigation, a swab of DNA finally led police to a suspect in the strangling death of a 72-year-old woman in West Dallas.
Dorsey Beatrice Jackson was found dead in her bed on June 4 last year. Police reports state that her door was ajar, her purse emptied and the air conditioner taken from her apartment — reportedly a run-down unit with a broken toilet in the 1800 block of Nomas Street.
But the key clue turned out to be a scrap of DNA under her fingernails, which lab work determined was not her own.
After running the DNA through an FBI database, investigators said they matched it in November to David DeWayne Owens– a 42-year-old sex offender who spent much of the 2000s in prison for subsequent offenses.
Questioned by a homicide detective in January, Owens claimed that Jackson had scratched him while trying to give him a hug.
But police weren't convinced. "Nothing had been said about where the DNA was found," Det. Brent Maudlin later wrote in an affidavit. "Only the suspect would know that it was from under the fingernails."
Police followed up with a friend of Owens' on Jan. 18. She told investigators that he had confessed to the killing, explaining that he "choked her until she stopped breathing" because of a drug debt.
Owens was booked into Dallas County jail the next day, and now faces a murder charge.


text:
Lobbyists representing Imperial Land Development, 1998:
|Lobbying Firm Hired
|Subsidiary (Lobbied For)
|Delta Development Group
|Imperial Land Development
Haines, Barbara E
Kline, Leroy D Jr
Seitz, Anthony B
Tochterman, Scott P
Search database by:
Find Your Representatives
*Each semi-annual filing (mid-year and year-end) is treated as a separate report.
Feel free to distribute or cite this material, but please credit the Center for Responsive Politics. For permission to reprint for commercial uses, such as textbooks, contact the Center: firstname.lastname@example.com


text:
2006 Crossroads RV
Paradise Pointe Fifth Wheel Series M-33 RK
|Research another travel trailer/5th wheel
Special NotesPrint
Manufacturer note:
TRAVEL TRAILERS/5TH WHEELS - From 1999 to current, prices include double door refrigerator, stabilizer jacks, water heater with DSI, stereo cassette and TV antenna. All American and All Star models also include microwave, air conditioner and electric front jacks.
Year note:
Prices include air conditioner, awning, microwave, bath power vent, exterior shower, and spare tire with carrier. Also(except Zinger) front fiberglass cap, rear leveling jacks(Cruiser/Paradise Pointe) and aluminum wheels (wht spoke in Cruiser). Paradise Pointe and Cross Terrain also gel glass exterior, home theatre system and rear fiberglass cap(Paradise Pointe only).
RVs for Sale
RV Insurance
Sell your RV
New trucks and SUVs for your consideration
Searching for the best deal...
Research other trucks and cars


text:
Panama Consultation Discusses Violence, Security in Post-2015 Agenda
1 February 2013: Over 100 UN officials, civil society representatives and stakeholders convened in Panama City, Panama, to discuss how to reflect citizen security and violence in the post-2015 agenda. The meeting focused on the relationships between citizen insecurity, violence and sustainable development, as part of the post-2015 Global Consultation on Conflict, Violence and Disaster.
The meeting, "Violence, Security and the Post-2015 Development Agenda," hosted by the Government of Panama from 31 January-1 February 2013, considered how to address the linkages among: security and development; HIV, conflict and violence; and disasters, insecurity and violence. Ricardo Mena, UN Office for Disaster Risk Reduction (ISDR), cautioned that disasters, which disproportionately affect poor populations, "can have social, environmental, economic and political implications which frequently increase conditions of violence and insecurity," and can contribute to persistent governance challenges and conflict.
Participants discussed the implications of conflict, crime and violence on achievement of the Millennium Development Goals (MDGs). Violence in Latin America and the Caribbean negatively impacts children's development and survival, economic productivity, human rights, and political stability and hinders MDG achievement, it was noted.
Participants also emphasized including inequity in the post-2015 agenda. According to Jose Luis Machinea, former Executive Secretary, UN Economic Commission for Latin America and the Caribbean (ECLAC), inequality has increased in nearly every world region in the last 15-20 years, and Latin America "remains the region with the worst income distribution."
The Panama meeting is the third in a series of three sub-thematic consultations, including one on disaster in Indonesia, in October 2012, and one on conflict and fragility in Liberia, in November 2012. The Panama meeting is expected to produce a report on strategic options for accounting for fragility, peace, security and violence reduction in the post-2015 agenda, including goals, targets and indicators. This report will contribute to a synthesis report to be discussed at a High-Level Consultation on Conflict, Violence, and Disaster in Helsinki, Finland, on 13 March 2013.
This consultation is one of 11 global thematic consultations. To date, consultations have reflected consensus on four areas: "economic opportunity and the end of extreme poverty, social inclusion, environmental sustainability and democratic governance," according to Magdy Martinez-Soliman, UN Development Programme (UNDP). UNDP, the UN Children's Fund (UNICEF), the UN Peacebuilding Support Office (PBSO) and ISDR serve as the co-leaders of the consultation, which is supported by the Government of Finland. [UNDP Press Release] [Consultation Concept Note] [Webpage for Conflict, Violence and Disaster Consultation] [IISD RS Story on Liberia Consultation]


text:
Local broadcast TV was the preferred source of news updates and other information by adults in selected communities impacted by Hurricane Irene, according to a newly completed survey from Marshall Marketing conducted for Hearst Television.
The survey polled adults in three television markets — Baltimore, Boston and the Burlington, VT/Plattsburgh, NY, market — impacted by flooding and other damage from the hurricane.
According to the findings, with 39 percent, local TV topped the list of news sources chosen by respondents who were asked, "Where did you first learn Hurricane Irene was approaching your area?" The Internet was second at 16 percent, and all other news sources were cited by 11 percent or fewer of the respondents.
Television again played a dominant role when it came to charting the course of the storm. Sixty-six percent of those surveyed said local TV news was their source of "key or critical information" about the hurricane, the survey found.
The survey also discovered many of the respondents turned to radio for information when they lost power. Sixteen percent said they listened to TV broadcasts on the radio, and 50 percent of respondents said they returned to local TV news as their source of information when power was restored.
Also, mobile technology helped keep communities informed about the hurricane. The survey said 30 percent of adults received an alert on a mobile device.
Other important findings include:
When asked, "What would you do differently the next time a hurricane or storms are headed for your area?", the top two responses were, "Nothing," at 44 percent, and, "Make sure I have more batteries in the house" at 24 percent.
The survey was conducted Sept. 19-22 and included 1400 respondents — 500 each in Baltimore and Boston, and 400 in Burlington/Plattsburgh.
Judge Rejects AG Attempt to Block IANA Transition
Hall of Fame, Pioneers Will Move Forward in Wake of INTX Demise
Fox Orders Gordon Ramsay's 'F-Word'
Set-Tops: Access Denied Irks Some Stakeholders
People on the move – August
Producing the BBC Proms
Surreal VFX makes an impact in two very different docs
Artist Ragnar Kjartansson Playfully Separates a Musical Ensemble in Multi-Screen Installation
Nominations Are Open for 2016 Product Innovation Awards
Michel Gondry Directs 'We Are the Night' Bacardi Spot


text:
From the Departments of Neurology (Drs Okun and DeLong) and Psychiatry and Behavioral Sciences (Dr McDonald), Emory University, Atlanta, Ga.
Many patients with Parkinson disease (PD) suffer from nonmotor symptoms including depression, anxiety, sexual dysfunction, decreased energy level, and an overall decline in quality of life. Comorbid depression, hypothyroidism, and sleep disorders may account for some, but not all, of these problems. Testosterone deficiency affects 20% to 25% of males over the age of 60 years in the general population and may cause signs and symptoms of the nonmotor symptoms seen in PD. We observed numerous patients with PD whose nonmotor symptoms were refractory to treatment.
To determine whether treatment of comorbid testosterone deficiency in male patients with PD can lead to improvements in refractory nonmotor symptoms.
Case studies were reviewed of the first 5 male patients who had PD with symptoms of testosterone deficiency who were treated in our clinic. All patients had low serum testosterone levels. Screening for testosterone deficiency symptoms using the St Louis Testosterone Deficiency Questionnaire was performed for 4 of the 5 patients. Additionally, to assess the prevalence of PD, total testosterone levels in 68 patients in our PD registry were sent for evaluation.
Following testosterone replacement therapy, all 5 patients experienced significant improvements in their refractory nonmotor symptoms. Of 68 male patients with PD enrolled in our PD registry, 24 (35%) had plasma evidence of testosterone deficiency. We also noted that the risk of testosterone deficiency per decade was found to increase 2.8-fold per decade (P<.001), paralleling that which is found in the general elderly male population.
The findings from this study reveal the heretofore unrecognized high prevalence of testosterone deficiency in elderly male patients with PD similar to that found in the general population. These symptoms, which may be refractory to antidepressants, anxiolytics, and antiparkinsonian medications, may respond to treatment with testosterone. More rigorous controlled studies will need to be undertaken to examine the treatment of this common comorbidity in male patients with PD.
PARKINSON DISEASE (PD) is a progressive neurodegenerative disorder characterized by both motor and nonmotor signs and symptoms. Although attention has focused largely on the motor aspects such as bradykinesia, rigidity, tremor, and gait difficulties, of equal, and often even greater importance are the nonmotor symptoms that affect quality of life such as depression, anxiety, sexual dysfunction, and cognitive impairment. In some cases comorbid conditions such as depression, hypothyroidism, and sleep disorders may account for some of the nonmotor symptoms. Recognition of these comorbid conditions is important because, when untreated, they may contribute significantly to the clinical burden. In male patients with PD, we have identified an additional comorbidity, testosterone deficiency. Testosterone deficiency is found in 20% to 25% of the adult males older than age 60 years (depending on age) and is a well-documented cause of depression, fatigue, decreased libido, and decreased work performance.1- 4 These deficiency symptoms respond favorably to testosterone replacement therapy (TRT).3,5- 7
We report our experience with TRT in 5 males with combined PD and symptoms of testosterone deficiency. Such patients were poorly responsive to antiparkinsonian and antidepressant medications. We observed significant clinical improvement in specific nonmotor symptoms with the administration of TRT. We also report the high prevalence of low testosterone levels in patients enrolled in our PD registry.
We present the results of a retrospective analysis of the first 5 patients who were seen with combined PD and symptoms of testosterone deficiency. Patients seen after our initial index patient were screened for testosterone deficiency using the validated St Louis Testosterone Deficiency Questionnaire (SLTDQ) (Table 1).8 Patients who met SLTDQ criteria were then screened for total and free testosterone levels (Table 2). Patients with levels of free testosterone less than 70 pg/mL with no potential medical contraindications to TRT including sleep apnea, polycythemia, prostate cancer, urinary outlet obstruction, or congestive heart failure were treated with a testosterone gel (AndroGel; Unimed Pharmaceuticals Inc, Deerfield, Ill), 5 g/d, applied locally to the skin. Prostate-specific antigen studies and a digital rectal examination were performed to exclude the presence of prostate cancer. Unified Parkinson's Disease Rating Scale motor scores were also recorded.
To better assess the prevalence of low testosterone levels in PD, we assessed total testosterone levels in male patients with PD enrolled in our PD registry with a confirmed diagnosis of idiopathic PD. A multiple linear regression model was used to analyze the potential increase in risk of testosterone deficiency per decade.
There is, as yet, no universally accepted testosterone value (total testosterone or free testosterone) that defines an older man as being testosterone deficient.1 Many investigators in the field have used testosterone levels at or below the lower limit of normal for young adult men as their working definition of testosterone deficiency, or older male "hypogonadism."1 Using the large Baltimore Longitudinal Study data set, Harman et al2 have defined older men as being hypogonadal if their total testosterone plasma level was below 325 ng/dL (11.3 nmol/L), or their free testosterone index was less than 0.153.2 We extrapolated, based on the more sensitive test for testosterone deficiency, free testosterone, a level of less than 70 pg/mL to define testosterone deficiency.
Five patients were treated with daily applications of testosterone gel who had free testosterone levels of 56 pg/mL or less (averages: free testosterone level, 37.6 pg/mL; total testosterone level, 243.6 ng/dL [8.4 nmol/L]). Following TRT all patients experienced significant improvement in refractory nonmotor symptoms of PD, especially fatigue, depression, anxiety, and sexual dysfunction. Parkinsonian features seemed to improve in several men, but we were unsure whether these improved secondarily as a result of the improvement in mood and energy or if TRT had a direct effect. Data from the first 5 cases that we have encountered and treated with TRT are summarized in Table 1 and Table 2 with individual case descriptions presented below.
An 87-year-old man had a 7-year history of PD with tremor, rigidity, bradykinesia, and unsteady gait. After experiencing an excellent response to levodopa replacement therapy for many years, over the span of 1 year he experienced a rather marked decline with depressed mood, fatigue, decreased energy level, and an overall withdrawal from life and decreased well-being. He was diagnosed as having depression and had therapeutic trials of buproprion, sertraline, and paroxetine, and multiple adjustments of his antiparkinsonian medications with little effect on his symptoms. His plasma free testosterone level was 42 pg/mL and his total testosterone level was 305 ng/dL (10.6 nmol/L).
A 1-month follow-up visit after receiving TRT revealed marked improvements in mood, energy, libido, and well-being. His PD symptoms were improved with regard to gait and balance, but it was unclear whether this improvement was due to TRT or to an adjustment of his dosage of fludrocortisone acetate (Florinef; Apothecon, Bristol-Myers Squibb Co, Princeton, NJ) that was being used for symptomatic orthostatic hypotension.
An 87-year-old man with a 12-year history of tremor-predominant PD reported 5 years of progressively worsening depression, anxiety, and other nonmotor symptoms. His PD symptoms were optimally treated with antiparkinsonian medications. He was treated with therapeutic doses of sertraline with a partial improvement in his mood and anxiety symptoms. His SLTDQ score was positive for 7 of 10 symptoms (Table 1). His plasma free testosterone level was 25 pg/mL; his total testosterone level was 166 ng/dL (5.8 nmol/L).
After 1 month of receiving TRT, his SLTDQ score reflected improvement in libido, and during the patient interview he reported significant improvements in mood, anxiety, and libido. During the month of treatment his quality of life improved on the Parkinson Disease Quality of Life Questionnaire especially in the categories of activities of daily living, mobility, and emotional well-being. He felt his parkinsonism was improved although there was no change in his Unified Parkinson's Disease Rating Scale motor scores before and after TRT.
A 59-year-old man with a 7-year history of tremor-predominant PD developed significant depression that was not relieved by therapeutic trials of citalopram and venlafaxine. His PD symptoms were optimally treated with antiparkinsonian medications. His SLTDQ score was positive for 6 of 10 symptoms (Table 1). His free testosterone level was 55.5 pg/mL; his total testosterone level was 353 ng/dL (12.2 nmol/L).
On a follow-up visit 4 months after beginning TRT, he reported that within weeks of beginning treatment there was a sustained and marked improvement in his mood and strength. Both libido and erectile dysfunction had improved and he no longer felt depressed. He reported increased involvement and satisfaction with his daily activities. His SLTDQ score improved from 6 positive symptoms to 2 positive symptoms (Table 1). There was a slight improvement in his Unified Parkinson's Disease Rating Scale motor score.
A 59-year-old man who had idiopathic PD for 20 years noted worsening and intractable depression over several months. He had undergone a right-sided pallidotomy 7 years earlier for treatment of dyskinesias. His symptoms included tremor, bradykinesia, on-off motor fluctuations, dyskinesias, fatigue, and depression. His parkinsonian symptoms were optimally treated with antiparkinsonian medications, and he had been treated previously with therapeutic doses of citalopram and venlafaxine without improvement in depression and nonmotor symptoms. His SLTDQ score was positive for all 10 symptoms of testosterone deficiency (Table 1). His plasma free testosterone level was 31.9 pg/mL; his total testosterone level was 162 ng/dL (5.6 nmol/L).
At a 1-month follow-up visit after starting TRT, he reported a marked improvement in depression, anxiety, and overall strength. He was again able to mow his lawn and perform yard work unassisted. His SLTDQ score improved after TRT from 10 to 4 positive symptoms (Table 1). He reported improvement in PD symptoms particularly in regard to his overall mobility and gait, but also noted some worsening of his dyskinesias.
A 73-year-old man with idiopathic PD for 12 years with tremor, rigidity, bradykinesia, and gait difficulties presented with reports of increasing fatigue and depression. He had undergone a left-sided pallidotomy 5 years prior to presentation for treatment of dyskinesias. He was previously treated with therapeutic doses of sustained-release buproprion and venlafaxine without a change in his depressive symptoms. His SLTDQ score was positive for 8 of 10 symptoms (Table 1). His plasma free testosterone level was 33.2 pg/mL; his total testosterone level was 232 ng/dL (8.0 nmol/L).
At a 1-month follow-up visit after receiving TRT, he reported marked improvement in his depression symptoms including mood, energy, and anhedonia. His SLTDQ score improved to only 5 of 10 positive symptoms with his most marked improvements in libido and erectile dysfunction (Table 1). His PD symptoms also improved, however, it was unclear whether adjustments in his levodopa and dopamine agonist dosages along with his improvement in mood were responsible for the motor improvement he exhibited.
Data derived from a PD registry showed an age-related decline in testosterone levels in 68 male patients with PD. Twenty-four male patients with PD (35%) in this registry had low testosterone levels (<325 ng/dL [<11.3 nmol/L]). A multiple linear regression model revealed a 2.8-fold increase per decade in risk of testosterone deficiency in male patients with PD (Figure 1). The results indicated a significant relationship between age and testosterone deficiency in male patients with PD (P<.001), as is found in the general male population older than 60 years.1,2
Risk of testosterone deficiency with age in 64 male patients with Parkinson disease (PD) entered in the Parkinson Disease–Alzheimer Disease Registry, Emory University, Atlanta, Ga.
The findings from this study points to the heretofore unrecognized high prevalence of testosterone deficiency in male patients with PD. The prevalence of low testosterone levels in a PD registry (24 patients [35%]) is considerably higher than that in the general male population over the age of 60 years with increasing prevalence for each decade.1,2 The high prevalence of low testosterone levels found in a PD registry may be higher than the general population with PD because of a referral bias, ie, refractory patients were referred for a second opinion or for surgery. Further studies will be needed to determine the true prevalence of low testosterone levels in patients with PD.
Patients who have PD with low testosterone levels typically exhibit nonmotor symptoms suggestive of depression and anxiety, ie, decreased libido, decreased energy, decreased endurance, and anhedonia. Most striking in this patient group was the refractoriness of the symptoms to optimal parkinsonian, antidepressant, and anxiolytic treatments. In this respect they were similar to patients with unrecognized hypothyroidism who are also poorly responsive to these treatments.9- 11
Numerous studies in the geriatric population have revealed that testosterone deficiency symptoms such as lack of energy, fatigability, irritability, anxiety, and depression will respond to TRT.3- 5,12- 16 Patients with depression refractory to antidepressant medication in the setting of testosterone deficiency have also been shown to respond to TRT. In the study by Seidmann and colleagues,3,17 all of the men treated had significant improvement in their symptoms of depression. Additionally, symptoms of depression have been treated successfully with testosterone in men with human immunodeficiency virus–infected symptomatic hypogonadism.18,19
Since 1948 it has been known that treatment of men with low testosterone levels can improve deficiency symptoms.20 Functional improvement in rehabilitation scores and grip strength improved in men receiving TRT and increased their rehabilitation potential.21 Logistically, older men who have PD and testosterone deficiency should also benefit by TRT. Since patients with PD are prone to falling, improvements in strength and rehabilitation potential are important for their long-term management. Clinicians should consider screening elderly male patients with PD who have treatment refractory nonmotor symptoms of PD for the treatable and common comorbidity of testosterone deficiency, before attributing symptoms directly to PD.
Data from the PD registry (Figure 1) reported in this article should increase awareness of a common and treatable comorbidity in this population. This comorbidity should not be confused with nonmotor symptoms that are a direct result of PD. Testosterone levels decline with normal aging probably secondary to a decline in Leydig cell functioning. Although the rate of decline can vary greatly between individuals, both cross-sectional and longitudinal studies, in general, have confirmed this decline.2,22,23 Long-term illness and certain medications are associated with lower testosterone levels.24,25 A significant proportion of older men (perhaps 20%) will experience a decline in the level of testosterone to the extent that they will develop symptoms of testosterone deficiency.1,5
Although the men in our study experienced improvement in mobility, it was unclear whether this was a primary or secondary effect of TRT. To our knowledge, there have been no prior clinical studies of the effects of TRT on motor and nonmotor symptoms in PD. Since androgen receptors have been found to anatomically co-localize with dopamine neurons in the midbrain and hypothalamus,26,27 TRT may conceivably have an effect on the motor symptoms in PD. More studies will be needed to evaluate the efficacy of TRT on motor symptoms of PD. Additionally, it has been suggested that androgens may play a neuroprotective role in some neurodegenerative diseases. Estrogen has been observed to promote in vitro neurite growth in the mesencephalon of tyrosine hydroxylase immunoreactive neurons,28 and a recent study revealed that estrogen coadministered with 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine was neuroprotective against the loss of substantia nigra cells in primates,29 and in males, testosterone is the major source of estrogen.
It is unknown whether testosterone deficiency and PD represent independent entities, ie, comorbidities that overlap, and whose symptoms are simply additive or whether testosterone deficiency may influence age of onset, the rate of progression, overall clinical severity, and specific nonmotor and motor features of the disease. Although all patients showed improvement in their symptoms of testosterone deficiency, since there may be a large placebo effect in therapy with testostrone or estrogen, a blinded, placebo-controlled study is clearly necessary to demonstrate clinical efficacy. The finding, however, that the prevalence of PD in males outnumbers females by a significant extent30 may be due in part to the effect of testosterone deficiency in males older than 60 years. Finally, it remains to be determined whether a low testosterone level could contribute to the clinical picture in other neurodegenerative diseases affecting older males such as Alzheimer disease, stroke, and neuromuscular disease. Such questions will necessarily remain for future epidemiological and clinical studies to address.
Accepted for publication February 18, 2002.
Author contributions: Study concept and design (Drs Okun, McDonald, and DeLong); acquisition of data (Drs Okun and DeLong); analysis and interpretation of data (Drs Okun, McDonald, and DeLong); drafting of the manuscript (Drs Okun and McDonald); critical revision of the manuscript for important intellectual content (Drs Okun, McDonald, and DeLong); statistical expertise (Dr Okun); obtained funding (Dr Okun); administrative, technical, and material support (Drs Okun, McDonald, and DeLong); study supervision (Drs Okun, McDonald, and DeLong).
We deeply appreciated the statistical expertise of John Hanfelt, PhD, as well as the support of the Emory University Alzhemier's Disease Center.
Corresponding author and reprints: Michael S. Okun, MD, Department of Neurology, Emory University, 1639 Pierce Dr, Suite 6000, Atlanta, GA 30322 (e-mail: email@example.com).
Thank you for submitting a comment on this article. It will be reviewed by JAMA Neurology 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 >
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Make the Diagnosis: Parkinsonism
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:
Easy location with good free parking. Fascinating performance. Well worth the visit. Friendly staff.
Very enjoyable evening, my 18 year old even put down here phone and watched!
Second time I saw the show. Absolutely outstanding! Extremely entertaining and truly magical. Grerg Frewin is a genius illusionist and magician.
This was an amazing show. We took our grandkids to Niagara Falls and took in this show. I highly recommend it.
Awesome! Extremely entertaining.
fantastic-- have seen john hirokawa in Hawaii and this is comparable, and that is saying something.
The show was well worth the . Fun and exciting!
We had a wonderful time. Our seats were great. The interaction with the audience was fun. We were able to have a drink, get a snack, relax and enjoy the show. Using public transportation to get back and forth from our hotel was easy.
This show was amazing!!! the VIP Back stage was worth it as well... My mom, my kids and I had a wonderful nigh. Can't recommend enough it's a must do.
Our family LOVED this show. For the kids it was pure magic, my husband and I are still wondering how he did it!? LOL....highly recommended!!!!
The Greg Frewin magic show was the best magic show we ever saw. We would recommend it to anybody who likes magic.
Amazing show
I can't tell you how much we enjoyed this show!! It made our whole trip! I highly recommend it!
This show was awesome!!!! Kid friendly but with something for the adults too. We went on Monday night, and while the theater was full, it wasn't cramped. He had some Las Vegas level type of illusions in his show, I'm still trying to figure out how he turned the two young ladies into tigers! There's also a couple of opportunities for audience interaction with both kids and adults being called up on to stage and of course a little magical humor as well. There's also a chance after the show to take a picture with one of the tiger's. Very cool, if I were staying long enough I'd see his Thursday night show as well.
Very good great show
Greg Frewin is AWESOME!!! Had a wonderful time at his show. Very talented and kind man.
The magic show was amazing. My kids (ages 6 and 8) had a blast. The $20 extra to add on the backstage behind the scenes tour is worth the money.
WOW! What an amazing experience! The Greg Frewin Imagine Show left us wondering How did he do that? for days. The show is so entertaining for all ages. I'm so glad that we didn't miss this Niagara Experience. The theatre is large, so it is worth upgrading the seats to orchestra, if you can arrange it. There are 3 large projection screens that show the illusions up close for those in back. On a side note, the theatre has it's own parking lot, so no need to hunt for street parking.
I choose the magic show just to do an activity in Canada and it was the best experience.
Very good show!
Wonderful, the show had everything we hoped for and more!!! Greg is so totally talented, our daughter still in awe!
Shannon United States of ...
Amazing show!! This show was definitely one of the highlights of our trip. Greg is a terrific entertainer and illusionist great sense of humor too. My kids were talking about it all the way back to the hotel. My husband and I just kept thinking how did he do that? My kids were already practicing their card tricks the moment we got back to the hotel. The staff was very friendly. Our server, Ryan, was super. He was attentive and helpful. We will definitely be back. Thanks for making great memories:
Top notch, family friendly Magic at its best!!! The tigers were breath-takingly beautiful and we all enjoyed the show! Impressive tricks!!
it was a very entertaining show....buffet looked like it could have had more options to attract more people to eat there..
Some content licensed under a Creative Commons Attribution 3.0 License.
© 1997–2016 Viator, Inc. CUR015 - 330215 All rights reserved. Viator is a registered trademark of Viator, Inc.
is a Service Mark of Viator, Inc. Travel with an Insider is a Service Mark of Viator, Inc.
Use of this website constitutes acceptance of Viator's Terms & Conditions.
Viator uses cookies to improve your experience on our website. Learn more about how we use cookies and how to change your cookie settings | Close message


text:
It's been such a fun experience doing this Crochet-Along with you all! We've had some great participants who have made some incredible dolls. If you want to start now check out the lessons here. Giveaway Results! The Winner of 1 signed copy of Tiny Yarn Animals by Tamie Snow: Flickr... Read more »
It's Week Three of the Fuzzy Panda Amigurumi Crochet-Along! Hope you guys are having as much fun as I am! *for last weeks lesson, "Assembling the Head", click here. This week we're finishing up by assembling the body and attaching our heads and bodies together. This is the satisfying part!... Read more »
Last week your homework was to finish crocheting all the bits and pieces for the head of our Fuzzy Panda...how'd you do? This week the fun part begins! We'll be taking all those odds and ends and make them into the head of our doll. So get out your finished... Read more »
Today marks the first week of our Fuzzy Panda Amigurumi adventure together. I'm Tamie Snow of Roxycraft.com and I'll be your guide for the next month while we learn some fun new techniques for your amigurumi. Read more »


text:
Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
your express consent. For more information, please refer to our Privacy Policy.
Rabeneck, Linda M.D., M.P.H.; Menke, Terri Ph.D.
Goals: The objectives of this research were to use a national probability sample of the U.S. population to determine the demographic characteristics of individuals who obtained care for dyspepsia, to compare these demographic characteristics with those of the U.S. population, and to describe the amount of health care that these individuals received.
Study: We analyzed data from the 1987 National Medical Expenditure Survey, which is based on a national probability sample of the U.S. adult population.
Results: Approximately 3.6 million individuals, or 2% of U.S. adults, obtained care for dyspepsia. Compared with the U.S. population, a predominance of women, individuals 65 years or older, and African Americans obtained care for dyspepsia. Expenditures for health care totaled $2.5 billion.
Conclusions: Given the major impact of dyspepsia on U.S. health care resources, a critical issue facing investigators is to identify the most cost-effective approach to managing these patients.
© 2001 Lippincott Williams & Wilkins, Inc.
Colleague's E-mail is Invalid
Your Name: (optional)
Your Email:
Colleague's Email:
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Journal of Clinical Gastroenterology.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
Folder Name:
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Forgot Password?
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Article Level Metrics
Delivery of health care, Costs and cost analysis, Dyspepsia, Primary care
Search for Similar Articles
You may search for similar articles that contain these same keywords or you may
modify the keyword list to augment your search.


text:
GERD affects an estimated one in 20 people in the United States. In
people with GERD, the normal barrier between the esophagus and stomach
does not function properly. Normally, this barrier allows food and
liquid to pass down into the stomach but prevents the stomach contents
from flowing back up (refluxing). People with GERD have a chronic
problem of stomach acid and other digestive juices refluxing into the
Go To: Symptoms | Diagnosis
| Treatments
Chronic reflux causes many bothersome symptoms, the most common being
heartburn and regurgitation of food or sour liquid. Other symptoms can
include problems or discomfort when swallowing, hoarseness, sore throat,
asthma, and chest pain.
Uncontrolled GERD can cause serious health problems. Over time,
digestive juices can injure the lining of the esophagus, leading to
strictures (narrowing), ulcers,
or a condition called Barrett's
esophagus. People with Barrett's esophagus have an increased risk of
developing a form of esophageal
To schedule an appointment with a Lankenau
gastroenterologist, call 1.866.CALL.MLH or use the online
appointment request form.
Correct diagnosis of GERD is important for proper treatment. In addition
to a thorough evaluation of your symptoms, one or more of the following
tests may be done:
Lifestyle modifications
Weight loss (if overweight or
Dietary changes
Raise head of bed 6 inches (if
night-time symptoms)
Proton pump inhibitors
Histamine2 blockers
Antireflux surgery
(select patients)
Laparoscopic Nissen
Transoral incisionless
GERD is a lifelong condition. However, symptoms often improve and can be
controlled with a combination of lifestyle modifications and medications
that reduce stomach acid.
If symptoms are not well managed with these measures or if medication
side effects or risks are a problem, Lankenau Medical Center offers two
minimally invasive procedures that have proved effective for relieving
GERD symptoms:
Transoral incisionless fundoplication (TIF) is a
procedure performed without any incisions. A device is advanced
endoscopically to the point where the esophagus and stomach meet, and
plastic sutures are used to tighten the antireflux barrier. Learn
more >
more about GERD >
Schedule an appointment:
Call 866.CALL.MLH
request form
Lankenau Medical Center
100 East Lancaster Avenue
Wynnewood, PA 19096
Near the corner of City Line & Lancaster
(Get Directions)
Main Line Health
Copyright 2011 Main Line Health
Printed from:
The information provided in this Web site is for informational purposes only. It is not a substitute for medical advice. All medical information presented should be discussed with your healthcare professional. See additional Terms of Use at www.mainlinehealth.org/terms.
For more information, call 1.866.CALL.MLH.


text:
Single Article Purchase:
Evidence for Chronically Altered Serotonin Function in the Cerebral Cortex of Female 3,4-Methylenedioxymethamphetamine Polydrug Users
Di Iorio CR, Watkins TJ, Dietrich MS, et al.
Arch Gen Psychiatry. 2012;69(4):399-409.
Published online April 1, 2012
Choose criteria for pricing info
Want online access for an institution? Learn More/Request Quote >
Obtain AMA PRA Category 1 Credit™ by reading an article and completing an online quiz. Quizzes are available to AMA Members, subscribers, and those who have purchased tokens.


text:
HANAHAN The Northwood Academy girls basketball team lost eight players from last years team that finished as the SCISA Class AAA state runner-up. But the Chargers are undefeated this season and will play in todays Bojangles Carolina Invitational Atlantic Division championship.
It doesnt hurt when one of your returning players is the one and only Amber Campbell.
It seems like Campbell has been playing for Northwood Academy forever, and thats because she was an impact player even before she was in high school. She was a star as an eighth-grader and is a supernova as a junior. She scored 26 points in a 69-44 victory over Wakefield on Friday to reach the 2,500-point mark in her career.
She never ceases to amaze, said coach Presley Singleton after her team ran its record to 11-0. For her to improve her stats is amazing. Last year, she averaged 27 points per game, and you figure thats it. But she is averaging 34.5 points a game this year. Shes hitting 71 percent of her 2-point shots and thats up from 62 percent. Shes amazing.
The team is actually scoring more points than last years edition. Thats because teams are double and triple-teaming Campbell and she is finding the open player for an easy bucket.
Thats what the Chargers did against Wakefield. Antoinette Davis scored 22 points and Katelyn Powell chipped in with 10.
Northwood Academy will play Franklin Road Academy in todays 2 p.m. championship game.
Singleton says it helps her team to play in high-profile tournaments. The Chargers played in a tournament at Dutch Fork High School earlier this month and will play in a one-day showcase tournament in Charlotte on Martin Luther King Day.
This helps a lot, Singleton said. There are times when we play weak teams. We seek out the best competition. Our thinking is playing better competition makes us a better team. This tournament was a little scary because I dont recognize the names of some of these teams.
The SCISA picture includes Northwood Academy and Pinewood Prep as the teams to beat.
Pinewood topped Northwood, 52-51, last season to win the SCISA state title. Pinewood jumped to a 31-19 halftime lead, and a valiant Chargers rally fell short.
Being a rival means Pinewood is always in the back of our minds, Singleton said. The one thing that make this team different is we have some good outside shooters.
Northwood (69): Campbell 26, Powell 10, Andrews 3, Cohen 6, Kappel 2, Davis 22.
Wakefield (44): Mason 5, Sipes 3, Jenkins 6, Smith 12, Tyeryar 2, Granruth 16.
Northwood 12 13 27 17 69
Wakefield 9 18 8 9 44


text:
CONSOL Energy Inc. said it is taking a "transformative step" by moving away from coal mining and increasing exploration and production in the company's shale natural gas arm.
The company, which has a handful of Utica Shale wells in Mahoning County and many in southeastern Ohio, on Monday announced it has entered into an agreement to sell its Consolidation Coal Company subsidiary to a subsidiary of Murray Energy Corporation.
The $3.5 billion deal transfers all five of CONSOL's longwall coal mines in West Virginia and enhances CONSOL's ability to grow its gas production.
"While this transaction furthers CONSOL's E&P growth strategy, the sale of these five mines - assets that have long contributed to America's economic strength and our company's legacy - was a very difficult decision for our team," said CONSOL chairman and CEO J. Brett Harvey. "We concluded that the time had come to sell these mature assets to ownership whose strategic direction is more aligned with those mines."
"We expect that West Virginia will continue to play an important role," Harvey said. "We have a sizeable Marcellus Shale footprint in West Virginia, which will take a significant amount of labor and capital to develop."
Assets included in the transaction included McElroy Mine, Shoemaker Mine, Robinson Run Mine, Loveridge Mine, and Blacksville No. 2 Mine. CONSOL is retaining some coal assets including the Pennsylvania Operations, which include the Bailey, Enlow Fork, and soon-to-be-completed BMX mines along with its flagship Buchanan Mine in southwestern Virginia and Miller Creek Mining Complex in southern West Virginia.
The parties expect to close the transaction by year's end.


text:
In the following video, Motley Fool consumer goods analyst Blake Bos discusses luck in investing. He discusses Supervalu (NYSE: SVU ) , a company that may not have been the most sound investment according to its fundamentals. But those who bought in recently did get a "lucky" reward when the company recently sold several of its assets at a premium. Bos tells us how to choose good companies when you invest to increase your odds of experiencing lucky events like this, and what some of the pitfalls in choosing a strong company can be if you don't do your homework properly.
Make sure you start 2013 with a bang, and get the inside scoop on what Motley Fool Superinvestor David Gardner will be buying this year. He's crushed the market in his Stock Advisor and Rulebreakers portfolios for years, and now I invite you to a personal tour of his flagship stock picking service: Supernova. Just click here now for instant access.


text:
How Long Is Too Long? Meet the Real-Life RapunzelMonica Bielanko
Forget mom hair.
43-year-old Terelynn Russel is eschewing the sensible bob by growing her hair to over six feet long. Russel has never had short hair. In fact, what she calls short most of us would call long.
"My earliest memory of the shortest hair would be when I was four years old starting kindergarten and it was down to my waist," she tells Inside Edition. "To me, short hair would be just above my waist."
Her daughters are also growing out their locks. Which makes for a lot hair drama around the Russel household. And a lot of conditioner. In fact, it's such a hairy situation Russel has had to instigate hair rules in their house.
All women in the family must tie their hair back while in the kitchen. Hair must be kept immaculate by using lots of shampoo and conditioner. It takes an hour for Terelynn's hair to dry. "I burn up a lot of blow dryers," she says.
Every now and again the Russel girls go in for a hair cut and donate to the Locks of Love foundation. Which is nice but all I can think about is how much of a pain dealing with all that hair would be.
You can see judges measuring Terelynn's hair at the Illinois state fair in the video clip below.
You can also find Monica on her personal blog, The Girl Who.
Read more from Monica on Babble:
- Here Comes The Bride: History of Weddings From The 20th Century (PHOTOS)
- This Valentines Day Get It Right: The 14 Most Incredible Hotel Rooms On Earth!
- A Dad And His Daughter: A Photo Series
- 2012 In Photos: You Don't Need A Pro or An Expensive Camera To Get Awesome Photos of Your Family


text:
LeBron James Ponders Future After Message to Wade
LeBron James sent a message Friday morning to teammate Dwyane Wade that acknowledged the Miami Heat guard's birthday and their uncertain future together after this season.
Wade turned 32 on Friday, and he will spend at least part of his night trying to help the Heat snap their season-long, three-game losing streak against the Philadelphia 76ers.
Wade awoke Friday to an Instagram post from James that included an extensive collage of photos of the two together that were taken on and off the court over various stages of their careers.
For more on this story visit: Michael Wallace, ESPN